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

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Hospital

UCHEALTH GREELEY HOSPITAL

Greeley, CO · CCN 060131 · Rates published

19,988 distinct procedures filed
19 distinct payers
529,542 rate rows
2025-11-01 last MRF observed
Data quality

524,930 of 529,542 rate rows are consumer-grade (99.1%)

4,612 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 2,639
per-diem day rate — not a per-procedure price 942
placeholder amount (≤ $0.02) — excluded from medians 365
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 285
exceeds 10× this hospital's gross charge — excluded from medians 247
percent-of-charges filed in the dollar field — excluded from medians 134
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8082/822666059_uchealth-greeley-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GreeleyHospital/8082
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 732e2668460640fc… · 238,032,236 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
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
C9301
HCPCS 		Drugs 1 $1,739,062.50 $1,739,062.50 $1,739,062.50 nat. median
$459,112
outlier · 3.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $4,816,375.00 $770,620.00 nat. median
$824,563
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $331,172.95 $1,394,804.44 $690,687.29 nat. median
$370,174
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $3,617,319.50 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $3,457,308.13 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $3,227,764.33 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $3,297,640.38 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $3,142,754.58 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $3,058,744.75 $489,304.61 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $215,341.08 $905,171.97 $448,228.27 nat. median
$265,286
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $164,348.43 $689,621.15 $341,490.57 nat. median
$206,368
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $163,390.99 $685,573.96 $339,486.46 nat. median
$202,986
1.7× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 2 $84,479.78 $282,631.58 $282,631.58 nat. median
$21,806
outlier · 13.0×
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
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 19 $55,272.32 $356,356.88 $272,832.00 nat. median
$66,682
outlier · 4.1×
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
90288
CPT 		Botulism Ig IV 1 $223,068.90 $223,068.90 $223,068.90 nat. median
$55,037
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $107,046.46 $447,400.22 $221,546.22 nat. median
$133,176
1.7× median
7
MS_DRG 		Lung Transplant 14 $100,160.23 $418,291.46 $207,131.97 nat. median
$122,708
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 7 $111,897.40 $493,665.00 $206,022.86 nat. median
$76,377
outlier · 2.7×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $93,036.36 $388,178.17 $192,220.30 nat. median
$117,303
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $87,793.75 $366,017.14 $181,246.48 nat. median
$108,660
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $87,694.42 $365,597.24 $181,038.55 nat. median
$98,017
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $85,420.40 $355,984.76 $176,278.58 nat. median
$98,905
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $84,296.39 $351,233.43 $173,925.79 nat. median
$102,358
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $79,989.81 $333,029.15 $164,911.29 nat. median
$100,136
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 14 $77,288.67 $321,611.10 $159,257.24 nat. median
$99,019
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $75,957.56 $315,984.44 $156,470.99 nat. median
$93,672
1.7× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 19 $699.96 $189,400.40 $154,402.50 nat. median
$21,340
outlier · 7.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $70,049.40 $291,010.08 $144,104.05 nat. median
$82,712
1.7× median
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 19 $140.90 $189,428.81 $141,762.76 nat. median
$3,461
outlier · 41.0×
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 19 $40.11 $188,947.37 $141,402.47 nat. median
$78
outlier · 1814.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $67,374.22 $279,701.85 $138,504.37 nat. median
$83,442
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $65,619.82 $272,285.77 $134,832.04 nat. median
$79,312
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $65,417.32 $271,429.82 $134,408.18 nat. median
$81,118
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $61,332.34 $254,162.24 $125,857.52 nat. median
$77,576
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $59,876.70 $248,009.09 $122,810.57 nat. median
$74,915
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $59,623.77 $246,939.96 $122,281.15 nat. median
$73,807
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $59,430.46 $246,122.77 $121,876.49 nat. median
$72,138
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $56,364.05 $233,160.78 $115,457.90 nat. median
$68,090
1.7× median
10
MS_DRG 		Pancreas Transplant 14 $56,036.25 $231,775.11 $114,771.74 nat. median
$68,882
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $56,013.33 $231,678.21 $114,723.75 nat. median
$64,027
1.8× median

Other procedures at this hospital

Browse this hospital's 19,988 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
             
E0764NUKF HCPCS Other Outpatient 2 1 — — $35,174.11 $38,559.06 $36,866.58 2025-11-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 14 — — $18,865.73 $74,651.76 $36,966.49 2025-11-01
93590 CPT Hb Radiant Ccl-perq Transcath Cls Paravalvr Leak 1 Mitral Valve 59 19 $51,085.00 $30,651.00 40% off $3,785.95 $46,998.20 $36,973.00 2025-11-01
93591 CPT Hb Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 59 19 $49,629.00 $29,777.40 40% off $3,136.79 $45,658.68 $36,973.00 2025-11-01
C2616 HCPCS Hb Brachy Tx Ns Spheres Yt-90 83 19 $54,397.38 $32,638.43 40% off $17,485.10 $50,045.59 $37,095.06 2025-11-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 14 — — $18,956.67 $75,036.13 $37,156.82 2025-11-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 22 14 — — $18,974.99 $75,113.65 $37,195.21 2025-11-01
709 MS_DRG Penis Procedures With Cc/mcc 22 14 — — $18,987.22 $75,165.33 $37,220.80 2025-11-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 14 — — $19,062.11 $75,481.87 $37,377.54 2025-11-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 14 — — $19,075.09 $75,536.78 $37,404.74 2025-11-01
333 MS_DRG Rectal Resection With Cc 22 14 — — $19,102.59 $75,653.06 $37,462.32 2025-11-01
113 MS_DRG Orbital Procedures With Cc/mcc 22 14 — — $19,170.61 $75,940.53 $37,604.67 2025-11-01
0266T CPT Outpatient Rates 19 14 — — $630.05 $45,000.50 $38,104.00 2025-11-01
J3055 HCPCS Talquetamab-tgvs 40 Mg/ml Subcutaneous Solution 58 19 $55,397.85 $33,238.71 40% off $72.62 $50,966.02 $38,141.42 2025-11-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 14 — — $19,440.35 $77,080.72 $38,169.28 2025-11-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 22 14 — — $19,471.67 $77,213.15 $38,234.85 2025-11-01
33230 CPT Hb Insert Dfib Pulse Gen Only W Exist Dual Lead 66 19 $56,420.00 $33,852.00 40% off $880.33 $51,906.40 $38,291.22 2025-11-01
E0766RRKF HCPCS Other Outpatient 2 1 — — $36,541.76 $40,058.33 $38,300.04 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $36,541.76 $40,058.33 $38,300.04 2025-11-01
397 MS_DRG Appendix Procedures With Mcc 22 14 — — $19,505.30 $77,355.27 $38,305.22 2025-11-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 14 — — $19,522.87 $77,429.56 $38,342.01 2025-11-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 14 — — $19,584.76 $77,691.19 $38,471.57 2025-11-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 22 14 — — $19,653.54 $77,981.89 $38,615.52 2025-11-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 22 14 — — $19,713.90 $78,237.06 $38,741.88 2025-11-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 14 — — $19,859.85 $78,853.99 $39,047.38 2025-11-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 14 — — $19,882.01 $78,947.66 $39,093.76 2025-11-01
33288 CPT Hb Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stimj/snsg Ld 58 19 $55,659.00 $33,395.40 40% off $1,774.67 $51,206.28 $39,239.60 2025-11-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 14 — — $19,991.27 $79,409.55 $39,322.48 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 14 — — $19,996.62 $79,432.16 $39,333.68 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $39,482.40 $98,459.44 $39,482.40 2025-11-01
545 MS_DRG Connective Tissue Disorders With Mcc 22 14 — — $20,168.56 $80,158.91 $39,693.55 2025-11-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 14 — — $20,246.49 $80,488.37 $39,856.69 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 14 — — $20,483.36 $81,489.67 $40,352.52 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 22 14 — — $20,491.76 $81,525.20 $40,370.12 2025-11-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 58 19 $58,677.05 $35,206.23 40% off $243.71 $53,982.89 $40,399.15 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 14 — — $20,584.24 $81,916.03 $40,563.65 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 14 — — $20,620.91 $82,071.07 $40,640.43 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 14 — — $20,713.36 $82,461.90 $40,833.96 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 22 14 — — $20,824.93 $82,933.48 $41,067.48 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 14 — — $20,913.56 $83,308.16 $41,253.01 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 14 — — $20,913.56 $83,308.16 $41,253.01 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 14 — — $20,941.07 $83,424.44 $41,310.60 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 14 — — $21,015.21 $83,737.75 $41,465.74 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 22 14 — — $21,038.88 $83,837.88 $41,515.32 2025-11-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 58 19 $61,000.00 $36,600.00 40% off $258.64 $56,120.00 $41,998.50 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 14 — — $21,358.27 $85,188.02 $42,183.90 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 14 — — $21,459.90 $85,617.61 $42,396.62 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 14 — — $21,530.96 $85,918.00 $42,545.37 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $42,853.91 $106,867.21 $42,853.91 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 14 — — $21,816.75 $87,126.02 $43,143.57 2025-11-01
33289 CPT Hb Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 59 19 $60,510.00 $36,306.00 40% off $1,169.72 $55,669.20 $43,264.65 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 14 — — $21,884.00 $87,410.26 $43,284.32 2025-11-01
849 MS_DRG Radiotherapy 22 14 — — $21,909.20 $87,516.85 $43,337.10 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 14 — — $21,995.55 $87,881.84 $43,517.83 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 14 — — $22,094.89 $88,301.74 $43,725.76 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 15 — — $16,000.00 $93,263.02 $43,755.66 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 14 — — $22,203.38 $88,760.40 $43,952.89 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 14 — — $22,208.74 $88,783.01 $43,964.08 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 14 — — $22,272.93 $89,054.33 $44,098.43 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 14 — — $22,386.03 $89,532.37 $44,335.15 2025-11-01
503 MS_DRG Foot Procedures With Mcc 22 14 — — $22,532.73 $90,152.53 $44,642.25 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 22 14 — — $22,595.38 $90,417.39 $44,773.40 2025-11-01
800 MS_DRG Splenic Procedures With Cc 22 14 — — $22,672.56 $90,743.62 $44,934.95 2025-11-01
93653 CPT Hb Ep Eval With Ablation Supravent Arrhythmia 59 19 $63,476.00 $38,085.60 40% off $2,910.38 $58,397.92 $45,385.34 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 14 — — $22,986.61 $92,071.15 $45,592.32 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 14 — — $23,137.14 $92,707.46 $45,907.42 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 14 — — $23,225.79 $93,082.14 $46,092.95 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 14 — — $23,257.87 $93,217.80 $46,160.12 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 14 — — $23,366.39 $93,676.46 $46,387.25 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 14 — — $23,380.13 $93,734.60 $46,416.04 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 14 — — $23,458.85 $94,067.29 $46,580.78 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 22 14 — — $23,517.68 $94,316.00 $46,703.94 2025-11-01
570 MS_DRG Skin Debridement With Mcc 22 14 — — $23,678.90 $94,997.53 $47,041.43 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 14 — — $23,701.83 $95,094.43 $47,089.40 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 14 — — $23,717.11 $95,159.03 $47,121.39 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 14 — — $23,948.63 $96,137.72 $47,606.03 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 14 — — $24,257.35 $97,442.64 $48,252.21 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 14 — — $24,282.55 $97,549.23 $48,304.99 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 14 — — $24,285.61 $97,562.15 $48,311.39 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 14 — — $24,382.65 $97,972.36 $48,514.51 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $48,901.12 $121,947.45 $48,901.12 2025-11-01
263 MS_DRG Vein Ligation And Stripping 22 14 — — $24,567.57 $98,754.02 $48,901.58 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 14 — — $24,598.91 $98,886.45 $48,967.16 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 58 19 $71,434.71 $42,860.83 40% off $227.28 $65,719.93 $49,182.79 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 14 — — $24,963.39 $100,427.16 $49,730.10 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 14 — — $25,005.42 $100,604.81 $49,818.07 2025-11-01
0520T CPT Hb Radiant Ccl-rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 59 19 $69,790.00 $41,874.00 40% off $10,465.33 $64,206.80 $49,899.85 2025-11-01
0515T CPT Hb Radiant Ccl-insertion Wrls Car Stimulator Lv Pacg Compl Sys 59 19 $69,790.00 $41,874.00 40% off $11,146.00 $64,206.80 $49,899.85 2025-11-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 73 19 $66,538.25 $39,922.95 40% off $149.40 $122,430.29 $49,903.69 2025-11-01
665 MS_DRG Prostatectomy With Mcc 22 14 — — $25,055.09 $100,814.76 $49,922.03 2025-11-01
33249 CPT Hb Insrt/repl Dfib W Leads Sngl/dual Chmb 59 19 $69,891.00 $41,934.60 40% off $3,221.37 $64,299.72 $49,972.07 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 14 — — $25,214.79 $101,489.83 $50,256.32 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 14 — — $25,271.32 $101,728.85 $50,374.68 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 14 — — $25,282.80 $101,777.30 $50,398.67 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 14 — — $25,351.55 $102,068.00 $50,542.62 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 14 — — $25,388.24 $102,223.04 $50,619.40 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 14 — — $25,484.52 $102,630.02 $50,820.93 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 14 — — $25,533.43 $102,836.74 $50,923.29 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 14 — — $25,557.11 $102,936.87 $50,972.87 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 14 — — $25,602.20 $103,127.44 $51,067.24 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 14 — — $25,736.67 $103,695.92 $51,348.74 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 14 — — $25,816.14 $104,031.84 $51,515.08 2025-11-01
J9226 HCPCS Supprelin La Implant 23 13 — — $38,683.35 $282,575.25 $51,577.80 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 14 — — $25,864.29 $104,235.33 $51,615.85 2025-11-01
652 MS_DRG Kidney Transplant 22 14 — — $25,882.62 $104,312.85 $51,654.24 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 14 — — $25,889.49 $104,341.92 $51,668.63 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 14 — — $25,923.88 $104,487.27 $51,740.60 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 58 19 $75,219.90 $45,131.94 40% off $197.83 $69,202.31 $51,788.90 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 14 — — $25,951.39 $104,603.55 $51,798.19 2025-11-01
93654 CPT Hb Ep Eval With Ablation Ventricular Tachycardia 59 19 $72,537.00 $43,522.20 40% off $3,507.12 $66,734.04 $51,863.96 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 14 — — $26,060.66 $105,065.44 $52,026.91 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 14 — — $26,357.90 $106,321.91 $52,649.10 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 22 14 — — $26,360.96 $106,334.83 $52,655.49 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 14 — — $26,446.53 $106,696.59 $52,834.63 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 14 — — $26,731.55 $107,901.38 $53,431.22 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 14 — — $27,239.69 $110,049.33 $54,494.86 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 14 — — $27,274.08 $110,194.68 $54,566.84 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 14 — — $27,402.46 $110,737.32 $54,835.54 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 22 14 — — $27,480.39 $111,066.78 $54,998.68 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 14 — — $27,602.65 $111,583.58 $55,254.60 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 14 — — $27,731.02 $112,126.22 $55,523.31 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 14 — — $27,853.28 $112,643.02 $55,779.22 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 22 14 — — $27,860.16 $112,672.09 $55,793.61 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 14 — — $28,097.80 $113,676.62 $56,291.04 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 14 — — $28,152.82 $113,909.18 $56,406.21 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 14 — — $28,379.76 $114,868.49 $56,881.24 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 14 — — $28,401.91 $114,962.16 $56,927.62 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 14 — — $28,427.90 $115,071.98 $56,982.01 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 14 — — $28,450.82 $115,168.88 $57,029.99 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 14 — — $28,491.32 $115,340.07 $57,114.76 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 14 — — $28,518.83 $115,456.35 $57,172.34 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 14 — — $28,582.25 $115,724.44 $57,305.10 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 14 — — $28,762.58 $116,486.72 $57,682.57 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 14 — — $28,803.84 $116,661.14 $57,768.93 2025-11-01
265 MS_DRG Aicd Lead Procedures 22 14 — — $28,852.74 $116,867.86 $57,871.30 2025-11-01
332 MS_DRG Rectal Resection With Mcc 22 14 — — $28,871.85 $116,948.61 $57,911.29 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 14 — — $28,910.07 $117,110.11 $57,991.26 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 14 — — $28,931.46 $117,200.55 $58,036.04 2025-11-01
33270 CPT Hb Insert/replace S-icd W Subq Lead 59 19 $81,589.00 $48,953.40 40% off $1,982.53 $75,061.88 $58,336.14 2025-11-01
A9543 HCPCS Hb Radiant-yttriumy90ibritumomabtiuxetan/dose To 40 Mci 73 19 $78,248.14 $46,948.89 40% off $23,357.21 $355,153.45 $58,686.11 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 14 — — $29,260.79 $118,592.68 $58,725.41 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 14 — — $29,272.25 $118,641.13 $58,749.40 2025-11-01
791 MS_DRG Prematurity With Major Problems 22 14 — — $5,377.00 $131,105.70 $58,758.08 2025-11-01
33287 CPT Hb Radiant-rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 58 19 $83,651.00 $50,190.60 40% off $1,385.43 $76,958.92 $58,973.96 2025-11-01
0571T CPT Hb Insert/rplcmt Icds W/substernal Electrode 59 19 $82,751.00 $49,650.60 40% off $11,146.00 $76,130.92 $59,166.97 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 14 — — $29,522.12 $119,697.34 $59,272.42 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 14 — — $29,682.58 $120,375.64 $59,608.31 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 14 — — $29,762.82 $120,714.79 $59,776.24 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 14 — — $29,765.87 $120,727.71 $59,782.65 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 14 — — $29,833.88 $121,015.18 $59,925.00 2025-11-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 58 19 $87,117.85 $52,270.71 40% off $304.88 $80,148.42 $59,980.64 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 14 — — $29,959.19 $121,544.90 $60,187.31 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 22 14 — — $5,377.00 $134,678.08 $60,359.13 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 14 — — $30,542.21 $124,009.39 $61,407.68 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 14 — — $30,709.55 $124,716.76 $61,757.96 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 14 — — $30,782.14 $125,023.61 $61,909.91 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 14 — — $30,961.72 $125,782.66 $62,285.79 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 14 — — $31,096.97 $126,354.37 $62,568.88 2025-11-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 69 19 $176,656.00 $105,993.60 40% off $183.48 $162,523.52 $63,066.19 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 13 — — $63,342.28 $395,222.58 $63,342.28 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 14 — — $31,648.67 $128,686.43 $63,723.69 2025-11-01
33276 CPT Hb Insertion Phrenic Nerve Stimulator System 58 19 $90,563.00 $54,337.80 40% off $2,053.83 $83,317.96 $63,846.92 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 14 — — $31,926.80 $129,862.15 $64,305.89 2025-11-01
93656 CPT Hb Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 59 19 $91,433.00 $54,859.80 40% off $3,298.81 $84,118.36 $65,374.60 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 14 — — $32,729.11 $133,253.65 $65,985.31 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 14 — — $32,939.24 $134,141.90 $66,425.16 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 14 — — $33,089.02 $134,774.98 $66,738.65 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 14 — — $33,212.80 $135,298.24 $66,997.76 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 14 — — $33,272.41 $135,550.18 $67,122.52 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 14 — — $33,310.61 $135,711.68 $67,202.49 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 14 — — $33,404.60 $136,108.97 $67,399.23 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 14 — — $33,420.64 $136,176.80 $67,432.81 2025-11-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $67,452.66 $67,452.66 $67,452.66 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 14 — — $33,475.65 $136,409.36 $67,547.97 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 14 — — $33,610.14 $136,977.84 $67,829.48 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 14 — — $33,797.36 $137,769.19 $68,221.35 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 14 — — $34,008.25 $138,660.67 $68,662.79 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 14 — — $34,271.87 $139,775.02 $69,214.60 2025-11-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 58 19 $101,888.00 $61,132.80 40% off $217.09 $93,736.96 $70,149.89 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 14 — — $34,771.60 $141,887.44 $70,260.64 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 58 19 $102,688.80 $61,613.28 40% off $50.69 $94,473.70 $70,701.24 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 14 — — $35,307.25 $144,151.67 $71,381.85 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 14 — — $35,441.74 $144,720.15 $71,663.36 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 22 14 — — $35,451.67 $144,762.14 $71,684.15 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 22 14 — — $35,811.57 $146,283.47 $72,437.49 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 14 — — $35,947.58 $146,858.41 $72,722.19 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 14 — — $35,962.87 $146,923.01 $72,754.18 2025-11-01
245 MS_DRG Aicd Generator Procedures 22 14 — — $36,067.55 $147,365.52 $72,973.30 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 14 — — $36,238.71 $148,089.04 $73,331.58 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 14 — — $36,328.11 $148,466.95 $73,518.72 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 14 — — $36,496.23 $149,177.55 $73,870.60 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 22 14 — — $36,637.58 $149,775.10 $74,166.50 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 14 — — $36,949.34 $151,092.94 $74,819.07 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 14 — — $37,056.31 $151,545.14 $75,042.99 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 14 — — $37,129.68 $151,855.22 $75,196.55 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 14 — — $37,583.57 $153,773.84 $76,146.62 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 14 — — $37,915.95 $155,178.89 $76,842.38 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 14 — — $38,102.40 $155,967.01 $77,232.64 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $38,656.39 $158,308.76 $78,392.24 2025-11-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 58 19 $113,967.30 $68,380.38 40% off $2,698.05 $104,849.92 $78,466.49 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 14 — — $38,813.03 $158,970.91 $78,720.13 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 14 — — $38,942.15 $159,516.78 $78,990.43 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 14 — — $39,009.41 $159,801.02 $79,131.19 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 14 — — $39,315.05 $161,093.02 $79,770.97 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $39,718.50 $162,798.46 $80,615.48 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 22 14 — — $40,912.06 $167,843.72 $83,113.82 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 14 — — $40,980.83 $168,134.42 $83,257.77 2025-11-01
K0606NUKF HCPCS Other Outpatient 2 1 — — $80,040.86 $87,743.54 $83,892.20 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 14 — — $41,522.58 $170,424.49 $84,391.78 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 14 — — $41,656.31 $170,989.74 $84,671.68 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 14 — — $41,929.86 $172,146.08 $85,244.29 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $41,954.31 $172,249.44 $85,295.47 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 14 — — $5,377.00 $191,975.05 $86,038.11 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 14 — — $42,714.61 $175,463.29 $86,886.92 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 14 — — $42,881.19 $176,167.43 $87,235.60 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 14 — — $42,946.91 $176,445.21 $87,373.15 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 14 — — $43,006.50 $176,697.15 $87,497.92 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 22 14 — — $43,154.74 $177,323.77 $87,808.21 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 14 — — $43,407.67 $178,392.90 $88,337.62 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 14 — — $43,737.76 $179,788.26 $89,028.58 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 14 — — $44,031.18 $181,028.58 $89,642.77 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $44,164.14 $181,590.60 $89,921.08 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 14 — — $44,756.33 $184,093.85 $91,160.65 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 14 — — $44,812.86 $184,332.87 $91,279.01 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 14 — — $44,991.69 $185,088.69 $91,653.29 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 14 — — $45,272.88 $186,277.33 $92,241.88 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $93,216.70 $93,216.70 $93,216.70 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 14 — — $46,019.41 $189,433.04 $93,804.54 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 14 — — $46,048.45 $189,555.78 $93,865.32 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 14 — — $46,515.34 $191,529.31 $94,842.58 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 14 — — $46,770.56 $192,608.13 $95,376.80 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 14 — — $47,102.94 $194,013.18 $96,072.57 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 22 14 — — $47,115.93 $194,068.09 $96,099.76 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 14 — — $47,530.84 $195,821.98 $96,968.26 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 14 — — $47,979.38 $197,717.99 $97,907.13 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 14 — — $48,033.64 $197,947.32 $98,020.69 2025-11-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 58 19 $134,075.75 $80,445.45 40% off $28,424.06 $169,190.83 $100,556.82 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 14 — — $50,374.13 $207,840.81 $102,919.80 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $51,265.85 $211,610.22 $104,786.37 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $51,448.47 $212,382.19 $105,168.64 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $51,448.47 $212,382.19 $105,168.64 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 14 — — $52,260.73 $215,815.68 $106,868.86 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 14 — — $52,298.19 $215,973.95 $106,947.23 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 14 — — $52,638.97 $217,414.53 $107,660.58 2025-11-01
E0194NU HCPCS Other Outpatient 2 1 — — $103,435.38 $113,389.41 $108,412.40 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 14 — — $53,760.69 $222,156.17 $110,008.57 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $110,139.19 $261,999.82 $110,139.19 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 14 — — $54,019.73 $223,251.14 $110,550.79 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 14 — — $55,690.09 $230,311.92 $114,047.18 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 14 — — $55,722.19 $230,447.58 $114,114.36 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 14 — — $56,013.33 $231,678.21 $114,723.75 2025-11-01
10 MS_DRG Pancreas Transplant 22 14 — — $56,036.25 $231,775.11 $114,771.74 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $56,364.05 $233,160.78 $115,457.90 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 14 — — $59,430.46 $246,122.77 $121,876.49 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 14 — — $59,623.77 $246,939.96 $122,281.15 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $59,876.70 $248,009.09 $122,810.57 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 14 — — $61,332.34 $254,162.24 $125,857.52 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 14 — — $65,417.32 $271,429.82 $134,408.18 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 14 — — $65,619.82 $272,285.77 $134,832.04 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 22 14 — — $67,374.22 $279,701.85 $138,504.37 2025-11-01
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 58 19 $205,377.58 $123,226.55 40% off $40.11 $188,947.37 $141,402.47 2025-11-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 58 19 $205,900.88 $123,540.53 40% off $140.90 $189,428.81 $141,762.76 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 14 — — $70,049.40 $291,010.08 $144,104.05 2025-11-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 49 19 $205,870.00 $123,522.00 40% off $699.96 $189,400.40 $154,402.50 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $75,957.56 $315,984.44 $156,470.99 2025-11-01
215 MS_DRG Other Heart Assist System Implant 22 14 — — $77,288.67 $321,611.10 $159,257.24 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 14 — — $79,989.81 $333,029.15 $164,911.29 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 14 — — $84,296.39 $351,233.43 $173,925.79 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $85,420.40 $355,984.76 $176,278.58 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 22 14 — — $87,694.42 $365,597.24 $181,038.55 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 14 — — $87,793.75 $366,017.14 $181,246.48 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $93,036.36 $388,178.17 $192,220.30 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 8 7 — — $111,897.40 $493,665.00 $206,022.86 2025-11-01
7 MS_DRG Lung Transplant 22 14 — — $100,160.23 $418,291.46 $207,131.97 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 22 14 — — $107,046.46 $447,400.22 $221,546.22 2025-11-01
90288 CPT Botulism Ig IV 1 1 — — $223,068.90 $223,068.90 $223,068.90 2025-11-01
J3403 HCPCS Revakinagene, Per Implant 9 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 58 19 $365,410.00 $219,246.00 40% off $55,272.32 $356,356.88 $272,832.00 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
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $84,479.78 $282,631.58 $282,631.58 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 22 14 — — $163,390.99 $685,573.96 $339,486.46 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 14 — — $164,348.43 $689,621.15 $341,490.57 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 14 — — $215,341.08 $905,171.97 $448,228.27 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $489,304.61 $3,058,744.75 $489,304.61 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 9 — — $533,230.17 $3,142,754.58 $533,230.17 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 9 — — $557,317.93 $3,297,640.38 $557,317.93 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $562,538.19 $3,227,764.33 $562,538.19 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $565,868.95 $3,457,308.13 $565,868.95 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 9 — — $591,726.20 $3,617,319.50 $591,726.20 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 14 — — $331,172.95 $1,394,804.44 $690,687.29 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 11 9 — — $770,620.00 $4,816,375.00 $770,620.00 2025-11-01
C9301 HCPCS Drugs 2 1 — — $1,739,062.50 $1,739,062.50 $1,739,062.50 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 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
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 9 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-11-01
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