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 →

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Hospital

ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS

Lakewood, CO · CCN 060124 · Rates published

11,814 distinct procedures filed
15 distinct payers
309,211 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

307,444 of 309,211 rate rows are consumer-grade (99.4%)

1,767 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
per-diem day rate — not a per-procedure price 1,440
exceeds 10× this hospital's gross charge — excluded from medians 225
template filing: same amount across many unrelated codes — excluded 67
placeholder amount (≤ $0.02) — excluded from medians 21
percent-of-charges filed in the dollar field — excluded from medians 14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8270/371577105_commonspirit-health-orthocolorado_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8257d5298dd07b31… · 310,160,854 bytes · first seen 2026-05-08

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $511,072.50 $1,022,145.00 $511,072.50 nat. median
$754,974
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $484,690.30 $969,380.60 $484,690.30 nat. median
$625,184
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $449,440.00 $898,880.00 $449,440.00 nat. median
$634,511
0.7× median
222
MS_DRG 		DRG 2 $254,286.00 $304,936.00 $299,160.00 nat. median
$63,570
outlier · 4.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $254,651.03 $669,210.80 $278,597.37 nat. median
$370,174
0.8× median
J7330
HCPCS 		Hc Autologous Cultured Chronodrocytes, Impl 15 $69,873.13 $390,571.68 $252,597.99 nat. median
$76,377
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $187,301.32 $492,218.97 $204,914.37 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $182,187.24 $478,779.43 $199,319.39 nat. median
$206,368
1.0× median
224
MS_DRG 		DRG 2 $148,316.00 $177,858.00 $174,489.00 nat. median
$54,196
outlier · 3.2×
223
MS_DRG 		DRG 2 $152,941.00 $179,931.00 $171,287.00 nat. median
$44,728
outlier · 3.8×
226
MS_DRG 		DRG 2 $141,379.00 $166,328.00 $163,049.00 nat. median
$49,935
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 $147,362.60 $387,261.93 $161,219.98 nat. median
$202,986
0.8× median
225
MS_DRG 		DRG 2 $136,216.00 $160,254.00 $153,288.00 nat. median
$48,649
outlier · 3.2×
227
MS_DRG 		DRG 2 $110,954.00 $131,268.00 $130,534.00 nat. median
$39,020
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $101,604.12 $267,010.80 $111,158.56 nat. median
$133,176
0.8× median
453
MS_DRG 		DRG 13 $54,987.00 $280,486.00 $109,012.95 nat. median
$87,411
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $53,426.66 $120,701.30 $106,853.32 nat. median
$66,682
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $67,081.52 $182,720.00 $105,030.76 nat. median
$93,672
1.1× median
33270
CPT 		Hc Insert/replace (sicd) Subcutaneous Icd System 15 $543.45 $105,716.61 $99,683.87 nat. median
$32,221
outlier · 3.1×
33991
CPT 		Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 15 $428.29 $100,931.68 $95,171.99 nat. median
$4,276
outlier · 22.3×
7
MS_DRG 		Lung Transplant 12 $84,783.45 $222,806.89 $92,756.14 nat. median
$122,708
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $58,262.70 $307,913.00 $92,660.18 nat. median
$81,118
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $84,629.32 $222,401.83 $92,587.51 nat. median
$108,660
0.9× median
J9226
HCPCS 		Supprelin La Implant 3 $44,575.94 $92,642.65 $89,151.88 nat. median
$60,368
1.5× median
624000007
CPT 		Hc Fda Ide G190285 Amplatz Cardiac Plug 15 $33,000.34 $92,000.94 $88,500.90 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $56,091.01 $163,230.00 $87,822.69 nat. median
$79,312
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $79,215.96 $208,175.79 $86,665.11 nat. median
$117,303
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $53,298.62 $150,416.00 $86,080.13 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $53,909.62 $151,819.00 $84,407.27 nat. median
$73,807
1.1× median
459
MS_DRG 		DRG 13 $38,569.00 $180,360.00 $81,590.55 nat. median
$65,381
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $74,445.40 $195,638.99 $81,445.95 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $71,537.60 $187,997.40 $78,264.70 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $70,603.11 $185,541.63 $77,242.34 nat. median
$99,019
0.8× median
33264
CPT 		Hc Replace Generator Only (icd) Multiple 15 $391.49 $81,911.57 $77,237.26 nat. median
$31,873
outlier · 2.4×
454
MS_DRG 		DRG 13 $42,274.92 $205,135.00 $75,242.73 nat. median
$62,270
1.2× median
246
MS_DRG 		DRG 4 $43,588.00 $88,195.00 $74,966.00 nat. median
$26,892
outlier · 2.8×
0812
RC 		Hc Pancreas Fee 15 $28,165.05 $127,744.67 $69,426.45 nat. median
$70,278
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $43,995.97 $158,891.00 $68,885.28 nat. median
$64,510
1.1× median
33249
CPT 		Hc Ins Rpl Icd System Dual 15 $882.28 $71,716.33 $67,623.82 nat. median
$31,833
outlier · 2.1×
248
MS_DRG 		DRG 2 $61,388.00 $72,221.00 $67,424.00 nat. median
$22,459
outlier · 3.0×
61886
CPT 		Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 15 $870.90 $70,231.12 $66,223.36 nat. median
$27,077
outlier · 2.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $41,991.53 $200,106.00 $65,746.90 nat. median
$58,024
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $40,645.79 $119,096.00 $65,645.14 nat. median
$57,424
1.1× median
62361
CPT 		Hc Impl Repl Epi Pump Nonprog 15 $430.36 $68,634.21 $64,717.58 nat. median
$16,596
outlier · 3.9×
62362
CPT 		Hc Impl Repl Epi Pump W Wo Progr 15 $379.71 $68,634.21 $64,717.58 nat. median
$16,404
outlier · 3.9×
0811
RC 		Hc Living Donor/stand Acquisition 15 $24,060.30 $67,077.21 $64,525.36 nat. median
$60,209
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $41,115.80 $158,015.00 $64,375.75 nat. median
$59,899
1.1× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 15 $532.29 $99,538.83 $64,375.65 nat. median
$509
outlier · 126.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $58,421.67 $153,529.39 $63,915.42 nat. median
$77,576
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 $39,181.87 $121,450.00 $63,280.81 nat. median
$55,929
1.1× median

Other procedures at this hospital

Browse this hospital's 11,814 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
             
0812 RC Hc Pancreas Fee 70 15 $85,348.63 $34,139.45 60% off $28,165.05 $127,744.67 $69,426.45 2024-12-02
92937 CPT Hc Cor Grft Intervn Bms IM 51 15 $31,274.44 $12,509.78 60% off $555.08 $28,772.48 $25,389.07 2024-12-02
37227 CPT Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas 49 15 $55,438.74 $22,175.50 60% off $673.42 $51,003.64 $34,002.42 2024-12-02
37238 CPT Hc Plc Stent Ven W/wo Anpl Ini 49 15 $55,147.25 $22,058.90 60% off $288.76 $50,735.47 $33,823.63 2024-12-02
37239 CPT Hc Plc Stent Ven W/wo Anpl Adl 49 15 $50,287.02 $20,114.81 60% off $141.61 $46,264.06 $30,842.71 2024-12-02
37237 CPT Hc Plc Stent Art W/wo Anpl Adl 49 15 $27,063.43 $10,825.37 60% off $197.03 $37,347.55 $23,951.14 2024-12-02
33418 CPT Hc Transcatheter Repair Mitral Valve Including Transseptal Pincture Initial Pros… 48 15 $49,192.08 $19,676.83 60% off $1,267.00 $45,256.71 $34,926.38 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 47 15 $65,041.27 $26,016.51 60% off $3,371.08 $92,193.75 $38,699.56 2024-12-02
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 46 15 $114,909.36 $45,963.74 60% off $543.45 $105,716.61 $99,683.87 2024-12-02
33991 CPT Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 46 15 $109,708.35 $43,883.34 60% off $428.29 $100,931.68 $95,171.99 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 46 15 $89,034.31 $35,613.72 60% off $391.49 $81,911.57 $77,237.26 2024-12-02
33249 CPT Hc Ins Rpl Icd System Dual 46 15 $77,952.53 $31,181.01 60% off $882.28 $71,716.33 $67,623.82 2024-12-02
61886 CPT Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 46 15 $76,338.17 $30,535.27 60% off $870.90 $70,231.12 $66,223.36 2024-12-02
62361 CPT Hc Impl Repl Epi Pump Nonprog 46 15 $74,602.40 $29,840.96 60% off $430.36 $68,634.21 $64,717.58 2024-12-02
62362 CPT Hc Impl Repl Epi Pump W Wo Progr 46 15 $74,602.40 $29,840.96 60% off $379.71 $68,634.21 $64,717.58 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 46 15 $65,317.97 $26,127.19 60% off $387.19 $60,092.53 $56,663.33 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 46 15 $64,164.18 $25,665.67 60% off $375.39 $59,031.05 $55,662.43 2024-12-02
93656 CPT Hc Comp Ep Eval W Pv Iso Abl 46 15 $60,647.73 $24,259.09 60% off $910.16 $55,795.91 $52,611.90 2024-12-02
93653 CPT Hc Comp Ep Eval W Svt Abl 46 15 $60,337.69 $24,135.08 60% off $802.62 $55,510.67 $52,342.95 2024-12-02
33363 CPT Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach 46 15 $59,568.25 $23,827.30 60% off $1,267.00 $54,802.79 $51,675.46 2024-12-02
64568 CPT Hc Incis/implant Cranial Nerve Stim Electrode 46 15 $58,791.60 $23,516.64 60% off $592.89 $54,088.27 $51,001.71 2024-12-02
33362 CPT Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach 46 15 $57,180.66 $22,872.26 60% off $1,246.61 $52,606.21 $49,604.22 2024-12-02
93654 CPT Hc Comp Ep Eval W Vt Abl Wwo 3dmp 46 15 $55,770.79 $22,308.32 60% off $967.28 $51,309.13 $48,381.16 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 46 15 $54,431.64 $21,772.66 60% off $371.43 $50,077.11 $47,219.44 2024-12-02
33364 CPT Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach 46 15 $54,399.14 $21,759.66 60% off $1,267.00 $50,047.21 $47,191.25 2024-12-02
33361 CPT Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach 46 15 $54,399.14 $21,759.66 60% off $1,143.05 $50,047.21 $47,191.25 2024-12-02
37231 CPT Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves 46 15 $53,800.01 $21,520.00 60% off $692.75 $49,496.01 $46,671.51 2024-12-02
33340 CPT Hc Closure Left Atrial Appendage With Implant Including Imaging 46 15 $53,798.50 $21,519.40 60% off $745.87 $49,494.62 $46,670.20 2024-12-02
33366 CPT Hc Tavr/tavi Aortic Valve Transapical Approach 46 15 $52,950.62 $21,180.25 60% off $1,267.00 $48,714.57 $45,934.67 2024-12-02
64582 CPT Hc Implant Hypoglossal Stim, Array & Sensor 46 15 $50,892.12 $20,356.85 60% off $845.66 $46,820.75 $44,148.91 2024-12-02
33365 CPT Hc Tavr/tavi Aortic Valve Open Transaortic Approach 46 15 $50,567.85 $20,227.14 60% off $1,267.00 $46,522.42 $43,867.61 2024-12-02
36906 CPT Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Stent Wwo … 46 15 $49,412.68 $19,765.07 60% off $485.50 $45,459.67 $42,865.50 2024-12-02
36903 CPT Hc Inject Dialysis Circuit With Stent Wwo Pta Peripheral Segment 46 15 $47,221.23 $18,888.49 60% off $298.90 $43,443.53 $40,964.42 2024-12-02
33217 CPT Hc Insert Lead Only 2 Lead To Existing Icd/pacemaker Generator 46 15 $46,816.70 $18,726.68 60% off $358.32 $43,071.36 $40,613.49 2024-12-02
33262 CPT Hc Replace Generator Only (icd) Single 46 15 $46,241.07 $18,496.43 60% off $361.71 $42,541.78 $40,114.13 2024-12-02
33289 CPT Hc Place Pulmonary Artery Pressure Sensor & Rt Heart Cath 46 15 $44,544.75 $17,817.90 60% off $317.01 $40,981.17 $38,642.57 2024-12-02
33240 CPT Hc Insert Generator Only (icd) To Existing Single Lead 46 15 $44,296.75 $17,718.70 60% off $354.40 $40,753.01 $38,427.43 2024-12-02
93583 CPT Hc Ablation Transcatheter Septal Reduction Therapy 46 15 $42,511.22 $17,004.49 60% off $699.62 $39,110.32 $36,878.49 2024-12-02
93591 CPT Hc Closure Paravalvular Leak Aortic Valve Initial 46 15 $39,761.66 $15,904.66 60% off $851.71 $36,580.73 $34,493.24 2024-12-02
93590 CPT Hc Closure Paravalvular Leak Mitral Valve Initial 46 15 $39,761.66 $15,904.66 60% off $1,032.60 $36,580.73 $34,493.24 2024-12-02
36909 CPT Hc Embolization Dialysis Circuit 46 15 $36,262.59 $14,505.04 60% off $190.75 $33,361.58 $31,457.79 2024-12-02
36905 CPT Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Pta 46 15 $36,260.34 $14,504.14 60% off $421.85 $33,359.51 $31,455.85 2024-12-02
36908 CPT Hc Place Stent Dialysis Curcuit Wwo Pta Central Segment 46 15 $35,510.86 $14,204.34 60% off $195.57 $32,669.99 $30,805.67 2024-12-02
36836 CPT Hc Dialysis Circuit Creation Up Ext Single Access Art/ven 46 15 $34,712.19 $13,884.88 60% off $338.85 $31,935.21 $30,112.82 2024-12-02
36837 CPT Hc Dialysis Circuit Creation Up Ext Separate Access Art/ven 46 15 $34,712.19 $13,884.88 60% off $441.24 $31,935.21 $30,112.82 2024-12-02
37241 CPT Hc Embo Vein No Hemorg/tumor 46 15 $33,125.71 $13,250.28 60% off $407.93 $30,475.65 $28,736.55 2024-12-02
37243 CPT Hc Embo Tumor/ufe/ischm/infarc 46 15 $33,125.71 $13,250.28 60% off $535.58 $30,475.65 $28,736.55 2024-12-02
37244 CPT Hc Embo Hemorg/lymph Trauma 46 15 $33,125.71 $13,250.28 60% off $632.69 $30,475.65 $28,736.55 2024-12-02
37242 CPT Hc Embo Art No Hemorg/tumor 46 15 $33,125.71 $13,250.28 60% off $451.66 $30,475.65 $28,736.55 2024-12-02
33224 CPT Hc Insert Lead Only Biv/lt Vent Lead To Existing Icd/pacemaker Generator 46 15 $32,362.49 $12,945.00 60% off $491.42 $29,773.49 $28,074.46 2024-12-02
93457 CPT Hc Cor Angio & Rt Heart Cath & Grafts 46 15 $31,929.06 $12,771.62 60% off $1,248.18 $29,374.74 $27,698.46 2024-12-02
93461 CPT Hc Cor Angio & Rt & Lt Heart Cath & Grafts 46 15 $31,548.50 $12,619.40 60% off $1,267.00 $29,024.62 $27,368.33 2024-12-02
92941 CPT Hc Cor Revasc Acute Mi Bare Metal Stent/pta/atherect Initial Ves 46 15 $31,274.44 $12,509.78 60% off $623.65 $28,772.48 $27,130.57 2024-12-02
92943 CPT Hc Cor Revasc Chronic Occ Bare Metal Stent/pta/atherect Initial Ves 46 15 $31,274.44 $12,509.78 60% off $624.09 $28,772.48 $27,130.57 2024-12-02
92933 CPT Hc Cor Atherectomy & Bare Metal Stent Initial Vessel 46 15 $31,274.44 $12,509.78 60% off $622.83 $28,772.48 $27,130.57 2024-12-02
93580 CPT Hc Closure Atrial Septal Defect/asd/pfo/fontan Fenestatrtion With Implant 46 15 $28,994.74 $11,597.90 60% off $921.19 $26,675.16 $25,152.94 2024-12-02
93582 CPT Hc Closure Patent Ductus Arteriosus (pda) 46 15 $28,994.74 $11,597.90 60% off $624.19 $26,675.16 $25,152.94 2024-12-02
93456 CPT Hc Cor Angio & Rt Heart Cath 46 15 $28,994.74 $11,597.90 60% off $1,146.12 $26,675.16 $25,152.94 2024-12-02
93581 CPT Hc Closure Ventricular Septal Defect (vsd) 46 15 $28,994.74 $11,597.90 60% off $1,249.05 $26,675.16 $25,152.94 2024-12-02
93459 CPT Hc Cor Angio & Lt Heart Cath & Grafts 46 15 $28,867.81 $11,547.12 60% off $1,137.11 $26,558.39 $25,042.83 2024-12-02
93460 CPT Hc Cor Angio & Rt & Lt Heart Cath 46 15 $28,614.16 $11,445.66 60% off $1,262.88 $26,325.03 $24,822.79 2024-12-02
77338 CPT Hc Mlc Device Design For Imrt 46 15 $28,569.60 $11,427.84 60% off $469.86 $26,284.03 $24,784.13 2024-12-02
93650 CPT Hc Ablate Av Node 46 15 $28,155.53 $11,262.21 60% off $311.00 $25,903.09 $24,424.92 2024-12-02
75860 CPT Hc Venogram Sinus/jugular S/i 45 15 $27,089.72 $10,835.89 60% off $71.00 $24,922.54 $23,974.40 2024-12-02
0238T CPT Hc Atherectomy Iliac W Imag S/i 41 15 $33,461.46 $13,384.58 60% off $1,267.00 $30,784.54 $29,613.39 2024-12-02
0345T CPT Hc Transcatheter Repair Mitral Valve Percutaneous Via Coronary Sinus 40 15 $49,192.08 $19,676.83 60% off $1,267.00 $45,256.71 $43,534.99 2024-12-02
624000007 CPT Hc Fda Ide G190285 Amplatz Cardiac Plug 38 15 $100,001.02 $40,000.41 60% off $33,000.34 $92,000.94 $88,500.90 2024-12-02
0811 RC Hc Living Donor/stand Acquisition 38 15 $72,910.01 $29,164.00 60% off $24,060.30 $67,077.21 $64,525.36 2024-12-02
A9543 HCPCS Y-90 Zevalin 38 15 $70,810.44 $28,324.18 60% off $23,367.45 $108,036.36 $62,667.24 2024-12-02
0427T CPT Hc Insert Neurostimulator Generator Only For Central Sleep Apnea 38 15 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $60,052.69 2024-12-02
0424T CPT Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea 38 15 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $60,052.69 2024-12-02
0431T CPT Hc Replace Neurostimulator Generator Only For Central Sleep Apnea 38 15 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $60,052.69 2024-12-02
0408T CPT Hc Insert/replace Cardiac Contractility Modulation System 38 15 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $47,043.52 2024-12-02
0414T CPT Hc Replace Cardiac Contractility Generator Only 38 15 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $47,043.52 2024-12-02
0409T CPT Hc Insert Cardiac Contractility Generator Only 38 15 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $47,043.52 2024-12-02
0483T CPT Hc Transcatheter Replacement Valve Mitral Tmvi Percutaneous Approach 38 15 $51,202.15 $20,480.86 60% off $1,267.00 $47,105.98 $45,313.90 2024-12-02
C9602 HCPCS Hc Cor Atherectomy & Drug-eluting Stent Inital Ves 38 15 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $36,757.15 2024-12-02
C9767 HCPCS Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent & Atherectomy Ilio/fem/pop … 38 15 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $36,757.15 2024-12-02
C9607 HCPCS Hc Cor Revasc Chronic Occ Drug-eluting Stent/pta/atherect Initial Ves 38 15 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $36,757.15 2024-12-02
C9775 HCPCS Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent With Atherectomy Tib/pero Artery(… 38 15 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $36,757.15 2024-12-02
0268T CPT Hc Insert/repl Carotid Sinus Baroflex Activation Generator Only 38 15 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $36,045.43 2024-12-02
0266T CPT Hc Insert/repl Carotid Sinus Baroflex Activation System 38 15 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $36,045.43 2024-12-02
37216 CPT Hc Plc Stent Cerv Carotid Wo Emb 38 15 $39,894.15 $15,957.66 60% off $1,267.00 $36,702.62 $35,306.32 2024-12-02
0620T CPT Hc Revasc Venous Tib/per Arterialization 38 15 $36,959.15 $14,783.66 60% off $1,267.00 $34,002.42 $32,708.85 2024-12-02
C9774 HCPCS Hc Revasc Intravasc Lithotripsy W/wo Pta W/atherectomy Tib/pero Artery(ies) Only 38 15 $35,567.38 $14,226.95 60% off $1,267.00 $32,721.99 $31,477.13 2024-12-02
C9766 HCPCS Hc Revasc Intravascular Lithotripsy W/wo Pta W/atherectomy Ilio/fem/pop Vessel(s… 38 15 $35,567.38 $14,226.95 60% off $1,267.00 $32,721.99 $31,477.13 2024-12-02
G2170 HCPCS Hc Dialysis Circuit Perc Direct Creation 38 15 $34,712.19 $13,884.88 60% off $1,267.00 $31,935.21 $30,720.28 2024-12-02
G2171 HCPCS Hc Dialysis Circuit Rf Magnetic Guided 38 15 $34,712.19 $13,884.88 60% off $1,267.00 $31,935.21 $30,720.28 2024-12-02
A9604 HCPCS Samarium-153 Lexidronam 38 15 $34,492.50 $13,797.00 60% off $11,382.53 $31,733.10 $30,525.87 2024-12-02
C9765 HCPCS Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent Ilio/fem/pop Vessel(s) 38 15 $31,274.44 $12,509.78 60% off $1,267.00 $28,772.48 $27,677.88 2024-12-02
C9600 HCPCS Hc Cor Stent Drug Eluting Coronary Initial Major Vessel 38 15 $31,274.44 $12,509.78 60% off $1,267.00 $28,772.48 $27,677.88 2024-12-02
C9773 HCPCS Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent Tib/pero Artery(ies) Only 38 15 $31,274.44 $12,509.78 60% off $1,267.00 $28,772.48 $27,677.88 2024-12-02
0275T CPT Hc Laminotomy Lumbar 38 15 $30,675.54 $12,270.22 60% off $1,267.00 $28,221.50 $27,147.85 2024-12-02
93594 CPT Hc Rt Heart Cath Congenital Abnormal Native Connections 38 15 $28,994.74 $11,597.90 60% off $1,267.00 $26,675.16 $25,660.35 2024-12-02
93593 CPT Hc Rt Heart Cath Congenital Normal Native Connections 38 15 $28,994.74 $11,597.90 60% off $1,267.00 $26,675.16 $25,660.35 2024-12-02
C9758 HCPCS Hc Atrial Shunt With All Guidance 38 15 $28,994.74 $11,597.90 60% off $1,267.00 $26,675.16 $25,660.35 2024-12-02
93596 CPT Hc Rt & Lt Heart Cath Congenital Normal Native Connections 38 15 $28,614.16 $11,445.66 60% off $1,267.00 $26,325.03 $25,323.53 2024-12-02
93597 CPT Hc Rt & Lt Heart Cath Congenital Abnormal Native Connections 38 15 $28,614.16 $11,445.66 60% off $1,267.00 $26,325.03 $25,323.53 2024-12-02
C9606 HCPCS Hc Cor Revasc Acute Mi Drug-eluting Stent/pta/atherect Initial Ves 38 15 $27,167.47 $10,866.99 60% off $1,267.00 $24,994.07 $24,043.21 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 34 15 $97,449.98 $38,979.99 60% off $153.96 $89,653.98 $53,353.86 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 34 15 $82,845.00 $33,138.00 60% off $300.75 $76,217.40 $45,357.64 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 34 15 $65,104.83 $26,041.93 60% off $17,578.30 $59,896.44 $38,737.37 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 34 15 $66,587.50 $26,635.00 60% off $299.05 $61,260.50 $36,456.66 2024-12-02
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 34 15 $60,331.15 $24,132.46 60% off $140.66 $55,504.66 $33,031.31 2024-12-02
J7330 HCPCS Hc Autologous Cultured Chronodrocytes, Impl 33 15 $424,534.44 $169,813.78 60% off $69,873.13 $390,571.68 $252,597.99 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 33 15 $108,194.38 $43,277.75 60% off $532.29 $99,538.83 $64,375.65 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 33 15 $69,000.33 $27,600.13 60% off $101.34 $63,480.30 $41,055.19 2024-12-02
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 33 15 $55,721.05 $22,288.42 60% off $541.20 $51,263.37 $33,154.03 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 31 15 $79,875.00 $31,950.00 60% off $21,566.25 $73,485.00 $39,937.50 2024-12-02
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 31 15 $50,863.68 $20,345.47 60% off $302.99 $46,794.59 $30,263.89 2024-12-02
453 MS_DRG DRG 20 13 — — $54,987.00 $280,486.00 $109,012.95 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $58,262.70 $307,913.00 $92,660.18 2024-12-02
459 MS_DRG DRG 20 13 — — $38,569.00 $180,360.00 $81,590.55 2024-12-02
454 MS_DRG DRG 20 13 — — $42,274.92 $205,135.00 $75,242.73 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 13 — — $30,194.00 $94,209.40 $57,013.71 2024-12-02
455 MS_DRG DRG 20 13 — — $31,833.19 $142,099.00 $56,658.09 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 20 13 — — $21,271.00 $91,177.00 $55,130.40 2024-12-02
460 MS_DRG DRG 20 13 — — $25,282.84 $114,152.00 $44,999.49 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 13 — — $23,015.06 $69,434.00 $40,879.28 2024-12-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 13 — — $24,096.77 $89,090.00 $40,006.29 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 13 — — $25,240.67 $66,331.30 $38,049.39 2024-12-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 13 — — $20,695.44 $69,434.00 $36,834.65 2024-12-02
472 MS_DRG Cervical Spinal Fusion With Cc 20 13 — — $20,427.27 $75,358.00 $35,522.07 2024-12-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 13 — — $19,673.18 $76,063.00 $34,913.12 2024-12-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 13 — — $18,451.86 $72,887.00 $31,442.87 2024-12-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 13 — — $17,170.41 $76,432.00 $30,560.62 2024-12-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 20 13 — — $17,007.28 $52,110.00 $27,022.84 2024-12-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 20 13 — — $14,599.20 $55,910.00 $25,984.29 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $67,081.52 $182,720.00 $105,030.76 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $56,091.01 $163,230.00 $87,822.69 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $53,298.62 $150,416.00 $86,080.13 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $53,909.62 $151,819.00 $84,407.27 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $43,995.97 $158,891.00 $68,885.28 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $41,991.53 $200,106.00 $65,746.90 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $40,645.79 $119,096.00 $65,645.14 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $41,115.80 $158,015.00 $64,375.75 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $39,181.87 $121,450.00 $63,280.81 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $39,374.71 $153,123.00 $61,649.69 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $36,249.86 $141,339.00 $58,545.47 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $47,128.41 $123,851.23 $56,679.00 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 12 — — $34,952.50 $118,403.00 $56,450.17 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $35,927.08 $116,373.00 $56,251.67 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 12 — — $34,554.39 $119,558.00 $54,102.42 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $32,130.41 $136,951.00 $51,892.32 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 12 — — $15,729.00 $125,134.00 $50,421.04 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 12 — — $30,522.71 $128,181.00 $49,295.81 2024-12-02
245 MS_DRG Aicd Generator Procedures 19 12 — — $31,320.33 $93,891.00 $49,038.81 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $31,317.57 $149,680.00 $49,034.48 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 12 — — $27,932.15 $83,950.00 $45,111.92 2024-12-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $26,935.45 $82,831.00 $43,502.21 2024-12-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $26,187.59 $83,210.00 $42,294.37 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 12 — — $24,752.70 $65,322.00 $38,755.75 2024-12-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 12 — — $23,888.71 $101,764.00 $38,581.56 2024-12-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 13 — — $23,929.50 $82,139.00 $37,466.85 2024-12-02
252 MS_DRG Other Vascular Procedures With Mcc 19 12 — — $23,180.94 $88,919.00 $37,438.47 2024-12-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 12 — — $23,881.12 $133,832.00 $37,391.09 2024-12-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 12 — — $22,399.91 $60,885.00 $36,177.05 2024-12-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 12 — — $20,411.37 $65,453.00 $32,965.46 2024-12-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 12 — — $18,688.24 $60,144.00 $29,260.52 2024-12-02
253 MS_DRG Other Vascular Procedures With Cc 19 12 — — $17,632.81 $85,379.00 $28,477.93 2024-12-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 12 — — $18,046.83 $49,120.00 $28,256.24 2024-12-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 12 — — $17,894.08 $78,555.00 $28,017.08 2024-12-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 12 — — $17,891.31 $70,042.00 $27,675.00 2024-12-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 12 — — $16,861.44 $85,125.00 $27,232.14 2024-12-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 12 — — $16,815.82 $55,468.00 $27,158.46 2024-12-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 12 — — $16,395.59 $61,213.00 $26,479.75 2024-12-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 13 — — $16,600.18 $53,196.00 $25,991.20 2024-12-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 12 — — $16,248.36 $63,898.00 $25,440.36 2024-12-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 12 — — $15,742.42 $84,988.00 $24,648.19 2024-12-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 12 — — $14,899.17 $48,390.00 $24,062.96 2024-12-02
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 19 12 — — $15,023.58 $53,086.00 $23,522.70 2024-12-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 12 — — $26,805.51 $205,881.00 $36,493.86 2024-12-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 12 — — $20,382.34 $69,308.00 $27,749.15 2024-12-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 12 — — $18,804.36 $61,170.00 $25,600.85 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 12 — — $47,378.62 $124,508.77 $54,823.89 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $41,651.47 $112,924.00 $48,196.75 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 13 — — $39,146.62 $102,875.45 $45,298.27 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 17 12 — — $37,417.96 $113,740.00 $43,297.97 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 12 — — $35,105.26 $203,964.00 $40,621.84 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 12 — — $34,826.72 $148,337.00 $40,299.52 2024-12-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 12 — — $28,743.60 $85,125.00 $33,260.48 2024-12-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 12 — — $24,995.31 $85,304.00 $28,923.17 2024-12-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 12 — — $23,695.19 $64,915.00 $27,418.74 2024-12-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 12 — — $22,914.15 $60,217.29 $26,514.97 2024-12-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 12 — — $22,767.62 $62,791.00 $26,345.41 2024-12-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 12 — — $21,976.90 $113,831.00 $25,430.44 2024-12-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 13 — — $21,851.80 $57,425.49 $25,285.68 2024-12-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 13 — — $20,745.22 $54,517.43 $24,005.20 2024-12-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 12 — — $20,190.88 $53,060.68 $23,363.76 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 12 — — $254,651.03 $669,210.80 $278,597.37 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 12 — — $187,301.32 $492,218.97 $204,914.37 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $182,187.24 $478,779.43 $199,319.39 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 12 — — $147,362.60 $387,261.93 $161,219.98 2024-12-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 12 — — $101,604.12 $267,010.80 $111,158.56 2024-12-02
7 MS_DRG Lung Transplant 16 12 — — $84,783.45 $222,806.89 $92,756.14 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $84,629.32 $222,401.83 $92,587.51 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $79,215.96 $208,175.79 $86,665.11 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 12 — — $74,445.40 $195,638.99 $81,445.95 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $71,537.60 $187,997.40 $78,264.70 2024-12-02
215 MS_DRG Other Heart Assist System Implant 16 12 — — $70,603.11 $185,541.63 $77,242.34 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 12 — — $58,421.67 $153,529.39 $63,915.42 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $55,249.83 $145,193.93 $60,445.30 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 12 — — $49,989.92 $131,371.13 $54,690.76 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 12 — — $48,630.36 $127,798.27 $53,203.36 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 12 — — $48,140.30 $126,510.44 $52,667.22 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 12 — — $47,827.90 $125,689.43 $52,325.43 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 12 — — $47,747.03 $125,476.91 $52,236.96 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 12 — — $47,502.35 $124,833.91 $51,969.27 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 12 — — $43,172.07 $192,700.00 $47,231.80 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $42,978.55 $112,945.57 $47,020.07 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 12 — — $42,923.94 $112,802.07 $46,960.33 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 12 — — $42,694.46 $112,199.03 $46,709.28 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 12 — — $42,694.46 $112,199.03 $46,709.28 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 12 — — $42,448.40 $111,552.39 $46,440.08 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 12 — — $42,094.52 $110,622.39 $46,052.92 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 12 — — $41,793.86 $109,832.26 $45,723.98 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $41,471.76 $108,985.82 $45,371.60 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $39,280.70 $103,227.83 $42,974.50 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 16 12 — — $38,699.42 $101,700.24 $42,338.56 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 12 — — $38,051.09 $99,996.45 $41,629.26 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $36,368.05 $95,573.52 $39,787.96 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 12 — — $35,639.55 $93,659.03 $38,990.94 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 16 12 — — $34,245.42 $89,995.35 $37,465.72 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 12 — — $33,731.19 $152,725.00 $36,903.13 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $33,431.90 $87,857.45 $36,575.71 2024-12-02
10 MS_DRG Pancreas Transplant 16 12 — — $33,270.85 $87,434.23 $36,399.51 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 12 — — $33,223.86 $87,310.72 $36,348.10 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 12 — — $32,876.88 $87,986.42 $36,318.00 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 12 — — $33,055.20 $86,867.51 $36,163.58 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $32,764.91 $86,104.63 $35,845.99 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 16 12 — — $32,579.67 $85,617.83 $35,643.33 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $30,334.70 $84,057.54 $34,142.61 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 12 — — $31,116.44 $81,772.51 $34,042.50 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 12 — — $31,086.03 $81,692.59 $34,009.22 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 12 — — $30,608.42 $80,437.46 $33,486.71 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 12 — — $30,148.77 $79,229.55 $32,983.85 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 16 12 — — $29,913.08 $78,610.16 $32,725.99 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 12 — — $29,740.29 $78,156.06 $32,536.94 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 12 — — $29,573.71 $77,718.31 $32,354.70 2024-12-02
793 MS_DRG Full Term Neonate With Major Problems 16 12 — — $29,094.02 $76,457.73 $31,829.91 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $13,574.00 $81,018.71 $31,783.09 2024-12-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 12 — — $28,615.04 $75,198.96 $31,305.88 2024-12-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 12 — — $28,453.30 $74,773.92 $31,128.93 2024-12-02
791 MS_DRG Prematurity With Major Problems 16 12 — — $28,322.67 $74,430.62 $30,986.01 2024-12-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 12 — — $28,046.88 $73,705.88 $30,684.29 2024-12-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 12 — — $27,957.03 $73,469.75 $30,586.00 2024-12-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 12 — — $27,747.60 $72,919.38 $30,356.87 2024-12-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 12 — — $27,681.25 $72,745.00 $30,284.28 2024-12-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 12 — — $27,355.01 $71,887.66 $29,927.36 2024-12-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 12 — — $27,031.53 $71,037.59 $29,573.47 2024-12-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 12 — — $26,965.87 $70,865.03 $29,501.64 2024-12-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 12 — — $26,867.72 $70,607.10 $29,394.26 2024-12-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 12 — — $26,614.05 $69,940.48 $29,116.74 2024-12-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 12 — — $26,441.96 $69,488.20 $28,928.45 2024-12-02
140 MS_DRG Major Head And Neck Procedures With Mcc 16 12 — — $26,113.64 $68,625.41 $28,569.26 2024-12-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 12 — — $25,791.55 $67,778.97 $28,216.89 2024-12-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 12 — — $25,727.27 $67,610.04 $28,146.56 2024-12-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 12 — — $25,708.61 $67,561.00 $28,126.14 2024-12-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 12 — — $24,030.41 $71,251.92 $28,073.68 2024-12-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 12 — — $25,560.00 $67,170.47 $27,963.56 2024-12-02
332 MS_DRG Rectal Resection With Mcc 16 12 — — $25,073.40 $66,376.71 $27,537.98 2024-12-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 12 — — $25,137.69 $66,060.65 $27,501.53 2024-12-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 12 — — $25,039.54 $65,802.72 $27,394.15 2024-12-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 12 — — $24,709.85 $64,936.30 $27,033.46 2024-12-02
265 MS_DRG Aicd Lead Procedures 16 12 — — $24,427.15 $64,193.39 $26,724.18 2024-12-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 12 — — $24,365.63 $64,031.73 $26,656.88 2024-12-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 12 — — $23,903.92 $62,818.38 $26,151.75 2024-12-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 12 — — $23,433.23 $62,317.05 $25,798.76 2024-12-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 12 — — $23,540.36 $61,862.95 $25,754.00 2024-12-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $23,339.23 $61,334.38 $25,533.96 2024-12-02
37 MS_DRG Extracranial Procedures With Mcc 16 12 — — $23,331.62 $61,314.40 $25,525.64 2024-12-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 12 — — $23,286.00 $61,194.52 $25,475.72 2024-12-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 12 — — $23,100.76 $60,707.72 $25,273.07 2024-12-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 12 — — $22,986.03 $60,406.20 $25,147.54 2024-12-02
264 MS_DRG Other Circulatory System O.r. Procedures 16 12 — — $22,574.08 $59,323.62 $24,696.86 2024-12-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 12 — — $22,506.35 $59,145.62 $24,622.75 2024-12-02
500 MS_DRG Soft Tissue Procedures With Mcc 16 12 — — $22,413.73 $58,902.22 $24,521.42 2024-12-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 12 — — $22,225.04 $58,406.34 $24,314.99 2024-12-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 12 — — $22,223.65 $58,402.71 $24,313.47 2024-12-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 12 — — $22,123.43 $58,139.33 $24,203.83 2024-12-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 12 — — $21,798.58 $57,285.62 $23,848.42 2024-12-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 12 — — $21,686.60 $56,991.37 $23,725.92 2024-12-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 12 — — $21,600.90 $56,766.13 $23,632.16 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $53,426.66 $120,701.30 $106,853.32 2024-12-02
J9226 HCPCS Supprelin La Implant 5 3 — — $44,575.94 $92,642.65 $89,151.88 2024-12-02
246 MS_DRG DRG 5 4 — — $43,588.00 $88,195.00 $74,966.00 2024-12-02
247 MS_DRG DRG 5 4 — — $31,134.00 $62,901.00 $53,466.00 2024-12-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $511,072.50 $1,022,145.00 $511,072.50 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $484,690.30 $969,380.60 $484,690.30 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $449,440.00 $898,880.00 $449,440.00 2024-12-02
222 MS_DRG DRG 3 2 — — $254,286.00 $304,936.00 $299,160.00 2024-12-02
224 MS_DRG DRG 3 2 — — $148,316.00 $177,858.00 $174,489.00 2024-12-02
223 MS_DRG DRG 3 2 — — $152,941.00 $179,931.00 $171,287.00 2024-12-02
226 MS_DRG DRG 3 2 — — $141,379.00 $166,328.00 $163,049.00 2024-12-02
225 MS_DRG DRG 3 2 — — $136,216.00 $160,254.00 $153,288.00 2024-12-02
227 MS_DRG DRG 3 2 — — $110,954.00 $131,268.00 $130,534.00 2024-12-02
248 MS_DRG DRG 3 2 — — $61,388.00 $72,221.00 $67,424.00 2024-12-02
249 MS_DRG DRG 3 2 — — $46,117.00 $54,255.00 $52,988.00 2024-12-02
77371 CPT Srs Multisource 2 1 — — $39,398.00 $39,398.00 $39,398.00 2024-12-02
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $37,142.40 $37,142.40 $37,142.40 2024-12-02
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