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 →

Export CSV
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.

Slice
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
             
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
10 MS_DRG Pancreas Transplant 60 12 — — $19,530.38 $122,481.23 $78,875.03 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
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
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
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 90 24 — — $5,436.49 $37,039.32 $23,398.12 2025-12-23
14 MS_DRG Allogeneic Bone Marrow Transplant 60 12 — — $49,893.79 $201,269.85 $129,613.06 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 60 12 — — $28,342.88 $92,723.50 $59,711.76 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
164 MS_DRG Major Chest Procedures With Cc 90 24 — — $8,854.81 $38,666.15 $24,425.81 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 60 12 — — $20,165.82 $92,723.50 $59,711.76 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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 12 — — $27,888.24 $121,779.18 $78,422.94 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
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
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
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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 64 12 — — $38,324.74 $167,352.09 $107,770.82 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
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
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
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
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
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
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
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
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
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
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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 12 — — $17,531.25 $76,553.45 $49,298.62 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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 66 12 — — $28,545.92 $130,176.05 $83,830.32 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
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 12 — — $20,700.62 $90,393.08 $58,211.02 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
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
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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 90 24 — — $11,933.06 $52,107.90 $32,917.10 2025-12-23
245 MS_DRG Aicd Generator Procedures 66 12 — — $17,191.76 $75,071.02 $48,343.97 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
252 MS_DRG Other Vascular Procedures With Mcc 66 12 — — $12,068.15 $52,697.80 $33,936.15 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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 90 24 — — $9,869.75 $43,098.09 $27,225.51 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
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
263 MS_DRG Vein Ligation And Stripping 90 24 — — $9,435.63 $41,202.42 $26,028.00 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
265 MS_DRG Aicd Lead Procedures 90 24 — — $10,384.18 $54,799.33 $34,617.30 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
266T CPT Implt/rpl Crtd Sns Dev Total 80 13 — — $2,281.00 $46,208.73 $45,328.56 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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 66 12 — — $18,057.89 $78,853.15 $50,779.58 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 90 24 — — $8,802.74 $38,438.80 $24,282.19 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 90 24 — — $10,979.68 $47,944.80 $30,287.22 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 12 — — $16,365.38 $71,462.49 $46,020.17 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
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
28 MS_DRG Spinal Procedures With Mcc 66 12 — — $14,558.72 $93,393.28 $60,143.08 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 12 — — $11,808.87 $51,565.63 $33,207.05 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 66 12 — — $14,742.53 $67,630.52 $41,456.64 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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 66 12 — — $15,453.87 $67,482.19 $43,456.95 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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 88 24 — — $10,068.87 $43,967.58 $27,774.77 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
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 90 24 — — $8,542.06 $37,300.47 $23,563.09 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
332 MS_DRG Rectal Resection With Mcc 66 12 — — $12,202.89 $53,286.17 $34,315.04 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
33249 CPT Insj/rplcmt Defib W/lead(s) 80 13 — — $1,941.00 $40,734.00 $32,608.86 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
33270 CPT Ins/rep Subq Defibrillator 80 13 — — $1,941.00 $40,734.00 $32,608.86 2025-12-23
33276 CPT Insj Phrnc Nrv Stim Sys 78 13 — — $1,587.60 $46,208.73 $45,328.56 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
33289 CPT Tcat Impl Wrls P-art Prs Snr 80 13 — — $1,941.00 $40,734.00 $28,635.58 2025-12-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 66 12 — — $12,747.12 $55,662.67 $35,845.46 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
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
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 90 24 — — $8,508.99 $37,156.07 $23,471.88 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
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
37 MS_DRG Extracranial Procedures With Mcc 66 12 — — $10,616.83 $51,015.67 $32,852.89 2025-12-23
38240 CPT Transplt Allo Hct/donor 80 13 — — $1,936.00 $60,730.25 $59,573.48 2025-12-23
397 MS_DRG Appendix Procedures With Mcc 88 24 — — $8,716.90 $38,063.96 $24,045.40 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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 66 12 — — $14,194.47 $83,395.69 $53,704.86 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
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
408T CPT Insj/rplc Cardiac Modulj Sys 104 25 — — $2,281.00 $40,734.00 $30,712.10 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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 66 12 — — $6,757.66 $54,220.18 $34,916.52 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $45,325.98 $53,580.24 $53,580.24 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
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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 66 12 — — $17,087.98 $74,617.84 $48,052.14 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
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
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
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
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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 60 12 — — $48,980.58 $163,596.08 $105,352.04 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
503 MS_DRG Foot Procedures With Mcc 90 24 — — $8,722.73 $40,657.07 $25,683.49 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
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
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
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
545 MS_DRG Connective Tissue Disorders With Mcc 90 24 — — $8,113.14 $38,818.24 $24,521.88 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
570 MS_DRG Skin Debridement With Mcc 90 24 — — $10,589.88 $46,242.69 $29,211.98 2025-12-23
571T CPT Insj/rplcmt Icds Ss Eltrd 104 25 — — $2,281.00 $40,734.00 $30,712.10 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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 60 12 — — $22,390.33 $74,493.41 $47,972.01 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
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
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
61800 CPT Apply Srs Headframe Add-on 30 6 — — $105.00 $37,488.00 $25,867.00 2025-12-23
61886 CPT Implant Neurostim Arrays 80 13 — — $1,692.00 $40,734.00 $30,695.74 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
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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 90 24 — — $10,086.46 $44,044.39 $27,823.30 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
63620 CPT Srs Spinal Lesion 28 5 — — $1,575.00 $37,488.00 $25,992.00 2025-12-23
63621 CPT Srs Spinal Lesion Addl 28 5 — — $105.00 $37,488.00 $25,992.00 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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 80 13 — — $1,722.16 $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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 12 — — $21,211.57 $70,777.34 $45,578.95 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
652 MS_DRG Kidney Transplant 88 24 — — $14,407.38 $47,182.85 $29,805.89 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
654 MS_DRG Major Bladder Procedures With Cc 90 24 — — $9,928.15 $43,353.10 $27,386.60 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
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
662 MS_DRG Minor Bladder Procedures With Mcc 90 24 — — $9,576.25 $47,923.30 $30,273.64 2025-12-23
665 MS_DRG Prostatectomy With Mcc 66 12 — — $10,054.71 $52,746.96 $33,967.80 2025-12-23
668 MS_DRG Transurethral Procedures With Mcc 90 24 — — $10,259.54 $44,800.20 $28,300.75 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
69930 CPT Implant Cochlear Device 80 13 — — $1,941.00 $40,734.00 $32,039.71 2025-12-23
7 MS_DRG Lung Transplant 60 12 — — $43,206.63 $200,762.91 $129,286.61 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
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
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
77432 CPT Stereotactic Radiation Trmt 14 3 — — $753.77 $33,043.00 $28,087.00 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
791 MS_DRG Prematurity With Major Problems 58 12 — — $10,573.12 $40,163.64 $40,163.64 2025-12-23
792 MS_DRG Prematurity Without Major Problems 58 12 — — $1,695.29 $24,234.32 $24,234.32 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
799 MS_DRG Splenic Procedures With Mcc 90 24 — — $3,518.00 $47,038.13 $44,798.22 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
800 MS_DRG Splenic Procedures With Cc 90 24 — — $3,518.00 $28,825.55 $27,452.90 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
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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 66 12 — — $19,445.04 $84,910.38 $54,680.29 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 66 12 — — $10,400.63 $48,989.42 $31,548.04 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
849 MS_DRG Radiotherapy 90 24 — — $4,177.83 $41,033.44 $25,921.25 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
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
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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 66 12 — — $13,410.98 $68,061.34 $43,829.91 2025-12-23
90288 CPT Botulism Ig IV 44 16 — — $55,036.65 $55,036.65 $55,036.65 2025-12-23
90399 CPT Unlisted Immune Globulin 18 2 — — $9.17 $112,999.74 $112,999.74 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
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
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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 66 12 — — $24,021.96 $104,896.34 $67,550.78 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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 90 24 — — $9,557.35 $41,733.95 $26,363.77 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 90 24 — — $10,115.34 $45,874.00 $28,979.08 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
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
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
A9543 HCPCS Y90 Ibritumomab, Rx 102 25 — — $21,848.24 $88,838.14 $58,350.24 2025-12-23
A9552 HCPCS F18 Fdg 46 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
C9081 HCPCS Idecabtagene Car Pos T 2 1 — — $410,325.63 $410,325.63 $410,325.63 2025-12-23
C9399 HCPCS Unclassified Drugs Or Biolog 50 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
C9760 HCPCS Non-blind Interatrial Shunt 102 24 — — $2,281.00 $40,734.00 $26,944.39 2025-12-23
G0342 HCPCS Laparoscopy Islet Cell Trans 18 3 — — $1,575.00 $33,043.00 $25,867.00 2025-12-23
J0572 HCPCS Bupren/nal Up To 3mg Bupreno 18 2 — — $3.79 $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
J0574 HCPCS Bupren/nal 6.1 To 10mg Bupre 18 2 — — $5.86 $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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 74 12 — — $112,999.74 $3,932,600.00 $3,809,610.15 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
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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 98 24 — — $2,214,562.81 $2,471,920.00 $2,343,241.40 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
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 70 11 — — $112,999.74 $3,384,580.00 $3,278,729.16 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
J3490 HCPCS Drugs Unclassified Injection 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J3570 HCPCS Laetrile Amygdalin Vit B17 44 16 — — $100,444.43 $100,444.43 $100,444.43 2025-12-23
J3590 HCPCS Unclassified Biologics 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
J7304 HCPCS Contraceptive Hormone Patch 44 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7330 HCPCS Cultured Chondrocytes Implnt 50 17 — — $69,922.48 $77,165.88 $73,544.18 2025-12-23
J7599 HCPCS Immunosuppressive Drug Noc 44 16 — — $112,999.74 $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
J8498 HCPCS Antiemetic Rectal/supp Nos 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
J8999 HCPCS Oral Prescription Drug Chemo 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J9029 HCPCS Instill Adstiladrin, Tx Dose 100 25 — — $60,550.30 $69,214.27 $65,104.33 2025-12-23
J9226 HCPCS Supprelin La Implant 104 25 — — $13,881.22 $65,163.50 $46,034.40 2025-12-23
J9266 HCPCS Pegaspargase Injection 104 25 — — $6,956.66 $38,169.45 $27,797.35 2025-12-23
J9600 HCPCS Porfimer Sodium Injection 104 25 — — $10,609.79 $33,543.14 $24,878.93 2025-12-23
J9999 HCPCS Chemotherapy Drug 44 16 — — $140,999.68 $140,999.68 $140,999.68 2025-12-23
Q0181 HCPCS Unspecified Oral Anti-emetic 44 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 104 25 — — $140,999.68 $598,500.00 $485,904.90 2025-12-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 100 25 — — $112,999.74 $599,561.27 $553,152.69 2025-12-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 104 25 — — $18,970.96 $77,571.47 $57,027.60 2025-12-23
Q2053 HCPCS Brexucabtagene Car Pos T 104 25 — — $140,999.68 $598,500.00 $484,450.08 2025-12-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 104 25 — — $140,999.68 $615,450.00 $512,674.71 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
S5000 HCPCS Prescription Drug, Generic 50 17 — — $112,999.74 $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
See an error in this hospital's data? Submit a correction