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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

METROWEST MEDICAL CENTER

Framingham, MA · CCN 220175 · Rates published

20,409 distinct procedures filed
26 distinct payers
567,883 rate rows
2025-01-31 last MRF observed · ⚠ 17 mo old
Data quality

330,156 of 567,883 rate rows are consumer-grade (58.1%)

237,727 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 234,160
per-diem day rate — not a per-procedure price 2,808
template filing: same amount across many unrelated codes — excluded 643
exceeds 10× this hospital's gross charge — excluded from medians 67
placeholder amount (≤ $0.02) — excluded from medians 49

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/621861200_metrowest-medical-center---framingham_standardcharges.json
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 578c9186ef017488… · 264,284,181 bytes · first seen 2026-05-17

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
J1411
CPT 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 19 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J3399
CPT 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 16 $2,222,890.50 $2,222,890.50 $2,222,890.50 nat. median
$2,469,189
0.9× median
Q2056
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 16 $492,900.00 $492,900.00 $492,900.00 nat. median
$675,122
0.7× median
C9098
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 19 $478,950.00 $504,046.97 $491,498.48 nat. median
$57,174
outlier · 8.6×
Q2042
CPT 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 21 $466,069.91 $466,069.91 $466,069.91 nat. median
$754,974
0.6× median
Q2055
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 14 $444,670.00 $467,970.72 $456,320.36 nat. median
$625,184
0.7× median
Q2054
CPT 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 20 $454,489.31 $457,707.69 $456,098.50 nat. median
$674,188
0.7× median
Q2041
CPT 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 18 $449,440.00 $449,440.00 $449,440.00 nat. median
$634,511
0.7× median
Q2053
CPT 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 15 $422,940.00 $445,102.06 $434,021.03 nat. median
$620,080
0.7× median
C9081
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab… 19 $432,085.00 $432,085.00 $432,085.00 nat. median
$30,475
outlier · 14.2×
02HA3QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 1 $194,076.00 $194,076.00 $194,076.00 nat. median
$25,848
outlier · 7.5×
02HA0QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Open Approach 1 $194,076.00 $194,076.00 $194,076.00 nat. median
$25,848
outlier · 7.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $26.40 $406,846.53 $127,306.64 nat. median
$206,368
0.6× median
Q0480
CPT 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 18 $95,987.91 $101,017.68 $98,502.79 nat. median
$111,989
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $8.00 $91,816.64 $80,989.95 nat. median
$59,899
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $8.70 $116,007.29 $76,052.00 nat. median
$74,915
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 $17.90 $90,265.51 $74,998.82 nat. median
$52,278
1.4× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $2.20 $87,928.56 $73,972.45 nat. median
$61,920
1.2× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 $11.00 $74,414.30 $67,548.48 nat. median
$47,311
1.4× median
33231
CPT 		Insertion Of Pacing Defibrillator Pulse Generator With Existing Multiple Leads 15 $27,455.38 $105,908.00 $66,681.69 nat. median
$30,121
outlier · 2.2×
A9543
CPT 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 19 $59,793.83 $65,476.58 $62,635.21 nat. median
$62,507
1.0× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 $17,635.00 $80,985.00 $59,584.42 nat. median
$41,527
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $5.00 $98,248.41 $57,512.25 nat. median
$64,510
0.9× median
33271
CPT 		Insertion Of Defibrillator Electrode 15 $6,293.00 $105,908.00 $56,100.50 nat. median
$8,455
outlier · 6.6×
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 $8.00 $59,998.93 $55,695.80 nat. median
$36,764
1.5× median
Q2043
CPT 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 18 $53,505.53 $56,309.22 $54,907.38 nat. median
$66,682
0.8× median
33249
CPT 		Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 17 $52,956.00 $55,604.00 $54,280.00 nat. median
$31,833
1.7× median
33263
CPT 		Removal And Replacement Of Defibrillator Pulse Generator, Two Wires (leads) 1 $52,956.00 $55,604.00 $54,280.00 nat. median
$23,504
outlier · 2.3×
33202
CPT 		Insertion Of Electrodes To Outer Layer Of Heart, Open Procedure 19 $52,956.00 $55,604.00 $54,280.00 nat. median
$3,358
outlier · 16.2×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 19 $6,861.00 $102,070.00 $54,060.50 nat. median
$42,002
1.3× median
33240
CPT 		Insertion Of Pacing Defibrillator Pulse Generator With Existing Single Lead 4 $377.00 $105,908.00 $53,605.12 nat. median
$22,134
outlier · 2.4×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 3 $6.90 $57,410.48 $53,293.00 nat. median
$38,112
1.4× median
33262
CPT 		Removal And Replacement Of Defibrillator Pulse Generator, Single Wire (lead) 2 $27,455.38 $55,604.00 $52,956.00 nat. median
$23,398
outlier · 2.3×
799
MS_DRG 		Splenectomy With Mcc 4 $17,635.00 $76,474.25 $52,157.56 nat. median
$45,384
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 $6,861.00 $98,072.00 $52,061.50 nat. median
$48,649
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 15 $14,328.00 $98,072.00 $52,061.50 nat. median
$54,196
1.0× median
32701
CPT 		Thoracic Targets Delineation For Stereotactic Body Radiation Therapy 17 $51,900.00 $51,900.00 $51,900.00 nat. median
$898
outlier · 57.8×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $9.80 $69,716.80 $51,795.54 nat. median
$44,810
1.2× median
791
MS_DRG 		Prematurity With Major Problems 4 $13.30 $61,645.80 $51,220.32 nat. median
$35,265
1.5× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $3.30 $76,052.00 $49,192.40 nat. median
$48,732
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 5 $9.00 $55,180.13 $48,326.99 nat. median
$35,058
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 17 $6,861.00 $88,896.00 $47,878.50 nat. median
$49,935
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 17 $6,861.00 $88,896.00 $47,473.50 nat. median
$39,020
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $6,861.00 $88,303.23 $47,177.11 nat. median
$59,793
0.8× median
0614T
CPT 		Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 15 $35,886.00 $55,604.00 $45,745.00 nat. median
$23,514
1.9× median
0515T
CPT 		Insertion Of Complete Wireless Heart Stimulator System For Pacing Of Lower Left… 16 $34,972.18 $55,604.00 $45,288.09 nat. median
$22,512
outlier · 2.0×
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 18 $6,293.00 $84,042.00 $45,167.50 nat. median
$32,221
1.4× median
63277
CPT 		Removal Or Biopsy Of Growth Of Lower Spine Bone Outside Spine Membrane 16 $44,929.00 $44,929.00 $44,929.00 nat. median
$5,531
outlier · 8.1×
63048
CPT 		Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Ad… 21 $44,929.00 $44,929.00 $44,929.00 nat. median
$3,386
outlier · 13.3×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 $8.00 $51,236.86 $44,898.90 nat. median
$33,675
1.3× median

Other procedures at this hospital

Browse this hospital's 20,409 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
             
J1411 CPT Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 38 19 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2025-01-31
J3399 CPT Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 23 16 — — $2,222,890.50 $2,222,890.50 $2,222,890.50 2025-01-31
Q2056 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 28 16 — — $492,900.00 $492,900.00 $492,900.00 2025-01-31
C9098 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 32 19 — — $478,950.00 $504,046.97 $491,498.48 2025-01-31
Q2042 CPT Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 30 21 — — $466,069.91 $466,069.91 $466,069.91 2025-01-31
Q2055 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 25 14 — — $444,670.00 $467,970.72 $456,320.36 2025-01-31
Q2054 CPT Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 34 20 — — $454,489.31 $457,707.69 $456,098.50 2025-01-31
Q2041 CPT Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 32 18 — — $449,440.00 $449,440.00 $449,440.00 2025-01-31
Q2053 CPT Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 30 15 — — $422,940.00 $445,102.06 $434,021.03 2025-01-31
C9081 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab… 27 19 — — $432,085.00 $432,085.00 $432,085.00 2025-01-31
02HA3QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 1 1 — — $194,076.00 $194,076.00 $194,076.00 2025-01-31
02HA0QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Open Approach 1 1 — — $194,076.00 $194,076.00 $194,076.00 2025-01-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $26.40 $406,846.53 $127,306.64 2025-01-31
Q0480 CPT Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 30 18 — — $95,987.91 $101,017.68 $98,502.79 2025-01-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 4 — — $8.00 $91,816.64 $80,989.95 2025-01-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 6 — — $8.70 $116,007.29 $76,052.00 2025-01-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 5 — — $17.90 $90,265.51 $74,998.82 2025-01-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $2.20 $87,928.56 $73,972.45 2025-01-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 5 — — $11.00 $74,414.30 $67,548.48 2025-01-31
33231 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Multiple Leads 31 15 — — $27,455.38 $105,908.00 $66,681.69 2025-01-31
A9543 CPT Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 37 19 — — $59,793.83 $65,476.58 $62,635.21 2025-01-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $17,635.00 $80,985.00 $59,584.42 2025-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $5.00 $98,248.41 $57,512.25 2025-01-31
33271 CPT Insertion Of Defibrillator Electrode 31 15 — — $6,293.00 $105,908.00 $56,100.50 2025-01-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 5 — — $8.00 $59,998.93 $55,695.80 2025-01-31
Q2043 CPT Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 34 18 — — $53,505.53 $56,309.22 $54,907.38 2025-01-31
33263 CPT Removal And Replacement Of Defibrillator Pulse Generator, Two Wires (leads) 2 1 — — $52,956.00 $55,604.00 $54,280.00 2025-01-31
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 26 17 — — $52,956.00 $55,604.00 $54,280.00 2025-01-31
33202 CPT Insertion Of Electrodes To Outer Layer Of Heart, Open Procedure 32 19 — — $52,956.00 $55,604.00 $54,280.00 2025-01-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 19 — — $6,861.00 $102,070.00 $54,060.50 2025-01-31
33240 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Single Lead 6 4 — — $377.00 $105,908.00 $53,605.12 2025-01-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 3 — — $6.90 $57,410.48 $53,293.00 2025-01-31
33262 CPT Removal And Replacement Of Defibrillator Pulse Generator, Single Wire (lead) 3 2 — — $27,455.38 $55,604.00 $52,956.00 2025-01-31
799 MS_DRG Splenectomy With Mcc 8 4 — — $17,635.00 $76,474.25 $52,157.56 2025-01-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 28 17 — — $6,861.00 $98,072.00 $52,061.50 2025-01-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 28 15 — — $14,328.00 $98,072.00 $52,061.50 2025-01-31
32701 CPT Thoracic Targets Delineation For Stereotactic Body Radiation Therapy 31 17 — — $51,900.00 $51,900.00 $51,900.00 2025-01-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 5 — — $9.80 $69,716.80 $51,795.54 2025-01-31
791 MS_DRG Prematurity With Major Problems 5 4 — — $13.30 $61,645.80 $51,220.32 2025-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 4 — — $3.30 $76,052.00 $49,192.40 2025-01-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 5 — — $9.00 $55,180.13 $48,326.99 2025-01-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 28 17 — — $6,861.00 $88,896.00 $47,878.50 2025-01-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 29 17 — — $6,861.00 $88,896.00 $47,473.50 2025-01-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $6,861.00 $88,303.23 $47,177.11 2025-01-31
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 29 15 — — $35,886.00 $55,604.00 $45,745.00 2025-01-31
0515T CPT Insertion Of Complete Wireless Heart Stimulator System For Pacing Of Lower Left … 25 16 — — $34,972.18 $55,604.00 $45,288.09 2025-01-31
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 32 18 — — $6,293.00 $84,042.00 $45,167.50 2025-01-31
63048 CPT Partial Removal Of Spine Bone With Release Of Spinal Cord And/or Nerves, Each Ad… 29 21 — — $44,929.00 $44,929.00 $44,929.00 2025-01-31
63277 CPT Removal Or Biopsy Of Growth Of Lower Spine Bone Outside Spine Membrane 28 16 — — $44,929.00 $44,929.00 $44,929.00 2025-01-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 5 — — $8.00 $51,236.86 $44,898.90 2025-01-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 6 — — $8.00 $99,776.32 $44,074.00 2025-01-31
63043 CPT Partial Removal Of Spine Bone With Re-exploration, Release Of Upper Spinal Cord … 32 18 — — $42,790.00 $44,929.00 $43,859.50 2025-01-31
63276 CPT Removal Or Biopsy Of Growth Of Middle Spine Bone Outside Spine Membrane 27 14 — — $42,790.00 $44,929.00 $43,859.50 2025-01-31
63272 CPT Removal Of Lower Spine Bone And Growth Other Than A Tumor, Intradural 29 18 — — $42,790.00 $44,929.00 $43,859.50 2025-01-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 27 17 — — $6,861.00 $80,985.00 $43,518.00 2025-01-31
J9226 CPT Histrelin Implant (supprelin La), 50 Mg 27 18 — — $43,324.60 $43,324.60 $43,324.60 2025-01-31
33221 CPT Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 27 16 — — $27,455.38 $58,806.00 $43,130.69 2025-01-31
L7180 CPT Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 29 18 — — $43,005.38 $43,005.38 $43,005.38 2025-01-31
0409T CPT Insertion Or Replacement Of Pulse Generator Of Heart Contractility Modulator Sys… 20 13 — — $30,317.49 $55,604.00 $42,960.75 2025-01-31
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 33 17 — — $30,317.49 $55,604.00 $42,960.75 2025-01-31
0414T CPT Replacement Of Pulse Generator Of Heart Contractility Modulator System 33 20 — — $30,317.49 $55,604.00 $42,960.75 2025-01-31
63285 CPT Removal Or Biopsy Of Growth Of Upper Spine Bone Within Spine Membrane, Intramedu… 33 21 — — $42,790.00 $42,790.00 $42,790.00 2025-01-31
63278 CPT Removal Or Biopsy Of Growth Of Sacral Spine Bone Outside Spine Membrane 27 15 — — $42,790.00 $42,790.00 $42,790.00 2025-01-31
63270 CPT Removal Of Upper Spine Bone And Growth Other Than A Tumor, Intradural 21 17 — — $42,790.00 $42,790.00 $42,790.00 2025-01-31
63280 CPT Removal Or Biopsy Of Growth Of Upper Spine Bone Within Spine Membrane, Extramedu… 27 18 — — $42,790.00 $42,790.00 $42,790.00 2025-01-31
63053 CPT Partial Removal Of Bone Of Additional Segment Of Spine In Lower Back With Releas… 29 19 — — $42,790.00 $42,790.00 $42,790.00 2025-01-31
652 MS_DRG Kidney Transplant 7 4 — — $6,861.00 $46,372.91 $42,654.59 2025-01-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 5 — — $10.50 $64,503.22 $42,596.82 2025-01-31
0525T CPT Insertion Or Replacement Of Complete Monitoring System For Deficient Blood Flow … 27 16 — — $31,902.00 $52,956.00 $42,429.00 2025-01-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 18 — — $6,861.00 $78,053.25 $42,052.12 2025-01-31
33824 CPT Repair Of Congenital Heart Defect From Pulmonary (lung) Artery To Aorta, Patient… 26 16 — — $41,812.00 $41,812.00 $41,812.00 2025-01-31
332 MS_DRG Rectal Resection With Mcc 10 6 — — $6.70 $55,992.01 $40,939.55 2025-01-31
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 31 19 — — $35,791.90 $45,224.00 $40,507.95 2025-01-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $8.20 $52,119.36 $40,390.99 2025-01-31
0238T CPT Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 27 14 — — $40,203.00 $40,203.00 $40,203.00 2025-01-31
C9760 CPT Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 26 16 — — $35,886.00 $43,723.06 $39,804.53 2025-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $5.70 $94,317.00 $39,448.00 2025-01-31
37 MS_DRG Extracranial Procedures With Mcc 9 5 — — $5.00 $50,782.53 $39,448.00 2025-01-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 6 — — $14.80 $159,752.25 $39,448.00 2025-01-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 4 — — $7.80 $67,325.93 $39,448.00 2025-01-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 5 — — $6.00 $44,460.52 $39,448.00 2025-01-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 11 6 — — $2.30 $108,993.00 $39,448.00 2025-01-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $8.70 $67,741.13 $39,448.00 2025-01-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 5 — — $6,861.00 $92,013.62 $39,448.00 2025-01-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 4 — — $5.00 $41,992.46 $39,448.00 2025-01-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 5 — — $6,861.00 $91,261.28 $39,448.00 2025-01-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $2.80 $56,844.00 $39,448.00 2025-01-31
0424T CPT Insertion Or Replacement Of Complete Neurostimulator System For Treatment Of Cen… 30 17 — — $35,886.00 $42,984.05 $39,435.03 2025-01-31
G2171 CPT Percutaneous Arteriovenous Fistula Creation (avf), Direct, Any Site, Using Magne… 27 17 — — $39,292.54 $39,292.54 $39,292.54 2025-01-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $8.80 $48,271.03 $39,175.56 2025-01-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 22 15 — — $14,328.00 $72,153.75 $39,102.38 2025-01-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $3.00 $68,164.37 $39,061.49 2025-01-31
662 MS_DRG Minor Bladder Procedures With Mcc 6 5 — — $7.00 $45,082.36 $38,649.03 2025-01-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 5 — — $6.40 $45,044.75 $38,527.58 2025-01-31
163 MS_DRG Major Chest Procedures With Mcc 28 16 — — $17,635.00 $70,911.40 $38,481.20 2025-01-31
63282 CPT Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Extramedu… 32 16 — — $31,902.00 $44,929.00 $38,415.50 2025-01-31
63252 CPT Removal Of Middle And Lower Spine Bone And Arteriovenous Malformation 30 17 — — $31,902.00 $44,929.00 $38,415.50 2025-01-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $5.00 $41,483.96 $37,643.20 2025-01-31
252 MS_DRG Other Vascular Procedures With Mcc 8 4 — — $5.40 $51,765.90 $37,436.65 2025-01-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 4 — — $7.00 $42,406.12 $37,418.37 2025-01-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 5 — — $10.00 $66,413.72 $37,407.37 2025-01-31
63190 CPT Removal Of Spine Bone With Severing Of Nerve Roots, More Than 2 Segments 30 18 — — $31,902.00 $42,790.00 $37,346.00 2025-01-31
63200 CPT Removal Of Lower Spine Bone With Release Of Frayed Spinal Cord 27 17 — — $31,902.00 $42,790.00 $37,346.00 2025-01-31
63287 CPT Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu… 22 10 — — $31,902.00 $42,790.00 $37,346.00 2025-01-31
33289 CPT Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 31 20 — — $27,455.38 $46,648.82 $37,052.10 2025-01-31
265 MS_DRG Aicd Lead Procedures 4 4 — — $6,861.00 $53,167.00 $37,003.46 2025-01-31
253 MS_DRG Other Vascular Procedures With Cc 10 6 — — $3.80 $53,379.00 $36,599.44 2025-01-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 4 — — $5.00 $43,261.22 $36,528.46 2025-01-31
63290 CPT Removal Or Biopsy Of Growth Of Spine Bone Outside And Within Spine Membrane 29 15 — — $31,902.00 $40,203.00 $36,052.50 2025-01-31
C9783 CPT Blinded Procedure For Transcatheter Implantation Of Coronary Sinus Reduction Dev… 30 16 — — $31,902.00 $40,203.00 $36,052.50 2025-01-31
56637 CPT Removal Of Entire External Female Genitals And Surrounding Lymph Nodes On Both S… 23 16 — — $31,902.00 $40,203.00 $36,052.50 2025-01-31
33206 CPT Insertion Or Replacement Of Permanent Pacemaker And Upper Chamber Electrodes 30 16 — — $13,085.10 $58,806.00 $35,945.55 2025-01-31
245 MS_DRG Aicd Generator Procedures 20 14 — — $6,861.00 $67,415.58 $35,397.29 2025-01-31
793 MS_DRG Full Term Neonate With Major Problems 6 5 — — $4.70 $63,324.71 $35,392.57 2025-01-31
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $10.00 $83,558.91 $35,376.00 2025-01-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 — — $9.40 $63,450.11 $35,376.00 2025-01-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $2.30 $43,932.64 $35,376.00 2025-01-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 4 — — $13,826.00 $73,879.47 $35,376.00 2025-01-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 6 3 — — $9.90 $84,231.36 $35,376.00 2025-01-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $10.60 $120,776.45 $35,376.00 2025-01-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $6.50 $77,772.34 $35,376.00 2025-01-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 4 — — $11.90 $85,869.19 $35,376.00 2025-01-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 3 — — $11.10 $74,192.96 $35,376.00 2025-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $11.20 $94,083.00 $35,376.00 2025-01-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 5 — — $6.30 $41,453.78 $35,229.30 2025-01-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 5 — — $6,861.00 $39,448.00 $35,148.90 2025-01-31
33227 CPT Removal And Replacement Of Single Lead Permanent Pacemaker Pulse Generator 32 19 — — $10,512.98 $58,806.00 $34,659.49 2025-01-31
33208 CPT Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower… 6 4 — — $506.00 $58,806.00 $34,575.82 2025-01-31
C9782 CPT Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 33 18 — — $34,508.00 $34,508.00 $34,508.00 2025-01-31
164 MS_DRG Major Chest Procedures With Cc 8 4 — — $3.70 $39,448.00 $33,761.12 2025-01-31
G2170 CPT Percutaneous Arteriovenous Fistula Creation (avf), Direct, Any Site, By Tissue A… 32 18 — — $27,455.38 $39,292.54 $33,373.96 2025-01-31
654 MS_DRG Major Bladder Procedures With Cc 8 5 — — $5.30 $41,182.95 $33,355.09 2025-01-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $9.00 $81,214.34 $33,347.00 2025-01-31
668 MS_DRG Transurethral Procedures With Mcc 8 5 — — $7.20 $43,495.83 $33,137.71 2025-01-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 10 6 — — $6.00 $39,448.00 $33,115.62 2025-01-31
33243 CPT Removal Of Defibrillator Electrodes Through Incision Of Chest 33 16 — — $12,526.00 $52,956.00 $32,741.00 2025-01-31
33211 CPT Insertion Of Temporary Pacemaker Lead In Upper And Lower Heart Chambers 30 18 — — $9,718.16 $55,604.00 $32,661.08 2025-01-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 5 — — $1.70 $39,448.00 $32,596.18 2025-01-31
33213 CPT Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 32 18 — — $6,293.00 $58,806.00 $32,549.50 2025-01-31
0274T CPT Removal Of Bone From Upper Or Middle Spine For Decompression Of Nerve Tissue Usi… 30 18 — — $19,923.00 $44,929.00 $32,426.00 2025-01-31
33207 CPT Insertion Or Replacement Of Permanent Pacemaker And Lower Chamber Electrodes 29 18 — — $11,346.48 $52,956.00 $32,151.24 2025-01-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 5 — — $5.90 $39,959.67 $32,097.87 2025-01-31
0520T CPT Removal And Replacement Of Pulse Generator Components Of Wireless Heart Stimulat… 35 17 — — $8,468.00 $55,604.00 $32,036.00 2025-01-31
33217 CPT Insertion Of Electrodes For Permanent Pacemaker Or Pacing Defibrillator Device 30 16 — — $8,468.00 $55,604.00 $32,036.00 2025-01-31
0517T CPT Insertion Of Pulse Generator Components Of Wireless Heart Stimulator System For … 26 15 — — $8,468.00 $55,604.00 $32,036.00 2025-01-31
J7330 CPT Autologous Cultured Chondrocytes, Implant 30 17 — — $31,905.54 $31,905.54 $31,905.54 2025-01-31
0527T CPT Insertion Or Replacement Of Implantable Monitor Of Monitoring System For Deficie… 27 18 — — $31,902.00 $31,902.00 $31,902.00 2025-01-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 5 3 — — $3.10 $39,448.00 $31,691.69 2025-01-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 8 4 — — $3.60 $39,448.00 $31,642.76 2025-01-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 6 — — $5.90 $40,300.79 $31,614.99 2025-01-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 4 — — $5.00 $61,319.00 $31,304.00 2025-01-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 6 — — $9.00 $73,168.07 $31,304.00 2025-01-31
215 MS_DRG Other Heart Assist System Implant 5 3 — — $5.00 $142,452.05 $31,304.00 2025-01-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 4 — — $2.20 $111,637.00 $31,304.00 2025-01-31
503 MS_DRG Foot Procedures With Mcc 7 4 — — $7.30 $41,395.13 $31,304.00 2025-01-31
901 MS_DRG Wound Debridements For Injuries With Mcc 7 5 — — $9.10 $65,107.42 $31,304.00 2025-01-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $3.50 $47,709.38 $31,304.00 2025-01-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 6 — — $6.00 $59,860.02 $31,304.00 2025-01-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 5 — — $4.90 $52,914.27 $31,304.00 2025-01-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 4 — — $11.10 $85,204.70 $31,304.00 2025-01-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $9.90 $67,761.23 $31,304.00 2025-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 4 — — $5.50 $54,937.68 $31,304.00 2025-01-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 6 — — $9.00 $85,496.55 $31,304.00 2025-01-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 5 — — $4.20 $34,859.96 $31,304.00 2025-01-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $7.50 $85,281.43 $31,304.00 2025-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 5 — — $6.70 $53,437.51 $31,304.00 2025-01-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 6 — — $4.90 $60,218.11 $31,304.00 2025-01-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 5 — — $1.70 $39,448.00 $31,304.00 2025-01-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 7 5 — — $5.40 $34,153.65 $31,304.00 2025-01-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 5 — — $7.00 $43,360.00 $31,304.00 2025-01-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 5 — — $3.60 $58,626.47 $31,304.00 2025-01-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 9 4 — — $4.90 $39,448.00 $31,304.00 2025-01-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 4 — — $7.10 $39,448.00 $31,304.00 2025-01-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 5 — — $6,861.00 $39,448.00 $31,304.00 2025-01-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 — — $6.00 $44,787.11 $31,304.00 2025-01-31
0410T CPT Insertion Or Replacement Of Electrodes In Upper Chamber Of Heart For Heart Contr… 31 16 — — $9,614.17 $52,956.00 $31,285.08 2025-01-31
595 MS_DRG Major Skin Disorders With Mcc 8 5 — — $6.00 $39,448.00 $31,095.59 2025-01-31
0412T CPT Removal Of Pulse Generator For Heart Contractility Modulator System 32 18 — — $6,293.00 $55,604.00 $30,948.50 2025-01-31
C9606 CPT Per Cor Revas D-e W/ami 31 20 $50,526.00 $37,894.50 25% off $27,455.38 $42,090.00 $30,886.00 2025-01-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 7 — — $2.90 $61,319.00 $30,770.53 2025-01-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 20 — — $6,861.00 $57,926.92 $30,652.96 2025-01-31
93623 CPT Ep Post Drug Infusion 22 16 $990.00 $742.50 25% off $30,616.50 $30,616.50 $30,616.50 2025-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 10 5 — — $7.00 $75,924.77 $30,491.00 2025-01-31
C9607 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 25 16 — — $18,988.74 $42,090.00 $30,417.50 2025-01-31
C9602 CPT Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 30 20 — — $18,988.74 $42,090.00 $30,417.50 2025-01-31
0275T CPT Removal Of Bone From Lower Spine For Decompression Of Nerve Tissue Using Imaging… 28 17 — — $15,809.00 $44,929.00 $30,369.00 2025-01-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 4 — — $5.30 $39,448.00 $30,351.54 2025-01-31
0518T CPT Removal Of Pulse Generator Components Of Wireless Heart Stimulator System For Pa… 29 16 — — $7,657.28 $52,956.00 $30,306.64 2025-01-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 16 — — $6,861.00 $56,998.71 $30,188.85 2025-01-31
709 MS_DRG Penis Procedures With Cc/mcc 6 4 — — $4.30 $39,448.00 $30,074.99 2025-01-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 18 — — $17,635.00 $53,953.20 $30,002.10 2025-01-31
33237 CPT Removal Of Permanent Right Heart Electrodes And Pacemaker, Dual Lead System 30 16 — — $4,396.00 $55,604.00 $30,000.00 2025-01-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 — — $4.10 $30,263.60 $29,995.35 2025-01-31
655 MS_DRG Major Bladder Procedures Without Cc/mcc 7 4 — — $3.30 $32,533.89 $29,846.19 2025-01-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 15 — — $6,861.00 $53,346.45 $29,698.72 2025-01-31
0413T CPT Removal Of Electrode For Heart Contractility Modulator System 25 18 — — $6,258.12 $52,956.00 $29,607.06 2025-01-31
33218 CPT Repair Of Electrode For Permanent Pacemaker Or Defibrillator Device 34 17 — — $3,569.92 $55,604.00 $29,586.96 2025-01-31
0580T CPT Removal Of Implantable Defibrillator Pulse Generator From Under Breastbone 33 19 — — $3,569.92 $55,604.00 $29,586.96 2025-01-31
0632T CPT Destruction Of Nerves To Main Arteries Of Lung, Accessed Through Skin Via Cathet… 25 14 — — $29,474.00 $40,203.00 $29,474.00 2025-01-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 — — $5.50 $31,672.13 $29,407.90 2025-01-31
C9604 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 29 19 — — $16,465.71 $42,090.00 $29,277.85 2025-01-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $6,861.00 $83,464.80 $29,275.00 2025-01-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 4 — — $7.60 $50,509.07 $29,275.00 2025-01-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 4 — — $4.00 $46,260.30 $29,275.00 2025-01-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $13.00 $100,205.32 $29,275.00 2025-01-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $10.10 $59,539.64 $29,275.00 2025-01-31
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 4 — — $3.50 $39,448.00 $29,271.42 2025-01-31
33238 CPT Removal Of Permanent Pacemaker Venous Electrodes 27 16 — — $5,540.00 $52,956.00 $29,248.00 2025-01-31
37227 CPT Removal Of Plaque And Insertion Of Stents Into Arteries In One Leg, Endovascular… 6 3 — — $714.00 $43,485.00 $29,207.01 2025-01-31
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 26 14 — — $12,973.00 $45,224.00 $29,098.50 2025-01-31
93622 CPT Insertion Of Catheters For Recording And Pacing Of Left Lower Heart Chamber Rhyt… 22 16 — — $9,976.00 $28,819.00 $28,819.00 2025-01-31
93613 CPT Intrcrd Ep 3dmap 22 15 $23,708.00 $17,781.00 25% off $9,976.00 $28,819.00 $28,819.00 2025-01-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 5 — — $6,861.00 $120,254.21 $28,809.50 2025-01-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $7.00 $61,930.13 $28,809.50 2025-01-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 6 — — $6.70 $62,431.49 $28,809.50 2025-01-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 5 — — $17.00 $95,341.99 $28,809.50 2025-01-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 6 — — $2.60 $101,367.00 $28,809.50 2025-01-31
27590 CPT Amputation Of Thigh Through Thigh Bone 32 16 — — $17,384.33 $40,203.00 $28,793.67 2025-01-31
33236 CPT Removal Of Permanent Right Heart Electrodes And Pacemaker, Single Lead System 24 14 — — $4,396.00 $52,956.00 $28,676.00 2025-01-31
33203 CPT Insertion Of Electrodes To Outer Layer Of Heart Using An Endoscope 26 17 — — $4,396.00 $52,956.00 $28,676.00 2025-01-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 21 14 — — $6,861.00 $51,098.00 $28,574.50 2025-01-31
C9757 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 26 16 — — $12,212.00 $44,929.00 $28,570.50 2025-01-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 5 — — $8.60 $55,916.38 $28,541.50 2025-01-31
33234 CPT Removal Of Single Electrode From Right Heart 2 2 — — $1,475.79 $55,604.00 $28,539.90 2025-01-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 15 — — $6,861.00 $50,021.75 $28,441.38 2025-01-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 4 — — $6.10 $36,769.26 $28,386.47 2025-01-31
93581 CPT Catheter Based Closure Of Congenital Heart Defect With Implant, Accessed Through… 4 3 — — $947.00 $41,812.00 $28,372.71 2025-01-31
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 9 4 — — $4.40 $39,448.00 $28,337.77 2025-01-31
33226 CPT Repositioning Of Implanted Left Heart Electrode 26 17 — — $3,569.92 $52,956.00 $28,262.96 2025-01-31
33241 CPT Removal Of Defibrillator Pulse Generator 33 15 — — $3,517.76 $52,956.00 $28,236.88 2025-01-31
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 5 — — $3.40 $30,677.06 $28,224.49 2025-01-31
849 MS_DRG Radiotherapy 6 4 — — $6.90 $39,448.00 $28,189.67 2025-01-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 18 — — $17,635.00 $50,131.70 $28,091.35 2025-01-31
G0339 CPT Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Complet… 29 16 — — $4,247.48 $28,073.74 $28,073.74 2025-01-31
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $17,635.00 $39,448.00 $28,060.90 2025-01-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 5 — — $6.00 $33,254.71 $28,031.08 2025-01-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 7 4 — — $3.90 $31,304.00 $28,029.93 2025-01-31
113 MS_DRG Orbital Procedures With Cc/mcc 7 4 — — $4.90 $38,700.18 $27,967.46 2025-01-31
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse … 25 12 — — $12,366.00 $43,485.00 $27,925.50 2025-01-31
0431T CPT Replacement Of Pulse Generator Of Neurostimulator System For Treatment Of Centra… 29 17 — — $12,366.00 $43,485.00 $27,925.50 2025-01-31
33967 CPT Insertion Of Assistive Heart Blood Flow Device Into Aorta, Accessed Through The … 27 17 — — $12,366.00 $43,485.00 $27,925.50 2025-01-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 6 — — $5.00 $39,448.00 $27,872.07 2025-01-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 5 5 — — $6.00 $31,304.00 $27,848.33 2025-01-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 5 — — $1.60 $41,205.28 $27,772.99 2025-01-31
93621 CPT Comp Ep Eval/la Frm Cs R 32 19 $13,445.00 $10,083.75 25% off $9,976.00 $27,684.50 $27,684.50 2025-01-31
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 30 15 — — $11,777.00 $43,485.00 $27,631.00 2025-01-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $17,635.00 $33,907.61 $27,612.33 2025-01-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 9 4 — — $2.20 $39,448.00 $27,587.02 2025-01-31
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 12 5 — — $5.40 $39,448.00 $27,531.37 2025-01-31
C9746 CPT Transperineal Implantation Of Permanent Adjustable Balloon Continence Device, Wi… 24 15 — — $27,455.38 $27,455.38 $27,455.38 2025-01-31
47142 CPT Removal Of Right Lobe Of Donor Liver 21 12 — — $27,455.38 $27,455.38 $27,455.38 2025-01-31
54401 CPT Insertion Of Inflatable Penile Prosthesis 7 3 — — $714.00 $41,812.00 $27,455.38 2025-01-31
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 6 3 — — $714.00 $44,929.00 $27,455.38 2025-01-31
33230 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Dual Leads 5 4 — — $377.00 $52,956.00 $27,455.38 2025-01-31
93582 CPT Closure Of Congenital Heart Defect From Pulmonary (lung) Artery To Aorta Via Cat… 6 3 — — $1,129.00 $41,812.00 $27,455.38 2025-01-31
93590 CPT Transcatheter Closure Of Leak Adjacent To Mitral Valve Using First Closure Devic… 29 16 — — $27,443.42 $36,141.85 $27,443.42 2025-01-31
93656 CPT Cmp Ep Abl Intra Afib Pvi Ep3d 29 15 $82,818.00 $62,113.50 25% off $27,262.43 $27,455.38 $27,358.90 2025-01-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 4 — — $5.00 $31,304.00 $27,324.78 2025-01-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 5 — — $4.60 $39,448.00 $27,255.43 2025-01-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 3 — — $1.70 $39,448.00 $27,246.00 2025-01-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 3 — — $6.30 $51,330.64 $27,246.00 2025-01-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 4 — — $5.00 $41,370.67 $27,246.00 2025-01-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 5 — — $2.60 $39,980.64 $27,246.00 2025-01-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 5 — — $12.90 $554,261.56 $27,246.00 2025-01-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 9 5 — — $4.30 $43,272.61 $27,246.00 2025-01-31
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 5 3 — — $1.90 $39,448.00 $27,246.00 2025-01-31
30 MS_DRG Spinal Procedures Without Cc/mcc 9 5 — — $2.70 $39,448.00 $27,246.00 2025-01-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 28 17 — — $15,044.00 $39,448.00 $27,246.00 2025-01-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 5 — — $5.70 $51,170.11 $27,246.00 2025-01-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 4 — — $8.50 $61,815.63 $27,246.00 2025-01-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 5 — — $3.10 $49,401.26 $27,246.00 2025-01-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 4 — — $9.30 $50,065.33 $27,246.00 2025-01-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 11 6 — — $3.40 $39,448.00 $27,246.00 2025-01-31
28 MS_DRG Spinal Procedures With Mcc 11 5 — — $10.00 $90,656.65 $27,246.00 2025-01-31
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 11 5 — — $3.40 $39,448.00 $27,246.00 2025-01-31
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 7 5 — — $5.00 $33,227.68 $27,246.00 2025-01-31
412 MS_DRG Cholecystectomy With C.d.e. With Cc 7 5 — — $4.10 $39,448.00 $27,246.00 2025-01-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 6 — — $8.00 $58,140.16 $27,246.00 2025-01-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 5 — — $5.60 $42,203.92 $27,246.00 2025-01-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 — — $14.80 $98,977.82 $27,246.00 2025-01-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 11 4 — — $4.50 $35,165.56 $27,246.00 2025-01-31
199 MS_DRG Pneumothorax With Mcc 7 3 — — $5.10 $39,448.00 $27,246.00 2025-01-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 5 5 — — $5.00 $31,304.00 $27,246.00 2025-01-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 4 — — $5.20 $38,740.05 $27,246.00 2025-01-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 8 7 — — $6,861.00 $31,304.00 $27,157.53 2025-01-31
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 10 5 — — $5.00 $39,448.00 $27,108.51 2025-01-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 22 13 — — $14,328.00 $39,448.00 $26,888.00 2025-01-31
L6880 CPT Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 27 15 — — $26,798.17 $26,798.17 $26,798.17 2025-01-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 4 — — $4.30 $35,782.75 $26,791.77 2025-01-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 16 — — $6,861.00 $47,315.00 $26,683.00 2025-01-31
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 28 16 — — $7,033.90 $47,315.00 $26,683.00 2025-01-31
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 7 4 — — $3.80 $28,681.32 $26,624.29 2025-01-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 10 4 — — $4.80 $39,448.00 $26,613.22 2025-01-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 4 — — $5.00 $31,494.61 $26,593.43 2025-01-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 12 7 — — $6,861.00 $39,448.00 $26,571.08 2025-01-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 4 — — $4.60 $31,304.00 $26,548.72 2025-01-31
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 8 5 — — $1.80 $39,448.00 $26,474.92 2025-01-31
54405 CPT Insertion Of Multi-component Inflatable Penile Prosthesis 35 20 — — $11,096.00 $41,812.00 $26,454.00 2025-01-31
63011 CPT Partial Removal Of Spine Bone With Exploration And/or Release Of Sacral Spinal C… 30 21 — — $7,971.97 $44,929.00 $26,450.49 2025-01-31
63012 CPT Partial Removal Of Bone And/or Release Of Lower Spinal Cord Or Spinal Nerves 26 17 — — $7,971.97 $44,929.00 $26,450.49 2025-01-31
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