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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

23,174 distinct procedures filed
18 distinct payers
846,517 rate rows
2026-05-17 last MRF observed
Data quality

835,851 of 846,517 rate rows are consumer-grade (98.7%)

10,666 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 4,227
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 323
per-diem day rate — not a per-procedure price 272
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 · 2026-05-19
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
OTHER 		Inj Onase Abepar-xioi Treat 2 $2,455,110.61 $2,528,763.93 $2,455,110.61 nat. median
$2,472,216
1.0× median
MS-927
OTHER 		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
$175,322
outlier · 3.8×
MS-003
OTHER 		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
$169,886
outlier · 3.9×
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $298,698.15 $1,432,114.38 $590,654.34 nat. median
$309,559
1.9× median
MS-004
OTHER 		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
$107,587
outlier · 4.0×
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $193,843.08 $929,384.62 $383,310.90 nat. median
$224,278
1.7× median
MS-209
OTHER 		Complex Aortic Arch Procedures 6 $78,292.85 $375,376.68 $355,874.39 nat. median
$81,783
outlier · 4.4×
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $76,234.33 $365,507.08 $346,517.55 nat. median
$84,247
outlier · 4.1×
MS-212
OTHER 		Concomitant Aortic And Mitral Valve?procedures 6 $75,216.83 $360,628.65 $341,892.58 nat. median
$87,208
outlier · 3.9×
MS-215
OTHER 		Other Heart Assist System Implant 6 $68,873.20 $330,213.95 $313,058.04 nat. median
$80,736
outlier · 3.9×
MS-216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $67,668.24 $324,436.78 $307,581.01 nat. median
$76,284
outlier · 4.0×
MS-429
OTHER 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $62,319.97 $298,794.37 $283,270.83 nat. median
$69,654
outlier · 4.1×
143901
OTHER 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 16 $116,225.07 $324,146.99 $279,702.09 nat. median
$255,642
1.1× median
MS-850
OTHER 		Acute Leukemia With Other Procedures 6 $59,898.31 $287,183.66 $272,263.34 nat. median
$70,217
outlier · 3.9×
MS-231
OTHER 		Coronary Bypass With Ptca With Mcc 6 $58,310.15 $279,569.20 $265,044.49 nat. median
$64,520
outlier · 4.1×
MS-456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $58,126.85 $278,690.36 $264,211.30 nat. median
$65,528
outlier · 4.0×
J3403
OTHER 		Revakinagene Per Implant 2 $257,500.00 $265,225.00 $257,500.00 nat. median
$265,000
1.0× median
MS-020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $54,428.99 $260,960.88 $247,402.94 nat. median
$64,597
outlier · 3.8×
MS-219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $53,111.28 $254,643.14 $241,413.43 nat. median
$59,911
outlier · 4.0×
MS-233
OTHER 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $52,882.33 $253,545.41 $240,372.73 nat. median
$60,330
outlier · 4.0×
MS-957
OTHER 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $52,707.33 $252,706.36 $239,577.28 nat. median
$59,203
outlier · 4.0×
MS-427
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $49,931.51 $239,397.65 $226,960.00 nat. median
$54,639
outlier · 4.2×
MS-928
OTHER 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $49,614.02 $237,875.42 $225,516.86 nat. median
$52,593
outlier · 4.3×
MS-275
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $49,321.43 $236,472.59 $224,186.91 nat. median
$56,931
outlier · 3.9×
MS-870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $47,809.36 $229,222.94 $217,313.90 nat. median
$55,680
outlier · 3.9×
MS-268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $47,574.87 $228,098.68 $216,248.05 nat. median
$52,594
outlier · 4.1×
MS-955
OTHER 		Craniotomy For Multiple Significant Trauma 6 $46,559.44 $223,230.20 $211,632.52 nat. median
$52,297
outlier · 4.0×
MS-317
OTHER 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $46,250.94 $221,751.09 $210,230.25 nat. median
$51,694
outlier · 4.1×
MS-447
OTHER 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $46,217.05 $221,588.58 $210,076.19 nat. median
$52,354
outlier · 4.0×
MS-217
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$50,394
outlier · 4.1×
MS-218
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$49,044
outlier · 4.2×
MS-573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $45,316.45 $217,270.63 $205,982.57 nat. median
$50,887
outlier · 4.0×
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 2 $205,640.00 $211,809.20 $205,640.00 nat. median
$205,640
1.0× median
MS-207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $44,509.23 $213,400.39 $202,313.40 nat. median
$51,791
outlier · 3.9×
212191
OTHER 		Lumasiran 94.5 Mg/0.5 Ml Subcutaneous Solution 16 $82,919.95 $231,260.36 $199,551.46 nat. median
$199,551
1.0× median
MS-266
OTHER 		Endovascular Cardiac Valve Replacement W Mcc 6 $42,390.53 $203,242.26 $192,683.02 nat. median
$47,270
outlier · 4.1×
MS-969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 6 $42,341.42 $203,006.79 $192,459.79 nat. median
$51,774
outlier · 3.7×
MS-232
OTHER 		Coronary Bypass With Ptca Without Mcc 6 $41,935.39 $201,060.07 $190,614.21 nat. median
$47,275
outlier · 4.0×
MS-028
OTHER 		Spinal Procedures With Mcc 6 $41,559.79 $199,259.26 $188,906.96 nat. median
$44,814
outlier · 4.2×
MS-276
OTHER 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $41,548.03 $199,202.88 $188,853.51 nat. median
$46,668
outlier · 4.0×
MS-457
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $41,247.14 $197,760.25 $187,485.83 nat. median
$48,038
outlier · 3.9×
MS-790
OTHER 		Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 6 $41,111.56 $197,110.23 $186,869.58 nat. median
$43,706
outlier · 4.3×
MS-235
OTHER 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $40,593.48 $194,626.25 $184,514.65 nat. median
$46,890
outlier · 3.9×
MS-820
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $40,567.19 $194,500.23 $184,395.18 nat. median
$46,385
outlier · 4.0×
MS-430
OTHER 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $39,891.39 $191,260.10 $181,323.39 nat. median
$44,586
outlier · 4.1×
MS-023
OTHER 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $39,636.85 $190,039.67 $180,166.36 nat. median
$46,042
outlier · 3.9×
MS-213
OTHER 		Endovascular Abdominal Aorta With Iliac Branch Procedures 6 $39,474.99 $189,263.63 $179,430.64 nat. median
$41,235
outlier · 4.4×
216356
OTHER 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 16 $74,468.96 $207,690.89 $179,213.69 nat. median
$121,941
1.5× median
MS-463
OTHER 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $39,423.80 $189,018.22 $179,197.98 nat. median
$44,063
outlier · 4.1×
MS-007
OTHER 		Lung Transplant 5 $89,577.35 $429,480.43 $177,132.84 nat. median
$95,292
1.9× median

Other procedures at this hospital

Browse this hospital's 23,174 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 OTHER Inj Onase Abepar-xioi Treat 5 2 — — $2,455,110.61 $2,528,763.93 $2,455,110.61 2026-05-17
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 6 — — $147,682.75 $708,067.98 $671,281.07 2026-05-17
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 30 6 — — $146,816.04 $703,912.53 $667,341.51 2026-05-17
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 5 — — $298,698.15 $1,432,114.38 $590,654.34 2026-05-17
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 30 6 — — $95,811.01 $459,367.83 $435,501.87 2026-05-17
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 18 5 — — $193,843.08 $929,384.62 $383,310.90 2026-05-17
MS-209 OTHER Complex Aortic Arch Procedures 30 6 — — $78,292.85 $375,376.68 $355,874.39 2026-05-17
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $76,234.33 $365,507.08 $346,517.55 2026-05-17
MS-212 OTHER Concomitant Aortic And Mitral Valve?procedures 30 6 — — $75,216.83 $360,628.65 $341,892.58 2026-05-17
MS-215 OTHER Other Heart Assist System Implant 30 6 — — $68,873.20 $330,213.95 $313,058.04 2026-05-17
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $67,668.24 $324,436.78 $307,581.01 2026-05-17
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 6 — — $62,319.97 $298,794.37 $283,270.83 2026-05-17
143901 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 57 16 $334,172.15 — $116,225.07 $324,146.99 $279,702.09 2026-05-17
MS-850 OTHER Acute Leukemia With Other Procedures 30 6 — — $59,898.31 $287,183.66 $272,263.34 2026-05-17
MS-231 OTHER Coronary Bypass With Ptca With Mcc 30 6 — — $58,310.15 $279,569.20 $265,044.49 2026-05-17
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $58,126.85 $278,690.36 $264,211.30 2026-05-17
J3403 OTHER Revakinagene Per Implant 5 2 — — $257,500.00 $265,225.00 $257,500.00 2026-05-17
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 6 — — $54,428.99 $260,960.88 $247,402.94 2026-05-17
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $53,111.28 $254,643.14 $241,413.43 2026-05-17
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 30 6 — — $52,882.33 $253,545.41 $240,372.73 2026-05-17
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 6 — — $52,707.33 $252,706.36 $239,577.28 2026-05-17
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $49,931.51 $239,397.65 $226,960.00 2026-05-17
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 6 — — $49,614.02 $237,875.42 $225,516.86 2026-05-17
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 6 — — $49,321.43 $236,472.59 $224,186.91 2026-05-17
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 30 6 — — $47,809.36 $229,222.94 $217,313.90 2026-05-17
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 6 — — $47,574.87 $228,098.68 $216,248.05 2026-05-17
MS-955 OTHER Craniotomy For Multiple Significant Trauma 30 6 — — $46,559.44 $223,230.20 $211,632.52 2026-05-17
MS-317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 6 — — $46,250.94 $221,751.09 $210,230.25 2026-05-17
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 6 — — $46,217.05 $221,588.58 $210,076.19 2026-05-17
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-05-17
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-05-17
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $45,316.45 $217,270.63 $205,982.57 2026-05-17
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 5 2 — — $205,640.00 $211,809.20 $205,640.00 2026-05-17
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 30 6 — — $44,509.23 $213,400.39 $202,313.40 2026-05-17
212191 OTHER Lumasiran 94.5 Mg/0.5 Ml Subcutaneous Solution 57 16 $238,412.74 — $82,919.95 $231,260.36 $199,551.46 2026-05-17
MS-266 OTHER Endovascular Cardiac Valve Replacement W Mcc 30 6 — — $42,390.53 $203,242.26 $192,683.02 2026-05-17
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 30 6 — — $42,341.42 $203,006.79 $192,459.79 2026-05-17
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 30 6 — — $41,935.39 $201,060.07 $190,614.21 2026-05-17
MS-028 OTHER Spinal Procedures With Mcc 30 6 — — $41,559.79 $199,259.26 $188,906.96 2026-05-17
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 6 — — $41,548.03 $199,202.88 $188,853.51 2026-05-17
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $41,247.14 $197,760.25 $187,485.83 2026-05-17
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 6 — — $41,111.56 $197,110.23 $186,869.58 2026-05-17
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 30 6 — — $40,593.48 $194,626.25 $184,514.65 2026-05-17
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 6 — — $40,567.19 $194,500.23 $184,395.18 2026-05-17
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 6 — — $39,891.39 $191,260.10 $181,323.39 2026-05-17
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $39,636.85 $190,039.67 $180,166.36 2026-05-17
MS-213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 30 6 — — $39,474.99 $189,263.63 $179,430.64 2026-05-17
216356 OTHER Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 57 16 $214,114.32 — $74,468.96 $207,690.89 $179,213.69 2026-05-17
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $39,423.80 $189,018.22 $179,197.98 2026-05-17
MS-007 OTHER Lung Transplant 17 5 — — $89,577.35 $429,480.43 $177,132.84 2026-05-17
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $38,887.73 $186,448.01 $176,761.30 2026-05-17
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $38,501.76 $184,597.46 $175,006.89 2026-05-17
218328 OTHER Tremelimumab-actl 20 Mg/ml Intravenous Solution 57 16 $207,625.35 — $72,212.10 $201,396.59 $173,782.42 2026-05-17
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 30 6 — — $38,202.94 $183,164.77 $173,648.64 2026-05-17
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 30 6 — — $37,973.98 $182,067.04 $172,607.95 2026-05-17
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 30 6 — — $37,839.79 $181,423.66 $171,997.99 2026-05-17
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 30 6 — — $37,785.84 $181,164.98 $171,752.75 2026-05-17
MS-011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 30 6 — — $37,726.35 $180,879.77 $171,482.36 2026-05-17
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $36,887.31 $176,856.98 $167,668.56 2026-05-17
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 6 — — $36,865.18 $176,750.85 $167,567.95 2026-05-17
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 6 — — $36,617.55 $175,563.58 $166,442.37 2026-05-17
C1826 OTHER Gen Neuro Clo Loop Rechg 5 2 — — $22.84 $166,250.00 $166,250.00 2026-05-17
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 30 6 — — $36,496.50 $174,983.21 $165,892.15 2026-05-17
MS-014 OTHER Allogeneic Bone Marrow Transplant 17 5 — — $83,128.57 $398,561.64 $164,380.84 2026-05-17
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 30 6 — — $36,006.08 $172,631.89 $163,662.98 2026-05-17
MS-653 OTHER Major Bladder Procedures With Mcc 30 6 — — $35,943.83 $172,333.41 $163,380.01 2026-05-17
170072 OTHER Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 57 16 $189,545.55 — $65,923.94 $183,859.18 $158,649.63 2026-05-17
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $34,863.38 $167,153.19 $158,468.93 2026-05-17
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 30 6 — — $34,498.16 $165,402.13 $156,808.84 2026-05-17
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 30 6 — — $34,221.48 $164,075.57 $155,551.20 2026-05-17
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 6 — — $34,160.61 $163,783.73 $155,274.52 2026-05-17
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 5 — — $78,382.77 $375,807.82 $154,996.36 2026-05-17
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 6 — — $34,043.71 $163,223.26 $154,743.17 2026-05-17
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $33,901.91 $162,543.40 $154,098.63 2026-05-17
MS-471 OTHER Cervical Spinal Fusion With Mcc 30 6 — — $33,400.42 $160,139.01 $151,819.16 2026-05-17
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 6 — — $33,231.65 $159,329.81 $151,052.00 2026-05-17
MS-267 OTHER Endovascular Cardiac Valve Replacement Without Mcc 30 6 — — $32,930.75 $157,887.17 $149,684.31 2026-05-17
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $32,453.48 $155,598.86 $147,514.88 2026-05-17
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $32,356.64 $155,134.56 $147,074.71 2026-05-17
Q0480 OTHER Driver Pneumatic Vad Rep 11 3 — — $110,139.19 $151,099.89 $145,589.90 2026-05-17
MS-277 OTHER Cardiac Defibrillator Implant Without Mcc 30 6 — — $31,946.46 $153,167.93 $145,210.26 2026-05-17
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 30 6 — — $31,794.28 $152,438.33 $144,518.56 2026-05-17
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 6 — — $31,713.35 $152,050.31 $144,150.70 2026-05-17
MS-245 OTHER Aicd Generator Procedures 30 6 — — $31,558.41 $151,307.43 $143,446.42 2026-05-17
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 6 — — $31,463.64 $150,853.09 $143,015.68 2026-05-17
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 30 6 — — $31,449.81 $150,786.76 $142,952.79 2026-05-17
MS-799 OTHER Splenic Procedures With Mcc 30 6 — — $31,326.69 $150,196.44 $142,393.14 2026-05-17
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 17 5 — — $71,318.38 $341,937.42 $141,027.02 2026-05-17
MS-163 OTHER Major Chest Procedures With Mcc 30 6 — — $31,000.89 $148,634.42 $140,912.27 2026-05-17
MS-031 OTHER Ventricular Shunt Procedures With Mcc 30 6 — — $30,991.90 $148,591.30 $140,871.40 2026-05-17
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 30 6 — — $30,870.16 $148,007.62 $140,318.04 2026-05-17
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 30 6 — — $30,385.27 $145,682.82 $138,114.02 2026-05-17
K1007 OTHER Bil Hkaf Pc S/d Micro Sensor 6 1 — — $132,533.39 $137,549.25 $137,549.25 2026-05-17
2782649771 OTHER Hc Valve Implant Lvl 71 57 16 $162,963.40 — $56,678.67 $158,074.50 $136,400.37 2026-05-17
2722109771 OTHER Hc Percutaneous Ventricular Assist Device Lvl 71 57 16 $162,963.40 — $56,678.67 $158,074.50 $136,400.37 2026-05-17
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 6 — — $29,932.90 $143,513.89 $136,057.78 2026-05-17
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 6 — — $29,694.26 $142,369.74 $134,973.07 2026-05-17
MS-140 OTHER Major Head And Neck Procedures With Mcc 30 6 — — $29,503.35 $141,454.41 $134,105.30 2026-05-17
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $29,333.88 $140,641.89 $133,334.99 2026-05-17
MS-269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 6 — — $29,212.14 $140,058.20 $132,781.63 2026-05-17
MS-012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 30 6 — — $29,162.34 $139,819.42 $132,555.26 2026-05-17
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 30 6 — — $29,147.81 $139,749.78 $132,489.23 2026-05-17
MS-673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 30 6 — — $29,062.73 $139,341.86 $132,102.51 2026-05-17
MS-901 OTHER Wound Debridements For Injuries With Mcc 30 6 — — $29,028.15 $139,176.04 $131,945.30 2026-05-17
MS-236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 30 6 — — $28,974.19 $138,917.36 $131,700.06 2026-05-17
MS-458 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $28,862.14 $138,380.11 $131,190.72 2026-05-17
MS-793 OTHER Full Term Neonate With Major Problems 30 6 — — $28,841.39 $138,280.61 $131,096.39 2026-05-17
2721649601 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 57 16 $156,420.00 — $54,402.88 $151,727.40 $130,923.54 2026-05-17
MS-423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 6 — — $28,726.56 $137,730.09 $130,574.47 2026-05-17
2782649770 OTHER Hc Valve Implant Lvl 70 57 16 $155,203.20 — $53,979.67 $150,547.10 $129,905.08 2026-05-17
278TRIG470 OTHER Hc Ntap Triclip G4 Vlv Rpr Systm 57 16 $155,203.20 — $53,979.67 $150,547.10 $129,905.08 2026-05-17
2721649701 OTHER Hc Pump Blood Vad With Valves 57 16 $155,161.55 — $53,965.19 $150,506.70 $129,870.22 2026-05-17
MS-273 OTHER Percutaneous Intracardiac Procedures W Mcc 30 6 — — $28,536.34 $136,818.08 $129,709.85 2026-05-17
MS-791 OTHER Prematurity With Major Problems 30 6 — — $28,076.36 $134,612.68 $127,619.02 2026-05-17
MS-402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 — — $27,810.05 $133,335.86 $126,408.54 2026-05-17
MS-802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 6 — — $27,558.27 $132,128.69 $125,264.09 2026-05-17
192637 OTHER Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 114 16 $248,371.20 — $43,191.75 $361,380.10 $125,017.64 2026-05-17
MS-024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $27,058.86 $129,734.25 $122,994.05 2026-05-17
MS-933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 6 — — $26,936.43 $129,147.25 $122,437.54 2026-05-17
MS-034 OTHER Carotid Artery Stent Procedures With Mcc 30 6 — — $26,773.88 $128,367.89 $121,698.68 2026-05-17
MS-876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 30 6 — — $26,733.76 $128,175.54 $121,516.32 2026-05-17
MS-040 OTHER Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 30 6 — — $26,708.16 $128,052.84 $121,399.99 2026-05-17
MS-907 OTHER Other O.r. Procedures For Injuries With Mcc 30 6 — — $26,556.68 $127,326.55 $120,711.43 2026-05-17
183256 OTHER Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 57 16 $141,522.48 — $49,221.52 $137,276.81 $118,454.32 2026-05-17
MS-956 OTHER Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 30 6 — — $26,028.91 $124,796.13 $118,312.48 2026-05-17
MS-143 OTHER Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 30 6 — — $25,915.47 $124,252.24 $117,796.85 2026-05-17
MS-166 OTHER Other Respiratory System O.r. Procedures With Mcc 30 6 — — $25,853.91 $123,957.08 $117,517.03 2026-05-17
MS-518 OTHER 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 2026-05-17
MS-628 OTHER Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 30 6 — — $25,778.51 $123,595.60 $117,174.32 2026-05-17
MS-904 OTHER Skin Grafts For Injuries With Cc/mcc 30 6 — — $25,407.06 $121,814.69 $115,485.94 2026-05-17
MS-492 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 30 6 — — $25,396.69 $121,764.94 $115,438.78 2026-05-17
MS-939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 6 — — $25,098.56 $120,335.57 $114,083.67 2026-05-17
MS-495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 6 — — $25,079.20 $120,242.71 $113,995.63 2026-05-17
MS-332 OTHER Rectal Resection With Mcc 30 6 — — $25,044.61 $120,076.89 $113,838.43 2026-05-17
MS-265 OTHER Aicd Lead Procedures 30 6 — — $25,027.32 $119,993.98 $113,759.83 2026-05-17
MS-097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 6 — — $24,983.05 $119,781.74 $113,558.60 2026-05-17
MS-279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $24,945.70 $119,602.65 $113,388.82 2026-05-17
MS-739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 30 6 — — $24,782.45 $118,819.98 $112,646.81 2026-05-17
MS-736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 6 — — $24,725.04 $118,544.72 $112,385.85 2026-05-17
MS-335 OTHER Peritoneal Adhesiolysis With Mcc 30 6 — — $24,700.14 $118,425.33 $112,272.67 2026-05-17
275C188267 OTHER Hc Icd Biv/crt-d Lvl 67 57 16 $134,070.25 — $46,629.63 $130,048.14 $112,216.80 2026-05-17
MS-408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 6 — — $24,663.48 $118,249.56 $112,106.03 2026-05-17
MS-414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 6 — — $24,642.73 $118,150.07 $112,011.71 2026-05-17
MS-622 OTHER Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 30 6 — — $24,619.21 $118,037.31 $111,904.81 2026-05-17
MS-271 OTHER Other Major Cardiovascular Procedures With Cc 30 6 — — $24,599.15 $117,941.13 $111,813.63 2026-05-17
MS-467 OTHER Revision Of Hip Or Knee Replacement With Cc 30 6 — — $24,393.71 $116,956.16 $110,879.83 2026-05-17
MS-094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 6 — — $24,343.91 $116,717.38 $110,653.46 2026-05-17
MS-252 OTHER Other Vascular Procedures With Mcc 30 6 — — $24,128.79 $115,685.98 $109,675.64 2026-05-17
MS-616 OTHER Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 30 6 — — $24,122.57 $115,656.13 $109,647.34 2026-05-17
MS-574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 6 — — $24,011.89 $115,125.51 $109,144.29 2026-05-17
MS-477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 6 — — $23,895.69 $114,568.35 $108,616.08 2026-05-17
MS-359 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 6 — — $23,785.01 $114,037.73 $108,113.02 2026-05-17
MS-987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $23,714.46 $113,699.46 $107,792.32 2026-05-17
MS-029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 30 6 — — $23,598.25 $113,142.30 $107,264.12 2026-05-17
MS-420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 30 6 — — $23,567.13 $112,993.06 $107,122.63 2026-05-17
83782 OTHER Pegaspargase 750 Unit/ml Injection Solution 57 16 $127,925.00 — $44,492.32 $124,087.25 $107,073.22 2026-05-17
86274 OTHER Ribavirin 6 Gram Solution For Inhalation 57 16 $127,726.70 — $44,423.35 $123,894.90 $106,907.25 2026-05-17
2782649766 OTHER Hc Valve Implant Lvl 66 57 16 $127,685.95 — $44,409.17 $123,855.37 $106,873.14 2026-05-17
278C188966 OTHER Hc Implantable-insertable Device Noc Lvl 66 57 16 $127,685.95 — $44,409.17 $123,855.37 $106,873.14 2026-05-17
278C182366 OTHER Hc Neurostim Generator/lead Lvl 66 57 16 $127,685.95 — $44,409.17 $123,855.37 $106,873.14 2026-05-17
MS-264 OTHER Other Circulatory System O.r. Procedures 30 6 — — $23,107.14 $110,787.66 $105,031.80 2026-05-17
MS-411 OTHER Cholecystectomy With C.d.e. With Mcc 30 6 — — $22,849.13 $109,550.64 $103,859.06 2026-05-17
MS-037 OTHER Extracranial Procedures With Mcc 30 6 — — $22,771.66 $109,179.20 $103,506.92 2026-05-17
MS-274 OTHER Percutaneous Intracardiac Procedures Without Mcc 30 6 — — $22,768.90 $109,165.94 $103,494.34 2026-05-17
MS-260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 6 — — $22,499.82 $107,875.86 $102,271.28 2026-05-17
MS-579 OTHER Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 30 6 — — $22,400.91 $107,401.61 $101,821.68 2026-05-17
2782649765 OTHER Hc Valve Implant Lvl 65 57 16 $121,605.60 — $42,294.43 $117,957.43 $101,783.89 2026-05-17
MS-840 OTHER Lymphoma And Non-acute Leukemia With Mcc 30 6 — — $22,376.01 $107,282.22 $101,708.49 2026-05-17
MS-451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $22,344.88 $107,132.99 $101,567.01 2026-05-17
MS-485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 6 — — $22,322.05 $107,023.54 $101,463.25 2026-05-17
MS-929 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 6 — — $22,278.48 $106,814.61 $101,265.17 2026-05-17
MS-325 OTHER Coronary Intravascular Lithotripsy Without Intraluminal Device 30 6 — — $22,206.54 $106,469.71 $100,938.19 2026-05-17
MS-242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 30 6 — — $22,084.80 $105,886.02 $100,384.82 2026-05-17
MS-515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 6 — — $22,043.99 $105,690.35 $100,199.32 2026-05-17
MS-656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 30 6 — — $22,022.55 $105,587.54 $100,101.86 2026-05-17
MS-022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 6 — — $21,978.28 $105,375.29 $99,900.63 2026-05-17
MS-500 OTHER Soft Tissue Procedures With Mcc 30 6 — — $21,891.12 $104,957.43 $99,504.48 2026-05-17
MS-829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 6 — — $21,857.92 $104,798.24 $99,353.56 2026-05-17
MS-324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 6 — — $21,795.67 $104,499.76 $99,070.59 2026-05-17
MS-229 OTHER Other Cardiothoracic Procedures Without Mcc 30 6 — — $21,785.29 $104,450.02 $99,023.43 2026-05-17
MS-258 OTHER Cardiac Pacemaker Device Replacement With Mcc 30 6 — — $21,734.10 $104,204.60 $98,790.77 2026-05-17
MS-010 OTHER Pancreas Transplant 17 5 — — $49,634.77 $237,974.91 $98,149.22 2026-05-17
MS-665 OTHER Prostatectomy With Mcc 30 6 — — $21,589.54 $103,511.48 $98,133.65 2026-05-17
MS-464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $21,544.58 $103,295.91 $97,929.28 2026-05-17
189298 OTHER Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 57 16 $116,827.12 — $40,632.47 $113,322.31 $97,784.30 2026-05-17
MS-026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 30 6 — — $21,506.53 $103,113.51 $97,756.36 2026-05-17
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 5 — — $49,350.48 $236,611.87 $97,587.06 2026-05-17
2782669764 OTHER Hc Vascular Stent Graft Implant Lvl 64 57 16 $115,814.85 — $40,280.40 $112,340.40 $96,937.03 2026-05-17
2782649764 OTHER Hc Valve Implant Lvl 64 57 16 $115,814.85 — $40,280.40 $112,340.40 $96,937.03 2026-05-17
MS-662 OTHER Minor Bladder Procedures With Mcc 30 6 — — $21,176.59 $101,531.59 $96,256.62 2026-05-17
MS-263 OTHER Vein Ligation And Stripping 30 6 — — $21,148.23 $101,395.61 $96,127.71 2026-05-17
L8702 OTHER Ewhf S/d Uprt Micro Sensor 11 3 — — $67,452.66 $99,532.20 $95,902.67 2026-05-17
MS-469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 6 — — $20,980.84 $100,593.04 $95,366.84 2026-05-17
MS-510 OTHER Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 30 6 — — $20,892.99 $100,171.86 $94,967.54 2026-05-17
MS-625 OTHER Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 30 6 — — $20,890.22 $100,158.60 $94,954.96 2026-05-17
MS-498 OTHER 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 2026-05-17
MS-173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 6 — — $20,587.95 $98,709.33 $93,580.99 2026-05-17
MS-472 OTHER Cervical Spinal Fusion With Cc 30 6 — — $20,378.36 $97,704.46 $92,628.33 2026-05-17
MS-959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 30 6 — — $20,364.53 $97,638.13 $92,565.45 2026-05-17
MS-570 OTHER Skin Debridement With Mcc 30 6 — — $20,343.77 $97,538.64 $92,471.13 2026-05-17
2782649763 OTHER Hc Valve Implant Lvl 63 57 16 $110,299.80 — $38,362.27 $106,990.81 $92,320.93 2026-05-17
278C188963 OTHER Hc Implantable-insertable Device Noc Lvl 63 57 16 $110,299.80 — $38,362.27 $106,990.81 $92,320.93 2026-05-17
213871 OTHER Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 57 16 $110,149.31 — $38,309.93 $106,844.83 $92,194.97 2026-05-17
MS-668 OTHER Transurethral Procedures With Mcc 30 6 — — $20,197.82 $96,838.88 $91,807.72 2026-05-17
MS-480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 30 6 — — $20,144.56 $96,583.52 $91,565.62 2026-05-17
MS-353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 30 6 — — $20,073.32 $96,241.93 $91,241.78 2026-05-17
MS-406 OTHER Pancreas- Liver And Shunt Procedures With Cc 30 6 — — $20,060.87 $96,182.23 $91,185.19 2026-05-17
MS-974 OTHER HIV With Major Related Condition With Mcc 30 6 — — $19,962.64 $95,711.30 $90,738.73 2026-05-17
MS-013 OTHER Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 30 6 — — $19,933.59 $95,572.02 $90,606.67 2026-05-17
MS-521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 6 — — $19,853.35 $95,187.31 $90,241.96 2026-05-17
MS-240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 6 — — $19,717.09 $94,533.98 $89,622.57 2026-05-17
199175 OTHER Ocrelizumab 30 Mg/ml Intravenous Solution 57 16 $105,619.80 — $36,734.57 $102,451.21 $88,403.77 2026-05-17
MS-800 OTHER Splenic Procedures With Cc 30 6 — — $19,432.80 $93,170.94 $88,330.35 2026-05-17
MS-654 OTHER Major Bladder Procedures With Cc 30 6 — — $19,362.93 $92,835.99 $88,012.79 2026-05-17
2782669762 OTHER Hc Vascular Stent Graft Implant Lvl 62 57 16 $105,047.35 — $36,535.47 $101,895.93 $87,924.63 2026-05-17
278C187462 OTHER Hc Stent Coated/covered Implant Lvl 62 57 16 $105,047.35 — $36,535.47 $101,895.93 $87,924.63 2026-05-17
278C188962 OTHER Hc Implantable-insertable Device Noc Lvl 62 57 16 $105,047.35 — $36,535.47 $101,895.93 $87,924.63 2026-05-17
MS-503 OTHER Foot Procedures With Mcc 30 6 — — $19,306.21 $92,564.04 $87,754.98 2026-05-17
MS-483 OTHER Major Joint/limb Reattachment Procedure Of Upper Extremities 30 6 — — $19,173.41 $91,927.29 $87,151.31 2026-05-17
MS-061 OTHER Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 6 — — $19,071.03 $91,436.46 $86,685.98 2026-05-17
MS-208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 6 — — $19,012.93 $91,157.89 $86,421.88 2026-05-17
MS-468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 30 6 — — $19,008.09 $91,134.67 $86,399.87 2026-05-17
MS-963 OTHER Other Multiple Significant Trauma With Mcc 30 6 — — $18,909.87 $90,663.74 $85,953.41 2026-05-17
MS-321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 6 — — $18,819.94 $90,232.61 $85,544.67 2026-05-17
MS-849 OTHER Radiotherapy 30 6 — — $18,741.78 $89,857.86 $85,189.39 2026-05-17
MS-288 OTHER Acute And Subacute Endocarditis With Mcc 30 6 — — $18,718.96 $89,748.42 $85,085.63 2026-05-17
3601276297 OTHER Hc Trcath Replace Aortic Valve 57 16 $101,383.95 — $35,261.34 $98,342.43 $84,858.37 2026-05-17
MS-255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 6 — — $18,658.09 $89,456.57 $84,808.95 2026-05-17
4819365601 OTHER Hc Tx Atrial Fib Ablate Pulm Vein Isol 57 16 $101,060.10 — $35,148.70 $98,028.30 $84,587.30 2026-05-17
2782649761 OTHER Hc Valve Implant Lvl 61 57 16 $100,045.10 — $34,795.69 $97,043.75 $83,737.75 2026-05-17
2722109761 OTHER Hc Percutaneous Ventricular Assist Device Lvl 61 57 16 $100,045.10 — $34,795.69 $97,043.75 $83,737.75 2026-05-17
278C182361 OTHER Hc Neurostim Generator/lead Lvl 61 57 16 $100,045.10 — $34,795.69 $97,043.75 $83,737.75 2026-05-17
MS-462 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 30 6 — — $18,399.39 $88,216.24 $83,633.06 2026-05-17
MS-577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 6 — — $18,335.06 $87,907.81 $83,340.66 2026-05-17
MS-970 OTHER HIV With Extensive O.r. Procedures Without Mcc 30 6 — — $18,243.06 $87,466.73 $82,922.49 2026-05-17
MS-253 OTHER Other Vascular Procedures With Cc 30 6 — — $17,953.93 $86,080.48 $81,608.26 2026-05-17
MS-846 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 6 — — $17,932.49 $85,977.67 $81,510.79 2026-05-17
MS-344 OTHER Minor Small And Large Bowel Procedures With Mcc 30 6 — — $17,865.39 $85,655.98 $81,205.81 2026-05-17
MS-016 OTHER Autolous Bone Marrow Transplant With Cc/mcc 17 5 — — $41,016.11 $196,652.57 $81,106.44 2026-05-17
MS-096 OTHER Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-05-17
MS-095 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-05-17
MS-749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 30 6 — — $17,760.25 $85,151.89 $80,727.91 2026-05-17
2721649501 OTHER Hc Set Pump Impella Cp W/smart Assist 57 16 $95,985.00 — $33,383.58 $93,105.45 $80,339.44 2026-05-17
MS-272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 30 6 — — $17,659.26 $84,667.69 $80,268.87 2026-05-17
MS-659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 6 — — $17,575.57 $84,266.41 $79,888.44 2026-05-17
2722109760 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 57 16 $95,281.00 — $33,138.73 $92,422.57 $79,750.20 2026-05-17
MS-493 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 30 6 — — $17,542.36 $84,107.22 $79,737.52 2026-05-17
MS-164 OTHER Major Chest Procedures With Cc 30 6 — — $17,458.67 $83,705.94 $79,357.08 2026-05-17
MS-027 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 6 — — $17,451.06 $83,669.46 $79,322.50 2026-05-17
4819365301 OTHER Hc Ep & Ablate Supravent Arryth 57 16 $93,858.10 — $32,643.85 $91,042.36 $78,559.23 2026-05-17
MS-350 OTHER Inguinal And Femoral Hernia Procedures With Mcc 30 6 — — $17,236.63 $82,641.37 $78,347.83 2026-05-17
MS-545 OTHER Connective Tissue Disorders With Mcc 30 6 — — $17,166.08 $82,303.10 $78,027.13 2026-05-17
MS-478 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 6 — — $17,010.44 $81,556.91 $77,319.71 2026-05-17
MS-982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 6 — — $17,005.60 $81,533.69 $77,297.70 2026-05-17
MS-792 OTHER Prematurity Without Major Problems 30 6 — — $16,941.27 $81,225.27 $77,005.30 2026-05-17
MS-327 OTHER Stomach- Esophageal And Duodenal Procedures With Cc 30 6 — — $16,906.69 $81,059.45 $76,848.09 2026-05-17
MS-473 OTHER Cervical Spinal Fusion Without Cc/mcc 30 6 — — $16,886.63 $80,963.27 $76,756.91 2026-05-17
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 17 5 — — $38,767.37 $185,870.95 $76,659.72 2026-05-17
MS-318 OTHER Percutaneous Coronary Atherectomy Without Intraluminal Device 30 6 — — $16,754.51 $80,329.84 $76,156.39 2026-05-17
201104 OTHER Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 57 16 $90,876.04 — $31,606.69 $88,149.76 $76,063.25 2026-05-17
278C262459 OTHER Hc Wireless Pressure Sensor Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
275C172159 OTHER Hc Icd Dual Chamber Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
272C176959 OTHER Hc Guidewire Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
278LIMFW59 OTHER Hc Ntap Limflow System 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
2782649759 OTHER Hc Valve Implant Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
278C188959 OTHER Hc Implantable-insertable Device Noc Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
2722109759 OTHER Hc Percutaneous Ventricular Assist Device Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
278C182359 OTHER Hc Neurostim Generator/lead Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
275C188259 OTHER Hc Icd Biv/crt-d Lvl 59 57 16 $90,743.80 — $31,560.69 $88,021.49 $75,952.56 2026-05-17
MS-360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 30 6 — — $16,699.87 $80,067.85 $75,908.01 2026-05-17
MS-320 OTHER Other Endovascular Cardiac Valve Procedures Without Mcc 30 6 — — $16,637.61 $79,769.37 $75,625.04 2026-05-17
MS-330 OTHER Major Small And Large Bowel Procedures With Cc 30 6 — — $16,581.58 $79,500.74 $75,370.37 2026-05-17
MS-397 OTHER Appendix Procedures With Mcc 30 6 — — $16,565.67 $79,424.46 $75,298.05 2026-05-17
MS-035 OTHER Carotid Artery Stent Procedures With Cc 30 6 — — $16,535.24 $79,278.54 $75,159.71 2026-05-17
MS-417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 6 — — $16,506.88 $79,142.57 $75,030.80 2026-05-17
MS-017 OTHER Autolous Bone Marrow Transplant Without Cc/mcc 17 5 — — $37,575.56 $180,156.80 $74,303.00 2026-05-17
4819365401 OTHER Hc Ep & Ablate Ventricular Tachycardia 57 16 $88,342.40 — $30,725.49 $85,692.13 $73,942.59 2026-05-17
MS-113 OTHER Orbital Procedures With Cc/mcc 30 6 — — $16,262.71 $77,971.88 $73,920.94 2026-05-17
MS-333 OTHER Rectal Resection With Cc 30 6 — — $16,201.14 $77,676.72 $73,641.11 2026-05-17
MS-674 OTHER Other Kidney And Urinary Tract Procedures With Cc 30 6 — — $16,176.24 $77,557.33 $73,527.92 2026-05-17
MS-940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 6 — — $16,164.48 $77,500.95 $73,474.47 2026-05-17
MS-709 OTHER Penis Procedures With Cc/mcc 30 6 — — $16,096.70 $77,175.94 $73,166.35 2026-05-17
MS-357 OTHER Other Digestive System O.r. Procedures With Cc 30 6 — — $16,085.63 $77,122.88 $73,116.05 2026-05-17
MS-056 OTHER Degenerative Nervous System Disorders With Mcc 30 6 — — $16,069.03 $77,043.29 $73,040.59 2026-05-17
MS-827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $15,986.72 $76,648.64 $72,666.44 2026-05-17
2722109758 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 57 16 $86,422.60 — $30,057.78 $83,829.92 $72,335.72 2026-05-17
2782649758 OTHER Hc Valve Implant Lvl 58 57 16 $86,422.60 — $30,057.78 $83,829.92 $72,335.72 2026-05-17
MS-347 OTHER Anal And Stomal Procedures With Mcc 30 6 — — $15,878.81 $76,131.28 $72,175.96 2026-05-17
MS-098 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 30 6 — — $15,873.97 $76,108.06 $72,153.95 2026-05-17
MS-082 OTHER Traumatic Stupor And Coma >1 Hour With Mcc 30 6 — — $15,809.64 $75,799.64 $71,861.55 2026-05-17
MS-817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 6 — — $15,781.97 $75,666.98 $71,735.79 2026-05-17
MS-475 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 6 — — $15,741.16 $75,471.31 $71,550.28 2026-05-17
MS-085 OTHER Traumatic Stupor And Coma <1 Hour With Mcc 30 6 — — $15,714.88 $75,345.29 $71,430.81 2026-05-17
MS-824 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Cc 30 6 — — $15,671.30 $75,136.36 $71,232.73 2026-05-17
MS-821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 30 6 — — $15,484.54 $74,240.93 $70,383.82 2026-05-17
MS-715 OTHER Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 30 6 — — $15,475.54 $74,197.82 $70,342.95 2026-05-17
MS-460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $70,000.00 $70,000.00 $70,000.00 2026-05-17
MS-407 OTHER Pancreas- Liver And Shunt Procedures Without Cc/mcc 30 6 — — $15,353.11 $73,610.81 $69,786.44 2026-05-17
MS-286 OTHER Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 30 6 — — $15,306.08 $73,385.30 $69,572.64 2026-05-17
L7181 OTHER Electronic Elbo Simultaneous 11 3 — — $48,901.12 $72,157.81 $69,526.50 2026-05-17
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