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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

BOULDER COMMUNITY HEALTH

Boulder, CO · CCN 060027 · Rates published

19,756 distinct procedures filed
53 distinct payers
1,600,136 rate rows
2025-12-23 last MRF observed
Data quality

995,599 of 1,600,136 rate rows are consumer-grade (62.2%)

604,537 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
professional (physician) fee — not the facility price 580,671
exceeds 10× this hospital's gross charge — excluded from medians 7,952
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,199
placeholder amount (≤ $0.02) — excluded from medians 7,088
per-diem day rate — not a per-procedure price 915
percent-of-charges filed in the dollar field — excluded from medians 706
template filing: same amount across many unrelated codes — excluded 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11273/840175870_boulder-community-health_standardcharges.csv
Found on page https://bch.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 21991bd5e2bff62a… · 912,552,766 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 14 $4,505,000.00 $4,890,757.50 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $4,143,425.35 $4,683,789.52 $4,414,391.65 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $3,244,500.00 $4,652,564.26 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $2,966,400.00 $4,197,195.43 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 16 $3,248,445.72 $4,117,385.55 $3,325,596.30 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 16 $2,945,740.00 $3,725,173.93 $3,015,701.33 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $219.35 $4,708,902.14 $2,504,212.82 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $2,332,000.00 $4,472,776.00 $2,396,130.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 17 $770,620.00 $1,814,039.48 $791,812.05 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $332,834.89 $1,112,129.83 $607,322.90 nat. median
$370,174
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 17 $459,965.25 $1,392,923.48 $603,560.73 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $456,476.33 $1,332,055.50 $577,186.32 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $426,468.17 $1,324,214.89 $573,788.95 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $436,221.27 $1,311,926.42 $568,464.29 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 17 $404,496.00 $1,255,223.82 $543,894.77 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $404,496.00 $1,151,823.05 $499,090.70 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $216,167.67 $721,727.52 $394,128.13 nat. median
$265,286
1.5× median
453
MS_DRG 		Inpatient Carve Out Services 1 $306,916.00 $306,916.00 $306,916.00 nat. median
$87,428
outlier · 3.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $164,807.26 $549,860.78 $300,273.43 nat. median
$206,474
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 28 $163,842.92 $546,633.80 $298,511.22 nat. median
$202,976
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 17 $278,250.00 $655,000.50 $285,901.88 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 17 $257,500.00 $606,155.00 $264,581.25 nat. median
$265,000
1.0× median
454
MS_DRG 		Inpatient Carve Out Services 1 $216,679.00 $216,679.00 $216,679.00 nat. median
$62,372
outlier · 3.5×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 17 $205,640.00 $484,076.56 $211,295.10 nat. median
$209,753
1.0× median
5834
APR_DRG 		Neonate W Ecmo 2 $199,732.58 $213,306.64 $206,519.61 nat. median
$309,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 28 $107,092.06 $356,728.96 $194,806.09 nat. median
$133,161
1.5× median
226
MS_DRG 		Inpatient Carve Out Services 2 $191,621.22 $197,547.70 $194,584.46 nat. median
$49,935
outlier · 3.9×
93654
CPT 		Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 52 $727.70 $271,725.13 $189,087.08 nat. median
$26,704
outlier · 7.1×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $179,639.19 $191,847.68 $185,743.43 nat. median
$246,434
0.8× median
459
MS_DRG 		Inpatient Carve Out Services 1 $185,416.25 $185,416.25 $185,416.25 nat. median
$65,393
outlier · 2.8×
7
MS_DRG 		Lung Transplant 28 $100,156.16 $333,519.45 $182,131.61 nat. median
$122,708
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $92,980.92 $309,509.00 $169,019.74 nat. median
$117,357
1.4× median
455
MS_DRG 		Inpatient Carve Out Services 1 $166,296.00 $166,296.00 $166,296.00 nat. median
$48,483
outlier · 3.4×
24
APR_DRG 		Heart &/or Lung Transplant 2 $156,477.11 $167,111.47 $161,794.29 nat. median
$234,729
0.7× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 2 $156,076.21 $166,683.33 $161,379.77 nat. median
$207,730
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $87,700.49 $291,839.18 $159,370.43 nat. median
$108,660
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 28 $87,600.43 $291,504.38 $159,187.60 nat. median
$98,047
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $85,310.02 $323,796.38 $155,002.16 nat. median
$98,894
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 28 $84,177.90 $280,051.57 $152,933.35 nat. median
$102,358
1.5× median
34
APR_DRG 		Bone Marrow Transplant 2 $147,515.22 $157,540.53 $152,527.88 nat. median
$209,067
0.7× median
5833
APR_DRG 		Neonate W Ecmo 2 $143,643.45 $153,405.63 $148,524.54 nat. median
$244,017
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $79,840.28 $265,536.62 $145,006.87 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 28 $77,119.64 $449,665.27 $141,608.46 nat. median
$99,019
1.4× median
93653
CPT 		Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 52 $604.20 $208,388.01 $139,308.46 nat. median
$26,156
outlier · 5.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $75,778.95 $297,776.99 $139,130.98 nat. median
$93,672
1.5× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 $132,920.01 $141,953.41 $137,436.71 nat. median
$105,658
1.3× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 2 $131,684.04 $140,633.44 $136,158.74 nat. median
$160,267
0.8× median
5832
APR_DRG 		Neonate W Ecmo 2 $130,584.53 $139,459.21 $135,021.87 nat. median
$156,126
0.9× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 2 $127,181.56 $135,824.96 $131,503.26 nat. median
$129,535
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 $69,828.19 $323,796.38 $126,711.01 nat. median
$82,711
1.5× median

Other procedures at this hospital

Browse this hospital's 19,756 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 14 14 — — $4,505,000.00 $4,890,757.50 $4,550,050.00 2025-12-23
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 4 — — $4,143,425.35 $4,683,789.52 $4,414,391.65 2025-12-23
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 16 — — $3,244,500.00 $4,652,564.26 $3,758,972.00 2025-12-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 16 — — $2,966,400.00 $4,197,195.43 $3,382,791.84 2025-12-23
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 16 — — $3,248,445.72 $4,117,385.55 $3,325,596.30 2025-12-23
J3393 HCPCS Inj, Betibeglogene Autotemce 16 16 — — $2,945,740.00 $3,725,173.93 $3,015,701.33 2025-12-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 19 17 — — $219.35 $4,708,902.14 $2,504,212.82 2025-12-23
J3392 HCPCS Inj, Exagamglogene Autotem 17 17 — — $2,332,000.00 $4,472,776.00 $2,396,130.00 2025-12-23
Q2057 HCPCS Afamitresgene Autoleucel 17 17 — — $770,620.00 $1,814,039.48 $791,812.05 2025-12-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 28 — — $332,834.89 $1,112,129.83 $607,322.90 2025-12-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 17 — — $459,965.25 $1,392,923.48 $603,560.73 2025-12-23
Q2056 HCPCS Ciltacabtagene Car-pos T 19 17 — — $456,476.33 $1,332,055.50 $577,186.32 2025-12-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 17 — — $426,468.17 $1,324,214.89 $573,788.95 2025-12-23
Q2055 HCPCS Idecabtagene Vicleucel Car 19 17 — — $436,221.27 $1,311,926.42 $568,464.29 2025-12-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 17 — — $404,496.00 $1,255,223.82 $543,894.77 2025-12-23
Q2053 HCPCS Brexucabtagene Car Pos T 19 17 — — $404,496.00 $1,151,823.05 $499,090.70 2025-12-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 28 — — $216,167.67 $721,727.52 $394,128.13 2025-12-23
453 MS_DRG Inpatient Carve Out Services 1 1 — — $306,916.00 $306,916.00 $306,916.00 2025-12-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 30 28 — — $164,807.26 $549,860.78 $300,273.43 2025-12-23
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 30 28 — — $163,842.92 $546,633.80 $298,511.22 2025-12-23
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 17 17 — — $278,250.00 $655,000.50 $285,901.88 2025-12-23
J3403 HCPCS Revakinagene, Per Implant 17 17 — — $257,500.00 $606,155.00 $264,581.25 2025-12-23
454 MS_DRG Inpatient Carve Out Services 1 1 — — $216,679.00 $216,679.00 $216,679.00 2025-12-23
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 17 17 — — $205,640.00 $484,076.56 $211,295.10 2025-12-23
5834 APR_DRG Neonate W Ecmo 2 2 — — $199,732.58 $213,306.64 $206,519.61 2025-12-23
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 30 28 — — $107,092.06 $356,728.96 $194,806.09 2025-12-23
226 MS_DRG Inpatient Carve Out Services 2 2 — — $191,621.22 $197,547.70 $194,584.46 2025-12-23
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 97 52 $280,129.00 $140,064.50 50% off $727.70 $271,725.13 $189,087.08 2025-12-23
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $179,639.19 $191,847.68 $185,743.43 2025-12-23
459 MS_DRG Inpatient Carve Out Services 1 1 — — $185,416.25 $185,416.25 $185,416.25 2025-12-23
7 MS_DRG Lung Transplant 30 28 — — $100,156.16 $333,519.45 $182,131.61 2025-12-23
14 MS_DRG Allogeneic Bone Marrow Transplant 30 28 — — $92,980.92 $309,509.00 $169,019.74 2025-12-23
455 MS_DRG Inpatient Carve Out Services 1 1 — — $166,296.00 $166,296.00 $166,296.00 2025-12-23
24 APR_DRG Heart &/or Lung Transplant 2 2 — — $156,477.11 $167,111.47 $161,794.29 2025-12-23
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 2 — — $156,076.21 $166,683.33 $161,379.77 2025-12-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 28 — — $87,700.49 $291,839.18 $159,370.43 2025-12-23
209 MS_DRG Complex Aortic Arch Procedures 30 28 — — $87,600.43 $291,504.38 $159,187.60 2025-12-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 28 — — $85,310.02 $323,796.38 $155,002.16 2025-12-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 28 — — $84,177.90 $280,051.57 $152,933.35 2025-12-23
34 APR_DRG Bone Marrow Transplant 2 2 — — $147,515.22 $157,540.53 $152,527.88 2025-12-23
5833 APR_DRG Neonate W Ecmo 2 2 — — $143,643.45 $153,405.63 $148,524.54 2025-12-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 28 — — $79,840.28 $265,536.62 $145,006.87 2025-12-23
215 MS_DRG Other Heart Assist System Implant 30 28 — — $77,119.64 $449,665.27 $141,608.46 2025-12-23
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 96 52 $214,833.00 $107,416.50 50% off $604.20 $208,388.01 $139,308.46 2025-12-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $75,778.95 $297,776.99 $139,130.98 2025-12-23
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 2 — — $132,920.01 $141,953.41 $137,436.71 2025-12-23
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 2 — — $131,684.04 $140,633.44 $136,158.74 2025-12-23
5832 APR_DRG Neonate W Ecmo 2 2 — — $130,584.53 $139,459.21 $135,021.87 2025-12-23
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $127,181.56 $135,824.96 $131,503.26 2025-12-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 28 — — $69,828.19 $323,796.38 $126,711.01 2025-12-23
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $118,486.06 $126,538.51 $122,512.29 2025-12-23
850 MS_DRG Acute Leukemia With Other Procedures 30 28 — — $67,133.70 $223,016.76 $121,787.21 2025-12-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 28 — — $65,366.65 $256,596.29 $119,890.04 2025-12-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 28 — — $65,162.70 $266,452.91 $119,513.15 2025-12-23
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $109,682.84 $117,137.01 $113,409.92 2025-12-23
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 17 — — $43,621.78 $259,267.65 $112,754.99 2025-12-23
460 MS_DRG Inpatient Carve Out Services 1 1 — — $112,507.31 $112,507.31 $112,507.31 2025-12-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 28 — — $61,048.27 $276,393.12 $110,666.80 2025-12-23
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 97 52 $278,797.00 $139,398.50 50% off $712.88 $270,433.09 $109,901.78 2025-12-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $59,582.13 $233,718.47 $109,200.79 2025-12-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 28 — — $59,327.38 $232,710.94 $108,730.04 2025-12-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 28 — — $59,132.66 $196,242.90 $107,166.27 2025-12-23
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $101,530.56 $108,430.70 $104,980.63 2025-12-23
33262 CPT Hc Ep Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 100 52 $153,599.00 $76,799.50 50% off $274.36 $148,991.03 $103,679.32 2025-12-23
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $98,777.89 $105,490.95 $102,134.42 2025-12-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 28 — — $56,044.13 $228,596.35 $101,522.39 2025-12-23
64 APR_DRG Pancreas Transplant 2 2 — — $97,789.37 $104,435.25 $101,112.31 2025-12-23
10 MS_DRG Pancreas Transplant 30 28 — — $55,713.96 $184,802.98 $100,919.04 2025-12-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 28 — — $55,690.88 $184,725.72 $100,876.86 2025-12-23
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $97,338.21 $103,953.43 $100,645.82 2025-12-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 28 — — $55,397.65 $183,744.49 $100,341.01 2025-12-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 28 — — $55,365.32 $226,530.66 $100,281.95 2025-12-23
23 APR_DRG Heart &/or Lung Transplant 2 2 — — $95,891.35 $102,408.24 $99,149.80 2025-12-23
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $95,737.92 $102,244.38 $98,991.15 2025-12-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 28 — — $53,422.01 $209,355.23 $97,817.49 2025-12-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 30 28 — — $53,682.91 $178,006.50 $97,207.55 2025-12-23
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $93,607.47 $99,969.14 $96,788.30 2025-12-23
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 2 — — $92,921.90 $99,236.98 $96,079.44 2025-12-23
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 24 24 — — $89,488.03 $268,025.98 $96,013.20 2025-12-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 28 — — $52,292.19 $173,352.75 $94,666.19 2025-12-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 28 — — $51,948.95 $172,204.12 $94,038.93 2025-12-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 28 — — $51,911.23 $185,416.25 $93,970.02 2025-12-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $51,093.11 $200,144.44 $93,513.92 2025-12-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $51,093.11 $200,144.44 $93,513.92 2025-12-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 28 — — $50,909.16 $168,724.76 $92,138.89 2025-12-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 30 28 — — $50,011.02 $165,719.26 $90,497.62 2025-12-23
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $87,035.25 $92,950.26 $89,992.76 2025-12-23
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $86,836.76 $92,738.28 $89,787.52 2025-12-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 28 — — $47,653.64 $243,578.40 $87,158.11 2025-12-23
S2095 HCPCS Hc Y-90 Microsphere Non-mdr S2095 76 52 $128,480.00 $64,240.00 50% off $4,905.00 $124,625.60 $86,724.00 2025-12-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 28 — — $47,147.23 $184,538.45 $86,222.30 2025-12-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 28 — — $47,599.00 $157,647.96 $86,089.96 2025-12-23
5831 APR_DRG Neonate W Ecmo 2 2 — — $82,697.95 $88,318.20 $85,508.07 2025-12-23
28 MS_DRG Spinal Procedures With Mcc 30 28 — — $46,729.31 $154,737.76 $85,450.04 2025-12-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 28 — — $46,381.45 $200,389.87 $84,807.21 2025-12-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 28 — — $46,716.24 $154,693.98 $84,476.82 2025-12-23
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 2 2 — — $81,391.47 $86,922.92 $84,157.20 2025-12-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 28 — — $45,654.14 $178,633.32 $83,463.23 2025-12-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 28 — — $46,124.39 $152,713.49 $83,395.30 2025-12-23
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 2 — — $79,865.61 $85,293.37 $82,579.49 2025-12-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 28 — — $45,624.90 $151,042.06 $82,482.54 2025-12-23
4404 APR_DRG Kidney Transplant 2 2 — — $79,521.52 $84,925.90 $82,223.71 2025-12-23
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $79,123.25 $84,500.56 $81,811.90 2025-12-23
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 2 2 — — $78,772.63 $84,126.11 $81,449.37 2025-12-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 28 — — $44,872.97 $217,965.54 $81,108.49 2025-12-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 28 — — $44,589.74 $151,511.72 $80,590.94 2025-12-23
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 2 — — $77,770.41 $83,055.78 $80,413.10 2025-12-23
33 APR_DRG Bone Marrow Transplant 2 2 — — $77,716.87 $82,998.60 $80,357.74 2025-12-23
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 28 — — $44,409.66 $146,975.50 $80,261.84 2025-12-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 28 — — $44,352.71 $146,784.92 $80,157.77 2025-12-23
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $76,544.24 $81,746.28 $79,145.26 2025-12-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 28 — — $43,756.23 $175,442.28 $79,067.81 2025-12-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 28 — — $43,622.33 $144,340.87 $78,823.10 2025-12-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 28 — — $43,326.79 $143,351.91 $78,283.04 2025-12-23
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 2 2 — — $75,567.48 $80,703.14 $78,135.31 2025-12-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 28 — — $42,530.22 $166,278.20 $77,690.52 2025-12-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 28 — — $42,994.32 $142,239.34 $77,675.48 2025-12-23
834 MS_DRG Acute Leukemia With Mcc 30 28 — — $42,739.57 $141,386.88 $77,209.95 2025-12-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 28 — — $42,590.25 $140,887.26 $76,937.11 2025-12-23
22 APR_DRG Heart &/or Lung Transplant 2 2 — — $74,337.40 $79,389.45 $76,863.42 2025-12-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 28 — — $42,464.04 $140,464.89 $76,706.46 2025-12-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 28 — — $42,296.26 $139,903.45 $76,399.86 2025-12-23
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 2 — — $73,857.51 $78,876.95 $76,367.23 2025-12-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $41,530.48 $162,324.19 $75,843.08 2025-12-23
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $73,197.41 $78,172.00 $75,684.71 2025-12-23
8424 APR_DRG Full Thickness Burns W Skin Graft 2 2 — — $72,681.61 $77,621.14 $75,151.38 2025-12-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 28 — — $41,095.65 $160,604.40 $75,039.54 2025-12-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 28 — — $41,505.84 $185,416.25 $74,955.49 2025-12-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 28 — — $41,230.32 $202,679.22 $74,452.01 2025-12-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 28 — — $40,549.96 $134,059.87 $73,208.74 2025-12-23
653 MS_DRG Major Bladder Procedures With Mcc 30 28 — — $40,480.71 $133,828.09 $73,082.17 2025-12-23
1634 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 2 2 — — $70,323.29 $75,102.54 $72,712.91 2025-12-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $39,278.55 $153,417.79 $71,681.73 2025-12-23
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $68,652.49 $73,318.19 $70,985.34 2025-12-23
8634 APR_DRG Neonatal Aftercare 2 2 — — $68,501.00 $73,156.41 $70,828.71 2025-12-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 28 — — $38,564.33 $196,908.37 $70,361.92 2025-12-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 28 — — $38,872.19 $128,445.50 $70,142.79 2025-12-23
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 2 2 — — $67,377.35 $71,956.39 $69,666.87 2025-12-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 28 — — $38,496.60 $127,188.70 $69,456.47 2025-12-23
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $67,040.44 $71,596.59 $69,318.51 2025-12-23
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 17 17 — — $67,452.66 $158,783.56 $69,307.61 2025-12-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 28 — — $38,366.53 $126,753.46 $69,218.79 2025-12-23
21 APR_DRG Heart &/or Lung Transplant 2 2 — — $66,753.16 $71,289.78 $69,021.47 2025-12-23
33229 CPT Hc Ep Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 100 52 $102,196.00 $51,098.00 50% off $274.74 $99,130.12 $68,982.30 2025-12-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 28 — — $38,208.78 $126,225.50 $68,930.48 2025-12-23
471 MS_DRG Cervical Spinal Fusion With Mcc 30 28 — — $37,650.78 $138,899.19 $68,673.77 2025-12-23
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $65,922.66 $70,402.84 $68,162.75 2025-12-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 28 — — $37,128.19 $185,757.02 $67,708.10 2025-12-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 28 — — $37,463.00 $123,729.94 $67,567.67 2025-12-23
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 2 — — $65,048.40 $69,469.17 $67,258.79 2025-12-23
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $64,334.12 $68,706.34 $66,520.23 2025-12-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 28 — — $36,671.04 $121,079.86 $66,120.49 2025-12-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 28 — — $36,597.16 $120,832.62 $65,985.48 2025-12-23
C9607 HCPCS Hc Revasc Chronic Des Single 93 53 $97,546.00 $48,773.00 50% off $10,250.00 $94,619.62 $65,843.55 2025-12-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 28 — — $36,489.40 $120,472.06 $65,788.58 2025-12-23
J9029 HCPCS Instill Adstiladrin, Tx Dose 23 22 — — $55,620.00 $524,406.73 $65,242.55 2025-12-23
63 APR_DRG Pancreas Transplant 2 2 — — $63,075.95 $67,362.67 $65,219.31 2025-12-23
6 MS_DRG Liver Transplant Without Mcc 30 28 — — $36,175.41 $119,421.30 $65,214.77 2025-12-23
245 MS_DRG Aicd Generator Procedures 30 28 — — $35,601.26 $138,874.12 $64,886.46 2025-12-23
C9602 HCPCS Hc Cor Atherect Des Single 93 53 $96,092.00 $48,046.00 50% off $10,250.00 $93,209.24 $64,862.10 2025-12-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 28 — — $35,863.71 $118,378.26 $64,645.18 2025-12-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 28 — — $35,773.66 $118,076.94 $64,480.62 2025-12-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 28 — — $35,495.84 $117,147.22 $63,972.92 2025-12-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 28 — — $35,480.43 $121,709.02 $63,944.79 2025-12-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 28 — — $15,448.41 $159,224.82 $63,765.32 2025-12-23
799 MS_DRG Splenic Procedures With Mcc 30 28 — — $35,343.43 $116,637.29 $63,694.45 2025-12-23
62 APR_DRG Pancreas Transplant 2 2 — — $61,196.87 $65,355.88 $63,276.38 2025-12-23
163 MS_DRG Major Chest Procedures With Mcc 30 28 — — $34,980.93 $115,424.28 $63,032.04 2025-12-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 28 — — $34,970.93 $115,390.80 $63,013.75 2025-12-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 28 — — $34,835.47 $114,937.53 $62,766.22 2025-12-23
92941 CPT Hc Revasc Acut Mi Ndes Sngl 149 52 $92,733.00 $46,366.50 50% off $219.35 $99,405.60 $62,594.78 2025-12-23
C9606 HCPCS Hc Revasc Acut Mi Des Single 77 52 $92,733.00 $46,366.50 50% off $219.35 $89,951.01 $62,594.78 2025-12-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 28 — — $34,295.96 $113,132.17 $61,780.34 2025-12-23
33270 CPT Hc Ep Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 124 52 $91,126.00 $45,563.00 50% off $410.78 $121,746.91 $61,510.05 2025-12-23
0408T CPT Hc Insj/rplc Ccm Sys Pulse Gen With Transvns Eltrds 91 52 $91,126.00 $45,563.00 50% off $1,601.09 $121,746.91 $61,510.05 2025-12-23
38240 CPT Transplt Allo Hct/donor 29 27 — — $237.78 $224,580.21 $61,219.96 2025-12-23
A9543 HCPCS Y90 Ibritumomab, Rx 24 22 — — $56,824.55 $469,788.45 $60,952.84 2025-12-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 28 — — $33,792.63 $111,447.86 $60,860.56 2025-12-23
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 2 — — $58,660.30 $62,646.93 $60,653.62 2025-12-23
214 APR_DRG Craniotomy Except For Trauma 2 2 — — $58,402.40 $62,371.50 $60,386.95 2025-12-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 28 — — $33,527.12 $110,559.35 $60,375.35 2025-12-23
1674 APR_DRG Other Cardiothoracic Procedures 2 2 — — $58,120.99 $62,070.97 $60,095.98 2025-12-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 28 — — $32,990.69 $128,549.27 $60,062.35 2025-12-23
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $58,067.46 $62,013.79 $60,040.62 2025-12-23
140 MS_DRG Major Head And Neck Procedures With Mcc 30 28 — — $33,314.69 $109,848.54 $59,987.18 2025-12-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 28 — — $33,126.15 $112,507.31 $59,642.61 2025-12-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 28 — — $32,725.93 $127,502.17 $59,573.11 2025-12-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 28 — — $32,601.26 $150,094.85 $59,342.72 2025-12-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 28 — — $32,935.27 $108,578.86 $59,293.82 2025-12-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 28 — — $32,919.11 $108,524.78 $59,264.29 2025-12-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 28 — — $32,824.44 $108,208.01 $59,091.30 2025-12-23
901 MS_DRG Wound Debridements For Injuries With Mcc 30 28 — — $32,785.95 $108,079.24 $59,020.99 2025-12-23
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 2 — — $56,913.11 $60,781.00 $58,847.06 2025-12-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 28 — — $32,238.75 $125,575.39 $58,672.86 2025-12-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 28 — — $32,450.40 $106,956.36 $58,407.79 2025-12-23
22514 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr 108 52 $99,303.00 $49,651.50 50% off $354.54 $96,323.91 $58,171.70 2025-12-23
4014 APR_DRG Pituitary & Adrenal Procedures 2 2 — — $56,209.27 $60,029.32 $58,119.29 2025-12-23
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 2 2 — — $55,994.46 $59,799.91 $57,897.18 2025-12-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 24 — — $48,083.99 $462,524.93 $56,930.49 2025-12-23
0424T CPT Other Professional Services 1 1 — — $56,650.52 $56,650.52 $56,650.52 2025-12-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 28 — — $31,430.65 $204,413.20 $56,544.31 2025-12-23
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $54,420.29 $58,118.75 $56,269.52 2025-12-23
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 2 — — $54,380.46 $58,076.22 $56,228.34 2025-12-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 28 — — $31,150.49 $102,606.51 $56,032.39 2025-12-23
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 2 — — $53,948.89 $57,615.32 $55,782.10 2025-12-23
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $53,797.40 $57,453.54 $55,625.47 2025-12-23
6904 APR_DRG Acute Leukemia 2 2 — — $53,725.59 $57,376.85 $55,551.22 2025-12-23
C9600 HCPCS Hc Ic Des Plc Single Artery 93 53 $81,768.00 $40,884.00 50% off $10,250.00 $79,314.96 $55,193.40 2025-12-23
C9604 HCPCS Hc Revasc Cabg Des Single 93 53 $81,768.00 $40,884.00 50% off $10,250.00 $79,314.96 $55,193.40 2025-12-23
904 APR_DRG Major Larynx & Trachea Procedures 2 2 — — $53,250.92 $56,869.91 $55,060.42 2025-12-23
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 2 2 — — $53,153.63 $56,766.02 $54,959.82 2025-12-23
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $53,085.08 $56,692.80 $54,888.94 2025-12-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 30 28 — — $30,458.59 $100,291.23 $54,768.03 2025-12-23
1694 APR_DRG Major Thoracic & Abdominal Vascular Procedures 2 2 — — $52,850.69 $56,442.49 $54,646.59 2025-12-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 28 — — $30,277.75 $104,389.09 $54,437.53 2025-12-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 28 — — $30,204.63 $107,769.31 $54,303.92 2025-12-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 28 — — $10,438.46 $107,576.24 $54,009.65 2025-12-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 28 — — $30,036.08 $98,877.33 $53,995.92 2025-12-23
234 APR_DRG Spinal Procedures 2 2 — — $51,970.56 $55,502.54 $53,736.55 2025-12-23
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 2 — — $51,769.46 $55,287.77 $53,528.61 2025-12-23
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 2 — — $51,651.94 $55,162.26 $53,407.10 2025-12-23
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $51,576.20 $55,081.38 $53,328.79 2025-12-23
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 2 — — $51,554.65 $55,058.37 $53,306.51 2025-12-23
C2616 HCPCS Yttrium Y-90 Microspheres Injectable 100 Millicurie Vial/kit 125 53 $89,460.00 $44,730.00 50% off $17,485.10 $94,329.40 $53,183.97 2025-12-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 28 — — $29,251.05 $96,250.42 $53,151.88 2025-12-23
33208 CPT Hc Ep Insert/rplc Heart Pacer Xvenous Atr/ventr 101 52 $78,605.00 $39,302.50 50% off $379.24 $76,246.85 $53,058.38 2025-12-23
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $51,309.16 $54,796.19 $53,052.68 2025-12-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 28 — — $29,448.85 $96,912.30 $52,922.83 2025-12-23
33263 CPT Hc Ep Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 126 52 $96,906.00 $48,453.00 50% off $285.00 $109,907.00 $52,706.70 2025-12-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 28 — — $29,322.63 $96,489.94 $52,692.18 2025-12-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 28 — — $29,254.14 $96,260.73 $52,567.01 2025-12-23
204 APR_DRG Craniotomy For Trauma 2 2 — — $50,827.31 $54,281.59 $52,554.45 2025-12-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 28 — — $29,170.24 $95,980.01 $52,413.71 2025-12-23
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 28 — — $29,008.62 $95,439.17 $52,118.38 2025-12-23
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $52,070.52 $52,070.52 $52,070.52 2025-12-23
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 2 2 — — $50,298.45 $53,716.80 $52,007.62 2025-12-23
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 2 — — $50,099.31 $53,504.12 $51,801.71 2025-12-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 28 — — $28,756.96 $94,597.02 $51,658.48 2025-12-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 28 — — $28,745.41 $94,558.39 $51,637.38 2025-12-23
265 MS_DRG Aicd Lead Procedures 30 28 — — $28,334.43 $110,133.77 $51,458.04 2025-12-23
894 APR_DRG Major Cranial/facial Bone Procedures 2 2 — — $49,650.76 $53,025.08 $51,337.92 2025-12-23
1664 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 2 2 — — $49,623.99 $52,996.49 $51,310.24 2025-12-23
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 28 — — $28,413.70 $93,448.39 $51,031.23 2025-12-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 28 — — $28,392.15 $93,376.28 $50,991.85 2025-12-23
332 MS_DRG Rectal Resection With Mcc 30 28 — — $28,353.67 $93,247.51 $50,921.53 2025-12-23
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $49,147.37 $52,487.48 $50,817.43 2025-12-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 28 — — $28,285.18 $93,018.30 $50,796.35 2025-12-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 28 — — $28,243.62 $92,879.23 $50,720.41 2025-12-23
4034 APR_DRG Procedures For Obesity 2 2 — — $48,948.88 $52,275.50 $50,612.19 2025-12-23
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 97 53 $74,972.00 $37,486.00 50% off $4,905.00 $72,722.84 $50,606.10 2025-12-23
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 2 2 — — $48,930.59 $52,255.97 $50,593.28 2025-12-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 28 — — $27,858.04 $108,249.61 $50,577.70 2025-12-23
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 28 — — $28,061.99 $92,271.43 $50,388.50 2025-12-23
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $48,675.31 $51,983.34 $50,329.32 2025-12-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 28 — — $27,998.10 $92,057.67 $50,271.76 2025-12-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 28 — — $27,970.40 $91,964.96 $50,221.14 2025-12-23
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 2 — — $48,553.87 $51,853.65 $50,203.76 2025-12-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 28 — — $27,929.61 $91,828.46 $50,146.60 2025-12-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 28 — — $27,906.50 $91,751.20 $50,104.40 2025-12-23
L7181 HCPCS Electronic Elbo Simultaneous 18 17 — — $19,401.70 $115,113.24 $50,062.52 2025-12-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 28 — — $27,880.36 $91,663.64 $50,056.59 2025-12-23
252 MS_DRG Other Vascular Procedures With Mcc 30 28 — — $27,334.68 $106,179.77 $49,610.60 2025-12-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 28 — — $27,629.45 $90,824.06 $49,598.10 2025-12-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 28 — — $27,574.02 $90,638.63 $49,496.84 2025-12-23
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $47,487.66 $50,714.97 $49,101.32 2025-12-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 28 — — $27,327.76 $89,814.50 $49,046.79 2025-12-23
32 APR_DRG Bone Marrow Transplant 2 2 — — $47,267.63 $50,479.99 $48,873.81 2025-12-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 28 — — $27,204.61 $89,402.44 $48,821.77 2025-12-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 28 — — $27,075.32 $88,969.77 $48,585.49 2025-12-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 28 — — $26,744.38 $87,862.35 $48,519.78 2025-12-23
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 28 — — $26,952.18 $88,557.70 $48,360.47 2025-12-23
61 APR_DRG Pancreas Transplant 2 2 — — $46,719.18 $49,894.27 $48,306.72 2025-12-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 28 — — $26,873.67 $88,295.01 $48,217.02 2025-12-23
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 2 2 — — $46,510.91 $49,671.84 $48,091.38 2025-12-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 28 — — $26,709.74 $87,746.45 $47,917.46 2025-12-23
914 APR_DRG Other Major Head & Neck Procedures 2 2 — — $46,194.24 $49,333.66 $47,763.95 2025-12-23
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $46,159.64 $49,296.70 $47,728.17 2025-12-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 27 — — $5,883.00 $153,068.90 $47,617.54 2025-12-23
4414 APR_DRG Major Bladder Procedures 2 2 — — $45,905.00 $49,024.76 $47,464.88 2025-12-23
4403 APR_DRG Kidney Transplant 2 2 — — $45,834.49 $48,949.45 $47,391.97 2025-12-23
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 2 2 — — $45,758.75 $48,868.57 $47,313.66 2025-12-23
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 2 2 — — $45,698.02 $48,803.71 $47,250.86 2025-12-23
264 MS_DRG Other Circulatory System O.r. Procedures 30 28 — — $26,197.94 $86,033.81 $46,982.20 2025-12-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 28 — — $25,821.59 $100,195.50 $46,814.56 2025-12-23
244 APR_DRG Extracranial Vascular Procedures 2 2 — — $44,995.49 $48,053.43 $46,524.46 2025-12-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 28 — — $25,910.87 $85,073.19 $46,457.61 2025-12-23
J9226 HCPCS Supprelin La Implant 26 24 — — $219.35 $376,663.70 $46,371.27 2025-12-23
37 MS_DRG Extracranial Procedures With Mcc 30 28 — — $25,824.67 $87,497.48 $46,300.10 2025-12-23
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 2 2 — — $44,746.73 $47,787.77 $46,267.25 2025-12-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 28 — — $25,522.21 $105,658.25 $46,261.32 2025-12-23
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 2 2 — — $44,681.44 $47,718.04 $46,199.74 2025-12-23
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 2 2 — — $44,529.96 $47,556.27 $46,043.11 2025-12-23
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 2 — — $44,399.39 $47,416.82 $45,908.10 2025-12-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 28 — — $25,412.15 $83,404.33 $45,546.26 2025-12-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 28 — — $25,384.45 $83,311.61 $45,495.63 2025-12-23
1204 APR_DRG Major Respiratory & Chest Procedures 2 2 — — $43,978.25 $46,967.06 $45,472.65 2025-12-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 28 — — $25,349.81 $112,507.31 $45,432.35 2025-12-23
652 MS_DRG Kidney Transplant 30 28 — — $25,342.89 $83,172.54 $45,419.69 2025-12-23
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 2 — — $43,918.84 $46,903.62 $45,411.23 2025-12-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 28 — — $25,060.43 $107,179.56 $45,408.00 2025-12-23
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