Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

HENRY FORD MACOMB HOSPITAL

Clinton Township, MI · CCN 230047 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

19,603 distinct procedures filed
47 distinct payers
1,075,708 rate rows
2025-06-28 last MRF observed · ⚠ 16 mo old
Data quality

337,477 of 1,075,708 rate rows are consumer-grade (31.4%)

738,231 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 535,408
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 197,586
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,470
template filing: same amount across many unrelated codes — excluded 283
placeholder amount (≤ $0.02) — excluded from medians 242
exceeds 10× this hospital's gross charge — excluded from medians 154
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
percent-of-charges filed in the dollar field — excluded from medians 31
per-diem day rate — not a per-procedure price 8
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/382947657_henry-ford-health_standardcharges.csv
Found on page https://www.henryford.com/visitors/billing/cost-of-care/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 9ce0c01c772b6843… · 637,597,732 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 23 $1,988,560.00 $4,958,415.00 $3,672,900.00 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 22 $1,988,560.00 $4,866,750.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $1,780,474.89 $4,489,363.93 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 22 $1,711,448.00 $4,436,100.00 $3,255,465.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 22 $1,590,848.00 $4,571,016.80 $2,968,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 23 $1,288,253.89 $4,669,364.50 $2,388,614.23 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 23 $1,249,952.00 $4,467,320.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $775,286.34 $775,286.34 $775,286.34 nat. median
$27,427
outlier · 28.3×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $759,115.29 $759,115.29 $759,115.29 nat. median
$31,873
outlier · 23.8×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $758,283.64 $758,283.64 $758,283.64 nat. median
$27,935
outlier · 27.1×
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $717,286.16 $717,286.16 $717,286.16 nat. median
$809,217
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 24 $303,174.38 $1,388,705.88 $529,192.86 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 24 $295,506.63 $1,383,275.30 $527,123.43 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 24 $283,175.46 $1,381,869.15 $526,587.59 nat. median
$622,245
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 24 $276,836.48 $1,368,546.09 $516,726.08 nat. median
$640,950
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 24 $262,381.19 $1,284,428.46 $489,455.96 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 24 $261,595.61 $1,208,522.13 $460,530.40 nat. median
$591,650
0.8× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $413,145.63 $413,145.63 $413,145.63 nat. median
$27,071
outlier · 15.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $144,266.05 $556,640.93 $268,267.48 nat. median
$359,358
0.7× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $258,992.60 $258,992.60 $258,992.60 nat. median
$459,112
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $160,404.53 $406,281.57 $170,535.34 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $144,936.13 $456,712.85 $154,089.99 nat. median
$190,557
0.8× median
651
MS_DRG 		Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 1 $110,737.71 $110,737.71 $110,737.71 nat. median
$33,635
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $95,641.41 $220,344.58 $101,681.92 nat. median
$126,722
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 16 $53,599.97 $317,917.16 $99,999.95 nat. median
$111,503
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $91,128.87 $91,128.87 $91,128.87 nat. median
$97,020
0.9× median
90288
HCPCS 		Botulism Ig IV 2 $48,705.00 $129,068.25 $88,886.62 nat. median
$51,570
1.7× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $84,890.31 $84,890.31 $84,890.31 nat. median
$1,036
outlier · 82.0×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $84,202.72 $84,202.72 $84,202.72 nat. median
$70,178
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $73,793.79 $230,691.14 $78,454.45 nat. median
$97,414
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 22 $71,774.50 $182,209.70 $76,307.62 nat. median
$93,917
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $16,616.55 $147,832.59 $74,703.58 nat. median
$93,270
0.8× median
75987015003
NDC 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 12 $2.10 $110,127.67 $71,726.99 nat. median
$86,701
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $65,403.37 $199,260.52 $69,534.10 nat. median
$90,581
0.8× median
K0606
HCPCS 		Aed Garment W Elec Analysis 3 $2,902.60 $108,423.46 $68,302.20 nat. median
$3,697
outlier · 18.5×
G0448
HCPCS 		Place Perm Pacing Cardiovert 2 $66,579.75 $67,867.95 $67,223.85 nat. median
$8,050
outlier · 8.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $62,438.24 $157,291.51 $65,724.46 nat. median
$78,262
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 24 $33,983.49 $173,055.87 $63,354.77 nat. median
$68,423
0.9× median
00310453530
NDC 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 12 $2.10 $95,870.17 $62,440.97 nat. median
$37,433
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 5 $52,266.92 $154,331.76 $61,878.30 nat. median
$75,037
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $48,476.59 $150,951.48 $60,479.83 nat. median
$77,043
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $57,424.10 $129,848.00 $60,446.42 nat. median
$77,696
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $56,555.89 $138,150.01 $59,532.52 nat. median
$78,037
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $54,668.93 $178,324.58 $58,121.70 nat. median
$74,460
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $53,016.91 $122,410.42 $56,365.35 nat. median
$71,758
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $52,484.23 $144,664.87 $55,799.02 nat. median
$72,473
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 24 $29,767.56 $167,027.66 $55,015.23 nat. median
$65,720
0.8× median
00003232822
NDC 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 12 $2.10 $83,903.41 $54,646.93 nat. median
$44,609
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $50,639.12 $154,841.46 $53,837.38 nat. median
$68,004
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $47,957.54 $138,740.06 $50,986.43 nat. median
$66,649
0.8× median

Other procedures at this hospital

Browse this hospital's 19,603 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 HCPCS Inj, Hemgenix, Per Tx Dose 26 23 — — $1,988,560.00 $4,958,415.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 25 22 — — $1,988,560.00 $4,866,750.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 26 22 — — $1,780,474.89 $4,489,363.93 $3,325,454.76 2025-06-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 26 22 — — $1,711,448.00 $4,436,100.00 $3,255,465.00 2025-06-28
J3393 HCPCS Inj, Betibeglogene Autotemce 27 22 — — $1,590,848.00 $4,571,016.80 $2,968,000.00 2025-06-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 28 23 — — $1,288,253.89 $4,669,364.50 $2,388,614.23 2025-06-28
J3392 HCPCS Inj, Exagamglogene Autotem 28 23 — — $1,249,952.00 $4,467,320.00 $2,332,000.00 2025-06-28
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $775,286.34 $775,286.34 $775,286.34 2025-06-28
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $759,115.29 $759,115.29 $759,115.29 2025-06-28
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $758,283.64 $758,283.64 $758,283.64 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $717,286.16 $717,286.16 $717,286.16 2025-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 24 — — $303,174.38 $1,388,705.88 $529,192.86 2025-06-28
Q2056 HCPCS Ciltacabtagene Car-pos T 30 24 — — $295,506.63 $1,383,275.30 $527,123.43 2025-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 30 24 — — $283,175.46 $1,381,869.15 $526,587.59 2025-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 24 — — $276,836.48 $1,368,546.09 $516,726.08 2025-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 31 24 — — $262,381.19 $1,284,428.46 $489,455.96 2025-06-28
Q2053 HCPCS Brexucabtagene Car Pos T 30 24 — — $261,595.61 $1,208,522.13 $460,530.40 2025-06-28
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $413,145.63 $413,145.63 $413,145.63 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 22 — — $144,266.05 $556,640.93 $268,267.48 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $258,992.60 $258,992.60 $258,992.60 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 22 — — $160,404.53 $406,281.57 $170,535.34 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 22 — — $144,936.13 $456,712.85 $154,089.99 2025-06-28
651 MS_DRG Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $110,737.71 $110,737.71 $110,737.71 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 22 — — $95,641.41 $220,344.58 $101,681.92 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 16 — — $53,599.97 $317,917.16 $99,999.95 2025-06-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $91,128.87 $91,128.87 $91,128.87 2025-06-28
90288 HCPCS Botulism Ig IV 2 2 — — $48,705.00 $129,068.25 $88,886.62 2025-06-28
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $84,890.31 $84,890.31 $84,890.31 2025-06-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $84,202.72 $84,202.72 $84,202.72 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 22 — — $73,793.79 $230,691.14 $78,454.45 2025-06-28
215 MS_DRG Other Heart Assist System Implant 28 22 — — $71,774.50 $182,209.70 $76,307.62 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 21 — — $16,616.55 $147,832.59 $74,703.58 2025-06-28
75987015003 NDC Inebilizumab-cdon 10 Mg/ml Intravenous Solution 18 12 $137,145.29 — $2.10 $110,127.67 $71,726.99 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $65,403.37 $199,260.52 $69,534.10 2025-06-28
K0606 HCPCS Aed Garment W Elec Analysis 3 3 — — $2,902.60 $108,423.46 $68,302.20 2025-06-28
G0448 HCPCS Place Perm Pacing Cardiovert 2 2 — — $66,579.75 $67,867.95 $67,223.85 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 23 21 — — $62,438.24 $157,291.51 $65,724.46 2025-06-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 31 24 — — $33,983.49 $173,055.87 $63,354.77 2025-06-28
00310453530 NDC Tremelimumab-actl 20 Mg/ml Intravenous Solution 18 12 $119,390.00 — $2.10 $95,870.17 $62,440.97 2025-06-28
J7330 HCPCS Cultured Chondrocytes Implnt 5 5 — — $52,266.92 $154,331.76 $61,878.30 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 22 — — $48,476.59 $150,951.48 $60,479.83 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $57,424.10 $129,848.00 $60,446.42 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 21 — — $56,555.89 $138,150.01 $59,532.52 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 22 — — $54,668.93 $178,324.58 $58,121.70 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 22 — — $53,016.91 $122,410.42 $56,365.35 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 22 — — $52,484.23 $144,664.87 $55,799.02 2025-06-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 24 — — $29,767.56 $167,027.66 $55,015.23 2025-06-28
00003232822 NDC Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 18 12 $104,487.44 — $2.10 $83,903.41 $54,646.93 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 22 — — $50,639.12 $154,841.46 $53,837.38 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 22 — — $47,957.54 $138,740.06 $50,986.43 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 21 — — $12,456.48 $100,120.14 $50,735.33 2025-06-28
72187040101 NDC Tagraxofusp-erzs 1 000 Mcg/ml Intravenous Solution 18 12 $96,497.57 — $2.10 $77,487.55 $50,468.23 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 22 — — $47,211.53 $130,304.50 $50,193.32 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 22 — — $46,346.03 $183,399.52 $49,273.15 2025-06-28
L7181 HCPCS Electronic Elbo Simultaneous 20 16 — — $25,926.73 $141,435.54 $48,370.76 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 21 — — $45,511.57 $100,828.58 $47,906.92 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 22 — — $28,151.66 $106,656.26 $47,723.57 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 21 — — $45,261.11 $111,532.08 $47,643.27 2025-06-28
L7180 HCPCS Electronic Elbow Sequential 20 16 — — $25,181.48 $137,370.10 $46,980.38 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 22 — — $43,908.15 $133,949.22 $46,681.30 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $42,976.20 $133,514.58 $46,153.02 2025-06-28
K0743 HCPCS Portable Home Suction Pump 2 2 — — $35,389.20 $56,177.10 $45,783.15 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 22 — — $42,943.41 $136,724.66 $45,655.62 2025-06-28
J9226 HCPCS Supprelin La Implant 32 24 — — $24,260.32 $123,542.07 $45,350.22 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 22 — — $41,822.03 $125,569.51 $44,463.42 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 22 — — $41,676.88 $107,683.39 $44,309.10 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 22 — — $30,828.21 $136,756.22 $44,280.45 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 21 — — $42,012.42 $87,247.41 $44,223.60 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 22 — — $41,487.85 $133,135.78 $44,108.13 2025-06-28
79952011001 NDC Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 18 12 $83,349.20 — $2.10 $66,929.41 $43,591.63 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 28 22 — — $36,375.24 $94,425.41 $43,463.91 2025-06-28
E0194 HCPCS Air Fluidized Bed 4 4 — — $3,777.48 $117,576.72 $43,300.85 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $40,411.70 $107,382.29 $42,964.01 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 22 — — $34,371.30 $119,797.68 $42,833.56 2025-06-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $42,798.07 $42,798.07 $42,798.07 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 22 — — $6,010.17 $129,626.62 $42,506.65 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 22 — — $39,972.20 $101,071.40 $42,496.76 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 22 — — $39,554.30 $109,220.44 $41,636.10 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $38,994.62 $106,816.52 $41,457.44 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 22 — — $38,763.05 $109,392.84 $41,211.24 2025-06-28
K0880 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 2 2 — — $31,110.04 $49,384.33 $40,247.18 2025-06-28
834 MS_DRG Acute Leukemia With Mcc 28 22 — — $37,562.69 $179,179.31 $39,935.07 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 22 — — $37,562.69 $130,343.35 $39,935.07 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 28 22 — — $29,892.93 $82,281.10 $39,875.81 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 21 — — $9,464.89 $79,045.19 $39,374.80 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 21 — — $37,179.22 $97,106.15 $39,136.02 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 22 — — $36,897.01 $91,499.43 $39,060.34 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 22 — — $36,710.00 $105,582.99 $39,028.53 2025-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 22 — — $36,675.58 $100,471.63 $38,991.93 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 22 — — $36,671.53 $110,626.36 $38,987.62 2025-06-28
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 17 15 — — $20,776.77 $52,329.55 $38,762.63 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 22 — — $36,164.51 $96,081.45 $38,448.58 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 22 — — $36,005.86 $107,996.62 $38,279.91 2025-06-28
25682002801 NDC Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 18 12 $71,857.88 — $2.10 $57,701.88 $37,581.68 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 21 — — $35,016.13 $83,012.87 $36,859.08 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 22 — — $34,641.44 $75,941.96 $36,829.32 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 21 — — $34,900.68 $101,355.50 $36,737.56 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 22 — — $34,536.11 $87,891.13 $36,717.34 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 22 — — $34,051.37 $98,286.25 $36,201.99 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 22 — — $34,011.55 $78,202.61 $36,159.65 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 22 — — $32,382.10 $74,344.64 $36,054.62 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 22 — — $33,890.02 $123,843.06 $36,030.44 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 22 — — $26,702.51 $95,600.66 $35,815.84 2025-06-28
245 MS_DRG Aicd Generator Procedures 28 22 — — $33,238.53 $88,903.69 $35,337.81 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 22 — — $33,039.37 $71,693.75 $35,126.07 2025-06-28
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 2 — — $18,450.95 $51,216.05 $34,833.50 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 22 — — $32,487.12 $70,486.38 $34,538.94 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 28 22 — — $32,347.37 $70,180.85 $34,390.36 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 22 — — $32,341.30 $106,937.93 $34,383.90 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 22 — — $31,839.00 $92,623.69 $33,849.88 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 21 — — $32,009.13 $100,537.19 $33,693.82 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 22 — — $31,652.67 $109,366.13 $33,651.79 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 22 — — $31,252.32 $95,996.46 $33,226.15 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 28 22 — — $31,364.39 $70,432.37 $33,015.15 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 22 — — $31,247.59 $69,567.93 $32,892.20 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 22 — — $30,523.86 $77,767.96 $32,451.68 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 22 — — $30,440.15 $93,949.49 $32,362.68 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 22 — — $30,131.86 $78,935.93 $32,321.55 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 28 22 — — $30,157.95 $68,567.51 $32,062.66 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 22 — — $29,903.43 $73,125.24 $31,792.07 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 22 — — $29,458.52 $63,865.04 $31,319.06 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $29,398.43 $101,017.98 $31,255.18 2025-06-28
69930 HCPCS Pr Implant Cochlear Device 31 24 — — $659.76 $107,952.31 $31,164.67 2025-06-28
C9754 HCPCS Perc Av Fistula, Direct 1 1 — — $31,162.99 $31,162.99 $31,162.99 2025-06-28
C9755 HCPCS Rf Magnetic-guide Av Fistula 1 1 — — $31,162.99 $31,162.99 $31,162.99 2025-06-28
50242015001 NDC Ocrelizumab 30 Mg/ml Intravenous Solution 18 12 $59,193.14 — $2.10 $47,532.09 $30,958.01 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 22 — — $29,002.82 $99,412.94 $30,834.57 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 22 — — $26,620.68 $69,487.80 $30,574.05 2025-06-28
A9543 HCPCS Y90 Ibritumomab, Rx 32 24 — — $14,774.74 $165,001.00 $30,457.96 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 28 22 — — $4,265.63 $81,373.84 $30,314.66 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 22 — — $20,237.38 $96,205.28 $30,040.35 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 22 — — $24,301.71 $66,855.63 $30,033.24 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 28 22 — — $5,208.49 $61,556.58 $29,897.51 2025-06-28
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 2 — — $23,102.64 $36,673.32 $29,887.98 2025-06-28
61886 HCPCS Pr Surg Incranial Infratentorial Cmplx 31 24 — — $519.44 $82,858.34 $29,857.41 2025-06-28
64582 HCPCS Pr Open Implt Hypogloss Nstim Pulse Generator 31 24 — — $460.90 $68,672.04 $29,857.41 2025-06-28
63685 HCPCS Pr Implant Spinal Neurostim/receiver 31 24 — — $190.59 $82,528.40 $29,857.41 2025-06-28
64568 HCPCS Pr Open Implant Cranial Neuroelec Array+pulse Gen 31 24 — — $340.46 $84,213.28 $29,857.41 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 21 — — $28,336.47 $72,122.40 $29,827.86 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 22 — — $28,008.36 $79,936.34 $29,777.31 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 22 — — $27,992.83 $73,591.46 $29,760.80 2025-06-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 22 — — $27,951.65 $100,374.50 $29,717.02 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 22 — — $27,706.58 $79,176.32 $29,456.47 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 21 — — $27,815.28 $63,657.69 $29,279.24 2025-06-28
791 MS_DRG Prematurity With Major Problems 28 22 — — $2,372.97 $59,924.12 $29,111.52 2025-06-28
L5856 HCPCS Elec Knee-shin Swing/stance 20 16 — — $15,533.38 $84,737.70 $28,980.18 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 20 16 — — $780.58 $84,337.60 $28,843.34 2025-06-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 22 — — $27,122.60 $61,066.80 $28,835.60 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 22 — — $26,884.95 $58,238.53 $28,582.95 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 22 — — $25,210.81 $66,960.04 $28,570.00 2025-06-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 22 — — $26,830.27 $72,977.12 $28,524.82 2025-06-28
50242010501 NDC Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 18 12 $54,257.99 — $2.10 $43,569.17 $28,376.92 2025-06-28
K0871 HCPCS Pwc Gp 4 Vhd Seat/back 2 2 — — $21,915.15 $34,788.28 $28,351.72 2025-06-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 22 — — $26,645.96 $67,452.97 $28,328.86 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 22 — — $26,776.26 $58,000.90 $28,185.54 2025-06-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 22 — — $26,500.14 $64,830.51 $28,173.83 2025-06-28
K0886 HCPCS Pwc Gp4 Hd Mult Pow S/b 2 2 — — $21,776.29 $34,567.86 $28,172.08 2025-06-28
K0879 HCPCS Pwc Gp4 Hd Sing Pow Opt S/b 2 2 — — $21,776.29 $34,567.86 $28,172.08 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 21 — — $10,093.32 $60,515.60 $28,061.88 2025-06-28
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 2 2 — — $23,480.36 $32,535.45 $28,007.90 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 22 — — $26,313.80 $61,314.48 $27,975.72 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 22 — — $26,240.89 $66,037.33 $27,898.21 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 22 — — $20,090.91 $57,047.40 $27,726.45 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 22 — — $26,052.53 $113,212.40 $27,697.96 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 22 — — $25,912.78 $84,044.86 $27,549.38 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 22 — — $25,712.95 $63,104.06 $27,336.92 2025-06-28
C7564 HCPCS Vein Mech Throm W/intrvas US 2 2 — — $26,978.77 $27,500.77 $27,239.77 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 22 — — $25,509.73 $55,231.92 $27,120.88 2025-06-28
J9266 HCPCS Pegaspargase Injection 32 24 — — $14,509.80 $73,889.02 $27,070.53 2025-06-28
C9760 HCPCS Non-blind Interatrial Shunt 28 23 — — $14,740.27 $61,972.21 $26,944.44 2025-06-28
75987013015 NDC Teprotumumab-trbw 500 Mg Intravenous Solution 18 12 $51,102.86 — $2.10 $41,035.60 $26,726.80 2025-06-28
E0764 HCPCS Functional Neuromuscularstim 3 3 — — $1,284.58 $42,413.15 $26,718.49 2025-06-28
E0469 HCPCS Lung Expans High Oscil Neb 3 3 — — $1,500.18 $42,092.94 $26,516.77 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 22 — — $24,879.84 $70,995.71 $26,451.21 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 22 — — $24,709.03 $57,057.84 $26,009.51 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 22 — — $24,448.44 $59,087.82 $25,992.55 2025-06-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 22 — — $24,443.03 $57,674.61 $25,986.81 2025-06-28
265 MS_DRG Aicd Lead Procedures 28 22 — — $24,329.61 $73,564.75 $25,866.22 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 22 — — $24,221.60 $59,138.81 $25,751.38 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 22 — — $21,558.88 $52,908.70 $25,733.78 2025-06-28
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 2 2 — — $25,395.92 $25,887.29 $25,641.60 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 22 — — $24,081.17 $84,224.55 $25,602.08 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 22 — — $24,075.10 $81,271.85 $25,595.63 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 22 — — $23,901.59 $65,563.83 $25,411.17 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 22 — — $23,894.16 $80,458.41 $25,403.27 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 22 — — $23,884.71 $93,543.98 $25,393.22 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 22 — — $18,303.00 $88,328.20 $25,278.96 2025-06-28
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 2 2 — — $24,988.35 $25,471.83 $25,230.09 2025-06-28
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 2 2 — — $24,963.90 $25,446.91 $25,205.40 2025-06-28
C7534 HCPCS Fem/pop Revasc W/arthr & US 2 2 — — $24,961.96 $25,444.93 $25,203.44 2025-06-28
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 2 2 — — $24,919.48 $25,401.63 $25,160.56 2025-06-28
332 MS_DRG Rectal Resection With Mcc 28 22 — — $23,664.62 $59,755.57 $25,159.23 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 28 22 — — $18,805.41 $51,587.68 $25,097.74 2025-06-28
C7535 HCPCS Fem/pop Revasc W/stent & US 2 2 — — $24,744.99 $25,223.76 $24,984.38 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 22 — — $23,464.11 $51,786.22 $24,946.05 2025-06-28
665 MS_DRG Prostatectomy With Mcc 28 22 — — $23,427.66 $53,029.46 $24,907.29 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 28 22 — — $23,406.05 $89,826.40 $24,884.33 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 22 — — $18,544.38 $51,141.92 $24,883.12 2025-06-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 22 — — $23,370.94 $52,852.20 $24,847.00 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 21 — — $23,500.57 $64,701.82 $24,737.44 2025-06-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 22 — — $23,242.67 $80,395.27 $24,710.63 2025-06-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 22 — — $23,146.81 $71,593.05 $24,608.71 2025-06-28
K0870 HCPCS Pwc Gp 4 Hd Seat/back 2 2 — — $18,966.99 $30,108.36 $24,537.68 2025-06-28
K0884 HCPCS Pwc Gp4 Std Mult Pow Opt S/b 2 2 — — $18,881.65 $29,972.89 $24,427.27 2025-06-28
K0885 HCPCS Pwc Gp4 Std Mult Pow Opt Cap 2 2 — — $18,881.65 $29,972.89 $24,427.27 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 22 — — $22,674.18 $62,200.77 $24,114.20 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 28 22 — — $22,666.79 $49,016.48 $24,098.38 2025-06-28
J9600 HCPCS Porfimer Sodium Injection 32 24 — — $12,986.43 $59,506.04 $23,870.14 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 22 — — $20,695.61 $75,298.48 $23,724.76 2025-06-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 22 — — $22,314.38 $68,681.64 $23,723.71 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 22 — — $22,251.59 $48,108.74 $23,656.96 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 22 — — $22,242.14 $69,708.77 $23,646.91 2025-06-28
L8614 HCPCS Cochlear Device 18 15 — — $12,669.47 $69,114.51 $23,637.07 2025-06-28
55513007701 NDC Tarlatamab-dlle 10 Mg Intravenous Solution 18 12 $45,050.00 — $2.10 $36,175.15 $23,561.15 2025-06-28
55513006901 NDC Tarlatamab-dlle 10 Mg Intravenous Solution 18 12 $45,050.00 — $2.10 $36,175.15 $23,561.15 2025-06-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 22 — — $21,980.87 $49,217.19 $23,369.14 2025-06-28
00003712511 NDC Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solutio 18 12 $44,519.36 — $2.10 $35,749.05 $23,283.62 2025-06-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 22 — — $21,880.28 $54,134.29 $23,262.19 2025-06-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 22 — — $21,817.49 $66,692.94 $23,195.44 2025-06-28
K0878 HCPCS Pwc Gp4 Std Sing Pow Opt Cap 2 2 — — $17,903.24 $28,419.75 $23,161.50 2025-06-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 22 — — $21,776.31 $74,273.78 $23,151.65 2025-06-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 22 — — $21,675.04 $59,269.93 $23,043.99 2025-06-28
500 MS_DRG Soft Tissue Procedures With Mcc 28 22 — — $21,639.25 $71,075.84 $23,005.94 2025-06-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 28 22 — — $14,256.67 $49,561.99 $22,861.31 2025-06-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 22 — — $21,317.22 $59,036.83 $22,663.57 2025-06-28
662 MS_DRG Minor Bladder Procedures With Mcc 28 22 — — $21,307.77 $53,529.67 $22,653.52 2025-06-28
Q0483 HCPCS Monitor Elec Vad, Rep 20 16 — — $12,132.16 $66,183.44 $22,634.63 2025-06-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 22 — — $21,217.98 $75,963.81 $22,558.07 2025-06-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 22 — — $21,124.14 $91,108.49 $22,458.30 2025-06-28
L5858 HCPCS Stance Phase Only 20 16 — — $12,025.87 $65,603.55 $22,436.32 2025-06-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 22 — — $21,066.08 $78,836.37 $22,396.57 2025-06-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 22 — — $20,963.46 $52,398.13 $22,287.47 2025-06-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 22 — — $20,895.94 $69,992.87 $22,215.68 2025-06-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 21 — — $21,080.93 $54,391.68 $22,190.45 2025-06-28
570 MS_DRG Skin Debridement With Mcc 28 22 — — $20,569.19 $44,430.55 $21,868.30 2025-06-28
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 4 4 — — $1,567.54 $59,282.30 $21,832.35 2025-06-28
974 MS_DRG HIV With Major Related Condition With Mcc 28 22 — — $20,407.16 $52,670.09 $21,696.03 2025-06-28
650 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $21,652.16 $21,652.16 $21,652.16 2025-06-28
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 2 2 — — $18,042.41 $24,999.76 $21,521.08 2025-06-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 22 — — $20,153.31 $57,868.86 $21,426.15 2025-06-28
L6975 HCPCS Interscap-thor Myoelectronic 20 16 — — $11,473.66 $62,591.16 $21,406.09 2025-06-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 22 — — $20,102.00 $66,875.06 $21,371.60 2025-06-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 22 — — $20,047.99 $61,098.37 $21,314.18 2025-06-28
L5973 HCPCS Ank-foot Sys Dors-plant Flex 20 16 — — $11,423.90 $62,319.71 $21,313.25 2025-06-28
668 MS_DRG Transurethral Procedures With Mcc 28 22 — — $19,935.25 $45,548.18 $21,194.32 2025-06-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 22 — — $19,924.45 $78,795.09 $21,182.83 2025-06-28
800 MS_DRG Splenic Procedures With Cc 28 22 — — $19,918.37 $46,682.15 $21,176.38 2025-06-28
K0868 HCPCS Pwc Gp 4 Std Seat/back 2 2 — — $16,351.46 $25,956.44 $21,153.95 2025-06-28
472 MS_DRG Cervical Spinal Fusion With Cc 28 22 — — $19,806.30 $47,383.89 $21,057.22 2025-06-28
64590 HCPCS Pr Insert/replace Periph/gastric Neuroelectrode 31 24 — — $162.15 $60,812.45 $21,010.78 2025-06-28
61891 HCPCS Pr Rev/rplcmt Skull-mntd Cranial Nstim Pg/receiver 31 24 — — $325.43 $48,324.79 $21,010.78 2025-06-28
61885 HCPCS Pr Insert/replace Neurostim Pulse Gen/receiver W/1 Array 31 24 — — $310.68 $60,864.18 $21,010.78 2025-06-28
64580 HCPCS Pr Open Implantation Of Neurostimulator Eltrd Array Neuromuscula 31 24 — — $178.93 $59,920.33 $21,010.78 2025-06-28
63655 HCPCS Pr Implant Neuroelec Surg Epidural 31 24 — — $492.66 $56,067.38 $21,010.78 2025-06-28
42747030401 NDC Burosumab-twza 30 Mg/ml Subcutaneous Solution 18 12 $40,068.08 — $2.10 $32,174.67 $20,955.60 2025-06-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 22 — — $17,052.68 $46,143.08 $20,955.34 2025-06-28
50242024501 NDC Pertuzumab 1 200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcu 18 12 $40,001.77 — $2.10 $32,121.42 $20,920.92 2025-06-28
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 22 — — $19,603.09 $43,688.17 $20,841.18 2025-06-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 22 — — $19,569.34 $42,244.60 $20,805.29 2025-06-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 22 — — $19,542.33 $44,593.89 $20,776.58 2025-06-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 22 — — $19,466.04 $60,243.64 $20,695.47 2025-06-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 22 — — $19,444.48 $58,007.27 $20,611.38 2025-06-28
654 MS_DRG Major Bladder Procedures With Cc 28 22 — — $19,299.29 $64,174.90 $20,518.19 2025-06-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 22 — — $19,206.80 $65,675.53 $20,419.85 2025-06-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 22 — — $19,187.22 $52,747.79 $20,399.04 2025-06-28
50881002311 NDC Axatilimab-csfr 50 Mg/ml Intravenous Solution 18 12 $38,986.25 — $2.10 $31,305.96 $20,389.81 2025-06-28
K0869 HCPCS Pwc Gp 4 Std Cap Chair 2 2 — — $15,720.89 $24,955.47 $20,338.18 2025-06-28
E2510 HCPCS Sgd W Multi Methods Msg/accs 4 4 — — $1,052.46 $27,650.89 $20,133.51 2025-06-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 22 — — $18,720.70 $48,818.96 $19,903.06 2025-06-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 22 — — $18,687.62 $65,653.67 $19,867.89 2025-06-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 22 — — $18,653.87 $42,279.82 $19,832.01 2025-06-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 22 — — $18,587.70 $57,011.71 $19,761.66 2025-06-28
54410 HCPCS Pr Replace Inflatable Penile Prost 31 24 — — $471.95 $51,797.06 $19,721.56 2025-06-28
54405 HCPCS Pr Insert Inflatable Penile Prost 31 24 — — $442.15 $52,537.68 $19,721.56 2025-06-28
54401 HCPCS Pr Insert Self-contained Penile Prost 31 24 — — $363.70 $52,271.67 $19,721.56 2025-06-28
53445 HCPCS Pr Insert Inflatable Sphincter 31 24 — — $413.70 $52,528.62 $19,721.56 2025-06-28
53444 HCPCS Pr Insert Tandem Cuff (dual) 31 24 — — $433.90 $48,181.39 $19,721.56 2025-06-28
54416 HCPCS Pr Rmvl & Repl Penile Prosthesis 31 24 — — $391.98 $51,467.52 $19,721.56 2025-06-28
54411 HCPCS Pr Replace Inflatable Penile Prost Infected 31 24 — — $561.99 $45,359.59 $19,721.56 2025-06-28
53447 HCPCS Pr Remove & Replace Inflatable Sphincter 31 24 — — $440.25 $50,932.42 $19,721.56 2025-06-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 22 — — $18,497.92 $57,521.63 $19,666.21 2025-06-28
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 20 16 — — $10,517.93 $57,377.44 $19,623.00 2025-06-28
263 MS_DRG Vein Ligation And Stripping 28 22 — — $18,354.11 $49,056.92 $19,513.32 2025-06-28
849 MS_DRG Radiotherapy 28 22 — — $18,279.85 $61,377.61 $19,434.37 2025-06-28
L6970 HCPCS Interscapular-thor Switch CT 20 16 — — $10,409.45 $56,785.60 $19,420.61 2025-06-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 22 — — $13,818.07 $52,211.16 $19,408.24 2025-06-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 22 — — $18,223.81 $70,947.15 $19,374.79 2025-06-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 22 — — $18,365.59 $43,037.42 $19,332.20 2025-06-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 22 — — $18,159.68 $44,268.51 $19,306.60 2025-06-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 28 22 — — $18,137.40 $70,332.81 $19,282.92 2025-06-28
503 MS_DRG Foot Procedures With Mcc 28 22 — — $18,114.45 $39,063.82 $19,258.52 2025-06-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 22 — — $17,957.14 $46,332.48 $19,091.28 2025-06-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 28 22 — — $14,194.48 $44,030.55 $19,048.65 2025-06-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 22 — — $17,911.23 $41,529.50 $19,042.47 2025-06-28
71837100002 NDC Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Soluti 18 12 $36,149.99 — $2.10 $29,028.44 $18,906.44 2025-06-28
71837100001 NDC Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Soluti 18 12 $36,149.99 — $2.10 $29,028.44 $18,906.44 2025-06-28
E0783 HCPCS Programmable Infusion Pump 3 3 — — $950.32 $29,882.45 $18,824.68 2025-06-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 22 — — $17,693.85 $38,144.27 $18,811.35 2025-06-28
S2067 HCPCS Breast "stacked"" Diep/gap" 2 2 — — $18,522.04 $18,880.41 $18,701.22 2025-06-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 28 22 — — $14,413.77 $40,172.14 $18,655.66 2025-06-28
See an error in this hospital's data? Submit a correction