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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

BEAVER COUNTY MEMORIAL HOSPITAL

Beaver, OK · CCN 371322 · Rates published

14,512 distinct procedures filed
9 distinct payers
80,400 rate rows
2025-12-30 last MRF observed
Data quality

75,029 of 80,400 rate rows are consumer-grade (93.3%)

5,371 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 2,268
template filing: same amount across many unrelated codes — excluded 2,240
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 744
percent-of-charges filed in the dollar field — excluded from medians 54
per-diem day rate — not a per-procedure price 43
exceeds 10× this hospital's gross charge — excluded from medians 14
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://beavercounty.pt.panaceainc.com/MRFDownload/beavercounty/beavercounty
Found on page https://beavercountyhospitalauthority.com/pricetransparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 778f1fb74c23e906… · 20,787,884 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $275,454.29 $452,402.75 $363,909.67 nat. median
$168,055
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $205,741.26 $337,906.93 $271,810.02 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $173,271.33 $284,578.71 $228,913.16 nat. median
$131,925
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $156,536.41 $257,093.47 $206,804.23 nat. median
$145,435
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $103,205.52 $169,503.48 $136,347.43 nat. median
$97,418
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $95,695.55 $157,169.19 $126,425.82 nat. median
$72,715
1.7× median
7
MS_DRG 		Lung Transplant 1 $95,454.52 $156,773.32 $126,107.39 nat. median
$70,649
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $80,487.89 $132,192.32 $106,334.60 nat. median
$65,418
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $79,569.05 $130,683.22 $105,120.68 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $77,783.22 $127,750.20 $102,761.38 nat. median
$69,922
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 1 $77,384.42 $127,095.22 $102,234.52 nat. median
$73,023
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $70,491.63 $115,774.60 $93,128.29 nat. median
$69,822
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $61,893.37 $101,652.90 $81,768.90 nat. median
$60,505
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $61,859.04 $101,596.52 $81,723.54 nat. median
$59,651
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $58,878.27 $96,700.96 $77,785.58 nat. median
$56,428
1.4× median
10
MS_DRG 		Pancreas Transplant 1 $58,234.79 $95,644.11 $76,935.46 nat. median
$23,080
outlier · 3.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $57,901.00 $95,095.89 $76,494.48 nat. median
$45,605
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 1 $57,090.99 $93,765.53 $75,424.35 nat. median
$55,935
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $56,514.70 $92,819.05 $74,663.01 nat. median
$55,923
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $54,518.52 $89,540.54 $72,025.79 nat. median
$52,327
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $51,617.37 $84,775.73 $68,193.01 nat. median
$51,518
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $50,810.28 $83,450.17 $67,126.75 nat. median
$48,611
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $49,873.90 $81,912.29 $65,889.68 nat. median
$47,340
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $48,782.69 $80,120.08 $64,448.04 nat. median
$37,013
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $48,700.15 $79,984.53 $64,339.00 nat. median
$49,569
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $47,236.43 $77,580.53 $62,405.25 nat. median
$47,121
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $47,168.50 $77,468.97 $62,315.50 nat. median
$47,458
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $46,192.69 $75,866.30 $61,026.34 nat. median
$41,943
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $45,243.90 $74,308.02 $59,772.86 nat. median
$43,533
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $44,979.49 $73,873.77 $59,423.55 nat. median
$43,299
1.4× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 $44,822.46 $73,615.85 $59,216.09 nat. median
$38,844
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $44,617.94 $73,279.97 $58,945.90 nat. median
$43,803
1.3× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $44,404.67 $72,929.68 $58,664.13 nat. median
$41,895
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $44,086.21 $72,406.66 $58,243.42 nat. median
$38,932
1.5× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $44,086.21 $72,406.66 $58,243.42 nat. median
$29,295
2.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 1 $43,756.80 $71,865.64 $57,808.22 nat. median
$44,036
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $43,453.69 $71,367.80 $57,407.77 nat. median
$45,446
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $43,420.82 $71,313.82 $57,364.35 nat. median
$40,584
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $42,978.20 $70,586.86 $56,779.58 nat. median
$43,023
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $42,526.08 $69,844.31 $56,182.28 nat. median
$40,726
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $41,920.58 $68,849.84 $55,382.34 nat. median
$42,674
1.3× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $41,670.05 $68,438.38 $55,051.36 nat. median
$40,301
1.4× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $40,716.88 $66,872.90 $53,792.11 nat. median
$36,547
1.5× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 1 $40,371.40 $66,305.49 $53,335.68 nat. median
$37,487
1.4× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $40,371.40 $66,305.49 $53,335.68 nat. median
$38,173
1.4× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 1 $39,741.79 $65,271.44 $52,503.90 nat. median
$32,772
1.6× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $39,651.22 $65,122.69 $52,384.24 nat. median
$38,859
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $39,448.90 $64,790.40 $52,116.95 nat. median
$38,795
1.3× median
11
MS_DRG 		Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 1 $39,411.65 $64,729.22 $52,067.74 nat. median
$37,371
1.4× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $39,407.27 $64,722.02 $52,061.95 nat. median
$33,583
1.6× median

Other procedures at this hospital

Browse this hospital's 14,512 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 1 — — $275,454.29 $452,402.75 $363,909.67 2025-12-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 1 — — $205,741.26 $337,906.93 $271,810.02 2025-12-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 1 — — $173,271.33 $284,578.71 $228,913.16 2025-12-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 1 — — $156,536.41 $257,093.47 $206,804.23 2025-12-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 1 — — $103,205.52 $169,503.48 $136,347.43 2025-12-30
14 MS_DRG Allogeneic Bone Marrow Transplant 4 1 — — $95,695.55 $157,169.19 $126,425.82 2025-12-30
7 MS_DRG Lung Transplant 4 1 — — $95,454.52 $156,773.32 $126,107.39 2025-12-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 1 — — $80,487.89 $132,192.32 $106,334.60 2025-12-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 1 — — $79,569.05 $130,683.22 $105,120.68 2025-12-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 1 — — $77,783.22 $127,750.20 $102,761.38 2025-12-30
215 MS_DRG Other Heart Assist System Implant 4 1 — — $77,384.42 $127,095.22 $102,234.52 2025-12-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $70,491.63 $115,774.60 $93,128.29 2025-12-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 1 — — $61,893.37 $101,652.90 $81,768.90 2025-12-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $61,859.04 $101,596.52 $81,723.54 2025-12-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 1 — — $58,878.27 $96,700.96 $77,785.58 2025-12-30
10 MS_DRG Pancreas Transplant 4 1 — — $58,234.79 $95,644.11 $76,935.46 2025-12-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 1 — — $57,901.00 $95,095.89 $76,494.48 2025-12-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 1 — — $57,090.99 $93,765.53 $75,424.35 2025-12-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $56,514.70 $92,819.05 $74,663.01 2025-12-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 1 — — $54,518.52 $89,540.54 $72,025.79 2025-12-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 1 — — $51,617.37 $84,775.73 $68,193.01 2025-12-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 1 — — $50,810.28 $83,450.17 $67,126.75 2025-12-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 1 — — $49,873.90 $81,912.29 $65,889.68 2025-12-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 1 — — $48,782.69 $80,120.08 $64,448.04 2025-12-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 1 — — $48,700.15 $79,984.53 $64,339.00 2025-12-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 1 — — $47,236.43 $77,580.53 $62,405.25 2025-12-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $47,168.50 $77,468.97 $62,315.50 2025-12-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 1 — — $46,192.69 $75,866.30 $61,026.34 2025-12-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 1 — — $45,243.90 $74,308.02 $59,772.86 2025-12-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 1 — — $44,979.49 $73,873.77 $59,423.55 2025-12-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 1 — — $44,822.46 $73,615.85 $59,216.09 2025-12-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 1 — — $44,617.94 $73,279.97 $58,945.90 2025-12-30
28 MS_DRG Spinal Procedures With Mcc 4 1 — — $44,404.67 $72,929.68 $58,664.13 2025-12-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 1 — — $44,086.21 $72,406.66 $58,243.42 2025-12-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 1 — — $44,086.21 $72,406.66 $58,243.42 2025-12-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 1 — — $43,756.80 $71,865.64 $57,808.22 2025-12-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $43,453.69 $71,367.80 $57,407.77 2025-12-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 1 — — $43,420.82 $71,313.82 $57,364.35 2025-12-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 1 — — $42,978.20 $70,586.86 $56,779.58 2025-12-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 1 — — $42,526.08 $69,844.31 $56,182.28 2025-12-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $41,920.58 $68,849.84 $55,382.34 2025-12-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 1 — — $41,670.05 $68,438.38 $55,051.36 2025-12-30
653 MS_DRG Major Bladder Procedures With Mcc 4 1 — — $40,716.88 $66,872.90 $53,792.11 2025-12-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 1 — — $40,371.40 $66,305.49 $53,335.68 2025-12-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 1 — — $40,371.40 $66,305.49 $53,335.68 2025-12-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 1 — — $39,741.79 $65,271.44 $52,503.90 2025-12-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 1 — — $39,651.22 $65,122.69 $52,384.24 2025-12-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 1 — — $39,448.90 $64,790.40 $52,116.95 2025-12-30
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 4 1 — — $39,411.65 $64,729.22 $52,067.74 2025-12-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 1 — — $39,407.27 $64,722.02 $52,061.95 2025-12-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 1 — — $38,858.74 $63,821.12 $51,337.27 2025-12-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $38,687.10 $63,539.21 $51,110.50 2025-12-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 1 — — $37,491.43 $61,575.47 $49,530.88 2025-12-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 1 — — $37,210.96 $61,114.82 $49,160.35 2025-12-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 1 — — $37,097.02 $60,927.68 $49,009.81 2025-12-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 1 — — $36,789.52 $60,422.65 $48,603.57 2025-12-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 1 — — $36,572.59 $60,066.37 $48,316.97 2025-12-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 1 — — $36,544.10 $60,019.59 $48,279.35 2025-12-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 1 — — $36,529.50 $59,995.59 $48,260.04 2025-12-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 1 — — $36,398.02 $59,779.67 $48,086.35 2025-12-30
245 MS_DRG Aicd Generator Procedures 4 1 — — $35,693.19 $58,622.05 $47,155.18 2025-12-30
471 MS_DRG Cervical Spinal Fusion With Mcc 4 1 — — $35,477.72 $58,268.17 $46,870.51 2025-12-30
6 MS_DRG Liver Transplant Without Mcc 4 1 — — $35,418.56 $58,171.00 $46,792.35 2025-12-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 1 — — $34,880.25 $57,286.90 $46,081.19 2025-12-30
799 MS_DRG Splenic Procedures With Mcc 4 1 — — $34,729.06 $57,038.58 $45,881.44 2025-12-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 1 — — $34,722.49 $57,027.78 $45,872.76 2025-12-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 4 1 — — $34,363.13 $56,437.58 $45,398.00 2025-12-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 1 — — $34,179.07 $56,135.28 $45,154.83 2025-12-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 1 — — $33,977.48 $55,804.19 $44,888.51 2025-12-30
163 MS_DRG Major Chest Procedures With Mcc 4 1 — — $33,665.60 $55,291.96 $44,476.47 2025-12-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 1 — — $33,651.72 $55,269.17 $44,458.14 2025-12-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $33,544.35 $55,092.83 $44,316.29 2025-12-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 1 — — $33,539.24 $55,084.43 $44,309.54 2025-12-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 1 — — $32,952.73 $54,121.15 $43,534.68 2025-12-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 1 — — $32,756.25 $53,798.46 $43,275.11 2025-12-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 1 — — $32,665.68 $53,649.71 $43,155.46 2025-12-30
901 MS_DRG Wound Debridements For Injuries With Mcc 4 1 — — $32,360.37 $53,148.28 $42,752.11 2025-12-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 1 — — $32,085.01 $52,696.03 $42,388.32 2025-12-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 1 — — $31,603.68 $51,905.49 $41,752.42 2025-12-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $31,538.67 $51,798.73 $41,666.54 2025-12-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 1 — — $31,156.67 $51,171.34 $41,161.87 2025-12-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 1 — — $31,110.66 $51,095.76 $41,101.08 2025-12-30
140 MS_DRG Major Head And Neck Procedures With Mcc 4 1 — — $30,890.08 $50,733.48 $40,809.67 2025-12-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 1 — — $30,608.14 $50,270.44 $40,437.19 2025-12-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 1 — — $30,600.84 $50,258.44 $40,427.54 2025-12-30
793 MS_DRG Full Term Neonate With Major Problems 4 1 — — $30,461.33 $50,029.32 $40,243.24 2025-12-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 1 — — $30,389.75 $49,911.76 $40,148.68 2025-12-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 1 — — $30,034.78 $49,328.75 $39,679.71 2025-12-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 1 — — $30,017.98 $49,301.16 $39,657.51 2025-12-30
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 4 1 — — $29,973.42 $49,227.99 $39,598.65 2025-12-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 1 — — $29,708.29 $48,792.53 $39,248.38 2025-12-30
791 MS_DRG Prematurity With Major Problems 4 1 — — $29,653.51 $48,702.56 $39,176.00 2025-12-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 1 — — $29,096.94 $47,788.47 $38,440.71 2025-12-30
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 4 1 — — $29,076.49 $47,754.88 $38,413.69 2025-12-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 1 — — $28,819.39 $47,332.62 $38,074.03 2025-12-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 1 — — $28,760.23 $47,235.45 $37,995.87 2025-12-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 1 — — $28,701.80 $47,139.48 $37,918.68 2025-12-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 4 1 — — $28,560.83 $46,907.96 $37,732.44 2025-12-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 1 — — $28,403.06 $46,648.85 $37,524.01 2025-12-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 1 — — $28,229.96 $46,364.54 $37,295.32 2025-12-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 1 — — $28,201.47 $46,317.76 $37,257.68 2025-12-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 1 — — $28,122.59 $46,188.20 $37,153.47 2025-12-30
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
C9301 HCPCS Obecabtagene Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3393 HCPCS Inj, Betibeglogene Autotemce 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
C9081 HCPCS Idecabtagene Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
C9073 HCPCS Brexucabtagene Autoleucel Ca 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
C9076 HCPCS Lisocabtagene Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2057 HCPCS Afamitresgene Autoleucel 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3392 HCPCS Inj, Exagamglogene Autotem 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3403 HCPCS Revakinagene, Per Implant 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
C9098 HCPCS Ciltacabtagene Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $29,350.36 $45,427.20 $36,949.71 2025-12-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 1 — — $27,918.81 $45,853.51 $36,884.25 2025-12-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 1 — — $27,767.62 $45,605.19 $36,684.50 2025-12-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 1 — — $27,551.42 $45,250.11 $36,398.88 2025-12-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 1 — — $27,331.57 $44,889.03 $36,108.43 2025-12-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 1 — — $26,650.10 $43,769.81 $35,208.13 2025-12-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 1 — — $26,465.31 $43,466.31 $34,964.00 2025-12-30
A9607 HCPCS Lutetium Lu 177 Vipivotide 4 1 — — $27,652.60 $42,799.48 $34,812.36 2025-12-30
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $27,652.60 $42,799.48 $34,812.36 2025-12-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 1 — — $26,183.38 $43,003.26 $34,591.52 2025-12-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 1 — — $26,181.92 $43,000.86 $34,589.60 2025-12-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 1 — — $26,177.54 $42,993.66 $34,583.81 2025-12-30
265 MS_DRG Aicd Lead Procedures 4 1 — — $26,054.83 $42,792.13 $34,421.69 2025-12-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 1 — — $25,937.96 $42,600.20 $34,267.31 2025-12-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 1 — — $25,786.04 $42,350.68 $34,066.60 2025-12-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 1 — — $25,779.47 $42,339.88 $34,057.91 2025-12-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 1 — — $25,714.46 $42,233.12 $33,972.03 2025-12-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 1 — — $25,591.76 $42,031.58 $33,809.92 2025-12-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 1 — — $25,583.72 $42,018.39 $33,799.31 2025-12-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 1 — — $25,573.50 $42,001.59 $33,785.79 2025-12-30
264 MS_DRG Other Circulatory System O.r. Procedures 4 1 — — $25,528.21 $41,927.22 $33,725.96 2025-12-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 1 — — $25,363.14 $41,656.11 $33,507.89 2025-12-30
332 MS_DRG Rectal Resection With Mcc 4 1 — — $25,335.38 $41,610.53 $33,471.22 2025-12-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 1 — — $25,307.63 $41,564.94 $33,434.56 2025-12-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 1 — — $25,157.90 $41,319.02 $33,236.74 2025-12-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 1 — — $25,118.46 $41,254.24 $33,184.63 2025-12-30
665 MS_DRG Prostatectomy With Mcc 4 1 — — $25,079.01 $41,189.47 $33,132.53 2025-12-30
252 MS_DRG Other Vascular Procedures With Mcc 4 1 — — $25,055.64 $41,151.08 $33,101.65 2025-12-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 1 — — $25,017.66 $41,088.70 $33,051.47 2025-12-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 1 — — $24,878.88 $40,860.78 $32,868.13 2025-12-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 1 — — $24,775.17 $40,690.43 $32,731.10 2025-12-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 1 — — $24,517.34 $40,266.97 $32,390.47 2025-12-30
37 MS_DRG Extracranial Procedures With Mcc 4 1 — — $24,255.85 $39,837.52 $32,045.02 2025-12-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 1 — — $24,117.08 $39,609.59 $31,861.68 2025-12-30
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 4 1 — — $23,874.58 $39,211.33 $31,541.32 2025-12-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 1 — — $23,806.66 $39,099.76 $31,451.58 2025-12-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 1 — — $23,796.43 $39,082.97 $31,438.07 2025-12-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 1 — — $23,513.77 $38,618.72 $31,064.63 2025-12-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 1 — — $23,404.94 $38,439.98 $30,920.86 2025-12-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 1 — — $23,337.01 $38,328.42 $30,831.11 2025-12-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 1 — — $23,292.46 $38,255.24 $30,772.26 2025-12-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 1 — — $23,229.64 $38,152.08 $30,689.27 2025-12-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 1 — — $23,182.90 $38,075.30 $30,627.51 2025-12-30
500 MS_DRG Soft Tissue Procedures With Mcc 4 1 — — $23,144.18 $38,011.73 $30,576.37 2025-12-30
33979 HCPCS Insert Intracorporeal Device 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
0452T OTHER Insj/rplcmt Dev Vasc Seal 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
0459T OTHER Relocaj Rplcmt Aortic Ventr 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33975 HCPCS Implant Ventricular Device 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33976 HCPCS Implant Ventricular Device 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33981 HCPCS Replace Vad Pump Ext 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
0454T OTHER Insj/rplcmt Subq Electrode 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33983 HCPCS Replace Vad Intra W/bp 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33990 HCPCS Insj Perq Vad L Hrt Arterial 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33995 HCPCS Insj Perq Vad R Hrt Venous 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
33982 HCPCS Replace Vad Intra Without Bp 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
0451T OTHER Insj/rplcmt Aortic Ventr Sys 4 1 — — $24,145.53 $37,371.39 $30,397.25 2025-12-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 4 1 — — $22,795.78 $37,439.52 $30,116.09 2025-12-30
662 MS_DRG Minor Bladder Procedures With Mcc 4 1 — — $22,785.56 $37,422.72 $30,102.58 2025-12-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 1 — — $22,688.42 $37,263.17 $29,974.24 2025-12-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 1 — — $22,586.89 $37,096.43 $29,840.11 2025-12-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 1 — — $22,524.08 $36,993.26 $29,757.12 2025-12-30
652 MS_DRG Kidney Transplant 4 1 — — $22,433.51 $36,844.51 $29,637.47 2025-12-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 1 — — $22,413.05 $36,810.93 $29,610.46 2025-12-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 1 — — $22,340.01 $36,690.97 $29,513.97 2025-12-30
570 MS_DRG Skin Debridement With Mcc 4 1 — — $21,986.50 $36,110.36 $29,046.92 2025-12-30
974 MS_DRG HIV With Major Related Condition With Mcc 4 1 — — $21,811.20 $35,822.46 $28,815.34 2025-12-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 1 — — $21,536.57 $35,371.41 $28,452.52 2025-12-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 1 — — $21,481.06 $35,280.24 $28,379.18 2025-12-30
69930 HCPCS Implant Cochlear Device 7 4 — — $18,631.09 $28,836.39 $28,325.34 2025-12-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 1 — — $21,422.63 $35,184.27 $28,301.99 2025-12-30
668 MS_DRG Transurethral Procedures With Mcc 4 1 — — $21,300.66 $34,983.93 $28,140.83 2025-12-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 1 — — $21,288.97 $34,964.74 $28,125.40 2025-12-30
800 MS_DRG Splenic Procedures With Cc 4 1 — — $21,282.40 $34,953.94 $28,116.71 2025-12-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 1 — — $21,270.71 $34,934.75 $28,101.28 2025-12-30
472 MS_DRG Cervical Spinal Fusion With Cc 4 1 — — $21,161.15 $34,754.81 $27,956.53 2025-12-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 1 — — $20,941.30 $34,393.73 $27,666.08 2025-12-30
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 7 4 — — $263.81 $42,799.48 $27,652.60 2025-12-30
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 4 1 — — $20,917.20 $34,354.14 $27,634.24 2025-12-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 1 — — $20,904.78 $34,333.75 $27,617.83 2025-12-30
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 4 1 — — $20,875.56 $34,285.77 $27,579.24 2025-12-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 4 1 — — $20,793.03 $34,150.21 $27,470.20 2025-12-30
654 MS_DRG Major Bladder Procedures With Cc 4 1 — — $20,612.62 $33,853.91 $27,231.86 2025-12-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 1 — — $20,512.55 $33,689.57 $27,099.65 2025-12-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 1 — — $20,491.37 $33,654.78 $27,071.67 2025-12-30
33270 HCPCS Ins/rep Subq Defibrillator 7 4 — — $17,149.67 $28,551.32 $26,543.50 2025-12-30
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 4 — — $17,149.67 $28,551.32 $26,543.50 2025-12-30
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $17,149.67 $28,551.32 $26,543.50 2025-12-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 1 — — $19,986.67 $32,825.85 $26,404.89 2025-12-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 1 — — $19,950.88 $32,767.07 $26,357.61 2025-12-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 1 — — $19,914.36 $32,707.09 $26,309.36 2025-12-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 1 — — $19,842.78 $32,589.53 $26,214.79 2025-12-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 1 — — $19,745.63 $32,429.99 $26,086.46 2025-12-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 1 — — $19,680.63 $32,323.22 $26,000.58 2025-12-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 1 — — $19,602.48 $32,194.86 $25,897.33 2025-12-30
263 MS_DRG Vein Ligation And Stripping 4 1 — — $19,590.06 $32,174.47 $25,880.92 2025-12-30
849 MS_DRG Radiotherapy 4 1 — — $19,509.71 $32,042.52 $25,774.78 2025-12-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 1 — — $19,449.09 $31,942.95 $25,694.69 2025-12-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 1 — — $19,379.70 $31,828.99 $25,603.02 2025-12-30
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 4 1 — — $19,355.60 $31,789.40 $25,571.17 2025-12-30
503 MS_DRG Foot Procedures With Mcc 4 1 — — $19,330.77 $31,748.61 $25,538.37 2025-12-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 1 — — $19,311.05 $31,716.22 $25,512.31 2025-12-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 1 — — $19,160.58 $31,469.11 $25,313.53 2025-12-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 1 — — $19,110.92 $31,387.53 $25,247.92 2025-12-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 1 — — $18,907.13 $31,052.85 $24,978.70 2025-12-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 1 — — $18,875.73 $31,001.26 $24,937.21 2025-12-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 1 — — $18,652.96 $30,635.38 $24,642.89 2025-12-30
253 MS_DRG Other Vascular Procedures With Cc 4 1 — — $18,647.11 $30,625.79 $24,635.18 2025-12-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 4 1 — — $18,612.05 $30,568.21 $24,588.85 2025-12-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 1 — — $18,516.37 $30,411.06 $24,462.44 2025-12-30
545 MS_DRG Connective Tissue Disorders With Mcc 4 1 — — $18,456.48 $30,312.69 $24,383.32 2025-12-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 1 — — $18,441.87 $30,288.70 $24,364.03 2025-12-30
164 MS_DRG Major Chest Procedures With Cc 4 1 — — $18,384.17 $30,193.93 $24,287.79 2025-12-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 1 — — $18,289.95 $30,039.18 $24,163.31 2025-12-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 1 — — $18,276.07 $30,016.39 $24,144.98 2025-12-30
397 MS_DRG Appendix Procedures With Mcc 4 1 — — $18,097.85 $29,723.69 $23,909.53 2025-12-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 1 — — $18,024.81 $29,603.73 $23,813.03 2025-12-30
792 MS_DRG Prematurity Without Major Problems 4 1 — — $17,892.61 $29,386.60 $23,638.38 2025-12-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 1 — — $17,882.38 $29,369.81 $23,624.88 2025-12-30
S2235 HCPCS Implant Auditory Brain Imp 4 1 — — $18,631.09 $28,836.39 $23,455.03 2025-12-30
0951T OTHER Tot Impl Amei 1st Plmt 4 1 — — $18,631.09 $28,836.39 $23,455.03 2025-12-30
0952T OTHER Tot Impl Amei Rev/rplc Mstdc 4 1 — — $18,631.09 $28,836.39 $23,455.03 2025-12-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 1 — — $17,734.84 $29,127.49 $23,429.95 2025-12-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 1 — — $17,666.18 $29,014.73 $23,339.25 2025-12-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 1 — — $17,610.67 $28,923.56 $23,265.91 2025-12-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 1 — — $17,536.90 $28,802.40 $23,168.45 2025-12-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 1 — — $17,509.15 $28,756.81 $23,131.78 2025-12-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 1 — — $17,509.15 $28,756.81 $23,131.78 2025-12-30
J9210 HCPCS Inj., Emapalumab-lzsg, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9226 HCPCS Supprelin La Implant 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J0221 HCPCS Lumizyme Injection 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J0217 HCPCS Inj Velmanase Alfa-tycv 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J0219 HCPCS Inj Aval Alfa-nqpt 4mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
C9304 HCPCS Inj Marstacimab, 0.5 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
C9172 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J0223 HCPCS Inj Givosiran 0.5 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J7180 HCPCS Factor Xiii Anti-hem Factor 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9298 HCPCS Inj Nivol Relatlimab 3mg/1mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
C9146 HCPCS Inj, Elahere, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1299 HCPCS Inj, Eculizumab, 2 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9269 HCPCS Inj. Tagraxofusp-erzs 10 Mcg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J7175 HCPCS Inj, Factor X, (human), 1iu 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
Q5139 HCPCS Inj, Eculizumab-aeeb, 10 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J7172 HCPCS Inj Marstacim-hncq, 0.5 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9381 HCPCS Inj Teplizumab Mzwv 5 Mcg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J7174 HCPCS Injection Fitusiran 0.04 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9350 HCPCS Inj Mosunetuzumab-axgb, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1747 HCPCS Inj, Spesolimab-sbzo, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J2326 HCPCS Inj, Nusinersen, 0.1mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1303 HCPCS Inj., Ravulizumab-cwvz 10 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J2351 HCPCS Inj Ocrelizumab 1mg Hya-ocsq 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J2840 HCPCS Inj Sebelipase Alfa 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9600 HCPCS Porfimer Sodium Injection 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J7170 HCPCS Inj., Emicizumab-kxwh 0.5 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 4 1 — — $18,367.07 $28,427.75 $23,122.64 2025-12-30
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 7 4 — — $14,831.46 $27,137.19 $22,955.48 2025-12-30
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 7 4 — — $14,831.46 $27,137.19 $22,955.48 2025-12-30
61886 HCPCS Implant Neurostim Arrays 7 4 — — $14,831.46 $27,137.19 $22,955.48 2025-12-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 1 — — $17,357.96 $28,508.49 $22,932.04 2025-12-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 1 — — $17,291.49 $28,399.33 $22,844.23 2025-12-30
347 MS_DRG Anal And Stomal Procedures With Mcc 4 1 — — $17,287.11 $28,392.13 $22,838.44 2025-12-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 1 — — $17,264.46 $28,354.95 $22,808.53 2025-12-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 1 — — $17,236.71 $28,309.36 $22,771.85 2025-12-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 1 — — $17,081.13 $28,053.85 $22,566.32 2025-12-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 1 — — $16,946.74 $27,833.12 $22,388.77 2025-12-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 1 — — $16,907.30 $27,768.34 $22,336.66 2025-12-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 1 — — $16,891.23 $27,741.95 $22,315.43 2025-12-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 1 — — $16,860.55 $27,691.57 $22,274.90 2025-12-30
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 1 — — $16,756.11 $27,520.02 $22,136.92 2025-12-30
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 1 — — $16,728.35 $27,474.44 $22,100.25 2025-12-30
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