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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

HANNIBAL REGIONAL HOSPITAL

Hannibal, MO · CCN 260025 · Rates published

10,838 distinct procedures filed
15 distinct payers
152,270 rate rows
2025-04-25 last MRF observed · ⚠ 14 mo old
Data quality

151,808 of 152,270 rate rows are consumer-grade (99.7%)

462 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
percent-of-charges filed in the dollar field — excluded from medians 193
per-diem day rate — not a per-procedure price 153
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 38
placeholder amount (≤ $0.02) — excluded from medians 28

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/8042/430662495_hannibal-regional-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/HannibalRegionalHospital/8042
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 0a7284acd0270c19… · 135,415,843 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 3 $3,710,000.00 $4,081,000.00 $3,784,200.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,710,000.00 $4,081,000.00 $3,784,200.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,781.51 $3,653,959.66 $3,388,217.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,193,000.00 $3,512,300.00 $3,256,860.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,968,000.00 $3,264,800.00 $3,027,360.00 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $4,897,200.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,403,458.75 $2,643,804.63 $2,451,527.93 nat. median
$2,469,189
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $565,623.84 $1,668,590.33 $622,186.22 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $551,318.34 $1,626,389.10 $606,450.17 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $528,312.43 $1,558,521.67 $581,143.67 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $516,485.97 $1,523,633.61 $568,134.57 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $489,517.15 $1,444,075.59 $538,468.87 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $488,051.51 $1,439,751.95 $536,856.66 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $311,621.32 $919,282.89 $483,013.05 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $232,755.00 $686,627.25 $360,770.25 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $196,021.76 $578,264.19 $199,942.20 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $177,089.56 $522,414.20 $180,631.35 nat. median
$202,986
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $108,260.32 $319,367.94 $167,803.49 nat. median
$117,303
1.4× median
7
MS_DRG 		Lung Transplant 4 $107,987.65 $318,563.57 $167,380.86 nat. median
$122,708
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $91,055.92 $268,614.96 $141,136.67 nat. median
$108,660
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $87,996.11 $259,588.52 $136,393.97 nat. median
$100,136
1.4× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $111,860.00 $329,987.00 $123,046.00 nat. median
$96,983
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $116,756.35 $344,431.23 $119,091.48 nat. median
$133,176
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $99,999.99 $294,999.97 $109,999.99 nat. median
$111,989
1.0× median
C1826
HCPCS 		Inceptiv Neurostimulator (closed Loop) 15 $79,884.75 $130,720.50 $107,481.30 nat. median
$30,935
outlier · 3.5×
10
MS_DRG 		Pancreas Transplant 4 $65,881.00 $194,348.95 $102,115.55 nat. median
$68,882
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $65,503.37 $193,234.94 $101,530.23 nat. median
$71,240
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $90,016.42 $265,548.44 $91,816.75 nat. median
$102,358
0.9× median
93656
CPT 		Ep Study Comp,afib Ablation 15 $23,057.42 $111,833.10 $90,087.77 nat. median
$26,811
outlier · 3.4×
215
MS_DRG 		Other Heart Assist System Implant 5 $87,544.97 $258,257.66 $89,295.87 nat. median
$99,019
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 5 $80,943.19 $238,782.41 $89,037.51 nat. median
$70,825
1.3× median
Q2043
HCPCS 		Sipuleucel-t / Lr 250 Ml 15 $55,536.50 $163,832.68 $89,021.15 nat. median
$66,682
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $86,558.34 $255,347.10 $88,289.51 nat. median
$98,905
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $79,747.15 $235,254.09 $81,342.09 nat. median
$93,672
0.9× median
93654
CPT 		Ep Study Comp,vent Ablat,3d Mapg,la+lv Pacg 15 $23,057.42 $100,300.50 $80,797.62 nat. median
$26,704
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $76,118.04 $224,548.22 $77,640.40 nat. median
$83,442
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $49,874.71 $147,130.39 $77,305.80 nat. median
$56,920
1.4× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 4 $49,874.71 $147,130.39 $77,305.80 nat. median
$53,805
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $70,019.94 $206,558.82 $71,420.34 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $69,981.09 $206,444.22 $71,380.71 nat. median
$81,118
0.9× median
93653
CPT 		Ep Study Comp,svt Ablat,3d Mapg,la Pacg 15 $23,057.42 $86,623.20 $71,223.52 nat. median
$26,156
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $68,918.47 $203,309.49 $70,296.84 nat. median
$82,712
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $63,402.04 $187,036.02 $69,742.24 nat. median
$69,774
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $44,959.88 $132,631.65 $69,687.82 nat. median
$53,171
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $66,608.97 $196,496.46 $67,941.15 nat. median
$77,576
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $64,587.00 $190,531.65 $65,878.74 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $63,935.05 $188,608.40 $65,213.75 nat. median
$74,915
0.9× median
38240
CPT 		Transplt Allo Hct/donor 8 $55,586.69 $163,980.74 $63,933.21 nat. median
$15,912
outlier · 4.0×
L7181
HCPCS 		Electronic Elbo Simultaneous 5 $57,614.51 $169,962.80 $63,375.96 nat. median
$50,598
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $61,676.77 $181,946.47 $62,910.31 nat. median
$72,138
0.9× median

Other procedures at this hospital

Browse this hospital's 10,838 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
             
0360 RC Thoracentesis 3,473 15 $51,424.00 $30,854.40 40% off $27.50 $102,176.10 $39,414.60 2025-04-25
33249 CPT Ep Insert Or Repl Aicd W/existing Lead(s) 46 15 $63,544.00 $38,126.40 40% off $30,134.04 $88,895.41 $54,965.56 2025-04-25
37187 CPT Cl Bilateral Vein Mechan Thrombectomy 46 15 $46,528.00 $27,916.80 40% off $10,658.77 $41,875.20 $33,732.80 2025-04-25
93653 CPT Ep Study Comp,svt Ablat,3d Mapg,la Pacg 35 15 $96,248.00 $57,748.80 40% off $23,057.42 $86,623.20 $71,223.52 2025-04-25
33229 CPT Ep Remove Pacemaker, Replace W/bi-v 34 15 $54,408.00 $32,644.80 40% off $17,924.60 $52,877.58 $40,261.92 2025-04-25
C9600 HCPCS Coronary Stenting, Des, Initial Vessel 32 15 $39,968.00 $23,980.80 40% off $10,658.77 $35,971.20 $29,276.56 2025-04-25
93459 CPT Lt Heart Cath W/sca And Bypass 32 15 $35,794.00 $21,476.40 40% off $3,023.04 $32,214.60 $25,950.65 2025-04-25
93656 CPT Ep Study Comp,afib Ablation 31 15 $124,259.00 $74,555.40 40% off $23,057.42 $111,833.10 $90,087.77 2025-04-25
93654 CPT Ep Study Comp,vent Ablat,3d Mapg,la+lv Pacg 31 15 $111,445.00 $66,867.00 40% off $23,057.42 $100,300.50 $80,797.62 2025-04-25
33230 CPT Ep Insert Generator W/existing Leads 31 15 $76,870.00 $46,122.00 40% off $21,096.73 $69,183.00 $55,730.75 2025-04-25
33240 CPT Ep Insert Icd 31 15 $72,669.00 $43,601.40 40% off $21,096.73 $65,402.10 $52,685.03 2025-04-25
33262 CPT Ep Remove/replace Aicd 1 Lead System 31 15 $70,420.00 $42,252.00 40% off $21,096.73 $63,378.00 $51,054.50 2025-04-25
37227 CPT Stent W/atherectomy & Angioplasty Fem-p0p 31 15 $64,586.00 $38,751.60 40% off $16,877.16 $58,127.40 $46,824.85 2025-04-25
33264 CPT Ep Remove & Insert Crt Multi Lead 31 15 $61,763.00 $37,057.80 40% off $30,134.04 $88,895.41 $45,704.62 2025-04-25
C9767 HCPCS Ivl+stent+atherectomy Lower Ext (incl Angioplasty) 31 15 $57,390.00 $34,434.00 40% off $16,877.16 $51,651.00 $41,607.75 2025-04-25
C9602 HCPCS Atherectomy W/des, Single Artery Or Branch 31 15 $54,148.00 $32,488.80 40% off $16,877.16 $49,787.63 $39,257.30 2025-04-25
C9774 HCPCS Ivl+atherectomy Tibial/peroneal (incl Angioplasty) 31 15 $54,099.00 $32,459.40 40% off $16,877.16 $49,787.63 $39,221.78 2025-04-25
36903 CPT Dialysis Shuntogram W Stent 31 15 $53,350.00 $32,010.00 40% off $10,658.77 $48,015.00 $38,678.75 2025-04-25
37231 CPT Cl Stent W/atherectomy & Angioplasty Tibial Peroneal 31 15 $51,533.00 $30,919.80 40% off $16,877.16 $49,787.63 $37,361.43 2025-04-25
C9607 HCPCS Cl Cto Major Vessel, Des 31 15 $50,543.00 $30,325.80 40% off $16,877.16 $49,787.63 $36,643.68 2025-04-25
33289 CPT Cardiomems Implant 31 15 $49,500.00 $29,700.00 40% off $26,719.22 $78,821.70 $36,630.00 2025-04-25
C9773 HCPCS Ivl+stent Tibial/peroneal (incl Angioplasty) 31 15 $50,284.00 $30,170.40 40% off $16,877.16 $49,787.63 $36,455.90 2025-04-25
93580 CPT Transcath Closure Of Atrial Septal Defect 31 15 $49,132.00 $29,479.20 40% off $16,877.16 $49,787.63 $35,620.70 2025-04-25
36906 CPT Dialysis Shuntogram W/thrombolytic Inj+stent Pta 31 15 $48,570.00 $29,142.00 40% off $16,877.16 $49,787.63 $35,442.04 2025-04-25
C9775 HCPCS Ivl+stent+atherectomy Tib/peron (incl Angioplsty) 31 15 $47,554.00 $28,532.40 40% off $16,877.16 $49,787.63 $35,189.96 2025-04-25
C9766 HCPCS Ivl+atherectomy Lower Ext (incl Angioplasty) 31 15 $47,525.00 $28,515.00 40% off $16,877.16 $49,787.63 $35,168.50 2025-04-25
37229 CPT Cl Atherectomy W/angioplasty Tibial/peroneal 31 15 $46,405.00 $27,843.00 40% off $16,877.16 $49,787.63 $34,339.70 2025-04-25
C9765 HCPCS Ivl+stent Lower Ext (incl Angioplasty) 31 15 $45,475.00 $27,285.00 40% off $16,877.16 $49,787.63 $33,651.50 2025-04-25
33263 CPT Ep Remove & Repl Aicd;2 Lead System 31 15 $43,110.00 $25,866.00 40% off $21,096.73 $62,235.34 $31,901.40 2025-04-25
33214 CPT Ep Upgrade Implanted Pacemaker 31 15 $43,300.00 $25,980.00 40% off $9,836.15 $38,970.00 $31,392.50 2025-04-25
37230 CPT Cl Stent W/angioplasty Tibial Peroneal 31 15 $42,083.00 $25,249.80 40% off $16,877.16 $49,787.63 $31,141.42 2025-04-25
C9604 HCPCS Pci Init Vessel Of Or Thru Bypass Graft,des 31 15 $42,455.00 $25,473.00 40% off $10,658.77 $38,209.50 $30,779.88 2025-04-25
33274 CPT Ep Insert Or Repl Leadless Pacer 31 15 $40,996.00 $24,597.60 40% off $17,924.60 $52,877.58 $30,337.04 2025-04-25
92924 CPT Atherectomy W/angioplasty Single Artery Or Branch 31 15 $41,692.00 $25,015.20 40% off $10,658.77 $37,522.80 $30,226.70 2025-04-25
37184 CPT Cl-prim Mech Artery Thrombectomy 31 15 $39,927.00 $23,956.20 40% off $16,877.16 $49,787.63 $29,545.98 2025-04-25
27279 CPT Cl Perc Arthrodesis Si Jnt With Img+bne Grf&trnfx 31 15 $39,269.00 $23,561.40 40% off $17,284.44 $50,989.10 $29,059.06 2025-04-25
37226 CPT Cl-fem/pop Stenting To Include Angioplasty 31 15 $39,308.00 $23,584.80 40% off $10,658.77 $35,377.20 $28,498.30 2025-04-25
37225 CPT Cl Atherectomy W/angioplasty Fem-pop 31 15 $37,834.00 $22,700.40 40% off $16,877.16 $49,787.63 $27,997.16 2025-04-25
33221 CPT Ep Insertion Pacemaker Pulse Generator Only W/existing M 31 15 $37,233.00 $22,339.80 40% off $17,924.60 $52,877.58 $27,552.42 2025-04-25
37238 CPT Cl Venous Stent, Initial 31 15 $36,449.00 $21,869.40 40% off $10,658.77 $32,804.10 $26,425.53 2025-04-25
37221 CPT Iliac Stenting, Initial Vessel 31 15 $33,948.00 $20,368.80 40% off $10,658.77 $31,443.39 $24,612.30 2025-04-25
C9772 HCPCS Ivl Revasc, Tibial/peroneal Artery(ies) 31 15 $33,885.00 $20,331.00 40% off $10,658.77 $31,443.39 $24,566.62 2025-04-25
37236 CPT Stent Visceral 31 15 $33,394.00 $20,036.40 40% off $10,658.77 $31,443.39 $24,210.65 2025-04-25
37242 CPT Vascular Embolization, Arterial 31 15 $32,143.00 $19,285.80 40% off $16,877.16 $49,787.63 $23,785.82 2025-04-25
Q2043 HCPCS Sipuleucel-t / Lr 250 Ml 28 15 $112,685.00 $67,611.00 40% off $55,536.50 $163,832.68 $89,021.15 2025-04-25
J2507 HCPCS Pegloticase 8 Mg/ml Solution 28 15 $54,458.00 $32,674.80 40% off $3,550.05 $49,012.20 $39,890.49 2025-04-25
0238T CPT Atherectomy,periph,iliac Artery, Ea Vessel 28 15 $41,328.00 $24,796.80 40% off $16,877.16 $49,787.63 $30,582.72 2025-04-25
C2621 HCPCS Ep Bi-v Device,nodefibrillator 25 15 $43,500.00 $26,100.00 40% off $23,925.00 $39,150.00 $32,190.00 2025-04-25
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Soln 25 12 $35,484.00 $21,290.40 40% off $58.77 $31,935.60 $26,258.16 2025-04-25
C1826 HCPCS Inceptiv Neurostimulator (closed Loop) 23 15 $145,245.00 $87,147.00 40% off $79,884.75 $130,720.50 $107,481.30 2025-04-25
34705 CPT Evar Aorta-bi-iliac W/ext+stents, Non-rupture 23 15 $57,620.00 $34,572.00 40% off $31,691.00 $51,858.00 $42,638.80 2025-04-25
C1722 HCPCS Ep Aicds 23 15 $52,980.00 $31,788.00 40% off $29,139.00 $47,682.00 $39,205.20 2025-04-25
34812 CPT Open Femoral Artery For Evar 23 15 $49,500.00 $29,700.00 40% off $27,225.00 $44,550.00 $36,630.00 2025-04-25
34813 CPT Evar Fem-fem During Aaa 23 15 $49,500.00 $29,700.00 40% off $27,225.00 $44,550.00 $36,630.00 2025-04-25
C1721 HCPCS Ep Aicdd 23 15 $47,380.00 $28,428.00 40% off $26,059.00 $42,642.00 $35,061.20 2025-04-25
C9606 HCPCS Acute Mi, Initial, Des 23 15 $43,997.00 $26,398.20 40% off $24,198.35 $39,597.30 $32,557.78 2025-04-25
34703 CPT Evar Aorto Uni-iliac W/ext+stnets, Non Rupture 23 15 $42,691.00 $25,614.60 40% off $23,480.05 $38,421.90 $31,591.34 2025-04-25
C1882 HCPCS Ep Crtd 23 15 $40,383.00 $24,229.80 40% off $22,210.65 $36,344.70 $29,883.42 2025-04-25
C1820 HCPCS Generator Neuro Stimulator Permanent 23 15 $37,500.00 $22,500.00 40% off $20,625.00 $33,750.00 $27,750.00 2025-04-25
92972 CPT Cl Ivl,coronary Shockwave 23 15 $35,348.00 $21,208.80 40% off $19,441.40 $31,813.20 $26,157.52 2025-04-25
92970 CPT Impella Plc Cardioassist Device Internal 23 15 $33,000.00 $19,800.00 40% off $18,150.00 $29,700.00 $24,420.00 2025-04-25
92941 CPT Pci Of Acute Mi, All Interventions, Single Vessel 23 15 $32,716.00 $19,629.60 40% off $17,993.80 $29,444.40 $24,209.84 2025-04-25
38240 CPT Transplt Allo Hct/donor 8 8 — — $55,586.69 $163,980.74 $63,933.21 2025-04-25
33276 CPT Insj Phrnc Nrv Stim Sys 8 8 — — $42,295.07 $124,770.46 $58,118.15 2025-04-25
69930 CPT Implant Cochlear Device 8 8 — — $29,895.53 $88,191.83 $39,170.38 2025-04-25
33270 CPT Ins/rep Subq Defibrillator 8 8 — — $30,134.04 $88,895.41 $38,428.17 2025-04-25
33231 CPT Insrt Pulse Gen W/mult Leads 8 8 — — $30,134.04 $88,895.41 $38,428.17 2025-04-25
64568 CPT Opn Impltj Crnl Nrv Nea&pg 8 8 — — $28,641.52 $84,492.48 $36,270.90 2025-04-25
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 8 8 — — $28,641.52 $84,492.48 $36,270.90 2025-04-25
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 8 8 — — $28,641.52 $84,492.48 $36,270.90 2025-04-25
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 8 8 — — $28,641.52 $84,492.48 $36,270.90 2025-04-25
61886 CPT Implant Neurostim Arrays 8 8 — — $28,641.52 $84,492.48 $36,270.90 2025-04-25
63655 CPT Implant Neuroelectrodes 8 8 — — $20,155.15 $59,457.70 $25,551.99 2025-04-25
64580 CPT Opn Impltj Nea Neuromuscular 8 8 — — $20,155.15 $59,457.70 $25,551.99 2025-04-25
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 8 8 — — $20,155.15 $59,457.70 $25,551.99 2025-04-25
61885 CPT Insrt/redo Neurostim 1 Array 8 8 — — $20,155.15 $59,457.70 $25,551.99 2025-04-25
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 8 8 — — $20,155.15 $59,457.70 $25,551.99 2025-04-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $565,623.84 $1,668,590.33 $622,186.22 2025-04-25
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $551,318.34 $1,626,389.10 $606,450.17 2025-04-25
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $528,312.43 $1,558,521.67 $581,143.67 2025-04-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $516,485.97 $1,523,633.61 $568,134.57 2025-04-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $489,517.15 $1,444,075.59 $538,468.87 2025-04-25
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $488,051.51 $1,439,751.95 $536,856.66 2025-04-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $196,021.76 $578,264.19 $199,942.20 2025-04-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 5 — — $177,089.56 $522,414.20 $180,631.35 2025-04-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $111,860.00 $329,987.00 $123,046.00 2025-04-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 5 5 — — $116,756.35 $344,431.23 $119,091.48 2025-04-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $99,999.99 $294,999.97 $109,999.99 2025-04-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 5 — — $90,016.42 $265,548.44 $91,816.75 2025-04-25
215 MS_DRG Other Heart Assist System Implant 5 5 — — $87,544.97 $258,257.66 $89,295.87 2025-04-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 5 — — $80,943.19 $238,782.41 $89,037.51 2025-04-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $86,558.34 $255,347.10 $88,289.51 2025-04-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $79,747.15 $235,254.09 $81,342.09 2025-04-25
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $76,118.04 $224,548.22 $77,640.40 2025-04-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $70,019.94 $206,558.82 $71,420.34 2025-04-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $69,981.09 $206,444.22 $71,380.71 2025-04-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $68,918.47 $203,309.49 $70,296.84 2025-04-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 5 — — $63,402.04 $187,036.02 $69,742.24 2025-04-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $66,608.97 $196,496.46 $67,941.15 2025-04-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $64,587.00 $190,531.65 $65,878.74 2025-04-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $63,935.05 $188,608.40 $65,213.75 2025-04-25
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $57,614.51 $169,962.80 $63,375.96 2025-04-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $61,676.77 $181,946.47 $62,910.31 2025-04-25
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $56,824.55 $167,632.42 $62,507.01 2025-04-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $58,689.70 $173,134.62 $59,863.49 2025-04-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $58,394.70 $172,264.37 $59,562.59 2025-04-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $57,481.64 $169,570.84 $58,631.27 2025-04-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $56,422.33 $166,445.87 $57,550.78 2025-04-25
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $52,277.90 $154,219.81 $57,505.69 2025-04-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $55,401.02 $163,433.01 $56,509.04 2025-04-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $55,187.83 $162,804.10 $56,291.59 2025-04-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $55,094.46 $162,528.66 $56,196.35 2025-04-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $53,438.56 $157,643.75 $54,507.33 2025-04-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $53,361.68 $157,416.96 $54,428.91 2025-04-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $52,257.77 $154,160.42 $53,302.93 2025-04-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $51,184.39 $150,993.95 $52,208.08 2025-04-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $51,118.29 $150,798.96 $52,140.66 2025-04-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $50,885.27 $150,111.55 $51,902.98 2025-04-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $50,707.61 $149,587.45 $51,721.76 2025-04-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $50,476.26 $148,904.97 $51,485.79 2025-04-25
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $50,234.98 $148,193.19 $51,239.68 2025-04-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 5 — — $49,502.05 $146,031.05 $50,492.09 2025-04-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $49,159.14 $145,019.46 $50,142.32 2025-04-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $49,121.94 $144,909.72 $50,104.38 2025-04-25
J9226 HCPCS Supprelin La Implant 5 5 — — $45,261.80 $133,522.31 $49,787.98 2025-04-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $48,621.23 $143,432.63 $49,593.65 2025-04-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $48,109.72 $141,923.67 $49,071.91 2025-04-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $47,424.73 $139,902.95 $48,373.22 2025-04-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $47,141.31 $139,066.86 $48,084.14 2025-04-25
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $46,063.00 $135,885.85 $46,984.26 2025-04-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $45,672.16 $134,732.87 $46,585.60 2025-04-25
834 MS_DRG Acute Leukemia With Mcc 5 5 — — $45,672.16 $134,732.87 $46,585.60 2025-04-25
0266T CPT Outpatient Services 5 5 — — $42,295.07 $124,770.46 $46,524.58 2025-04-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $45,480.45 $134,167.33 $46,390.06 2025-04-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $45,202.81 $133,348.29 $46,106.87 2025-04-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 5 — — $44,857.40 $132,329.33 $45,754.55 2025-04-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $44,628.54 $131,654.19 $45,521.11 2025-04-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 5 — — $44,586.39 $131,529.85 $45,478.12 2025-04-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $44,581.42 $131,515.19 $45,473.05 2025-04-25
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 5 — — $41,141.33 $121,366.92 $45,255.46 2025-04-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $43,960.87 $129,684.57 $44,840.09 2025-04-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $43,766.70 $129,111.77 $44,642.03 2025-04-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $42,555.34 $125,538.25 $43,406.45 2025-04-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 5 — — $42,414.04 $125,121.42 $43,262.32 2025-04-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $42,096.73 $124,185.35 $42,938.66 2025-04-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $41,967.84 $123,805.13 $42,807.20 2025-04-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $41,619.97 $122,778.91 $42,452.37 2025-04-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 5 — — $41,374.56 $122,054.95 $42,202.05 2025-04-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $41,342.32 $121,959.84 $42,169.17 2025-04-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 — — $41,325.80 $121,911.11 $42,152.32 2025-04-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $41,177.06 $121,472.33 $42,000.60 2025-04-25
245 MS_DRG Aicd Generator Procedures 5 5 — — $40,379.68 $119,120.06 $41,187.27 2025-04-25
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $40,135.93 $118,400.99 $40,938.65 2025-04-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 5 — — $39,460.02 $116,407.06 $40,249.22 2025-04-25
799 MS_DRG Splenic Procedures With Mcc 5 5 — — $39,288.97 $115,902.46 $40,074.75 2025-04-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $39,281.53 $115,880.51 $40,067.16 2025-04-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 5 — — $38,874.99 $114,681.22 $39,652.49 2025-04-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $38,666.77 $114,066.97 $39,440.11 2025-04-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 5 — — $38,438.69 $113,394.14 $39,207.46 2025-04-25
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $38,085.88 $112,353.35 $38,847.60 2025-04-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $37,948.72 $111,948.72 $38,707.69 2025-04-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $37,942.92 $111,931.61 $38,701.78 2025-04-25
L5856 HCPCS Elec Knee-shin Swing/stance 5 5 — — $34,568.35 $101,976.63 $38,025.19 2025-04-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 — — $37,279.40 $109,974.23 $38,024.99 2025-04-25
L6880 HCPCS Elec Hand Ind Art Digits 5 5 — — $34,363.97 $101,373.71 $37,800.37 2025-04-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 — — $37,057.13 $109,318.53 $37,798.27 2025-04-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $36,954.67 $109,016.28 $37,693.76 2025-04-25
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 — — $36,609.26 $107,997.32 $37,341.45 2025-04-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $36,297.76 $107,078.39 $37,023.72 2025-04-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 5 — — $35,753.22 $105,472.00 $36,468.28 2025-04-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $35,679.70 $105,255.12 $36,393.29 2025-04-25
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $32,896.27 $97,044.00 $36,185.90 2025-04-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 — — $35,247.53 $103,980.21 $35,952.48 2025-04-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $35,195.46 $103,826.61 $35,899.37 2025-04-25
140 MS_DRG Major Head And Neck Procedures With Mcc 5 5 — — $34,945.94 $103,090.52 $35,644.86 2025-04-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $34,626.97 $102,149.56 $35,319.51 2025-04-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 5 — — $34,618.73 $102,125.25 $35,311.10 2025-04-25
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $34,460.89 $101,659.63 $35,150.11 2025-04-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $34,379.93 $101,420.79 $35,067.53 2025-04-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $33,978.33 $100,236.07 $34,657.90 2025-04-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $33,959.33 $100,180.02 $34,638.52 2025-04-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 5 — — $33,908.92 $100,031.31 $34,587.10 2025-04-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $33,742.00 $99,538.90 $34,416.84 2025-04-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 — — $33,608.98 $99,146.49 $34,281.16 2025-04-25
791 MS_DRG Prematurity With Major Problems 5 5 — — $33,546.99 $98,963.62 $34,217.93 2025-04-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 5 — — $32,917.36 $97,106.21 $33,575.71 2025-04-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 5 — — $32,894.23 $97,037.98 $33,552.11 2025-04-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $32,603.35 $96,179.88 $33,255.42 2025-04-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 5 — — $32,536.43 $95,982.47 $33,187.16 2025-04-25
0571T CPT Insj/rplcmt Icds Ss Eltrd 5 5 — — $30,134.04 $88,895.41 $33,147.44 2025-04-25
0408T CPT Insj/rplc Cardiac Modulj Sys 5 5 — — $30,134.04 $88,895.41 $33,147.44 2025-04-25
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $30,134.04 $88,895.41 $33,147.44 2025-04-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $32,470.33 $95,787.47 $33,119.74 2025-04-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $32,326.55 $95,363.32 $32,973.08 2025-04-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 5 — — $32,310.86 $95,317.04 $32,957.08 2025-04-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $32,132.39 $94,790.55 $32,775.04 2025-04-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 — — $31,936.54 $94,212.79 $32,575.27 2025-04-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 — — $31,904.31 $94,117.71 $32,542.40 2025-04-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 — — $31,815.07 $93,854.46 $32,451.37 2025-04-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 — — $31,584.53 $93,174.36 $32,216.22 2025-04-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $31,413.49 $92,669.80 $32,041.76 2025-04-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $31,168.89 $91,948.23 $31,792.27 2025-04-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 — — $30,920.18 $91,214.53 $31,538.58 2025-04-25
0268T CPT Outpatient Services 5 5 — — $28,641.52 $84,492.48 $31,505.67 2025-04-25
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $28,641.52 $84,492.48 $31,505.67 2025-04-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 5 — — $30,149.26 $88,940.32 $30,752.25 2025-04-25
L8614 HCPCS Cochlear Device 5 5 — — $27,812.64 $82,047.29 $30,593.90 2025-04-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 — — $29,940.19 $88,323.56 $30,538.99 2025-04-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $29,621.24 $87,382.66 $30,213.66 2025-04-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 5 — — $29,619.59 $87,377.79 $30,211.98 2025-04-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 5 — — $29,614.63 $87,363.16 $30,206.92 2025-04-25
265 MS_DRG Aicd Lead Procedures 5 5 — — $29,475.81 $86,953.64 $30,065.33 2025-04-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $29,343.61 $86,563.65 $29,930.48 2025-04-25
J9266 HCPCS Pegaspargase Injection 5 5 — — $27,070.53 $79,858.06 $29,777.58 2025-04-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 5 — — $29,171.74 $86,056.63 $29,755.17 2025-04-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 — — $29,164.30 $86,034.69 $29,747.59 2025-04-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $29,090.75 $85,817.71 $29,672.57 2025-04-25
Q0483 HCPCS Monitor Elec Vad, Rep 5 5 — — $26,966.90 $79,552.36 $29,663.59 2025-04-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 5 — — $28,951.94 $85,408.22 $29,530.98 2025-04-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $28,942.85 $85,381.41 $29,521.71 2025-04-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 — — $28,931.27 $85,347.25 $29,509.90 2025-04-25
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $28,880.05 $85,196.15 $29,457.65 2025-04-25
L5858 HCPCS Stance Phase Only 5 5 — — $26,723.96 $78,835.68 $29,396.36 2025-04-25
332 MS_DRG Rectal Resection With Mcc 5 5 — — $28,661.91 $84,552.63 $29,235.15 2025-04-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 5 — — $28,630.51 $84,460.00 $29,203.12 2025-04-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 — — $28,461.11 $83,960.27 $29,030.33 2025-04-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 5 — — $28,416.50 $83,828.68 $28,984.83 2025-04-25
665 MS_DRG Prostatectomy With Mcc 5 5 — — $28,371.88 $83,697.05 $28,939.32 2025-04-25
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $28,345.44 $83,619.05 $28,912.35 2025-04-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 5 — — $28,302.48 $83,492.32 $28,868.53 2025-04-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 5 — — $28,145.46 $83,029.11 $28,708.37 2025-04-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 5 — — $28,028.14 $82,683.01 $28,588.70 2025-04-25
C9760 HCPCS Non-blind Interatrial Shunt 5 5 — — $25,847.17 $76,249.15 $28,431.89 2025-04-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 5 — — $27,736.45 $81,822.53 $28,291.18 2025-04-25
L6975 HCPCS Interscap-thor Myoelectronic 5 5 — — $25,573.88 $75,442.95 $28,131.27 2025-04-25
37 MS_DRG Extracranial Procedures With Mcc 5 5 — — $27,440.64 $80,949.89 $27,989.45 2025-04-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 5 — — $27,283.63 $80,486.71 $27,829.30 2025-04-25
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 5 — — $25,092.86 $74,023.94 $27,602.15 2025-04-25
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 5 — — $27,009.32 $79,677.49 $27,549.51 2025-04-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 5 — — $26,932.46 $79,450.76 $27,471.11 2025-04-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 5 — — $26,920.89 $79,416.63 $27,459.31 2025-04-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 5 — — $26,601.10 $78,473.25 $27,133.12 2025-04-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $26,478.00 $78,110.10 $27,007.56 2025-04-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 5 — — $26,401.14 $77,883.36 $26,929.16 2025-04-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 5 — — $26,350.74 $77,734.68 $26,877.75 2025-04-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 5 — — $26,279.69 $77,525.09 $26,805.28 2025-04-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $26,226.80 $77,369.06 $26,751.34 2025-04-25
500 MS_DRG Soft Tissue Procedures With Mcc 5 5 — — $26,183.00 $77,239.85 $26,706.66 2025-04-25
J9600 HCPCS Porfimer Sodium Injection 5 5 — — $24,228.42 $71,473.84 $26,651.26 2025-04-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 5 — — $25,788.86 $76,077.14 $26,304.64 2025-04-25
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 — — $25,777.28 $76,042.98 $26,292.83 2025-04-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $25,667.39 $75,718.80 $26,180.74 2025-04-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 5 — — $25,552.54 $75,379.99 $26,063.59 2025-04-25
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $25,499.67 $75,224.03 $26,009.66 2025-04-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 5 — — $25,481.47 $75,170.34 $25,991.10 2025-04-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 5 — — $25,355.89 $74,799.88 $25,863.01 2025-04-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 5 — — $25,273.25 $74,556.09 $25,778.72 2025-04-25
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 5 — — $23,378.84 $68,967.58 $25,716.72 2025-04-25
L6970 HCPCS Interscapular-thor Switch CT 5 5 — — $23,340.59 $68,854.74 $25,674.65 2025-04-25
570 MS_DRG Skin Debridement With Mcc 5 5 — — $24,873.32 $73,376.29 $25,370.79 2025-04-25
974 MS_DRG HIV With Major Related Condition With Mcc 5 5 — — $24,675.01 $72,791.28 $25,168.51 2025-04-25
L6965 HCPCS Shldr Disartic Myoelectronic 5 5 — — $22,680.77 $66,908.27 $24,948.85 2025-04-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $24,364.32 $71,874.74 $24,851.61 2025-04-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 — — $24,301.51 $71,689.45 $24,787.54 2025-04-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 5 — — $24,235.42 $71,494.49 $24,720.13 2025-04-25
668 MS_DRG Transurethral Procedures With Mcc 5 5 — — $24,097.42 $71,087.39 $24,579.37 2025-04-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 5 — — $24,084.19 $71,048.36 $24,565.87 2025-04-25
800 MS_DRG Splenic Procedures With Cc 5 5 — — $24,076.78 $71,026.50 $24,558.32 2025-04-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 5 — — $24,063.53 $70,987.41 $24,544.80 2025-04-25
472 MS_DRG Cervical Spinal Fusion With Cc 5 5 — — $23,939.60 $70,621.82 $24,418.39 2025-04-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 5 — — $23,690.89 $69,888.13 $24,164.71 2025-04-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 5 — — $23,663.61 $69,807.65 $24,136.88 2025-04-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 5 — — $23,649.58 $69,766.26 $24,122.57 2025-04-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 5 — — $23,616.51 $69,668.70 $24,088.84 2025-04-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 5 — — $23,523.14 $69,393.26 $23,993.60 2025-04-25
654 MS_DRG Major Bladder Procedures With Cc 5 5 — — $23,319.03 $68,791.14 $23,785.41 2025-04-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 5 — — $23,205.86 $68,457.29 $23,669.98 2025-04-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $23,181.88 $68,386.55 $23,645.52 2025-04-25
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $4,897,200.00 $2,471,920.00 2025-04-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $311,621.32 $919,282.89 $483,013.05 2025-04-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $232,755.00 $686,627.25 $360,770.25 2025-04-25
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $108,260.32 $319,367.94 $167,803.49 2025-04-25
7 MS_DRG Lung Transplant 4 4 — — $107,987.65 $318,563.57 $167,380.86 2025-04-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $91,055.92 $268,614.96 $141,136.67 2025-04-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $87,996.11 $259,588.52 $136,393.97 2025-04-25
10 MS_DRG Pancreas Transplant 4 4 — — $65,881.00 $194,348.95 $102,115.55 2025-04-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $65,503.37 $193,234.94 $101,530.23 2025-04-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $49,874.71 $147,130.39 $77,305.80 2025-04-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $49,874.71 $147,130.39 $77,305.80 2025-04-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $44,959.88 $132,631.65 $69,687.82 2025-04-25
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $40,068.99 $118,203.52 $62,106.93 2025-04-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $38,070.18 $112,307.03 $59,008.78 2025-04-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $28,693.32 $84,645.29 $44,474.65 2025-04-25
652 MS_DRG Kidney Transplant 4 4 — — $25,379.02 $74,868.11 $39,337.48 2025-04-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,710,000.00 $4,081,000.00 $3,784,200.00 2025-04-25
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,710,000.00 $4,081,000.00 $3,784,200.00 2025-04-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,321,781.51 $3,653,959.66 $3,388,217.14 2025-04-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,193,000.00 $3,512,300.00 $3,256,860.00 2025-04-25
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,968,000.00 $3,264,800.00 $3,027,360.00 2025-04-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,403,458.75 $2,643,804.63 $2,451,527.93 2025-04-25
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