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

JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT

Farmington, CT · CCN 070036 · Rates published

42,838 distinct procedures filed
19 distinct payers
338,410 rate rows
2025-07-01 last MRF observed · ⚠ 15 mo old
Data quality

256,851 of 338,410 rate rows are consumer-grade (75.9%)

81,559 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 68,617
professional (physician) fee — not the facility price 9,425
placeholder amount (≤ $0.02) — excluded from medians 2,552
template filing: same amount across many unrelated codes — excluded 435
exceeds 10× this hospital's gross charge — excluded from medians 288
per-diem day rate — not a per-procedure price 178
percent-of-charges filed in the dollar field — excluded from medians 40
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://uconnhealth.pt.panaceainc.com/MRFDownload/uconnhealth/uconnhealth
Found on page https://www.uconnhealth.org/patients-visitors/patient-resources/billing-costs-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint ee6620d6d9ee55a5… · 153,469,777 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,672,900.00 $4,526,200.00 $3,672,900.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,605,000.00 $4,526,200.00 $3,605,000.00 nat. median
$3,508,750
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,296,000.00 $4,052,573.44 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,286,000.00 $3,895,460.00 $3,286,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,968,000.00 $3,620,960.00 $2,968,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,302,784.67 $2,932,219.68 $2,388,614.23 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,845,040.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $502,673.91 $763,457.92 $564,841.90 nat. median
$168,055
outlier · 3.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $511,072.50 $690,061.08 $529,192.86 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $507,195.92 $672,608.37 $527,123.43 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $484,690.30 $644,541.16 $526,587.59 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $473,853.52 $630,112.88 $516,726.08 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $449,440.00 $597,210.92 $489,455.96 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $449,440.00 $595,422.84 $460,530.40 nat. median
$513,770
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $375,455.27 $570,239.07 $421,984.15 nat. median
$186,516
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $316,201.20 $480,244.36 $355,445.93 nat. median
$131,925
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $285,661.80 $433,861.31 $321,152.28 nat. median
$145,435
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $188,338.77 $286,047.72 $211,865.24 nat. median
$97,418
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $174,633.89 $265,232.84 $196,475.62 nat. median
$72,715
outlier · 2.7×
7
MS_DRG 		Lung Transplant 11 $174,194.04 $264,564.79 $195,981.69 nat. median
$70,649
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $146,881.58 $223,082.81 $165,311.70 nat. median
$65,418
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $145,204.79 $220,536.11 $163,428.77 nat. median
$74,509
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $141,945.85 $215,586.45 $159,769.21 nat. median
$69,922
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 11 $141,218.09 $236,939.00 $158,951.98 nat. median
$73,023
outlier · 2.2×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 2 $116,688.00 $181,786.80 $154,518.00 nat. median
$77,438
2.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $73,197.00 $231,159.00 $150,844.07 nat. median
$2,736
outlier · 55.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $128,639.51 $195,376.87 $144,827.10 nat. median
$69,822
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $132,737.43 $136,719.55 $132,737.43 nat. median
$2,633
outlier · 50.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $112,948.61 $171,545.63 $127,207.32 nat. median
$60,505
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $112,885.97 $171,450.48 $127,136.96 nat. median
$59,651
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $107,446.40 $163,188.91 $121,028.71 nat. median
$56,428
outlier · 2.1×
J7330
HCPCS 		Cultured Chondrocytes Implnt 6 $65,838.51 $196,368.20 $120,312.55 nat. median
$92,809
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $120,251.22 $184,051.00 $120,251.22 nat. median
$2,596
outlier · 46.3×
10
MS_DRG 		Pancreas Transplant 11 $106,272.12 $161,405.41 $119,710.07 nat. median
$23,080
outlier · 5.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $105,662.98 $160,480.26 $119,026.05 nat. median
$45,605
outlier · 2.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 11 $104,184.80 $158,235.20 $117,366.15 nat. median
$55,935
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $99,490.32 $151,105.26 $112,094.58 nat. median
$52,327
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $103,133.14 $156,637.95 $111,608.47 nat. median
$55,923
2.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $94,196.04 $143,064.35 $106,149.48 nat. median
$51,518
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $92,723.19 $140,827.39 $104,495.56 nat. median
$48,611
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $91,014.41 $138,232.11 $102,576.72 nat. median
$47,340
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $102,511.44 $156,734.00 $102,511.44 nat. median
$9,905
outlier · 10.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $86,201.31 $130,922.00 $100,383.17 nat. median
$47,121
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $89,023.06 $135,207.65 $100,340.57 nat. median
$37,013
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $88,872.44 $134,978.89 $100,171.43 nat. median
$49,569
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $86,077.35 $130,733.73 $97,032.74 nat. median
$47,458
outlier · 2.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $96,807.88 $147,951.00 $96,807.88 nat. median
$2,958
outlier · 32.7×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $84,296.59 $128,029.13 $95,033.08 nat. median
$41,943
outlier · 2.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $82,565.16 $125,399.43 $93,088.79 nat. median
$43,533
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $82,082.65 $124,666.60 $92,546.97 nat. median
$43,299
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 42,838 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,672,900.00 $4,526,200.00 $3,672,900.00 2025-07-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 7 — — $3,605,000.00 $4,526,200.00 $3,605,000.00 2025-07-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,296,000.00 $4,052,573.44 $3,325,454.76 2025-07-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,286,000.00 $3,895,460.00 $3,286,000.00 2025-07-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,968,000.00 $3,620,960.00 $2,968,000.00 2025-07-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,302,784.67 $2,932,219.68 $2,388,614.23 2025-07-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $2,845,040.00 $2,332,000.00 2025-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 11 — — $502,673.91 $763,457.92 $564,841.90 2025-07-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 7 — — $511,072.50 $690,061.08 $529,192.86 2025-07-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $507,195.92 $672,608.37 $527,123.43 2025-07-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $484,690.30 $644,541.16 $526,587.59 2025-07-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $473,853.52 $630,112.88 $516,726.08 2025-07-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 7 — — $449,440.00 $597,210.92 $489,455.96 2025-07-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 7 — — $449,440.00 $595,422.84 $460,530.40 2025-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 11 — — $375,455.27 $570,239.07 $421,984.15 2025-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 11 — — $316,201.20 $480,244.36 $355,445.93 2025-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 11 — — $285,661.80 $433,861.31 $321,152.28 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 11 — — $188,338.77 $286,047.72 $211,865.24 2025-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $174,633.89 $265,232.84 $196,475.62 2025-07-01
7 MS_DRG Lung Transplant 20 11 — — $174,194.04 $264,564.79 $195,981.69 2025-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $146,881.58 $223,082.81 $165,311.70 2025-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $145,204.79 $220,536.11 $163,428.77 2025-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $141,945.85 $215,586.45 $159,769.21 2025-07-01
215 MS_DRG Other Heart Assist System Implant 20 11 — — $141,218.09 $236,939.00 $158,951.98 2025-07-01
C9150 HCPCS Xe129 Xenon, Diagnostic 5 2 — — $116,688.00 $181,786.80 $154,518.00 2025-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $73,197.00 $231,159.00 $150,844.07 2025-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $128,639.51 $195,376.87 $144,827.10 2025-07-01
850 MS_DRG Acute Leukemia With Other Procedures 8 8 — — $132,737.43 $136,719.55 $132,737.43 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $112,948.61 $171,545.63 $127,207.32 2025-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $112,885.97 $171,450.48 $127,136.96 2025-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 11 — — $107,446.40 $163,188.91 $121,028.71 2025-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 11 6 — — $65,838.51 $196,368.20 $120,312.55 2025-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 10 — — $120,251.22 $184,051.00 $120,251.22 2025-07-01
10 MS_DRG Pancreas Transplant 20 11 — — $106,272.12 $161,405.41 $119,710.07 2025-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 11 — — $105,662.98 $160,480.26 $119,026.05 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 20 11 — — $104,184.80 $158,235.20 $117,366.15 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $99,490.32 $151,105.26 $112,094.58 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $103,133.14 $156,637.95 $111,608.47 2025-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 — — $94,196.04 $143,064.35 $106,149.48 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 11 — — $92,723.19 $140,827.39 $104,495.56 2025-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $91,014.41 $138,232.11 $102,576.72 2025-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $102,511.44 $156,734.00 $102,511.44 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 11 — — $86,201.31 $130,922.00 $100,383.17 2025-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 11 — — $89,023.06 $135,207.65 $100,340.57 2025-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $88,872.44 $134,978.89 $100,171.43 2025-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $86,077.35 $130,733.73 $97,032.74 2025-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 10 — — $96,807.88 $147,951.00 $96,807.88 2025-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 11 — — $84,296.59 $128,029.13 $95,033.08 2025-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $82,565.16 $125,399.43 $93,088.79 2025-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $82,082.65 $124,666.60 $92,546.97 2025-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 20 11 — — $81,796.07 $124,231.35 $92,225.16 2025-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $81,422.86 $123,664.52 $91,806.07 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 20 11 — — $81,033.66 $123,073.40 $91,369.02 2025-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 11 — — $80,452.51 $122,190.76 $90,716.44 2025-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 11 — — $80,452.51 $122,190.76 $90,716.44 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 20 11 — — $79,851.37 $194,621.00 $90,041.40 2025-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $79,298.22 $120,437.63 $89,420.25 2025-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 8 — — $89,380.36 $92,061.77 $89,380.36 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $79,238.24 $120,346.53 $89,352.89 2025-07-01
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 20 10 $141,004.59 $84,602.75 40% off $53,426.66 $186,935.81 $88,842.37 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $78,430.50 $119,119.74 $88,445.86 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 11 — — $77,605.44 $117,866.64 $87,519.37 2025-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $76,500.46 $116,188.41 $86,278.56 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $76,043.28 $115,494.04 $85,765.17 2025-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $70,599.71 $127,756.00 $85,732.39 2025-07-01
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $74,303.84 $112,852.20 $83,811.90 2025-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 11 — — $73,673.38 $111,894.66 $83,103.94 2025-07-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 20 11 — — $73,673.38 $111,894.66 $83,103.94 2025-07-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 20 11 — — $72,524.42 $110,149.63 $81,813.74 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 11 — — $72,359.14 $109,898.60 $81,628.14 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 11 — — $71,989.93 $109,337.84 $81,213.54 2025-07-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 20 11 — — $71,921.95 $109,234.60 $81,137.21 2025-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $71,913.95 $109,222.45 $81,128.23 2025-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 20 11 — — $70,912.95 $107,702.13 $80,004.17 2025-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $79,602.63 $121,458.00 $79,602.63 2025-07-01
90288 HCPCS Botulism Ig IV 2 2 — — $51,364.29 $107,151.00 $79,257.65 2025-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 10 — — $79,121.12 $120,717.00 $79,121.12 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 11 — — $71,040.00 $103,912.45 $77,202.24 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 11 — — $73,510.72 $108,928.00 $76,660.98 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 11 — — $67,905.92 $103,135.08 $76,627.49 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 — — $67,136.84 $101,967.00 $75,763.85 2025-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 11 — — $66,740.97 $101,365.76 $75,319.32 2025-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $66,688.99 $101,286.81 $75,260.95 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 11 — — $66,662.33 $101,246.32 $75,231.01 2025-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 11 — — $66,422.41 $150,624.00 $74,961.60 2025-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 10 — — $74,529.62 $113,647.00 $74,529.62 2025-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $61,214.77 $117,508.00 $74,335.82 2025-07-01
245 MS_DRG Aicd Generator Procedures 20 11 — — $65,136.16 $98,928.38 $73,517.23 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 11 — — $64,742.95 $98,331.18 $73,075.68 2025-07-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $64,634.99 $98,167.20 $72,954.46 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 11 — — $63,652.64 $96,675.22 $71,851.35 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $63,376.73 $96,256.17 $71,541.51 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 11 — — $63,364.73 $96,237.95 $71,528.04 2025-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 20 11 — — $62,708.95 $146,132.00 $70,791.64 2025-07-01
38240 HCPCS Transplt Allo Hct/donor 8 7 — — $496.35 $72,824.58 $70,703.47 2025-07-01
J9226 HCPCS Supprelin La Implant 18 10 — — $44,575.94 $156,249.60 $70,606.39 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 11 — — $62,373.06 $94,731.80 $70,414.45 2025-07-01
A954300 OTHER Y90 Ibritumomab, Rx 1 1 — — $70,390.05 $70,390.05 $70,390.05 2025-07-01
J902900 OTHER Instill Adstiladrin, Tx Dose 1 1 — — $70,158.16 $70,158.16 $70,158.16 2025-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 11 — — $62,005.18 $94,173.06 $70,001.35 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 11 — — $66,530.31 $121,068.00 $69,846.54 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 20 11 — — $61,436.03 $93,308.64 $69,362.24 2025-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $61,410.70 $93,270.18 $69,333.80 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 11 — — $60,135.12 $91,332.83 $67,901.40 2025-07-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 8 — — $61,800.00 $209,754.00 $67,706.79 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 11 — — $59,776.57 $90,788.27 $67,498.77 2025-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $14,774.74 $215,943.00 $67,401.26 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $59,611.29 $90,537.24 $67,313.18 2025-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 11 — — $59,054.13 $89,691.04 $66,687.54 2025-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $58,551.63 $88,927.84 $66,123.26 2025-07-01
J733000 OTHER Cultured Chondrocytes Implnt 1 1 — — $65,838.51 $65,838.51 $65,838.51 2025-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 11 — — $57,673.25 $87,593.76 $65,136.90 2025-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $57,554.62 $87,413.59 $65,003.69 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 11 — — $56,857.52 $86,354.83 $64,220.88 2025-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $56,773.54 $86,227.29 $64,126.59 2025-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 11 — — $52,484.27 $81,355.00 $63,733.99 2025-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 11 — — $56,371.01 $85,615.92 $63,674.57 2025-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $55,856.51 $84,834.51 $63,096.82 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 11 — — $55,843.18 $84,814.26 $63,081.85 2025-07-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $62,957.78 $62,957.78 $62,957.78 2025-07-01
K100700 OTHER Bil Hkaf Pc S/d Micro Sensor 1 1 — — $62,957.78 $62,957.78 $62,957.78 2025-07-01
793 MS_DRG Full Term Neonate With Major Problems 20 11 — — $55,588.59 $84,427.60 $62,795.98 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $55,457.97 $84,229.21 $62,649.29 2025-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $54,810.18 $83,245.35 $61,921.88 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 11 — — $54,779.52 $83,198.79 $61,887.44 2025-07-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 20 11 — — $54,698.22 $83,075.30 $61,796.14 2025-07-01
Q204300 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $61,454.47 $61,454.47 $61,454.47 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 11 — — $54,214.37 $82,340.45 $61,252.82 2025-07-01
791 MS_DRG Prematurity With Major Problems 20 11 — — $54,114.41 $82,188.62 $61,140.57 2025-07-01
Q048000 OTHER Driver Pneumatic Vad, Rep 1 1 — — $60,277.08 $60,277.08 $60,277.08 2025-07-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $60,277.08 $60,277.08 $60,277.08 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 11 — — $53,098.74 $80,646.02 $60,000.04 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 11 — — $52,592.24 $79,876.75 $59,431.28 2025-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $59,244.66 $90,109.00 $59,244.66 2025-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 11 — — $52,377.64 $79,550.82 $59,190.30 2025-07-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 20 11 — — $52,120.39 $97,521.00 $58,901.43 2025-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 11 — — $51,832.48 $78,722.84 $58,578.12 2025-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 11 — — $51,516.59 $78,243.06 $58,223.39 2025-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 11 — — $51,464.60 $78,164.11 $58,165.01 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 11 — — $51,320.65 $77,945.47 $58,003.36 2025-07-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 20 11 — — $51,378.00 $80,589.34 $57,774.34 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 11 — — $50,948.77 $77,380.67 $57,585.78 2025-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $50,672.86 $76,961.61 $57,275.94 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 11 — — $50,278.32 $76,362.39 $56,832.90 2025-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 10 — — $56,789.84 $86,329.00 $56,789.84 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 11 — — $49,877.12 $75,753.05 $56,382.39 2025-07-01
J9266 HCPCS Oncaspar 750 Unit/ml Injection Solution 21 10 $105,983.74 $63,590.24 40% off $25,781.46 $90,129.41 $56,224.37 2025-07-01
J3590 HCPCS Skyrizi 150 Mg/ml Subcutaneous Syringe 12 6 $81,875.35 $49,125.21 40% off $43,434.87 $77,724.27 $55,879.93 2025-07-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $55,169.68 $55,169.68 $55,169.68 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 11 — — $48,633.52 $73,864.28 $54,985.91 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 11 — — $48,296.30 $73,352.11 $54,607.23 2025-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 11 — — $47,781.80 $72,570.69 $54,029.48 2025-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 11 — — $47,779.13 $72,566.64 $54,026.49 2025-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 11 — — $47,771.14 $72,554.50 $54,017.51 2025-07-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 7 — — $143.83 $55,411.11 $53,797.20 2025-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $1,240.58 $55,411.11 $53,797.20 2025-07-01
265 MS_DRG Aicd Lead Procedures 20 11 — — $47,547.21 $72,214.40 $53,766.06 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 11 — — $47,333.94 $71,890.49 $53,526.58 2025-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 11 — — $47,056.70 $71,469.42 $53,215.25 2025-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 11 — — $47,044.71 $71,451.20 $53,201.79 2025-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 11 — — $46,926.08 $71,271.03 $53,068.57 2025-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 11 — — $46,702.15 $70,930.93 $52,817.12 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 11 — — $46,687.49 $70,908.66 $52,800.65 2025-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 11 — — $46,668.83 $70,880.32 $52,779.69 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 11 — — $46,586.19 $70,754.80 $52,686.90 2025-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $46,284.95 $70,297.29 $52,348.62 2025-07-01
332 MS_DRG Rectal Resection With Mcc 20 11 — — $46,234.30 $70,220.36 $52,291.75 2025-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 11 — — $46,183.65 $70,143.44 $52,234.88 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 11 — — $45,910.41 $69,728.43 $51,928.04 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 11 — — $45,838.43 $69,619.12 $51,847.21 2025-07-01
665 MS_DRG Prostatectomy With Mcc 20 11 — — $45,766.45 $69,509.80 $51,766.40 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 20 11 — — $45,723.80 $69,445.02 $51,718.50 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 11 — — $45,654.49 $69,339.75 $51,640.67 2025-07-01
9028800 OTHER Botulism Ig IV 1 1 — — $51,364.29 $51,364.29 $51,364.29 2025-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 11 — — $45,401.24 $68,955.11 $51,356.28 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 11 — — $45,211.97 $68,667.65 $51,143.74 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 11 — — $44,741.45 $67,953.03 $50,615.39 2025-07-01
J922600 OTHER Supprelin La Implant 1 1 — — $50,084.90 $50,084.90 $50,084.90 2025-07-01
37 MS_DRG Extracranial Procedures With Mcc 20 11 — — $44,264.28 $67,228.30 $50,079.55 2025-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 11 — — $44,011.03 $66,843.66 $49,795.17 2025-07-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 20 11 — — $43,568.50 $66,171.56 $49,298.24 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 11 — — $43,444.54 $65,983.29 $49,159.05 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 11 — — $43,425.88 $65,954.95 $49,138.09 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 11 — — $42,910.05 $65,171.51 $48,558.85 2025-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $42,711.45 $64,869.87 $48,335.83 2025-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 11 — — $42,587.49 $64,681.60 $48,196.63 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 11 — — $42,506.18 $64,558.12 $48,105.33 2025-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 11 — — $42,391.55 $64,384.02 $47,976.60 2025-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 11 — — $42,306.25 $64,254.46 $47,880.82 2025-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 11 — — $42,235.60 $64,147.16 $47,801.49 2025-07-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 20 11 — — $41,599.81 $63,181.52 $47,087.54 2025-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 11 — — $41,581.15 $63,153.18 $47,066.58 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 11 — — $41,403.87 $97,139.00 $46,867.51 2025-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 11 — — $41,218.60 $62,602.55 $46,659.46 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 11 — — $41,103.97 $62,428.45 $46,530.74 2025-07-01
652 MS_DRG Kidney Transplant 20 11 — — $40,938.69 $62,177.42 $46,345.15 2025-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 11 — — $40,901.37 $62,120.74 $46,303.24 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 11 — — $41,927.00 $61,918.30 $46,153.56 2025-07-01
570 MS_DRG Skin Debridement With Mcc 20 11 — — $40,122.96 $60,938.49 $45,429.13 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 11 — — $39,803.06 $60,452.63 $45,069.91 2025-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $44,949.94 $68,098.00 $44,949.94 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 11 — — $39,301.89 $59,691.46 $44,507.13 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 11 — — $39,200.59 $59,537.60 $44,393.38 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 11 — — $39,093.96 $59,375.65 $44,273.64 2025-07-01
668 MS_DRG Transurethral Procedures With Mcc 20 11 — — $38,871.36 $59,037.58 $44,023.68 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 11 — — $38,850.04 $59,005.19 $43,999.73 2025-07-01
800 MS_DRG Splenic Procedures With Cc 20 11 — — $38,838.04 $58,986.97 $43,986.26 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 11 — — $38,816.71 $58,954.58 $43,962.32 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 11 — — $38,616.78 $58,650.92 $43,737.80 2025-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 11 — — $38,215.58 $58,041.57 $43,287.28 2025-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 20 11 — — $38,171.59 $68,791.00 $43,237.89 2025-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 11 — — $38,148.93 $57,940.35 $43,212.44 2025-07-01
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 20 11 — — $38,095.61 $57,859.38 $43,152.57 2025-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 20 11 — — $37,945.00 $57,630.62 $42,983.43 2025-07-01
L870200 OTHER Ewhf S/d Uprt Micro Sensor 1 1 — — $42,753.47 $42,753.47 $42,753.47 2025-07-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $42,753.47 $42,753.47 $42,753.47 2025-07-01
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $37,615.77 $57,130.59 $42,613.74 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 11 — — $37,433.16 $56,853.25 $42,408.68 2025-07-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 11 — — $37,394.51 $56,794.54 $42,365.27 2025-07-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 8 7 — — $12,224.76 $43,097.67 $41,842.40 2025-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 11 — — $36,473.48 $55,395.68 $41,331.02 2025-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 11 — — $36,408.16 $55,296.49 $41,257.68 2025-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 11 — — $36,341.52 $55,195.27 $41,182.84 2025-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 11 — — $36,210.89 $54,996.87 $41,036.16 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 11 — — $36,033.62 $54,727.63 $40,837.08 2025-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 11 — — $35,914.99 $54,547.46 $40,703.88 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 11 — — $35,772.37 $54,330.85 $40,543.72 2025-07-01
263 MS_DRG Vein Ligation And Stripping 20 11 — — $35,749.71 $54,296.43 $40,518.28 2025-07-01
849 MS_DRG Radiotherapy 20 11 — — $35,603.09 $54,073.75 $40,353.64 2025-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 11 — — $35,492.46 $53,905.72 $40,229.40 2025-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 11 — — $35,365.84 $53,713.41 $40,087.21 2025-07-01
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 20 11 — — $35,321.85 $53,646.60 $40,037.82 2025-07-01
503 MS_DRG Foot Procedures With Mcc 20 11 — — $35,276.53 $53,577.77 $39,986.93 2025-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 20 11 — — $35,240.54 $53,523.11 $39,946.51 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 11 — — $34,965.97 $53,106.09 $39,638.19 2025-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 11 — — $34,875.33 $52,968.43 $39,536.41 2025-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 20 11 — — $34,503.45 $52,403.62 $39,118.82 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 11 — — $34,446.13 $52,316.57 $39,054.46 2025-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 11 — — $34,039.60 $51,699.13 $38,597.94 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 20 11 — — $34,028.94 $51,682.93 $38,585.97 2025-07-01
E0194NU OTHER Air Fluidized Bed 1 1 — — $38,547.44 $38,547.44 $38,547.44 2025-07-01
E019400 OTHER Air Fluidized Bed 1 1 — — $38,547.44 $38,547.44 $38,547.44 2025-07-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 20 11 — — $33,964.96 $51,585.76 $38,514.12 2025-07-01
33264 HCPCS Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 21 10 $80,155.00 $48,093.00 40% off $908.92 $105,115.00 $38,328.98 2025-07-01
33249 HCPCS Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 21 10 $84,785.00 $50,871.00 40% off $2,050.81 $105,115.00 $38,328.98 2025-07-01
33270 HCPCS Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 21 10 $125,230.00 $75,138.00 40% off $1,261.40 $105,115.00 $38,328.98 2025-07-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 7 — — $738.25 $39,478.85 $38,328.98 2025-07-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 8 7 — — $1,176.83 $39,478.85 $38,328.98 2025-07-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $38,328.98 $39,478.85 $38,328.98 2025-07-01
33231 HCPCS Hc Insj Implntbl Defib Pulse Gen W/exist Multileads 21 10 $64,291.00 $38,574.60 40% off $895.84 $105,115.00 $38,328.98 2025-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 11 — — $33,681.05 $51,154.56 $38,195.32 2025-07-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 11 — — $33,654.39 $51,114.08 $38,165.38 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 20 11 — — $33,549.09 $50,954.15 $38,047.14 2025-07-01
69930 HCPCS Implant Cochlear Device 8 7 — — $1,939.87 $39,166.38 $38,025.61 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 11 — — $33,377.15 $50,693.00 $37,854.06 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 20 11 — — $33,351.82 $50,654.54 $37,825.62 2025-07-01
397 MS_DRG Appendix Procedures With Mcc 20 11 — — $33,026.60 $50,160.58 $37,460.41 2025-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 20 11 — — $34,437.00 $49,958.14 $37,310.74 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 11 — — $2,397.00 $51,320.56 $37,055.24 2025-07-01
792 MS_DRG Prematurity Without Major Problems 20 11 — — $32,652.05 $49,591.73 $37,039.82 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 11 — — $32,633.39 $49,563.39 $37,018.87 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 11 — — $35,030.00 $50,043.00 $36,716.52 2025-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 11 — — $32,238.85 $48,964.16 $36,575.83 2025-07-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 20 11 — — $32,137.55 $48,810.31 $36,462.07 2025-07-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 7 — — $1,816.30 $37,523.48 $36,430.57 2025-07-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 7 — — $720.00 $37,523.48 $36,430.57 2025-07-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 7 — — $833.44 $37,523.48 $36,430.57 2025-07-01
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 9 7 — — $763.00 $37,523.48 $36,430.57 2025-07-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 8 7 — — $1,288.40 $37,523.48 $36,430.57 2025-07-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $36,430.57 $37,523.48 $36,430.57 2025-07-01
61886 HCPCS Implant Neurostim Arrays 9 7 — — $1,859.13 $37,523.48 $36,430.57 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 11 — — $32,002.93 $48,605.84 $36,310.90 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 11 — — $31,952.28 $48,528.92 $36,254.03 2025-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 20 11 — — $31,952.28 $48,528.92 $36,254.03 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 11 — — $31,676.37 $48,109.87 $35,944.20 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 11 — — $34,598.99 $51,352.00 $35,907.13 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 20 11 — — $31,555.07 $47,925.65 $35,807.99 2025-07-01
347 MS_DRG Anal And Stomal Procedures With Mcc 20 11 — — $31,547.08 $47,913.50 $35,799.01 2025-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 11 — — $31,455.11 $47,773.82 $35,695.74 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 11 — — $31,171.20 $47,342.62 $35,376.93 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 11 — — $29,042.56 $44,109.65 $35,267.68 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 11 — — $30,925.95 $46,970.13 $35,101.53 2025-07-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 11 — — $30,853.97 $46,860.81 $35,020.70 2025-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 11 — — $30,824.65 $57,873.00 $34,987.77 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 11 — — $30,768.66 $46,731.25 $34,924.92 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 20 11 — — $30,578.06 $46,441.76 $34,710.88 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 11 — — $30,527.41 $46,364.83 $34,653.99 2025-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 20 11 — — $30,434.11 $46,223.13 $34,549.22 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 20 11 — — $30,376.79 $46,136.08 $34,484.87 2025-07-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 11 — — $30,320.81 $46,051.05 $34,422.00 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 11 — — $30,203.51 $45,872.90 $34,290.29 2025-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 20 11 — — $30,100.88 $45,717.03 $34,175.04 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 20 11 — — $30,099.55 $45,715.00 $34,173.54 2025-07-01
113 MS_DRG Orbital Procedures With Cc/mcc 20 11 — — $30,078.22 $45,682.61 $34,149.59 2025-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 11 — — $30,027.57 $45,605.68 $34,092.71 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 11 — — $30,016.91 $45,589.49 $34,080.74 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 20 11 — — $29,978.25 $45,530.78 $34,037.34 2025-07-01
709 MS_DRG Penis Procedures With Cc/mcc 20 11 — — $29,951.60 $45,490.29 $34,007.40 2025-07-01
33289 HCPCS Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 21 10 $103,060.00 $61,836.00 40% off $737.85 $97,834.86 $33,985.50 2025-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 11 — — $29,755.66 $45,192.71 $33,787.37 2025-07-01
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