Price Transparencybeta 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 →

Export CSV
Hospital

STORMONT VAIL HEALTH FLINT HILLS, LLC

Junction City, KS · CCN 170074 · Rates published

11,426 distinct procedures filed
8 distinct payers
95,168 rate rows
2025-12-19 last MRF observed
Data quality

81,163 of 95,168 rate rows are consumer-grade (85.3%)

14,005 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,884
exceeds 10× this hospital's gross charge — excluded from medians 69
placeholder amount (≤ $0.02) — excluded from medians 36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stormontvail.org/wp-content/uploads/883089376_STORMONTVAIL_STANDARDCHARGES.csv
Found on page https://www.stormontvail.org/patient-resources/cost-of-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint d44abf2886fc20d7… · 15,320,681 bytes · first seen 2026-05-08

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $154,572.33 $426,668.40 $282,645.33 nat. median
$168,055
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $82,884.70 $309,859.01 $183,425.45 nat. median
$186,516
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $59,100.35 $171,304.75 $138,925.76 nat. median
$145,435
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $83,758.89 $139,745.90 $122,627.54 nat. median
$131,925
0.9× median
62991289303
NDC 		Isopropyl Alcohol 70 % Soln 6 $87,027.17 $133,887.96 $117,821.40 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $43,883.12 $108,978.40 $90,661.86 nat. median
$97,418
0.9× median
7
MS_DRG 		Lung Transplant 5 $38,302.07 $102,636.91 $84,763.24 nat. median
$70,649
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $43,017.93 $134,006.71 $78,661.01 nat. median
$72,715
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $33,515.42 $113,177.82 $74,170.28 nat. median
$65,418
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $46,700.22 $93,424.14 $72,137.30 nat. median
$2,736
outlier · 26.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $43,620.63 $114,104.49 $71,174.49 nat. median
$74,509
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $30,494.78 $117,445.52 $67,485.54 nat. median
$69,922
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 5 $39,941.76 $105,058.71 $65,171.77 nat. median
$73,023
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $39,242.97 $89,103.90 $64,031.58 nat. median
$69,822
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $45,404.52 $74,085.18 $59,967.42 nat. median
$2,110
outlier · 28.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $38,176.45 $87,385.57 $58,970.74 nat. median
$2,596
outlier · 22.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $33,971.57 $96,514.95 $56,679.20 nat. median
$2,633
outlier · 21.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $33,815.91 $73,800.53 $55,176.41 nat. median
$60,505
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $35,607.79 $76,329.38 $55,002.94 nat. median
$59,651
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $32,053.15 $73,451.02 $51,503.83 nat. median
$56,428
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $30,800.92 $71,515.30 $50,256.93 nat. median
$55,923
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $27,149.77 $71,933.06 $50,040.29 nat. median
$55,935
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $15,630.07 $62,708.57 $49,874.70 nat. median
$52,327
1.0× median
24338015020
NDC 		Triptodur 22.5 Mg IM Srer 6 $36,242.19 $55,757.21 $49,066.34 —
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $30,587.43 $65,776.85 $47,248.06 nat. median
$9,905
outlier · 4.8×
10
MS_DRG 		Pancreas Transplant 5 $21,223.16 $51,103.86 $46,967.27 nat. median
$23,080
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $21,101.60 $84,330.66 $46,698.26 nat. median
$45,605
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $28,603.06 $67,711.20 $46,670.77 nat. median
$51,518
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $21,837.41 $57,733.71 $45,239.95 nat. median
$48,611
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $27,590.18 $61,802.83 $45,018.06 nat. median
$49,569
0.9× median
993
MS_DRG 		Birth Weight < 1000 Grams 3 $44,373.88 $44,808.92 $44,373.88 —
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $13,806.95 $57,787.82 $44,057.21 nat. median
$47,340
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $26,822.39 $64,816.20 $43,765.29 nat. median
$2,633
outlier · 16.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $28,312.00 $70,245.84 $43,733.22 nat. median
$2,958
outlier · 14.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $37,374.25 $57,544.37 $43,037.45 nat. median
$47,458
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $35,594.53 $44,617.01 $42,711.81 nat. median
$45,446
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $28,138.80 $46,947.62 $42,442.78 nat. median
$37,013
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $27,119.02 $62,055.73 $42,117.17 nat. median
$47,121
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $24,583.62 $62,554.34 $40,112.34 nat. median
$44,036
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $24,014.11 $57,008.32 $40,065.88 nat. median
$41,943
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $24,319.66 $52,678.49 $39,681.67 nat. median
$43,803
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 5 $24,474.50 $52,211.37 $39,326.26 nat. median
$41,895
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $24,095.02 $59,614.86 $39,315.13 nat. median
$43,533
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $22,673.56 $53,732.20 $39,030.41 nat. median
$42,674
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $38,902.12 $50,857.49 $38,902.12 nat. median
$40,584
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 5 $21,225.29 $66,892.80 $38,811.78 nat. median
$38,932
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $16,633.06 $58,842.14 $38,411.88 nat. median
$43,023
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 $23,007.85 $61,170.85 $38,387.00 nat. median
$40,726
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 $24,436.98 $57,315.08 $37,747.53 nat. median
$2,596
outlier · 14.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $22,299.95 $50,341.00 $37,506.65 nat. median
$40,301
0.9× median

Other procedures at this hospital

Browse this hospital's 11,426 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 5 — — $8,973.35 $21,327.00 $13,861.03 2025-12-19
595 MS_DRG Major Skin Disorders With Mcc 8 5 — — $11,116.22 $15,725.25 $13,880.67 2025-12-19
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 8 5 — — $10,543.36 $17,126.12 $13,919.93 2025-12-19
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 8 5 — — $7,990.18 $19,741.79 $13,941.54 2025-12-19
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 8 5 — — $8,108.27 $25,313.70 $13,947.43 2025-12-19
32 MS_DRG Ventricular Shunt Procedures With Cc 8 5 — — $8,680.52 $19,672.56 $13,948.08 2025-12-19
374 MS_DRG Digestive Malignancy With Mcc 8 5 — — $11,052.72 $18,405.12 $13,998.47 2025-12-19
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 8 5 — — $7,816.09 $16,468.31 $14,011.57 2025-12-19
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 8 5 — — $9,807.96 $18,850.63 $14,016.80 2025-12-19
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S 5 3 $54,355.55 — $13,889.68 $22,153.34 $14,025.85 2025-12-19
C1874 HCPCS Hc Stent-cardiac-des 2 1 $12,877.68 — $13,751.55 $14,475.32 $14,113.43 2025-12-19
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 8 5 — — $4,559.39 $15,489.02 $14,203.35 2025-12-19
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 5 — — $7,847.63 $20,791.29 $14,251.12 2025-12-19
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 8 5 — — $9,258.05 $20,815.73 $14,260.95 2025-12-19
141 MS_DRG Major Head And Neck Procedures With Cc 8 5 — — $4,582.71 $20,055.68 $14,276.01 2025-12-19
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 5 — — $8,754.93 $24,039.36 $14,285.17 2025-12-19
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 8 5 — — $7,885.84 $18,311.74 $14,320.52 2025-12-19
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 8 5 — — $8,752.83 $25,460.78 $14,346.05 2025-12-19
996 MS_DRG Birth Weight > 2000 Grams, W Respiratory Distrees Syndrome 3 3 — — $14,354.62 $14,495.35 $14,354.62 2025-12-19
30 MS_DRG Spinal Procedures Without Cc/mcc 8 5 — — $8,942.03 $20,917.79 $14,368.29 2025-12-19
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 5 — — $8,956.29 $20,854.78 $14,391.20 2025-12-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 5 — — $10,945.92 $19,598.42 $14,451.42 2025-12-19
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 8 5 — — $7,912.82 $17,402.59 $14,469.10 2025-12-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 5 — — $9,405.17 $19,154.59 $14,483.49 2025-12-19
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 8 5 — — $8,000.09 $18,798.32 $14,527.99 2025-12-19
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 8 5 $67,223.03 — $12,673.61 $16,163.92 $14,556.24 2025-12-19
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 8 5 $51,765.98 — $12,673.61 $16,163.92 $14,556.24 2025-12-19
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 8 5 — — $8,777.02 $18,126.17 $14,643.84 2025-12-19
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 8 5 — — $8,782.12 $22,283.67 $14,652.36 2025-12-19
113 MS_DRG Orbital Procedures With Cc/mcc 8 5 — — $9,223.46 $15,388.70 $14,676.74 2025-12-19
263 MS_DRG Vein Ligation And Stripping 8 5 — — $12,264.53 $20,011.66 $14,718.52 2025-12-19
J0801 HCPCS Acthar 80 Unit/ml Ij Gel 8 6 $22,664.96 — $4,551.17 $22,664.96 $14,732.22 2025-12-19
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 8 5 — — $8,888.04 $21,996.50 $14,829.08 2025-12-19
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 8 5 — — $11,502.99 $15,990.50 $14,870.31 2025-12-19
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 8 5 — — $8,246.41 $19,493.27 $14,895.19 2025-12-19
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 8 5 — — $8,860.35 $22,852.13 $14,933.80 2025-12-19
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 8 5 — — $11,572.36 $20,583.02 $14,959.98 2025-12-19
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 8 5 — — $11,619.44 $18,749.50 $15,020.86 2025-12-19
347 MS_DRG Anal And Stomal Procedures With Mcc 8 5 — — $9,715.34 $20,609.59 $15,025.44 2025-12-19
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 5 — — $9,066.93 $16,413.07 $15,127.55 2025-12-19
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 5 — — $14,220.30 $19,683.60 $15,205.43 2025-12-19
357 MS_DRG Other Digestive System O.r. Procedures With Cc 8 5 — — $9,841.88 $20,134.08 $15,221.15 2025-12-19
709 MS_DRG Penis Procedures With Cc/mcc 8 5 — — $9,129.31 $20,554.78 $15,231.64 2025-12-19
J2799 HCPCS Uzedy 250 Mg/0.7ml Sc Susy 28 8 $23,465.11 — $25.04 $20,649.76 $15,251.89 2025-12-19
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 5 — — $9,167.75 $19,711.61 $15,295.76 2025-12-19
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 8 5 — — $11,254.03 $21,152.11 $15,306.89 2025-12-19
333 MS_DRG Rectal Resection With Cc 8 5 — — $9,912.56 $18,474.63 $15,330.46 2025-12-19
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 5 — — $6,811.79 $21,516.88 $15,619.75 2025-12-19
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 5 — — $9,678.19 $17,349.68 $15,623.83 2025-12-19
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 5 — — $9,737.58 $17,712.04 $15,646.58 2025-12-19
397 MS_DRG Appendix Procedures With Mcc 8 5 — — $10,135.60 $20,708.69 $15,675.39 2025-12-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 5 — — $9,260.83 $25,498.73 $15,690.45 2025-12-19
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 8 5 — — $9,648.68 $20,782.98 $15,743.46 2025-12-19
995 MS_DRG Birth Weight 1500 - 2000 Grams 3 3 — — $15,775.99 $15,930.65 $15,775.99 2025-12-19
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 8 5 — — $11,294.38 $22,534.91 $15,979.10 2025-12-19
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 5 — — $10,344.24 $26,822.59 $15,998.07 2025-12-19
792 MS_DRG Prematurity Without Major Problems 5 3 — — $16,030.79 $20,957.70 $16,030.79 2025-12-19
783 MS_DRG Cesarean Section With Sterilization With Mcc 8 5 — — $5,145.97 $16,935.38 $16,069.42 2025-12-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 5 — — $11,946.85 $22,513.61 $16,091.68 2025-12-19
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 5 — — $10,420.39 $20,932.00 $16,096.26 2025-12-19
37229 CPT Hc Atherectomy/pta/revas Tib/per 8 5 $30,567.00 — $4,398.70 $20,775.47 $16,163.92 2025-12-19
37230 CPT Hc Stent/pta/revas Tib/peroneal I 8 5 $46,827.39 — $4,398.70 $20,775.47 $16,163.92 2025-12-19
0238T CPT Hc Atherectomy Iliac 3 3 $20,150.93 — $16,163.92 $16,163.92 $16,163.92 2025-12-19
37227 CPT Hc Stent/atherectomy/pta/revas Fe 8 5 $53,935.65 — $7,617.99 $20,775.47 $16,163.92 2025-12-19
37225 CPT Hc Atherectomy/pta/revas Fem/pop 8 5 $36,887.09 — $4,398.70 $22,445.90 $16,163.92 2025-12-19
37231 CPT Hc Stent/atherectomy/pta/reva T-p 8 5 $47,783.67 — $7,617.99 $20,775.47 $16,163.92 2025-12-19
93580 CPT Hc Transcath Closure Of Asd/pfo 5 3 $23,848.00 — $16,163.92 $22,445.90 $16,163.92 2025-12-19
37242 CPT Hc Vasc Embolize/occlude Artery 8 5 $29,838.42 — $6,097.19 $22,445.90 $16,163.92 2025-12-19
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 8 5 — — $10,546.12 $19,540.35 $16,310.28 2025-12-19
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 5 — — $10,276.90 $22,315.69 $16,513.20 2025-12-19
164 MS_DRG Major Chest Procedures With Cc 8 5 — — $9,901.76 $26,149.02 $16,520.39 2025-12-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 5 — — $10,485.67 $20,853.69 $16,599.59 2025-12-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 5 — — $9,583.71 $23,683.98 $16,631.01 2025-12-19
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 8 5 — — $10,241.17 $23,860.03 $16,710.20 2025-12-19
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 8 5 — — $9,631.73 $24,086.36 $16,805.76 2025-12-19
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 8 5 — — $14,365.40 $20,703.89 $16,881.70 2025-12-19
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 5 — — $15,083.67 $22,253.57 $16,881.70 2025-12-19
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 8 5 — — $10,930.82 $25,014.74 $16,905.25 2025-12-19
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 5 — — $12,783.11 $19,745.93 $16,924.49 2025-12-19
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 5 — — $8,715.74 $23,723.34 $16,968.75 2025-12-19
253 MS_DRG Other Vascular Procedures With Cc 8 5 — — $8,580.23 $24,327.58 $16,989.03 2025-12-19
545 MS_DRG Connective Tissue Disorders With Mcc 8 5 — — $16,243.53 $20,107.46 $17,026.73 2025-12-19
33221 CPT Hc Insert Gen Only Exist Mult Lea 8 5 $21,190.00 — $4,984.46 $17,859.83 $17,066.97 2025-12-19
33229 CPT Hc Remove And Replace Multi Gen 8 5 $43,966.05 — $4,984.46 $22,617.43 $17,167.10 2025-12-19
33274 CPT Hc Tcat Insj/rpl Perm Ldls Pm 8 5 $36,955.00 — $11,198.04 $23,838.95 $17,167.10 2025-12-19
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 5 — — $10,346.63 $25,088.33 $17,262.63 2025-12-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 5 — — $11,271.24 $32,228.24 $17,410.56 2025-12-19
C2616 HCPCS Hc Brachytx Non-str Yttrium-90 3 3 $62,716.47 — $17,485.10 $17,485.10 $17,485.10 2025-12-19
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 5 — — $10,820.42 $22,732.12 $17,655.35 2025-12-19
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 5 — — $13,296.52 $23,834.28 $17,712.95 2025-12-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 5 — — $12,396.49 $33,294.35 $17,808.52 2025-12-19
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 5 — — $9,785.61 $24,778.66 $17,893.60 2025-12-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 5 — — $14,288.45 $26,079.06 $17,986.54 2025-12-19
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 5 — — $8,918.44 $30,189.22 $17,991.12 2025-12-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 5 — — $12,798.79 $19,770.15 $18,025.15 2025-12-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 5 — — $13,959.64 $26,678.70 $18,046.12 2025-12-19
503 MS_DRG Foot Procedures With Mcc 8 5 — — $8,676.47 $18,876.40 $18,100.62 2025-12-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 5 — — $11,745.39 $21,584.01 $18,142.98 2025-12-19
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 5 — — $13,793.69 $22,506.74 $18,217.83 2025-12-19
654 MS_DRG Major Bladder Procedures With Cc 8 5 — — $10,558.33 $25,763.83 $18,322.32 2025-12-19
800 MS_DRG Splenic Procedures With Cc 8 5 — — $11,021.39 $24,782.76 $18,388.43 2025-12-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 5 — — $12,635.33 $21,081.17 $18,409.20 2025-12-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 5 — — $11,434.57 $28,614.18 $18,657.43 2025-12-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 5 — — $12,161.92 $29,844.76 $18,786.39 2025-12-19
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 8 5 — — $8,523.34 $24,175.10 $18,862.31 2025-12-19
974 MS_DRG HIV With Major Related Condition With Mcc 8 5 — — $10,330.40 $25,875.57 $18,889.79 2025-12-19
619 MS_DRG O.r. Procedures For Obesity With Mcc 8 5 — — $11,530.68 $25,584.90 $18,898.96 2025-12-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 5 — — $10,453.18 $27,266.68 $18,982.74 2025-12-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 5 — — $12,281.72 $26,847.51 $18,994.53 2025-12-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 5 — — $15,914.02 $28,746.17 $19,061.95 2025-12-19
668 MS_DRG Transurethral Procedures With Mcc 8 5 — — $11,013.59 $20,019.25 $19,065.32 2025-12-19
570 MS_DRG Skin Debridement With Mcc 8 5 — — $10,738.50 $25,479.39 $19,250.45 2025-12-19
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 8 5 — — $6,038.99 $26,269.52 $19,270.07 2025-12-19
472 MS_DRG Cervical Spinal Fusion With Cc 8 5 — — $11,859.10 $27,103.13 $19,283.17 2025-12-19
J9037 HCPCS Blenrep 100 Mg IV Solr 7 6 $22,079.13 — $14,351.44 $22,079.13 $19,429.64 2025-12-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 5 — — $12,060.61 $20,136.55 $19,448.62 2025-12-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 5 — — $11,676.54 $32,576.45 $19,481.50 2025-12-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 5 — — $12,852.60 $30,293.03 $19,853.27 2025-12-19
662 MS_DRG Minor Bladder Procedures With Mcc 8 5 — — $11,547.29 $24,067.36 $20,038.50 2025-12-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 5 — — $13,939.24 $25,488.79 $20,096.68 2025-12-19
J0202 HCPCS Campath 30 Mg/ml IV Soln 8 4 $30,996.58 — $8.42 $54,542.58 $20,149.27 2025-12-19
33263 CPT Hc Remove/replace Dual Lead Defib 8 5 $53,729.15 — $16,733.50 $40,677.75 $20,205.16 2025-12-19
33262 CPT Hc Remove/replace Single Lead Def 8 5 $53,729.15 — $16,733.50 $40,677.75 $20,205.16 2025-12-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 5 — — $7,871.98 $24,522.71 $20,297.19 2025-12-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 5 — — $11,769.99 $27,176.80 $20,350.71 2025-12-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 5 — — $10,471.30 $28,621.76 $20,386.71 2025-12-19
665 MS_DRG Prostatectomy With Mcc 8 5 — — $11,772.47 $25,060.19 $20,429.25 2025-12-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 5 — — $12,604.30 $25,273.94 $20,566.05 2025-12-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 5 — — $12,633.98 $36,604.85 $20,614.49 2025-12-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 5 — — $13,070.34 $31,665.10 $20,624.30 2025-12-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 5 — — $12,396.81 $32,014.39 $20,683.22 2025-12-19
500 MS_DRG Soft Tissue Procedures With Mcc 8 5 — — $13,410.23 $28,308.43 $20,714.63 2025-12-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 5 — — $12,674.72 $22,721.44 $20,738.76 2025-12-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 5 — — $12,942.98 $34,151.30 $20,797.12 2025-12-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 5 — — $12,008.58 $29,208.14 $20,839.00 2025-12-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 5 — — $13,503.88 $28,610.94 $20,859.28 2025-12-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 5 — — $8,513.68 $39,554.39 $20,897.90 2025-12-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 5 — — $12,447.94 $28,205.88 $21,013.11 2025-12-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 5 — — $13,674.22 $30,261.93 $21,122.40 2025-12-19
652 MS_DRG Kidney Transplant 8 5 — — $12,180.95 $33,255.19 $21,138.11 2025-12-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 5 — — $13,688.20 $31,396.13 $21,144.00 2025-12-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 5 — — $10,875.43 $28,583.57 $21,173.45 2025-12-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 5 — — $11,824.36 $28,197.96 $21,197.03 2025-12-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 5 — — $13,048.36 $31,661.60 $21,290.62 2025-12-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 5 — — $12,836.99 $29,170.25 $21,545.24 2025-12-19
37 MS_DRG Extracranial Procedures With Mcc 8 5 — — $13,410.20 $29,090.37 $21,547.85 2025-12-19
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 5 — — $11,906.07 $28,207.18 $21,621.15 2025-12-19
264 MS_DRG Other Circulatory System O.r. Procedures 8 5 — — $16,327.94 $29,172.60 $21,865.30 2025-12-19
93653 CPT Hc Ep & Ablate Supravent Arrhyt 8 5 $40,000.00 — $7,685.20 $28,805.59 $22,083.00 2025-12-19
93654 CPT Hc Ep & Ablate Ventric Tachy 8 5 $60,914.00 — $7,685.20 $28,805.59 $22,083.00 2025-12-19
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 8 5 $60,539.62 — $7,685.20 $30,665.38 $22,083.00 2025-12-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 5 — — $12,280.20 $31,210.73 $22,300.56 2025-12-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 5 — — $13,896.98 $29,260.79 $22,330.02 2025-12-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 5 — — $14,377.65 $29,372.53 $22,439.98 2025-12-19
J1930 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 24 8 $31,787.66 — $34.05 $66,979.40 $22,473.50 2025-12-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 5 — — $14,638.20 $25,345.93 $22,611.46 2025-12-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 5 — — $13,926.74 $35,202.03 $22,826.15 2025-12-19
252 MS_DRG Other Vascular Procedures With Mcc 8 5 — — $14,368.67 $31,241.59 $22,832.04 2025-12-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 5 — — $15,837.86 $32,288.20 $23,035.61 2025-12-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 5 — — $15,958.28 $33,132.64 $23,082.74 2025-12-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 5 — — $14,564.26 $31,644.74 $23,277.13 2025-12-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 5 — — $14,213.47 $32,412.11 $23,296.11 2025-12-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 5 — — $12,840.66 $28,204.10 $23,318.37 2025-12-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 5 — — $12,851.48 $33,308.88 $23,337.99 2025-12-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 5 — — $15,112.62 $34,734.30 $23,372.69 2025-12-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 5 — — $13,408.87 $37,815.88 $23,396.25 2025-12-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 5 — — $13,440.00 $34,286.94 $23,450.58 2025-12-19
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr 6 5 $39,923.00 — $21,398.19 $25,590.05 $23,599.01 2025-12-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 5 — — $14,466.80 $33,907.06 $23,605.05 2025-12-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 5 — — $18,287.12 $33,375.46 $23,640.39 2025-12-19
265 MS_DRG Aicd Lead Procedures 8 5 — — $14,514.14 $29,704.08 $23,682.28 2025-12-19
332 MS_DRG Rectal Resection With Mcc 8 5 — — $15,323.38 $36,348.88 $23,698.64 2025-12-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 5 — — $15,363.21 $32,323.71 $23,731.36 2025-12-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 5 — — $14,234.75 $29,951.30 $23,749.70 2025-12-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 5 — — $16,963.42 $30,798.00 $24,031.79 2025-12-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 5 — — $14,409.72 $33,417.22 $24,041.62 2025-12-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 5 — — $13,977.45 $40,449.65 $24,255.65 2025-12-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 5 — — $14,882.77 $32,990.42 $24,393.10 2025-12-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 5 — — $15,836.09 $31,835.56 $24,461.83 2025-12-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 5 — — $14,663.15 $33,385.83 $24,464.45 2025-12-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 5 — — $7,718.73 $42,274.78 $24,630.04 2025-12-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 5 — — $15,061.73 $35,042.28 $25,129.45 2025-12-19
33270 CPT Hc Ins/rep Subq Defibrillator 6 5 $48,631.75 — $21,241.62 $28,860.55 $25,155.21 2025-12-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 5 — — $15,728.40 $34,302.06 $25,272.79 2025-12-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 5 — — $15,162.16 $26,864.08 $25,297.02 2025-12-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 5 — — $15,767.10 $29,647.97 $25,334.97 2025-12-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 5 — — $15,934.92 $34,960.63 $25,604.64 2025-12-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 5 — — $15,629.79 $32,572.79 $26,077.21 2025-12-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 5 — — $16,549.13 $27,002.73 $26,208.42 2025-12-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 5 — — $17,036.10 $41,169.70 $26,315.47 2025-12-19
791 MS_DRG Prematurity With Major Problems 5 3 — — $26,567.46 $34,733.45 $26,567.46 2025-12-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 5 — — $14,968.64 $32,974.88 $27,182.73 2025-12-19
793 MS_DRG Full Term Neonate With Major Problems 8 5 — — $3,595.30 $37,071.94 $27,291.38 2025-12-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $18,130.99 $40,945.95 $27,311.01 2025-12-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 5 — — $15,841.01 $42,720.71 $27,417.04 2025-12-19
901 MS_DRG Wound Debridements For Injuries With Mcc 8 5 — — $16,463.43 $38,274.23 $27,468.10 2025-12-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 5 — — $13,532.69 $31,397.38 $27,500.82 2025-12-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 5 — — $8,643.62 $37,327.73 $27,581.33 2025-12-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 5 — — $12,469.42 $36,184.33 $27,595.08 2025-12-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 5 — — $16,941.05 $38,298.71 $27,642.21 2025-12-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 5 — — $17,634.65 $42,783.30 $27,757.39 2025-12-19
140 MS_DRG Major Head And Neck Procedures With Mcc 8 5 — — $8,961.82 $36,534.48 $27,917.76 2025-12-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 5 — — $18,190.34 $36,547.34 $28,098.42 2025-12-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 5 — — $13,723.85 $44,160.03 $28,324.23 2025-12-19
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 12 8 $13,420.53 — $8,723.35 $33,309.21 $28,424.06 2025-12-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 5 — — $18,591.03 $38,233.91 $28,752.29 2025-12-19
33264 CPT Hc Remove/replace Mult Lead Defib 8 5 $75,828.53 — $16,733.50 $40,677.75 $28,860.55 2025-12-19
33249 CPT Hc Insert/reposition Any Defib Sy 8 5 $75,528.53 — $28,147.14 $40,677.75 $28,860.55 2025-12-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 5 — — $17,902.59 $36,672.56 $29,211.11 2025-12-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $23,920.36 $42,881.02 $29,236.79 2025-12-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 5 — — $18,251.09 $32,923.68 $29,326.31 2025-12-19
163 MS_DRG Major Chest Procedures With Mcc 8 5 — — $17,582.28 $44,437.91 $29,334.83 2025-12-19
799 MS_DRG Splenic Procedures With Mcc 8 5 — — $17,767.06 $45,685.79 $29,643.10 2025-12-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 5 — — $19,686.22 $39,916.71 $29,759.63 2025-12-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 5 — — $20,832.80 $41,394.48 $29,772.70 2025-12-19
245 MS_DRG Aicd Generator Procedures 8 5 — — $18,301.72 $50,922.12 $29,862.37 2025-12-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 5 — — $17,986.36 $42,981.07 $30,008.99 2025-12-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 5 — — $21,662.29 $43,367.50 $30,085.57 2025-12-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 5 — — $18,285.87 $48,798.47 $30,229.56 2025-12-19
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 5 — — $22,892.80 $37,353.50 $30,235.37 2025-12-19
6 MS_DRG Liver Transplant Without Mcc 8 5 — — $13,714.59 $53,910.95 $30,350.66 2025-12-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 5 — — $18,351.20 $47,000.71 $30,617.70 2025-12-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 5 — — $19,032.99 $41,374.77 $30,709.34 2025-12-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 5 — — $17,732.63 $50,408.60 $30,772.17 2025-12-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 5 — — $21,865.71 $52,498.09 $31,160.97 2025-12-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 — — $9,099.34 $50,093.07 $31,445.70 2025-12-19
471 MS_DRG Cervical Spinal Fusion With Mcc 8 5 — — $12,452.05 $44,552.40 $31,605.40 2025-12-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $17,895.18 $33,504.03 $31,954.38 2025-12-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 5 — — $19,743.03 $43,599.02 $32,214.11 2025-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 5 — — $22,490.46 $44,091.75 $32,324.73 2025-12-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 5 — — $19,846.12 $55,447.55 $32,382.33 2025-12-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $21,107.47 $47,184.86 $32,644.14 2025-12-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $20,218.38 $44,355.97 $32,989.73 2025-12-19
653 MS_DRG Major Bladder Procedures With Mcc 8 5 — — $19,599.66 $48,453.18 $34,012.11 2025-12-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 5 — — $22,056.88 $47,445.80 $34,071.02 2025-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 5 — — $21,165.48 $46,037.26 $34,535.08 2025-12-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 5 — — $21,564.02 $55,662.15 $34,649.62 2025-12-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 5 — — $22,583.16 $45,257.61 $34,883.96 2025-12-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $23,902.86 $48,661.44 $34,904.89 2025-12-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 5 — — $19,444.85 $54,158.74 $35,556.15 2025-12-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 5 — — $16,131.28 $48,519.59 $35,698.84 2025-12-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 5 — — $22,678.44 $57,056.45 $35,755.13 2025-12-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 5 — — $19,717.30 $50,924.12 $35,806.19 2025-12-19
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $18,456.53 $54,899.59 $35,933.17 2025-12-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 5 — — $23,402.65 $54,502.23 $36,149.81 2025-12-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 5 — — $22,328.39 $47,577.63 $36,432.56 2025-12-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 5 — — $16,576.41 $61,498.50 $36,683.91 2025-12-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 5 — — $23,822.14 $50,337.20 $36,797.80 2025-12-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 5 — — $24,150.54 $47,664.15 $37,305.05 2025-12-19
994 MS_DRG Birth Weight 1000 - 1499 Grams 3 3 — — $37,418.25 $37,785.10 $37,418.25 2025-12-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 5 — — $22,299.95 $50,341.00 $37,506.65 2025-12-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 5 — — $24,436.98 $57,315.08 $37,747.53 2025-12-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 5 — — $23,007.85 $61,170.85 $38,387.00 2025-12-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 5 — — $16,633.06 $58,842.14 $38,411.88 2025-12-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 5 — — $21,225.29 $66,892.80 $38,811.78 2025-12-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 3 — — $38,902.12 $50,857.49 $38,902.12 2025-12-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $22,673.56 $53,732.20 $39,030.41 2025-12-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 5 — — $24,095.02 $59,614.86 $39,315.13 2025-12-19
28 MS_DRG Spinal Procedures With Mcc 8 5 — — $24,474.50 $52,211.37 $39,326.26 2025-12-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 5 — — $24,319.66 $52,678.49 $39,681.67 2025-12-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 5 — — $24,014.11 $57,008.32 $40,065.88 2025-12-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 5 — — $24,583.62 $62,554.34 $40,112.34 2025-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 5 — — $27,119.02 $62,055.73 $42,117.17 2025-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 5 — — $28,138.80 $46,947.62 $42,442.78 2025-12-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $35,594.53 $44,617.01 $42,711.81 2025-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $37,374.25 $57,544.37 $43,037.45 2025-12-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 5 — — $28,312.00 $70,245.84 $43,733.22 2025-12-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 5 — — $26,822.39 $64,816.20 $43,765.29 2025-12-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 5 — — $13,806.95 $57,787.82 $44,057.21 2025-12-19
993 MS_DRG Birth Weight < 1000 Grams 3 3 — — $44,373.88 $44,808.92 $44,373.88 2025-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 5 — — $27,590.18 $61,802.83 $45,018.06 2025-12-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 5 — — $21,837.41 $57,733.71 $45,239.95 2025-12-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 5 — — $28,603.06 $67,711.20 $46,670.77 2025-12-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 5 — — $21,101.60 $84,330.66 $46,698.26 2025-12-19
10 MS_DRG Pancreas Transplant 8 5 — — $21,223.16 $51,103.86 $46,967.27 2025-12-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 5 — — $30,587.43 $65,776.85 $47,248.06 2025-12-19
24338015020 NDC Triptodur 22.5 Mg IM Srer 7 6 $55,757.21 — $36,242.19 $55,757.21 $49,066.34 2025-12-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 5 — — $15,630.07 $62,708.57 $49,874.70 2025-12-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 5 — — $27,149.77 $71,933.06 $50,040.29 2025-12-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $30,800.92 $71,515.30 $50,256.93 2025-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 5 — — $32,053.15 $73,451.02 $51,503.83 2025-12-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $35,607.79 $76,329.38 $55,002.94 2025-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 5 — — $33,815.91 $73,800.53 $55,176.41 2025-12-19
850 MS_DRG Acute Leukemia With Other Procedures 8 5 — — $33,971.57 $96,514.95 $56,679.20 2025-12-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 5 — — $38,176.45 $87,385.57 $58,970.74 2025-12-19
209 MS_DRG Complex Aortic Arch Procedures 6 5 — — $45,404.52 $74,085.18 $59,967.42 2025-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $39,242.97 $89,103.90 $64,031.58 2025-12-19
215 MS_DRG Other Heart Assist System Implant 8 5 — — $39,941.76 $105,058.71 $65,171.77 2025-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 5 — — $30,494.78 $117,445.52 $67,485.54 2025-12-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 5 — — $43,620.63 $114,104.49 $71,174.49 2025-12-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 5 — — $46,700.22 $93,424.14 $72,137.30 2025-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 5 — — $33,515.42 $113,177.82 $74,170.28 2025-12-19
14 MS_DRG Allogeneic Bone Marrow Transplant 8 5 — — $43,017.93 $134,006.71 $78,661.01 2025-12-19
7 MS_DRG Lung Transplant 8 5 — — $38,302.07 $102,636.91 $84,763.24 2025-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 5 — — $43,883.12 $108,978.40 $90,661.86 2025-12-19
62991289303 NDC Isopropyl Alcohol 70 % Soln 7 6 $133,887.96 — $87,027.17 $133,887.96 $117,821.40 2025-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 5 — — $83,758.89 $139,745.90 $122,627.54 2025-12-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 5 — — $59,100.35 $171,304.75 $138,925.76 2025-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 5 — — $82,884.70 $309,859.01 $183,425.45 2025-12-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 5 — — $154,572.33 $426,668.40 $282,645.33 2025-12-19
See an error in this hospital's data? Submit a correction