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

TRISTAR GREENVIEW REGIONAL HOSPITAL

Bowling Green, KY · CCN 180124 · Rates published

24,740 distinct procedures filed
25 distinct payers
397,491 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

164,683 of 397,491 rate rows are consumer-grade (41.4%)

232,808 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 228,191
per-diem day rate — not a per-procedure price 4,556
placeholder amount (≤ $0.02) — excluded from medians 58
exceeds 10× this hospital's gross charge — excluded from medians 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-0724492_TRISTAR-GREENVIEW-REGIONAL-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.tristarhealth.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-08

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
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 8 $3,672,900.00 $4,848,228.00 $3,672,900.00 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 8 $3,605,000.00 $4,758,600.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,599,442.00 $3,599,442.00 $3,599,442.00 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,532,900.00 $3,532,900.00 $3,532,900.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 8 $5,054.11 $4,389,600.60 $3,325,455.00 nat. median
$13,041
outlier · 255.0×
748
OTHER 		Inj, Lovotibeglogene Auto 8 $8,336.74 $4,337,520.00 $3,286,000.00 nat. median
$17,963
outlier · 182.9×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,258,945.90 $3,258,945.90 $3,258,945.90 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,220,280.00 $3,220,280.00 $3,220,280.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 8 $7,404.68 $3,917,760.00 $2,968,000.00 nat. median
$21,896
outlier · 135.6×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,908,640.00 $2,908,640.00 $2,908,640.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 8 $2,388,614.00 $3,152,970.48 $2,388,614.00 nat. median
$2,588,981
0.9× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,340,841.72 $2,340,841.72 $2,340,841.72 nat. median
$2,457,321
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $507,876.18 $863,696.72 $685,786.45 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $497,346.08 $837,683.55 $667,514.82 nat. median
$675,122
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $474,996.20 $830,699.97 $652,848.08 nat. median
$625,184
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $464,579.78 $819,043.85 $641,811.81 nat. median
$674,188
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $450,193.38 $807,075.90 $628,634.64 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $440,451.20 $741,576.00 $591,013.60 nat. median
$620,080
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 8 $529,192.90 $698,534.63 $529,192.90 nat. median
$566,531
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 8 $527,123.40 $695,802.89 $527,123.40 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 8 $526,587.60 $695,095.63 $526,587.60 nat. median
$558,082
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $518,609.04 $518,609.04 $518,609.04 nat. median
$538,205
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 8 $516,726.10 $682,078.45 $516,726.10 nat. median
$562,201
0.9× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $516,580.93 $516,580.93 $516,580.93 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $516,055.85 $516,055.85 $516,055.85 nat. median
$530,178
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $506,391.58 $506,391.58 $506,391.58 nat. median
$534,091
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 8 $489,456.00 $646,081.92 $489,456.00 nat. median
$532,192
0.9× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $479,666.88 $479,666.88 $479,666.88 nat. median
$505,583
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 8 $460,530.40 $607,900.13 $460,530.40 nat. median
$489,450
0.9× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $451,319.79 $451,319.79 $451,319.79 nat. median
$464,978
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $205,030.64 $502,903.23 $353,966.93 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $153,211.36 $768,466.00 $264,419.23 nat. median
$265,286
1.0× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $171,313.45 $171,313.45 $171,313.45 nat. median
$263,894
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $12,867.00 $316,367.26 $159,741.75 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $12,867.00 $285,793.15 $144,337.45 nat. median
$202,986
0.7× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $141,358.82 $141,358.82 $141,358.82 nat. median
$424,868
outlier · 0.3×
1907
OTHER 		New Technology - Level 52 8 $140,532.30 $185,502.64 $140,532.30 nat. median
$153,199
0.9× median
1908
OTHER 		New Technology - Level 52 8 $140,532.30 $185,502.64 $140,532.30 nat. median
$152,962
0.9× median
01908
OTHER 		New Technology - Level 52 1 $137,721.65 $137,721.65 $137,721.65 nat. median
$82,736
1.7× median
01907
OTHER 		New Technology - Level 52 1 $137,721.65 $137,721.65 $137,721.65 nat. median
$84,819
1.6× median
1905
OTHER 		New Technology - Level 51 8 $126,709.50 $167,256.54 $126,709.50 nat. median
$137,903
0.9× median
1906
OTHER 		New Technology - Level 51 8 $126,709.50 $167,256.54 $126,709.50 nat. median
$138,020
0.9× median
01905
OTHER 		New Technology - Level 51 1 $124,175.31 $124,175.31 $124,175.31 nat. median
$82,736
1.5× median
01906
OTHER 		New Technology - Level 51 1 $124,175.31 $124,175.31 $124,175.31 nat. median
$82,736
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $71,411.32 $174,713.60 $123,062.46 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 21 $71,232.14 $174,273.51 $122,752.82 nat. median
$122,708
1.0× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $120,116.70 $120,116.70 $120,116.70 nat. median
$76,377
1.6× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $114,745.80 $114,745.80 $114,745.80 nat. median
$218,232
0.5× median

Other procedures at this hospital

Browse this hospital's 24,740 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 1 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2024-10-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 12 8 — — $3,672,900.00 $4,848,228.00 $3,672,900.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 12 8 — — $3,605,000.00 $4,758,600.00 $3,605,000.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,599,442.00 $3,599,442.00 $3,599,442.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,532,900.00 $3,532,900.00 $3,532,900.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 13 8 — — $5,054.11 $4,389,600.60 $3,325,455.00 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 13 8 — — $8,336.74 $4,337,520.00 $3,286,000.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,258,945.90 $3,258,945.90 $3,258,945.90 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,220,280.00 $3,220,280.00 $3,220,280.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 13 8 — — $7,404.68 $3,917,760.00 $2,968,000.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,908,640.00 $2,908,640.00 $2,908,640.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 12 8 — — $2,388,614.00 $3,152,970.48 $2,388,614.00 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,340,841.72 $2,340,841.72 $2,340,841.72 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 2 — — $507,876.18 $863,696.72 $685,786.45 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 — — $497,346.08 $837,683.55 $667,514.82 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 2 — — $474,996.20 $830,699.97 $652,848.08 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 — — $464,579.78 $819,043.85 $641,811.81 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 2 — — $450,193.38 $807,075.90 $628,634.64 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 2 — — $440,451.20 $741,576.00 $591,013.60 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 12 8 — — $529,192.90 $698,534.63 $529,192.90 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 12 8 — — $527,123.40 $695,802.89 $527,123.40 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 12 8 — — $526,587.60 $695,095.63 $526,587.60 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $518,609.04 $518,609.04 $518,609.04 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 12 8 — — $516,726.10 $682,078.45 $516,726.10 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $516,580.93 $516,580.93 $516,580.93 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $516,055.85 $516,055.85 $516,055.85 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $506,391.58 $506,391.58 $506,391.58 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 12 8 — — $489,456.00 $646,081.92 $489,456.00 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $479,666.88 $479,666.88 $479,666.88 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 12 8 — — $460,530.40 $607,900.13 $460,530.40 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $451,319.79 $451,319.79 $451,319.79 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 21 — — $205,030.64 $502,903.23 $353,966.93 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 21 — — $153,211.36 $768,466.00 $264,419.23 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $171,313.45 $171,313.45 $171,313.45 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 13 — — $12,867.00 $316,367.26 $159,741.75 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 13 — — $12,867.00 $285,793.15 $144,337.45 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $141,358.82 $141,358.82 $141,358.82 2024-10-01
1907 OTHER New Technology - Level 52 12 8 — — $140,532.30 $185,502.64 $140,532.30 2024-10-01
1908 OTHER New Technology - Level 52 12 8 — — $140,532.30 $185,502.64 $140,532.30 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $137,721.65 $137,721.65 $137,721.65 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $137,721.65 $137,721.65 $137,721.65 2024-10-01
1906 OTHER New Technology - Level 51 12 8 — — $126,709.50 $167,256.54 $126,709.50 2024-10-01
1905 OTHER New Technology - Level 51 12 8 — — $126,709.50 $167,256.54 $126,709.50 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $124,175.31 $124,175.31 $124,175.31 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $124,175.31 $124,175.31 $124,175.31 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 21 — — $71,411.32 $174,713.60 $123,062.46 2024-10-01
7 MS_DRG Lung Transplant 29 21 — — $71,232.14 $174,273.51 $122,752.82 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $114,745.80 $114,745.80 $114,745.80 2024-10-01
1904 OTHER New Technology - Level 50 12 8 — — $112,886.70 $149,010.44 $112,886.70 2024-10-01
1903 OTHER New Technology - Level 50 12 8 — — $112,886.70 $149,010.44 $112,886.70 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $110,628.97 $110,628.97 $110,628.97 2024-10-01
01903 OTHER New Technology - Level 50 1 1 — — $110,628.97 $110,628.97 $110,628.97 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 25 — — $46,285.72 $295,989.00 $104,527.86 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 21 — — $60,111.18 $768,466.00 $103,534.95 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 25 — — $52,676.39 $148,387.00 $100,531.70 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 21 — — $58,096.24 $142,009.73 $100,052.99 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 13 8 — — $97,999.90 $131,999.87 $99,999.90 2024-10-01
1901 OTHER New Technology - Level 49 12 8 — — $99,063.86 $130,764.30 $99,063.86 2024-10-01
1902 OTHER New Technology - Level 49 12 8 — — $99,063.86 $130,764.30 $99,063.86 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 24 — — $12,867.00 $188,425.68 $97,686.22 2024-10-01
215 MS_DRG Other Heart Assist System Implant 36 24 — — $57,800.87 $607,553.00 $97,257.24 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $97,082.58 $97,082.58 $97,082.58 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $97,082.58 $97,082.58 $97,082.58 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 24 — — $57,189.50 $275,678.00 $96,225.46 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 13 8 — — $89,211.26 $120,162.11 $91,031.90 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 25 — — $42,287.34 $151,985.00 $89,636.32 2024-10-01
1585 OTHER New Technology - Level 48 12 8 — — $87,544.86 $115,559.22 $87,544.86 2024-10-01
1599 OTHER New Technology - Level 48 12 8 — — $87,544.86 $115,559.22 $87,544.86 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 25 — — $38,646.78 $347,635.00 $87,172.34 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $85,793.96 $85,793.96 $85,793.96 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $85,793.96 $85,793.96 $85,793.96 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $80,680.50 $80,680.50 $80,680.50 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 25 — — $35,339.60 $148,387.00 $79,658.49 2024-10-01
1584 OTHER New Technology - Level 47 12 8 — — $78,329.66 $103,395.15 $78,329.66 2024-10-01
1598 OTHER New Technology - Level 47 12 8 — — $78,329.66 $103,395.15 $78,329.66 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 25 — — $12,867.00 $145,270.38 $77,788.40 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $76,763.07 $76,763.07 $76,763.07 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $76,763.07 $76,763.07 $76,763.07 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 24 — — $45,561.41 $219,497.00 $76,601.27 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 25 — — $33,909.43 $226,069.00 $76,409.18 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 25 — — $33,444.11 $295,989.00 $75,351.99 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $74,966.06 $74,966.06 $74,966.06 2024-10-01
10 MS_DRG Pancreas Transplant 29 21 — — $43,566.57 $106,322.59 $74,944.58 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 25 — — $32,803.96 $220,873.00 $73,897.57 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 25 — — $32,579.72 $148,387.00 $73,388.10 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $73,005.99 $73,005.99 $73,005.99 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $54,344.53 $91,596.09 $72,970.31 2024-10-01
1583 OTHER New Technology - Level 46 12 8 — — $69,114.46 $91,231.09 $69,114.46 2024-10-01
1597 OTHER New Technology - Level 46 12 8 — — $69,114.46 $91,231.09 $69,114.46 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $67,732.17 $67,732.17 $67,732.17 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $67,732.17 $67,732.17 $67,732.17 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 24 — — $44,043.83 $107,494.83 $66,237.88 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 25 — — $42,715.20 $104,231.51 $65,957.68 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 13 8 — — $64,554.27 $86,950.64 $65,871.70 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 12 8 — — $65,476.58 $86,429.09 $65,476.58 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 25 — — $29,035.26 $151,985.00 $65,335.16 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 24 — — $38,821.62 $186,920.00 $65,226.85 2024-10-01
007 OTHER Lung Transplant 1 1 — — $64,682.08 $64,682.08 $64,682.08 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $64,564.73 $64,564.73 $64,564.73 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $64,167.05 $64,167.05 $64,167.05 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 36 24 — — $12,867.00 $122,841.90 $63,808.28 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 13 8 — — $12,112.01 $83,628.30 $63,354.77 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 3 3 — — $62,235.29 $104,773.89 $62,235.29 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $62,087.67 $62,087.67 $62,087.67 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 24 — — $36,679.63 $176,446.00 $61,611.92 2024-10-01
1582 OTHER New Technology - Level 45 12 8 — — $59,899.26 $79,067.02 $59,899.26 2024-10-01
1596 OTHER New Technology - Level 45 12 8 — — $59,899.26 $79,067.02 $59,899.26 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $59,753.85 $59,753.85 $59,753.85 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $58,701.27 $58,701.27 $58,701.27 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $58,701.27 $58,701.27 $58,701.27 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 25 — — $29,388.00 $112,937.25 $58,691.94 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 25 — — $25,821.46 $165,842.00 $58,033.48 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 25 — — $33,598.31 $81,839.03 $57,718.67 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 25 — — $25,538.03 $226,069.00 $57,389.54 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 21 — — $33,048.84 $80,489.43 $56,769.14 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 21 — — $33,048.84 $80,489.43 $56,769.14 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 25 — — $25,212.80 $151,985.00 $56,650.61 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 23 — — $43,317.34 $105,710.47 $55,771.08 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 38 25 — — $26,650.02 $86,121.00 $55,722.23 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 25 — — $24,559.62 $99,371.00 $55,166.59 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 25 — — $32,225.16 $78,466.36 $55,102.88 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $55,071.24 $55,071.24 $55,071.24 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 12 8 — — $55,015.23 $72,620.10 $55,015.23 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,914.93 $53,914.93 $53,914.93 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 25 — — $29,163.40 $78,285.00 $53,724.20 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $53,072.20 $53,072.20 $53,072.20 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $52,951.07 $52,951.07 $52,951.07 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 24 — — $31,252.71 $127,338.00 $52,453.18 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 24 — — $12,867.00 $99,535.90 $51,769.35 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 21 — — $29,819.84 $72,558.51 $51,189.18 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 24 — — $33,866.00 $82,496.50 $50,891.86 2024-10-01
1595 OTHER New Technology - Level 44 12 8 — — $50,684.06 $66,902.96 $50,684.06 2024-10-01
1581 OTHER New Technology - Level 44 12 8 — — $50,684.06 $66,902.96 $50,684.06 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 24 — — $30,169.50 $144,850.00 $50,625.10 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 24 — — $29,978.93 $143,965.00 $50,303.46 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $49,670.38 $49,670.38 $49,670.38 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $49,670.38 $49,670.38 $49,670.38 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $49,246.59 $49,246.59 $49,246.59 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 24 — — $30,289.50 $85,118.00 $48,350.74 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 24 — — $9,738.00 $92,771.88 $48,275.33 2024-10-01
5244 OTHER Level 4 Blood Product Exc 12 8 — — $47,980.02 $63,333.63 $47,980.02 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $47,670.35 $47,670.35 $47,670.35 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 13 8 — — $46,543.14 $62,690.76 $47,493.00 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $47,405.27 $47,405.27 $47,405.27 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 24 — — $12,867.00 $91,056.87 $47,389.43 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 36 24 — — $28,239.27 $135,534.00 $47,367.53 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $47,020.42 $47,020.42 $47,020.42 2024-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 25 — — $21,391.43 $78,285.00 $46,959.13 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 24 — — $12,867.00 $89,064.48 $46,360.24 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 25 — — $36,478.73 $88,913.78 $46,282.39 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 36 24 — — $27,442.21 $142,928.00 $46,022.35 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 24 — — $27,333.62 $114,949.00 $45,839.09 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 29 21 — — $26,606.04 $64,664.93 $45,635.49 2024-10-01
1142 OTHER Supprelin La Implant 12 8 — — $45,350.21 $59,862.28 $45,350.21 2024-10-01
245 MS_DRG Aicd Generator Procedures 36 24 — — $26,810.20 $98,930.00 $44,955.74 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 24 — — $9,738.00 $86,253.25 $44,908.07 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 36 24 — — $29,602.11 $72,023.74 $44,462.82 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $44,443.21 $44,443.21 $44,443.21 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 24 — — $12,867.00 $84,335.53 $43,917.46 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 3 3 — — $43,687.22 $72,861.11 $43,687.22 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 21 — — $25,292.62 $61,438.95 $43,365.79 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $43,212.44 $43,212.44 $43,212.44 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $42,792.49 $42,792.49 $42,792.49 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 24 — — $12,867.00 $82,120.42 $42,773.21 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 36 24 — — $28,799.00 $81,070.88 $42,231.07 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $42,150.68 $42,150.68 $42,150.68 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 24 — — $32,557.46 $79,282.52 $41,917.72 2024-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 38 25 — — $18,695.62 $98,930.00 $41,843.71 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 25 — — $22,603.86 $60,706.00 $41,654.93 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $41,480.86 $41,480.86 $41,480.86 2024-10-01
1580 OTHER New Technology - Level 43 12 8 — — $41,468.86 $54,738.90 $41,468.86 2024-10-01
1594 OTHER New Technology - Level 43 12 8 — — $41,468.86 $54,738.90 $41,468.86 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $40,990.60 $40,990.60 $40,990.60 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $40,639.48 $40,639.48 $40,639.48 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $40,639.48 $40,639.48 $40,639.48 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 24 — — $12,867.00 $77,640.86 $40,459.26 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 24 — — $24,127.96 $89,435.00 $40,429.07 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $40,248.57 $40,248.57 $40,248.57 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 25 — — $29,388.00 $104,802.00 $39,888.17 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $39,329.34 $39,329.34 $39,329.34 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 25 — — $22,867.74 $83,069.00 $39,099.00 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 25 — — $28,147.51 $81,479.00 $39,099.00 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 25 — — $18,980.14 $83,069.00 $39,072.36 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $38,803.31 $38,803.31 $38,803.31 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 36 24 — — $12,867.00 $74,337.53 $38,752.90 2024-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 24 — — $23,030.09 $72,340.00 $38,576.24 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 36 24 — — $9,738.00 $73,706.74 $38,427.04 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 13 8 — — $37,523.71 $50,542.14 $38,289.50 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 24 — — $12,867.00 $72,393.14 $37,748.50 2024-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 25 — — $16,884.30 $99,371.00 $37,728.42 2024-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 25 — — $21,508.17 $53,896.00 $37,702.08 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 13 8 — — $36,947.47 $49,765.98 $37,701.50 2024-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 24 — — $22,448.58 $107,464.00 $37,594.85 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 24 — — $12,867.00 $71,955.72 $37,522.54 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 24 — — $12,867.00 $71,946.39 $37,517.72 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $36,325.09 $36,325.09 $36,325.09 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $36,321.76 $36,321.76 $36,321.76 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $36,240.06 $36,240.06 $36,240.06 2024-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 24 — — $21,612.42 $102,956.00 $36,183.70 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $36,181.15 $36,181.15 $36,181.15 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $35,954.55 $35,954.55 $35,954.55 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $35,775.92 $35,775.92 $35,775.92 2024-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 25 — — $16,007.95 $84,474.00 $35,737.39 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $35,650.50 $35,650.50 $35,650.50 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 24 — — $12,867.00 $67,729.54 $35,339.47 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 24 — — $12,867.00 $67,166.76 $35,048.76 2024-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 24 — — $20,918.51 $127,338.00 $35,012.62 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 24 — — $9,738.00 $66,770.68 $34,844.17 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 24 — — $12,867.00 $66,700.00 $34,807.65 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $34,627.72 $34,627.72 $34,627.72 2024-10-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 25 — — $15,081.66 $76,431.00 $33,632.87 2024-10-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 13 8 — — $32,811.28 $44,194.79 $33,480.90 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 36 24 — — $12,867.00 $63,682.07 $33,248.71 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 36 24 — — $12,867.00 $63,406.01 $33,106.12 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 24 — — $12,867.00 $63,403.34 $33,104.74 2024-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 24 — — $21,892.04 $53,086.62 $32,837.67 2024-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $32,788.78 $32,788.78 $32,788.78 2024-10-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 21 — — $19,131.08 $46,305.26 $32,718.17 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 25 — — $12,470.00 $51,533.00 $32,589.22 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 24 — — $12,867.00 $62,401.81 $32,587.38 2024-10-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $32,572.16 $32,572.16 $32,572.16 2024-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 24 — — $19,447.08 $85,118.00 $32,529.36 2024-10-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $32,520.84 $32,520.84 $32,520.84 2024-10-01
1593 OTHER New Technology - Level 42 12 8 — — $32,253.66 $42,574.83 $32,253.66 2024-10-01
1579 OTHER New Technology - Level 42 12 8 — — $32,253.66 $42,574.83 $32,253.66 2024-10-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 1 1 — — $32,193.00 $32,193.00 $32,193.00 2024-10-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 1 1 — — $32,193.00 $32,193.00 $32,193.00 2024-10-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 1 1 — — $32,193.00 $32,193.00 $32,193.00 2024-10-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 1 1 — — $32,193.00 $32,193.00 $32,193.00 2024-10-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 1 1 — — $32,193.00 $32,193.00 $32,193.00 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 36 24 — — $12,867.00 $61,464.29 $32,103.10 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 24 — — $12,867.00 $61,234.91 $31,984.61 2024-10-01
252 MS_DRG Other Vascular Procedures With Mcc 36 24 — — $18,903.03 $142,928.00 $31,611.20 2024-10-01
01579 OTHER New Technology - Level 42 1 1 — — $31,608.59 $31,608.59 $31,608.59 2024-10-01
01593 OTHER New Technology - Level 42 1 1 — — $31,608.59 $31,608.59 $31,608.59 2024-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 24 — — $12,867.00 $60,162.70 $31,430.75 2024-10-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $31,398.76 $31,398.76 $31,398.76 2024-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 24 — — $12,867.00 $59,803.96 $31,245.43 2024-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 36 24 — — $12,867.00 $59,081.15 $30,872.06 2024-10-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 38 25 — — $13,863.26 $81,479.00 $30,864.67 2024-10-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $30,730.36 $30,730.36 $30,730.36 2024-10-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $30,505.66 $30,505.66 $30,505.66 2024-10-01
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $30,482.38 $30,482.38 $30,482.38 2024-10-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 38 25 — — $13,676.47 $99,371.00 $30,440.31 2024-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 36 24 — — $9,738.00 $57,700.87 $30,159.07 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 25 — — $23,721.82 $104,802.00 $30,097.06 2024-10-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $30,039.16 $30,039.16 $30,039.16 2024-10-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc* 1 1 — — $29,967.42 $29,967.42 $29,967.42 2024-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 24 — — $12,867.00 $56,883.37 $29,736.78 2024-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 24 — — $12,867.00 $56,800.69 $29,694.07 2024-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 24 — — $19,254.33 $49,459.00 $29,573.31 2024-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 36 24 — — $17,675.94 $142,928.00 $29,540.29 2024-10-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $29,521.82 $29,521.82 $29,521.82 2024-10-01
793 MS_DRG Full Term Neonate With Major Problems 35 24 — — $22,923.13 $55,619.12 $29,513.53 2024-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 36 24 — — $12,867.00 $56,397.94 $29,486.03 2024-10-01
5166 OTHER Cochlear Implant Procedur 12 8 — — $29,443.85 $38,865.88 $29,443.85 2024-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 38 25 — — $17,223.10 $41,618.99 $29,421.04 2024-10-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $29,360.30 $29,360.30 $29,360.30 2024-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 24 — — $12,867.00 $55,877.84 $29,217.37 2024-10-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $29,075.75 $29,075.75 $29,075.75 2024-10-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 38 25 — — $13,131.34 $75,431.00 $29,039.79 2024-10-01
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $28,985.96 $28,985.96 $28,985.96 2024-10-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $28,980.26 $28,980.26 $28,980.26 2024-10-01
5232 OTHER Level 2 Icd And Similar P 12 8 — — $28,885.95 $38,129.45 $28,885.95 2024-10-01
05166 OTHER Cochlear Implant Procedur 1 1 — — $28,854.97 $28,854.97 $28,854.97 2024-10-01
791 MS_DRG Prematurity With Major Problems 35 24 — — $22,323.15 $54,145.49 $28,741.06 2024-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 24 — — $12,867.00 $54,804.29 $28,662.81 2024-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 24 — — $17,143.29 $114,949.00 $28,641.36 2024-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 24 — — $12,867.00 $54,722.94 $28,620.78 2024-10-01
653 OTHER Major Bladder Procedures With Mcc 1 1 — — $28,546.54 $28,546.54 $28,546.54 2024-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 24 — — $17,067.82 $67,843.00 $28,514.00 2024-10-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 1 1 — — $28,478.75 $28,478.75 $28,478.75 2024-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 36 24 — — $17,033.07 $81,213.00 $28,455.35 2024-10-01
L5856 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 13 8 — — $27,885.21 $37,559.68 $28,454.30 2024-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 24 — — $12,867.00 $54,238.85 $28,370.72 2024-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 24 — — $18,775.98 $46,168.00 $28,323.03 2024-10-01
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 13 8 — — $27,753.60 $37,382.40 $28,320.00 2024-10-01
05232 OTHER Level 2 Icd And Similar P 1 1 — — $28,308.23 $28,308.23 $28,308.23 2024-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 24 — — $20,757.79 $50,300.72 $28,173.33 2024-10-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 38 25 — — $12,628.55 $78,285.00 $28,059.47 2024-10-01
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $28,028.72 $28,028.72 $28,028.72 2024-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 23 — — $12,867.00 $52,402.48 $27,827.39 2024-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 24 — — $12,867.00 $53,123.96 $27,794.81 2024-10-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 38 25 — — $12,509.65 $97,038.00 $27,789.31 2024-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $27,745.59 $27,745.59 $27,745.59 2024-10-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $27,735.62 $27,735.62 $27,735.62 2024-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 36 24 — — $12,867.00 $52,627.86 $27,538.56 2024-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 24 — — $12,867.00 $52,507.83 $27,476.54 2024-10-01
5465 OTHER Level 5 Neurostimulator A 12 8 — — $27,264.36 $35,988.96 $27,264.36 2024-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 36 24 — — $16,288.12 $70,000.00 $27,198.14 2024-10-01
843 OTHER Pegaspargase Injection 13 8 — — $9,886.85 $35,733.10 $27,070.53 2024-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 24 — — $12,867.00 $51,542.31 $26,977.79 2024-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 36 24 — — $12,867.00 $51,488.96 $26,950.24 2024-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 24 — — $12,867.00 $51,356.94 $26,882.04 2024-10-01
05465 OTHER Level 5 Neurostimulator A 1 1 — — $26,719.07 $26,719.07 $26,719.07 2024-10-01
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