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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MEDINA REGIONAL HOSPITAL

Hondo, TX · CCN 451330 · Rates published

14,972 distinct procedures filed
15 distinct payers
163,172 rate rows
2025-06-26 last MRF observed · ⚠ 12 mo old
Data quality

162,016 of 163,172 rate rows are consumer-grade (99.3%)

1,156 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 557
per-diem day rate — not a per-procedure price 486
exceeds 10× this hospital's gross charge — excluded from medians 113

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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/8108/270492434_medina-county-hospital-district_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MedinaRegionalHospital/8108
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cecd8aed0a073a47… · 81,674,986 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,587,578.57 $2,057,009.35 $1,822,293.96 nat. median
$753,246
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,581,370.30 $1,581,370.30 $1,581,370.30 nat. median
$674,867
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,579,762.78 $1,579,762.78 $1,579,762.78 nat. median
$625,184
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,550,178.23 $1,550,178.23 $1,550,178.23 nat. median
$673,137
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $1,468,367.87 $1,488,270.00 $1,478,318.94 nat. median
$634,303
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $1,381,591.21 $1,381,591.21 $1,381,591.21 nat. median
$619,808
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $282,826.50 $483,520.18 $383,173.34 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $211,248.00 $361,149.58 $286,198.79 nat. median
$265,286
1.1× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $273,095.79 $273,095.79 $273,095.79 nat. median
$96,983
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $177,921.00 $304,173.74 $241,047.37 nat. median
$206,474
1.2× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $197,615.22 $197,615.22 $197,615.22 nat. median
$70,825
outlier · 2.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $193,794.09 $196,429.75 $195,111.92 nat. median
$62,507
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $160,726.50 $274,778.02 $194,684.34 nat. median
$202,976
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $190,064.32 $190,064.32 $190,064.32 nat. median
$69,774
outlier · 2.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $165,045.68 $192,000.61 $178,523.14 nat. median
$66,682
outlier · 2.7×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $140,809.20 $140,809.20 $140,809.20 nat. median
$76,329
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 3 $79,456.50 $137,108.10 $135,838.83 nat. median
$99,019
1.4× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 1 $135,001.50 $135,001.50 $135,001.50 nat. median
$43,787
outlier · 3.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $98,256.75 $167,979.74 $133,118.24 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 2 $98,009.25 $167,556.61 $132,782.93 nat. median
$122,708
1.1× median
J9226
HCPCS 		Supprelin La Implant 2 $118,094.17 $136,050.65 $127,072.41 nat. median
$60,368
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $105,968.25 $181,163.32 $121,500.29 nat. median
$133,161
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $82,647.75 $141,294.59 $111,971.17 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $81,698.25 $139,671.33 $110,684.79 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $79,864.50 $136,536.35 $108,200.43 nat. median
$100,136
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $78,612.00 $134,395.08 $106,503.54 nat. median
$98,894
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $72,378.00 $123,737.43 $104,494.38 nat. median
$93,672
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $60,453.75 $110,925.19 $103,351.73 nat. median
$77,570
1.3× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $101,047.02 $101,047.02 $101,047.02 nat. median
$87,428
1.2× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $100,442.70 $100,442.70 $100,442.70 nat. median
$35,999
outlier · 2.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $63,514.50 $108,584.39 $97,092.13 nat. median
$81,118
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $69,084.75 $118,107.29 $93,596.02 nat. median
$83,470
1.1× median
0268T
CPT 		Fee Schedule 2 $88,758.87 $93,130.27 $90,944.57 nat. median
$30,333
outlier · 3.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $63,550.50 $108,645.93 $89,364.30 nat. median
$79,312
1.1× median
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $88,758.87 $88,758.87 $88,758.87 nat. median
$29,698
outlier · 3.0×
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 $86,579.81 $86,579.81 $86,579.81 nat. median
$63,570
1.4× median
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $84,951.87 $84,951.87 $84,951.87 nat. median
$30,168
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $62,550.00 $106,935.48 $84,742.74 nat. median
$82,711
1.0× median
C9760
HCPCS 		Non-blind Interatrial Shunt 1 $82,501.50 $82,501.50 $82,501.50 nat. median
$28,405
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $58,027.50 $99,203.81 $81,838.62 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $58,618.50 $100,214.19 $81,265.13 nat. median
$73,807
1.1× median
C9606
HCPCS 		Perc D-e Cor Revasc W Ami S 1 $81,223.38 $81,223.38 $81,223.38 nat. median
$18,105
outlier · 4.5×
10
MS_DRG 		Pancreas Transplant 2 $59,794.50 $102,224.68 $81,009.59 nat. median
$68,884
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $55,977.75 $95,699.56 $80,848.04 nat. median
$72,135
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $59,450.25 $101,636.15 $80,543.20 nat. median
$71,271
1.1× median
J9600
HCPCS 		Porfimer Sodium Injection 2 $71,610.42 $88,367.20 $79,988.81 nat. median
$31,627
outlier · 2.5×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $77,927.47 $299,999.88 $79,875.65 nat. median
$111,989
0.7× median
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 $78,998.81 $78,998.81 $78,998.81 nat. median
$54,196
1.5× median
38240
CPT 		Transplt Allo Hct/donor 4 $599.00 $156,198.51 $77,473.57 nat. median
$15,979
outlier · 4.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $44,928.00 $76,808.91 $76,517.56 nat. median
$60,726
1.3× median

Other procedures at this hospital

Browse this hospital's 14,972 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $1,587,578.57 $2,057,009.35 $1,822,293.96 2025-06-26
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,581,370.30 $1,581,370.30 $1,581,370.30 2025-06-26
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,579,762.78 $1,579,762.78 $1,579,762.78 2025-06-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,550,178.23 $1,550,178.23 $1,550,178.23 2025-06-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $1,468,367.87 $1,488,270.00 $1,478,318.94 2025-06-26
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $1,381,591.21 $1,381,591.21 $1,381,591.21 2025-06-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $282,826.50 $483,520.18 $383,173.34 2025-06-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $211,248.00 $361,149.58 $286,198.79 2025-06-26
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $273,095.79 $273,095.79 $273,095.79 2025-06-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $177,921.00 $304,173.74 $241,047.37 2025-06-26
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $197,615.22 $197,615.22 $197,615.22 2025-06-26
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $193,794.09 $196,429.75 $195,111.92 2025-06-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 3 — — $160,726.50 $274,778.02 $194,684.34 2025-06-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $190,064.32 $190,064.32 $190,064.32 2025-06-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $165,045.68 $192,000.61 $178,523.14 2025-06-26
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $140,809.20 $140,809.20 $140,809.20 2025-06-26
215 MS_DRG Other Heart Assist System Implant 3 3 — — $79,456.50 $137,108.10 $135,838.83 2025-06-26
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $135,001.50 $135,001.50 $135,001.50 2025-06-26
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $98,256.75 $167,979.74 $133,118.24 2025-06-26
7 MS_DRG Lung Transplant 2 2 — — $98,009.25 $167,556.61 $132,782.93 2025-06-26
J9226 HCPCS Supprelin La Implant 2 2 — — $118,094.17 $136,050.65 $127,072.41 2025-06-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 3 3 — — $105,968.25 $181,163.32 $121,500.29 2025-06-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $82,647.75 $141,294.59 $111,971.17 2025-06-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $81,698.25 $139,671.33 $110,684.79 2025-06-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $79,864.50 $136,536.35 $108,200.43 2025-06-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $78,612.00 $134,395.08 $106,503.54 2025-06-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $72,378.00 $123,737.43 $104,494.38 2025-06-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $60,453.75 $110,925.19 $103,351.73 2025-06-26
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $101,047.02 $101,047.02 $101,047.02 2025-06-26
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $100,442.70 $100,442.70 $100,442.70 2025-06-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $63,514.50 $108,584.39 $97,092.13 2025-06-26
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $69,084.75 $118,107.29 $93,596.02 2025-06-26
0268T CPT Fee Schedule 2 2 — — $88,758.87 $93,130.27 $90,944.57 2025-06-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $63,550.50 $108,645.93 $89,364.30 2025-06-26
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $88,758.87 $88,758.87 $88,758.87 2025-06-26
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 1 — — $86,579.81 $86,579.81 $86,579.81 2025-06-26
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $84,951.87 $84,951.87 $84,951.87 2025-06-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $62,550.00 $106,935.48 $84,742.74 2025-06-26
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $82,501.50 $82,501.50 $82,501.50 2025-06-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $58,027.50 $99,203.81 $81,838.62 2025-06-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $58,618.50 $100,214.19 $81,265.13 2025-06-26
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $81,223.38 $81,223.38 $81,223.38 2025-06-26
10 MS_DRG Pancreas Transplant 2 2 — — $59,794.50 $102,224.68 $81,009.59 2025-06-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $55,977.75 $95,699.56 $80,848.04 2025-06-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $59,450.25 $101,636.15 $80,543.20 2025-06-26
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $71,610.42 $88,367.20 $79,988.81 2025-06-26
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $77,927.47 $299,999.88 $79,875.65 2025-06-26
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 1 — — $78,998.81 $78,998.81 $78,998.81 2025-06-26
38240 CPT Transplt Allo Hct/donor 4 4 — — $599.00 $156,198.51 $77,473.57 2025-06-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $44,928.00 $76,808.91 $76,517.56 2025-06-26
0266T CPT Fee Schedule 2 2 — — $15,766.58 $135,001.50 $75,384.04 2025-06-26
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 1 1 — — $72,545.65 $72,545.65 $72,545.65 2025-06-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $53,240.25 $91,019.53 $72,129.89 2025-06-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $52,998.75 $90,606.66 $71,802.71 2025-06-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $50,004.00 $85,486.84 $71,327.37 2025-06-26
0312T CPT Fee Schedule 2 2 — — $525.00 $141,411.38 $70,968.19 2025-06-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $41,454.75 $84,115.58 $70,871.04 2025-06-26
J9266 HCPCS Pegaspargase Injection 2 2 — — $58,259.00 $81,211.60 $69,735.30 2025-06-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $43,042.50 $73,585.46 $69,634.54 2025-06-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $50,281.50 $85,961.25 $68,121.38 2025-06-26
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $67,934.27 $67,934.27 $67,934.27 2025-06-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $50,088.75 $85,631.73 $67,860.24 2025-06-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $48,430.50 $82,796.78 $67,700.19 2025-06-26
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 1 1 — — $67,629.97 $67,629.97 $67,629.97 2025-06-26
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $67,423.55 $67,423.55 $67,423.55 2025-06-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $52,173.75 $89,196.24 $66,981.99 2025-06-26
J7310 HCPCS Fee Schedule 1 1 — — $66,931.20 $66,931.20 $66,931.20 2025-06-26
C9602 HCPCS Perc D-e Cor Stent Ather S 2 2 — — $50,121.93 $81,223.38 $65,672.65 2025-06-26
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 2 — — $50,121.93 $81,223.38 $65,672.65 2025-06-26
92933 CPT Prq Trlml C Athrc St Angiop1 2 2 — — $50,121.93 $81,223.38 $65,672.65 2025-06-26
0238T CPT Trluml Perip Athrc Iliac Art 2 2 — — $50,121.93 $81,223.38 $65,672.65 2025-06-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $45,812.25 $78,320.62 $65,546.66 2025-06-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $51,209.25 $87,547.33 $64,871.02 2025-06-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $37,371.75 $69,970.77 $63,890.74 2025-06-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $46,455.00 $79,419.47 $62,937.24 2025-06-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $46,395.00 $79,316.89 $62,855.94 2025-06-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $44,618.25 $76,279.36 $62,832.39 2025-06-26
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $62,528.52 $62,528.52 $62,528.52 2025-06-26
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 1 1 — — $62,528.52 $62,528.52 $62,528.52 2025-06-26
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $62,528.52 $62,528.52 $62,528.52 2025-06-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $44,128.50 $75,442.08 $61,817.34 2025-06-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $45,266.25 $77,387.18 $61,326.71 2025-06-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $45,266.25 $77,387.18 $61,326.71 2025-06-26
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 1 1 — — $60,854.42 $60,854.42 $60,854.42 2025-06-26
0398T CPT Fee Schedule 2 2 — — $32,447.38 $88,727.54 $60,587.46 2025-06-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $35,283.00 $62,223.78 $60,319.82 2025-06-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $47,429.25 $81,085.05 $59,570.17 2025-06-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $48,507.75 $82,928.85 $59,546.76 2025-06-26
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 2 — — $51,531.03 $65,867.30 $58,699.17 2025-06-26
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $41,451.75 $70,865.91 $58,602.99 2025-06-26
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $41,806.50 $71,472.39 $58,402.96 2025-06-26
J9118 HCPCS Inj. Calaspargase Pegol-mknl 1 1 — — $58,259.00 $58,259.00 $58,259.00 2025-06-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $42,785.25 $73,145.66 $58,095.46 2025-06-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $43,664.25 $74,648.40 $57,920.97 2025-06-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $40,713.00 $69,602.94 $57,233.62 2025-06-26
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $45,593.25 $77,946.22 $57,187.87 2025-06-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $37,551.00 $64,197.19 $57,180.42 2025-06-26
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 1 1 — — $56,569.69 $56,569.69 $56,569.69 2025-06-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $41,289.00 $70,587.67 $55,938.33 2025-06-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $38,090.25 $65,119.09 $55,922.78 2025-06-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $46,183.50 $78,955.31 $55,875.96 2025-06-26
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 1 1 — — $55,696.05 $55,696.05 $55,696.05 2025-06-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $41,025.75 $70,137.62 $55,581.68 2025-06-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $39,722.25 $67,909.16 $55,384.39 2025-06-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $40,806.00 $69,761.94 $55,283.97 2025-06-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $39,899.25 $68,211.76 $54,766.21 2025-06-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $40,505.25 $69,247.78 $54,603.42 2025-06-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $32,382.75 $55,361.55 $54,489.57 2025-06-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $38,207.25 $65,319.11 $54,404.45 2025-06-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $38,496.00 $65,812.76 $53,856.49 2025-06-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $37,511.25 $64,129.23 $53,807.54 2025-06-26
245 MS_DRG Aicd Generator Procedures 3 3 — — $36,648.75 $62,654.70 $53,328.74 2025-06-26
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $36,427.50 $62,276.45 $53,313.85 2025-06-26
27278 CPT Arthrd Si Jt Plmt Iartic Dev 1 1 — — $53,268.84 $53,268.84 $53,268.84 2025-06-26
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $53,200.00 $53,200.00 $53,200.00 2025-06-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $34,437.75 $58,874.78 $53,122.33 2025-06-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $35,814.00 $61,227.61 $52,645.66 2025-06-26
C9782 HCPCS Blind Myocar Trpl Bon Marrow 1 1 — — $52,501.50 $52,501.50 $52,501.50 2025-06-26
C9758 HCPCS Blind Interatrial Shunt Ide 1 1 — — $52,501.50 $52,501.50 $52,501.50 2025-06-26
0888T CPT Histotripsy Mal Renal Tissue 1 1 — — $52,501.50 $52,501.50 $52,501.50 2025-06-26
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $34,566.75 $59,095.32 $52,341.35 2025-06-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $38,622.75 $66,029.45 $52,326.10 2025-06-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $40,467.00 $69,182.38 $52,267.94 2025-06-26
A9604 HCPCS Sm 153 Lexidronam 2 2 — — $51,779.56 $52,611.09 $52,195.32 2025-06-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $40,461.75 $69,173.41 $51,930.65 2025-06-26
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $51,589.20 $51,589.20 $51,589.20 2025-06-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $37,521.75 $64,147.18 $50,834.46 2025-06-26
0645T CPT Tcat Impltj C Sins Rdctj Dev 1 1 — — $50,121.93 $50,121.93 $50,121.93 2025-06-26
C9797 HCPCS Vasc Emb/occ W/prs Cath 1 1 — — $50,121.93 $50,121.93 $50,121.93 2025-06-26
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 1 1 — — $50,121.93 $50,121.93 $50,121.93 2025-06-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $37,773.75 $64,578.00 $50,106.95 2025-06-26
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $35,658.75 $60,962.20 $50,025.02 2025-06-26
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $36,366.75 $62,172.60 $49,269.68 2025-06-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $34,442.25 $58,882.47 $49,022.74 2025-06-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $35,094.00 $59,996.70 $48,141.74 2025-06-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $33,834.75 $57,843.89 $47,755.51 2025-06-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $46,025.25 $78,684.77 $47,693.80 2025-06-26
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $33,226.50 $56,804.02 $47,506.54 2025-06-26
0408T CPT Insj/rplc Cardiac Modulj Sys 4 4 — — $830.00 $112,100.34 $47,433.97 2025-06-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $34,891.50 $59,650.51 $47,271.01 2025-06-26
0316T CPT Fee Schedule 2 2 — — $525.00 $93,130.27 $46,827.64 2025-06-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $34,552.50 $59,070.95 $46,811.72 2025-06-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $35,657.25 $60,959.63 $46,502.12 2025-06-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $33,540.00 $57,339.98 $45,512.60 2025-06-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $26,478.00 $54,875.80 $45,266.79 2025-06-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $29,876.25 $51,076.44 $44,859.30 2025-06-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $32,943.75 $56,320.64 $44,632.19 2025-06-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $31,427.25 $53,728.03 $44,506.06 2025-06-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $30,821.25 $52,692.01 $44,473.07 2025-06-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $31,203.00 $53,344.65 $44,165.58 2025-06-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $28,986.75 $49,555.75 $43,998.53 2025-06-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $32,450.25 $55,476.95 $43,963.60 2025-06-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $31,944.00 $54,611.46 $43,277.73 2025-06-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $27,179.25 $46,465.65 $43,219.68 2025-06-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $26,258.25 $44,891.10 $43,054.76 2025-06-26
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $31,717.50 $54,224.24 $42,970.87 2025-06-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $42,959.00 $42,959.00 $42,959.00 2025-06-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $29,529.75 $50,484.06 $42,885.58 2025-06-26
Q0479 HCPCS Power Module Combo Vad, Rep 1 1 — — $42,576.72 $42,576.72 $42,576.72 2025-06-26
92990 CPT Revision Of Pulmonary Valve 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92928 CPT Prq Tcat Plmt Ntrac St 1 Les 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92937 CPT Prq Trluml Revsc Cab Grf 1 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92924 CPT Prq Trluml C Athrc 1 Art&/br 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92987 CPT Revision Of Mitral Valve 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
C9600 HCPCS Perc Drug-el Cor Stent Sing 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92943 CPT Prq Trluml Revsc Ch Occ Ant 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
92997 CPT Pul Art Balloon Repr Percut 2 2 — — $31,445.43 $53,288.03 $42,366.73 2025-06-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $31,990.50 $54,690.96 $42,301.45 2025-06-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $30,503.25 $52,148.36 $41,985.44 2025-06-26
33289 CPT Tcat Impl Wrls P-art Prs Snr 4 4 — — $830.00 $148,757.50 $41,953.71 2025-06-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $28,288.50 $48,362.02 $41,796.05 2025-06-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $30,838.50 $52,721.50 $41,775.83 2025-06-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $28,510.50 $48,741.55 $41,702.42 2025-06-26
0548T CPT Fee Schedule 2 2 — — $525.00 $82,740.12 $41,632.56 2025-06-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $30,624.00 $52,354.79 $41,489.40 2025-06-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $30,775.50 $52,613.79 $40,577.77 2025-06-26
J7311 HCPCS Inj., Retisert, 0.01 Mg 2 2 — — $1,000.44 $79,905.00 $40,452.72 2025-06-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $28,080.00 $48,005.57 $40,410.72 2025-06-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $33,633.00 $57,498.98 $40,379.86 2025-06-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $28,666.50 $49,008.25 $40,259.63 2025-06-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $29,470.50 $50,382.77 $39,926.63 2025-06-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $29,469.00 $50,380.20 $39,924.60 2025-06-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $23,295.75 $49,458.98 $39,826.41 2025-06-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $25,440.00 $43,492.22 $39,760.62 2025-06-26
69715 CPT Fee Schedule 2 2 — — $525.00 $77,930.97 $39,227.99 2025-06-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $27,363.00 $46,779.78 $39,132.86 2025-06-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $29,597.25 $50,599.46 $39,102.00 2025-06-26
0786T CPT Insj/rplcmt Prq Ra Sac Nstim 1 1 — — $38,936.85 $38,936.85 $38,936.85 2025-06-26
64596 CPT Ins/rplcmt Prq Eltrd Ra Pn 1 1 1 — — $38,936.85 $38,936.85 $38,936.85 2025-06-26
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 1 1 — — $38,936.85 $38,936.85 $38,936.85 2025-06-26
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 1 1 — — $38,936.85 $38,936.85 $38,936.85 2025-06-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $29,325.00 $50,134.02 $38,862.60 2025-06-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $25,551.00 $43,681.99 $38,511.48 2025-06-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $29,163.75 $49,858.35 $38,301.87 2025-06-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $29,855.25 $51,040.54 $38,279.53 2025-06-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $31,425.00 $53,724.18 $38,062.47 2025-06-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $26,277.00 $44,923.16 $38,061.41 2025-06-26
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $36,843.81 $143,632.68 $37,764.90 2025-06-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $26,886.00 $45,964.31 $37,653.90 2025-06-26
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $36,544.45 $142,465.62 $37,458.06 2025-06-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $26,469.00 $45,251.40 $37,427.26 2025-06-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $28,882.50 $49,377.52 $37,218.72 2025-06-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $25,833.00 $44,164.10 $37,174.03 2025-06-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $25,686.75 $43,914.07 $36,925.06 2025-06-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $26,402.25 $45,137.29 $36,838.87 2025-06-26
332 MS_DRG Rectal Resection With Mcc 3 3 — — $26,013.75 $44,473.11 $36,156.85 2025-06-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $26,632.50 $45,530.92 $36,074.92 2025-06-26
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 1 1 — — $36,023.44 $36,023.44 $36,023.44 2025-06-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $26,884.50 $45,961.74 $35,614.21 2025-06-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $26,272.50 $44,915.47 $35,458.86 2025-06-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $24,432.75 $41,770.23 $35,405.66 2025-06-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $26,041.50 $44,520.55 $35,281.03 2025-06-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $24,177.00 $41,333.00 $35,155.62 2025-06-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $20,523.00 $42,539.78 $35,086.12 2025-06-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $23,920.50 $40,894.49 $35,036.46 2025-06-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $23,803.50 $40,694.46 $34,885.37 2025-06-26
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $25,726.50 $43,982.02 $34,684.27 2025-06-26
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 1 1 — — $34,460.83 $34,460.83 $34,460.83 2025-06-26
93656 CPT Compre Ep Eval Abltj Atr Fib 4 4 — — $830.00 $93,876.78 $34,358.79 2025-06-26
93654 CPT Compre Ep Eval Tx Vt 4 4 — — $830.00 $96,283.88 $34,358.79 2025-06-26
93653 CPT Compre Ep Eval Tx Svt 4 4 — — $830.00 $96,283.88 $34,358.79 2025-06-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $28,956.75 $49,504.46 $34,324.64 2025-06-26
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $24,905.25 $42,578.02 $34,152.27 2025-06-26
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 4 4 — — $830.00 $112,100.34 $34,102.97 2025-06-26
0409T CPT Insj/rplc Car Modulj Pls Gn 4 4 — — $830.00 $112,100.34 $34,102.97 2025-06-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $21,477.00 $36,717.08 $33,985.22 2025-06-26
0515T CPT Insj Wcs Lv Compl Sys 4 4 — — $525.00 $111,522.05 $33,950.47 2025-06-26
665 MS_DRG Prostatectomy With Mcc 3 3 — — $25,750.50 $44,023.05 $33,822.43 2025-06-26
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $23,395.50 $39,996.95 $33,821.37 2025-06-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $24,513.75 $41,908.71 $33,773.49 2025-06-26
L5991 HCPCS Low Pros Ext Osseo Connector 1 1 — — $33,763.32 $33,763.32 $33,763.32 2025-06-26
248 MS_DRG Percutaneous Cardiovascular Procedures W Non-drug-eluting Stent W Mcc Or 4+ Arte… 1 1 — — $33,756.46 $33,756.46 $33,756.46 2025-06-26
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $26,211.75 $44,811.61 $33,607.50 2025-06-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $25,173.75 $43,037.04 $33,576.65 2025-06-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $24,762.75 $42,334.40 $33,548.57 2025-06-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $25,791.00 $44,092.29 $33,392.58 2025-06-26
265 MS_DRG Aicd Lead Procedures 3 3 — — $26,751.75 $45,734.79 $33,161.69 2025-06-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $23,127.00 $39,537.92 $33,087.21 2025-06-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $26,878.50 $45,951.48 $32,986.13 2025-06-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $23,191.50 $39,648.19 $32,792.48 2025-06-26
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $23,763.75 $40,626.51 $32,643.52 2025-06-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $24,031.50 $41,084.25 $32,557.88 2025-06-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $23,962.50 $40,966.29 $32,464.40 2025-06-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $25,985.25 $44,424.38 $32,408.38 2025-06-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $23,851.50 $40,776.52 $32,314.01 2025-06-26
570 MS_DRG Skin Debridement With Mcc 3 3 — — $22,578.00 $38,599.35 $32,289.21 2025-06-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $22,057.50 $37,709.50 $32,243.46 2025-06-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $22,938.00 $39,214.80 $32,087.05 2025-06-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $21,040.50 $35,970.84 $31,800.83 2025-06-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $20,208.00 $34,547.60 $31,783.81 2025-06-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $23,406.00 $40,014.90 $31,689.11 2025-06-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $21,996.00 $37,604.36 $31,557.18 2025-06-26
C9783 HCPCS Blind Cor Sinus Reducer Impl 1 1 — — $31,445.43 $31,445.43 $31,445.43 2025-06-26
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $23,143.50 $39,566.13 $31,354.81 2025-06-26
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $21,727.50 $37,145.33 $31,353.95 2025-06-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $22,114.50 $37,806.95 $31,324.16 2025-06-26
652 MS_DRG Kidney Transplant 2 2 — — $23,034.00 $39,378.93 $31,206.47 2025-06-26
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $23,013.00 $39,343.02 $31,178.01 2025-06-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $20,448.00 $34,957.90 $31,076.25 2025-06-26
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $21,164.25 $36,182.40 $30,571.91 2025-06-26
39503 CPT Repair Of Diaphragm Hernia 1 1 — — $30,497.62 $30,497.62 $30,497.62 2025-06-26
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 1 1 — — $30,481.47 $30,481.47 $30,481.47 2025-06-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $20,274.00 $34,660.43 $30,299.53 2025-06-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $21,061.50 $36,006.74 $30,138.86 2025-06-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 — — $19,152.00 $32,742.26 $29,982.46 2025-06-26
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $21,870.75 $37,390.23 $29,947.34 2025-06-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $24,443.25 $41,788.18 $29,768.59 2025-06-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $20,374.50 $34,832.25 $29,738.80 2025-06-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $19,674.00 $33,634.67 $29,700.50 2025-06-26
L8679 HCPCS Imp Neurosti Pls Gn Any Type 1 1 — — $29,667.99 $29,667.99 $29,667.99 2025-06-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $19,899.00 $34,019.33 $29,661.13 2025-06-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $21,859.50 $37,371.00 $29,615.25 2025-06-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $21,501.75 $36,759.39 $29,614.31 2025-06-26
C9785 HCPCS Endo Outlet Restrict W/tube 1 1 — — $29,423.28 $29,423.28 $29,423.28 2025-06-26
C9784 HCPCS Other Outpatient Services 1 1 — — $29,423.28 $29,423.28 $29,423.28 2025-06-26
C9792 HCPCS Blind/nonblind Trans Atrial 1 1 — — $29,251.50 $29,251.50 $29,251.50 2025-06-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $21,840.00 $37,337.66 $29,205.74 2025-06-26
54411 CPT Remov/replc Penis Pros Comp 4 4 — — $599.00 $79,587.95 $29,128.75 2025-06-26
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $21,465.00 $36,696.56 $29,080.78 2025-06-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $21,435.00 $36,645.28 $29,072.74 2025-06-26
54416 CPT Remv/repl Penis Contain Pros 4 4 — — $426.00 $79,587.95 $29,042.25 2025-06-26
54401 CPT Insert Self-contd Prosthesis 4 4 — — $426.00 $79,587.95 $29,042.25 2025-06-26
54410 CPT Remove/replace Penis Prosth 4 4 — — $426.00 $79,587.95 $29,042.25 2025-06-26
54405 CPT Insert Multi-comp Penis Pros 4 4 — — $426.00 $79,587.95 $29,042.25 2025-06-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $19,381.50 $33,134.61 $29,016.34 2025-06-26
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $22,395.00 $38,286.49 $28,972.72 2025-06-26
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 2 — — $21,350.25 $36,500.39 $28,925.32 2025-06-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $20,484.75 $35,020.73 $28,665.22 2025-06-26
47135 CPT Transplantation Of Liver 1 1 — — $28,199.49 $28,199.49 $28,199.49 2025-06-26
33274 CPT Tcat Insj/rpl Perm Ldls Pm 4 4 — — $525.00 $77,847.32 $28,110.53 2025-06-26
131 MS_DRG Cranial/facial Procedures W Cc/mcc 1 1 — — $27,966.18 $27,966.18 $27,966.18 2025-06-26
800 MS_DRG Splenic Procedures With Cc 3 3 — — $21,852.00 $37,358.18 $27,949.15 2025-06-26
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