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

OVERLAND PARK REG MED CTR

Overland Park, KS · CCN 170176 · Rates published

27,277 distinct procedures filed
36 distinct payers
781,376 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

326,324 of 781,376 rate rows are consumer-grade (41.8%)

455,052 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 440,901
per-diem day rate — not a per-procedure price 12,498
template filing: same amount across many unrelated codes — excluded 1,534
placeholder amount (≤ $0.02) — excluded from medians 83
exceeds 10× this hospital's gross charge — excluded from medians 36

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://www.hcadam.com/api/public/content/1d47da8ae87f4ce2847ba765c9af2c1b?download=true
Found on page https://www.hcamidwest.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 170e632e0ddd03e5… · 603,501,753 bytes · first seen 2026-05-09

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$3,006,423
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,469,189
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 9 $3,636,171.00 $3,930,003.00 $3,672,900.00 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,672,900.00 $3,672,900.00 $3,672,900.00 nat. median
$3,574,709
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 9 $3,568,950.00 $3,857,350.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 2 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,496,850
1.0× median
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,325,455.00 $3,325,455.00 $3,325,455.00 nat. median
$3,228,024
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 10 $5,531.63 $3,558,236.85 $3,325,455.00 nat. median
$13,041
outlier · 255.0×
748
OTHER 		Inj, Lovotibeglogene Auto 10 $9,124.41 $3,516,020.00 $3,286,000.00 nat. median
$17,963
outlier · 182.9×
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,286,000.00 $3,286,000.00 $3,286,000.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 10 $8,104.29 $3,175,760.00 $2,968,000.00 nat. median
$21,896
outlier · 135.6×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,878,960
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,388,614.00 $2,388,614.00 $2,388,614.00 nat. median
$2,457,321
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 9 $2,364,727.86 $2,555,816.98 $2,388,614.00 nat. median
$2,588,981
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $507,496.00 $837,683.55 $672,589.78 nat. median
$675,122
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $449,440.00 $741,576.00 $595,508.00 nat. median
$620,080
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 9 $523,900.97 $566,236.40 $529,192.90 nat. median
$566,531
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $529,192.90 $529,192.90 $529,192.90 nat. median
$538,205
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 9 $521,852.17 $564,022.04 $527,123.40 nat. median
$587,650
0.9× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $527,123.40 $527,123.40 $527,123.40 nat. median
$554,552
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $526,587.60 $526,587.60 $526,587.60 nat. median
$530,178
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $521,321.72 $563,448.73 $526,587.60 nat. median
$558,082
0.9× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $518,241.00 $863,696.72 $518,241.00 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $516,726.10 $516,726.10 $516,726.10 nat. median
$534,091
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $511,558.84 $552,896.93 $516,726.10 nat. median
$562,201
0.9× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $489,456.00 $489,456.00 $489,456.00 nat. median
$505,583
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $484,561.44 $523,717.92 $489,456.00 nat. median
$532,192
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $484,690.00 $830,699.97 $484,690.00 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $474,061.00 $819,043.85 $474,061.00 nat. median
$674,188
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $460,530.40 $460,530.40 $460,530.40 nat. median
$464,978
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 9 $455,925.10 $492,767.53 $460,530.40 nat. median
$489,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $459,381.00 $807,075.90 $459,381.00 nat. median
$634,511
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $1,791.04 $820,460.82 $284,276.81 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $1,791.04 $476,293.82 $210,473.02 nat. median
$265,286
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $187,499.40 $187,499.40 $187,499.40 nat. median
$263,894
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $1,791.04 $257,155.15 $172,177.43 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $1,791.04 $399,898.00 $157,185.10 nat. median
$202,986
0.8× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $154,714.60 $154,714.60 $154,714.60 nat. median
$424,868
outlier · 0.4×
01908
OTHER 		New Technology - Level 52 2 $142,051.20 $142,051.20 $142,051.20 nat. median
$82,736
1.7× median
01907
OTHER 		New Technology - Level 52 2 $142,051.20 $142,051.20 $142,051.20 nat. median
$84,819
1.7× median
1907
OTHER 		New Technology - Level 52 9 $140,630.69 $151,994.78 $142,051.20 nat. median
$153,199
0.9× median
1908
OTHER 		New Technology - Level 52 9 $140,630.69 $151,994.78 $142,051.20 nat. median
$152,962
0.9× median
1906
OTHER 		New Technology - Level 51 9 $126,798.21 $137,044.53 $128,079.00 nat. median
$138,020
0.9× median
01906
OTHER 		New Technology - Level 51 2 $128,079.00 $128,079.00 $128,079.00 nat. median
$82,736
1.5× median
01905
OTHER 		New Technology - Level 51 2 $128,079.00 $128,079.00 $128,079.00 nat. median
$82,736
1.5× median
1905
OTHER 		New Technology - Level 51 9 $126,798.21 $137,044.53 $128,079.00 nat. median
$137,903
0.9× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $125,587.10 $125,587.10 $125,587.10 nat. median
$218,232
0.6× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $120,116.70 $120,116.70 $120,116.70 nat. median
$76,377
1.6× median
01903
OTHER 		New Technology - Level 50 2 $114,106.80 $114,106.80 $114,106.80 nat. median
$84,819
1.3× median
01904
OTHER 		New Technology - Level 50 2 $114,106.80 $114,106.80 $114,106.80 nat. median
$82,736
1.4× median

Other procedures at this hospital

Browse this hospital's 27,277 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2025-01-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2025-01-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,672,900.00 $3,672,900.00 $3,672,900.00 2025-01-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 13 9 — — $3,636,171.00 $3,930,003.00 $3,672,900.00 2025-01-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 2 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2025-01-01
773 OTHER Inj, Beqvez, Per Tx Dose 13 9 — — $3,568,950.00 $3,857,350.00 $3,605,000.00 2025-01-01
714 OTHER Inj Delandistrogene Mox R 15 10 — — $5,531.63 $3,558,236.85 $3,325,455.00 2025-01-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,325,455.00 $3,325,455.00 $3,325,455.00 2025-01-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2025-01-01
748 OTHER Inj, Lovotibeglogene Auto 15 10 — — $9,124.41 $3,516,020.00 $3,286,000.00 2025-01-01
746 OTHER Inj, Betibeglogene Autote 15 10 — — $8,104.29 $3,175,760.00 $2,968,000.00 2025-01-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2025-01-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,388,614.00 $2,388,614.00 $2,388,614.00 2025-01-01
9141 OTHER Inj Onase Abepar-xioi Tre 13 9 — — $2,364,727.86 $2,555,816.98 $2,388,614.00 2025-01-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 3 — — $507,496.00 $837,683.55 $672,589.78 2025-01-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 3 — — $449,440.00 $741,576.00 $595,508.00 2025-01-01
9194 OTHER Tisagenlecleucel Car-pos 13 9 — — $523,900.97 $566,236.40 $529,192.90 2025-01-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $529,192.90 $529,192.90 $529,192.90 2025-01-01
9498 OTHER Ciltacabtagene Car-pos T 13 9 — — $521,852.17 $564,022.04 $527,123.40 2025-01-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $527,123.40 $527,123.40 $527,123.40 2025-01-01
9422 OTHER Idecabtagene Vicleucel Ca 13 9 — — $521,321.72 $563,448.73 $526,587.60 2025-01-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $526,587.60 $526,587.60 $526,587.60 2025-01-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 4 — — $518,241.00 $863,696.72 $518,241.00 2025-01-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $516,726.10 $516,726.10 $516,726.10 2025-01-01
9413 OTHER Lisocabtagene Car Pos T 13 9 — — $511,558.84 $552,896.93 $516,726.10 2025-01-01
9035 OTHER Axicabtagene Ciloleucel C 13 9 — — $484,561.44 $523,717.92 $489,456.00 2025-01-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $489,456.00 $489,456.00 $489,456.00 2025-01-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 4 — — $484,690.00 $830,699.97 $484,690.00 2025-01-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 7 4 — — $474,061.00 $819,043.85 $474,061.00 2025-01-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $460,530.40 $460,530.40 $460,530.40 2025-01-01
9391 OTHER Brexucabtagene Car Pos T 13 9 — — $455,925.10 $492,767.53 $460,530.40 2025-01-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 7 4 — — $459,381.00 $807,075.90 $459,381.00 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 19 — — $1,791.04 $820,460.82 $284,276.81 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 20 — — $1,791.04 $476,293.82 $210,473.02 2025-01-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $187,499.40 $187,499.40 $187,499.40 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 20 — — $1,791.04 $257,155.15 $172,177.43 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 20 — — $1,791.04 $399,898.00 $157,185.10 2025-01-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $154,714.60 $154,714.60 $154,714.60 2025-01-01
1907 OTHER New Technology - Level 52 13 9 — — $140,630.69 $151,994.78 $142,051.20 2025-01-01
01908 OTHER New Technology - Level 52 2 2 — — $142,051.20 $142,051.20 $142,051.20 2025-01-01
1908 OTHER New Technology - Level 52 13 9 — — $140,630.69 $151,994.78 $142,051.20 2025-01-01
01907 OTHER New Technology - Level 52 2 2 — — $142,051.20 $142,051.20 $142,051.20 2025-01-01
1905 OTHER New Technology - Level 51 13 9 — — $126,798.21 $137,044.53 $128,079.00 2025-01-01
01905 OTHER New Technology - Level 51 2 2 — — $128,079.00 $128,079.00 $128,079.00 2025-01-01
1906 OTHER New Technology - Level 51 13 9 — — $126,798.21 $137,044.53 $128,079.00 2025-01-01
01906 OTHER New Technology - Level 51 2 2 — — $128,079.00 $128,079.00 $128,079.00 2025-01-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $125,587.10 $125,587.10 $125,587.10 2025-01-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $120,116.70 $120,116.70 2025-01-01
1903 OTHER New Technology - Level 50 13 9 — — $112,965.73 $122,094.28 $114,106.80 2025-01-01
01903 OTHER New Technology - Level 50 2 2 — — $114,106.80 $114,106.80 $114,106.80 2025-01-01
01904 OTHER New Technology - Level 50 2 2 — — $114,106.80 $114,106.80 $114,106.80 2025-01-01
1904 OTHER New Technology - Level 50 13 9 — — $112,965.73 $122,094.28 $114,106.80 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $108,036.36 $108,036.36 $108,036.36 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 20 — — $1,791.04 $153,159.44 $102,862.58 2025-01-01
1902 OTHER New Technology - Level 49 13 9 — — $99,133.25 $107,144.02 $100,134.60 2025-01-01
1901 OTHER New Technology - Level 49 13 9 — — $99,133.25 $107,144.02 $100,134.60 2025-01-01
01902 OTHER New Technology - Level 49 2 2 — — $100,134.60 $100,134.60 $100,134.60 2025-01-01
01901 OTHER New Technology - Level 49 2 2 — — $100,134.60 $100,134.60 $100,134.60 2025-01-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 15 10 — — $98,999.90 $106,999.89 $99,999.90 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 21 — — $1,791.04 $221,536.22 $98,325.69 2025-01-01
7 MS_DRG Lung Transplant 30 21 — — $1,791.04 $220,978.19 $98,080.05 2025-01-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 15 10 — — $90,121.58 $97,404.13 $91,031.90 2025-01-01
1585 OTHER New Technology - Level 48 13 9 — — $87,606.15 $94,685.43 $88,491.06 2025-01-01
1599 OTHER New Technology - Level 48 13 9 — — $87,606.15 $94,685.43 $88,491.06 2025-01-01
01585 OTHER New Technology - Level 48 2 2 — — $88,491.06 $88,491.06 $88,491.06 2025-01-01
01599 OTHER New Technology - Level 48 2 2 — — $88,491.06 $88,491.06 $88,491.06 2025-01-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $88,303.34 $88,303.34 $88,303.34 2025-01-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 4 3 — — $63,505.40 $104,773.89 $84,139.65 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 20 — — $1,791.04 $277,493.00 $83,645.37 2025-01-01
215 MS_DRG Other Heart Assist System Implant 42 23 — — $1,791.04 $317,476.00 $83,571.05 2025-01-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $82,048.99 $82,048.99 $82,048.99 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 20 — — $1,791.04 $237,001.18 $81,088.02 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $1,791.04 $228,048.17 $80,373.31 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 21 — — $1,791.04 $180,067.83 $80,070.82 2025-01-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $79,903.72 $79,903.72 $79,903.72 2025-01-01
1598 OTHER New Technology - Level 47 13 9 — — $78,384.51 $84,718.61 $79,176.27 2025-01-01
01584 OTHER New Technology - Level 47 2 2 — — $79,176.27 $79,176.27 $79,176.27 2025-01-01
01598 OTHER New Technology - Level 47 2 2 — — $79,176.27 $79,176.27 $79,176.27 2025-01-01
1584 OTHER New Technology - Level 47 13 9 — — $78,384.51 $84,718.61 $79,176.27 2025-01-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $76,785.37 $76,785.37 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 23 — — $1,791.04 $209,963.75 $72,640.24 2025-01-01
2W3RX3Z OTHER Immobilization Of Left Lower Leg Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4TX5Z OTHER Packing Of Left Foot Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3EX3Z OTHER Immobilization Of Right Hand Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3JXYZ OTHER Immobilization Of Right Finger Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3SXYZ OTHER Immobilization Of Right Foot Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4SX5Z OTHER Packing Of Right Foot Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3GXYZ OTHER Immobilization Of Right Thumb Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3DXYZ OTHER Immobilization Of Left Lower Arm Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3NXYZ OTHER Immobilization Of Right Upper Leg Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W19X7Z OTHER Compression Of Left Upper Extremity Using Intermittent Pressure Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4NX5Z OTHER Packing Of Right Upper Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W1VX7Z OTHER Compression Of Left Toe Using Intermittent Pressure Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4RX5Z OTHER Packing Of Left Lower Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2Y45X5Z OTHER Packing Of Urethra Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2Y40X5Z OTHER Packing Of Mouth And Pharynx Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4GX5Z OTHER Packing Of Right Thumb Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3LXYZ OTHER Immobilization Of Right Lower Extremity Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3FXYZ OTHER Immobilization Of Left Hand Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W10X7Z OTHER Compression Of Head Using Intermittent Pressure Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3SX3Z OTHER Immobilization Of Right Foot Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W42X5Z OTHER Packing Of Neck Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3UX3Z OTHER Immobilization Of Right Toe Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4DX5Z OTHER Packing Of Left Lower Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W40X5Z OTHER Packing Of Head Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W45X5Z OTHER Packing Of Back Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3UXYZ OTHER Immobilization Of Right Toe Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3QXYZ OTHER Immobilization Of Right Lower Leg Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3LX3z OTHER Immobilization Of Right Lower Extremity Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4VX5Z OTHER Packing Of Left Toe Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3BXYZ OTHER Immobilization Of Left Upper Arm Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4MX5Z OTHER Packing Of Left Lower Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W47X5Z OTHER Packing Of Left Inguinal Region Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3FX3Z OTHER Immobilization Of Left Hand Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3TX3Z OTHER Immobilization Of Left Foot Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3VXYZ OTHER Immobilization Of Left Toe Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3BX3Z OTHER Immobilization Of Left Upper Arm Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4FX5Z OTHER Packing Of Left Hand Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4AX5Z OTHER Packing Of Right Upper Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3AX3Z OTHER Immobilization Of Right Upper Arm Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4EX5Z OTHER Packing Of Right Hand Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3CX3Z OTHER Immobilization Of Right Lower Arm Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4CX5Z OTHER Packing Of Right Lower Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3DX3Z OTHER Immobilization Of Left Lower Arm Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3JX3Z OTHER Immobilization Of Right Finger Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
0NH045Z OTHER Insertion Of External Fixation Device Into Skull, Percutaneous Endoscopic Approa… 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4QX5Z OTHER Packing Of Right Lower Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3QX3Z OTHER Immobilization Of Right Lower Leg Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3MX3Z OTHER Immobilization Of Left Lower Extremity Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W44X5Z OTHER Packing Of Chest Wall Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3HX3Z OTHER Immobilization Of Left Thumb Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4LX5Z OTHER Packing Of Right Lower Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3EXYZ OTHER Immobilization Of Right Hand Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3VX3Z OTHER Immobilization Of Left Toe Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W46X5Z OTHER Packing Of Right Inguinal Region Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4KX5Z OTHER Packing Of Left Finger Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4PX5Z OTHER Packing Of Left Upper Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3HXYZ OTHER Immobilization Of Left Thumb Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3RXYZ OTHER Immobilization Of Left Lower Leg Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W30X3Z OTHER Immobilization Of Head Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W43X5Z OTHER Packing Of Abdominal Wall Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3KX3Z OTHER Immobilization Of Left Finger Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W48X5Z OTHER Packing Of Right Upper Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4BX5Z OTHER Packing Of Left Upper Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3KXYZ OTHER Immobilization Of Left Finger Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3GX3Z OTHER Immobilization Of Right Thumb Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4HX5Z OTHER Packing Of Left Thumb Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3PX3Z OTHER Immobilization Of Left Upper Leg Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
0NH005Z OTHER Insertion Of External Fixation Device Into Skull, Open Approach 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3CXYZ OTHER Immobilization Of Right Lower Arm Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W49X5Z OTHER Packing Of Left Upper Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3MXYZ OTHER Immobilization Of Left Lower Extremity Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3TXYZ OTHER Immobilization Of Left Foot Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3PXYZ OTHER Immobilization Of Left Upper Leg Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W39XYZ OTHER Immobilization Of Left Upper Extremity Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4JX5Z OTHER Packing Of Right Finger Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3AXYZ OTHER Immobilization Of Right Upper Arm Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3NX3Z OTHER Immobilization Of Right Upper Leg Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
007 OTHER Lung Transplant 2 2 — — $70,793.35 $70,793.35 $70,793.35 2025-01-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $70,664.92 $70,664.92 $70,664.92 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 32 15 — — $1,791.04 $200,410.25 $70,051.70 2025-01-01
01597 OTHER New Technology - Level 46 2 2 — — $69,861.47 $69,861.47 $69,861.47 2025-01-01
1583 OTHER New Technology - Level 46 13 9 — — $69,162.86 $74,751.77 $69,861.47 2025-01-01
1597 OTHER New Technology - Level 46 13 9 — — $69,162.86 $74,751.77 $69,861.47 2025-01-01
01583 OTHER New Technology - Level 46 2 2 — — $69,861.47 $69,861.47 $69,861.47 2025-01-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 15 10 — — $65,212.98 $70,482.72 $65,871.70 2025-01-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $65,476.58 $65,476.58 $65,476.58 2025-01-01
1643 OTHER Y90 Ibritumomab, Rx 13 9 — — $64,821.81 $70,059.94 $65,476.58 2025-01-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $65,399.50 $65,399.50 $65,399.50 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 23 — — $1,791.04 $184,251.33 $64,781.81 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 15 — — $1,791.04 $181,453.38 $64,660.00 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 47 23 — — $1,791.04 $200,713.00 $63,878.67 2025-01-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $63,354.77 $63,354.77 $63,354.77 2025-01-01
717 OTHER Instill Adstiladrin, Tx D 15 10 — — $13,256.37 $67,789.60 $63,354.77 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 23 — — $1,791.04 $175,372.30 $61,699.24 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $61,220.25 $62,162.10 $61,220.25 2025-01-01
01596 OTHER New Technology - Level 45 2 2 — — $60,546.66 $60,546.66 $60,546.66 2025-01-01
1596 OTHER New Technology - Level 45 13 9 — — $59,941.19 $64,784.93 $60,546.66 2025-01-01
01582 OTHER New Technology - Level 45 2 2 — — $60,546.66 $60,546.66 $60,546.66 2025-01-01
1582 OTHER New Technology - Level 45 13 9 — — $59,941.19 $64,784.93 $60,546.66 2025-01-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $60,274.46 $60,274.46 $60,274.46 2025-01-01
10 MS_DRG Pancreas Transplant 28 21 — — $1,791.04 $275,595.00 $60,150.73 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 47 23 — — $1,791.04 $204,160.00 $60,140.05 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 21 — — $1,791.04 $275,595.00 $59,809.05 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 23 — — $1,791.04 $218,778.00 $59,541.97 2025-01-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 4 3 — — $44,578.80 $72,861.11 $58,719.96 2025-01-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $58,086.56 $58,086.56 $58,086.56 2025-01-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $57,953.97 $57,953.97 $57,953.97 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $1,791.04 $154,446.42 $57,852.92 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 23 — — $1,791.04 $162,387.72 $56,362.49 2025-01-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 7 3 — — $55,453.60 $91,596.09 $55,453.60 2025-01-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.23 $55,015.23 $55,015.23 2025-01-01
9273 OTHER Sipuleucel-t Auto Cd54+ 13 9 — — $54,465.08 $58,866.30 $55,015.23 2025-01-01
215 OTHER Other Heart Assist System Implant 2 2 — — $53,899.49 $53,899.49 $53,899.49 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 20 — — $1,791.04 $153,745.84 $53,405.73 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $52,965.90 $53,780.76 $52,965.90 2025-01-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $52,174.33 $52,174.33 $52,174.33 2025-01-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $51,884.20 $51,884.20 $51,884.20 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 15 — — $1,791.04 $145,863.28 $51,703.07 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 41 23 — — $1,791.04 $148,554.62 $51,629.60 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 23 — — $1,791.04 $151,352.57 $51,555.78 2025-01-01
1581 OTHER New Technology - Level 44 13 9 — — $50,719.55 $54,818.10 $51,231.87 2025-01-01
01595 OTHER New Technology - Level 44 2 2 — — $51,231.87 $51,231.87 $51,231.87 2025-01-01
1595 OTHER New Technology - Level 44 13 9 — — $50,719.55 $54,818.10 $51,231.87 2025-01-01
01581 OTHER New Technology - Level 44 2 2 — — $51,231.87 $51,231.87 $51,231.87 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 23 — — $1,791.04 $145,058.27 $51,175.01 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 20 — — $1,791.04 $145,233.00 $50,820.10 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 15 — — $1,791.04 $134,588.80 $50,755.59 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 23 — — $1,791.04 $142,470.00 $49,829.87 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 20 — — $1,791.04 $96,991.00 $49,526.93 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 — — $49,042.50 $49,797.00 $49,042.50 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 23 — — $1,791.04 $140,717.75 $48,948.28 2025-01-01
5244 OTHER Level 4 Blood Product Exc 13 9 — — $48,013.61 $51,893.50 $48,498.60 2025-01-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $48,498.60 $48,498.60 $48,498.60 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 23 — — $1,791.04 $137,589.09 $47,877.83 2025-01-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $47,295.22 $47,295.22 $47,295.22 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 47 23 — — $1,791.04 $197,513.00 $47,180.22 2025-01-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 15 10 — — $46,534.95 $50,295.35 $47,005.00 2025-01-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $46,835.59 $46,835.59 $46,835.59 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 23 — — $1,791.04 $133,975.25 $46,641.39 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 23 — — $1,791.04 $133,516.18 $46,484.32 2025-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $46,478.25 $47,193.30 $46,478.25 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 21 — — $1,791.04 $102,060.30 $46,336.59 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 23 — — $1,791.04 $163,642.00 $46,285.37 2025-01-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $46,133.16 $46,133.16 $46,133.16 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 23 — — $1,791.04 $142,470.00 $45,971.90 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 21 — — $1,791.04 $102,060.30 $45,730.99 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 23 — — $1,791.04 $137,500.00 $45,657.37 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 47 23 — — $1,791.04 $128,013.84 $45,476.29 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $1,791.04 $137,500.00 $45,470.22 2025-01-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $45,400.04 $45,400.04 $45,400.04 2025-01-01
01142 OTHER Supprelin La Implant 2 2 — — $45,350.21 $45,350.21 $45,350.21 2025-01-01
1142 OTHER Supprelin La Implant 13 9 — — $44,896.71 $48,524.72 $45,350.21 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 15 — — $1,791.04 $137,500.00 $45,185.88 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 45 23 — — $1,791.04 $132,262.98 $45,152.50 2025-01-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $44,863.46 $44,863.46 $44,863.46 2025-01-01
834 OTHER Acute Leukemia With Mcc 2 2 — — $44,051.32 $44,051.32 $44,051.32 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 23 — — $1,791.04 $144,076.00 $44,004.24 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 20 — — $1,791.04 $49,032.95 $43,511.22 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 23 — — $1,791.04 $124,117.16 $43,480.62 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 23 — — $1,791.04 $126,667.08 $43,275.45 2025-01-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $43,045.24 $43,045.24 $43,045.24 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 33 15 — — $1,791.04 $112,042.02 $42,590.39 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 9 — — $40,786.00 $71,363.16 $42,417.44 2025-01-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 15 10 — — $41,932.84 $45,321.35 $42,356.40 2025-01-01
1580 OTHER New Technology - Level 43 13 9 — — $41,497.90 $44,851.26 $41,917.07 2025-01-01
01594 OTHER New Technology - Level 43 2 2 — — $41,917.07 $41,917.07 $41,917.07 2025-01-01
01580 OTHER New Technology - Level 43 2 2 — — $41,917.07 $41,917.07 $41,917.07 2025-01-01
1594 OTHER New Technology - Level 43 13 9 — — $41,497.90 $44,851.26 $41,917.07 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 41 23 — — $1,791.04 $121,277.87 $41,467.73 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 21 — — $1,791.04 $275,595.00 $41,304.05 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 23 — — $1,791.04 $108,412.96 $41,239.18 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 23 — — $1,791.04 $118,105.70 $41,211.75 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 23 — — $1,791.04 $115,745.06 $41,196.31 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 41 23 — — $1,791.04 $120,248.76 $41,122.53 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 23 — — $1,791.04 $115,231.60 $41,017.19 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 41 23 — — $1,791.04 $117,503.03 $41,005.55 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 23 — — $1,791.04 $117,392.07 $40,967.59 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 23 — — $1,791.04 $117,376.84 $40,962.37 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $40,844.70 $41,473.08 $40,844.70 2025-01-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 3 1 — — $15,750.45 $44,064.00 $40,759.00 2025-01-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 2 — — $39,757.14 $39,757.14 $39,757.14 2025-01-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $39,753.50 $39,753.50 $39,753.50 2025-01-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $39,664.07 $39,664.07 $39,664.07 2025-01-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $39,599.60 $39,599.60 $39,599.60 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 23 — — $1,791.04 $111,674.33 $39,585.00 2025-01-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $39,351.59 $39,351.59 $39,351.59 2025-01-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $39,156.09 $39,156.09 $39,156.09 2025-01-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $39,018.83 $39,018.83 $39,018.83 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $38,996.10 $39,596.04 $38,996.10 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 23 — — $1,791.04 $110,836.69 $38,914.54 2025-01-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $38,803.31 $38,803.31 $38,803.31 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 20 — — $1,791.04 $145,233.00 $38,386.54 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 23 — — $1,791.04 $109,579.13 $38,294.45 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 23 — — $1,791.04 $110,497.28 $38,230.07 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 23 — — $1,791.04 $108,932.95 $38,073.37 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 43 20 — — $1,791.04 $108,848.10 $38,044.34 2025-01-01
006 OTHER Liver Transplant Without Mcc 2 2 — — $37,899.40 $37,899.40 $37,899.40 2025-01-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 15 10 — — $37,346.96 $40,364.89 $37,724.20 2025-01-01
245 MS_DRG Aicd Generator Procedures 47 23 — — $1,791.04 $106,315.58 $37,542.35 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 23 — — $1,791.04 $108,817.64 $37,427.35 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 30 21 — — $1,791.04 $81,994.90 $36,897.96 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 23 — — $1,791.04 $122,872.00 $36,524.71 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 41 23 — — $1,791.04 $103,894.03 $36,349.34 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 39 23 — — $1,791.04 $105,673.75 $36,233.59 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 23 — — $1,791.04 $103,439.31 $36,193.76 2025-01-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $35,886.72 $35,886.72 $35,886.72 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 41 23 — — $1,791.04 $103,443.66 $35,728.11 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 23 — — $1,791.04 $106,637.00 $35,673.87 2025-01-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $35,649.62 $35,649.62 $35,649.62 2025-01-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $35,593.47 $35,593.47 $35,593.47 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 42 23 — — $1,791.04 $100,275.84 $35,455.64 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 23 — — $1,791.04 $99,901.62 $35,326.34 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 21 — — $1,791.04 $196,853.00 $35,097.26 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 23 — — $1,791.04 $101,805.35 $34,936.00 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 23 — — $1,791.04 $137,500.00 $34,558.60 2025-01-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $34,365.38 $34,365.38 $34,365.38 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 23 — — $1,791.04 $97,297.30 $34,259.45 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 23 — — $1,791.04 $97,567.09 $34,184.63 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 15 — — $1,791.04 $88,838.18 $33,950.88 2025-01-01
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