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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 CHRIST HOSPITAL & MEDICAL CENTER

Oak Lawn, IL · CCN 140208 · Rates published

15,440 distinct procedures filed
18 distinct payers
275,036 rate rows
2025-11-04 last MRF observed
Data quality

274,423 of 275,036 rate rows are consumer-grade (99.8%)

613 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 243
exceeds 10× this hospital's gross charge — excluded from medians 194
placeholder amount (≤ $0.02) — excluded from medians 80
per-diem day rate — not a per-procedure price 75
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11272/362169147_advocate-childrens-hospital-oak-lawn_standardcharges.csv
Found on page https://www.advocatehealth.com/about-us/financial-assistance-for-patients/hospital-pricing-information
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 62e8dd392dadfaf8… · 148,335,518 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 5 $4,278,495.67 $4,897,200.00 $4,426,030.00 nat. median
$3,006,423
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
$2,469,189
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 $1,769,269.65 $865,591.79 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $802,399.30 $1,715,982.06 $837,683.55 nat. median
$675,122
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $784,827.65 $1,701,676.31 $830,699.97 nat. median
$625,184
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $785,371.70 $1,677,798.91 $819,043.85 nat. median
$674,188
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $772,960.89 $1,653,282.76 $807,075.90 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $710,094.00 $1,519,107.20 $741,576.00 nat. median
$620,080
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $414,161.97 $835,866.50 $574,441.37 nat. median
$370,174
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $309,344.27 $624,322.20 $429,059.55 nat. median
$265,286
1.6× 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
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $260,523.79 $525,792.14 $361,345.69 nat. median
$206,368
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $235,361.83 $475,009.98 $326,446.13 nat. median
$202,986
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $155,175.66 $313,177.32 $215,228.16 nat. median
$133,176
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $382,163.55 $208,756.26 nat. median
$111,989
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $143,883.97 $290,388.30 $199,566.62 nat. median
$117,303
1.7× median
7
MS_DRG 		Lung Transplant 14 $143,521.56 $289,656.88 $199,063.96 nat. median
$122,708
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $121,018.35 $244,240.63 $167,852.07 nat. median
$108,660
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $119,636.81 $241,452.40 $165,935.88 nat. median
$102,358
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $116,951.71 $236,033.30 $162,211.66 nat. median
$100,136
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 14 $116,352.09 $234,823.15 $161,379.99 nat. median
$99,019
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $115,040.84 $232,176.77 $159,561.29 nat. median
$98,905
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $105,988.38 $213,906.98 $147,005.56 nat. median
$93,672
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $101,165.09 $204,172.55 $140,315.66 nat. median
$83,442
1.7× 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
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $93,060.37 $187,815.52 $129,074.44 nat. median
$79,312
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $93,008.75 $187,711.35 $129,002.85 nat. median
$81,118
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $91,596.47 $184,861.06 $127,044.02 nat. median
$82,712
1.5× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $120,116.70 $246,057.24 $126,790.29 nat. median
$76,377
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $88,527.00 $178,666.22 $122,786.68 nat. median
$77,576
1.6× median
10
MS_DRG 		Pancreas Transplant 14 $87,559.49 $176,713.57 $121,444.74 nat. median
$68,882
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $87,057.61 $175,700.68 $120,748.63 nat. median
$71,240
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $85,839.70 $173,242.69 $119,059.40 nat. median
$73,807
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $84,973.23 $171,493.95 $117,857.60 nat. median
$74,915
1.6× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $76,785.37 $157,293.67 $117,039.52 nat. median
$21,806
outlier · 5.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $81,971.84 $165,436.53 $113,694.69 nat. median
$72,138
1.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $91,975.03 $214,627.74 $112,386.95 nat. median
$69,774
1.6× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $82,395.60 $221,310.84 $108,569.74 nat. median
$62,507
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $78,001.85 $157,424.24 $108,188.33 nat. median
$68,090
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $77,609.79 $156,632.99 $107,644.54 nat. median
$68,887
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $76,396.28 $154,183.87 $105,961.41 nat. median
$66,526
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $74,988.39 $151,342.44 $104,008.67 nat. median
$64,732
1.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $73,631.02 $148,602.97 $102,125.99 nat. median
$63,738
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $73,347.68 $148,031.14 $101,733.00 nat. median
$64,027
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $73,223.58 $147,780.69 $101,560.88 nat. median
$65,950
1.5× median
0812
RC 		Organ Acquisition Dc Donor 18 $43,024.72 $162,081.62 $100,807.62 nat. median
$70,278
1.4× median

Other procedures at this hospital

Browse this hospital's 15,440 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $4,820,629.26 $4,986,857.85 $4,820,629.26 2025-11-04
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $4,278,495.67 $4,897,200.00 $4,426,030.00 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $3,555,567.62 $4,708,061.95 $3,781,559.94 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 8 — — $838,570.64 $1,769,269.65 $865,591.79 2025-11-04
Q2056 HCPCS Ciltacabtagene Car-pos T 8 8 — — $802,399.30 $1,715,982.06 $837,683.55 2025-11-04
Q2055 HCPCS Idecabtagene Vicleucel Car 8 8 — — $784,827.65 $1,701,676.31 $830,699.97 2025-11-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 8 — — $785,371.70 $1,677,798.91 $819,043.85 2025-11-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 8 — — $772,960.89 $1,653,282.76 $807,075.90 2025-11-04
Q2053 HCPCS Brexucabtagene Car Pos T 8 8 — — $710,094.00 $1,519,107.20 $741,576.00 2025-11-04
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $1,117,399.00 $1,479,590.40 $1,136,664.50 2025-11-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $414,161.97 $835,866.50 $574,441.37 2025-11-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $309,344.27 $624,322.20 $429,059.55 2025-11-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 14 — — $260,523.79 $525,792.14 $361,345.69 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 14 — — $235,361.83 $475,009.98 $326,446.13 2025-11-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $157,654.47 $382,163.55 $208,756.26 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 14 — — $155,175.66 $313,177.32 $215,228.16 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $143,883.97 $290,388.30 $199,566.62 2025-11-04
7 MS_DRG Lung Transplant 15 14 — — $143,521.56 $289,656.88 $199,063.96 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 9 9 — — $120,116.70 $246,057.24 $126,790.29 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $121,018.35 $244,240.63 $167,852.07 2025-11-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 14 — — $119,636.81 $241,452.40 $165,935.88 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $116,951.71 $236,033.30 $162,211.66 2025-11-04
215 MS_DRG Other Heart Assist System Implant 15 14 — — $116,352.09 $234,823.15 $161,379.99 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $115,040.84 $232,176.77 $159,561.29 2025-11-04
A9543 HCPCS Y90 Ibritumomab, Rx 10 10 — — $82,395.60 $221,310.84 $108,569.74 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 10 — — $91,975.03 $214,627.74 $112,386.95 2025-11-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $105,988.38 $213,906.98 $147,005.56 2025-11-04
850 MS_DRG Acute Leukemia With Other Procedures 15 14 — — $101,165.09 $204,172.55 $140,315.66 2025-11-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $93,060.37 $187,815.52 $129,074.44 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $93,008.75 $187,711.35 $129,002.85 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 10 — — $81,121.66 $187,633.20 $99,506.17 2025-11-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 14 — — $91,596.47 $184,861.06 $127,044.02 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 14 — — $88,527.00 $178,666.22 $122,786.68 2025-11-04
10 MS_DRG Pancreas Transplant 15 14 — — $87,559.49 $176,713.57 $121,444.74 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $87,057.61 $175,700.68 $120,748.63 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 14 — — $85,839.70 $173,242.69 $119,059.40 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $84,973.23 $171,493.95 $117,857.60 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $70,137.60 $170,018.33 $92,871.86 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 14 — — $81,971.84 $165,436.53 $113,694.69 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $68,121.55 $165,130.72 $90,202.33 2025-11-04
0812 RC Organ Acquisition Dc Donor 67 18 $128,910.00 $64,455.00 50% off $43,024.72 $162,081.62 $100,807.62 2025-11-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $78,001.85 $157,424.24 $108,188.33 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 4 4 — — $76,785.37 $157,293.67 $117,039.52 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 14 — — $77,609.79 $156,632.99 $107,644.54 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 14 — — $76,396.28 $154,183.87 $105,961.41 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 14 — — $74,988.39 $151,342.44 $104,008.67 2025-11-04
J9226 HCPCS Supprelin La Implant 13 13 — — $66,062.57 $149,254.89 $83,839.39 2025-11-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 14 — — $73,631.02 $148,602.97 $102,125.99 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 14 — — $73,347.68 $148,031.14 $101,733.00 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 14 — — $73,223.58 $147,780.69 $101,560.88 2025-11-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 14 — — $71,022.79 $143,339.02 $98,508.39 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $70,920.66 $143,132.90 $98,366.73 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 14 — — $69,453.46 $140,171.79 $96,331.74 2025-11-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 14 — — $68,026.90 $137,292.68 $94,353.10 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 14 — — $67,939.04 $137,115.37 $94,231.24 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $67,629.35 $136,490.34 $93,801.70 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 14 — — $67,393.24 $136,013.82 $93,474.21 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 14 — — $67,085.74 $135,393.23 $93,047.72 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 15 14 — — $66,765.07 $134,746.04 $92,602.94 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 14 — — $66,286.25 $133,779.69 $91,938.83 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 14 — — $66,286.25 $133,779.69 $91,938.83 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 14 — — $65,790.97 $132,780.09 $91,251.87 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $65,335.21 $131,860.29 $90,619.74 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 15 — — $65,285.79 $131,760.55 $93,773.27 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 14 — — $64,620.28 $130,417.41 $89,628.13 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 14 — — $63,940.50 $129,045.46 $88,685.27 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $63,030.09 $127,208.06 $87,422.54 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $62,653.41 $126,447.84 $86,900.08 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 15 14 — — $61,220.26 $123,555.43 $84,912.31 2025-11-04
834 MS_DRG Acute Leukemia With Mcc 15 14 — — $60,700.81 $122,507.08 $84,191.83 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 14 — — $60,700.81 $122,507.08 $84,191.83 2025-11-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $60,446.03 $121,992.87 $83,838.45 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 14 — — $60,077.03 $121,248.16 $83,326.66 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 14 — — $59,754.16 $120,596.54 $82,878.84 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 14 — — $59,617.98 $120,321.71 $82,689.96 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $59,313.78 $119,707.76 $82,268.03 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 14 — — $59,257.77 $119,594.73 $82,190.35 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $59,251.18 $119,581.43 $82,181.21 2025-11-04
38240 CPT Transplt Allo Hct/donor 8 8 — — $9,155.00 $118,370.20 $53,748.08 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 14 — — $58,426.44 $117,916.91 $81,037.29 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $58,168.36 $117,396.06 $80,679.33 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 14 — — $56,558.40 $114,146.82 $78,446.32 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 14 — — $56,370.61 $113,767.81 $78,185.86 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 14 — — $55,948.90 $112,916.71 $77,600.95 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 14 — — $55,777.58 $112,570.96 $77,363.33 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 14 — — $55,315.24 $111,637.85 $76,722.06 2025-11-04
0100T CPT Prosth Retina Receive&gen 4 4 — — $56,379.00 $111,480.00 $80,823.50 2025-11-04
33276 CPT Insj Phrnc Nrv Stim Sys 8 8 — — $56,379.00 $111,480.00 $69,191.40 2025-11-04
69930 CPT Implant Cochlear Device 8 8 — — $48,077.81 $111,480.00 $60,020.32 2025-11-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 8 8 — — $46,061.11 $111,480.00 $58,685.13 2025-11-04
61886 CPT Implant Neurostim Arrays 8 8 — — $46,061.11 $111,480.00 $58,685.13 2025-11-04
C9760 HCPCS Non-blind Interatrial Shunt 8 8 — — $41,567.25 $111,480.00 $55,709.89 2025-11-04
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0409T CPT Insj/rplc Car Modulj Pls Gn 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0515T CPT Insj Wcs Lv Compl Sys 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
33289 CPT Implant Wrless Pul Art Press Sens 37 18 $75,910.00 $37,955.00 50% off $29,908.54 $111,480.00 $46,950.33 2025-11-04
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 8 8 — — $15,818.44 $111,480.00 $38,662.40 2025-11-04
33270 CPT Ins/rpl Subq Gen + Lead W/eval 37 18 $59,030.00 $29,515.00 50% off $23,257.82 $111,480.00 $36,510.06 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 14 — — $54,989.07 $110,979.58 $76,269.67 2025-11-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $54,946.24 $110,893.14 $76,210.27 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 14 — — $54,924.28 $110,848.81 $76,179.80 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 14 — — $54,726.60 $110,449.86 $75,905.63 2025-11-04
245 MS_DRG Aicd Generator Procedures 15 14 — — $53,666.84 $108,311.04 $74,435.74 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 15 14 — — $53,342.87 $107,657.20 $73,986.39 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 15 14 — — $53,253.91 $107,477.67 $73,863.01 2025-11-04
0811 RC Organ Acquisition Living Donor - Kidney 33 18 $129,450.00 $64,725.00 50% off $45,178.05 $106,537.35 $80,064.82 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 14 — — $52,444.54 $105,844.18 $72,740.42 2025-11-04
799 MS_DRG Splenic Procedures With Mcc 15 14 — — $52,217.21 $105,385.39 $72,425.11 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $52,207.33 $105,365.44 $72,411.40 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 14 — — $51,667.02 $104,274.97 $71,661.99 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 14 — — $51,390.27 $103,716.44 $71,278.14 2025-11-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 14 — — $51,087.17 $103,104.71 $70,857.74 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 15 14 — — $50,618.23 $102,158.31 $70,207.33 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 14 — — $50,597.37 $102,116.20 $70,178.39 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $42,021.26 $101,863.19 $55,641.95 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $50,435.93 $101,790.39 $69,954.48 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 14 — — $50,428.25 $101,774.87 $69,943.82 2025-11-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 14 — — $49,546.39 $99,995.10 $68,720.69 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 14 — — $49,250.98 $99,398.89 $68,310.95 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $49,114.80 $99,124.06 $68,122.07 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 15 14 — — $48,655.75 $98,197.60 $67,485.38 2025-11-04
90288 CPT Botulism Ig IV 2 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 14 — — $48,241.73 $97,362.02 $66,911.13 2025-11-04
0266T CPT Op Surgery 8 8 — — $49,123.00 $97,131.00 $69,191.40 2025-11-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 8 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 8 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
0268T CPT Op Surgery 8 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 8 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 8 8 — — $32,413.39 $97,131.00 $46,021.40 2025-11-04
61885 CPT Insrt/redo Neurostim 1 Array 8 8 — — $32,413.39 $97,131.00 $46,021.40 2025-11-04
62361 CPT Implant Spine Infusion Pump 8 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
62362 CPT Implant Spine Infusion Pump 8 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
C9758 HCPCS Blind Interatrial Shunt Ide 8 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
C9782 HCPCS Blind Myocar Trpl Bon Marrow 8 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
0308T CPT Insj Ocular Telescope Prosth 8 8 — — $24,813.60 $97,131.00 $40,989.81 2025-11-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 14 — — $47,518.02 $95,901.41 $65,907.34 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $47,420.28 $95,704.15 $65,771.78 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 14 — — $46,845.92 $94,544.97 $64,975.14 2025-11-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 14 — — $46,776.73 $94,405.34 $64,879.18 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 15 14 — — $46,445.07 $93,735.99 $64,419.17 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 14 — — $46,021.17 $92,880.46 $63,831.22 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 14 — — $46,010.19 $92,858.29 $63,815.99 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 16 15 — — $45,800.43 $92,434.96 $65,785.47 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 14 — — $45,692.81 $92,217.75 $63,375.78 2025-11-04
J9266 HCPCS Pegaspargase Injection 13 13 — — $13,706.50 $91,310.23 $44,574.52 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 14 — — $45,159.08 $91,140.58 $62,635.51 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 14 — — $45,133.82 $91,089.61 $62,600.47 2025-11-04
33820 CPT Repair Pda By Ligation 4 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
33824 CPT Repair Pda Div 18 Yrs&older 4 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
54416 CPT Remv/repl Penis Contain Pros 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54401 CPT Insert Self-contd Prosthesis 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53447 CPT Remove/replace Ur Sphincter 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54405 CPT Insert Multi-comp Penis Pros 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53445 CPT Insert Uro/ves Nck Sphincter 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54410 CPT Remove/replace Penis Prosth 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 8 8 — — $27,796.73 $91,059.00 $41,429.85 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 14 — — $45,066.83 $90,954.41 $62,507.56 2025-11-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $44,845.00 $90,506.69 $62,199.87 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 14 — — $44,668.19 $90,149.85 $61,954.64 2025-11-04
791 MS_DRG Prematurity With Major Problems 15 14 — — $44,585.82 $89,983.62 $61,840.40 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 14 — — $43,748.99 $88,294.73 $60,679.72 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 14 — — $43,718.24 $88,232.67 $60,637.07 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 14 — — $43,331.68 $87,452.49 $60,100.90 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 14 — — $43,242.72 $87,272.97 $59,977.52 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 14 — — $43,154.87 $87,095.65 $59,855.67 2025-11-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 14 — — $42,963.78 $86,710.00 $59,590.63 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 14 — — $42,942.91 $86,667.89 $59,561.69 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 14 — — $42,705.70 $86,189.15 $59,232.68 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 14 — — $42,445.43 $85,663.86 $58,871.68 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 14 — — $42,402.60 $85,577.42 $58,812.28 2025-11-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 14 — — $42,283.99 $85,338.05 $58,647.77 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 14 — — $41,977.60 $84,719.67 $58,222.80 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $41,750.27 $84,260.88 $57,907.49 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 14 — — $41,425.20 $83,604.82 $57,456.63 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 14 — — $41,094.64 $82,937.69 $56,998.14 2025-11-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 14 — — $40,070.02 $80,869.79 $55,577.00 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 14 — — $39,792.18 $80,309.04 $55,191.63 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 7 7 — — $32,820.21 $79,557.97 $43,458.49 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 13 13 — — $14,195.59 $79,488.00 $38,803.31 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 14 — — $39,368.27 $79,453.51 $54,603.67 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 14 — — $39,366.08 $79,449.07 $54,600.63 2025-11-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 14 — — $39,359.49 $79,435.78 $54,591.49 2025-11-04
265 MS_DRG Aicd Lead Procedures 15 14 — — $39,174.99 $79,063.42 $54,335.59 2025-11-04
L5858 HCPCS Stance Phase Only 7 7 — — $32,532.66 $78,861.08 $43,077.73 2025-11-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 14 — — $38,999.28 $78,708.80 $54,091.88 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 14 — — $38,770.85 $78,247.79 $53,775.05 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 14 — — $38,760.97 $78,227.84 $53,761.34 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 14 — — $38,663.23 $78,030.58 $53,625.78 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 14 — — $38,478.73 $77,658.22 $53,369.88 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $38,466.65 $77,633.84 $53,353.13 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 14 — — $38,451.28 $77,602.81 $53,331.80 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 15 14 — — $38,383.19 $77,465.40 $53,237.36 2025-11-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 14 — — $38,135.00 $76,964.49 $52,893.12 2025-11-04
332 MS_DRG Rectal Resection With Mcc 15 14 — — $38,093.26 $76,880.27 $52,835.24 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 14 — — $38,051.53 $76,796.04 $52,777.36 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 14 — — $37,826.40 $76,341.68 $52,465.10 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 14 — — $37,767.10 $76,222.00 $52,382.85 2025-11-04
665 MS_DRG Prostatectomy With Mcc 15 14 — — $37,707.80 $76,102.31 $52,300.60 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 15 14 — — $37,672.65 $76,031.39 $52,251.85 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 14 — — $37,615.55 $75,916.13 $52,172.65 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 14 — — $37,406.89 $75,495.02 $51,883.24 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 7 7 — — $31,038.83 $75,240.97 $41,099.69 2025-11-04
C1604 HCPCS 3046048 - System Cap For Any Number Of Torus Stent Grafts And Endocross Device D… 30 18 $94,000.00 $47,000.00 50% off $24,158.00 $75,200.00 $58,139.00 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 14 — — $37,250.94 $75,180.29 $51,666.94 2025-11-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 7 — — $15,247.72 $74,424.25 $56,205.81 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 14 — — $36,863.28 $74,397.90 $51,129.25 2025-11-04
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 3 — — $65,162.40 $74,155.88 $70,440.01 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 15 14 — — $36,470.12 $73,604.43 $50,583.95 2025-11-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 14 — — $36,261.47 $73,183.31 $50,294.54 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $35,896.86 $72,447.47 $49,788.84 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 14 — — $35,794.73 $72,241.34 $49,647.18 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 14 — — $35,779.36 $72,210.31 $49,625.86 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 14 — — $35,354.35 $71,352.57 $49,036.38 2025-11-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $35,190.72 $71,022.32 $48,809.42 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 14 — — $35,088.59 $70,816.20 $48,667.76 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 14 — — $35,021.60 $70,681.00 $48,574.85 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 14 — — $34,927.15 $70,490.39 $48,443.85 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 14 — — $34,856.87 $70,348.54 $48,346.37 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 15 14 — — $34,798.66 $70,231.07 $48,265.64 2025-11-04
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 8 8 — — $24,003.00 $70,051.62 $50,182.79 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 14 — — $34,274.82 $69,173.84 $47,539.07 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 15 14 — — $34,259.45 $69,142.81 $47,517.75 2025-11-04
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 7 — — $28,453.35 $68,973.63 $37,676.16 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 14 — — $34,113.39 $68,848.03 $47,315.16 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 14 — — $33,960.74 $68,539.95 $47,103.44 2025-11-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $33,890.45 $68,398.10 $47,005.95 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 14 — — $33,866.29 $68,349.34 $46,972.44 2025-11-04
L6970 HCPCS Interscapular-thor Switch CT 7 7 — — $28,159.88 $68,262.71 $37,287.57 2025-11-04
652 MS_DRG Kidney Transplant 15 14 — — $33,730.11 $68,074.51 $46,783.56 2025-11-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 14 — — $33,699.37 $68,012.45 $46,740.92 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 14 — — $33,589.55 $67,790.81 $46,588.60 2025-11-04
570 MS_DRG Skin Debridement With Mcc 15 14 — — $33,058.02 $66,718.07 $45,851.37 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 15 14 — — $32,794.45 $66,186.14 $45,485.80 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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $32,381.53 $65,352.77 $44,913.08 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 14 — — $32,298.06 $65,184.32 $44,797.31 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 14 — — $32,210.21 $65,007.01 $44,675.46 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 15 14 — — $32,026.81 $64,636.87 $44,421.08 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 14 — — $32,009.24 $64,601.41 $44,396.71 2025-11-04
800 MS_DRG Splenic Procedures With Cc 15 14 — — $31,999.35 $64,581.46 $44,383.00 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 14 — — $31,981.78 $64,546.00 $44,358.63 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 15 14 — — $31,817.05 $64,213.54 $44,130.15 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
0408T CPT Ins/rpl Ccm Gen + Lead(s) 37 18 $63,880.00 $31,940.00 50% off $22,294.12 $64,169.53 $39,509.78 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 14 — — $31,486.49 $63,546.40 $43,671.67 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 14 — — $31,450.25 $63,473.26 $43,621.40 2025-11-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 14 — — $31,431.58 $63,435.58 $43,595.51 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 14 — — $31,387.65 $63,346.93 $43,534.58 2025-11-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 14 — — $31,263.56 $63,096.48 $43,362.46 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 15 14 — — $30,992.30 $62,549.02 $42,986.23 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 14 — — $30,841.85 $62,245.38 $42,777.55 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 14 — — $30,810.00 $62,181.10 $42,733.38 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 14 — — $30,051.14 $60,649.57 $41,680.84 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 14 — — $29,997.33 $60,540.97 $41,606.21 2025-11-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 14 — — $13,685.00 $60,430.15 $39,050.30 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 14 — — $29,834.80 $60,212.94 $41,380.77 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 14 — — $29,688.74 $59,918.16 $41,178.19 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 14 — — $29,591.00 $59,720.90 $41,042.62 2025-11-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 14 — — $29,473.49 $59,483.74 $40,879.64 2025-11-04
263 MS_DRG Vein Ligation And Stripping 15 14 — — $29,454.82 $59,446.06 $40,853.75 2025-11-04
849 MS_DRG Radiotherapy 15 14 — — $29,334.02 $59,202.26 $40,686.20 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 14 — — $29,242.87 $59,018.30 $40,559.77 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 14 — — $29,138.54 $58,807.74 $40,415.07 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 14 — — $29,102.30 $58,734.60 $40,364.80 2025-11-04
503 MS_DRG Foot Procedures With Mcc 15 14 — — $29,064.96 $58,659.24 $40,313.01 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 14 — — $29,035.31 $58,599.40 $40,271.88 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 14 — — $28,809.08 $58,142.82 $39,958.11 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 14 — — $28,734.40 $57,992.11 $39,854.53 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 14 — — $28,428.01 $57,373.73 $39,429.56 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 14 — — $28,380.78 $57,278.43 $39,364.06 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 3 — — $50,070.85 $56,981.46 $54,126.18 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 14 — — $28,045.83 $56,602.42 $38,899.48 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 15 14 — — $28,037.05 $56,584.69 $38,887.30 2025-11-04
C2624 HCPCS 1168040 - System Cardiac Cardiomems Pa Snsr Delivery 30 18 $70,687.50 $35,343.75 50% off $18,166.69 $56,550.00 $43,720.22 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 14 — — $27,984.33 $56,478.30 $38,814.18 2025-11-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 14 — — $27,840.47 $56,187.96 $38,614.64 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 15 14 — — $27,750.42 $56,006.21 $38,489.74 2025-11-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 14 — — $27,728.45 $55,961.88 $38,459.28 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 15 14 — — $27,641.69 $55,786.79 $38,338.94 2025-11-04
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $41,950.76 $55,548.60 $42,674.05 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 14 — — $27,500.03 $55,500.87 $38,142.45 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 14 — — $27,479.16 $55,458.76 $38,113.51 2025-11-04
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $41,822.84 $55,379.21 $42,543.93 2025-11-04
397 MS_DRG Appendix Procedures With Mcc 15 14 — — $27,211.20 $54,917.96 $37,741.85 2025-11-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 14 — — $27,101.38 $54,696.32 $37,589.53 2025-11-04
792 MS_DRG Prematurity Without Major Problems 16 15 — — $26,902.61 $54,295.15 $38,641.57 2025-11-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 14 — — $26,887.23 $54,264.12 $37,292.51 2025-11-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 14 — — $26,665.39 $53,816.41 $36,984.82 2025-11-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 14 — — $26,562.16 $53,608.07 $36,841.64 2025-11-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 14 — — $26,478.70 $53,439.62 $36,725.88 2025-11-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 14 — — $26,367.78 $53,215.76 $36,572.03 2025-11-04
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 15 14 — — $26,326.05 $53,131.54 $36,514.15 2025-11-04
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 14 — — $26,326.05 $53,131.54 $36,514.15 2025-11-04
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 14 — — $26,098.72 $52,672.75 $36,198.85 2025-11-04
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 3 3 — — $41,579.81 $47,318.51 $44,947.43 2025-11-04
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