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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

MAINEHEALTH PEN BAY HOSPITAL

Rockport, ME · CCN 200063 · Rates published

11,170 distinct procedures filed
9 distinct payers
595,428 rate rows
2025-09-09 last MRF observed
Data quality

271,874 of 595,428 rate rows are consumer-grade (45.7%)

323,554 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
professional (physician) fee — not the facility price 323,130
exceeds 10× this hospital's gross charge — excluded from medians 152
placeholder amount (≤ $0.02) — excluded from medians 130
percent-of-charges filed in the dollar field — excluded from medians 72
per-diem day rate — not a per-procedure price 70
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7976/010238552-1982645305_mainehealth_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/penbaymedicalcenter/7976
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 58a75bdd426c76f0… · 122,868,152 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,377,500.00 $4,508,825.00 $4,421,275.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,821,300.00 $3,747,100.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $0.03 $3,795,824.67 $3,703,693.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $0.03 $3,424,309.06 $3,341,194.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $0.03 $3,359,195.65 $3,277,661.77 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $0.03 $3,039,207.27 $2,965,440.10 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $0.03 $2,525,679.06 $2,464,376.17 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,401,960.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $849,762.67 $782,179.30 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $578,324.58 $637,718.51 $586,999.44 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $553,378.83 $610,210.84 $561,679.52 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $541,635.66 $597,261.64 $549,760.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $541,260.45 $596,847.89 $549,379.35 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,076.48 $587,823.43 $541,072.62 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,720.00 $540,014.24 $497,065.80 nat. median
$620,080
0.8× median
J9355
HCPCS 		Trastuzumab 150 Mg/7.15ml IV (wet Solr Vial) 9 $76.18 $528,886.05 $482,692.92 nat. median
$989
outlier · 488.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $383,931.48 $765,461.23 $389,690.45 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $286,764.61 $571,735.37 $291,066.08 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $270,375.00 $298,142.51 $274,430.62 nat. median
$324,450
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $241,507.64 $481,504.52 $245,130.26 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $218,182.31 $434,999.76 $221,455.04 nat. median
$202,986
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $143,849.09 $286,798.31 $146,006.83 nat. median
$133,176
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $133,381.61 $265,928.81 $135,382.33 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 5 $133,045.64 $265,259.00 $135,041.33 nat. median
$122,708
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $129,537.50 $142,841.00 $131,480.57 nat. median
$111,989
1.2× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 9 $55,945.97 $140,513.32 $129,227.41 nat. median
$66,682
1.9× median
J9043
HCPCS 		Cabazitaxel 60 Mg/6ml IV Soln 9 $227.10 $128,914.52 $118,560.21 nat. median
$739
outlier · 160.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $112,184.98 $223,668.17 $113,867.76 nat. median
$108,660
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $111,860.00 $123,348.02 $113,537.90 nat. median
$96,983
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $110,904.29 $221,114.80 $112,567.86 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $108,415.17 $216,152.15 $110,041.40 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 5 $107,859.32 $215,043.93 $109,477.21 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $106,643.79 $212,620.45 $108,243.45 nat. median
$98,905
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $98,252.08 $195,889.53 $99,725.86 nat. median
$93,672
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $93,780.86 $186,975.04 $95,187.57 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $86,267.71 $171,995.77 $87,561.73 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $86,219.87 $171,900.37 $87,513.17 nat. median
$81,118
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $84,910.67 $169,290.16 $86,184.33 nat. median
$82,712
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $82,065.25 $163,617.11 $83,296.23 nat. median
$77,576
1.1× median
10
MS_DRG 		Pancreas Transplant 5 $81,168.34 $161,828.94 $82,385.87 nat. median
$68,882
1.2× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 5 $80,943.19 $89,256.06 $82,157.33 nat. median
$70,825
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $80,703.10 $160,901.36 $81,913.65 nat. median
$71,240
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $79,574.11 $158,650.41 $80,767.72 nat. median
$73,807
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $78,770.86 $157,048.97 $79,952.43 nat. median
$74,915
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $75,988.55 $151,501.76 $77,128.38 nat. median
$72,138
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $72,308.33 $144,164.35 $73,392.96 nat. median
$68,090
1.1× median
J9228
HCPCS 		Ipilimumab 5 Mg/ml IV Soln (combined) 9 $183.41 $79,700.46 $73,298.99 nat. median
$9,906
outlier · 7.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $71,944.89 $143,439.75 $73,024.07 nat. median
$68,887
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $70,819.96 $141,196.92 $71,882.26 nat. median
$66,526
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $69,514.84 $138,594.82 $70,557.57 nat. median
$64,732
1.1× median

Other procedures at this hospital

Browse this hospital's 11,170 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 10 5 — — $4,377,500.00 $4,508,825.00 $4,421,275.00 2025-09-09
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 5 — — $3,710,000.00 $3,821,300.00 $3,747,100.00 2025-09-09
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 5 — — $0.03 $3,795,824.67 $3,703,693.00 2025-09-09
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 5 — — $0.03 $3,424,309.06 $3,341,194.76 2025-09-09
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 5 — — $0.03 $3,359,195.65 $3,277,661.77 2025-09-09
J3393 HCPCS Inj, Betibeglogene Autotemce 12 5 — — $0.03 $3,039,207.27 $2,965,440.10 2025-09-09
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 5 — — $0.03 $2,525,679.06 $2,464,376.17 2025-09-09
J3392 HCPCS Inj, Exagamglogene Autotem 10 5 — — $2,332,000.00 $2,401,960.00 $2,355,320.00 2025-09-09
Q2057 HCPCS Afamitresgene Autoleucel 12 5 — — $770,620.00 $849,762.67 $782,179.30 2025-09-09
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 5 — — $578,324.58 $637,718.51 $586,999.44 2025-09-09
Q2056 HCPCS Ciltacabtagene Car-pos T 12 5 — — $553,378.83 $610,210.84 $561,679.52 2025-09-09
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 5 — — $541,635.66 $597,261.64 $549,760.19 2025-09-09
Q2055 HCPCS Idecabtagene Vicleucel Car 12 5 — — $541,260.45 $596,847.89 $549,379.35 2025-09-09
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 5 — — $533,076.48 $587,823.43 $541,072.62 2025-09-09
Q2053 HCPCS Brexucabtagene Car Pos T 12 5 — — $489,720.00 $540,014.24 $497,065.80 2025-09-09
J9355 HCPCS Trastuzumab 150 Mg/7.15ml IV (wet Solr Vial) 56 9 $562,644.73 $562,644.73 $76.18 $528,886.05 $482,692.92 2025-09-09
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 5 — — $383,931.48 $765,461.23 $389,690.45 2025-09-09
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 5 — — $286,764.61 $571,735.37 $291,066.08 2025-09-09
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 5 — — $270,375.00 $298,142.51 $274,430.62 2025-09-09
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 5 — — $241,507.64 $481,504.52 $245,130.26 2025-09-09
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 5 — — $218,182.31 $434,999.76 $221,455.04 2025-09-09
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 5 — — $143,849.09 $286,798.31 $146,006.83 2025-09-09
14 MS_DRG Allogeneic Bone Marrow Transplant 12 5 — — $133,381.61 $265,928.81 $135,382.33 2025-09-09
7 MS_DRG Lung Transplant 12 5 — — $133,045.64 $265,259.00 $135,041.33 2025-09-09
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 5 — — $129,537.50 $142,841.00 $131,480.57 2025-09-09
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 42 9 $149,482.25 $149,482.25 $55,945.97 $140,513.32 $129,227.41 2025-09-09
J9043 HCPCS Cabazitaxel 60 Mg/6ml IV Soln 42 9 $137,143.11 $137,143.11 $227.10 $128,914.52 $118,560.21 2025-09-09
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 5 — — $112,184.98 $223,668.17 $113,867.76 2025-09-09
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 5 — — $111,860.00 $123,348.02 $113,537.90 2025-09-09
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 5 — — $110,904.29 $221,114.80 $112,567.86 2025-09-09
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 5 — — $108,415.17 $216,152.15 $110,041.40 2025-09-09
215 MS_DRG Other Heart Assist System Implant 12 5 — — $107,859.32 $215,043.93 $109,477.21 2025-09-09
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 5 — — $106,643.79 $212,620.45 $108,243.45 2025-09-09
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 5 — — $98,252.08 $195,889.53 $99,725.86 2025-09-09
850 MS_DRG Acute Leukemia With Other Procedures 12 5 — — $93,780.86 $186,975.04 $95,187.57 2025-09-09
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 5 — — $86,267.71 $171,995.77 $87,561.73 2025-09-09
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 5 — — $86,219.87 $171,900.37 $87,513.17 2025-09-09
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 5 — — $84,910.67 $169,290.16 $86,184.33 2025-09-09
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 5 — — $82,065.25 $163,617.11 $83,296.23 2025-09-09
10 MS_DRG Pancreas Transplant 12 5 — — $81,168.34 $161,828.94 $82,385.87 2025-09-09
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 5 — — $80,943.19 $89,256.06 $82,157.33 2025-09-09
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 5 — — $80,703.10 $160,901.36 $81,913.65 2025-09-09
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 5 — — $79,574.11 $158,650.41 $80,767.72 2025-09-09
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 5 — — $78,770.86 $157,048.97 $79,952.43 2025-09-09
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 5 — — $75,988.55 $151,501.76 $77,128.38 2025-09-09
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 5 — — $72,308.33 $144,164.35 $73,392.96 2025-09-09
J9228 HCPCS Ipilimumab 5 Mg/ml IV Soln (combined) 42 9 $84,787.72 $84,787.72 $183.41 $79,700.46 $73,298.99 2025-09-09
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 5 — — $71,944.89 $143,439.75 $73,024.07 2025-09-09
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 5 — — $70,819.96 $141,196.92 $71,882.26 2025-09-09
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 5 — — $69,514.84 $138,594.82 $70,557.57 2025-09-09
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 5 — — $68,256.54 $136,086.10 $69,280.39 2025-09-09
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 5 — — $67,993.89 $135,562.43 $69,013.80 2025-09-09
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 5 — — $67,878.85 $135,333.08 $68,897.04 2025-09-09
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 5 — — $65,838.71 $131,265.53 $66,826.29 2025-09-09
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 5 — — $65,744.02 $131,076.77 $66,730.18 2025-09-09
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 5 — — $64,383.92 $128,365.08 $65,349.68 2025-09-09
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 5 — — $63,431.05 $192,561.72 $64,382.51 2025-09-09
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 5 — — $63,061.49 $125,728.48 $64,007.41 2025-09-09
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 5 — — $62,980.03 $125,566.10 $63,924.73 2025-09-09
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 5 — — $62,692.95 $124,993.72 $63,633.35 2025-09-09
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 5 — — $62,474.08 $124,557.34 $63,411.19 2025-09-09
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 5 — — $62,189.02 $123,989.02 $63,121.86 2025-09-09
28 MS_DRG Spinal Procedures With Mcc 12 5 — — $61,891.76 $123,396.34 $62,820.14 2025-09-09
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 5 — — $61,447.90 $122,511.39 $62,369.62 2025-09-09
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 5 — — $61,447.90 $122,511.39 $62,369.62 2025-09-09
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 5 — — $60,988.76 $121,595.99 $61,903.60 2025-09-09
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 5 — — $60,566.26 $120,753.66 $61,474.75 2025-09-09
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 5 — — $60,520.47 $120,662.32 $61,428.27 2025-09-09
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 5 — — $59,903.54 $119,432.31 $60,802.10 2025-09-09
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 5 — — $59,273.36 $118,175.92 $60,162.46 2025-09-09
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 5 — — $58,429.39 $116,493.29 $59,305.83 2025-09-09
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 5 — — $58,080.23 $115,797.10 $58,951.43 2025-09-09
L7181 HCPCS Electronic Elbo Simultaneous 12 5 — — $57,614.51 $63,531.52 $58,478.73 2025-09-09
38240 CPT Transplt Allo Hct/donor 12 5 — — $57,240.31 $277,959.46 $58,098.92 2025-09-09
A9543 HCPCS Y90 Ibritumomab, Rx 12 5 — — $56,824.55 $198,557.73 $57,676.92 2025-09-09
653 MS_DRG Major Bladder Procedures With Mcc 12 5 — — $56,751.66 $113,148.33 $57,602.93 2025-09-09
834 MS_DRG Acute Leukemia With Mcc 12 5 — — $56,270.14 $112,188.27 $57,114.19 2025-09-09
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 5 — — $56,270.14 $112,188.27 $57,114.19 2025-09-09
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 5 — — $56,033.95 $111,717.38 $56,874.46 2025-09-09
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 5 — — $55,691.88 $111,035.39 $56,527.26 2025-09-09
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 5 — — $55,392.59 $110,438.66 $56,223.48 2025-09-09
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 5 — — $55,266.35 $110,186.98 $56,095.35 2025-09-09
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 5 — — $54,984.35 $109,624.75 $55,809.12 2025-09-09
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 5 — — $54,932.42 $109,521.23 $55,756.40 2025-09-09
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 5 — — $54,926.33 $109,509.05 $55,750.22 2025-09-09
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 5 — — $54,161.78 $107,984.74 $54,974.21 2025-09-09
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 5 — — $53,922.53 $107,507.76 $54,731.37 2025-09-09
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 5 — — $52,430.09 $104,532.20 $53,216.54 2025-09-09
L7180 HCPCS Electronic Elbow Sequential 12 5 — — $52,277.90 $57,646.84 $53,062.07 2025-09-09
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 5 — — $52,256.01 $104,185.12 $53,039.85 2025-09-09
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 5 — — $51,865.07 $103,405.71 $52,643.04 2025-09-09
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 5 — — $51,706.27 $103,089.07 $52,481.87 2025-09-09
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 5 — — $51,277.67 $102,234.56 $52,046.83 2025-09-09
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 5 — — $50,975.32 $101,631.74 $51,739.95 2025-09-09
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 5 — — $50,935.61 $101,552.58 $51,699.65 2025-09-09
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 5 — — $50,915.25 $101,511.99 $51,678.98 2025-09-09
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 5 — — $50,732.00 $101,146.64 $51,492.98 2025-09-09
245 MS_DRG Aicd Generator Procedures 12 5 — — $49,749.59 $99,187.97 $50,495.83 2025-09-09
471 MS_DRG Cervical Spinal Fusion With Mcc 12 5 — — $49,449.28 $98,589.20 $50,191.02 2025-09-09
6 MS_DRG Liver Transplant Without Mcc 12 5 — — $49,366.81 $98,424.79 $50,107.32 2025-09-09
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 5 — — $48,616.52 $96,928.90 $49,345.77 2025-09-09
799 MS_DRG Splenic Procedures With Mcc 12 5 — — $48,405.78 $96,508.75 $49,131.87 2025-09-09
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $48,396.62 $96,490.48 $49,122.57 2025-09-09
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 5 — — $47,895.74 $95,491.86 $48,614.18 2025-09-09
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 5 — — $47,639.19 $94,980.37 $48,353.78 2025-09-09
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 5 — — $47,358.22 $94,420.17 $48,068.59 2025-09-09
163 MS_DRG Major Chest Procedures With Mcc 12 5 — — $46,923.51 $93,553.49 $47,627.37 2025-09-09
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 5 — — $46,904.16 $93,514.92 $47,607.72 2025-09-09
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 5 — — $46,754.51 $93,216.55 $47,455.83 2025-09-09
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 5 — — $46,747.39 $93,202.35 $47,448.60 2025-09-09
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 5 — — $45,929.90 $91,572.49 $46,618.85 2025-09-09
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 5 — — $45,656.04 $91,026.49 $46,340.88 2025-09-09
J9226 HCPCS Supprelin La Implant 12 5 — — $45,560.39 $133,909.89 $46,243.79 2025-09-09
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 5 — — $45,529.81 $90,774.81 $46,212.76 2025-09-09
901 MS_DRG Wound Debridements For Injuries With Mcc 12 5 — — $45,104.28 $89,926.39 $45,780.85 2025-09-09
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 5 — — $44,720.47 $89,161.19 $45,391.27 2025-09-09
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 5 — — $44,049.59 $87,823.61 $44,710.33 2025-09-09
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 5 — — $43,958.97 $87,642.96 $44,618.35 2025-09-09
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 5 — — $43,426.54 $86,581.42 $44,077.94 2025-09-09
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 5 — — $43,362.41 $86,453.55 $44,012.85 2025-09-09
33276 CPT Insj Phrnc Nrv Stim Sys 10 5 — — $43,553.28 $44,859.88 $43,988.82 2025-09-09
0266T CPT Apc 10 5 — — $43,553.28 $44,859.88 $43,988.82 2025-09-09
140 MS_DRG Major Head And Neck Procedures With Mcc 12 5 — — $43,054.96 $85,840.58 $43,700.79 2025-09-09
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 5 — — $42,661.99 $85,057.11 $43,301.92 2025-09-09
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 5 — — $42,651.81 $85,036.81 $43,291.59 2025-09-09
793 MS_DRG Full Term Neonate With Major Problems 12 5 — — $42,457.38 $84,649.14 $43,094.24 2025-09-09
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 5 — — $42,357.60 $84,450.23 $42,992.96 2025-09-09
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 42 9 $49,286.49 $49,286.49 $59.70 $46,329.30 $42,608.17 2025-09-09
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 5 — — $41,862.85 $83,463.79 $42,490.79 2025-09-09
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 5 — — $41,839.42 $83,417.10 $42,467.01 2025-09-09
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 5 — — $41,777.31 $83,293.29 $42,403.97 2025-09-09
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 5 — — $41,571.67 $82,883.29 $42,195.24 2025-09-09
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 5 — — $41,407.76 $82,556.51 $42,028.88 2025-09-09
791 MS_DRG Prematurity With Major Problems 12 5 — — $41,331.42 $82,404.28 $41,951.39 2025-09-09
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 5 — — $41,141.33 $45,366.54 $41,758.45 2025-09-09
33229 CPT Hc Remv&replc Pm Gen Mult Leads 42 9 $48,269.95 $48,269.95 $18,457.83 $89,631.41 $41,729.37 2025-09-09
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 5 — — $40,555.67 $80,857.64 $41,164.01 2025-09-09
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 5 — — $40,527.15 $80,800.81 $41,135.06 2025-09-09
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 5 — — $40,168.81 $80,086.35 $40,771.35 2025-09-09
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 5 — — $40,086.36 $79,921.94 $40,687.65 2025-09-09
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 5 — — $40,004.89 $79,759.56 $40,604.96 2025-09-09
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 5 — — $39,827.78 $79,406.39 $40,425.20 2025-09-09
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 5 — — $39,808.42 $79,367.83 $40,405.54 2025-09-09
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 5 — — $39,588.52 $78,929.41 $40,182.35 2025-09-09
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 5 — — $39,347.26 $78,448.37 $39,937.47 2025-09-09
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 5 — — $39,307.55 $78,369.21 $39,897.16 2025-09-09
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 5 — — $39,197.61 $78,150.00 $39,785.57 2025-09-09
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 5 — — $38,913.57 $77,583.71 $39,497.27 2025-09-09
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 5 — — $38,702.83 $77,163.56 $39,283.38 2025-09-09
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 5 — — $38,401.49 $76,562.77 $38,977.51 2025-09-09
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 5 — — $38,095.07 $75,951.82 $38,666.49 2025-09-09
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 5 — — $37,145.24 $74,058.10 $37,702.42 2025-09-09
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 5 — — $36,887.65 $73,544.58 $37,440.96 2025-09-09
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 5 — — $36,494.70 $72,761.12 $37,042.12 2025-09-09
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 5 — — $36,492.67 $72,757.06 $37,040.06 2025-09-09
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 5 — — $36,486.56 $72,744.88 $37,033.86 2025-09-09
265 MS_DRG Aicd Lead Procedures 12 5 — — $36,315.54 $72,403.89 $36,860.27 2025-09-09
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 5 — — $36,152.64 $72,079.13 $36,694.93 2025-09-09
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 5 — — $35,940.90 $71,656.95 $36,480.01 2025-09-09
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 5 — — $35,931.72 $71,638.69 $36,470.69 2025-09-09
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 5 — — $35,841.12 $71,458.04 $36,378.74 2025-09-09
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 5 — — $35,670.11 $71,117.05 $36,205.16 2025-09-09
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $35,658.89 $71,094.72 $36,193.78 2025-09-09
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 5 — — $35,644.64 $71,066.31 $36,179.31 2025-09-09
264 MS_DRG Other Circulatory System O.r. Procedures 12 5 — — $35,581.52 $70,940.46 $36,115.24 2025-09-09
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 5 — — $35,351.44 $70,481.75 $35,881.71 2025-09-09
332 MS_DRG Rectal Resection With Mcc 12 5 — — $35,312.76 $70,404.62 $35,842.46 2025-09-09
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 5 — — $35,274.07 $70,327.49 $35,803.18 2025-09-09
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 5 — — $35,065.37 $69,911.40 $35,591.35 2025-09-09
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 5 — — $35,010.40 $69,801.80 $35,535.56 2025-09-09
33214 CPT Hc Upgrade Of Pacemaker System 42 9 $41,076.90 $41,076.90 $10,128.77 $49,185.37 $35,510.98 2025-09-09
33208 CPT Hc Insrt Heart Pm Atrial & Vent 42 9 $41,076.90 $41,076.90 $10,128.77 $49,185.37 $35,510.98 2025-09-09
665 MS_DRG Prostatectomy With Mcc 12 5 — — $34,955.43 $69,692.19 $35,479.76 2025-09-09
252 MS_DRG Other Vascular Procedures With Mcc 12 5 — — $34,922.85 $69,627.24 $35,446.69 2025-09-09
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 5 — — $34,869.90 $69,521.70 $35,392.95 2025-09-09
L6700 HCPCS Ue Add Ext Power Myoel 12 5 — — $34,717.87 $38,283.40 $35,238.64 2025-09-09
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 5 — — $34,676.47 $69,136.05 $35,196.62 2025-09-09
L5856 HCPCS Elec Knee-shin Swing/stance 12 5 — — $34,568.35 $38,118.52 $35,086.88 2025-09-09
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 5 — — $34,531.93 $68,847.83 $35,049.91 2025-09-09
L6880 HCPCS Elec Hand Ind Art Digits 12 5 — — $34,363.97 $37,893.15 $34,879.43 2025-09-09
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 5 — — $34,172.56 $68,131.34 $34,685.15 2025-09-09
37 MS_DRG Extracranial Procedures With Mcc 12 5 — — $33,808.10 $67,404.71 $34,315.22 2025-09-09
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 5 — — $33,874.88 $34,891.13 $34,213.63 2025-09-09
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 5 — — $33,614.68 $67,019.06 $34,118.90 2025-09-09
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 5 — — $33,276.69 $66,345.20 $33,775.84 2025-09-09
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 5 — — $33,182.02 $66,156.43 $33,679.75 2025-09-09
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 5 — — $33,167.75 $66,128.02 $33,665.27 2025-09-09
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 5 — — $32,773.79 $65,342.52 $33,265.40 2025-09-09
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 42 9 $38,416.02 $38,416.02 $33.74 $36,111.06 $33,210.65 2025-09-09
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 5 — — $32,622.07 $65,040.09 $33,111.40 2025-09-09
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 5 — — $32,527.40 $64,851.33 $33,015.31 2025-09-09
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 5 — — $32,465.30 $64,727.52 $32,952.28 2025-09-09
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 5 — — $32,377.75 $64,552.96 $32,863.42 2025-09-09
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 5 — — $32,312.60 $64,423.06 $32,797.29 2025-09-09
500 MS_DRG Soft Tissue Procedures With Mcc 12 5 — — $32,258.63 $64,315.48 $32,742.51 2025-09-09
33206 CPT Hc Insert Heart Pm Atrial 42 9 $37,630.20 $37,630.20 $10,128.77 $49,185.37 $32,531.31 2025-09-09
33207 CPT Hc Insert Heart Pm Ventricular 42 9 $37,630.20 $37,630.20 $10,128.77 $49,185.37 $32,531.31 2025-09-09
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 5 — — $31,773.04 $63,347.31 $32,249.64 2025-09-09
662 MS_DRG Minor Bladder Procedures With Mcc 12 5 — — $31,758.78 $63,318.90 $32,235.17 2025-09-09
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 5 — — $31,623.40 $63,048.94 $32,097.75 2025-09-09
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 5 — — $31,481.88 $62,766.81 $31,954.11 2025-09-09
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 5 — — $31,416.72 $62,636.91 $31,887.97 2025-09-09
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 5 — — $31,394.31 $62,592.26 $31,865.22 2025-09-09
652 MS_DRG Kidney Transplant 12 5 — — $31,268.08 $62,340.57 $31,737.10 2025-09-09
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 5 — — $31,239.59 $62,283.74 $31,708.19 2025-09-09
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 5 — — $31,137.77 $62,080.77 $31,604.84 2025-09-09
0408T CPT Insj/rplc Cardiac Modulj Sys 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
33249 CPT Insj/rplcmt Defib W/lead(s) 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
33270 CPT Ins/rep Subq Defibrillator 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
33231 CPT Insrt Pulse Gen W/mult Leads 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 5 — — $31,030.48 $150,684.28 $31,495.93 2025-09-09
33228 CPT Hc Remv&replc Pm Gen Dual Lead 42 9 $36,341.60 $36,341.60 $10,128.77 $49,185.37 $31,417.31 2025-09-09
33213 CPT Hc Insert Pulse Gen Dual Leads 42 9 $36,341.60 $36,341.60 $10,128.77 $49,185.37 $31,417.31 2025-09-09
69930 CPT Implant Cochlear Device 12 5 — — $30,784.88 $149,491.66 $31,246.65 2025-09-09
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 42 9 $36,102.53 $36,102.53 $197.65 $33,936.38 $31,210.64 2025-09-09
570 MS_DRG Skin Debridement With Mcc 12 5 — — $30,645.05 $61,098.39 $31,104.72 2025-09-09
974 MS_DRG HIV With Major Related Condition With Mcc 12 5 — — $30,400.71 $60,611.26 $30,856.72 2025-09-09
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 5 — — $30,017.95 $59,848.09 $30,468.22 2025-09-09
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 5 — — $29,940.56 $59,693.83 $30,389.67 2025-09-09
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 5 — — $29,859.12 $59,531.45 $30,307.00 2025-09-09
668 MS_DRG Transurethral Procedures With Mcc 12 5 — — $29,689.12 $59,192.49 $30,134.46 2025-09-09
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 5 — — $29,672.82 $59,160.02 $30,117.92 2025-09-09
800 MS_DRG Splenic Procedures With Cc 12 5 — — $29,663.66 $59,141.75 $30,108.61 2025-09-09
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 5 — — $29,647.37 $59,109.27 $30,092.08 2025-09-09
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 42 9 $34,803.95 $34,803.95 $157.68 $32,715.71 $30,088.01 2025-09-09
472 MS_DRG Cervical Spinal Fusion With Cc 12 5 — — $29,494.66 $58,804.82 $29,937.08 2025-09-09
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
64568 CPT Opn Impltj Crnl Nrv Nea&pg 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
61886 CPT Implant Neurostim Arrays 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
0268T CPT Apc 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 12 5 — — $29,493.56 $143,220.97 $29,935.96 2025-09-09
33227 CPT Hc Remove & Replace Pm Gen Singl 42 9 $34,525.55 $34,525.55 $8,009.82 $38,895.78 $29,847.34 2025-09-09
33212 CPT Hc Insert Pulse Gen Sngl Lead 42 9 $34,525.55 $34,525.55 $8,009.82 $38,895.78 $29,847.34 2025-09-09
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 5 — — $29,188.24 $58,193.87 $29,626.06 2025-09-09
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 5 — — $29,154.65 $58,126.89 $29,591.97 2025-09-09
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 5 — — $29,137.33 $58,092.39 $29,574.39 2025-09-09
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 5 — — $29,096.62 $58,011.20 $29,533.07 2025-09-09
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 5 — — $28,981.56 $57,781.84 $29,416.28 2025-09-09
654 MS_DRG Major Bladder Procedures With Cc 12 5 — — $28,730.11 $57,280.50 $29,161.06 2025-09-09
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 5 — — $28,590.64 $57,002.43 $29,019.50 2025-09-09
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 5 — — $28,561.12 $56,943.57 $28,989.53 2025-09-09
J9266 HCPCS Pegaspargase Injection 12 5 — — $28,424.06 $81,922.56 $28,850.42 2025-09-09
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 5 — — $27,857.66 $55,541.04 $28,275.53 2025-09-09
L8614 HCPCS Cochlear Device 12 5 — — $27,812.64 $30,669.00 $28,229.83 2025-09-09
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 5 — — $27,807.77 $55,441.58 $28,224.89 2025-09-09
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 5 — — $27,756.86 $55,340.10 $28,173.22 2025-09-09
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 42 9 $32,571.94 $32,571.94 $16.89 $30,617.62 $28,158.44 2025-09-09
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 5 — — $27,657.10 $55,141.19 $28,071.96 2025-09-09
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 5 — — $27,521.70 $54,871.23 $27,934.53 2025-09-09
33289 CPT Tcat Impl Wrls P-art Prs Snr 12 5 — — $27,514.07 $133,608.57 $27,926.79 2025-09-09
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 5 — — $27,431.09 $54,690.59 $27,842.56 2025-09-09
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 5 — — $27,322.15 $54,473.41 $27,731.98 2025-09-09
263 MS_DRG Vein Ligation And Stripping 12 5 — — $27,304.84 $54,438.91 $27,714.42 2025-09-09
849 MS_DRG Radiotherapy 12 5 — — $27,192.87 $54,215.64 $27,600.76 2025-09-09
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 5 — — $27,108.38 $54,047.17 $27,515.00 2025-09-09
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 5 — — $27,011.67 $53,854.35 $27,416.85 2025-09-09
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 12 5 — — $26,978.06 $53,787.37 $27,382.73 2025-09-09
Q0483 HCPCS Monitor Elec Vad, Rep 12 5 — — $26,966.90 $29,736.40 $27,371.40 2025-09-09
503 MS_DRG Foot Procedures With Mcc 12 5 — — $26,943.44 $53,718.36 $27,347.59 2025-09-09
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 12 5 — — $26,915.98 $53,663.56 $27,319.72 2025-09-09
37238 CPT Hc Open/perq Place Stent Same 42 9 $31,540.80 $31,540.80 $10,975.86 $53,298.85 $27,267.02 2025-09-09
L5858 HCPCS Stance Phase Only 12 5 — — $26,723.96 $29,468.51 $27,124.82 2025-09-09
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 12 5 — — $26,706.25 $53,245.43 $27,106.85 2025-09-09
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 5 — — $26,637.02 $53,107.41 $27,036.57 2025-09-09
J2427 HCPCS Paliperidone Palmitate ER 819 Mg/2.63ml IM Susy 112 9 $34,090.48 $34,090.48 $12.96 $48,066.43 $26,957.05 2025-09-09
C9760 HCPCS Non-blind Interatrial Shunt 10 5 — — $26,616.08 $27,414.57 $26,882.24 2025-09-09
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 12 5 — — $26,352.99 $52,541.12 $26,748.28 2025-09-09
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 5 — — $26,309.23 $52,453.85 $26,703.86 2025-09-09
37236 CPT Hc Open/perq Place Stent 1st 42 9 $30,622.00 $30,622.00 $10,975.86 $53,298.85 $26,472.72 2025-09-09
37226 CPT Hc Fem/popl Revasc W/stent 42 9 $30,622.00 $30,622.00 $10,975.86 $53,298.85 $26,472.72 2025-09-09
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 5 — — $25,998.72 $51,834.79 $26,388.70 2025-09-09
253 MS_DRG Other Vascular Procedures With Cc 12 5 — — $25,990.56 $51,818.55 $26,380.42 2025-09-09
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 5 — — $25,941.70 $51,721.12 $26,330.82 2025-09-09
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 12 5 — — $25,808.34 $51,455.23 $26,195.46 2025-09-09
545 MS_DRG Connective Tissue Disorders With Mcc 12 5 — — $25,724.86 $51,288.79 $26,110.74 2025-09-09
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 5 — — $25,704.50 $51,248.20 $26,090.07 2025-09-09
164 MS_DRG Major Chest Procedures With Cc 12 5 — — $25,624.07 $51,087.85 $26,008.43 2025-09-09
L6975 HCPCS Interscap-thor Myoelectronic 12 5 — — $25,573.88 $28,200.32 $25,957.49 2025-09-09
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 5 — — $25,492.76 $50,826.02 $25,875.15 2025-09-09
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 5 — — $25,473.40 $50,787.45 $25,855.50 2025-09-09
37241 CPT Hc Vasc Embolize/occlude Venous 42 9 $29,691.90 $29,691.90 $10,975.86 $53,298.85 $25,668.65 2025-09-09
397 MS_DRG Appendix Procedures With Mcc 12 5 — — $25,225.01 $50,292.20 $25,603.38 2025-09-09
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 12 5 — — $25,123.18 $50,089.23 $25,500.03 2025-09-09
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 5 — — $25,092.86 $27,669.90 $25,469.26 2025-09-09
792 MS_DRG Prematurity Without Major Problems 12 5 — — $24,938.94 $49,721.85 $25,313.03 2025-09-09
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 5 — — $24,924.68 $49,693.44 $25,298.55 2025-09-09
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 42 9 $29,131.16 $29,131.16 $258.52 $27,383.29 $25,183.89 2025-09-09
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 5 — — $24,719.04 $49,283.44 $25,089.82 2025-09-09
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 5 — — $24,623.34 $49,092.64 $24,992.69 2025-09-09
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 12 5 — — $24,545.96 $48,938.39 $24,914.15 2025-09-09
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 5 — — $24,443.15 $48,733.39 $24,809.79 2025-09-09
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 12 5 — — $24,404.47 $48,656.26 $24,770.53 2025-09-09
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 5 — — $24,404.47 $48,656.26 $24,770.53 2025-09-09
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $24,228.42 $71,315.79 $24,591.85 2025-09-09
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 5 — — $24,193.73 $48,236.11 $24,556.63 2025-09-09
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 12 5 — — $24,101.08 $48,051.40 $24,462.60 2025-09-09
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