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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 South Suburban Hospital

Chicago, IL · CCN 140250 · Rates published

15,414 distinct procedures filed
18 distinct payers
208,993 rate rows
2025-11-04 last MRF observed
Data quality

208,363 of 208,993 rate rows are consumer-grade (99.7%)

630 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 244
exceeds 10× this hospital's gross charge — excluded from medians 169
per-diem day rate — not a per-procedure price 86
placeholder amount (≤ $0.02) — excluded from medians 72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 59
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11270/362169147_advocate-south-suburban-hospital_standardcharges.csv
Found on page https://www.advocatehealth.com/about-us/financial-assistance-for-patients/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 0770bdf0fc5a7f7b… · 84,041,971 bytes · first seen 2026-05-06

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 4 $490,236.98 $649,141.38 $498,689.34 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 4 $366,795.09 $485,687.29 $373,119.15 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $309,300.09 $409,555.99 $314,632.85 nat. median
$206,368
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 $279,667.31 $370,318.10 $284,489.17 nat. median
$202,986
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $385,493.95 $208,756.26 nat. median
$111,989
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 4 $185,233.51 $245,274.72 $188,427.20 nat. median
$133,176
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $171,935.52 $227,666.34 $174,899.92 nat. median
$117,303
1.5× median
7
MS_DRG 		Lung Transplant 4 $171,508.68 $227,101.15 $174,465.73 nat. median
$122,708
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $145,007.05 $192,009.33 $147,507.17 nat. median
$108,660
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $143,380.06 $189,854.98 $145,852.13 nat. median
$102,358
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $140,217.86 $185,667.78 $142,635.41 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 4 $139,511.69 $184,732.72 $141,917.07 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $137,967.47 $182,687.96 $140,346.22 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… 4 $127,306.58 $168,571.47 $129,501.52 nat. median
$93,672
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $120,116.70 $246,057.24 $127,942.92 nat. median
$76,377
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $121,626.23 $161,049.91 $123,723.24 nat. median
$83,442
1.5× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 4 $76,785.37 $157,293.67 $117,039.52 nat. median
$21,806
outlier · 5.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $112,081.46 $148,411.32 $114,013.90 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $112,020.69 $148,330.85 $113,952.08 nat. median
$81,118
1.4× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $91,975.03 $214,627.74 $112,386.95 nat. median
$69,774
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $110,357.46 $146,128.49 $112,260.18 nat. median
$82,712
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $106,742.59 $141,341.91 $108,582.98 nat. median
$77,576
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $82,395.60 $221,310.84 $108,569.74 nat. median
$62,507
1.7× median
10
MS_DRG 		Pancreas Transplant 4 $105,603.18 $139,833.18 $107,423.92 nat. median
$68,882
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $105,012.15 $139,050.57 $106,822.70 nat. median
$71,240
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $103,577.81 $137,151.30 $105,363.64 nat. median
$73,807
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $102,557.38 $135,800.12 $104,325.62 nat. median
$74,915
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $99,022.69 $131,119.70 $100,729.98 nat. median
$72,138
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $81,121.66 $187,633.20 $99,506.17 nat. median
$66,682
1.5× 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
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… 4 $94,347.31 $124,928.85 $95,973.99 nat. median
$68,090
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $93,885.62 $124,317.50 $95,504.33 nat. median
$68,887
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $92,456.47 $122,425.11 $94,050.54 nat. median
$66,526
1.4× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $70,137.60 $171,499.97 $92,871.86 nat. median
$50,598
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $90,798.41 $120,229.61 $92,363.90 nat. median
$64,732
1.4× median

Other procedures at this hospital

Browse this hospital's 15,414 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
             
33289 CPT Implant Wrless Pul Art Press Sens 37 18 $62,650.00 $31,325.00 50% off $24,684.10 $111,480.00 $38,749.03 2025-11-04
33264 CPT Rem/rpl Icd Gen/mult System 37 18 $58,430.00 $29,215.00 50% off $23,021.42 $111,480.00 $36,138.96 2025-11-04
33270 CPT Ins/rpl Subq Gen + Lead W/eval 37 18 $58,430.00 $29,215.00 50% off $23,021.42 $111,480.00 $36,138.96 2025-11-04
33249 CPT Ins/rpl Icd Dual Gen + Lead(s) 37 18 $58,360.00 $29,180.00 50% off $22,993.84 $111,480.00 $36,095.66 2025-11-04
J9226 HCPCS Supprelin La Implant 13 13 — — $66,062.57 $149,254.89 $84,608.55 2025-11-04
J9266 HCPCS Pegaspargase Injection 13 13 — — $13,831.11 $91,310.23 $44,574.52 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 13 13 — — $14,324.64 $79,488.00 $38,803.31 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 10 — — $91,975.03 $214,627.74 $112,386.95 2025-11-04
A9543 HCPCS Y90 Ibritumomab, Rx 10 10 — — $82,395.60 $221,310.84 $108,569.74 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 10 — — $81,121.66 $187,633.20 $99,506.17 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 9 9 — — $120,116.70 $246,057.24 $127,942.92 2025-11-04
69930 CPT Implant Cochlear Device 9 9 — — $48,077.81 $111,480.00 $63,661.65 2025-11-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 9 9 — — $46,061.11 $97,131.00 $56,918.00 2025-11-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 9 — — $46,061.11 $97,131.00 $56,918.00 2025-11-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 9 9 — — $32,413.39 $97,131.00 $49,123.00 2025-11-04
62362 CPT Implant Spine Infusion Pump 9 9 — — $26,714.59 $97,131.00 $49,123.00 2025-11-04
54410 CPT Remove/replace Penis Prosth 9 9 — — $30,424.50 $91,059.00 $46,053.00 2025-11-04
53445 CPT Insert Uro/ves Nck Sphincter 9 9 — — $30,424.50 $91,059.00 $46,053.00 2025-11-04
54405 CPT Insert Multi-comp Penis Pros 9 9 — — $30,424.50 $91,059.00 $46,053.00 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
0266T CPT Op Surgery 8 8 — — $49,123.00 $97,131.00 $69,191.40 2025-11-04
33276 CPT Insj Phrnc Nrv Stim Sys 8 8 — — $56,379.00 $111,480.00 $69,191.40 2025-11-04
0408T CPT Insj/rplc Cardiac Modulj Sys 8 8 — — $48,461.37 $111,480.00 $60,274.26 2025-11-04
0571T CPT Insj/rplcmt Icds Ss Eltrd 8 8 — — $48,461.37 $111,480.00 $60,274.26 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
38240 CPT Transplt Allo Hct/donor 8 8 — — $9,155.00 $118,370.20 $53,748.08 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
0515T CPT Insj Wcs Lv Compl Sys 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
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
61885 CPT Insrt/redo Neurostim 1 Array 8 8 — — $32,413.39 $97,131.00 $46,021.40 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
93590 CPT Perq Transcath Cls Mitral 8 8 — — $27,141.74 $97,131.00 $42,531.21 2025-11-04
93591 CPT Perq Transcath Cls Aortic 8 8 — — $27,141.74 $97,131.00 $42,531.21 2025-11-04
62361 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
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 8 8 — — $27,796.73 $91,059.00 $41,429.85 2025-11-04
93582 CPT Perq Transcath Closure Pda 8 8 — — $27,141.74 $91,059.00 $40,996.21 2025-11-04
0308T CPT Insj Ocular Telescope Prosth 8 8 — — $24,813.60 $97,131.00 $40,989.81 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
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $157,654.47 $385,493.95 $208,756.26 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $70,137.60 $171,499.97 $92,871.86 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $68,121.55 $166,569.77 $90,202.33 2025-11-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 7 — — $15,386.33 $74,424.25 $56,205.81 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $42,021.26 $102,750.89 $55,641.95 2025-11-04
L8614 HCPCS Cochlear Device 7 7 — — $34,273.75 $83,803.86 $45,383.17 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 7 7 — — $32,820.21 $80,251.28 $43,458.49 2025-11-04
L5858 HCPCS Stance Phase Only 7 7 — — $32,532.66 $79,548.32 $43,077.73 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 7 7 — — $31,038.83 $75,896.67 $41,099.69 2025-11-04
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 7 — — $28,453.35 $69,574.70 $37,676.16 2025-11-04
L6970 HCPCS Interscapular-thor Switch CT 7 7 — — $28,159.88 $68,857.59 $37,287.57 2025-11-04
L6965 HCPCS Shldr Disartic Myoelectronic 7 7 — — $26,308.08 $64,328.42 $34,835.52 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
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $4,278,495.67 $4,897,200.00 $4,426,030.00 2025-11-04
27487 CPT Revise/replace Knee Joint 5 5 — — $24,003.00 $47,462.00 $35,732.50 2025-11-04
27486 CPT Revise/replace Knee Joint 5 5 — — $24,003.00 $47,462.00 $35,732.50 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $490,236.98 $649,141.38 $498,689.34 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 4 4 — — $366,795.09 $485,687.29 $373,119.15 2025-11-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $309,300.09 $409,555.99 $314,632.85 2025-11-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 4 — — $279,667.31 $370,318.10 $284,489.17 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 4 4 — — $185,233.51 $245,274.72 $188,427.20 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $171,935.52 $227,666.34 $174,899.92 2025-11-04
7 MS_DRG Lung Transplant 4 4 — — $171,508.68 $227,101.15 $174,465.73 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $145,007.05 $192,009.33 $147,507.17 2025-11-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $143,380.06 $189,854.98 $145,852.13 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $140,217.86 $185,667.78 $142,635.41 2025-11-04
215 MS_DRG Other Heart Assist System Implant 4 4 — — $139,511.69 $184,732.72 $141,917.07 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $137,967.47 $182,687.96 $140,346.22 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… 4 4 — — $127,306.58 $168,571.47 $129,501.52 2025-11-04
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $121,626.23 $161,049.91 $123,723.24 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 4 4 — — $76,785.37 $157,293.67 $117,039.52 2025-11-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $112,081.46 $148,411.32 $114,013.90 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $112,020.69 $148,330.85 $113,952.08 2025-11-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $110,357.46 $146,128.49 $112,260.18 2025-11-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $106,742.59 $141,341.91 $108,582.98 2025-11-04
10 MS_DRG Pancreas Transplant 4 4 — — $105,603.18 $139,833.18 $107,423.92 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $105,012.15 $139,050.57 $106,822.70 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $103,577.81 $137,151.30 $105,363.64 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $102,557.38 $135,800.12 $104,325.62 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $99,022.69 $131,119.70 $100,729.98 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $94,347.31 $124,928.85 $95,973.99 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $93,885.62 $124,317.50 $95,504.33 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $92,456.47 $122,425.11 $94,050.54 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $90,798.41 $120,229.61 $92,363.90 2025-11-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $89,199.88 $118,112.95 $90,737.81 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $88,866.18 $117,671.08 $90,398.35 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $88,720.05 $117,477.58 $90,249.71 2025-11-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $86,128.23 $114,045.66 $87,613.20 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $86,007.94 $113,886.37 $87,490.83 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $84,280.03 $111,598.39 $85,733.14 2025-11-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $82,599.99 $109,373.78 $84,024.13 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $82,496.58 $109,236.84 $83,918.93 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $82,131.81 $108,753.85 $83,547.88 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $81,853.73 $108,385.63 $83,265.01 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $81,491.62 $107,906.15 $82,896.65 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $81,113.97 $107,406.09 $82,512.49 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $80,550.08 $106,659.42 $81,938.88 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $80,550.08 $106,659.42 $81,938.88 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $79,966.78 $105,887.04 $81,345.51 2025-11-04
0100T CPT Prosth Retina Receive&gen 4 4 — — $56,379.00 $111,480.00 $80,823.50 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $79,430.09 $105,176.39 $80,799.57 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $79,371.83 $105,099.24 $80,740.31 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $78,588.07 $104,061.45 $79,943.04 2025-11-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $77,787.50 $103,001.38 $79,128.67 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $76,715.34 $101,581.69 $78,038.02 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $76,271.74 $100,994.30 $77,586.77 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $74,583.94 $98,759.42 $75,869.87 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $73,972.21 $97,949.41 $75,247.60 2025-11-04
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $73,972.21 $97,949.41 $75,247.60 2025-11-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $73,672.15 $97,552.09 $74,942.36 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $73,237.60 $96,976.68 $74,500.32 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $72,857.38 $96,473.22 $74,113.55 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $72,696.98 $96,260.83 $73,950.38 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $72,338.72 $95,786.44 $73,585.94 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $72,272.76 $95,699.10 $73,518.84 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $72,265.03 $95,688.86 $73,510.98 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $71,293.70 $94,402.69 $72,522.90 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $70,989.80 $94,000.28 $72,213.76 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $69,093.73 $91,489.63 $70,285.01 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $68,872.61 $91,196.83 $70,060.07 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $68,375.97 $90,539.21 $69,554.86 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $68,174.22 $90,272.06 $69,349.64 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $67,629.71 $89,551.07 $68,795.74 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $67,245.58 $89,042.42 $68,404.99 2025-11-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $67,195.16 $88,975.66 $68,353.70 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $67,169.29 $88,941.41 $68,327.38 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $66,936.50 $88,633.15 $68,090.57 2025-11-04
245 MS_DRG Aicd Generator Procedures 4 4 — — $65,688.44 $86,980.55 $66,821.00 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $65,306.91 $86,475.36 $66,432.90 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $65,202.14 $86,336.62 $66,326.32 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
33820 CPT Repair Pda By Ligation 4 4 — — $46,053.00 $91,059.00 $66,018.50 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $64,248.93 $85,074.45 $65,356.68 2025-11-04
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $63,981.24 $84,719.98 $65,084.37 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $63,969.59 $84,704.56 $65,072.51 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $63,333.26 $83,861.97 $64,425.21 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $63,007.36 $83,430.43 $64,093.69 2025-11-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $62,650.41 $82,957.79 $63,730.59 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $62,098.15 $82,226.52 $63,168.81 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $62,073.57 $82,193.97 $63,143.81 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $61,883.43 $81,942.20 $62,950.39 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $61,874.39 $81,930.22 $62,941.19 2025-11-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $60,835.84 $80,555.04 $61,884.74 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $60,487.92 $80,094.36 $61,530.82 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $60,327.55 $79,882.00 $61,367.68 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $59,786.98 $79,166.21 $60,817.79 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $59,299.36 $78,520.53 $60,321.76 2025-11-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $58,447.06 $77,391.97 $59,454.77 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $58,331.96 $77,239.56 $59,337.68 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $57,655.55 $76,343.90 $58,649.62 2025-11-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $57,574.08 $76,236.02 $58,566.74 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $57,183.48 $75,718.81 $58,169.40 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $56,684.26 $75,057.77 $57,661.57 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $56,671.34 $75,040.67 $57,648.43 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $56,424.30 $74,713.56 $57,397.14 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $56,297.54 $74,545.71 $57,268.19 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $55,668.99 $73,713.43 $56,628.81 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $55,639.26 $73,674.05 $56,598.56 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $55,560.35 $73,569.56 $56,518.29 2025-11-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $55,299.11 $73,223.65 $56,252.54 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $55,090.88 $72,947.92 $56,040.72 2025-11-04
791 MS_DRG Prematurity With Major Problems 4 4 — — $54,993.89 $72,819.49 $55,942.06 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $54,008.35 $71,514.51 $54,939.53 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $53,972.15 $71,466.57 $54,902.71 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $53,516.89 $70,863.74 $54,439.60 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $53,412.13 $70,725.02 $54,333.03 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $53,308.68 $70,588.05 $54,227.80 2025-11-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $53,083.62 $70,290.03 $53,998.85 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $53,059.07 $70,257.52 $53,973.88 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $52,779.70 $69,887.60 $53,689.69 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $52,473.18 $69,481.73 $53,377.89 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 4 — — $52,422.75 $69,414.95 $53,326.59 2025-11-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $52,283.06 $69,229.98 $53,184.49 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $51,922.21 $68,752.17 $52,817.42 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $51,654.50 $68,397.68 $52,545.10 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $51,271.68 $67,890.78 $52,155.68 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $50,882.39 $67,375.30 $51,759.67 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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $49,675.70 $65,777.47 $50,532.18 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $49,348.49 $65,344.20 $50,199.32 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $48,849.25 $64,683.15 $49,691.48 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $48,846.72 $64,679.79 $49,688.90 2025-11-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $48,838.91 $64,669.46 $49,680.96 2025-11-04
265 MS_DRG Aicd Lead Procedures 4 4 — — $48,621.65 $64,381.77 $49,459.96 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $48,414.70 $64,107.74 $49,249.44 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 — — $48,145.68 $63,751.53 $48,975.78 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $48,134.06 $63,736.13 $48,963.96 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $48,018.94 $63,583.70 $48,846.85 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $47,801.63 $63,295.95 $48,625.79 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $47,787.45 $63,277.17 $48,611.37 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $47,769.34 $63,253.19 $48,592.95 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $47,689.17 $63,147.03 $48,511.40 2025-11-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $47,396.85 $62,759.96 $48,214.04 2025-11-04
332 MS_DRG Rectal Resection With Mcc 4 4 — — $47,347.71 $62,694.89 $48,164.05 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $47,298.55 $62,629.80 $48,114.04 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $47,033.43 $62,278.75 $47,844.35 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $46,963.60 $62,186.28 $47,773.32 2025-11-04
665 MS_DRG Prostatectomy With Mcc 4 4 — — $46,893.75 $62,093.80 $47,702.26 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $46,852.36 $62,038.98 $47,660.16 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $46,785.11 $61,949.93 $47,591.75 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 — — $46,539.36 $61,624.53 $47,341.76 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $46,355.72 $61,381.36 $47,154.96 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $45,899.17 $60,776.83 $46,690.54 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $45,436.19 $60,163.78 $46,219.57 2025-11-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $45,190.44 $59,838.37 $45,969.59 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $44,761.05 $59,269.80 $45,532.79 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $44,640.76 $59,110.52 $45,410.43 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $44,622.65 $59,086.54 $45,392.01 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $44,122.12 $58,423.78 $44,882.85 2025-11-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $43,929.43 $58,168.63 $44,686.83 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $43,809.15 $58,009.36 $44,564.49 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $43,730.26 $57,904.90 $44,484.23 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 4 — — $43,619.05 $57,757.63 $44,371.10 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $43,536.26 $57,648.02 $44,286.89 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $43,467.72 $57,557.26 $44,217.17 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $42,850.79 $56,740.36 $43,589.60 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $42,832.70 $56,716.40 $43,571.19 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 — — $42,660.68 $56,488.63 $43,396.21 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $42,480.90 $56,250.57 $43,213.33 2025-11-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $42,398.12 $56,140.95 $43,129.12 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $42,369.67 $56,103.28 $43,100.18 2025-11-04
652 MS_DRG Kidney Transplant 4 4 — — $42,209.31 $55,890.95 $42,937.06 2025-11-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $42,173.08 $55,842.97 $42,900.20 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $42,043.75 $55,671.72 $42,768.65 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
570 MS_DRG Skin Debridement With Mcc 4 4 — — $41,417.77 $54,842.84 $42,131.87 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 4 4 — — $41,107.37 $54,431.83 $41,816.12 2025-11-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $40,621.11 $53,787.96 $41,321.47 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $40,522.79 $53,657.76 $41,221.46 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $40,419.34 $53,520.79 $41,116.23 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $40,203.35 $53,234.78 $40,896.51 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $40,182.65 $53,207.37 $40,875.46 2025-11-04
800 MS_DRG Splenic Procedures With Cc 4 4 — — $40,171.03 $53,191.99 $40,863.63 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $40,150.31 $53,164.55 $40,842.56 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $39,956.32 $52,907.67 $40,645.22 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 4 — — $39,567.03 $52,392.21 $40,249.22 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 4 — — $39,524.36 $52,335.71 $40,205.82 2025-11-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $39,502.35 $52,306.56 $40,183.43 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $39,450.64 $52,238.09 $40,130.82 2025-11-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 4 — — $39,304.47 $52,044.54 $39,982.14 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $38,985.05 $51,621.58 $39,657.21 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 — — $38,807.83 $51,386.92 $39,476.93 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 4 — — $38,770.33 $51,337.27 $39,438.79 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $37,876.67 $50,153.93 $38,529.71 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 4 — — $37,813.29 $50,070.01 $38,465.24 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 4 — — $37,621.85 $49,816.51 $38,270.50 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $37,449.83 $49,588.74 $38,095.52 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 4 — — $37,334.76 $49,436.37 $37,978.46 2025-11-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 — — $37,196.34 $49,253.09 $37,837.66 2025-11-04
263 MS_DRG Vein Ligation And Stripping 4 4 — — $37,174.36 $49,223.98 $37,815.30 2025-11-04
849 MS_DRG Radiotherapy 4 4 — — $37,032.10 $49,035.61 $37,670.58 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 4 — — $36,924.74 $48,893.45 $37,561.38 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 4 — — $36,801.91 $48,730.81 $37,436.43 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 4 — — $36,759.23 $48,674.28 $37,393.01 2025-11-04
503 MS_DRG Foot Procedures With Mcc 4 4 — — $36,715.25 $48,616.05 $37,348.27 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 4 — — $36,680.32 $48,569.80 $37,312.74 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 4 — — $36,413.91 $48,217.04 $37,041.74 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 4 — — $36,325.95 $48,100.57 $36,952.26 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 4 — — $35,965.09 $47,622.74 $36,585.18 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $35,909.48 $47,549.11 $36,528.61 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 4 — — $35,515.04 $47,026.81 $36,127.37 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 4 4 — — $35,504.69 $47,013.10 $36,116.84 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $35,442.60 $46,930.89 $36,053.68 2025-11-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 4 — — $35,273.18 $46,706.55 $35,881.34 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $35,167.11 $46,566.11 $35,773.44 2025-11-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 4 — — $35,141.26 $46,531.87 $35,747.15 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $35,039.09 $46,396.59 $35,643.21 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $34,872.25 $46,175.67 $35,473.50 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 4 — — $34,847.66 $46,143.11 $35,448.49 2025-11-04
397 MS_DRG Appendix Procedures With Mcc 4 4 — — $34,532.11 $45,725.28 $35,127.49 2025-11-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 4 — — $34,402.76 $45,554.00 $34,995.91 2025-11-04
792 MS_DRG Prematurity Without Major Problems 4 4 — — $34,168.68 $45,244.05 $34,757.80 2025-11-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 — — $34,150.57 $45,220.07 $34,739.38 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
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
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 3 — — $65,754.78 $74,802.12 $71,086.25 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 3 — — $50,526.04 $57,478.03 $54,622.75 2025-11-04
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 3 3 — — $41,957.81 $47,730.87 $45,359.79 2025-11-04
L8686 HCPCS Implt Nrostm Pls Gen Sng Non 3 3 — — $32,240.79 $36,676.86 $34,854.90 2025-11-04
90288 CPT Botulism Ig IV 2 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
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