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Hospital

MEDICAL CENTER HOSPITAL

Odessa, TX · CCN 450132 · Rates published

16,995 distinct procedures filed
14 distinct payers
532,830 rate rows
2025-02-14 last MRF observed · ⚠ 16 mo old
Data quality

526,348 of 532,830 rate rows are consumer-grade (98.8%)

6,482 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 3,020
template filing: same amount across many unrelated codes — excluded 2,276
placeholder amount (≤ $0.02) — excluded from medians 606
percent-of-charges filed in the dollar field — excluded from medians 270
per-diem day rate — not a per-procedure price 256
exceeds 10× this hospital's gross charge — excluded from medians 54

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8188/752302928_ector-county-hospital-district_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MedicalCenterHospital/8188
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9f9b61c32669aedf… · 137,027,900 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,781.51 $3,321,781.51 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,193,000.00 $3,193,000.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,403,458.75 $2,403,458.75 $2,403,458.75 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
C9098
HCPCS 		Pharmacy 2 $478,950.00 $478,950.00 $478,950.00 nat. median
$57,174
outlier · 8.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $463,140.00 $551,318.34 $463,140.00 nat. median
$675,122
0.7× median
C9081
HCPCS 		Pharmacy 2 $432,085.00 $432,085.00 $432,085.00 nat. median
$30,475
outlier · 14.2×
C9076
HCPCS 		Pharmacy 2 $422,609.00 $422,609.00 $422,609.00 nat. median
$30,475
outlier · 13.9×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $417,822.00 $528,312.43 $417,822.00 nat. median
$625,184
0.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $408,658.80 $516,485.97 $408,658.80 nat. median
$674,188
0.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $384,190.00 $565,623.84 $384,190.00 nat. median
$754,974
0.5× median
C9073
HCPCS 		Pharmacy 2 $384,190.00 $384,190.00 $384,190.00 nat. median
$29,278
outlier · 13.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $371,508.00 $488,051.51 $371,508.00 nat. median
$620,080
0.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $354,350.00 $489,517.15 $354,350.00 nat. median
$634,511
0.6× median
5834
APR_DRG 		Neonate With Ecmo - Extreme Severity 8 $322,523.57 $322,523.57 $322,523.57 nat. median
$309,665
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant - Extreme Severity 8 $313,751.23 $313,751.23 $313,751.23 nat. median
$187,294
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $180,299.07 $377,128.00 $284,246.05 nat. median
$370,174
0.8× median
5833
APR_DRG 		Neonate With Ecmo - Major Severity 8 $273,101.10 $273,101.10 $273,101.10 nat. median
$244,017
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant - Extreme Severity 8 $262,715.53 $262,715.53 $262,715.53 nat. median
$234,738
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $186,333.30 $281,683.00 $213,128.84 nat. median
$265,286
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme Severity 8 $204,152.13 $204,152.13 $204,152.13 nat. median
$246,434
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems - Extreme Severity 8 $198,245.72 $198,245.72 $198,245.72 nat. median
$207,730
1.0× median
0100T
CPT 		Prosth Retina Receive&gen 2 $178,425.58 $257,725.85 $192,150.63 nat. median
$11,210
outlier · 17.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) - Extreme Severity 8 $185,725.03 $185,725.03 $185,725.03 nat. median
$164,834
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 6 $156,926.32 $237,228.00 $180,004.85 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 8 $91,727.50 $214,316.00 $162,932.86 nat. median
$202,986
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $63,402.04 $160,000.00 $160,000.00 nat. median
$69,774
outlier · 2.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme… 8 $151,902.79 $151,902.79 $151,902.79 nat. median
$150,721
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme Severity 8 $150,556.67 $150,556.67 $150,556.67 nat. median
$162,982
0.9× median
5832
APR_DRG 		Neonate With Ecmo - Moderate Severity 8 $136,080.05 $136,080.05 $136,080.05 nat. median
$156,126
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme Sever… 8 $129,216.91 $129,216.91 $129,216.91 nat. median
$117,173
1.1× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders - Extreme Severity 8 $120,078.09 $120,078.09 $120,078.09 nat. median
$32,636
outlier · 3.7×
5831
APR_DRG 		Neonate With Ecmo - Minor Severity 8 $119,821.19 $119,821.19 $119,821.19 nat. median
$145,122
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant - Major Severity 8 $110,710.82 $110,710.82 $110,710.82 nat. median
$89,273
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure - Major Severity 8 $109,541.34 $109,541.34 $109,541.34 nat. median
$182,736
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate Severity 8 $109,040.68 $109,040.68 $109,040.68 nat. median
$145,336
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme Severity 8 $108,758.72 $108,758.72 $108,758.72 nat. median
$105,658
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $57,293.46 $141,300.00 $108,527.75 nat. median
$133,176
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft - Extreme Severity 8 $108,291.18 $108,291.18 $108,291.18 nat. median
$160,267
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme Severity 8 $107,209.61 $107,209.61 $107,209.61 nat. median
$122,924
0.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 $104,385.29 $104,385.29 $104,385.29 nat. median
$73,845
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme Severity 8 $103,450.21 $103,450.21 $103,450.21 nat. median
$164,279
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems - Major Severity 8 $103,328.34 $103,328.34 $103,328.34 nat. median
$119,796
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure - Minor Severity 8 $102,782.25 $102,782.25 $102,782.25 nat. median
$124,573
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $86,668.41 $131,018.00 $100,866.50 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 6 $86,450.11 $130,688.00 $100,620.61 nat. median
$122,708
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $99,999.96 $99,999.96 $99,999.96 nat. median
$111,989
0.9× median

Other procedures at this hospital

Browse this hospital's 16,995 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 3 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-02-14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-02-14
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,321,781.51 $3,321,781.51 $3,321,781.51 2025-02-14
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,193,000.00 $3,193,000.00 $3,193,000.00 2025-02-14
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2025-02-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 3 — — $2,403,458.75 $2,403,458.75 $2,403,458.75 2025-02-14
J3392 HCPCS Inj, Exagamglogene Autotem 6 3 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-02-14
C9098 HCPCS Pharmacy 8 2 — — $478,950.00 $478,950.00 $478,950.00 2025-02-14
Q2056 HCPCS Ciltacabtagene Car-pos T 14 5 — — $463,140.00 $551,318.34 $463,140.00 2025-02-14
C9081 HCPCS Pharmacy 8 2 — — $432,085.00 $432,085.00 $432,085.00 2025-02-14
C9076 HCPCS Pharmacy 8 2 — — $422,609.00 $422,609.00 $422,609.00 2025-02-14
Q2055 HCPCS Idecabtagene Vicleucel Car 14 5 — — $417,822.00 $528,312.43 $417,822.00 2025-02-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 5 — — $408,658.80 $516,485.97 $408,658.80 2025-02-14
C9073 HCPCS Pharmacy 8 2 — — $384,190.00 $384,190.00 $384,190.00 2025-02-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 5 — — $384,190.00 $565,623.84 $384,190.00 2025-02-14
Q2053 HCPCS Brexucabtagene Car Pos T 14 5 — — $371,508.00 $488,051.51 $371,508.00 2025-02-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 5 — — $354,350.00 $489,517.15 $354,350.00 2025-02-14
5834 APR_DRG Neonate With Ecmo - Extreme Severity 18 8 — — $322,523.57 $322,523.57 $322,523.57 2025-02-14
74 APR_DRG Allogeneic Bone Marrow Transplant - Extreme Severity 18 8 — — $313,751.23 $313,751.23 $313,751.23 2025-02-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $180,299.07 $377,128.00 $284,246.05 2025-02-14
5833 APR_DRG Neonate With Ecmo - Major Severity 18 8 — — $273,101.10 $273,101.10 $273,101.10 2025-02-14
24 APR_DRG Heart And/or Lung Transplant - Extreme Severity 18 8 — — $262,715.53 $262,715.53 $262,715.53 2025-02-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 6 — — $186,333.30 $281,683.00 $213,128.84 2025-02-14
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme Severity 18 8 — — $204,152.13 $204,152.13 $204,152.13 2025-02-14
1614 APR_DRG Implantable Heart Assist Systems - Extreme Severity 18 8 — — $198,245.72 $198,245.72 $198,245.72 2025-02-14
0100T CPT Prosth Retina Receive&gen 8 2 — — $178,425.58 $257,725.85 $192,150.63 2025-02-14
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) - Extreme Severity 18 8 — — $185,725.03 $185,725.03 $185,725.03 2025-02-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 6 — — $156,926.32 $237,228.00 $180,004.85 2025-02-14
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 22 8 — — $91,727.50 $214,316.00 $162,932.86 2025-02-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 5 — — $63,402.04 $160,000.00 $160,000.00 2025-02-14
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme … 18 8 — — $151,902.79 $151,902.79 $151,902.79 2025-02-14
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme Severity 18 8 — — $150,556.67 $150,556.67 $150,556.67 2025-02-14
5832 APR_DRG Neonate With Ecmo - Moderate Severity 18 8 — — $136,080.05 $136,080.05 $136,080.05 2025-02-14
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme Sever… 18 8 — — $129,216.91 $129,216.91 $129,216.91 2025-02-14
2004 APR_DRG Cardiac Structural And Valvular Disorders - Extreme Severity 18 8 — — $120,078.09 $120,078.09 $120,078.09 2025-02-14
5831 APR_DRG Neonate With Ecmo - Minor Severity 18 8 — — $119,821.19 $119,821.19 $119,821.19 2025-02-14
73 APR_DRG Allogeneic Bone Marrow Transplant - Major Severity 18 8 — — $110,710.82 $110,710.82 $110,710.82 2025-02-14
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure - Major Severity 18 8 — — $109,541.34 $109,541.34 $109,541.34 2025-02-14
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate Severity 18 8 — — $109,040.68 $109,040.68 $109,040.68 2025-02-14
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme Severity 18 8 — — $108,758.72 $108,758.72 $108,758.72 2025-02-14
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 22 8 — — $57,293.46 $141,300.00 $108,527.75 2025-02-14
8414 APR_DRG Extensive Third Degree Burns With Skin Graft - Extreme Severity 18 8 — — $108,291.18 $108,291.18 $108,291.18 2025-02-14
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme Severity 18 8 — — $107,209.61 $107,209.61 $107,209.61 2025-02-14
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 8 — — $104,385.29 $104,385.29 $104,385.29 2025-02-14
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme Severity 18 8 — — $103,450.21 $103,450.21 $103,450.21 2025-02-14
1613 APR_DRG Implantable Heart Assist Systems - Major Severity 18 8 — — $103,328.34 $103,328.34 $103,328.34 2025-02-14
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure - Minor Severity 18 8 — — $102,782.25 $102,782.25 $102,782.25 2025-02-14
14 MS_DRG Allogeneic Bone Marrow Transplant 14 6 — — $86,668.41 $131,018.00 $100,866.50 2025-02-14
7 MS_DRG Lung Transplant 14 6 — — $86,450.11 $130,688.00 $100,620.61 2025-02-14
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 3 — — $99,999.96 $99,999.96 $99,999.96 2025-02-14
14 APR_DRG Liver Transplant And/or Intestinal Transplant - Extreme Severity 18 8 — — $94,109.28 $94,109.28 $94,109.28 2025-02-14
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy - Extreme Severity 18 8 — — $93,732.18 $93,732.18 $93,732.18 2025-02-14
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme… 18 8 — — $92,066.73 $92,066.73 $92,066.73 2025-02-14
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Extreme Severity 18 8 — — $92,015.34 $92,015.34 $92,015.34 2025-02-14
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) - Major Severity 18 8 — — $91,246.31 $91,246.31 $91,246.31 2025-02-14
2464 APR_DRG Gastrointestinal Vascular Insufficiency - Extreme Severity 18 8 — — $89,229.24 $89,229.24 $89,229.24 2025-02-14
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Ext… 18 8 — — $88,768.92 $88,768.92 $88,768.92 2025-02-14
64 APR_DRG Pancreas Transplant - Extreme Severity 18 8 — — $86,147.58 $86,147.58 $86,147.58 2025-02-14
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 8 — — $86,140.78 $86,140.78 $86,140.78 2025-02-14
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure - Extreme Severity 18 8 — — $85,883.03 $85,883.03 $85,883.03 2025-02-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 6 — — $72,895.32 $110,197.00 $85,352.51 2025-02-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 6 — — $72,063.15 $108,939.00 $84,415.15 2025-02-14
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 8 — — $83,488.02 $83,488.02 $83,488.02 2025-02-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 6 — — $70,445.78 $106,494.00 $82,593.36 2025-02-14
215 MS_DRG Other Heart Assist System Implant 22 8 — — $53,892.66 $105,948.00 $82,186.54 2025-02-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 6 — — $69,294.77 $104,754.00 $81,296.87 2025-02-14
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Extreme Sever… 18 8 — — $80,267.92 $80,267.92 $80,267.92 2025-02-14
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $78,950.67 $78,950.67 $78,950.67 2025-02-14
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 8 — — $78,309.88 $78,309.88 $78,309.88 2025-02-14
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 14 5 — — $77,000.00 $93,216.70 $77,000.00 2025-02-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $50,377.38 $96,511.00 $75,154.89 2025-02-14
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly - Extreme Severity 18 8 — — $74,972.59 $74,972.59 $74,972.59 2025-02-14
72 APR_DRG Allogeneic Bone Marrow Transplant - Moderate Severity 18 8 — — $74,385.30 $74,385.30 $74,385.30 2025-02-14
1612 APR_DRG Implantable Heart Assist Systems - Moderate Severity 18 8 — — $74,277.02 $74,277.02 $74,277.02 2025-02-14
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Major Severit… 18 8 — — $73,427.72 $73,427.72 $73,427.72 2025-02-14
8634 APR_DRG Neonatal Aftercare - Extreme Severity 18 8 — — $72,288.82 $72,288.82 $72,288.82 2025-02-14
850 MS_DRG Acute Leukemia With Other Procedures 14 6 — — $60,936.72 $92,119.00 $71,882.37 2025-02-14
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Major Se… 18 8 — — $71,594.53 $71,594.53 $71,594.53 2025-02-14
1611 APR_DRG Implantable Heart Assist Systems - Minor Severity 18 8 — — $70,445.01 $70,445.01 $70,445.01 2025-02-14
4404 APR_DRG Kidney Transplant - Extreme Severity 18 8 — — $70,270.91 $70,270.91 $70,270.91 2025-02-14
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure - Extreme Severity 18 8 — — $69,949.86 $69,949.86 $69,949.86 2025-02-14
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure - Major Severity 18 8 — — $69,926.09 $69,926.09 $69,926.09 2025-02-14
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure - Major Severity 18 8 — — $68,121.77 $68,121.77 $68,121.77 2025-02-14
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme … 18 8 — — $68,121.77 $68,121.77 $68,121.77 2025-02-14
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Ext… 18 8 — — $67,928.55 $67,928.55 $67,928.55 2025-02-14
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 3 — — $67,452.66 $67,452.66 $67,452.66 2025-02-14
4414 APR_DRG Major Bladder Procedures - Extreme Severity 18 8 — — $66,501.74 $66,501.74 $66,501.74 2025-02-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 8 — — $49,846.08 $83,076.81 $66,461.44 2025-02-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 8 — — $41,007.67 $84,739.00 $66,383.46 2025-02-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 8 — — $41,528.82 $84,692.00 $66,348.43 2025-02-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 6 — — $55,173.07 $83,406.00 $65,390.20 2025-02-14
23 APR_DRG Heart And/or Lung Transplant - Major Severity 18 8 — — $64,706.76 $64,706.76 $64,706.76 2025-02-14
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy - Major Severity 18 8 — — $63,355.96 $63,355.96 $63,355.96 2025-02-14
10 MS_DRG Pancreas Transplant 14 6 — — $52,741.40 $79,730.00 $62,651.19 2025-02-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 6 — — $52,439.09 $79,273.00 $62,310.67 2025-02-14
1784 APR_DRG External Heart Assist Systems - Extreme Severity 18 8 — — $62,286.27 $62,286.27 $62,286.27 2025-02-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 8 — — $37,638.74 $78,164.00 $61,484.34 2025-02-14
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure - Major Severity 18 8 — — $61,339.31 $61,339.31 $61,339.31 2025-02-14
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly - Extreme Severity 18 8 — — $61,268.82 $61,268.82 $61,268.82 2025-02-14
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures - Extreme Severity 18 8 — — $60,997.90 $60,997.90 $60,997.90 2025-02-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $38,906.13 $77,375.00 $60,896.44 2025-02-14
453 MS_DRG Inpatient Ms-DRG 8 2 — — $44,405.09 $74,008.48 $60,673.16 2025-02-14
6904 APR_DRG Acute Leukemia - Extreme Severity 18 8 — — $60,450.10 $60,450.10 $60,450.10 2025-02-14
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies - … 18 8 — — $60,079.82 $60,079.82 $60,079.82 2025-02-14
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) - Moderate Severity 18 8 — — $60,012.29 $60,012.29 $60,012.29 2025-02-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 8 — — $35,842.46 $74,642.00 $58,860.06 2025-02-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 6 — — $53,472.87 $60,888.19 $58,212.35 2025-02-14
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) - Minor Severity 18 8 — — $58,199.90 $58,199.90 $58,199.90 2025-02-14
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly - Extreme Severity 18 8 — — $56,976.50 $56,976.50 $56,976.50 2025-02-14
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Extreme Severity 18 8 — — $56,629.13 $56,629.13 $56,629.13 2025-02-14
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure - Moderate Severity 18 8 — — $56,245.26 $56,245.26 $56,245.26 2025-02-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 6 — — $46,984.36 $71,027.00 $56,166.46 2025-02-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 6 — — $46,748.21 $70,670.00 $55,900.47 2025-02-14
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $55,694.91 $55,694.91 $55,694.91 2025-02-14
63 APR_DRG Pancreas Transplant - Major Severity 18 8 — — $55,671.98 $55,671.98 $55,671.98 2025-02-14
222 MS_DRG Inpatient Ms-DRG 8 2 — — $40,673.91 $67,789.86 $55,575.04 2025-02-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 22 8 — — $31,031.78 $69,565.00 $55,077.11 2025-02-14
C9074 HCPCS Pharmacy 8 2 — — $55,000.00 $55,000.00 $55,000.00 2025-02-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 8 — — $30,371.04 $68,283.00 $54,121.90 2025-02-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 6 — — $44,351.59 $67,047.00 $53,200.92 2025-02-14
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures - Extreme Severity 18 8 — — $53,072.30 $53,072.30 $53,072.30 2025-02-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 6 — — $44,180.92 $66,789.00 $53,008.69 2025-02-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 8 — — $33,590.72 $66,676.00 $52,924.51 2025-02-14
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection - Ex… 18 8 — — $52,783.11 $52,783.11 $52,783.11 2025-02-14
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures - Extreme Severity 18 8 — — $52,659.54 $52,659.54 $52,659.54 2025-02-14
22 APR_DRG Heart And/or Lung Transplant - Moderate Severity 18 8 — — $51,980.96 $51,980.96 $51,980.96 2025-02-14
234 APR_DRG Spinal Procedures - Extreme Severity 18 8 — — $51,879.47 $51,879.47 $51,879.47 2025-02-14
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Extreme Severity 18 8 — — $51,691.78 $51,691.78 $51,691.78 2025-02-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 22 8 — — $27,658.51 $64,672.00 $51,431.29 2025-02-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $31,360.22 $64,579.00 $51,361.98 2025-02-14
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Moderate Seve… 18 8 — — $51,027.63 $51,027.63 $51,027.63 2025-02-14
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $51,025.50 $51,025.50 $51,025.50 2025-02-14
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure - Major Severity 18 8 — — $50,389.38 $50,389.38 $50,389.38 2025-02-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 8 — — $27,953.14 $63,243.00 $50,366.52 2025-02-14
62 APR_DRG Pancreas Transplant - Moderate Severity 18 8 — — $50,354.57 $50,354.57 $50,354.57 2025-02-14
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis - Extreme Severity 18 8 — — $50,157.11 $50,157.11 $50,157.11 2025-02-14
61 APR_DRG Pancreas Transplant - Minor Severity 18 8 — — $49,704.43 $49,704.43 $49,704.43 2025-02-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 6 — — $40,975.96 $61,944.00 $49,398.63 2025-02-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 6 — — $40,923.04 $61,864.00 $49,339.00 2025-02-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 8 — — $26,745.16 $61,582.00 $49,128.88 2025-02-14
L7180 HCPCS Electronic Elbow Sequential 6 3 — — $49,026.62 $49,026.62 $49,026.62 2025-02-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 8 — — $29,348.05 $61,367.00 $48,968.69 2025-02-14
71 APR_DRG Allogeneic Bone Marrow Transplant - Minor Severity 18 8 — — $48,844.09 $48,844.09 $48,844.09 2025-02-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 8 — — $28,488.79 $61,087.00 $48,760.05 2025-02-14
38240 CPT Transplt Allo Hct/donor 18 6 — — $4,792.00 $63,266.64 $48,666.64 2025-02-14
L7181 HCPCS Electronic Elbo Simultaneous 6 3 — — $48,628.26 $48,628.26 $48,628.26 2025-02-14
224 MS_DRG Inpatient Ms-DRG 8 2 — — $35,559.43 $59,265.71 $48,586.84 2025-02-14
28 MS_DRG Spinal Procedures With Mcc 22 8 — — $28,110.60 $60,795.00 $48,542.50 2025-02-14
13 APR_DRG Liver Transplant And/or Intestinal Transplant - Major Severity 18 8 — — $48,487.39 $48,487.39 $48,487.39 2025-02-14
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure - Major Severity 18 8 — — $48,430.06 $48,430.06 $48,430.06 2025-02-14
264 APR_DRG Other Nervous System And Related Procedures - Extreme Severity 18 8 — — $48,400.76 $48,400.76 $48,400.76 2025-02-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 6 — — $39,927.48 $60,359.00 $48,217.61 2025-02-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 6 — — $39,927.48 $60,359.00 $48,217.61 2025-02-14
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure - Moderate Severity 18 8 — — $48,191.84 $48,191.84 $48,191.84 2025-02-14
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Major Severity 18 8 — — $47,906.05 $47,906.05 $47,906.05 2025-02-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 8 — — $34,279.48 $59,908.00 $47,881.57 2025-02-14
1824 APR_DRG Other Peripheral Vascular Procedures - Extreme Severity 18 8 — — $47,867.41 $47,867.41 $47,867.41 2025-02-14
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Extreme Se… 18 8 — — $47,838.96 $47,838.96 $47,838.96 2025-02-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $24,841.66 $59,493.00 $47,572.34 2025-02-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $39,324.85 $59,448.00 $47,538.81 2025-02-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 8 — — $36,377.63 $60,629.38 $47,308.16 2025-02-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 8 — — $29,125.87 $58,842.00 $47,087.28 2025-02-14
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment - Extreme Severit… 18 8 — — $47,055.91 $47,055.91 $47,055.91 2025-02-14
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back - Extreme Severi… 18 8 — — $47,044.45 $47,044.45 $47,044.45 2025-02-14
2054 APR_DRG Cardiomyopathy - Extreme Severity 18 8 — — $46,911.54 $46,911.54 $46,911.54 2025-02-14
Q9989 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcut Soln 0.5 Ml 50 14 $88,194.50 $24,694.46 72% off $21,166.68 $60,060.45 $46,875.38 2025-02-14
6954 APR_DRG Chemotherapy For Acute Leukemia - Extreme Severity 18 8 — — $46,851.23 $46,851.23 $46,851.23 2025-02-14
8413 APR_DRG Extensive Third Degree Burns With Skin Graft - Major Severity 18 8 — — $46,803.24 $46,803.24 $46,803.24 2025-02-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 8 — — $27,469.66 $58,223.00 $46,626.05 2025-02-14
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure - Moderate Severity 18 8 — — $46,016.81 $46,016.81 $46,016.81 2025-02-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 8 — — $31,404.66 $57,394.00 $46,008.36 2025-02-14
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs - Extreme Severity 18 8 — — $45,862.66 $45,862.66 $45,862.66 2025-02-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 8 — — $27,348.91 $57,051.00 $45,752.79 2025-02-14
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure - Moderate Severity 18 8 — — $45,719.55 $45,719.55 $45,719.55 2025-02-14
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 18 8 — — $45,239.27 $45,239.27 $45,239.27 2025-02-14
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Major Severit… 18 8 — — $45,162.41 $45,162.41 $45,162.41 2025-02-14
214 APR_DRG Open Craniotomy Except Trauma - Extreme Severity 18 8 — — $45,055.40 $45,055.40 $45,055.40 2025-02-14
2304 APR_DRG Major Small Bowel Procedures - Extreme Severity 18 8 — — $44,892.77 $44,892.77 $44,892.77 2025-02-14
653 MS_DRG Major Bladder Procedures With Mcc 22 8 — — $26,319.64 $55,746.00 $44,780.40 2025-02-14
224 APR_DRG Ventricular Shunt Procedures - Extreme Severity 18 8 — — $44,715.69 $44,715.69 $44,715.69 2025-02-14
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy - Extreme Severity 18 8 — — $44,470.66 $44,470.66 $44,470.66 2025-02-14
834 MS_DRG Acute Leukemia With Mcc 22 8 — — $29,221.98 $55,273.00 $44,427.98 2025-02-14
459 MS_DRG Inpatient Ms-DRG 8 2 — — $32,514.59 $54,190.99 $44,426.51 2025-02-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 6 — — $36,409.62 $55,041.00 $44,255.11 2025-02-14
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis - Extreme Severity 18 8 — — $44,197.62 $44,197.62 $44,197.62 2025-02-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 6 — — $36,187.36 $54,705.00 $44,004.76 2025-02-14
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma - Ext… 18 8 — — $43,793.78 $43,793.78 $43,793.78 2025-02-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 6 — — $35,992.88 $54,411.00 $43,785.69 2025-02-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 8 — — $27,678.32 $54,287.00 $43,693.28 2025-02-14
226 MS_DRG Inpatient Ms-DRG 8 2 — — $31,934.99 $53,224.99 $43,634.57 2025-02-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 8 — — $25,914.88 $54,010.00 $43,486.90 2025-02-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 8 — — $24,229.21 $53,959.00 $43,448.90 2025-02-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 8 — — $24,395.85 $53,953.00 $43,444.42 2025-02-14
4403 APR_DRG Kidney Transplant - Major Severity 18 8 — — $43,009.03 $43,009.03 $43,009.03 2025-02-14
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement - Extreme Se… 18 8 — — $43,006.05 $43,006.05 $43,006.05 2025-02-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 8 — — $25,683.04 $53,202.00 $42,884.86 2025-02-14
1694 APR_DRG Major Abdominal Vascular Procedures - Extreme Severity 18 8 — — $42,859.98 $42,859.98 $42,859.98 2025-02-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $26,081.52 $52,967.00 $42,709.76 2025-02-14
1204 APR_DRG Major Respiratory And Chest Procedures - Extreme Severity 18 8 — — $42,685.88 $42,685.88 $42,685.88 2025-02-14
4834 APR_DRG Penis, Testes And Scrotal Procedures - Extreme Severity 18 8 — — $42,523.66 $42,523.66 $42,523.66 2025-02-14
33276 CPT Insj Phrnc Nrv Stim Sys 6 3 — — $42,254.57 $42,254.57 $42,254.57 2025-02-14
894 APR_DRG Major Cranial Or Facial Bone Procedures - Extreme Severity 18 8 — — $42,067.59 $42,067.59 $42,067.59 2025-02-14
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma - Extreme S… 18 8 — — $42,011.96 $42,011.96 $42,011.96 2025-02-14
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours - Extreme Severi… 18 8 — — $42,001.34 $42,001.34 $42,001.34 2025-02-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 6 — — $34,067.91 $51,501.00 $41,617.41 2025-02-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 8 — — $25,027.13 $51,330.00 $41,490.00 2025-02-14
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis - Extreme Severity 18 8 — — $41,375.84 $41,375.84 $41,375.84 2025-02-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 8 — — $25,816.35 $50,946.00 $41,203.87 2025-02-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 8 — — $25,974.29 $50,790.00 $41,087.64 2025-02-14
223 MS_DRG Inpatient Ms-DRG 8 2 — — $30,004.44 $50,007.41 $40,996.75 2025-02-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 8 — — $23,226.02 $50,369.00 $40,773.94 2025-02-14
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure - Minor Severity 18 8 — — $40,553.30 $40,553.30 $40,553.30 2025-02-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 8 — — $27,527.14 $50,072.00 $40,552.65 2025-02-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 6 — — $33,096.83 $50,033.00 $40,523.59 2025-02-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 8 — — $23,882.42 $50,013.00 $40,508.69 2025-02-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 8 — — $30,019.90 $50,033.16 $40,374.57 2025-02-14
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures - Extreme Severity 18 8 — — $40,332.06 $40,332.06 $40,332.06 2025-02-14
21 APR_DRG Heart And/or Lung Transplant - Minor Severity 18 8 — — $40,262.84 $40,262.84 $40,262.84 2025-02-14
454 MS_DRG Inpatient Ms-DRG 8 2 — — $29,453.82 $49,089.70 $40,244.41 2025-02-14
0266T CPT Implt/rpl Crtd Sns Dev Total 16 6 — — $13,904.49 $49,210.67 $40,054.46 2025-02-14
1783 APR_DRG External Heart Assist Systems - Major Severity 18 8 — — $39,859.86 $39,859.86 $39,859.86 2025-02-14
1214 APR_DRG Other Respiratory And Chest Procedures - Extreme Severity 18 8 — — $39,836.92 $39,836.92 $39,836.92 2025-02-14
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure - Major Severity 18 8 — — $39,691.27 $39,691.27 $39,691.27 2025-02-14
245 MS_DRG Aicd Generator Procedures 22 8 — — $26,149.62 $48,868.00 $39,655.53 2025-02-14
J2507 HCPCS Pegloticase 8 mg/mL Sol 62 14 $74,481.53 $20,854.83 72% off $2,780.05 $50,721.92 $39,586.93 2025-02-14
471 MS_DRG Cervical Spinal Fusion With Mcc 22 8 — — $24,231.14 $48,573.00 $39,435.73 2025-02-14
6 MS_DRG Liver Transplant Without Mcc 14 6 — — $32,077.46 $48,492.00 $39,375.37 2025-02-14
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition - Extreme … 18 8 — — $39,370.66 $39,370.66 $39,370.66 2025-02-14
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $39,257.28 $39,257.28 $39,257.28 2025-02-14
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Major Severity 18 8 — — $38,884.87 $38,884.87 $38,884.87 2025-02-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 8 — — $24,327.74 $47,755.00 $38,826.21 2025-02-14
2244 APR_DRG Peritoneal Adhesiolysis - Extreme Severity 18 8 — — $38,822.86 $38,822.86 $38,822.86 2025-02-14
799 MS_DRG Splenic Procedures With Mcc 22 8 — — $24,845.04 $47,548.00 $38,671.98 2025-02-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 8 — — $22,255.67 $47,539.00 $38,665.27 2025-02-14
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $38,552.36 $38,552.36 $38,552.36 2025-02-14
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses - Extreme Severity 18 8 — — $38,444.50 $38,444.50 $38,444.50 2025-02-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 8 — — $27,052.35 $47,047.00 $38,298.68 2025-02-14
914 APR_DRG Other Major Head And Neck Procedures - Extreme Severity 18 8 — — $38,237.70 $38,237.70 $38,237.70 2025-02-14
J7330 HCPCS Cultured Chondrocytes Implnt 8 2 — — $38,179.00 $38,179.00 $38,179.00 2025-02-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 8 — — $21,720.99 $46,795.00 $38,110.91 2025-02-14
A9543 HCPCS Y90 Ibritumomab Rx /treat Dose To 50 mCi 62 14 $71,694.00 $20,074.32 72% off $30,828.42 $56,824.55 $38,105.36 2025-02-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 6 — — $30,772.32 $46,519.00 $37,905.25 2025-02-14
204 APR_DRG Open Craniotomy For Trauma - Extreme Severity 18 8 — — $37,847.45 $37,847.45 $37,847.45 2025-02-14
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure - Minor Severity 18 8 — — $37,590.12 $37,590.12 $37,590.12 2025-02-14
163 MS_DRG Major Chest Procedures With Mcc 22 8 — — $23,954.87 $46,092.00 $37,587.10 2025-02-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 6 — — $30,477.29 $46,073.00 $37,572.93 2025-02-14
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure - Minor Severity 18 8 — — $37,517.93 $37,517.93 $37,517.93 2025-02-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $21,987.61 $45,926.00 $37,463.41 2025-02-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 8 — — $23,426.95 $45,919.00 $37,458.20 2025-02-14
12 APR_DRG Liver Transplant And/or Intestinal Transplant - Moderate Severity 18 8 — — $37,242.76 $37,242.76 $37,242.76 2025-02-14
1814 APR_DRG Lower Extremity Arterial Procedures - Extreme Severity 18 8 — — $37,227.48 $37,227.48 $37,227.48 2025-02-14
225 MS_DRG Inpatient Ms-DRG 8 2 — — $27,177.44 $45,295.74 $37,134.07 2025-02-14
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical - Extreme Severity 18 8 — — $37,113.66 $37,113.66 $37,113.66 2025-02-14
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 18 8 — — $36,991.79 $36,991.79 $36,991.79 2025-02-14
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection - Ex… 18 8 — — $36,984.15 $36,984.15 $36,984.15 2025-02-14
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns - Extreme Severity 18 8 — — $36,942.54 $36,942.54 $36,942.54 2025-02-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 8 — — $21,955.73 $45,116.00 $36,859.86 2025-02-14
J9226 HCPCS Supprelin La Implant 14 5 — — $36,749.02 $45,261.80 $36,749.02 2025-02-14
0316T CPT Apc Grouped Procedures 8 2 — — $34,068.93 $49,210.67 $36,689.61 2025-02-14
0312T CPT Apc Grouped Procedures 8 2 — — $34,068.93 $49,210.67 $36,689.61 2025-02-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 8 — — $19,671.62 $44,847.00 $36,659.45 2025-02-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 8 — — $21,694.91 $44,723.00 $36,567.05 2025-02-14
901 MS_DRG Wound Debridements For Injuries With Mcc 22 8 — — $20,586.43 $44,305.00 $36,255.60 2025-02-14
1834 APR_DRG Percutaneous Structural Cardiac Procedures - Extreme Severity 18 8 — — $36,000.66 $36,000.66 $36,000.66 2025-02-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 8 — — $20,845.31 $43,928.00 $35,974.67 2025-02-14
11 APR_DRG Liver Transplant And/or Intestinal Transplant - Minor Severity 18 8 — — $35,844.40 $35,844.40 $35,844.40 2025-02-14
0427T CPT Apc Grouped Procedures 10 3 — — $25,022.21 $49,210.67 $35,524.86 2025-02-14
0431T CPT Apc Grouped Procedures 10 3 — — $23,708.67 $49,210.67 $35,524.86 2025-02-14
0424T CPT Apc Grouped Procedures 14 5 — — $23,374.00 $50,987.66 $35,524.86 2025-02-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 14 6 — — $28,622.44 $43,269.00 $35,483.65 2025-02-14
2614 APR_DRG Major Biliary Tract Procedures - Extreme Severity 18 8 — — $35,429.52 $35,429.52 $35,429.52 2025-02-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 8 — — $24,234.04 $43,180.00 $35,417.34 2025-02-14
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 8 — — $35,302.97 $35,302.97 $35,302.97 2025-02-14
1833 APR_DRG Percutaneous Structural Cardiac Procedures - Major Severity 18 8 — — $35,116.55 $35,116.55 $35,116.55 2025-02-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 8 — — $20,727.46 $42,657.00 $35,027.63 2025-02-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 6 — — $28,175.93 $42,594.00 $34,980.70 2025-02-14
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis - Extreme S… 18 8 — — $34,978.96 $34,978.96 $34,978.96 2025-02-14
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Moderate Severity 18 8 — — $34,758.15 $34,758.15 $34,758.15 2025-02-14
140 MS_DRG Major Head And Neck Procedures With Mcc 22 8 — — $19,226.30 $42,292.00 $34,755.68 2025-02-14
227 MS_DRG Inpatient Ms-DRG 8 2 — — $25,366.68 $42,277.80 $34,659.91 2025-02-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 8 — — $21,088.26 $41,906.00 $34,468.05 2025-02-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 8 — — $16,726.77 $41,896.00 $34,460.60 2025-02-14
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis - Extreme Sev… 18 8 — — $34,406.96 $34,406.96 $34,406.96 2025-02-14
793 MS_DRG Full Term Neonate With Major Problems 10 5 — — $27,587.86 $41,705.00 $34,318.29 2025-02-14
L8701 HCPCS Ewh S/d Uprt Micro Sensor 6 3 — — $34,284.44 $34,284.44 $34,284.44 2025-02-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 8 — — $20,839.52 $41,607.00 $34,245.27 2025-02-14
1782 APR_DRG External Heart Assist Systems - Moderate Severity 18 8 — — $34,210.36 $34,210.36 $34,210.36 2025-02-14
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure - Extreme Se… 18 8 — — $34,152.18 $34,152.18 $34,152.18 2025-02-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 8 — — $19,710.26 $41,121.00 $33,883.13 2025-02-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 8 — — $20,312.08 $41,098.00 $33,866.01 2025-02-14
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Maj… 18 8 — — $33,852.38 $33,852.38 $33,852.38 2025-02-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 8 — — $18,508.08 $41,037.00 $33,820.56 2025-02-14
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Moderate Seve… 18 8 — — $33,723.29 $33,723.29 $33,723.29 2025-02-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 6 — — $27,012.35 $40,835.00 $33,670.05 2025-02-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 8 — — $20,184.57 $40,674.00 $33,550.08 2025-02-14
791 MS_DRG Prematurity With Major Problems 10 5 — — $26,856.24 $40,599.00 $33,494.19 2025-02-14
2234 APR_DRG Other Small And Large Bowel Procedures - Extreme Severity 18 8 — — $33,334.31 $33,334.31 $33,334.31 2025-02-14
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia - Extreme Severity 18 8 — — $33,129.21 $33,129.21 $33,129.21 2025-02-14
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy - Moderate Severity 18 8 — — $32,980.16 $32,980.16 $32,980.16 2025-02-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 8 — — $19,112.79 $39,837.00 $32,926.43 2025-02-14
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