Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT

Farmington, CT · CCN 070036 · Rates published

42,846 distinct procedures filed
19 distinct payers
338,410 rate rows
2025-07-01 last MRF observed
Data quality

256,875 of 338,410 rate rows are consumer-grade (75.9%)

81,535 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
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 · 2026-05-15
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
$3,710,000
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
$3,710,000
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
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,968,000.00 $3,620,960.00 $2,968,000.00 nat. median
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,845,040.00 $2,332,000.00 nat. median
$2,448,600
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
$370,174
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $511,072.50 $690,061.08 $529,192.86 nat. median
$754,974
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $507,195.92 $672,608.37 $527,123.43 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $484,690.30 $644,541.16 $526,587.59 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $473,853.52 $630,112.88 $516,726.08 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $449,440.00 $597,210.92 $489,455.96 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $449,440.00 $595,422.84 $460,530.40 nat. median
$620,080
0.7× 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
$265,286
1.6× median
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
$206,368
1.7× median
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
$202,986
1.6× median
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
$133,176
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $174,633.89 $265,232.84 $196,475.62 nat. median
$117,303
1.7× median
7
MS_DRG 		Lung Transplant 11 $174,194.04 $264,564.79 $195,981.69 nat. median
$122,708
1.6× median
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
$108,660
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $145,204.79 $220,536.11 $163,428.77 nat. median
$102,358
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $141,945.85 $215,586.45 $159,769.21 nat. median
$100,136
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $141,218.09 $236,939.00 $158,951.98 nat. median
$99,019
1.6× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 2 $116,688.00 $181,786.80 $154,518.00 nat. median
$775
outlier · 199.4×
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
$98,905
1.5× median
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
$93,672
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $132,737.43 $136,719.55 $132,737.43 nat. median
$83,442
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $112,948.61 $171,545.63 $127,207.32 nat. median
$79,312
1.6× median
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
$81,118
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $107,446.40 $163,188.91 $121,028.71 nat. median
$77,576
1.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 6 $65,838.51 $196,368.20 $120,312.55 nat. median
$76,377
1.6× 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
$82,712
1.5× median
10
MS_DRG 		Pancreas Transplant 11 $106,272.12 $161,405.41 $119,710.07 nat. median
$68,882
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $105,662.98 $160,480.26 $119,026.05 nat. median
$71,240
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 11 $104,184.80 $158,235.20 $117,366.15 nat. median
$73,807
1.6× median
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
$72,138
1.6× median
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
$74,915
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $94,196.04 $143,064.35 $106,149.48 nat. median
$68,887
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $92,723.19 $140,827.39 $104,495.56 nat. median
$66,526
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $91,014.41 $138,232.11 $102,576.72 nat. median
$64,732
1.6× median
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
$68,090
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $86,201.31 $130,922.00 $100,383.17 nat. median
$62,134
1.6× median
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
$64,027
1.6× median
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
$65,950
1.5× median
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
$64,510
1.5× median
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
$63,738
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $84,296.59 $128,029.13 $95,033.08 nat. median
$60,185
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $82,565.16 $125,399.43 $93,088.79 nat. median
$59,099
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $82,082.65 $124,666.60 $92,546.97 nat. median
$59,793
1.5× median

Other procedures at this hospital

Browse this hospital's 42,846 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
             
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 7 — — $143.83 $55,411.11 $53,797.20 2025-07-01
38240 HCPCS Transplt Allo Hct/donor 8 7 — — $496.35 $72,824.58 $70,703.47 2025-07-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 8 7 — — $720.00 $37,523.48 $36,430.57 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
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 7 — — $738.25 $39,478.85 $38,328.98 2025-07-01
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 9 7 — — $763.00 $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
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
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
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 7 — — $1,176.83 $39,478.85 $38,328.98 2025-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $1,240.58 $55,411.11 $53,797.20 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
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 8 7 — — $1,288.40 $37,523.48 $36,430.57 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
61886 HCPCS Implant Neurostim Arrays 9 7 — — $1,859.13 $37,523.48 $36,430.57 2025-07-01
69930 HCPCS Implant Cochlear Device 8 7 — — $1,939.87 $39,166.38 $38,025.61 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
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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 7 — — $12,224.76 $43,097.67 $41,842.40 2025-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $14,774.74 $215,943.00 $67,401.26 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
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
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
709 MS_DRG Penis Procedures With Cc/mcc 20 11 — — $29,951.60 $45,490.29 $34,007.40 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
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
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 11 — — $30,027.57 $45,605.68 $34,092.71 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
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
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
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
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 11 — — $30,320.81 $46,051.05 $34,422.00 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
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
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
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
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
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
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 11 — — $30,853.97 $46,860.81 $35,020.70 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
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
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
347 MS_DRG Anal And Stomal Procedures With Mcc 20 11 — — $31,547.08 $47,913.50 $35,799.01 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
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
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
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
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
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 20 11 — — $32,137.55 $48,810.31 $36,462.07 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
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
792 MS_DRG Prematurity Without Major Problems 20 11 — — $32,652.05 $49,591.73 $37,039.82 2025-07-01
397 MS_DRG Appendix Procedures With Mcc 20 11 — — $33,026.60 $50,160.58 $37,460.41 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
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 11 — — $33,377.15 $50,693.00 $37,854.06 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
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
545 MS_DRG Connective Tissue Disorders With Mcc 20 11 — — $33,681.05 $51,154.56 $38,195.32 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
253 MS_DRG Other Vascular Procedures With Cc 20 11 — — $34,028.94 $51,682.93 $38,585.97 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
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
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
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
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
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
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
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 11 — — $35,030.00 $50,043.00 $36,716.52 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
503 MS_DRG Foot Procedures With Mcc 20 11 — — $35,276.53 $53,577.77 $39,986.93 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
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
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
849 MS_DRG Radiotherapy 20 11 — — $35,603.09 $54,073.75 $40,353.64 2025-07-01
263 MS_DRG Vein Ligation And Stripping 20 11 — — $35,749.71 $54,296.43 $40,518.28 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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 11 — — $36,210.89 $54,996.87 $41,036.16 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
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 11 — — $36,408.16 $55,296.49 $41,257.68 2025-07-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $36,430.57 $37,523.48 $36,430.57 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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 11 — — $37,394.51 $56,794.54 $42,365.27 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
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $37,615.77 $57,130.59 $42,613.74 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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 11 — — $38,148.93 $57,940.35 $43,212.44 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 11 — — $38,215.58 $58,041.57 $43,287.28 2025-07-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $38,328.98 $39,478.85 $38,328.98 2025-07-01
E019400 HCPCS Air Fluidized Bed 1 1 — — $38,547.44 $38,547.44 $38,547.44 2025-07-01
E0194NU HCPCS Air Fluidized Bed 1 1 — — $38,547.44 $38,547.44 $38,547.44 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
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
800 MS_DRG Splenic Procedures With Cc 20 11 — — $38,838.04 $58,986.97 $43,986.26 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
668 MS_DRG Transurethral Procedures With Mcc 20 11 — — $38,871.36 $59,037.58 $44,023.68 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 20 11 — — $39,803.06 $60,452.63 $45,069.91 2025-07-01
570 MS_DRG Skin Debridement With Mcc 20 11 — — $40,122.96 $60,938.49 $45,429.13 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
652 MS_DRG Kidney Transplant 20 11 — — $40,938.69 $62,177.42 $46,345.15 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
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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 11 — — $41,403.87 $97,139.00 $46,867.51 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
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 20 11 — — $41,599.81 $63,181.52 $47,087.54 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
500 MS_DRG Soft Tissue Procedures With Mcc 20 11 — — $42,235.60 $64,147.16 $47,801.49 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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 11 — — $42,506.18 $64,558.12 $48,105.33 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
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
L870200 HCPCS 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
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
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
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
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
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
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
37 MS_DRG Extracranial Procedures With Mcc 20 11 — — $44,264.28 $67,228.30 $50,079.55 2025-07-01
J9226 HCPCS Supprelin La Implant 18 10 — — $44,575.94 $156,249.60 $70,606.39 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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 11 — — $45,211.97 $68,667.65 $51,143.74 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
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
252 MS_DRG Other Vascular Procedures With Mcc 20 11 — — $45,723.80 $69,445.02 $51,718.50 2025-07-01
665 MS_DRG Prostatectomy With Mcc 20 11 — — $45,766.45 $69,509.80 $51,766.40 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 11 — — $45,910.41 $69,728.43 $51,928.04 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
332 MS_DRG Rectal Resection With Mcc 20 11 — — $46,234.30 $70,220.36 $52,291.75 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
264 MS_DRG Other Circulatory System O.r. Procedures 20 11 — — $46,586.19 $70,754.80 $52,686.90 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
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
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 11 — — $47,044.71 $71,451.20 $53,201.79 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
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
265 MS_DRG Aicd Lead Procedures 20 11 — — $47,547.21 $72,214.40 $53,766.06 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
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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 11 — — $48,296.30 $73,352.11 $54,607.23 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
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
J922600 HCPCS Supprelin La Implant 1 1 — — $50,084.90 $50,084.90 $50,084.90 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
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
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
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
90288 HCPCS Botulism Ig IV 2 2 — — $51,364.29 $107,151.00 $79,257.65 2025-07-01
9028800 HCPCS Botulism Ig IV 1 1 — — $51,364.29 $51,364.29 $51,364.29 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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 11 — — $51,464.60 $78,164.11 $58,165.01 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 11 — — $51,832.48 $78,722.84 $58,578.12 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
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
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
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
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
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
791 MS_DRG Prematurity With Major Problems 20 11 — — $54,114.41 $82,188.62 $61,140.57 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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $54,810.18 $83,245.35 $61,921.88 2025-07-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $55,169.68 $55,169.68 $55,169.68 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
793 MS_DRG Full Term Neonate With Major Problems 20 11 — — $55,588.59 $84,427.60 $62,795.98 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $55,856.51 $84,834.51 $63,096.82 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
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
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
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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $58,551.63 $88,927.84 $66,123.26 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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $59,611.29 $90,537.24 $67,313.18 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
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
Q048000 HCPCS 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
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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $61,410.70 $93,270.18 $69,333.80 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
Q204300 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $61,454.47 $61,454.47 $61,454.47 2025-07-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 8 — — $61,800.00 $209,754.00 $67,706.79 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
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
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 20 11 — — $62,708.95 $146,132.00 $70,791.64 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 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $62,957.78 $62,957.78 $62,957.78 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
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $63,376.73 $96,256.17 $71,541.51 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
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $64,634.99 $98,167.20 $72,954.46 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
245 MS_DRG Aicd Generator Procedures 20 11 — — $65,136.16 $98,928.38 $73,517.23 2025-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 11 6 — — $65,838.51 $196,368.20 $120,312.55 2025-07-01
J733000 HCPCS Cultured Chondrocytes Implnt 1 1 — — $65,838.51 $65,838.51 $65,838.51 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
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
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
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
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
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
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
J902900 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $70,158.16 $70,158.16 $70,158.16 2025-07-01
A954300 HCPCS Y90 Ibritumomab, Rx 1 1 — — $70,390.05 $70,390.05 $70,390.05 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 20 11 — — $70,912.95 $107,702.13 $80,004.17 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
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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 11 — — $72,359.14 $109,898.60 $81,628.14 2025-07-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 20 11 — — $72,524.42 $110,149.63 $81,813.74 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 11 — — $73,510.72 $108,928.00 $76,660.98 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
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
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $74,303.84 $112,852.20 $83,811.90 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
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
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $78,430.50 $119,119.74 $88,445.86 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $79,238.24 $120,346.53 $89,352.89 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
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
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 20 11 — — $79,851.37 $194,621.00 $90,041.40 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 11 — — $80,452.51 $122,190.76 $90,716.44 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 20 11 — — $81,033.66 $123,073.40 $91,369.02 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
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
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
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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $91,014.41 $138,232.11 $102,576.72 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
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
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
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
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
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
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 20 11 — — $104,184.80 $158,235.20 $117,366.15 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
10 MS_DRG Pancreas Transplant 20 11 — — $106,272.12 $161,405.41 $119,710.07 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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $112,948.61 $171,545.63 $127,207.32 2025-07-01
C9150 HCPCS Xe129 Xenon, Diagnostic 5 2 — — $116,688.00 $181,786.80 $154,518.00 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
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
215 MS_DRG Other Heart Assist System Implant 20 11 — — $141,218.09 $236,939.00 $158,951.98 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $145,204.79 $220,536.11 $163,428.77 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
7 MS_DRG Lung Transplant 20 11 — — $174,194.04 $264,564.79 $195,981.69 2025-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $174,633.89 $265,232.84 $196,475.62 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
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
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
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
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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $473,853.52 $630,112.88 $516,726.08 2025-07-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $484,690.30 $644,541.16 $526,587.59 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
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $507,195.92 $672,608.37 $527,123.43 2025-07-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 7 — — $511,072.50 $690,061.08 $529,192.86 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
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,968,000.00 $3,620,960.00 $2,968,000.00 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,296,000.00 $4,052,573.44 $3,325,454.76 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,672,900.00 $4,526,200.00 $3,672,900.00 2025-07-01
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