Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

UCHEALTH YAMPA VALLEY MEDICAL CENTER

Steamboat Springs, CO · CCN 060049 · Rates published

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TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,931 across 14 payers · range $3,684-$30,163

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8075/840398876_yampa-valley-medical-center_standardcharges.csv · observed 2025-11-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

19,326 distinct procedures filed
20 distinct payers
346,856 rate rows
2025-11-01 last MRF observed
Data quality

345,577 of 346,856 rate rows are consumer-grade (99.6%)

1,279 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 768
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 224
percent-of-charges filed in the dollar field — excluded from medians 99
exceeds 10× this hospital's gross charge — excluded from medians 90
per-diem day rate — not a per-procedure price 53
placeholder amount (≤ $0.02) — excluded from medians 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8075/840398876_yampa-valley-medical-center_standardcharges.csv
Found on page https://www.uchealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-12
Content fingerprint 685c4fc716e38529… · 148,255,631 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 9 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $591,726.20 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $1,621,641.00 $565,868.95 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,495,269.83 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $557,317.93 $557,317.93 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,478,657.60 $533,230.17 nat. median
$588,565
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $526,582.41 $832,823.48 $526,582.41 nat. median
$370,165
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,478,657.60 $489,304.61 nat. median
$577,541
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $341,730.81 $540,468.94 $341,730.81 nat. median
$261,939
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $260,353.61 $411,765.74 $260,353.61 nat. median
$205,166
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 9 $258,825.67 $409,349.21 $258,825.67 nat. median
$199,832
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,736
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 6 $184,301.60 $311,338.06 $202,073.54 nat. median
$75,807
outlier · 2.7×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 20 $3,660.83 $222,378.05 $193,491.83 nat. median
$8,784
outlier · 22.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $168,907.61 $267,138.10 $168,907.61 nat. median
$132,706
1.3× median
7
MS_DRG 		Lung Transplant 9 $157,918.15 $249,757.56 $157,918.15 nat. median
$122,690
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $146,549.44 $231,777.22 $146,549.44 nat. median
$114,305
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $138,182.94 $218,545.09 $138,182.94 nat. median
$108,240
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $138,024.43 $218,294.38 $138,024.43 nat. median
$96,134
1.4× median
E0194NU
OTHER 		Other Outpatient 1 $128,104.06 $142,385.94 $135,245.00 nat. median
$44,512
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $134,395.40 $212,554.86 $134,395.40 nat. median
$96,835
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $132,601.64 $209,717.89 $132,601.64 nat. median
$100,978
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $129,537.54 $328,999.77 $129,537.54 nat. median
$111,503
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $125,728.95 $198,848.30 $125,728.95 nat. median
$99,646
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 9 $121,418.27 $192,030.70 $121,418.27 nat. median
$98,002
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $119,294.04 $188,671.08 $119,294.04 nat. median
$92,900
1.3× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $111,236.62 $123,638.00 $117,437.31 nat. median
$39,921
outlier · 2.9×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $111,860.04 $111,860.04 $111,860.04 nat. median
$97,404
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $109,865.43 $173,759.15 $109,865.43 nat. median
$81,124
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $105,596.23 $167,007.12 $105,596.23 nat. median
$81,364
1.3× median
K0606NUKF
OTHER 		Other Outpatient 1 $99,130.10 $110,181.77 $104,655.93 nat. median
$86,404
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $102,796.40 $162,579.05 $102,796.40 nat. median
$79,040
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $102,473.26 $162,067.97 $102,473.26 nat. median
$80,459
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $95,954.22 $151,757.68 $95,954.22 nat. median
$77,385
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $93,631.21 $148,083.69 $93,631.21 nat. median
$74,472
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $93,227.57 $147,445.33 $93,227.57 nat. median
$73,475
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $92,919.06 $146,957.39 $92,919.06 nat. median
$71,485
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $88,025.50 $139,217.92 $88,025.50 nat. median
$66,640
1.3× median
10
MS_DRG 		Pancreas Transplant 9 $87,502.37 $138,390.55 $87,502.37 nat. median
$67,750
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 $87,465.78 $138,332.69 $87,465.78 nat. median
$62,911
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $87,001.19 $137,597.90 $87,001.19 nat. median
$69,153
1.3× median

Other procedures at this hospital

Browse this hospital's 19,326 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 9 9 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-11-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2025-11-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2025-11-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 9 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2025-11-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-11-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 9 9 — — $770,620.00 $770,620.00 $770,620.00 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 9 — — $591,726.20 $591,726.20 $591,726.20 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 9 — — $565,868.95 $1,621,641.00 $565,868.95 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $562,538.19 $1,495,269.83 $562,538.19 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 9 — — $557,317.93 $557,317.93 $557,317.93 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 9 — — $533,230.17 $1,478,657.60 $533,230.17 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $526,582.41 $832,823.48 $526,582.41 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $489,304.61 $1,478,657.60 $489,304.61 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 9 — — $341,730.81 $540,468.94 $341,730.81 2025-11-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 9 — — $278,250.00 $278,250.00 $278,250.00 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $260,353.61 $411,765.74 $260,353.61 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 11 9 — — $258,825.67 $409,349.21 $258,825.67 2025-11-01
J3403 HCPCS Revakinagene, Per Implant 9 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 9 — — $205,640.00 $205,640.00 $205,640.00 2025-11-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 6 — — $184,301.60 $311,338.06 $202,073.54 2025-11-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 51 20 $229,255.72 $206,330.15 $3,660.83 $222,378.05 $193,491.83 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 9 — — $168,907.61 $267,138.10 $168,907.61 2025-11-01
7 MS_DRG Lung Transplant 11 9 — — $157,918.15 $249,757.56 $157,918.15 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 9 — — $146,549.44 $231,777.22 $146,549.44 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $138,182.94 $218,545.09 $138,182.94 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 11 9 — — $138,024.43 $218,294.38 $138,024.43 2025-11-01
E0194NU OTHER Other Outpatient 2 1 — — $128,104.06 $142,385.94 $135,245.00 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $134,395.40 $212,554.86 $134,395.40 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 9 — — $132,601.64 $209,717.89 $132,601.64 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $129,537.54 $328,999.77 $129,537.54 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $125,728.95 $198,848.30 $125,728.95 2025-11-01
215 MS_DRG Other Heart Assist System Implant 11 9 — — $121,418.27 $192,030.70 $121,418.27 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $119,294.04 $188,671.08 $119,294.04 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $111,236.62 $123,638.00 $117,437.31 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $111,860.04 $111,860.04 $111,860.04 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 9 — — $109,865.43 $173,759.15 $109,865.43 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 11 9 — — $105,596.23 $167,007.12 $105,596.23 2025-11-01
K0606NUKF OTHER Other Outpatient 2 1 — — $99,130.10 $110,181.77 $104,655.93 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 9 — — $102,796.40 $162,579.05 $102,796.40 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $102,473.26 $162,067.97 $102,473.26 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $95,954.22 $151,757.68 $95,954.22 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $93,631.21 $148,083.69 $93,631.21 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 9 — — $93,227.57 $147,445.33 $93,227.57 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $92,919.06 $146,957.39 $92,919.06 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $88,025.50 $139,217.92 $88,025.50 2025-11-01
10 MS_DRG Pancreas Transplant 11 9 — — $87,502.37 $138,390.55 $87,502.37 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 9 — — $87,465.78 $138,332.69 $87,465.78 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $87,001.19 $137,597.90 $87,001.19 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $86,949.97 $137,516.89 $86,949.97 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 9 — — $84,284.31 $133,300.97 $84,284.31 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $83,870.92 $132,647.18 $83,870.92 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $82,080.80 $129,815.99 $82,080.80 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 9 — — $81,536.93 $128,955.84 $81,536.93 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 9 — — $81,477.19 $128,861.34 $81,477.19 2025-11-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $80,943.19 $80,943.19 $80,943.19 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $80,180.94 $126,811.24 $80,180.94 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $80,180.94 $126,811.24 $80,180.94 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $79,889.50 $126,350.30 $79,889.50 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 9 — — $78,466.42 $124,099.62 $78,466.42 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $74,731.33 $118,192.32 $74,731.33 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 9 — — $74,644.74 $118,055.39 $74,644.74 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 9 — — $73,928.93 $116,923.30 $73,928.93 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 11 9 — — $73,266.79 $115,876.07 $73,266.79 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $73,246.06 $115,843.29 $73,246.06 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $72,715.61 $115,004.35 $72,715.61 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 9 — — $72,476.61 $114,626.34 $72,476.61 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 9 — — $72,308.33 $114,360.19 $72,308.33 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $71,563.25 $113,181.82 $71,563.25 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $71,516.91 $113,108.53 $71,516.91 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 9 — — $70,325.53 $111,224.29 $70,325.53 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $69,876.78 $110,514.57 $69,876.78 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 9 — — $69,591.45 $110,063.27 $69,591.45 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $69,501.21 $109,920.56 $69,501.21 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $68,556.15 $108,425.89 $68,556.15 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 9 — — $68,343.95 $108,090.32 $68,343.95 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $67,875.72 $107,349.73 $67,875.72 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 9 — — $67,348.91 $106,516.58 $67,348.91 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 11 9 — — $66,945.28 $105,878.21 $66,945.28 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 9 — — $66,708.72 $105,504.06 $66,708.72 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 9 — — $66,613.60 $105,353.63 $66,613.60 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $66,508.74 $105,187.77 $66,508.74 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 9 — — $66,242.90 $104,767.34 $66,242.90 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $65,029.57 $102,848.38 $65,029.57 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $64,990.55 $102,786.67 $64,990.55 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $64,553.99 $102,096.23 $64,553.99 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 9 — — $64,340.59 $101,758.72 $64,340.59 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $63,476.01 $100,391.34 $63,476.01 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 11 9 — — $63,366.26 $100,217.77 $63,366.26 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 14 — — $63,342.28 $300,028.87 $63,342.28 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $61,461.53 $97,205.30 $61,461.53 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 9 — — $60,817.66 $96,187.00 $60,817.66 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 9 — — $60,329.91 $95,415.56 $60,329.91 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $60,222.58 $95,245.84 $60,222.58 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $60,016.51 $94,919.91 $60,016.51 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $59,766.52 $94,524.54 $59,766.52 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 51 20 $70,675.57 $63,608.02 $59.41 $68,555.30 $59,650.18 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 11 9 — — $58,882.44 $93,126.31 $58,882.44 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $58,584.89 $92,655.73 $58,584.89 2025-11-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 51 20 $69,239.67 $62,315.71 $141.60 $67,162.48 $58,438.28 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $58,054.45 $91,816.79 $58,054.45 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $57,614.51 $153,132.49 $57,614.51 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 9 — — $57,330.10 $90,671.20 $57,330.10 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $57,213.04 $90,486.05 $57,213.04 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $57,042.32 $90,216.05 $57,042.32 2025-11-01
A9543 HCPCS Y90 Ibritumomab, Rx 17 14 — — $56,824.55 $315,985.99 $56,824.55 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 11 9 — — $56,544.80 $89,429.18 $56,544.80 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 9 — — $56,319.21 $89,072.39 $56,319.21 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 9 — — $56,050.93 $88,648.10 $56,050.93 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $55,908.25 $88,422.45 $55,908.25 2025-11-01
245 MS_DRG Aicd Generator Procedures 11 9 — — $55,635.10 $87,990.45 $55,635.10 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $55,468.04 $87,726.23 $55,468.04 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $55,443.66 $87,687.66 $55,443.66 2025-11-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 14 — — $55,272.32 $264,624.44 $55,272.32 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 11 9 — — $55,226.61 $87,344.37 $55,226.61 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 11 9 — — $54,652.25 $86,435.99 $54,652.25 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 9 — — $54,636.39 $86,410.92 $54,636.39 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $54,421.78 $86,071.49 $54,421.78 2025-11-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 51 20 $63,726.27 $57,353.65 $136.67 $61,814.48 $53,784.97 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 9 — — $53,566.95 $84,719.54 $53,566.95 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 9 — — $52,769.46 $83,458.24 $52,769.46 2025-11-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 51 20 $60,814.37 $54,732.94 $33.89 $58,989.94 $52,610.51 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 9 — — $52,348.75 $82,792.87 $52,348.75 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $52,277.90 $134,195.84 $52,277.90 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 11 9 — — $52,012.19 $82,260.58 $52,012.19 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 9 — — $51,713.43 $81,788.07 $51,713.43 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 9 — — $51,498.81 $81,448.64 $51,498.81 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 9 — — $51,411.01 $81,309.78 $51,411.01 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 9 — — $51,385.40 $81,269.28 $51,385.40 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 9 — — $51,235.42 $81,032.06 $51,235.42 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 11 9 — — $51,174.44 $80,935.63 $51,174.44 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 9 — — $51,079.33 $80,785.20 $51,079.33 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $50,881.79 $80,472.76 $50,881.79 2025-11-01
J0775 HCPCS Collagenase Clostridium Histolyticum 0.9 Mg Solution For Injection 51 20 $60,261.79 $54,235.62 $75.91 $58,453.94 $50,860.95 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 11 9 — — $50,845.21 $80,414.91 $50,845.21 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 9 — — $50,642.77 $80,094.76 $50,642.77 2025-11-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 51 20 $59,958.86 $53,962.98 $359.19 $58,160.09 $50,605.28 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 9 — — $50,307.42 $79,564.39 $50,307.42 2025-11-01
791 MS_DRG Prematurity With Major Problems 11 9 — — $49,496.51 $78,281.87 $49,496.51 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 9 — — $49,027.04 $77,539.36 $49,027.04 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 9 — — $48,583.16 $76,837.35 $48,583.16 2025-11-01
E0766RRKF OTHER Other Outpatient 2 1 — — $45,256.74 $50,302.26 $47,779.50 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $45,256.74 $50,302.26 $47,779.50 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $47,702.73 $75,444.90 $47,702.73 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 9 — — $47,486.89 $75,103.54 $47,486.89 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 9 — — $47,200.33 $74,650.32 $47,200.33 2025-11-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 9 — — $47,129.61 $47,129.61 $47,129.61 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 9 — — $47,084.49 $74,467.10 $47,084.49 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 9 — — $46,817.43 $74,044.74 $46,817.43 2025-11-01
E0764NUKF OTHER Other Outpatient 2 1 — — $43,562.91 $48,419.59 $45,991.25 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 9 — — $45,887.01 $72,573.22 $45,887.01 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 9 — — $45,687.03 $72,256.93 $45,687.03 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 9 — — $45,578.50 $72,085.28 $45,578.50 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 9 — — $45,573.62 $72,077.57 $45,573.62 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 9 — — $45,445.58 $71,875.06 $45,445.58 2025-11-01
33276 CPT Insj Phrnc Nrv Stim Sys 17 14 — — $12,567.00 $54,964.00 $45,224.60 2025-11-01
0266T CPT Outpatient Rates 19 14 — — $780.32 $48,857.00 $45,224.60 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 9 — — $45,189.50 $71,470.06 $45,189.50 2025-11-01
J9226 HCPCS Supprelin La Implant 17 14 — — $45,020.65 $215,500.64 $45,020.65 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 9 — — $44,790.75 $70,839.41 $44,790.75 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 9 — — $44,772.44 $70,810.48 $44,772.44 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 9 — — $44,246.88 $69,979.25 $44,246.88 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 9 — — $44,212.74 $69,925.25 $44,212.74 2025-11-01
E0483NU OTHER Other Outpatient 2 1 — — $41,849.66 $46,515.34 $44,182.50 2025-11-01
332 MS_DRG Rectal Resection With Mcc 11 9 — — $44,151.76 $69,828.82 $44,151.76 2025-11-01
265 MS_DRG Aicd Lead Procedures 11 9 — — $44,121.27 $69,780.61 $44,121.27 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 9 — — $44,043.24 $69,657.17 $44,043.24 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $43,977.38 $69,553.03 $43,977.38 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 51 20 $51,770.10 $46,593.09 $197.83 $50,217.00 $43,693.96 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 9 — — $43,689.61 $69,097.88 $43,689.61 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 9 — — $43,588.40 $68,937.81 $43,588.40 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 9 — — $43,544.49 $68,868.38 $43,544.49 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 9 — — $43,479.86 $68,766.16 $43,479.86 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 9 — — $43,443.28 $68,708.30 $43,443.28 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 9 — — $43,401.82 $68,642.73 $43,401.82 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 9 — — $43,366.47 $68,586.80 $43,366.47 2025-11-01
J9318 HCPCS Romidepsin 5 Mg/ml Intravenous Solution 51 20 $49,984.97 $44,986.48 $28.52 $48,485.42 $43,242.00 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 9 — — $43,004.29 $68,014.01 $43,004.29 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 9 — — $42,916.49 $67,875.15 $42,916.49 2025-11-01
K0864NU OTHER Other Outpatient 2 1 — — $40,592.85 $45,118.40 $42,855.62 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 11 9 — — $42,537.24 $67,275.35 $42,537.24 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 9 — — $42,526.27 $67,258.00 $42,526.27 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 9 — — $42,331.17 $66,949.42 $42,331.17 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 9 — — $42,126.30 $66,625.42 $42,126.30 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 9 — — $41,931.18 $66,316.84 $41,931.18 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $41,806.80 $66,120.12 $41,806.80 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 9 — — $41,601.95 $65,796.12 $41,601.95 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 9 — — $41,547.07 $65,709.33 $41,547.07 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 51 20 $49,164.94 $44,248.45 $227.28 $47,689.99 $41,495.21 2025-11-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 9 — — $41,141.33 $41,141.33 $41,141.33 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 11 9 — — $40,736.16 $64,426.81 $40,736.16 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 9 — — $40,281.31 $63,707.44 $40,281.31 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 11 9 — — $40,144.73 $63,491.44 $40,144.73 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 9 — — $40,139.85 $63,483.73 $40,139.85 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 9 — — $39,665.50 $62,733.50 $39,665.50 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 9 — — $39,491.12 $62,457.71 $39,491.12 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 9 — — $39,447.21 $62,388.28 $39,447.21 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 9 — — $39,392.35 $62,301.49 $39,392.35 2025-11-01
652 MS_DRG Kidney Transplant 11 9 — — $39,381.37 $62,284.14 $39,381.37 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 9 — — $39,352.12 $62,237.85 $39,352.12 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 9 — — $39,275.27 $62,116.35 $39,275.27 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 9 — — $39,148.46 $61,915.77 $39,148.46 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 9 — — $38,933.85 $61,576.34 $38,933.85 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 9 — — $38,861.89 $61,462.55 $38,861.89 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 9 — — $38,824.09 $61,402.77 $38,824.09 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 9 — — $38,746.06 $61,279.34 $38,746.06 2025-11-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 51 20 $45,794.95 $41,215.46 $149.40 $44,421.10 $38,650.94 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 9 — — $38,592.40 $61,036.33 $38,592.40 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 9 — — $38,533.87 $60,943.76 $38,533.87 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 9 — — $38,424.12 $60,770.19 $38,424.12 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 9 — — $38,405.82 $60,741.26 $38,405.82 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 9 — — $38,315.59 $60,598.54 $38,315.59 2025-11-01
E0636NU OTHER Other Outpatient 2 1 — — $36,089.50 $40,113.00 $38,101.25 2025-11-01
665 MS_DRG Prostatectomy With Mcc 11 9 — — $38,060.74 $60,195.46 $38,060.74 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $37,981.46 $60,070.10 $37,981.46 2025-11-01
C1767 HCPCS Hb Or-impl Pain Gen/stimulator (47) 618 20 $44,859.13 $40,373.22 $8,656.15 $117,152.89 $37,916.44 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 9 — — $37,914.41 $59,964.03 $37,914.41 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 9 — — $37,332.73 $59,044.09 $37,332.73 2025-11-01
263 MS_DRG Vein Ligation And Stripping 11 9 — — $37,282.74 $58,965.02 $37,282.74 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 9 — — $36,987.64 $58,498.30 $36,987.64 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 9 — — $36,832.77 $58,253.36 $36,832.77 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 9 — — $36,827.89 $58,245.65 $36,827.89 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 9 — — $36,787.65 $58,182.00 $36,787.65 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 9 — — $36,295.00 $57,402.85 $36,295.00 2025-11-01
K0863NU OTHER Other Outpatient 2 1 — — $34,111.63 $37,914.62 $36,013.12 2025-11-01
K0860NU OTHER Other Outpatient 2 1 — — $34,111.63 $37,914.62 $36,013.12 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 9 — — $35,925.53 $56,818.48 $35,925.53 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 11 9 — — $35,901.13 $56,779.91 $35,901.13 2025-11-01
570 MS_DRG Skin Debridement With Mcc 11 9 — — $35,864.55 $56,722.05 $35,864.55 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 11 9 — — $35,607.24 $56,315.12 $35,607.24 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 9 — — $35,513.34 $56,166.62 $35,513.34 2025-11-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 51 20 $41,983.25 $37,784.93 $258.64 $40,723.75 $35,433.86 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 9 — — $35,387.74 $55,967.97 $35,387.74 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 9 — — $35,365.80 $55,933.26 $35,365.80 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 9 — — $35,209.72 $55,686.40 $35,209.72 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 9 — — $35,192.64 $55,659.40 $35,192.64 2025-11-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 14 — — $12,567.00 $35,174.80 $35,174.80 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 9 — — $35,141.43 $55,578.39 $35,141.43 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 9 — — $34,999.97 $55,354.68 $34,999.97 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 9 — — $34,759.76 $54,974.74 $34,759.76 2025-11-01
L6700 HCPCS Ue Add Ext Power Myoel 9 9 — — $34,717.87 $34,717.87 $34,717.87 2025-11-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 9 — — $34,568.35 $91,681.11 $34,568.35 2025-11-01
K0854NU OTHER Other Outpatient 2 1 — — $32,701.49 $36,347.26 $34,524.38 2025-11-01
L6880 HCPCS Elec Hand Ind Art Digits 11 9 — — $34,363.97 $91,495.13 $34,363.97 2025-11-01
800 MS_DRG Splenic Procedures With Cc 11 9 — — $34,258.55 $54,182.09 $34,258.55 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 11 9 — — $34,135.39 $53,987.30 $34,135.39 2025-11-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 51 20 $40,384.48 $36,346.04 $243.71 $39,172.95 $34,084.50 2025-11-01
503 MS_DRG Foot Procedures With Mcc 11 9 — — $34,035.41 $53,829.15 $34,035.41 2025-11-01
E0783NUKF OTHER Other Outpatient 2 1 — — $32,140.95 $35,724.23 $33,932.59 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 9 — — $33,801.27 $53,458.86 $33,801.27 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 9 — — $33,620.81 $53,173.43 $33,620.81 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 9 — — $33,518.37 $53,011.43 $33,518.37 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 9 — — $33,509.83 $52,997.93 $33,509.83 2025-11-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 51 20 $39,682.50 $35,714.25 $91.34 $38,492.03 $33,492.03 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 9 — — $33,336.68 $52,724.07 $33,336.68 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 9 — — $33,178.15 $52,473.35 $33,178.15 2025-11-01
849 MS_DRG Radiotherapy 11 9 — — $33,040.36 $52,255.42 $33,040.36 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 9 — — $33,000.12 $52,191.77 $33,000.12 2025-11-01
L8614 HCPCS Hb Or Impl Ear Cochlear Complete (37) 557 20 $41,408.25 $37,267.43 $8,623.75 $92,049.42 $32,946.99 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 9 — — $32,892.81 $52,022.06 $32,892.81 2025-11-01
K0855NU OTHER Other Outpatient 2 1 — — $30,891.36 $34,335.33 $32,613.35 2025-11-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 51 20 $38,500.80 $34,650.72 $5,168.23 $37,345.78 $32,494.68 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 9 — — $32,436.74 $51,300.76 $32,436.74 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 9 — — $32,323.33 $51,121.40 $32,323.33 2025-11-01
33270 CPT Ins/rep Subq Defibrillator 19 14 — — $1,598.96 $54,964.00 $32,221.25 2025-11-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 19 14 — — $1,148.60 $54,964.00 $32,221.25 2025-11-01
33249 CPT Insj/rplcmt Defib W/lead(s) 19 14 — — $2,598.35 $54,964.00 $32,221.25 2025-11-01
33231 CPT Insrt Pulse Gen W/mult Leads 19 14 — — $1,136.55 $54,964.00 $32,221.25 2025-11-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 14 — — $12,567.00 $54,964.00 $32,221.25 2025-11-01
0408T CPT Insj/rplc Cardiac Modulj Sys 19 14 — — $2,946.71 $54,964.00 $32,221.25 2025-11-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 17 14 — — $12,567.00 $54,964.00 $32,221.25 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 9 — — $32,161.15 $50,864.90 $32,161.15 2025-11-01
J9330 HCPCS Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln 51 20 $37,992.46 $34,193.22 $26.71 $36,852.69 $32,065.64 2025-11-01
E0786NUKF OTHER Other Outpatient 2 1 — — $30,301.02 $33,679.17 $31,990.10 2025-11-01
69930 CPT Implant Cochlear Device 19 14 — — $3,515.71 $54,964.00 $31,966.22 2025-11-01
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 51 20 $37,648.96 $33,884.07 $34.18 $36,519.49 $31,775.72 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 11 9 — — $31,651.42 $50,058.74 $31,651.42 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 9 — — $31,613.63 $49,998.96 $31,613.63 2025-11-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 51 20 $37,407.57 $33,666.82 $29.29 $36,285.34 $31,571.99 2025-11-01
E2402NU OTHER Other Outpatient 2 1 — — $29,899.55 $33,232.95 $31,566.25 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 9 — — $31,495.35 $49,811.88 $31,495.35 2025-11-01
E1036NU OTHER Other Outpatient 2 1 — — $29,800.10 $33,122.40 $31,461.25 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 11 9 — — $31,451.44 $49,742.45 $31,451.44 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 9 — — $31,451.44 $49,742.45 $31,451.44 2025-11-01
E1008NUKU OTHER Other Outpatient 2 1 — — $29,659.79 $32,966.46 $31,313.12 2025-11-01
E1007NUKU OTHER Other Outpatient 2 1 — — $29,657.72 $32,964.16 $31,310.94 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 9 — — $31,310.00 $49,518.73 $31,310.00 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 9 — — $31,131.95 $49,237.16 $31,131.95 2025-11-01
E1008NUKE OTHER Other Outpatient 2 1 — — $29,352.25 $32,624.63 $30,988.44 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 9 — — $30,984.40 $49,003.80 $30,984.40 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 9 — — $30,925.88 $48,911.22 $30,925.88 2025-11-01
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 52 20 $36,017.55 $32,415.80 $55.57 $34,937.02 $30,778.79 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 11 9 — — $30,778.32 $48,677.86 $30,778.32 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 9 — — $30,764.91 $48,656.65 $30,764.91 2025-11-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 17 14 — — $5,446.00 $48,857.00 $30,625.35 2025-11-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 17 14 — — $12,567.00 $48,857.00 $30,625.35 2025-11-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 19 14 — — $2,479.21 $48,857.00 $30,625.35 2025-11-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 19 14 — — $1,727.63 $54,964.00 $30,625.35 2025-11-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 19 14 — — $1,038.58 $48,857.00 $30,625.35 2025-11-01
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