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 →

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Hospital

MENORAH MEDICAL CENTER

Overland Park, KS · CCN 170182 · Rates published

28,382 distinct procedures filed
33 distinct payers
794,176 rate rows
2025-01-01 last MRF observed · ⚠ 18 mo old
Data quality

342,992 of 794,176 rate rows are consumer-grade (43.2%)

451,184 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 436,331
per-diem day rate — not a per-procedure price 12,424
template filing: same amount across many unrelated codes — excluded 2,304
placeholder amount (≤ $0.02) — excluded from medians 83
exceeds 10× this hospital's gross charge — excluded from medians 42

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://www.hcadam.com/api/public/content/4e12eecc20ff47979a74e565cb413594?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 0fe4cfe3144654cf… · 593,481,414 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
$3,004,655
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
$2,468,984
1.6× 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
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
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
714
OTHER 		Inj Delandistrogene Mox R 10 $5,916.38 $3,558,236.85 $3,325,455.00 nat. median
$13,041
outlier · 255.0×
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
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
748
OTHER 		Inj, Lovotibeglogene Auto 10 $9,759.05 $3,516,020.00 $3,286,000.00 nat. median
$17,963
outlier · 182.9×
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
746
OTHER 		Inj, Betibeglogene Autote 10 $8,667.97 $3,175,760.00 $2,968,000.00 nat. median
$21,896
outlier · 135.6×
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
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
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
$619,808
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $529,192.90 $529,192.90 $529,192.90 nat. median
$538,205
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
09498
OTHER 		Ciltacabtagene Car-pos T 2 $527,123.40 $527,123.40 $527,123.40 nat. median
$554,552
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
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $521,321.72 $563,448.73 $526,587.60 nat. median
$558,082
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $526,587.60 $526,587.60 $526,587.60 nat. median
$530,178
1.0× 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
$753,246
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
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $507,496.00 $837,683.55 $507,496.00 nat. median
$674,867
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $484,561.44 $523,717.92 $489,456.00 nat. median
$532,192
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
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
$673,137
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
$634,303
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $129,317.00 $820,460.82 $292,261.26 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $106,701.00 $476,293.82 $216,175.54 nat. median
$265,286
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $200,540.70 $200,540.70 $200,540.70 nat. median
$263,894
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $13,357.00 $257,155.15 $176,716.19 nat. median
$206,474
0.9× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $165,475.60 $165,475.60 $165,475.60 nat. median
$424,868
outlier · 0.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $13,357.00 $232,303.37 $159,638.09 nat. median
$202,976
0.8× median
01907
OTHER 		New Technology - Level 52 2 $142,051.20 $142,051.20 $142,051.20 nat. median
$84,819
1.7× median
1908
OTHER 		New Technology - Level 52 9 $140,630.69 $151,994.78 $142,051.20 nat. median
$152,962
0.9× median
1907
OTHER 		New Technology - Level 52 9 $140,630.69 $151,994.78 $142,051.20 nat. median
$153,199
0.9× median
01908
OTHER 		New Technology - Level 52 2 $142,051.20 $142,051.20 $142,051.20 nat. median
$82,736
1.7× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $134,322.20 $134,322.20 $134,322.20 nat. median
$218,232
0.6× median
1905
OTHER 		New Technology - Level 51 9 $126,798.21 $137,044.53 $128,079.00 nat. median
$137,903
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
1906
OTHER 		New Technology - Level 51 9 $126,798.21 $137,044.53 $128,079.00 nat. median
$138,020
0.9× median
01905
OTHER 		New Technology - Level 51 2 $128,079.00 $128,079.00 $128,079.00 nat. median
$82,736
1.5× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $120,116.70 $120,116.70 $120,116.70 nat. median
$76,329
1.6× median
01904
OTHER 		New Technology - Level 50 2 $114,106.80 $114,106.80 $114,106.80 nat. median
$82,736
1.4× median
1904
OTHER 		New Technology - Level 50 9 $112,965.73 $122,094.28 $114,106.80 nat. median
$120,174
0.9× median

Other procedures at this hospital

Browse this hospital's 28,382 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
9138 OTHER Inj, Hemgenix, Per Tx Dos 13 9 — — $3,636,171.00 $3,930,003.00 $3,672,900.00 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
773 OTHER Inj, Beqvez, Per Tx Dose 13 9 — — $3,568,950.00 $3,857,350.00 $3,605,000.00 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
714 OTHER Inj Delandistrogene Mox R 15 10 — — $5,916.38 $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 — — $9,759.05 $3,516,020.00 $3,286,000.00 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
746 OTHER Inj, Betibeglogene Autote 15 10 — — $8,667.97 $3,175,760.00 $2,968,000.00 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
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,388,614.00 $2,388,614.00 $2,388,614.00 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
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $529,192.90 $529,192.90 $529,192.90 2025-01-01
9194 OTHER Tisagenlecleucel Car-pos 13 9 — — $523,900.97 $566,236.40 $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
9413 OTHER Lisocabtagene Car Pos T 13 9 — — $511,558.84 $552,896.93 $516,726.10 2025-01-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $516,726.10 $516,726.10 $516,726.10 2025-01-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 7 4 — — $507,496.00 $837,683.55 $507,496.00 2025-01-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $489,456.00 $489,456.00 $489,456.00 2025-01-01
9035 OTHER Axicabtagene Ciloleucel C 13 9 — — $484,561.44 $523,717.92 $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 31 18 — — $129,317.00 $820,460.82 $292,261.26 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 19 — — $106,701.00 $476,293.82 $216,175.54 2025-01-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $200,540.70 $200,540.70 $200,540.70 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 19 — — $13,357.00 $257,155.15 $176,716.19 2025-01-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $165,475.60 $165,475.60 $165,475.60 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 19 — — $13,357.00 $232,303.37 $159,638.09 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
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $134,322.20 $134,322.20 $134,322.20 2025-01-01
1906 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
1905 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
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $120,116.70 $120,116.70 2025-01-01
01903 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
1903 OTHER New Technology - Level 50 13 9 — — $112,965.73 $122,094.28 $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
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 2 1 $199,788.29 $199,788.29 $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… 27 19 — — $13,357.00 $153,159.44 $105,250.66 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 20 — — $40,206.00 $221,536.22 $100,548.68 2025-01-01
7 MS_DRG Lung Transplant 29 20 — — $48,286.00 $220,978.19 $100,295.42 2025-01-01
01901 OTHER New Technology - Level 49 2 2 — — $100,134.60 $100,134.60 $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
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
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
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $94,445.16 $94,445.16 $94,445.16 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
01599 OTHER New Technology - Level 48 2 2 — — $88,491.06 $88,491.06 $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
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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 19 — — $48,209.00 $277,493.00 $88,306.88 2025-01-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $87,755.80 $87,755.80 $87,755.80 2025-01-01
215 MS_DRG Other Heart Assist System Implant 41 22 — — $49,446.00 $317,476.00 $87,532.00 2025-01-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $85,461.32 $85,461.32 $85,461.32 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $49,814.00 $228,048.17 $84,389.12 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 19 — — $13,357.00 $237,001.18 $83,603.94 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 20 — — $40,747.00 $180,067.83 $81,727.42 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
1598 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
007 OTHER Lung Transplant 2 2 — — $75,717.29 $75,717.29 $75,717.29 2025-01-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $75,579.93 $75,579.93 $75,579.93 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 22 — — $46,971.00 $209,963.75 $74,429.36 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 31 14 — — $13,357.00 $200,410.25 $72,082.42 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
2W3DX3Z OTHER Immobilization Of Left Lower Arm Using Brace 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
2W3PX3Z OTHER Immobilization Of Left Upper Leg Using Brace 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
2W3DXYZ OTHER Immobilization Of Left Lower Arm 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
2W3NX3Z OTHER Immobilization Of Right Upper Leg Using Brace 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
2W4JX5Z OTHER Packing Of Right Finger Using Packing Material 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
2W30X3Z OTHER Immobilization Of Head Using Brace 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
2W44X5Z OTHER Packing Of Chest Wall Using Packing Material 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
2W46X5Z OTHER Packing Of Right Inguinal Region Using Packing Material 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
2W3MX3Z OTHER Immobilization Of Left Lower Extremity 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
2W4PX5Z OTHER Packing Of Left Upper Leg Using Packing Material 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
2W3HXYZ OTHER Immobilization Of Left Thumb Using Other Device 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
2W3PXYZ OTHER Immobilization Of Left Upper Leg Using Other Device 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
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
2W48X5Z OTHER Packing Of Right Upper Extremity 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
2W4FX5Z OTHER Packing Of Left Hand 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
2W3GXYZ OTHER Immobilization Of Right Thumb Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 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
2W3CX3Z OTHER Immobilization Of Right Lower Arm Using Brace 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
2W4AX5Z OTHER Packing Of Right Upper Arm Using Packing Material 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
2W1VX7Z OTHER Compression Of Left Toe Using Intermittent Pressure Device 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
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
2W3LX3z OTHER Immobilization Of Right Lower Extremity Using Brace 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
2W4HX5Z OTHER Packing Of Left Thumb Using Packing Material 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
2W4QX5Z OTHER Packing Of Right Lower Leg Using Packing Material 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
2W3UXYZ OTHER Immobilization Of Right Toe Using Other Device 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
2W4GX5Z OTHER Packing Of Right Thumb Using Packing Material 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
2W4MX5Z OTHER Packing Of Left Lower Extremity Using Packing Material 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
2W3CXYZ OTHER Immobilization Of Right Lower Arm Using Other Device 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
2W3JX3Z OTHER Immobilization Of Right Finger Using Brace 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
2Y40X5Z OTHER Packing Of Mouth And Pharynx Using Packing Material 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
2W3QXYZ OTHER Immobilization Of Right Lower Leg 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
2W4VX5Z OTHER Packing Of Left Toe Using Packing Material 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
2W3QX3Z OTHER Immobilization Of Right Lower Leg Using Brace 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
2W3MXYZ OTHER Immobilization Of Left Lower Extremity Using Other Device 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
2W40X5Z OTHER Packing Of Head 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
2W3TXYZ OTHER Immobilization Of Left Foot Using Other Device 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
2W3AX3Z OTHER Immobilization Of Right Upper Arm Using Brace 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
2W42X5Z OTHER Packing Of Neck 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
2W3NXYZ OTHER Immobilization Of Right Upper Leg Using Other Device 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
2W3GX3Z OTHER Immobilization Of Right Thumb Using Brace 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
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $69,948.27 $69,948.27 $69,948.27 2025-01-01
01597 OTHER New Technology - Level 46 2 2 — — $69,861.47 $69,861.47 $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
1597 OTHER New Technology - Level 46 13 9 — — $69,162.86 $74,751.77 $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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $49,814.00 $181,453.38 $67,146.74 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 22 — — $38,814.00 $184,251.33 $66,270.47 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 22 — — $39,278.00 $200,713.00 $65,351.67 2025-01-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $64,466.77 $64,466.77 $64,466.77 2025-01-01
717 OTHER Instill Adstiladrin, Tx D 15 10 — — $14,178.40 $67,789.60 $63,354.77 2025-01-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $63,354.77 $63,354.77 $63,354.77 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 22 — — $39,046.00 $175,372.30 $63,076.92 2025-01-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $62,126.69 $62,126.69 $62,126.69 2025-01-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $61,984.88 $61,984.88 $61,984.88 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
10 MS_DRG Pancreas Transplant 27 20 — — $18,943.00 $275,595.00 $61,189.27 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 20 — — $31,469.00 $275,595.00 $60,836.99 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 22 — — $37,732.00 $204,160.00 $60,603.00 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 22 — — $37,306.00 $218,778.00 $60,574.19 2025-01-01
01582 OTHER New Technology - Level 45 2 2 — — $60,546.66 $60,546.66 $60,546.66 2025-01-01
01596 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
1596 OTHER New Technology - Level 45 13 9 — — $59,941.19 $64,784.93 $60,546.66 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $49,814.00 $154,446.42 $59,823.53 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
215 OTHER Other Heart Assist System Implant 2 2 — — $57,648.39 $57,648.39 $57,648.39 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 22 — — $13,357.00 $162,387.72 $57,283.49 2025-01-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $55,803.25 $55,803.25 $55,803.25 2025-01-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $55,492.94 $55,492.94 $55,492.94 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
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 5 — — $54,317.38 $55,144.54 $55,144.54 2025-01-01
9273 OTHER Sipuleucel-t Auto Cd54+ 13 9 — — $54,465.08 $58,866.30 $55,015.23 2025-01-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.23 $55,015.23 $55,015.23 2025-01-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 8 5 — — $53,759.52 $54,578.19 $54,578.19 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 19 — — $34,059.00 $153,745.84 $54,235.00 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $47,721.41 $145,863.28 $53,976.65 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 22 — — $9,436.00 $151,352.57 $53,390.76 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 19 — — $30,038.00 $145,233.00 $53,131.39 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 14 — — $44,032.79 $134,588.80 $53,062.77 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
B0106 OTHER Stroke; M > 30.05 & M < 34.25 8 5 — — $51,800.77 $52,589.61 $52,589.61 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 22 — — $13,357.00 $148,554.62 $52,403.75 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 22 — — $33,170.00 $145,058.27 $52,173.73 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 22 — — $30,812.00 $142,470.00 $51,989.61 2025-01-01
01595 OTHER New Technology - Level 44 2 2 — — $51,231.87 $51,231.87 $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
1595 OTHER New Technology - Level 44 13 9 — — $50,719.55 $54,818.10 $51,231.87 2025-01-01
1581 OTHER New Technology - Level 44 13 9 — — $50,719.55 $54,818.10 $51,231.87 2025-01-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $50,584.78 $50,584.78 $50,584.78 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 19 — — $13,357.00 $110,669.00 $50,252.08 2025-01-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $50,093.18 $50,093.18 $50,093.18 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 22 — — $9,436.00 $140,717.75 $49,639.24 2025-01-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $49,341.89 $49,341.89 $49,341.89 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 22 — — $28,801.00 $197,513.00 $49,178.94 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
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 5 — — $48,303.90 $49,039.49 $49,039.49 2025-01-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $48,557.78 $48,557.78 $48,557.78 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 22 — — $13,357.00 $137,589.09 $48,535.59 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $39,186.75 $137,500.00 $48,518.47 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 14 — — $38,936.92 $137,500.00 $48,367.93 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 22 — — $35,721.00 $163,642.00 $48,229.71 2025-01-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $47,983.88 $47,983.88 $47,983.88 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 22 — — $27,564.00 $142,470.00 $47,897.20 2025-01-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 8 5 — — $47,025.99 $47,742.12 $47,742.12 2025-01-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 5 — — $46,890.53 $47,604.60 $47,604.60 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 22 — — $27,951.00 $137,500.00 $47,501.14 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 22 — — $28,453.00 $128,013.84 $47,371.46 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 22 — — $13,357.00 $133,975.25 $47,260.77 2025-01-01
834 OTHER Acute Leukemia With Mcc 2 2 — — $47,115.25 $47,115.25 $47,115.25 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 22 — — $31,391.00 $133,516.18 $47,098.84 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 32 14 — — $36,656.26 $112,042.02 $46,993.76 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 20 — — $21,688.00 $102,060.30 $46,776.28 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 20 — — $20,644.00 $102,060.30 $46,322.14 2025-01-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 8 5 — — $45,543.11 $46,236.66 $46,236.66 2025-01-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $46,039.19 $46,039.19 $46,039.19 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 22 — — $28,376.00 $144,076.00 $45,748.92 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 44 22 — — $24,731.00 $132,262.98 $45,741.92 2025-01-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 8 5 — — $44,924.66 $45,608.79 $45,608.79 2025-01-01
B1903 OTHER Guillian Barre; M < 18.05 8 5 — — $44,760.68 $45,442.32 $45,442.32 2025-01-01
1142 OTHER Supprelin La Implant 13 9 — — $44,896.71 $48,524.72 $45,350.21 2025-01-01
01142 OTHER Supprelin La Implant 2 2 — — $45,350.21 $45,350.21 $45,350.21 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 22 — — $24,394.00 $108,412.96 $45,167.69 2025-01-01
B0604 OTHER Neurological; M < 25.85 8 5 — — $44,386.40 $45,062.34 $45,062.34 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 22 — — $13,357.00 $126,667.08 $44,682.76 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 22 — — $25,167.00 $124,117.16 $44,212.50 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 19 — — $4,326.00 $50,995.49 $44,173.73 2025-01-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 8 5 — — $43,195.82 $43,853.63 $43,853.63 2025-01-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 5 — — $42,607.67 $43,256.51 $43,256.51 2025-01-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 8 5 — — $42,479.34 $43,126.23 $43,126.23 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 22 — — $25,167.00 $115,745.06 $42,831.40 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 40 22 — — $13,357.00 $121,277.87 $42,781.68 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 22 — — $25,360.00 $115,231.60 $42,641.40 2025-01-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 2 — — $42,522.40 $42,522.40 $42,522.40 2025-01-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $42,518.51 $42,518.51 $42,518.51 2025-01-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 8 5 — — $41,823.45 $42,460.36 $42,460.36 2025-01-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $42,422.86 $42,422.86 $42,422.86 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 40 22 — — $9,436.00 $120,248.76 $42,418.65 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
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $42,353.90 $42,353.90 $42,353.90 2025-01-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 8 5 — — $41,479.47 $42,111.14 $42,111.14 2025-01-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $42,088.64 $42,088.64 $42,088.64 2025-01-01
B2102 OTHER Burns; M=12-45 8 5 — — $41,306.59 $41,935.62 $41,935.62 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
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $41,879.54 $41,879.54 $41,879.54 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 20 — — $20,721.00 $275,595.00 $41,757.84 2025-01-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $41,732.73 $41,732.73 $41,732.73 2025-01-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 8 5 — — $41,053.50 $41,678.68 $41,678.68 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 22 — — $13,357.00 $118,105.70 $41,662.68 2025-01-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 8 5 — — $41,012.51 $41,637.06 $41,637.06 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 40 22 — — $26,056.00 $117,503.03 $41,450.08 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 22 — — $13,357.00 $117,392.07 $41,410.93 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 22 — — $13,357.00 $117,376.84 $41,405.56 2025-01-01
B1504 OTHER Pulmonary; M < 29.15 8 5 — — $40,536.63 $41,153.94 $41,153.94 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
006 OTHER Liver Transplant Without Mcc 2 2 — — $40,535.45 $40,535.45 $40,535.45 2025-01-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 8 5 — — $39,821.93 $40,428.36 $40,428.36 2025-01-01
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 8 5 — — $39,588.45 $40,191.32 $40,191.32 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 22 — — $24,471.00 $111,674.33 $40,166.39 2025-01-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 8 5 — — $39,511.81 $40,113.51 $40,113.51 2025-01-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 8 5 — — $39,497.55 $40,099.04 $40,099.04 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 19 — — $23,157.00 $145,233.00 $39,906.01 2025-01-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 8 5 — — $39,123.27 $39,719.05 $39,719.05 2025-01-01
B1204 OTHER Osteoarthritis; M=39-47 8 5 — — $38,920.09 $39,512.78 $39,512.78 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 22 — — $23,853.00 $110,836.69 $39,481.80 2025-01-01
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 8 5 — — $38,731.16 $39,320.98 $39,320.98 2025-01-01
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 8 5 — — $38,688.39 $39,277.55 $39,277.55 2025-01-01
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 8 5 — — $38,535.11 $39,121.94 $39,121.94 2025-01-01
C0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 8 5 — — $38,413.91 $38,998.90 $38,998.90 2025-01-01
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