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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 GOOD SHEPHERD HOSPITAL

Barrington, IL · CCN 140291 · Rates published

15,415 distinct procedures filed
18 distinct payers
229,767 rate rows
2025-11-04 last MRF observed
Data quality

229,156 of 229,767 rate rows are consumer-grade (99.7%)

611 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 260
exceeds 10× this hospital's gross charge — excluded from medians 161
per-diem day rate — not a per-procedure price 74
placeholder amount (≤ $0.02) — excluded from medians 72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11266/362169147_advocate-good-shepherd-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 763a42127ee5547f… · 102,687,545 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
$3,004,655
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
$2,468,984
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
$753,246
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $802,399.30 $1,715,982.06 $837,683.55 nat. median
$674,867
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
$673,137
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $772,960.89 $1,653,282.76 $807,075.90 nat. median
$634,303
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $710,094.00 $1,519,107.20 $741,576.00 nat. median
$619,808
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $370,829.96 $806,903.07 $574,441.37 nat. median
$370,174
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $276,978.89 $602,688.95 $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 $233,266.29 $507,573.03 $361,345.69 nat. median
$206,474
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $210,736.92 $458,550.51 $326,446.13 nat. median
$202,976
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $138,940.29 $302,325.48 $215,228.16 nat. median
$133,161
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $157,654.47 $386,604.08 $208,756.26 nat. median
$111,989
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $128,830.00 $280,326.11 $199,566.62 nat. median
$117,357
1.7× median
7
MS_DRG 		Lung Transplant 14 $128,505.51 $279,620.04 $199,063.96 nat. median
$122,708
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $108,356.71 $235,777.50 $167,852.07 nat. median
$108,660
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $107,119.72 $233,085.88 $165,935.88 nat. median
$102,358
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $104,715.55 $227,854.56 $162,211.66 nat. median
$100,136
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 14 $104,178.67 $226,686.34 $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 $103,004.61 $224,131.66 $159,561.29 nat. median
$98,894
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $94,899.27 $206,494.94 $147,005.56 nat. median
$93,672
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $90,580.61 $197,097.81 $140,315.66 nat. median
$83,470
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 $83,323.86 $181,307.56 $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 $83,277.64 $181,207.00 $129,002.85 nat. median
$81,118
1.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 9 $120,116.70 $246,057.24 $128,257.28 nat. median
$76,329
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $82,013.12 $178,455.48 $127,044.02 nat. median
$82,711
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $79,264.80 $172,475.30 $122,786.68 nat. median
$77,570
1.6× median
10
MS_DRG 		Pancreas Transplant 14 $78,398.51 $170,590.31 $121,444.74 nat. median
$68,884
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $77,949.14 $169,612.51 $120,748.63 nat. median
$71,271
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $76,858.66 $167,239.69 $119,059.40 nat. median
$73,807
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $76,082.84 $165,551.55 $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 $73,395.48 $159,704.02 $113,694.69 nat. median
$72,135
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
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $69,840.85 $151,969.37 $108,188.33 nat. median
$68,090
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $69,489.81 $151,205.53 $107,644.54 nat. median
$68,886
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $68,403.26 $148,841.27 $105,961.41 nat. median
$66,526
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $67,142.67 $146,098.31 $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 $65,927.32 $143,453.76 $102,125.99 nat. median
$63,724
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $65,673.62 $142,901.74 $101,733.00 nat. median
$64,023
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $65,562.51 $142,659.97 $101,560.88 nat. median
$65,950
1.5× 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

Other procedures at this hospital

Browse this hospital's 15,415 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
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $4,728,964.75 $4,892,032.50 $4,728,964.75 2025-11-04
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $4,278,495.67 $4,897,200.00 $4,426,030.00 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
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $1,117,399.00 $1,479,590.40 $1,136,664.50 2025-11-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 8 — — $838,570.64 $1,769,269.65 $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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $370,829.96 $806,903.07 $574,441.37 2025-11-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $276,978.89 $602,688.95 $429,059.55 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 14 — — $233,266.29 $507,573.03 $361,345.69 2025-11-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 14 — — $210,736.92 $458,550.51 $326,446.13 2025-11-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 14 — — $138,940.29 $302,325.48 $215,228.16 2025-11-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $157,654.47 $386,604.08 $208,756.26 2025-11-04
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $128,830.00 $280,326.11 $199,566.62 2025-11-04
7 MS_DRG Lung Transplant 15 14 — — $128,505.51 $279,620.04 $199,063.96 2025-11-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $108,356.71 $235,777.50 $167,852.07 2025-11-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 14 — — $107,119.72 $233,085.88 $165,935.88 2025-11-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $104,715.55 $227,854.56 $162,211.66 2025-11-04
215 MS_DRG Other Heart Assist System Implant 15 14 — — $104,178.67 $226,686.34 $161,379.99 2025-11-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $103,004.61 $224,131.66 $159,561.29 2025-11-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $94,899.27 $206,494.94 $147,005.56 2025-11-04
850 MS_DRG Acute Leukemia With Other Procedures 15 14 — — $90,580.61 $197,097.81 $140,315.66 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $83,323.86 $181,307.56 $129,074.44 2025-11-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $83,277.64 $181,207.00 $129,002.85 2025-11-04
J7330 HCPCS Cultured Chondrocytes Implnt 9 9 — — $120,116.70 $246,057.24 $128,257.28 2025-11-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 14 — — $82,013.12 $178,455.48 $127,044.02 2025-11-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 14 — — $79,264.80 $172,475.30 $122,786.68 2025-11-04
10 MS_DRG Pancreas Transplant 15 14 — — $78,398.51 $170,590.31 $121,444.74 2025-11-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $77,949.14 $169,612.51 $120,748.63 2025-11-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 14 — — $76,858.66 $167,239.69 $119,059.40 2025-11-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $76,082.84 $165,551.55 $117,857.60 2025-11-04
A9699 HCPCS Radiopharm Rx Agent Noc 4 4 — — $76,785.37 $157,293.67 $117,039.52 2025-11-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 14 — — $73,395.48 $159,704.02 $113,694.69 2025-11-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 10 — — $91,975.03 $214,627.74 $112,386.95 2025-11-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $69,840.85 $151,969.37 $108,188.33 2025-11-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 14 — — $69,489.81 $151,205.53 $107,644.54 2025-11-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 14 — — $68,403.26 $148,841.27 $105,961.41 2025-11-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 14 — — $67,142.67 $146,098.31 $104,008.67 2025-11-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 14 — — $65,927.32 $143,453.76 $102,125.99 2025-11-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 14 — — $65,673.62 $142,901.74 $101,733.00 2025-11-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 14 — — $65,562.51 $142,659.97 $101,560.88 2025-11-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 10 — — $81,121.66 $187,633.20 $99,506.17 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 14 — — $63,591.98 $138,372.21 $98,508.39 2025-11-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $63,500.53 $138,173.23 $98,366.73 2025-11-04
90288 CPT Botulism Ig IV 2 2 — — $97,410.00 $97,410.00 $97,410.00 2025-11-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 14 — — $62,186.84 $135,314.72 $96,331.74 2025-11-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 14 — — $60,909.54 $132,535.38 $94,353.10 2025-11-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 14 — — $60,830.87 $132,364.21 $94,231.24 2025-11-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $60,553.58 $131,760.85 $93,801.70 2025-11-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 14 — — $60,342.17 $131,300.83 $93,474.21 2025-11-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 14 — — $60,066.85 $130,701.75 $93,047.72 2025-11-04
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $70,137.60 $171,993.85 $92,871.86 2025-11-04
28 MS_DRG Spinal Procedures With Mcc 15 14 — — $59,779.72 $130,076.98 $92,602.94 2025-11-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 14 — — $59,351.00 $129,144.12 $91,938.83 2025-11-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 14 — — $59,351.00 $129,144.12 $91,938.83 2025-11-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 14 — — $58,907.54 $128,179.16 $91,251.87 2025-11-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $58,499.47 $127,291.22 $90,619.74 2025-11-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 14 — — $58,455.22 $127,194.94 $90,551.19 2025-11-04
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $68,121.55 $167,049.45 $90,202.33 2025-11-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 14 — — $57,859.34 $125,898.34 $89,628.13 2025-11-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 14 — — $57,250.68 $124,573.93 $88,685.27 2025-11-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $56,435.52 $122,800.20 $87,422.54 2025-11-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $56,098.25 $122,066.32 $86,900.08 2025-11-04
653 MS_DRG Major Bladder Procedures With Mcc 15 14 — — $54,815.04 $119,274.14 $84,912.31 2025-11-04
J9226 HCPCS Supprelin La Implant 13 13 — — $66,062.57 $149,254.89 $84,800.85 2025-11-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 14 — — $54,349.94 $118,262.11 $84,191.83 2025-11-04
834 MS_DRG Acute Leukemia With Mcc 15 14 — — $54,349.94 $118,262.11 $84,191.83 2025-11-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $54,121.82 $117,765.72 $83,838.45 2025-11-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 14 — — $53,791.43 $117,046.82 $83,326.66 2025-11-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 14 — — $53,502.34 $116,417.78 $82,878.84 2025-11-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 14 — — $53,380.41 $116,152.47 $82,689.96 2025-11-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $53,108.03 $115,559.80 $82,268.03 2025-11-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 14 — — $53,057.88 $115,450.68 $82,190.35 2025-11-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $53,051.98 $115,437.84 $82,181.21 2025-11-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 14 — — $52,313.53 $113,831.00 $81,037.29 2025-11-04
0100T CPT Prosth Retina Receive&gen 4 4 — — $56,379.00 $111,480.00 $80,823.50 2025-11-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $52,082.45 $113,328.19 $80,679.33 2025-11-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 14 — — $50,640.93 $110,191.54 $78,446.32 2025-11-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 14 — — $50,472.79 $109,825.67 $78,185.86 2025-11-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 14 — — $50,095.20 $109,004.06 $77,600.95 2025-11-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 14 — — $49,941.81 $108,670.28 $77,363.33 2025-11-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 14 — — $49,527.84 $107,769.51 $76,722.06 2025-11-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 14 — — $49,235.80 $107,134.05 $76,269.67 2025-11-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $49,197.45 $107,050.61 $76,210.27 2025-11-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 14 — — $49,177.78 $107,007.81 $76,179.80 2025-11-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 14 — — $49,000.79 $106,622.69 $75,905.63 2025-11-04
245 MS_DRG Aicd Generator Procedures 15 14 — — $48,051.90 $104,557.97 $74,435.74 2025-11-04
471 MS_DRG Cervical Spinal Fusion With Mcc 15 14 — — $47,761.83 $103,926.79 $73,986.39 2025-11-04
6 MS_DRG Liver Transplant Without Mcc 15 14 — — $47,682.18 $103,753.48 $73,863.01 2025-11-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 14 — — $46,957.49 $102,176.60 $72,740.42 2025-11-04
799 MS_DRG Splenic Procedures With Mcc 15 14 — — $46,753.95 $101,733.70 $72,425.11 2025-11-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $46,745.10 $101,714.44 $72,411.40 2025-11-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 14 — — $46,261.32 $100,661.76 $71,661.99 2025-11-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 14 — — $46,013.52 $100,122.58 $71,278.14 2025-11-04
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 3 — — $65,916.34 $75,017.54 $71,247.81 2025-11-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 14 — — $45,742.13 $99,532.05 $70,857.74 2025-11-04
163 MS_DRG Major Chest Procedures With Mcc 15 14 — — $45,322.26 $98,618.44 $70,207.33 2025-11-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 14 — — $45,303.58 $98,577.79 $70,178.39 2025-11-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $45,159.04 $98,263.27 $69,954.48 2025-11-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 14 — — $45,152.15 $98,248.29 $69,943.82 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 14 — — $44,362.56 $96,530.19 $68,720.69 2025-11-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 14 — — $44,098.06 $95,954.64 $68,310.95 2025-11-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $43,976.13 $95,689.33 $68,122.07 2025-11-04
901 MS_DRG Wound Debridements For Injuries With Mcc 15 14 — — $43,565.11 $94,794.98 $67,485.38 2025-11-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 14 — — $43,194.40 $93,988.35 $66,911.13 2025-11-04
A9543 HCPCS Y-90 Zevalin Tx Per Tx Dose Up To 40mci 37 18 $107,460.00 $53,730.00 50% off $42,339.24 $221,310.84 $66,464.01 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 14 — — $42,546.41 $92,578.35 $65,907.34 2025-11-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $42,458.89 $92,387.93 $65,771.78 2025-11-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 14 — — $41,944.63 $91,268.92 $64,975.14 2025-11-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 14 — — $41,882.68 $91,134.12 $64,879.18 2025-11-04
140 MS_DRG Major Head And Neck Procedures With Mcc 15 14 — — $41,585.72 $90,487.96 $64,419.17 2025-11-04
0408T CPT Insj/rplc Cardiac Modulj Sys 9 9 — — $48,461.37 $111,480.00 $64,169.53 2025-11-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 14 — — $41,206.17 $89,662.08 $63,831.22 2025-11-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 14 — — $41,196.34 $89,640.68 $63,815.99 2025-11-04
69930 CPT Implant Cochlear Device 9 9 — — $48,077.81 $111,480.00 $63,661.65 2025-11-04
793 MS_DRG Full Term Neonate With Major Problems 15 14 — — $41,008.53 $89,232.02 $63,525.06 2025-11-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 14 — — $40,912.16 $89,022.34 $63,375.78 2025-11-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 14 — — $40,434.28 $87,982.49 $62,635.51 2025-11-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 14 — — $40,411.66 $87,933.28 $62,600.47 2025-11-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 14 — — $40,351.68 $87,802.77 $62,507.56 2025-11-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $40,153.06 $87,370.57 $62,199.87 2025-11-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 14 — — $39,994.74 $87,026.09 $61,954.64 2025-11-04
791 MS_DRG Prematurity With Major Problems 15 14 — — $39,921.00 $86,865.62 $61,840.40 2025-11-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 14 — — $39,171.72 $85,235.25 $60,679.72 2025-11-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 14 — — $39,144.19 $85,175.34 $60,637.07 2025-11-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 14 — — $38,798.07 $84,422.20 $60,100.90 2025-11-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 14 — — $38,718.42 $84,248.89 $59,977.52 2025-11-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 14 — — $38,639.76 $84,077.72 $59,855.67 2025-11-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 14 — — $38,468.66 $83,705.43 $59,590.63 2025-11-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 14 — — $38,449.98 $83,664.78 $59,561.69 2025-11-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 14 — — $38,237.59 $83,202.63 $59,232.68 2025-11-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 14 — — $38,004.55 $82,695.54 $58,871.68 2025-11-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 14 — — $37,966.20 $82,612.10 $58,812.28 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 14 — — $37,860.00 $82,381.02 $58,647.77 2025-11-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 14 — — $37,585.66 $81,784.07 $58,222.80 2025-11-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $37,382.12 $81,341.17 $57,907.49 2025-11-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 14 — — $37,091.06 $80,707.85 $57,456.63 2025-11-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 14 — — $36,795.09 $80,063.83 $56,998.14 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
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 7 — — $15,424.14 $74,424.25 $56,205.81 2025-11-04
L8614 HCPCS 1210840 - Implant Coclr Contour Electrode MRI Ncl Prfl Plus Ci612 35 18 $103,896.18 $51,948.09 50% off $34,273.75 $83,116.94 $56,103.94 2025-11-04
C9760 HCPCS Non-blind Interatrial Shunt 8 8 — — $41,567.25 $111,480.00 $55,709.89 2025-11-04
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $42,021.26 $103,046.78 $55,641.95 2025-11-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 14 — — $35,877.67 $78,067.59 $55,577.00 2025-11-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 14 — — $35,628.89 $77,526.27 $55,191.63 2025-11-04
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 3 — — $50,650.18 $57,643.55 $54,746.89 2025-11-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 14 — — $35,249.34 $76,700.38 $54,603.67 2025-11-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 14 — — $35,247.37 $76,696.10 $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 — — $35,241.47 $76,683.26 $54,591.49 2025-11-04
265 MS_DRG Aicd Lead Procedures 15 14 — — $35,076.28 $76,323.81 $54,335.59 2025-11-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 14 — — $34,918.95 $75,981.48 $54,091.88 2025-11-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 14 — — $34,714.42 $75,536.44 $53,775.05 2025-11-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 14 — — $34,705.57 $75,517.18 $53,761.34 2025-11-04
38240 CPT Transplt Allo Hct/donor 8 8 — — $9,155.00 $118,370.20 $53,748.08 2025-11-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 14 — — $34,618.06 $75,326.76 $53,625.78 2025-11-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 14 — — $34,452.87 $74,967.30 $53,369.88 2025-11-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $34,442.05 $74,943.77 $53,353.13 2025-11-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 14 — — $34,428.28 $74,913.81 $53,331.80 2025-11-04
264 MS_DRG Other Circulatory System O.r. Procedures 15 14 — — $34,367.32 $74,781.16 $53,237.36 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 14 — — $34,145.09 $74,297.61 $52,893.12 2025-11-04
332 MS_DRG Rectal Resection With Mcc 15 14 — — $34,107.73 $74,216.31 $52,835.24 2025-11-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 14 — — $34,070.36 $74,135.00 $52,777.36 2025-11-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 14 — — $33,868.79 $73,696.38 $52,465.10 2025-11-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 14 — — $33,815.69 $73,580.84 $52,382.85 2025-11-04
665 MS_DRG Prostatectomy With Mcc 15 14 — — $33,762.59 $73,465.31 $52,300.60 2025-11-04
252 MS_DRG Other Vascular Procedures With Mcc 15 14 — — $33,731.12 $73,396.84 $52,251.85 2025-11-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 14 — — $33,679.99 $73,285.58 $52,172.65 2025-11-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 14 — — $33,493.16 $72,879.06 $51,883.24 2025-11-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 14 — — $33,353.54 $72,575.23 $51,666.94 2025-11-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 14 — — $33,006.43 $71,819.95 $51,129.25 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
0515T CPT Insj Wcs Lv Compl Sys 8 8 — — $33,927.62 $111,480.00 $50,651.93 2025-11-04
37 MS_DRG Extracranial Procedures With Mcc 15 14 — — $32,654.41 $71,053.98 $50,583.95 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
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 14 — — $32,467.58 $70,647.45 $50,294.54 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
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $48,461.37 $64,169.53 $50,132.45 2025-11-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $32,141.13 $69,937.11 $49,788.84 2025-11-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 14 — — $32,049.68 $69,738.12 $49,647.18 2025-11-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 14 — — $32,035.91 $69,708.17 $49,625.86 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
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 9 — — $7,544.36 $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
61885 CPT Insrt/redo Neurostim 1 Array 9 9 — — $32,413.39 $97,131.00 $49,123.00 2025-11-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 14 — — $31,655.38 $68,880.14 $49,036.38 2025-11-04
Q3001 HCPCS Y-90 Brachy Tx Non Strand Per Source 31 18 $90,390.00 $45,195.00 50% off $101.61 $72,312.00 $48,810.60 2025-11-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $31,508.87 $68,561.34 $48,809.42 2025-11-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 14 — — $31,417.42 $68,362.36 $48,667.76 2025-11-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 14 — — $31,357.44 $68,231.84 $48,574.85 2025-11-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 14 — — $31,272.87 $68,047.84 $48,443.85 2025-11-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 14 — — $31,209.94 $67,910.90 $48,346.37 2025-11-04
500 MS_DRG Soft Tissue Procedures With Mcc 15 14 — — $31,157.83 $67,797.51 $48,265.64 2025-11-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 14 — — $30,688.79 $66,776.92 $47,539.07 2025-11-04
662 MS_DRG Minor Bladder Procedures With Mcc 15 14 — — $30,675.03 $66,746.96 $47,517.75 2025-11-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 14 — — $30,544.25 $66,462.39 $47,315.16 2025-11-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 14 — — $30,407.57 $66,164.99 $47,103.44 2025-11-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $30,344.64 $66,028.06 $47,005.95 2025-11-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 14 — — $30,323.01 $65,980.98 $46,972.44 2025-11-04
652 MS_DRG Kidney Transplant 15 14 — — $30,201.08 $65,715.67 $46,783.56 2025-11-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 14 — — $30,173.54 $65,655.77 $46,740.92 2025-11-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 14 — — $30,075.21 $65,441.81 $46,588.60 2025-11-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 9 9 — — $27,796.73 $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
570 MS_DRG Skin Debridement With Mcc 15 14 — — $29,599.30 $64,406.24 $45,851.37 2025-11-04
974 MS_DRG HIV With Major Related Condition With Mcc 15 14 — — $29,363.30 $63,892.74 $45,485.80 2025-11-04
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 3 3 — — $42,060.90 $47,868.33 $45,462.88 2025-11-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $28,993.58 $63,088.25 $44,913.08 2025-11-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 14 — — $28,918.85 $62,925.64 $44,797.31 2025-11-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 14 — — $28,840.19 $62,754.47 $44,675.46 2025-11-04
J9266 HCPCS Pegaspargase Injection 13 13 — — $13,865.09 $91,310.23 $44,574.52 2025-11-04
668 MS_DRG Transurethral Procedures With Mcc 15 14 — — $28,675.98 $62,397.15 $44,421.08 2025-11-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 14 — — $28,660.25 $62,362.92 $44,396.71 2025-11-04
800 MS_DRG Splenic Procedures With Cc 15 14 — — $28,651.40 $62,343.66 $44,383.00 2025-11-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 14 — — $28,635.66 $62,309.43 $44,358.63 2025-11-04
472 MS_DRG Cervical Spinal Fusion With Cc 15 14 — — $28,488.17 $61,988.49 $44,130.15 2025-11-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 14 — — $28,192.19 $61,344.47 $43,671.67 2025-11-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 14 — — $28,159.75 $61,273.86 $43,621.40 2025-11-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 14 — — $28,143.03 $61,237.49 $43,595.51 2025-11-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 14 — — $28,103.70 $61,151.91 $43,534.58 2025-11-04
Q0483 HCPCS Monitor Elec Vad, Rep 7 7 — — $32,820.21 $80,482.39 $43,458.49 2025-11-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 14 — — $27,992.58 $60,910.13 $43,362.46 2025-11-04
54410 CPT Remove/replace Penis Prosth 8 8 — — $30,424.50 $91,059.00 $43,169.62 2025-11-04
54416 CPT Remv/repl Penis Contain Pros 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
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
L5858 HCPCS Stance Phase Only 7 7 — — $32,532.66 $79,777.40 $43,077.73 2025-11-04
654 MS_DRG Major Bladder Procedures With Cc 15 14 — — $27,749.71 $60,381.65 $42,986.23 2025-11-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 14 — — $27,615.00 $60,088.53 $42,777.55 2025-11-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 14 — — $27,586.48 $60,026.48 $42,733.38 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
93591 CPT Perq Transcath Cls Aortic 8 8 — — $27,141.74 $97,131.00 $42,531.21 2025-11-04
C1826 HCPCS 3044508 - Neurostimulator Implantable Inceptiv 49 18 $68,400.00 $34,200.00 50% off $23,871.60 $70,739.28 $42,305.40 2025-11-04
62361 CPT Implant Spine Infusion Pump 8 8 — — $26,714.59 $97,131.00 $42,248.40 2025-11-04
C9782 HCPCS Blind Myocar Trpl Bon Marrow 8 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
C9758 HCPCS Blind Interatrial Shunt Ide 8 8 — — $26,452.16 $97,131.00 $42,074.65 2025-11-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 14 — — $26,907.02 $58,548.01 $41,680.84 2025-11-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 14 — — $26,858.84 $58,443.17 $41,606.21 2025-11-04
33264 CPT Rem/rpl Icd Gen/mult System 37 18 $67,160.00 $33,580.00 50% off $26,461.04 $111,480.00 $41,538.46 2025-11-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 14 — — $26,713.31 $58,126.51 $41,380.77 2025-11-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 14 — — $26,582.53 $57,841.95 $41,178.19 2025-11-04
L6975 HCPCS Interscap-thor Myoelectronic 7 7 — — $31,038.83 $76,115.23 $41,099.69 2025-11-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 14 — — $26,495.02 $57,651.52 $41,042.62 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
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 14 — — $26,389.81 $57,422.58 $40,879.64 2025-11-04
263 MS_DRG Vein Ligation And Stripping 15 14 — — $26,373.09 $57,386.21 $40,853.75 2025-11-04
849 MS_DRG Radiotherapy 15 14 — — $26,264.93 $57,150.86 $40,686.20 2025-11-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 14 — — $26,183.31 $56,973.27 $40,559.77 2025-11-04
C2624 HCPCS 1168039 - System Pulm Prss Dlv Sys Pa 31 18 $65,493.00 $32,746.50 50% off $22,857.06 $52,394.40 $40,507.42 2025-11-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 14 — — $26,089.90 $56,770.01 $40,415.07 2025-11-04
93654 CPT Comp Eval W/ablation Vt & 3d Map/las 37 18 $65,330.00 $32,665.00 50% off $11,873.67 $91,059.00 $40,406.61 2025-11-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 14 — — $26,057.45 $56,699.40 $40,364.80 2025-11-04
503 MS_DRG Foot Procedures With Mcc 15 14 — — $26,024.02 $56,626.65 $40,313.01 2025-11-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 14 — — $25,997.47 $56,568.88 $40,271.88 2025-11-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 14 — — $25,794.91 $56,128.13 $39,958.11 2025-11-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 14 — — $25,728.04 $55,982.63 $39,854.53 2025-11-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 14 — — $25,453.70 $55,385.69 $39,429.56 2025-11-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 14 — — $25,411.42 $55,293.68 $39,364.06 2025-11-04
33263 CPT Rem/rpl Icd Gen/dual System 37 18 $63,640.00 $31,820.00 50% off $25,074.16 $111,480.00 $39,361.34 2025-11-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 14 — — $25,111.52 $54,641.10 $38,899.48 2025-11-04
253 MS_DRG Other Vascular Procedures With Cc 15 14 — — $25,103.65 $54,623.99 $38,887.30 2025-11-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 14 — — $25,056.45 $54,521.29 $38,814.18 2025-11-04
J9600 HCPCS Porfimer Sodium Injection 13 13 — — $14,359.83 $79,488.00 $38,803.31 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
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 14 — — $24,927.64 $54,241.00 $38,614.64 2025-11-04
545 MS_DRG Connective Tissue Disorders With Mcc 15 14 — — $24,847.01 $54,065.55 $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 — — $24,827.34 $54,022.76 $38,459.28 2025-11-04
164 MS_DRG Major Chest Procedures With Cc 15 14 — — $24,749.66 $53,853.73 $38,338.94 2025-11-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 14 — — $24,622.82 $53,577.72 $38,142.45 2025-11-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 14 — — $24,604.13 $53,537.07 $38,113.51 2025-11-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 14 — — $13,685.00 $58,336.19 $37,748.62 2025-11-04
397 MS_DRG Appendix Procedures With Mcc 15 14 — — $24,364.21 $53,015.01 $37,741.85 2025-11-04
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 7 — — $28,453.35 $69,775.06 $37,676.16 2025-11-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 14 — — $24,265.88 $52,801.05 $37,589.53 2025-11-04
792 MS_DRG Prematurity Without Major Problems 15 14 — — $24,087.90 $52,413.78 $37,313.83 2025-11-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 14 — — $24,074.13 $52,383.83 $37,292.51 2025-11-04
L6970 HCPCS Interscapular-thor Switch CT 7 7 — — $28,159.88 $69,055.89 $37,287.57 2025-11-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 14 — — $23,875.51 $51,951.63 $36,984.82 2025-11-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 14 — — $23,783.08 $51,750.51 $36,841.64 2025-11-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 14 — — $23,708.35 $51,587.90 $36,725.88 2025-11-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 14 — — $23,609.03 $51,371.80 $36,572.03 2025-11-04
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