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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

BLESSING HOSPITAL

Quincy, IL · CCN 140015 · Rates published

9,902 distinct procedures filed
15 distinct payers
378,615 rate rows
2024-11-22 last MRF observed · ⚠ 19 mo old
Data quality

218,454 of 378,615 rate rows are consumer-grade (57.7%)

160,161 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 159,753
placeholder amount (≤ $0.02) — excluded from medians 370
exceeds 10× this hospital's gross charge — excluded from medians 37
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7854/370661183-1760571699_blessing-hospital_standardcharges.csv
Found on page https://www.blessinghealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 796f8ad0518c070c… · 343,836,985 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,747,100.00 $3,747,100.00 $3,747,100.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,747,100.00 $3,747,100.00 $3,747,100.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,354,999.33 $3,354,999.33 $3,354,999.33 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,224,930.00 $3,224,930.00 $3,224,930.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,997,680.00 $2,997,680.00 $2,997,680.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,427,493.34 $2,427,493.34 $2,427,493.34 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,355,320.00 $2,355,320.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $571,280.08 $571,280.08 $571,280.08 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $556,831.52 $556,831.52 $556,831.52 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $533,595.55 $533,595.55 $533,595.55 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $521,650.83 $521,650.83 $521,650.83 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $494,412.32 $494,412.32 $494,412.32 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $492,932.03 $492,932.03 $492,932.03 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $306,430.82 $306,430.82 $306,430.82 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $228,984.18 $228,984.18 $228,984.18 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $192,912.18 $192,912.18 $192,912.18 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 $174,320.76 $174,320.76 $174,320.76 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 1 $115,073.61 $115,073.61 $115,073.61 nat. median
$133,176
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $106,730.51 $106,730.51 $106,730.51 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 1 $106,462.73 $106,462.73 $106,462.73 nat. median
$122,708
0.9× median
33289
CPT 		Impl Wrls P-art Prs Snr 15 $29,930.60 $122,900.88 $101,069.80 nat. median
$28,318
outlier · 3.6×
33264
CPT 		Rem Rep Cvd Gen Mult Lead 15 $33,755.85 $112,423.05 $92,453.16 nat. median
$31,873
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $89,835.79 $89,835.79 $89,835.79 nat. median
$108,660
0.8× median
33231
CPT 		Ins Puls Gen W/mult Leads 15 $33,755.85 $109,148.59 $89,760.35 nat. median
$30,121
outlier · 3.0×
33230
CPT 		Ins Puls Gen W/dual Leads 15 $23,632.34 $109,148.59 $89,760.35 nat. median
$22,359
outlier · 4.0×
33263
CPT 		Rem Rep Cvd Gen Dual Lead 15 $23,632.34 $109,148.59 $89,760.35 nat. median
$23,504
outlier · 3.8×
33262
CPT 		Rem Repl Cvd Gen Sng Lead 15 $23,632.34 $109,148.59 $89,760.35 nat. median
$23,398
outlier · 3.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $88,815.01 $88,815.01 $88,815.01 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $86,831.06 $86,831.06 $86,831.06 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 1 $86,388.04 $86,388.04 $86,388.04 nat. median
$99,019
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $85,419.19 $85,419.19 $85,419.19 nat. median
$98,905
0.9× median
C2624
HCPCS 		Mems Sensor Delivery Sys 15 $62,207.21 $96,484.65 $79,345.93 nat. median
$32,760
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $78,730.61 $78,730.61 $78,730.61 nat. median
$93,672
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $75,166.81 $75,166.81 $75,166.81 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $69,178.48 $69,178.48 $69,178.48 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $69,140.34 $69,140.34 $69,140.34 nat. median
$81,118
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $68,096.85 $68,096.85 $68,096.85 nat. median
$82,712
0.8× median
C1882
HCPCS 		Crt-d Cobalt Xt Hf MRI 15 $19,060.29 $105,755.75 $65,866.87 nat. median
$27,112
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $65,828.90 $65,828.90 $65,828.90 nat. median
$77,576
0.8× median
0571T
CPT 		Insj/rplcmt Ev Icd 15 $33,755.85 $79,222.58 $65,150.15 nat. median
$32,221
outlier · 2.0×
10
MS_DRG 		Pancreas Transplant 1 $65,114.04 $65,114.04 $65,114.04 nat. median
$68,882
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $64,743.21 $64,743.21 $64,743.21 nat. median
$71,240
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $63,843.36 $63,843.36 $63,843.36 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $63,203.13 $63,203.13 $63,203.13 nat. median
$74,915
0.8× median
C1820
HCPCS 		Axonics Snm Sys Neurostim 15 $7,826.27 $112,748.49 $62,472.39 nat. median
$22,013
outlier · 2.8×
38240
CPT 		Transplt Allo Hct/donor 1 $62,267.66 $62,267.66 $62,267.66 nat. median
$15,912
outlier · 3.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $60,985.49 $60,985.49 $60,985.49 nat. median
$72,138
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $58,052.18 $58,052.18 $58,052.18 nat. median
$68,090
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $57,762.51 $57,762.51 $57,762.51 nat. median
$68,887
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $57,392.80 $57,392.80 $57,392.80 nat. median
$62,507
0.9× median

Other procedures at this hospital

Browse this hospital's 9,902 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
             
33289 CPT Impl Wrls P-art Prs Snr 17 15 $161,711.68 $97,027.01 40% off $29,930.60 $122,900.88 $101,069.80 2024-11-22
33264 CPT Rem Rep Cvd Gen Mult Lead 17 15 $147,925.06 $88,755.04 40% off $33,755.85 $112,423.05 $92,453.16 2024-11-22
33230 CPT Ins Puls Gen W/dual Leads 17 15 $143,616.56 $86,169.94 40% off $23,632.34 $109,148.59 $89,760.35 2024-11-22
33231 CPT Ins Puls Gen W/mult Leads 17 15 $143,616.56 $86,169.94 40% off $33,755.85 $109,148.59 $89,760.35 2024-11-22
33262 CPT Rem Repl Cvd Gen Sng Lead 17 15 $143,616.56 $86,169.94 40% off $23,632.34 $109,148.59 $89,760.35 2024-11-22
33263 CPT Rem Rep Cvd Gen Dual Lead 17 15 $143,616.56 $86,169.94 40% off $23,632.34 $109,148.59 $89,760.35 2024-11-22
C2624 HCPCS Mems Sensor Delivery Sys 16 15 $126,953.49 $76,172.10 40% off $62,207.21 $96,484.65 $79,345.93 2024-11-22
0571T CPT Insj/rplcmt Ev Icd 17 15 $104,240.24 $62,544.15 40% off $33,755.85 $79,222.58 $65,150.15 2024-11-22
C1882 HCPCS Crt-d Cobalt Xt Hf MRI 340 15 $104,070.39 $62,442.24 40% off $19,060.29 $105,755.75 $65,866.87 2024-11-22
C1820 HCPCS Axonics Snm Sys Neurostim 148 15 $103,122.26 $61,873.36 40% off $7,826.27 $112,748.49 $62,472.39 2024-11-22
C1767 HCPCS Implant Stimulator E Coin 196 15 $90,297.38 $54,178.43 40% off $1,279.68 $226,624.47 $56,887.35 2024-11-22
92933 CPT Stnt+athrectomy Int Vsl 17 15 $87,794.36 $52,676.62 40% off $18,905.62 $66,723.71 $54,871.47 2024-11-22
33249 CPT Ins/rep Defib W Lead(s) 20 15 $82,735.80 $49,641.48 40% off $33,755.85 $62,879.21 $51,709.88 2024-11-22
C1721 HCPCS Cobalt Dr MRI Df4 Ddpb3d4 196 15 $81,475.93 $48,885.56 40% off $35,371.70 $77,290.62 $51,166.48 2024-11-22
33274 CPT Tns Insj/rpl Perm Ldls Pm 17 15 $79,933.80 $47,960.28 40% off $20,078.96 $60,749.69 $49,958.62 2024-11-22
C9602 HCPCS Des+athrec Int Vsl 17 15 $75,431.98 $45,259.19 40% off $18,905.62 $57,328.30 $47,144.99 2024-11-22
93656 CPT Tx Atrlfib Pulm Vein Isol 22 15 $74,151.19 $44,490.72 40% off $25,828.69 $56,354.90 $46,344.49 2024-11-22
93653 CPT Ep&ablate Supravent Arrh 20 15 $74,151.19 $44,490.72 40% off $25,828.69 $88,211.82 $46,344.49 2024-11-22
93654 CPT Ep&ablate Ventric Tachy 18 15 $74,151.19 $44,490.72 40% off $25,828.69 $56,354.90 $46,344.49 2024-11-22
37227 CPT Fem/pop Stent W Ather Uni 17 15 $73,018.51 $43,811.11 40% off $18,905.62 $55,494.07 $45,636.57 2024-11-22
C1722 HCPCS Cobalt Vr Dvpb3d4 232 15 $71,827.44 $43,096.47 40% off $29,193.85 $92,021.45 $45,951.51 2024-11-22
0659T CPT Ss02 Therapy Transcath 16 15 $67,520.10 $40,512.06 40% off $33,084.85 $51,315.28 $42,200.07 2024-11-22
92937 CPT Pci Any Combo Int Cabg 17 15 $67,520.10 $40,512.06 40% off $11,939.86 $51,315.28 $42,200.07 2024-11-22
92943 CPT Pci Any Combo Int Vsl Chr 17 15 $67,520.10 $40,512.06 40% off $11,939.86 $51,315.28 $42,200.07 2024-11-22
92941 CPT Pci Any Combo Int Vsl Ami 16 15 $67,520.10 $40,512.06 40% off $33,084.85 $51,315.28 $42,200.07 2024-11-22
C9606 HCPCS Des Any Comb During Ami 16 15 $65,553.50 $39,332.10 40% off $32,121.22 $49,820.66 $40,970.94 2024-11-22
C1772 HCPCS Pump Pain 40ml Drug Infus 16 15 $60,034.88 $36,020.93 40% off $29,417.09 $45,626.51 $37,521.80 2024-11-22
C9604 HCPCS Des Any Combo Int Cabg 17 15 $59,064.54 $35,438.73 40% off $11,939.86 $44,889.05 $36,915.33 2024-11-22
C9607 HCPCS Des Any Combo Int Chronic 17 15 $57,344.21 $34,406.53 40% off $18,905.62 $43,581.60 $35,840.13 2024-11-22
J1162 HCPCS Digoxin Immune Fab Vial 17 15 $57,015.60 $34,209.36 40% off $5,120.68 $43,331.86 $35,634.75 2024-11-22
92934 CPT Stnt+athrectomy Add'l Brn 16 15 $56,370.91 $33,822.55 40% off $27,621.75 $42,841.89 $35,231.82 2024-11-22
C1813 HCPCS Pump 18cm Amd7500 Preconn 160 15 $54,759.26 $32,855.56 40% off $4,352.95 $56,776.92 $34,951.54 2024-11-22
33229 CPT Rem Repl Pm Gen Mult Lead 18 15 $51,555.47 $30,933.29 40% off $20,078.96 $39,182.16 $32,222.17 2024-11-22
33228 CPT Rem Repl Pm Gen Dual Lead 18 15 $51,555.47 $30,933.29 40% off $11,018.36 $39,182.16 $32,222.17 2024-11-22
33240 CPT Ins Puls Gen W/sngl Lead 17 15 $51,543.75 $30,926.25 40% off $23,632.34 $39,173.25 $32,214.85 2024-11-22
C9603 HCPCS Des+athrec Add'l Branch 16 15 $50,697.03 $30,418.22 40% off $24,841.54 $38,529.74 $31,685.64 2024-11-22
33221 CPT Insrt Pulse Gen Mult Lead 17 15 $50,053.86 $30,032.32 40% off $20,078.96 $38,040.93 $31,283.66 2024-11-22
37230 CPT Tib/per Revas W/stent Bil 29 15 $46,278.15 $27,766.89 40% off $18,905.62 $52,757.09 $29,618.02 2024-11-22
A9572 HCPCS I111 Octreoscan/study Dos 17 15 $46,137.06 $27,682.24 40% off $1,933.76 $35,064.17 $28,835.67 2024-11-22
92924 CPT Atherectomy Int Vsl 17 15 $43,451.04 $26,070.63 40% off $11,939.86 $33,022.79 $27,156.90 2024-11-22
92928 CPT Stent Int Vsl 19 15 $42,532.81 $25,519.69 40% off $11,939.86 $32,324.94 $26,583.01 2024-11-22
C1817 HCPCS Amulet 16mm Ww 160 15 $41,499.87 $24,899.93 40% off $14,929.74 $72,057.31 $26,627.00 2024-11-22
92944 CPT Pci Any Combo Chronc Addl 16 15 $40,300.38 $24,180.23 40% off $19,747.19 $30,628.29 $25,187.74 2024-11-22
33208 CPT Ins/rep Heart Pm Atr/vent 18 15 $39,572.91 $23,743.75 40% off $11,018.36 $30,075.41 $24,733.07 2024-11-22
J2507 HCPCS Pegloticase 8mg/ml Vial 17 15 $39,357.82 $23,614.70 40% off $3,585.55 $29,911.94 $24,598.63 2024-11-22
C2621 HCPCS Pacemaker Percepta Crtp 64 15 $39,129.90 $23,477.94 40% off $15,713.74 $31,706.99 $24,713.62 2024-11-22
33224 CPT Ins Pacing Lead & Connect 17 15 $38,998.23 $23,398.94 40% off $11,018.36 $29,638.65 $24,373.89 2024-11-22
J0630 HCPCS Calcitonin 200unit/ml Inj 17 15 $38,820.94 $23,292.57 40% off $1,153.83 $29,503.91 $24,263.08 2024-11-22
37238 CPT Open/perq Place Vein Stnt 29 15 $38,119.53 $22,871.72 40% off $11,939.86 $28,970.84 $23,287.58 2024-11-22
C9765 HCPCS Ivl+stent W/angioplsty Le 17 15 $36,780.53 $22,068.32 40% off $18,022.46 $27,953.20 $22,987.83 2024-11-22
C1761 HCPCS Shockwave C2ivl 3.0x12 16 15 $36,697.91 $22,018.75 40% off $17,981.98 $27,890.41 $22,936.19 2024-11-22
93461 CPT Rhc+lhc+cor Ang+vg+bp Gft 17 15 $36,682.37 $22,009.43 40% off $3,386.38 $27,878.60 $22,926.48 2024-11-22
C9364 HCPCS Mesh 1.5 Permacol 15x20cm 16 15 $36,650.48 $21,990.29 40% off $17,958.74 $27,854.36 $22,906.55 2024-11-22
93460 CPT Rhc+lhc+cor Ang+vg 20 15 $35,759.50 $21,455.70 40% off $3,386.38 $27,177.22 $22,349.69 2024-11-22
93457 CPT R Hrt Art/grft Angio 17 15 $35,729.19 $21,437.52 40% off $3,386.38 $27,154.18 $22,330.74 2024-11-22
33213 CPT Insrt Pulse Gen Dual Lead 17 15 $35,342.60 $21,205.56 40% off $11,018.36 $26,860.38 $22,089.12 2024-11-22
37226 CPT Fem/pop Stent & Pta Uni 18 15 $35,153.08 $21,091.85 40% off $11,939.86 $26,716.34 $21,970.67 2024-11-22
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,747,100.00 $3,747,100.00 $3,747,100.00 2024-11-22
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,747,100.00 $3,747,100.00 $3,747,100.00 2024-11-22
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,354,999.33 $3,354,999.33 $3,354,999.33 2024-11-22
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,224,930.00 $3,224,930.00 $3,224,930.00 2024-11-22
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,997,680.00 $2,997,680.00 $2,997,680.00 2024-11-22
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,427,493.34 $2,427,493.34 $2,427,493.34 2024-11-22
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,355,320.00 $2,355,320.00 $2,355,320.00 2024-11-22
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $571,280.08 $571,280.08 $571,280.08 2024-11-22
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $556,831.52 $556,831.52 $556,831.52 2024-11-22
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $533,595.55 $533,595.55 $533,595.55 2024-11-22
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $521,650.83 $521,650.83 $521,650.83 2024-11-22
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $494,412.32 $494,412.32 $494,412.32 2024-11-22
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $492,932.03 $492,932.03 $492,932.03 2024-11-22
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $306,430.82 $306,430.82 $306,430.82 2024-11-22
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $228,984.18 $228,984.18 $228,984.18 2024-11-22
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $192,912.18 $192,912.18 $192,912.18 2024-11-22
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $174,320.76 $174,320.76 $174,320.76 2024-11-22
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $115,073.61 $115,073.61 $115,073.61 2024-11-22
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $106,730.51 $106,730.51 $106,730.51 2024-11-22
7 MS_DRG Lung Transplant 1 1 — — $106,462.73 $106,462.73 $106,462.73 2024-11-22
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $89,835.79 $89,835.79 $89,835.79 2024-11-22
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $88,815.01 $88,815.01 $88,815.01 2024-11-22
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $86,831.06 $86,831.06 $86,831.06 2024-11-22
215 MS_DRG Other Heart Assist System Implant 1 1 — — $86,388.04 $86,388.04 $86,388.04 2024-11-22
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $85,419.19 $85,419.19 $85,419.19 2024-11-22
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $78,730.61 $78,730.61 $78,730.61 2024-11-22
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $75,166.81 $75,166.81 $75,166.81 2024-11-22
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $69,178.48 $69,178.48 $69,178.48 2024-11-22
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $69,140.34 $69,140.34 $69,140.34 2024-11-22
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $68,096.85 $68,096.85 $68,096.85 2024-11-22
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $65,828.90 $65,828.90 $65,828.90 2024-11-22
10 MS_DRG Pancreas Transplant 1 1 — — $65,114.04 $65,114.04 $65,114.04 2024-11-22
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $64,743.21 $64,743.21 $64,743.21 2024-11-22
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $63,843.36 $63,843.36 $63,843.36 2024-11-22
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $63,203.13 $63,203.13 $63,203.13 2024-11-22
38240 CPT Transplt Allo Hct/donor 1 1 — — $62,267.66 $62,267.66 $62,267.66 2024-11-22
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $60,985.49 $60,985.49 $60,985.49 2024-11-22
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $58,052.18 $58,052.18 $58,052.18 2024-11-22
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $57,762.51 $57,762.51 $57,762.51 2024-11-22
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $57,392.80 $57,392.80 $57,392.80 2024-11-22
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $56,865.88 $56,865.88 $56,865.88 2024-11-22
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $56,091.87 $56,091.87 $56,091.87 2024-11-22
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $55,825.64 $55,825.64 $55,825.64 2024-11-22
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $54,822.70 $54,822.70 $54,822.70 2024-11-22
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $54,613.37 $54,613.37 $54,613.37 2024-11-22
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $54,521.68 $54,521.68 $54,521.68 2024-11-22
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $52,895.57 $52,895.57 $52,895.57 2024-11-22
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $52,820.11 $52,820.11 $52,820.11 2024-11-22
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $51,736.05 $51,736.05 $51,736.05 2024-11-22
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $50,681.98 $50,681.98 $50,681.98 2024-11-22
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $50,617.09 $50,617.09 $50,617.09 2024-11-22
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $50,388.25 $50,388.25 $50,388.25 2024-11-22
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $50,213.81 $50,213.81 $50,213.81 2024-11-22
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $49,986.61 $49,986.61 $49,986.61 2024-11-22
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $49,749.67 $49,749.67 $49,749.67 2024-11-22
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $49,395.89 $49,395.89 $49,395.89 2024-11-22
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $49,395.89 $49,395.89 $49,395.89 2024-11-22
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $49,029.92 $49,029.92 $49,029.92 2024-11-22
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $48,693.19 $48,693.19 $48,693.19 2024-11-22
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $48,656.68 $48,656.68 $48,656.68 2024-11-22
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $48,164.94 $48,164.94 $48,164.94 2024-11-22
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $47,662.67 $47,662.67 $47,662.67 2024-11-22
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $47,378.51 $47,378.51 $47,378.51 2024-11-22
0266T CPT Professional Services 1 1 — — $47,378.51 $47,378.51 $47,378.51 2024-11-22
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $46,990.00 $46,990.00 $46,990.00 2024-11-22
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $46,711.69 $46,711.69 $46,711.69 2024-11-22
J9226 HCPCS Supprelin La Implant 1 1 — — $45,714.42 $45,714.42 $45,714.42 2024-11-22
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $45,652.78 $45,652.78 $45,652.78 2024-11-22
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $45,268.96 $45,268.96 $45,268.96 2024-11-22
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,268.96 $45,268.96 $45,268.96 2024-11-22
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $45,080.71 $45,080.71 $45,080.71 2024-11-22
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $44,808.07 $44,808.07 $44,808.07 2024-11-22
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $44,569.52 $44,569.52 $44,569.52 2024-11-22
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $44,468.90 $44,468.90 $44,468.90 2024-11-22
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $44,244.12 $44,244.12 $44,244.12 2024-11-22
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $44,202.74 $44,202.74 $44,202.74 2024-11-22
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $44,197.89 $44,197.89 $44,197.89 2024-11-22
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $43,588.50 $43,588.50 $43,588.50 2024-11-22
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $43,397.82 $43,397.82 $43,397.82 2024-11-22
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $42,208.27 $42,208.27 $42,208.27 2024-11-22
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $42,069.52 $42,069.52 $42,069.52 2024-11-22
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $41,757.91 $41,757.91 $41,757.91 2024-11-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $41,631.33 $41,631.33 $41,631.33 2024-11-22
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $41,289.74 $41,289.74 $41,289.74 2024-11-22
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $41,048.72 $41,048.72 $41,048.72 2024-11-22
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $41,017.09 $41,017.09 $41,017.09 2024-11-22
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $41,000.86 $41,000.86 $41,000.86 2024-11-22
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $40,854.80 $40,854.80 $40,854.80 2024-11-22
245 MS_DRG Aicd Generator Procedures 1 1 — — $40,071.77 $40,071.77 $40,071.77 2024-11-22
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $39,832.41 $39,832.41 $39,832.41 2024-11-22
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $39,766.68 $39,766.68 $39,766.68 2024-11-22
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $39,168.66 $39,168.66 $39,168.66 2024-11-22
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $39,000.69 $39,000.69 $39,000.69 2024-11-22
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $38,993.38 $38,993.38 $38,993.38 2024-11-22
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $38,594.17 $38,594.17 $38,594.17 2024-11-22
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $38,389.69 $38,389.69 $38,389.69 2024-11-22
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $38,165.74 $38,165.74 $38,165.74 2024-11-22
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $37,819.26 $37,819.26 $37,819.26 2024-11-22
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $37,803.85 $37,803.85 $37,803.85 2024-11-22
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,684.55 $37,684.55 $37,684.55 2024-11-22
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $37,678.87 $37,678.87 $37,678.87 2024-11-22
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $37,027.30 $37,027.30 $37,027.30 2024-11-22
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $36,850.07 $36,850.07 $36,850.07 2024-11-22
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $36,809.03 $36,809.03 $36,809.03 2024-11-22
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $36,708.41 $36,708.41 $36,708.41 2024-11-22
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $36,369.23 $36,369.23 $36,369.23 2024-11-22
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $36,063.33 $36,063.33 $36,063.33 2024-11-22
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $35,528.59 $35,528.59 $35,528.59 2024-11-22
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $35,456.38 $35,456.38 $35,456.38 2024-11-22
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $35,032.01 $35,032.01 $35,032.01 2024-11-22
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $34,980.89 $34,980.89 $34,980.89 2024-11-22
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $34,735.83 $34,735.83 $34,735.83 2024-11-22
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $34,422.62 $34,422.62 $34,422.62 2024-11-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $34,414.50 $34,414.50 $34,414.50 2024-11-22
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $34,259.52 $34,259.52 $34,259.52 2024-11-22
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $34,180.01 $34,180.01 $34,180.01 2024-11-22
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $33,785.64 $33,785.64 $33,785.64 2024-11-22
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $33,766.99 $33,766.99 $33,766.99 2024-11-22
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $33,755.85 $33,755.85 $33,755.85 2024-11-22
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $33,755.85 $33,755.85 $33,755.85 2024-11-22
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $33,755.85 $33,755.85 $33,755.85 2024-11-22
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $33,717.49 $33,717.49 $33,717.49 2024-11-22
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $33,553.58 $33,553.58 $33,553.58 2024-11-22
69930 CPT Implant Cochlear Device 1 1 — — $33,488.68 $33,488.68 $33,488.68 2024-11-22
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $33,422.94 $33,422.94 $33,422.94 2024-11-22
791 MS_DRG Prematurity With Major Problems 1 1 — — $33,362.10 $33,362.10 $33,362.10 2024-11-22
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $32,743.79 $32,743.79 $32,743.79 2024-11-22
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $32,721.06 $32,721.06 $32,721.06 2024-11-22
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $32,435.44 $32,435.44 $32,435.44 2024-11-22
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $32,369.71 $32,369.71 $32,369.71 2024-11-22
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $32,304.80 $32,304.80 $32,304.80 2024-11-22
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $32,163.60 $32,163.60 $32,163.60 2024-11-22
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $32,148.19 $32,148.19 $32,148.19 2024-11-22
63685 CPT Insrt/redo Spine N Gnratr 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
64568 CPT Opn Impltj Crnl Nrv Nea&pg 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
61886 CPT Implant Neurostim Arrays 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
0268T CPT Professional Services 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $32,083.94 $32,083.94 $32,083.94 2024-11-22
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $31,972.92 $31,972.92 $31,972.92 2024-11-22
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $31,780.62 $31,780.62 $31,780.62 2024-11-22
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $31,748.97 $31,748.97 $31,748.97 2024-11-22
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $31,661.34 $31,661.34 $31,661.34 2024-11-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $31,434.96 $31,434.96 $31,434.96 2024-11-22
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $31,266.98 $31,266.98 $31,266.98 2024-11-22
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $31,026.81 $31,026.81 $31,026.81 2024-11-22
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $30,782.58 $30,782.58 $30,782.58 2024-11-22
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $30,025.50 $30,025.50 $30,025.50 2024-11-22
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $29,820.22 $29,820.22 $29,820.22 2024-11-22
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $29,506.99 $29,506.99 $29,506.99 2024-11-22
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $29,505.37 $29,505.37 $29,505.37 2024-11-22
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $29,500.50 $29,500.50 $29,500.50 2024-11-22
265 MS_DRG Aicd Lead Procedures 1 1 — — $29,364.18 $29,364.18 $29,364.18 2024-11-22
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $29,234.35 $29,234.35 $29,234.35 2024-11-22
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $29,065.58 $29,065.58 $29,065.58 2024-11-22
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $29,058.30 $29,058.30 $29,058.30 2024-11-22
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $28,986.05 $28,986.05 $28,986.05 2024-11-22
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $28,953.74 $28,953.74 $28,953.74 2024-11-22
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $28,849.72 $28,849.72 $28,849.72 2024-11-22
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $28,840.81 $28,840.81 $28,840.81 2024-11-22
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $28,829.46 $28,829.46 $28,829.46 2024-11-22
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $28,779.15 $28,779.15 $28,779.15 2024-11-22
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $28,595.77 $28,595.77 $28,595.77 2024-11-22
332 MS_DRG Rectal Resection With Mcc 1 1 — — $28,564.94 $28,564.94 $28,564.94 2024-11-22
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $28,534.09 $28,534.09 $28,534.09 2024-11-22
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $28,367.76 $28,367.76 $28,367.76 2024-11-22
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $28,323.95 $28,323.95 $28,323.95 2024-11-22
665 MS_DRG Prostatectomy With Mcc 1 1 — — $28,280.12 $28,280.12 $28,280.12 2024-11-22
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $28,254.15 $28,254.15 $28,254.15 2024-11-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $28,211.95 $28,211.95 $28,211.95 2024-11-22
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $28,057.79 $28,057.79 $28,057.79 2024-11-22
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $27,942.56 $27,942.56 $27,942.56 2024-11-22
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $27,656.13 $27,656.13 $27,656.13 2024-11-22
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $27,365.66 $27,365.66 $27,365.66 2024-11-22
J9266 HCPCS Pegaspargase Injection 1 1 — — $27,341.24 $27,341.24 $27,341.24 2024-11-22
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $27,211.47 $27,211.47 $27,211.47 2024-11-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $26,942.07 $26,942.07 $26,942.07 2024-11-22
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $26,866.62 $26,866.62 $26,866.62 2024-11-22
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $26,855.25 $26,855.25 $26,855.25 2024-11-22
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $26,541.21 $26,541.21 $26,541.21 2024-11-22
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $26,420.32 $26,420.32 $26,420.32 2024-11-22
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $26,344.86 $26,344.86 $26,344.86 2024-11-22
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $26,295.36 $26,295.36 $26,295.36 2024-11-22
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $26,225.59 $26,225.59 $26,225.59 2024-11-22
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $26,173.67 $26,173.67 $26,173.67 2024-11-22
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $26,130.65 $26,130.65 $26,130.65 2024-11-22
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $25,743.59 $25,743.59 $25,743.59 2024-11-22
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $25,732.25 $25,732.25 $25,732.25 2024-11-22
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $25,624.33 $25,624.33 $25,624.33 2024-11-22
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $25,511.53 $25,511.53 $25,511.53 2024-11-22
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $25,459.60 $25,459.60 $25,459.60 2024-11-22
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $25,441.74 $25,441.74 $25,441.74 2024-11-22
652 MS_DRG Kidney Transplant 1 1 — — $25,341.14 $25,341.14 $25,341.14 2024-11-22
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $25,318.41 $25,318.41 $25,318.41 2024-11-22
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $25,237.26 $25,237.26 $25,237.26 2024-11-22
570 MS_DRG Skin Debridement With Mcc 1 1 — — $24,844.53 $24,844.53 $24,844.53 2024-11-22
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $24,649.80 $24,649.80 $24,649.80 2024-11-22
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $24,470.70 $24,470.70 $24,470.70 2024-11-22
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $24,344.72 $24,344.72 $24,344.72 2024-11-22
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $24,283.03 $24,283.03 $24,283.03 2024-11-22
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $24,218.11 $24,218.11 $24,218.11 2024-11-22
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $24,082.60 $24,082.60 $24,082.60 2024-11-22
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $24,069.64 $24,069.64 $24,069.64 2024-11-22
800 MS_DRG Splenic Procedures With Cc 1 1 — — $24,062.32 $24,062.32 $24,062.32 2024-11-22
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $24,049.33 $24,049.33 $24,049.33 2024-11-22
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $23,927.62 $23,927.62 $23,927.62 2024-11-22
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $23,683.40 $23,683.40 $23,683.40 2024-11-22
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $23,656.60 $23,656.60 $23,656.60 2024-11-22
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $23,642.81 $23,642.81 $23,642.81 2024-11-22
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
0515T CPT Insj Wcs Lv Compl Sys 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
0916T CPT Insj Perm Ccm-d Sys Pg Only 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
0409T CPT Insj/rplc Car Modulj Pls Gn 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $23,632.34 $23,632.34 $23,632.34 2024-11-22
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $23,610.37 $23,610.37 $23,610.37 2024-11-22
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $23,518.66 $23,518.66 $23,518.66 2024-11-22
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $23,318.24 $23,318.24 $23,318.24 2024-11-22
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $23,207.07 $23,207.07 $23,207.07 2024-11-22
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $23,183.54 $23,183.54 $23,183.54 2024-11-22
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $22,622.86 $22,622.86 $22,622.86 2024-11-22
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $22,583.08 $22,583.08 $22,583.08 2024-11-22
0816T CPT Ecoin Stm Impl Nvr Stlm 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
64580 CPT Opn Impltj Nea Neuromuscular 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
63655 CPT Implant Neuroelectrodes 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
64590 CPT Ins/redo Pn/gastr Stimul 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
61885 CPT Insrt/redo Neurostim 1 Array 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
0680T CPT Insj/rplcmt Pg Only Isdss 1 1 — — $22,577.60 $22,577.60 $22,577.60 2024-11-22
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $22,542.52 $22,542.52 $22,542.52 2024-11-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $22,463.01 $22,463.01 $22,463.01 2024-11-22
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $22,355.07 $22,355.07 $22,355.07 2024-11-22
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $22,282.86 $22,282.86 $22,282.86 2024-11-22
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $22,196.03 $22,196.03 $22,196.03 2024-11-22
263 MS_DRG Vein Ligation And Stripping 1 1 — — $22,182.24 $22,182.24 $22,182.24 2024-11-22
849 MS_DRG Radiotherapy 1 1 — — $22,093.00 $22,093.00 $22,093.00 2024-11-22
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $22,025.62 $22,025.62 $22,025.62 2024-11-22
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $21,948.55 $21,948.55 $21,948.55 2024-11-22
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $21,921.79 $21,921.79 $21,921.79 2024-11-22
503 MS_DRG Foot Procedures With Mcc 1 1 — — $21,894.18 $21,894.18 $21,894.18 2024-11-22
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $21,872.28 $21,872.28 $21,872.28 2024-11-22
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