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Hospital

CENTURA ST. CATHERINE-DODGE CITY

Dodge City, KS · CCN 170175 · Rates published

10,581 distinct procedures filed
9 distinct payers
98,769 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

98,550 of 98,769 rate rows are consumer-grade (99.8%)

219 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
per-diem day rate — not a per-procedure price 200
percent-of-charges filed in the dollar field — excluded from medians 9
exceeds 10× this hospital's gross charge — excluded from medians 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10548/480543721_commonspirit-health-st-catherine-hospital-dodge-city_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint a7958a2986418dc5… · 112,925,081 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 2 $329,782.99 $484,591.66 $407,187.32 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $242,562.50 $345,024.10 $293,793.30 nat. median
$265,286
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 2 $163,859.68 $190,840.31 $177,349.99 nat. median
$202,986
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $116,887.49 $235,939.57 $176,413.53 nat. median
$206,368
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $109,598.26 $205,668.03 $157,633.14 nat. median
$108,660
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $102,587.75 $148,197.75 $125,392.75 nat. median
$117,303
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 2 $102,254.16 $131,581.29 $116,917.73 nat. median
$133,176
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $92,643.97 $130,774.11 $111,709.04 nat. median
$100,136
1.1× median
7
MS_DRG 		Lung Transplant 2 $98,176.21 $109,797.87 $103,987.04 nat. median
$122,708
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 2 $91,433.78 $102,515.48 $96,974.63 nat. median
$99,019
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $96,409.70 $96,409.70 $96,409.70 nat. median
$102,358
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $6,902.00 $86,873.19 $86,102.77 nat. median
$93,672
0.9× median
453
MS_DRG 		DRG 2 $78,801.52 $79,319.35 $79,060.43 nat. median
$87,411
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $71,550.68 $82,853.94 $77,202.31 nat. median
$71,240
1.1× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 9 $37,868.03 $104,948.55 $75,736.07 nat. median
$509
outlier · 148.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $73,758.50 $75,452.47 $74,605.49 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $70,977.09 $75,658.35 $73,317.72 nat. median
$77,576
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $55,290.99 $89,381.16 $72,336.07 nat. median
$56,920
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $6,902.00 $72,640.03 $71,314.83 nat. median
$79,312
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $6,902.00 $69,815.06 $69,510.26 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $6,902.00 $69,106.57 $69,023.78 nat. median
$74,915
0.9× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 9 $34,107.49 $94,526.48 $68,214.99 nat. median
$14,306
outlier · 4.8×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 9 $22,764.44 $97,204.28 $66,138.99 nat. median
$8,558
outlier · 7.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $62,978.21 $62,978.21 $62,978.21 nat. median
$68,887
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $59,983.20 $64,738.89 $62,361.04 nat. median
$72,138
0.9× median
C1721
HCPCS 		Hc Implant Aicd Dual 9 $30,719.53 $85,136.98 $61,439.06 nat. median
$22,210
outlier · 2.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $59,965.61 $61,834.25 $60,899.93 nat. median
$62,134
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $59,721.24 $61,357.16 $60,539.20 nat. median
$65,950
0.9× median
33262
CPT 		Hc Replace Generator Only (icd) Single 9 $339.80 $73,052.01 $60,249.08 nat. median
$23,398
outlier · 2.6×
33264
CPT 		Hc Replace Generator Only (icd) Multiple 9 $368.09 $73,052.01 $60,249.08 nat. median
$31,873
1.9× median
33230
CPT 		Hc Insert Generator Only (icd) To Existing Dual Leads 9 $349.42 $73,052.01 $60,249.08 nat. median
$22,359
outlier · 2.7×
33231
CPT 		Hc Insert Generator Only (icd) To Existing Multiple Leads 9 $364.33 $73,052.01 $60,249.08 nat. median
$30,121
outlier · 2.0×
33263
CPT 		Hc Replace Generator Only (icd) Dual 9 $352.87 $73,052.01 $60,249.08 nat. median
$23,504
outlier · 2.6×
33249
CPT 		Hc Insert/replace (icd) Single/dual Lead/s System 9 $831.12 $81,137.56 $58,908.09 nat. median
$31,833
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $55,224.55 $62,343.57 $58,784.06 nat. median
$66,526
0.9× median
459
MS_DRG 		DRG 2 $57,750.34 $59,366.43 $58,558.38 nat. median
$65,381
0.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 2 $47,098.05 $69,847.35 $58,472.70 nat. median
$53,171
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $55,909.52 $60,862.26 $58,385.89 nat. median
$60,726
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $55,088.21 $61,517.39 $58,302.80 nat. median
$60,185
1.0× median
J9281
HCPCS 		Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 9 $28,995.75 $80,359.65 $57,991.50 nat. median
$545
outlier · 106.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $54,124.67 $60,099.69 $57,112.18 nat. median
$56,697
1.0× median
A9543
HCPCS 		Y-90 Zevalin 9 $24,783.65 $68,686.13 $56,648.35 nat. median
$62,507
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $52,160.12 $61,033.13 $56,596.62 nat. median
$55,736
1.0× median
C2616
HCPCS 		Yttrium-90 Brachytx Src Non-stranded 9 $27,956.25 $77,478.75 $55,912.50 nat. median
$28,125
2.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $6,902.00 $56,976.49 $55,606.20 nat. median
$64,510
0.9× median
454
MS_DRG 		DRG 2 $54,747.66 $56,438.12 $55,592.89 nat. median
$62,270
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $55,588.17 $55,588.17 $55,588.17 nat. median
$59,099
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $54,514.04 $55,276.31 $54,895.18 nat. median
$64,732
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $53,787.38 $54,972.34 $54,379.86 nat. median
$54,066
1.0× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 2 $52,334.61 $55,290.99 $53,812.80 nat. median
$53,805
1.0× median

Other procedures at this hospital

Browse this hospital's 10,581 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $329,782.99 $484,591.66 $407,187.32 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $242,562.50 $345,024.10 $293,793.30 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 2 2 — — $163,859.68 $190,840.31 $177,349.99 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $116,887.49 $235,939.57 $176,413.53 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $109,598.26 $205,668.03 $157,633.14 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $102,587.75 $148,197.75 $125,392.75 2024-12-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 2 2 — — $102,254.16 $131,581.29 $116,917.73 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $92,643.97 $130,774.11 $111,709.04 2024-12-02
7 MS_DRG Lung Transplant 2 2 — — $98,176.21 $109,797.87 $103,987.04 2024-12-02
215 MS_DRG Other Heart Assist System Implant 2 2 — — $91,433.78 $102,515.48 $96,974.63 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $96,409.70 $96,409.70 $96,409.70 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $6,902.00 $86,873.19 $86,102.77 2024-12-02
453 MS_DRG DRG 2 2 — — $78,801.52 $79,319.35 $79,060.43 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $71,550.68 $82,853.94 $77,202.31 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 12 9 $108,194.38 $43,277.75 60% off $37,868.03 $104,948.55 $75,736.07 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $73,758.50 $75,452.47 $74,605.49 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $70,977.09 $75,658.35 $73,317.72 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $55,290.99 $89,381.16 $72,336.07 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $6,902.00 $72,640.03 $71,314.83 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $6,902.00 $69,815.06 $69,510.26 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $6,902.00 $69,106.57 $69,023.78 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 12 9 $97,449.98 $38,979.99 60% off $34,107.49 $94,526.48 $68,214.99 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 21 9 $100,210.60 $40,084.24 60% off $22,764.44 $97,204.28 $66,138.99 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $62,978.21 $62,978.21 $62,978.21 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $59,983.20 $64,738.89 $62,361.04 2024-12-02
C1721 HCPCS Hc Implant Aicd Dual 11 9 $87,770.08 $35,108.03 60% off $30,719.53 $85,136.98 $61,439.06 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $59,965.61 $61,834.25 $60,899.93 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $59,721.24 $61,357.16 $60,539.20 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 14 9 $75,311.35 $30,124.54 60% off $364.33 $73,052.01 $60,249.08 2024-12-02
33262 CPT Hc Replace Generator Only (icd) Single 14 9 $75,311.35 $30,124.54 60% off $339.80 $73,052.01 $60,249.08 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 14 9 $75,311.35 $30,124.54 60% off $349.42 $73,052.01 $60,249.08 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 14 9 $75,311.35 $30,124.54 60% off $368.09 $73,052.01 $60,249.08 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 14 9 $75,311.35 $30,124.54 60% off $352.87 $73,052.01 $60,249.08 2024-12-02
33249 CPT Hc Insert/replace (icd) Single/dual Lead/s System 21 9 $83,646.97 $33,458.79 60% off $831.12 $81,137.56 $58,908.09 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $55,224.55 $62,343.57 $58,784.06 2024-12-02
459 MS_DRG DRG 2 2 — — $57,750.34 $59,366.43 $58,558.38 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $47,098.05 $69,847.35 $58,472.70 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $55,909.52 $60,862.26 $58,385.89 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $55,088.21 $61,517.39 $58,302.80 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 12 9 $82,845.00 $33,138.00 60% off $28,995.75 $80,359.65 $57,991.50 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $54,124.67 $60,099.69 $57,112.18 2024-12-02
A9543 HCPCS Y-90 Zevalin 13 9 $70,810.44 $28,324.18 60% off $24,783.65 $68,686.13 $56,648.35 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $52,160.12 $61,033.13 $56,596.62 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 11 9 $79,875.00 $31,950.00 60% off $27,956.25 $77,478.75 $55,912.50 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $6,902.00 $56,976.49 $55,606.20 2024-12-02
454 MS_DRG DRG 2 2 — — $54,747.66 $56,438.12 $55,592.89 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $55,588.17 $55,588.17 $55,588.17 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $54,514.04 $55,276.31 $54,895.18 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $53,787.38 $54,972.34 $54,379.86 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $52,334.61 $55,290.99 $53,812.80 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $51,922.43 $54,380.67 $53,151.55 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $6,902.00 $56,860.26 $52,637.89 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $43,295.61 $61,229.75 $52,262.68 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $49,942.21 $53,940.27 $51,941.24 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $50,117.25 $53,050.51 $51,583.88 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $40,456.09 $61,938.98 $51,197.54 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $48,647.17 $53,707.54 $51,177.35 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $6,902.00 $53,246.56 $50,389.04 2024-12-02
C2622 HCPCS Hc Implant Gu Penile Non-infl 11 9 $71,866.02 $28,746.41 60% off $25,153.11 $69,710.04 $50,306.21 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $48,645.45 $50,742.04 $49,693.74 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $49,208.93 $49,277.64 $49,243.29 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $46,058.76 $50,696.39 $48,377.57 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 12 9 $69,000.33 $27,600.13 60% off $24,150.12 $66,930.32 $48,300.23 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $40,257.61 $56,129.35 $48,193.48 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $43,683.20 $52,610.36 $48,146.78 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $46,821.22 $48,457.72 $47,639.47 2024-12-02
C9606 HCPCS Hc Cor Revasc Acute Mi Drug-eluting Stent/pta/atherect Initial Ves 12 8 $58,792.25 $23,516.90 60% off $1,267.00 $57,028.48 $47,033.80 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $6,902.00 $47,022.46 $46,944.98 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 12 9 $66,587.50 $26,635.00 60% off $23,305.63 $64,589.88 $46,611.25 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $6,902.00 $56,057.33 $46,526.96 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $46,154.60 $46,885.40 $46,520.00 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $45,847.77 $46,425.82 $46,136.79 2024-12-02
10 MS_DRG Pancreas Transplant 2 2 — — $43,087.05 $48,890.86 $45,988.96 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $42,576.84 $48,880.44 $45,728.64 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 12 9 $65,104.83 $26,041.93 60% off $22,786.69 $63,151.69 $45,573.38 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $45,462.68 $45,595.62 $45,529.15 2024-12-02
245 MS_DRG Aicd Generator Procedures 2 2 — — $40,561.05 $49,689.41 $45,125.23 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $6,902.00 $56,677.45 $45,101.95 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $44,486.68 $45,264.86 $44,875.77 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $44,147.03 $44,349.16 $44,248.10 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $42,606.68 $44,749.27 $43,677.97 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $43,051.82 $44,030.50 $43,541.16 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $42,807.78 $42,807.78 $42,807.78 2024-12-02
222 MS_DRG Cv DRG 2 2 — — $6,902.00 $78,624.18 $42,763.09 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $39,284.62 $45,862.94 $42,573.78 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $41,704.17 $43,026.19 $42,365.18 2024-12-02
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 12 9 $60,331.15 $24,132.46 60% off $21,115.90 $58,521.22 $42,231.81 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $6,902.00 $42,941.18 $42,191.94 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $6,902.00 $50,991.78 $41,864.04 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $27,868.26 $55,658.89 $41,763.57 2024-12-02
455 MS_DRG DRG 2 2 — — $41,225.22 $42,101.70 $41,663.46 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $6,902.00 $42,862.01 $41,610.12 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $40,430.37 $41,906.83 $41,168.60 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $39,576.58 $42,431.83 $41,004.21 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $31,137.36 $50,870.04 $41,003.70 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $40,296.99 $41,533.41 $40,915.20 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $39,566.84 $40,557.47 $40,062.15 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $39,925.52 $39,925.52 $39,925.52 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $39,639.09 $40,000.26 $39,819.68 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $38,572.27 $39,528.09 $39,050.18 2024-12-02
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 12 9 $55,721.05 $22,288.42 60% off $19,502.37 $54,049.42 $39,004.74 2024-12-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $30,956.51 $45,940.97 $38,448.74 2024-12-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $34,714.19 $41,534.51 $38,124.35 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $36,610.80 $38,738.61 $37,674.71 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $36,946.15 $38,299.11 $37,622.63 2024-12-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $37,008.76 $37,224.08 $37,116.42 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $35,078.74 $39,043.84 $37,061.29 2024-12-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $37,057.59 $37,057.59 $37,057.59 2024-12-02
793 MS_DRG Full Term Neonate With Major Problems 2 2 — — $35,823.31 $37,677.90 $36,750.60 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $34,958.96 $38,514.83 $36,736.90 2024-12-02
224 MS_DRG Cv DRG 2 2 — — $6,902.00 $65,925.03 $36,413.51 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $6,902.00 $41,686.54 $36,173.22 2024-12-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $36,070.47 $36,205.44 $36,137.96 2024-12-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $31,120.32 $41,069.22 $36,094.77 2024-12-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $34,794.75 $36,542.20 $35,668.47 2024-12-02
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 12 9 $50,863.68 $20,345.47 60% off $17,802.29 $49,337.77 $35,604.58 2024-12-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $34,965.60 $35,848.29 $35,406.94 2024-12-02
460 MS_DRG DRG 2 2 — — $32,742.26 $37,200.99 $34,971.62 2024-12-02
791 MS_DRG Prematurity With Major Problems 2 2 — — $33,223.91 $36,678.96 $34,951.43 2024-12-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $34,016.39 $35,425.80 $34,721.10 2024-12-02
223 MS_DRG Cv DRG 2 2 — — $6,902.00 $62,510.89 $34,706.44 2024-12-02
652 MS_DRG Kidney Transplant 2 2 — — $26,892.71 $41,966.47 $34,429.59 2024-12-02
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $33,818.18 $34,946.66 $34,382.42 2024-12-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $31,934.85 $36,321.81 $34,128.33 2024-12-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $31,189.97 $36,848.13 $34,019.05 2024-12-02
332 MS_DRG Rectal Resection With Mcc 2 2 — — $32,471.04 $35,365.65 $33,918.35 2024-12-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $33,783.10 $33,913.96 $33,848.53 2024-12-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $33,146.73 $34,466.24 $33,806.49 2024-12-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $31,556.63 $35,934.22 $33,745.43 2024-12-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $33,293.65 $33,862.02 $33,577.83 2024-12-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $31,541.77 $35,006.89 $33,274.33 2024-12-02
226 MS_DRG Cv DRG 2 2 — — $6,902.00 $59,376.37 $33,139.18 2024-12-02
33208 CPT Hc Insert/replace (pacemaker) Dual Rt Atrial & Rt Ventricular Lead System 14 9 $40,984.16 $16,393.66 60% off $471.45 $39,754.64 $32,787.33 2024-12-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $32,000.21 $33,564.40 $32,782.31 2024-12-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $32,187.00 $33,317.81 $32,752.40 2024-12-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $31,003.45 $34,243.36 $32,623.40 2024-12-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $32,369.89 $32,796.80 $32,583.35 2024-12-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $32,251.33 $32,554.29 $32,402.81 2024-12-02
92943 CPT Hc Cor Revasc Chronic Occ Bare Metal Stent/pta/atherect Initial Ves 14 9 $40,500.93 $16,200.37 60% off $593.19 $39,285.90 $32,400.74 2024-12-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $31,200.70 $32,427.18 $31,813.94 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $30,763.30 $32,687.66 $31,725.48 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $31,235.01 $32,055.71 $31,645.36 2024-12-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $31,206.25 $32,016.69 $31,611.47 2024-12-02
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $31,496.78 $31,496.78 $31,496.78 2024-12-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $29,746.12 $33,101.20 $31,423.66 2024-12-02
61889 CPT Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $31,406.36 $31,406.36 $31,406.36 2024-12-02
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 1 1 — — $31,406.36 $31,406.36 $31,406.36 2024-12-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $27,818.63 $34,921.85 $31,370.24 2024-12-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $6,902.00 $40,431.75 $30,926.97 2024-12-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $30,346.94 $31,475.69 $30,911.31 2024-12-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $30,578.89 $30,936.82 $30,757.85 2024-12-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $29,146.60 $31,964.88 $30,555.74 2024-12-02
33229 CPT Hc Replace Generator Only (pacemaker) Multiple 14 9 $37,974.29 $15,189.72 60% off $341.10 $36,835.06 $30,379.43 2024-12-02
33228 CPT Hc Replace Generator Only (pacemaker) Dual 14 9 $37,974.29 $15,189.72 60% off $322.78 $36,835.06 $30,379.43 2024-12-02
33221 CPT Hc Insert Generator Only (pacemaker) To Existing Multiple Leads 14 9 $37,974.29 $15,189.72 60% off $327.79 $36,835.06 $30,379.43 2024-12-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $29,760.69 $30,989.63 $30,375.16 2024-12-02
27125 CPT Partial Hip Replacement 2 2 — — $1,048.00 $59,027.84 $30,037.92 2024-12-02
265 MS_DRG Aicd Lead Procedures 2 2 — — $28,413.11 $31,634.11 $30,023.61 2024-12-02
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $6,902.00 $30,189.35 $30,020.23 2024-12-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $24,981.64 $34,882.47 $29,932.06 2024-12-02
C9604 HCPCS Hc Cor Revasc Graft Drug Eluting Stent/pta/atherect Initial Vessel Fa 13 9 $37,342.64 $14,937.06 60% off $1,267.00 $36,222.36 $29,874.11 2024-12-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $28,230.00 $31,148.41 $29,689.21 2024-12-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $6,902.00 $30,595.21 $29,674.71 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $29,272.73 $29,805.40 $29,539.07 2024-12-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 2 — — $28,275.24 $30,686.19 $29,480.72 2024-12-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $28,650.71 $30,159.52 $29,405.11 2024-12-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $29,242.67 $29,484.95 $29,363.81 2024-12-02
225 MS_DRG Cv DRG 2 2 — — $6,902.00 $51,716.20 $29,309.10 2024-12-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $25,206.50 $33,401.06 $29,303.78 2024-12-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $24,202.01 $34,287.62 $29,244.82 2024-12-02
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $28,110.57 $30,215.36 $29,162.97 2024-12-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $28,095.98 $30,225.21 $29,160.60 2024-12-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $26,718.92 $31,554.45 $29,136.68 2024-12-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $25,477.54 $32,297.17 $28,887.35 2024-12-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $28,780.50 $28,942.50 $28,861.50 2024-12-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $28,648.92 $28,648.92 $28,648.92 2024-12-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $28,187.75 $29,008.75 $28,598.25 2024-12-02
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $27,904.73 $29,234.32 $28,569.53 2024-12-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $6,902.00 $41,574.22 $28,460.94 2024-12-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $26,972.45 $29,916.39 $28,444.42 2024-12-02
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $27,354.97 $29,026.65 $28,190.81 2024-12-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $28,085.00 $28,224.38 $28,154.69 2024-12-02
33214 CPT Upgrade Of Pacemaker System 2 2 — — $437.11 $55,647.16 $28,042.14 2024-12-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $27,647.29 $28,298.93 $27,973.11 2024-12-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $26,801.41 $28,839.55 $27,820.48 2024-12-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $27,620.84 $27,974.00 $27,797.42 2024-12-02
33227 CPT Hc Replace Generator Only (pacemaker) Single 14 9 $34,622.93 $13,849.17 60% off $308.96 $33,584.24 $27,698.34 2024-12-02
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 12 9 $39,557.00 $15,822.80 60% off $13,844.95 $38,370.29 $27,689.90 2024-12-02
A9604 HCPCS Samarium-153 Lexidronam 13 9 $34,492.50 $13,797.00 60% off $12,072.38 $33,457.73 $27,594.00 2024-12-02
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $27,524.66 $27,524.66 $27,524.66 2024-12-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $26,865.86 $27,657.75 $27,261.81 2024-12-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $26,395.92 $27,777.96 $27,086.94 2024-12-02
227 MS_DRG Cv DRG 2 2 — — $6,902.00 $47,148.28 $27,025.14 2024-12-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $23,782.03 $30,156.28 $26,969.15 2024-12-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $26,572.26 $26,572.26 $26,572.26 2024-12-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $25,783.67 $27,257.12 $26,520.39 2024-12-02
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 12 9 $37,845.70 $15,138.28 60% off $13,246.00 $36,710.33 $26,491.99 2024-12-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $25,145.45 $27,650.42 $26,397.93 2024-12-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $26,261.45 $26,433.52 $26,347.49 2024-12-02
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $26,190.27 $26,454.10 $26,322.18 2024-12-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $25,845.43 $26,348.32 $26,096.88 2024-12-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $25,943.27 $26,175.73 $26,059.50 2024-12-02
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 12 9 $37,120.72 $14,848.29 60% off $12,992.25 $36,007.10 $25,984.50 2024-12-02
C9601 HCPCS Perc Drug-el Cor Stent Bran 1 1 — — $25,827.75 $25,827.75 $25,827.75 2024-12-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $25,731.75 $25,731.75 $25,731.75 2024-12-02
665 MS_DRG Prostatectomy With Mcc 2 2 — — $23,742.21 $27,650.87 $25,696.54 2024-12-02
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 12 9 $36,653.76 $14,661.50 60% off $12,828.82 $35,554.15 $25,657.63 2024-12-02
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $25,004.05 $26,105.91 $25,554.98 2024-12-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $25,088.17 $25,780.13 $25,434.15 2024-12-02
J9228 HCPCS Ipilimumab 5 Mg/ml Injection (so) 21 9 $29,863.72 $11,945.49 60% off $10,452.30 $115,870.94 $25,384.16 2024-12-02
570 MS_DRG Skin Debridement With Mcc 2 2 — — $24,372.04 $26,156.93 $25,264.49 2024-12-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $19,768.02 $30,485.68 $25,126.85 2024-12-02
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $22,582.36 $26,823.79 $24,703.08 2024-12-02
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $24,503.66 $24,896.07 $24,699.86 2024-12-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $19,347.12 $29,767.81 $24,557.47 2024-12-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $23,895.88 $25,200.69 $24,548.28 2024-12-02
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 12 9 $34,992.60 $13,997.04 60% off $12,247.41 $33,942.82 $24,494.82 2024-12-02
800 MS_DRG Splenic Procedures With Cc 2 2 — — $23,705.68 $25,221.54 $24,463.61 2024-12-02
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $24,432.25 $24,432.25 $24,432.25 2024-12-02
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 1 1 — — $24,432.25 $24,432.25 $24,432.25 2024-12-02
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 1 1 — — $24,432.25 $24,432.25 $24,432.25 2024-12-02
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $24,432.25 $24,432.25 $24,432.25 2024-12-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $22,354.50 $26,352.90 $24,353.70 2024-12-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $24,172.21 $24,529.62 $24,350.92 2024-12-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $6,902.00 $24,422.69 $24,244.97 2024-12-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $23,944.09 $24,475.01 $24,209.55 2024-12-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $22,667.79 $25,633.60 $24,150.69 2024-12-02
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 21 9 $36,446.76 $14,578.70 60% off $8,858.65 $35,353.36 $24,054.87 2024-12-02
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 12 9 $34,320.72 $13,728.29 60% off $12,012.25 $33,291.10 $24,024.50 2024-12-02
338 MS_DRG DRG 1 1 — — $23,991.24 $23,991.24 $23,991.24 2024-12-02
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 12 9 $34,126.09 $13,650.44 60% off $11,944.13 $33,102.31 $23,888.26 2024-12-02
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 12 9 $33,925.77 $13,570.31 60% off $11,874.02 $32,908.00 $23,748.04 2024-12-02
33212 CPT Hc Insert Generator Only (pacemaker) To Existing Single Lead 14 9 $29,672.33 $11,868.93 60% off $292.46 $28,782.16 $23,737.86 2024-12-02
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $23,360.86 $24,039.99 $23,700.43 2024-12-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $23,669.42 $23,669.42 $23,669.42 2024-12-02
C1764 HCPCS Hc Implant Cardiac Event Rec 11 9 $33,409.16 $13,363.66 60% off $11,693.21 $32,406.89 $23,386.41 2024-12-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $19,294.00 $24,723.16 $23,169.94 2024-12-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $21,744.17 $24,592.27 $23,168.22 2024-12-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $17,547.51 $28,782.29 $23,164.90 2024-12-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $19,155.98 $27,139.76 $23,147.87 2024-12-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $21,232.92 $25,052.22 $23,142.57 2024-12-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $23,031.52 $23,210.22 $23,120.87 2024-12-02
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 21 9 $47,512.64 $19,005.06 60% off $8,314.71 $46,087.26 $23,043.63 2024-12-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $22,886.29 $23,173.52 $23,029.90 2024-12-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $21,522.04 $24,481.02 $23,001.53 2024-12-02
C1777 HCPCS Hc Implant Lead Aicd Single 11 9 $32,797.80 $13,119.12 60% off $11,479.23 $31,813.87 $22,958.46 2024-12-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $22,531.73 $23,275.10 $22,903.42 2024-12-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 2 — — $20,161.48 $25,515.23 $22,838.35 2024-12-02
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $6,902.00 $23,508.21 $22,835.17 2024-12-02
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $6,902.00 $25,516.01 $22,828.91 2024-12-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $21,836.23 $23,056.39 $22,446.31 2024-12-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $18,714.14 $26,147.98 $22,431.06 2024-12-02
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $21,876.51 $22,924.31 $22,400.41 2024-12-02
63655 CPT Implant Neuroelectrodes 2 2 — — $761.07 $43,565.05 $22,163.06 2024-12-02
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $18,784.03 $25,224.22 $22,004.12 2024-12-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $21,755.33 $22,252.45 $22,003.89 2024-12-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 2 — — $21,775.91 $22,025.10 $21,900.50 2024-12-02
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $798.37 $42,994.68 $21,896.52 2024-12-02
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 12 9 $31,124.31 $12,449.72 60% off $10,893.51 $30,190.58 $21,787.02 2024-12-02
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 2 — — $556.58 $42,994.68 $21,775.63 2024-12-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 2 2 — — $21,564.07 $21,777.15 $21,670.61 2024-12-02
50590 CPT Hc Litho Eswl 14 9 $26,993.92 $10,797.57 60% off $533.40 $26,184.10 $21,595.14 2024-12-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $20,645.96 $22,236.34 $21,441.15 2024-12-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $21,341.23 $21,504.04 $21,422.64 2024-12-02
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $20,184.75 $22,451.97 $21,318.36 2024-12-02
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $19,713.88 $22,817.27 $21,265.58 2024-12-02
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 12 9 $30,333.03 $12,133.21 60% off $10,616.56 $29,423.04 $21,233.12 2024-12-02
246 MS_DRG Cv DRG 2 2 — — $6,902.00 $35,461.98 $21,181.99 2024-12-02
33224 CPT Insert Pacing Lead & Connect 2 2 — — $465.12 $41,798.58 $21,131.85 2024-12-02
792 MS_DRG Prematurity Without Major Problems 2 2 — — $20,046.86 $22,131.61 $21,089.24 2024-12-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $6,902.00 $23,457.44 $21,042.26 2024-12-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $20,439.69 $21,323.33 $20,881.51 2024-12-02
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 48 9 $28,378.01 $11,351.20 60% off $6,829.38 $32,462.99 $20,790.00 2024-12-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $20,226.99 $21,336.76 $20,781.88 2024-12-02
503 MS_DRG Foot Procedures With Mcc 2 2 — — $17,543.00 $24,005.98 $20,774.49 2024-12-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $20,746.88 $20,792.18 $20,769.53 2024-12-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 — — $17,181.42 $24,352.38 $20,766.90 2024-12-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $19,979.77 $21,533.13 $20,756.45 2024-12-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $19,947.38 $21,497.88 $20,722.63 2024-12-02
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $19,048.63 $22,316.90 $20,682.76 2024-12-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $19,986.93 $21,255.63 $20,621.28 2024-12-02
30 MS_DRG Spinal Procedures Without Cc/mcc 2 2 — — $20,213.25 $20,757.62 $20,485.43 2024-12-02
835 MS_DRG Acute Leukemia With Cc 2 2 — — $20,010.20 $20,903.93 $20,457.07 2024-12-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $6,902.00 $28,750.22 $20,387.04 2024-12-02
C9602 HCPCS Hc Cor Atherectomy & Drug-eluting Stent Inital Ves 13 9 $25,356.13 $10,142.45 60% off $1,267.00 $24,595.45 $20,284.90 2024-12-02
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 12 9 $28,847.00 $11,538.80 60% off $10,096.45 $27,981.59 $20,192.90 2024-12-02
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 12 9 $28,846.44 $11,538.58 60% off $10,096.25 $27,981.05 $20,192.51 2024-12-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $20,114.64 $20,254.57 $20,184.60 2024-12-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 2 — — $18,267.42 $22,098.00 $20,182.71 2024-12-02
93654 CPT Compre Ep Eval Tx Vt 2 2 — — $916.46 $39,406.05 $20,161.26 2024-12-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $19,889.76 $20,393.31 $20,141.53 2024-12-02
93656 CPT Compre Ep Eval Abltj Atr Fib 2 2 — — $862.22 $39,406.05 $20,134.14 2024-12-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $18,828.14 $21,428.95 $20,128.54 2024-12-02
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 12 9 $28,732.73 $11,493.09 60% off $10,056.46 $27,870.75 $20,112.91 2024-12-02
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $20,109.56 $20,109.56 $20,109.56 2024-12-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $18,691.12 $21,482.66 $20,086.89 2024-12-02
93653 CPT Compre Ep Eval Tx Svt 2 2 — — $760.40 $39,406.05 $20,083.23 2024-12-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $19,967.24 $20,152.37 $20,059.81 2024-12-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 2 — — $19,925.17 $20,082.99 $20,004.08 2024-12-02
341 MS_DRG DRG 1 1 — — $19,918.22 $19,918.22 $19,918.22 2024-12-02
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