Price Transparencybeta Hospital negotiated rates

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

Your selected procedure

You selected 29916 (CPT)

Hip arthro w/labral repair

This hospital’s price: $13,427 across 7 payers · range $6,389-$15,278

Source: https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840482695_platte-valley-medical-center_standardcharges.ashx · observed 2026-07-15

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.

20,916 distinct procedures filed
11 distinct payers
779,289 rate rows
2026-07-15 last MRF observed
Data quality

770,696 of 779,289 rate rows are consumer-grade (98.9%)

8,593 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 87
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 · 2026-11-03
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
$2,467,989
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
$359,244
outlier · 2.7×
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
$248,541
outlier · 2.4×
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
$198,115
outlier · 2.6×
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
$190,359
outlier · 2.7×
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
$126,461
outlier · 2.6×
7
MS_DRG 		Lung Transplant 9 $90,575.83 $309,043.57 $286,743.33 nat. median
$117,977
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $79,165.55 $280,751.52 $270,111.84 nat. median
$92,645
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $84,055.17 $286,795.17 $266,100.34 nat. median
$110,084
outlier · 2.4×
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
$93,226
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 10 $76,055.24 $269,721.18 $259,499.52 nat. median
$97,137
outlier · 2.7×
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
$103,938
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 10 $69,640.89 $246,973.43 $237,613.85 nat. median
$93,787
outlier · 2.5×
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
$90,512
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $72,113.33 $246,049.77 $228,295.09 nat. median
$94,943
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $63,014.62 $223,474.12 $215,005.09 nat. median
$77,936
outlier · 2.8×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $211,468.45 $211,468.45 $211,468.45 nat. median
$70,795
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $60,565.97 $214,790.24 $206,650.31 nat. median
$78,164
outlier · 2.6×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $58,960.10 $209,095.24 $201,171.13 nat. median
$76,979
outlier · 2.6×
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
$77,487
outlier · 2.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $55,035.68 $195,177.72 $187,781.04 nat. median
$74,298
outlier · 2.5×
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
$72,247
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
$71,737
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
$67,908
outlier · 2.7×
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
$63,564
outlier · 2.7×
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
$61,263
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $49,871.19 $176,862.44 $170,159.87 nat. median
$66,584
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $48,342.26 $171,440.29 $164,943.20 nat. median
$62,577
outlier · 2.6×
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
$63,829
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $47,078.42 $166,958.20 $160,630.97 nat. median
$61,660
outlier · 2.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $46,766.48 $165,851.95 $159,566.64 nat. median
$57,485
outlier · 2.8×
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
$60,517
outlier · 2.6×
10
MS_DRG 		Pancreas Transplant 9 $50,188.02 $171,240.90 $158,884.35 nat. median
$64,851
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $158,273.21 $158,273.21 $158,273.21 nat. median
$52,917
outlier · 3.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $49,900.56 $170,260.09 $157,974.32 nat. median
$66,623
outlier · 2.4×
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
$59,493
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
$61,995
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
$58,052
outlier · 2.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $45,005.35 $159,606.30 $153,557.68 nat. median
$59,324
outlier · 2.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 10 $42,863.04 $152,008.83 $146,248.14 nat. median
$58,220
outlier · 2.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $42,813.38 $151,832.73 $146,078.70 nat. median
$58,234
outlier · 2.5×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 2 $145,959.38 $145,959.38 $145,959.38 nat. median
$49,522
outlier · 2.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $42,402.82 $150,376.73 $144,677.89 nat. median
$57,798
outlier · 2.5×
28
MS_DRG 		Spinal Procedures With Mcc 10 $42,023.04 $149,029.87 $143,382.07 nat. median
$54,377
outlier · 2.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $42,011.15 $148,987.71 $143,341.50 nat. median
$56,633
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
$55,110
outlier · 2.6×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $142,064.43 $142,064.43 $142,064.43 nat. median
$96,983
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
$55,425
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 20,916 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
             
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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