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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

INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL

Brighton, CO · CCN 060004 · Rates published

20,917 distinct procedures filed
11 distinct payers
779,289 rate rows
2026-07-15 last MRF observed
Data quality

770,698 of 779,289 rate rows are consumer-grade (98.9%)

8,591 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
template filing: same amount across many unrelated codes — excluded 3,940
placeholder amount (≤ $0.02) — excluded from medians 2,406
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,729
per-diem day rate — not a per-procedure price 431
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 85
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840482695_platte-valley-medical-center_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/intermountain-health-platte-valley-hospital/about/hospital-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint 21aa824af974f9dd… · 3,179,043 bytes · first seen 2026-05-16

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,460,273
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $302,027.59 $1,030,514.34 $956,153.56 nat. median
$370,165
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $196,003.76 $668,762.35 $599,263.08 nat. median
$261,939
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,328.90 $529,577.80 $509,508.33 nat. median
$205,166
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 $148,452.53 $526,469.86 $506,518.17 nat. median
$199,832
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 $96,878.97 $343,570.13 $330,549.81 nat. median
$132,706
outlier · 2.5×
7
MS_DRG 		Lung Transplant 9 $90,575.83 $309,043.57 $286,743.33 nat. median
$122,690
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $79,165.55 $280,751.52 $270,111.84 nat. median
$96,134
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $84,055.17 $286,795.17 $266,100.34 nat. median
$114,305
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $77,084.08 $273,369.84 $263,009.92 nat. median
$96,835
outlier · 2.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 10 $76,055.24 $269,721.18 $259,499.52 nat. median
$100,978
outlier · 2.6×
J3403
HCPCS 		Revakinagene Per Implant 3 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $79,256.47 $270,422.08 $242,319.21 nat. median
$108,240
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 10 $69,640.89 $246,973.43 $237,613.85 nat. median
$98,002
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $68,422.51 $242,652.57 $233,456.74 nat. median
$92,900
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $72,113.33 $246,049.77 $228,295.09 nat. median
$99,646
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $63,014.62 $223,474.12 $215,005.09 nat. median
$81,124
outlier · 2.7×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $211,468.45 $211,468.45 $211,468.45 nat. median
$83,623
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $60,565.97 $214,790.24 $206,650.31 nat. median
$81,364
outlier · 2.5×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,736
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $58,960.10 $209,095.24 $201,171.13 nat. median
$79,040
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 $58,774.76 $208,437.93 $200,538.74 nat. median
$80,459
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $55,035.68 $195,177.72 $187,781.04 nat. median
$77,385
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $53,703.29 $190,452.55 $183,234.95 nat. median
$74,472
outlier · 2.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 10 $53,471.78 $189,631.54 $182,445.05 nat. median
$73,475
outlier · 2.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $53,294.83 $189,004.00 $181,841.29 nat. median
$71,485
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $50,488.07 $179,050.15 $172,264.67 nat. median
$66,640
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $50,167.04 $177,911.65 $171,169.31 nat. median
$62,911
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $49,871.19 $176,862.44 $170,159.87 nat. median
$68,581
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $48,342.26 $171,440.29 $164,943.20 nat. median
$65,958
outlier · 2.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $48,105.16 $170,599.43 $164,134.21 nat. median
$65,792
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $47,078.42 $166,958.20 $160,630.97 nat. median
$64,357
outlier · 2.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $46,766.48 $165,851.95 $159,566.64 nat. median
$59,832
outlier · 2.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $46,732.21 $165,730.41 $159,449.70 nat. median
$62,262
outlier · 2.6×
10
MS_DRG 		Pancreas Transplant 9 $50,188.02 $171,240.90 $158,884.35 nat. median
$67,750
outlier · 2.3×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $158,273.21 $158,273.21 $158,273.21 nat. median
$62,767
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $49,900.56 $170,260.09 $157,974.32 nat. median
$69,153
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $45,988.73 $163,093.74 $156,912.96 nat. median
$60,895
outlier · 2.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $45,988.73 $163,093.74 $156,912.96 nat. median
$63,840
outlier · 2.5×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $45,821.57 $162,500.93 $156,342.61 nat. median
$59,159
outlier · 2.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $45,005.35 $159,606.30 $153,557.68 nat. median
$62,218
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 10 $42,863.04 $152,008.83 $146,248.14 nat. median
$60,162
outlier · 2.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $42,813.38 $151,832.73 $146,078.70 nat. median
$60,294
outlier · 2.4×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 2 $145,959.38 $145,959.38 $145,959.38 nat. median
$57,648
outlier · 2.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $42,402.82 $150,376.73 $144,677.89 nat. median
$59,257
outlier · 2.4×
28
MS_DRG 		Spinal Procedures With Mcc 10 $42,023.04 $149,029.87 $143,382.07 nat. median
$56,970
outlier · 2.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $42,011.15 $148,987.71 $143,341.50 nat. median
$58,419
outlier · 2.5×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 $41,706.90 $147,908.73 $142,303.42 nat. median
$57,394
outlier · 2.5×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $142,064.43 $142,064.43 $142,064.43 nat. median
$97,404
1.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 10 $41,045.95 $145,564.75 $140,048.27 nat. median
$57,082
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 20,917 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 3 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 26 9 — — $302,027.59 $1,030,514.34 $956,153.56 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 10 — — $196,003.76 $668,762.35 $599,263.08 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 10 — — $149,328.90 $529,577.80 $509,508.33 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 39 10 — — $148,452.53 $526,469.86 $506,518.17 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 39 10 — — $96,878.97 $343,570.13 $330,549.81 2026-07-15
7 MS_DRG Lung Transplant 26 9 — — $90,575.83 $309,043.57 $286,743.33 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 39 10 — — $79,165.55 $280,751.52 $270,111.84 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 26 9 — — $84,055.17 $286,795.17 $266,100.34 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $77,084.08 $273,369.84 $263,009.92 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 39 10 — — $76,055.24 $269,721.18 $259,499.52 2026-07-15
J3403 HCPCS Revakinagene Per Implant 8 3 — — $257,500.00 $257,500.00 $257,500.00 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 10 — — $79,256.47 $270,422.08 $242,319.21 2026-07-15
215 MS_DRG Other Heart Assist System Implant 39 10 — — $69,640.89 $246,973.43 $237,613.85 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $68,422.51 $242,652.57 $233,456.74 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 9 — — $72,113.33 $246,049.77 $228,295.09 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 39 10 — — $63,014.62 $223,474.12 $215,005.09 2026-07-15
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 9 2 — — $211,468.45 $211,468.45 $211,468.45 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 39 10 — — $60,565.97 $214,790.24 $206,650.31 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 3 — — $205,640.00 $205,640.00 $205,640.00 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 10 — — $58,960.10 $209,095.24 $201,171.13 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $58,774.76 $208,437.93 $200,538.74 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 10 — — $55,035.68 $195,177.72 $187,781.04 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $53,703.29 $190,452.55 $183,234.95 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 39 10 — — $53,471.78 $189,631.54 $182,445.05 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 10 — — $53,294.83 $189,004.00 $181,841.29 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $50,488.07 $179,050.15 $172,264.67 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 39 10 — — $50,167.04 $177,911.65 $171,169.31 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 10 — — $49,871.19 $176,862.44 $170,159.87 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 10 — — $48,342.26 $171,440.29 $164,943.20 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 10 — — $48,105.16 $170,599.43 $164,134.21 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 39 10 — — $47,078.42 $166,958.20 $160,630.97 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 10 — — $46,766.48 $165,851.95 $159,566.64 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 10 — — $46,732.21 $165,730.41 $159,449.70 2026-07-15
10 MS_DRG Pancreas Transplant 26 9 — — $50,188.02 $171,240.90 $158,884.35 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 2 — — $158,273.21 $158,273.21 $158,273.21 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 9 — — $49,900.56 $170,260.09 $157,974.32 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $45,988.73 $163,093.74 $156,912.96 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $45,988.73 $163,093.74 $156,912.96 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 10 — — $45,821.57 $162,500.93 $156,342.61 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 10 — — $45,005.35 $159,606.30 $153,557.68 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 39 10 — — $42,863.04 $152,008.83 $146,248.14 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 10 — — $42,813.38 $151,832.73 $146,078.70 2026-07-15
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 9 2 — — $145,959.38 $145,959.38 $145,959.38 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 10 — — $42,402.82 $150,376.73 $144,677.89 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 39 10 — — $42,023.04 $149,029.87 $143,382.07 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 10 — — $42,011.15 $148,987.71 $143,341.50 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $41,706.90 $147,908.73 $142,303.42 2026-07-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $142,064.43 $142,064.43 $142,064.43 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 10 — — $41,045.95 $145,564.75 $140,048.27 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 10 — — $41,019.37 $145,470.50 $139,957.59 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 10 — — $40,336.04 $143,047.15 $137,626.07 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 10 — — $40,078.66 $142,134.36 $136,747.88 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 10 — — $39,915.00 $141,553.95 $136,189.46 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 9 — — $41,569.82 $147,422.57 $136,106.15 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 10 — — $39,863.24 $141,370.40 $136,012.87 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $39,321.19 $139,448.09 $134,163.41 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 10 — — $38,930.92 $138,064.02 $132,831.80 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 39 10 — — $38,628.77 $136,992.49 $131,800.87 2026-07-15
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 26 9 — — $41,473.30 $141,506.36 $131,295.42 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 39 10 — — $38,397.26 $136,171.48 $131,010.97 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 39 10 — — $38,261.58 $135,690.28 $130,548.01 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 39 10 — — $38,207.02 $135,496.81 $130,361.87 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 39 10 — — $38,146.87 $135,283.50 $130,156.64 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $37,298.48 $132,274.77 $127,261.94 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 10 — — $37,276.10 $132,195.40 $127,185.57 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 39 10 — — $37,025.71 $131,307.42 $126,331.24 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 10 — — $36,903.31 $130,873.35 $125,913.62 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 39 10 — — $36,407.42 $129,114.74 $124,221.67 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 26 9 — — $39,199.49 $133,748.17 $124,097.05 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 39 10 — — $36,344.47 $128,891.51 $124,006.89 2026-07-15
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 26 9 — — $37,994.40 $129,636.41 $120,281.99 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $35,251.99 $125,017.12 $120,279.33 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 39 10 — — $34,882.69 $123,707.47 $119,019.31 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 10 — — $34,602.93 $122,715.31 $118,064.75 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 10 — — $34,541.38 $122,497.03 $117,854.75 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 10 — — $34,423.18 $122,077.85 $117,451.45 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 10 — — $34,279.80 $121,569.36 $116,962.24 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 39 10 — — $33,772.72 $119,771.07 $115,232.10 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 10 — — $33,602.06 $119,165.86 $114,649.82 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 39 10 — — $33,297.82 $118,086.88 $113,611.73 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 10 — — $32,815.22 $116,375.41 $111,965.12 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 10 — — $32,717.30 $116,028.15 $111,631.02 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 10 — — $32,302.55 $114,557.27 $110,215.88 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 12 4 — — $110,139.19 $156,059.89 $110,139.19 2026-07-15
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 9 2 — — $109,908.04 $109,908.04 $109,908.04 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 10 — — $32,148.68 $114,011.59 $109,690.88 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 10 — — $32,066.84 $113,721.38 $109,411.67 2026-07-15
245 MS_DRG Aicd Generator Procedures 39 10 — — $31,910.17 $113,165.77 $108,877.11 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 10 — — $31,814.35 $112,825.95 $108,550.18 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 10 — — $31,800.37 $112,776.35 $108,502.45 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 39 10 — — $31,675.87 $112,334.84 $108,077.67 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 39 10 — — $31,346.45 $111,166.57 $106,953.68 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 39 10 — — $31,337.35 $111,134.32 $106,922.65 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 39 10 — — $31,214.26 $110,697.77 $106,502.65 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 10 — — $30,723.96 $108,959.01 $104,829.78 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 9 — — $32,882.36 $112,194.21 $104,098.40 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 10 — — $30,266.55 $107,336.83 $103,269.07 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 26 9 — — $32,431.94 $110,657.37 $102,672.46 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 39 10 — — $30,025.25 $106,481.09 $102,445.77 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 26 4 — — $50.00 $203,694.25 $101,872.12 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 39 10 — — $29,832.21 $105,796.50 $101,787.12 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 10 — — $29,660.85 $105,188.80 $101,202.45 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 10 — — $29,537.75 $104,752.25 $100,782.44 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 39 10 — — $29,487.40 $104,573.66 $100,610.62 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 39 10 — — $29,472.71 $104,521.58 $100,560.51 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 10 — — $29,386.68 $104,216.49 $100,266.98 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 39 10 — — $29,351.71 $104,092.47 $100,147.66 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 39 10 — — $29,297.16 $103,899.00 $99,961.52 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $29,183.85 $103,497.17 $99,574.93 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 10 — — $29,046.76 $103,011.01 $99,107.19 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 39 10 — — $28,854.42 $102,328.90 $98,450.93 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 10 — — $28,120.04 $99,724.48 $95,945.21 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 30 9 — — $29,162.87 $103,422.76 $95,483.84 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 10 — — $27,865.45 $98,821.62 $95,076.56 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 10 — — $27,360.47 $97,030.77 $93,353.58 2026-07-15
791 MS_DRG Prematurity With Major Problems 30 9 — — $28,389.31 $100,679.44 $92,951.10 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 10 — — $27,236.67 $96,591.74 $92,931.19 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 39 10 — — $27,072.31 $96,008.84 $92,370.38 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 39 10 — — $27,031.75 $95,864.98 $92,231.97 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 39 10 — — $27,005.87 $95,773.20 $92,143.68 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 10 — — $26,852.69 $95,230.00 $91,621.06 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 39 10 — — $26,319.04 $93,337.45 $89,800.23 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 39 10 — — $26,204.34 $92,930.67 $89,408.86 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 39 10 — — $26,142.09 $92,709.91 $89,196.47 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 10 — — $26,139.29 $92,699.99 $89,186.93 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 39 10 — — $26,065.85 $92,439.55 $88,936.36 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 39 10 — — $25,690.26 $91,107.57 $87,654.86 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 39 10 — — $25,679.77 $91,070.37 $87,619.06 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 2 — — $87,292.13 $87,292.13 $87,292.13 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 39 10 — — $25,378.32 $90,001.31 $86,590.52 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 39 10 — — $25,358.74 $89,931.86 $86,523.70 2026-07-15
332 MS_DRG Rectal Resection With Mcc 39 10 — — $25,323.77 $89,807.84 $86,404.38 2026-07-15
265 MS_DRG Aicd Lead Procedures 39 10 — — $25,306.28 $89,745.83 $86,344.72 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 10 — — $25,261.52 $89,587.09 $86,192.00 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 10 — — $25,223.75 $89,453.15 $86,063.13 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 39 10 — — $25,058.69 $88,867.77 $85,499.94 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 39 10 — — $25,000.64 $88,661.90 $85,301.87 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 39 10 — — $24,975.46 $88,572.60 $85,215.96 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 10 — — $24,938.39 $88,441.14 $85,089.48 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 10 — — $24,917.41 $88,366.73 $85,017.89 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 39 10 — — $24,893.63 $88,282.40 $84,936.75 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 39 10 — — $24,873.35 $88,210.47 $84,867.54 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 10 — — $24,665.62 $87,473.79 $84,158.78 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 10 — — $24,615.26 $87,295.20 $83,986.96 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 39 10 — — $24,397.74 $86,523.79 $83,244.79 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 39 10 — — $24,391.45 $86,501.47 $83,223.31 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 39 10 — — $24,279.54 $86,104.61 $82,841.49 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 10 — — $24,162.04 $85,687.90 $82,440.57 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 39 10 — — $24,050.13 $85,291.03 $82,058.75 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 9 — — $25,918.97 $88,435.21 $82,053.83 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 10 — — $23,978.79 $85,038.03 $81,815.34 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 39 10 — — $23,861.29 $84,621.33 $81,414.42 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 10 — — $23,829.82 $84,509.71 $81,307.03 2026-07-15
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 112 11 $216,004.80 — $50.00 $258,233.74 $79,813.77 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 39 10 — — $23,364.71 $82,860.24 $79,720.08 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 39 10 — — $23,103.82 $81,935.05 $78,829.95 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 39 10 — — $23,025.49 $81,657.25 $78,562.67 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 39 10 — — $23,022.69 $81,647.33 $78,553.13 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 39 10 — — $22,750.62 $80,682.45 $77,624.82 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 39 10 — — $22,650.60 $80,327.75 $77,283.56 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 10 — — $22,625.42 $80,238.46 $77,197.65 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 39 10 — — $22,593.95 $80,126.84 $77,090.27 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 39 10 — — $22,570.87 $80,044.99 $77,011.51 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 39 10 — — $22,526.80 $79,888.72 $76,861.17 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 39 10 — — $22,454.06 $79,630.76 $76,612.99 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 39 10 — — $22,330.97 $79,194.21 $76,192.98 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 39 10 — — $22,289.70 $79,047.87 $76,052.18 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 39 10 — — $22,268.02 $78,970.98 $75,978.20 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 39 10 — — $22,223.26 $78,812.23 $75,825.47 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 39 10 — — $22,135.13 $78,499.70 $75,524.79 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 39 10 — — $22,101.56 $78,380.64 $75,410.24 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 10 — — $22,038.61 $78,157.40 $75,195.46 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 39 10 — — $22,028.12 $78,120.20 $75,159.67 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 39 10 — — $21,976.36 $77,936.65 $74,983.07 2026-07-15
665 MS_DRG Prostatectomy With Mcc 39 10 — — $21,830.19 $77,418.24 $74,484.32 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 10 — — $21,784.72 $77,257.02 $74,329.20 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 39 10 — — $21,746.26 $77,120.60 $74,197.95 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 39 10 — — $21,412.63 $75,937.45 $73,059.64 2026-07-15
263 MS_DRG Vein Ligation And Stripping 39 10 — — $21,383.96 $75,835.75 $72,961.79 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 39 10 — — $21,214.70 $75,235.49 $72,384.28 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 39 10 — — $21,125.87 $74,920.48 $72,081.21 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 39 10 — — $21,123.08 $74,910.56 $72,071.67 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 39 10 — — $21,099.99 $74,828.71 $71,992.92 2026-07-15
652 MS_DRG Kidney Transplant 26 9 — — $22,587.65 $77,068.79 $71,507.59 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 39 10 — — $20,817.43 $73,826.63 $71,028.81 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 39 10 — — $20,605.51 $73,075.06 $70,305.73 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 39 10 — — $20,591.52 $73,025.46 $70,258.00 2026-07-15
570 MS_DRG Skin Debridement With Mcc 39 10 — — $20,570.54 $72,951.04 $70,186.41 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 39 10 — — $20,422.96 $72,427.68 $69,682.88 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 39 10 — — $20,369.10 $72,236.69 $69,499.13 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 39 10 — — $20,297.06 $71,981.21 $69,253.33 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 39 10 — — $20,284.48 $71,936.56 $69,210.37 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 39 10 — — $20,194.95 $71,619.07 $68,904.91 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 39 10 — — $20,185.16 $71,584.34 $68,871.50 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 39 10 — — $20,155.78 $71,480.17 $68,771.28 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 39 10 — — $20,074.65 $71,192.44 $68,494.45 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 39 10 — — $19,936.87 $70,703.80 $68,024.33 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 4 — — $67,452.66 $102,799.44 $67,452.66 2026-07-15
800 MS_DRG Splenic Procedures With Cc 39 10 — — $19,649.40 $69,684.36 $67,043.52 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 39 10 — — $19,578.76 $69,433.84 $66,802.50 2026-07-15
503 MS_DRG Foot Procedures With Mcc 39 10 — — $19,521.41 $69,230.44 $66,606.81 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 39 10 — — $19,387.12 $68,754.21 $66,148.62 2026-07-15
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 10 — — $19,283.61 $68,387.11 $65,795.43 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 39 10 — — $19,224.86 $68,178.75 $65,594.98 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 39 10 — — $19,219.96 $68,161.39 $65,578.27 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 39 10 — — $19,120.65 $67,809.18 $65,239.40 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 10 — — $19,029.72 $67,486.72 $64,929.17 2026-07-15
849 MS_DRG Radiotherapy 39 10 — — $18,950.69 $67,206.44 $64,659.51 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 39 10 — — $18,927.61 $67,124.58 $64,580.76 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 39 10 — — $18,866.06 $66,906.31 $64,370.75 2026-07-15
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 156 8 $91,423.02 — $7,748.11 $97,529.01 $64,267.87 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 39 10 — — $18,604.48 $65,978.64 $63,478.24 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 74 11 $91,522.02 — $50.00 $172,414.88 $63,461.37 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 35 7 — — $50.00 $141,521.89 $63,342.28 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 39 10 — — $18,539.43 $65,747.96 $63,256.30 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 39 10 — — $18,446.41 $65,418.07 $62,938.91 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 39 10 — — $18,154.05 $64,381.26 $61,941.40 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 39 10 — — $18,132.37 $64,304.37 $61,867.42 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 39 10 — — $18,064.53 $64,063.77 $61,635.94 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 39 10 — — $18,039.35 $63,974.48 $61,550.03 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 39 10 — — $18,039.35 $63,974.48 $61,550.03 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 39 10 — — $17,958.22 $63,686.75 $61,273.21 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 39 10 — — $17,856.10 $63,324.61 $60,924.79 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 39 10 — — $17,771.47 $63,024.48 $60,636.04 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 39 10 — — $17,737.90 $62,905.42 $60,521.49 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 39 10 — — $17,653.27 $62,605.30 $60,232.74 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 39 10 — — $17,645.58 $62,578.01 $60,206.49 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 39 10 — — $17,428.76 $61,809.09 $59,466.70 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 39 10 — — $17,357.42 $61,556.09 $59,223.29 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 39 10 — — $17,200.05 $60,998.00 $58,686.35 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 10 — — $17,195.15 $60,980.63 $58,669.64 2026-07-15
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 39 10 — — $17,095.14 $60,625.94 $58,328.39 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 39 10 — — $17,074.85 $60,554.01 $58,259.18 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 39 10 — — $16,941.26 $60,080.25 $57,803.38 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 39 10 — — $16,886.01 $59,884.30 $57,614.86 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 39 10 — — $16,823.06 $59,661.06 $57,400.08 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 39 10 — — $16,766.41 $59,460.15 $57,206.78 2026-07-15
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 74 11 $193,618.02 — $50.00 $154,313.56 $57,156.04 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 39 10 — — $16,750.32 $59,403.10 $57,151.89 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 39 10 — — $16,719.55 $59,293.96 $57,046.89 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 39 10 — — $16,690.87 $59,192.27 $56,949.05 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 39 10 — — $16,443.98 $58,316.68 $56,106.65 2026-07-15
792 MS_DRG Prematurity Without Major Problems 30 9 — — $17,130.11 $60,749.96 $56,086.68 2026-07-15
333 MS_DRG Rectal Resection With Cc 39 10 — — $16,381.73 $58,095.93 $55,894.26 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 39 10 — — $16,356.55 $58,006.63 $55,808.35 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 39 10 — — $16,344.66 $57,964.47 $55,767.78 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 39 10 — — $16,276.12 $57,721.39 $55,533.91 2026-07-15
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 47 11 $75,124.40 — $22.60 $166,250.00 $55,516.93 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 39 10 — — $16,264.93 $57,681.70 $55,495.73 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 39 10 — — $16,248.14 $57,622.17 $55,438.46 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 35 7 — — $50.00 $122,893.02 $55,272.32 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 10 — — $16,164.91 $57,327.00 $55,154.48 2026-07-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 74 11 $186,212.10 — $50.00 $148,411.04 $54,969.81 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 39 10 — — $16,055.80 $56,940.06 $54,782.20 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 39 10 — — $16,050.91 $56,922.70 $54,765.49 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 39 10 — — $15,985.86 $56,692.02 $54,543.56 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 39 10 — — $15,957.89 $56,592.81 $54,448.10 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 39 10 — — $15,916.62 $56,446.46 $54,307.30 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 39 10 — — $15,890.04 $56,352.21 $54,216.62 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 39 10 — — $15,845.98 $56,195.94 $54,066.28 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 39 10 — — $15,657.14 $55,526.23 $53,421.95 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 39 10 — — $15,648.04 $55,493.99 $53,390.93 2026-07-15
407 MS_DRG Pancreas- Liver And Shunt Procedures Without Cc/mcc 39 10 — — $15,524.25 $55,054.96 $52,968.53 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 39 10 — — $15,476.69 $54,886.29 $52,806.26 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 39 10 — — $15,461.30 $54,831.72 $52,753.76 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 39 10 — — $15,442.42 $54,764.75 $52,689.33 2026-07-15
41 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 39 10 — — $15,378.07 $54,536.55 $52,469.78 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 39 10 — — $15,353.59 $54,449.74 $52,386.25 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 39 10 — — $15,329.81 $54,365.41 $52,305.12 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 39 10 — — $15,302.53 $54,268.67 $52,212.05 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 39 10 — — $15,264.76 $54,134.73 $52,083.18 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 39 10 — — $15,254.97 $54,100.00 $52,049.77 2026-07-15
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 39 10 — — $15,238.89 $54,042.96 $51,994.88 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 10 — — $15,228.39 $54,005.75 $51,959.09 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 39 10 — — $15,177.34 $53,824.68 $51,784.88 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 39 10 — — $14,978.00 $53,117.77 $51,104.76 2026-07-15
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 39 10 — — $14,972.41 $53,097.92 $51,085.66 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 39 10 — — $14,958.42 $53,048.31 $51,037.94 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 39 10 — — $14,904.56 $52,857.32 $50,854.18 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 39 10 — — $14,903.86 $52,854.84 $50,851.80 2026-07-15
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 39 10 — — $14,897.57 $52,832.52 $50,830.32 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 39 10 — — $14,874.49 $52,750.67 $50,751.57 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 39 10 — — $14,832.52 $52,601.84 $50,608.38 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 39 10 — — $14,811.54 $52,527.43 $50,536.79 2026-07-15
146 MS_DRG Ear- Nose- Mouth And Throat Malignancy With Mcc 39 10 — — $14,809.44 $52,519.99 $50,529.63 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 39 10 — — $14,803.85 $52,500.15 $50,510.54 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 39 10 — — $14,748.59 $52,304.19 $50,322.02 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 39 10 — — $14,705.23 $52,150.41 $50,174.06 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 39 10 — — $14,649.28 $51,951.98 $49,983.15 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 39 10 — — $14,640.18 $51,919.73 $49,952.12 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 39 10 — — $14,625.50 $51,867.64 $49,902.01 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 39 10 — — $14,599.62 $51,775.87 $49,813.71 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 39 10 — — $14,588.43 $51,736.18 $49,775.53 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 39 10 — — $14,584.23 $51,721.30 $49,761.21 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 39 10 — — $14,574.44 $51,686.58 $49,727.80 2026-07-15
511 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Cc 39 10 — — $14,543.67 $51,577.44 $49,622.80 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 39 10 — — $14,534.57 $51,545.19 $49,591.78 2026-07-15
886 MS_DRG Behavioral And Developmental Disorders 39 10 — — $14,514.99 $51,475.74 $49,524.96 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 39 10 — — $14,454.84 $51,262.43 $49,319.73 2026-07-15
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