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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

ST ELIZABETH MEDICAL CENTER

Wabasha, MN · CCN 241335 · Rates published

14,896 distinct procedures filed
18 distinct payers
153,355 rate rows
2025-06-27 last MRF observed · ⚠ 12 mo old
Data quality

119,526 of 153,355 rate rows are consumer-grade (77.9%)

33,829 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 33,699
percent-of-charges filed in the dollar field — excluded from medians 59
placeholder amount (≤ $0.02) — excluded from medians 59
per-diem day rate — not a per-procedure price 10
exceeds 10× this hospital's gross charge — excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/gundersen-st-elizabeths
Found on page https://www.gundersenhealth.org/cost-estimates/charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f944bd4937c8410b… · 1,808,522 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,200,000.00 $3,200,000.00 $3,200,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,100,000.00 $3,100,000.00 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,800,000.00 $2,800,000.00 $2,800,000.00 nat. median
$3,006,423
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,391,705.69 $2,391,705.69 $2,391,705.69 nat. median
$2,469,189
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,399.16 $4,747,210.00 $978,798.31 nat. median
$620,080
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $578,771.12 $1,157,542.25 $868,156.69 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $553,169.30 $1,106,338.60 $829,753.95 nat. median
$675,122
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $527,622.46 $1,055,244.92 $791,433.69 nat. median
$625,184
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $516,442.29 $1,032,884.57 $774,663.43 nat. median
$674,188
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $502,840.73 $1,005,681.46 $754,261.09 nat. median
$634,511
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 $349,597.66 $690,785.36 $646,397.39 nat. median
$370,174
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $261,120.14 $515,958.75 $482,804.66 nat. median
$265,286
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $219,910.36 $434,530.53 $406,608.79 nat. median
$206,368
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $198,670.93 $392,562.62 $367,337.62 nat. median
$202,986
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $130,985.10 $258,819.21 $242,188.20 nat. median
$133,176
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $121,453.69 $239,985.67 $224,564.85 nat. median
$117,303
1.9× median
7
MS_DRG 		Lung Transplant 2 $121,147.78 $239,381.21 $223,999.23 nat. median
$122,708
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $102,152.62 $201,847.84 $188,877.66 nat. median
$108,660
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $100,986.45 $199,543.57 $186,721.45 nat. median
$102,358
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $98,719.94 $195,065.06 $182,530.72 nat. median
$100,136
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 2 $98,213.80 $194,064.95 $181,594.87 nat. median
$99,019
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $89,465.70 $176,779.20 $165,419.85 nat. median
$93,672
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $78,553.05 $155,216.43 $145,242.65 nat. median
$79,312
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $78,509.48 $155,130.34 $145,162.09 nat. median
$81,118
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $97,106.96 $191,877.90 $144,492.43 nat. median
$98,905
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $74,726.40 $147,655.17 $138,167.25 nat. median
$77,576
1.8× median
10
MS_DRG 		Pancreas Transplant 2 $73,909.71 $146,041.44 $136,657.22 nat. median
$68,882
2.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $73,486.07 $145,204.35 $135,873.92 nat. median
$71,240
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 2 $72,458.03 $143,173.00 $133,973.10 nat. median
$73,807
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $71,726.63 $141,727.79 $132,620.75 nat. median
$74,915
1.8× median
0315U
HCPCS 		Onc Cutan Sq Cll Ca Mrna 40 1 $122,740.00 $136,000.00 $129,370.00 nat. median
$8,670
outlier · 14.9×
0211U
HCPCS 		Onc Pan-tum Dna&rna Gnrj Seq 1 $122,090.20 $135,280.00 $128,685.10 nat. median
$8,455
outlier · 15.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $69,193.13 $136,721.75 $127,936.39 nat. median
$72,138
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $85,394.31 $168,734.37 $127,064.34 nat. median
$83,442
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $65,511.09 $129,446.24 $121,128.38 nat. median
$68,887
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $64,486.76 $127,422.21 $119,234.41 nat. median
$66,526
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $63,298.34 $125,073.97 $117,037.06 nat. median
$64,732
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $77,317.36 $152,774.77 $115,046.07 nat. median
$82,712
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $61,913.40 $122,337.41 $114,476.35 nat. median
$64,027
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $61,808.65 $122,130.43 $114,282.66 nat. median
$65,950
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $59,950.94 $118,459.70 $110,847.81 nat. median
$62,134
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $59,864.73 $118,289.35 $110,688.41 nat. median
$64,510
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $58,626.26 $115,842.20 $108,398.50 nat. median
$60,185
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $57,422.09 $113,462.82 $106,172.02 nat. median
$59,099
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $57,086.51 $112,799.75 $105,551.55 nat. median
$59,793
1.8× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 2 $56,887.21 $112,405.93 $105,183.04 nat. median
$55,736
1.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $56,627.65 $111,893.06 $104,703.12 nat. median
$59,899
1.7× median
28
MS_DRG 		Spinal Procedures With Mcc 2 $56,356.97 $111,358.20 $104,202.63 nat. median
$57,823
1.8× median

Other procedures at this hospital

Browse this hospital's 14,896 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
             
J2350 HCPCS Ocrevus 30 Mg/ml IV Soln 35 18 $99,886.20 $79,109.87 21% off $53.95 $95,890.75 $61,929.44 2025-06-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2025-06-27
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2025-06-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,200,000.00 $3,200,000.00 $3,200,000.00 2025-06-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,100,000.00 $3,100,000.00 $3,100,000.00 2025-06-27
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,800,000.00 $2,800,000.00 $2,800,000.00 2025-06-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,391,705.69 $2,391,705.69 $2,391,705.69 2025-06-27
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $489,399.16 $4,747,210.00 $978,798.31 2025-06-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $578,771.12 $1,157,542.25 $868,156.69 2025-06-27
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $553,169.30 $1,106,338.60 $829,753.95 2025-06-27
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $527,622.46 $1,055,244.92 $791,433.69 2025-06-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $516,442.29 $1,032,884.57 $774,663.43 2025-06-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $502,840.73 $1,005,681.46 $754,261.09 2025-06-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 2 — — $349,597.66 $690,785.36 $646,397.39 2025-06-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $261,120.14 $515,958.75 $482,804.66 2025-06-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $219,910.36 $434,530.53 $406,608.79 2025-06-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $198,670.93 $392,562.62 $367,337.62 2025-06-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 2 — — $130,985.10 $258,819.21 $242,188.20 2025-06-27
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $121,453.69 $239,985.67 $224,564.85 2025-06-27
7 MS_DRG Lung Transplant 3 2 — — $121,147.78 $239,381.21 $223,999.23 2025-06-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $102,152.62 $201,847.84 $188,877.66 2025-06-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $100,986.45 $199,543.57 $186,721.45 2025-06-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $98,719.94 $195,065.06 $182,530.72 2025-06-27
215 MS_DRG Other Heart Assist System Implant 3 2 — — $98,213.80 $194,064.95 $181,594.87 2025-06-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $89,465.70 $176,779.20 $165,419.85 2025-06-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $78,553.05 $155,216.43 $145,242.65 2025-06-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $78,509.48 $155,130.34 $145,162.09 2025-06-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $97,106.96 $191,877.90 $144,492.43 2025-06-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $74,726.40 $147,655.17 $138,167.25 2025-06-27
10 MS_DRG Pancreas Transplant 3 2 — — $73,909.71 $146,041.44 $136,657.22 2025-06-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $73,486.07 $145,204.35 $135,873.92 2025-06-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 2 — — $72,458.03 $143,173.00 $133,973.10 2025-06-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $71,726.63 $141,727.79 $132,620.75 2025-06-27
0315U HCPCS Onc Cutan Sq Cll Ca Mrna 40 2 1 — — $122,740.00 $136,000.00 $129,370.00 2025-06-27
0211U HCPCS Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $122,090.20 $135,280.00 $128,685.10 2025-06-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $69,193.13 $136,721.75 $127,936.39 2025-06-27
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $85,394.31 $168,734.37 $127,064.34 2025-06-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $65,511.09 $129,446.24 $121,128.38 2025-06-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $64,486.76 $127,422.21 $119,234.41 2025-06-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $63,298.34 $125,073.97 $117,037.06 2025-06-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $77,317.36 $152,774.77 $115,046.07 2025-06-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 2 — — $61,913.40 $122,337.41 $114,476.35 2025-06-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $61,808.65 $122,130.43 $114,282.66 2025-06-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 2 — — $59,950.94 $118,459.70 $110,847.81 2025-06-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $59,864.73 $118,289.35 $110,688.41 2025-06-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 2 — — $58,626.26 $115,842.20 $108,398.50 2025-06-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 2 — — $57,422.09 $113,462.82 $106,172.02 2025-06-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $57,086.51 $112,799.75 $105,551.55 2025-06-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 2 — — $56,887.21 $112,405.93 $105,183.04 2025-06-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 2 — — $56,627.65 $111,893.06 $104,703.12 2025-06-27
28 MS_DRG Spinal Procedures With Mcc 3 2 — — $56,356.97 $111,358.20 $104,202.63 2025-06-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 2 — — $55,952.79 $110,559.58 $103,455.33 2025-06-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 2 — — $55,952.79 $110,559.58 $103,455.33 2025-06-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 2 — — $55,534.72 $109,733.48 $102,682.31 2025-06-27
0267U HCPCS Rare Do Id Opt Gen Mapg&seq 2 1 — — $97,315.91 $107,829.28 $102,572.60 2025-06-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $55,150.01 $108,973.33 $101,971.00 2025-06-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 2 — — $55,108.30 $108,890.90 $101,893.87 2025-06-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 2 — — $54,546.53 $107,780.89 $100,855.19 2025-06-27
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $99,999.95 $99,999.95 $99,999.95 2025-06-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 2 — — $53,972.72 $106,647.07 $99,794.22 2025-06-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $53,204.24 $105,128.59 $98,373.32 2025-06-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $65,842.03 $130,100.16 $97,971.10 2025-06-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $52,886.28 $104,500.32 $97,785.41 2025-06-27
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $51,676.54 $102,109.95 $95,548.64 2025-06-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 2 — — $51,238.07 $101,243.55 $94,737.92 2025-06-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 2 — — $51,238.07 $101,243.55 $94,737.92 2025-06-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 3 2 — — $50,439.00 $99,664.63 $93,260.45 2025-06-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 2 — — $50,324.05 $99,437.50 $93,047.92 2025-06-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $50,067.27 $98,930.12 $92,573.14 2025-06-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 3 2 — — $50,019.99 $98,836.70 $92,485.73 2025-06-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $62,152.57 $122,809.99 $92,481.28 2025-06-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $50,014.43 $98,825.71 $92,475.44 2025-06-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 2 — — $49,318.25 $97,450.10 $91,188.23 2025-06-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $49,100.41 $97,019.65 $90,785.44 2025-06-27
T2025 HCPCS Waiver Service, Nos 3 3 — — $88,188.00 $88,188.00 $88,188.00 2025-06-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $47,582.91 $94,021.16 $87,979.62 2025-06-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 2 — — $47,226.94 $93,317.79 $87,321.44 2025-06-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 2 — — $47,082.33 $93,032.04 $87,054.06 2025-06-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 2 — — $46,692.06 $92,260.90 $86,332.47 2025-06-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 2 — — $46,416.74 $91,716.88 $85,823.41 2025-06-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $46,380.59 $91,645.45 $85,756.56 2025-06-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $46,362.05 $91,608.81 $85,722.28 2025-06-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 2 — — $46,195.19 $91,279.11 $85,413.76 2025-06-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $57,347.93 $113,316.29 $85,332.11 2025-06-27
245 MS_DRG Aicd Generator Procedures 3 2 — — $45,300.64 $89,511.52 $83,759.75 2025-06-27
0265U HCPCS Rar Do Whl Gn&mtcdrl DNA Als 2 1 — — $79,070.55 $87,612.80 $83,341.68 2025-06-27
0212U HCPCS Rare Ds Gen DNA Alys Proband 2 1 — — $79,061.89 $87,603.20 $83,332.54 2025-06-27
471 MS_DRG Cervical Spinal Fusion With Mcc 3 2 — — $45,027.17 $88,971.16 $83,254.12 2025-06-27
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $44,952.08 $88,822.80 $83,115.29 2025-06-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $44,268.89 $87,472.83 $81,852.07 2025-06-27
799 MS_DRG Splenic Procedures With Mcc 3 2 — — $44,077.00 $87,093.67 $81,497.27 2025-06-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $44,068.65 $87,077.19 $81,481.85 2025-06-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 2 — — $43,612.57 $86,175.99 $80,638.56 2025-06-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 2 — — $43,378.97 $85,714.40 $80,206.63 2025-06-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $43,123.11 $85,208.85 $79,733.57 2025-06-27
0214U HCPCS Rare Ds Xom DNA Alys Proband 2 1 — — $75,443.22 $83,593.60 $79,518.41 2025-06-27
0335U HCPCS Rare Ds Whl Gen Seq Fetal 2 1 — — $75,443.22 $83,593.60 $79,518.41 2025-06-27
163 MS_DRG Major Chest Procedures With Mcc 3 2 — — $42,727.28 $84,426.72 $79,001.69 2025-06-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 2 — — $42,709.67 $84,391.91 $78,969.12 2025-06-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $42,573.40 $84,122.65 $78,717.16 2025-06-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 2 — — $42,566.91 $84,109.83 $78,705.17 2025-06-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 2 — — $41,822.53 $82,638.98 $77,328.82 2025-06-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 2 — — $41,573.17 $82,146.25 $76,867.76 2025-06-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $41,458.22 $81,919.12 $76,655.22 2025-06-27
0326U HCPCS Trgt Gen Seq Alys Pnl 83+ 2 1 — — $72,200.00 $80,000.00 $76,100.00 2025-06-27
901 MS_DRG Wound Debridements For Injuries With Mcc 3 2 — — $41,070.74 $81,153.47 $75,938.77 2025-06-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $51,023.01 $100,818.60 $75,920.81 2025-06-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $50,711.54 $100,203.15 $75,457.35 2025-06-27
0261U HCPCS Onc Clrct Ca Img Alys W/ai 2 1 — — $71,478.00 $79,200.00 $75,339.00 2025-06-27
0108U HCPCS Gi Barrett Esoph 9 Prtn Bmrk 2 1 — — $71,478.00 $79,200.00 $75,339.00 2025-06-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $40,721.26 $80,462.92 $75,292.59 2025-06-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 2 — — $40,110.36 $79,255.83 $74,163.07 2025-06-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $40,027.86 $79,092.81 $74,010.52 2025-06-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 2 — — $39,543.04 $78,134.83 $73,114.10 2025-06-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $39,484.64 $78,019.43 $73,006.12 2025-06-27
0036U HCPCS Xome Tum & Nml Spec Seq Alys 2 1 — — $69,023.20 $76,480.00 $72,751.60 2025-06-27
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $39,204.68 $77,466.26 $72,488.49 2025-06-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 2 — — $38,846.86 $76,759.22 $71,826.88 2025-06-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 2 — — $38,837.59 $76,740.90 $71,809.74 2025-06-27
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $38,660.54 $76,391.05 $71,482.37 2025-06-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 2 — — $38,569.69 $76,211.54 $71,314.40 2025-06-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $47,741.43 $94,334.38 $71,037.90 2025-06-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 2 — — $38,119.17 $75,321.34 $70,481.39 2025-06-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 2 — — $38,097.85 $75,279.21 $70,441.97 2025-06-27
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 3 2 — — $38,041.30 $75,167.47 $70,337.42 2025-06-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 2 — — $37,704.80 $74,502.57 $69,715.24 2025-06-27
791 MS_DRG Prematurity With Major Problems 3 2 — — $37,635.27 $74,365.19 $69,586.69 2025-06-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 2 — — $36,928.90 $72,969.43 $68,280.62 2025-06-27
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 3 2 — — $36,902.94 $72,918.15 $68,232.63 2025-06-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 2 — — $36,576.64 $72,273.39 $67,629.30 2025-06-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 2 — — $36,501.55 $72,125.02 $67,490.46 2025-06-27
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 3 — — $67,452.66 $67,452.66 $67,452.66 2025-06-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 2 — — $36,427.39 $71,978.48 $67,353.34 2025-06-27
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 3 2 — — $36,248.48 $71,624.97 $67,022.54 2025-06-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 2 — — $36,048.25 $71,229.32 $66,652.32 2025-06-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 2 — — $35,828.55 $70,795.21 $66,246.10 2025-06-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 2 — — $35,792.40 $70,723.77 $66,179.25 2025-06-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 2 — — $35,692.28 $70,525.95 $65,994.14 2025-06-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 2 — — $35,433.65 $70,014.90 $65,515.94 2025-06-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $35,241.76 $69,635.74 $65,161.14 2025-06-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 2 — — $34,967.37 $69,093.56 $64,653.79 2025-06-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 2 — — $34,688.34 $68,542.21 $64,137.88 2025-06-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 6 — — $63,235.60 $777,866.81 $63,235.61 2025-06-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 2 — — $33,823.45 $66,833.24 $62,538.72 2025-06-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $33,588.92 $66,369.82 $62,105.08 2025-06-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 2 — — $33,231.10 $65,662.78 $61,443.47 2025-06-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 2 — — $33,229.24 $65,659.12 $61,440.04 2025-06-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 2 — — $33,223.68 $65,648.13 $61,429.76 2025-06-27
265 MS_DRG Aicd Lead Procedures 3 2 — — $33,067.94 $65,340.40 $61,141.81 2025-06-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 2 — — $32,919.62 $65,047.33 $60,867.57 2025-06-27
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 2 — — $32,726.81 $64,666.34 $60,511.06 2025-06-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $32,718.47 $64,649.85 $60,495.63 2025-06-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $32,635.96 $64,486.83 $60,343.08 2025-06-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 2 — — $32,480.23 $64,179.10 $60,055.13 2025-06-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $32,470.03 $64,158.96 $60,036.28 2025-06-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 2 — — $32,457.05 $64,133.31 $60,012.28 2025-06-27
264 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $32,399.58 $64,019.75 $59,906.01 2025-06-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $32,190.08 $63,605.78 $59,518.65 2025-06-27
332 MS_DRG Rectal Resection With Mcc 3 2 — — $32,154.85 $63,536.18 $59,453.52 2025-06-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 2 — — $32,119.62 $63,466.57 $59,388.39 2025-06-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $31,929.59 $63,091.07 $59,037.02 2025-06-27
0306U HCPCS Onc Mrd Nxt-gnrj Alys 1st 2 1 — — $56,004.82 $62,055.20 $59,030.01 2025-06-27
81523 HCPCS Onc Brst Mrna 70 Cnt 31 Gene 2 1 — — $55,926.12 $61,968.00 $58,947.06 2025-06-27
0045U HCPCS Onc Brst Dux Carc Is 12 Gene 2 1 — — $55,926.12 $61,968.00 $58,947.06 2025-06-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 2 — — $31,879.53 $62,992.16 $58,944.46 2025-06-27
665 MS_DRG Prostatectomy With Mcc 3 2 — — $31,829.47 $62,893.25 $58,851.90 2025-06-27
252 MS_DRG Other Vascular Procedures With Mcc 3 2 — — $31,799.81 $62,834.64 $58,797.06 2025-06-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $31,751.60 $62,739.39 $58,707.93 2025-06-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 2 — — $31,575.47 $62,391.37 $58,382.27 2025-06-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 2 — — $31,443.84 $62,131.26 $58,138.88 2025-06-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $31,116.61 $61,484.67 $57,533.84 2025-06-27
81540 HCPCS Oncology Tum Unknown Origin 2 1 — — $54,150.00 $60,000.00 $57,075.00 2025-06-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 6 — — $57,017.10 $680,031.56 $57,017.10 2025-06-27
37 MS_DRG Extracranial Procedures With Mcc 3 2 — — $30,784.74 $60,828.93 $56,920.23 2025-06-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $30,608.61 $60,480.90 $56,594.57 2025-06-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $37,854.05 $74,797.47 $56,325.76 2025-06-27
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 3 2 — — $30,300.85 $59,872.78 $56,025.52 2025-06-27
0258U HCPCS Ai Psor Mrna 50-100 Gen Alg 2 1 — — $53,067.00 $58,800.00 $55,933.50 2025-06-27
0019U HCPCS Onc RNA Tiss Predict Alg 2 1 — — $53,067.00 $58,800.00 $55,933.50 2025-06-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 2 — — $30,214.64 $59,702.43 $55,866.12 2025-06-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 2 — — $30,201.66 $59,676.79 $55,842.12 2025-06-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 2 — — $29,842.91 $58,967.92 $55,178.80 2025-06-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $29,704.79 $58,694.99 $54,923.42 2025-06-27
0026U HCPCS Onc Thyr Dna&mrna 112 Genes 2 1 — — $51,984.00 $57,600.00 $54,792.00 2025-06-27
0313U HCPCS Onc Pncrs Dna&mrna Seq 74 2 1 — — $51,984.00 $57,600.00 $54,792.00 2025-06-27
0362U HCPCS Onc Pap Thyr Ca RNA 82&10 2 1 — — $51,984.00 $57,600.00 $54,792.00 2025-06-27
0391U HCPCS Onc Sld Tum Dna&rna 437 Gen 2 1 — — $51,984.00 $57,600.00 $54,792.00 2025-06-27
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 2 — — $29,618.58 $58,524.65 $54,764.01 2025-06-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 2 — — $29,562.03 $58,412.91 $54,659.46 2025-06-27
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 2 — — $29,482.31 $58,255.39 $54,512.06 2025-06-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 2 — — $29,422.98 $58,138.16 $54,402.36 2025-06-27
500 MS_DRG Soft Tissue Procedures With Mcc 3 2 — — $29,373.85 $58,041.08 $54,311.52 2025-06-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $36,266.09 $71,659.77 $53,962.93 2025-06-27
0080U HCPCS Onc Lng 5 Clin Rsk Factr Alg 2 1 — — $50,828.80 $56,320.00 $53,574.40 2025-06-27
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 3 2 — — $28,931.67 $57,167.36 $53,493.94 2025-06-27
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $28,918.69 $57,141.71 $53,469.94 2025-06-27
0244U HCPCS Onc Solid Orgn DNA 257 Genes 2 1 — — $50,540.00 $56,000.00 $53,270.00 2025-06-27
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 2 — — $28,795.40 $56,898.10 $53,241.98 2025-06-27
0016M HCPCS Onc Bladder Mrna 219 Gen Alg 2 1 — — $50,390.24 $55,834.08 $53,112.16 2025-06-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 2 — — $28,666.55 $56,643.49 $53,003.74 2025-06-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 2 — — $28,586.83 $56,485.96 $52,856.33 2025-06-27
652 MS_DRG Kidney Transplant 3 2 — — $28,471.88 $56,258.83 $52,643.80 2025-06-27
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 2 — — $28,445.92 $56,207.55 $52,595.80 2025-06-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 2 — — $28,353.22 $56,024.38 $52,424.40 2025-06-27
0329U HCPCS Onc Neo Xome&trns Seq Alys 2 1 — — $49,644.42 $55,007.68 $52,326.05 2025-06-27
570 MS_DRG Skin Debridement With Mcc 3 2 — — $27,904.55 $55,137.83 $51,594.83 2025-06-27
974 MS_DRG HIV With Major Related Condition With Mcc 3 2 — — $27,682.07 $54,698.23 $51,183.47 2025-06-27
81440 HCPCS Mitochondrial Gene 2 1 — — $47,998.56 $53,184.00 $50,591.28 2025-06-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $27,333.52 $54,009.51 $50,539.00 2025-06-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 2 — — $27,263.07 $53,870.30 $50,408.74 2025-06-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 2 — — $27,188.91 $53,723.76 $50,271.62 2025-06-27
668 MS_DRG Transurethral Procedures With Mcc 3 2 — — $27,034.10 $53,417.87 $49,985.38 2025-06-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 2 — — $27,019.27 $53,388.56 $49,957.96 2025-06-27
800 MS_DRG Splenic Procedures With Cc 3 2 — — $27,010.93 $53,372.07 $49,942.53 2025-06-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 2 — — $26,996.09 $53,342.77 $49,915.11 2025-06-27
472 MS_DRG Cervical Spinal Fusion With Cc 3 2 — — $26,857.04 $53,068.01 $49,658.01 2025-06-27
0055U HCPCS Card Hrt Trnspl 96 DNA Seq 2 1 — — $46,785.60 $51,840.00 $49,312.80 2025-06-27
81595 HCPCS Cardiology Hrt Trnspl Mrna 2 1 — — $46,785.60 $51,840.00 $49,312.80 2025-06-27
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 2 — — $26,578.02 $52,516.67 $49,142.09 2025-06-27
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 3 2 — — $26,547.43 $52,456.22 $49,085.53 2025-06-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 2 — — $26,531.67 $52,425.09 $49,056.39 2025-06-27
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 3 2 — — $26,494.59 $52,351.82 $48,987.83 2025-06-27
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 3 2 — — $26,389.84 $52,144.84 $48,794.15 2025-06-27
0266U HCPCS Unxpl Cnst Hrtbl Do Gn Xprsn 2 1 — — $46,208.00 $51,200.00 $48,704.00 2025-06-27
0262U HCPCS Onc Sld Tum Rt-pcr 7 Gen 2 1 — — $46,208.00 $51,200.00 $48,704.00 2025-06-27
654 MS_DRG Major Bladder Procedures With Cc 3 2 — — $26,160.87 $51,692.41 $48,370.79 2025-06-27
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $48,370.76 $48,370.76 $48,370.76 2025-06-27
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 2 — — $26,033.87 $51,441.46 $48,135.98 2025-06-27
0253U HCPCS Rprdtve Med RNA Gen Prfl 238 2 1 — — $45,622.04 $50,550.72 $48,086.38 2025-06-27
0153U HCPCS Onc Breast Mrna 101 Genes 2 1 — — $45,622.04 $50,550.72 $48,086.38 2025-06-27
0088U HCPCS Trnsplj Kdn Algrft Rej 1494 2 1 — — $45,622.04 $50,550.72 $48,086.38 2025-06-27
0087U HCPCS Crd Hrt Trnspl Mrna 1283 Gen 2 1 — — $45,622.04 $50,550.72 $48,086.38 2025-06-27
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 2 — — $26,006.99 $51,388.34 $48,086.27 2025-06-27
81525 HCPCS Oncology Colon Mrna 2 1 — — $44,995.04 $49,856.00 $47,425.52 2025-06-27
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $46,980.38 $46,980.38 $46,980.38 2025-06-27
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 2 — — $25,366.43 $50,122.64 $46,901.90 2025-06-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 2 — — $25,321.01 $50,032.89 $46,817.91 2025-06-27
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $25,274.66 $49,941.30 $46,732.21 2025-06-27
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 2 — — $25,183.81 $49,761.79 $46,564.24 2025-06-27
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $25,060.52 $49,518.18 $46,336.28 2025-06-27
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 2 — — $24,978.02 $49,355.16 $46,183.73 2025-06-27
0248U HCPCS Onc Sphrd Cell Cul 12 Rx Pnl 2 1 — — $43,808.95 $48,541.76 $46,175.35 2025-06-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 2 — — $24,878.83 $49,159.16 $46,000.33 2025-06-27
263 MS_DRG Vein Ligation And Stripping 3 2 — — $24,863.07 $49,128.03 $45,971.19 2025-06-27
849 MS_DRG Radiotherapy 3 2 — — $24,761.10 $48,926.54 $45,782.65 2025-06-27
0018U HCPCS Onc Thyr 10 Microrna Seq Alg 2 1 — — $43,350.17 $48,033.44 $45,691.81 2025-06-27
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 2 — — $24,684.16 $48,774.51 $45,640.39 2025-06-27
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 2 — — $24,596.09 $48,600.50 $45,477.56 2025-06-27
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 3 2 — — $24,565.50 $48,540.05 $45,421.00 2025-06-27
503 MS_DRG Foot Procedures With Mcc 3 2 — — $24,533.98 $48,477.77 $45,362.72 2025-06-27
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 2 — — $24,508.95 $48,428.32 $45,316.45 2025-06-27
J9226 HCPCS Supprelin La Implant 7 6 — — $45,212.04 $540,938.58 $45,212.04 2025-06-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 2 — — $24,317.99 $48,050.99 $44,963.36 2025-06-27
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 2 — — $24,254.96 $47,926.43 $44,846.81 2025-06-27
0250U HCPCS Onc Sld Org Neo DNA 505 Gene 2 1 — — $42,159.02 $46,713.60 $44,436.31 2025-06-27
0048U HCPCS Onc Sld Org Neo DNA 468 Gene 2 1 — — $42,159.02 $46,713.60 $44,436.31 2025-06-27
0204U HCPCS Onc Thyr Mrna Xprsn Alys 593 2 1 — — $42,159.02 $46,713.60 $44,436.31 2025-06-27
0409U HCPCS Onc Sld Tum DNA 80 & RNA 36 2 1 — — $42,159.02 $46,713.60 $44,436.31 2025-06-27
0050U HCPCS Trgt Gen Seq DNA 194 Genes 2 1 — — $42,115.70 $46,665.60 $44,390.65 2025-06-27
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 2 — — $23,996.32 $47,415.39 $44,368.60 2025-06-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 2 — — $23,956.46 $47,336.62 $44,294.90 2025-06-27
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 2 — — $23,673.73 $46,777.95 $43,772.13 2025-06-27
253 MS_DRG Other Vascular Procedures With Cc 3 2 — — $23,666.31 $46,763.30 $43,758.42 2025-06-27
81538 HCPCS Oncology Lung 2 1 — — $41,457.24 $45,936.00 $43,696.62 2025-06-27
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 3 2 — — $23,621.81 $46,675.38 $43,676.15 2025-06-27
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 2 — — $23,500.38 $46,435.43 $43,451.61 2025-06-27
545 MS_DRG Connective Tissue Disorders With Mcc 3 2 — — $23,424.36 $46,285.23 $43,311.07 2025-06-27
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 2 — — $23,405.82 $46,248.59 $43,276.79 2025-06-27
164 MS_DRG Major Chest Procedures With Cc 3 2 — — $23,332.59 $46,103.89 $43,141.38 2025-06-27
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 2 — — $23,213.01 $45,867.60 $42,920.27 2025-06-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 2 — — $23,195.39 $45,832.80 $42,887.71 2025-06-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $28,607.22 $56,526.26 $42,566.74 2025-06-27
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $22,969.21 $45,385.86 $42,469.49 2025-06-27
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 2 — — $22,876.51 $45,202.69 $42,298.09 2025-06-27
792 MS_DRG Prematurity Without Major Problems 3 2 — — $22,708.72 $44,871.15 $41,987.86 2025-06-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $22,695.74 $44,845.51 $41,963.86 2025-06-27
0118U HCPCS Trnsplj Don-drv Cll-fr DNA 2 1 — — $39,756.93 $44,052.00 $41,904.46 2025-06-27
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 2 — — $22,508.49 $44,475.51 $41,617.63 2025-06-27
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 2 — — $22,421.35 $44,303.33 $41,456.52 2025-06-27
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 4 3 — — $6,583.50 $80,647.88 $41,352.62 2025-06-27
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 2 — — $22,350.90 $44,164.12 $41,326.25 2025-06-27
0213U HCPCS Rare Ds Gen DNA Alys Ea Comp 2 1 — — $39,131.68 $43,359.20 $41,245.44 2025-06-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 2 — — $22,257.27 $43,979.12 $41,153.14 2025-06-27
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 2 — — $22,222.04 $43,909.51 $41,088.01 2025-06-27
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 2 — — $22,222.04 $43,909.51 $41,088.01 2025-06-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 2 — — $22,030.16 $43,530.35 $40,733.21 2025-06-27
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 2 — — $21,945.80 $43,363.67 $40,577.24 2025-06-27
347 MS_DRG Anal And Stomal Procedures With Mcc 3 2 — — $21,940.24 $43,352.68 $40,566.95 2025-06-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 2 — — $21,911.50 $43,295.89 $40,513.82 2025-06-27
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $21,876.27 $43,226.29 $40,448.69 2025-06-27
0320U HCPCS Neph RNA Psttrnspl Perph Bld 2 1 — — $38,266.00 $42,400.00 $40,333.00 2025-06-27
0319U HCPCS Neph RNA Pretrnspl Perph Bld 2 1 — — $38,266.00 $42,400.00 $40,333.00 2025-06-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 2 — — $21,678.82 $42,836.14 $40,083.60 2025-06-27
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 2 — — $21,508.25 $42,499.10 $39,768.23 2025-06-27
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 2 — — $21,458.20 $42,400.19 $39,675.67 2025-06-27
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 2 — — $21,437.80 $42,359.89 $39,637.96 2025-06-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 2 — — $21,398.87 $42,282.96 $39,565.98 2025-06-27
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 2 — — $21,266.31 $42,021.03 $39,320.87 2025-06-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $21,231.08 $41,951.43 $39,255.74 2025-06-27
0215U HCPCS Rare Ds Xom DNA Alys Ea Comp 2 1 — — $37,177.95 $41,194.40 $39,186.18 2025-06-27
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