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Hospital

GLENBEIGH HEALTH SOURCES

Rock Creek, OH · CCN 360245 · Rates published

10,615 distinct procedures filed
38 distinct payers
140,876 rate rows
2025-03-10 last MRF observed · ⚠ 15 mo old
Data quality

140,254 of 140,876 rate rows are consumer-grade (99.6%)

622 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
per-diem day rate — not a per-procedure price 378
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 208
placeholder amount (≤ $0.02) — excluded from medians 36

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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/9927/341789783_glenbeigh_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GlenbeighHospitalofRockCreek/9927
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 2daf042601c0ca09… · 13,148,378 bytes · first seen 2026-05-13

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 6 $3,710,000.00 $4,711,700.00 $3,728,550.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,711,700.00 $3,728,550.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,781.51 $4,218,662.52 $3,338,390.42 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,193,000.00 $4,055,110.00 $3,208,965.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,968,000.00 $3,769,360.00 $2,982,840.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,403,458.75 $3,052,392.61 $2,415,476.04 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $2,961,640.00 $2,343,660.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $565,623.84 $718,342.28 $568,451.96 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $551,318.34 $700,174.29 $554,074.93 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $528,312.43 $670,956.79 $530,953.99 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,485.97 $655,937.18 $519,068.40 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $489,517.15 $621,686.78 $491,964.73 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $488,051.51 $619,825.42 $490,491.77 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $308,865.23 $367,075.56 $308,865.23 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $230,818.80 $274,174.67 $230,818.80 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $194,467.45 $230,904.63 $194,467.45 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $175,732.06 $208,603.35 $175,732.06 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $116,026.06 $137,533.61 $116,026.06 nat. median
$133,176
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $107,618.36 $127,525.68 $107,618.36 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 3 $107,348.50 $127,204.48 $107,348.50 nat. median
$122,708
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $99,999.95 $126,999.94 $100,499.95 nat. median
$111,989
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 6 $93,216.70 $118,385.21 $93,682.79 nat. median
$96,983
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $90,592.80 $107,259.67 $90,592.80 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $89,564.13 $106,035.21 $89,564.13 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $87,564.82 $103,655.38 $87,564.82 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $87,118.34 $103,123.93 $87,118.34 nat. median
$99,019
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $86,141.99 $101,961.75 $86,141.99 nat. median
$98,905
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $79,401.60 $93,938.47 $79,401.60 nat. median
$93,672
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $75,810.21 $89,663.54 $75,810.21 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $69,775.51 $82,480.26 $69,775.51 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $69,737.08 $82,434.51 $69,737.08 nat. median
$81,118
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $68,685.50 $81,182.79 $68,685.50 nat. median
$82,712
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 6 $67,452.66 $85,664.88 $67,789.93 nat. median
$70,825
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $66,400.00 $78,462.29 $66,400.00 nat. median
$77,576
0.9× median
10
MS_DRG 		Pancreas Transplant 3 $65,679.60 $77,604.78 $65,679.60 nat. median
$68,882
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $65,305.89 $77,159.95 $65,305.89 nat. median
$71,240
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $64,399.06 $76,080.52 $64,399.06 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $63,753.90 $75,312.55 $63,753.90 nat. median
$74,915
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 6 $63,402.04 $80,520.59 $63,719.05 nat. median
$69,774
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $61,519.08 $72,652.40 $61,519.08 nat. median
$72,138
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $58,563.04 $69,133.75 $58,563.04 nat. median
$68,090
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $58,271.13 $68,786.28 $58,271.13 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $57,367.54 $67,710.73 $57,367.54 nat. median
$66,526
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $72,167.18 $57,108.68 nat. median
$62,507
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $56,319.26 $66,462.90 $56,319.26 nat. median
$64,732
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,536.50 $70,531.36 $55,814.18 nat. median
$66,682
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $55,308.58 $65,259.84 $55,308.58 nat. median
$63,738
0.9× median
38240
CPT 		Transplt Allo Hct/donor 6 $54,827.31 $69,630.68 $55,101.44 nat. median
$15,912
outlier · 3.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $55,097.59 $65,008.72 $55,097.59 nat. median
$64,027
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $55,005.20 $64,898.74 $55,005.20 nat. median
$65,950
0.8× median

Other procedures at this hospital

Browse this hospital's 10,615 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 6 — — $3,710,000.00 $4,711,700.00 $3,728,550.00 2025-03-10
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 6 — — $3,710,000.00 $4,711,700.00 $3,728,550.00 2025-03-10
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 6 — — $3,321,781.51 $4,218,662.52 $3,338,390.42 2025-03-10
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 6 — — $3,193,000.00 $4,055,110.00 $3,208,965.00 2025-03-10
J3393 HCPCS Inj, Betibeglogene Autotemce 12 6 — — $2,968,000.00 $3,769,360.00 $2,982,840.00 2025-03-10
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,403,458.75 $3,052,392.61 $2,415,476.04 2025-03-10
J3392 HCPCS Inj, Exagamglogene Autotem 12 6 — — $2,332,000.00 $2,961,640.00 $2,343,660.00 2025-03-10
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 6 — — $565,623.84 $718,342.28 $568,451.96 2025-03-10
Q2056 HCPCS Ciltacabtagene Car-pos T 12 6 — — $551,318.34 $700,174.29 $554,074.93 2025-03-10
Q2055 HCPCS Idecabtagene Vicleucel Car 12 6 — — $528,312.43 $670,956.79 $530,953.99 2025-03-10
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 6 — — $516,485.97 $655,937.18 $519,068.40 2025-03-10
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $489,517.15 $621,686.78 $491,964.73 2025-03-10
Q2053 HCPCS Brexucabtagene Car Pos T 12 6 — — $488,051.51 $619,825.42 $490,491.77 2025-03-10
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $308,865.23 $367,075.56 $308,865.23 2025-03-10
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $230,818.80 $274,174.67 $230,818.80 2025-03-10
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $194,467.45 $230,904.63 $194,467.45 2025-03-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 3 — — $175,732.06 $208,603.35 $175,732.06 2025-03-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 3 — — $116,026.06 $137,533.61 $116,026.06 2025-03-10
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $107,618.36 $127,525.68 $107,618.36 2025-03-10
7 MS_DRG Lung Transplant 6 3 — — $107,348.50 $127,204.48 $107,348.50 2025-03-10
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 6 — — $99,999.95 $126,999.94 $100,499.95 2025-03-10
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 6 — — $93,216.70 $118,385.21 $93,682.79 2025-03-10
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $90,592.80 $107,259.67 $90,592.80 2025-03-10
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $89,564.13 $106,035.21 $89,564.13 2025-03-10
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $87,564.82 $103,655.38 $87,564.82 2025-03-10
215 MS_DRG Other Heart Assist System Implant 6 3 — — $87,118.34 $103,123.93 $87,118.34 2025-03-10
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $86,141.99 $101,961.75 $86,141.99 2025-03-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $79,401.60 $93,938.47 $79,401.60 2025-03-10
850 MS_DRG Acute Leukemia With Other Procedures 6 3 — — $75,810.21 $89,663.54 $75,810.21 2025-03-10
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $69,775.51 $82,480.26 $69,775.51 2025-03-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $69,737.08 $82,434.51 $69,737.08 2025-03-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 3 — — $68,685.50 $81,182.79 $68,685.50 2025-03-10
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 6 — — $67,452.66 $85,664.88 $67,789.93 2025-03-10
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $66,400.00 $78,462.29 $66,400.00 2025-03-10
10 MS_DRG Pancreas Transplant 6 3 — — $65,679.60 $77,604.78 $65,679.60 2025-03-10
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $65,305.89 $77,159.95 $65,305.89 2025-03-10
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $64,399.06 $76,080.52 $64,399.06 2025-03-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $63,753.90 $75,312.55 $63,753.90 2025-03-10
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 6 — — $63,402.04 $80,520.59 $63,719.05 2025-03-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $61,519.08 $72,652.40 $61,519.08 2025-03-10
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $58,563.04 $69,133.75 $58,563.04 2025-03-10
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $58,271.13 $68,786.28 $58,271.13 2025-03-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $57,367.54 $67,710.73 $57,367.54 2025-03-10
A9543 HCPCS Y90 Ibritumomab, Rx 12 6 — — $56,824.55 $72,167.18 $57,108.68 2025-03-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $56,319.26 $66,462.90 $56,319.26 2025-03-10
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 6 — — $55,536.50 $70,531.36 $55,814.18 2025-03-10
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $55,308.58 $65,259.84 $55,308.58 2025-03-10
38240 CPT Transplt Allo Hct/donor 12 6 — — $54,827.31 $69,630.68 $55,101.44 2025-03-10
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 3 — — $55,097.59 $65,008.72 $55,097.59 2025-03-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $55,005.20 $64,898.74 $55,005.20 2025-03-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $53,366.50 $62,948.15 $53,366.50 2025-03-10
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $53,290.46 $62,857.63 $53,290.46 2025-03-10
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $52,197.98 $61,557.24 $52,197.98 2025-03-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $51,135.78 $60,292.87 $51,135.78 2025-03-10
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 3 — — $51,070.36 $60,215.00 $51,070.36 2025-03-10
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $50,839.77 $59,940.52 $50,839.77 2025-03-10
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 3 — — $50,663.96 $59,731.25 $50,663.96 2025-03-10
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $50,435.00 $59,458.71 $50,435.00 2025-03-10
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $50,196.24 $59,174.49 $50,196.24 2025-03-10
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 3 — — $49,839.70 $58,750.11 $49,839.70 2025-03-10
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 3 — — $49,839.70 $58,750.11 $49,839.70 2025-03-10
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $49,470.91 $58,311.14 $49,470.91 2025-03-10
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $49,131.58 $57,907.20 $49,131.58 2025-03-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 3 — — $49,094.79 $57,863.40 $49,094.79 2025-03-10
L7181 HCPCS Electronic Elbo Simultaneous 12 6 — — $48,370.76 $61,430.87 $48,612.62 2025-03-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $48,599.25 $57,273.55 $48,599.25 2025-03-10
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $48,093.09 $56,671.05 $48,093.09 2025-03-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $47,415.20 $55,864.15 $47,415.20 2025-03-10
L7180 HCPCS Electronic Elbow Sequential 12 6 — — $46,980.38 $59,665.08 $47,215.28 2025-03-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $47,134.73 $55,530.29 $47,134.73 2025-03-10
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $46,067.62 $54,260.07 $46,067.62 2025-03-10
834 MS_DRG Acute Leukemia With Mcc 6 3 — — $45,680.83 $53,799.68 $45,680.83 2025-03-10
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $45,680.83 $53,799.68 $45,680.83 2025-03-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $45,491.13 $53,573.87 $45,491.13 2025-03-10
J9226 HCPCS Supprelin La Implant 12 6 — — $45,261.80 $57,482.49 $45,488.11 2025-03-10
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 3 — — $45,216.38 $53,246.82 $45,216.38 2025-03-10
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $44,975.96 $52,960.66 $44,975.96 2025-03-10
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $44,874.58 $52,839.97 $44,874.58 2025-03-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $44,648.07 $52,570.35 $44,648.07 2025-03-10
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $44,606.36 $52,520.71 $44,606.36 2025-03-10
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $44,601.45 $52,514.87 $44,601.45 2025-03-10
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $43,987.36 $51,783.89 $43,987.36 2025-03-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $43,795.19 $51,555.15 $43,795.19 2025-03-10
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 3 — — $42,596.43 $50,128.23 $42,596.43 2025-03-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $42,456.59 $49,961.78 $42,456.59 2025-03-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $42,142.60 $49,588.02 $42,142.60 2025-03-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $42,015.04 $49,436.18 $42,015.04 2025-03-10
33276 CPT Insj Phrnc Nrv Stim Sys 12 6 — — $41,717.26 $52,980.92 $41,925.85 2025-03-10
0266T CPT Implt/rpl Crtd Sns Dev Total 12 6 — — $41,717.26 $52,980.92 $41,925.85 2025-03-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $41,670.78 $49,026.40 $41,670.78 2025-03-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $41,427.91 $48,737.31 $41,427.91 2025-03-10
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $41,396.03 $48,699.36 $41,396.03 2025-03-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $41,379.68 $48,679.89 $41,379.68 2025-03-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $41,232.49 $48,504.69 $41,232.49 2025-03-10
245 MS_DRG Aicd Generator Procedures 6 3 — — $40,443.39 $47,565.41 $40,443.39 2025-03-10
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $40,202.17 $47,278.28 $40,202.17 2025-03-10
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $40,135.94 $47,199.43 $40,135.94 2025-03-10
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $39,533.28 $46,482.08 $39,533.28 2025-03-10
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $39,364.01 $46,280.60 $39,364.01 2025-03-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $39,356.67 $46,271.84 $39,356.67 2025-03-10
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 6 — — $38,762.63 $49,228.54 $38,956.44 2025-03-10
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $38,954.35 $45,792.95 $38,954.35 2025-03-10
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $38,748.27 $45,547.67 $38,748.27 2025-03-10
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $38,522.59 $45,279.02 $38,522.59 2025-03-10
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $38,173.43 $44,863.40 $38,173.43 2025-03-10
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $38,157.89 $44,844.91 $38,157.89 2025-03-10
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $38,037.68 $44,701.83 $38,037.68 2025-03-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $38,031.98 $44,695.01 $38,031.98 2025-03-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $37,375.35 $43,913.43 $37,375.35 2025-03-10
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $37,155.37 $43,651.59 $37,155.37 2025-03-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $37,053.99 $43,530.90 $37,053.99 2025-03-10
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $32,616.27 $46,262.54 $36,791.47 2025-03-10
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $36,712.17 $43,124.04 $36,712.17 2025-03-10
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $36,403.91 $42,757.09 $36,403.91 2025-03-10
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $35,865.02 $42,115.66 $35,865.02 2025-03-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $35,792.24 $42,029.02 $35,792.24 2025-03-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $35,364.59 $41,519.97 $35,364.59 2025-03-10
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $35,313.08 $41,458.65 $35,313.08 2025-03-10
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $35,066.12 $41,164.69 $35,066.12 2025-03-10
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $34,750.49 $40,788.98 $34,750.49 2025-03-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $34,742.31 $40,779.25 $34,742.31 2025-03-10
793 MS_DRG Full Term Neonate With Major Problems 6 3 — — $34,586.12 $40,593.35 $34,586.12 2025-03-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $34,505.99 $40,497.95 $34,505.99 2025-03-10
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 6 — — $34,284.44 $43,541.24 $34,455.86 2025-03-10
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $34,108.60 $40,024.91 $34,108.60 2025-03-10
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $34,089.78 $40,002.52 $34,089.78 2025-03-10
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $34,039.91 $39,943.14 $34,039.91 2025-03-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $33,874.72 $39,746.53 $33,874.72 2025-03-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $33,743.08 $39,589.82 $33,743.08 2025-03-10
791 MS_DRG Prematurity With Major Problems 6 3 — — $33,681.75 $39,516.82 $33,681.75 2025-03-10
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $33,058.65 $38,775.14 $33,058.65 2025-03-10
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $33,035.76 $38,747.88 $33,035.76 2025-03-10
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $32,747.92 $38,405.26 $32,747.92 2025-03-10
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $32,681.68 $38,326.43 $32,681.68 2025-03-10
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 6 — — $32,446.86 $41,207.52 $32,609.10 2025-03-10
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $32,473.98 $38,079.20 $32,473.98 2025-03-10
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $32,458.45 $38,060.70 $32,458.45 2025-03-10
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 3 — — $32,281.83 $37,850.45 $32,281.83 2025-03-10
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $32,088.01 $37,619.78 $32,088.01 2025-03-10
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 3 — — $32,056.14 $37,581.81 $32,056.14 2025-03-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $31,967.81 $37,476.69 $31,967.81 2025-03-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $31,739.67 $37,205.13 $31,739.67 2025-03-10
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $31,570.41 $37,003.65 $31,570.41 2025-03-10
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 — — $31,328.37 $36,715.54 $31,328.37 2025-03-10
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $31,082.24 $36,422.56 $31,082.24 2025-03-10
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $30,319.32 $35,514.43 $30,319.32 2025-03-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $30,112.44 $35,268.18 $30,112.44 2025-03-10
33270 CPT Ins/rep Subq Defibrillator 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
33231 CPT Insrt Pulse Gen W/mult Leads 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
0408T CPT Insj/rplc Cardiac Modulj Sys 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
33249 CPT Insj/rplcmt Defib W/lead(s) 12 6 — — $29,722.37 $37,747.41 $29,870.98 2025-03-10
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 3 — — $29,796.80 $34,892.47 $29,796.80 2025-03-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 3 — — $29,795.17 $34,890.51 $29,795.17 2025-03-10
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $29,790.25 $34,884.68 $29,790.25 2025-03-10
265 MS_DRG Aicd Lead Procedures 6 3 — — $29,652.88 $34,721.16 $29,652.88 2025-03-10
69930 CPT Implant Cochlear Device 12 6 — — $29,487.12 $37,448.64 $29,634.56 2025-03-10
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $29,522.05 $34,565.42 $29,522.05 2025-03-10
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $29,351.96 $34,362.96 $29,351.96 2025-03-10
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $29,344.60 $34,354.20 $29,344.60 2025-03-10
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $29,271.82 $34,267.58 $29,271.82 2025-03-10
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 3 — — $29,134.45 $34,104.05 $29,134.45 2025-03-10
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $29,125.45 $34,093.34 $29,125.45 2025-03-10
L5856 HCPCS Elec Knee-shin Swing/stance 12 6 — — $28,980.18 $36,804.83 $29,125.08 2025-03-10
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $29,114.00 $34,079.72 $29,114.00 2025-03-10
264 MS_DRG Other Circulatory System O.r. Procedures 6 3 — — $29,063.31 $34,019.37 $29,063.31 2025-03-10
L6880 HCPCS Elec Hand Ind Art Digits 12 6 — — $28,843.34 $36,631.04 $28,987.56 2025-03-10
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 3 — — $28,878.51 $33,799.40 $28,878.51 2025-03-10
332 MS_DRG Rectal Resection With Mcc 6 3 — — $28,847.43 $33,762.41 $28,847.43 2025-03-10
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $28,816.36 $33,725.42 $28,816.36 2025-03-10
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $28,648.72 $33,525.89 $28,648.72 2025-03-10
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $28,604.58 $33,473.33 $28,604.58 2025-03-10
665 MS_DRG Prostatectomy With Mcc 6 3 — — $28,560.42 $33,420.77 $28,560.42 2025-03-10
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $28,534.25 $33,389.62 $28,534.25 2025-03-10
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 3 — — $28,491.74 $33,339.00 $28,491.74 2025-03-10
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
64568 CPT Opn Impltj Crnl Nrv Nea&pg 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
61886 CPT Implant Neurostim Arrays 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
0268T CPT Implt/rpl Crtd Sns Dev Gen 12 6 — — $28,250.24 $35,877.80 $28,391.49 2025-03-10
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $28,336.37 $33,154.07 $28,336.37 2025-03-10
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 3 — — $28,220.26 $33,015.85 $28,220.26 2025-03-10
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $27,931.60 $32,672.26 $27,931.60 2025-03-10
37 MS_DRG Extracranial Procedures With Mcc 6 3 — — $27,638.85 $32,323.81 $27,638.85 2025-03-10
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 3 — — $27,483.48 $32,138.87 $27,483.48 2025-03-10
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $27,212.01 $31,815.72 $27,212.01 2025-03-10
J9266 HCPCS Pegaspargase Injection 12 6 — — $27,070.53 $34,379.57 $27,205.89 2025-03-10
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $27,135.97 $31,725.20 $27,135.97 2025-03-10
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $27,124.51 $31,711.58 $27,124.51 2025-03-10
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $26,808.06 $31,334.89 $26,808.06 2025-03-10
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $26,686.22 $31,189.86 $26,686.22 2025-03-10
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $26,610.19 $31,099.34 $26,610.19 2025-03-10
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $26,560.29 $31,039.96 $26,560.29 2025-03-10
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 3 — — $26,489.98 $30,956.26 $26,489.98 2025-03-10
33289 CPT Tcat Impl Wrls P-art Prs Snr 12 6 — — $26,354.20 $33,469.83 $26,485.97 2025-03-10
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 3 — — $26,437.62 $30,893.96 $26,437.62 2025-03-10
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $26,394.29 $30,842.37 $26,394.29 2025-03-10
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $26,004.26 $30,378.09 $26,004.26 2025-03-10
662 MS_DRG Minor Bladder Procedures With Mcc 6 3 — — $25,992.80 $30,364.47 $25,992.80 2025-03-10
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 3 — — $25,884.06 $30,235.01 $25,884.06 2025-03-10
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $25,770.39 $30,099.71 $25,770.39 2025-03-10
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $25,718.04 $30,037.42 $25,718.04 2025-03-10
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 3 — — $25,700.06 $30,016.00 $25,700.06 2025-03-10
C9760 HCPCS Non-blind Interatrial Shunt 12 6 — — $25,494.06 $32,377.46 $25,621.53 2025-03-10
652 MS_DRG Kidney Transplant 6 3 — — $25,598.67 $29,895.31 $25,598.67 2025-03-10
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 — — $25,575.77 $29,868.06 $25,575.77 2025-03-10
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $25,494.00 $29,770.72 $25,494.00 2025-03-10
570 MS_DRG Skin Debridement With Mcc 6 3 — — $25,098.23 $29,299.62 $25,098.23 2025-03-10
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $24,902.00 $29,066.02 $24,902.00 2025-03-10
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $24,594.51 $28,700.04 $24,594.51 2025-03-10
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $24,532.37 $28,626.07 $24,532.37 2025-03-10
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 3 — — $24,466.98 $28,548.20 $24,466.98 2025-03-10
J9600 HCPCS Porfimer Sodium Injection 12 6 — — $24,228.42 $30,770.09 $24,349.56 2025-03-10
668 MS_DRG Transurethral Procedures With Mcc 6 3 — — $24,330.40 $28,385.66 $24,330.40 2025-03-10
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 3 — — $24,317.31 $28,370.08 $24,317.31 2025-03-10
800 MS_DRG Splenic Procedures With Cc 6 3 — — $24,309.95 $28,361.32 $24,309.95 2025-03-10
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 3 — — $24,296.87 $28,345.75 $24,296.87 2025-03-10
472 MS_DRG Cervical Spinal Fusion With Cc 6 3 — — $24,174.21 $28,199.75 $24,174.21 2025-03-10
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $23,928.09 $27,906.76 $23,928.09 2025-03-10
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 3 — — $23,901.10 $27,874.64 $23,901.10 2025-03-10
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 3 — — $23,887.21 $27,858.10 $23,887.21 2025-03-10
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 3 — — $23,854.48 $27,819.16 $23,854.48 2025-03-10
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 — — $23,762.09 $27,709.17 $23,762.09 2025-03-10
L8614 HCPCS Cochlear Device 12 6 — — $23,637.07 $30,019.08 $23,755.25 2025-03-10
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $23,560.11 $27,468.77 $23,560.11 2025-03-10
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 3 — — $23,448.10 $27,335.42 $23,448.10 2025-03-10
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $23,424.38 $27,307.18 $23,424.38 2025-03-10
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 3 — — $22,859.34 $26,634.60 $22,859.34 2025-03-10
93653 CPT Compre Ep Eval Tx Svt 12 6 — — $22,742.42 $28,882.88 $22,856.13 2025-03-10
93654 CPT Compre Ep Eval Tx Vt 12 6 — — $22,742.42 $28,882.88 $22,856.13 2025-03-10
93656 CPT Compre Ep Eval Abltj Atr Fib 12 6 — — $22,742.42 $28,882.88 $22,856.13 2025-03-10
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 3 — — $22,819.26 $26,586.91 $22,819.26 2025-03-10
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $22,778.38 $26,538.25 $22,778.38 2025-03-10
Q0483 HCPCS Monitor Elec Vad, Rep 12 6 — — $22,634.63 $28,745.98 $22,747.81 2025-03-10
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $22,698.24 $26,442.85 $22,698.24 2025-03-10
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $22,589.50 $26,313.40 $22,589.50 2025-03-10
L5858 HCPCS Stance Phase Only 12 6 — — $22,436.32 $28,494.13 $22,548.50 2025-03-10
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $22,516.71 $26,226.77 $22,516.71 2025-03-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $22,429.22 $26,122.62 $22,429.22 2025-03-10
263 MS_DRG Vein Ligation And Stripping 6 3 — — $22,415.32 $26,106.08 $22,415.32 2025-03-10
849 MS_DRG Radiotherapy 6 3 — — $22,325.38 $25,999.01 $22,325.38 2025-03-10
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 3 — — $22,257.51 $25,918.22 $22,257.51 2025-03-10
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 3 — — $22,179.82 $25,825.76 $22,179.82 2025-03-10
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 3 — — $22,152.83 $25,793.64 $22,152.83 2025-03-10
503 MS_DRG Foot Procedures With Mcc 6 3 — — $22,125.03 $25,760.54 $22,125.03 2025-03-10
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 3 — — $22,102.96 $25,734.26 $22,102.96 2025-03-10
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 3 — — $21,934.50 $25,533.75 $21,934.50 2025-03-10
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 3 — — $21,878.90 $25,467.56 $21,878.90 2025-03-10
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 3 — — $21,650.77 $25,196.00 $21,650.77 2025-03-10
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $21,615.60 $25,154.15 $21,615.60 2025-03-10
L6975 HCPCS Interscap-thor Myoelectronic 12 6 — — $21,406.09 $27,185.73 $21,513.12 2025-03-10
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 6 — — $21,313.25 $27,067.83 $21,419.82 2025-03-10
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 3 — — $21,366.20 $24,857.28 $21,366.20 2025-03-10
253 MS_DRG Other Vascular Procedures With Cc 6 3 — — $21,359.66 $24,849.49 $21,359.66 2025-03-10
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 — — $21,320.41 $24,802.77 $21,320.41 2025-03-10
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 3 — — $21,213.28 $24,675.26 $21,213.28 2025-03-10
545 MS_DRG Connective Tissue Disorders With Mcc 6 3 — — $21,146.22 $24,595.45 $21,146.22 2025-03-10
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 3 — — $21,129.88 $24,575.99 $21,129.88 2025-03-10
164 MS_DRG Major Chest Procedures With Cc 6 3 — — $21,065.28 $24,499.08 $21,065.28 2025-03-10
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 3 — — $20,959.80 $24,373.52 $20,959.80 2025-03-10
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $20,944.26 $24,355.03 $20,944.26 2025-03-10
0515T CPT Insj Wcs Lv Compl Sys 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
33230 CPT Insrt Pulse Gen W/dual Leads 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
33240 CPT Insrt Pulse Gen W/singl Lead 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
0916T CPT Insj Perm Ccm-d Sys Pg Only 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
0409T CPT Insj/rplc Car Modulj Pls Gn 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 12 6 — — $20,808.52 $26,426.82 $20,912.56 2025-03-10
397 MS_DRG Appendix Procedures With Mcc 6 3 — — $20,744.73 $24,117.53 $20,744.73 2025-03-10
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 3 — — $20,662.96 $24,020.20 $20,662.96 2025-03-10
792 MS_DRG Prematurity Without Major Problems 6 3 — — $20,514.96 $23,844.03 $20,514.96 2025-03-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $20,503.51 $23,830.40 $20,503.51 2025-03-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 3 — — $20,338.33 $23,633.79 $20,338.33 2025-03-10
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 3 — — $20,261.46 $23,542.29 $20,261.46 2025-03-10
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 3 — — $20,199.32 $23,468.32 $20,199.32 2025-03-10
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $20,116.74 $23,370.01 $20,116.74 2025-03-10
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 3 — — $20,085.65 $23,333.02 $20,085.65 2025-03-10
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 6 3 — — $20,085.65 $23,333.02 $20,085.65 2025-03-10
63655 CPT Implant Neuroelectrodes 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
61885 CPT Insrt/redo Neurostim 1 Array 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
64580 CPT Opn Impltj Nea Neuromuscular 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
0680T CPT Insj/rplcmt Pg Only Isdss 12 6 — — $19,879.81 $25,247.36 $19,979.21 2025-03-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 3 — — $19,916.40 $23,131.54 $19,916.40 2025-03-10
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 3 — — $19,842.00 $23,042.96 $19,842.00 2025-03-10
347 MS_DRG Anal And Stomal Procedures With Mcc 6 3 — — $19,837.08 $23,037.13 $19,837.08 2025-03-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $19,811.73 $23,006.95 $19,811.73 2025-03-10
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $19,780.64 $22,969.97 $19,780.64 2025-03-10
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 6 — — $19,623.00 $24,921.21 $19,721.11 2025-03-10
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 3 — — $19,606.49 $22,762.65 $19,606.49 2025-03-10
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