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

ST FRANCIS HOSPITAL - INTERQUEST

Colorado Springs, CO · CCN 060133 · Rates published

13,887 distinct procedures filed
25 distinct payers
457,353 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

443,157 of 457,353 rate rows are consumer-grade (96.9%)

14,196 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11,635
per-diem day rate — not a per-procedure price 2,089
template filing: same amount across many unrelated codes — excluded 250
exceeds 10× this hospital's gross charge — excluded from medians 114
placeholder amount (≤ $0.02) — excluded from medians 93
percent-of-charges filed in the dollar field — excluded from medians 15

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/10712/840405257_commonspirit-health-st-francis-interquest_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 d6e2c80e9635f96e… · 506,239,763 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
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $813,285.00 $813,285.00 $813,285.00 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $749,907.36 $749,907.36 $749,907.36 nat. median
$674,188
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $741,576.00 $741,576.00 $741,576.00 nat. median
$620,080
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $511,072.50 $1,022,145.00 $640,043.93 nat. median
$754,974
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $484,690.30 $969,380.60 $622,032.06 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $449,440.00 $898,880.00 $595,508.00 nat. median
$634,511
0.9× median
222
MS_DRG 		DRG 4 $205,602.00 $304,936.00 $280,715.50 nat. median
$63,570
outlier · 4.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $276,184.83 $610,557.22 $276,184.83 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $203,277.29 $449,078.00 $203,277.29 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $197,741.19 $436,816.38 $197,741.19 nat. median
$206,368
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $175,277.25 $175,277.25 $175,277.25 nat. median
$309,665
0.6× median
223
MS_DRG 		DRG 4 $131,297.00 $182,044.00 $165,486.00 nat. median
$44,728
outlier · 3.7×
224
MS_DRG 		DRG 4 $116,765.00 $177,858.00 $161,599.00 nat. median
$54,196
outlier · 3.0×
226
MS_DRG 		DRG 4 $131,630.00 $177,878.00 $161,569.50 nat. median
$49,935
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 $160,042.75 $353,320.01 $160,042.75 nat. median
$202,986
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $157,644.10 $157,644.10 $157,644.10 nat. median
$246,434
0.6× median
225
MS_DRG 		DRG 4 $116,765.00 $162,137.00 $147,923.00 nat. median
$48,649
outlier · 3.0×
24
APR_DRG 		Heart And/or Lung Transplant 5 $137,317.99 $137,317.99 $137,317.99 nat. median
$234,738
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $136,966.19 $136,966.19 $136,966.19 nat. median
$207,730
0.7× median
34
APR_DRG 		Bone Marrow Transplant 5 $129,453.40 $129,453.40 $129,453.40 nat. median
$209,067
0.6× median
227
MS_DRG 		DRG 4 $98,290.00 $132,824.00 $126,673.50 nat. median
$39,020
outlier · 3.2×
5833
APR_DRG 		Neonate With Ecmo 5 $126,055.69 $126,055.69 $126,055.69 nat. median
$244,017
0.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $116,645.23 $116,645.23 $116,645.23 nat. median
$105,658
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $115,560.60 $115,560.60 $115,560.60 nat. median
$160,267
0.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $114,595.72 $114,595.72 $114,595.72 nat. median
$156,126
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $111,609.40 $111,609.40 $111,609.40 nat. median
$129,535
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 15 $110,508.18 $243,608.40 $110,508.18 nat. median
$133,176
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $103,978.58 $103,978.58 $103,978.58 nat. median
$182,736
0.6× median
33270
CPT 		Hc Insert/replace (sicd) Subcutaneous Icd System 25 $560.26 $167,409.00 $101,694.79 nat. median
$32,221
outlier · 3.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $96,253.23 $96,253.23 $96,253.23 nat. median
$164,279
0.6× median
33991
CPT 		Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 20 $441.54 $100,931.68 $93,252.10 nat. median
$4,276
outlier · 21.8×
7
MS_DRG 		Lung Transplant 15 $92,299.44 $203,278.78 $92,299.44 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $92,132.59 $202,909.23 $92,132.59 nat. median
$108,660
0.8× median
C1822
HCPCS 		Hc Implant Gen, Neuro, Hf, Rechg Bat 25 $40,781.48 $138,959.10 $89,870.29 nat. median
$31,540
outlier · 2.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $89,099.13 $89,099.13 $89,099.13 nat. median
$151,838
0.6× median
624000007
CPT 		Hc Fda Ide G190285 Amplatz Cardiac Plug 25 $33,000.34 $92,000.94 $88,500.90 —
230
MS_DRG 		DRG 2 $72,214.00 $97,587.00 $87,828.00 nat. median
$29,793
outlier · 2.9×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $53,426.66 $120,701.30 $87,553.03 nat. median
$66,682
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $86,683.49 $86,683.49 $86,683.49 nat. median
$162,982
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $86,272.51 $189,930.03 $86,272.51 nat. median
$117,303
0.7× median
64
APR_DRG 		Pancreas Transplant 5 $85,816.01 $85,816.01 $85,816.01 nat. median
$91,748
0.9× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 5 $85,420.09 $85,420.09 $85,420.09 nat. median
$57,769
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $84,150.38 $84,150.38 $84,150.38 nat. median
$93,528
0.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $84,015.74 $84,015.74 $84,015.74 nat. median
$93,260
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $82,146.14 $82,146.14 $82,146.14 nat. median
$68,217
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $81,544.52 $81,544.52 $81,544.52 nat. median
$150,721
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $81,108.28 $178,492.04 $81,108.28 nat. median
$102,358
0.8× median
33264
CPT 		Hc Replace Generator Only (icd) Multiple 20 $403.60 $167,409.00 $78,795.37 nat. median
$31,873
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $77,960.50 $255,479.00 $77,960.50 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $76,948.91 $249,811.00 $76,948.91 nat. median
$99,019
0.8× median

Other procedures at this hospital

Browse this hospital's 13,887 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
             
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 66 25 $114,909.36 $45,963.74 60% off $560.26 $167,409.00 $101,694.79 2024-12-02
C1822 HCPCS Hc Implant Gen, Neuro, Hf, Rechg Bat 46 25 $151,042.50 $60,417.00 60% off $40,781.48 $138,959.10 $89,870.29 2024-12-02
624000007 CPT Hc Fda Ide G190285 Amplatz Cardiac Plug 52 25 $100,001.02 $40,000.41 60% off $33,000.34 $92,000.94 $88,500.90 2024-12-02
0812 RC Hc Liver Fee 84 25 $125,924.19 $50,369.68 60% off $28,165.05 $127,744.67 $75,533.54 2024-12-02
C1767 HCPCS Hc Implant Neurostim Generator 46 25 $125,580.63 $50,232.25 60% off $33,906.77 $115,534.18 $74,720.48 2024-12-02
33249 CPT Hc Ins Rpl Icd System Dual 66 25 $77,952.53 $31,181.01 60% off $909.57 $167,409.00 $68,987.99 2024-12-02
62361 CPT Hc Impl Repl Epi Pump Nonprog 66 25 $74,602.40 $29,840.96 60% off $443.67 $68,634.21 $66,023.12 2024-12-02
0811 RC Hc Living Donor/stand Acquisition 52 25 $72,910.01 $29,164.00 60% off $24,060.30 $67,077.21 $64,525.36 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 48 25 $108,194.38 $43,277.75 60% off $532.29 $99,538.83 $63,293.71 2024-12-02
A9543 HCPCS Y-90 Zevalin 52 25 $70,810.44 $28,324.18 60% off $17,702.61 $108,036.36 $62,667.24 2024-12-02
0431T CPT Hc Replace Neurostimulator Generator Only For Central Sleep Apnea 52 25 $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 52 25 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $60,052.69 2024-12-02
C1824 HCPCS Hc Implant Generator Cardiac Contracility Modulation 46 25 $95,550.00 $38,220.00 60% off $25,798.50 $87,906.00 $56,852.25 2024-12-02
93656 CPT Hc Comp Ep Eval W Pv Iso Abl 63 25 $60,647.73 $24,259.09 60% off $938.31 $58,710.00 $53,673.24 2024-12-02
93653 CPT Hc Comp Ep Eval W Svt Abl 63 25 $60,337.69 $24,135.08 60% off $827.44 $58,710.00 $53,398.86 2024-12-02
64568 CPT Hc Incis/implant Cranial Nerve Stim Electrode 66 25 $58,791.60 $23,516.64 60% off $611.23 $54,088.27 $52,030.57 2024-12-02
33362 CPT Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach 66 25 $57,180.66 $22,872.26 60% off $1,267.00 $52,606.21 $50,604.89 2024-12-02
93654 CPT Hc Comp Ep Eval W Vt Abl Wwo 3dmp 63 25 $55,770.79 $22,308.32 60% off $997.20 $58,710.00 $49,357.15 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 66 25 $54,431.64 $21,772.66 60% off $382.92 $167,409.00 $48,172.00 2024-12-02
33364 CPT Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach 66 25 $54,399.14 $21,759.66 60% off $1,267.00 $50,047.21 $48,143.24 2024-12-02
37231 CPT Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves 66 25 $53,800.01 $21,520.00 60% off $714.18 $49,496.01 $47,613.01 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 46 25 $79,875.00 $31,950.00 60% off $21,566.25 $73,485.00 $47,525.62 2024-12-02
0409T CPT Hc Insert Cardiac Contractility Generator Only 52 25 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $47,043.52 2024-12-02
0408T CPT Hc Insert/replace Cardiac Contractility Modulation System 52 25 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $47,043.52 2024-12-02
33365 CPT Hc Tavr/tavi Aortic Valve Open Transaortic Approach 66 25 $50,567.85 $20,227.14 60% off $1,267.00 $46,522.42 $44,752.54 2024-12-02
36906 CPT Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Stent Wwo … 66 25 $49,412.68 $19,765.07 60% off $500.52 $45,459.67 $43,730.22 2024-12-02
33418 CPT Hc Transcatheter Repair Mitral Valve Including Transseptal Puncture Initial Pros… 69 25 $49,192.08 $19,676.83 60% off $1,267.00 $45,256.71 $43,534.99 2024-12-02
C1815 HCPCS Hc Implant Gu Urinary Sphnchtr 46 25 $68,015.30 $27,206.12 60% off $18,364.13 $62,574.08 $40,469.11 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 48 25 $69,000.33 $27,600.13 60% off $101.34 $63,480.30 $40,365.19 2024-12-02
Q4116 HCPCS Hc Skin Subst Alloderm Sq Cm 46 25 $67,306.14 $26,922.46 60% off $18,172.66 $61,921.65 $40,047.15 2024-12-02
77373 CPT Hc Stereotactic Body Radiation 73 25 $43,617.68 $17,447.07 60% off $1,067.97 $40,128.27 $38,601.65 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 48 25 $65,104.83 $26,041.93 60% off $16,276.21 $59,896.44 $38,086.32 2024-12-02
93583 CPT Hc Ablation Transcatheter Septal Reduction Therapy 66 25 $42,511.22 $17,004.49 60% off $721.26 $39,110.32 $37,622.43 2024-12-02
C9767 HCPCS Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent & Atherectomy Ilio/fem/pop … 52 25 $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 52 25 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $36,757.15 2024-12-02
0266T CPT Hc Insert/repl Carotid Sinus Baroflex Activation System 52 25 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $36,045.43 2024-12-02
0268T CPT Hc Insert/repl Carotid Sinus Baroflex Activation Generator Only 52 25 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $36,045.43 2024-12-02
37237 CPT Hc Plc Stent Art W/wo Anpl Adl 71 25 $40,595.16 $16,238.06 60% off $203.12 $37,347.55 $35,926.72 2024-12-02
C1721 HCPCS Hc Implant Aicd Dual 46 25 $59,777.67 $23,911.07 60% off $16,139.97 $54,995.46 $35,567.71 2024-12-02
37216 CPT Hc Plc Stent Cerv Carotid Wo Emb 52 25 $39,894.15 $15,957.66 60% off $1,267.00 $36,702.62 $35,306.32 2024-12-02
93591 CPT Hc Closure Paravalvular Leak Aortic Valve Initial 66 25 $39,761.66 $15,904.66 60% off $878.05 $36,580.73 $35,189.07 2024-12-02
33991 CPT Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 57 20 $109,708.35 $43,883.34 60% off $441.54 $100,931.68 $93,252.10 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 57 20 $89,034.31 $35,613.72 60% off $403.60 $167,409.00 $78,795.37 2024-12-02
61886 CPT Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 57 20 $76,338.17 $30,535.27 60% off $897.83 $73,070.00 $67,559.28 2024-12-02
62362 CPT Hc Impl Repl Epi Pump W Wo Progr 57 20 $74,602.40 $29,840.96 60% off $391.45 $68,634.21 $63,412.04 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 57 20 $65,317.97 $26,127.19 60% off $399.16 $167,409.00 $57,806.40 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 57 20 $64,164.18 $25,665.67 60% off $387.00 $167,409.00 $56,785.30 2024-12-02
33363 CPT Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach 57 20 $59,568.25 $23,827.30 60% off $1,267.00 $54,802.79 $50,633.01 2024-12-02
33361 CPT Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach 57 20 $54,399.14 $21,759.66 60% off $1,178.40 $50,047.21 $46,239.27 2024-12-02
33340 CPT Hc Closure Left Atrial Appendage With Implant Including Imaging 57 20 $53,798.50 $21,519.40 60% off $768.94 $49,494.62 $45,728.73 2024-12-02
33366 CPT Hc Tavr/tavi Aortic Valve Transapical Approach 57 20 $52,950.62 $21,180.25 60% off $1,267.00 $48,714.57 $45,008.03 2024-12-02
64582 CPT Hc Implant Hypoglossal Stim, Array & Sensor 57 20 $50,892.12 $20,356.85 60% off $871.81 $46,820.75 $43,258.30 2024-12-02
33262 CPT Hc Replace Generator Only (icd) Single 57 20 $46,241.07 $18,496.43 60% off $372.90 $167,409.00 $40,923.35 2024-12-02
36903 CPT Hc Inject Dialysis Circuit With Stent Wwo Pta Peripheral Segment 57 20 $47,221.23 $18,888.49 60% off $308.14 $43,443.53 $40,138.05 2024-12-02
33217 CPT Hc Insert Lead Only 2 Lead To Existing Icd/pacemaker Generator 57 20 $46,816.70 $18,726.68 60% off $369.40 $43,071.36 $39,794.20 2024-12-02
33289 CPT Hc Place Pulmonary Artery Pressure Sensor & Rt Heart Cath 57 20 $44,544.75 $17,817.90 60% off $326.81 $42,510.00 $39,422.11 2024-12-02
33240 CPT Hc Insert Generator Only (icd) To Existing Single Lead 57 20 $44,296.75 $17,718.70 60% off $365.36 $167,409.00 $39,202.62 2024-12-02
37227 CPT Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas 61 20 $55,438.74 $22,175.50 60% off $694.25 $51,003.64 $36,131.00 2024-12-02
93590 CPT Hc Closure Paravalvular Leak Mitral Valve Initial 57 20 $39,761.66 $15,904.66 60% off $1,064.54 $36,580.73 $35,189.07 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $58,216.41 $152,183.00 $58,216.41 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 25 18 — — $45,608.11 $116,940.00 $45,608.11 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 18 — — $41,710.62 $123,064.00 $41,710.62 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $39,760.75 $142,998.00 $39,760.75 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $35,301.35 $138,561.00 $35,301.35 2024-12-02
215 MS_DRG Other Heart Assist System Implant 22 17 — — $76,948.91 $249,811.00 $76,948.91 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $73,136.71 $184,865.00 $73,136.71 2024-12-02
453 MS_DRG DRG 25 17 — — $54,987.00 $312,162.00 $66,822.46 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $63,590.14 $311,529.00 $63,590.14 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 17 — — $61,239.23 $165,146.00 $61,239.23 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 17 — — $58,877.84 $153,602.00 $58,877.84 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 17 — — $51,807.88 $143,166.00 $51,807.88 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 17 — — $51,537.03 $112,996.18 $51,537.03 2024-12-02
459 MS_DRG DRG 25 17 — — $38,569.00 $185,328.00 $50,143.84 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $48,146.08 $160,757.00 $48,146.08 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 17 — — $47,254.20 $224,499.00 $47,254.20 2024-12-02
454 MS_DRG DRG 25 17 — — $46,283.01 $235,074.00 $46,283.01 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $45,976.24 $204,513.00 $45,976.24 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 17 — — $45,028.24 $159,870.00 $45,028.24 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 17 — — $44,519.45 $120,495.00 $44,519.45 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $43,143.47 $154,921.00 $43,143.47 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 17 — — $42,934.71 $122,876.00 $42,934.71 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 17 — — $42,896.56 $93,858.84 $42,896.56 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 17 — — $39,411.33 $117,740.00 $39,411.33 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 17 — — $30,194.00 $93,199.00 $39,326.79 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 17 — — $38,521.70 $226,687.00 $38,521.70 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 17 — — $38,356.34 $118,403.00 $38,356.34 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 17 — — $38,220.16 $148,337.00 $38,220.16 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 25 17 — — $21,271.00 $93,816.00 $37,324.54 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 17 — — $37,034.23 $168,564.00 $37,034.23 2024-12-02
455 MS_DRG DRG 25 17 — — $34,979.61 $166,455.00 $34,979.61 2024-12-02
245 MS_DRG Aicd Generator Procedures 25 17 — — $34,424.43 $94,995.00 $34,424.43 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $34,421.44 $168,740.00 $34,421.44 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $276,184.83 $610,557.22 $276,184.83 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 15 — — $203,277.29 $449,078.00 $203,277.29 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 19 15 — — $197,741.19 $436,816.38 $197,741.19 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 19 15 — — $160,042.75 $353,320.01 $160,042.75 2024-12-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 19 15 — — $110,508.18 $243,608.40 $110,508.18 2024-12-02
7 MS_DRG Lung Transplant 19 15 — — $92,299.44 $203,278.78 $92,299.44 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 15 — — $92,132.59 $202,909.23 $92,132.59 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 19 15 — — $86,272.51 $189,930.03 $86,272.51 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 15 — — $81,108.28 $178,492.04 $81,108.28 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 15 — — $77,960.50 $255,479.00 $77,960.50 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 15 — — $63,762.23 $140,073.17 $63,762.23 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 15 — — $60,328.64 $132,468.28 $60,328.64 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 15 — — $54,634.67 $119,856.99 $54,634.67 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 15 — — $53,162.92 $116,597.28 $53,162.92 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 19 15 — — $52,632.43 $115,422.32 $52,632.43 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 15 — — $52,294.23 $114,673.27 $52,294.23 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 19 15 — — $52,206.69 $114,479.38 $52,206.69 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 15 — — $51,941.82 $113,892.73 $51,941.82 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $47,044.70 $103,046.35 $47,044.70 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 15 — — $46,985.59 $102,915.43 $46,985.59 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 15 — — $46,737.18 $102,365.24 $46,737.18 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 15 — — $46,737.18 $102,365.24 $46,737.18 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 15 — — $46,470.81 $101,775.28 $46,470.81 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 15 — — $46,087.72 $100,926.79 $46,087.72 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 15 — — $45,762.25 $100,205.91 $45,762.25 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $43,041.71 $94,180.33 $43,041.71 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 19 15 — — $42,412.46 $92,786.63 $42,412.46 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 21 15 — — $41,025.25 $113,740.00 $41,025.25 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 15 — — $39,888.70 $139,905.00 $39,888.70 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 15 — — $39,100.07 $85,450.20 $39,100.07 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 15 — — $37,925.37 $120,962.00 $37,925.37 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 19 15 — — $37,590.91 $82,107.63 $37,590.91 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 23 15 — — $36,710.25 $255,479.00 $36,710.25 2024-12-02
10 MS_DRG Pancreas Transplant 23 15 — — $36,535.92 $255,479.00 $36,535.92 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 15 — — $36,485.04 $79,658.29 $36,485.04 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 15 — — $36,302.47 $79,253.93 $36,302.47 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 15 — — $36,109.43 $80,274.77 $36,109.43 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 15 — — $35,988.22 $78,557.91 $35,988.22 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 19 15 — — $35,787.69 $78,113.78 $35,787.69 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 15 — — $15,729.00 $125,134.00 $34,315.19 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 15 — — $34,203.71 $74,605.49 $34,203.71 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 15 — — $34,170.78 $80,568.00 $34,170.78 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $13,574.00 $73,917.75 $33,893.19 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 15 — — $33,653.76 $73,387.44 $33,653.76 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 14 — — $45,413.58 $64,933.08 $45,413.58 2024-12-02
0427T CPT Hc Insert Neurostimulator Generator Only For Central Sleep Apnea 29 11 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $57,677.73 2024-12-02
0414T CPT Hc Replace Cardiac Contractility Generator Only 29 11 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $45,183.04 2024-12-02
0483T CPT Hc Transcatheter Replacement Valve Mitral Tmvi Percutaneous Approach 29 11 $51,202.15 $20,480.86 60% off $1,267.00 $47,105.98 $43,521.83 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 25 11 $97,449.98 $38,979.99 60% off $153.96 $89,653.98 $37,030.99 2024-12-02
C9602 HCPCS Hc Cor Atherectomy & Drug-eluting Stent Inital Ves 29 11 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $36,757.15 2024-12-02
C9775 HCPCS Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent With Atherectomy Tib/pero Artery(… 29 11 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $35,303.48 2024-12-02
247 MS_DRG DRG 8 6 — — $31,134.00 $63,640.00 $54,516.00 2024-12-02
5834 APR_DRG Neonate With Ecmo 5 5 — — $175,277.25 $175,277.25 $175,277.25 2024-12-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $157,644.10 $157,644.10 $157,644.10 2024-12-02
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $137,317.99 $137,317.99 $137,317.99 2024-12-02
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $136,966.19 $136,966.19 $136,966.19 2024-12-02
34 APR_DRG Bone Marrow Transplant 5 5 — — $129,453.40 $129,453.40 $129,453.40 2024-12-02
5833 APR_DRG Neonate With Ecmo 5 5 — — $126,055.69 $126,055.69 $126,055.69 2024-12-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $116,645.23 $116,645.23 $116,645.23 2024-12-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $115,560.60 $115,560.60 $115,560.60 2024-12-02
5832 APR_DRG Neonate With Ecmo 5 5 — — $114,595.72 $114,595.72 $114,595.72 2024-12-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $111,609.40 $111,609.40 $111,609.40 2024-12-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $103,978.58 $103,978.58 $103,978.58 2024-12-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $96,253.23 $96,253.23 $96,253.23 2024-12-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $89,099.13 $89,099.13 $89,099.13 2024-12-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $86,683.49 $86,683.49 $86,683.49 2024-12-02
64 APR_DRG Pancreas Transplant 5 5 — — $85,816.01 $85,816.01 $85,816.01 2024-12-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $85,420.09 $85,420.09 $85,420.09 2024-12-02
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $84,150.38 $84,150.38 $84,150.38 2024-12-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $84,015.74 $84,015.74 $84,015.74 2024-12-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $82,146.14 $82,146.14 $82,146.14 2024-12-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $81,544.52 $81,544.52 $81,544.52 2024-12-02
246 MS_DRG DRG 7 5 — — $43,588.00 $89,232.00 $76,735.00 2024-12-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $76,378.62 $76,378.62 $76,378.62 2024-12-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $76,204.44 $76,204.44 $76,204.44 2024-12-02
5831 APR_DRG Neonate With Ecmo 5 5 — — $72,572.38 $72,572.38 $72,572.38 2024-12-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $71,425.87 $71,425.87 $71,425.87 2024-12-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $70,086.84 $70,086.84 $70,086.84 2024-12-02
4404 APR_DRG Kidney Transplant 5 5 — — $69,784.88 $69,784.88 $69,784.88 2024-12-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $69,435.37 $69,435.37 $69,435.37 2024-12-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $69,127.68 $69,127.68 $69,127.68 2024-12-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $68,248.18 $68,248.18 $68,248.18 2024-12-02
33 APR_DRG Bone Marrow Transplant 5 5 — — $68,201.19 $68,201.19 $68,201.19 2024-12-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $67,172.14 $67,172.14 $67,172.14 2024-12-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $66,314.97 $66,314.97 $66,314.97 2024-12-02
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $65,235.50 $65,235.50 $65,235.50 2024-12-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $64,814.37 $64,814.37 $64,814.37 2024-12-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,235.09 $64,235.09 $64,235.09 2024-12-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $63,782.45 $63,782.45 $63,782.45 2024-12-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $61,712.88 $61,712.88 $61,712.88 2024-12-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $60,246.65 $60,246.65 $60,246.65 2024-12-02
8634 APR_DRG Neonatal Aftercare 5 5 — — $60,113.72 $60,113.72 $60,113.72 2024-12-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $59,127.64 $59,127.64 $59,127.64 2024-12-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $58,831.99 $58,831.99 $58,831.99 2024-12-02
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $58,579.88 $58,579.88 $58,579.88 2024-12-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $57,851.06 $57,851.06 $57,851.06 2024-12-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $57,083.86 $57,083.86 $57,083.86 2024-12-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $56,457.03 $56,457.03 $56,457.03 2024-12-02
63 APR_DRG Pancreas Transplant 5 5 — — $55,352.91 $55,352.91 $55,352.91 2024-12-02
62 APR_DRG Pancreas Transplant 5 5 — — $53,703.91 $53,703.91 $53,703.91 2024-12-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $51,477.92 $51,477.92 $51,477.92 2024-12-02
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $51,251.59 $51,251.59 $51,251.59 2024-12-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $51,004.64 $51,004.64 $51,004.64 2024-12-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $50,957.66 $50,957.66 $50,957.66 2024-12-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $49,944.65 $49,944.65 $49,944.65 2024-12-02
4014 APR_DRG Adrenal Procedures 5 5 — — $49,326.99 $49,326.99 $49,326.99 2024-12-02
249 MS_DRG DRG 7 5 — — $38,857.00 $54,892.00 $49,279.00 2024-12-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $49,138.48 $49,138.48 $49,138.48 2024-12-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,757.05 $47,757.05 $47,757.05 2024-12-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $47,722.10 $47,722.10 $47,722.10 2024-12-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $47,343.37 $47,343.37 $47,343.37 2024-12-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $47,210.44 $47,210.44 $47,210.44 2024-12-02
6904 APR_DRG Acute Leukemia 5 5 — — $47,147.41 $47,147.41 $47,147.41 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 5 5 — — $46,730.86 $46,730.86 $46,730.86 2024-12-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 — — $46,645.49 $46,645.49 $46,645.49 2024-12-02
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $46,585.33 $46,585.33 $46,585.33 2024-12-02
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $46,379.63 $46,379.63 $46,379.63 2024-12-02
234 APR_DRG Spinal Procedures 5 5 — — $45,607.27 $45,607.27 $45,607.27 2024-12-02
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $45,430.79 $45,430.79 $45,430.79 2024-12-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $45,327.66 $45,327.66 $45,327.66 2024-12-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $45,261.19 $45,261.19 $45,261.19 2024-12-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $45,242.28 $45,242.28 $45,242.28 2024-12-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $45,026.85 $45,026.85 $45,026.85 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $44,604.00 $44,604.00 $44,604.00 2024-12-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $44,139.89 $44,139.89 $44,139.89 2024-12-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $43,965.13 $43,965.13 $43,965.13 2024-12-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $43,571.50 $43,571.50 $43,571.50 2024-12-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $43,548.01 $43,548.01 $43,548.01 2024-12-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $43,129.74 $43,129.74 $43,129.74 2024-12-02
4034 APR_DRG Procedures For Obesity 5 5 — — $42,955.56 $42,955.56 $42,955.56 2024-12-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $42,939.52 $42,939.52 $42,939.52 2024-12-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $42,715.49 $42,715.49 $42,715.49 2024-12-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $42,608.91 $42,608.91 $42,608.91 2024-12-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $41,673.25 $41,673.25 $41,673.25 2024-12-02
32 APR_DRG Bone Marrow Transplant 5 5 — — $41,480.16 $41,480.16 $41,480.16 2024-12-02
61 APR_DRG Pancreas Transplant 5 5 — — $40,998.87 $40,998.87 $40,998.87 2024-12-02
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $40,816.09 $40,816.09 $40,816.09 2024-12-02
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $40,538.20 $40,538.20 $40,538.20 2024-12-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $40,507.83 $40,507.83 $40,507.83 2024-12-02
4414 APR_DRG Major Bladder Procedures 5 5 — — $40,284.37 $40,284.37 $40,284.37 2024-12-02
4403 APR_DRG Kidney Transplant 5 5 — — $40,222.49 $40,222.49 $40,222.49 2024-12-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $40,156.03 $40,156.03 $40,156.03 2024-12-02
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 5 5 — — $40,102.74 $40,102.74 $40,102.74 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 5 5 — — $39,486.23 $39,486.23 $39,486.23 2024-12-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $39,267.93 $39,267.93 $39,267.93 2024-12-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $39,210.63 $39,210.63 $39,210.63 2024-12-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,077.70 $39,077.70 $39,077.70 2024-12-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $38,963.11 $38,963.11 $38,963.11 2024-12-02
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $38,593.54 $38,593.54 $38,593.54 2024-12-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $38,541.40 $38,541.40 $38,541.40 2024-12-02
8444 APR_DRG Partial Thickness Burns Without Skin Graft 5 5 — — $38,469.21 $38,469.21 $38,469.21 2024-12-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $38,333.41 $38,333.41 $38,333.41 2024-12-02
6934 APR_DRG Chemotherapy 5 5 — — $38,261.22 $38,261.22 $38,261.22 2024-12-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $38,156.94 $38,156.94 $38,156.94 2024-12-02
120 EAPG Immunotherapy 5 5 — — $38,156.50 $38,156.50 $38,156.50 2024-12-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $38,017.13 $38,017.13 $38,017.13 2024-12-02
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $37,905.40 $37,905.40 $37,905.40 2024-12-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $37,772.47 $37,772.47 $37,772.47 2024-12-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $36,964.01 $36,964.01 $36,964.01 2024-12-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $36,796.71 $36,796.71 $36,796.71 2024-12-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $36,700.45 $36,700.45 $36,700.45 2024-12-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $36,639.14 $36,639.14 $36,639.14 2024-12-02
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 5 5 — — $36,591.58 $36,591.58 $36,591.58 2024-12-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,580.70 $36,580.70 $36,580.70 2024-12-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $36,032.94 $36,032.94 $36,032.94 2024-12-02
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $35,813.49 $35,813.49 $35,813.49 2024-12-02
6504 APR_DRG Splenic Procedures 5 5 — — $35,604.93 $35,604.93 $35,604.93 2024-12-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $35,527.00 $35,527.00 $35,527.00 2024-12-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $35,376.31 $35,376.31 $35,376.31 2024-12-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $35,223.33 $35,223.33 $35,223.33 2024-12-02
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $35,120.20 $35,120.20 $35,120.20 2024-12-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $34,907.62 $34,907.62 $34,907.62 2024-12-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $34,743.75 $34,743.75 $34,743.75 2024-12-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,550.66 $34,550.66 $34,550.66 2024-12-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $34,548.95 $34,548.95 $34,548.95 2024-12-02
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 — — $34,415.44 $34,415.44 $34,415.44 2024-12-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $34,412.01 $34,412.01 $34,412.01 2024-12-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,344.97 $34,344.97 $34,344.97 2024-12-02
2214 APR_DRG Major Small & Large Bowel Procedures 5 5 — — $34,245.27 $34,245.27 $34,245.27 2024-12-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $34,149.01 $34,149.01 $34,149.01 2024-12-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,054.47 $34,054.47 $34,054.47 2024-12-02
2234 APR_DRG Other Small And Large Bowel Procedures 5 5 — — $33,935.29 $33,935.29 $33,935.29 2024-12-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $33,893.47 $33,893.47 $33,893.47 2024-12-02
4402 APR_DRG Kidney Transplant 5 5 — — $33,751.94 $33,751.94 $33,751.94 2024-12-02
222 MS_DRG DRG 6 4 — — $205,602.00 $304,936.00 $280,715.50 2024-12-02
223 MS_DRG DRG 6 4 — — $131,297.00 $182,044.00 $165,486.00 2024-12-02
224 MS_DRG DRG 6 4 — — $116,765.00 $177,858.00 $161,599.00 2024-12-02
226 MS_DRG DRG 6 4 — — $131,630.00 $177,878.00 $161,569.50 2024-12-02
225 MS_DRG DRG 6 4 — — $116,765.00 $162,137.00 $147,923.00 2024-12-02
227 MS_DRG DRG 6 4 — — $98,290.00 $132,824.00 $126,673.50 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $53,426.66 $120,701.30 $87,553.03 2024-12-02
248 MS_DRG DRG 6 4 — — $52,524.00 $73,070.00 $65,652.00 2024-12-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $511,072.50 $1,022,145.00 $640,043.93 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $484,690.30 $969,380.60 $622,032.06 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $449,440.00 $898,880.00 $595,508.00 2024-12-02
J9226 HCPCS Supprelin La Implant 5 3 — — $44,575.94 $92,642.65 $50,982.77 2024-12-02
93616 CPT Esophageal Recording W/pacg 4 3 — — $41,004.00 $49,041.00 $44,418.00 2024-12-02
230 MS_DRG DRG 3 2 — — $72,214.00 $97,587.00 $87,828.00 2024-12-02
93631 CPT Ntraop Epicar&endcar Pac&map 2 2 — — $41,004.00 $43,228.00 $42,116.00 2024-12-02
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $813,285.00 $813,285.00 $813,285.00 2024-12-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $749,907.36 $749,907.36 $749,907.36 2024-12-02
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $741,576.00 $741,576.00 $741,576.00 2024-12-02
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,873.13 $69,873.13 $69,873.13 2024-12-02
93601 CPT Eps 2 1 — — $45,608.00 $49,041.00 $47,324.50 2024-12-02
93617 CPT Eps 2 1 — — $45,608.00 $49,041.00 $47,324.50 2024-12-02
92934 CPT Prq Card Stent/ath/angio 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
C9741 HCPCS Ptca W/stent 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $37,142.40 $37,142.40 $37,142.40 2024-12-02
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