Price Transparencybeta Hospital negotiated rates

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

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Hospital

ADVOCATE CONDELL MEDICAL CENTER

Libertyville, IL · CCN 140202 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $12,950 across 8 payers · range $11,358-$18,050

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11264/262525968_advocate-condell-medical-center_standardcharges.csv · observed 2026-11-03

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,417 distinct procedures filed
18 distinct payers
247,285 rate rows
2025-11-04 last MRF observed · ⚠ 12 mo old
Data quality

246,676 of 247,285 rate rows are consumer-grade (99.8%)

609 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 253
exceeds 10× this hospital's gross charge — excluded from medians 152
per-diem day rate — not a per-procedure price 102
placeholder amount (≤ $0.02) — excluded from medians 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 27
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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/11264/262525968_advocate-condell-medical-center_standardcharges.csv
Found on page https://www.advocatehealth.com/about-us/financial-assistance-for-patients/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 067786def60bff40… · 116,650,544 bytes · first seen 2026-11-03

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 		Outpatient Services 3 $4,820,629.26 $4,986,857.85 $4,820,629.26 nat. median
$3,324,572
1.5× median
J3394
HCPCS 		Outpatient Services 3 $4,728,964.75 $4,892,032.50 $4,728,964.75 nat. median
$3,286,000
1.4× median
J3393
HCPCS 		Outpatient Services 3 $4,278,495.67 $4,426,030.00 $4,278,495.67 nat. median
$2,994,107
1.4× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $3,555,567.62 $4,708,061.95 $3,616,870.51 nat. median
$2,467,989
1.5× median
J3392
HCPCS 		Outpatient Services 4 $3,381,400.00 $4,477,440.00 $3,439,700.00 nat. median
$2,401,965
1.4× median
Q2057
HCPCS 		Outpatient Services 4 $1,117,399.00 $1,479,590.40 $1,136,664.50 nat. median
$813,967
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $838,570.64 $1,387,149.28 $1,117,903.09 nat. median
$739,658
1.5× median
Q2056
HCPCS 		Outpatient Services 8 $802,399.30 $1,345,370.55 $1,077,007.20 nat. median
$646,415
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $784,827.65 $1,334,154.50 $1,060,823.65 nat. median
$623,527
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $785,371.70 $1,315,434.06 $1,053,589.71 nat. median
$640,950
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $772,960.89 $1,296,212.81 $1,037,575.59 nat. median
$608,239
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $710,094.00 $1,191,016.00 $953,279.20 nat. median
$592,235
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $376,486.88 $806,903.07 $490,236.98 nat. median
$359,244
1.4× median
Q2058
HCPCS 		Outpatient Services 4 $392,043.75 $519,120.00 $398,803.12 nat. median
$319,951
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $281,204.14 $602,688.95 $366,795.09 nat. median
$248,541
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $236,824.71 $507,573.03 $309,300.09 nat. median
$198,115
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $213,951.66 $458,550.51 $279,667.31 nat. median
$190,359
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $236,618.80 $208,003.66 nat. median
$111,503
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $141,059.79 $302,325.48 $185,233.51 nat. median
$126,461
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $130,795.27 $280,326.11 $171,935.52 nat. median
$110,084
1.6× median
7
MS_DRG 		Lung Transplant 14 $130,465.83 $279,620.04 $171,508.68 nat. median
$117,977
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $110,009.67 $235,777.50 $145,007.05 nat. median
$103,938
1.4× median
212
MS_DRG 		Inpatient Ms-DRG 14 $108,753.80 $233,085.88 $143,380.06 nat. median
$97,137
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $106,312.96 $227,854.56 $140,217.86 nat. median
$94,943
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 14 $105,767.89 $226,686.34 $139,511.69 nat. median
$93,787
1.5× median
426
MS_DRG 		Inpatient Ms-DRG 14 $104,575.92 $224,131.66 $137,961.02 nat. median
$93,226
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $135,164.22 $178,976.06 $137,494.64 nat. median
$96,983
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $96,346.93 $206,494.94 $127,104.99 nat. median
$90,512
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $82,395.60 $173,512.94 $126,011.54 nat. median
$63,504
2.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $78,533.73 $192,914.70 $123,756.60 nat. median
$75,037
1.6× median
850
MS_DRG 		Inpatient Ms-DRG 14 $91,962.40 $197,097.81 $121,320.72 nat. median
$78,164
1.6× median
J9029
HCPCS 		Outpatient Services 10 $91,975.03 $168,273.22 $120,893.81 nat. median
$68,400
1.8× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $100,053.67 $123,321.96 $111,687.82 nat. median
$1,683
outlier · 66.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $84,594.94 $181,307.56 $111,601.26 nat. median
$76,979
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $84,548.02 $181,207.00 $111,539.36 nat. median
$77,487
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $81,121.66 $147,108.87 $110,030.46 nat. median
$65,720
1.7× median
429
MS_DRG 		Inpatient Ms-DRG 14 $83,264.21 $178,455.48 $109,845.70 nat. median
$77,936
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $80,473.96 $172,475.30 $106,164.69 nat. median
$74,298
1.4× median
10
MS_DRG 		Pancreas Transplant 14 $79,594.46 $170,590.31 $105,004.41 nat. median
$64,851
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $79,138.24 $169,612.51 $104,402.54 nat. median
$66,623
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $78,031.12 $167,239.69 $102,941.99 nat. median
$71,737
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $77,243.46 $165,551.55 $101,902.88 nat. median
$72,247
1.4× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 4 $97,806.36 $129,509.11 $99,492.68 nat. median
$70,178
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $74,515.11 $159,704.02 $98,303.51 nat. median
$67,908
1.4× median
90288
CPT 		Botulism Ig IV 2 $97,410.00 $97,410.00 $97,410.00 nat. median
$51,570
1.9× median
427
MS_DRG 		Inpatient Ms-DRG 14 $70,906.25 $151,969.37 $93,542.56 nat. median
$63,564
1.5× median
275
MS_DRG 		Inpatient Ms-DRG 14 $70,549.86 $151,205.53 $93,072.39 nat. median
$66,584
1.4× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $70,137.60 $105,267.85 $92,537.43 nat. median
$50,516
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $69,446.74 $148,841.27 $91,617.11 nat. median
$62,577
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $68,166.92 $146,098.31 $89,928.71 nat. median
$61,660
1.5× median

Other procedures at this hospital

Browse this hospital's 15,417 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 Outpatient Services 3 3 — — $4,820,629.26 $4,986,857.85 $4,820,629.26 2025-11-04
J3394 HCPCS Outpatient Services 3 3 — — $4,728,964.75 $4,892,032.50 $4,728,964.75 2025-11-04
J3393 HCPCS Outpatient Services 3 3 — — $4,278,495.67 $4,426,030.00 $4,278,495.67 2025-11-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $3,555,567.62 $4,708,061.95 $3,616,870.51 2025-11-04
J3392 HCPCS Outpatient Services 4 4 — — $3,381,400.00 $4,477,440.00 $3,439,700.00 2025-11-04
Q2057 HCPCS Outpatient Services 4 4 — — $1,117,399.00 $1,479,590.40 $1,136,664.50 2025-11-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 8 — — $838,570.64 $1,387,149.28 $1,117,903.09 2025-11-04
Q2056 HCPCS Outpatient Services 8 8 — — $802,399.30 $1,345,370.55 $1,077,007.20 2025-11-04
Q2055 HCPCS Idecabtagene Vicleucel Car 8 8 — — $784,827.65 $1,334,154.50 $1,060,823.65 2025-11-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 8 — — $785,371.70 $1,315,434.06 $1,053,589.71 2025-11-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 8 — — $772,960.89 $1,296,212.81 $1,037,575.59 2025-11-04
Q2053 HCPCS Brexucabtagene Car Pos T 8 8 — — $710,094.00 $1,191,016.00 $953,279.20 2025-11-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $376,486.88 $806,903.07 $490,236.98 2025-11-04
Q2058 HCPCS Outpatient Services 4 4 — — $392,043.75 $519,120.00 $398,803.12 2025-11-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $281,204.14 $602,688.95 $366,795.09 2025-11-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 14 — — $236,824.71 $507,573.03 $309,300.09 2025-11-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 14 — — $213,951.66 $458,550.51 $279,667.31 2025-11-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $157,654.47 $236,618.80 $208,003.66 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 14 — — $141,059.79 $302,325.48 $185,233.51 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $130,795.27 $280,326.11 $171,935.52 2025-11-04
7 MS_DRG Lung Transplant 15 14 — — $130,465.83 $279,620.04 $171,508.68 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $110,009.67 $235,777.50 $145,007.05 2025-11-04
212 MS_DRG Inpatient Ms-DRG 15 14 — — $108,753.80 $233,085.88 $143,380.06 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $106,312.96 $227,854.56 $140,217.86 2025-11-04
215 MS_DRG Other Heart Assist System Implant 15 14 — — $105,767.89 $226,686.34 $139,511.69 2025-11-04
426 MS_DRG Inpatient Ms-DRG 15 14 — — $104,575.92 $224,131.66 $137,961.02 2025-11-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $135,164.22 $178,976.06 $137,494.64 2025-11-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $96,346.93 $206,494.94 $127,104.99 2025-11-04
A9543 HCPCS Y90 Ibritumomab, Rx 10 10 — — $82,395.60 $173,512.94 $126,011.54 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 9 9 — — $78,533.73 $192,914.70 $123,756.60 2025-11-04
850 MS_DRG Inpatient Ms-DRG 15 14 — — $91,962.40 $197,097.81 $121,320.72 2025-11-04
J9029 HCPCS Outpatient Services 10 10 — — $91,975.03 $168,273.22 $120,893.81 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 4 4 — — $100,053.67 $123,321.96 $111,687.82 2025-11-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $84,594.94 $181,307.56 $111,601.26 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $84,548.02 $181,207.00 $111,539.36 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 10 — — $81,121.66 $147,108.87 $110,030.46 2025-11-04
429 MS_DRG Inpatient Ms-DRG 15 14 — — $83,264.21 $178,455.48 $109,845.70 2025-11-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 14 — — $80,473.96 $172,475.30 $106,164.69 2025-11-04
10 MS_DRG Pancreas Transplant 15 14 — — $79,594.46 $170,590.31 $105,004.41 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $79,138.24 $169,612.51 $104,402.54 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 14 — — $78,031.12 $167,239.69 $102,941.99 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $77,243.46 $165,551.55 $101,902.88 2025-11-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $97,806.36 $129,509.11 $99,492.68 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 14 — — $74,515.11 $159,704.02 $98,303.51 2025-11-04
90288 CPT Botulism Ig IV 2 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
427 MS_DRG Inpatient Ms-DRG 15 14 — — $70,906.25 $151,969.37 $93,542.56 2025-11-04
275 MS_DRG Inpatient Ms-DRG 15 14 — — $70,549.86 $151,205.53 $93,072.39 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $70,137.60 $105,267.85 $92,537.43 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 14 — — $69,446.74 $148,841.27 $91,617.11 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 14 — — $68,166.92 $146,098.31 $89,928.71 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $68,121.55 $102,241.66 $89,877.22 2025-11-04
447 MS_DRG Inpatient Ms-DRG 15 14 — — $66,933.02 $143,453.76 $88,300.90 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 14 — — $66,675.46 $142,901.74 $87,961.11 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 14 — — $66,562.65 $142,659.97 $87,812.29 2025-11-04
J9226 HCPCS Supprelin La Implant 13 13 — — $48,039.23 $117,019.36 $87,475.95 2025-11-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 14 — — $64,562.06 $138,372.21 $85,173.02 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $64,469.22 $138,173.23 $85,050.54 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 14 — — $63,135.49 $135,314.72 $83,291.03 2025-11-04
276 MS_DRG Inpatient Ms-DRG 15 14 — — $61,838.70 $132,535.38 $81,580.25 2025-11-04
317 MS_DRG Inpatient Ms-DRG 15 14 — — $61,758.83 $132,364.21 $81,474.89 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $61,477.31 $131,760.85 $81,103.49 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 14 — — $61,262.68 $131,300.83 $80,820.34 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 14 — — $60,983.15 $130,701.75 $80,451.58 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 15 14 — — $60,691.65 $130,076.98 $80,067.02 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 14 — — $60,256.39 $129,144.12 $79,492.80 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 14 — — $60,256.39 $129,144.12 $79,492.80 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 14 — — $59,806.16 $128,179.16 $78,898.84 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $59,391.86 $127,291.22 $78,352.28 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 14 — — $59,346.94 $127,194.94 $78,293.02 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 14 — — $58,741.97 $125,898.34 $77,494.91 2025-11-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 14 — — $58,124.02 $124,573.93 $76,679.69 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $57,296.43 $122,800.20 $75,587.90 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $56,954.01 $122,066.32 $75,136.17 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 15 14 — — $55,651.23 $119,274.14 $73,417.48 2025-11-04
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 14 — — $55,179.04 $118,262.11 $72,794.54 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 14 — — $55,179.04 $118,262.11 $72,794.54 2025-11-04
428 MS_DRG Inpatient Ms-DRG 15 14 — — $54,947.43 $117,765.72 $72,489.00 2025-11-04
430 MS_DRG Inpatient Ms-DRG 15 14 — — $54,612.00 $117,046.82 $72,046.49 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 14 — — $54,318.50 $116,417.78 $71,659.29 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 14 — — $54,194.71 $116,152.47 $71,495.98 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $53,918.18 $115,559.80 $71,131.17 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 14 — — $53,867.27 $115,450.68 $71,064.00 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $53,861.28 $115,437.84 $71,056.10 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 14 — — $53,111.56 $113,831.00 $70,067.03 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $52,876.96 $113,328.19 $69,757.54 2025-11-04
450 MS_DRG Inpatient Ms-DRG 15 14 — — $51,413.45 $110,191.54 $67,826.82 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 14 — — $51,242.74 $109,825.67 $67,601.61 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 14 — — $50,859.39 $109,004.06 $67,095.88 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 14 — — $50,703.66 $108,670.28 $66,890.43 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 14 — — $50,283.37 $107,769.51 $66,335.97 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 14 — — $49,986.88 $107,134.05 $65,944.82 2025-11-04
278 MS_DRG Inpatient Ms-DRG 15 14 — — $49,947.94 $107,050.61 $65,893.46 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 14 — — $49,927.98 $107,007.81 $65,867.12 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 14 — — $49,748.28 $106,622.69 $65,630.06 2025-11-04
245 MS_DRG Aicd Generator Procedures 15 14 — — $48,784.92 $104,557.97 $64,359.16 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 15 14 — — $48,490.43 $103,926.79 $63,970.64 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 15 14 — — $48,409.56 $103,753.48 $63,863.96 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 14 — — $47,673.82 $102,176.60 $62,893.34 2025-11-04
799 MS_DRG Splenectomy With Mcc 15 14 — — $47,467.17 $101,733.70 $62,620.72 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $47,458.18 $101,714.44 $62,608.86 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 14 — — $46,967.02 $100,661.76 $61,960.90 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 14 — — $46,715.45 $100,122.58 $61,629.02 2025-11-04
277 MS_DRG Inpatient Ms-DRG 15 14 — — $46,439.92 $99,532.05 $61,265.52 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 15 14 — — $46,013.64 $98,618.44 $60,703.16 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 14 — — $45,994.68 $98,577.79 $60,678.14 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $45,847.93 $98,263.27 $60,484.54 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 14 — — $45,840.94 $98,248.29 $60,475.32 2025-11-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 14 — — $45,039.30 $96,530.19 $59,417.77 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 14 — — $44,770.76 $95,954.64 $59,063.50 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $44,646.97 $95,689.33 $58,900.19 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 15 14 — — $44,229.68 $94,794.98 $58,349.69 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 14 — — $43,853.32 $93,988.35 $57,853.18 2025-11-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 14 — — $43,195.44 $92,578.35 $56,985.27 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $43,106.59 $92,387.93 $56,868.06 2025-11-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 7 — — $9,444.41 $74,424.25 $56,205.81 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 14 — — $42,584.48 $91,268.92 $56,179.27 2025-11-04
323 MS_DRG Inpatient Ms-DRG 15 14 — — $42,521.59 $91,134.12 $56,096.30 2025-11-04
0266T CPT Implt/rpl Crtd Sns Dev Total 8 8 — — $30,825.00 $90,066.09 $55,808.83 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 15 14 — — $42,220.10 $90,487.96 $55,698.56 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $42,021.26 $63,069.19 $55,442.01 2025-11-04
33276 CPT Outpatient Services 8 8 — — $30,150.00 $90,066.09 $55,332.33 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 14 — — $41,834.76 $89,662.08 $55,190.20 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 14 — — $41,824.78 $89,640.68 $55,177.03 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 15 14 — — $41,634.10 $89,232.02 $54,925.49 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 14 — — $41,536.27 $89,022.34 $54,796.42 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 14 — — $41,051.09 $87,982.49 $54,156.36 2025-11-04
J9266 HCPCS Pegaspargase Injection 13 13 — — $8,489.79 $71,589.38 $54,141.06 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 14 — — $41,028.13 $87,933.28 $54,126.07 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 14 — — $40,967.24 $87,802.77 $54,045.73 2025-11-04
448 MS_DRG Inpatient Ms-DRG 15 14 — — $40,765.58 $87,370.57 $53,779.70 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 14 — — $40,604.85 $87,026.09 $53,567.66 2025-11-04
791 MS_DRG Prematurity With Major Problems 15 14 — — $40,529.98 $86,865.62 $53,468.88 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 14 — — $39,769.28 $85,235.25 $52,465.33 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 14 — — $39,741.32 $85,175.34 $52,428.45 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 14 — — $39,389.92 $84,422.20 $51,964.87 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 14 — — $39,309.06 $84,248.89 $51,858.19 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 14 — — $39,229.20 $84,077.72 $51,752.83 2025-11-04
402 MS_DRG Inpatient Ms-DRG 15 14 — — $39,055.49 $83,705.43 $51,523.67 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 14 — — $39,036.52 $83,664.78 $51,498.65 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 14 — — $38,820.89 $83,202.63 $51,214.18 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 14 — — $38,584.30 $82,695.54 $50,902.05 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 14 — — $38,545.36 $82,612.10 $50,850.69 2025-11-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 14 — — $38,437.54 $82,381.02 $50,708.45 2025-11-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 4 — — $49,712.44 $65,826.12 $50,569.55 2025-11-04
38240 CPT Transplt Allo Hct/donor 8 8 — — $8,116.00 $118,370.20 $50,436.58 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 14 — — $38,159.02 $81,784.07 $50,341.01 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $37,952.37 $81,341.17 $50,068.39 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 14 — — $37,656.87 $80,707.85 $49,678.56 2025-11-04
33231 CPT Ins Icd Gen Only/exist Multi Leads 37 18 $79,860.00 $39,930.00 50% off $30,150.00 $64,169.53 $49,393.41 2025-11-04
0915T CPT Outpatient Services 4 4 — — $48,461.37 $64,169.53 $49,296.91 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 14 — — $37,356.39 $80,063.83 $49,282.14 2025-11-04
33264 CPT Rem/rpl Icd Gen/mult System 37 18 $79,570.00 $39,785.00 50% off $30,150.00 $64,169.53 $49,214.04 2025-11-04
33270 CPT Ins/rpl Subq Gen + Lead W/eval 37 18 $79,570.00 $39,785.00 50% off $30,150.00 $64,169.53 $49,214.04 2025-11-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 14 — — $36,424.97 $78,067.59 $48,053.38 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 14 — — $36,172.40 $77,526.27 $47,720.18 2025-11-04
33289 CPT Implant Wrless Pul Art Press Sens 37 18 $76,940.00 $38,470.00 50% off $30,150.00 $61,552.00 $47,587.39 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 14 — — $35,787.06 $76,700.38 $47,211.82 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 14 — — $35,785.06 $76,696.10 $47,209.18 2025-11-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 14 — — $35,779.07 $76,683.26 $47,201.28 2025-11-04
0408T CPT Insj/rplc Cardiac Modulj Sys 9 9 — — $30,150.00 $64,169.53 $47,159.76 2025-11-04
265 MS_DRG Aicd Lead Procedures 15 14 — — $35,611.36 $76,323.81 $46,980.02 2025-11-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 14 — — $35,451.63 $75,981.48 $46,769.30 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 13 13 — — $8,792.72 $62,320.47 $46,518.57 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 14 — — $35,243.98 $75,536.44 $46,495.37 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 14 — — $35,235.00 $75,517.18 $46,483.52 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 14 — — $35,146.15 $75,326.76 $46,366.30 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 14 — — $34,978.44 $74,967.30 $46,145.05 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $34,967.45 $74,943.77 $46,130.56 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 14 — — $34,953.48 $74,913.81 $46,112.12 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 15 14 — — $34,891.58 $74,781.16 $46,030.47 2025-11-04
63685 CPT Insrt/redo Spine N Generator 9 9 — — $30,825.00 $60,991.26 $45,908.13 2025-11-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 9 — — $30,825.00 $60,991.26 $45,908.13 2025-11-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 14 — — $34,665.97 $74,297.61 $45,732.83 2025-11-04
332 MS_DRG Rectal Resection With Mcc 15 14 — — $34,628.03 $74,216.31 $45,682.78 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 14 — — $34,590.10 $74,135.00 $45,632.73 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 14 — — $34,385.45 $73,696.38 $45,362.75 2025-11-04
69930 CPT Implant Cochlear Device 8 8 — — $30,150.00 $63,661.65 $45,361.90 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 14 — — $34,331.54 $73,580.84 $45,291.63 2025-11-04
665 MS_DRG Prostatectomy With Mcc 15 14 — — $34,277.63 $73,465.31 $45,220.51 2025-11-04
L8614 HCPCS Cochlear Device 7 7 — — $34,273.75 $51,439.37 $45,218.62 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 15 14 — — $34,245.68 $73,396.84 $45,178.37 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 14 — — $34,193.77 $73,285.58 $45,109.88 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 14 — — $34,004.09 $72,879.06 $44,859.65 2025-11-04
0268T CPT Implt/rpl Crtd Sns Dev Gen 8 8 — — $30,825.00 $60,991.26 $44,830.06 2025-11-04
33287 CPT Outpatient Services 8 8 — — $30,825.00 $60,991.26 $44,830.06 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 14 — — $33,862.34 $72,575.23 $44,672.64 2025-11-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 8 8 — — $30,150.00 $60,991.26 $44,353.56 2025-11-04
61886 CPT Implant Neurostim Arrays 8 8 — — $30,150.00 $60,991.26 $44,353.56 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 14 — — $33,509.94 $71,819.95 $44,207.74 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 15 14 — — $33,152.54 $71,053.98 $43,736.25 2025-11-04
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 3 — — $40,361.50 $45,914.05 $43,641.08 2025-11-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 14 — — $32,962.87 $70,647.45 $43,486.02 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 7 7 — — $32,820.21 $49,258.78 $43,301.74 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $32,631.43 $69,937.11 $43,048.78 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 14 — — $32,538.59 $69,738.12 $42,926.30 2025-11-04
L5858 HCPCS Stance Phase Only 7 7 — — $32,532.66 $48,827.30 $42,922.44 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 14 — — $32,524.61 $69,708.17 $42,907.86 2025-11-04
L6700 HCPCS Outpatient Services 4 4 — — $41,950.76 $55,548.60 $42,674.05 2025-11-04
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $41,822.84 $55,379.21 $42,543.93 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 14 — — $32,138.27 $68,880.14 $42,398.18 2025-11-04
279 MS_DRG Inpatient Ms-DRG 15 14 — — $31,989.53 $68,561.34 $42,201.95 2025-11-04
324 MS_DRG Inpatient Ms-DRG 15 14 — — $31,896.68 $68,362.36 $42,079.47 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 14 — — $31,835.79 $68,231.84 $41,999.13 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 14 — — $31,749.93 $68,047.84 $41,885.87 2025-11-04
33249 CPT Ins/rpl Icd Dual Gen + Lead(s) 37 18 $67,630.00 $33,815.00 50% off $26,646.22 $64,169.53 $41,829.15 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 14 — — $31,686.04 $67,910.90 $41,801.58 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 15 14 — — $31,633.13 $67,797.51 $41,731.78 2025-11-04
C9760 HCPCS Non-blind Interatrial Shunt 8 8 — — $30,150.00 $55,040.78 $41,567.25 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 14 — — $31,156.94 $66,776.92 $41,103.57 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 15 14 — — $31,142.97 $66,746.96 $41,085.13 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 7 7 — — $31,038.83 $46,585.90 $40,952.10 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 14 — — $31,010.19 $66,462.39 $40,909.97 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 14 — — $30,871.43 $66,164.99 $40,726.91 2025-11-04
451 MS_DRG Inpatient Ms-DRG 15 14 — — $30,807.54 $66,028.06 $40,642.62 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 14 — — $30,785.58 $65,980.98 $40,613.65 2025-11-04
652 MS_DRG Kidney Transplant 15 14 — — $30,661.79 $65,715.67 $40,450.34 2025-11-04
C2624 HCPCS System Cardiac Cardiomems Pa Snsr Delivery 31 18 $76,312.50 $38,156.25 50% off $16,330.88 $61,050.00 $40,422.73 2025-11-04
173 MS_DRG Inpatient Ms-DRG 15 14 — — $30,633.83 $65,655.77 $40,413.46 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 14 — — $30,534.00 $65,441.81 $40,281.76 2025-11-04
570 MS_DRG Skin Debridement With Mcc 15 14 — — $30,050.83 $64,406.24 $39,644.33 2025-11-04
C1822 HCPCS Neurostimulator Impl Hfx Iq Spine 50 18 $91,880.25 $45,940.13 50% off $14,196.97 $73,504.20 $39,380.92 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 15 14 — — $29,811.23 $63,892.74 $39,328.25 2025-11-04
C1767 HCPCS Generator Nrstm Pulse Proclaim 50 18 $74,175.75 $37,087.88 50% off $15,873.61 $64,441.66 $39,002.11 2025-11-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $29,435.87 $63,088.25 $38,833.06 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 14 — — $29,360.00 $62,925.64 $38,732.97 2025-11-04
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 8 8 — — $17,324.00 $70,051.62 $38,703.29 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 14 — — $29,280.14 $62,754.47 $38,627.61 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 15 14 — — $29,113.42 $62,397.15 $38,407.67 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 14 — — $29,097.45 $62,362.92 $38,386.60 2025-11-04
800 MS_DRG Splenectomy With Cc 15 14 — — $29,088.47 $62,343.66 $38,374.75 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 14 — — $29,072.49 $62,309.43 $38,353.67 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 15 14 — — $28,922.75 $61,988.49 $38,156.12 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 14 — — $28,622.26 $61,344.47 $37,759.71 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 14 — — $28,589.32 $61,273.86 $37,716.25 2025-11-04
325 MS_DRG Inpatient Ms-DRG 15 14 — — $28,572.34 $61,237.49 $37,693.86 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 14 — — $28,532.41 $61,151.91 $37,641.18 2025-11-04
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 7 — — $28,453.35 $42,705.43 $37,540.91 2025-11-04
321 MS_DRG Inpatient Ms-DRG 15 14 — — $28,419.60 $60,910.13 $37,492.36 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 15 14 — — $28,173.02 $60,381.65 $37,167.06 2025-11-04
L6970 HCPCS Interscapular-thor Switch CT 7 7 — — $28,159.88 $42,265.25 $37,153.97 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 14 — — $28,036.26 $60,088.53 $36,986.63 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 14 — — $28,007.31 $60,026.48 $36,948.44 2025-11-04
93654 CPT Comp Eval W/ablation Vt & 3d Map/las 37 18 $59,570.00 $29,785.00 50% off $7,270.42 $49,100.08 $36,844.04 2025-11-04
93656 CPT Comp Eval W/abl Pulm Vein Afib&3d Map/ice 37 18 $58,390.00 $29,195.00 50% off $6,957.29 $49,100.08 $36,114.21 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 14 — — $27,317.48 $58,548.01 $36,038.39 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 14 — — $27,268.56 $58,443.17 $35,973.86 2025-11-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 14 — — $27,218.65 $58,336.19 $35,908.01 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 14 — — $27,120.82 $58,126.51 $35,778.94 2025-11-04
0100T CPT Prosth Retina Receive&gen 4 4 — — $30,150.00 $42,646.00 $35,674.00 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 14 — — $26,988.04 $57,841.95 $35,603.78 2025-11-04
33230 CPT Ins Icd Gen Only/exist Dual Leads 37 18 $57,440.00 $28,720.00 50% off $22,631.36 $45,952.00 $35,526.64 2025-11-04
33240 CPT Ins Icd Gen Only/exist Sng Lead 37 18 $57,440.00 $28,720.00 50% off $22,631.36 $45,952.00 $35,526.64 2025-11-04
64590 CPT Insrt/redo Pn/gastr Stimul 9 9 — — $30,825.00 $43,599.00 $35,490.00 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 14 — — $26,899.19 $57,651.52 $35,486.57 2025-11-04
33263 CPT Rem/rpl Icd Gen/dual System 37 18 $57,350.00 $28,675.00 50% off $22,595.90 $45,880.00 $35,470.97 2025-11-04
33262 CPT Rem/rpl Icd Gen/single System 37 18 $57,350.00 $28,675.00 50% off $22,595.90 $45,880.00 $35,470.97 2025-11-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 14 — — $26,792.38 $57,422.58 $35,345.65 2025-11-04
263 MS_DRG Vein Ligation And Stripping 15 14 — — $26,775.40 $57,386.21 $35,323.26 2025-11-04
849 MS_DRG Radiotherapy 15 14 — — $26,665.59 $57,150.86 $35,178.39 2025-11-04
62362 CPT Implant Spine Infusion Pump 9 9 — — $26,714.59 $43,599.00 $35,156.79 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 14 — — $26,582.73 $56,973.27 $35,069.08 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 14 — — $26,487.89 $56,770.01 $34,943.96 2025-11-04
0515T CPT Insj Wcs Lv Compl Sys 8 8 — — $30,150.00 $44,924.85 $34,906.27 2025-11-04
0409T CPT Insj/rplc Car Modulj Pls Gn 8 8 — — $30,150.00 $44,924.85 $34,906.27 2025-11-04
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 8 8 — — $30,150.00 $44,924.85 $34,906.27 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 14 — — $26,454.95 $56,699.40 $34,900.50 2025-11-04
503 MS_DRG Foot Procedures With Mcc 15 14 — — $26,421.01 $56,626.65 $34,855.72 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 14 — — $26,394.05 $56,568.88 $34,820.16 2025-11-04
L6965 HCPCS Shldr Disartic Myoelectronic 7 7 — — $26,308.08 $39,485.21 $34,710.13 2025-11-04
0956T CPT Outpatient Services 4 4 — — $34,009.71 $45,033.54 $34,596.08 2025-11-04
0960T CPT Outpatient Services 4 4 — — $34,009.71 $45,033.54 $34,596.08 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 14 — — $26,188.40 $56,128.13 $34,548.86 2025-11-04
0923T CPT Outpatient Services 4 4 — — $33,927.62 $44,924.85 $34,512.58 2025-11-04
0916T CPT Outpatient Services 4 4 — — $33,927.62 $44,924.85 $34,512.58 2025-11-04
61885 CPT Insrt/redo Neurostim 1 Array 8 8 — — $30,825.00 $43,599.00 $34,510.54 2025-11-04
C1820 HCPCS Generator Nrstm Eterna Neuro-pulse Scs Sys 50 18 $79,975.50 $39,987.75 50% off $13,500.19 $63,980.40 $34,507.60 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 14 — — $26,120.52 $55,982.63 $34,459.31 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 14 — — $25,841.99 $55,385.69 $34,091.86 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 14 — — $25,799.07 $55,293.68 $34,035.23 2025-11-04
J7310 HCPCS Ganciclovir Long Act Implant 9 9 — — $9,081.99 $62,550.84 $33,920.00 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 14 — — $25,494.59 $54,641.10 $33,633.55 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 15 14 — — $25,486.60 $54,623.99 $33,623.01 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 14 — — $25,438.68 $54,521.29 $33,559.79 2025-11-04
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 7 7 — — $25,435.77 $38,176.27 $33,559.48 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 3 — — $31,013.82 $35,280.40 $33,533.85 2025-11-04
93653 CPT Comp Eval W/ablation Svt & 3d Map/las 37 18 $54,150.00 $27,075.00 50% off $6,957.29 $49,100.08 $33,491.78 2025-11-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 14 — — $25,307.90 $54,241.00 $33,387.27 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 15 14 — — $25,226.04 $54,065.55 $33,279.27 2025-11-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 14 — — $25,206.08 $54,022.76 $33,252.93 2025-11-04
A9604 HCPCS Sm 153 Lexidronam 10 10 — — $6,256.62 $45,738.60 $33,217.08 2025-11-04
93591 CPT Perq Transcath Cls Aortic 8 8 — — $27,141.74 $43,599.00 $33,157.50 2025-11-04
93590 CPT Perq Transcath Cls Mitral 8 8 — — $27,141.74 $43,599.00 $33,157.50 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 15 14 — — $25,127.21 $53,853.73 $33,148.89 2025-11-04
62361 CPT Implant Spine Infusion Pump 8 8 — — $26,714.59 $43,599.00 $33,099.40 2025-11-04
33824 CPT Revise Major Vessel 4 4 — — $27,968.00 $39,558.00 $33,090.50 2025-11-04
33820 CPT Revise Major Vessel 4 4 — — $27,968.00 $39,558.00 $33,090.50 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 14 — — $24,998.43 $53,577.72 $32,979.00 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 14 — — $24,979.46 $53,537.07 $32,953.97 2025-11-04
C9758 HCPCS Blind Interatrial Shunt Ide 8 8 — — $26,452.16 $43,599.00 $32,925.65 2025-11-04
C9782 HCPCS Blind Myocar Trpl Bon Marrow 8 8 — — $26,452.16 $43,599.00 $32,925.65 2025-11-04
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