Price Transparency 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 →

Export CSV
Hospital

UCHEALTH YAMPA VALLEY MEDICAL CENTER

Steamboat Springs, CO · CCN 060049 · Rates published

19,326 distinct procedures filed
20 distinct payers
693,712 rate rows
2025-11-01 last MRF observed
Data quality

691,160 of 693,712 rate rows are consumer-grade (99.6%)

2,552 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 1,536
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 448
percent-of-charges filed in the dollar field — excluded from medians 198
exceeds 10× this hospital's gross charge — excluded from medians 180
per-diem day rate — not a per-procedure price 106
placeholder amount (≤ $0.02) — excluded from medians 84
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 · 2026-05-19
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
$3,325,455
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
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $591,726.20 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $1,621,641.00 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,495,269.83 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $557,317.93 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,478,657.60 $533,230.17 nat. median
$634,511
0.8× 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
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,478,657.60 $489,304.61 nat. median
$620,080
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
$265,286
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $260,353.61 $411,765.74 $260,353.61 nat. median
$206,368
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
$202,986
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
$209,753
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 6 $184,301.60 $311,338.06 $202,073.54 nat. median
$76,377
outlier · 2.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 20 $3,660.83 $222,378.05 $193,491.83 nat. median
$8,558
outlier · 22.6×
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
$133,176
1.3× median
7
MS_DRG 		Lung Transplant 9 $157,918.15 $249,757.56 $157,918.15 nat. median
$122,708
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $146,549.44 $231,777.22 $146,549.44 nat. median
$117,303
1.2× 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
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $138,024.43 $218,294.38 $138,024.43 nat. median
$98,017
1.4× median
E0194NU
HCPCS 		Other Outpatient 1 $128,104.06 $142,385.94 $135,245.00 —
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
$98,905
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $132,601.64 $209,717.89 $132,601.64 nat. median
$102,358
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $129,537.54 $328,999.77 $129,537.54 nat. median
$111,989
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
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 9 $121,418.27 $192,030.70 $121,418.27 nat. median
$99,019
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
$93,672
1.3× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $111,236.62 $123,638.00 $117,437.31 nat. median
$39,823
outlier · 2.9×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $111,860.04 $111,860.04 $111,860.04 nat. median
$96,983
1.2× 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
$82,712
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $105,596.23 $167,007.12 $105,596.23 nat. median
$83,442
1.3× median
K0606NUKF
HCPCS 		Other Outpatient 1 $99,130.10 $110,181.77 $104,655.93 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $102,796.40 $162,579.05 $102,796.40 nat. median
$79,312
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
$81,118
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
$77,576
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
$74,915
1.2× 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
$73,807
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
$72,138
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
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 9 $87,502.37 $138,390.55 $87,502.37 nat. median
$68,882
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
$64,027
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
$71,240
1.2× 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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0266T CPT Outpatient Rates 38 14 — — $780.32 $48,857.00 $45,224.60 2025-11-01
0268T CPT Outpatient Rates 38 14 — — $465.52 $48,857.00 $30,625.35 2025-11-01
0408T CPT Insj/rplc Cardiac Modulj Sys 38 14 — — $2,946.71 $54,964.00 $32,221.25 2025-11-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 34 14 — — $12,567.00 $54,964.00 $32,221.25 2025-11-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 34 14 — — $12,567.00 $35,174.80 $35,174.80 2025-11-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 34 14 — — $12,567.00 $54,964.00 $32,221.25 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 9 — — $341,730.81 $540,468.94 $341,730.81 2025-11-01
10 MS_DRG Pancreas Transplant 22 9 — — $87,502.37 $138,390.55 $87,502.37 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 9 — — $66,508.74 $105,187.77 $66,508.74 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 9 — — $51,411.01 $81,309.78 $51,411.01 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 9 — — $35,141.43 $55,578.39 $35,141.43 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 9 — — $146,549.44 $231,777.22 $146,549.44 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 9 — — $52,012.19 $82,260.58 $52,012.19 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 9 — — $45,687.03 $72,256.93 $45,687.03 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 9 — — $72,308.33 $114,360.19 $72,308.33 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 22 9 — — $54,652.25 $86,435.99 $54,652.25 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 22 9 — — $30,778.32 $48,677.86 $30,778.32 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 9 — — $45,578.50 $72,085.28 $45,578.50 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 9 — — $66,242.90 $104,767.34 $66,242.90 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 9 — — $36,295.00 $57,402.85 $36,295.00 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 9 — — $526,582.41 $832,823.48 $526,582.41 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 9 — — $87,001.19 $137,597.90 $87,001.19 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 9 — — $138,182.94 $218,545.09 $138,182.94 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 9 — — $95,954.22 $151,757.68 $95,954.22 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 9 — — $78,466.42 $124,099.62 $78,466.42 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 9 — — $33,518.37 $53,011.43 $33,518.37 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 22 9 — — $138,024.43 $218,294.38 $138,024.43 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 9 — — $64,553.99 $102,096.23 $64,553.99 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 9 — — $132,601.64 $209,717.89 $132,601.64 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 9 — — $69,591.45 $110,063.27 $69,591.45 2025-11-01
215 MS_DRG Other Heart Assist System Implant 22 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… 22 9 — — $119,294.04 $188,671.08 $119,294.04 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 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… 22 9 — — $80,180.94 $126,811.24 $80,180.94 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $93,631.21 $148,083.69 $93,631.21 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 9 — — $38,746.06 $61,279.34 $38,746.06 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $65,029.57 $102,848.38 $65,029.57 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $61,461.53 $97,205.30 $61,461.53 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 9 — — $60,329.91 $95,415.56 $60,329.91 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 9 — — $38,405.82 $60,741.26 $38,405.82 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 9 — — $69,876.78 $110,514.57 $69,876.78 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 9 — — $102,796.40 $162,579.05 $102,796.40 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 9 — — $73,928.93 $116,923.30 $73,928.93 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 9 — — $93,227.57 $147,445.33 $93,227.57 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 9 — — $66,613.60 $105,353.63 $66,613.60 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 9 — — $71,563.25 $113,181.82 $71,563.25 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 9 — — $51,079.33 $80,785.20 $51,079.33 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 9 — — $60,016.51 $94,919.91 $60,016.51 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 9 — — $47,702.73 $75,444.90 $47,702.73 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 9 — — $34,759.76 $54,974.74 $34,759.76 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 9 — — $38,933.85 $61,576.34 $38,933.85 2025-11-01
245 MS_DRG Aicd Generator Procedures 22 9 — — $55,635.10 $87,990.45 $55,635.10 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 9 — — $55,443.66 $87,687.66 $55,443.66 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 22 9 — — $42,537.24 $67,275.35 $42,537.24 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 22 9 — — $31,651.42 $50,058.74 $31,651.42 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 9 — — $32,892.81 $52,022.06 $32,892.81 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 9 — — $38,315.59 $60,598.54 $38,315.59 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 9 — — $37,914.41 $59,964.03 $37,914.41 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 9 — — $39,665.50 $62,733.50 $39,665.50 2025-11-01
263 MS_DRG Vein Ligation And Stripping 22 9 — — $37,282.74 $58,965.02 $37,282.74 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 9 — — $40,736.16 $64,426.81 $40,736.16 2025-11-01
265 MS_DRG Aicd Lead Procedures 22 9 — — $44,121.27 $69,780.61 $44,121.27 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 9 — — $74,731.33 $118,192.32 $74,731.33 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 9 — — $58,054.45 $91,816.79 $58,054.45 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 9 — — $83,870.92 $132,647.18 $83,870.92 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 9 — — $51,498.81 $81,448.64 $51,498.81 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 9 — — $30,764.91 $48,656.65 $30,764.91 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $64,340.59 $101,758.72 $64,340.59 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 9 — — $43,366.47 $68,586.80 $43,366.47 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 9 — — $31,131.95 $49,237.16 $31,131.95 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 9 — — $50,307.42 $79,564.39 $50,307.42 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 9 — — $40,139.85 $63,483.73 $40,139.85 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 9 — — $86,949.97 $137,516.89 $86,949.97 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 9 — — $73,246.06 $115,843.29 $73,246.06 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 9 — — $56,319.21 $89,072.39 $56,319.21 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 9 — — $67,875.72 $107,349.73 $67,875.72 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 9 — — $43,977.38 $69,553.03 $43,977.38 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 22 9 — — $73,266.79 $115,876.07 $73,266.79 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 9 — — $33,000.12 $52,191.77 $33,000.12 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 9 — — $41,601.95 $65,796.12 $41,601.95 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 22 9 — — $258,825.67 $409,349.21 $258,825.67 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 9 — — $54,636.39 $86,410.92 $54,636.39 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 9 — — $81,536.93 $128,955.84 $81,536.93 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 9 — — $54,421.78 $86,071.49 $54,421.78 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 9 — — $33,178.15 $52,473.35 $33,178.15 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 9 — — $52,769.46 $83,458.24 $52,769.46 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 9 — — $38,424.12 $60,770.19 $38,424.12 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 9 — — $39,148.46 $61,915.77 $39,148.46 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 9 — — $60,817.66 $96,187.00 $60,817.66 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 9 — — $56,050.93 $88,648.10 $56,050.93 2025-11-01
332 MS_DRG Rectal Resection With Mcc 22 9 — — $44,151.76 $69,828.82 $44,151.76 2025-11-01
33231 CPT Insrt Pulse Gen W/mult Leads 38 14 — — $1,136.55 $54,964.00 $32,221.25 2025-11-01
33249 CPT Insj/rplcmt Defib W/lead(s) 38 14 — — $2,598.35 $54,964.00 $32,221.25 2025-11-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 38 14 — — $1,148.60 $54,964.00 $32,221.25 2025-11-01
33270 CPT Ins/rep Subq Defibrillator 38 14 — — $1,598.96 $54,964.00 $32,221.25 2025-11-01
33276 CPT Insj Phrnc Nrv Stim Sys 34 14 — — $12,567.00 $54,964.00 $45,224.60 2025-11-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 34 14 — — $12,567.00 $48,857.00 $30,625.35 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 9 — — $43,544.49 $68,868.38 $43,544.49 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 9 — — $47,200.33 $74,650.32 $47,200.33 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 9 — — $31,495.35 $49,811.88 $31,495.35 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 9 — — $35,387.74 $55,967.97 $35,387.74 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 9 — — $53,566.95 $84,719.54 $53,566.95 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 22 9 — — $41,931.18 $66,316.84 $41,931.18 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 22 9 — — $40,144.73 $63,491.44 $40,144.73 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 22 9 — — $168,907.61 $267,138.10 $168,907.61 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 9 — — $47,084.49 $74,467.10 $47,084.49 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 9 — — $49,027.04 $77,539.36 $49,027.04 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 9 — — $66,708.72 $105,504.06 $66,708.72 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 9 — — $35,365.80 $55,933.26 $35,365.80 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 9 — — $43,479.86 $68,766.16 $43,479.86 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 9 — — $40,281.31 $63,707.44 $40,281.31 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 9 — — $43,443.28 $68,708.30 $43,443.28 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 9 — — $41,547.07 $65,709.33 $41,547.07 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 9 — — $50,642.77 $80,094.76 $50,642.77 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $134,395.40 $212,554.86 $134,395.40 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $88,025.50 $139,217.92 $88,025.50 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $68,556.15 $108,425.89 $68,556.15 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 9 — — $109,865.43 $173,759.15 $109,865.43 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 9 — — $70,325.53 $111,224.29 $70,325.53 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 9 — — $81,477.19 $128,861.34 $81,477.19 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 9 — — $51,713.43 $81,788.07 $51,713.43 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 9 — — $64,990.55 $102,786.67 $64,990.55 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 9 — — $39,392.35 $62,301.49 $39,392.35 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 9 — — $102,473.26 $162,067.97 $102,473.26 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 9 — — $72,715.61 $115,004.35 $72,715.61 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 9 — — $50,881.79 $80,472.76 $50,881.79 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 9 — — $67,348.91 $106,516.58 $67,348.91 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 9 — — $32,436.74 $51,300.76 $32,436.74 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 9 — — $69,501.21 $109,920.56 $69,501.21 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 9 — — $37,981.46 $60,070.10 $37,981.46 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 9 — — $63,476.01 $100,391.34 $63,476.01 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 9 — — $43,004.29 $68,014.01 $43,004.29 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 9 — — $33,509.83 $52,997.93 $33,509.83 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 9 — — $36,987.64 $58,498.30 $36,987.64 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 9 — — $58,882.44 $93,126.31 $58,882.44 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 9 — — $35,925.53 $56,818.48 $35,925.53 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 9 — — $52,348.75 $82,792.87 $52,348.75 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 9 — — $42,126.30 $66,625.42 $42,126.30 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 9 — — $35,513.34 $56,166.62 $35,513.34 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 9 — — $33,801.27 $53,458.86 $33,801.27 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 9 — — $39,352.12 $62,237.85 $39,352.12 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 9 — — $44,772.44 $70,810.48 $44,772.44 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 9 — — $30,925.88 $48,911.22 $30,925.88 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 9 — — $44,212.74 $69,925.25 $44,212.74 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 9 — — $36,787.65 $58,182.00 $36,787.65 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 9 — — $125,728.95 $198,848.30 $125,728.95 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 9 — — $38,592.40 $61,036.33 $38,592.40 2025-11-01
503 MS_DRG Foot Procedures With Mcc 22 9 — — $34,035.41 $53,829.15 $34,035.41 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 9 — — $36,832.77 $58,253.36 $36,832.77 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 9 — — $38,861.89 $61,462.55 $38,861.89 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 9 — — $45,573.62 $72,077.57 $45,573.62 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 9 — — $34,999.97 $55,354.68 $34,999.97 2025-11-01
570 MS_DRG Skin Debridement With Mcc 22 9 — — $35,864.55 $56,722.05 $35,864.55 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 9 — — $79,889.50 $126,350.30 $79,889.50 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 9 — — $42,331.17 $66,949.42 $42,331.17 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 9 — — $59,766.52 $94,524.54 $59,766.52 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 9 — — $32,323.33 $51,121.40 $32,323.33 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 9 — — $39,491.12 $62,457.71 $39,491.12 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 22 9 — — $56,544.80 $89,429.18 $56,544.80 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 9 — — $33,620.81 $53,173.43 $33,620.81 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 9 — — $42,526.27 $67,258.00 $42,526.27 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 9 — — $35,209.72 $55,686.40 $35,209.72 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 9 — — $43,401.82 $68,642.73 $43,401.82 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 9 — — $36,827.89 $58,245.65 $36,827.89 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 9 — — $45,445.58 $71,875.06 $45,445.58 2025-11-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 38 14 — — $1,038.58 $48,857.00 $30,625.35 2025-11-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 38 14 — — $1,727.63 $54,964.00 $30,625.35 2025-11-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 38 14 — — $2,479.21 $48,857.00 $30,625.35 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 9 — — $57,330.10 $90,671.20 $57,330.10 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 9 — — $45,189.50 $71,470.06 $45,189.50 2025-11-01
652 MS_DRG Kidney Transplant 22 9 — — $39,381.37 $62,284.14 $39,381.37 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 22 9 — — $63,366.26 $100,217.77 $63,366.26 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 22 9 — — $34,135.39 $53,987.30 $34,135.39 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 9 — — $38,824.09 $61,402.77 $38,824.09 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 9 — — $30,984.40 $49,003.80 $30,984.40 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 9 — — $37,332.73 $59,044.09 $37,332.73 2025-11-01
665 MS_DRG Prostatectomy With Mcc 22 9 — — $38,060.74 $60,195.46 $38,060.74 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 22 9 — — $35,607.24 $56,315.12 $35,607.24 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $51,235.42 $81,032.06 $51,235.42 2025-11-01
69930 CPT Implant Cochlear Device 38 14 — — $3,515.71 $54,964.00 $31,966.22 2025-11-01
7 MS_DRG Lung Transplant 22 9 — — $157,918.15 $249,757.56 $157,918.15 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 9 — — $43,588.40 $68,937.81 $43,588.40 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 9 — — $43,689.61 $69,097.88 $43,689.61 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 22 9 — — $31,310.00 $49,518.73 $31,310.00 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 9 — — $72,476.61 $114,626.34 $72,476.61 2025-11-01
791 MS_DRG Prematurity With Major Problems 22 9 — — $49,496.51 $78,281.87 $49,496.51 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 22 9 — — $50,845.21 $80,414.91 $50,845.21 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 22 9 — — $55,226.61 $87,344.37 $55,226.61 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 9 — — $68,343.95 $108,090.32 $68,343.95 2025-11-01
800 MS_DRG Splenic Procedures With Cc 22 9 — — $34,258.55 $54,182.09 $34,258.55 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 9 — — $48,583.16 $76,837.35 $48,583.16 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 9 — — $71,516.91 $113,108.53 $71,516.91 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 9 — — $55,908.25 $88,422.45 $55,908.25 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 9 — — $57,042.32 $90,216.05 $57,042.32 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 9 — — $38,533.87 $60,943.76 $38,533.87 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 22 9 — — $66,945.28 $105,878.21 $66,945.28 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 9 — — $58,584.89 $92,655.73 $58,584.89 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 9 — — $39,447.21 $62,388.28 $39,447.21 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 9 — — $31,613.63 $49,998.96 $31,613.63 2025-11-01
849 MS_DRG Radiotherapy 22 9 — — $33,040.36 $52,255.42 $33,040.36 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 22 9 — — $105,596.23 $167,007.12 $105,596.23 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 9 — — $60,222.58 $95,245.84 $60,222.58 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 9 — — $55,468.04 $87,726.23 $55,468.04 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 9 — — $84,284.31 $133,300.97 $84,284.31 2025-11-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 9 — — $47,129.61 $47,129.61 $47,129.61 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 9 — — $51,174.44 $80,935.63 $51,174.44 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 9 — — $44,790.75 $70,839.41 $44,790.75 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 9 — — $46,817.43 $74,044.74 $46,817.43 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 9 — — $260,353.61 $411,765.74 $260,353.61 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 9 — — $87,465.78 $138,332.69 $87,465.78 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 9 — — $39,275.27 $62,116.35 $39,275.27 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 9 — — $47,486.89 $75,103.54 $47,486.89 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 9 — — $44,246.88 $69,979.25 $44,246.88 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 9 — — $42,916.49 $67,875.15 $42,916.49 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 9 — — $31,451.44 $49,742.45 $31,451.44 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 9 — — $82,080.80 $129,815.99 $82,080.80 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 9 — — $45,887.01 $72,573.22 $45,887.01 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 9 — — $92,919.06 $146,957.39 $92,919.06 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 9 — — $51,385.40 $81,269.28 $51,385.40 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 9 — — $35,901.13 $56,779.91 $35,901.13 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 9 — — $31,451.44 $49,742.45 $31,451.44 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 9 — — $33,336.68 $52,724.07 $33,336.68 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 9 — — $74,644.74 $118,055.39 $74,644.74 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 9 — — $44,043.24 $69,657.17 $44,043.24 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 9 — — $32,161.15 $50,864.90 $32,161.15 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 9 — — $35,192.64 $55,659.40 $35,192.64 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $57,213.04 $90,486.05 $57,213.04 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $41,806.80 $66,120.12 $41,806.80 2025-11-01
A9543 HCPCS Y90 Ibritumomab, Rx 34 14 — — $56,824.55 $315,985.99 $56,824.55 2025-11-01
C1767 HCPCS Hb Or-impl Pain Gen/stimulator (47) 1,236 20 $44,859.13 $40,373.22 $8,656.15 $117,152.89 $37,916.44 2025-11-01
E0194NU HCPCS Other Outpatient 4 1 — — $128,104.06 $142,385.94 $135,245.00 2025-11-01
E0483NU HCPCS Other Outpatient 4 1 — — $41,849.66 $46,515.34 $44,182.50 2025-11-01
E0636NU HCPCS Other Outpatient 4 1 — — $36,089.50 $40,113.00 $38,101.25 2025-11-01
E0764NUKF HCPCS Other Outpatient 4 1 — — $43,562.91 $48,419.59 $45,991.25 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $45,256.74 $50,302.26 $47,779.50 2025-11-01
E0766RRKF HCPCS Other Outpatient 4 1 — — $45,256.74 $50,302.26 $47,779.50 2025-11-01
E0783NUKF HCPCS Other Outpatient 4 1 — — $32,140.95 $35,724.23 $33,932.59 2025-11-01
E0786NUKF HCPCS Other Outpatient 4 1 — — $30,301.02 $33,679.17 $31,990.10 2025-11-01
E1007NUKU HCPCS Other Outpatient 4 1 — — $29,657.72 $32,964.16 $31,310.94 2025-11-01
E1008NUKE HCPCS Other Outpatient 4 1 — — $29,352.25 $32,624.63 $30,988.44 2025-11-01
E1008NUKU HCPCS Other Outpatient 4 1 — — $29,659.79 $32,966.46 $31,313.12 2025-11-01
E1036NU HCPCS Other Outpatient 4 1 — — $29,800.10 $33,122.40 $31,461.25 2025-11-01
E2402NU HCPCS Other Outpatient 4 1 — — $29,899.55 $33,232.95 $31,566.25 2025-11-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 102 20 $69,239.67 $62,315.71 $141.60 $67,162.48 $58,438.28 2025-11-01
J0775 HCPCS Collagenase Clostridium Histolyticum 0.9 Mg Solution For Injection 102 20 $60,261.79 $54,235.62 $75.91 $58,453.94 $50,860.95 2025-11-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 102 20 $38,500.80 $34,650.72 $5,168.23 $37,345.78 $32,494.68 2025-11-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 9 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2025-11-01
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 102 20 $37,648.96 $33,884.07 $34.18 $36,519.49 $31,775.72 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 102 20 $70,675.57 $63,608.02 $59.41 $68,555.30 $59,650.18 2025-11-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 102 20 $229,255.72 $206,330.15 $3,660.83 $222,378.05 $193,491.83 2025-11-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 102 20 $59,958.86 $53,962.98 $359.19 $58,160.09 $50,605.28 2025-11-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 102 20 $45,794.95 $41,215.46 $149.40 $44,421.10 $38,650.94 2025-11-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 18 9 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-11-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 9 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 9 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2025-11-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2025-11-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-11-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 9 — — $205,640.00 $205,640.00 $205,640.00 2025-11-01
J3403 HCPCS Revakinagene, Per Implant 18 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
J7330 HCPCS Cultured Chondrocytes Implnt 12 6 — — $184,301.60 $311,338.06 $202,073.54 2025-11-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 102 20 $39,682.50 $35,714.25 $91.34 $38,492.03 $33,492.03 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 30 14 — — $63,342.28 $300,028.87 $63,342.28 2025-11-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 102 20 $41,983.25 $37,784.93 $258.64 $40,723.75 $35,433.86 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 102 20 $49,164.94 $44,248.45 $227.28 $47,689.99 $41,495.21 2025-11-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 102 20 $37,407.57 $33,666.82 $29.29 $36,285.34 $31,571.99 2025-11-01
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 104 20 $36,017.55 $32,415.80 $55.57 $34,937.02 $30,778.79 2025-11-01
J9226 HCPCS Supprelin La Implant 34 14 — — $45,020.65 $215,500.64 $45,020.65 2025-11-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 102 20 $40,384.48 $36,346.04 $243.71 $39,172.95 $34,084.50 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 102 20 $51,770.10 $46,593.09 $197.83 $50,217.00 $43,693.96 2025-11-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 102 20 $63,726.27 $57,353.65 $136.67 $61,814.48 $53,784.97 2025-11-01
J9318 HCPCS Romidepsin 5 Mg/ml Intravenous Solution 102 20 $49,984.97 $44,986.48 $28.52 $48,485.42 $43,242.00 2025-11-01
J9330 HCPCS Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln 102 20 $37,992.46 $34,193.22 $26.71 $36,852.69 $32,065.64 2025-11-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 102 20 $60,814.37 $54,732.94 $33.89 $58,989.94 $52,610.51 2025-11-01
K0606NUKF HCPCS Other Outpatient 4 1 — — $99,130.10 $110,181.77 $104,655.93 2025-11-01
K0854NU HCPCS Other Outpatient 4 1 — — $32,701.49 $36,347.26 $34,524.38 2025-11-01
K0855NU HCPCS Other Outpatient 4 1 — — $30,891.36 $34,335.33 $32,613.35 2025-11-01
K0860NU HCPCS Other Outpatient 4 1 — — $34,111.63 $37,914.62 $36,013.12 2025-11-01
K0863NU HCPCS Other Outpatient 4 1 — — $34,111.63 $37,914.62 $36,013.12 2025-11-01
K0864NU HCPCS Other Outpatient 4 1 — — $40,592.85 $45,118.40 $42,855.62 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 9 — — $111,860.04 $111,860.04 $111,860.04 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 1 — — $111,236.62 $123,638.00 $117,437.31 2025-11-01
L5856 HCPCS Elec Knee-shin Swing/stance 22 9 — — $34,568.35 $91,681.11 $34,568.35 2025-11-01
L6700 HCPCS Ue Add Ext Power Myoel 18 9 — — $34,717.87 $34,717.87 $34,717.87 2025-11-01
L6880 HCPCS Elec Hand Ind Art Digits 22 9 — — $34,363.97 $91,495.13 $34,363.97 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 22 9 — — $52,277.90 $134,195.84 $52,277.90 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 22 9 — — $57,614.51 $153,132.49 $57,614.51 2025-11-01
L8614 HCPCS Hb Or Impl Ear Cochlear Complete (37) 1,114 20 $41,408.25 $37,267.43 $8,623.75 $92,049.42 $32,946.99 2025-11-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 9 — — $41,141.33 $41,141.33 $41,141.33 2025-11-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 9 — — $80,943.19 $80,943.19 $80,943.19 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 22 9 — — $129,537.54 $328,999.77 $129,537.54 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 9 — — $533,230.17 $1,478,657.60 $533,230.17 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 9 — — $591,726.20 $591,726.20 $591,726.20 2025-11-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 34 14 — — $55,272.32 $264,624.44 $55,272.32 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 22 9 — — $489,304.61 $1,478,657.60 $489,304.61 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 9 — — $562,538.19 $1,495,269.83 $562,538.19 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 9 — — $557,317.93 $557,317.93 $557,317.93 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 22 9 — — $565,868.95 $1,621,641.00 $565,868.95 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 18 9 — — $770,620.00 $770,620.00 $770,620.00 2025-11-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 9 — — $278,250.00 $278,250.00 $278,250.00 2025-11-01
See an error in this hospital's data? Submit a correction