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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

DENVER HEALTH & HOSPITAL AUTHORITY

Denver, CO · CCN 060011 · Rates published

72,598 distinct procedures filed
8 distinct payers
227,458 rate rows
2026-04-30 last MRF observed
Data quality

222,536 of 227,458 rate rows are consumer-grade (97.8%)

4,922 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
per-diem day rate — not a per-procedure price 2,525
placeholder amount (≤ $0.02) — excluded from medians 1,658
exceeds 10× this hospital's gross charge — excluded from medians 575
template filing: same amount across many unrelated codes — excluded 149
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7840/841343242_denver-health-and-hospital-authority_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/DenverHealthMedicalCenter/7840
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b94dc436cac6f16d… · 201,084,332 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $179,999.58 $3,691,450.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $179,999.58 $3,321,376.38 $3,321,376.38 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $179,999.58 $3,245,381.39 $3,245,381.39 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 3 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $179,999.58 $4,784,172.62 $2,938,320.00 nat. median
$3,006,423
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 4 $2,664,228.59 $4,337,896.99 $2,664,228.59 nat. median
$10,376
outlier · 256.8×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $179,999.58 $4,212,295.47 $2,587,087.26 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,796,962.40 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,254,723.48 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $179,999.58 $1,000,009.19 $614,180.81 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $179,999.58 $958,187.25 $588,494.81 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $179,999.58 $915,473.09 $562,260.84 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $179,999.58 $911,435.56 $559,781.08 nat. median
$625,184
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $452,853.00 $1,295,181.72 $545,053.87 nat. median
$370,174
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $179,999.58 $865,956.73 $531,849.12 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $179,999.58 $796,662.96 $489,290.60 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $298,278.83 $840,520.83 $359,008.40 nat. median
$265,286
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $453,046.65 $278,250.00 nat. median
$324,450
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $230,230.65 $640,365.55 $277,105.61 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $228,952.97 $636,607.42 $275,567.79 nat. median
$202,986
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $262,233.77 $426,969.03 $262,233.77 nat. median
$265,000
1.0× median
J9999
HCPCS 		Chemotherapy Drug 1 $224,999.49 $224,999.49 $224,999.49 nat. median
$1,829
outlier · 123.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $202,713.58 $330,058.26 $202,713.58 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $153,762.88 $415,445.04 $185,069.00 nat. median
$133,176
1.4× median
J8499
HCPCS 		Oral Prescrip Drug Non Chemo 1 $179,999.79 $179,999.79 $179,999.79 nat. median
$83
outlier · 2176.3×
J8999
HCPCS 		Oral Prescription Drug Chemo 1 $179,999.79 $179,999.79 $179,999.79 nat. median
$194
outlier · 928.7×
Q0181
HCPCS 		Unspecified Oral Anti-emetic 1 $179,999.79 $179,999.79 $179,999.79 nat. median
$38
outlier · 4745.6×
J8597
HCPCS 		Antiemetic Drug Oral Nos 1 $179,999.79 $179,999.79 $179,999.79 nat. median
$8
outlier · 21176.4×
J8498
HCPCS 		Antiemetic Rectal/supp Nos 1 $179,999.79 $179,999.79 $179,999.79 nat. median
$26
outlier · 6849.3×
S5000
HCPCS 		Prescription Drug, Generic 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$124
outlier · 1452.2×
J7599
HCPCS 		Immunosuppressive Drug Noc 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$153
outlier · 1174.7×
C9172
HCPCS 		Oncology Drugs 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$3,570,000
outlier · 0.1×
J3590
HCPCS 		Unclassified Biologics 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$682
outlier · 263.9×
J3490
HCPCS 		Drugs Unclassified Injection 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$48
outlier · 3743.0×
C9399
HCPCS 		Unclassified Drugs Or Biolog 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$2,476
outlier · 72.7×
S5001
HCPCS 		Prescription Drug,brand Name 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$29
outlier · 6206.9×
J7199
HCPCS 		Hemophilia Clot Factor Noc 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$250
outlier · 720.3×
J7999
HCPCS 		Compounded Drug, Noc 1 $179,999.58 $179,999.58 $179,999.58 nat. median
$55
outlier · 3265.0×
C9150
HCPCS 		Drugs - Other 2 $86,361.60 $272,693.20 $179,527.40 nat. median
$775
outlier · 231.7×
7
MS_DRG 		Lung Transplant 5 $144,573.43 $388,415.35 $174,008.58 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $135,066.83 $360,452.87 $162,566.43 nat. median
$117,303
1.4× median
J3570
HCPCS 		Laetrile Amygdalin Vit B17 1 $159,999.99 $159,999.99 $159,999.99 nat. median
$122
outlier · 1312.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $128,070.71 $339,874.68 $154,145.90 nat. median
$108,660
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $123,403.58 $326,146.88 $148,528.55 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $117,656.59 $309,242.83 $141,611.47 nat. median
$100,136
1.4× median
47136
CPT 		Ambulatory Surgery Groups - Cpt/hcpcs 2 $4,344.00 $272,885.41 $138,614.70 nat. median
$5,841
outlier · 23.7×
215
MS_DRG 		Other Heart Assist System Implant 5 $114,051.96 $298,640.30 $137,272.94 nat. median
$99,019
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $112,275.66 $293,415.52 $135,134.98 nat. median
$93,672
1.4× median

Other procedures at this hospital

Browse this hospital's 72,598 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-30
J3389 HCPCS Topi Adm Prad Zami Per Treat 3 3 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-04-30
J3387 HCPCS Inj Elivaldogene Autotemecel 3 3 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-04-30
C9309 HCPCS Inj Onase Abepar-brve Treat 4 4 — — $2,664,228.59 $4,337,896.99 $2,664,228.59 2026-04-30
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $3,796,962.40 $2,332,000.00 2026-04-30
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $1,254,723.48 $770,620.00 2026-04-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $452,853.00 $1,295,181.72 $545,053.87 2026-04-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 5 — — $298,278.83 $840,520.83 $359,008.40 2026-04-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $278,250.00 $453,046.65 $278,250.00 2026-04-30
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $262,233.77 $426,969.03 $262,233.77 2026-04-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $230,230.65 $640,365.55 $277,105.61 2026-04-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 5 — — $228,952.97 $636,607.42 $275,567.79 2026-04-30
J9999 HCPCS Chemotherapy Drug 1 1 — — $224,999.49 $224,999.49 $224,999.49 2026-04-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $202,713.58 $330,058.26 $202,713.58 2026-04-30
J8499 HCPCS Oral Prescrip Drug Non Chemo 1 1 — — $179,999.79 $179,999.79 $179,999.79 2026-04-30
J8597 HCPCS Antiemetic Drug Oral Nos 1 1 — — $179,999.79 $179,999.79 $179,999.79 2026-04-30
Q0181 HCPCS Unspecified Oral Anti-emetic 1 1 — — $179,999.79 $179,999.79 $179,999.79 2026-04-30
J8999 HCPCS Oral Prescription Drug Chemo 1 1 — — $179,999.79 $179,999.79 $179,999.79 2026-04-30
J8498 HCPCS Antiemetic Rectal/supp Nos 1 1 — — $179,999.79 $179,999.79 $179,999.79 2026-04-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $179,999.58 $3,691,450.00 $3,691,450.00 2026-04-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $179,999.58 $3,321,376.38 $3,321,376.38 2026-04-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $179,999.58 $3,245,381.39 $3,245,381.39 2026-04-30
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $179,999.58 $4,784,172.62 $2,938,320.00 2026-04-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $179,999.58 $4,212,295.47 $2,587,087.26 2026-04-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 6 — — $179,999.58 $1,000,009.19 $614,180.81 2026-04-30
Q2056 HCPCS Ciltacabtagene Car-pos T 6 6 — — $179,999.58 $958,187.25 $588,494.81 2026-04-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 6 — — $179,999.58 $915,473.09 $562,260.84 2026-04-30
Q2055 HCPCS Idecabtagene Vicleucel Car 6 6 — — $179,999.58 $911,435.56 $559,781.08 2026-04-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 6 — — $179,999.58 $865,956.73 $531,849.12 2026-04-30
Q2053 HCPCS Brexucabtagene Car Pos T 6 6 — — $179,999.58 $796,662.96 $489,290.60 2026-04-30
S5000 HCPCS Prescription Drug, Generic 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J7599 HCPCS Immunosuppressive Drug Noc 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
S5001 HCPCS Prescription Drug,brand Name 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J3490 HCPCS Drugs Unclassified Injection 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J7999 HCPCS Compounded Drug, Noc 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J3590 HCPCS Unclassified Biologics 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J7199 HCPCS Hemophilia Clot Factor Noc 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
C9172 HCPCS Oncology Drugs 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
C9399 HCPCS Unclassified Drugs Or Biolog 1 1 — — $179,999.58 $179,999.58 $179,999.58 2026-04-30
J3570 HCPCS Laetrile Amygdalin Vit B17 1 1 — — $159,999.99 $159,999.99 $159,999.99 2026-04-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 5 — — $153,762.88 $415,445.04 $185,069.00 2026-04-30
7 MS_DRG Lung Transplant 6 5 — — $144,573.43 $388,415.35 $174,008.58 2026-04-30
14 MS_DRG Allogeneic Bone Marrow Transplant 6 5 — — $135,066.83 $360,452.87 $162,566.43 2026-04-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 5 — — $128,070.71 $339,874.68 $154,145.90 2026-04-30
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $127,938.16 $339,484.77 $127,938.16 2026-04-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $124,903.54 $330,558.85 $124,903.54 2026-04-30
G0419 HCPCS Mammogram 1 1 — — $124,331.74 $124,331.74 $124,331.74 2026-04-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 5 — — $123,403.58 $326,146.88 $148,528.55 2026-04-30
J3404 HCPCS Inj Zopapogene Per Ther Dose 4 4 — — $121,900.00 $198,477.58 $121,900.00 2026-04-30
93524 CPT Mammogram 1 1 — — $117,731.57 $117,731.57 $117,731.57 2026-04-30
93527 CPT Mammogram 1 1 — — $117,731.57 $117,731.57 $117,731.57 2026-04-30
93528 CPT Mammogram 1 1 — — $117,731.57 $117,731.57 $117,731.57 2026-04-30
93529 CPT Mammogram 1 1 — — $117,731.57 $117,731.57 $117,731.57 2026-04-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 5 — — $117,656.59 $309,242.83 $141,611.47 2026-04-30
215 MS_DRG Other Heart Assist System Implant 6 5 — — $114,051.96 $298,640.30 $137,272.94 2026-04-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $112,275.66 $293,415.52 $135,134.98 2026-04-30
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $111,218.58 $294,566.34 $125,285.36 2026-04-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $104,391.41 $270,224.93 $104,391.41 2026-04-30
G0418 HCPCS Mammogram 1 1 — — $103,613.07 $103,613.07 $103,613.07 2026-04-30
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $100,821.47 $259,724.38 $100,821.47 2026-04-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 5 — — $98,480.24 $252,837.99 $118,530.82 2026-04-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $98,210.02 $252,043.18 $118,205.58 2026-04-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $95,081.03 $154,810.93 $95,081.03 2026-04-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 5 — — $92,758.75 $236,008.92 $111,644.43 2026-04-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $90,816.24 $230,295.25 $109,306.43 2026-04-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 5 — — $90,478.72 $229,302.48 $108,900.18 2026-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 — — $90,220.74 $228,543.66 $108,589.68 2026-04-30
93511 CPT Mammogram 1 1 — — $90,053.43 $90,053.43 $90,053.43 2026-04-30
C9150 HCPCS Drugs - Other 2 2 — — $86,361.60 $272,693.20 $179,527.40 2026-04-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $86,128.72 $216,507.47 $86,128.72 2026-04-30
10 MS_DRG Pancreas Transplant 6 5 — — $85,691.24 $215,220.77 $103,137.98 2026-04-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 5 — — $85,660.66 $215,130.79 $103,101.17 2026-04-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 5 — — $85,272.17 $213,988.06 $102,633.58 2026-04-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 5 — — $85,229.34 $213,862.09 $102,582.04 2026-04-30
95956 CPT Mammogram 1 1 — — $85,198.75 $85,198.75 $85,198.75 2026-04-30
90288 CPT Botulism Ig IV 2 2 — — $84,259.65 $87,669.00 $85,964.32 2026-04-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 5 — — $83,000.29 $207,305.62 $99,899.15 2026-04-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 5 — — $82,654.62 $206,288.85 $99,483.10 2026-04-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $81,157.71 $201,885.88 $97,681.42 2026-04-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $80,702.93 $200,548.19 $80,702.93 2026-04-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $80,652.96 $200,401.23 $80,652.96 2026-04-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $79,569.03 $197,212.97 $95,769.29 2026-04-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $79,569.03 $197,212.97 $95,769.29 2026-04-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $79,325.33 $196,496.14 $95,475.96 2026-04-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 5 — — $78,135.33 $192,995.96 $94,043.68 2026-04-30
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $77,368.39 $77,368.39 $77,368.39 2026-04-30
93526 CPT Mammogram 1 1 — — $77,214.08 $77,214.08 $77,214.08 2026-04-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 5 — — $75,012.03 $183,809.10 $90,284.48 2026-04-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 5 — — $74,939.63 $183,596.15 $90,197.34 2026-04-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 5 — — $74,341.07 $181,835.56 $89,476.91 2026-04-30
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $73,787.36 $180,206.94 $88,810.46 2026-04-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 5 — — $73,770.05 $180,155.95 $88,789.63 2026-04-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $73,326.48 $178,851.26 $88,255.75 2026-04-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $73,126.61 $178,263.40 $73,126.61 2026-04-30
J9183 HCPCS Gemcitabine Intravesical Sys 4 4 — — $73,088.26 $119,002.30 $73,088.26 2026-04-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 5 — — $72,985.90 $177,849.49 $87,845.83 2026-04-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 5 — — $72,362.85 $176,016.92 $87,095.93 2026-04-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 5 — — $72,324.11 $175,902.95 $87,049.30 2026-04-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $71,327.86 $172,972.63 $71,327.86 2026-04-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $70,952.62 $171,868.89 $85,398.57 2026-04-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $70,714.02 $171,167.05 $70,714.02 2026-04-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $70,638.56 $170,945.10 $85,020.57 2026-04-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $69,848.31 $168,620.65 $69,848.31 2026-04-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 5 — — $69,670.87 $168,098.77 $83,855.86 2026-04-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 5 — — $69,279.33 $166,947.04 $83,384.60 2026-04-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 5 — — $68,838.80 $165,651.34 $82,854.38 2026-04-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $68,801.71 $112,022.94 $68,801.71 2026-04-30
834 MS_DRG Acute Leukemia With Mcc 6 5 — — $68,501.27 $164,658.57 $82,448.13 2026-04-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 5 — — $68,303.46 $164,076.71 $82,210.05 2026-04-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 5 — — $68,223.93 $163,842.76 $82,114.32 2026-04-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 5 — — $68,136.24 $163,584.82 $82,008.78 2026-04-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 5 — — $67,913.95 $162,930.97 $81,741.23 2026-04-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $67,103.07 $182,915.20 $112,341.97 2026-04-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $66,899.36 $159,946.67 $80,520.07 2026-04-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $66,866.72 $159,850.69 $66,866.72 2026-04-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 5 — — $66,501.67 $158,776.94 $80,041.41 2026-04-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 5 — — $66,323.22 $158,252.07 $79,826.63 2026-04-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 — — $65,600.24 $156,125.56 $78,956.45 2026-04-30
653 MS_DRG Major Bladder Procedures With Mcc 6 5 — — $65,508.48 $155,855.63 $78,846.01 2026-04-30
93652 CPT Mammogram 1 1 — — $65,198.91 $65,198.91 $65,198.91 2026-04-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 6 — — $64,282.30 $135,000.00 $101,970.00 2026-04-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $63,915.75 $151,170.72 $76,928.99 2026-04-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 5 — — $63,377.32 $149,587.09 $76,280.94 2026-04-30
0503T CPT Mammogram 1 1 — — $63,366.92 $63,366.92 $63,366.92 2026-04-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 5 — — $62,969.47 $148,387.37 $75,790.05 2026-04-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 5 — — $62,879.72 $148,123.43 $75,682.03 2026-04-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 5 — — $62,707.40 $147,616.55 $75,474.62 2026-04-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $62,498.37 $147,001.69 $75,223.04 2026-04-30
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $61,759.08 $144,827.20 $74,333.23 2026-04-30
93510 CPT Mammogram 1 1 — — $61,620.81 $61,620.81 $61,620.81 2026-04-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 5 — — $61,510.27 $144,095.37 $74,033.76 2026-04-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 5 — — $61,066.71 $142,790.67 $73,499.89 2026-04-30
G0417 HCPCS Mammogram 1 1 — — $60,672.66 $60,672.66 $60,672.66 2026-04-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 5 — — $60,461.00 $141,009.09 $72,770.86 2026-04-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $60,363.11 $140,721.16 $72,653.04 2026-04-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 5 — — $60,220.36 $140,301.26 $72,481.23 2026-04-30
93651 CPT Mammogram 1 1 — — $59,895.27 $59,895.27 $59,895.27 2026-04-30
6 MS_DRG Liver Transplant Without Mcc 6 5 — — $59,804.32 $139,077.54 $71,980.48 2026-04-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 5 — — $59,615.69 $138,522.67 $71,753.45 2026-04-30
76094 CPT Mammogram 1 1 — — $59,418.26 $59,418.26 $59,418.26 2026-04-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 5 — — $59,391.36 $137,862.82 $71,483.44 2026-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 5 — — $59,272.05 $137,511.91 $71,339.84 2026-04-30
245 MS_DRG Aicd Generator Procedures 6 5 — — $59,043.63 $136,840.06 $71,064.91 2026-04-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 5 — — $58,903.94 $136,429.16 $70,896.78 2026-04-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 5 — — $58,883.55 $136,369.17 $70,872.24 2026-04-30
799 MS_DRG Splenic Procedures With Mcc 6 5 — — $58,702.05 $135,835.30 $70,653.79 2026-04-30
163 MS_DRG Major Chest Procedures With Mcc 6 5 — — $58,221.77 $134,422.63 $70,075.72 2026-04-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 5 — — $58,208.50 $134,383.64 $70,059.75 2026-04-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 5 — — $58,029.06 $133,855.76 $69,843.77 2026-04-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 5 — — $57,314.23 $131,753.25 $68,983.40 2026-04-30
A9543 HCPCS Y90 Ibritumomab, Rx 8 7 — — $56,824.55 $323,929.93 $97,554.96 2026-04-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 5 — — $56,647.37 $129,791.71 $68,180.77 2026-04-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 5 — — $56,295.56 $128,756.95 $67,757.33 2026-04-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 7 — — $56,269.19 $278,264.75 $89,885.74 2026-04-30
99295 CPT Mammogram 1 1 — — $56,075.85 $56,075.85 $56,075.85 2026-04-30
140 MS_DRG Major Head And Neck Procedures With Mcc 6 5 — — $56,014.13 $127,929.14 $67,418.60 2026-04-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $55,764.31 $127,194.31 $55,764.31 2026-04-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 5 — — $55,584.83 $126,666.44 $66,901.90 2026-04-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 5 — — $55,511.41 $126,450.49 $66,813.54 2026-04-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 5 — — $55,490.00 $126,387.50 $66,787.76 2026-04-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 5 — — $55,364.59 $126,018.59 $66,636.82 2026-04-30
901 MS_DRG Wound Debridements For Injuries With Mcc 6 5 — — $55,313.61 $125,868.62 $66,575.46 2026-04-30
92980 CPT Mammogram 1 1 — — $55,299.93 $55,299.93 $55,299.93 2026-04-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 5 — — $55,234.07 $125,634.68 $66,479.73 2026-04-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $55,068.88 $125,148.79 $66,280.90 2026-04-30
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $55,038.29 $125,058.81 $55,038.29 2026-04-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 5 — — $54,869.02 $124,560.93 $66,040.35 2026-04-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 5 — — $54,588.59 $123,736.12 $65,702.82 2026-04-30
791 MS_DRG Prematurity With Major Problems 5 4 — — $53,910.49 $121,741.59 $53,910.49 2026-04-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $53,517.92 $120,586.86 $53,517.92 2026-04-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 5 — — $53,146.76 $119,495.11 $63,967.44 2026-04-30
0775T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
0809T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
0424T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
0427T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
0431T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
0426T CPT Ambulatory Surgery Groups 1 1 — — $52,872.00 $52,872.00 $52,872.00 2026-04-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $52,410.53 $117,329.62 $63,081.32 2026-04-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 5 — — $52,230.04 $116,798.74 $62,864.07 2026-04-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 5 — — $51,990.41 $116,093.91 $62,575.65 2026-04-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 5 — — $51,893.56 $115,808.97 $62,459.09 2026-04-30
93508 CPT Mammogram 1 1 — — $51,893.33 $51,893.33 $51,893.33 2026-04-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 5 — — $51,670.25 $115,152.12 $62,190.32 2026-04-30
75564 CPT Mammogram 1 1 — — $51,522.77 $51,522.77 $51,522.77 2026-04-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 5 — — $50,892.21 $112,863.66 $61,253.87 2026-04-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 5 — — $50,725.00 $112,371.77 $61,052.61 2026-04-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 5 — — $50,634.23 $112,104.84 $60,943.36 2026-04-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 5 — — $50,630.16 $112,092.84 $60,938.46 2026-04-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 5 — — $50,523.08 $111,777.91 $60,809.58 2026-04-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 5 — — $50,308.95 $111,148.06 $60,551.85 2026-04-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 5 — — $49,975.49 $110,167.29 $60,150.50 2026-04-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 5 — — $49,960.21 $110,122.30 $60,132.11 2026-04-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 5 — — $49,520.72 $108,829.60 $59,603.14 2026-04-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 5 — — $49,492.17 $108,745.62 $59,568.78 2026-04-30
332 MS_DRG Rectal Resection With Mcc 6 5 — — $49,441.18 $108,595.66 $59,507.40 2026-04-30
265 MS_DRG Aicd Lead Procedures 6 5 — — $49,415.68 $108,520.67 $59,476.71 2026-04-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 5 — — $49,350.43 $108,328.72 $59,398.18 2026-04-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 5 — — $49,295.36 $108,166.76 $59,331.89 2026-04-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 5 — — $49,054.73 $107,458.92 $59,042.28 2026-04-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 5 — — $48,970.09 $107,209.98 $58,940.40 2026-04-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 5 — — $48,933.37 $107,102.00 $58,896.21 2026-04-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 5 — — $48,879.35 $106,943.04 $58,831.18 2026-04-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 5 — — $48,848.75 $106,853.06 $58,794.36 2026-04-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 5 — — $48,814.08 $106,751.09 $58,752.62 2026-04-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 5 — — $48,784.53 $106,664.11 $58,717.06 2026-04-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 5 — — $48,481.67 $105,773.31 $58,352.54 2026-04-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 5 — — $48,408.24 $105,557.36 $58,264.16 2026-04-30
252 MS_DRG Other Vascular Procedures With Mcc 6 5 — — $48,091.10 $104,624.58 $57,882.45 2026-04-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 5 — — $48,081.94 $104,597.59 $57,871.43 2026-04-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 5 — — $47,918.79 $104,117.70 $57,675.06 2026-04-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 5 — — $47,747.49 $103,613.82 $57,468.88 2026-04-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $47,480.32 $102,828.00 $57,147.32 2026-04-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 5 — — $47,309.02 $102,324.12 $56,941.13 2026-04-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 5 — — $47,263.12 $102,189.15 $56,885.89 2026-04-30
264 MS_DRG Other Circulatory System O.r. Procedures 6 5 — — $46,585.05 $100,194.62 $56,069.76 2026-04-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 5 — — $46,204.68 $99,075.88 $53,921.04 2026-04-30
37 MS_DRG Extracranial Procedures With Mcc 6 5 — — $46,090.49 $98,739.96 $55,474.51 2026-04-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 5 — — $46,086.39 $98,727.96 $55,469.58 2026-04-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 5 — — $45,689.73 $97,561.23 $54,992.16 2026-04-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 5 — — $45,543.93 $97,132.33 $54,816.68 2026-04-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 5 — — $45,507.21 $97,024.36 $54,772.48 2026-04-30
652 MS_DRG Kidney Transplant 6 5 — — $45,452.15 $96,862.39 $54,706.21 2026-04-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 5 — — $45,427.69 $96,790.41 $54,676.77 2026-04-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 5 — — $45,363.43 $96,601.45 $54,599.43 2026-04-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 5 — — $45,257.39 $96,289.53 $54,471.79 2026-04-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 5 — — $45,077.93 $95,761.65 $54,255.79 2026-04-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 5 — — $45,017.75 $95,584.69 $54,183.37 2026-04-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 5 — — $44,986.15 $95,491.71 $54,145.33 2026-04-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 5 — — $44,920.90 $95,299.76 $54,066.79 2026-04-30
500 MS_DRG Soft Tissue Procedures With Mcc 6 5 — — $44,792.42 $94,921.85 $53,912.15 2026-04-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 5 — — $44,743.46 $94,777.88 $53,853.23 2026-04-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 5 — — $44,651.70 $94,507.94 $53,742.79 2026-04-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 5 — — $44,636.39 $94,462.95 $53,724.36 2026-04-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 5 — — $44,560.93 $94,241.01 $53,633.54 2026-04-30
665 MS_DRG Prostatectomy With Mcc 6 5 — — $44,347.84 $93,614.15 $53,377.06 2026-04-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $44,281.54 $93,419.20 $53,297.26 2026-04-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 5 — — $44,225.47 $93,254.24 $53,229.78 2026-04-30
662 MS_DRG Minor Bladder Procedures With Mcc 6 5 — — $43,739.05 $91,823.57 $52,644.32 2026-04-30
263 MS_DRG Vein Ligation And Stripping 6 5 — — $43,697.26 $91,700.60 $52,055.78 2026-04-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 5 — — $43,450.49 $90,974.77 $52,297.01 2026-04-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 5 — — $43,320.99 $90,593.86 $52,141.15 2026-04-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 5 — — $43,316.91 $90,581.86 $52,136.24 2026-04-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 5 — — $43,283.26 $90,482.88 $50,078.32 2026-04-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 5 — — $42,871.31 $89,271.17 $51,599.91 2026-04-30
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $42,562.34 $88,362.38 $51,228.03 2026-04-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 5 — — $42,541.94 $88,302.39 $51,047.90 2026-04-30
570 MS_DRG Skin Debridement With Mcc 6 5 — — $42,511.37 $88,212.41 $51,166.68 2026-04-30
668 MS_DRG Transurethral Procedures With Mcc 6 5 — — $42,296.19 $87,579.56 $50,907.69 2026-04-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 5 — — $42,217.68 $87,348.61 $50,813.20 2026-04-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 5 — — $42,112.65 $87,039.69 $50,686.79 2026-04-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 5 — — $42,094.31 $86,985.70 $50,664.71 2026-04-30
974 MS_DRG HIV With Major Related Condition With Mcc 6 5 — — $41,949.51 $86,559.80 $50,490.43 2026-04-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 5 — — $41,906.69 $86,433.83 $50,438.89 2026-04-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 5 — — $41,788.40 $86,085.91 $50,296.52 2026-04-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 5 — — $41,587.54 $85,495.05 $50,054.76 2026-04-30
A9699 HCPCS Radiopharm Rx Agent Noc 2 2 — — $31,840.96 $75,532.13 $53,686.54 2026-04-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 7 — — $31,763.00 $115,919.95 $51,931.28 2026-04-30
C2624 HCPCS Hc Cardiomems Implant-supply 18 8 $108,675.00 $38,036.25 65% off $12,888.00 $80,962.88 $53,223.58 2026-04-30
38240 CPT Transplt Allo Hct/donor 7 6 — — $9,611.00 $108,036.56 $66,353.37 2026-04-30
47136 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $272,885.41 $138,614.70 2026-04-30
33860 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $208,310.27 $106,327.13 2026-04-30
33870 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $164,106.02 $84,225.01 2026-04-30
33861 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $156,183.70 $80,263.85 2026-04-30
33400 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $148,378.74 $76,361.37 2026-04-30
48005 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $145,677.61 $75,010.80 2026-04-30
63199 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $143,875.15 $74,109.57 2026-04-30
63198 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $137,412.91 $70,878.46 2026-04-30
61542 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $132,460.48 $68,402.24 2026-04-30
61332 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $129,249.38 $66,796.69 2026-04-30
61440 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $127,921.36 $66,132.68 2026-04-30
61480 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $126,374.19 $65,359.10 2026-04-30
31582 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $125,691.37 $65,017.68 2026-04-30
61470 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $122,435.44 $63,389.72 2026-04-30
61610 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $122,119.88 $63,231.94 2026-04-30
61490 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $120,852.01 $62,598.00 2026-04-30
57112 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $119,958.13 $62,151.07 2026-04-30
63196 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $117,278.56 $60,811.28 2026-04-30
61612 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $114,740.97 $59,542.49 2026-04-30
19272 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $114,282.58 $59,313.29 2026-04-30
43855 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $112,294.53 $58,319.26 2026-04-30
33253 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $111,991.71 $58,167.86 2026-04-30
44153 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $110,457.15 $57,400.57 2026-04-30
43850 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $108,253.25 $56,298.62 2026-04-30
35551 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $107,966.48 $56,155.24 2026-04-30
62116 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $107,309.14 $55,826.57 2026-04-30
33722 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $106,613.59 $55,478.79 2026-04-30
63194 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $105,429.63 $54,886.82 2026-04-30
63182 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $105,038.97 $54,691.49 2026-04-30
19271 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $104,829.25 $54,586.62 2026-04-30
43401 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $102,421.64 $53,382.82 2026-04-30
69605 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $102,384.15 $53,364.07 2026-04-30
63195 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $100,942.82 $52,643.41 2026-04-30
23222 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $99,607.94 $51,975.97 2026-04-30
32500 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $98,793.80 $51,568.90 2026-04-30
35549 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $98,007.84 $51,175.92 2026-04-30
44152 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $97,475.09 $50,909.54 2026-04-30
33403 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $96,757.48 $50,550.74 2026-04-30
63180 CPT Ambulatory Surgery Groups - Cpt/hcpcs 2 2 — — $4,344.00 $95,746.98 $50,045.49 2026-04-30
90399 CPT Unlisted Immune Globulin 2 2 — — $706.02 $179,999.58 $90,352.80 2026-04-30
J7304 HCPCS Contraceptive Hormone Patch 2 2 — — $93.43 $179,999.58 $90,046.50 2026-04-30
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