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

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You selected 93306 (CPT)

CARDIO,US,ECHOCARDIOGRAPHY,2D

This hospital’s price: $1,822 across 15 payers · range $559-$3,216

Source: https://mrfs.hyvehealthcare.com/StillwaterMedicalCenter/730927647_stillwater-medical-center-ok_standardcharges.json · observed 2025-12-31

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

20,150 distinct procedures filed
15 distinct payers
312,054 rate rows
2025-12-31 last MRF observed
Data quality

214,178 of 312,054 rate rows are consumer-grade (68.6%)

97,876 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 90,886
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,961
placeholder amount (≤ $0.02) — excluded from medians 19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
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 · 2026-10-22
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
$3,705,478
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
$3,324,572
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
$2,467,386
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
$2,994,107
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
$2,401,965
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $576,233.03 $1,548,626.27 $1,062,429.65 nat. median
$739,258
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $561,659.21 $1,509,459.13 $1,035,559.17 nat. median
$646,415
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $538,221.79 $1,446,471.06 $992,346.43 nat. median
$622,450
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $526,173.50 $1,414,091.28 $970,132.39 nat. median
$640,950
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $498,698.84 $1,340,253.13 $919,475.98 nat. median
$608,239
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $497,205.71 $1,336,240.35 $916,723.03 nat. median
$591,721
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $291,811.01 $784,242.09 $485,730.64 nat. median
$359,454
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $217,958.36 $585,763.09 $360,174.57 nat. median
$249,036
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $183,560.34 $493,318.41 $325,449.30 nat. median
$198,418
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $165,831.68 $445,672.64 $278,429.22 nat. median
$190,559
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $109,333.95 $293,834.99 $187,593.71 nat. median
$126,695
1.5× median
Q0480
HCPCS 		Dme Pos 12 $174,999.93 $174,999.93 $174,999.93 nat. median
$111,503
1.6× median
7
MS_DRG 		Lung Transplant 6 $101,122.69 $271,767.23 $165,190.35 nat. median
$117,974
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $101,378.03 $272,453.46 $160,376.27 nat. median
$110,307
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $85,267.33 $229,155.95 $151,177.41 nat. median
$104,013
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $81,055.69 $217,837.17 $141,847.46 nat. median
$93,276
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $84,293.93 $226,539.94 $141,111.69 nat. median
$97,323
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $82,402.05 $221,455.51 $136,825.29 nat. median
$95,038
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 6 $81,979.57 $220,320.09 $135,610.62 nat. median
$93,901
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $74,677.49 $200,695.75 $126,034.80 nat. median
$90,551
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $71,279.08 $191,562.53 $124,738.39 nat. median
$78,268
1.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 15 $64,591.25 $173,588.98 $119,090.12 nat. median
$68,423
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $64,537.21 $173,443.75 $112,940.12 nat. median
$78,049
1.4× median
38240
CPT 		Transplt Allo Hct/donor 15 $60,251.64 $161,926.28 $111,088.96 nat. median
$12,842
outlier · 8.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $110,830.00 $110,830.00 $110,830.00 nat. median
$70,732
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $65,532.28 $176,118.00 $110,054.24 nat. median
$77,632
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $65,568.65 $176,215.75 $108,121.07 nat. median
$77,028
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $62,374.52 $167,631.52 $107,434.71 nat. median
$74,370
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 15 $57,890.39 $155,580.42 $106,735.40 nat. median
$63,528
1.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 15 $56,578.18 $152,053.86 $104,316.02 nat. median
$65,720
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $61,339.21 $164,849.13 $103,659.31 nat. median
$66,715
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $60,481.10 $162,542.96 $101,695.96 nat. median
$71,748
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $59,870.59 $160,902.21 $100,608.76 nat. median
$72,398
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $54,958.69 $147,701.48 $96,177.71 nat. median
$63,648
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $57,755.87 $155,218.90 $95,764.89 nat. median
$67,976
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $54,682.45 $146,959.08 $91,845.64 nat. median
$66,649
1.4× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $51,879.08 $139,425.03 $90,788.39 nat. median
$60,596
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $53,827.44 $144,661.25 $90,654.01 nat. median
$62,655
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $51,679.44 $138,888.50 $88,492.01 nat. median
$61,308
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $51,592.01 $138,653.53 $88,009.01 nat. median
$63,873
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $50,041.37 $134,486.18 $86,985.20 nat. median
$59,371
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $48,935.65 $131,514.56 $85,796.70 nat. median
$58,251
1.5× median
J9226
HCPCS 		Supprelin La Implant 15 $46,110.76 $123,922.67 $85,016.71 nat. median
$55,159
1.5× median

Other procedures at this hospital

Browse this hospital's 20,150 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,779,587.06 $4,531,394.00 $3,779,587.06 2025-12-31
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
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 6 6 — — $291,811.01 $784,242.09 $485,730.64 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $217,958.36 $585,763.09 $360,174.57 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $183,560.34 $493,318.41 $325,449.30 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $165,831.68 $445,672.64 $278,429.22 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $109,333.95 $293,834.99 $187,593.71 2025-12-31
Q0480 HCPCS Dme Pos 12 12 — — $174,999.93 $174,999.93 $174,999.93 2025-12-31
7 MS_DRG Lung Transplant 6 6 — — $101,122.69 $271,767.23 $165,190.35 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $101,378.03 $272,453.46 $160,376.27 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $85,267.33 $229,155.95 $151,177.41 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $81,055.69 $217,837.17 $141,847.46 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $84,293.93 $226,539.94 $141,111.69 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $82,402.05 $221,455.51 $136,825.29 2025-12-31
215 MS_DRG Other Heart Assist System Implant 6 6 — — $81,979.57 $220,320.09 $135,610.62 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $74,677.49 $200,695.75 $126,034.80 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $71,279.08 $191,562.53 $124,738.39 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 5 5 — — $64,537.21 $173,443.75 $112,940.12 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $65,532.28 $176,118.00 $110,054.24 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $65,568.65 $176,215.75 $108,121.07 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 6 — — $62,374.52 $167,631.52 $107,434.71 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 15 15 — — $57,890.39 $155,580.42 $106,735.40 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 15 — — $56,578.18 $152,053.86 $104,316.02 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $61,339.21 $164,849.13 $103,659.31 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 — — $60,481.10 $162,542.96 $101,695.96 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $59,870.59 $160,902.21 $100,608.76 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $54,958.69 $147,701.48 $96,177.71 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $57,755.87 $155,218.90 $95,764.89 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 6 — — $54,682.45 $146,959.08 $91,845.64 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $51,879.08 $139,425.03 $90,788.39 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 6 — — $53,827.44 $144,661.25 $90,654.01 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 6 — — $51,679.44 $138,888.50 $88,492.01 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 6 — — $51,592.01 $138,653.53 $88,009.01 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 6 — — $50,041.37 $134,486.18 $86,985.20 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $48,935.65 $131,514.56 $85,796.70 2025-12-31
J9226 HCPCS Supprelin La Implant 15 15 — — $46,110.76 $123,922.67 $85,016.71 2025-12-31
10 MS_DRG Pancreas Transplant 6 6 — — $60,204.00 $165,799.48 $84,827.64 2025-12-31
266T OTHER 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $52,835.46 $141,995.30 $84,316.03 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 6 — — $47,484.05 $127,613.38 $84,188.04 2025-12-31
L7180 HCPCS Dme Pos 12 12 — — $83,785.73 $83,785.73 $83,785.73 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $47,868.62 $128,646.92 $83,770.09 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $49,969.41 $134,292.79 $83,528.74 2025-12-31
L7181 HCPCS Dme Pos 12 12 — — $83,104.95 $83,104.95 $83,104.95 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 6 — — $47,930.52 $128,813.27 $80,774.71 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $47,650.41 $128,060.48 $80,579.11 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 6 — — $46,355.12 $124,579.39 $79,620.73 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 6 — — $46,704.09 $125,517.24 $79,494.08 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $46,704.09 $125,517.24 $79,494.08 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 6 6 — — $47,041.46 $126,423.92 $78,845.28 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 6 — — $47,267.40 $127,031.14 $78,558.48 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $45,051.32 $121,075.42 $77,232.90 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $44,409.86 $119,351.50 $76,850.63 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 6 — — $45,530.28 $122,362.63 $76,613.49 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $46,034.01 $123,716.40 $75,904.26 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 6 — — $42,768.69 $114,940.85 $75,827.61 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $42,589.17 $114,458.39 $74,531.05 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $44,144.45 $118,638.21 $74,076.39 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $42,329.19 $113,759.70 $74,076.08 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $42,768.69 $114,940.85 $72,436.11 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $41,747.31 $112,195.90 $72,068.39 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $41,791.41 $112,314.41 $71,985.49 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $43,134.68 $115,924.45 $71,596.85 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 6 — — $42,005.75 $112,890.45 $71,182.03 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $42,101.70 $113,148.32 $69,742.99 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $39,850.02 $107,096.93 $69,737.54 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $41,751.95 $112,208.37 $68,777.96 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $40,984.37 $110,145.49 $68,658.32 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 6 — — $41,166.21 $110,634.19 $68,525.43 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 6 — — $39,420.58 $105,942.81 $66,927.51 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 6 — — $39,717.71 $106,741.35 $66,376.49 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $39,299.87 $105,618.40 $66,148.89 2025-12-31
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 15 15 — — $35,656.99 $95,828.16 $65,742.57 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $38,559.37 $103,628.31 $65,248.95 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 6 — — $38,698.65 $104,002.62 $65,124.32 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $38,974.11 $104,742.92 $64,161.85 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 6 6 — — $37,584.42 $101,008.13 $63,647.37 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $38,744.30 $104,125.31 $63,646.76 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
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $36,791.30 $98,876.62 $63,175.89 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $37,521.74 $100,839.68 $63,079.03 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 6 — — $36,403.64 $97,834.78 $62,371.68 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $36,784.34 $98,857.91 $61,830.30 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $38,714.12 $104,044.20 $61,767.86 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
245 MS_DRG Aicd Generator Procedures 6 6 — — $37,812.68 $101,621.58 $61,423.10 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 6 — — $35,995.09 $96,736.80 $61,402.21 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 6 6 — — $35,664.69 $95,848.85 $60,683.10 2025-12-31
571T OTHER Insj/rplcmt Icds Ss Eltrd 14 14 — — $32,662.95 $87,781.68 $60,222.32 2025-12-31
915T OTHER 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $35,536.24 $95,503.65 $60,164.21 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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $36,208.65 $97,310.75 $59,835.07 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $36,951.47 $99,307.08 $59,778.04 2025-12-31
69930 CPT Implant Cochlear Device 15 15 — — $32,404.43 $87,086.91 $59,745.67 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 6 — — $35,530.83 $95,489.11 $59,335.47 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $35,649.99 $95,809.35 $59,318.74 2025-12-31
J7330 HCPCS Cultured Chondrocytes Implnt 12 12 — — $58,979.55 $58,979.55 $58,979.55 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 — — $34,909.49 $93,819.25 $58,238.81 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 6 — — $34,605.40 $93,002.01 $57,895.22 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $33,411.47 $89,793.33 $57,569.54 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 6 — — $34,701.34 $93,259.85 $57,271.18 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
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 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
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 15 15 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
268T OTHER Implt/rpl Crtd Sns Dev Gen 15 15 — — $31,045.17 $83,433.89 $57,239.53 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
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 14 14 — — $31,045.17 $83,433.89 $57,239.53 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $34,281.96 $92,132.77 $57,060.71 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 6 — — $33,990.25 $91,348.80 $57,018.47 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $33,006.78 $88,705.72 $55,637.93 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $31,596.97 $84,916.86 $55,294.70 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $32,958.04 $88,574.73 $54,727.79 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 6 — — $32,194.32 $86,522.24 $54,176.03 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 6 — — $32,425.68 $87,144.02 $54,115.47 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $31,800.47 $85,463.76 $53,119.41 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 6 — — $31,818.27 $85,511.60 $53,112.49 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $30,271.50 $81,354.66 $52,975.13 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $31,753.27 $85,336.91 $52,828.61 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $32,724.36 $87,946.72 $52,260.32 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $31,472.39 $84,582.05 $51,995.34 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 6 — — $30,530.71 $82,051.28 $51,818.87 2025-12-31
C9760 HCPCS Non-blind Interatrial Shunt 14 14 — — $28,016.32 $75,293.86 $51,655.09 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 6 — — $32,417.94 $87,123.21 $51,491.20 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $29,792.54 $80,067.45 $51,443.97 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $30,468.04 $81,882.86 $50,968.04 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $29,906.28 $80,373.13 $50,917.49 2025-12-31
J9266 HCPCS Pegaspargase Injection 15 15 — — $27,578.28 $74,116.63 $50,847.46 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 6 — — $30,256.80 $81,315.15 $50,844.70 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $30,089.66 $80,865.96 $50,725.96 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $30,824.75 $82,841.52 $50,231.65 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $29,576.65 $79,487.25 $50,132.07 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 — — $30,406.14 $81,716.50 $49,940.38 2025-12-31
L5856 HCPCS Dme Pos 12 12 — — $49,790.42 $49,790.42 $49,790.42 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 6 — — $29,187.45 $78,441.27 $49,618.02 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $30,803.08 $82,783.28 $49,567.19 2025-12-31
L6880 HCPCS Dme Pos 12 12 — — $49,555.26 $49,555.26 $49,555.26 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $29,416.48 $79,056.79 $49,432.92 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 6 — — $28,954.54 $77,815.33 $49,258.72 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $33,480.33 $89,978.39 $48,255.79 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 6 — — $28,232.61 $75,875.14 $47,358.04 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 6 — — $27,731.98 $74,529.70 $47,101.99 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 6 — — $27,736.62 $74,542.17 $47,013.04 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 — — $27,092.07 $72,809.94 $46,982.56 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 6 — — $28,036.85 $75,349.03 $46,888.74 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 6 — — $29,876.10 $80,292.02 $46,504.09 2025-12-31
265 MS_DRG Aicd Lead Procedures 6 6 — — $27,601.99 $74,180.35 $46,252.24 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 6 — — $27,241.41 $73,211.29 $46,231.24 2025-12-31
332 MS_DRG Rectal Resection With Mcc 6 6 — — $26,839.82 $72,132.02 $46,169.85 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 6 — — $27,111.42 $72,861.94 $45,767.49 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 6 — — $27,478.18 $73,847.61 $45,693.41 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 6 — — $27,317.24 $73,415.08 $45,644.08 2025-12-31
J9600 HCPCS Porfimer Sodium Injection 15 15 — — $24,682.86 $66,335.19 $45,509.03 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $27,738.17 $74,546.33 $45,471.90 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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $26,869.23 $72,211.06 $45,137.57 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 6 — — $26,503.23 $71,227.43 $44,991.82 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $26,651.80 $71,626.71 $44,933.82 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $27,102.90 $72,839.04 $44,831.04 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $26,810.42 $72,053.00 $44,757.12 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 6 — — $26,246.34 $70,537.04 $44,572.05 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
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 6 — — $26,610.01 $71,514.40 $44,351.76 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 6 6 — — $26,543.47 $71,335.58 $44,198.54 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 6 — — $25,973.20 $69,802.98 $44,164.55 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 6 6 — — $27,044.10 $72,681.02 $44,087.59 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $27,310.28 $73,396.38 $43,912.49 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 6 — — $26,356.21 $70,832.31 $43,793.18 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 6 6 — — $25,696.19 $69,058.51 $43,593.67 2025-12-31
791 MS_DRG Prematurity With Major Problems 6 6 — — $0.70 $84,426.09 $43,194.74 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 6 — — $25,549.17 $68,663.39 $43,152.03 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 6 — — $25,220.32 $67,779.61 $42,968.28 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 6 — — $25,292.28 $67,973.00 $42,953.74 2025-12-31
665 MS_DRG Prostatectomy With Mcc 6 6 — — $26,568.23 $71,402.12 $42,564.70 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 — — $24,910.04 $66,945.73 $42,395.29 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
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 15 15 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 15 15 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
409T OTHER Insj/rplc Car Modulj Pls Gn 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
515T OTHER Insj Wcs Lv Compl Sys 14 14 — — $22,867.20 $61,455.60 $42,161.40 2025-12-31
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 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
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $23,878.60 $64,173.74 $41,787.55 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $24,518.51 $65,893.50 $41,732.69 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $24,794.74 $66,635.86 $41,710.40 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 6 — — $25,209.49 $67,750.50 $41,679.31 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 6 — — $24,609.04 $66,136.80 $41,640.91 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $24,559.52 $66,003.71 $41,596.58 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 6 — — $24,149.42 $64,901.57 $41,397.24 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 6 — — $24,675.58 $66,315.62 $41,134.63 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 6 — — $24,035.67 $64,595.86 $40,914.71 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 6 — — $23,928.12 $64,306.82 $40,707.60 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $23,861.57 $64,127.97 $40,601.38 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
64580 CPT Opn Impltj Nea Neuromuscular 15 15 — — $21,846.61 $58,712.76 $40,279.68 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
63655 CPT Implant Neuroelectrodes 15 15 — — $21,846.61 $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
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 15 15 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
680T OTHER Insj/rplcmt Pg Only Isdss 14 14 — — $21,846.61 $58,712.76 $40,279.68 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 6 — — $24,722.78 $66,442.47 $40,196.43 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 6 — — $23,743.96 $63,811.89 $40,005.46 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 6 6 — — $24,138.58 $64,872.43 $39,861.26 2025-12-31
L6975 HCPCS Dme Pos 12 12 — — $39,609.45 $39,609.45 $39,609.45 2025-12-31
652 MS_DRG Kidney Transplant 6 6 — — $23,765.63 $63,870.13 $39,582.93 2025-12-31
L6970 HCPCS Dme Pos 12 12 — — $39,398.00 $39,398.00 $39,398.00 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 — — $23,666.58 $63,603.93 $39,175.26 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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $22,815.44 $61,316.50 $38,733.01 2025-12-31
570 MS_DRG Skin Debridement With Mcc 6 6 — — $23,292.08 $62,597.47 $38,654.57 2025-12-31
L5858 HCPCS Dme Pos 12 12 — — $38,547.50 $38,547.50 $38,547.50 2025-12-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 6 — — $22,553.13 $60,611.54 $38,457.99 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 6 6 — — $23,106.37 $62,098.37 $38,456.57 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 6 — — $22,756.63 $61,158.44 $38,353.05 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 6 — — $22,694.73 $60,992.09 $38,144.89 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 6 6 — — $22,417.72 $60,247.62 $38,097.01 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
54416 CPT Remv/repl Penis Contain Pros 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
53444 CPT Insert Tandem Cuff 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 6 — — $22,184.81 $59,621.68 $37,679.21 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 6 6 — — $22,565.51 $60,644.81 $37,367.32 2025-12-31
800 MS_DRG Splenic Procedures With Cc 6 6 — — $22,546.16 $60,592.81 $37,348.39 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 6 — — $22,533.78 $60,559.53 $37,284.56 2025-12-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 6 — — $22,027.74 $59,199.55 $37,251.28 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 6 — — $22,159.28 $59,553.07 $37,188.87 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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 6 — — $21,730.61 $58,401.01 $37,070.79 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 5 — — $21,096.89 $56,697.89 $36,919.56 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $21,173.49 $56,903.75 $36,539.81 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 6 — — $22,115.17 $59,434.52 $36,364.28 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 6 6 — — $21,836.61 $58,685.89 $36,226.04 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 6 — — $21,708.17 $58,340.71 $35,932.65 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $22,146.12 $59,517.70 $35,913.85 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 6 — — $20,918.15 $56,217.53 $35,830.88 2025-12-31
263 MS_DRG Vein Ligation And Stripping 6 6 — — $20,753.33 $55,774.57 $35,826.67 2025-12-31
525T OTHER Insj/rplcmt Compl Iims 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 15 15 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 15 15 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 14 14 — — $19,428.87 $52,215.09 $35,821.98 2025-12-31
L5973 HCPCS Dme Pos 12 12 — — $35,684.18 $35,684.18 $35,684.18 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 6 — — $21,021.06 $56,494.10 $35,492.43 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 6 — — $20,849.28 $56,032.44 $35,380.12 2025-12-31
408T OTHER Cc,insert/replace Cardiac Mod 14 14 $43,995.00 $35,196.00 20% off $21,997.50 $87,781.68 $35,196.00 2025-12-31
C1826 HCPCS Kit,neurostim,adap,leads,rech 22 11 $48,863.00 $39,090.40 20% off $21,853.50 $48,617.10 $35,112.35 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 6 — — $20,766.49 $55,809.94 $35,078.68 2025-12-31
849 MS_DRG Radiotherapy 6 6 — — $20,668.22 $55,545.84 $34,915.19 2025-12-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 6 — — $20,245.74 $54,410.43 $34,896.03 2025-12-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 6 — — $20,504.95 $55,107.05 $34,736.83 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 6 — — $21,135.58 $56,801.87 $34,709.13 2025-12-31
503 MS_DRG Foot Procedures With Mcc 6 6 — — $20,478.64 $55,036.35 $34,690.31 2025-12-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 6 — — $20,604.00 $55,373.25 $34,594.50 2025-12-31
27702 CPT Reconstruct Ankle Joint 15 15 — — $18,734.99 $50,350.29 $34,542.64 2025-12-31
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 15 15 — — $18,734.99 $50,350.29 $34,542.64 2025-12-31
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 15 15 — — $18,734.99 $50,350.29 $34,542.64 2025-12-31
22630 CPT Arthrd Pst Tq 1ntrspc Lum 15 15 — — $18,734.99 $50,350.29 $34,542.64 2025-12-31
22856 CPT Tot Disc Arthrp 1ntrspc Crv 15 15 — — $18,734.99 $50,350.29 $34,542.64 2025-12-31
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