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

STILLWATER MEDICAL CENTER

Stillwater, OK · CCN 370049 · Rates published

20,152 distinct procedures filed
15 distinct payers
312,054 rate rows
2025-12-31 last MRF observed
Data quality

221,073 of 312,054 rate rows are consumer-grade (70.8%)

90,981 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 90,962
placeholder amount (≤ $0.02) — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/StillwaterMedicalCenter/730927647_stillwater-medical-center-ok_standardcharges.json
Found on page https://www.stillwater-medical.org/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 44dd7be52aa1112d… · 81,375,888 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,779,587.06 $4,531,394.00 $3,779,587.06 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 2 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,384,086.90 $4,141,076.95 $3,384,086.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 2 $3,252,889.89 $3,252,889.89 $3,252,889.89 nat. median
$3,286,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,448,539.51 $4,284,944.14 $3,212,796.86 nat. median
$2,468,984
1.3× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 2 $3,023,669.65 $3,023,669.65 $3,023,669.65 nat. median
$3,004,655
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 3 $2,375,740.44 $4,157,545.77 $2,375,740.44 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $576,233.03 $1,548,626.27 $1,062,429.65 nat. median
$753,246
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $561,659.21 $1,509,459.13 $1,035,559.17 nat. median
$674,867
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $538,221.79 $1,446,471.06 $992,346.43 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $526,173.50 $1,414,091.28 $970,132.39 nat. median
$673,137
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $498,698.84 $1,340,253.13 $919,475.98 nat. median
$634,303
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $497,205.71 $1,336,240.35 $916,723.03 nat. median
$619,808
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $291,811.01 $784,242.09 $538,026.55 nat. median
$370,174
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $217,958.36 $585,763.09 $401,860.72 nat. median
$265,286
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $183,560.34 $493,318.41 $338,439.38 nat. median
$206,474
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $165,831.68 $445,672.64 $305,752.16 nat. median
$202,976
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $109,333.95 $293,834.99 $201,584.47 nat. median
$133,161
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $101,378.03 $272,453.46 $186,915.74 nat. median
$117,357
1.6× median
7
MS_DRG 		Lung Transplant 15 $101,122.69 $271,767.23 $186,444.96 nat. median
$122,708
1.5× median
Q0480
HCPCS 		Dme Pos 12 $174,999.93 $174,999.93 $174,999.93 nat. median
$111,989
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $85,267.33 $229,155.95 $157,211.64 nat. median
$108,660
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $84,293.93 $226,539.94 $155,416.93 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $82,402.05 $221,455.51 $151,928.78 nat. median
$100,136
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 15 $81,979.57 $220,320.09 $151,149.83 nat. median
$99,019
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $81,055.69 $217,837.17 $149,446.43 nat. median
$98,894
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $74,677.49 $200,695.75 $137,686.62 nat. median
$93,672
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $71,279.08 $191,562.53 $131,420.80 nat. median
$83,470
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $65,568.65 $176,215.75 $120,892.20 nat. median
$79,312
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $65,532.28 $176,118.00 $120,825.14 nat. median
$81,118
1.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 15 $64,591.25 $173,588.98 $119,090.12 nat. median
$69,774
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $64,537.21 $173,443.75 $118,990.48 nat. median
$82,711
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $62,374.52 $167,631.52 $115,003.02 nat. median
$77,570
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $61,339.21 $164,849.13 $113,094.17 nat. median
$71,271
1.6× median
10
MS_DRG 		Pancreas Transplant 15 $60,204.00 $165,799.48 $113,001.74 nat. median
$68,884
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $60,481.10 $162,542.96 $111,512.03 nat. median
$73,807
1.5× median
38240
CPT 		Transplt Allo Hct/donor 15 $60,251.64 $161,926.28 $111,088.96 nat. median
$15,979
outlier · 7.0×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $110,830.00 $110,830.00 $110,830.00 nat. median
$87,428
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $59,870.59 $160,902.21 $110,386.40 nat. median
$74,915
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 15 $57,890.39 $155,580.42 $106,735.40 nat. median
$62,507
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $57,755.87 $155,218.90 $106,487.38 nat. median
$72,135
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 15 $56,578.18 $152,053.86 $104,316.02 nat. median
$66,682
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $54,958.69 $147,701.48 $101,330.09 nat. median
$68,090
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $54,682.45 $146,959.08 $100,820.76 nat. median
$68,886
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $53,827.44 $144,661.25 $99,244.35 nat. median
$66,526
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $52,835.46 $141,995.30 $97,415.38 nat. median
$64,732
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $51,879.08 $139,425.03 $95,652.05 nat. median
$63,724
1.5× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $51,679.44 $138,888.50 $95,283.97 nat. median
$64,023
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $51,592.01 $138,653.53 $95,122.77 nat. median
$65,950
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $50,041.37 $134,486.18 $92,263.77 nat. median
$62,134
1.5× median

Other procedures at this hospital

Browse this hospital's 20,152 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 Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 2 2 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,779,587.06 $4,531,394.00 $3,779,587.06 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,384,086.90 $4,141,076.95 $3,384,086.90 2025-12-31
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 2 2 — — $3,252,889.89 $3,252,889.89 $3,252,889.89 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,448,539.51 $4,284,944.14 $3,212,796.86 2025-12-31
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 2 — — $3,023,669.65 $3,023,669.65 $3,023,669.65 2025-12-31
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 3 — — $2,375,740.44 $4,157,545.77 $2,375,740.44 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 14 — — $576,233.03 $1,548,626.27 $1,062,429.65 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 15 15 — — $561,659.21 $1,509,459.13 $1,035,559.17 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 15 15 — — $538,221.79 $1,446,471.06 $992,346.43 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 15 — — $526,173.50 $1,414,091.28 $970,132.39 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 15 — — $498,698.84 $1,340,253.13 $919,475.98 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 15 15 — — $497,205.71 $1,336,240.35 $916,723.03 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 15 — — $291,811.01 $784,242.09 $538,026.55 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 15 — — $217,958.36 $585,763.09 $401,860.72 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 15 — — $183,560.34 $493,318.41 $338,439.38 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 15 — — $165,831.68 $445,672.64 $305,752.16 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 15 — — $109,333.95 $293,834.99 $201,584.47 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 15 15 — — $101,378.03 $272,453.46 $186,915.74 2025-12-31
7 MS_DRG Lung Transplant 15 15 — — $101,122.69 $271,767.23 $186,444.96 2025-12-31
Q0480 HCPCS Dme Pos 12 12 — — $174,999.93 $174,999.93 $174,999.93 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 15 — — $85,267.33 $229,155.95 $157,211.64 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 15 — — $84,293.93 $226,539.94 $155,416.93 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 15 — — $82,402.05 $221,455.51 $151,928.78 2025-12-31
215 MS_DRG Other Heart Assist System Implant 15 15 — — $81,979.57 $220,320.09 $151,149.83 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $81,055.69 $217,837.17 $149,446.43 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $74,677.49 $200,695.75 $137,686.62 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 14 14 — — $71,279.08 $191,562.53 $131,420.80 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 15 — — $65,568.65 $176,215.75 $120,892.20 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $65,532.28 $176,118.00 $120,825.14 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 15 — — $64,591.25 $173,588.98 $119,090.12 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 14 — — $64,537.21 $173,443.75 $118,990.48 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 15 — — $62,374.52 $167,631.52 $115,003.02 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 15 — — $61,339.21 $164,849.13 $113,094.17 2025-12-31
10 MS_DRG Pancreas Transplant 15 15 — — $60,204.00 $165,799.48 $113,001.74 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 15 — — $60,481.10 $162,542.96 $111,512.03 2025-12-31
38240 CPT Transplt Allo Hct/donor 15 15 — — $60,251.64 $161,926.28 $111,088.96 2025-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $110,830.00 $110,830.00 $110,830.00 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $59,870.59 $160,902.21 $110,386.40 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 15 15 — — $57,890.39 $155,580.42 $106,735.40 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 15 — — $57,755.87 $155,218.90 $106,487.38 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 15 — — $56,578.18 $152,053.86 $104,316.02 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $54,958.69 $147,701.48 $101,330.09 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 15 — — $54,682.45 $146,959.08 $100,820.76 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 15 — — $53,827.44 $144,661.25 $99,244.35 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 15 — — $52,835.46 $141,995.30 $97,415.38 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 14 — — $51,879.08 $139,425.03 $95,652.05 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 15 — — $51,679.44 $138,888.50 $95,283.97 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 15 — — $51,592.01 $138,653.53 $95,122.77 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 15 — — $50,041.37 $134,486.18 $92,263.77 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $49,969.41 $134,292.79 $92,131.10 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 15 — — $48,935.65 $131,514.56 $90,225.10 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 15 — — $47,930.52 $128,813.27 $88,371.90 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 14 — — $47,868.62 $128,646.92 $88,257.77 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $47,650.41 $128,060.48 $87,855.45 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 15 — — $47,484.05 $127,613.38 $87,548.71 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 15 — — $47,267.40 $127,031.14 $87,149.27 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 15 15 — — $47,041.46 $126,423.92 $86,732.69 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 15 — — $46,704.09 $125,517.24 $86,110.66 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 15 — — $46,704.09 $125,517.24 $86,110.66 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 15 — — $46,355.12 $124,579.39 $85,467.26 2025-12-31
J9226 HCPCS Supprelin La Implant 15 15 — — $46,110.76 $123,922.67 $85,016.71 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $46,034.01 $123,716.40 $84,875.21 2025-12-31
266T CPT Implt/rpl Crtd Sns Dev Total 15 15 — — $45,844.56 $123,207.26 $84,525.91 2025-12-31
33276 CPT Insj Phrnc Nrv Stim Sys 15 15 — — $45,844.56 $123,207.26 $84,525.91 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 15 — — $45,530.28 $122,362.63 $83,946.46 2025-12-31
L7180 HCPCS Dme Pos 12 12 — — $83,785.73 $83,785.73 $83,785.73 2025-12-31
L7181 HCPCS Dme Pos 12 12 — — $83,104.95 $83,104.95 $83,104.95 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 15 — — $45,051.32 $121,075.42 $83,063.37 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $82,950.00 $82,950.00 $82,950.00 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $44,409.86 $119,351.50 $81,880.68 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 15 — — $44,144.45 $118,638.21 $81,391.33 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 15 15 — — $43,134.68 $115,924.45 $79,529.57 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 15 15 — — $42,768.69 $114,940.85 $78,854.77 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 15 — — $42,768.69 $114,940.85 $78,854.77 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $42,589.17 $114,458.39 $78,523.78 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 14 — — $42,329.19 $113,759.70 $78,044.45 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 15 — — $42,101.70 $113,148.32 $77,625.01 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 15 — — $42,005.75 $112,890.45 $77,448.10 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 15 — — $41,791.41 $112,314.41 $77,052.91 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 15 — — $41,751.95 $112,208.37 $76,980.16 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $41,747.31 $112,195.90 $76,971.60 2025-12-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $76,497.00 $76,497.00 $76,497.00 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 15 — — $41,166.21 $110,634.19 $75,900.20 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $40,984.37 $110,145.49 $75,564.93 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 14 — — $39,850.02 $107,096.93 $73,473.48 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 15 — — $39,717.71 $106,741.35 $73,229.53 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 15 — — $39,420.58 $105,942.81 $72,681.70 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 15 — — $39,299.87 $105,618.40 $72,459.13 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 15 — — $38,974.11 $104,742.92 $71,858.51 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 15 — — $38,744.30 $104,125.31 $71,434.80 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 15 — — $38,714.12 $104,044.20 $71,379.16 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 15 — — $38,698.65 $104,002.62 $71,350.63 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 15 — — $38,559.37 $103,628.31 $71,093.84 2025-12-31
245 MS_DRG Aicd Generator Procedures 15 15 — — $37,812.68 $101,621.58 $69,717.13 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 15 15 — — $37,584.42 $101,008.13 $69,296.27 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 15 15 — — $37,521.74 $100,839.68 $69,180.71 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 15 — — $36,951.47 $99,307.08 $68,129.27 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 15 15 — — $36,791.30 $98,876.62 $67,833.96 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 — — $36,784.34 $98,857.91 $67,821.12 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 15 — — $36,403.64 $97,834.78 $67,119.21 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 15 — — $36,208.65 $97,310.75 $66,759.70 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 15 — — $35,995.09 $96,736.80 $66,365.95 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 15 15 — — $35,664.69 $95,848.85 $65,756.77 2025-12-31
620T CPT Evasc Ven Artlz Tibl/prnl Vn 15 15 — — $35,656.99 $95,828.16 $65,742.57 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 15 — — $35,649.99 $95,809.35 $65,729.67 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $35,536.24 $95,503.65 $65,519.94 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 15 — — $35,530.83 $95,489.11 $65,509.97 2025-12-31
33231 CPT Cc,insert Pulse Gen W/multi Ld 15 15 $96,952.00 $77,561.60 $32,662.95 $87,781.68 $64,957.84 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 15 — — $34,909.49 $93,819.25 $64,364.37 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 15 — — $34,701.34 $93,259.85 $63,980.60 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 15 — — $34,605.40 $93,002.01 $63,803.71 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $0.70 $123,622.82 $63,248.89 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 15 15 — — $34,281.96 $92,132.77 $63,207.36 2025-12-31
33249 CPT Cc,insrt/replace Defib W/leads 15 15 $92,705.00 $74,164.00 20% off $32,662.95 $87,781.68 $62,691.96 2025-12-31
33264 CPT Cc,reml/replace Defb Gen,multi 15 15 $92,705.00 $74,164.00 20% off $32,662.95 $87,781.68 $62,691.96 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 15 — — $33,990.25 $91,348.80 $62,669.53 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 15 — — $33,480.33 $89,978.39 $61,729.36 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $33,411.47 $89,793.33 $61,602.40 2025-12-31
33230 CPT Cc,insert Pulse Gen W/dual Lds 15 15 $96,952.00 $77,561.60 $22,867.20 $87,256.80 $61,455.60 2025-12-31
33263 CPT Cc,remvl/replce Pulse Gen,dual 15 15 $96,952.00 $77,561.60 $22,867.20 $87,256.80 $61,455.60 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 15 — — $33,006.78 $88,705.72 $60,856.25 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 15 — — $32,958.04 $88,574.73 $60,766.39 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 15 15 — — $32,724.36 $87,946.72 $60,335.54 2025-12-31
571T CPT Insj/rplcmt Icds Ss Eltrd 14 14 — — $32,662.95 $87,781.68 $60,222.32 2025-12-31
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 15 15 — — $32,662.95 $87,781.68 $60,222.32 2025-12-31
33270 CPT Ins/rep Subq Defibrillator 15 15 — — $32,662.95 $87,781.68 $60,222.32 2025-12-31
33262 CPT Cc,remvl/replace Pulse Gen,sng 15 15 $92,104.00 $73,683.20 20% off $22,867.20 $82,893.60 $59,867.60 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 15 — — $32,425.68 $87,144.02 $59,784.85 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 15 — — $32,417.94 $87,123.21 $59,770.57 2025-12-31
69930 CPT Implant Cochlear Device 15 15 — — $32,404.43 $87,086.91 $59,745.67 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 15 — — $32,194.32 $86,522.24 $59,358.28 2025-12-31
J7330 HCPCS Cultured Chondrocytes Implnt 12 12 — — $58,979.55 $58,979.55 $58,979.55 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 15 — — $31,818.27 $85,511.60 $58,664.93 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 15 — — $31,800.47 $85,463.76 $58,632.11 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 15 — — $31,753.27 $85,336.91 $58,545.09 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $31,596.97 $84,916.86 $58,256.92 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 15 — — $31,472.39 $84,582.05 $58,027.22 2025-12-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $57,602.00 $57,602.00 $57,602.00 2025-12-31
64568 CPT Opn Impltj Crnl Nrv Nea&pg 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
61886 CPT Implant Neurostim Arrays 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
674T CPT Laps Insj Nw/rpcmt Prm Isdss 14 14 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
268T CPT Implt/rpl Crtd Sns Dev Gen 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 15 — — $30,824.75 $82,841.52 $56,833.14 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 15 — — $30,803.08 $82,783.28 $56,793.18 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 15 — — $30,530.71 $82,051.28 $56,291.00 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 15 — — $30,468.04 $81,882.86 $56,175.45 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 15 — — $30,406.14 $81,716.50 $56,061.32 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $30,271.50 $81,354.66 $55,813.08 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 15 — — $30,256.80 $81,315.15 $55,785.97 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 15 — — $30,089.66 $80,865.96 $55,477.81 2025-12-31
33289 CPT Cc,insert Cardiomems Implant 15 15 $78,915.00 $63,132.00 20% off $28,961.55 $77,834.17 $55,384.94 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 15 — — $29,906.28 $80,373.13 $55,139.71 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 15 — — $29,876.10 $80,292.02 $55,084.06 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 15 — — $29,792.54 $80,067.45 $54,930.00 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 15 — — $29,576.65 $79,487.25 $54,531.95 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 15 — — $29,416.48 $79,056.79 $54,236.64 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 15 — — $29,187.45 $78,441.27 $53,814.36 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 15 — — $28,954.54 $77,815.33 $53,384.93 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 15 — — $28,232.61 $75,875.14 $52,053.88 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 15 — — $28,036.85 $75,349.03 $51,692.94 2025-12-31
C9760 HCPCS Non-blind Interatrial Shunt 14 14 — — $28,016.32 $75,293.86 $51,655.09 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 15 — — $27,738.17 $74,546.33 $51,142.25 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 15 — — $27,736.62 $74,542.17 $51,139.39 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 15 — — $27,731.98 $74,529.70 $51,130.84 2025-12-31
265 MS_DRG Aicd Lead Procedures 15 15 — — $27,601.99 $74,180.35 $50,891.17 2025-12-31
J9266 HCPCS Pegaspargase Injection 15 15 — — $27,578.28 $74,116.63 $50,847.46 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 15 — — $27,478.18 $73,847.61 $50,662.89 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 15 — — $27,317.24 $73,415.08 $50,366.16 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 15 — — $27,310.28 $73,396.38 $50,353.33 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 15 — — $27,241.41 $73,211.29 $50,226.35 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 15 — — $27,111.42 $72,861.94 $49,986.68 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 — — $27,102.90 $72,839.04 $49,970.97 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 15 — — $27,092.07 $72,809.94 $49,951.00 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 15 15 — — $27,044.10 $72,681.02 $49,862.56 2025-12-31
L5856 HCPCS Dme Pos 12 12 — — $49,790.42 $49,790.42 $49,790.42 2025-12-31
L6880 HCPCS Dme Pos 12 12 — — $49,555.26 $49,555.26 $49,555.26 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 15 — — $26,869.23 $72,211.06 $49,540.14 2025-12-31
332 MS_DRG Rectal Resection With Mcc 15 15 — — $26,839.82 $72,132.02 $49,485.92 2025-12-31
33224 CPT Cc,insert Pacing Lead & Connec 15 15 $96,952.00 $77,561.60 $10,661.62 $87,256.80 $49,445.52 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 15 — — $26,810.42 $72,053.00 $49,431.71 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 15 — — $26,651.80 $71,626.71 $49,139.25 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 15 — — $26,610.01 $71,514.40 $49,062.21 2025-12-31
665 MS_DRG Prostatectomy With Mcc 15 15 — — $26,568.23 $71,402.12 $48,985.18 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 15 15 — — $26,543.47 $71,335.58 $48,939.53 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 15 — — $26,503.23 $71,227.43 $48,865.33 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 15 — — $26,356.21 $70,832.31 $48,594.26 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 15 — — $26,246.34 $70,537.04 $48,391.69 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 15 — — $25,973.20 $69,802.98 $47,888.09 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 15 15 — — $25,696.19 $69,058.51 $47,377.35 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 15 — — $25,549.17 $68,663.39 $47,106.28 2025-12-31
J3357 HCPCS Stelara Sub Cu Inj,90mg 14 14 $80,971.00 $64,776.80 $158.80 $72,873.90 $46,963.18 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 15 — — $25,292.28 $67,973.00 $46,632.64 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 15 — — $25,220.32 $67,779.61 $46,499.96 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 15 — — $25,209.49 $67,750.50 $46,480.00 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 15 — — $24,910.04 $66,945.73 $45,927.89 2025-12-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $45,749.00 $45,749.00 $45,749.00 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 15 — — $24,794.74 $66,635.86 $45,715.30 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 15 — — $24,722.78 $66,442.47 $45,582.62 2025-12-31
J9600 HCPCS Porfimer Sodium Injection 15 15 — — $24,682.86 $66,335.19 $45,509.03 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 15 — — $24,675.58 $66,315.62 $45,495.60 2025-12-31
93656 CPT Cc,ep,tx Atrial Fib Pulm Vein 15 15 $67,864.00 $54,291.20 20% off $24,992.44 $67,167.18 $45,468.88 2025-12-31
93653 CPT Cc,ep,eval With Ablate Supravent 15 15 $67,864.00 $54,291.20 20% off $24,992.44 $67,167.18 $45,468.88 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 15 — — $24,609.04 $66,136.80 $45,372.92 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 15 — — $24,559.52 $66,003.71 $45,281.61 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 15 15 — — $24,518.51 $65,893.50 $45,206.00 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 15 — — $24,149.42 $64,901.57 $44,525.50 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 15 15 — — $24,138.58 $64,872.43 $44,505.50 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 6 6 — — $0.70 $86,726.03 $44,371.46 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 15 — — $24,035.67 $64,595.86 $44,315.76 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 15 — — $23,928.12 $64,306.82 $44,117.47 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $23,878.60 $64,173.74 $44,026.17 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 15 — — $23,861.57 $64,127.97 $43,994.77 2025-12-31
652 MS_DRG Kidney Transplant 15 15 — — $23,765.63 $63,870.13 $43,817.88 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 15 — — $23,743.96 $63,811.89 $43,777.93 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 15 — — $23,666.58 $63,603.93 $43,635.25 2025-12-31
791 MS_DRG Prematurity With Major Problems 6 6 — — $0.70 $84,426.09 $43,194.74 2025-12-31
570 MS_DRG Skin Debridement With Mcc 15 15 — — $23,292.08 $62,597.47 $42,944.78 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 15 15 — — $23,106.37 $62,098.37 $42,602.37 2025-12-31
93654 CPT Cc,ep,ablate Ventric Tachy 15 15 $49,785.00 $39,828.00 20% off $24,892.50 $67,167.18 $42,317.25 2025-12-31
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 15 15 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 15 15 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
515T CPT Insj Wcs Lv Compl Sys 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
414T CPT Rmvl & Rpl Car Modulj Pls Gn 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
409T CPT Insj/rplc Car Modulj Pls Gn 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
33240 CPT Insrt Pulse Gen W/singl Lead 15 15 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 15 — — $22,815.44 $61,316.50 $42,065.97 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 15 — — $22,756.63 $61,158.44 $41,957.54 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 15 — — $22,694.73 $60,992.09 $41,843.41 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 15 15 — — $22,565.51 $60,644.81 $41,605.16 2025-12-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 15 — — $22,553.13 $60,611.54 $41,582.33 2025-12-31
800 MS_DRG Splenic Procedures With Cc 15 15 — — $22,546.16 $60,592.81 $41,569.49 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 15 — — $22,533.78 $60,559.53 $41,546.65 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 15 15 — — $22,417.72 $60,247.62 $41,332.67 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 15 — — $22,184.81 $59,621.68 $40,903.25 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 15 — — $22,159.28 $59,553.07 $40,856.18 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 15 — — $22,146.12 $59,517.70 $40,831.91 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 15 — — $22,115.17 $59,434.52 $40,774.85 2025-12-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 15 — — $22,027.74 $59,199.55 $40,613.64 2025-12-31
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 15 15 — — $2,103.73 $58,712.76 $40,279.68 2025-12-31
61885 CPT Insrt/redo Neurostim 1 Array 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
64580 CPT Opn Impltj Nea Neuromuscular 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
817T CPT Opn Insj/rplcmt Ins Ptn Subf 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
816T CPT Opn Insj/rplcmt Ins Ptn Subq 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
63655 CPT Implant Neuroelectrodes 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
680T CPT Insj/rplcmt Pg Only Isdss 14 14 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 15 15 — — $21,836.61 $58,685.89 $40,261.25 2025-12-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 15 — — $21,730.61 $58,401.01 $40,065.81 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 15 — — $21,708.17 $58,340.71 $40,024.44 2025-12-31
L6975 HCPCS Dme Pos 12 12 — — $39,609.45 $39,609.45 $39,609.45 2025-12-31
L6970 HCPCS Dme Pos 12 12 — — $39,398.00 $39,398.00 $39,398.00 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 15 — — $21,173.49 $56,903.75 $39,038.62 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 15 — — $21,135.58 $56,801.87 $38,968.72 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 14 — — $21,096.89 $56,697.89 $38,897.39 2025-12-31
Q0483 HCPCS Dme Pos 12 12 — — $38,888.17 $38,888.17 $38,888.17 2025-12-31
L6965 HCPCS Dme Pos 12 12 — — $38,761.07 $38,761.07 $38,761.07 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 15 — — $21,021.06 $56,494.10 $38,757.58 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 15 — — $20,918.15 $56,217.53 $38,567.84 2025-12-31
L5858 HCPCS Dme Pos 12 12 — — $38,547.50 $38,547.50 $38,547.50 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 15 — — $20,849.28 $56,032.44 $38,440.86 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 15 — — $20,766.49 $55,809.94 $38,288.21 2025-12-31
263 MS_DRG Vein Ligation And Stripping 15 15 — — $20,753.33 $55,774.57 $38,263.95 2025-12-31
849 MS_DRG Radiotherapy 15 15 — — $20,668.22 $55,545.84 $38,107.03 2025-12-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 15 — — $20,604.00 $55,373.25 $37,988.62 2025-12-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 15 — — $20,530.49 $55,175.69 $37,853.09 2025-12-31
54416 CPT Remv/repl Penis Contain Pros 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
54410 CPT Remove/replace Penis Prosth 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
54405 CPT Insert Multi-comp Penis Pros 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
54411 CPT Remov/replc Penis Pros Comp 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
54401 CPT Insert Self-contd Prosthesis 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
53445 CPT Insert Uro/ves Nck Sphincter 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
53447 CPT Remove/replace Ur Sphincter 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
53444 CPT Insert Tandem Cuff 15 15 — — $20,506.10 $55,110.14 $37,808.12 2025-12-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 15 — — $20,504.95 $55,107.05 $37,806.00 2025-12-31
503 MS_DRG Foot Procedures With Mcc 15 15 — — $20,478.64 $55,036.35 $37,757.50 2025-12-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 15 — — $20,457.75 $54,980.20 $37,718.97 2025-12-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 15 — — $20,298.36 $54,551.84 $37,425.10 2025-12-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 15 — — $20,245.74 $54,410.43 $37,328.08 2025-12-31
33274 CPT Cc,inst/rpl Perm Leadless Pm 15 15 $49,646.00 $39,716.80 $19,428.87 $52,215.09 $37,130.70 2025-12-31
33229 CPT Cc,rem/replace Pm Gen,multi 15 15 $53,965.00 $43,172.00 20% off $19,428.87 $52,215.09 $37,130.70 2025-12-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 15 — — $20,029.86 $53,830.25 $36,930.06 2025-12-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 15 — — $19,996.58 $53,740.81 $36,868.69 2025-12-31
C1824 HCPCS Cc,ipg,optimizer,smart 11 11 $54,600.00 $43,680.00 20% off $27,300.00 $49,140.00 $36,582.00 2025-12-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 15 — — $19,760.58 $53,106.56 $36,433.57 2025-12-31
253 MS_DRG Other Vascular Procedures With Cc 15 15 — — $19,754.39 $53,089.92 $36,422.15 2025-12-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 15 — — $19,717.25 $52,990.11 $36,353.68 2025-12-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 15 — — $19,615.89 $52,717.70 $36,166.79 2025-12-31
545 MS_DRG Connective Tissue Disorders With Mcc 15 15 — — $19,552.44 $52,547.18 $36,049.81 2025-12-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 15 — — $19,536.96 $52,505.58 $36,021.27 2025-12-31
164 MS_DRG Major Chest Procedures With Cc 15 15 — — $19,475.84 $52,341.32 $35,908.58 2025-12-31
823T CPT Tcat Ins 1chmbr Ldls Pm Ra 15 15 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 15 15 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
525T CPT Insj/rplcmt Compl Iims 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
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