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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 HIGHLANDS RANCH HOSPITAL

Highlands Ranch, CO · CCN 060132 · Rates published

19,974 distinct procedures filed
19 distinct payers
568,925 rate rows
2025-11-01 last MRF observed
Data quality

566,890 of 568,925 rate rows are consumer-grade (99.6%)

2,035 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 961
placeholder amount (≤ $0.02) — excluded from medians 874
exceeds 10× this hospital's gross charge — excluded from medians 152
percent-of-charges filed in the dollar field — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8087/821885403_uchealth-highlands-ranch-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/HighlandRanchHospital/8087
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 4e2c4bc636229228… · 276,985,448 bytes · first seen 2026-05-13

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 $1,271,682.00 $565,868.95 nat. median
$675,122
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $332,643.51 $1,205,231.95 $562,542.34 nat. median
$370,174
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,172,582.42 $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 $1,159,555.20 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,159,555.20 $489,304.61 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $216,012.10 $782,147.05 $365,067.35 nat. median
$265,286
1.4× 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 14 $164,667.47 $595,892.46 $278,132.96 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $163,703.41 $592,395.33 $276,500.68 nat. median
$202,986
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 19 $55,272.32 $285,515.29 $211,239.94 nat. median
$66,682
outlier · 3.2×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $106,969.96 $386,592.57 $180,442.19 nat. median
$133,176
1.4× median
7
MS_DRG 		Lung Transplant 14 $100,036.21 $361,440.08 $168,702.26 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $92,863.15 $335,419.59 $156,557.18 nat. median
$117,303
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $87,584.34 $316,270.54 $147,619.36 nat. median
$108,660
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $87,484.34 $315,907.71 $147,450.01 nat. median
$98,017
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $85,194.62 $307,601.69 $143,573.17 nat. median
$98,905
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $84,062.84 $303,496.13 $141,656.90 nat. median
$102,358
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $79,726.54 $287,766.06 $134,314.88 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 14 $77,006.74 $277,899.87 $129,709.84 nat. median
$99,019
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $75,666.46 $273,037.95 $127,440.54 nat. median
$93,672
1.4× median
90288
CPT 		Botulism Ig IV 1 $126,145.95 $126,145.95 $126,145.95 nat. median
$55,037
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $69,717.53 $251,457.94 $117,368.06 nat. median
$82,712
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $67,023.89 $241,686.65 $112,807.31 nat. median
$83,442
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $110,139.19 $257,999.82 $110,139.19 nat. median
$111,989
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $65,257.34 $235,278.51 $109,816.31 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $65,053.46 $234,538.89 $109,471.09 nat. median
$81,118
1.3× median
E0194NU
HCPCS 		Other Outpatient 1 $100,838.67 $111,658.27 $106,248.47 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $60,940.30 $219,618.21 $102,506.86 nat. median
$77,576
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $59,474.61 $214,301.35 $100,025.21 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $59,219.92 $213,377.53 $99,594.02 nat. median
$73,807
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $59,025.28 $212,671.41 $99,264.44 nat. median
$72,138
1.4× median
J7330
HCPCS 		Hb Autologous Cultured Chondrocyctes, Implant 19 $64,228.01 $163,659.82 $95,227.08 nat. median
$76,377
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $55,937.71 $201,471.13 $94,036.70 nat. median
$68,090
1.4× median
10
MS_DRG 		Pancreas Transplant 14 $55,607.63 $200,273.79 $93,477.84 nat. median
$68,882
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $55,584.54 $200,190.06 $93,438.76 nat. median
$64,027
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $93,216.70 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $55,291.41 $199,126.69 $92,942.43 nat. median
$71,240
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $55,259.10 $199,009.46 $92,887.72 nat. median
$68,887
1.3× median

Other procedures at this hospital

Browse this hospital's 19,974 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
             
L8614 HCPCS Hb Or Impl Ear Cochlear Complete (30) 584 19 $70,917.57 $21,275.28 70% off $10,531.37 $159,564.54 $32,877.97 2025-11-01
C1767 HCPCS Hb Or-impl Pain Gen/stimulator (46) 575 19 $82,737.17 $24,821.16 70% off $10,531.37 $186,190.78 $39,524.72 2025-11-01
C1882 HCPCS Hb Aicd, Biventricular 503 19 $99,099.16 $29,729.75 70% off $13,459.71 $128,350.47 $43,365.83 2025-11-01
C1722 HCPCS Hb Icd Subcutaneous Generator 311 19 $66,323.63 $19,897.09 70% off $3,289.89 $108,152.63 $31,702.70 2025-11-01
C1721 HCPCS Hb Aicd, Dual Chamber 287 19 $68,671.94 $20,601.59 70% off $12,753.50 $93,345.82 $32,825.19 2025-11-01
C2616 HCPCS Hb Brachy Tx Ns Spheres Yt-90 80 19 $169,668.05 $50,900.42 70% off $17,485.10 $152,701.25 $69,394.23 2025-11-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 72 19 $75,347.92 $22,604.38 70% off $149.40 $103,980.05 $39,256.26 2025-11-01
C2624 HCPCS Hb Xper-abbott Sys Crd Cardiomems Mntr Dlv Pa 71 19 $74,250.00 $22,275.00 70% off $2,043.64 $66,825.00 $33,858.00 2025-11-01
C1815 HCPCS Hb Or-impl Urinary Incont Male (33) 71 19 $53,188.18 $15,956.46 70% off $18,690.33 $79,782.26 $33,295.80 2025-11-01
33230 CPT Hb Insert Dfib Pulse Gen Only W Exist Dual Lead 66 19 $76,432.00 $22,929.60 70% off $858.23 $52,738.08 $38,430.01 2025-11-01
33240 CPT Hb Insert Dfib Pulse Gen Only W Exist Sngl Lead 61 19 $73,601.00 $22,080.30 70% off $4,122.00 $50,784.69 $38,346.12 2025-11-01
37231 CPT Hb Revsc Opn/prq Tib/pero W/stnt/athr/angiop Sm Vsl 61 19 $67,743.00 $20,322.90 70% off $3,606.00 $46,742.67 $35,294.11 2025-11-01
37227 CPT Hb Radiant-revasc Fem Pop Stent Atherectomy Uni +/- Pta 61 19 $63,908.00 $19,172.40 70% off $3,606.00 $44,096.52 $33,296.07 2025-11-01
33264 CPT Hb Remv&replc Cvd Gen Mult Lead 58 19 $97,107.00 $29,132.10 70% off $3,478.00 $67,003.83 $50,557.87 2025-11-01
33263 CPT Hb Remv&replc Cvd Gen Dual Lead 58 19 $93,203.00 $27,960.90 70% off $3,478.00 $64,310.07 $48,558.76 2025-11-01
0515T CPT Hb Radiant Ccl-insertion Wrls Car Stimulator Lv Pacg Compl Sys 58 19 $78,240.00 $23,472.00 70% off $3,606.00 $53,985.60 $40,763.04 2025-11-01
0520T CPT Hb Radiant Ccl-rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 58 19 $78,240.00 $23,472.00 70% off $3,606.00 $53,985.60 $40,763.04 2025-11-01
33270 CPT Hb Insert/replace S-icd W Subq Lead 58 19 $75,244.00 $22,573.20 70% off $3,478.00 $51,918.36 $39,202.12 2025-11-01
33249 CPT Hb Insrt/repl Dfib W Leads Sngl/dual Chmb 58 19 $73,768.00 $22,130.40 70% off $4,122.00 $50,899.92 $38,433.13 2025-11-01
0571T CPT Hb Insert/rplcmt Icds W/substernal Electrode 58 19 $64,443.00 $19,332.90 70% off $4,122.00 $50,523.00 $33,574.81 2025-11-01
33262 CPT Hb Radiant Ccl-remv&replc Cvd Gen Sing Lead 58 19 $60,582.00 $18,174.60 70% off $3,478.00 $50,523.00 $31,563.22 2025-11-01
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 56 19 $413,790.28 $124,137.09 70% off $55,272.32 $285,515.29 $211,239.94 2025-11-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 56 19 $151,827.38 $45,548.22 70% off $28,424.06 $104,760.89 $78,568.74 2025-11-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 56 19 $153,107.56 $45,932.27 70% off $3,295.57 $105,644.22 $78,161.41 2025-11-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 56 19 $123,433.41 $37,030.03 70% off $2,210.45 $85,169.05 $63,012.76 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 56 19 $116,284.80 $34,885.44 70% off $54.07 $80,236.51 $59,363.39 2025-11-01
33276 CPT Hb Insertion Phrenic Nerve Stimulator System 56 19 $90,449.00 $27,134.70 70% off $3,478.00 $62,409.81 $46,174.26 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 56 19 $85,179.02 $25,553.71 70% off $197.83 $58,773.52 $43,483.89 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 56 19 $80,892.67 $24,267.81 70% off $227.28 $55,815.94 $41,295.71 2025-11-01
33287 CPT Hb Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 56 19 $79,691.00 $23,907.30 70% off $3,478.00 $54,986.79 $39,023.75 2025-11-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 56 19 $69,076.40 $20,722.92 70% off $258.64 $47,662.72 $35,263.50 2025-11-01
J0206 HCPCS Allopurinol 500 Mg Intravenous Solution 56 19 $67,301.08 $20,190.33 70% off $4.11 $46,437.75 $34,357.20 2025-11-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 56 19 $66,445.89 $19,933.77 70% off $243.71 $45,847.66 $33,920.63 2025-11-01
38240 CPT Hb Bmt/pbsct Allogeneic Infusion 56 19 $64,550.00 $19,365.00 70% off $3,734.00 $59,436.86 $33,630.55 2025-11-01
J7330 HCPCS Hb Autologous Cultured Chondrocyctes, Implant 47 19 $182,777.50 $54,833.25 70% off $64,228.01 $163,659.82 $95,227.08 2025-11-01
0909T CPT Hb Replacement Int Neurostimulation Sys Vagus Nerve 47 19 $121,083.00 $36,324.90 70% off $1,628.00 $83,547.27 $63,084.25 2025-11-01
0908T CPT Hb Open Impltj Int Neurostimulation Sys Vagus Nerve 47 19 $121,080.00 $36,324.00 70% off $1,628.00 $83,545.20 $63,082.68 2025-11-01
33231 CPT Insrt Pulse Gen W/mult Leads 27 14 — — $894.65 $50,523.00 $32,221.25 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 14 — — $332,643.51 $1,205,231.95 $562,542.34 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 14 — — $216,012.10 $782,147.05 $365,067.35 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 14 — — $164,667.47 $595,892.46 $278,132.96 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 23 14 — — $163,703.41 $592,395.33 $276,500.68 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 23 14 — — $106,969.96 $386,592.57 $180,442.19 2025-11-01
7 MS_DRG Lung Transplant 23 14 — — $100,036.21 $361,440.08 $168,702.26 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 14 — — $92,863.15 $335,419.59 $156,557.18 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 14 — — $87,584.34 $316,270.54 $147,619.36 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 23 14 — — $87,484.34 $315,907.71 $147,450.01 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 14 — — $85,194.62 $307,601.69 $143,573.17 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 14 — — $84,062.84 $303,496.13 $141,656.90 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 14 — — $79,726.54 $287,766.06 $134,314.88 2025-11-01
215 MS_DRG Other Heart Assist System Implant 23 14 — — $77,006.74 $277,899.87 $129,709.84 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $75,666.46 $273,037.95 $127,440.54 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 14 — — $69,717.53 $251,457.94 $117,368.06 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 23 14 — — $67,023.89 $241,686.65 $112,807.31 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 14 — — $65,257.34 $235,278.51 $109,816.31 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 14 — — $65,053.46 $234,538.89 $109,471.09 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 14 — — $60,940.30 $219,618.21 $102,506.86 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 14 — — $59,474.61 $214,301.35 $100,025.21 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 14 — — $59,219.92 $213,377.53 $99,594.02 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 14 — — $59,025.28 $212,671.41 $99,264.44 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 14 — — $55,937.71 $201,471.13 $94,036.70 2025-11-01
10 MS_DRG Pancreas Transplant 23 14 — — $55,607.63 $200,273.79 $93,477.84 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 14 — — $55,584.54 $200,190.06 $93,438.76 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 14 — — $55,291.41 $199,126.69 $92,942.43 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 14 — — $55,259.10 $199,009.46 $92,887.72 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 14 — — $53,577.21 $192,908.34 $90,040.02 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 14 — — $53,316.38 $191,962.19 $89,598.40 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 14 — — $52,186.92 $187,865.00 $87,686.04 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 14 — — $51,843.77 $186,620.22 $87,105.04 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 14 — — $51,806.07 $186,483.46 $87,041.20 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $50,988.21 $183,516.62 $85,656.43 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $50,988.21 $183,516.62 $85,656.43 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 14 — — $50,804.32 $182,849.57 $85,345.09 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 14 — — $49,906.44 $179,592.48 $83,824.84 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 14 — — $47,549.80 $171,043.64 $79,834.67 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 14 — — $47,495.17 $170,845.48 $79,742.18 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 14 — — $47,043.53 $169,207.17 $78,977.49 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 23 14 — — $46,625.75 $167,691.65 $78,270.12 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 14 — — $46,612.67 $167,644.21 $78,247.98 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 14 — — $46,278.00 $166,430.12 $77,681.30 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 14 — — $5,377.00 $165,883.09 $77,425.97 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 14 — — $46,021.02 $165,497.93 $77,246.20 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 14 — — $45,550.90 $163,792.63 $76,450.25 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 14 — — $45,521.66 $163,686.57 $76,400.75 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 14 — — $44,769.96 $160,959.76 $75,128.01 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 14 — — $44,486.84 $159,932.67 $74,648.62 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 14 — — $44,306.81 $159,279.58 $74,343.79 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 14 — — $44,249.87 $159,073.05 $74,247.39 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 14 — — $43,653.59 $156,910.02 $73,237.79 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 14 — — $43,519.71 $156,424.39 $73,011.12 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 14 — — $43,224.28 $155,352.64 $72,510.89 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 14 — — $42,891.89 $154,146.93 $71,948.12 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 23 14 — — $42,637.21 $153,223.11 $71,516.93 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 14 — — $42,487.96 $152,681.66 $71,264.20 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 14 — — $42,427.94 $152,463.96 $71,162.59 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 14 — — $42,361.77 $152,223.93 $71,050.56 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 14 — — $42,194.06 $151,615.49 $70,766.57 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 14 — — $41,428.51 $148,838.45 $69,470.39 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 14 — — $41,403.89 $148,749.14 $69,428.70 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 14 — — $41,128.44 $147,749.96 $68,962.33 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 14 — — $40,993.80 $147,261.53 $68,734.36 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 14 — — $40,448.30 $145,282.71 $67,810.75 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 23 14 — — $40,379.06 $145,031.52 $67,693.50 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 14 — — $39,177.28 $140,671.98 $65,658.69 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 14 — — $38,771.03 $139,198.33 $64,970.86 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 14 — — $38,463.27 $138,081.93 $64,449.78 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 14 — — $38,395.56 $137,836.33 $64,335.14 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 14 — — $38,265.54 $137,364.65 $64,114.99 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 14 — — $38,107.81 $136,792.49 $63,847.93 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 14 — — $37,550.00 $134,769.02 $62,903.47 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 14 — — $37,362.27 $134,088.01 $62,585.62 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 14 — — $37,027.59 $132,873.93 $62,018.94 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 14 — — $36,570.56 $131,216.07 $61,245.14 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 14 — — $36,496.69 $130,948.14 $61,120.08 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 14 — — $36,388.97 $130,557.40 $60,937.70 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 23 14 — — $36,075.08 $129,418.67 $60,406.20 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 14 — — $35,932.74 $128,902.34 $60,165.20 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 14 — — $35,763.47 $128,288.32 $59,878.61 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 14 — — $35,673.45 $127,961.77 $59,726.19 2025-11-01
245 MS_DRG Aicd Generator Procedures 23 14 — — $35,501.10 $127,336.58 $59,434.38 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 14 — — $35,395.70 $126,954.22 $59,255.91 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 14 — — $35,380.32 $126,898.40 $59,229.86 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 23 14 — — $35,243.37 $126,401.60 $58,997.98 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 23 14 — — $34,880.98 $125,087.04 $58,384.41 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 14 — — $34,870.97 $125,050.76 $58,367.47 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 14 — — $34,735.57 $124,559.54 $58,138.20 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 14 — — $34,196.21 $122,603.05 $57,225.01 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 14 — — $33,693.04 $120,777.73 $56,373.04 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 14 — — $33,427.60 $119,814.84 $55,923.61 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 14 — — $33,215.24 $119,044.52 $55,564.06 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 14 — — $33,026.74 $118,360.73 $55,244.90 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 14 — — $32,891.33 $117,869.51 $55,015.63 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 14 — — $32,835.93 $117,668.56 $54,921.83 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 14 — — $32,819.78 $117,609.95 $54,894.48 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 14 — — $32,725.14 $117,266.66 $54,734.24 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 14 — — $32,686.67 $117,127.11 $54,669.11 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 14 — — $32,626.65 $116,909.41 $54,567.50 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 14 — — $32,502.02 $116,457.27 $54,356.46 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 23 14 — — $5,377.00 $116,373.54 $54,317.38 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 14 — — $32,351.21 $115,910.23 $54,101.13 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 14 — — $32,139.63 $115,142.71 $53,742.89 2025-11-01
791 MS_DRG Prematurity With Major Problems 23 14 — — $5,377.00 $113,286.69 $52,876.59 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 14 — — $31,331.77 $112,212.16 $52,375.05 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 14 — — $31,051.71 $111,196.23 $51,900.87 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 14 — — $30,496.21 $109,181.13 $50,960.32 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 14 — — $30,360.02 $108,687.12 $50,729.74 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 14 — — $30,179.21 $108,031.24 $50,423.61 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 14 — — $30,106.13 $107,766.09 $50,299.85 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 14 — — $29,937.62 $107,154.86 $50,014.56 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 14 — — $29,350.59 $105,025.33 $49,020.60 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 14 — — $29,224.41 $104,567.61 $48,806.96 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 14 — — $29,155.93 $104,319.21 $48,691.02 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 14 — — $29,152.85 $104,308.04 $48,685.81 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 14 — — $29,072.06 $104,014.99 $48,549.02 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 14 — — $28,910.49 $103,428.88 $48,275.46 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 14 — — $28,658.89 $102,516.22 $47,849.47 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 14 — — $28,647.35 $102,474.36 $47,829.93 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 14 — — $28,315.75 $101,271.44 $47,268.47 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 14 — — $28,294.20 $101,193.29 $47,231.99 2025-11-01
332 MS_DRG Rectal Resection With Mcc 23 14 — — $28,255.73 $101,053.74 $47,166.86 2025-11-01
265 MS_DRG Aicd Lead Procedures 23 14 — — $28,236.50 $100,983.96 $47,134.29 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 14 — — $28,187.26 $100,805.34 $47,050.92 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 14 — — $28,145.71 $100,654.62 $46,980.57 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 14 — — $27,964.14 $99,995.95 $46,673.14 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 14 — — $27,900.28 $99,764.30 $46,565.01 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 14 — — $27,872.58 $99,663.82 $46,518.11 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 14 — — $27,831.80 $99,515.90 $46,449.07 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 14 — — $27,808.72 $99,432.17 $46,409.99 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 14 — — $27,782.57 $99,337.27 $46,365.70 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 14 — — $27,760.26 $99,256.33 $46,327.92 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 14 — — $27,531.74 $98,427.41 $45,941.02 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 14 — — $27,476.34 $98,226.45 $45,847.22 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 23 14 — — $27,237.06 $97,358.45 $45,442.08 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 14 — — $27,230.14 $97,333.33 $45,430.36 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 14 — — $27,107.03 $96,886.77 $45,221.93 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 14 — — $26,977.79 $96,417.89 $45,003.07 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 14 — — $26,854.66 $95,971.33 $44,794.64 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 14 — — $26,776.20 $95,686.64 $44,661.77 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 14 — — $26,646.94 $95,217.76 $44,442.91 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 14 — — $26,612.31 $95,092.16 $44,384.29 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 14 — — $26,100.68 $93,236.15 $43,518.00 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 14 — — $25,813.68 $92,195.10 $43,032.09 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 23 14 — — $25,727.52 $91,882.51 $42,886.19 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 14 — — $25,724.44 $91,871.35 $42,880.98 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 14 — — $25,425.14 $90,785.65 $42,374.23 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 14 — — $25,315.12 $90,386.54 $42,187.94 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 14 — — $25,287.42 $90,286.06 $42,141.04 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 14 — — $25,252.80 $90,160.46 $42,082.42 2025-11-01
652 MS_DRG Kidney Transplant 23 14 — — $25,245.87 $90,135.35 $42,070.70 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 14 — — $25,227.41 $90,068.36 $42,039.43 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 23 14 — — $25,178.93 $89,892.53 $41,957.36 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 14 — — $25,098.92 $89,602.26 $41,821.88 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 14 — — $24,963.52 $89,111.05 $41,592.61 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 14 — — $24,918.11 $88,946.38 $41,515.75 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 14 — — $24,894.26 $88,859.86 $41,475.36 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 14 — — $24,845.03 $88,681.23 $41,391.99 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 14 — — $24,748.08 $88,329.57 $41,227.85 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 14 — — $24,711.15 $88,195.60 $41,165.32 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 14 — — $24,641.90 $87,944.41 $41,048.08 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 14 — — $24,630.35 $87,902.55 $41,028.54 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 14 — — $24,573.41 $87,696.01 $40,932.14 2025-11-01
665 MS_DRG Prostatectomy With Mcc 23 14 — — $24,412.62 $87,112.69 $40,659.87 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 14 — — $24,362.61 $86,931.28 $40,575.20 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 14 — — $24,320.29 $86,777.77 $40,503.55 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 14 — — $23,953.29 $85,446.47 $39,882.16 2025-11-01
263 MS_DRG Vein Ligation And Stripping 23 14 — — $23,921.75 $85,332.03 $39,828.75 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 14 — — $23,735.56 $84,656.61 $39,513.50 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 14 — — $23,637.84 $84,302.16 $39,348.05 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 14 — — $23,634.78 $84,290.99 $39,342.84 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 14 — — $23,609.37 $84,198.89 $39,299.85 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 14 — — $23,298.54 $83,071.32 $38,773.56 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 14 — — $23,065.42 $82,225.65 $38,378.84 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 14 — — $23,050.03 $82,169.83 $38,352.79 2025-11-01
570 MS_DRG Skin Debridement With Mcc 23 14 — — $23,026.95 $82,086.10 $38,313.71 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 23 14 — — $22,864.60 $81,497.20 $38,038.84 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 14 — — $22,805.36 $81,282.29 $37,938.53 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 14 — — $22,726.11 $80,994.82 $37,804.35 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 14 — — $22,712.26 $80,944.58 $37,780.91 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 14 — — $22,613.78 $80,587.33 $37,614.16 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 14 — — $22,603.02 $80,548.26 $37,595.92 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 23 14 — — $22,570.70 $80,431.04 $37,541.21 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 14 — — $22,481.45 $80,107.28 $37,390.10 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 14 — — $22,329.89 $79,557.46 $37,133.46 2025-11-01
800 MS_DRG Splenic Procedures With Cc 23 14 — — $22,013.66 $78,410.35 $36,598.05 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 23 14 — — $21,935.94 $78,128.46 $36,466.48 2025-11-01
503 MS_DRG Foot Procedures With Mcc 23 14 — — $21,872.85 $77,899.60 $36,359.66 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 14 — — $21,725.13 $77,363.73 $36,109.54 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 14 — — $21,611.27 $76,950.66 $35,916.74 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 14 — — $21,546.64 $76,716.22 $35,807.31 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 14 — — $21,541.25 $76,696.68 $35,798.20 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 14 — — $21,432.01 $76,300.36 $35,613.21 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 14 — — $21,331.98 $75,937.53 $35,443.86 2025-11-01
849 MS_DRG Radiotherapy 23 14 — — $21,245.04 $75,622.15 $35,296.66 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 14 — — $21,219.65 $75,530.04 $35,253.67 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 14 — — $21,151.94 $75,284.43 $35,139.03 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 14 — — $20,864.19 $74,240.60 $34,651.82 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 14 — — $20,792.63 $73,981.04 $34,530.67 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 14 — — $20,690.31 $73,609.83 $34,357.41 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 23 14 — — $20,368.69 $72,443.20 $33,812.88 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 23 14 — — $20,344.85 $72,356.68 $33,772.50 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 14 — — $20,270.22 $72,085.95 $33,646.14 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 14 — — $20,242.51 $71,985.47 $33,599.24 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 23 14 — — $20,242.51 $71,985.47 $33,599.24 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 23 14 — — $20,153.28 $71,661.72 $33,448.13 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 23 14 — — $20,040.93 $71,254.23 $33,257.93 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 14 — — $19,947.85 $70,916.52 $33,100.30 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 14 — — $19,910.91 $70,782.55 $33,037.77 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 23 14 — — $19,817.81 $70,444.84 $32,880.15 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 23 14 — — $19,809.35 $70,414.14 $32,865.82 2025-11-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 14 — — $19,570.84 $69,548.93 $32,461.98 2025-11-01
545 MS_DRG Connective Tissue Disorders With Mcc 23 14 — — $19,492.37 $69,264.25 $32,329.11 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 14 — — $19,319.25 $68,636.27 $32,036.00 2025-11-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 14 — — $19,313.86 $68,616.74 $32,026.88 2025-11-01
792 MS_DRG Prematurity Without Major Problems 23 14 — — $5,377.00 $68,357.17 $31,905.73 2025-11-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 14 — — $19,203.85 $68,217.62 $31,840.59 2025-11-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 23 14 — — $19,181.53 $68,136.68 $31,802.82 2025-11-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 23 14 — — $19,034.57 $67,603.60 $31,554.00 2025-11-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 23 14 — — $18,973.79 $67,383.11 $31,451.09 2025-11-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 14 — — $18,904.54 $67,131.92 $31,333.84 2025-11-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 14 — — $18,842.22 $66,905.85 $31,228.32 2025-11-01
397 MS_DRG Appendix Procedures With Mcc 23 14 — — $18,824.52 $66,841.66 $31,198.36 2025-11-01
0408T CPT Insj/rplc Cardiac Modulj Sys 22 14 — — $2,319.54 $50,523.00 $32,221.25 2025-11-01
0266T CPT Op Surgery 21 14 — — $614.23 $45,224.60 $35,979.00 2025-11-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 21 14 — — $3,606.00 $35,174.80 $31,688.00 2025-11-01
J9226 HCPCS Supprelin La Implant 20 13 — — $41,262.24 $125,081.49 $48,299.23 2025-11-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 14 — — $4,122.00 $50,523.00 $32,221.25 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 13 — — $63,342.28 $174,143.62 $63,342.28 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 9 — — $565,868.95 $1,271,682.00 $565,868.95 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $562,538.19 $1,172,582.42 $562,538.19 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 9 — — $533,230.17 $1,159,555.20 $533,230.17 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $489,304.61 $1,159,555.20 $489,304.61 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $110,139.19 $257,999.82 $110,139.19 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $48,901.12 $120,085.66 $48,901.12 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $42,853.91 $105,235.65 $42,853.91 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $39,482.40 $96,956.25 $39,482.40 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2025-11-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2025-11-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 9 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2025-11-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-11-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 9 9 — — $770,620.00 $770,620.00 $770,620.00 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 9 — — $591,726.20 $591,726.20 $591,726.20 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 9 — — $557,317.93 $557,317.93 $557,317.93 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
J3403 HCPCS Revakinagene, Per Implant 9 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 9 — — $205,640.00 $205,640.00 $205,640.00 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $93,216.70 $93,216.70 $93,216.70 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
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 9 — — $34,284.44 $34,284.44 $34,284.44 2025-11-01
E0194NU HCPCS Other Outpatient 2 1 — — $100,838.67 $111,658.27 $106,248.47 2025-11-01
K0606NUKF HCPCS Other Outpatient 2 1 — — $78,031.47 $86,403.94 $82,217.71 2025-11-01
E0766RRKF HCPCS Other Outpatient 2 1 — — $35,624.40 $39,446.76 $37,535.58 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $35,624.40 $39,446.76 $37,535.58 2025-11-01
E0764NUKF HCPCS Other Outpatient 2 1 — — $34,291.08 $37,970.38 $36,130.73 2025-11-01
E0483NU HCPCS Other Outpatient 2 1 — — $32,942.47 $36,477.07 $34,709.77 2025-11-01
K0864NU HCPCS Other Outpatient 2 1 — — $31,953.15 $35,381.60 $33,667.38 2025-11-01
90288 CPT Botulism Ig IV 1 1 — — $126,145.95 $126,145.95 $126,145.95 2025-11-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $39,018.98 $39,018.98 $39,018.98 2025-11-01
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