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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

ADVOCATE TRINITY HOSPITAL

Chicago, IL · CCN 140048 · Rates published

15,455 distinct procedures filed
18 distinct payers
656,681 rate rows
2025-11-04 last MRF observed
Data quality

654,694 of 656,681 rate rows are consumer-grade (99.7%)

1,987 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
percent-of-charges filed in the dollar field — excluded from medians 750
exceeds 10× this hospital's gross charge — excluded from medians 541
placeholder amount (≤ $0.02) — excluded from medians 224
per-diem day rate — not a per-procedure price 222
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 134
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 111
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11271/362169147_advocate-trinity-hospital_standardcharges.csv
Found on page https://www.advocatehealth.com/about-us/financial-assistance-for-patients/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 1dac47f3b4bb1ff1… · 72,712,482 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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $4,820,629.26 $4,986,857.85 $4,820,629.26 nat. median
$3,324,572
1.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $4,728,964.75 $4,892,032.50 $4,728,964.75 nat. median
$3,286,000
1.4× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $4,278,495.67 $4,897,200.00 $4,426,030.00 nat. median
$2,997,086
1.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $3,555,567.62 $4,708,061.95 $3,781,559.94 nat. median
$2,460,273
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $3,381,400.00 $4,477,440.00 $3,439,700.00 nat. median
$2,405,851
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Up To 510m Per Tx Dose 18 $784,827.65 $2,667,330.00 $1,701,676.31 nat. median
$610,161
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene Maraleucel Up To 110m Per Tx 18 $785,371.70 $2,683,350.00 $1,677,798.91 nat. median
$624,417
outlier · 2.7×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $1,117,399.00 $1,479,590.40 $1,136,664.50 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $838,570.64 $1,769,269.65 $865,591.79 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $802,399.30 $1,715,982.06 $837,683.55 nat. median
$631,793
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $772,960.89 $1,653,282.76 $807,075.90 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $710,094.00 $1,519,107.20 $741,576.00 nat. median
$577,541
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $414,161.97 $844,842.15 $574,441.37 nat. median
$370,165
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $309,344.27 $631,026.26 $429,059.55 nat. median
$261,939
1.6× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $392,043.75 $519,120.00 $398,803.12 nat. median
$302,242
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $260,523.79 $531,438.17 $361,345.69 nat. median
$205,166
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $235,361.83 $480,110.70 $326,446.13 nat. median
$199,832
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $155,175.66 $316,540.26 $215,228.16 nat. median
$132,706
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $387,714.22 $208,756.26 nat. median
$111,503
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $143,883.97 $293,506.52 $199,566.62 nat. median
$114,305
1.7× median
7
MS_DRG 		Lung Transplant 14 $143,521.56 $292,767.26 $199,063.96 nat. median
$122,690
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $121,018.35 $246,863.32 $167,852.07 nat. median
$108,240
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $119,636.81 $244,045.15 $165,935.88 nat. median
$100,978
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $116,951.71 $238,567.86 $162,211.66 nat. median
$99,646
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 14 $116,352.09 $237,344.71 $161,379.99 nat. median
$98,002
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $115,040.84 $234,669.91 $159,561.29 nat. median
$96,835
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $105,988.38 $216,203.94 $147,005.56 nat. median
$92,900
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $101,165.09 $206,364.98 $140,315.66 nat. median
$81,364
1.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $135,164.22 $178,976.06 $137,494.64 nat. median
$97,404
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $93,060.37 $189,832.31 $129,074.44 nat. median
$79,040
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $93,008.75 $189,727.02 $129,002.85 nat. median
$80,459
1.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $120,116.70 $246,057.24 $127,419.00 nat. median
$75,807
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $91,596.47 $186,846.12 $127,044.02 nat. median
$81,124
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $88,527.00 $180,584.76 $122,786.68 nat. median
$77,385
1.6× median
10
MS_DRG 		Pancreas Transplant 14 $87,559.49 $178,611.15 $121,444.74 nat. median
$67,750
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $87,057.61 $177,587.37 $120,748.63 nat. median
$69,153
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $85,839.70 $175,102.99 $119,059.40 nat. median
$73,475
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $84,973.23 $173,335.48 $117,857.60 nat. median
$74,472
1.6× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $76,785.37 $157,293.67 $117,039.52 nat. median
$4,125
outlier · 28.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $81,971.84 $167,213.01 $113,694.69 nat. median
$71,485
1.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $91,975.03 $214,627.74 $112,386.95 nat. median
$69,291
1.6× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $82,395.60 $221,310.84 $108,569.74 nat. median
$63,643
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $78,001.85 $159,114.69 $108,188.33 nat. median
$66,640
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $77,609.79 $158,314.93 $107,644.54 nat. median
$68,581
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $76,396.28 $155,839.51 $105,961.41 nat. median
$65,958
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $74,988.39 $152,967.58 $104,008.67 nat. median
$64,357
1.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $73,631.02 $150,198.69 $102,125.99 nat. median
$62,262
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $73,347.68 $149,620.72 $101,733.00 nat. median
$62,911
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $73,223.58 $149,367.58 $101,560.88 nat. median
$65,792
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $81,121.66 $187,633.20 $99,506.17 nat. median
$65,655
1.5× median

Other procedures at this hospital

Browse this hospital's 15,455 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 3 — — $4,820,629.26 $4,986,857.85 $4,820,629.26 2025-11-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 3 — — $4,728,964.75 $4,892,032.50 $4,728,964.75 2025-11-04
J3393 HCPCS Inj, Betibeglogene Autotemce 15 5 — — $4,278,495.67 $4,897,200.00 $4,426,030.00 2025-11-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 6 — — $3,555,567.62 $4,708,061.95 $3,781,559.94 2025-11-04
J3392 HCPCS Inj, Exagamglogene Autotem 12 4 — — $3,381,400.00 $4,477,440.00 $3,439,700.00 2025-11-04
Q2055 HCPCS Idecabtagene Vicleucel Up To 510m Per Tx Dose 53 18 $2,997,000.00 $1,498,500.00 50% off $784,827.65 $2,667,330.00 $1,701,676.31 2025-11-04
Q2054 HCPCS Lisocabtagene Maraleucel Up To 110m Per Tx 53 18 $3,015,000.00 $1,507,500.00 50% off $785,371.70 $2,683,350.00 $1,677,798.91 2025-11-04
Q2057 HCPCS Afamitresgene Autoleucel 12 4 — — $1,117,399.00 $1,479,590.40 $1,136,664.50 2025-11-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 8 — — $838,570.64 $1,769,269.65 $865,591.79 2025-11-04
Q2056 HCPCS Ciltacabtagene Car-pos T 24 8 — — $802,399.30 $1,715,982.06 $837,683.55 2025-11-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 8 — — $772,960.89 $1,653,282.76 $807,075.90 2025-11-04
Q2053 HCPCS Brexucabtagene Car Pos T 24 8 — — $710,094.00 $1,519,107.20 $741,576.00 2025-11-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 45 14 — — $414,161.97 $844,842.15 $574,441.37 2025-11-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 14 — — $309,344.27 $631,026.26 $429,059.55 2025-11-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 4 — — $392,043.75 $519,120.00 $398,803.12 2025-11-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 14 — — $260,523.79 $531,438.17 $361,345.69 2025-11-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 45 14 — — $235,361.83 $480,110.70 $326,446.13 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 45 14 — — $155,175.66 $316,540.26 $215,228.16 2025-11-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 21 7 — — $157,654.47 $387,714.22 $208,756.26 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 45 14 — — $143,883.97 $293,506.52 $199,566.62 2025-11-04
7 MS_DRG Lung Transplant 45 14 — — $143,521.56 $292,767.26 $199,063.96 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 14 — — $121,018.35 $246,863.32 $167,852.07 2025-11-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 14 — — $119,636.81 $244,045.15 $165,935.88 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 45 14 — — $116,951.71 $238,567.86 $162,211.66 2025-11-04
215 MS_DRG Other Heart Assist System Implant 45 14 — — $116,352.09 $237,344.71 $161,379.99 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $115,040.84 $234,669.91 $159,561.29 2025-11-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $105,988.38 $216,203.94 $147,005.56 2025-11-04
850 MS_DRG Acute Leukemia With Other Procedures 45 14 — — $101,165.09 $206,364.98 $140,315.66 2025-11-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 4 — — $135,164.22 $178,976.06 $137,494.64 2025-11-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 14 — — $93,060.37 $189,832.31 $129,074.44 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $93,008.75 $189,727.02 $129,002.85 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 27 9 — — $120,116.70 $246,057.24 $127,419.00 2025-11-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 45 14 — — $91,596.47 $186,846.12 $127,044.02 2025-11-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 45 14 — — $88,527.00 $180,584.76 $122,786.68 2025-11-04
10 MS_DRG Pancreas Transplant 45 14 — — $87,559.49 $178,611.15 $121,444.74 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 14 — — $87,057.61 $177,587.37 $120,748.63 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 14 — — $85,839.70 $175,102.99 $119,059.40 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $84,973.23 $173,335.48 $117,857.60 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 12 4 — — $76,785.37 $157,293.67 $117,039.52 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 45 14 — — $81,971.84 $167,213.01 $113,694.69 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 30 10 — — $91,975.03 $214,627.74 $112,386.95 2025-11-04
A9543 HCPCS Y90 Ibritumomab, Rx 30 10 — — $82,395.60 $221,310.84 $108,569.74 2025-11-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $78,001.85 $159,114.69 $108,188.33 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 14 — — $77,609.79 $158,314.93 $107,644.54 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 14 — — $76,396.28 $155,839.51 $105,961.41 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 45 14 — — $74,988.39 $152,967.58 $104,008.67 2025-11-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 45 14 — — $73,631.02 $150,198.69 $102,125.99 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 45 14 — — $73,347.68 $149,620.72 $101,733.00 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 14 — — $73,223.58 $149,367.58 $101,560.88 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $81,121.66 $187,633.20 $99,506.17 2025-11-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 4 — — $97,806.36 $129,509.11 $99,492.68 2025-11-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 14 — — $71,022.79 $144,878.21 $98,508.39 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $70,920.66 $144,669.88 $98,366.73 2025-11-04
90288 CPT Botulism Ig IV 6 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 45 14 — — $69,453.46 $141,676.97 $96,331.74 2025-11-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 14 — — $68,026.90 $138,766.95 $94,353.10 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 14 — — $67,939.04 $138,587.73 $94,231.24 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 14 — — $67,629.35 $137,956.00 $93,801.70 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 15 — — $65,285.79 $133,175.41 $93,773.27 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 14 — — $67,393.24 $137,474.35 $93,474.21 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 14 — — $67,085.74 $136,847.10 $93,047.72 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 21 7 — — $70,137.60 $172,487.73 $92,871.86 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 45 14 — — $66,765.07 $136,192.96 $92,602.94 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 45 14 — — $66,286.25 $135,216.23 $91,938.83 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 45 14 — — $66,286.25 $135,216.23 $91,938.83 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 14 — — $65,790.97 $134,205.90 $91,251.87 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $65,335.21 $133,276.22 $90,619.74 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 21 7 — — $68,121.55 $167,529.13 $90,202.33 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 14 — — $64,620.28 $131,817.85 $89,628.13 2025-11-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 45 14 — — $63,940.50 $130,431.16 $88,685.27 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $63,030.09 $128,574.04 $87,422.54 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 14 — — $62,653.41 $127,805.65 $86,900.08 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 45 14 — — $61,220.26 $124,882.19 $84,912.31 2025-11-04
J9226 HCPCS Supprelin La Implant 39 13 — — $66,062.57 $149,254.89 $84,288.07 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 45 14 — — $60,700.81 $123,822.57 $84,191.83 2025-11-04
834 MS_DRG Acute Leukemia With Mcc 45 14 — — $60,700.81 $123,822.57 $84,191.83 2025-11-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $60,446.03 $123,302.85 $83,838.45 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 14 — — $60,077.03 $122,550.14 $83,326.66 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 45 14 — — $59,754.16 $121,891.52 $82,878.84 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 14 — — $59,617.98 $121,613.74 $82,689.96 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 14 — — $59,313.78 $120,993.20 $82,268.03 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 45 14 — — $59,257.77 $120,878.95 $82,190.35 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 45 14 — — $59,251.18 $120,865.51 $82,181.21 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 45 14 — — $58,426.44 $119,183.12 $81,037.29 2025-11-04
0100T CPT Prosth Retina Receive&gen 12 4 — — $56,379.00 $111,480.00 $80,823.50 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $58,168.36 $118,656.67 $80,679.33 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 45 14 — — $56,558.40 $115,372.54 $78,446.32 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 14 — — $56,370.61 $114,989.47 $78,185.86 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 14 — — $55,948.90 $114,129.23 $77,600.95 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 14 — — $55,777.58 $113,779.76 $77,363.33 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 45 14 — — $55,315.24 $112,836.63 $76,722.06 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 14 — — $54,989.07 $112,171.29 $76,269.67 2025-11-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 14 — — $54,946.24 $112,083.93 $76,210.27 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 14 — — $54,924.28 $112,039.12 $76,179.80 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 14 — — $54,726.60 $111,635.89 $75,905.63 2025-11-04
245 MS_DRG Aicd Generator Procedures 45 14 — — $53,666.84 $109,474.09 $74,435.74 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 45 14 — — $53,342.87 $108,813.23 $73,986.39 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 45 14 — — $53,253.91 $108,631.78 $73,863.01 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 45 14 — — $52,444.54 $106,980.75 $72,740.42 2025-11-04
799 MS_DRG Splenic Procedures With Mcc 45 14 — — $52,217.21 $106,517.03 $72,425.11 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 14 — — $52,207.33 $106,496.87 $72,411.40 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 14 — — $51,667.02 $105,394.69 $71,661.99 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 45 14 — — $51,390.27 $104,830.16 $71,278.14 2025-11-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 14 — — $51,087.17 $104,211.86 $70,857.74 2025-11-04
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 9 3 — — $65,485.52 $75,232.95 $70,816.98 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 45 14 — — $50,618.23 $103,255.30 $70,207.33 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 14 — — $50,597.37 $103,212.73 $70,178.39 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $50,435.93 $102,883.43 $69,954.48 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 14 — — $50,428.25 $102,867.74 $69,943.82 2025-11-04
33276 CPT Insj Phrnc Nrv Stim Sys 24 8 — — $56,379.00 $111,480.00 $69,191.40 2025-11-04
0266T CPT Op Surgery 24 8 — — $49,123.00 $97,131.00 $69,191.40 2025-11-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 45 14 — — $49,546.39 $101,068.86 $68,720.69 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 45 14 — — $49,250.98 $100,466.25 $68,310.95 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 14 — — $49,114.80 $100,188.46 $68,122.07 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 45 14 — — $48,655.75 $99,252.06 $67,485.38 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 45 14 — — $48,241.73 $98,407.51 $66,911.13 2025-11-04
33824 CPT Repair Pda Div 18 Yrs&older 12 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
33820 CPT Repair Pda By Ligation 12 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 45 14 — — $47,518.02 $96,931.21 $65,907.34 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 46 15 — — $45,800.43 $93,427.54 $65,785.47 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $47,420.28 $96,731.84 $65,771.78 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 45 14 — — $46,845.92 $95,560.21 $64,975.14 2025-11-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 45 14 — — $46,776.73 $95,419.08 $64,879.18 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 45 14 — — $46,445.07 $94,742.54 $64,419.17 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 45 14 — — $46,021.17 $93,877.82 $63,831.22 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 45 14 — — $46,010.19 $93,855.42 $63,815.99 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 14 — — $45,692.81 $93,208.00 $63,375.78 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 45 14 — — $45,159.08 $92,119.26 $62,635.51 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 45 14 — — $45,133.82 $92,067.74 $62,600.47 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 45 14 — — $45,066.83 $91,931.09 $62,507.56 2025-11-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 45 14 — — $44,845.00 $91,478.57 $62,199.87 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 14 — — $44,668.19 $91,117.89 $61,954.64 2025-11-04
791 MS_DRG Prematurity With Major Problems 45 14 — — $44,585.82 $90,949.88 $61,840.40 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 45 14 — — $43,748.99 $89,242.85 $60,679.72 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 45 14 — — $43,718.24 $89,180.12 $60,637.07 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 45 14 — — $43,331.68 $88,391.57 $60,100.90 2025-11-04
69930 CPT Implant Cochlear Device 24 8 — — $48,077.81 $111,480.00 $60,020.32 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 45 14 — — $43,242.72 $88,210.12 $59,977.52 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 14 — — $43,154.87 $88,030.90 $59,855.67 2025-11-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 45 14 — — $42,963.78 $87,641.10 $59,590.63 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 45 14 — — $42,942.91 $87,598.54 $59,561.69 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 45 14 — — $42,705.70 $87,114.66 $59,232.68 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 45 14 — — $42,445.43 $86,583.73 $58,871.68 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 45 14 — — $42,402.60 $86,496.36 $58,812.28 2025-11-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 24 8 — — $46,061.11 $111,480.00 $58,685.13 2025-11-04
61886 CPT Implant Neurostim Arrays 24 8 — — $46,061.11 $111,480.00 $58,685.13 2025-11-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 14 — — $42,283.99 $86,254.42 $58,647.77 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 45 14 — — $41,977.60 $85,629.40 $58,222.80 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 14 — — $41,750.27 $85,165.68 $57,907.49 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 45 14 — — $41,425.20 $84,502.58 $57,456.63 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 45 14 — — $41,094.64 $83,828.28 $56,998.14 2025-11-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 21 7 — — $15,323.33 $74,424.25 $56,205.81 2025-11-04
C9760 HCPCS Non-blind Interatrial Shunt 24 8 — — $41,567.25 $111,480.00 $55,709.89 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 21 7 — — $42,021.26 $103,342.68 $55,641.95 2025-11-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 45 14 — — $40,070.02 $81,738.18 $55,577.00 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 45 14 — — $39,792.18 $81,171.41 $55,191.63 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 45 14 — — $39,368.27 $80,306.69 $54,603.67 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 14 — — $39,366.08 $80,302.21 $54,600.63 2025-11-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 45 14 — — $39,359.49 $80,288.77 $54,591.49 2025-11-04
C1604 HCPCS 3046048 - System Cap For Any Number Of Torus Stent Grafts And Endocross Device D… 60 18 $88,250.00 $44,125.00 50% off $30,799.25 $70,600.00 $54,582.62 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 9 3 — — $50,319.14 $57,809.08 $54,415.84 2025-11-04
265 MS_DRG Aicd Lead Procedures 45 14 — — $39,174.99 $79,912.41 $54,335.59 2025-11-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 45 14 — — $38,999.28 $79,553.98 $54,091.88 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 45 14 — — $38,770.85 $79,088.02 $53,775.05 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 45 14 — — $38,760.97 $79,067.86 $53,761.34 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 45 14 — — $38,663.23 $78,868.48 $53,625.78 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 45 14 — — $38,478.73 $78,492.13 $53,369.88 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 14 — — $38,466.65 $78,467.49 $53,353.13 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 45 14 — — $38,451.28 $78,436.12 $53,331.80 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 45 14 — — $38,383.19 $78,297.23 $53,237.36 2025-11-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
0268T CPT Op Surgery 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 14 — — $38,135.00 $77,790.95 $52,893.12 2025-11-04
332 MS_DRG Rectal Resection With Mcc 45 14 — — $38,093.26 $77,705.82 $52,835.24 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 45 14 — — $38,051.53 $77,620.69 $52,777.36 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 14 — — $37,826.40 $77,161.45 $52,465.10 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 45 14 — — $37,767.10 $77,040.48 $52,382.85 2025-11-04
665 MS_DRG Prostatectomy With Mcc 45 14 — — $37,707.80 $76,919.51 $52,300.60 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 45 14 — — $37,672.65 $76,847.82 $52,251.85 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 45 14 — — $37,615.55 $76,731.33 $52,172.65 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 45 14 — — $37,406.89 $76,305.69 $51,883.24 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 45 14 — — $37,250.94 $75,987.58 $51,666.94 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 45 14 — — $36,863.28 $75,196.79 $51,129.25 2025-11-04
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0409T CPT Insj/rplc Car Modulj Pls Gn 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0515T CPT Insj Wcs Lv Compl Sys 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 45 14 — — $36,470.12 $74,394.80 $50,583.95 2025-11-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 4 — — $49,712.44 $65,826.12 $50,569.55 2025-11-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 14 — — $36,261.47 $73,969.16 $50,294.54 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 14 — — $35,896.86 $73,225.42 $49,788.84 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 45 14 — — $35,794.73 $73,017.08 $49,647.18 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 45 14 — — $35,779.36 $72,985.72 $49,625.86 2025-11-04
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 12 4 — — $48,461.37 $64,169.53 $49,296.91 2025-11-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 26 9 — — $32,413.39 $97,131.00 $49,123.00 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 45 14 — — $35,354.35 $72,118.76 $49,036.38 2025-11-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 14 — — $35,190.72 $71,784.97 $48,809.42 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 45 14 — — $35,088.59 $71,576.63 $48,667.76 2025-11-04
C1826 HCPCS 3044508 - Neurostimulator Implantable Inceptiv 30 18 $78,600.00 $39,300.00 50% off $27,431.40 $69,954.00 $48,614.10 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 45 14 — — $35,021.60 $71,439.98 $48,574.85 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 45 14 — — $34,927.15 $71,247.32 $48,443.85 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 45 14 — — $34,856.87 $71,103.95 $48,346.37 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 45 14 — — $34,798.66 $70,985.22 $48,265.64 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 45 14 — — $34,274.82 $69,916.64 $47,539.07 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 45 14 — — $34,259.45 $69,885.28 $47,517.75 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 45 14 — — $34,113.39 $69,587.33 $47,315.16 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 45 14 — — $33,960.74 $69,275.94 $47,103.44 2025-11-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 45 14 — — $33,890.45 $69,132.57 $47,005.95 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 45 14 — — $33,866.29 $69,083.29 $46,972.44 2025-11-04
0408T CPT Ins/rpl Ccm Gen + Lead(s) 53 18 $63,880.00 $31,940.00 50% off $22,294.12 $111,480.00 $46,951.80 2025-11-04
652 MS_DRG Kidney Transplant 45 14 — — $33,730.11 $68,805.50 $46,783.56 2025-11-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 45 14 — — $33,699.37 $68,742.78 $46,740.92 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 45 14 — — $33,589.55 $68,518.76 $46,588.60 2025-11-04
54410 CPT Remove/replace Penis Prosth 26 9 — — $30,424.50 $91,059.00 $46,053.00 2025-11-04
54405 CPT Insert Multi-comp Penis Pros 26 9 — — $30,424.50 $91,059.00 $46,053.00 2025-11-04
61885 CPT Insrt/redo Neurostim 1 Array 24 8 — — $32,413.39 $97,131.00 $46,021.40 2025-11-04
570 MS_DRG Skin Debridement With Mcc 45 14 — — $33,058.02 $67,434.50 $45,851.37 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 45 14 — — $32,794.45 $66,896.85 $45,485.80 2025-11-04
L8614 HCPCS Cochlear Device 21 7 — — $34,273.75 $84,286.53 $45,383.17 2025-11-04
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 9 3 — — $41,785.99 $48,005.78 $45,187.98 2025-11-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 14 — — $32,381.53 $66,054.54 $44,913.08 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 45 14 — — $32,298.06 $65,884.28 $44,797.31 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 45 14 — — $32,210.21 $65,705.07 $44,675.46 2025-11-04
J9266 HCPCS Pegaspargase Injection 39 13 — — $13,774.47 $91,310.23 $44,574.52 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 45 14 — — $32,026.81 $65,330.95 $44,421.08 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 45 14 — — $32,009.24 $65,295.11 $44,396.71 2025-11-04
800 MS_DRG Splenic Procedures With Cc 45 14 — — $31,999.35 $65,274.95 $44,383.00 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 45 14 — — $31,981.78 $65,239.10 $44,358.63 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 45 14 — — $31,817.05 $64,903.07 $44,130.15 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 45 14 — — $31,486.49 $64,228.77 $43,671.67 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 45 14 — — $31,450.25 $64,154.85 $43,621.40 2025-11-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 45 14 — — $31,431.58 $64,116.76 $43,595.51 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 45 14 — — $31,387.65 $64,027.16 $43,534.58 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 21 7 — — $32,820.21 $80,713.49 $43,458.49 2025-11-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 45 14 — — $31,263.56 $63,774.01 $43,362.46 2025-11-04
54416 CPT Remv/repl Penis Contain Pros 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53447 CPT Remove/replace Ur Sphincter 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53445 CPT Insert Uro/ves Nck Sphincter 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54401 CPT Insert Self-contd Prosthesis 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
L5858 HCPCS Stance Phase Only 21 7 — — $32,532.66 $80,006.48 $43,077.73 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 45 14 — — $30,992.30 $63,220.68 $42,986.23 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 45 14 — — $30,841.85 $62,913.78 $42,777.55 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 45 14 — — $30,810.00 $62,848.81 $42,733.38 2025-11-04
L6700 HCPCS Ue Add Ext Power Myoel 12 4 — — $41,950.76 $55,548.60 $42,674.05 2025-11-04
L6880 HCPCS Elec Hand Ind Art Digits 12 4 — — $41,822.84 $55,379.21 $42,543.93 2025-11-04
62362 CPT Implant Spine Infusion Pump 24 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
62361 CPT Implant Spine Infusion Pump 24 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
C9758 HCPCS Blind Interatrial Shunt Ide 24 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
C9782 HCPCS Blind Myocar Trpl Bon Marrow 24 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
C2624 HCPCS 1168039 - System Pulm Prss Dlv Sys Pa 90 18 $67,599.50 $33,799.75 50% off $23,592.23 $67,833.13 $41,810.29 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 45 14 — — $30,051.14 $61,300.83 $41,680.84 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 45 14 — — $29,997.33 $61,191.06 $41,606.21 2025-11-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 24 8 — — $27,796.73 $91,059.00 $41,429.85 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 45 14 — — $29,834.80 $60,859.51 $41,380.77 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 45 14 — — $29,688.74 $60,561.57 $41,178.19 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 21 7 — — $31,038.83 $76,333.80 $41,099.69 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 45 14 — — $29,591.00 $60,362.19 $41,042.62 2025-11-04
93582 CPT Perq Transcath Closure Pda 24 8 — — $27,141.74 $91,059.00 $40,996.21 2025-11-04
0308T CPT Insj Ocular Telescope Prosth 24 8 — — $24,813.60 $97,131.00 $40,989.81 2025-11-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 45 14 — — $29,473.49 $60,122.49 $40,879.64 2025-11-04
263 MS_DRG Vein Ligation And Stripping 45 14 — — $29,454.82 $60,084.40 $40,853.75 2025-11-04
849 MS_DRG Radiotherapy 45 14 — — $29,334.02 $59,837.98 $40,686.20 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 45 14 — — $29,242.87 $59,652.05 $40,559.77 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 45 14 — — $29,138.54 $59,439.23 $40,415.07 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 45 14 — — $29,102.30 $59,365.30 $40,364.80 2025-11-04
503 MS_DRG Foot Procedures With Mcc 45 14 — — $29,064.96 $59,289.13 $40,313.01 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 45 14 — — $29,035.31 $59,228.65 $40,271.88 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 45 14 — — $28,809.08 $58,767.17 $39,958.11 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 45 14 — — $28,734.40 $58,614.83 $39,854.53 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 45 14 — — $28,428.01 $57,989.82 $39,429.56 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 45 14 — — $28,380.78 $57,893.49 $39,364.06 2025-11-04
0571T CPT Ins/rpl Substernal Icd 53 18 $49,080.00 $24,540.00 50% off $19,337.52 $111,480.00 $39,264.00 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 45 14 — — $28,045.83 $57,210.23 $38,899.48 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 45 14 — — $28,037.05 $57,192.31 $38,887.30 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 45 14 — — $27,984.33 $57,084.78 $38,814.18 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 39 13 — — $14,265.98 $79,488.00 $38,803.31 2025-11-04
33289 CPT Implant Wrless Pul Art Press Sens 111 18 $62,650.00 $31,325.00 50% off $21,094.76 $111,480.00 $38,749.03 2025-11-04
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 24 8 — — $15,818.44 $111,480.00 $38,662.40 2025-11-04
792 MS_DRG Prematurity Without Major Problems 46 15 — — $26,902.61 $54,878.18 $38,641.57 2025-11-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 45 14 — — $27,840.47 $56,791.31 $38,614.64 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 45 14 — — $27,750.42 $56,607.61 $38,489.74 2025-11-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 45 14 — — $27,728.45 $56,562.81 $38,459.28 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 45 14 — — $27,641.69 $56,385.83 $38,338.94 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 45 14 — — $27,500.03 $56,096.85 $38,142.45 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 45 14 — — $27,479.16 $56,054.28 $38,113.51 2025-11-04
33270 CPT Ins/rpl Subq Gen + Lead W/eval 111 18 $58,430.00 $29,215.00 50% off $23,021.42 $111,480.00 $37,896.72 2025-11-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 45 14 — — $13,685.00 $61,079.05 $37,748.62 2025-11-04
397 MS_DRG Appendix Procedures With Mcc 45 14 — — $27,211.20 $55,507.68 $37,741.85 2025-11-04
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 21 7 — — $28,453.35 $69,975.42 $37,676.16 2025-11-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 45 14 — — $27,101.38 $55,283.66 $37,589.53 2025-11-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 45 14 — — $26,887.23 $54,846.82 $37,292.51 2025-11-04
L6970 HCPCS Interscapular-thor Switch CT 21 7 — — $28,159.88 $69,254.18 $37,287.57 2025-11-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 45 14 — — $26,665.39 $54,394.30 $36,984.82 2025-11-04
33249 CPT Ins/rpl Icd Single Gen + Lead(s) 111 18 $58,360.00 $29,180.00 50% off $22,993.84 $111,480.00 $36,868.79 2025-11-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 45 14 — — $26,562.16 $54,183.72 $36,841.64 2025-11-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 45 14 — — $26,478.70 $54,013.46 $36,725.88 2025-11-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 45 14 — — $26,367.78 $53,787.20 $36,572.03 2025-11-04
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 45 14 — — $26,326.05 $53,702.07 $36,514.15 2025-11-04
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 45 14 — — $26,326.05 $53,702.07 $36,514.15 2025-11-04
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