Price Transparency Hospital negotiated rates

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

REID HEALTH

Richmond, IN · CCN 150048 · Rates published

13,828 distinct procedures filed
27 distinct payers
630,519 rate rows
2025-07-21 last MRF observed
Data quality

365,256 of 630,519 rate rows are consumer-grade (57.9%)

265,263 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
professional (physician) fee — not the facility price 263,554
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,295
placeholder amount (≤ $0.02) — excluded from medians 154
exceeds 10× this hospital's gross charge — excluded from medians 149
percent-of-charges filed in the dollar field — excluded from medians 111
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rhblobmobileapp.blob.core.windows.net/hospital-price-index/350892672_reid-health_standardcharges-d2b52f7475934ebbac6f8f770324496b.csv
Found on page https://reid-price-index-aaedbwhvbcaehue4.eastus-01.azurewebsites.net/
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint f1e52a304cae6ce4… · 377,090,005 bytes · first seen 2026-05-17

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
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $2,554,400.00 $4,789,500.00 $4,470,200.00 nat. median
$3,286,000
1.4× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,374,400.00 $4,452,000.00 $4,155,200.00 nat. median
$3,006,423
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $2,968,000.00 $3,748,500.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $2,968,000.00 $3,748,500.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $2,657,425.21 $4,982,672.27 $3,360,000.00 nat. median
$3,325,455
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $1,865,600.00 $3,498,000.00 $3,264,800.00 nat. median
$2,448,600
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $1,922,767.00 $3,605,188.13 $2,275,875.00 nat. median
$2,469,189
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $452,499.07 $848,435.76 $791,873.38 nat. median
$754,974
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $763,350.00 $778,617.00 $763,350.00 nat. median
$824,563
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $413,188.78 $774,728.96 $557,917.92 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $422,649.94 $792,468.65 $554,728.05 nat. median
$625,184
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $441,054.67 $826,977.51 $551,318.34 nat. median
$675,122
0.8× median
C9301
HCPCS 		Other Inpatient Services 6 $551,250.00 $562,275.00 $551,250.00 nat. median
$459,112
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $391,613.72 $734,275.73 $528,759.00 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $390,441.21 $732,077.27 $488,051.51 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $257,663.99 $483,119.99 $450,911.99 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $192,486.74 $360,912.63 $336,851.79 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $162,129.41 $303,992.64 $283,726.46 nat. median
$206,368
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 8 $146,483.33 $274,656.24 $256,345.82 nat. median
$202,986
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $96,622.34 $181,166.88 $169,089.09 nat. median
$133,176
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $89,600.98 $168,001.83 $156,801.71 nat. median
$117,303
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 8 $89,488.00 $167,790.00 $156,604.00 nat. median
$96,983
1.6× median
7
MS_DRG 		Lung Transplant 8 $89,375.62 $167,579.30 $156,407.34 nat. median
$122,708
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $75,382.78 $141,342.72 $131,919.87 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $74,523.71 $139,731.96 $130,416.50 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $72,854.07 $136,601.39 $127,494.63 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 8 $72,481.24 $135,902.33 $126,842.17 nat. median
$99,019
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $71,665.87 $134,373.51 $125,415.28 nat. median
$98,905
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $66,036.91 $123,819.21 $115,564.60 nat. median
$93,672
1.2× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 8 $64,754.55 $121,414.79 $113,320.47 nat. median
$70,825
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $63,037.72 $118,195.73 $110,316.01 nat. median
$83,442
1.3× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $109,403.98 $158,360.29 $109,403.98 nat. median
$246,434
outlier · 0.4×
Q2043
HCPCS 		Sipuleucel-t 50 Million Cell/250 Ml Susp 250 Ml Bag 27 $44,429.20 $122,135.46 $106,257.85 nat. median
$66,682
1.6× median
8412
APR_DRG 		Inpatient Apr-DRG 2 $101,576.25 $101,576.25 $101,576.25 nat. median
$35,675
outlier · 2.8×
8414
APR_DRG 		Inpatient Apr-DRG 2 $101,576.25 $101,576.25 $101,576.25 nat. median
$160,267
0.6× median
8411
APR_DRG 		Inpatient Apr-DRG 2 $101,576.25 $101,576.25 $101,576.25 nat. median
$34,396
outlier · 3.0×
8413
APR_DRG 		Inpatient Apr-DRG 2 $101,576.25 $101,576.25 $101,576.25 nat. median
$66,693
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $57,998.07 $108,746.39 $101,496.63 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $57,965.98 $108,686.22 $101,440.47 nat. median
$81,118
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $57,087.81 $107,039.64 $99,903.66 nat. median
$82,712
1.2× median
24
APR_DRG 		Heart &/or Lung Transplant 8 $98,727.72 $127,658.18 $98,727.72 nat. median
$234,738
outlier · 0.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $55,179.17 $103,460.94 $96,563.54 nat. median
$77,576
1.2× median
10
MS_DRG 		Pancreas Transplant 8 $54,577.54 $102,332.90 $95,510.70 nat. median
$68,882
1.4× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 8 $95,450.99 $145,150.74 $95,450.99 nat. median
$207,730
outlier · 0.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $54,265.47 $101,747.76 $94,964.58 nat. median
$71,240
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $52,969.38 $99,317.58 $92,696.41 nat. median
$74,915
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $51,103.06 $95,818.25 $89,430.36 nat. median
$72,138
1.2× median
38240
CPT 		Transplt Allo Hct/donor 8 $49,565.06 $92,934.48 $86,738.85 nat. median
$15,912
outlier · 5.5×
J1823
HCPCS 		Inebilizumab-cdon 10 mg/mL Soln 10 Ml Vial 27 $387.52 $98,446.85 $85,648.76 nat. median
$798
outlier · 107.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $48,634.46 $91,189.62 $85,110.31 nat. median
$68,090
1.2× median

Other procedures at this hospital

Browse this hospital's 13,828 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
             
Q2043 HCPCS Sipuleucel-t 50 Million Cell/250 Ml Susp 250 Ml Bag 57 27 $122,135.46 $79,388.05 35% off $44,429.20 $122,135.46 $106,257.85 2025-07-21
J1823 HCPCS Inebilizumab-cdon 10 mg/mL Soln 10 Ml Vial 57 27 $98,446.85 $63,990.45 35% off $387.52 $98,446.85 $85,648.76 2025-07-21
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial 57 27 $40,096.93 $26,063.00 35% off $155.09 $40,096.93 $34,884.33 2025-07-21
J9347 HCPCS Tremelimumab-actl 20 mg/mL Soln 1.25 Ml Vial 54 24 $89,580.30 $58,227.20 35% off $110.74 $89,580.30 $77,934.86 2025-07-21
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial 54 24 $63,796.14 $41,467.49 35% off $169.70 $63,796.14 $55,502.64 2025-07-21
J9281 HCPCS mitoMYcin 40 Mg X 2 Kit 1 Each Kit 54 24 $57,788.78 $37,562.71 35% off $249.09 $57,788.78 $50,276.24 2025-07-21
J2350 HCPCS Ocrelizumab 30 mg/mL Soln 10 Ml Vial 54 24 $44,573.29 $28,972.64 35% off $47.02 $44,573.29 $38,778.76 2025-07-21
93654 CPT Hc Ccl Ep & Ablate Ventric Tachy 51 27 $60,652.67 $39,424.24 35% off $20,559.64 $60,652.67 $52,767.82 2025-07-21
93653 CPT Hc Ccl Ep & Ablate Supravent Arrhyt 51 27 $50,407.42 $32,764.82 35% off $20,559.64 $50,407.42 $43,854.46 2025-07-21
93656 CPT Hc Ccl Tx Atrial Fib Pulm Vein Isol 48 24 $75,833.30 $49,291.65 35% off $20,559.64 $75,833.30 $65,974.97 2025-07-21
33361 CPT Hc Tavr Replace Aortic Valve Perc 42 27 $50,737.68 $32,979.49 35% off $37,545.88 $50,737.68 $44,141.78 2025-07-21
C9741 HCPCS Hc Ccl Impl Pressure Sensor W Angio 42 27 $47,107.50 $30,619.88 35% off $34,859.55 $47,107.50 $40,983.53 2025-07-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 12 — — $2,657,425.21 $4,982,672.27 $3,360,000.00 2025-07-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 17 12 — — $1,922,767.00 $3,605,188.13 $2,275,875.00 2025-07-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 12 — — $413,188.78 $774,728.96 $557,917.92 2025-07-21
Q2055 HCPCS Idecabtagene Vicleucel Car 17 12 — — $422,649.94 $792,468.65 $554,728.05 2025-07-21
Q2056 HCPCS Ciltacabtagene Car-pos T 17 12 — — $441,054.67 $826,977.51 $551,318.34 2025-07-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 12 — — $391,613.72 $734,275.73 $528,759.00 2025-07-21
Q2053 HCPCS Brexucabtagene Car Pos T 17 12 — — $390,441.21 $732,077.27 $488,051.51 2025-07-21
Q0480 HCPCS Driver Pneumatic Vad, Rep 17 12 — — $72,648.53 $149,999.99 $79,999.99 2025-07-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 12 — — $50,721.63 $95,103.06 $63,402.04 2025-07-21
J9226 HCPCS Supprelin La Implant 17 12 — — $36,209.44 $67,892.70 $51,205.74 2025-07-21
L7181 HCPCS Electronic Elbo Simultaneous 17 12 — — $37,858.44 $86,421.77 $46,091.61 2025-07-21
A9543 HCPCS Y90 Ibritumomab, Rx 17 12 — — $12,505.30 $85,236.83 $45,459.64 2025-07-21
L7180 HCPCS Electronic Elbow Sequential 17 12 — — $25,912.94 $78,416.85 $41,822.32 2025-07-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 10 — — $53,508.16 $100,327.80 $80,000.00 2025-07-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 10 — — $36,462.17 $80,000.00 $68,366.57 2025-07-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 10 — — $40,313.61 $75,588.02 $60,000.00 2025-07-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 10 — — $28,212.33 $60,000.00 $52,898.12 2025-07-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 7 — — $2,968,000.00 $3,748,500.00 $3,675,000.00 2025-07-21
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 7 — — $2,968,000.00 $3,748,500.00 $3,675,000.00 2025-07-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $41,846.65 $80,000.00 $78,462.47 2025-07-21
791 MS_DRG Prematurity With Major Problems 11 10 — — $27,855.86 $52,229.73 $40,042.79 2025-07-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 10 — — $27,335.50 $51,254.06 $39,294.78 2025-07-21
793 MS_DRG Full Term Neonate With Major Problems 11 8 — — $1,937.00 $53,645.87 $35,763.91 2025-07-21
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 10 8 — — $109,403.98 $158,360.29 $109,403.98 2025-07-21
24 APR_DRG Heart &/or Lung Transplant 10 8 — — $98,727.72 $127,658.18 $98,727.72 2025-07-21
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 10 8 — — $95,450.99 $145,150.74 $95,450.99 2025-07-21
14 APR_DRG Liver Transplant &/or Intestinal Transplant 10 8 — — $45,027.81 $73,419.34 $71,979.64 2025-07-21
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $66,644.33 $109,123.83 $66,644.33 2025-07-21
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 8 — — $51,303.62 $66,676.56 $65,369.09 2025-07-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 — — $56,493.98 $66,308.15 $65,007.90 2025-07-21
5914 APR_DRG Neonate Birthwt 500749g Without Major Procedure 10 8 — — $63,630.47 $68,458.57 $63,630.47 2025-07-21
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 10 8 — — $60,298.76 $101,568.47 $60,298.76 2025-07-21
23 APR_DRG Heart &/or Lung Transplant 10 8 — — $56,584.76 $58,098.93 $56,959.66 2025-07-21
21 APR_DRG Heart &/or Lung Transplant 10 8 — — $56,584.76 $58,098.93 $56,959.66 2025-07-21
22 APR_DRG Heart &/or Lung Transplant 10 8 — — $56,584.76 $58,098.93 $56,959.66 2025-07-21
5934 APR_DRG Neonate Birthwt 750999g Without Major Procedure 10 8 — — $56,876.50 $73,742.74 $56,876.50 2025-07-21
5831 APR_DRG Neonate W Ecmo 10 8 — — $53,956.72 $145,715.29 $53,956.72 2025-07-21
5832 APR_DRG Neonate W Ecmo 10 8 — — $53,956.72 $145,715.29 $53,956.72 2025-07-21
5833 APR_DRG Neonate W Ecmo 10 8 — — $53,956.72 $153,190.25 $53,956.72 2025-07-21
5834 APR_DRG Neonate W Ecmo 10 8 — — $53,956.72 $153,190.25 $53,956.72 2025-07-21
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 8 — — $51,684.96 $87,007.19 $51,684.96 2025-07-21
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 8 — — $51,124.33 $98,571.49 $51,124.33 2025-07-21
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 10 8 — — $47,896.92 $76,092.60 $47,896.92 2025-07-21
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 10 8 — — $47,896.92 $79,996.07 $47,896.92 2025-07-21
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 10 8 — — $47,896.92 $76,092.60 $47,896.92 2025-07-21
64 APR_DRG Pancreas Transplant 10 8 — — $13,443.41 $47,169.60 $46,244.64 2025-07-21
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 10 8 — — $39,131.53 $46,908.30 $45,988.46 2025-07-21
5933 APR_DRG Neonate Birthwt 750999g Without Major Procedure 10 8 — — $45,117.39 $46,142.22 $45,117.39 2025-07-21
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 8 — — $36,218.41 $43,314.43 $42,465.06 2025-07-21
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 8 — — $40,664.43 $50,472.78 $40,664.43 2025-07-21
73 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $40,223.96 $53,258.38 $40,223.96 2025-07-21
72 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $40,223.96 $42,633.85 $40,223.96 2025-07-21
71 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $40,223.96 $42,633.85 $40,223.96 2025-07-21
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 8 — — $39,580.87 $49,916.87 $39,580.87 2025-07-21
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 10 8 — — $37,726.32 $38,480.90 $37,726.32 2025-07-21
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 8 — — $37,576.21 $40,804.88 $37,576.21 2025-07-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 — — $23,166.21 $38,265.97 $37,515.60 2025-07-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 — — $23,166.21 $38,265.97 $37,515.60 2025-07-21
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 — — $23,166.21 $38,265.97 $37,515.60 2025-07-21
4404 APR_DRG Kidney Transplant 10 8 — — $16,521.67 $37,252.40 $36,521.91 2025-07-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 — — $34,847.77 $62,973.39 $34,847.77 2025-07-21
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 8 — — $34,706.12 $46,869.31 $34,706.12 2025-07-21
8634 APR_DRG Neonatal Aftercare 10 8 — — $33,901.29 $38,818.13 $33,901.29 2025-07-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 8 — — $2,554,400.00 $4,789,500.00 $4,470,200.00 2025-07-21
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $2,374,400.00 $4,452,000.00 $4,155,200.00 2025-07-21
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $1,865,600.00 $3,498,000.00 $3,264,800.00 2025-07-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $452,499.07 $848,435.76 $791,873.38 2025-07-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 8 — — $257,663.99 $483,119.99 $450,911.99 2025-07-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $192,486.74 $360,912.63 $336,851.79 2025-07-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 9 8 — — $162,129.41 $303,992.64 $283,726.46 2025-07-21
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 9 8 — — $146,483.33 $274,656.24 $256,345.82 2025-07-21
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 9 8 — — $96,622.34 $181,166.88 $169,089.09 2025-07-21
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $89,600.98 $168,001.83 $156,801.71 2025-07-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 8 — — $89,488.00 $167,790.00 $156,604.00 2025-07-21
7 MS_DRG Lung Transplant 9 8 — — $89,375.62 $167,579.30 $156,407.34 2025-07-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $75,382.78 $141,342.72 $131,919.87 2025-07-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 8 — — $74,523.71 $139,731.96 $130,416.50 2025-07-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $72,854.07 $136,601.39 $127,494.63 2025-07-21
215 MS_DRG Other Heart Assist System Implant 9 8 — — $72,481.24 $135,902.33 $126,842.17 2025-07-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $71,665.87 $134,373.51 $125,415.28 2025-07-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $66,036.91 $123,819.21 $115,564.60 2025-07-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 8 — — $64,754.55 $121,414.79 $113,320.47 2025-07-21
850 MS_DRG Acute Leukemia With Other Procedures 9 8 — — $63,037.72 $118,195.73 $110,316.01 2025-07-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $57,998.07 $108,746.39 $101,496.63 2025-07-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $57,965.98 $108,686.22 $101,440.47 2025-07-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 — — $57,087.81 $107,039.64 $99,903.66 2025-07-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $55,179.17 $103,460.94 $96,563.54 2025-07-21
10 MS_DRG Pancreas Transplant 9 8 — — $54,577.54 $102,332.90 $95,510.70 2025-07-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $54,265.47 $101,747.76 $94,964.58 2025-07-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $52,969.38 $99,317.58 $92,696.41 2025-07-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 — — $51,103.06 $95,818.25 $89,430.36 2025-07-21
38240 CPT Transplt Allo Hct/donor 9 8 — — $49,565.06 $92,934.48 $86,738.85 2025-07-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $48,634.46 $91,189.62 $85,110.31 2025-07-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $48,390.68 $90,732.53 $84,683.69 2025-07-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 9 8 — — $47,636.10 $89,317.70 $83,363.18 2025-07-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $46,760.65 $87,676.22 $81,831.13 2025-07-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 — — $45,916.61 $86,093.64 $80,354.06 2025-07-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 8 — — $45,740.42 $85,763.30 $80,045.74 2025-07-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $45,663.26 $85,618.62 $79,910.71 2025-07-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 9 8 — — $44,294.78 $83,052.72 $77,515.87 2025-07-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $44,231.27 $82,933.64 $77,404.73 2025-07-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 8 — — $43,318.94 $81,223.01 $75,808.14 2025-07-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $42,431.89 $79,559.79 $74,255.80 2025-07-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 8 — — $42,377.26 $79,457.36 $74,160.20 2025-07-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $42,184.68 $79,096.28 $73,823.19 2025-07-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 8 — — $42,037.86 $78,821.00 $73,566.26 2025-07-21
28 MS_DRG Spinal Procedures With Mcc 9 8 — — $41,647.26 $78,088.62 $72,882.71 2025-07-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 8 — — $41,349.52 $77,530.35 $72,361.66 2025-07-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 8 — — $41,349.52 $77,530.35 $72,361.66 2025-07-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $41,041.54 $76,952.90 $71,822.70 2025-07-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $40,758.14 $76,421.52 $71,326.75 2025-07-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 8 — — $40,727.42 $76,363.91 $71,272.98 2025-07-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $39,890.90 $74,795.43 $69,809.07 2025-07-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $39,324.78 $73,733.97 $68,818.37 2025-07-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $39,090.56 $73,294.80 $68,408.48 2025-07-21
653 MS_DRG Major Bladder Procedures With Mcc 9 8 — — $38,199.40 $71,623.88 $66,848.95 2025-07-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $37,876.41 $71,018.27 $66,283.71 2025-07-21
834 MS_DRG Acute Leukemia With Mcc 9 8 — — $37,876.41 $71,018.27 $66,283.71 2025-07-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $37,717.98 $70,721.22 $66,006.47 2025-07-21
33276 CPT Insj Phrnc Nrv Stim Sys 9 8 — — $37,713.30 $70,712.44 $65,998.27 2025-07-21
0266T CPT Implt/rpl Crtd Sns Dev Total 9 8 — — $37,713.30 $70,712.44 $65,998.27 2025-07-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 8 — — $37,488.54 $70,291.02 $65,604.95 2025-07-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 8 — — $37,287.76 $69,914.55 $65,253.58 2025-07-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 8 — — $37,203.10 $69,755.81 $65,105.42 2025-07-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $37,013.93 $69,401.12 $64,774.37 2025-07-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 8 — — $36,979.10 $69,335.82 $64,713.43 2025-07-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $36,975.01 $69,328.14 $64,706.26 2025-07-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $36,301.70 $68,065.68 $63,527.97 2025-07-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 8 — — $35,300.60 $66,188.63 $61,776.05 2025-07-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $35,183.82 $65,969.67 $61,571.69 2025-07-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $34,921.59 $65,477.99 $61,112.79 2025-07-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $34,815.06 $65,278.25 $60,926.36 2025-07-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 8 — — $34,527.58 $64,739.21 $60,423.26 2025-07-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 8 — — $34,324.77 $64,358.94 $60,068.34 2025-07-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $34,298.13 $64,308.99 $60,021.72 2025-07-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 8 — — $34,284.48 $64,283.40 $59,997.84 2025-07-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 8 — — $34,161.55 $64,052.91 $59,782.72 2025-07-21
245 MS_DRG Aicd Generator Procedures 9 8 — — $33,502.58 $62,817.35 $58,629.52 2025-07-21
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $33,301.14 $62,439.65 $58,277.00 2025-07-21
6 MS_DRG Liver Transplant Without Mcc 9 8 — — $33,245.82 $62,335.91 $58,180.18 2025-07-21
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 8 — — $32,913.06 $61,712.00 $57,597.86 2025-07-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $32,742.54 $61,392.26 $57,299.44 2025-07-21
799 MS_DRG Splenic Procedures With Mcc 9 8 — — $32,601.18 $61,127.21 $57,052.06 2025-07-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $32,595.04 $61,115.70 $57,041.32 2025-07-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 8 — — $32,259.07 $60,485.76 $56,453.38 2025-07-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 8 — — $32,086.96 $60,163.05 $56,152.18 2025-07-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 8 — — $31,898.50 $59,809.70 $55,822.38 2025-07-21
163 MS_DRG Major Chest Procedures With Mcc 9 8 — — $31,606.90 $59,262.95 $55,312.08 2025-07-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 8 — — $31,593.92 $59,238.60 $55,289.36 2025-07-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $31,493.54 $59,050.40 $55,113.70 2025-07-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 8 — — $31,488.78 $59,041.46 $55,105.36 2025-07-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 8 — — $30,940.41 $58,013.27 $54,145.71 2025-07-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 8 — — $30,756.74 $57,668.88 $53,824.29 2025-07-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $30,672.06 $57,510.11 $53,676.10 2025-07-21
901 MS_DRG Wound Debridements For Injuries With Mcc 9 8 — — $30,386.61 $56,974.89 $53,176.56 2025-07-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 8 — — $30,129.18 $56,492.21 $52,726.06 2025-07-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 9 8 — — $29,679.15 $55,648.41 $51,938.52 2025-07-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $29,618.37 $55,534.44 $51,832.14 2025-07-21
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $29,332.66 $54,998.74 $51,332.15 2025-07-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $29,261.23 $54,864.81 $51,207.16 2025-07-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $29,218.20 $54,784.13 $51,131.85 2025-07-21
140 MS_DRG Major Head And Neck Procedures With Mcc 9 8 — — $29,011.97 $54,397.44 $50,770.94 2025-07-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 8 — — $28,748.38 $53,903.22 $50,309.67 2025-07-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 8 — — $28,741.56 $53,890.43 $50,297.73 2025-07-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 8 — — $28,544.20 $53,520.38 $49,952.35 2025-07-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $28,196.63 $52,868.69 $49,344.11 2025-07-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 8 — — $28,154.96 $52,790.55 $49,271.18 2025-07-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 8 — — $28,017.03 $52,531.94 $49,029.81 2025-07-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 8 — — $27,907.09 $52,325.79 $48,837.40 2025-07-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 8 — — $27,316.38 $51,218.22 $47,803.67 2025-07-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 8 — — $27,076.02 $50,767.55 $47,383.04 2025-07-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 8 — — $27,020.70 $50,663.81 $47,286.22 2025-07-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 8 — — $26,966.07 $50,561.39 $47,190.63 2025-07-21
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
0408T CPT Insj/rplc Cardiac Modulj Sys 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
33264 CPT Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
33249 CPT Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
33270 CPT Ins/rep Subq Defibrillator 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
33231 CPT Insrt Pulse Gen W/mult Leads 9 8 — — $26,869.66 $50,380.61 $47,021.90 2025-07-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 8 — — $26,847.25 $50,338.59 $46,982.68 2025-07-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 8 — — $26,834.28 $50,314.28 $46,959.99 2025-07-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 8 — — $26,686.77 $50,037.69 $46,701.84 2025-07-21
69930 CPT Implant Cochlear Device 9 8 — — $26,656.99 $49,981.85 $46,649.73 2025-07-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 8 — — $26,524.95 $49,734.29 $46,418.67 2025-07-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 8 — — $26,498.30 $49,684.31 $46,372.02 2025-07-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 8 — — $26,424.54 $49,546.02 $46,242.95 2025-07-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 8 — — $26,234.02 $49,188.80 $45,909.54 2025-07-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $26,092.67 $48,923.76 $45,662.18 2025-07-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 8 — — $25,890.55 $48,544.79 $45,308.47 2025-07-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 8 — — $25,684.99 $48,159.36 $44,948.74 2025-07-21
0268T CPT Implt/rpl Crtd Sns Dev Gen 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
61886 CPT Implant Neurostim Arrays 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
64568 CPT Opn Impltj Crnl Nrv Nea&pg 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
63685 CPT Pr Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 8 — — $25,538.82 $47,885.29 $44,692.93 2025-07-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 8 — — $25,047.88 $46,964.78 $43,833.79 2025-07-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 8 — — $24,875.10 $46,640.81 $43,531.42 2025-07-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 8 — — $24,611.50 $46,146.57 $43,070.13 2025-07-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 8 — — $24,610.14 $46,144.01 $43,067.74 2025-07-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 8 — — $24,606.05 $46,136.34 $43,060.58 2025-07-21
265 MS_DRG Aicd Lead Procedures 9 8 — — $24,491.33 $45,921.24 $42,859.82 2025-07-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 8 — — $24,382.06 $45,716.36 $42,668.60 2025-07-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 8 — — $24,240.02 $45,450.05 $42,420.04 2025-07-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 8 — — $24,233.87 $45,438.51 $42,409.28 2025-07-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 8 — — $24,173.11 $45,324.59 $42,302.95 2025-07-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 8 — — $24,058.38 $45,109.46 $42,102.16 2025-07-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $24,050.86 $45,095.37 $42,089.01 2025-07-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 8 — — $24,041.30 $45,077.45 $42,072.28 2025-07-21
264 MS_DRG Other Circulatory System O.r. Procedures 9 8 — — $23,998.97 $44,998.07 $41,998.19 2025-07-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 8 — — $23,844.65 $44,708.72 $41,728.13 2025-07-21
33289 CPT Tcat Impl Wrls P-art Prs Snr 9 8 — — $23,824.76 $44,671.42 $41,693.33 2025-07-21
332 MS_DRG Rectal Resection With Mcc 9 8 — — $23,818.70 $44,660.06 $41,682.72 2025-07-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 8 — — $23,792.74 $44,611.40 $41,637.30 2025-07-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 8 — — $23,652.76 $44,348.93 $41,392.33 2025-07-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 8 — — $23,615.87 $44,279.76 $41,327.78 2025-07-21
665 MS_DRG Prostatectomy With Mcc 9 8 — — $23,579.01 $44,210.64 $41,263.26 2025-07-21
252 MS_DRG Other Vascular Procedures With Mcc 9 8 — — $23,557.16 $44,169.68 $41,225.03 2025-07-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 8 — — $23,521.63 $44,103.06 $41,162.86 2025-07-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $23,391.89 $43,859.79 $40,935.80 2025-07-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 8 — — $23,294.91 $43,677.96 $40,766.10 2025-07-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 8 — — $23,053.87 $43,226.01 $40,344.28 2025-07-21
C9760 HCPCS Non-blind Interatrial Shunt 9 8 — — $23,047.18 $43,213.46 $40,332.56 2025-07-21
37 MS_DRG Extracranial Procedures With Mcc 9 8 — — $22,809.40 $42,767.63 $39,916.45 2025-07-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 8 — — $22,679.66 $42,524.36 $39,689.40 2025-07-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 8 — — $22,452.94 $42,099.26 $39,292.64 2025-07-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 8 — — $22,389.42 $41,980.17 $39,181.49 2025-07-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 8 — — $22,379.86 $41,962.23 $39,164.75 2025-07-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 8 — — $22,115.58 $41,466.72 $38,702.27 2025-07-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $22,013.84 $41,275.95 $38,524.22 2025-07-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 8 — — $21,950.34 $41,156.88 $38,413.09 2025-07-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 8 — — $21,908.68 $41,078.78 $38,340.19 2025-07-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 9 8 — — $21,849.95 $40,968.66 $38,237.42 2025-07-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 8 — — $21,806.25 $40,886.72 $38,160.93 2025-07-21
500 MS_DRG Soft Tissue Procedures With Mcc 9 8 — — $21,770.06 $40,818.87 $38,097.61 2025-07-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 8 — — $21,444.32 $40,208.10 $37,527.56 2025-07-21
662 MS_DRG Minor Bladder Procedures With Mcc 9 8 — — $21,434.77 $40,190.19 $37,510.84 2025-07-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $21,343.94 $40,019.90 $37,351.90 2025-07-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 8 — — $21,249.02 $39,841.91 $37,185.78 2025-07-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 8 — — $21,205.31 $39,759.96 $37,109.30 2025-07-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 8 — — $21,190.30 $39,731.81 $37,083.02 2025-07-21
652 MS_DRG Kidney Transplant 9 8 — — $21,105.62 $39,573.03 $36,934.83 2025-07-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 8 — — $21,086.50 $39,537.20 $36,901.38 2025-07-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 8 — — $21,018.21 $39,409.14 $36,781.86 2025-07-21
570 MS_DRG Skin Debridement With Mcc 9 8 — — $20,687.69 $38,789.42 $36,203.45 2025-07-21
974 MS_DRG HIV With Major Related Condition With Mcc 9 8 — — $20,523.81 $38,482.14 $35,916.66 2025-07-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $20,267.04 $38,000.70 $35,467.32 2025-07-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 8 — — $20,215.14 $37,903.40 $35,376.50 2025-07-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 8 — — $20,160.51 $37,800.96 $35,280.90 2025-07-21
L5973 HCPCS Ank-foot Sys Dors-plant Flex 9 8 — — $20,074.29 $37,639.29 $35,130.00 2025-07-21
668 MS_DRG Transurethral Procedures With Mcc 9 8 — — $20,046.46 $37,587.12 $35,081.31 2025-07-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 8 — — $20,035.55 $37,566.66 $35,062.22 2025-07-21
800 MS_DRG Splenic Procedures With Cc 9 8 — — $20,029.40 $37,555.13 $35,051.45 2025-07-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 8 — — $20,018.47 $37,534.64 $35,032.33 2025-07-21
472 MS_DRG Cervical Spinal Fusion With Cc 9 8 — — $19,916.03 $37,342.56 $34,853.06 2025-07-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 8 — — $19,710.50 $36,957.18 $34,493.37 2025-07-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 8 — — $19,687.97 $36,914.94 $34,453.94 2025-07-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 8 — — $19,676.34 $36,893.15 $34,433.60 2025-07-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 8 — — $19,649.04 $36,841.95 $34,385.82 2025-07-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 9 8 — — $19,571.87 $36,697.26 $34,250.78 2025-07-21
654 MS_DRG Major Bladder Procedures With Cc 9 8 — — $19,403.21 $36,381.02 $33,955.61 2025-07-21
J9600 HCPCS Porfimer Sodium Injection 9 8 — — $19,382.74 $36,342.63 $33,919.79 2025-07-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 8 — — $19,309.64 $36,205.58 $33,791.87 2025-07-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 8 — — $19,289.84 $36,168.45 $33,757.22 2025-07-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 8 — — $18,817.98 $35,283.71 $32,931.46 2025-07-21
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
0916T CPT Insj Perm Ccm-d Sys Pg Only 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
0409T CPT Insj/rplc Car Modulj Pls Gn 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
33263 CPT Pr Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
33262 CPT Pr Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
33240 CPT Insrt Pulse Gen W/singl Lead 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
33230 CPT Insrt Pulse Gen W/dual Leads 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 9 8 — — $18,811.34 $35,271.27 $32,919.85 2025-07-21
Q2057 HCPCS Afamitresgene Autoleucel 8 6 — — $763,350.00 $778,617.00 $763,350.00 2025-07-21
C9301 HCPCS Other Inpatient Services 8 6 — — $551,250.00 $562,275.00 $551,250.00 2025-07-21
8411 APR_DRG Inpatient Apr-DRG 2 2 — — $101,576.25 $101,576.25 $101,576.25 2025-07-21
8412 APR_DRG Inpatient Apr-DRG 2 2 — — $101,576.25 $101,576.25 $101,576.25 2025-07-21
8413 APR_DRG Inpatient Apr-DRG 2 2 — — $101,576.25 $101,576.25 $101,576.25 2025-07-21
8414 APR_DRG Inpatient Apr-DRG 2 2 — — $101,576.25 $101,576.25 $101,576.25 2025-07-21
8514 APR_DRG Inpatient Apr-DRG 2 2 — — $46,776.37 $46,776.37 $46,776.37 2025-07-21
8424 APR_DRG Inpatient Apr-DRG 2 2 — — $42,411.66 $42,411.66 $42,411.66 2025-07-21
03060 EAPG Ventricular Assist Device Procedures 2 2 — — $42,381.99 $42,381.99 $42,381.99 2025-07-21
1834 APR_DRG Inpatient Apr-DRG 2 2 — — $38,949.98 $38,949.98 $38,949.98 2025-07-21
1784 APR_DRG Inpatient Apr-DRG 2 2 — — $38,805.16 $38,805.16 $38,805.16 2025-07-21
=RIGHT($A577,3)&$B577 APR_DRG Inpatient Apr-DRG 2 2 — — $33,707.31 $33,707.31 $33,707.31 2025-07-21
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