Price Transparencybeta 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

UCHEALTH PIKES PEAK REGIONAL HOSPITAL

Woodland Park, CO · CCN 061326 · Rates published

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You selected 93350 (CPT)

HB RADIANT CCL-STRESS ECHO-PHARM WO CNTRST

This hospital’s price: $872 across 20 payers · range $416-$1,660

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8079/824191576_uchealth-pikes-peak-regional-hospital_standardcharges.csv · observed 2025-11-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

18,934 distinct procedures filed
20 distinct payers
413,690 rate rows
2025-11-01 last MRF observed
Data quality

411,008 of 413,690 rate rows are consumer-grade (99.4%)

2,682 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,444
placeholder amount (≤ $0.02) — excluded from medians 1,092
percent-of-charges filed in the dollar field — excluded from medians 92
exceeds 10× this hospital's gross charge — excluded from medians 46
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8079/824191576_uchealth-pikes-peak-regional-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PikesPeakRegionalHospital/8079
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 8455a0d349660bfd… · 67,074,924 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 $2,351,133.00 $2,612,370.00 $2,481,751.50 nat. median
$646,415
outlier · 3.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $2,167,914.01 $2,408,793.34 $2,288,353.67 nat. median
$640,950
outlier · 3.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $2,143,828.80 $2,382,032.00 $2,262,930.40 nat. median
$591,650
outlier · 3.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $2,143,828.80 $2,382,032.00 $2,262,930.40 nat. median
$608,101
outlier · 3.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $476,999.67 $529,999.63 $503,499.65 nat. median
$111,503
outlier · 4.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $448,496.56 $798,881.80 $494,615.79 nat. median
$359,358
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $291,056.23 $518,442.15 $320,985.75 nat. median
$249,124
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $221,746.29 $394,984.25 $244,548.63 nat. median
$198,433
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 $220,444.93 $392,666.20 $243,113.44 nat. median
$190,557
1.3× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $222,018.84 $246,687.60 $234,353.22 nat. median
$50,453
outlier · 4.6×
E0194NU
OTHER 		Other Outpatient 1 $206,437.97 $229,375.52 $217,906.74 nat. median
$44,512
outlier · 4.9×
L7180
HCPCS 		Electronic Elbow Sequential 1 $194,563.58 $216,181.75 $205,372.66 nat. median
$46,980
outlier · 4.4×
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $179,256.31 $199,173.68 $189,214.99 nat. median
$39,921
outlier · 4.7×
K0606NUKF
OTHER 		Other Outpatient 1 $159,746.82 $177,496.47 $168,621.65 nat. median
$86,404
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 6 $143,860.64 $256,250.90 $158,653.94 nat. median
$126,722
1.3× median
7
MS_DRG 		Lung Transplant 6 $134,500.78 $239,578.70 $148,331.60 nat. median
$117,894
1.3× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 1 $132,923.68 $147,692.98 $140,308.33 nat. median
$30,017
outlier · 4.7×
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $132,654.03 $147,393.37 $140,023.70 nat. median
$30,016
outlier · 4.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $124,817.91 $222,331.15 $137,653.02 nat. median
$110,192
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $105,551.35 $373,216.51 $134,945.40 nat. median
$63,643
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $117,692.07 $209,638.30 $129,794.44 nat. median
$103,967
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $117,557.06 $209,397.80 $129,645.54 nat. median
$92,655
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $114,466.18 $203,892.20 $126,236.82 nat. median
$93,270
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $112,938.40 $201,170.85 $124,551.95 nat. median
$97,414
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $107,084.85 $190,744.25 $118,096.47 nat. median
$94,964
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 6 $103,413.40 $184,204.50 $114,047.48 nat. median
$93,917
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $88,394.63 $281,230.93 $113,010.86 nat. median
$65,720
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $101,604.16 $180,981.80 $112,052.19 nat. median
$90,581
1.2× median
L8614
HCPCS 		Cochlear Device 1 $105,796.26 $117,551.40 $111,673.83 nat. median
$22,385
outlier · 5.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $103,998.76 $151,390.60 $110,580.96 nat. median
$75,037
1.5× median
Q0483
HCPCS 		Monitor Elec Vad, Rep 1 $104,099.48 $115,666.09 $109,882.79 nat. median
$23,335
outlier · 4.7×
L5858
HCPCS 		Stance Phase Only 1 $102,981.20 $114,423.56 $108,702.38 nat. median
$23,235
outlier · 4.7×
L6975
HCPCS 		Interscap-thor Myoelectronic 1 $102,850.60 $114,278.44 $108,564.52 nat. median
$22,861
outlier · 4.7×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 4 $100,221.06 $145,891.42 $106,564.17 nat. median
$68,423
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $93,573.71 $166,677.60 $103,195.96 nat. median
$78,037
1.3× median
L5973
HCPCS 		Ank-foot Sys Dors-plant Flex 1 $96,641.20 $107,379.11 $102,010.15 nat. median
$21,726
outlier · 4.7×
L6970
HCPCS 		Interscapular-thor Switch CT 1 $95,996.39 $106,662.66 $101,329.52 nat. median
$21,078
outlier · 4.8×
L6965
HCPCS 		Shldr Disartic Myoelectronic 1 $94,825.69 $105,361.88 $100,093.79 nat. median
$20,067
outlier · 5.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $89,937.57 $160,200.75 $99,185.91 nat. median
$78,262
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $87,552.94 $155,953.15 $96,556.07 nat. median
$77,043
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $87,277.71 $155,462.90 $96,252.54 nat. median
$77,696
1.2× median
Q0489
HCPCS 		Pwr Pck Base Combo Vad, Rep 1 $90,248.64 $100,276.27 $95,262.46 nat. median
$20,275
outlier · 4.7×
L6960
HCPCS 		Shldr Disartic Switch Contro 1 $87,522.44 $97,247.16 $92,384.80 nat. median
$16,650
outlier · 5.5×
J9226
HCPCS 		Supprelin La Implant 5 $71,985.42 $229,331.11 $92,031.99 nat. median
$55,159
1.7× median
L6955
HCPCS 		Above Elbow Myoelectronic CT 1 $86,778.27 $96,420.30 $91,599.29 nat. median
$15,745
outlier · 5.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $81,725.36 $145,572.80 $90,129.24 nat. median
$74,460
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $79,746.82 $142,048.55 $87,947.24 nat. median
$72,473
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $79,403.05 $141,436.20 $87,568.12 nat. median
$71,758
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $79,140.28 $140,968.15 $87,278.33 nat. median
$68,004
1.3× median
Q0481
HCPCS 		Microprcsr Cu Elec Vad, Rep 1 $80,677.25 $89,641.39 $85,159.32 nat. median
$15,211
outlier · 5.6×

Other procedures at this hospital

Browse this hospital's 18,934 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
             
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $2,351,133.00 $2,612,370.00 $2,481,751.50 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $2,167,914.01 $2,408,793.34 $2,288,353.67 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $2,143,828.80 $2,382,032.00 $2,262,930.40 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $2,143,828.80 $2,382,032.00 $2,262,930.40 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 1 — — $476,999.67 $529,999.63 $503,499.65 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $448,496.56 $798,881.80 $494,615.79 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 6 — — $291,056.23 $518,442.15 $320,985.75 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 6 — — $221,746.29 $394,984.25 $244,548.63 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 6 — — $220,444.93 $392,666.20 $243,113.44 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 4 1 — — $222,018.84 $246,687.60 $234,353.22 2025-11-01
E0194NU OTHER Other Outpatient 4 1 — — $206,437.97 $229,375.52 $217,906.74 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 4 1 — — $194,563.58 $216,181.75 $205,372.66 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 1 — — $179,256.31 $199,173.68 $189,214.99 2025-11-01
K0606NUKF OTHER Other Outpatient 4 1 — — $159,746.82 $177,496.47 $168,621.65 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 6 — — $143,860.64 $256,250.90 $158,653.94 2025-11-01
7 MS_DRG Lung Transplant 16 6 — — $134,500.78 $239,578.70 $148,331.60 2025-11-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 1 — — $132,923.68 $147,692.98 $140,308.33 2025-11-01
L6880 HCPCS Elec Hand Ind Art Digits 4 1 — — $132,654.03 $147,393.37 $140,023.70 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 6 — — $124,817.91 $222,331.15 $137,653.02 2025-11-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 5 — — $105,551.35 $373,216.51 $134,945.40 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 6 — — $117,692.07 $209,638.30 $129,794.44 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 16 6 — — $117,557.06 $209,397.80 $129,645.54 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $114,466.18 $203,892.20 $126,236.82 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 6 — — $112,938.40 $201,170.85 $124,551.95 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 6 — — $107,084.85 $190,744.25 $118,096.47 2025-11-01
215 MS_DRG Other Heart Assist System Implant 16 6 — — $103,413.40 $184,204.50 $114,047.48 2025-11-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 5 — — $88,394.63 $281,230.93 $113,010.86 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $101,604.16 $180,981.80 $112,052.19 2025-11-01
L8614 HCPCS Cochlear Device 4 1 — — $105,796.26 $117,551.40 $111,673.83 2025-11-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 4 — — $103,998.76 $151,390.60 $110,580.96 2025-11-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 1 — — $104,099.48 $115,666.09 $109,882.79 2025-11-01
L5858 HCPCS Stance Phase Only 4 1 — — $102,981.20 $114,423.56 $108,702.38 2025-11-01
L6975 HCPCS Interscap-thor Myoelectronic 4 1 — — $102,850.60 $114,278.44 $108,564.52 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 8 4 — — $100,221.06 $145,891.42 $106,564.17 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $93,573.71 $166,677.60 $103,195.96 2025-11-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 1 — — $96,641.20 $107,379.11 $102,010.15 2025-11-01
L6970 HCPCS Interscapular-thor Switch CT 4 1 — — $95,996.39 $106,662.66 $101,329.52 2025-11-01
L6965 HCPCS Shldr Disartic Myoelectronic 4 1 — — $94,825.69 $105,361.88 $100,093.79 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 16 6 — — $89,937.57 $160,200.75 $99,185.91 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $87,552.94 $155,953.15 $96,556.07 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $87,277.71 $155,462.90 $96,252.54 2025-11-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 1 — — $90,248.64 $100,276.27 $95,262.46 2025-11-01
L6960 HCPCS Shldr Disartic Switch Contro 4 1 — — $87,522.44 $97,247.16 $92,384.80 2025-11-01
J9226 HCPCS Supprelin La Implant 12 5 — — $71,985.42 $229,331.11 $92,031.99 2025-11-01
L6955 HCPCS Above Elbow Myoelectronic CT 4 1 — — $86,778.27 $96,420.30 $91,599.29 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $81,725.36 $145,572.80 $90,129.24 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $79,746.82 $142,048.55 $87,947.24 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 6 — — $79,403.05 $141,436.20 $87,568.12 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 6 — — $79,140.28 $140,968.15 $87,278.33 2025-11-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 4 1 — — $80,677.25 $89,641.39 $85,159.32 2025-11-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 1 — — $80,396.49 $89,329.43 $84,862.96 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $74,972.38 $133,544.10 $82,681.85 2025-11-01
10 MS_DRG Pancreas Transplant 16 6 — — $74,526.82 $132,750.45 $82,190.47 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 6 — — $74,495.66 $132,694.95 $82,156.10 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 6 — — $74,099.96 $131,990.10 $81,719.71 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $74,056.33 $131,912.40 $81,671.60 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 6 — — $71,785.95 $127,868.30 $79,167.76 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $71,433.87 $127,241.15 $78,779.46 2025-11-01
L6945 HCPCS Elbow Disart Myoelectronic C 4 1 — — $74,162.77 $82,403.08 $78,282.93 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $69,909.20 $124,525.35 $77,098.02 2025-11-01
E0766RRKF OTHER Other Outpatient 4 1 — — $72,930.63 $81,034.03 $76,982.33 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $72,930.63 $81,034.03 $76,982.33 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 — — $69,445.99 $123,700.25 $76,587.17 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $69,395.10 $123,609.60 $76,531.04 2025-11-01
L6950 HCPCS Above Elbow Switch Control 4 1 — — $72,457.97 $80,508.86 $76,483.42 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $68,291.07 $121,643.05 $75,313.49 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $68,291.07 $121,643.05 $75,313.49 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $68,042.84 $121,200.90 $75,039.74 2025-11-01
E0764NUKF OTHER Other Outpatient 4 1 — — $70,201.04 $78,001.16 $74,101.10 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $66,830.79 $119,041.95 $73,703.05 2025-11-01
E0483NU OTHER Other Outpatient 4 1 — — $67,440.17 $74,933.52 $71,186.85 2025-11-01
Q0479 HCPCS Power Module Combo Vad, Rep 4 1 — — $66,514.45 $73,904.95 $70,209.70 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $63,649.56 $113,375.40 $70,194.70 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 6 — — $63,575.82 $113,244.05 $70,113.37 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $62,966.16 $112,158.10 $69,441.02 2025-11-01
K0864NU OTHER Other Outpatient 4 1 — — $65,414.83 $72,683.14 $69,048.99 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $62,402.20 $111,153.55 $68,819.07 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $62,384.55 $111,122.10 $68,799.60 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $61,932.76 $110,317.35 $68,301.35 2025-11-01
L7191 HCPCS Elbow Child Myoelectronic CT 4 1 — — $64,587.85 $71,764.28 $68,176.07 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 6 — — $61,729.19 $109,954.75 $68,076.85 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 6 — — $61,585.86 $109,699.45 $67,918.79 2025-11-01
L6940 HCPCS Elbow Disarticulation Switch 4 1 — — $63,747.47 $70,830.53 $67,289.00 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $60,951.28 $108,569.10 $67,218.95 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 6 — — $60,911.81 $108,498.80 $67,175.42 2025-11-01
L7186 HCPCS Electron Elbow Child Switch 4 1 — — $63,038.79 $70,043.10 $66,540.95 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $59,897.10 $106,691.35 $66,056.36 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $59,514.90 $106,010.55 $65,634.85 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 6 — — $59,271.86 $105,577.65 $65,366.83 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $59,195.01 $105,440.75 $65,282.07 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $58,390.09 $104,007.00 $64,394.39 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 6 — — $58,209.38 $103,685.10 $64,195.09 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $57,810.55 $102,974.70 $63,755.25 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 6 — — $57,361.88 $102,175.50 $63,260.45 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 16 6 — — $57,018.10 $101,563.15 $62,881.32 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 6 — — $56,816.61 $101,204.25 $62,659.11 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 6 — — $56,735.60 $101,059.95 $62,569.76 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 6 — — $56,646.28 $100,900.85 $62,471.26 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 6 — — $56,419.87 $100,497.55 $62,221.57 2025-11-01
E0636NU OTHER Other Outpatient 4 1 — — $58,157.75 $64,619.72 $61,388.74 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $55,386.46 $98,656.80 $61,081.89 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $55,353.23 $98,597.60 $61,045.24 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $54,981.41 $97,935.30 $60,635.19 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $54,799.65 $97,611.55 $60,434.74 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $54,063.28 $96,299.90 $59,622.65 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 16 6 — — $53,969.81 $96,133.40 $59,519.57 2025-11-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 92 20 $88,332.53 $70,666.03 $215.24 $76,504.80 $58,343.64 2025-11-01
K0860NU OTHER Other Outpatient 4 1 — — $54,970.43 $61,078.26 $58,024.35 2025-11-01
K0863NU OTHER Other Outpatient 4 1 — — $54,970.43 $61,078.26 $58,024.35 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $52,347.52 $93,243.70 $57,730.46 2025-11-01
J9266 HCPCS Pegaspargase Injection 12 5 — — $44,910.01 $136,541.04 $57,416.60 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 6 — — $51,799.14 $92,266.90 $57,125.68 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $51,383.70 $91,526.90 $56,667.52 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 6 — — $51,292.30 $91,364.10 $56,566.72 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 6 — — $51,116.78 $91,051.45 $56,373.15 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $50,903.86 $90,672.20 $56,138.35 2025-11-01
K0854NU OTHER Other Outpatient 4 1 — — $52,698.01 $58,553.34 $55,625.68 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $50,150.88 $89,330.95 $55,307.93 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 6 — — $49,897.46 $88,879.55 $55,028.45 2025-11-01
E0783NUKF OTHER Other Outpatient 4 1 — — $51,794.71 $57,549.68 $54,672.19 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $49,445.67 $88,074.80 $54,530.21 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 6 — — $48,828.74 $86,975.90 $53,849.84 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $48,729.03 $86,798.30 $53,739.88 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $48,583.63 $86,539.30 $53,579.53 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 16 6 — — $48,159.88 $85,784.50 $53,112.20 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 6 — — $47,967.74 $85,442.25 $52,900.30 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 6 — — $47,739.25 $85,035.25 $52,648.31 2025-11-01
L6935 HCPCS Below Elbow Myoelectronic CT 4 1 — — $49,867.73 $55,408.59 $52,638.16 2025-11-01
K0855NU OTHER Other Outpatient 4 1 — — $49,781.01 $55,312.23 $52,546.62 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 6 — — $47,617.73 $84,818.80 $52,514.30 2025-11-01
245 MS_DRG Aicd Generator Procedures 16 6 — — $47,385.09 $84,404.40 $52,257.73 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 6 — — $47,242.80 $84,150.95 $52,100.81 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $47,222.03 $84,113.95 $52,077.90 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 16 6 — — $47,037.16 $83,784.65 $51,874.02 2025-11-01
E0786NUKF OTHER Other Outpatient 4 1 — — $48,829.68 $54,255.20 $51,542.44 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $46,547.97 $82,913.30 $51,334.54 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $46,534.47 $82,889.25 $51,319.65 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 6 — — $46,351.68 $82,563.65 $51,118.06 2025-11-01
E2402NU OTHER Other Outpatient 4 1 — — $48,182.72 $53,536.36 $50,859.54 2025-11-01
E1036NU OTHER Other Outpatient 4 1 — — $48,022.45 $53,358.28 $50,690.36 2025-11-01
81416 CPT Exome Sequence Analysis 16 6 — — $9,720.00 $69,240.00 $50,520.00 2025-11-01
E1008NUKU OTHER Other Outpatient 4 1 — — $47,796.35 $53,107.06 $50,451.71 2025-11-01
E1007NUKU OTHER Other Outpatient 4 1 — — $47,793.02 $53,103.35 $50,448.18 2025-11-01
L6925 HCPCS Wrist Disart Myoelectronic C 4 1 — — $47,678.82 $52,976.47 $50,327.65 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 6 — — $45,623.62 $81,266.80 $50,315.13 2025-11-01
E1008NUKE OTHER Other Outpatient 4 1 — — $47,300.75 $52,556.39 $49,928.57 2025-11-01
L5857 HCPCS Elec Knee-shin Swing Only 4 1 — — $47,105.90 $52,339.89 $49,722.90 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 6 — — $44,944.38 $80,056.90 $49,566.04 2025-11-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 4 1 — — $46,829.90 $52,033.23 $49,431.57 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $44,586.06 $79,418.65 $49,170.88 2025-11-01
E1007NUKE OTHER Other Outpatient 4 1 — — $46,456.46 $51,618.29 $49,037.38 2025-11-01
L6930 HCPCS Below Elbow Switch Control 4 1 — — $46,448.07 $51,608.96 $49,028.51 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 6 — — $44,299.41 $78,908.05 $48,854.74 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $44,044.95 $78,454.80 $48,574.12 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $43,862.16 $78,129.20 $48,372.54 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 6 — — $43,787.38 $77,996.00 $48,290.07 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 6 — — $43,765.57 $77,957.15 $48,266.01 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 6 — — $43,637.82 $77,729.60 $48,125.12 2025-11-01
E1008NU OTHER Other Outpatient 4 1 — — $45,568.29 $50,631.43 $48,099.86 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 6 — — $43,585.89 $77,637.10 $48,067.86 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $43,504.88 $77,492.80 $47,978.51 2025-11-01
L8619 HCPCS Coch Imp Ext Proc/contr Rplc 4 1 — — $45,417.60 $50,464.00 $47,940.80 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $43,336.62 $77,193.10 $47,792.96 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 16 6 — — $43,305.47 $77,137.60 $47,758.60 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 6 — — $43,133.06 $76,830.50 $47,568.46 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 6 — — $42,847.44 $76,321.75 $47,253.48 2025-11-01
E1007NU OTHER Other Outpatient 4 1 — — $44,724.00 $49,693.33 $47,208.67 2025-11-01
L6920 HCPCS Wrist Disarticul Switch Ctrl 4 1 — — $44,206.83 $49,118.70 $46,662.76 2025-11-01
791 MS_DRG Prematurity With Major Problems 16 6 — — $42,156.77 $75,091.50 $46,491.79 2025-11-01
L7190 HCPCS Elbow Adolescent Myoelectron 4 1 — — $44,005.87 $48,895.42 $46,450.65 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $41,756.91 $74,379.25 $46,050.81 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 6 — — $41,378.86 $73,705.85 $45,633.89 2025-11-01
E2510NU OTHER Other Outpatient 4 1 — — $42,934.29 $47,704.77 $45,319.53 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $40,628.99 $72,370.15 $44,806.90 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 6 — — $40,445.16 $72,042.70 $44,604.17 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 6 — — $40,201.09 $71,607.95 $44,334.99 2025-11-01
E0193NU OTHER Other Outpatient 4 1 — — $41,986.02 $46,651.13 $44,318.57 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $40,102.42 $71,432.20 $44,226.18 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $39,874.97 $71,027.05 $43,975.35 2025-11-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 1 — — $40,140.85 $46,390.39 $43,265.62 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 6 — — $39,082.52 $69,615.50 $43,101.40 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 6 — — $38,912.19 $69,312.10 $42,913.56 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $38,819.75 $69,147.45 $42,811.61 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $38,815.60 $69,140.05 $42,807.04 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $38,706.54 $68,945.80 $42,686.76 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 6 — — $38,488.44 $68,557.30 $42,446.24 2025-11-01
L5987 HCPCS Shank Ft W Vert Load Pylon 4 1 — — $39,860.79 $44,289.77 $42,075.28 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 6 — — $38,148.82 $67,952.35 $42,071.68 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $38,133.24 $67,924.60 $42,054.51 2025-11-01
K0853NU OTHER Other Outpatient 4 1 — — $39,778.94 $44,198.82 $41,988.88 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 6 — — $37,685.60 $67,127.25 $41,560.84 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $37,656.52 $67,075.45 $41,528.77 2025-11-01
332 MS_DRG Rectal Resection With Mcc 16 6 — — $37,604.59 $66,982.95 $41,471.49 2025-11-01
265 MS_DRG Aicd Lead Procedures 16 6 — — $37,578.63 $66,936.70 $41,442.87 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 6 — — $37,512.15 $66,818.30 $41,369.56 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $37,456.07 $66,718.40 $41,307.71 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 6 — — $37,210.96 $66,281.80 $41,037.39 2025-11-01
E0783UEKF OTHER Other Outpatient 4 1 — — $38,846.16 $43,162.41 $41,004.29 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 6 — — $37,124.76 $66,128.25 $40,942.32 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $37,087.37 $66,061.65 $40,901.09 2025-11-01
K0852NU OTHER Other Outpatient 4 1 — — $38,723.19 $43,025.77 $40,874.48 2025-11-01
K0840NU OTHER Other Outpatient 4 1 — — $38,712.03 $43,013.37 $40,862.70 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $37,032.32 $65,963.60 $40,840.38 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $37,001.16 $65,908.10 $40,806.03 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 6 — — $36,965.85 $65,845.20 $40,767.07 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $36,935.73 $65,791.55 $40,733.86 2025-11-01
K0858NU OTHER Other Outpatient 4 1 — — $38,477.68 $42,752.98 $40,615.33 2025-11-01
K0862NU OTHER Other Outpatient 4 1 — — $38,477.68 $42,752.98 $40,615.33 2025-11-01
L8627 HCPCS Cid Ext Speech Process Repl 4 1 — — $38,474.58 $42,749.54 $40,612.06 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $36,627.27 $65,242.10 $40,393.68 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $36,552.49 $65,108.90 $40,311.21 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $36,229.48 $64,533.55 $39,954.99 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 6 — — $36,220.14 $64,516.90 $39,944.68 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 6 — — $36,053.96 $64,220.90 $39,761.42 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $35,879.48 $63,910.10 $39,568.99 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 6 — — $35,713.30 $63,614.10 $39,385.72 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $35,607.36 $63,425.40 $39,268.90 2025-11-01
J9600 HCPCS Porfimer Sodium Injection 8 4 — — $36,850.34 $53,642.90 $39,182.64 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $35,432.88 $63,114.60 $39,076.46 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 6 — — $35,386.14 $63,031.35 $39,024.92 2025-11-01
L5280 HCPCS Hemipelvect Canad Sing Axis 4 1 — — $36,799.55 $40,888.39 $38,843.97 2025-11-01
K0859NU OTHER Other Outpatient 4 1 — — $36,695.94 $40,773.27 $38,734.60 2025-11-01
E0786UEKF OTHER Other Outpatient 4 1 — — $36,622.34 $40,691.49 $38,656.91 2025-11-01
E1006NUKE OTHER Other Outpatient 4 1 — — $36,507.67 $40,564.08 $38,535.88 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $34,695.47 $61,801.10 $38,263.24 2025-11-01
L8609 HCPCS Artificial Cornea 4 1 — — $36,174.39 $40,193.77 $38,184.08 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 6 — — $34,308.07 $61,111.05 $37,836.00 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $34,191.75 $60,903.85 $37,707.71 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 6 — — $34,187.60 $60,896.45 $37,703.14 2025-11-01
L5250 HCPCS Hip Canad Sing Axi Cons Fric 4 1 — — $35,515.18 $39,461.31 $37,488.24 2025-11-01
K1014 HCPCS Other Outpatient 4 1 — — $35,334.68 $39,260.76 $37,297.72 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $33,783.58 $60,176.80 $37,257.57 2025-11-01
E1006NUKU OTHER Other Outpatient 4 1 — — $35,295.14 $39,216.82 $37,255.98 2025-11-01
E1006NU OTHER Other Outpatient 4 1 — — $35,228.36 $39,142.62 $37,185.49 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $33,635.06 $59,912.25 $37,093.78 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 6 — — $33,597.67 $59,845.65 $37,052.54 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $33,550.93 $59,762.40 $37,001.00 2025-11-01
652 MS_DRG Kidney Transplant 16 6 — — $33,541.59 $59,745.75 $36,990.69 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $33,516.66 $59,701.35 $36,963.20 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 6 — — $33,451.23 $59,584.80 $36,891.04 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 6 — — $33,343.21 $59,392.40 $36,771.92 2025-11-01
L7185 HCPCS Electron Elbow Adolescent Sw 4 1 — — $34,781.84 $38,646.49 $36,714.16 2025-11-01
E1035NU OTHER Other Outpatient 4 1 — — $34,735.14 $38,594.60 $36,664.87 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $33,160.42 $59,066.80 $36,570.33 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $33,099.14 $58,957.65 $36,502.75 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $33,066.95 $58,900.30 $36,467.25 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $33,000.48 $58,781.90 $36,393.94 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 6 — — $32,869.61 $58,548.80 $36,249.62 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 6 — — $32,819.76 $58,460.00 $36,194.64 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $32,726.29 $58,293.50 $36,091.56 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $32,710.71 $58,265.75 $36,074.37 2025-11-01
K0828NU OTHER Other Outpatient 4 1 — — $34,111.56 $37,901.73 $36,006.65 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $32,633.85 $58,128.85 $35,989.62 2025-11-01
665 MS_DRG Prostatectomy With Mcc 16 6 — — $32,416.78 $57,742.20 $35,750.23 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $32,349.27 $57,621.95 $35,675.78 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $32,292.15 $57,520.20 $35,612.78 2025-11-01
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 16 6 — — $2,976.75 $48,785.35 $35,595.55 2025-11-01
L7170 HCPCS Electronic Elbow Hosmer Swit 4 1 — — $33,525.23 $37,250.26 $35,387.75 2025-11-01
K0850NU OTHER Other Outpatient 4 1 — — $33,513.69 $37,237.43 $35,375.56 2025-11-01
L8682 HCPCS Implt Neurostim Radiofq Rec 4 1 — — $33,459.26 $37,176.96 $35,318.11 2025-11-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 92 20 $53,336.70 $42,669.36 $4,262.92 $46,194.92 $35,228.89 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 6 — — $31,796.74 $56,637.75 $35,066.42 2025-11-01
263 MS_DRG Vein Ligation And Stripping 16 6 — — $31,754.16 $56,561.90 $35,019.46 2025-11-01
L5341 HCPCS Hemipelvectomy Canadian Sach 4 1 — — $33,056.20 $36,729.11 $34,892.65 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $31,502.82 $56,114.20 $34,742.28 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 6 — — $31,370.91 $55,879.25 $34,596.81 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 6 — — $31,366.76 $55,871.85 $34,592.22 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $31,332.48 $55,810.80 $34,554.43 2025-11-01
K0829NU OTHER Other Outpatient 4 1 — — $32,582.92 $36,203.24 $34,393.08 2025-11-01
L5270 HCPCS Tilt Table Locking Hip Sing 4 1 — — $32,396.31 $35,995.90 $34,196.11 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 6 — — $30,912.89 $55,063.40 $34,091.68 2025-11-01
K0851NU OTHER Other Outpatient 4 1 — — $32,223.88 $35,804.31 $34,014.10 2025-11-01
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 12 5 — — $6,885.00 $49,045.00 $34,000.00 2025-11-01
E2510UE OTHER Other Outpatient 4 1 — — $32,200.60 $35,778.45 $33,989.52 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $30,598.19 $54,502.85 $33,744.63 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 6 — — $30,577.42 $54,465.85 $33,721.72 2025-11-01
570 MS_DRG Skin Debridement With Mcc 16 6 — — $30,546.26 $54,410.35 $33,687.36 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 16 6 — — $30,327.12 $54,020.00 $33,445.68 2025-11-01
K0857NU OTHER Other Outpatient 4 1 — — $31,634.31 $35,149.23 $33,391.77 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 6 — — $30,247.15 $53,877.55 $33,357.49 2025-11-01
L7008 HCPCS Pediatric Electric Hand 4 1 — — $31,555.27 $35,061.41 $33,308.34 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 6 — — $30,140.17 $53,687.00 $33,239.51 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 6 — — $30,121.48 $53,653.70 $33,218.90 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 6 — — $29,988.54 $53,416.90 $33,072.28 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 6 — — $29,974.00 $53,391.00 $33,056.25 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 6 — — $29,930.37 $53,313.30 $33,008.14 2025-11-01
A9604 HCPCS Sm 153 Lexidronam 12 5 — — $25,726.95 $98,381.20 $32,891.42 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $29,809.90 $53,098.70 $32,875.28 2025-11-01
K0861NU OTHER Other Outpatient 4 1 — — $31,062.24 $34,513.60 $32,787.92 2025-11-01
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 16 6 — — $6,298.56 $44,867.52 $32,736.96 2025-11-01
K0856NU OTHER Other Outpatient 4 1 — — $31,012.30 $34,458.11 $32,735.21 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 6 — — $29,605.29 $52,734.25 $32,649.63 2025-11-01
E0986NU OTHER Other Outpatient 4 1 — — $30,857.13 $34,285.70 $32,571.42 2025-11-01
L5331 HCPCS Hip Disart Canadian Sach Ft 4 1 — — $30,528.52 $33,920.58 $32,224.55 2025-11-01
800 MS_DRG Splenic Procedures With Cc 16 6 — — $29,178.43 $51,973.90 $32,178.87 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 16 6 — — $29,073.53 $51,787.05 $32,063.19 2025-11-01
503 MS_DRG Foot Procedures With Mcc 16 6 — — $28,988.36 $51,635.35 $31,969.26 2025-11-01
0094U CPT Genome Rapid Sequence Alys 16 6 — — $6,141.58 $43,749.29 $31,921.07 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $28,788.95 $51,280.15 $31,749.34 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 92 20 $48,058.36 $38,446.69 $94.33 $41,623.35 $31,742.55 2025-11-01
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