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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 LUTHERAN GENERAL HOSPITAL

Park Ridge, IL · CCN 140223 · Rates published

15,475 distinct procedures filed
18 distinct payers
785,073 rate rows
2025-11-04 last MRF observed
Data quality

783,086 of 785,073 rate rows are consumer-grade (99.7%)

1,987 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 766
exceeds 10× this hospital's gross charge — excluded from medians 595
per-diem day rate — not a per-procedure price 222
placeholder amount (≤ $0.02) — excluded from medians 216
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 188
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11268/362169147_advocate-lutheran-general-hospital_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 e22a449db7d820dc… · 132,952,885 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
Q2054
HCPCS 		Lisocabtagene Maraleucel Up To 110m Per Tx 18 $785,371.70 $2,683,350.00 $1,864,777.50 nat. median
$674,188
outlier · 2.8×
Q2055
HCPCS 		Idecabtagene Vicleucel Up To 510m Per Tx Dose 18 $784,827.65 $2,667,330.00 $1,853,644.50 nat. median
$625,184
outlier · 3.0×
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
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $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 $844,842.15 $615,322.04 nat. median
$370,174
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $309,344.27 $631,026.26 $459,593.98 nat. median
$265,286
1.7× 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 $531,438.17 $387,061.20 nat. median
$206,368
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $235,361.83 $480,110.70 $349,677.99 nat. median
$202,986
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $155,175.66 $316,540.26 $230,545.08 nat. median
$133,176
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $143,883.97 $293,506.52 $213,768.97 nat. median
$117,303
1.8× median
7
MS_DRG 		Lung Transplant 14 $143,521.56 $292,767.26 $213,230.54 nat. median
$122,708
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $387,714.22 $208,756.26 nat. median
$111,989
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $121,018.35 $246,863.32 $179,797.43 nat. median
$108,660
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $119,636.81 $244,045.15 $177,744.87 nat. median
$102,358
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $116,951.71 $238,567.86 $173,755.61 nat. median
$100,136
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 14 $116,352.09 $237,344.71 $172,864.76 nat. median
$99,019
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $115,040.84 $234,669.91 $170,916.63 nat. median
$98,905
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $105,988.38 $216,203.94 $157,467.35 nat. median
$93,672
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $101,165.09 $206,364.98 $150,301.36 nat. median
$83,442
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $93,060.37 $189,832.31 $138,260.15 nat. median
$79,312
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $93,008.75 $189,727.02 $138,183.47 nat. median
$81,118
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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $91,596.47 $186,846.12 $136,085.23 nat. median
$82,712
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $88,527.00 $180,584.76 $131,524.91 nat. median
$77,576
1.7× median
10
MS_DRG 		Pancreas Transplant 14 $87,559.49 $178,611.15 $130,087.47 nat. median
$68,882
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $87,057.61 $177,587.37 $129,341.83 nat. median
$71,240
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $85,839.70 $175,102.99 $127,532.38 nat. median
$73,807
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $120,116.70 $246,057.24 $126,266.36 nat. median
$76,377
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $84,973.23 $173,335.48 $126,245.05 nat. median
$74,915
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $81,971.84 $167,213.01 $121,785.89 nat. median
$72,138
1.7× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $76,785.37 $157,293.67 $117,039.52 nat. median
$21,806
outlier · 5.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $78,001.85 $159,114.69 $115,887.65 nat. median
$68,090
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $77,609.79 $158,314.93 $115,305.17 nat. median
$68,887
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $76,396.28 $155,839.51 $113,502.25 nat. median
$66,526
1.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $91,975.03 $214,627.74 $112,386.95 nat. median
$69,774
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $74,988.39 $152,967.58 $111,410.54 nat. median
$64,732
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $73,631.02 $150,198.69 $109,393.89 nat. median
$63,738
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $73,347.68 $149,620.72 $108,972.93 nat. median
$64,027
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $73,223.58 $149,367.58 $108,788.56 nat. median
$65,950
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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $71,022.79 $144,878.21 $105,518.84 nat. median
$62,134
1.7× median

Other procedures at this hospital

Browse this hospital's 15,475 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
             
90288 CPT Botulism Ig IV 6 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 3 — — $4,820,629.26 $4,986,857.85 $4,820,629.26 2025-11-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 3 — — $4,728,964.75 $4,892,032.50 $4,728,964.75 2025-11-04
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 9 3 — — $64,893.13 $75,232.95 $70,116.89 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 9 3 — — $49,863.95 $57,809.08 $53,877.89 2025-11-04
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 9 3 — — $41,407.99 $48,005.78 $44,741.25 2025-11-04
J3392 HCPCS Inj, Exagamglogene Autotem 12 4 — — $3,381,400.00 $4,477,440.00 $3,439,700.00 2025-11-04
Q2057 HCPCS Afamitresgene Autoleucel 12 4 — — $1,117,399.00 $1,479,590.40 $1,136,664.50 2025-11-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 4 — — $392,043.75 $519,120.00 $398,803.12 2025-11-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 4 — — $135,164.22 $178,976.06 $137,494.64 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 12 4 — — $76,785.37 $157,293.67 $117,039.52 2025-11-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 4 — — $97,806.36 $129,509.11 $99,492.68 2025-11-04
0100T CPT Prosth Retina Receive&gen 12 4 — — $56,379.00 $111,480.00 $80,823.50 2025-11-04
33820 CPT Repair Pda By Ligation 12 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
33824 CPT Repair Pda Div 18 Yrs&older 12 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 4 — — $49,712.44 $65,826.12 $50,569.55 2025-11-04
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 12 4 — — $48,461.37 $64,169.53 $49,296.91 2025-11-04
L6700 HCPCS Ue Add Ext Power Myoel 12 4 — — $41,950.76 $55,548.60 $42,674.05 2025-11-04
L6880 HCPCS Elec Hand Ind Art Digits 12 4 — — $41,822.84 $55,379.21 $42,543.93 2025-11-04
J3393 HCPCS Inj, Betibeglogene Autotemce 15 5 — — $4,278,495.67 $4,897,200.00 $4,426,030.00 2025-11-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 6 — — $3,555,567.62 $4,708,061.95 $3,781,559.94 2025-11-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 21 7 — — $157,654.47 $387,714.22 $208,756.26 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 21 7 — — $70,137.60 $172,487.73 $92,871.86 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 21 7 — — $68,121.55 $167,529.13 $90,202.33 2025-11-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 21 7 — — $15,184.71 $74,424.25 $56,205.81 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 21 7 — — $42,021.26 $103,342.68 $55,641.95 2025-11-04
L8614 HCPCS Cochlear Device 21 7 — — $34,273.75 $84,286.53 $45,383.17 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 21 7 — — $32,820.21 $80,713.49 $43,458.49 2025-11-04
L5858 HCPCS Stance Phase Only 21 7 — — $32,532.66 $80,006.48 $43,077.73 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 21 7 — — $31,038.83 $76,333.80 $41,099.69 2025-11-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 8 — — $838,570.64 $1,769,269.65 $865,591.79 2025-11-04
Q2056 HCPCS Ciltacabtagene Car-pos T 24 8 — — $802,399.30 $1,715,982.06 $837,683.55 2025-11-04
Q2053 HCPCS Brexucabtagene Car Pos T 24 8 — — $710,094.00 $1,519,107.20 $741,576.00 2025-11-04
0266T CPT Op Surgery 24 8 — — $49,123.00 $97,131.00 $69,191.40 2025-11-04
33276 CPT Insj Phrnc Nrv Stim Sys 24 8 — — $56,379.00 $111,480.00 $69,191.40 2025-11-04
69930 CPT Implant Cochlear Device 24 8 — — $48,077.81 $111,480.00 $60,020.32 2025-11-04
61886 CPT Implant Neurostim Arrays 24 8 — — $46,061.11 $111,480.00 $58,685.13 2025-11-04
C9760 HCPCS Non-blind Interatrial Shunt 24 8 — — $41,567.25 $111,480.00 $55,709.89 2025-11-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
0268T CPT Op Surgery 24 8 — — $46,061.11 $97,131.00 $53,020.50 2025-11-04
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0409T CPT Insj/rplc Car Modulj Pls Gn 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0515T CPT Insj Wcs Lv Compl Sys 24 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 24 8 — — $24,003.00 $70,051.62 $50,182.79 2025-11-04
54410 CPT Remove/replace Penis Prosth 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54416 CPT Remv/repl Penis Contain Pros 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54401 CPT Insert Self-contd Prosthesis 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53447 CPT Remove/replace Ur Sphincter 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
53445 CPT Insert Uro/ves Nck Sphincter 24 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
62361 CPT Implant Spine Infusion Pump 24 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
C9758 HCPCS Blind Interatrial Shunt Ide 24 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
C9782 HCPCS Blind Myocar Trpl Bon Marrow 24 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 24 8 — — $27,796.73 $91,059.00 $41,429.85 2025-11-04
93582 CPT Perq Transcath Closure Pda 24 8 — — $27,141.74 $91,059.00 $40,996.21 2025-11-04
0308T CPT Insj Ocular Telescope Prosth 24 8 — — $24,813.60 $97,131.00 $40,989.81 2025-11-04
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 24 8 — — $15,818.44 $111,480.00 $38,662.40 2025-11-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 9 — — $772,960.89 $1,653,282.76 $807,075.90 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 27 9 — — $120,116.70 $246,057.24 $126,266.36 2025-11-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 26 9 — — $46,061.11 $111,480.00 $60,991.26 2025-11-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 26 9 — — $46,061.11 $97,131.00 $56,918.00 2025-11-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 26 9 — — $46,061.11 $97,131.00 $56,918.00 2025-11-04
61885 CPT Insrt/redo Neurostim 1 Array 26 9 — — $32,413.39 $97,131.00 $49,123.00 2025-11-04
62362 CPT Implant Spine Infusion Pump 26 9 — — $26,714.59 $97,131.00 $49,123.00 2025-11-04
54405 CPT Insert Multi-comp Penis Pros 26 9 — — $30,424.50 $91,059.00 $46,053.00 2025-11-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 26 9 — — $20,991.70 $97,131.00 $42,919.80 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 30 10 — — $91,975.03 $214,627.74 $112,386.95 2025-11-04
A9543 HCPCS Y90 Ibritumomab, Rx 30 10 — — $82,395.60 $221,310.84 $108,569.74 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $81,121.66 $187,633.20 $99,506.17 2025-11-04
J9266 HCPCS Pegaspargase Injection 39 13 — — $13,649.87 $91,310.23 $44,574.52 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 39 13 — — $14,136.93 $79,488.00 $38,803.31 2025-11-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 45 14 — — $414,161.97 $844,842.15 $615,322.04 2025-11-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 14 — — $309,344.27 $631,026.26 $459,593.98 2025-11-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 14 — — $260,523.79 $531,438.17 $387,061.20 2025-11-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 45 14 — — $235,361.83 $480,110.70 $349,677.99 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 45 14 — — $155,175.66 $316,540.26 $230,545.08 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 45 14 — — $143,883.97 $293,506.52 $213,768.97 2025-11-04
7 MS_DRG Lung Transplant 45 14 — — $143,521.56 $292,767.26 $213,230.54 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 14 — — $121,018.35 $246,863.32 $179,797.43 2025-11-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 14 — — $119,636.81 $244,045.15 $177,744.87 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 45 14 — — $116,951.71 $238,567.86 $173,755.61 2025-11-04
215 MS_DRG Other Heart Assist System Implant 45 14 — — $116,352.09 $237,344.71 $172,864.76 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $115,040.84 $234,669.91 $170,916.63 2025-11-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $105,988.38 $216,203.94 $157,467.35 2025-11-04
850 MS_DRG Acute Leukemia With Other Procedures 45 14 — — $101,165.09 $206,364.98 $150,301.36 2025-11-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 14 — — $93,060.37 $189,832.31 $138,260.15 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $93,008.75 $189,727.02 $138,183.47 2025-11-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 45 14 — — $91,596.47 $186,846.12 $136,085.23 2025-11-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 45 14 — — $88,527.00 $180,584.76 $131,524.91 2025-11-04
10 MS_DRG Pancreas Transplant 45 14 — — $87,559.49 $178,611.15 $130,087.47 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 14 — — $87,057.61 $177,587.37 $129,341.83 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 14 — — $85,839.70 $175,102.99 $127,532.38 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $84,973.23 $173,335.48 $126,245.05 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 45 14 — — $81,971.84 $167,213.01 $121,785.89 2025-11-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $78,001.85 $159,114.69 $115,887.65 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 14 — — $77,609.79 $158,314.93 $115,305.17 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 14 — — $76,396.28 $155,839.51 $113,502.25 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 45 14 — — $74,988.39 $152,967.58 $111,410.54 2025-11-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 45 14 — — $73,631.02 $150,198.69 $109,393.89 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 45 14 — — $73,347.68 $149,620.72 $108,972.93 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 14 — — $73,223.58 $149,367.58 $108,788.56 2025-11-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 14 — — $71,022.79 $144,878.21 $105,518.84 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $70,920.66 $144,669.88 $105,367.10 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 45 14 — — $69,453.46 $141,676.97 $103,187.28 2025-11-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 14 — — $68,026.90 $138,766.95 $101,067.83 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 14 — — $67,939.04 $138,587.73 $100,937.30 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 14 — — $67,629.35 $137,956.00 $100,477.19 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 14 — — $67,393.24 $137,474.35 $100,126.40 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 14 — — $67,085.74 $136,847.10 $99,669.55 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 45 14 — — $66,765.07 $136,192.96 $99,193.12 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 45 14 — — $66,286.25 $135,216.23 $98,481.74 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 45 14 — — $66,286.25 $135,216.23 $98,481.74 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 14 — — $65,790.97 $134,205.90 $97,745.89 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 14 — — $65,335.21 $133,276.22 $97,068.78 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 14 — — $64,620.28 $131,817.85 $96,006.61 2025-11-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 45 14 — — $63,940.50 $130,431.16 $94,996.65 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $63,030.09 $128,574.04 $93,644.05 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 14 — — $62,653.41 $127,805.65 $93,084.41 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 45 14 — — $61,220.26 $124,882.19 $90,955.17 2025-11-04
834 MS_DRG Acute Leukemia With Mcc 45 14 — — $60,700.81 $123,822.57 $90,183.43 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 45 14 — — $60,700.81 $123,822.57 $90,183.43 2025-11-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 14 — — $60,446.03 $123,302.85 $89,804.90 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 14 — — $60,077.03 $122,550.14 $89,256.68 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 45 14 — — $59,754.16 $121,891.52 $88,776.99 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 14 — — $59,617.98 $121,613.74 $88,574.67 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 14 — — $59,313.78 $120,993.20 $88,122.72 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 45 14 — — $59,257.77 $120,878.95 $88,039.50 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 45 14 — — $59,251.18 $120,865.51 $88,029.71 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 45 14 — — $58,426.44 $119,183.12 $86,804.38 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $58,168.36 $118,656.67 $86,420.96 2025-11-04
J9226 HCPCS Supprelin La Implant 41 14 — — $66,062.57 $149,254.89 $85,057.24 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 45 14 — — $56,558.40 $115,372.54 $84,029.03 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 14 — — $56,370.61 $114,989.47 $83,750.03 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 14 — — $55,948.90 $114,129.23 $83,123.49 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 14 — — $55,777.58 $113,779.76 $82,868.96 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 45 14 — — $55,315.24 $112,836.63 $82,182.06 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 14 — — $54,989.07 $112,171.29 $81,697.48 2025-11-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 14 — — $54,946.24 $112,083.93 $81,633.84 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 14 — — $54,924.28 $112,039.12 $81,601.21 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 14 — — $54,726.60 $111,635.89 $81,307.52 2025-11-04
245 MS_DRG Aicd Generator Procedures 45 14 — — $53,666.84 $109,474.09 $79,733.03 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 45 14 — — $53,342.87 $108,813.23 $79,251.71 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 45 14 — — $53,253.91 $108,631.78 $79,119.55 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 45 14 — — $52,444.54 $106,980.75 $77,917.06 2025-11-04
799 MS_DRG Splenic Procedures With Mcc 45 14 — — $52,217.21 $106,517.03 $77,579.32 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 14 — — $52,207.33 $106,496.87 $77,564.63 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 14 — — $51,667.02 $105,394.69 $76,761.89 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 45 14 — — $51,390.27 $104,830.16 $76,350.72 2025-11-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 14 — — $51,087.17 $104,211.86 $75,900.40 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 45 14 — — $50,618.23 $103,255.30 $75,203.71 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 14 — — $50,597.37 $103,212.73 $75,172.71 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 14 — — $50,435.93 $102,883.43 $74,932.86 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 14 — — $50,428.25 $102,867.74 $74,921.44 2025-11-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 45 14 — — $49,546.39 $101,068.86 $73,611.27 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 45 14 — — $49,250.98 $100,466.25 $73,172.37 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 14 — — $49,114.80 $100,188.46 $72,970.05 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 45 14 — — $48,655.75 $99,252.06 $72,288.04 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 45 14 — — $48,241.73 $98,407.51 $71,672.92 2025-11-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 45 14 — — $47,518.02 $96,931.21 $70,597.70 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 14 — — $47,420.28 $96,731.84 $70,452.49 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 45 14 — — $46,845.92 $95,560.21 $69,599.16 2025-11-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 45 14 — — $46,776.73 $95,419.08 $69,496.37 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 45 14 — — $46,445.07 $94,742.54 $69,003.63 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 45 14 — — $46,021.17 $93,877.82 $68,373.83 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 45 14 — — $46,010.19 $93,855.42 $68,357.51 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 14 — — $45,692.81 $93,208.00 $67,885.98 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 45 14 — — $45,159.08 $92,119.26 $67,093.02 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 45 14 — — $45,133.82 $92,067.74 $67,055.50 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 45 14 — — $45,066.83 $91,931.09 $66,955.97 2025-11-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 45 14 — — $44,845.00 $91,478.57 $66,626.39 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 14 — — $44,668.19 $91,117.89 $66,363.70 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 45 14 — — $43,748.99 $89,242.85 $64,998.05 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 45 14 — — $43,718.24 $89,180.12 $64,952.36 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 45 14 — — $43,331.68 $88,391.57 $64,378.04 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 45 14 — — $43,242.72 $88,210.12 $64,245.88 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 14 — — $43,154.87 $88,030.90 $64,115.35 2025-11-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 45 14 — — $42,963.78 $87,641.10 $63,831.46 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 45 14 — — $42,942.91 $87,598.54 $63,800.45 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 45 14 — — $42,705.70 $87,114.66 $63,448.03 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 45 14 — — $42,445.43 $86,583.73 $63,061.34 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 45 14 — — $42,402.60 $86,496.36 $62,997.71 2025-11-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 14 — — $42,283.99 $86,254.42 $62,821.49 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 45 14 — — $41,977.60 $85,629.40 $62,366.28 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 14 — — $41,750.27 $85,165.68 $62,028.54 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 45 14 — — $41,425.20 $84,502.58 $61,545.58 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 45 14 — — $41,094.64 $83,828.28 $61,054.47 2025-11-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 45 14 — — $40,070.02 $81,738.18 $59,532.19 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 45 14 — — $39,792.18 $81,171.41 $59,119.39 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 45 14 — — $39,368.27 $80,306.69 $58,489.60 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 14 — — $39,366.08 $80,302.21 $58,486.33 2025-11-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 45 14 — — $39,359.49 $80,288.77 $58,476.54 2025-11-04
265 MS_DRG Aicd Lead Procedures 45 14 — — $39,174.99 $79,912.41 $58,202.44 2025-11-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 45 14 — — $38,999.28 $79,553.98 $57,941.38 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 45 14 — — $38,770.85 $79,088.02 $57,602.01 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 45 14 — — $38,760.97 $79,067.86 $57,587.32 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 45 14 — — $38,663.23 $78,868.48 $57,442.11 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 45 14 — — $38,478.73 $78,492.13 $57,168.00 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 14 — — $38,466.65 $78,467.49 $57,150.05 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 45 14 — — $38,451.28 $78,436.12 $57,127.21 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 45 14 — — $38,383.19 $78,297.23 $57,026.05 2025-11-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 14 — — $38,135.00 $77,790.95 $56,657.31 2025-11-04
332 MS_DRG Rectal Resection With Mcc 45 14 — — $38,093.26 $77,705.82 $56,595.31 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 45 14 — — $38,051.53 $77,620.69 $56,533.31 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 14 — — $37,826.40 $77,161.45 $56,198.83 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 45 14 — — $37,767.10 $77,040.48 $56,110.72 2025-11-04
665 MS_DRG Prostatectomy With Mcc 45 14 — — $37,707.80 $76,919.51 $56,022.62 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 45 14 — — $37,672.65 $76,847.82 $55,970.41 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 45 14 — — $37,615.55 $76,731.33 $55,885.56 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 45 14 — — $37,406.89 $76,305.69 $55,575.56 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 45 14 — — $37,250.94 $75,987.58 $55,343.87 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 45 14 — — $36,863.28 $75,196.79 $54,767.92 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 45 14 — — $36,470.12 $74,394.80 $54,183.80 2025-11-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 14 — — $36,261.47 $73,969.16 $53,873.80 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 14 — — $35,896.86 $73,225.42 $53,332.11 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 45 14 — — $35,794.73 $73,017.08 $53,180.37 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 45 14 — — $35,779.36 $72,985.72 $53,157.53 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 45 14 — — $35,354.35 $72,118.76 $52,526.10 2025-11-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 14 — — $35,190.72 $71,784.97 $52,282.99 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 45 14 — — $35,088.59 $71,576.63 $52,131.25 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 45 14 — — $35,021.60 $71,439.98 $52,031.72 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 45 14 — — $34,927.15 $71,247.32 $51,891.41 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 45 14 — — $34,856.87 $71,103.95 $51,786.98 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 45 14 — — $34,798.66 $70,985.22 $51,700.51 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 45 14 — — $34,274.82 $69,916.64 $50,922.24 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 45 14 — — $34,259.45 $69,885.28 $50,899.39 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 45 14 — — $34,113.39 $69,587.33 $50,682.39 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 45 14 — — $33,960.74 $69,275.94 $50,455.60 2025-11-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 45 14 — — $33,890.45 $69,132.57 $50,351.18 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 45 14 — — $33,866.29 $69,083.29 $50,315.28 2025-11-04
652 MS_DRG Kidney Transplant 45 14 — — $33,730.11 $68,805.50 $50,112.96 2025-11-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 45 14 — — $33,699.37 $68,742.78 $50,067.28 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 45 14 — — $33,589.55 $68,518.76 $49,904.12 2025-11-04
570 MS_DRG Skin Debridement With Mcc 45 14 — — $33,058.02 $67,434.50 $49,114.42 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 45 14 — — $32,794.45 $66,896.85 $48,722.84 2025-11-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 14 — — $32,381.53 $66,054.54 $48,109.36 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 45 14 — — $32,298.06 $65,884.28 $47,985.36 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 45 14 — — $32,210.21 $65,705.07 $47,854.83 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 45 14 — — $32,026.81 $65,330.95 $47,582.35 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 45 14 — — $32,009.24 $65,295.11 $47,556.25 2025-11-04
800 MS_DRG Splenic Procedures With Cc 45 14 — — $31,999.35 $65,274.95 $47,541.56 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 45 14 — — $31,981.78 $65,239.10 $47,515.46 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 45 14 — — $31,817.05 $64,903.07 $47,270.72 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 45 14 — — $31,486.49 $64,228.77 $46,779.60 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 45 14 — — $31,450.25 $64,154.85 $46,725.76 2025-11-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 45 14 — — $31,431.58 $64,116.76 $46,698.02 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 45 14 — — $31,387.65 $64,027.16 $46,632.76 2025-11-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 45 14 — — $31,263.56 $63,774.01 $46,448.39 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 45 14 — — $30,992.30 $63,220.68 $46,045.38 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 45 14 — — $30,841.85 $62,913.78 $45,821.85 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 45 14 — — $30,810.00 $62,848.81 $45,774.54 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 45 14 — — $30,051.14 $61,300.83 $44,647.10 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 45 14 — — $29,997.33 $61,191.06 $44,567.15 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 45 14 — — $29,834.80 $60,859.51 $44,325.68 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 45 14 — — $29,688.74 $60,561.57 $44,108.67 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 45 14 — — $29,591.00 $60,362.19 $43,963.46 2025-11-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 45 14 — — $29,473.49 $60,122.49 $43,788.88 2025-11-04
263 MS_DRG Vein Ligation And Stripping 45 14 — — $29,454.82 $60,084.40 $43,761.14 2025-11-04
849 MS_DRG Radiotherapy 45 14 — — $29,334.02 $59,837.98 $43,581.67 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 45 14 — — $29,242.87 $59,652.05 $43,446.24 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 45 14 — — $29,138.54 $59,439.23 $43,291.24 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 45 14 — — $29,102.30 $59,365.30 $43,237.40 2025-11-04
503 MS_DRG Foot Procedures With Mcc 45 14 — — $29,064.96 $59,289.13 $43,181.93 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 45 14 — — $29,035.31 $59,228.65 $43,137.87 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 45 14 — — $28,809.08 $58,767.17 $42,801.76 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 45 14 — — $28,734.40 $58,614.83 $42,690.81 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 45 14 — — $28,428.01 $57,989.82 $42,235.60 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 45 14 — — $28,380.78 $57,893.49 $42,165.44 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 45 14 — — $28,045.83 $57,210.23 $41,667.80 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 45 14 — — $28,037.05 $57,192.31 $41,654.75 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 45 14 — — $27,984.33 $57,084.78 $41,576.43 2025-11-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 45 14 — — $27,840.47 $56,791.31 $41,362.69 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 45 14 — — $27,750.42 $56,607.61 $41,228.90 2025-11-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 45 14 — — $27,728.45 $56,562.81 $41,196.27 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 45 14 — — $27,641.69 $56,385.83 $41,067.37 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 45 14 — — $27,500.03 $56,096.85 $40,856.90 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 45 14 — — $27,479.16 $56,054.28 $40,825.90 2025-11-04
397 MS_DRG Appendix Procedures With Mcc 45 14 — — $27,211.20 $55,507.68 $40,427.78 2025-11-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 45 14 — — $27,101.38 $55,283.66 $40,264.62 2025-11-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 45 14 — — $26,887.23 $54,846.82 $39,946.46 2025-11-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 45 14 — — $26,665.39 $54,394.30 $39,616.88 2025-11-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 45 14 — — $26,562.16 $54,183.72 $39,463.51 2025-11-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 45 14 — — $26,478.70 $54,013.46 $39,339.51 2025-11-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 45 14 — — $26,367.78 $53,787.20 $39,174.72 2025-11-04
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 45 14 — — $26,326.05 $53,702.07 $39,112.72 2025-11-04
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 45 14 — — $26,326.05 $53,702.07 $39,112.72 2025-11-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 45 14 — — $13,685.00 $61,079.05 $39,050.30 2025-11-04
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 45 14 — — $26,098.72 $53,238.35 $38,774.97 2025-11-04
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 45 14 — — $25,998.79 $53,034.49 $38,626.50 2025-11-04
347 MS_DRG Anal And Stomal Procedures With Mcc 45 14 — — $25,992.20 $53,021.05 $38,616.71 2025-11-04
330 MS_DRG Major Small And Large Bowel Procedures With Cc 45 14 — — $25,958.15 $52,951.61 $38,566.13 2025-11-04
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 45 14 — — $25,916.42 $52,866.48 $38,504.13 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 48 15 — — $65,285.79 $133,175.41 $97,482.83 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 48 15 — — $45,800.43 $93,427.54 $68,387.86 2025-11-04
791 MS_DRG Prematurity With Major Problems 47 15 — — $44,585.82 $90,949.88 $66,241.33 2025-11-04
792 MS_DRG Prematurity Without Major Problems 48 15 — — $26,902.61 $54,878.18 $40,170.18 2025-11-04
Q2054 HCPCS Lisocabtagene Maraleucel Up To 110m Per Tx 111 18 $3,015,000.00 $1,507,500.00 50% off $785,371.70 $2,683,350.00 $1,864,777.50 2025-11-04
Q2055 HCPCS Idecabtagene Vicleucel Up To 510m Per Tx Dose 111 18 $2,997,000.00 $1,498,500.00 50% off $784,827.65 $2,667,330.00 $1,853,644.50 2025-11-04
C1826 HCPCS 3044508 - Neurostimulator Implantable Inceptiv 30 18 $78,600.00 $39,300.00 50% off $27,431.40 $69,954.00 $48,614.10 2025-11-04
33270 CPT Ins/rpl Subq Gen + Lead W/eval 111 18 $64,560.00 $32,280.00 50% off $25,436.64 $111,480.00 $39,930.36 2025-11-04
0408T CPT Ins/rpl Ccm Gen + Lead(s) 111 18 $63,880.00 $31,940.00 50% off $22,294.12 $64,169.53 $39,509.78 2025-11-04
33263 CPT Rem/rpl Icd Gen/dual System 111 18 $62,140.00 $31,070.00 50% off $24,483.16 $111,480.00 $38,433.59 2025-11-04
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