Price Transparencybeta Hospital negotiated rates

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

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Hospital

PALISADES MEDICAL CENTER

North Bergen, NJ · CCN 310003 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $15,220 across 9 payers · range $1,294-$18,785

Source: https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20250101/pmc/221487576-1093736001_hackensack-meridian-health_standardcharges.csv · observed 2024-12-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

57,927 distinct procedures filed
40 distinct payers
1,651,382 rate rows
2026-07-30 last MRF observed
Data quality

1,163,645 of 1,651,382 rate rows are consumer-grade (70.5%)

487,737 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 481,862
placeholder amount (≤ $0.02) — excluded from medians 2,032
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,157
per-diem day rate — not a per-procedure price 1,019
percent-of-charges filed in the dollar field — excluded from medians 107
exceeds 10× this hospital's gross charge — excluded from medians 10
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260520/221487576-1730692344_hmh-hospitals-corporation_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-18

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,377,500.00 $4,771,475.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,710,000.00 $4,043,900.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $3,685,266.67 $4,081,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $3,324,571.90 $3,659,875.87 $3,327,159.88 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 13 $3,261,355.00 $3,614,600.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $2,950,686.67 $3,264,800.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,354,513.02 $2,672,806.00 $2,403,314.31 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,541,880.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $655,027.00 $839,975.80 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 18 $491,575.89 $922,082.02 $578,324.58 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $470,372.01 $674,570.57 $553,378.83 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 18 $460,390.31 $933,986.41 $541,635.66 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 18 $460,071.38 $954,928.83 $541,260.45 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 18 $453,115.01 $884,589.61 $533,076.48 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 18 $416,262.00 $878,671.10 $489,720.00 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $8,479.00 $974,008.49 $416,568.45 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $11,497.00 $1,064,311.05 $346,139.87 nat. median
$261,939
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $11,497.00 $917,071.89 $339,051.79 nat. median
$205,166
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $11,497.00 $809,771.57 $276,900.07 nat. median
$199,832
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $294,708.75 $270,375.00 nat. median
$302,242
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $132,999.99 $270,421.41 $231,055.67 nat. median
$111,503
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $11,497.00 $533,887.92 $190,373.85 nat. median
$132,706
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $11,497.00 $496,197.00 $161,226.34 nat. median
$108,240
1.5× median
7
MS_DRG 		Lung Transplant 26 $11,497.00 $393,736.00 $160,037.09 nat. median
$122,690
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $8,479.00 $441,767.00 $159,701.03 nat. median
$114,305
1.4× median
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 5 $85,223.97 $266,770.00 $135,803.48 nat. median
$58,534
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 29 $11,497.00 $476,360.00 $135,475.56 nat. median
$98,002
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 24 $11,497.00 $411,615.11 $134,424.60 nat. median
$100,978
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $11,497.00 $379,078.00 $130,967.26 nat. median
$99,646
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $11,497.00 $395,802.51 $128,288.12 nat. median
$96,835
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $11,497.00 $364,657.16 $126,243.43 nat. median
$92,900
1.4× median
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 5 $74,507.60 $243,411.00 $122,285.30 nat. median
$51,048
outlier · 2.4×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 17 $93,041.90 $311,346.00 $115,211.52 nat. median
$83,623
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $11,497.00 $348,062.42 $113,176.08 nat. median
$81,364
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 5 $66,913.33 $223,528.00 $111,542.17 nat. median
$46,826
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 $11,497.00 $337,331.00 $110,383.23 nat. median
$80,459
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $11,497.00 $385,392.00 $109,946.32 nat. median
$77,385
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 29 $11,497.00 $320,177.83 $108,294.87 nat. median
$79,040
1.4× median
223
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 5 $62,868.25 $208,382.00 $104,228.62 nat. median
$40,712
outlier · 2.6×
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 $103,385.13 $113,723.64 $103,385.13 nat. median
$83,710
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $11,497.00 $315,141.23 $102,754.94 nat. median
$81,124
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 $11,497.00 $295,334.85 $102,127.99 nat. median
$73,475
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 $11,497.00 $292,353.70 $101,047.48 nat. median
$74,472
1.4× median
B1904
HCPCS 		Guillain-barr? M <38.50 3 $97,868.83 $107,655.71 $97,868.83 nat. median
$73,807
1.3× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $66,151.62 $120,305.46 $97,568.41 nat. median
$50,449
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 $11,497.00 $299,525.10 $96,185.95 nat. median
$69,153
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 $11,497.00 $282,027.33 $96,142.39 nat. median
$71,485
1.3× median
C1841
HCPCS 		Retinal Prosth Int/ext Comp 1 $95,473.91 $95,473.91 $95,473.91 nat. median
$79
outlier · 1201.2×
C1842
HCPCS 		Retinal Prosth, Add-on 1 $95,473.91 $95,473.91 $95,473.91 nat. median
$35
outlier · 2731.7×
225
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 5 $56,944.85 $187,505.00 $93,973.92 nat. median
$45,104
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 57,927 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 7 — — $4,377,500.00 $4,771,475.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 7 — $3,605,000.00 $3,710,000.00 $4,043,900.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 13 — $3,672,900.00 $3,685,266.67 $4,081,000.00 $3,710,000.00 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 13 — $3,325,454.76 $3,324,571.90 $3,659,875.87 $3,327,159.88 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 13 — $3,286,000.00 $3,261,355.00 $3,614,600.00 $3,286,000.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 18 13 — $2,968,000.00 $2,950,686.67 $3,264,800.00 $2,968,000.00 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 13 — $2,388,614.23 $2,354,513.02 $2,672,806.00 $2,403,314.31 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — $2,332,000.00 $2,332,000.00 $2,541,880.00 $2,332,000.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $655,027.00 $839,975.80 $770,620.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 18 — $466,069.91 $491,575.89 $922,082.02 $578,324.58 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 21 15 — $492,900.00 $470,372.01 $674,570.57 $553,378.83 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 25 18 — $454,489.31 $460,390.31 $933,986.41 $541,635.66 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 25 18 — $460,226.55 $460,071.38 $954,928.83 $541,260.45 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 25 18 — $449,440.00 $453,115.01 $884,589.61 $533,076.48 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 25 18 — $449,440.00 $416,262.00 $878,671.10 $489,720.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 23 — $443,328.95 $8,479.00 $974,008.49 $416,568.45 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 28 — $326,078.00 $11,497.00 $1,064,311.05 $346,139.87 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 29 — $285,456.93 $11,497.00 $917,071.89 $339,051.79 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 29 — $256,547.60 $11,497.00 $809,771.57 $276,900.07 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $270,375.00 $294,708.75 $270,375.00 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $132,999.99 $270,421.41 $231,055.67 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 29 — $176,885.39 $11,497.00 $533,887.92 $190,373.85 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 28 — $147,333.50 $11,497.00 $496,197.00 $161,226.34 2025-12-31
7 MS_DRG Lung Transplant 52 26 — $147,601.84 $11,497.00 $393,736.00 $160,037.09 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 51 26 — $137,909.24 $8,479.00 $441,767.00 $159,701.03 2025-12-31
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 12 5 — — $85,223.97 $266,770.00 $135,803.48 2025-12-31
215 MS_DRG Other Heart Assist System Implant 56 29 — $127,487.44 $11,497.00 $476,360.00 $135,475.56 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 37 24 — $131,086.52 $11,497.00 $411,615.11 $134,424.60 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 26 — $124,541.76 $11,497.00 $379,078.00 $130,967.26 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — $126,050.70 $11,497.00 $395,802.51 $128,288.12 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 29 — $116,131.88 $11,497.00 $364,657.16 $126,243.43 2025-12-31
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 12 5 — — $74,507.60 $243,411.00 $122,285.30 2025-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 30 17 — $106,629.40 $93,041.90 $311,346.00 $115,211.52 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 19 12 — $110,846.98 $11,497.00 $348,062.42 $113,176.08 2025-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 12 5 — — $66,913.33 $223,528.00 $111,542.17 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 29 — $101,910.05 $11,497.00 $337,331.00 $110,383.23 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 29 — $101,707.90 $11,497.00 $385,392.00 $109,946.32 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 29 — $101,966.61 $11,497.00 $320,177.83 $108,294.87 2025-12-31
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 12 5 — — $62,868.25 $208,382.00 $104,228.62 2025-12-31
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $103,385.13 $113,723.64 $103,385.13 2024-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 12 — $100,362.61 $11,497.00 $315,141.23 $102,754.94 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 29 — $94,054.90 $11,497.00 $295,334.85 $102,127.99 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 29 — $93,105.49 $11,497.00 $292,353.70 $101,047.48 2025-12-31
B1904 HCPCS Guillain-barr? M <38.50 3 3 — — $97,868.83 $107,655.71 $97,868.83 2024-12-31
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $66,151.62 $120,305.46 $97,568.41 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 26 — $96,185.95 $11,497.00 $299,525.10 $96,185.95 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 29 — $89,816.87 $11,497.00 $282,027.33 $96,142.39 2025-12-31
C1841 HCPCS Retinal Prosth Int/ext Comp 1 1 — — $95,473.91 $95,473.91 $95,473.91 2024-12-31
C1842 HCPCS Retinal Prosth, Add-on 1 1 — — $95,473.91 $95,473.91 $95,473.91 2024-12-31
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 12 5 — — $56,944.85 $187,505.00 $93,973.92 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 50 27 — $71,533.90 $8,479.00 $224,618.32 $92,953.32 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 29 — $83,707.70 $8,479.00 $262,844.39 $91,219.43 2025-12-31
10 MS_DRG Pancreas Transplant 51 26 — $57,922.15 $11,497.00 $205,918.67 $90,236.96 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 29 — $80,367.34 $11,497.00 $252,355.55 $90,215.35 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 29 — $77,819.95 $8,479.00 $244,356.68 $90,064.72 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 29 — $76,100.43 $11,497.00 $239,111.49 $89,609.01 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 29 — $80,231.36 $11,497.00 $251,928.59 $89,378.57 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 29 — $73,843.03 $11,497.00 $237,229.25 $88,912.56 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 24 — $85,037.35 $11,497.00 $267,019.52 $88,598.47 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — $85,466.93 $11,497.00 $268,368.41 $87,949.11 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 12 5 — — $53,150.75 $174,303.00 $87,464.88 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 30 17 — $79,806.60 $68,127.77 $230,750.98 $86,515.54 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 29 — $82,165.07 $11,497.00 $258,000.48 $86,220.70 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 29 — $77,708.04 $11,497.00 $244,005.29 $84,115.23 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 12 — $80,677.79 $11,497.00 $253,330.38 $83,188.85 2025-12-31
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $82,779.11 $91,057.02 $82,779.11 2024-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 29 — $72,087.42 $11,497.00 $265,848.00 $81,543.86 2025-12-31
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $81,451.32 $89,596.45 $81,451.32 2024-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 29 — $74,101.74 $11,497.00 $232,681.42 $81,281.71 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 29 — $73,899.59 $11,497.00 $292,246.00 $80,196.01 2025-12-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 30 17 — $73,597.56 $61,714.54 $212,798.30 $79,872.89 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 56 29 — $72,512.18 $11,497.00 $229,707.82 $79,504.33 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 29 — $69,062.31 $11,497.00 $241,934.00 $79,345.09 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 29 — $73,506.11 $11,497.00 $230,811.12 $79,161.53 2025-12-31
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $79,109.25 $87,020.18 $79,109.25 2024-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 29 — $70,059.85 $11,497.00 $219,989.78 $78,976.91 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 37 24 — $74,537.34 $11,497.00 $234,049.20 $78,468.60 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 51 26 — $74,327.96 $8,479.00 $161,956.00 $78,061.25 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 51 26 — $74,327.96 $8,479.00 $241,742.00 $78,061.25 2025-12-31
Sx00000069838 CDM Jts Implant Set 32 16 $172,360.00 — $23,561.61 $146,506.00 $77,562.00 2024-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 29 — $70,804.70 $11,497.00 $222,328.61 $77,323.79 2025-12-31
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $77,036.90 $84,740.59 $77,036.90 2024-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 12 — $74,441.07 $11,497.00 $233,746.93 $76,989.75 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 29 — $71,588.05 $11,497.00 $224,788.35 $76,484.62 2025-12-31
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $75,109.76 $82,620.74 $75,109.76 2024-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 29 — $68,212.78 $11,497.00 $215,561.49 $74,796.05 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 29 — $64,921.75 $11,497.00 $203,856.01 $74,296.16 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 29 — $64,990.34 $11,497.00 $204,071.38 $74,046.42 2025-12-31
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $73,733.57 $81,106.93 $73,733.57 2024-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 56 29 — $66,510.11 $8,479.00 $208,843.50 $73,233.15 2025-12-31
Sx00000066257 CDM Controller Impella Packaged 32 16 $161,200.00 — $22,036.04 $137,020.00 $72,540.00 2024-12-31
653 MS_DRG Major Bladder Procedures With Mcc 56 29 — $67,079.27 $11,497.00 $210,630.68 $72,274.49 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 29 — $65,323.66 $11,497.00 $205,118.00 $72,005.99 2025-12-31
C1904 HCPCS Guillain-barr? M <38.50 3 3 — — $69,890.83 $76,879.91 $69,890.83 2024-12-31
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $69,455.15 $76,400.66 $69,455.15 2024-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 29 — $62,045.86 $11,497.00 $203,878.68 $69,442.59 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 29 — $63,735.30 $11,497.00 $200,130.51 $69,428.04 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 29 — $64,018.07 $11,497.00 $201,018.43 $69,257.75 2025-12-31
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $69,252.29 $76,177.52 $69,252.29 2024-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — $66,230.95 $11,497.00 $207,966.91 $68,829.14 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 51 26 — $63,314.14 $11,497.00 $194,040.00 $68,700.18 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 12 — $65,826.64 $11,497.00 $206,697.37 $68,427.27 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 29 — $61,303.42 $11,497.00 $192,494.36 $67,904.54 2025-12-31
D1904 HCPCS Guillain-barr? M <38.50 3 3 — — $67,670.94 $74,438.03 $67,670.94 2024-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 29 — $61,765.49 $11,497.00 $193,945.27 $67,157.32 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 29 — $61,115.71 $11,497.00 $194,295.00 $66,974.41 2025-12-31
B0106 HCPCS Stroke M <41.50 And A <84.50 3 3 — — $66,901.01 $73,591.11 $66,901.01 2024-12-31
793 MS_DRG Full Term Neonate With Major Problems 50 27 — $50,183.71 $8,479.00 $157,578.17 $66,657.21 2025-12-31
Sx00000075430 CDM Ligasure Kit 25 13 $87,094.62 — $11,905.83 $84,481.78 $66,357.39 2024-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 56 29 — $59,964.15 $11,497.00 $243,102.00 $66,114.79 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 29 — $60,180.74 $11,497.00 $188,969.11 $65,959.90 2025-12-31
131 MS_DRG Cranial/facial Procedures W Cc/mcc 6 3 — — $60,204.00 $86,169.00 $65,850.50 2024-12-31
791 MS_DRG Prematurity With Major Problems 50 27 — $48,852.86 $8,479.00 $153,399.26 $65,018.26 2025-12-31
A1904 HCPCS Guillain-barr? M <38.50 3 3 — — $64,976.18 $71,473.80 $64,976.18 2024-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 29 — $60,251.74 $8,479.00 $198,664.00 $64,949.67 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 56 29 — $57,214.60 $11,497.00 $179,655.36 $64,917.93 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $64,883.66 $64,883.66 $64,883.66 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 29 — $60,609.12 $11,497.00 $190,314.22 $64,881.50 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 12 — $61,971.26 $11,497.00 $194,591.37 $64,595.14 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 56 29 — $58,447.99 $11,497.00 $185,231.00 $64,533.94 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 29 — $56,611.75 $11,497.00 $216,187.00 $63,960.15 2025-12-31
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $63,897.35 $70,287.09 $63,897.35 2024-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 13 — $63,354.77 $53,916.39 $69,849.26 $63,499.33 2025-12-31
B0205 HCPCS Traumatic Brain Injury M <35.50 3 3 — — $62,991.42 $69,290.56 $62,991.42 2024-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 29 — $57,203.77 $11,497.00 $179,621.35 $62,695.08 2025-12-31
245 MS_DRG Aicd Generator Procedures 56 29 — $58,802.96 $11,497.00 $185,282.00 $62,573.40 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 29 — $57,463.69 $11,497.00 $182,909.00 $62,068.38 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 56 29 — $55,462.60 $11,497.00 $181,852.00 $61,815.44 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 52 26 — $58,202.51 $11,497.00 $179,863.00 $61,618.61 2025-12-31
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $61,347.82 $67,482.60 $61,347.82 2024-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 32 16 $136,290.00 — $18,630.84 $115,846.50 $61,330.50 2024-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 29 — $55,262.85 $11,497.00 $173,526.79 $61,085.33 2025-12-31
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 6 3 — — $55,682.00 $79,698.00 $60,905.00 2024-12-31
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $60,693.15 $66,762.46 $60,693.15 2024-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 29 — $56,308.52 $11,497.00 $176,810.22 $60,630.77 2025-12-31
Sx00000076504 CDM Ligasure Kit Lf1744/gen 25 13 $79,401.17 — $10,854.14 $77,019.13 $60,495.75 2024-12-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 30 17 — $55,419.28 $48,486.31 $163,920.00 $60,425.12 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 37 24 — $55,976.41 $11,497.00 $175,767.38 $60,250.29 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 24 — $60,204.81 $11,497.00 $189,044.68 $60,204.81 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 29 — $55,254.42 $11,497.00 $184,565.00 $60,192.89 2025-12-31
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $59,582.05 $65,540.26 $59,582.05 2024-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 29 — $51,958.58 $11,497.00 $189,315.00 $59,464.77 2025-12-31
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $59,176.34 $65,093.97 $59,176.34 2024-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 29 — $54,288.17 $11,497.00 $170,466.29 $59,103.78 2025-12-31
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $58,948.13 $64,842.94 $58,948.13 2024-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 29 — $53,137.82 $11,497.00 $168,981.38 $58,778.73 2025-12-31
B0105 HCPCS Stroke M <41.50 And A >=84.50 3 3 — — $58,551.64 $64,406.80 $58,551.64 2024-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 29 — $53,964.48 $11,497.00 $169,449.90 $58,092.13 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 56 29 — $53,312.30 $11,497.00 $167,402.01 $57,927.54 2025-12-31
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $57,834.72 $63,618.19 $57,834.72 2024-12-31
B1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 3 3 — — $57,684.89 $63,453.38 $57,684.89 2024-12-31
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $57,472.81 $63,220.09 $57,472.81 2024-12-31
C0106 HCPCS Stroke M <41.50 And A <84.50 3 3 — — $57,205.41 $62,925.95 $57,205.41 2024-12-31
B0604 HCPCS Neurological M <43.50 3 3 — — $56,755.90 $62,431.49 $56,755.90 2024-12-31
B2102 HCPCS Burns M <52.50 3 3 — — $56,596.84 $62,256.52 $56,596.84 2024-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 29 — $51,329.25 $11,497.00 $161,175.20 $56,584.01 2025-12-31
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $56,308.69 $61,939.56 $56,308.69 2024-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 19 — $53,062.44 $47,554.07 $112,575.34 $55,945.97 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 29 — $50,065.79 $11,497.00 $157,207.88 $55,129.51 2025-12-31
Sx00000046460 CDM Kit Starter Stapler Endowrist 45 25 13 $72,354.00 — $9,890.79 $70,183.38 $55,126.51 2024-12-31
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 3 3 — — $55,112.30 $60,623.53 $55,112.30 2024-12-31
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $55,061.59 $60,567.75 $55,061.59 2024-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 29 — $49,535.13 $11,497.00 $158,337.63 $55,030.23 2025-12-31
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $54,944.02 $60,438.42 $54,944.02 2024-12-31
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 3 3 — — $54,284.74 $59,713.21 $54,284.74 2024-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 29 — $49,453.31 $11,497.00 $155,284.68 $54,049.90 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 29 — $49,480.98 $11,497.00 $155,371.58 $54,039.78 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 37 24 — $51,253.45 $11,497.00 $160,937.16 $53,941.96 2025-12-31
B1004 HCPCS Amputation Lower Extremity M <47.50 3 3 — — $53,851.37 $59,236.51 $53,851.37 2024-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 29 — $48,191.04 $11,497.00 $155,054.20 $53,743.56 2025-12-31
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $53,570.14 $58,927.15 $53,570.14 2024-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 29 — $50,413.54 $11,497.00 $158,299.84 $53,496.05 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 29 — $52,065.67 $8,479.00 $163,487.58 $53,407.48 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 29 — $46,330.74 $11,497.00 $145,479.73 $53,373.10 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 39 23 — $55,439.73 $11,497.00 $118,992.74 $53,305.51 2025-12-31
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 12 5 — — $31,632.99 $106,181.00 $52,908.99 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 29 — $48,943.11 $11,497.00 $153,682.64 $52,887.08 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 56 29 — $47,478.69 $11,497.00 $149,084.32 $52,837.36 2025-12-31
D0106 HCPCS Stroke M <41.50 And A <84.50 3 3 — — $52,777.15 $58,054.86 $52,777.15 2024-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 44 26 — $52,858.65 $11,497.00 $165,977.55 $52,672.74 2025-12-31
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 6 3 — — $48,068.00 $68,801.00 $52,577.00 2024-12-31
B0704 HCPCS Fracture Of Lower Extremity M <41.50 3 3 — — $52,569.69 $57,826.66 $52,569.69 2024-12-31
Sx00000189430 CDM Implant Gamma Tile 9 Count 32 16 $116,560.00 — $15,933.75 $99,076.00 $52,452.00 2024-12-31
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 12 5 — — $32,120.79 $104,011.00 $52,394.40 2025-12-31
E0194NU OTHER Air Fluidized Bed 1 1 — — $52,206.76 $52,206.76 $52,206.76 2024-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 56 29 — $46,507.62 $11,497.00 $152,866.00 $52,084.48 2025-12-31
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 3 3 — — $52,011.83 $57,213.01 $52,011.83 2024-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 29 — $47,381.22 $11,497.00 $148,999.00 $51,929.79 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 12 — $49,136.84 $11,497.00 $154,290.96 $51,838.12 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 29 — $47,052.72 $11,497.00 $147,746.77 $51,828.07 2025-12-31
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $51,779.01 $56,956.91 $51,779.01 2024-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 29 — $46,945.62 $11,497.00 $146,930.64 $51,724.99 2025-12-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $51,723.74 $51,723.74 $51,723.74 2025-12-31
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 3 3 — — $51,622.26 $56,784.49 $51,622.26 2024-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 29 — $47,935.94 $11,497.00 $155,857.00 $51,573.73 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 29 — $47,902.25 $11,497.00 $150,414.32 $51,539.62 2025-12-31
B1504 HCPCS Pulmonary M <45.50 3 3 — — $51,511.61 $56,662.77 $51,511.61 2024-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 29 — $45,995.02 $11,497.00 $144,425.56 $51,161.25 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 29 — $47,201.93 $11,497.00 $190,657.00 $51,023.38 2025-12-31
0424T CPT Insj/rplc Nstim Apnea Compl 2 2 — $65,986.30 $22,750.63 $79,183.56 $50,967.10 2024-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 29 — $46,093.08 $2,036.61 $148,476.00 $50,914.80 2025-12-31
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 3 3 — — $50,863.85 $55,950.24 $50,863.85 2024-12-31
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 3 3 — — $50,743.98 $55,818.38 $50,743.98 2024-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 56 29 — $46,333.14 $11,497.00 $145,214.00 $50,704.46 2025-12-31
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 3 3 — — $50,607.98 $55,668.78 $50,607.98 2024-12-31
B0904 HCPCS Other Orthopedic M <44.5 3 3 — — $50,605.67 $55,666.24 $50,605.67 2024-12-31
Sx00000102245 CDM Custom Pelvis IMPLaNT 32 16 $112,294.40 — $15,350.64 $95,450.24 $50,532.48 2024-12-31
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 3 3 — — $50,524.99 $55,577.49 $50,524.99 2024-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 29 — $45,590.71 $11,497.00 $144,888.00 $50,431.63 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 29 — $45,027.56 $11,497.00 $141,387.72 $50,383.91 2025-12-31
C1604 HCPCS Detour System Cap Price Per Procedure 35 16 $115,500.00 — $15,788.85 $98,175.00 $50,242.50 2024-12-31
C0205 HCPCS Traumatic Brain Injury M <35.50 3 3 — — $50,091.61 $55,100.77 $50,091.61 2024-12-31
C0105 HCPCS Stroke M <41.50 And A >=84.50 3 3 — — $50,063.95 $55,070.35 $50,063.95 2024-12-31
A0106 HCPCS Stroke M <41.50 And A <84.50 3 3 — — $49,955.61 $54,951.17 $49,955.61 2024-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 12 — $47,075.58 $11,497.00 $147,818.56 $49,789.30 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 56 29 — $46,460.69 $11,497.00 $145,887.80 $49,403.71 2025-12-31
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 3 3 — — $49,360.87 $54,296.96 $49,360.87 2024-12-31
B1604 HCPCS Pain Syndrome M <43.50 3 3 — — $49,358.57 $54,294.43 $49,358.57 2024-12-31
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 3 3 — — $49,282.50 $54,210.75 $49,282.50 2024-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 43 26 — $50,890.05 $11,497.00 $159,796.09 $49,156.66 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 56 29 — $42,131.21 $11,497.00 $149,587.00 $49,052.81 2025-12-31
B1404 HCPCS Cardiac M <45.50 3 3 — — $48,941.33 $53,835.46 $48,941.33 2024-12-31
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 3 3 — — $48,911.36 $53,802.50 $48,911.36 2024-12-31
Sx00000065138 CDM Carticel Cs1000 32 16 $108,087.82 — $14,775.60 $91,874.65 $48,639.52 2024-12-31
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 3 3 — — $48,501.04 $53,351.14 $48,501.04 2024-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 29 — $43,592.02 $8,479.00 $137,862.48 $48,372.21 2025-12-31
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $48,332.76 $53,166.04 $48,332.76 2024-12-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 30 17 — $44,015.58 $39,800.06 $132,365.00 $48,225.05 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 29 — $43,126.34 $11,497.00 $135,417.85 $48,170.74 2025-12-31
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 3 3 — — $48,141.43 $52,955.57 $48,141.43 2024-12-31
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $35,025.38 $56,295.96 $48,092.29 2025-12-31
B0104 HCPCS Stroke M >=41.50 And M <50.50 3 3 — — $48,079.19 $52,887.11 $48,079.19 2024-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 29 — $43,762.89 $8,479.00 $135,440.52 $48,074.01 2025-12-31
332 MS_DRG Rectal Resection With Mcc 56 29 — $41,738.94 $11,497.00 $131,061.36 $48,014.91 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 56 29 — $43,600.44 $11,497.00 $150,160.00 $47,895.32 2025-12-31
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 3 3 — — $47,747.24 $52,521.96 $47,747.24 2024-12-31
C2102 HCPCS Burns M <52.50 3 3 — — $47,694.22 $52,463.64 $47,694.22 2024-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 56 29 — $42,363.45 $11,497.00 $133,022.35 $47,305.41 2025-12-31
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $47,295.43 $52,024.97 $47,295.43 2024-12-31
265 MS_DRG Aicd Lead Procedures 56 29 — $42,924.19 $11,497.00 $134,783.08 $47,274.38 2025-12-31
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 3 3 — — $47,120.23 $51,832.25 $47,120.23 2024-12-31
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $47,106.40 $51,817.04 $47,106.40 2024-12-31
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 12 5 — — $28,324.67 $93,920.00 $46,971.33 2025-12-31
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $46,942.74 $51,637.01 $46,942.74 2024-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 29 — $42,161.30 $11,497.00 $132,387.57 $46,824.82 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 56 29 — $43,135.97 $11,497.00 $135,448.08 $46,715.16 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 56 29 — $42,731.66 $11,497.00 $134,178.54 $46,690.89 2025-12-31
D0105 HCPCS Stroke M <41.50 And A >=84.50 3 3 — — $46,191.25 $50,810.38 $46,191.25 2024-12-31
C1103 HCPCS Amputation Non-lower Extremity M <52.50 3 3 — — $46,188.94 $50,807.83 $46,188.94 2024-12-31
B1103 HCPCS Amputation Non-lower Extremity M <52.50 3 3 — — $46,188.94 $50,807.83 $46,188.94 2024-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 56 29 — $41,215.50 $11,497.00 $129,417.75 $46,079.71 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 29 — $41,446.53 $11,497.00 $130,143.20 $45,994.86 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 56 29 — $42,470.54 $11,497.00 $133,358.62 $45,922.60 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 29 — $42,148.06 $11,497.00 $132,346.01 $45,817.40 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 56 29 — $41,693.21 $11,497.00 $130,917.78 $45,781.21 2025-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 32 16 $101,640.00 — $13,894.19 $86,394.00 $45,738.00 2024-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 29 — $40,816.00 $11,497.00 $138,142.00 $45,665.46 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 56 29 — $42,056.61 $11,497.00 $132,058.85 $45,622.64 2025-12-31
D0205 HCPCS Traumatic Brain Injury M <35.50 3 3 — — $45,619.56 $50,181.52 $45,619.56 2024-12-31
J9226 HCPCS Supprelin La Implant 25 18 — $45,350.22 $38,726.33 $93,292.40 $45,560.39 2025-12-31
B0603 HCPCS Neurological M >=43.50 And M <52.50 3 3 — — $45,442.06 $49,986.27 $45,442.06 2024-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 56 29 — $41,381.56 $11,497.00 $129,939.17 $45,374.09 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 29 — $41,251.60 $11,497.00 $126,829.55 $45,268.04 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 56 29 — $41,278.07 $11,497.00 $129,614.23 $45,218.82 2025-12-31
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $45,213.85 $49,735.24 $45,213.85 2024-12-31
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 3 3 — — $45,156.22 $49,671.84 $45,156.22 2024-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 29 — $40,986.87 $11,497.00 $133,802.00 $44,810.01 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 56 29 — $40,618.66 $11,497.00 $125,476.88 $44,692.86 2025-12-31
Sx00000201156 CDM Repiphysis Total Femur 32 16 $99,200.00 — $13,560.64 $84,320.00 $44,640.00 2024-12-31
C1004 HCPCS Amputation Lower Extremity M <47.50 3 3 — — $44,582.23 $49,040.45 $44,582.23 2024-12-31
665 MS_DRG Prostatectomy With Mcc 56 29 — $41,316.58 $11,497.00 $129,735.14 $44,537.38 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 56 29 — $39,220.43 $11,497.00 $123,153.16 $44,160.94 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 56 29 — $39,332.33 $11,497.00 $123,504.56 $44,063.47 2025-12-31
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $43,752.36 $48,127.60 $43,752.36 2024-12-31
A0105 HCPCS Stroke M <41.50 And A >=84.50 3 3 — — $43,720.09 $48,092.10 $43,720.09 2024-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 56 29 — $38,737.90 $11,497.00 $122,143.00 $43,540.44 2025-12-31
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $43,464.21 $47,810.63 $43,464.21 2024-12-31
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 3 3 — — $43,360.48 $47,696.53 $43,360.48 2024-12-31
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 5 5 — — $36.20 $47,655.96 $43,323.60 2024-12-31
K0606NU OTHER Aed Garment W Elec Analysis 2 2 — — $40,398.96 $45,699.60 $43,049.28 2025-12-31
C0604 HCPCS Neurological M <43.50 3 3 — — $43,030.84 $47,333.92 $43,030.84 2024-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 56 29 — $38,129.03 $11,497.00 $119,726.16 $42,881.32 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 56 29 — $37,555.06 $11,497.00 $117,923.86 $42,855.58 2025-12-31
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $42,816.46 $47,098.11 $42,816.46 2024-12-31
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 3 3 — — $42,807.24 $47,087.96 $42,807.24 2024-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 56 29 — $38,269.82 $11,497.00 $120,168.23 $42,750.68 2025-12-31
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 3 3 — — $42,735.78 $47,009.36 $42,735.78 2024-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 56 29 — $39,203.58 $11,497.00 $123,100.27 $42,734.76 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 29 — $38,192.81 $11,497.00 $121,204.00 $42,710.01 2025-12-31
A0205 HCPCS Traumatic Brain Injury M <35.50 3 3 — — $42,590.55 $46,849.61 $42,590.55 2024-12-31
D2102 HCPCS Burns M <52.50 3 3 — — $42,472.99 $46,720.29 $42,472.99 2024-12-31
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 3 3 — — $42,360.03 $46,596.03 $42,360.03 2024-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 56 29 — $38,373.30 $8,479.00 $121,729.00 $42,195.04 2025-12-31
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $29,363.32 $51,062.13 $42,139.10 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 56 29 — $37,378.17 $11,497.00 $171,837.00 $42,067.73 2025-12-31
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 3 3 — — $41,859.81 $46,045.79 $41,859.81 2024-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 56 29 — $37,210.91 $11,497.00 $116,843.24 $41,846.05 2025-12-31
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 3 3 — — $41,772.21 $45,949.43 $41,772.21 2024-12-31
C0704 HCPCS Fracture Of Lower Extremity M <41.50 3 3 — — $41,760.68 $45,936.75 $41,760.68 2024-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 56 29 — $37,107.43 $11,497.00 $116,518.29 $41,741.32 2025-12-31
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