Price Transparency 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

CLAIBORNE MEDICAL CENTER

Tazewell, TN · CCN 440057 · Rates published

21,226 distinct procedures filed
25 distinct payers
1,545,698 rate rows
2025-12-23 last MRF observed
Data quality

1,213,088 of 1,545,698 rate rows are consumer-grade (78.5%)

332,610 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 318,872
per-diem day rate — not a per-procedure price 11,268
template filing: same amount across many unrelated codes — excluded 1,812
placeholder amount (≤ $0.02) — excluded from medians 652
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/CovenantHealth/464420358_claiborne-medical-center_standardcharges.json
Found on page https://www.covenanthealth.com/patients-visitors/price-estimation/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint f01064874dbab8bb… · 149,841,174 bytes · first seen 2026-05-09

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 12 $112,999.74 $3,932,600.00 $3,809,610.15 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 24 $3,423,455.81 $3,932,600.00 $3,678,027.90 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $112,999.74 $3,521,088.40 $3,410,968.34 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 11 $112,999.74 $3,384,580.00 $3,278,729.16 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 11 $112,999.74 $3,146,080.00 $3,047,688.12 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $112,999.74 $2,547,666.28 $2,467,989.45 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 24 $2,214,562.81 $2,471,920.00 $2,343,241.40 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 25 $112,999.74 $599,561.27 $553,152.69 nat. median
$754,974
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 25 $140,999.68 $629,250.00 $524,413.90 nat. median
$625,184
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 25 $140,999.68 $584,397.44 $518,051.07 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 25 $140,999.68 $615,450.00 $512,674.71 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $140,999.68 $598,500.00 $485,904.90 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 25 $140,999.68 $598,500.00 $484,450.08 nat. median
$620,080
0.8× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $410,325.63 $410,325.63 $410,325.63 nat. median
$30,475
outlier · 13.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $132,673.63 $579,344.03 $373,083.96 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $119,153.46 $432,721.42 $278,662.44 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $40,958.62 $364,429.65 $234,684.15 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $75,396.37 $329,232.24 $212,017.84 nat. median
$202,986
1.0× median
J9999
HCPCS 		Chemotherapy Drug 16 $140,999.68 $140,999.68 $140,999.68 nat. median
$1,829
outlier · 77.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $49,709.34 $217,065.06 $139,784.81 nat. median
$133,176
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $49,893.79 $201,269.85 $129,613.06 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 12 $43,206.63 $200,762.91 $129,286.61 nat. median
$122,708
1.1× median
J8498
HCPCS 		Antiemetic Rectal/supp Nos 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$26
outlier · 4299.8×
J8499
HCPCS 		Oral Prescrip Drug Non Chemo 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$83
outlier · 1366.2×
J8999
HCPCS 		Oral Prescription Drug Chemo 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$194
outlier · 583.0×
J8597
HCPCS 		Antiemetic Drug Oral Nos 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$8
outlier · 13294.1×
Q0181
HCPCS 		Unspecified Oral Anti-emetic 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$38
outlier · 2979.2×
C9399
HCPCS 		Unclassified Drugs Or Biolog 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$2,476
outlier · 45.6×
J3490
HCPCS 		Drugs Unclassified Injection 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$48
outlier · 2349.8×
J7304
HCPCS 		Contraceptive Hormone Patch 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$116
outlier · 974.3×
S5000
HCPCS 		Prescription Drug, Generic 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$124
outlier · 911.7×
J0575
HCPCS 		Bupren/nal Over 10mg Bupreno 2 $7.76 $112,999.74 $112,999.74 nat. median
$30
outlier · 3724.4×
J7599
HCPCS 		Immunosuppressive Drug Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$153
outlier · 737.5×
J7999
HCPCS 		Compounded Drug, Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$55
outlier · 2049.7×
J0574
HCPCS 		Bupren/nal 6.1 To 10mg Bupre 2 $5.86 $112,999.74 $112,999.74 nat. median
$13
outlier · 8800.6×
90399
CPT 		Unlisted Immune Globulin 2 $9.17 $112,999.74 $112,999.74 nat. median
$428
outlier · 264.1×
J0573
HCPCS 		Bupren/nal 3.1 To 6mg Bupren 2 $5.31 $112,999.74 $112,999.74 nat. median
$17
outlier · 6531.8×
S5001
HCPCS 		Prescription Drug,brand Name 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$29
outlier · 3896.5×
J7199
HCPCS 		Hemophilia Clot Factor Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$250
outlier · 452.2×
A9552
HCPCS 		F18 Fdg 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$633
outlier · 178.5×
A9562
HCPCS 		Tc99m Mertiatide 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$791
outlier · 142.8×
J0572
HCPCS 		Bupren/nal Up To 3mg Bupreno 2 $3.79 $112,999.74 $112,999.74 nat. median
$10
outlier · 11530.6×
J3590
HCPCS 		Unclassified Biologics 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$682
outlier · 165.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $71,786.86 $299,738.00 $109,015.33 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $38,324.74 $167,352.09 $107,770.82 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $48,980.58 $163,596.08 $105,352.04 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 12 $37,272.51 $162,757.32 $104,811.89 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $36,852.46 $160,923.09 $103,630.70 nat. median
$98,905
1.0× median
J3570
HCPCS 		Laetrile Amygdalin Vit B17 16 $100,444.43 $100,444.43 $100,444.43 nat. median
$122
outlier · 823.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $33,952.57 $148,260.20 $95,476.09 nat. median
$93,672
1.0× median

Other procedures at this hospital

Browse this hospital's 21,226 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 74 12 — — $112,999.74 $3,932,600.00 $3,809,610.15 2025-12-23
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 98 24 — — $3,423,455.81 $3,932,600.00 $3,678,027.90 2025-12-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 74 12 — — $112,999.74 $3,521,088.40 $3,410,968.34 2025-12-23
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 70 11 — — $112,999.74 $3,384,580.00 $3,278,729.16 2025-12-23
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 70 11 — — $112,999.74 $3,146,080.00 $3,047,688.12 2025-12-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 76 12 — — $112,999.74 $2,547,666.28 $2,467,989.45 2025-12-23
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 98 24 — — $2,214,562.81 $2,471,920.00 $2,343,241.40 2025-12-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 100 25 — — $112,999.74 $599,561.27 $553,152.69 2025-12-23
Q2055 HCPCS Idecabtagene Vicleucel Car 104 25 — — $140,999.68 $629,250.00 $524,413.90 2025-12-23
Q2056 HCPCS Ciltacabtagene Car-pos T 104 25 — — $140,999.68 $584,397.44 $518,051.07 2025-12-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 104 25 — — $140,999.68 $615,450.00 $512,674.71 2025-12-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 104 25 — — $140,999.68 $598,500.00 $485,904.90 2025-12-23
Q2053 HCPCS Brexucabtagene Car Pos T 104 25 — — $140,999.68 $598,500.00 $484,450.08 2025-12-23
C9081 HCPCS Idecabtagene Car Pos T 2 1 — — $410,325.63 $410,325.63 $410,325.63 2025-12-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 66 12 — — $132,673.63 $579,344.03 $373,083.96 2025-12-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 64 12 — — $119,153.46 $432,721.42 $278,662.44 2025-12-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 12 — — $40,958.62 $364,429.65 $234,684.15 2025-12-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 66 12 — — $75,396.37 $329,232.24 $212,017.84 2025-12-23
J9999 HCPCS Chemotherapy Drug 44 16 — — $140,999.68 $140,999.68 $140,999.68 2025-12-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 66 12 — — $49,709.34 $217,065.06 $139,784.81 2025-12-23
14 MS_DRG Allogeneic Bone Marrow Transplant 60 12 — — $49,893.79 $201,269.85 $129,613.06 2025-12-23
7 MS_DRG Lung Transplant 60 12 — — $43,206.63 $200,762.91 $129,286.61 2025-12-23
J8498 HCPCS Antiemetic Rectal/supp Nos 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
Q0181 HCPCS Unspecified Oral Anti-emetic 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8999 HCPCS Oral Prescription Drug Chemo 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8499 HCPCS Oral Prescrip Drug Non Chemo 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8597 HCPCS Antiemetic Drug Oral Nos 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
90399 CPT Unlisted Immune Globulin 18 2 — — $9.17 $112,999.74 $112,999.74 2025-12-23
J0573 HCPCS Bupren/nal 3.1 To 6mg Bupren 18 2 — — $5.31 $112,999.74 $112,999.74 2025-12-23
S5001 HCPCS Prescription Drug,brand Name 50 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
A9552 HCPCS F18 Fdg 46 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J3590 HCPCS Unclassified Biologics 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J3490 HCPCS Drugs Unclassified Injection 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7199 HCPCS Hemophilia Clot Factor Noc 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
C9399 HCPCS Unclassified Drugs Or Biolog 50 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J0574 HCPCS Bupren/nal 6.1 To 10mg Bupre 18 2 — — $5.86 $112,999.74 $112,999.74 2025-12-23
S5000 HCPCS Prescription Drug, Generic 50 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7304 HCPCS Contraceptive Hormone Patch 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J0572 HCPCS Bupren/nal Up To 3mg Bupreno 18 2 — — $3.79 $112,999.74 $112,999.74 2025-12-23
J7999 HCPCS Compounded Drug, Noc 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
A9562 HCPCS Tc99m Mertiatide 46 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J0575 HCPCS Bupren/nal Over 10mg Bupreno 18 2 — — $7.76 $112,999.74 $112,999.74 2025-12-23
J7599 HCPCS Immunosuppressive Drug Noc 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 64 12 — — $71,786.86 $299,738.00 $109,015.33 2025-12-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 64 12 — — $38,324.74 $167,352.09 $107,770.82 2025-12-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 60 12 — — $48,980.58 $163,596.08 $105,352.04 2025-12-23
215 MS_DRG Other Heart Assist System Implant 66 12 — — $37,272.51 $162,757.32 $104,811.89 2025-12-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 11 — — $36,852.46 $160,923.09 $103,630.70 2025-12-23
J3570 HCPCS Laetrile Amygdalin Vit B17 44 16 — — $100,444.43 $100,444.43 $100,444.43 2025-12-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 12 — — $33,952.57 $148,260.20 $95,476.09 2025-12-23
850 MS_DRG Acute Leukemia With Other Procedures 60 11 — — $32,407.46 $141,513.21 $91,131.19 2025-12-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 66 12 — — $28,545.92 $130,176.05 $83,830.32 2025-12-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 12 — — $29,794.65 $130,103.85 $83,783.83 2025-12-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 60 11 — — $29,342.23 $128,128.30 $82,511.61 2025-12-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 66 12 — — $28,358.95 $123,834.62 $79,746.59 2025-12-23
10 MS_DRG Pancreas Transplant 60 12 — — $19,530.38 $122,481.23 $78,875.03 2025-12-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 12 — — $27,888.24 $121,779.18 $78,422.94 2025-12-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 66 12 — — $24,517.55 $120,075.54 $77,325.83 2025-12-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 12 — — $27,220.53 $118,863.48 $76,545.29 2025-12-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 66 12 — — $26,259.06 $114,665.04 $73,841.60 2025-12-23
J7330 HCPCS Cultured Chondrocytes Implnt 50 17 — — $69,922.48 $77,165.88 $73,544.18 2025-12-23
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $62,227.31 $71,588.43 $71,588.43 2025-12-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 11 — — $24,987.30 $109,111.68 $70,265.36 2025-12-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 64 12 — — $24,861.71 $108,563.25 $69,912.19 2025-12-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 12 — — $24,472.97 $106,865.75 $68,819.04 2025-12-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 66 12 — — $24,021.96 $104,896.34 $67,550.78 2025-12-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 60 11 — — $23,587.13 $102,997.60 $66,328.04 2025-12-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 66 12 — — $18,835.72 $102,601.26 $66,072.80 2025-12-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 66 12 — — $23,456.62 $102,427.67 $65,961.02 2025-12-23
J9029 HCPCS Instill Adstiladrin, Tx Dose 100 25 — — $60,550.30 $69,214.27 $65,104.33 2025-12-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 66 12 — — $22,751.61 $99,349.13 $63,978.51 2025-12-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 12 — — $22,718.89 $99,206.26 $63,886.50 2025-12-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 66 12 — — $22,248.89 $97,153.90 $62,564.83 2025-12-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 64 12 — — $21,791.90 $95,158.37 $61,279.76 2025-12-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 60 11 — — $21,763.76 $95,035.48 $61,200.62 2025-12-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 66 12 — — $21,418.84 $94,602.27 $60,921.64 2025-12-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 66 12 — — $18,022.15 $94,271.99 $60,708.94 2025-12-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 66 12 — — $21,467.25 $93,841.85 $60,431.95 2025-12-23
28 MS_DRG Spinal Procedures With Mcc 66 12 — — $14,558.72 $93,393.28 $60,143.08 2025-12-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 60 12 — — $28,342.88 $92,723.50 $59,711.76 2025-12-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 60 12 — — $20,165.82 $92,723.50 $59,711.76 2025-12-23
38240 CPT Transplt Allo Hct/donor 80 13 — — $1,936.00 $60,730.25 $59,573.48 2025-12-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 66 12 — — $21,075.63 $92,030.67 $59,265.59 2025-12-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 12 — — $20,929.64 $91,393.15 $58,855.04 2025-12-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 12 — — $14,982.19 $58,810.52 $58,810.52 2025-12-23
A9543 HCPCS Y90 Ibritumomab, Rx 102 25 — — $21,848.24 $88,838.14 $58,350.24 2025-12-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 12 — — $20,700.62 $90,393.08 $58,211.02 2025-12-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 66 12 — — $20,482.85 $89,442.17 $57,598.66 2025-12-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 104 25 — — $18,970.96 $77,571.47 $57,027.60 2025-12-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 12 — — $20,191.21 $88,168.66 $56,778.55 2025-12-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 12 — — $20,070.54 $87,641.75 $56,439.23 2025-12-23
653 MS_DRG Major Bladder Procedures With Mcc 66 12 — — $19,611.44 $85,637.01 $55,148.23 2025-12-23
90288 CPT Botulism Ig IV 44 16 — — $55,036.65 $55,036.65 $55,036.65 2025-12-23
834 MS_DRG Acute Leukemia With Mcc 66 12 — — $19,445.04 $84,910.38 $54,680.29 2025-12-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 66 12 — — $19,445.04 $84,910.38 $54,680.29 2025-12-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 11 — — $19,363.42 $84,553.98 $54,450.78 2025-12-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 60 11 — — $19,245.22 $84,037.82 $54,118.39 2025-12-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 60 12 — — $24,217.69 $83,586.18 $53,827.54 2025-12-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 66 12 — — $14,194.47 $83,395.69 $53,704.86 2025-12-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $45,325.98 $53,580.24 $53,580.24 2025-12-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 12 — — $19,000.72 $82,970.16 $53,430.84 2025-12-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 66 12 — — $18,982.78 $82,891.82 $53,380.38 2025-12-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 66 12 — — $11,640.02 $82,882.60 $53,374.45 2025-12-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 66 12 — — $16,620.61 $81,728.91 $52,631.50 2025-12-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 12 — — $18,633.79 $81,367.91 $52,399.02 2025-12-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 60 11 — — $18,118.05 $79,115.84 $50,948.74 2025-12-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 66 12 — — $18,057.89 $78,853.15 $50,779.58 2025-12-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 66 12 — — $16,641.76 $78,263.25 $50,399.70 2025-12-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 66 12 — — $17,867.92 $78,023.60 $50,245.37 2025-12-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 66 12 — — $17,719.81 $77,376.86 $49,828.88 2025-12-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 66 12 — — $17,615.33 $76,920.61 $49,535.06 2025-12-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 12 — — $17,601.61 $76,860.69 $49,496.49 2025-12-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 66 12 — — $17,594.57 $76,829.97 $49,476.70 2025-12-23
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $40,516.88 $49,411.64 $49,411.64 2025-12-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 12 — — $17,531.25 $76,553.45 $49,298.62 2025-12-23
245 MS_DRG Aicd Generator Procedures 66 12 — — $17,191.76 $75,071.02 $48,343.97 2025-12-23
471 MS_DRG Cervical Spinal Fusion With Mcc 66 12 — — $17,087.98 $74,617.84 $48,052.14 2025-12-23
6 MS_DRG Liver Transplant Without Mcc 60 12 — — $22,390.33 $74,493.41 $47,972.01 2025-12-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 12 — — $16,800.21 $73,361.23 $47,242.91 2025-12-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 12 — — $16,724.22 $73,029.41 $47,029.23 2025-12-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 66 12 — — $16,551.13 $72,273.60 $46,542.50 2025-12-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 66 12 — — $16,462.48 $71,886.48 $46,293.21 2025-12-23
J9226 HCPCS Supprelin La Implant 104 25 — — $13,881.22 $65,163.50 $46,034.40 2025-12-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 12 — — $16,365.38 $71,462.49 $46,020.17 2025-12-23
163 MS_DRG Major Chest Procedures With Mcc 66 12 — — $16,215.17 $70,806.53 $45,597.74 2025-12-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 12 — — $21,211.57 $70,777.34 $45,578.95 2025-12-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 12 — — $16,156.77 $70,551.52 $45,433.52 2025-12-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 66 12 — — $16,154.30 $70,540.77 $45,426.60 2025-12-23
33276 CPT Insj Phrnc Nrv Stim Sys 78 13 — — $1,587.60 $46,208.73 $45,328.56 2025-12-23
266T CPT Implt/rpl Crtd Sns Dev Total 80 13 — — $2,281.00 $46,208.73 $45,328.56 2025-12-23
799 MS_DRG Splenic Procedures With Mcc 90 24 — — $3,518.00 $47,038.13 $44,798.22 2025-12-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 66 12 — — $15,871.81 $69,307.20 $44,632.21 2025-12-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 66 12 — — $15,777.17 $68,893.96 $44,366.09 2025-12-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 66 12 — — $15,733.55 $68,703.47 $44,243.42 2025-12-23
901 MS_DRG Wound Debridements For Injuries With Mcc 66 12 — — $13,410.98 $68,061.34 $43,829.91 2025-12-23
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $43,633.91 $43,633.91 $43,633.91 2025-12-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 66 12 — — $15,453.87 $67,482.19 $43,456.95 2025-12-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 12 — — $15,190.72 $66,333.12 $42,716.97 2025-12-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 66 12 — — $15,006.73 $65,529.68 $42,199.57 2025-12-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 64 12 — — $14,984.57 $65,432.90 $42,137.26 2025-12-23
140 MS_DRG Major Head And Neck Procedures With Mcc 66 12 — — $14,878.33 $64,968.97 $41,838.49 2025-12-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 66 12 — — $14,742.53 $67,630.52 $41,456.64 2025-12-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 66 12 — — $14,739.01 $64,360.64 $41,446.73 2025-12-23
793 MS_DRG Full Term Neonate With Major Problems 58 12 — — $2,927.16 $41,257.79 $41,257.79 2025-12-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 66 12 — — $14,637.34 $63,916.67 $41,160.84 2025-12-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 90 24 — — $3,518.00 $42,805.01 $40,766.68 2025-12-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 66 12 — — $14,466.37 $63,170.08 $40,680.05 2025-12-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 66 12 — — $14,458.28 $63,134.75 $40,657.29 2025-12-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 12 — — $14,436.82 $63,041.04 $40,596.95 2025-12-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 60 11 — — $14,365.75 $62,730.73 $40,397.11 2025-12-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 66 12 — — $14,270.14 $62,483.40 $40,237.85 2025-12-23
791 MS_DRG Prematurity With Major Problems 58 12 — — $10,573.12 $40,163.64 $40,163.64 2025-12-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 66 12 — — $12,740.76 $61,197.60 $39,409.82 2025-12-23
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 66 12 — — $7,010.99 $61,154.59 $39,382.12 2025-12-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 66 12 — — $13,880.97 $60,613.84 $39,033.90 2025-12-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 66 12 — — $11,092.94 $60,489.41 $38,953.76 2025-12-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 66 12 — — $11,577.04 $60,366.52 $38,874.62 2025-12-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 60 11 — — $13,763.12 $60,099.22 $38,702.49 2025-12-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 66 12 — — $13,756.44 $60,070.03 $38,683.69 2025-12-23
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $38,674.73 $38,674.73 $38,674.73 2025-12-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 66 12 — — $11,955.86 $59,738.21 $38,470.01 2025-12-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 66 12 — — $13,597.07 $59,374.13 $38,235.55 2025-12-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 66 12 — — $10,067.40 $59,314.22 $38,196.96 2025-12-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 66 12 — — $13,545.36 $59,148.31 $38,090.13 2025-12-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 66 12 — — $13,447.20 $78,988.68 $37,814.11 2025-12-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 12 — — $13,374.38 $58,401.72 $37,609.33 2025-12-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 66 12 — — $13,270.25 $57,947.00 $37,316.51 2025-12-23
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 2 — — $29,313.00 $37,207.18 $37,207.18 2025-12-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 66 12 — — $13,164.36 $57,484.60 $37,018.74 2025-12-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 66 12 — — $12,836.13 $56,051.33 $36,095.75 2025-12-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 66 12 — — $12,747.12 $55,662.67 $35,845.46 2025-12-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 66 12 — — $12,611.33 $55,069.70 $35,463.59 2025-12-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 66 12 — — $10,447.63 $55,066.63 $35,461.62 2025-12-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 12 — — $12,608.51 $55,057.41 $35,455.68 2025-12-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 66 12 — — $12,493.12 $54,553.53 $35,131.19 2025-12-23
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $34,969.98 $34,969.98 $34,969.98 2025-12-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 66 12 — — $12,419.95 $54,234.00 $34,925.43 2025-12-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 66 12 — — $6,757.66 $54,220.18 $34,916.52 2025-12-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 66 12 — — $12,385.47 $54,083.46 $34,828.48 2025-12-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 66 12 — — $12,326.37 $53,825.38 $34,662.27 2025-12-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 12 — — $11,583.62 $53,808.48 $34,651.40 2025-12-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 66 12 — — $12,317.57 $75,553.22 $34,637.55 2025-12-23
265 MS_DRG Aicd Lead Procedures 90 24 — — $10,384.18 $54,799.33 $34,617.30 2025-12-23
264 MS_DRG Other Circulatory System O.r. Procedures 66 12 — — $12,295.76 $53,691.73 $34,576.22 2025-12-23
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 64 12 — — $17,359.92 $53,344.55 $34,352.64 2025-12-23
332 MS_DRG Rectal Resection With Mcc 66 12 — — $12,202.89 $53,286.17 $34,315.04 2025-12-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 66 12 — — $7,276.07 $53,227.79 $34,277.45 2025-12-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 66 12 — — $12,098.40 $52,829.92 $34,021.23 2025-12-23
665 MS_DRG Prostatectomy With Mcc 66 12 — — $10,054.71 $52,746.96 $33,967.80 2025-12-23
252 MS_DRG Other Vascular Procedures With Mcc 66 12 — — $12,068.15 $52,697.80 $33,936.15 2025-12-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 66 12 — — $12,049.85 $52,617.92 $33,884.71 2025-12-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 66 12 — — $11,983.01 $52,326.04 $33,696.75 2025-12-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 90 24 — — $12,117.40 $52,912.87 $33,425.61 2025-12-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 12 — — $11,808.87 $51,565.63 $33,207.05 2025-12-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 90 24 — — $11,933.06 $52,107.90 $32,917.10 2025-12-23
37 MS_DRG Extracranial Procedures With Mcc 66 12 — — $10,616.83 $51,015.67 $32,852.89 2025-12-23
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 80 13 — — $1,941.00 $40,734.00 $32,608.86 2025-12-23
33249 CPT Insj/rplcmt Defib W/lead(s) 80 13 — — $1,941.00 $40,734.00 $32,608.86 2025-12-23
33270 CPT Ins/rep Subq Defibrillator 80 13 — — $1,941.00 $40,734.00 $32,608.86 2025-12-23
33231 CPT Insrt Pulse Gen W/mult Leads 80 13 — — $1,941.00 $40,734.00 $32,295.31 2025-12-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 90 24 — — $11,616.08 $50,723.79 $32,042.74 2025-12-23
69930 CPT Implant Cochlear Device 80 13 — — $1,941.00 $40,734.00 $32,039.71 2025-12-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 90 24 — — $11,499.29 $50,213.77 $31,720.56 2025-12-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 90 24 — — $11,466.57 $50,070.90 $31,630.30 2025-12-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 90 24 — — $11,461.64 $50,049.40 $31,616.72 2025-12-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 66 12 — — $10,400.63 $48,989.42 $31,548.04 2025-12-23
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $31,389.16 $31,389.16 $31,389.16 2025-12-23
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 98 24 — — $2,396.00 $40,734.00 $31,354.67 2025-12-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 90 24 — — $11,325.50 $49,454.89 $31,241.17 2025-12-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 88 24 — — $11,273.08 $49,225.99 $31,096.57 2025-12-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 88 24 — — $11,240.36 $49,083.13 $31,006.32 2025-12-23
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 90 24 — — $10,185.84 $48,758.99 $30,801.55 2025-12-23
500 MS_DRG Soft Tissue Procedures With Mcc 90 24 — — $11,147.49 $48,677.57 $30,750.12 2025-12-23
408T CPT Insj/rplc Cardiac Modulj Sys 104 25 — — $2,281.00 $40,734.00 $30,712.10 2025-12-23
571T CPT Insj/rplcmt Icds Ss Eltrd 104 25 — — $2,281.00 $40,734.00 $30,712.10 2025-12-23
64568 CPT Opn Impltj Crnl Nrv Nea&pg 80 13 — — $1,722.16 $40,734.00 $30,695.74 2025-12-23
61886 CPT Implant Neurostim Arrays 80 13 — — $1,692.00 $40,734.00 $30,695.74 2025-12-23
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 80 13 — — $1,722.16 $35,329.00 $30,695.74 2025-12-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 90 24 — — $10,979.68 $47,944.80 $30,287.22 2025-12-23
662 MS_DRG Minor Bladder Procedures With Mcc 90 24 — — $9,576.25 $47,923.30 $30,273.64 2025-12-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 90 24 — — $10,927.96 $47,718.98 $30,144.58 2025-12-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 90 24 — — $10,879.06 $47,505.45 $30,009.68 2025-12-23
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 90 24 — — $3,518.00 $31,462.96 $29,964.72 2025-12-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 84 23 — — $10,856.55 $47,407.13 $29,947.57 2025-12-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 90 24 — — $10,504.03 $47,373.34 $29,926.23 2025-12-23
652 MS_DRG Kidney Transplant 88 24 — — $14,407.38 $47,182.85 $29,805.89 2025-12-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 88 24 — — $10,795.33 $47,139.83 $29,778.72 2025-12-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 90 24 — — $10,760.15 $46,986.21 $29,681.67 2025-12-23
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $24,118.84 $29,551.01 $29,551.01 2025-12-23
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $29,537.58 $29,537.58 $29,537.58 2025-12-23
570 MS_DRG Skin Debridement With Mcc 90 24 — — $10,589.88 $46,242.69 $29,211.98 2025-12-23
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 104 25 — — $1,610.00 $31,291.77 $28,988.00 2025-12-23
974 MS_DRG HIV With Major Related Condition With Mcc 90 24 — — $10,115.34 $45,874.00 $28,979.08 2025-12-23
33289 CPT Tcat Impl Wrls P-art Prs Snr 80 13 — — $1,941.00 $40,734.00 $28,635.58 2025-12-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 24 — — $10,373.17 $45,296.39 $28,614.20 2025-12-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 90 24 — — $10,346.44 $45,179.64 $28,540.45 2025-12-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 90 24 — — $10,318.29 $45,056.75 $28,462.81 2025-12-23
668 MS_DRG Transurethral Procedures With Mcc 90 24 — — $10,259.54 $44,800.20 $28,300.75 2025-12-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 88 24 — — $10,253.91 $44,775.62 $28,285.22 2025-12-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 90 24 — — $10,245.12 $44,737.22 $28,260.96 2025-12-23
472 MS_DRG Cervical Spinal Fusion With Cc 90 24 — — $10,192.35 $44,506.79 $28,115.40 2025-12-23
77432 CPT Stereotactic Radiation Trmt 14 3 — — $753.77 $33,043.00 $28,087.00 2025-12-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 90 24 — — $10,086.46 $44,044.39 $27,823.30 2025-12-23
J9266 HCPCS Pegaspargase Injection 104 25 — — $6,956.66 $38,169.45 $27,797.35 2025-12-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 90 24 — — $10,074.85 $43,993.70 $27,791.27 2025-12-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 88 24 — — $10,068.87 $43,967.58 $27,774.77 2025-12-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 90 24 — — $7,215.44 $43,906.13 $27,735.95 2025-12-23
316T CPT Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 2 1 — — $27,652.35 $27,652.35 $27,652.35 2025-12-23
312T CPT Implantation Of Neurostimulator Electrodes And Pulse Generator For Vagus Nerve B… 2 1 — — $27,652.35 $27,652.35 $27,652.35 2025-12-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 88 24 — — $10,015.04 $43,732.54 $27,626.30 2025-12-23
800 MS_DRG Splenic Procedures With Cc 90 24 — — $3,518.00 $28,825.55 $27,452.90 2025-12-23
654 MS_DRG Major Bladder Procedures With Cc 90 24 — — $9,928.15 $43,353.10 $27,386.60 2025-12-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $27,343.49 $27,343.49 $27,343.49 2025-12-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 90 24 — — $9,879.95 $43,142.64 $27,253.66 2025-12-23
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 90 24 — — $9,869.75 $43,098.09 $27,225.51 2025-12-23
C9760 HCPCS Non-blind Interatrial Shunt 102 24 — — $2,281.00 $40,734.00 $26,944.39 2025-12-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 90 24 — — $9,626.66 $42,036.58 $26,554.93 2025-12-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 90 24 — — $9,609.42 $41,961.30 $26,507.39 2025-12-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 90 24 — — $9,557.35 $41,733.95 $26,363.77 2025-12-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 90 24 — — $9,510.56 $41,529.63 $26,234.70 2025-12-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 90 24 — — $9,479.25 $41,392.91 $26,148.33 2025-12-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 90 24 — — $9,441.61 $41,228.54 $26,044.49 2025-12-23
263 MS_DRG Vein Ligation And Stripping 90 24 — — $9,435.63 $41,202.42 $26,028.00 2025-12-23
63621 CPT Srs Spinal Lesion Addl 28 5 — — $105.00 $37,488.00 $25,992.00 2025-12-23
63620 CPT Srs Spinal Lesion 28 5 — — $1,575.00 $37,488.00 $25,992.00 2025-12-23
61796 CPT Srs Cranial Lesion Simple 28 5 — — $1,575.00 $37,488.00 $25,992.00 2025-12-23
61797 CPT Srs Cran Les Simple Addl 28 5 — — $105.00 $37,488.00 $25,992.00 2025-12-23
61798 CPT Srs Cranial Lesion Complex 28 5 — — $1,575.00 $37,488.00 $25,992.00 2025-12-23
61799 CPT Srs Cran Les Complex Addl 28 5 — — $105.00 $37,488.00 $25,992.00 2025-12-23
849 MS_DRG Radiotherapy 90 24 — — $4,177.83 $41,033.44 $25,921.25 2025-12-23
G0342 HCPCS Laparoscopy Islet Cell Trans 18 3 — — $1,575.00 $33,043.00 $25,867.00 2025-12-23
61800 CPT Apply Srs Headframe Add-on 30 6 — — $105.00 $37,488.00 $25,867.00 2025-12-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 90 24 — — $8,833.65 $40,905.93 $25,840.70 2025-12-23
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 90 24 — — $9,334.31 $40,759.99 $25,748.51 2025-12-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 90 24 — — $9,322.70 $40,709.30 $25,716.48 2025-12-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 102 25 — — $9,591.83 $41,884.49 $25,688.22 2025-12-23
503 MS_DRG Foot Procedures With Mcc 90 24 — — $8,722.73 $40,657.07 $25,683.49 2025-12-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 90 24 — — $9,301.24 $40,615.59 $25,657.29 2025-12-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 90 24 — — $9,228.77 $40,299.13 $25,457.38 2025-12-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 90 24 — — $9,204.85 $42,726.22 $25,391.38 2025-12-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 90 24 — — $5,401.24 $39,766.07 $25,120.64 2025-12-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 90 24 — — $9,091.57 $39,700.02 $25,078.91 2025-12-23
J9600 HCPCS Porfimer Sodium Injection 104 25 — — $10,609.79 $33,543.14 $24,878.93 2025-12-23
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 90 24 — — $8,984.27 $39,231.48 $24,782.93 2025-12-23
253 MS_DRG Other Vascular Procedures With Cc 90 24 — — $8,981.45 $39,219.19 $24,775.17 2025-12-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 90 24 — — $8,964.57 $39,145.45 $24,728.58 2025-12-23
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 90 24 — — $8,918.48 $38,944.21 $24,601.46 2025-12-23
545 MS_DRG Connective Tissue Disorders With Mcc 90 24 — — $8,113.14 $38,818.24 $24,521.88 2025-12-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 90 24 — — $8,882.60 $38,787.51 $24,502.47 2025-12-23
164 MS_DRG Major Chest Procedures With Cc 90 24 — — $8,854.81 $38,666.15 $24,425.81 2025-12-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 90 24 — — $5,025.24 $38,467.98 $24,300.63 2025-12-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 90 24 — — $8,802.74 $38,438.80 $24,282.19 2025-12-23
792 MS_DRG Prematurity Without Major Problems 58 12 — — $1,695.29 $24,234.32 $24,234.32 2025-12-23
397 MS_DRG Appendix Procedures With Mcc 88 24 — — $8,716.90 $38,063.96 $24,045.40 2025-12-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 90 24 — — $8,681.72 $37,910.34 $23,948.35 2025-12-23
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 102 25 — — $1,587.60 $31,291.77 $23,901.00 2025-12-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 90 24 — — $8,449.19 $37,610.78 $23,759.12 2025-12-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 90 24 — — $8,542.06 $37,300.47 $23,563.09 2025-12-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 90 24 — — $8,508.99 $37,156.07 $23,471.88 2025-12-23
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 90 24 — — $5,436.49 $37,039.32 $23,398.12 2025-12-23
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