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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

MOSAIC MEDICAL CENTER ALBANY

Albany, MO · CCN 261328 · Rates published

6,638 distinct procedures filed
23 distinct payers
444,435 rate rows
2025-09-26 last MRF observed
Data quality

233,426 of 444,435 rate rows are consumer-grade (52.5%)

211,009 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 203,069
placeholder amount (≤ $0.02) — excluded from medians 7,237
percent-of-charges filed in the dollar field — excluded from medians 663
exceeds 10× this hospital's gross charge — excluded from medians 22
per-diem day rate — not a per-procedure price 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12745/440580870-1306893268_heartland-regional-medical-center_standardcharges.csv
Found on page https://mymosaiclifecare.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 9bbf6acaf3b095bb… · 431,107,296 bytes · first seen 2026-05-15

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $229,570.41 $229,570.41 $229,570.41 nat. median
$370,174
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $180,413.81 $180,413.81 $180,413.81 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $129,338.32 $129,338.32 $129,338.32 nat. median
$206,474
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $99,220.68 $99,220.68 $99,220.68 nat. median
$100,136
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $95,176.30 $95,176.30 $95,176.30 nat. median
$202,976
outlier · 0.5×
7
MS_DRG 		Lung Transplant 3 $94,702.27 $94,702.27 $94,702.27 nat. median
$122,708
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $90,900.76 $90,900.76 $90,900.76 nat. median
$111,989
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $89,682.76 $89,682.76 $89,682.76 nat. median
$108,660
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $86,116.72 $86,116.72 $86,116.72 nat. median
$117,357
0.7× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 3 $84,449.91 $84,449.91 $84,449.91 nat. median
$53,167
1.6× median
652
MS_DRG 		Kidney Transplant 3 $83,758.84 $83,758.84 $83,758.84 nat. median
$31,494
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $68,670.81 $68,670.81 $68,670.81 nat. median
$93,672
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $62,389.05 $62,389.05 $62,389.05 nat. median
$133,161
outlier · 0.5×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 23 $2,400.56 $92,586.63 $61,724.42 nat. median
$4,053
outlier · 15.2×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $60,768.00 $60,768.00 $60,768.00 nat. median
$69,774
0.9× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 3 $59,648.74 $59,648.74 $59,648.74 nat. median
$45,278
1.3× median
C1827
HCPCS 		Generator Vivistim Pair Vns 23 $29,500.00 $84,075.00 $56,050.00 nat. median
$28,413
2.0× median
6
MS_DRG 		Liver Transplant Without Mcc 3 $55,812.79 $55,812.79 $55,812.79 nat. median
$46,260
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $52,448.41 $52,448.41 $52,448.41 nat. median
$77,570
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $50,601.45 $50,601.45 $50,601.45 nat. median
$99,019
0.5× median
224
MS_DRG 		Inpatient Ms-DRG 3 $49,560.54 $49,560.54 $49,560.54 nat. median
$54,196
0.9× median
J9226
HCPCS 		Supprelin La Implant 3 $47,999.60 $47,999.60 $47,999.60 nat. median
$60,368
0.8× median
C1822
HCPCS 		Kit Senza Omnia Ipg 23 $1,000.00 $76,950.00 $46,550.00 nat. median
$31,540
1.5× median
222
MS_DRG 		Inpatient Ms-DRG 3 $45,748.57 $45,748.57 $45,748.57 nat. median
$63,570
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $44,486.31 $44,486.31 $44,486.31 nat. median
$81,118
0.5× median
C1826
HCPCS 		Neurostimultr Inceptiv 977119 23 $22,000.00 $62,700.00 $41,800.00 nat. median
$30,963
1.3× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $41,303.93 $41,303.93 $41,303.93 nat. median
$54,045
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $40,970.08 $40,970.08 $40,970.08 nat. median
$71,271
0.6× median
453
MS_DRG 		Inpatient Ms-DRG 3 $39,779.14 $39,779.14 $39,779.14 nat. median
$87,428
outlier · 0.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $39,772.38 $39,772.38 $39,772.38 nat. median
$56,918
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $39,111.44 $39,111.44 $39,111.44 nat. median
$79,312
outlier · 0.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $38,585.75 $38,585.75 $38,585.75 nat. median
$66,526
0.6× median
834
MS_DRG 		Acute Leukemia With Mcc 3 $38,298.62 $38,298.62 $38,298.62 nat. median
$53,172
0.7× median
C1767
HCPCS 		Battery Activa Pc Model 37601 23 $390.00 $114,350.55 $38,250.00 nat. median
$22,481
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $38,117.25 $38,117.25 $38,117.25 nat. median
$59,898
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $38,116.63 $38,116.63 $38,116.63 nat. median
$60,726
0.6× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $37,358.54 $37,358.54 $37,358.54 nat. median
$55,736
0.7× median
226
MS_DRG 		Inpatient Ms-DRG 3 $36,755.39 $36,755.39 $36,755.39 nat. median
$49,935
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $36,393.87 $36,393.87 $36,393.87 nat. median
$72,135
0.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $36,068.01 $36,068.01 $36,068.01 nat. median
$74,915
outlier · 0.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $35,592.13 $35,592.13 $35,592.13 nat. median
$60,185
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $35,494.98 $35,494.98 $35,494.98 nat. median
$64,508
0.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $35,448.00 $35,448.00 $35,448.00 nat. median
$3,710,000
outlier · 0.0×
C1882
HCPCS 		Biv Icd Assura Quadra 23 $10,961.00 $91,214.25 $35,062.50 nat. median
$27,114
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $34,976.68 $34,976.68 $34,976.68 nat. median
$56,696
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $34,190.92 $34,190.92 $34,190.92 nat. median
$64,732
0.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $34,053.81 $34,053.81 $34,053.81 nat. median
$59,793
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $33,735.94 $33,735.94 $33,735.94 nat. median
$62,134
0.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $33,268.05 $33,268.05 $33,268.05 nat. median
$73,807
outlier · 0.5×
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $33,054.59 $33,054.59 $33,054.59 nat. median
$50,598
0.7× median

Other procedures at this hospital

Browse this hospital's 6,638 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $229,570.41 $229,570.41 $229,570.41 2025-09-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $180,413.81 $180,413.81 $180,413.81 2025-09-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $129,338.32 $129,338.32 $129,338.32 2025-09-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $99,220.68 $99,220.68 $99,220.68 2025-09-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 3 — — $95,176.30 $95,176.30 $95,176.30 2025-09-26
7 MS_DRG Lung Transplant 3 3 — — $94,702.27 $94,702.27 $94,702.27 2025-09-26
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $90,900.76 $90,900.76 $90,900.76 2025-09-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $89,682.76 $89,682.76 $89,682.76 2025-09-26
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $86,116.72 $86,116.72 $86,116.72 2025-09-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $84,449.91 $84,449.91 $84,449.91 2025-09-26
652 MS_DRG Kidney Transplant 3 3 — — $83,758.84 $83,758.84 $83,758.84 2025-09-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $68,670.81 $68,670.81 $68,670.81 2025-09-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 3 3 — — $62,389.05 $62,389.05 $62,389.05 2025-09-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $60,768.00 $60,768.00 $60,768.00 2025-09-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $59,648.74 $59,648.74 $59,648.74 2025-09-26
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $55,812.79 $55,812.79 $55,812.79 2025-09-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $52,448.41 $52,448.41 $52,448.41 2025-09-26
215 MS_DRG Other Heart Assist System Implant 3 3 — — $50,601.45 $50,601.45 $50,601.45 2025-09-26
224 MS_DRG Inpatient Ms-DRG 3 3 — — $49,560.54 $49,560.54 $49,560.54 2025-09-26
J9226 HCPCS Supprelin La Implant 3 3 — — $47,999.60 $47,999.60 $47,999.60 2025-09-26
222 MS_DRG Inpatient Ms-DRG 3 3 — — $45,748.57 $45,748.57 $45,748.57 2025-09-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $44,486.31 $44,486.31 $44,486.31 2025-09-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $41,303.93 $41,303.93 $41,303.93 2025-09-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $40,970.08 $40,970.08 $40,970.08 2025-09-26
453 MS_DRG Inpatient Ms-DRG 3 3 — — $39,779.14 $39,779.14 $39,779.14 2025-09-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $39,772.38 $39,772.38 $39,772.38 2025-09-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $39,111.44 $39,111.44 $39,111.44 2025-09-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $38,585.75 $38,585.75 $38,585.75 2025-09-26
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $38,298.62 $38,298.62 $38,298.62 2025-09-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $38,117.25 $38,117.25 $38,117.25 2025-09-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $38,116.63 $38,116.63 $38,116.63 2025-09-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $37,358.54 $37,358.54 $37,358.54 2025-09-26
226 MS_DRG Inpatient Ms-DRG 3 3 — — $36,755.39 $36,755.39 $36,755.39 2025-09-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $36,393.87 $36,393.87 $36,393.87 2025-09-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $36,068.01 $36,068.01 $36,068.01 2025-09-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $35,592.13 $35,592.13 $35,592.13 2025-09-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $35,494.98 $35,494.98 $35,494.98 2025-09-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $35,448.00 $35,448.00 $35,448.00 2025-09-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $34,976.68 $34,976.68 $34,976.68 2025-09-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $34,190.92 $34,190.92 $34,190.92 2025-09-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $34,053.81 $34,053.81 $34,053.81 2025-09-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $33,735.94 $33,735.94 $33,735.94 2025-09-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $33,268.05 $33,268.05 $33,268.05 2025-09-26
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $33,054.59 $33,054.59 $33,054.59 2025-09-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $33,015.97 $33,015.97 $33,015.97 2025-09-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $32,867.18 $32,867.18 $32,867.18 2025-09-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $32,497.67 $32,497.67 $32,497.67 2025-09-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $32,307.68 $32,307.68 $32,307.68 2025-09-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $32,240.67 $32,240.67 $32,240.67 2025-09-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $32,090.65 $32,090.65 $32,090.65 2025-09-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $32,049.45 $32,049.45 $32,049.45 2025-09-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $31,119.21 $31,119.21 $31,119.21 2025-09-26
225 MS_DRG Inpatient Ms-DRG 3 3 — — $31,022.68 $31,022.68 $31,022.68 2025-09-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $30,975.95 $30,975.95 $30,975.95 2025-09-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $29,889.54 $29,889.54 $29,889.54 2025-09-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $29,886.47 $29,886.47 $29,886.47 2025-09-26
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $29,785.66 $29,785.66 $29,785.66 2025-09-26
C1827 HCPCS Generator Vivistim Pair Vns 36 23 $73,750.00 $62,687.50 $29,500.00 $84,075.00 $56,050.00 2025-09-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $29,286.39 $29,286.39 $29,286.39 2025-09-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $29,189.24 $29,189.24 $29,189.24 2025-09-26
459 MS_DRG Inpatient Ms-DRG 3 3 — — $29,085.95 $29,085.95 $29,085.95 2025-09-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $29,079.19 $29,079.19 $29,079.19 2025-09-26
223 MS_DRG Inpatient Ms-DRG 3 3 — — $28,547.97 $28,547.97 $28,547.97 2025-09-26
245 MS_DRG Aicd Generator Procedures 3 3 — — $27,643.55 $27,643.55 $27,643.55 2025-09-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $27,642.94 $27,642.94 $27,642.94 2025-09-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $27,500.91 $27,500.91 $27,500.91 2025-09-26
454 MS_DRG Inpatient Ms-DRG 3 3 — — $26,720.07 $26,720.07 $26,720.07 2025-09-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $26,541.77 $26,541.77 $26,541.77 2025-09-26
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $26,212.28 $26,212.28 $26,212.28 2025-09-26
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $26,212.22 $26,212.22 $26,212.22 2025-09-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $26,187.62 $26,187.62 $26,187.62 2025-09-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $25,617.06 $25,617.06 $25,617.06 2025-09-26
332 MS_DRG Rectal Resection With Mcc 3 3 — — $25,582.01 $25,582.01 $25,582.01 2025-09-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $25,499.01 $25,499.01 $25,499.01 2025-09-26
227 MS_DRG Inpatient Ms-DRG 3 3 — — $25,409.24 $25,409.24 $25,409.24 2025-09-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $25,160.24 $25,160.24 $25,160.24 2025-09-26
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $25,080.31 $25,080.31 $25,080.31 2025-09-26
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $25,059.40 $25,059.40 $25,059.40 2025-09-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $24,829.46 $24,829.46 $24,829.46 2025-09-26
J9266 HCPCS Pegaspargase Injection 3 3 — — $24,633.46 $24,633.46 $24,633.46 2025-09-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $24,260.12 $24,260.12 $24,260.12 2025-09-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $23,641.60 $23,641.60 $23,641.60 2025-09-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $23,503.26 $23,503.26 $23,503.26 2025-09-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $23,163.87 $23,163.87 $23,163.87 2025-09-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $23,077.18 $23,077.18 $23,077.18 2025-09-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $22,808.50 $22,808.50 $22,808.50 2025-09-26
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $22,761.15 $22,761.15 $22,761.15 2025-09-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $22,729.18 $22,729.18 $22,729.18 2025-09-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $22,709.51 $22,709.51 $22,709.51 2025-09-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $22,598.22 $22,598.22 $22,598.22 2025-09-26
J9600 HCPCS Porfimer Sodium Injection 3 3 — — $22,590.50 $22,590.50 $22,590.50 2025-09-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $22,349.83 $22,349.83 $22,349.83 2025-09-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $22,253.30 $22,253.30 $22,253.30 2025-09-26
10 MS_DRG Pancreas Transplant 3 3 — — $22,248.38 $22,248.38 $22,248.38 2025-09-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $22,218.26 $22,218.26 $22,218.26 2025-09-26
C1826 HCPCS Neurostimultr Inceptiv 977119 36 23 $55,000.00 $46,750.00 $22,000.00 $62,700.00 $41,800.00 2025-09-26
455 MS_DRG Inpatient Ms-DRG 3 3 — — $21,843.21 $21,843.21 $21,843.21 2025-09-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $21,717.17 $21,717.17 $21,717.17 2025-09-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $21,694.42 $21,694.42 $21,694.42 2025-09-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $21,686.42 $21,686.42 $21,686.42 2025-09-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $21,611.42 $21,611.42 $21,611.42 2025-09-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $21,315.68 $21,315.68 $21,315.68 2025-09-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $21,069.13 $21,069.13 $21,069.13 2025-09-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $20,930.18 $20,930.18 $20,930.18 2025-09-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $20,869.93 $20,869.93 $20,869.93 2025-09-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $20,825.04 $20,825.04 $20,825.04 2025-09-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $20,747.57 $20,747.57 $20,747.57 2025-09-26
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $20,675.02 $20,675.02 $20,675.02 2025-09-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $20,616.61 $20,616.61 $20,616.61 2025-09-26
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $20,604.32 $20,604.32 $20,604.32 2025-09-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $20,600.63 $20,600.63 $20,600.63 2025-09-26
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $20,404.50 $20,404.50 $20,404.50 2025-09-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $20,283.37 $20,283.37 $20,283.37 2025-09-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $20,048.51 $20,048.51 $20,048.51 2025-09-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $19,974.11 $19,974.11 $19,974.11 2025-09-26
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $19,799.35 $19,799.35 $19,799.35 2025-09-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $19,687.60 $19,687.60 $19,687.60 2025-09-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $19,646.41 $19,646.41 $19,646.41 2025-09-26
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $19,641.49 $19,641.49 $19,641.49 2025-09-26
460 MS_DRG Inpatient Ms-DRG 3 3 — — $19,301.48 $19,301.48 $19,301.48 2025-09-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $19,113.96 $19,113.96 $19,113.96 2025-09-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $18,952.26 $18,952.26 $18,952.26 2025-09-26
Q0483 HCPCS Monitor Elec Vad, Rep 3 3 — — $18,923.59 $18,923.59 $18,923.59 2025-09-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $18,904.92 $18,904.92 $18,904.92 2025-09-26
665 MS_DRG Prostatectomy With Mcc 3 3 — — $18,675.58 $18,675.58 $18,675.58 2025-09-26
265 MS_DRG Aicd Lead Procedures 3 3 — — $18,598.11 $18,598.11 $18,598.11 2025-09-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $18,257.50 $18,257.50 $18,257.50 2025-09-26
248 MS_DRG Inpatient Ms-DRG 3 3 — — $18,206.46 $18,206.46 $18,206.46 2025-09-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $18,132.07 $18,132.07 $18,132.07 2025-09-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $18,107.48 $18,107.48 $18,107.48 2025-09-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $18,032.47 $18,032.47 $18,032.47 2025-09-26
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $18,018.33 $18,018.33 $18,018.33 2025-09-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $17,815.43 $17,815.43 $17,815.43 2025-09-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $17,472.97 $17,472.97 $17,472.97 2025-09-26
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $17,405.95 $17,405.95 $17,405.95 2025-09-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $17,405.95 $17,405.95 $17,405.95 2025-09-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $17,388.12 $17,388.12 $17,388.12 2025-09-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $17,225.19 $17,225.19 $17,225.19 2025-09-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $17,156.94 $17,156.94 $17,156.94 2025-09-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $17,156.94 $17,156.94 $17,156.94 2025-09-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $16,978.03 $16,978.03 $16,978.03 2025-09-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $16,930.07 $16,930.07 $16,930.07 2025-09-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $16,895.02 $16,895.02 $16,895.02 2025-09-26
835 MS_DRG Acute Leukemia With Cc 3 3 — — $16,865.51 $16,865.51 $16,865.51 2025-09-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $16,744.39 $16,744.39 $16,744.39 2025-09-26
C2616 HCPCS Microsphere Sir Y-90 36 23 $41,250.00 $35,062.50 $16,500.00 $47,025.00 $31,350.00 2025-09-26
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 3 — — $16,405.71 $16,405.71 $16,405.71 2025-09-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $16,243.30 $16,243.30 $16,243.30 2025-09-26
503 MS_DRG Foot Procedures With Mcc 3 3 — — $16,166.45 $16,166.45 $16,166.45 2025-09-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $16,163.37 $16,163.37 $16,163.37 2025-09-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $16,043.48 $16,043.48 $16,043.48 2025-09-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $15,963.55 $15,963.55 $15,963.55 2025-09-26
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $15,893.46 $15,893.46 $15,893.46 2025-09-26
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 — — $15,792.63 $15,792.63 $15,792.63 2025-09-26
246 MS_DRG Inpatient Ms-DRG 3 3 — — $15,750.82 $15,750.82 $15,750.82 2025-09-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $15,690.56 $15,690.56 $15,690.56 2025-09-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $15,673.35 $15,673.35 $15,673.35 2025-09-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $15,652.44 $15,652.44 $15,652.44 2025-09-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $15,652.44 $15,652.44 $15,652.44 2025-09-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $15,507.34 $15,507.34 $15,507.34 2025-09-26
L5858 HCPCS Stance Phase Only 3 3 — — $15,332.09 $15,332.09 $15,332.09 2025-09-26
849 MS_DRG Radiotherapy 3 3 — — $15,297.68 $15,297.68 $15,297.68 2025-09-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $15,269.40 $15,269.40 $15,269.40 2025-09-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $15,262.02 $15,262.02 $15,262.02 2025-09-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $15,237.43 $15,237.43 $15,237.43 2025-09-26
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 3 — — $15,227.49 $15,227.49 $15,227.49 2025-09-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $15,169.80 $15,169.80 $15,169.80 2025-09-26
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 — — $15,138.44 $15,138.44 $15,138.44 2025-09-26
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $15,103.40 $15,103.40 $15,103.40 2025-09-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $15,096.02 $15,096.02 $15,096.02 2025-09-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $15,076.34 $15,076.34 $15,076.34 2025-09-26
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 — — $15,028.39 $15,028.39 $15,028.39 2025-09-26
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $14,997.03 $14,997.03 $14,997.03 2025-09-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $14,984.73 $14,984.73 $14,984.73 2025-09-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $14,862.38 $14,862.38 $14,862.38 2025-09-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 — — $14,726.50 $14,726.50 $14,726.50 2025-09-26
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $14,724.66 $14,724.66 $14,724.66 2025-09-26
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 3 — — $14,665.80 $14,665.80 $14,665.80 2025-09-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $14,583.25 $14,583.25 $14,583.25 2025-09-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $14,549.43 $14,549.43 $14,549.43 2025-09-26
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 3 — — $14,542.67 $14,542.67 $14,542.67 2025-09-26
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $14,352.68 $14,352.68 $14,352.68 2025-09-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — — $14,290.59 $14,290.59 $14,290.59 2025-09-26
709 MS_DRG Penis Procedures With Cc/mcc 3 3 — — $14,218.04 $14,218.04 $14,218.04 2025-09-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — — $14,180.53 $14,180.53 $14,180.53 2025-09-26
263 MS_DRG Vein Ligation And Stripping 3 3 — — $14,173.77 $14,173.77 $14,173.77 2025-09-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $14,165.78 $14,165.78 $14,165.78 2025-09-26
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 — — $14,031.74 $14,031.74 $14,031.74 2025-09-26
L6975 HCPCS Interscap-thor Myoelectronic 3 3 — — $14,029.61 $14,029.61 $14,029.61 2025-09-26
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 — — $13,995.47 $13,995.47 $13,995.47 2025-09-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $13,884.18 $13,884.18 $13,884.18 2025-09-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $13,857.74 $13,857.74 $13,857.74 2025-09-26
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $13,793.80 $13,793.80 $13,793.80 2025-09-26
945 MS_DRG Rehabilitation With Cc/mcc 3 3 — — $13,768.59 $13,768.59 $13,768.59 2025-09-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 — — $13,745.84 $13,745.84 $13,745.84 2025-09-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $13,667.14 $13,667.14 $13,667.14 2025-09-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $13,624.72 $13,624.72 $13,624.72 2025-09-26
949 MS_DRG Aftercare With Cc/mcc 3 3 — — $13,567.54 $13,567.54 $13,567.54 2025-09-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 — — $13,562.62 $13,562.62 $13,562.62 2025-09-26
113 MS_DRG Orbital Procedures With Cc/mcc 3 3 — — $13,479.62 $13,479.62 $13,479.62 2025-09-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $13,430.43 $13,430.43 $13,430.43 2025-09-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 3 — — $13,421.83 $13,421.83 $13,421.83 2025-09-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — — $13,258.90 $13,258.90 $13,258.90 2025-09-26
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 — — $13,164.83 $13,164.83 $13,164.83 2025-09-26
711 MS_DRG Testes Procedures With Cc/mcc 3 3 — — $13,100.88 $13,100.88 $13,100.88 2025-09-26
L5969 HCPCS Ak/ft Power Asst Incl Motors 3 3 — — $13,089.32 $13,089.32 $13,089.32 2025-09-26
333 MS_DRG Rectal Resection With Cc 3 3 — — $13,084.28 $13,084.28 $13,084.28 2025-09-26
655 MS_DRG Major Bladder Procedures Without Cc/mcc 3 3 — — $13,032.64 $13,032.64 $13,032.64 2025-09-26
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $13,032.64 $13,032.64 $13,032.64 2025-09-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 — — $12,960.70 $12,960.70 $12,960.70 2025-09-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $12,944.10 $12,944.10 $12,944.10 2025-09-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $12,883.23 $12,883.23 $12,883.23 2025-09-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $12,872.16 $12,872.16 $12,872.16 2025-09-26
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 3 3 — — $12,865.40 $12,865.40 $12,865.40 2025-09-26
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $12,861.10 $12,861.10 $12,861.10 2025-09-26
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 3 — — $12,826.05 $12,826.05 $12,826.05 2025-09-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 — — $12,811.30 $12,811.30 $12,811.30 2025-09-26
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $12,805.76 $12,805.76 $12,805.76 2025-09-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $12,779.94 $12,779.94 $12,779.94 2025-09-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 — — $12,652.05 $12,652.05 $12,652.05 2025-09-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $12,571.51 $12,571.51 $12,571.51 2025-09-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $12,558.60 $12,558.60 $12,558.60 2025-09-26
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 3 3 — — $12,521.71 $12,521.71 $12,521.71 2025-09-26
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $12,521.71 $12,521.71 $12,521.71 2025-09-26
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 3 — — $12,503.26 $12,503.26 $12,503.26 2025-09-26
548 MS_DRG Septic Arthritis With Mcc 3 3 — — $12,481.75 $12,481.75 $12,481.75 2025-09-26
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $12,447.31 $12,447.31 $12,447.31 2025-09-26
L6970 HCPCS Interscapular-thor Switch CT 3 3 — — $12,443.65 $12,443.65 $12,443.65 2025-09-26
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 3 3 — — $12,436.86 $12,436.86 $12,436.86 2025-09-26
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 3 3 — — $12,415.96 $12,415.96 $12,415.96 2025-09-26
C1605 HCPCS Pacemaker Aveir 19.5f 32.2mm 36 23 $31,000.00 $26,350.00 $12,400.00 $35,340.00 $23,560.00 2025-09-26
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $12,390.13 $12,390.13 $12,390.13 2025-09-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $12,383.99 $12,383.99 $12,383.99 2025-09-26
595 MS_DRG Major Skin Disorders With Mcc 3 3 — — $12,374.15 $12,374.15 $12,374.15 2025-09-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $12,374.15 $12,374.15 $12,374.15 2025-09-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 — — $12,213.68 $12,213.68 $12,213.68 2025-09-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $12,199.54 $12,199.54 $12,199.54 2025-09-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 — — $12,130.06 $12,130.06 $12,130.06 2025-09-26
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $12,093.78 $12,093.78 $12,093.78 2025-09-26
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $12,061.81 $12,061.81 $12,061.81 2025-09-26
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $12,037.83 $12,037.83 $12,037.83 2025-09-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 — — $11,965.28 $11,965.28 $11,965.28 2025-09-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $11,946.22 $11,946.22 $11,946.22 2025-09-26
L6965 HCPCS Shldr Disartic Myoelectronic 3 3 — — $11,839.36 $11,839.36 $11,839.36 2025-09-26
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 3 3 — — $11,833.10 $11,833.10 $11,833.10 2025-09-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 — — $11,799.89 $11,799.89 $11,799.89 2025-09-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 3 — — $11,799.89 $11,799.89 $11,799.89 2025-09-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $11,755.01 $11,755.01 $11,755.01 2025-09-26
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 3 3 — — $11,739.64 $11,739.64 $11,739.64 2025-09-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $11,660.94 $11,660.94 $11,660.94 2025-09-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $11,627.74 $11,627.74 $11,627.74 2025-09-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 — — $11,491.86 $11,491.86 $11,491.86 2025-09-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 — — $11,476.49 $11,476.49 $11,476.49 2025-09-26
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 3 3 — — $11,473.13 $11,473.13 $11,473.13 2025-09-26
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 3 3 — — $11,467.27 $11,467.27 $11,467.27 2025-09-26
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 3 — — $11,464.19 $11,464.19 $11,464.19 2025-09-26
30 MS_DRG Spinal Procedures Without Cc/mcc 3 3 — — $11,411.93 $11,411.93 $11,411.93 2025-09-26
81416 CPT Exome Sequence Analysis 3 3 — — $11,400.00 $11,400.00 $11,400.00 2025-09-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 — — $11,354.14 $11,354.14 $11,354.14 2025-09-26
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 — — $11,223.79 $11,223.79 $11,223.79 2025-09-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 3 — — $11,170.30 $11,170.30 $11,170.30 2025-09-26
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 3 3 — — $11,116.81 $11,116.81 $11,116.81 2025-09-26
906 MS_DRG Hand Procedures For Injuries 3 3 — — $11,094.68 $11,094.68 $11,094.68 2025-09-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $11,092.22 $11,092.22 $11,092.22 2025-09-26
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 3 3 — — $11,076.85 $11,076.85 $11,076.85 2025-09-26
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $11,053.49 $11,053.49 $11,053.49 2025-09-26
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 — — $11,023.36 $11,023.36 $11,023.36 2025-09-26
C1882 HCPCS Biv Icd Assura Quadra 780 23 $42,477.50 $36,105.88 $10,961.00 $91,214.25 $35,062.50 2025-09-26
671 MS_DRG Urethral Procedures With Cc/mcc 3 3 — — $10,926.83 $10,926.83 $10,926.83 2025-09-26
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 3 — — $10,924.99 $10,924.99 $10,924.99 2025-09-26
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $10,923.14 $10,923.14 $10,923.14 2025-09-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $10,849.36 $10,849.36 $10,849.36 2025-09-26
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 — — $10,843.83 $10,843.83 $10,843.83 2025-09-26
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 3 3 — — $10,830.30 $10,830.30 $10,830.30 2025-09-26
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 3 — — $10,789.72 $10,789.72 $10,789.72 2025-09-26
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $10,784.19 $10,784.19 $10,784.19 2025-09-26
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 3 3 — — $10,774.97 $10,774.97 $10,774.97 2025-09-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $10,767.59 $10,767.59 $10,767.59 2025-09-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $10,693.81 $10,693.81 $10,693.81 2025-09-26
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 3 3 — — $10,680.28 $10,680.28 $10,680.28 2025-09-26
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 3 3 — — $10,609.58 $10,609.58 $10,609.58 2025-09-26
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $10,599.74 $10,599.74 $10,599.74 2025-09-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $10,597.28 $10,597.28 $10,597.28 2025-09-26
C1772 HCPCS Pump Infus Synchromed Ii 20ml 36 23 $25,000.00 $21,250.00 $10,000.00 $28,500.00 $19,000.00 2025-09-26
C1722 HCPCS Aurora Defib Implant Dvea3e4 708 23 $32,760.00 $27,846.00 $8,600.00 $66,975.00 $26,582.50 2025-09-26
C1982 HCPCS Cath 150cm 2.9f .025in Trinav 36 23 $19,957.50 $16,963.88 $7,983.00 $22,751.55 $15,167.70 2025-09-26
Q4104 HCPCS Dressing Matrix 4x5 Bmw4051 36 23 $16,546.50 $14,064.53 $6,618.60 $18,863.01 $12,575.34 2025-09-26
20983 CPT Hc Ablatj Bone Tumor Cryo Perq W/img Gdn When Prfmd 36 23 $14,288.00 $12,144.80 $5,715.20 $16,288.32 $10,858.88 2025-09-26
C9610 HCPCS Balloon Ptca Dcb 3.00mmx20mm 36 23 $14,125.00 $12,006.25 $5,650.00 $16,102.50 $10,735.00 2025-09-26
Q4116 HCPCS Alloderm Cm1516 132 23 $16,322.50 $13,874.13 $5,255.00 $46,130.10 $12,801.66 2025-09-26
C1815 HCPCS Ams Occ Cuff 4.5 Iz 72404131 132 23 $15,912.50 $13,525.63 $3,730.00 $22,515.00 $12,837.50 2025-09-26
C2621 HCPCS Biv Pacemaker Valitude Crt-p 324 23 $15,542.25 $13,210.92 $3,600.00 $25,650.00 $12,620.38 2025-09-26
C9363 HCPCS Dressing Biologic 4x5 Bilayer 60 23 $17,940.00 $15,249.00 $3,559.74 $20,451.60 $11,661.00 2025-09-26
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 39 23 $81,216.34 $69,033.89 $2,400.56 $92,586.63 $61,724.42 2025-09-26
C1721 HCPCS Defibrillator Protecta D334drm 660 23 $32,082.50 $27,270.13 $1,798.00 $68,348.76 $26,987.50 2025-09-26
C1813 HCPCS Ams Preconnect 72404255 204 23 $16,575.00 $14,088.75 $1,780.00 $49,732.50 $17,007.50 2025-09-26
C1822 HCPCS Kit Senza Omnia Ipg 132 23 $61,250.00 $52,062.50 $1,000.00 $76,950.00 $46,550.00 2025-09-26
C9364 HCPCS Fortiva 35 X 35 Pd3535 300 23 $16,800.00 $14,280.00 $756.00 $73,316.25 $12,768.00 2025-09-26
C1767 HCPCS Battery Activa Pc Model 37601 324 23 $47,500.00 $40,375.00 $390.00 $114,350.55 $38,250.00 2025-09-26
C1820 HCPCS Battery Activa Rc Model 37612 204 23 $39,375.00 $33,468.75 $368.28 $62,700.00 $32,904.56 2025-09-26
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