Hospital

BRATTLEBORO MEMORIAL HOSPITAL

Brattleboro, VT · CCN 470011 · Rates published

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You selected 59510 (CPT)

CESAREAN DELIVERY

This hospital’s price: $2,133 across 3 payers

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/10714/030107300_brattleboro-memorial-hospital_standardcharges.csv · observed 2025-12-29

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,681 distinct procedures filed

18 distinct payers

515,378 rate rows

2025-12-29 last MRF observed

Data quality

258,437 of 515,378 rate rows are consumer-grade (50.1%)

256,941 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 — reason	Rows
professional (physician) fee — not the facility price	256,370
placeholder amount (≤ $0.02) — excluded from medians	303
exceeds 10× this hospital's gross charge — excluded from medians	220
per-diem day rate — not a per-procedure price	26
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	22

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/10714/030107300_brattleboro-memorial-hospital_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/Brattleboro%20Memorial%20Hospital/10714
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-07-06
Content fingerprint	208a9d5b171f570b… · 173,236,470 bytes · first seen 2026-05-13

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	10	$3,710,000.00	$3,969,700.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	12	$2,839,151.70	$3,943,235.33	$3,685,266.67	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	12	$2,570,576.53	$4,651,462.61	$3,322,473.30	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	12	$2,540,078.00	$4,600,400.00	$3,286,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	12	$2,294,264.00	$4,127,498.67	$2,948,213.33	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	12	$1,846,398.80	$3,392,383.72	$2,423,131.23	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	10	$2,332,000.00	$3,264,800.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	10	$770,620.00	$1,078,868.00	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	12	$409,066.08	$810,279.57	$578,771.12	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	12	$407,466.41	$774,437.02	$553,169.30	nat. median $646,415 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	12	$407,052.21	$738,671.45	$527,622.46	nat. median $622,450 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	12	$399,429.26	$723,019.20	$516,442.29	nat. median $640,950 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	12	$378,349.46	$703,977.02	$502,840.73	nat. median $608,239 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	12	$355,990.00	$685,158.82	$489,399.16	nat. median $591,721 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	$57,955.50	$584,839.16	$417,742.26	nat. median $359,454 1.2× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	$57,955.50	$436,897.30	$312,069.50	nat. median $249,036 1.3× median
C9301 HCPCS	Outpatient Services	10	$278,250.00	$389,550.00	$278,250.00	nat. median $459,112 0.6× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	12	$57,955.50	$367,991.12	$262,850.80	nat. median $198,418 1.3× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	12	$57,955.50	$332,477.00	$237,483.57	nat. median $190,559 1.2× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	12	$151,788.34	$219,300.63	$156,643.31	nat. median $126,695 1.2× median
J7330 HCPCS	Cultured Chondrocytes Implnt	1	$150,892.05	$150,892.05	$150,892.05	nat. median $75,000 outlier · 2.0×
14 MS_DRG	Allogeneic Bone Marrow Transplant	12	$57,955.50	$203,363.30	$145,259.50	nat. median $110,307 1.3× median
7 MS_DRG	Lung Transplant	12	$57,955.50	$202,851.80	$144,894.14	nat. median $117,974 1.2× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	$57,955.50	$171,090.29	$122,207.35	nat. median $104,013 1.2× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	12	$57,955.50	$169,140.36	$120,814.54	nat. median $97,323 1.2× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	12	$57,955.50	$165,350.54	$118,107.53	nat. median $95,038 1.2× median
215 MS_DRG	Other Heart Assist System Implant	12	$57,955.50	$164,504.27	$117,503.05	nat. median $93,901 1.3× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	$57,955.50	$162,653.51	$116,181.08	nat. median $93,276 1.2× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	12	$91,031.93	$156,604.00	$111,860.00	nat. median $96,983 1.2× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	$57,955.50	$149,876.68	$107,054.77	nat. median $90,551 1.2× median
850 MS_DRG	Acute Leukemia With Other Procedures	12	$57,955.50	$143,069.00	$102,192.14	nat. median $78,268 1.3× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	12	$99,999.91	$139,999.99	$99,999.99	nat. median $111,503 0.9× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	12	$57,955.50	$131,629.85	$94,021.32	nat. median $77,028 1.2× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	$57,955.50	$131,556.99	$93,969.28	nat. median $77,632 1.2× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	12	$57,955.50	$129,563.66	$92,545.47	nat. median $78,049 1.2× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	$57,955.50	$125,231.34	$89,450.96	nat. median $74,370 1.2× median
10 MS_DRG	Pancreas Transplant	12	$30,083.96	$123,865.78	$88,475.56	nat. median $64,933 1.4× median
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	12	$57,955.50	$123,157.43	$87,969.59	nat. median $66,715 1.3× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	12	$57,955.50	$121,438.44	$86,741.74	nat. median $71,748 1.2× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	$41,994.05	$120,215.48	$85,868.20	nat. median $72,398 1.2× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	12	$52,205.57	$115,979.26	$82,842.33	nat. median $67,976 1.2× median
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	12	$65,871.74	$113,320.47	$80,943.19	nat. median $70,178 1.2× median
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	$57,955.50	$110,375.93	$78,839.95	nat. median $63,648 1.2× median
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	12	$57,955.50	$109,822.59	$78,444.71	nat. median $66,649 1.2× median
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	12	$51,077.64	$108,109.83	$77,221.31	nat. median $62,655 1.2× median
955 MS_DRG	Craniotomy For Multiple Significant Trauma	12	$38,651.20	$106,122.67	$75,801.91	nat. median $61,728 1.2× median
447 MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	12	$57,955.50	$104,206.86	$74,433.47	nat. median $60,596 1.2× median
928 MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	12	$57,955.50	$103,806.95	$74,147.82	nat. median $61,308 1.2× median
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	12	$57,955.50	$103,631.81	$74,022.72	nat. median $63,873 1.2× median
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	12	$45,109.64	$100,525.53	$71,803.95	nat. median $59,371 1.2× median

Other procedures at this hospital

Browse this hospital's 12,681 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	11	10	—	—	$3,710,000.00	$3,969,700.00	$3,710,000.00	2025-12-29
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	14	12	—	—	$2,839,151.70	$3,943,235.33	$3,685,266.67	2025-12-29
J1413	HCPCS	Inj Delandistrogene Mox Rokl	15	12	—	—	$2,570,576.53	$4,651,462.61	$3,322,473.30	2025-12-29
J3394	HCPCS	Inj, Lovotibeglogene Autotem	15	12	—	—	$2,540,078.00	$4,600,400.00	$3,286,000.00	2025-12-29
J3393	HCPCS	Inj, Betibeglogene Autotemce	15	12	—	—	$2,294,264.00	$4,127,498.67	$2,948,213.33	2025-12-29
J3399	HCPCS	Inj Onase Abepar-xioi Treat	15	12	—	—	$1,846,398.80	$3,392,383.72	$2,423,131.23	2025-12-29
J3392	HCPCS	Inj, Exagamglogene Autotem	12	10	—	—	$2,332,000.00	$3,264,800.00	$2,332,000.00	2025-12-29
Q2057	HCPCS	Afamitresgene Autoleucel	12	10	—	—	$770,620.00	$1,078,868.00	$770,620.00	2025-12-29
Q2042	HCPCS	Tisagenlecleucel Car-pos T	15	12	—	—	$409,066.08	$810,279.57	$578,771.12	2025-12-29
Q2056	HCPCS	Ciltacabtagene Car-pos T	15	12	—	—	$407,466.41	$774,437.02	$553,169.30	2025-12-29
Q2055	HCPCS	Idecabtagene Vicleucel Car	15	12	—	—	$407,052.21	$738,671.45	$527,622.46	2025-12-29
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	15	12	—	—	$399,429.26	$723,019.20	$516,442.29	2025-12-29
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	15	12	—	—	$378,349.46	$703,977.02	$502,840.73	2025-12-29
Q2053	HCPCS	Brexucabtagene Car Pos T	15	12	—	—	$355,990.00	$685,158.82	$489,399.16	2025-12-29
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	12	—	—	$57,955.50	$584,839.16	$417,742.26	2025-12-29
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	12	—	—	$57,955.50	$436,897.30	$312,069.50	2025-12-29
C9301	HCPCS	Outpatient Services	12	10	—	—	$278,250.00	$389,550.00	$278,250.00	2025-12-29
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	12	—	—	$57,955.50	$367,991.12	$262,850.80	2025-12-29
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	15	12	—	—	$57,955.50	$332,477.00	$237,483.57	2025-12-29
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	15	12	—	—	$151,788.34	$219,300.63	$156,643.31	2025-12-29
J7330	HCPCS	Cultured Chondrocytes Implnt	1	1	—	—	$150,892.05	$150,892.05	$150,892.05	2025-12-29
14	MS_DRG	Allogeneic Bone Marrow Transplant	15	12	—	—	$57,955.50	$203,363.30	$145,259.50	2025-12-29
7	MS_DRG	Lung Transplant	15	12	—	—	$57,955.50	$202,851.80	$144,894.14	2025-12-29
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	12	—	—	$57,955.50	$171,090.29	$122,207.35	2025-12-29
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	15	12	—	—	$57,955.50	$169,140.36	$120,814.54	2025-12-29
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	15	12	—	—	$57,955.50	$165,350.54	$118,107.53	2025-12-29
215	MS_DRG	Other Heart Assist System Implant	15	12	—	—	$57,955.50	$164,504.27	$117,503.05	2025-12-29
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	12	—	—	$57,955.50	$162,653.51	$116,181.08	2025-12-29
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	15	12	—	—	$91,031.93	$156,604.00	$111,860.00	2025-12-29
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	12	—	—	$57,955.50	$149,876.68	$107,054.77	2025-12-29
850	MS_DRG	Acute Leukemia With Other Procedures	15	12	—	—	$57,955.50	$143,069.00	$102,192.14	2025-12-29
Q0480	HCPCS	Driver Pneumatic Vad, Rep	15	12	—	—	$99,999.91	$139,999.99	$99,999.99	2025-12-29
231	MS_DRG	Coronary Bypass With Ptca With Mcc	15	12	—	—	$57,955.50	$131,629.85	$94,021.32	2025-12-29
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	12	—	—	$57,955.50	$131,556.99	$93,969.28	2025-12-29
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	15	12	—	—	$57,955.50	$129,563.66	$92,545.47	2025-12-29
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	12	—	—	$57,955.50	$125,231.34	$89,450.96	2025-12-29
10	MS_DRG	Pancreas Transplant	15	12	—	—	$30,083.96	$123,865.78	$88,475.56	2025-12-29
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	15	12	—	—	$57,955.50	$123,157.43	$87,969.59	2025-12-29
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	15	12	—	—	$57,955.50	$121,438.44	$86,741.74	2025-12-29
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	12	—	—	$41,994.05	$120,215.48	$85,868.20	2025-12-29
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	15	12	—	—	$52,205.57	$115,979.26	$82,842.33	2025-12-29
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	15	12	—	—	$65,871.74	$113,320.47	$80,943.19	2025-12-29
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	12	—	—	$57,955.50	$110,375.93	$78,839.95	2025-12-29
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	15	12	—	—	$57,955.50	$109,822.59	$78,444.71	2025-12-29
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	15	12	—	—	$51,077.64	$108,109.83	$77,221.31	2025-12-29
955	MS_DRG	Craniotomy For Multiple Significant Trauma	15	12	—	—	$38,651.20	$106,122.67	$75,801.91	2025-12-29
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	15	12	—	—	$57,955.50	$104,206.86	$74,433.47	2025-12-29
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	15	12	—	—	$57,955.50	$103,806.95	$74,147.82	2025-12-29
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	15	12	—	—	$57,955.50	$103,631.81	$74,022.72	2025-12-29
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	15	12	—	—	$45,109.64	$100,525.53	$71,803.95	2025-12-29
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	12	—	—	$57,955.50	$100,381.41	$71,701.01	2025-12-29
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	15	12	—	—	$57,955.50	$98,310.58	$70,221.84	2025-12-29
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	15	12	—	—	$33,735.10	$96,297.10	$68,783.64	2025-12-29
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	15	12	—	—	$33,735.10	$96,173.10	$68,695.07	2025-12-29
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	15	12	—	—	$33,735.10	$95,735.99	$68,382.85	2025-12-29
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	15	12	—	—	$57,955.50	$95,402.75	$68,144.82	2025-12-29
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	15	12	—	—	$33,735.10	$94,968.72	$67,834.80	2025-12-29
28	MS_DRG	Spinal Procedures With Mcc	15	12	—	—	$41,468.52	$94,516.11	$67,511.51	2025-12-29
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	15	12	—	—	$30,240.20	$93,840.31	$67,028.79	2025-12-29
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	15	12	—	—	$33,735.10	$93,840.31	$67,028.79	2025-12-29
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	15	12	—	—	$33,735.10	$93,141.24	$66,529.46	2025-12-29
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	12	—	—	$33,735.10	$92,498.00	$66,070.00	2025-12-29
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	15	12	—	—	$66,020.18	$92,428.25	$66,020.18	2025-12-29
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	15	12	—	—	$30,840.09	$91,488.92	$65,349.23	2025-12-29
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	15	12	—	—	$33,735.10	$90,529.45	$64,663.89	2025-12-29
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	12	—	—	$41,217.87	$89,244.51	$63,746.08	2025-12-29
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	12	—	—	$48,790.87	$88,712.83	$63,366.31	2025-12-29
J9029	HCPCS	Instill Adstiladrin, Tx Dose	16	12	—	—	$48,973.24	$157,582.32	$63,235.61	2025-12-29
653	MS_DRG	Major Bladder Procedures With Mcc	15	12	—	—	$33,735.10	$86,690.06	$61,921.47	2025-12-29
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	15	12	—	—	$33,735.10	$85,956.88	$61,397.77	2025-12-29
834	MS_DRG	Acute Leukemia With Mcc	15	12	—	—	$61,397.77	$85,956.88	$61,397.77	2025-12-29
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	12	—	—	$33,735.10	$85,597.32	$61,140.94	2025-12-29
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	15	12	—	—	$33,735.10	$85,076.50	$60,768.93	2025-12-29
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	15	12	—	—	$33,735.10	$84,620.79	$60,443.42	2025-12-29
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	15	12	—	—	$29,708.82	$84,428.60	$60,306.14	2025-12-29
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	15	12	—	—	$33,735.10	$83,999.23	$59,999.45	2025-12-29
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	15	12	—	—	$38,129.85	$83,920.16	$59,942.97	2025-12-29
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	15	12	—	—	$33,735.10	$83,910.86	$59,936.33	2025-12-29
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	15	12	—	—	$33,735.10	$82,746.82	$59,104.87	2025-12-29
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	12	—	—	$21,310.34	$82,382.55	$58,844.68	2025-12-29
L7181	HCPCS	Electronic Elbo Simultaneous	15	12	—	—	$46,104.76	$80,660.31	$57,614.51	2025-12-29
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	15	12	—	—	$33,735.10	$80,110.23	$57,221.59	2025-12-29
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	15	12	—	—	$34,246.43	$79,845.16	$57,032.26	2025-12-29
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	16	12	—	—	$42,526.77	$136,839.38	$57,017.10	2025-12-29
A9543	HCPCS	Y90 Ibritumomab, Rx	16	12	—	—	$50,613.40	$153,641.42	$56,824.55	2025-12-29
38240	CPT	Transplt Allo Hct/donor	15	12	—	—	$45,717.02	$79,426.02	$56,732.87	2025-12-29
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	15	12	—	—	$33,735.10	$79,249.95	$56,607.11	2025-12-29
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	15	12	—	—	$33,735.10	$79,008.16	$56,434.40	2025-12-29
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	15	12	—	—	$30,083.96	$78,355.58	$55,968.27	2025-12-29
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	15	12	—	—	$30,083.96	$77,895.23	$55,639.45	2025-12-29
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	15	12	—	—	$33,735.10	$77,834.78	$55,596.27	2025-12-29
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	15	12	—	—	$43,421.93	$77,803.77	$55,574.12	2025-12-29
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	15	12	—	—	$33,735.10	$77,524.79	$55,374.85	2025-12-29
245	MS_DRG	Aicd Generator Procedures	15	12	—	—	$35,583.24	$76,029.00	$54,306.43	2025-12-29
471	MS_DRG	Cervical Spinal Fusion With Mcc	15	12	—	—	$30,083.96	$75,571.76	$53,979.83	2025-12-29
6	MS_DRG	Liver Transplant Without Mcc	15	12	—	—	$30,083.96	$75,446.20	$53,890.14	2025-12-29
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	15	12	—	—	$30,083.96	$74,303.84	$53,074.17	2025-12-29
799	MS_DRG	Splenic Procedures With Mcc	15	12	—	—	$30,083.96	$73,982.99	$52,844.99	2025-12-29
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	12	—	—	$36,079.53	$73,969.03	$52,835.02	2025-12-29
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	15	12	—	—	$29,363.75	$73,206.42	$52,290.30	2025-12-29
L7180	HCPCS	Electronic Elbow Sequential	15	12	—	—	$44,119.09	$73,189.06	$52,277.90	2025-12-29
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	15	12	—	—	$30,083.96	$72,815.79	$52,011.28	2025-12-29
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	15	12	—	—	$30,083.96	$72,387.99	$51,705.71	2025-12-29
163	MS_DRG	Major Chest Procedures With Mcc	15	12	—	—	$29,403.02	$71,726.13	$51,232.95	2025-12-29
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	15	12	—	—	$30,083.96	$71,696.70	$51,211.93	2025-12-29
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	12	—	—	$30,083.96	$71,468.84	$51,049.17	2025-12-29
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	15	12	—	—	$21,510.02	$71,458.00	$51,041.43	2025-12-29
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	15	12	—	—	$18,691.04	$70,213.32	$50,152.37	2025-12-29
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	15	12	—	—	$30,083.96	$69,796.37	$49,854.55	2025-12-29
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	15	12	—	—	$23,758.36	$69,604.18	$49,717.27	2025-12-29
901	MS_DRG	Wound Debridements For Injuries With Mcc	15	12	—	—	$30,083.96	$68,956.26	$49,254.47	2025-12-29
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	15	12	—	—	$30,083.96	$68,371.93	$48,837.09	2025-12-29
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	15	12	—	—	$27,137.97	$67,350.44	$48,107.46	2025-12-29
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	12	—	—	$30,083.96	$67,212.50	$48,008.93	2025-12-29
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	15	12	—	—	$16,591.42	$66,401.83	$47,429.88	2025-12-29
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	15	12	—	—	$30,083.96	$66,304.15	$47,360.11	2025-12-29
140	MS_DRG	Major Head And Neck Procedures With Mcc	15	12	—	—	$30,083.96	$65,836.06	$47,025.76	2025-12-29
E0194	HCPCS	Air Fluidized Bed	3	3	—	—	$46,623.78	$46,623.78	$46,623.78	2025-12-29
31	MS_DRG	Ventricular Shunt Procedures With Mcc	15	12	—	—	$30,083.96	$65,237.77	$46,598.41	2025-12-29
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	15	12	—	—	$27,137.97	$65,222.28	$46,587.34	2025-12-29
793	MS_DRG	Full Term Neonate With Major Problems	15	12	—	—	$7,397.54	$64,926.20	$46,375.86	2025-12-29
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	15	12	—	—	$30,083.96	$64,774.29	$46,267.35	2025-12-29
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	15	12	—	—	$22,599.52	$64,021.01	$45,729.29	2025-12-29
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	15	12	—	—	$19,525.71	$63,985.35	$45,703.82	2025-12-29
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	15	12	—	—	$30,083.96	$63,890.79	$45,636.28	2025-12-29
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	15	12	—	—	$30,083.96	$63,577.68	$45,412.63	2025-12-29
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	15	12	—	—	$30,083.96	$63,328.13	$45,234.38	2025-12-29
J9226	HCPCS	Supprelin La Implant	16	12	—	—	$35,055.72	$112,799.60	$45,212.04	2025-12-29
791	MS_DRG	Prematurity With Major Problems	15	12	—	—	$21,359.63	$63,211.88	$45,151.34	2025-12-29
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	15	12	—	—	$27,137.97	$62,030.74	$44,307.67	2025-12-29
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	15	12	—	—	$27,137.97	$61,987.38	$44,276.70	2025-12-29
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	15	12	—	—	$30,083.96	$61,441.74	$43,886.96	2025-12-29
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	15	12	—	—	$30,083.96	$61,316.19	$43,797.28	2025-12-29
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	15	12	—	—	$13,829.25	$61,192.19	$43,708.71	2025-12-29
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	15	12	—	—	$30,083.96	$60,922.51	$43,516.08	2025-12-29
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	15	12	—	—	$30,083.96	$60,893.04	$43,495.03	2025-12-29
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	15	12	—	—	$30,083.96	$60,558.25	$43,255.89	2025-12-29
0266T	CPT	Implt/rpl Crtd Sns Dev Total	12	10	—	—	$43,167.18	$60,434.05	$43,167.18	2025-12-29
33276	CPT	Insj Phrnc Nrv Stim Sys	12	10	—	—	$43,167.18	$60,434.05	$43,167.18	2025-12-29
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	15	12	—	—	$30,083.96	$60,190.89	$42,993.49	2025-12-29
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	15	12	—	—	$27,137.97	$60,130.43	$42,950.31	2025-12-29
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	15	12	—	—	$30,083.96	$59,963.04	$42,830.74	2025-12-29
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	15	12	—	—	$28,595.09	$59,530.59	$42,521.85	2025-12-29
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	12	—	—	$30,083.96	$59,209.74	$42,292.67	2025-12-29
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	15	12	—	—	$30,083.96	$58,750.93	$41,964.95	2025-12-29
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	15	12	—	—	$30,083.96	$58,284.35	$41,631.68	2025-12-29
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	15	12	—	—	$33,480.90	$57,597.86	$41,141.33	2025-12-29
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	15	12	—	—	$14,546.11	$56,838.18	$40,598.70	2025-12-29
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	15	12	—	—	$27,137.97	$56,446.03	$40,318.59	2025-12-29
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	15	12	—	—	$27,137.97	$55,847.72	$39,891.23	2025-12-29
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	15	12	—	—	$27,137.97	$55,844.64	$39,889.03	2025-12-29
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	15	12	—	—	$27,137.97	$55,835.30	$39,882.36	2025-12-29
265	MS_DRG	Aicd Lead Procedures	15	12	—	—	$27,137.97	$55,574.93	$39,696.38	2025-12-29
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	15	12	—	—	$20,648.62	$55,326.91	$39,519.22	2025-12-29
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	15	12	—	—	$27,137.97	$55,004.50	$39,288.93	2025-12-29
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	15	12	—	—	$27,137.97	$54,990.56	$39,278.97	2025-12-29
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	15	12	—	—	$27,137.97	$54,852.62	$39,180.44	2025-12-29
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	15	12	—	—	$27,137.97	$54,592.22	$38,994.44	2025-12-29
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	12	—	—	$27,137.97	$54,575.15	$38,982.25	2025-12-29
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	15	12	—	—	$27,137.97	$54,553.46	$38,966.76	2025-12-29
264	MS_DRG	Other Circulatory System O.r. Procedures	15	12	—	—	$27,137.97	$54,457.35	$38,898.11	2025-12-29
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	3	3	—	—	$38,890.03	$38,890.03	$38,890.03	2025-12-29
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	15	12	—	—	$27,137.97	$54,107.05	$38,647.89	2025-12-29
332	MS_DRG	Rectal Resection With Mcc	15	12	—	—	$27,137.97	$54,048.16	$38,605.83	2025-12-29
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	15	12	—	—	$27,137.97	$53,989.25	$38,563.75	2025-12-29
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	15	12	—	—	$18,076.94	$53,671.51	$38,336.79	2025-12-29
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	15	12	—	—	$27,137.97	$53,587.77	$38,276.98	2025-12-29
665	MS_DRG	Prostatectomy With Mcc	15	12	—	—	$27,137.97	$53,504.12	$38,217.23	2025-12-29
252	MS_DRG	Other Vascular Procedures With Mcc	15	12	—	—	$27,137.97	$53,454.51	$38,181.79	2025-12-29
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	15	12	—	—	$27,137.97	$53,373.89	$38,124.21	2025-12-29
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	15	12	—	—	$27,137.97	$53,079.40	$37,913.86	2025-12-29
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	15	12	—	—	$27,137.97	$52,859.28	$37,756.63	2025-12-29
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	15	12	—	—	$16,722.59	$52,312.13	$37,365.81	2025-12-29
37	MS_DRG	Extracranial Procedures With Mcc	15	12	—	—	$27,137.97	$51,757.20	$36,969.43	2025-12-29
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	15	12	—	—	$27,137.97	$51,462.73	$36,759.09	2025-12-29
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	15	12	—	—	$27,137.97	$50,948.10	$36,391.50	2025-12-29
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	15	12	—	—	$11,889.21	$50,803.98	$36,288.56	2025-12-29
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	15	12	—	—	$27,137.97	$50,782.23	$36,273.02	2025-12-29
K0606	HCPCS	Aed Garment W Elec Analysis	3	3	—	—	$36,078.63	$36,078.63	$36,078.63	2025-12-29
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	15	12	—	—	$27,137.97	$50,182.38	$35,844.56	2025-12-29
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	15	12	—	—	$27,137.97	$49,951.44	$35,679.60	2025-12-29
J1930	HCPCS	Lanreotide 120 Mg/0.5 Ml Pfs Inj [bvt]	50	18	$45,897.60	$32,128.32 30% off	$38.63	$44,520.67	$35,616.54	2025-12-29
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	15	12	—	—	$27,137.97	$49,807.30	$35,576.64	2025-12-29
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	15	12	—	—	$27,137.97	$49,712.74	$35,509.10	2025-12-29
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	15	12	—	—	$27,137.97	$49,579.43	$35,413.88	2025-12-29
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	15	12	—	—	$27,137.97	$49,480.24	$35,343.03	2025-12-29
500	MS_DRG	Soft Tissue Procedures With Mcc	15	12	—	—	$29,364.59	$49,398.08	$35,284.34	2025-12-29
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	15	12	—	—	$18,106.19	$48,658.72	$34,756.23	2025-12-29
662	MS_DRG	Minor Bladder Procedures With Mcc	15	12	—	—	$18,232.35	$48,637.02	$34,740.73	2025-12-29
L6700	HCPCS	Ue Add Ext Power Myoel	12	10	—	—	$34,717.87	$48,605.02	$34,717.87	2025-12-29
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	15	12	—	—	$27,137.97	$48,430.89	$34,593.49	2025-12-29
L5856	HCPCS	Elec Knee-shin Swing/stance	15	12	—	—	$27,937.34	$48,395.69	$34,568.35	2025-12-29
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	15	12	—	—	$17,812.92	$48,215.43	$34,439.59	2025-12-29
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	15	12	—	—	$27,137.97	$48,116.22	$34,368.73	2025-12-29
L6880	HCPCS	Elec Hand Ind Art Digits	15	12	—	—	$27,492.15	$48,109.56	$34,363.97	2025-12-29
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	15	12	—	—	$8,648.29	$48,082.10	$34,344.36	2025-12-29
652	MS_DRG	Kidney Transplant	15	12	—	—	$27,137.97	$47,889.93	$34,207.09	2025-12-29
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	15	12	—	—	$27,137.97	$47,846.53	$34,176.09	2025-12-29
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	15	12	—	—	$15,076.65	$47,691.52	$34,065.37	2025-12-29
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	12	10	—	—	$33,574.58	$47,004.41	$33,574.58	2025-12-29
570	MS_DRG	Skin Debridement With Mcc	15	12	—	—	$18,232.35	$46,941.31	$33,529.51	2025-12-29
974	MS_DRG	HIV With Major Related Condition With Mcc	15	12	—	—	$18,232.35	$46,569.29	$33,263.78	2025-12-29
C9781	HCPCS	C9781-arthroscopy, Shoulder, Surgical; With Implantation Of Subacromial Spacer (…	47	18	$42,460.51	$29,722.36 30% off	$12,342.63	$41,186.69	$32,949.36	2025-12-29
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	15	12	—	—	$18,558.19	$45,986.47	$32,847.48	2025-12-29
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	15	12	—	—	$23,565.36	$45,868.68	$32,763.34	2025-12-29
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	15	12	—	—	$18,232.35	$45,744.68	$32,674.77	2025-12-29
668	MS_DRG	Transurethral Procedures With Mcc	15	12	—	—	$18,232.35	$45,485.85	$32,489.89	2025-12-29
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	15	12	—	—	$18,232.35	$45,461.04	$32,472.17	2025-12-29
800	MS_DRG	Splenic Procedures With Cc	15	12	—	—	$18,232.35	$45,447.09	$32,462.21	2025-12-29
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	15	12	—	—	$18,232.35	$45,422.27	$32,444.48	2025-12-29
472	MS_DRG	Cervical Spinal Fusion With Cc	15	12	—	—	$16,509.54	$45,189.77	$32,278.41	2025-12-29
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	15	12	—	—	$18,232.35	$44,723.24	$31,945.17	2025-12-29
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	15	12	—	—	$18,232.35	$44,672.07	$31,908.62	2025-12-29
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	15	12	—	—	$18,232.35	$44,645.72	$31,889.80	2025-12-29
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	15	12	—	—	$18,232.35	$44,583.70	$31,845.50	2025-12-29
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	15	12	—	—	$18,232.35	$44,408.57	$31,720.41	2025-12-29
654	MS_DRG	Major Bladder Procedures With Cc	15	12	—	—	$18,232.35	$44,025.72	$31,446.94	2025-12-29
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	15	12	—	—	$18,232.35	$43,813.36	$31,295.26	2025-12-29
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	15	12	—	—	$18,232.35	$43,768.42	$31,263.16	2025-12-29
0408T	CPT	Insj/rplc Cardiac Modulj Sys	12	10	—	—	$30,755.39	$43,057.55	$30,755.39	2025-12-29
33249	CPT	Insj/rplcmt Defib W/lead(s)	15	12	—	—	$24,783.60	$43,057.55	$30,755.39	2025-12-29
33231	CPT	Insrt Pulse Gen W/mult Leads	15	12	—	—	$24,783.60	$43,057.55	$30,755.39	2025-12-29
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	12	10	—	—	$30,755.39	$43,057.55	$30,755.39	2025-12-29
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	15	12	—	—	$24,783.60	$43,057.55	$30,755.39	2025-12-29
33270	CPT	Ins/rep Subq Defibrillator	15	12	—	—	$24,783.60	$43,057.55	$30,755.39	2025-12-29
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	12	10	—	—	$30,755.39	$43,057.55	$30,755.39	2025-12-29
69930	CPT	Implant Cochlear Device	15	12	—	—	$24,587.44	$42,716.76	$30,511.97	2025-12-29
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	15	12	—	—	$18,232.35	$42,697.33	$30,498.09	2025-12-29
288	MS_DRG	Acute And Subacute Endocarditis With Mcc	15	12	—	—	$17,308.28	$42,621.38	$30,443.84	2025-12-29
619	MS_DRG	O.r. Procedures For Obesity With Mcc	15	12	—	—	$18,232.35	$42,543.89	$30,388.49	2025-12-29
963	MS_DRG	Other Multiple Significant Trauma With Mcc	15	12	—	—	$18,232.35	$42,391.99	$30,279.99	2025-12-29
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	15	12	—	—	$18,232.35	$42,185.85	$30,132.75	2025-12-29
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	15	12	—	—	$18,232.35	$42,047.88	$30,034.20	2025-12-29
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	15	12	—	—	$14,760.83	$41,882.02	$29,915.73	2025-12-29
263	MS_DRG	Vein Ligation And Stripping	15	12	—	—	$18,232.35	$41,855.67	$29,896.91	2025-12-29
849	MS_DRG	Radiotherapy	15	12	—	—	$18,232.35	$41,685.17	$29,775.12	2025-12-29
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	15	12	—	—	$18,232.35	$41,556.54	$29,683.24	2025-12-29
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	15	12	—	—	$16,502.86	$41,409.30	$29,578.07	2025-12-29
13	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	15	12	—	—	$18,232.35	$41,358.13	$29,541.52	2025-12-29
503	MS_DRG	Foot Procedures With Mcc	15	12	—	—	$18,232.35	$41,305.42	$29,503.87	2025-12-29
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	15	12	—	—	$18,232.35	$41,263.57	$29,473.98	2025-12-29
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	15	12	—	—	$18,232.35	$40,944.26	$29,245.90	2025-12-29
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	15	12	—	—	$23,556.09	$40,924.93	$29,232.10	2025-12-29
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	15	12	—	—	$23,556.09	$40,924.93	$29,232.10	2025-12-29
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	12	10	—	—	$29,232.10	$40,924.93	$29,232.10	2025-12-29
61886	CPT	Implant Neurostim Arrays	15	12	—	—	$23,556.09	$40,924.93	$29,232.10	2025-12-29
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	15	12	—	—	$23,556.09	$40,924.93	$29,232.10	2025-12-29
0268T	CPT	Implt/rpl Crtd Sns Dev Gen	12	10	—	—	$29,232.10	$40,924.93	$29,232.10	2025-12-29
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	12	10	—	—	$29,232.10	$40,924.93	$29,232.10	2025-12-29
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	15	12	—	—	$18,232.35	$40,838.85	$29,170.61	2025-12-29
749	MS_DRG	Other Female Reproductive System O.r. Procedures With Cc/mcc	15	12	—	—	$18,232.35	$40,406.39	$28,861.71	2025-12-29
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	15	12	—	—	$18,232.35	$40,339.75	$28,814.11	2025-12-29
846	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	15	12	—	—	$16,502.86	$39,866.99	$28,476.42	2025-12-29
253	MS_DRG	Other Vascular Procedures With Cc	15	12	—	—	$14,806.78	$39,854.60	$28,467.57	2025-12-29
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	15	12	—	—	$11,831.56	$39,780.22	$28,414.44	2025-12-29
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	15	12	—	—	$16,502.86	$39,577.16	$28,269.40	2025-12-29
545	MS_DRG	Connective Tissue Disorders With Mcc	15	12	—	—	$16,502.86	$39,450.05	$28,178.61	2025-12-29
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	15	12	—	—	$18,232.35	$39,419.04	$28,156.46	2025-12-29
164	MS_DRG	Major Chest Procedures With Cc	15	12	—	—	$12,255.16	$39,296.59	$28,068.99	2025-12-29
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	15	12	—	—	$16,502.86	$39,096.65	$27,926.18	2025-12-29
272	MS_DRG	Other Major Cardiovascular Procedures Without Cc/mcc	15	12	—	—	$12,076.36	$39,067.20	$27,905.14	2025-12-29
L8614	HCPCS	Cochlear Device	12	10	—	—	$27,812.64	$38,937.70	$27,812.64	2025-12-29
397	MS_DRG	Appendix Procedures With Mcc	15	12	—	—	$16,502.86	$38,688.97	$27,634.98	2025-12-29
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	15	12	—	—	$13,481.68	$38,533.99	$27,524.28	2025-12-29
792	MS_DRG	Prematurity Without Major Problems	15	12	—	—	$7,585.53	$38,253.43	$27,323.88	2025-12-29
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	15	12	—	—	$16,980.76	$38,231.73	$27,308.38	2025-12-29
33289	CPT	Tcat Impl Wrls P-art Prs Snr	12	10	—	—	$27,270.16	$38,178.22	$27,270.16	2025-12-29
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	15	12	—	—	$11,275.11	$37,918.62	$27,084.73	2025-12-29
J9266	HCPCS	Pegaspargase Injection	16	12	—	—	$20,925.52	$67,332.53	$27,070.53	2025-12-29
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	15	12	—	—	$16,502.86	$37,772.91	$26,980.65	2025-12-29
Q0483	HCPCS	Monitor Elec Vad, Rep	15	12	—	—	$21,574.30	$37,753.66	$26,966.90	2025-12-29
135	MS_DRG	Sinus And Mastoid Procedures With Cc/mcc	15	12	—	—	$18,232.35	$37,655.11	$26,896.51	2025-12-29
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	15	12	—	—	$16,395.91	$37,498.58	$26,784.70	2025-12-29
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	15	12	—	—	$15,534.51	$37,439.67	$26,742.62	2025-12-29
96	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	15	12	—	—	$16,502.86	$37,439.67	$26,742.62	2025-12-29
L5858	HCPCS	Stance Phase Only	15	12	—	—	$21,385.25	$37,413.54	$26,723.96	2025-12-29
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	15	12	—	—	$10,014.34	$37,118.83	$26,513.45	2025-12-29
473	MS_DRG	Cervical Spinal Fusion Without Cc/mcc	15	12	—	—	$12,423.93	$36,977.78	$26,412.70	2025-12-29
347	MS_DRG	Anal And Stomal Procedures With Mcc	15	12	—	—	$18,232.35	$36,968.46	$26,406.04	2025-12-29
C9760	HCPCS	Non-blind Interatrial Shunt	12	10	—	—	$26,380.13	$36,932.18	$26,380.13	2025-12-29
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	15	12	—	—	$12,533.38	$36,920.39	$26,371.71	2025-12-29
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	15	12	—	—	$16,502.86	$36,861.52	$26,329.66	2025-12-29
478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	15	12	—	—	$16,502.86	$36,531.36	$26,093.83	2025-12-29
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	15	12	—	—	$16,502.86	$36,246.15	$25,890.11	2025-12-29
320	MS_DRG	Other Endovascular Cardiac Valve Procedures Without Mcc	15	12	—	—	$16,502.86	$36,162.42	$25,830.30	2025-12-29
250	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	15	12	—	—	$16,502.86	$36,128.36	$25,805.97	2025-12-29
674	MS_DRG	Other Kidney And Urinary Tract Procedures With Cc	15	12	—	—	$16,502.86	$36,063.24	$25,759.46	2025-12-29
146	MS_DRG	Ear, Nose, Mouth And Throat Malignancy With Mcc	15	12	—	—	$16,502.86	$35,841.60	$25,601.14	2025-12-29
L6975	HCPCS	Interscap-thor Myoelectronic	15	12	—	—	$22,095.82	$35,803.43	$25,573.88	2025-12-29
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	15	12	—	—	$16,397.58	$35,782.71	$25,559.08	2025-12-29
424	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	15	12	—	—	$16,502.86	$35,674.17	$25,481.55	2025-12-29
614	MS_DRG	Adrenal And Pituitary Procedures With Cc/mcc	15	12	—	—	$11,334.43	$35,607.53	$25,433.95	2025-12-29
35	MS_DRG	Carotid Artery Stent Procedures With Cc	15	12	—	—	$16,502.86	$35,542.42	$25,387.44	2025-12-29
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	15	12	—	—	$16,502.86	$35,406.06	$25,290.04	2025-12-29
715	MS_DRG	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	15	12	—	—	$16,502.86	$35,286.69	$25,204.78	2025-12-29
41	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	15	12	—	—	$16,502.86	$35,285.15	$25,203.68	2025-12-29
113	MS_DRG	Orbital Procedures With Cc/mcc	15	12	—	—	$18,232.35	$35,260.33	$25,185.95	2025-12-29
243	MS_DRG	Permanent Cardiac Pacemaker Implant With Cc	15	12	—	—	$16,502.86	$35,201.43	$25,143.88	2025-12-29
357	MS_DRG	Other Digestive System O.r. Procedures With Cc	15	12	—	—	$10,290.89	$35,189.04	$25,135.03	2025-12-29
629	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	15	12	—	—	$10,426.24	$35,144.09	$25,102.92	2025-12-29

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