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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

KINGS DAUGHTERS MEDICAL CENTER OHIO

Portsmouth, OH · CCN 360361 · Rates published

11,814 distinct procedures filed
9 distinct payers
199,886 rate rows
2025-10-14 last MRF observed
Data quality

199,060 of 199,886 rate rows are consumer-grade (99.6%)

826 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
placeholder amount (≤ $0.02) — excluded from medians 804
exceeds 10× this hospital's gross charge — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7805/453215312_portsmouth-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/Kingsdaughtermedicalcenterohio/7805
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 6aa9d623615c420c… · 70,997,689 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,637,500.00 $4,637,500.00 $4,637,500.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,606,583.33 $4,606,583.33 $4,606,583.33 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $4,155,714.88 $4,155,714.88 $4,155,714.88 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $4,076,693.75 $4,076,693.75 $4,076,693.75 nat. median
$3,286,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $3,065,144.50 $4,904,231.19 $3,984,687.85 nat. median
$2,468,984
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,915,000.00 $4,664,000.00 $3,789,500.00 nat. median
$2,448,600
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,688,358.33 $3,688,358.33 $3,688,358.33 nat. median
$3,004,655
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $963,275.00 $1,541,240.00 $1,252,257.50 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $722,905.72 $1,156,649.16 $939,777.44 nat. median
$753,246
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $691,723.54 $1,106,757.66 $899,240.60 nat. median
$674,867
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $677,044.57 $1,083,271.31 $880,157.94 nat. median
$673,137
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $676,575.56 $1,082,520.89 $879,548.22 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $666,345.60 $1,066,152.95 $866,249.27 nat. median
$634,303
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $612,150.00 $979,440.00 $795,795.00 nat. median
$619,808
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $337,968.75 $540,750.00 $439,359.38 nat. median
$324,450
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $292,349.63 $487,961.56 $304,975.98 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $218,360.66 $366,120.14 $223,592.88 nat. median
$265,286
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $161,921.88 $259,075.00 $210,498.44 nat. median
$111,989
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $183,899.15 $309,370.56 $193,356.60 nat. median
$206,474
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $139,825.00 $223,720.00 $181,772.50 nat. median
$96,983
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 $166,137.76 $280,122.00 $175,076.25 nat. median
$202,976
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 2 $101,178.99 $161,886.38 $131,532.68 nat. median
$70,825
1.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $79,288.82 $127,010.80 $126,936.46 nat. median
$69,774
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $71,030.69 $123,540.72 $118,594.91 nat. median
$62,507
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 4 $109,535.76 $186,912.58 $116,820.36 nat. median
$133,161
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $112,342.00 $112,342.00 $112,342.00 nat. median
$76,329
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $69,932.46 $111,891.94 $110,907.14 nat. median
$66,682
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $101,565.15 $173,786.96 $105,091.00 nat. median
$117,357
0.9× median
7
MS_DRG 		Lung Transplant 3 $101,309.34 $173,365.72 $104,831.46 nat. median
$122,708
0.9× median
C9150
HCPCS 		Pharmacy 1 $104,000.00 $104,000.00 $104,000.00 nat. median
$775
outlier · 134.2×
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $72,018.14 $115,229.02 $93,623.58 nat. median
$50,598
1.9× median
C2624
HCPCS 		Hchg Wireless Pulmonary Artery Pressure Sensor 9 $40,971.49 $106,882.14 $91,324.85 nat. median
$32,760
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $84,449.51 $145,601.76 $91,001.10 nat. median
$102,358
0.9× median
J9226
HCPCS 		Supprelin La Implant 3 $56,950.49 $91,120.78 $89,157.50 nat. median
$60,368
1.5× median
38240
CPT 		Transplt Allo Hct/donor 2 $68,307.91 $109,292.66 $88,800.29 nat. median
$15,979
outlier · 5.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $85,424.71 $147,207.68 $88,714.76 nat. median
$108,660
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 4 $82,130.89 $141,783.56 $88,614.73 nat. median
$99,019
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $81,205.30 $140,259.34 $87,662.09 nat. median
$98,894
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $82,554.15 $142,480.56 $85,802.25 nat. median
$100,136
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $65,347.38 $104,555.80 $84,951.59 nat. median
$49,027
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $74,815.33 $129,736.64 $81,085.40 nat. median
$93,672
0.9× median
C1882
HCPCS 		Hchg Bi-v Icd 9 $36,340.09 $94,800.22 $81,001.52 nat. median
$27,114
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $71,410.65 $124,129.98 $77,581.24 nat. median
$83,470
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $65,689.67 $114,708.96 $71,693.10 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $65,653.24 $114,648.96 $71,655.60 nat. median
$81,118
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $64,656.33 $113,007.30 $70,629.56 nat. median
$82,711
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $62,489.65 $109,439.32 $68,399.58 nat. median
$77,570
0.9× median
0266T
CPT 		Outpatient Services 2 $51,974.45 $83,159.12 $67,566.79 nat. median
$42,941
1.6× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 2 $51,974.45 $83,159.12 $67,566.79 nat. median
$43,787
1.5× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 2 $51,426.66 $82,282.66 $66,854.66 nat. median
$35,999
1.9× median

Other procedures at this hospital

Browse this hospital's 11,814 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 2 1 — — $4,637,500.00 $4,637,500.00 $4,637,500.00 2025-10-14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $4,606,583.33 $4,606,583.33 $4,606,583.33 2025-10-14
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $4,155,714.88 $4,155,714.88 $4,155,714.88 2025-10-14
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $4,076,693.75 $4,076,693.75 $4,076,693.75 2025-10-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 2 — — $3,065,144.50 $4,904,231.19 $3,984,687.85 2025-10-14
J3392 HCPCS Inj, Exagamglogene Autotem 4 2 — — $2,915,000.00 $4,664,000.00 $3,789,500.00 2025-10-14
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $3,688,358.33 $3,688,358.33 $3,688,358.33 2025-10-14
Q2057 HCPCS Afamitresgene Autoleucel 4 2 — — $963,275.00 $1,541,240.00 $1,252,257.50 2025-10-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $722,905.72 $1,156,649.16 $939,777.44 2025-10-14
Q2056 HCPCS Ciltacabtagene Car-pos T 4 2 — — $691,723.54 $1,106,757.66 $899,240.60 2025-10-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $677,044.57 $1,083,271.31 $880,157.94 2025-10-14
Q2055 HCPCS Idecabtagene Vicleucel Car 4 2 — — $676,575.56 $1,082,520.89 $879,548.22 2025-10-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 2 — — $666,345.60 $1,066,152.95 $866,249.27 2025-10-14
Q2053 HCPCS Brexucabtagene Car Pos T 4 2 — — $612,150.00 $979,440.00 $795,795.00 2025-10-14
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 2 — — $337,968.75 $540,750.00 $439,359.38 2025-10-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 4 — — $292,349.63 $487,961.56 $304,975.98 2025-10-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 3 — — $218,360.66 $366,120.14 $223,592.88 2025-10-14
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $161,921.88 $259,075.00 $210,498.44 2025-10-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 4 — — $183,899.15 $309,370.56 $193,356.60 2025-10-14
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 2 — — $139,825.00 $223,720.00 $181,772.50 2025-10-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 4 — — $166,137.76 $280,122.00 $175,076.25 2025-10-14
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 2 — — $101,178.99 $161,886.38 $131,532.68 2025-10-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 8 3 — — $79,288.82 $127,010.80 $126,936.46 2025-10-14
A9543 HCPCS Y90 Ibritumomab, Rx 8 3 — — $71,030.69 $123,540.72 $118,594.91 2025-10-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 4 — — $109,535.76 $186,912.58 $116,820.36 2025-10-14
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $112,342.00 $112,342.00 $112,342.00 2025-10-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 3 — — $69,932.46 $111,891.94 $110,907.14 2025-10-14
14 MS_DRG Allogeneic Bone Marrow Transplant 8 3 — — $101,565.15 $173,786.96 $105,091.00 2025-10-14
7 MS_DRG Lung Transplant 8 3 — — $101,309.34 $173,365.72 $104,831.46 2025-10-14
C9150 HCPCS Pharmacy 4 1 — — $104,000.00 $104,000.00 $104,000.00 2025-10-14
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $72,018.14 $115,229.02 $93,623.58 2025-10-14
C2624 HCPCS Hchg Wireless Pulmonary Artery Pressure Sensor 26 9 $118,757.93 $47,503.18 60% off $40,971.49 $106,882.14 $91,324.85 2025-10-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 4 — — $84,449.51 $145,601.76 $91,001.10 2025-10-14
J9226 HCPCS Supprelin La Implant 8 3 — — $56,950.49 $91,120.78 $89,157.50 2025-10-14
38240 CPT Transplt Allo Hct/donor 4 2 — — $68,307.91 $109,292.66 $88,800.29 2025-10-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 3 — — $85,424.71 $147,207.68 $88,714.76 2025-10-14
215 MS_DRG Other Heart Assist System Implant 10 4 — — $82,130.89 $141,783.56 $88,614.73 2025-10-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 4 — — $81,205.30 $140,259.34 $87,662.09 2025-10-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 3 — — $82,554.15 $142,480.56 $85,802.25 2025-10-14
L7180 HCPCS Electronic Elbow Sequential 4 2 — — $65,347.38 $104,555.80 $84,951.59 2025-10-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 4 — — $74,815.33 $129,736.64 $81,085.40 2025-10-14
C1882 HCPCS Hchg Bi-v Icd 26 9 $105,333.58 $42,133.44 60% off $36,340.09 $94,800.22 $81,001.52 2025-10-14
850 MS_DRG Acute Leukemia With Other Procedures 10 4 — — $71,410.65 $124,129.98 $77,581.24 2025-10-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 4 — — $65,689.67 $114,708.96 $71,693.10 2025-10-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 4 — — $65,653.24 $114,648.96 $71,655.60 2025-10-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 4 — — $64,656.33 $113,007.30 $70,629.56 2025-10-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 4 — — $62,489.65 $109,439.32 $68,399.58 2025-10-14
0266T CPT Outpatient Services 4 2 — — $51,974.45 $83,159.12 $67,566.79 2025-10-14
33276 CPT Insj Phrnc Nrv Stim Sys 4 2 — — $51,974.45 $83,159.12 $67,566.79 2025-10-14
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 2 — — $51,426.66 $82,282.66 $66,854.66 2025-10-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 4 — — $60,592.73 $106,315.56 $66,447.23 2025-10-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 4 — — $59,981.10 $105,308.36 $65,817.73 2025-10-14
10 MS_DRG Pancreas Transplant 8 3 — — $61,806.70 $108,314.66 $64,751.68 2025-10-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 3 — — $61,452.43 $107,731.26 $64,392.24 2025-10-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 4 — — $57,862.48 $101,819.50 $63,637.19 2025-10-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 4 — — $55,060.13 $97,204.74 $60,752.96 2025-10-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 4 — — $54,783.38 $96,749.00 $60,468.13 2025-10-14
C1721 HCPCS Hchg Icd Dual 26 9 $78,221.20 $31,288.48 60% off $26,986.31 $70,399.08 $60,152.11 2025-10-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 4 — — $53,926.79 $95,338.42 $59,586.51 2025-10-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 4 — — $52,932.98 $93,701.86 $58,563.66 2025-10-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 4 — — $51,974.83 $92,124.04 $57,577.53 2025-10-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 4 — — $51,774.83 $91,794.68 $57,371.68 2025-10-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 4 — — $51,687.24 $91,650.42 $57,281.51 2025-10-14
L6700 HCPCS Ue Add Ext Power Myoel 4 2 — — $43,397.34 $69,435.74 $56,416.54 2025-10-14
L5856 HCPCS Elec Knee-shin Swing/stance 4 2 — — $43,210.44 $69,136.70 $56,173.57 2025-10-14
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $42,954.96 $68,727.94 $55,841.45 2025-10-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 4 — — $50,133.73 $89,092.20 $55,682.63 2025-10-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 4 — — $50,061.64 $88,973.48 $55,608.43 2025-10-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 4 — — $49,025.97 $87,267.98 $54,542.49 2025-10-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 4 — — $48,018.99 $85,609.74 $53,506.09 2025-10-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 4 — — $47,956.97 $85,507.60 $53,442.25 2025-10-14
33249 CPT Hchg Insert/replace Icd System /w Lead (s) 30 9 $69,355.15 $27,742.06 60% off $23,927.53 $62,419.64 $53,334.11 2025-10-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 4 — — $47,738.37 $85,147.62 $53,217.26 2025-10-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 4 — — $47,571.70 $84,873.16 $53,045.73 2025-10-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 4 — — $47,354.64 $84,515.70 $52,822.31 2025-10-14
28 MS_DRG Spinal Procedures With Mcc 10 4 — — $47,128.28 $84,142.98 $52,589.36 2025-10-14
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $40,424.70 $64,679.52 $52,552.11 2025-10-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 4 — — $46,440.68 $83,010.64 $51,881.65 2025-10-14
J9266 HCPCS Pegaspargase Injection 8 3 — — $35,530.07 $56,848.12 $51,562.92 2025-10-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 4 — — $46,118.97 $82,480.88 $51,550.55 2025-10-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 4 — — $46,084.09 $82,423.42 $51,514.64 2025-10-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 4 — — $45,614.32 $81,649.84 $51,031.15 2025-10-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 4 — — $45,134.47 $80,859.66 $50,537.29 2025-10-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 4 — — $44,491.83 $79,801.36 $49,875.85 2025-10-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 4 — — $44,225.94 $79,363.50 $49,602.19 2025-10-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 3 — — $46,790.30 $83,586.38 $49,515.90 2025-10-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 3 — — $46,790.30 $83,586.38 $49,515.90 2025-10-14
653 MS_DRG Major Bladder Procedures With Mcc 10 4 — — $43,214.30 $77,697.60 $48,561.00 2025-10-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 4 — — $42,847.63 $77,093.80 $48,183.63 2025-10-14
834 MS_DRG Acute Leukemia With Mcc 10 4 — — $42,847.63 $77,093.80 $48,183.63 2025-10-14
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 2 — — $37,030.32 $59,248.52 $48,139.42 2025-10-14
0408T CPT Insj/rplc Cardiac Modulj Sys 4 2 — — $37,030.32 $59,248.52 $48,139.42 2025-10-14
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $37,030.32 $59,248.52 $48,139.42 2025-10-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 4 — — $42,667.78 $76,797.62 $47,998.51 2025-10-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 4 — — $42,407.32 $76,368.70 $47,730.44 2025-10-14
C1722 HCPCS Hchg Icd Single 42 9 $74,386.70 $29,754.68 60% off $19,061.34 $66,948.03 $47,458.71 2025-10-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 4 — — $42,083.28 $75,835.08 $47,396.93 2025-10-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 4 — — $41,868.55 $75,481.48 $47,175.93 2025-10-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 4 — — $41,829.02 $75,416.40 $47,135.25 2025-10-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 4 — — $41,824.37 $75,408.74 $47,130.46 2025-10-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 4 — — $41,242.19 $74,450.04 $46,531.28 2025-10-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 4 — — $41,060.02 $74,150.04 $46,343.78 2025-10-14
0268T CPT Outpatient Services 4 2 — — $35,196.23 $56,313.98 $45,755.11 2025-10-14
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 4 2 — — $35,196.23 $56,313.98 $45,755.11 2025-10-14
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 4 2 — — $35,196.23 $56,313.98 $45,755.11 2025-10-14
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $35,196.23 $56,313.98 $45,755.11 2025-10-14
33231 CPT Hchg Insertion Icd Generator Only /w Existing Multiple Leads 30 9 $59,172.50 $23,669.00 60% off $20,414.51 $59,248.52 $45,503.65 2025-10-14
33264 CPT Hchg Removal/replace Icd Multiple Lead System 30 9 $59,172.50 $23,669.00 60% off $20,414.51 $59,248.52 $45,503.65 2025-10-14
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $30,285.53 $48,456.84 $45,278.00 2025-10-14
L8614 HCPCS Cochlear Device 4 2 — — $34,765.80 $55,625.28 $45,195.54 2025-10-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 4 — — $39,923.58 $72,278.62 $45,174.14 2025-10-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 4 — — $39,791.02 $72,060.30 $45,037.69 2025-10-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 3 — — $42,179.41 $75,993.40 $44,837.65 2025-10-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 4 — — $39,493.34 $71,570.10 $44,731.31 2025-10-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 4 — — $39,372.41 $71,370.96 $44,606.85 2025-10-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 4 — — $39,046.05 $70,833.52 $44,270.95 2025-10-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 4 — — $38,815.81 $70,454.40 $44,034.00 2025-10-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 4 — — $38,785.58 $70,404.62 $44,002.89 2025-10-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 4 — — $38,770.08 $70,379.06 $43,986.91 2025-10-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 4 — — $38,630.54 $70,149.28 $43,843.30 2025-10-14
Q0483 HCPCS Monitor Elec Vad, Rep 4 2 — — $33,708.63 $53,933.80 $43,821.21 2025-10-14
L5858 HCPCS Stance Phase Only 4 2 — — $33,404.95 $53,447.92 $43,426.43 2025-10-14
33270 CPT Hchg Insert S-icd System 30 9 $56,423.60 $22,569.44 60% off $19,466.14 $59,248.52 $43,389.75 2025-10-14
245 MS_DRG Aicd Generator Procedures 10 4 — — $37,882.47 $68,917.40 $43,073.38 2025-10-14
471 MS_DRG Cervical Spinal Fusion With Mcc 10 4 — — $37,653.79 $68,540.82 $42,838.01 2025-10-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 4 — — $37,019.68 $67,496.60 $42,185.38 2025-10-14
799 MS_DRG Splenic Procedures With Mcc 10 4 — — $36,859.21 $67,232.36 $42,020.23 2025-10-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 4 — — $36,852.23 $67,220.88 $42,013.05 2025-10-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 4 — — $36,470.83 $66,592.78 $41,620.49 2025-10-14
L6975 HCPCS Interscap-thor Myoelectronic 4 2 — — $31,967.35 $51,147.76 $41,557.56 2025-10-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 4 — — $36,275.48 $66,271.10 $41,419.44 2025-10-14
C9760 HCPCS Non-blind Interatrial Shunt 4 2 — — $31,762.39 $50,819.82 $41,291.10 2025-10-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 4 — — $36,061.53 $65,918.78 $41,199.24 2025-10-14
163 MS_DRG Major Chest Procedures With Mcc 10 4 — — $35,730.52 $65,373.68 $40,858.55 2025-10-14
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 2 — — $31,366.08 $50,185.72 $40,775.90 2025-10-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 4 — — $35,601.84 $65,161.76 $40,726.10 2025-10-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 4 — — $35,596.41 $65,152.84 $40,720.53 2025-10-14
6 MS_DRG Liver Transplant Without Mcc 8 3 — — $37,591.00 $68,437.44 $40,182.20 2025-10-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 4 — — $34,973.92 $64,127.76 $40,079.85 2025-10-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 4 — — $34,765.39 $63,784.36 $39,865.23 2025-10-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 4 — — $34,669.27 $63,626.06 $39,766.29 2025-10-14
901 MS_DRG Wound Debridements For Injuries With Mcc 10 4 — — $34,345.24 $63,092.46 $39,432.79 2025-10-14
33274 CPT Hchg Leadless Ppm Insertion/replacement, Ventricular 30 9 $51,036.25 $20,414.50 60% off $17,607.51 $45,932.63 $39,246.88 2025-10-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 4 — — $34,052.99 $62,611.20 $39,132.00 2025-10-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 4 — — $33,542.13 $61,769.94 $38,606.21 2025-10-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 4 — — $33,473.14 $61,656.34 $38,535.21 2025-10-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 3 — — $35,715.79 $65,349.42 $38,279.59 2025-10-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 4 — — $33,067.71 $60,988.68 $38,117.93 2025-10-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 4 — — $33,018.87 $60,908.26 $38,067.66 2025-10-14
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 2 — — $29,223.55 $46,757.68 $37,990.61 2025-10-14
L6970 HCPCS Interscapular-thor Switch CT 4 2 — — $29,175.74 $46,681.18 $37,928.46 2025-10-14
140 MS_DRG Major Head And Neck Procedures With Mcc 10 4 — — $32,784.76 $60,522.76 $37,826.73 2025-10-14
36837 CPT Hchg Perc Av Fistula Creat/separate Access/ue/w Guidance 30 9 $49,066.65 $19,626.66 60% off $1,528.00 $44,159.99 $37,732.25 2025-10-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 4 — — $32,485.53 $60,030.00 $37,518.75 2025-10-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 4 — — $32,477.78 $60,017.22 $37,510.76 2025-10-14
793 MS_DRG Full Term Neonate With Major Problems 10 4 — — $32,329.72 $59,773.38 $37,358.36 2025-10-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 4 — — $32,253.75 $59,648.30 $37,280.19 2025-10-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 4 — — $31,877.00 $59,027.90 $36,892.44 2025-10-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 4 — — $31,859.17 $58,998.54 $36,874.09 2025-10-14
L6965 HCPCS Shldr Disartic Myoelectronic 4 2 — — $28,350.96 $45,361.54 $36,856.25 2025-10-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 4 — — $31,811.88 $58,920.66 $36,825.41 2025-10-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 4 — — $31,655.29 $58,662.80 $36,664.25 2025-10-14
33262 CPT Hchg Removal/replace Icd Single Lead System 30 9 $47,672.55 $19,069.02 60% off $16,447.03 $42,905.30 $36,660.19 2025-10-14
33263 CPT Hchg Removal/replace Icd Dual Lead System 30 9 $47,672.55 $19,069.02 60% off $16,447.03 $42,905.30 $36,660.19 2025-10-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 4 — — $31,530.48 $58,457.28 $36,535.80 2025-10-14
791 MS_DRG Prematurity With Major Problems 10 4 — — $31,472.34 $58,361.52 $36,475.95 2025-10-14
37227 CPT Hchg Femoral/popliteal Stent /w Atherectomy (/w Or Without Angio)same Vess 30 9 $46,908.90 $18,763.56 60% off $16,183.57 $42,218.01 $36,072.94 2025-10-14
37231 CPT Hchg Tibial/peroneal Stent/atherectomy (/w Or Without Angio) Same Vessel 30 9 $46,908.90 $18,763.56 60% off $16,183.57 $42,218.01 $36,072.94 2025-10-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 4 — — $30,881.64 $57,388.80 $35,868.00 2025-10-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 4 — — $30,859.94 $57,353.04 $35,845.65 2025-10-14
J7311 HCPCS Fluocinolone 0.59 Mg Impl 1 Each Packet 30 9 $46,611.25 $18,644.50 60% off $424.70 $41,950.13 $35,844.06 2025-10-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 4 — — $30,587.07 $56,903.70 $35,564.81 2025-10-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 4 — — $30,524.28 $56,800.30 $35,500.19 2025-10-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 4 — — $30,462.26 $56,698.16 $35,436.35 2025-10-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 4 — — $30,327.37 $56,476.06 $35,297.54 2025-10-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 4 — — $30,312.65 $56,451.78 $35,282.36 2025-10-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 4 — — $30,145.20 $56,176.04 $35,110.03 2025-10-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 4 — — $29,961.48 $55,873.52 $34,920.95 2025-10-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 4 — — $29,931.25 $55,823.72 $34,889.83 2025-10-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 4 — — $29,847.53 $55,685.84 $34,803.65 2025-10-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 4 — — $29,631.24 $55,329.68 $34,581.05 2025-10-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 4 — — $29,470.78 $55,065.44 $34,415.90 2025-10-14
36836 CPT Hchg Perc Av Fistula Creat/singl Access/ue/w Guidance 30 9 $44,606.05 $17,842.42 60% off $15,389.09 $40,145.45 $34,302.06 2025-10-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 4 — — $29,241.32 $54,687.58 $34,179.74 2025-10-14
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 2 — — $26,172.70 $41,876.32 $34,024.51 2025-10-14
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 4 2 — — $26,124.23 $41,798.76 $33,961.50 2025-10-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 4 — — $29,007.98 $54,303.32 $33,939.58 2025-10-14
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 4 2 — — $25,987.52 $41,580.02 $33,783.77 2025-10-14
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 4 2 — — $25,987.52 $41,580.02 $33,783.77 2025-10-14
0916T CPT Insj Perm Ccm-d Sys Pg Only 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
0409T CPT Insj/rplc Car Modulj Pls Gn 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
0515T CPT Insj Wcs Lv Compl Sys 4 2 — — $25,924.79 $41,479.66 $33,702.23 2025-10-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 4 — — $28,284.72 $53,112.32 $33,195.20 2025-10-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 4 — — $28,088.60 $52,789.34 $32,993.34 2025-10-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 4 — — $27,789.37 $52,296.58 $32,685.36 2025-10-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 4 — — $27,787.82 $52,294.02 $32,683.76 2025-10-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 4 — — $27,783.17 $52,286.38 $32,678.99 2025-10-14
265 MS_DRG Aicd Lead Procedures 10 4 — — $27,652.93 $52,071.90 $32,544.94 2025-10-14
33240 CPT Hchg Insert Icd Pulse Generator /w Existing Single Lead 30 9 $42,184.45 $16,873.78 60% off $14,553.64 $41,479.66 $32,439.85 2025-10-14
33230 CPT Hchg Insertion Icd Generator Only; /w Existing Dual Leads 30 9 $42,184.45 $16,873.78 60% off $14,553.64 $41,479.66 $32,439.85 2025-10-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 4 — — $27,528.90 $51,867.66 $32,417.29 2025-10-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 4 — — $27,367.66 $51,602.12 $32,251.33 2025-10-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 4 — — $27,360.68 $51,590.64 $32,244.15 2025-10-14
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 4 2 — — $24,767.73 $39,628.38 $32,198.06 2025-10-14
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 4 2 — — $24,767.73 $39,628.38 $32,198.06 2025-10-14
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 4 2 — — $24,767.73 $39,628.38 $32,198.06 2025-10-14
63655 CPT Implant Neuroelectrodes 4 2 — — $24,767.73 $39,628.38 $32,198.06 2025-10-14
0680T CPT Insj/rplcmt Pg Only Isdss 4 2 — — $24,767.73 $39,628.38 $32,198.06 2025-10-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 4 — — $27,291.69 $51,477.02 $32,173.14 2025-10-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 4 — — $27,161.46 $51,262.58 $32,039.11 2025-10-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 4 — — $27,152.93 $51,248.52 $32,030.33 2025-10-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 4 — — $27,142.08 $51,230.64 $32,019.15 2025-10-14
264 MS_DRG Other Circulatory System O.r. Procedures 10 4 — — $27,094.02 $51,151.50 $31,969.69 2025-10-14
332 MS_DRG Rectal Resection With Mcc 10 4 — — $26,889.36 $50,814.50 $31,759.06 2025-10-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 4 — — $26,859.90 $50,765.98 $31,728.74 2025-10-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 4 — — $26,700.99 $50,504.28 $31,565.18 2025-10-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 4 — — $26,659.13 $50,435.36 $31,522.10 2025-10-14
665 MS_DRG Prostatectomy With Mcc 10 4 — — $26,617.27 $50,366.40 $31,479.00 2025-10-14
252 MS_DRG Other Vascular Procedures With Mcc 10 4 — — $26,592.46 $50,325.56 $31,453.48 2025-10-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 4 — — $26,552.15 $50,259.18 $31,411.99 2025-10-14
L6960 HCPCS Shldr Disartic Switch Contro 4 2 — — $24,096.74 $38,554.78 $31,325.76 2025-10-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 4 — — $26,404.86 $50,016.64 $31,260.40 2025-10-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 4 — — $26,294.78 $49,835.38 $31,147.11 2025-10-14
L6955 HCPCS Above Elbow Myoelectronic CT 4 2 — — $23,891.86 $38,226.98 $31,059.42 2025-10-14
36906 CPT Hchg Av Shuntogram /w Thrombectomy & Stent/pta 30 9 $40,341.00 $16,136.40 60% off $2,698.00 $36,306.90 $31,022.23 2025-10-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 4 — — $26,021.14 $49,384.74 $30,865.46 2025-10-14
37 MS_DRG Extracranial Procedures With Mcc 10 4 — — $25,743.62 $48,927.74 $30,579.84 2025-10-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 4 — — $25,596.33 $48,685.18 $30,428.24 2025-10-14
54411 CPT Remov/replc Penis Pros Comp 4 2 — — $23,247.98 $37,196.77 $30,222.38 2025-10-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 4 — — $25,338.96 $48,261.36 $30,163.35 2025-10-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 4 — — $25,266.87 $48,142.66 $30,089.16 2025-10-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 4 — — $25,256.02 $48,124.78 $30,077.99 2025-10-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 4 — — $24,956.01 $47,630.76 $29,769.23 2025-10-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 4 — — $24,840.51 $47,440.54 $29,650.34 2025-10-14
93580 CPT Hchg Transcatheter Pfo/asd Closure 30 9 $38,483.80 $15,393.52 60% off $13,276.91 $34,635.42 $29,594.04 2025-10-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 4 — — $24,768.42 $47,321.82 $29,576.14 2025-10-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 4 — — $24,721.13 $47,243.94 $29,527.46 2025-10-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 4 — — $24,654.46 $47,134.16 $29,458.85 2025-10-14
37183 CPT Hchg Revision Of Tips 30 9 $38,247.00 $15,298.80 60% off $6,585.11 $34,422.30 $29,411.94 2025-10-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 4 — — $24,604.85 $47,052.46 $29,407.79 2025-10-14
500 MS_DRG Soft Tissue Procedures With Mcc 10 4 — — $24,563.76 $46,984.80 $29,365.50 2025-10-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 3 — — $26,918.82 $50,863.00 $29,354.10 2025-10-14
37238 CPT Hchg Stent Place 1st Veneous Open/perc 30 9 $38,088.05 $15,235.22 60% off $13,098.07 $34,279.25 $29,289.72 2025-10-14
37236 CPT Hchg Stent Place 1st Artery Open/perc 30 9 $38,088.05 $15,235.22 60% off $13,098.07 $34,279.25 $29,289.72 2025-10-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 4 — — $24,193.99 $46,375.88 $28,984.93 2025-10-14
662 MS_DRG Minor Bladder Procedures With Mcc 10 4 — — $24,183.14 $46,358.02 $28,973.76 2025-10-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 4 — — $24,080.04 $46,188.24 $28,867.65 2025-10-14
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 4 — — $23,972.28 $46,010.78 $28,756.74 2025-10-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 4 — — $23,922.67 $45,929.08 $28,705.68 2025-10-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 4 — — $23,905.62 $45,901.00 $28,688.13 2025-10-14
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
0525T CPT Insj/rplcmt Compl Iims 4 2 — — $22,026.71 $35,242.74 $28,634.72 2025-10-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 4 — — $23,787.79 $45,706.96 $28,566.85 2025-10-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 4 — — $23,710.27 $45,579.32 $28,487.08 2025-10-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 4 2 — — $21,856.38 $34,970.20 $28,413.29 2025-10-14
570 MS_DRG Skin Debridement With Mcc 10 4 — — $23,335.07 $44,961.46 $28,100.91 2025-10-14
Q0479 HCPCS Power Module Combo Vad, Rep 4 2 — — $21,545.45 $34,472.72 $28,009.08 2025-10-14
974 MS_DRG HIV With Major Related Condition With Mcc 10 4 — — $23,149.02 $44,655.08 $27,909.43 2025-10-14
22856 CPT Tot Disc Arthrp 1ntrspc Crv 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
C8003 HCPCS Imp Extar Knee Shck Absrb 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
24371 CPT Revise Reconst Elbow Joint 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
27702 CPT Reconstruct Ankle Joint 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
22630 CPT Arthrd Pst Tq 1ntrspc Lum 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
27278 CPT Arthrd Si Jt Plmt Iartic Dev 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
20696 CPT App Mltpln Uni Xtrnl Fix 1st 4 2 — — $21,240.05 $33,984.08 $27,612.07 2025-10-14
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 4 — — $22,857.55 $44,175.08 $27,609.43 2025-10-14
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 4 — — $22,798.63 $44,078.08 $27,548.80 2025-10-14
93654 CPT Hchg Ablation V-tach /w Complete Ep Study Rt Side 30 9 $35,819.75 $14,327.90 60% off $12,357.81 $45,334.71 $27,545.39 2025-10-14
93653 CPT Hchg Ablation Svt /w Complete Ep Study Rt Side 30 9 $35,819.75 $14,327.90 60% off $12,357.81 $45,334.71 $27,545.39 2025-10-14
93656 CPT Hchg Ablation By Pulmonary Vein /w Complete Ep Study 30 9 $35,819.75 $14,327.90 60% off $12,357.81 $45,334.71 $27,545.39 2025-10-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 4 — — $22,736.62 $43,975.96 $27,484.98 2025-10-14
668 MS_DRG Transurethral Procedures With Mcc 10 4 — — $22,607.16 $43,762.78 $27,351.74 2025-10-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 4 — — $22,594.75 $43,742.34 $27,338.96 2025-10-14
800 MS_DRG Splenic Procedures With Cc 10 4 — — $22,587.78 $43,730.86 $27,331.79 2025-10-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 4 — — $22,575.37 $43,710.42 $27,319.01 2025-10-14
472 MS_DRG Cervical Spinal Fusion With Cc 10 4 — — $22,459.09 $43,518.94 $27,199.34 2025-10-14
C9602 HCPCS Perc D-e Cor Stent Ather S 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
0632T CPT Perq Tcat US Abltj Nrv P-art 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
0981T CPT Tcat Impl Wrls Ivc Snr 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
0645T CPT Tcat Impltj C Sins Rdctj Dev 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
C9767 HCPCS Revasc Lithotrip-stent-ather 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
C9775 HCPCS Revasc Lith-sten-ath Tib/per 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
C9797 HCPCS Vasc Emb/occ W/prs Cath 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
93591 CPT Perq Transcath Cls Aortic 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
93581 CPT Transcath Closure Of Vsd 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
C9774 HCPCS Revasc Lithotr-ather Tib/per 4 2 — — $20,739.56 $33,183.30 $26,961.43 2025-10-14
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