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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

BRISTOL HOSPITAL

Bristol, CT · CCN 070029 · Rates published

15,407 distinct procedures filed
9 distinct payers
322,786 rate rows
2025-08-20 last MRF observed
Data quality

265,547 of 322,786 rate rows are consumer-grade (82.3%)

57,239 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
professional (physician) fee — not the facility price 54,029
per-diem day rate — not a per-procedure price 1,230
template filing: same amount across many unrelated codes — excluded 939
exceeds 10× this hospital's gross charge — excluded from medians 525
placeholder amount (≤ $0.02) — excluded from medians 484
percent-of-charges filed in the dollar field — excluded from medians 30
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7807/060646559_bristol-hospital,-inc_standardcharges.csv
Found on page https://www.bristolhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 4e437a7dcdaa3e53… · 177,571,088 bytes · first seen 2026-05-14

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $3,932,600.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,322,473.30 $3,493,760.00 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,286,000.00 $3,450,300.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,948,213.33 $3,095,624.00 $2,948,213.33 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,423,131.23 $4,846,262.46 $2,432,041.49 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,664,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,541,240.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $541,736.85 $1,157,542.25 $578,771.12 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $537,627.68 $1,106,338.60 $553,169.30 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $513,771.72 $1,055,244.92 $527,622.46 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $502,284.73 $1,032,884.57 $516,442.29 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $476,406.40 $1,005,681.46 $502,840.73 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $476,406.40 $978,798.31 $489,399.16 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $339,689.55 $679,379.10 $343,086.45 nat. median
$370,174
0.9× median
C9301
HCPCS 		Outpatient Services 7 $278,250.00 $556,500.00 $278,250.00 nat. median
$459,112
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $253,822.74 $507,645.48 $256,360.96 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $213,828.94 $427,657.88 $215,967.23 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 8 $193,216.22 $386,432.44 $195,148.38 nat. median
$202,976
1.0× median
453
MS_DRG 		Ms-DRG Carveouts 1 $159,683.00 $159,683.00 $159,683.00 nat. median
$87,428
1.8× median
C9273
HCPCS 		Pharmacy: Rev Code 0636 1 $138,703.92 $138,703.92 $138,703.92 nat. median
$138,704
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $76,600.37 $213,147.00 $137,997.14 nat. median
$81,118
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $75,443.42 $206,022.00 $136,076.00 nat. median
$82,711
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $127,527.60 $255,055.20 $128,802.88 nat. median
$133,161
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $68,248.13 $251,327.03 $127,652.31 nat. median
$76,329
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $118,277.42 $236,554.84 $119,460.20 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 8 $117,980.54 $235,961.08 $119,160.35 nat. median
$122,708
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $64,306.69 $181,435.00 $115,731.39 nat. median
$68,090
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $60,726.10 $168,855.00 $109,246.38 nat. median
$63,724
1.7× median
459
MS_DRG 		Ms-DRG Carveouts 1 $106,834.00 $106,834.00 $106,834.00 nat. median
$65,393
1.6× median
454
MS_DRG 		Ms-DRG Carveouts 1 $105,144.00 $105,144.00 $105,144.00 nat. median
$62,372
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $99,545.87 $199,091.74 $100,541.33 nat. median
$108,660
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $99,999.91 $199,999.82 $99,999.91 nat. median
$111,989
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 $55,616.10 $148,211.00 $99,991.39 nat. median
$55,736
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $98,414.12 $196,828.24 $99,398.26 nat. median
$102,358
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $49,924.94 $141,412.00 $97,403.00 nat. median
$54,210
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $96,214.49 $192,428.98 $97,176.64 nat. median
$100,136
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $49,622.67 $132,679.00 $96,782.00 nat. median
$54,592
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $95,723.28 $191,446.56 $96,680.51 nat. median
$99,019
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $17,119.00 $270,136.00 $96,542.07 nat. median
$98,894
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $52,041.81 $153,155.00 $94,688.00 nat. median
$58,020
1.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $93,216.70 $186,433.40 $93,216.70 nat. median
$96,983
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $87,233.30 $174,466.60 $88,105.64 nat. median
$93,672
0.9× median
455
MS_DRG 		Ms-DRG Carveouts 1 $87,738.00 $87,738.00 $87,738.00 nat. median
$48,483
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $83,282.06 $166,564.12 $84,114.88 nat. median
$83,470
1.0× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $46,740.19 $122,317.00 $83,915.73 nat. median
$51,319
1.6× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 8 $46,240.89 $109,625.00 $83,011.41 nat. median
$49,191
1.7× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 8 $44,106.02 $117,668.00 $79,126.93 nat. median
$46,647
1.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $41,718.37 $96,316.00 $78,921.00 nat. median
$44,810
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $76,642.64 $153,285.28 $77,409.07 nat. median
$79,312
1.0× median

Other procedures at this hospital

Browse this hospital's 15,407 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 6 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-08-20
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,685,266.67 $3,932,600.00 $3,685,266.67 2025-08-20
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,322,473.30 $3,493,760.00 $3,322,473.30 2025-08-20
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-08-20
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 2025-08-20
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,423,131.23 $4,846,262.46 $2,432,041.49 2025-08-20
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $4,664,000.00 $2,332,000.00 2025-08-20
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,541,240.00 $770,620.00 2025-08-20
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 7 — — $541,736.85 $1,157,542.25 $578,771.12 2025-08-20
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $537,627.68 $1,106,338.60 $553,169.30 2025-08-20
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $513,771.72 $1,055,244.92 $527,622.46 2025-08-20
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $502,284.73 $1,032,884.57 $516,442.29 2025-08-20
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 7 — — $476,406.40 $1,005,681.46 $502,840.73 2025-08-20
Q2053 HCPCS Brexucabtagene Car Pos T 8 7 — — $476,406.40 $978,798.31 $489,399.16 2025-08-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $339,689.55 $679,379.10 $343,086.45 2025-08-20
C9301 HCPCS Outpatient Services 7 7 — — $278,250.00 $556,500.00 $278,250.00 2025-08-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 8 — — $253,822.74 $507,645.48 $256,360.96 2025-08-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 8 — — $213,828.94 $427,657.88 $215,967.23 2025-08-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 8 8 — — $193,216.22 $386,432.44 $195,148.38 2025-08-20
453 MS_DRG Ms-DRG Carveouts 1 1 — — $159,683.00 $159,683.00 $159,683.00 2025-08-20
C9273 HCPCS Pharmacy: Rev Code 0636 2 1 — — $138,703.92 $138,703.92 $138,703.92 2025-08-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $76,600.37 $213,147.00 $137,997.14 2025-08-20
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $75,443.42 $206,022.00 $136,076.00 2025-08-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 8 8 — — $127,527.60 $255,055.20 $128,802.88 2025-08-20
J7330 HCPCS Cultured Chondrocytes Implnt 7 4 — — $68,248.13 $251,327.03 $127,652.31 2025-08-20
14 MS_DRG Allogeneic Bone Marrow Transplant 8 8 — — $118,277.42 $236,554.84 $119,460.20 2025-08-20
7 MS_DRG Lung Transplant 8 8 — — $117,980.54 $235,961.08 $119,160.35 2025-08-20
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $64,306.69 $181,435.00 $115,731.39 2025-08-20
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $60,726.10 $168,855.00 $109,246.38 2025-08-20
459 MS_DRG Ms-DRG Carveouts 1 1 — — $106,834.00 $106,834.00 $106,834.00 2025-08-20
454 MS_DRG Ms-DRG Carveouts 1 1 — — $105,144.00 $105,144.00 $105,144.00 2025-08-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 8 — — $99,545.87 $199,091.74 $100,541.33 2025-08-20
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $99,999.91 $199,999.82 $99,999.91 2025-08-20
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 8 — — $55,616.10 $148,211.00 $99,991.39 2025-08-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 8 — — $98,414.12 $196,828.24 $99,398.26 2025-08-20
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $49,924.94 $141,412.00 $97,403.00 2025-08-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 8 — — $96,214.49 $192,428.98 $97,176.64 2025-08-20
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $49,622.67 $132,679.00 $96,782.00 2025-08-20
215 MS_DRG Other Heart Assist System Implant 8 8 — — $95,723.28 $191,446.56 $96,680.51 2025-08-20
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $17,119.00 $270,136.00 $96,542.07 2025-08-20
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $52,041.81 $153,155.00 $94,688.00 2025-08-20
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 7 — — $93,216.70 $186,433.40 $93,216.70 2025-08-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $87,233.30 $174,466.60 $88,105.64 2025-08-20
455 MS_DRG Ms-DRG Carveouts 1 1 — — $87,738.00 $87,738.00 $87,738.00 2025-08-20
850 MS_DRG Acute Leukemia With Other Procedures 8 8 — — $83,282.06 $166,564.12 $84,114.88 2025-08-20
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $46,740.19 $122,317.00 $83,915.73 2025-08-20
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 8 — — $46,240.89 $109,625.00 $83,011.41 2025-08-20
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $44,106.02 $117,668.00 $79,126.93 2025-08-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 8 — — $41,718.37 $96,316.00 $78,921.00 2025-08-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 8 — — $76,642.64 $153,285.28 $77,409.07 2025-08-20
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $39,254.22 $110,649.00 $75,783.00 2025-08-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 8 — — $72,928.93 $145,857.86 $73,658.22 2025-08-20
10 MS_DRG Pancreas Transplant 8 8 — — $72,136.33 $144,272.66 $72,857.70 2025-08-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 8 — — $71,725.19 $143,450.38 $72,442.44 2025-08-20
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 8 — — $63,235.61 $251,680.50 $71,436.75 2025-08-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 8 — — $70,727.48 $141,454.96 $71,434.76 2025-08-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $70,017.66 $140,035.32 $70,717.83 2025-08-20
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 8 — — $35,603.46 $94,230.00 $69,519.00 2025-08-20
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $200,313.86 $69,491.66 2025-08-20
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 8 — — $67,558.92 $135,117.84 $68,234.51 2025-08-20
460 MS_DRG Inpatient Ms-DRG Surgical 1 1 — — $68,004.00 $68,004.00 $68,004.00 2025-08-20
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 7 — — $67,452.66 $134,905.32 $67,452.66 2025-08-20
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $37,144.57 $103,748.00 $66,536.55 2025-08-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 8 — — $62,991.42 $125,982.84 $66,140.99 2025-08-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 8 — — $46,100.55 $96,211.00 $64,916.29 2025-08-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 8 — — $63,985.52 $127,971.04 $64,625.38 2025-08-20
A9545 HCPCS Lab/Rad/Drugs 2 1 — — $63,120.47 $63,120.47 $63,120.47 2025-08-20
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $61,838.06 $123,676.12 $62,456.44 2025-08-20
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $56,632.26 $280,103.69 $62,451.88 2025-08-20
C9150 HCPCS Rad/Therapy/Drugs 6 3 — — $941.20 $168,629.76 $61,750.00 2025-08-20
J7310 HCPCS Rad/Therapy/Drugs 4 3 — — $34,987.77 $71,589.12 $61,737.60 2025-08-20
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 8 — — $60,494.00 $120,988.00 $61,098.94 2025-08-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 8 — — $60,392.33 $120,784.66 $60,996.26 2025-08-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 8 — — $58,589.45 $117,178.90 $59,175.35 2025-08-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $58,505.77 $117,011.54 $59,090.83 2025-08-20
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 8 — — $32,650.81 $78,876.00 $58,397.70 2025-08-20
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 8 — — $57,303.84 $114,607.68 $57,876.88 2025-08-20
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 8 — — $31,222.18 $74,477.00 $57,121.00 2025-08-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 8 — — $56,135.20 $112,270.40 $56,696.55 2025-08-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 8 — — $56,063.25 $112,126.50 $56,623.88 2025-08-20
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $55,809.54 $111,619.08 $56,367.64 2025-08-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 8 — — $55,364.21 $110,728.42 $55,917.85 2025-08-20
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 8 — — $32,355.73 $74,448.00 $55,717.00 2025-08-20
28 MS_DRG Spinal Procedures With Mcc 8 8 — — $55,101.53 $110,203.06 $55,652.54 2025-08-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 8 — — $54,709.26 $109,418.52 $55,256.35 2025-08-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 8 — — $54,709.26 $109,418.52 $55,256.35 2025-08-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 8 — — $54,303.51 $108,607.02 $54,846.54 2025-08-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $53,930.17 $107,860.34 $54,469.47 2025-08-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 8 — — $4,306.00 $107,779.38 $53,889.69 2025-08-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 8 — — $53,344.50 $106,689.00 $53,877.94 2025-08-20
0266T CPT Outpatient Services 8 7 — — $10,879.00 $107,594.40 $53,797.20 2025-08-20
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 8 — — $52,787.63 $105,575.26 $53,315.50 2025-08-20
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 8 — — $29,814.22 $71,331.00 $53,260.20 2025-08-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $51,733.24 $103,466.48 $52,250.57 2025-08-20
653 MS_DRG Major Bladder Procedures With Mcc 8 8 — — $50,559.19 $101,118.38 $51,064.78 2025-08-20
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 8 — — $29,730.58 $73,107.00 $50,690.50 2025-08-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 8 — — $50,133.65 $100,267.30 $50,634.99 2025-08-20
834 MS_DRG Acute Leukemia With Mcc 8 8 — — $50,133.65 $100,267.30 $50,634.99 2025-08-20
90288 CPT Botulism Ig IV 4 3 — — $372.86 $131,620.39 $50,424.61 2025-08-20
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $28,170.57 $73,888.00 $50,283.28 2025-08-20
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 8 — — $49,358.17 $98,716.34 $49,851.75 2025-08-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 8 — — $49,246.60 $98,493.20 $49,739.07 2025-08-20
J9226 HCPCS Supprelin La Implant 15 8 — — $45,212.04 $212,051.29 $49,678.03 2025-08-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 8 — — $48,997.40 $97,994.80 $49,487.38 2025-08-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 8 — — $48,951.52 $97,903.04 $49,441.04 2025-08-20
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $48,946.13 $97,892.26 $49,435.59 2025-08-20
63685 CPT Or Services 31 9 $60,320.00 $33,176.00 45% off $11,280.00 $72,861.13 $48,859.20 2025-08-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 8 — — $48,270.49 $96,540.98 $48,753.19 2025-08-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $48,059.07 $96,118.14 $48,539.66 2025-08-20
472 MS_DRG Cervical Spinal Fusion With Cc 15 8 — — $26,472.05 $72,044.00 $48,474.00 2025-08-20
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 8 — — $26,866.09 $63,012.00 $47,920.65 2025-08-20
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 8 — — $26,629.49 $63,067.00 $47,580.06 2025-08-20
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $47,211.27 $94,422.54 $47,211.27 2025-08-20
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 8 — — $26,171.56 $69,311.00 $47,144.00 2025-08-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 8 — — $46,586.35 $93,172.70 $47,052.21 2025-08-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 8 — — $45,721.77 $91,443.54 $46,178.99 2025-08-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 8 — — $45,454.59 $90,909.18 $45,909.13 2025-08-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 8 — — $45,419.50 $90,839.00 $45,873.69 2025-08-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 8 — — $45,401.52 $90,803.04 $45,855.54 2025-08-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 8 — — $45,239.59 $90,479.18 $45,691.99 2025-08-20
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 8 — — $24,936.34 $64,254.00 $45,681.00 2025-08-20
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $45,177.95 $90,355.90 $45,177.95 2025-08-20
245 MS_DRG Aicd Generator Procedures 8 8 — — $44,371.42 $88,742.84 $44,815.13 2025-08-20
6 MS_DRG Liver Transplant Without Mcc 8 8 — — $44,033.16 $88,066.32 $44,473.49 2025-08-20
Q4244 HCPCS Pharmacy: Rev Code 0636 3 2 — — $28,321.85 $44,295.77 $44,295.77 2025-08-20
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 8 — — $24,007.91 $56,874.00 $44,086.00 2025-08-20
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 8 — — $43,370.11 $86,740.22 $43,803.81 2025-08-20
799 MS_DRG Splenic Procedures With Mcc 8 8 — — $43,183.88 $86,367.76 $43,615.72 2025-08-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 8 — — $43,175.80 $86,351.60 $43,607.56 2025-08-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 8 — — $42,733.16 $85,466.32 $43,160.49 2025-08-20
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 8 — — $42,506.46 $85,012.92 $42,931.52 2025-08-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 8 — — $42,258.15 $84,516.30 $42,680.73 2025-08-20
163 MS_DRG Major Chest Procedures With Mcc 8 8 — — $41,873.99 $83,747.98 $42,292.73 2025-08-20
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 8 — — $41,856.91 $83,713.82 $42,275.48 2025-08-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $41,724.65 $83,449.30 $42,141.90 2025-08-20
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $9,530.00 $83,684.80 $41,842.40 2025-08-20
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 8 — — $40,995.95 $81,991.90 $41,405.91 2025-08-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 8 — — $40,753.94 $81,507.88 $41,161.48 2025-08-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 8 — — $40,642.37 $81,284.74 $41,048.79 2025-08-20
901 MS_DRG Wound Debridements For Injuries With Mcc 8 8 — — $40,266.33 $80,532.66 $40,669.00 2025-08-20
397 MS_DRG Appendix Procedures With Mcc 14 8 — — $22,698.93 $47,733.00 $40,619.13 2025-08-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 8 — — $39,927.17 $79,854.34 $40,326.44 2025-08-20
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 8 — — $23,332.28 $53,632.00 $39,948.00 2025-08-20
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 7 — — $39,823.40 $79,646.80 $39,823.40 2025-08-20
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 8 — — $39,334.29 $78,668.58 $39,727.64 2025-08-20
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 8 — — $21,705.71 $59,685.00 $39,657.00 2025-08-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $38,783.70 $77,567.40 $39,559.37 2025-08-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 8 — — $38,727.05 $77,454.10 $39,114.32 2025-08-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 8 — — $21,672.43 $51,457.00 $38,882.00 2025-08-20
140 MS_DRG Major Head And Neck Procedures With Mcc 8 8 — — $38,455.35 $76,910.70 $38,839.90 2025-08-20
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 8 — — $21,787.59 $50,488.00 $38,722.69 2025-08-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 8 — — $38,108.09 $76,216.18 $38,489.17 2025-08-20
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 8 — — $38,099.09 $76,198.18 $38,480.08 2025-08-20
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 7 — — $10,492.00 $76,657.96 $38,328.98 2025-08-20
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $10,879.00 $76,657.96 $38,328.98 2025-08-20
0408T CPT Insj/rplc Cardiac Modulj Sys 9 7 — — $10,492.00 $76,657.96 $38,328.98 2025-08-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 8 — — $37,839.09 $75,678.18 $38,217.48 2025-08-20
793 MS_DRG Full Term Neonate With Major Problems 8 8 — — $1,920.00 $75,854.48 $37,927.24 2025-08-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 8 — — $37,401.85 $74,803.70 $37,775.87 2025-08-20
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 8 — — $37,381.17 $74,762.34 $37,754.98 2025-08-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 8 — — $37,326.28 $74,652.56 $37,699.54 2025-08-20
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 8 — — $36,999.71 $73,999.42 $37,369.71 2025-08-20
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 8 — — $22,008.00 $52,443.00 $37,028.00 2025-08-20
791 MS_DRG Prematurity With Major Problems 8 8 — — $4,306.00 $73,864.48 $36,932.24 2025-08-20
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 8 — — $36,246.71 $72,493.42 $36,609.18 2025-08-20
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 8 — — $36,221.51 $72,443.02 $36,583.73 2025-08-20
0268T CPT Outpatient Services 8 7 — — $10,879.00 $72,861.13 $36,430.57 2025-08-20
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $4,409.00 $72,861.13 $36,430.57 2025-08-20
61886 CPT Implant Neurostim Arrays 15 8 — — $10,879.00 $72,861.13 $36,430.57 2025-08-20
37238 CPT Or Services - Other Or Service 31 9 $44,943.00 $24,718.65 45% off $9,479.00 $36,403.83 $36,403.83 2025-08-20
37236 CPT Or Services - Other Or Service 31 9 $44,943.00 $24,718.65 45% off $9,479.00 $36,403.83 $36,403.83 2025-08-20
37226 CPT Or Services - Other Or Service 31 9 $44,943.00 $24,718.65 45% off $9,479.00 $36,403.83 $36,403.83 2025-08-20
37221 CPT Or Services - Other Or Service 31 9 $44,943.00 $24,718.65 45% off $9,479.00 $36,403.83 $36,403.83 2025-08-20
37183 CPT Or Services - Minor Surgery 31 9 $44,943.00 $24,718.65 45% off $6,816.05 $36,403.83 $36,403.83 2025-08-20
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 8 — — $35,904.85 $71,809.70 $36,263.90 2025-08-20
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 8 — — $35,831.98 $71,663.96 $36,190.30 2025-08-20
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 8 — — $35,760.01 $71,520.02 $36,117.61 2025-08-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 8 — — $35,586.37 $71,172.74 $35,942.24 2025-08-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 8 — — $35,392.05 $70,784.10 $35,745.97 2025-08-20
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 8 — — $35,178.82 $70,357.64 $35,530.61 2025-08-20
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 8 — — $35,143.75 $70,287.50 $35,495.19 2025-08-20
C1767 HCPCS Med/surg - Other Implant 21 9 $58,112.66 $31,961.97 45% off $14,295.71 $47,071.25 $35,448.72 2025-08-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 8 — — $35,046.57 $70,093.14 $35,397.04 2025-08-20
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 8 — — $34,795.58 $69,591.16 $35,143.54 2025-08-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $34,609.36 $69,218.72 $34,955.46 2025-08-20
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 8 — — $34,343.05 $68,686.10 $34,686.48 2025-08-20
J2507 HCPCS Pegloticase 1 Mg(cq8) Sdvial 30 9 $113,240.27 $62,282.15 45% off $3,565.32 $91,724.62 $34,538.28 2025-08-20
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 8 — — $19,372.93 $45,260.00 $34,414.19 2025-08-20
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 8 — — $34,072.25 $68,144.50 $34,412.97 2025-08-20
L8701 HCPCS Ewh S/d Uprt Micro Sensor 7 7 — — $34,284.44 $68,568.88 $34,284.44 2025-08-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $33,005.28 $75,198.00 $34,160.46 2025-08-20
33289 CPT Tcat Impl Wrls P-art Prs Snr 13 8 — — $9,479.00 $67,971.00 $33,985.50 2025-08-20
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 8 — — $19,074.25 $45,243.00 $33,808.42 2025-08-20
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 8 — — $33,232.89 $66,465.78 $33,565.22 2025-08-20
37244 CPT Or Services - Other Or Service 31 9 $40,885.00 $22,486.75 45% off $9,479.00 $33,116.85 $33,116.85 2025-08-20
37241 CPT Or Services - Other Or Service 31 9 $40,885.00 $22,486.75 45% off $9,479.00 $33,116.85 $33,116.85 2025-08-20
37243 CPT Or Services - Minor Surgery 32 9 $40,858.00 $22,471.90 45% off $9,479.00 $33,116.85 $33,094.98 2025-08-20
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 8 — — $32,658.03 $65,316.06 $32,984.61 2025-08-20
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 8 — — $32,656.21 $65,312.42 $32,982.77 2025-08-20
C9760 HCPCS Non-blind Interatrial Shunt 10 7 — — $10,879.00 $65,752.60 $32,876.30 2025-08-20
265 MS_DRG Aicd Lead Procedures 8 8 — — $32,499.67 $64,999.34 $32,824.67 2025-08-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 8 — — $32,168.60 $64,337.20 $32,490.28 2025-08-20
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 8 — — $32,160.51 $64,321.02 $32,482.11 2025-08-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 8 — — $30,923.50 $61,847.00 $32,469.68 2025-08-20
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 8 — — $32,080.44 $64,160.88 $32,401.24 2025-08-20
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 8 — — $31,929.31 $63,858.62 $32,248.61 2025-08-20
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 8 — — $31,919.41 $63,838.82 $32,238.60 2025-08-20
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 8 — — $31,906.81 $63,813.62 $32,225.88 2025-08-20
264 MS_DRG Other Circulatory System O.r. Procedures 8 8 — — $31,851.03 $63,702.06 $32,169.54 2025-08-20
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 8 — — $31,647.72 $63,295.44 $31,964.19 2025-08-20
332 MS_DRG Rectal Resection With Mcc 8 8 — — $31,613.52 $63,227.04 $31,929.65 2025-08-20
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 8 — — $31,579.35 $63,158.70 $31,895.14 2025-08-20
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 8 — — $18,147.61 $42,989.00 $31,775.00 2025-08-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 8 — — $31,394.91 $62,789.82 $31,708.86 2025-08-20
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 8 — — $31,346.33 $62,692.66 $31,659.79 2025-08-20
665 MS_DRG Prostatectomy With Mcc 8 8 — — $31,297.75 $62,595.50 $31,610.73 2025-08-20
252 MS_DRG Other Vascular Procedures With Mcc 8 8 — — $31,268.95 $62,537.90 $31,581.64 2025-08-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 8 — — $22,251.80 $45,965.00 $31,463.92 2025-08-20
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 8 — — $31,051.23 $62,102.46 $31,361.74 2025-08-20
27444 CPT Knee Arthroscopy 3 1 — — $28,113.00 $31,237.00 $31,237.00 2025-08-20
27439 CPT Knee Arthroscopy 3 1 — — $28,113.00 $31,237.00 $31,237.00 2025-08-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 8 — — $30,605.92 $61,211.84 $30,911.98 2025-08-20
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 15 8 — — $17,370.30 $43,232.00 $30,722.34 2025-08-20
37 MS_DRG Extracranial Procedures With Mcc 8 8 — — $30,283.84 $60,567.68 $30,586.68 2025-08-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 8 — — $30,112.93 $60,225.86 $30,414.06 2025-08-20
J9266 HCPCS Pegaspargase Injection 15 8 — — $27,070.53 $108,825.00 $30,391.72 2025-08-20
61626 CPT Or Services - Minor Surgery 31 9 $37,168.00 $20,442.40 45% off $9,479.00 $30,106.08 $30,106.08 2025-08-20
37242 CPT Or Services - Other Or Service 31 9 $37,166.00 $20,441.30 45% off $9,479.00 $42,933.80 $30,104.46 2025-08-20
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 8 — — $29,717.97 $59,435.94 $30,015.15 2025-08-20
J9359 HCPCS Loncas Tes-lpyl 0.075mg(cq133) 30 9 $97,713.54 $53,742.45 45% off $212.00 $79,147.97 $29,802.63 2025-08-20
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 8 — — $29,369.82 $58,739.64 $29,663.52 2025-08-20
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 8 — — $29,235.76 $58,471.52 $29,528.12 2025-08-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 8 — — $29,152.10 $58,304.20 $29,443.62 2025-08-20
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 15 8 — — $16,162.09 $37,599.00 $29,406.00 2025-08-20
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 8 — — $29,097.21 $58,194.42 $29,388.18 2025-08-20
93656 CPT Compre Ep Eval Abltj Atr Fib 9 7 — — $10,492.00 $58,655.75 $29,327.87 2025-08-20
93654 CPT Compre Ep Eval Tx Vt 9 7 — — $10,492.00 $58,655.75 $29,327.87 2025-08-20
93653 CPT Compre Ep Eval Tx Svt 9 7 — — $10,492.00 $58,655.75 $29,327.87 2025-08-20
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 8 — — $29,019.85 $58,039.70 $29,310.05 2025-08-20
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 8 — — $28,962.27 $57,924.54 $29,251.90 2025-08-20
500 MS_DRG Soft Tissue Procedures With Mcc 8 8 — — $28,914.59 $57,829.18 $29,203.74 2025-08-20
27131 CPT Hip Arthroplasty 3 1 — — $26,280.00 $29,200.00 $29,200.00 2025-08-20
L6700 HCPCS Ue Add Ext Power Myoel 7 7 — — $28,931.56 $57,863.12 $28,931.56 2025-08-20
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 15 8 — — $16,358.21 $39,748.00 $28,889.26 2025-08-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 8 — — $28,485.46 $56,970.92 $28,770.31 2025-08-20
662 MS_DRG Minor Bladder Procedures With Mcc 8 8 — — $28,472.86 $56,945.72 $28,757.59 2025-08-20
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 15 8 — — $16,841.33 $39,026.00 $28,702.00 2025-08-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 8 — — $28,353.21 $56,706.42 $28,636.74 2025-08-20
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $28,607.84 $57,215.68 $28,607.84 2025-08-20
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 8 — — $28,228.16 $56,456.32 $28,510.44 2025-08-20
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 8 — — $28,150.79 $56,301.58 $28,432.30 2025-08-20
652 MS_DRG Kidney Transplant 8 8 — — $28,039.22 $56,078.44 $28,319.61 2025-08-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 8 — — $28,014.04 $56,028.08 $28,294.18 2025-08-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 8 — — $27,924.08 $55,848.16 $28,203.32 2025-08-20
L6880 HCPCS Elec Hand Ind Art Digits 7 7 — — $28,151.96 $56,303.92 $28,151.96 2025-08-20
C1816 HCPCS Med/surg - Other Implant 21 9 $45,990.15 $25,294.59 45% off $11,313.58 $37,252.02 $28,053.99 2025-08-20
570 MS_DRG Skin Debridement With Mcc 8 8 — — $27,488.65 $54,977.30 $27,763.53 2025-08-20
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 8 — — $26,794.12 $63,729.00 $27,731.92 2025-08-20
974 MS_DRG HIV With Major Related Condition With Mcc 8 8 — — $27,272.73 $54,545.46 $27,545.46 2025-08-20
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 14 8 — — $17,369.41 $40,897.00 $27,541.50 2025-08-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 15 8 — — $15,260.64 $36,621.00 $27,248.00 2025-08-20
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 8 — — $26,934.46 $53,868.92 $27,203.81 2025-08-20
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 15 8 — — $15,327.22 $34,817.00 $27,021.97 2025-08-20
668 MS_DRG Transurethral Procedures With Mcc 8 8 — — $26,643.87 $53,287.74 $26,910.31 2025-08-20
800 MS_DRG Splenic Procedures With Cc 8 8 — — $26,621.38 $53,242.76 $26,887.60 2025-08-20
620 MS_DRG O.r. Procedures For Obesity With Cc 15 8 — — $14,774.83 $34,269.00 $26,887.00 2025-08-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 8 — — $26,607.01 $53,214.02 $26,873.08 2025-08-20
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 8 7 — — $10,879.00 $53,667.94 $26,833.97 2025-08-20
0916T CPT Insj Perm Ccm-d Sys Pg Only 8 7 — — $10,879.00 $53,667.94 $26,833.97 2025-08-20
0409T CPT Insj/rplc Car Modulj Pls Gn 9 7 — — $10,492.00 $53,667.94 $26,833.97 2025-08-20
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 9 7 — — $10,492.00 $53,667.94 $26,833.97 2025-08-20
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 9 7 — — $10,492.00 $53,667.94 $26,833.97 2025-08-20
0515T CPT Insj Wcs Lv Compl Sys 9 7 — — $9,530.00 $53,667.94 $26,833.97 2025-08-20
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 8 — — $26,201.25 $52,402.50 $26,463.26 2025-08-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 15 8 — — $14,743.34 $34,945.00 $26,452.00 2025-08-20
58150 CPT Total Hysterectomy 6 4 — — $12,810.00 $26,899.00 $26,433.00 2025-08-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 8 — — $26,156.26 $52,312.52 $26,417.82 2025-08-20
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 8 — — $26,120.29 $52,240.58 $26,381.50 2025-08-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 8 — — $26,018.63 $52,037.26 $26,278.82 2025-08-20
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 15 8 — — $14,679.47 $34,194.00 $26,271.00 2025-08-20
654 MS_DRG Major Bladder Procedures With Cc 8 8 — — $25,796.41 $51,592.82 $26,054.38 2025-08-20
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 8 — — $25,673.15 $51,346.30 $25,929.88 2025-08-20
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 15 8 — — $15,185.97 $33,561.00 $25,909.00 2025-08-20
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 8 — — $25,647.07 $51,294.14 $25,903.54 2025-08-20
J9600 HCPCS Porfimer Sodium Injection 15 8 — — $24,197.85 $98,323.18 $25,851.38 2025-08-20
61885 CPT Insrt/redo Neurostim 1 Array 15 8 — — $7,011.00 $55,654.00 $25,636.34 2025-08-20
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 9 7 — — $5,244.00 $51,272.68 $25,636.34 2025-08-20
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 15 8 — — $10,879.00 $55,654.00 $25,636.34 2025-08-20
63655 CPT Implant Neuroelectrodes 15 8 — — $10,336.00 $55,654.00 $25,636.34 2025-08-20
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 9 7 — — $5,244.00 $51,272.68 $25,636.34 2025-08-20
0680T CPT Insj/rplcmt Pg Only Isdss 9 7 — — $4,409.00 $51,272.68 $25,636.34 2025-08-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 8 — — $24,648.45 $57,890.00 $25,511.14 2025-08-20
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 8 — — $25,025.41 $50,050.82 $25,275.67 2025-08-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 8 — — $24,981.33 $49,962.66 $25,231.15 2025-08-20
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 8 — — $24,848.18 $49,696.36 $25,096.66 2025-08-20
398 MS_DRG Appendix Procedures With Cc 14 8 — — $14,020.94 $32,311.00 $25,017.04 2025-08-20
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 8 — — $24,728.52 $49,457.04 $24,975.81 2025-08-20
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 15 8 — — $13,558.51 $29,284.00 $24,852.00 2025-08-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 8 — — $24,552.20 $49,104.40 $24,797.72 2025-08-20
263 MS_DRG Vein Ligation And Stripping 8 8 — — $24,536.91 $49,073.82 $24,782.28 2025-08-20
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