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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 CONDELL MEDICAL CENTER

Libertyville, IL · CCN 140202 · Rates published

15,419 distinct procedures filed
18 distinct payers
236,895 rate rows
2025-11-04 last MRF observed
Data quality

235,527 of 236,895 rate rows are consumer-grade (99.4%)

1,368 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
template filing: same amount across many unrelated codes — excluded 823
percent-of-charges filed in the dollar field — excluded from medians 234
exceeds 10× this hospital's gross charge — excluded from medians 106
per-diem day rate — not a per-procedure price 94
placeholder amount (≤ $0.02) — excluded from medians 72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 39
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 not_modified · 2026-05-18
Content fingerprint 5fe76ae68d522e17… · 111,922,572 bytes · first seen 2026-05-09

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
$3,325,455
1.4× 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 3 $4,278,495.67 $4,426,030.00 $4,278,495.67 nat. median
$3,006,423
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
$2,469,189
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $3,381,400.00 $4,477,440.00 $3,439,700.00 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $1,117,399.00 $1,479,590.40 $1,136,664.50 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $838,570.64 $1,387,149.28 $1,117,903.09 nat. median
$754,974
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $802,399.30 $1,345,370.55 $1,077,007.20 nat. median
$675,122
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $784,827.65 $1,334,154.50 $1,060,823.65 nat. median
$625,184
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $785,371.70 $1,315,434.06 $1,053,589.71 nat. median
$674,188
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $772,960.89 $1,296,212.81 $1,037,575.59 nat. median
$634,511
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $710,094.00 $1,191,016.00 $953,279.20 nat. median
$620,080
1.5× 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
$370,174
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $392,043.75 $519,120.00 $398,803.12 nat. median
$324,450
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
$265,286
1.4× 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
$206,368
1.5× 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
$202,986
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $236,618.80 $208,003.66 nat. median
$111,989
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
$133,176
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $130,795.27 $280,326.11 $171,935.52 nat. median
$117,303
1.5× median
7
MS_DRG 		Lung Transplant 14 $130,465.83 $279,620.04 $171,508.68 nat. median
$122,708
1.4× 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
$108,660
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $108,753.80 $233,085.88 $143,380.06 nat. median
$102,358
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $106,312.96 $227,854.56 $140,217.86 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 15 $105,767.89 $226,686.34 $139,511.69 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $104,575.92 $224,131.66 $137,961.02 nat. median
$98,905
1.4× 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… 15 $96,346.93 $206,494.94 $127,109.82 nat. median
$93,672
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $82,395.60 $173,512.94 $126,011.54 nat. median
$62,507
outlier · 2.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $78,533.73 $192,914.70 $123,756.60 nat. median
$76,377
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $91,962.40 $197,097.81 $121,320.72 nat. median
$83,442
1.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $91,975.03 $168,273.22 $120,893.81 nat. median
$69,774
1.7× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $100,053.67 $123,321.96 $111,687.82 nat. median
$21,806
outlier · 5.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $84,594.94 $181,307.56 $111,605.50 nat. median
$79,312
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
$81,118
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $81,121.66 $147,108.87 $110,030.46 nat. median
$66,682
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $83,264.21 $178,455.48 $109,845.70 nat. median
$82,712
1.3× 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
$77,576
1.4× median
10
MS_DRG 		Pancreas Transplant 14 $79,594.46 $170,590.31 $105,004.41 nat. median
$68,882
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $79,138.24 $169,612.51 $104,402.54 nat. median
$71,240
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $78,031.12 $167,239.69 $102,945.90 nat. median
$73,807
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $77,243.46 $165,551.55 $101,906.74 nat. median
$74,915
1.4× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 4 $97,806.36 $129,509.11 $99,492.68 nat. median
$70,825
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
$72,138
1.4× median
90288
CPT 		Botulism Ig IV 2 $97,410.00 $97,410.00 $97,410.00 nat. median
$55,037
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $70,906.25 $151,969.37 $93,542.56 nat. median
$68,090
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $70,549.86 $151,205.53 $93,072.39 nat. median
$68,887
1.4× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $70,137.60 $105,267.85 $92,537.43 nat. median
$50,598
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
$66,526
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $68,166.92 $146,098.31 $89,928.71 nat. median
$64,732
1.4× median

Other procedures at this hospital

Browse this hospital's 15,419 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
             
C1822 HCPCS 3027105 - System Neurostimulator Implantable Hex Iq Port Plug Wremote Charger 50 18 $91,880.25 $45,940.13 50% off $14,196.97 $73,504.20 $39,380.92 2025-11-04
C1820 HCPCS 3011284 - Generator Nrstm Eterna Nrpls Scs Sys 50 18 $79,975.50 $39,987.75 50% off $13,500.19 $63,980.40 $34,507.60 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
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
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
C2624 HCPCS 1168040 - 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
C1767 HCPCS 1067995 - Generator Nrstm 50 18 $74,175.75 $37,087.88 50% off $15,873.61 $64,441.66 $39,002.11 2025-11-04
33249 CPT Ins/rpl Icd Single 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
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
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
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
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
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $4,820,629.26 $4,986,857.85 $4,820,629.26 2025-11-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $4,728,964.75 $4,892,032.50 $4,728,964.75 2025-11-04
J3393 HCPCS Inj, Betibeglogene Autotemce 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 Inj, Exagamglogene Autotem 4 4 — — $3,381,400.00 $4,477,440.00 $3,439,700.00 2025-11-04
Q2057 HCPCS Afamitresgene Autoleucel 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 Ciltacabtagene Car-pos T 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 Obecbtge Autol Up To 400 Mil 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 Concomitant Aortic And Mitral Valve Procedures 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 16 15 — — $105,767.89 $226,686.34 $139,511.69 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 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… 16 15 — — $96,346.93 $206,494.94 $127,109.82 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 Acute Leukemia With Other Procedures 15 14 — — $91,962.40 $197,097.81 $121,320.72 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 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 16 15 — — $84,594.94 $181,307.56 $111,605.50 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 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 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 16 15 — — $78,031.12 $167,239.69 $102,945.90 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 15 — — $77,243.46 $165,551.55 $101,906.74 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 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $70,906.25 $151,969.37 $93,542.56 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 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 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 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 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 14 — — $61,838.70 $132,535.38 $81,580.25 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 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 16 15 — — $60,983.15 $130,701.75 $80,454.64 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… 16 15 — — $59,391.86 $127,291.22 $78,355.26 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 16 15 — — $58,741.97 $125,898.34 $77,497.86 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 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 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $54,947.43 $117,765.72 $72,489.00 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 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 16 15 — — $53,111.56 $113,831.00 $70,069.69 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 15 — — $52,876.96 $113,328.19 $69,760.19 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 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 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 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 16 15 — — $49,748.28 $106,622.69 $65,632.55 2025-11-04
245 MS_DRG Aicd Generator Procedures 16 15 — — $48,784.92 $104,557.97 $64,361.60 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 Splenic Procedures 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 Cardiac Defibrillator Implant Without Mcc 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… 16 15 — — $45,847.93 $98,263.27 $60,486.83 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 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 14 — — $42,521.59 $91,134.12 $56,096.30 2025-11-04
0266T CPT Op Surgery 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 Insj Phrnc Nrv Stim Sys 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 16 15 — — $41,051.09 $87,982.49 $54,158.42 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 Multiple Level Spinal Fusion Except Cervical Without Mcc 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 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 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
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 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
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
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 Ins/rplc Spi Npg/rcvr Pocket 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 16 15 — — $34,245.68 $73,396.84 $45,180.09 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 Op Surgery 8 8 — — $30,825.00 $60,991.26 $44,830.06 2025-11-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 8 8 — — $30,825.00 $60,991.26 $44,830.06 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 15 — — $33,862.34 $72,575.23 $44,674.33 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 Ue Add Ext Power Myoel 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 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $31,989.53 $68,561.34 $42,201.95 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 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
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 16 15 — — $31,010.19 $66,462.39 $40,911.53 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 Single Level Spinal Fusion Except Cervical Without Mcc 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
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 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
974 MS_DRG HIV With Major Related Condition With Mcc 15 14 — — $29,811.23 $63,892.74 $39,328.25 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 Splenic Procedures 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 Coronary Intravascular Lithotripsy Without Intraluminal Device 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 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 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
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
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 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
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 Prt Crn Ch Cr&tun Elt S-sclp 4 4 — — $34,009.71 $45,033.54 $34,596.08 2025-11-04
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 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 Rmvl&rplcmt Perm Ccm-d Pg 4 4 — — $33,927.62 $44,924.85 $34,512.58 2025-11-04
0916T CPT Insj Perm Ccm-d Sys Pg Only 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
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 Pharmacy 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 16 15 — — $25,486.60 $54,623.99 $33,624.29 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
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 Repair Pda Div 18 Yrs&older 4 4 — — $27,968.00 $39,558.00 $33,090.50 2025-11-04
33820 CPT Repair Pda By Ligation 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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