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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 ST. MARY'S REGIONAL HOSPITAL

Grand Junction, CO · CCN 060023 · Rates published

19,608 distinct procedures filed
18 distinct payers
840,361 rate rows
2026-07-15 last MRF observed
Data quality

830,943 of 840,361 rate rows are consumer-grade (98.9%)

9,418 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 5,844
placeholder amount (≤ $0.02) — excluded from medians 2,803
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 323
per-diem day rate — not a per-procedure price 272
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 173
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840425720_st-marys-medical-center_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital/about/hospital-pricing
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-14
Content fingerprint ad841ec16d643012… · 5,992,339 bytes · first seen 2026-05-17

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 2 $2,455,110.61 $2,528,763.93 $2,455,110.61 nat. median
$2,460,273
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $147,682.75 $708,067.98 $671,281.07 nat. median
$205,166
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 6 $146,816.04 $703,912.53 $667,341.51 nat. median
$199,832
outlier · 3.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $298,698.15 $1,432,114.38 $590,654.34 nat. median
$370,165
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 6 $95,811.01 $459,367.83 $435,501.87 nat. median
$132,706
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $193,843.08 $929,384.62 $383,310.90 nat. median
$261,939
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $78,292.85 $375,376.68 $355,874.39 nat. median
$96,134
outlier · 3.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $76,234.33 $365,507.08 $346,517.55 nat. median
$96,835
outlier · 3.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 6 $75,216.83 $360,628.65 $341,892.58 nat. median
$100,978
outlier · 3.4×
215
MS_DRG 		Other Heart Assist System Implant 6 $68,873.20 $330,213.95 $313,058.04 nat. median
$98,002
outlier · 3.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $67,668.24 $324,436.78 $307,581.01 nat. median
$92,900
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $62,319.97 $298,794.37 $283,270.83 nat. median
$81,124
outlier · 3.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $59,898.31 $287,183.66 $272,263.34 nat. median
$81,364
outlier · 3.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $58,310.15 $279,569.20 $265,044.49 nat. median
$79,040
outlier · 3.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $58,126.85 $278,690.36 $264,211.30 nat. median
$80,459
outlier · 3.3×
J3403
HCPCS 		Revakinagene Per Implant 2 $257,500.00 $265,225.00 $257,500.00 nat. median
$265,000
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $54,428.99 $260,960.88 $247,402.94 nat. median
$77,385
outlier · 3.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $53,111.28 $254,643.14 $241,413.43 nat. median
$74,472
outlier · 3.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $52,882.33 $253,545.41 $240,372.73 nat. median
$73,475
outlier · 3.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $52,707.33 $252,706.36 $239,577.28 nat. median
$71,485
outlier · 3.4×
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 18 $50.00 $324,146.99 $229,476.02 nat. median
$65,655
outlier · 3.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $49,931.51 $239,397.65 $226,960.00 nat. median
$66,640
outlier · 3.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $49,614.02 $237,875.42 $225,516.86 nat. median
$62,911
outlier · 3.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $49,321.43 $236,472.59 $224,186.91 nat. median
$68,581
outlier · 3.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $47,809.36 $229,222.94 $217,313.90 nat. median
$65,958
outlier · 3.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $47,574.87 $228,098.68 $216,248.05 nat. median
$65,792
outlier · 3.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $46,559.44 $223,230.20 $211,632.52 nat. median
$64,357
outlier · 3.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $46,250.94 $221,751.09 $210,230.25 nat. median
$59,832
outlier · 3.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $46,217.05 $221,588.58 $210,076.19 nat. median
$62,262
outlier · 3.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$60,895
outlier · 3.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$63,840
outlier · 3.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $45,316.45 $217,270.63 $205,982.57 nat. median
$59,159
outlier · 3.5×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $205,640.00 $211,809.20 $205,640.00 nat. median
$209,736
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $44,509.23 $213,400.39 $202,313.40 nat. median
$62,218
outlier · 3.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 6 $42,390.53 $203,242.26 $192,683.02 nat. median
$60,162
outlier · 3.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $42,341.42 $203,006.79 $192,459.79 nat. median
$60,294
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $41,935.39 $201,060.07 $190,614.21 nat. median
$59,257
outlier · 3.2×
28
MS_DRG 		Spinal Procedures With Mcc 6 $41,559.79 $199,259.26 $188,906.96 nat. median
$56,970
outlier · 3.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $41,548.03 $199,202.88 $188,853.51 nat. median
$58,419
outlier · 3.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $41,247.14 $197,760.25 $187,485.83 nat. median
$57,394
outlier · 3.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 6 $41,111.56 $197,110.23 $186,869.58 nat. median
$51,433
outlier · 3.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $40,593.48 $194,626.25 $184,514.65 nat. median
$57,082
outlier · 3.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $40,567.19 $194,500.23 $184,395.18 nat. median
$56,397
outlier · 3.3×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $39,891.39 $191,260.10 $181,323.39 nat. median
$53,268
outlier · 3.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $39,636.85 $190,039.67 $180,166.36 nat. median
$55,685
outlier · 3.2×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 6 $39,474.99 $189,263.63 $179,430.64 nat. median
$50,294
outlier · 3.6×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $39,423.80 $189,018.22 $179,197.98 nat. median
$51,984
outlier · 3.4×
7
MS_DRG 		Lung Transplant 5 $89,577.35 $429,480.43 $177,132.84 nat. median
$122,690
1.4× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $38,887.73 $186,448.01 $176,761.30 nat. median
$53,080
outlier · 3.3×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 6 $38,501.76 $184,597.46 $175,006.89 nat. median
$49,784
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 19,608 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 5 2 — — $2,455,110.61 $2,528,763.93 $2,455,110.61 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 6 — — $147,682.75 $708,067.98 $671,281.07 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 30 6 — — $146,816.04 $703,912.53 $667,341.51 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 5 — — $298,698.15 $1,432,114.38 $590,654.34 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 30 6 — — $95,811.01 $459,367.83 $435,501.87 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 5 — — $193,843.08 $929,384.62 $383,310.90 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 30 6 — — $78,292.85 $375,376.68 $355,874.39 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $76,234.33 $365,507.08 $346,517.55 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 30 6 — — $75,216.83 $360,628.65 $341,892.58 2026-07-15
215 MS_DRG Other Heart Assist System Implant 30 6 — — $68,873.20 $330,213.95 $313,058.04 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $67,668.24 $324,436.78 $307,581.01 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 6 — — $62,319.97 $298,794.37 $283,270.83 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 30 6 — — $59,898.31 $287,183.66 $272,263.34 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 6 — — $58,310.15 $279,569.20 $265,044.49 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $58,126.85 $278,690.36 $264,211.30 2026-07-15
J3403 HCPCS Revakinagene Per Implant 5 2 — — $257,500.00 $265,225.00 $257,500.00 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 6 — — $54,428.99 $260,960.88 $247,402.94 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $53,111.28 $254,643.14 $241,413.43 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 30 6 — — $52,882.33 $253,545.41 $240,372.73 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 6 — — $52,707.33 $252,706.36 $239,577.28 2026-07-15
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 81 18 $334,172.15 — $50.00 $324,146.99 $229,476.02 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $49,931.51 $239,397.65 $226,960.00 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 6 — — $49,614.02 $237,875.42 $225,516.86 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 6 — — $49,321.43 $236,472.59 $224,186.91 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 6 — — $47,809.36 $229,222.94 $217,313.90 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 6 — — $47,574.87 $228,098.68 $216,248.05 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 6 — — $46,559.44 $223,230.20 $211,632.52 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 6 — — $46,250.94 $221,751.09 $210,230.25 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 6 — — $46,217.05 $221,588.58 $210,076.19 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $45,316.45 $217,270.63 $205,982.57 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 2 — — $205,640.00 $211,809.20 $205,640.00 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 6 — — $44,509.23 $213,400.39 $202,313.40 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 30 6 — — $42,390.53 $203,242.26 $192,683.02 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 6 — — $42,341.42 $203,006.79 $192,459.79 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 6 — — $41,935.39 $201,060.07 $190,614.21 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 30 6 — — $41,559.79 $199,259.26 $188,906.96 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 6 — — $41,548.03 $199,202.88 $188,853.51 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $41,247.14 $197,760.25 $187,485.83 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 6 — — $41,111.56 $197,110.23 $186,869.58 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 6 — — $40,593.48 $194,626.25 $184,514.65 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 6 — — $40,567.19 $194,500.23 $184,395.18 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 6 — — $39,891.39 $191,260.10 $181,323.39 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $39,636.85 $190,039.67 $180,166.36 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 6 — — $39,474.99 $189,263.63 $179,430.64 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $39,423.80 $189,018.22 $179,197.98 2026-07-15
7 MS_DRG Lung Transplant 17 5 — — $89,577.35 $429,480.43 $177,132.84 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $38,887.73 $186,448.01 $176,761.30 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $38,501.76 $184,597.46 $175,006.89 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 30 6 — — $38,202.94 $183,164.77 $173,648.64 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 30 6 — — $37,973.98 $182,067.04 $172,607.95 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 30 6 — — $37,839.79 $181,423.66 $171,997.99 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 30 6 — — $37,785.84 $181,164.98 $171,752.75 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 30 6 — — $37,726.35 $180,879.77 $171,482.36 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $36,887.31 $176,856.98 $167,668.56 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 6 — — $36,865.18 $176,750.85 $167,567.95 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 6 — — $36,617.55 $175,563.58 $166,442.37 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 6 — — $36,496.50 $174,983.21 $165,892.15 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 17 5 — — $83,128.57 $398,561.64 $164,380.84 2026-07-15
J0224 HCPCS Lumasiran 94.5 Mg/0.5 Ml Subcutaneous Solution 81 18 $238,412.74 — $50.00 $231,260.36 $163,718.03 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 6 — — $36,006.08 $172,631.89 $163,662.98 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 30 6 — — $35,943.83 $172,333.41 $163,380.01 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $34,863.38 $167,153.19 $158,468.93 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 30 6 — — $34,498.16 $165,402.13 $156,808.84 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 6 — — $34,221.48 $164,075.57 $155,551.20 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 6 — — $34,160.61 $163,783.73 $155,274.52 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 5 — — $78,382.77 $375,807.82 $154,996.36 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 6 — — $34,043.71 $163,223.26 $154,743.17 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $33,901.91 $162,543.40 $154,098.63 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 30 6 — — $33,400.42 $160,139.01 $151,819.16 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 6 — — $33,231.65 $159,329.81 $151,052.00 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 30 6 — — $32,930.75 $157,887.17 $149,684.31 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $32,453.48 $155,598.86 $147,514.88 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $32,356.64 $155,134.56 $147,074.71 2026-07-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 81 18 $214,114.32 — $50.00 $207,690.89 $147,032.30 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 11 3 — — $110,139.19 $151,099.89 $145,589.90 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 6 — — $31,946.46 $153,167.93 $145,210.26 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 6 — — $31,794.28 $152,438.33 $144,518.56 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 6 — — $31,713.35 $152,050.31 $144,150.70 2026-07-15
245 MS_DRG Aicd Generator Procedures 30 6 — — $31,558.41 $151,307.43 $143,446.42 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 6 — — $31,463.64 $150,853.09 $143,015.68 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 6 — — $31,449.81 $150,786.76 $142,952.79 2026-07-15
J9347 HCPCS Inv Tremelimumab 20 Mg/ml Intravenous Solution 81 18 $207,625.35 — $50.00 $201,396.59 $142,576.33 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 30 6 — — $31,326.69 $150,196.44 $142,393.14 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 5 — — $71,318.38 $341,937.42 $141,027.02 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 30 6 — — $31,000.89 $148,634.42 $140,912.27 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 6 — — $30,991.90 $148,591.30 $140,871.40 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 6 — — $30,870.16 $148,007.62 $140,318.04 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 6 — — $30,385.27 $145,682.82 $138,114.02 2026-07-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 1 — — $132,533.39 $137,549.25 $137,549.25 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 6 — — $29,932.90 $143,513.89 $136,057.78 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 6 — — $29,694.26 $142,369.74 $134,973.07 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 30 6 — — $29,503.35 $141,454.41 $134,105.30 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $29,333.88 $140,641.89 $133,334.99 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 6 — — $29,212.14 $140,058.20 $132,781.63 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 30 6 — — $29,162.34 $139,819.42 $132,555.26 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 6 — — $29,147.81 $139,749.78 $132,489.23 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 6 — — $29,062.73 $139,341.86 $132,102.51 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 30 6 — — $29,028.15 $139,176.04 $131,945.30 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 6 — — $28,974.19 $138,917.36 $131,700.06 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $28,862.14 $138,380.11 $131,190.72 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 30 6 — — $28,841.39 $138,280.61 $131,096.39 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 6 — — $28,726.56 $137,730.09 $130,574.47 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 30 6 — — $28,536.34 $136,818.08 $129,709.85 2026-07-15
791 MS_DRG Prematurity With Major Problems 30 6 — — $28,076.36 $134,612.68 $127,619.02 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 — — $27,810.05 $133,335.86 $126,408.54 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 6 — — $27,558.27 $132,128.69 $125,264.09 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $27,058.86 $129,734.25 $122,994.05 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 6 — — $26,936.43 $129,147.25 $122,437.54 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 6 — — $26,773.88 $128,367.89 $121,698.68 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 6 — — $26,733.76 $128,175.54 $121,516.32 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 30 6 — — $26,708.16 $128,052.84 $121,399.99 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 6 — — $26,556.68 $127,326.55 $120,711.43 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 30 6 — — $26,028.91 $124,796.13 $118,312.48 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 30 6 — — $25,915.47 $124,252.24 $117,796.85 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 6 — — $25,853.91 $123,957.08 $117,517.03 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 6 — — $25,851.14 $123,943.82 $117,504.45 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 30 6 — — $25,778.51 $123,595.60 $117,174.32 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 6 — — $25,407.06 $121,814.69 $115,485.94 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 30 6 — — $25,396.69 $121,764.94 $115,438.78 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 6 — — $25,098.56 $120,335.57 $114,083.67 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 6 — — $25,079.20 $120,242.71 $113,995.63 2026-07-15
332 MS_DRG Rectal Resection With Mcc 30 6 — — $25,044.61 $120,076.89 $113,838.43 2026-07-15
265 MS_DRG Aicd Lead Procedures 30 6 — — $25,027.32 $119,993.98 $113,759.83 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 6 — — $24,983.05 $119,781.74 $113,558.60 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $24,945.70 $119,602.65 $113,388.82 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 30 6 — — $24,782.45 $118,819.98 $112,646.81 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 6 — — $24,725.04 $118,544.72 $112,385.85 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 6 — — $24,700.14 $118,425.33 $112,272.67 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 6 — — $24,663.48 $118,249.56 $112,106.03 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 6 — — $24,642.73 $118,150.07 $112,011.71 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 30 6 — — $24,619.21 $118,037.31 $111,904.81 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 6 — — $24,599.15 $117,941.13 $111,813.63 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 6 — — $24,393.71 $116,956.16 $110,879.83 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 6 — — $24,343.91 $116,717.38 $110,653.46 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 30 6 — — $24,128.79 $115,685.98 $109,675.64 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 30 6 — — $24,122.57 $115,656.13 $109,647.34 2026-07-15
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 138 18 $248,371.20 — $50.00 $361,380.10 $109,531.70 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 6 — — $24,011.89 $115,125.51 $109,144.29 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 6 — — $23,895.69 $114,568.35 $108,616.08 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 6 — — $23,785.01 $114,037.73 $108,113.02 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $23,714.46 $113,699.46 $107,792.32 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 6 — — $23,598.25 $113,142.30 $107,264.12 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 6 — — $23,567.13 $112,993.06 $107,122.63 2026-07-15
187000714 NDC Ribavirin 6 Gram Solution For Inhalation 57 16 $127,726.70 — $44,423.35 $123,894.90 $106,907.25 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 30 6 — — $23,107.14 $110,787.66 $105,031.80 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 6 — — $22,849.13 $109,550.64 $103,859.06 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 30 6 — — $22,771.66 $109,179.20 $103,506.92 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 30 6 — — $22,768.90 $109,165.94 $103,494.34 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 6 — — $22,499.82 $107,875.86 $102,271.28 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 30 6 — — $22,400.91 $107,401.61 $101,821.68 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 6 — — $22,376.01 $107,282.22 $101,708.49 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $22,344.88 $107,132.99 $101,567.01 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 6 — — $22,322.05 $107,023.54 $101,463.25 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 6 — — $22,278.48 $106,814.61 $101,265.17 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 6 — — $22,206.54 $106,469.71 $100,938.19 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 6 — — $22,084.80 $105,886.02 $100,384.82 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 6 — — $22,043.99 $105,690.35 $100,199.32 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 6 — — $22,022.55 $105,587.54 $100,101.86 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 6 — — $21,978.28 $105,375.29 $99,900.63 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 30 6 — — $21,891.12 $104,957.43 $99,504.48 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 6 — — $21,857.92 $104,798.24 $99,353.56 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 6 — — $21,795.67 $104,499.76 $99,070.59 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 6 — — $21,785.29 $104,450.02 $99,023.43 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 6 — — $21,734.10 $104,204.60 $98,790.77 2026-07-15
10 MS_DRG Pancreas Transplant 17 5 — — $49,634.77 $237,974.91 $98,149.22 2026-07-15
665 MS_DRG Prostatectomy With Mcc 30 6 — — $21,589.54 $103,511.48 $98,133.65 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $21,544.58 $103,295.91 $97,929.28 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 6 — — $21,506.53 $103,113.51 $97,756.36 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 5 — — $49,350.48 $236,611.87 $97,587.06 2026-07-15
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 81 18 $141,522.48 — $50.00 $137,276.81 $97,183.49 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 30 6 — — $21,176.59 $101,531.59 $96,256.62 2026-07-15
263 MS_DRG Vein Ligation And Stripping 30 6 — — $21,148.23 $101,395.61 $96,127.71 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 3 — — $67,452.66 $99,532.20 $95,902.67 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 6 — — $20,980.84 $100,593.04 $95,366.84 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 30 6 — — $20,892.99 $100,171.86 $94,967.54 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 30 6 — — $20,890.22 $100,158.60 $94,954.96 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 6 — — $20,867.40 $100,049.16 $94,851.21 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 6 — — $20,587.95 $98,709.33 $93,580.99 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 30 6 — — $20,378.36 $97,704.46 $92,628.33 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 30 6 — — $20,364.53 $97,638.13 $92,565.45 2026-07-15
570 MS_DRG Skin Debridement With Mcc 30 6 — — $20,343.77 $97,538.64 $92,471.13 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 30 6 — — $20,197.82 $96,838.88 $91,807.72 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 6 — — $20,144.56 $96,583.52 $91,565.62 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 6 — — $20,073.32 $96,241.93 $91,241.78 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 30 6 — — $20,060.87 $96,182.23 $91,185.19 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 30 6 — — $19,962.64 $95,711.30 $90,738.73 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 30 6 — — $19,933.59 $95,572.02 $90,606.67 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 6 — — $19,853.35 $95,187.31 $90,241.96 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 6 — — $19,717.09 $94,533.98 $89,622.57 2026-07-15
800 MS_DRG Splenic Procedures With Cc 30 6 — — $19,432.80 $93,170.94 $88,330.35 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 30 6 — — $19,362.93 $92,835.99 $88,012.79 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 81 18 $127,925.00 — $50.00 $124,087.25 $87,846.10 2026-07-15
503 MS_DRG Foot Procedures With Mcc 30 6 — — $19,306.21 $92,564.04 $87,754.98 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 30 6 — — $19,173.41 $91,927.29 $87,151.31 2026-07-15
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 6 — — $19,071.03 $91,436.46 $86,685.98 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 6 — — $19,012.93 $91,157.89 $86,421.88 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 6 — — $19,008.09 $91,134.67 $86,399.87 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 6 — — $18,909.87 $90,663.74 $85,953.41 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 6 — — $18,819.94 $90,232.61 $85,544.67 2026-07-15
849 MS_DRG Radiotherapy 30 6 — — $18,741.78 $89,857.86 $85,189.39 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 6 — — $18,718.96 $89,748.42 $85,085.63 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 6 — — $18,658.09 $89,456.57 $84,808.95 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 30 6 — — $18,399.39 $88,216.24 $83,633.06 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 6 — — $18,335.06 $87,907.81 $83,340.66 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 6 — — $18,243.06 $87,466.73 $82,922.49 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 30 6 — — $17,953.93 $86,080.48 $81,608.26 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 6 — — $17,932.49 $85,977.67 $81,510.79 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 6 — — $17,865.39 $85,655.98 $81,205.81 2026-07-15
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 17 5 — — $41,016.11 $196,652.57 $81,106.44 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 30 6 — — $17,760.25 $85,151.89 $80,727.91 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 30 6 — — $17,659.26 $84,667.69 $80,268.87 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 81 18 $116,827.12 — $50.00 $113,322.31 $80,225.18 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 6 — — $17,575.57 $84,266.41 $79,888.44 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 30 6 — — $17,542.36 $84,107.22 $79,737.52 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 30 6 — — $17,458.67 $83,705.94 $79,357.08 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 6 — — $17,451.06 $83,669.46 $79,322.50 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 6 — — $17,236.63 $82,641.37 $78,347.83 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 30 6 — — $17,166.08 $82,303.10 $78,027.13 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 6 — — $17,010.44 $81,556.91 $77,319.71 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 6 — — $17,005.60 $81,533.69 $77,297.70 2026-07-15
792 MS_DRG Prematurity Without Major Problems 30 6 — — $16,941.27 $81,225.27 $77,005.30 2026-07-15
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 30 6 — — $16,906.69 $81,059.45 $76,848.09 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 30 6 — — $16,886.63 $80,963.27 $76,756.91 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 17 5 — — $38,767.37 $185,870.95 $76,659.72 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 30 6 — — $16,754.51 $80,329.84 $76,156.39 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 30 6 — — $16,699.87 $80,067.85 $75,908.01 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 81 18 $110,149.31 — $50.00 $106,844.83 $75,639.53 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 30 6 — — $16,637.61 $79,769.37 $75,625.04 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 6 — — $16,581.58 $79,500.74 $75,370.37 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 30 6 — — $16,565.67 $79,424.46 $75,298.05 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 6 — — $16,535.24 $79,278.54 $75,159.71 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 6 — — $16,506.88 $79,142.57 $75,030.80 2026-07-15
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 17 5 — — $37,575.56 $180,156.80 $74,303.00 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 30 6 — — $16,262.71 $77,971.88 $73,920.94 2026-07-15
333 MS_DRG Rectal Resection With Cc 30 6 — — $16,201.14 $77,676.72 $73,641.11 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 6 — — $16,176.24 $77,557.33 $73,527.92 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 6 — — $16,164.48 $77,500.95 $73,474.47 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 30 6 — — $16,096.70 $77,175.94 $73,166.35 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 6 — — $16,085.63 $77,122.88 $73,116.05 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 6 — — $16,069.03 $77,043.29 $73,040.59 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $15,986.72 $76,648.64 $72,666.44 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 82 18 $105,619.80 — $50.00 $172,414.88 $72,529.12 2026-07-15
93656 CPT Hc Tx Atrial Fib Ablate Pulm Vein Isol 69 18 $101,060.10 — $24,654.47 $98,028.30 $72,278.18 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 30 6 — — $15,878.81 $76,131.28 $72,175.96 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 30 6 — — $15,873.97 $76,108.06 $72,153.95 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 6 — — $15,809.64 $75,799.64 $71,861.55 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 6 — — $15,781.97 $75,666.98 $71,735.79 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 6 — — $15,741.16 $75,471.31 $71,550.28 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 6 — — $15,714.88 $75,345.29 $71,430.81 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 30 6 — — $15,671.30 $75,136.36 $71,232.73 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 30 6 — — $15,484.54 $74,240.93 $70,383.82 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 30 6 — — $15,475.54 $74,197.82 $70,342.95 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $70,000.00 $70,000.00 $70,000.00 2026-07-15
407 MS_DRG Pancreas- Liver And Shunt Procedures Without Cc/mcc 30 6 — — $15,353.11 $73,610.81 $69,786.44 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 30 6 — — $15,306.08 $73,385.30 $69,572.64 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 11 3 — — $48,901.12 $72,157.81 $69,526.50 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 30 6 — — $15,290.86 $73,312.34 $69,503.47 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 6 — — $15,272.18 $73,222.80 $69,418.58 2026-07-15
41 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 6 — — $15,208.55 $72,917.69 $69,129.33 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 30 6 — — $15,184.34 $72,801.61 $69,019.28 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 30 6 — — $15,160.82 $72,688.86 $68,912.38 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 30 6 — — $15,133.84 $72,559.52 $68,789.76 2026-07-15
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 228 16 $95,394.45 — $12,047.36 $123,855.37 $68,700.97 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 6 — — $15,096.49 $72,380.43 $68,619.98 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 30 6 — — $15,086.81 $72,334.00 $68,575.97 2026-07-15
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 30 6 — — $15,070.90 $72,257.72 $68,503.65 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 6 — — $15,060.52 $72,207.98 $68,456.49 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 30 6 — — $15,010.03 $71,965.88 $68,226.97 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 6 — — $14,812.89 $71,020.71 $67,330.90 2026-07-15
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 30 6 — — $14,807.36 $70,994.17 $67,305.75 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 30 6 — — $14,793.52 $70,927.85 $67,242.87 2026-07-15
93653 CPT Hc Ep & Ablate Supravent Arryth 69 18 $93,858.10 — $24,654.47 $91,042.36 $67,127.31 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 30 6 — — $14,740.26 $70,672.48 $67,000.77 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 6 — — $14,739.57 $70,669.17 $66,997.63 2026-07-15
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 30 6 — — $14,733.34 $70,639.32 $66,969.33 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 30 6 — — $14,710.52 $70,529.88 $66,865.57 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 30 6 — — $14,669.02 $70,330.89 $66,676.93 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 6 — — $14,648.26 $70,231.40 $66,582.61 2026-07-15
146 MS_DRG Ear- Nose- Mouth And Throat Malignancy With Mcc 30 6 — — $14,646.19 $70,221.45 $66,573.17 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 30 6 — — $14,640.66 $70,194.92 $66,548.02 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 6 — — $14,586.01 $69,932.93 $66,299.64 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 30 6 — — $14,543.12 $69,727.31 $66,104.70 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 6 — — $14,487.79 $69,462.00 $65,853.17 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 30 6 — — $14,478.80 $69,418.88 $65,812.30 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 6 — — $14,464.27 $69,349.24 $65,746.28 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 30 6 — — $14,438.68 $69,226.53 $65,629.94 2026-07-15
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 62 18 $78,387.80 — $22.84 $166,250.00 $65,610.59 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 30 6 — — $14,427.61 $69,173.47 $65,579.64 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 6 — — $14,423.46 $69,153.57 $65,560.77 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 30 6 — — $14,413.78 $69,107.14 $65,516.76 2026-07-15
511 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Cc 30 6 — — $14,383.34 $68,961.22 $65,378.42 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 6 — — $14,374.35 $68,918.11 $65,337.54 2026-07-15
886 MS_DRG Behavioral And Developmental Disorders 30 6 — — $14,354.98 $68,825.25 $65,249.51 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 30 6 — — $14,295.49 $68,540.04 $64,979.11 2026-07-15
26497 CPT Hc Valve Implant Lvl 59 69 18 $90,743.80 — $3,260.77 $88,021.49 $64,899.97 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 30 6 — — $14,253.30 $68,337.74 $64,787.32 2026-07-15
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