Price Transparencybeta Hospital negotiated rates

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

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Hospital

VIRGINIA HOSPITAL CENTER

Arlington, VA · CCN 490050 · Rates published

55,641 distinct procedures filed
7 distinct payers
791,445 rate rows
2025-12-16 last MRF observed
Data quality

579,261 of 791,445 rate rows are consumer-grade (73.2%)

212,184 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 195,596
per-diem day rate — not a per-procedure price 15,425
placeholder amount (≤ $0.02) — excluded from medians 703
exceeds 10× this hospital's gross charge — excluded from medians 358
template filing: same amount across many unrelated codes — excluded 88
percent-of-charges filed in the dollar field — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vhchealth.pt.panaceainc.com/MRFDownload/vhchealth/virginiahospitalcenter
Found on page https://www.vhchealth.org/patients-visitors/billing-financial-assistance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 01a786258e30cc5a… · 444,730,141 bytes · first seen 2026-05-06

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,407,704.75 $4,451,781.80 $4,407,704.75 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,735,599.00 $3,772,954.99 $3,735,599.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,710,695.01 $3,747,801.96 $3,710,695.01 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,347,511.45 $3,380,986.56 $3,347,511.45 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,283,858.35 $3,316,696.93 $3,283,858.35 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,971,046.41 $3,000,756.87 $2,971,046.41 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,469,035.20 $2,493,725.55 $2,469,035.20 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,348,090.80 $2,371,571.71 $2,348,090.80 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $775,937.28 $783,696.65 $775,937.28 nat. median
$824,563
0.9× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $526,845.00 $1,206,954.00 $706,451.25 nat. median
$57,174
outlier · 12.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $489,232.61 $1,120,787.44 $582,315.02 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $557,197.14 $694,477.50 $557,197.14 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $478,409.80 $1,095,993.36 $545,372.95 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $489,137.00 $1,120,568.40 $544,995.15 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $465,048.01 $1,065,382.72 $536,754.71 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $465,234.00 $1,065,808.80 $493,099.07 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 7 $287,998.73 $3,016,646.87 $434,149.75 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $215,262.51 $2,253,182.32 $324,273.47 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $181,384.48 $1,897,586.77 $273,096.87 nat. median
$206,474
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $272,240.59 $274,962.99 $272,240.59 nat. median
$324,450
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $163,923.83 $1,714,313.68 $246,720.58 nat. median
$202,976
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $108,280.18 $1,130,258.70 $162,664.56 nat. median
$133,161
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $100,444.53 $1,048,012.98 $150,827.92 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 7 $100,193.05 $1,045,373.31 $150,448.03 nat. median
$122,708
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $84,577.38 $881,465.80 $126,858.79 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $83,618.69 $871,403.06 $125,410.58 nat. median
$102,358
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $81,755.41 $851,845.51 $122,595.89 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 7 $81,339.32 $847,478.05 $121,967.34 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $45,806.00 $771,991.49 $110,056.32 nat. median
$93,672
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $65,140.66 $677,451.31 $97,497.43 nat. median
$81,118
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $60,134.00 $677,827.26 $96,632.12 nat. median
$79,312
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $88,454.89 $104,064.58 $96,259.74 nat. median
$76,329
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $62,030.64 $644,807.39 $92,799.38 nat. median
$77,570
1.2× median
B0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 $92,409.39 $92,409.39 $92,409.39 nat. median
$86,320
1.1× median
10
MS_DRG 		Pancreas Transplant 7 $61,359.25 $637,760.27 $91,785.18 nat. median
$68,884
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $61,010.98 $634,104.73 $91,259.08 nat. median
$71,271
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 7 $34,442.00 $625,233.84 $89,134.32 nat. median
$73,807
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $65,286.93 $110,517.60 $88,414.08 nat. median
$111,989
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $43,342.00 $618,922.63 $88,234.58 nat. median
$74,915
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $57,481.81 $597,061.36 $85,927.87 nat. median
$72,135
1.2× median
B1904
OTHER 		Guillain-barr? M <38.50 1 $85,421.87 $85,421.87 $85,421.87 nat. median
$80,609
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $54,454.85 $565,289.33 $81,355.30 nat. median
$68,886
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $80,429.40 $150,741.01 $80,429.40 nat. median
$98,894
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $53,612.76 $556,450.44 $80,083.23 nat. median
$66,526
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $52,635.78 $546,195.72 $78,607.39 nat. median
$64,732
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 $51,497.24 $534,245.21 $76,887.50 nat. median
$64,023
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $51,411.12 $533,341.32 $76,757.41 nat. median
$65,950
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $49,883.93 $517,311.33 $74,450.41 nat. median
$62,134
1.2× median
C0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 $73,951.53 $73,951.53 $73,951.53 nat. median
$71,021
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $45,806.00 $516,567.42 $73,642.66 nat. median
$64,508
1.1× median

Other procedures at this hospital

Browse this hospital's 55,641 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,407,704.75 $4,451,781.80 $4,407,704.75 2025-12-16
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,735,599.00 $3,772,954.99 $3,735,599.00 2025-12-16
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,710,695.01 $3,747,801.96 $3,710,695.01 2025-12-16
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,347,511.45 $3,380,986.56 $3,347,511.45 2025-12-16
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,283,858.35 $3,316,696.93 $3,283,858.35 2025-12-16
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,971,046.41 $3,000,756.87 $2,971,046.41 2025-12-16
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,469,035.20 $2,493,725.55 $2,469,035.20 2025-12-16
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,348,090.80 $2,371,571.71 $2,348,090.80 2025-12-16
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $775,937.28 $783,696.65 $775,937.28 2025-12-16
C9098 HCPCS Ciltacabtagene Car Pos T 4 2 — — $526,845.00 $1,206,954.00 $706,451.25 2025-12-16
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 6 — — $489,232.61 $1,120,787.44 $582,315.02 2025-12-16
Q2056 HCPCS Ciltacabtagene Car-pos T 7 6 — — $557,197.14 $694,477.50 $557,197.14 2025-12-16
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 6 — — $478,409.80 $1,095,993.36 $545,372.95 2025-12-16
Q2055 HCPCS Idecabtagene Vicleucel Car 11 6 — — $489,137.00 $1,120,568.40 $544,995.15 2025-12-16
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 6 — — $465,048.01 $1,065,382.72 $536,754.71 2025-12-16
Q2053 HCPCS Brexucabtagene Car Pos T 11 6 — — $465,234.00 $1,065,808.80 $493,099.07 2025-12-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 7 — — $287,998.73 $3,016,646.87 $434,149.75 2025-12-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 7 — — $215,262.51 $2,253,182.32 $324,273.47 2025-12-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 7 — — $181,384.48 $1,897,586.77 $273,096.87 2025-12-16
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $272,240.59 $274,962.99 $272,240.59 2025-12-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 7 — — $163,923.83 $1,714,313.68 $246,720.58 2025-12-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 7 — — $108,280.18 $1,130,258.70 $162,664.56 2025-12-16
14 MS_DRG Allogeneic Bone Marrow Transplant 15 7 — — $100,444.53 $1,048,012.98 $150,827.92 2025-12-16
7 MS_DRG Lung Transplant 15 7 — — $100,193.05 $1,045,373.31 $150,448.03 2025-12-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 7 — — $84,577.38 $881,465.80 $126,858.79 2025-12-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 7 — — $83,618.69 $871,403.06 $125,410.58 2025-12-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 7 — — $81,755.41 $851,845.51 $122,595.89 2025-12-16
215 MS_DRG Other Heart Assist System Implant 15 7 — — $81,339.32 $847,478.05 $121,967.34 2025-12-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $45,806.00 $771,991.49 $110,056.32 2025-12-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $65,140.66 $677,451.31 $97,497.43 2025-12-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 7 — — $60,134.00 $677,827.26 $96,632.12 2025-12-16
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $88,454.89 $104,064.58 $96,259.74 2025-12-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 7 — — $62,030.64 $644,807.39 $92,799.38 2025-12-16
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 1 — — $92,409.39 $92,409.39 $92,409.39 2025-12-16
10 MS_DRG Pancreas Transplant 15 7 — — $61,359.25 $637,760.27 $91,785.18 2025-12-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 7 — — $61,010.98 $634,104.73 $91,259.08 2025-12-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 16 7 — — $34,442.00 $625,233.84 $89,134.32 2025-12-16
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $65,286.93 $110,517.60 $88,414.08 2025-12-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $43,342.00 $618,922.63 $88,234.58 2025-12-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 7 — — $57,481.81 $597,061.36 $85,927.87 2025-12-16
B1904 OTHER Guillain-barr? M <38.50 1 1 — — $85,421.87 $85,421.87 $85,421.87 2025-12-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 7 — — $54,454.85 $565,289.33 $81,355.30 2025-12-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $80,429.40 $150,741.01 $80,429.40 2025-12-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 7 — — $53,612.76 $556,450.44 $80,083.23 2025-12-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 7 — — $52,635.78 $546,195.72 $78,607.39 2025-12-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 7 — — $51,497.24 $534,245.21 $76,887.50 2025-12-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 7 — — $51,411.12 $533,341.32 $76,757.41 2025-12-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 7 — — $49,883.93 $517,311.33 $74,450.41 2025-12-16
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 1 — — $73,951.53 $73,951.53 $73,951.53 2025-12-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $45,806.00 $516,567.42 $73,642.66 2025-12-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 7 — — $48,794.92 $505,880.76 $72,805.34 2025-12-16
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 1 — — $72,031.47 $72,031.47 $72,031.47 2025-12-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 7 — — $47,804.99 $495,490.06 $71,309.93 2025-12-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 7 — — $47,529.12 $492,594.42 $70,893.20 2025-12-16
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 1 1 — — $70,876.23 $70,876.23 $70,876.23 2025-12-16
850 MS_DRG Acute Leukemia With Other Procedures 7 5 — — $70,800.59 $132,559.24 $70,800.59 2025-12-16
28 MS_DRG Spinal Procedures With Mcc 15 7 — — $46,929.36 $486,299.21 $69,987.20 2025-12-16
90288 HCPCS Botulism Ig IV 2 1 — — $64,168.84 $75,492.75 $69,830.79 2025-12-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 7 — — $47,151.89 $488,634.91 $69,660.56 2025-12-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 7 — — $46,597.10 $482,811.64 $69,485.28 2025-12-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 7 — — $46,597.10 $482,811.64 $69,485.28 2025-12-16
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 15 7 — — $46,253.40 $479,204.09 $68,966.09 2025-12-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 7 — — $45,902.85 $475,524.55 $68,436.54 2025-12-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $45,806.00 $475,884.51 $67,842.84 2025-12-16
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 1 1 — — $67,532.63 $67,532.63 $67,532.63 2025-12-16
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 15 7 — — $47,365.27 $490,874.63 $67,340.00 2025-12-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 7 — — $31,093.00 $470,677.16 $67,100.48 2025-12-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 7 — — $44,969.31 $465,725.78 $67,026.32 2025-12-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $44,337.55 $459,094.61 $66,071.97 2025-12-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 7 — — $44,076.16 $456,350.95 $65,677.11 2025-12-16
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 1 1 — — $65,354.29 $65,354.29 $65,354.29 2025-12-16
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 1 1 — — $65,001.91 $65,001.91 $65,001.91 2025-12-16
653 MS_DRG Major Bladder Procedures With Mcc 15 7 — — $43,081.65 $445,912.25 $64,174.80 2025-12-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 5 — — $64,160.63 $120,021.23 $64,160.63 2025-12-16
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 7 — — $42,721.19 $442,128.73 $63,630.28 2025-12-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 7 — — $42,721.19 $442,128.73 $63,630.28 2025-12-16
8 MS_DRG Simultaneous Pancreas/kidney Transplant 15 7 — — $42,064.28 $435,233.59 $62,637.94 2025-12-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 7 — — $41,969.78 $434,241.71 $62,495.19 2025-12-16
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 1 1 — — $62,224.92 $62,224.92 $62,224.92 2025-12-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 7 — — $41,758.69 $432,025.99 $62,176.31 2025-12-16
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 15 7 — — $41,719.82 $431,618.04 $62,117.60 2025-12-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 7 — — $41,715.25 $431,570.05 $62,110.69 2025-12-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 16 7 — — $37,493.00 $425,562.80 $60,668.90 2025-12-16
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 7 — — $55,945.97 $138,889.17 $60,626.23 2025-12-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $40,963.84 $423,683.03 $60,400.92 2025-12-16
C1904 OTHER Guillain-barr? M <38.50 1 1 — — $59,914.44 $59,914.44 $59,914.44 2025-12-16
38240 HCPCS Transplt Allo Hct/donor 10 6 — — $45,468.15 $116,733.95 $59,550.41 2025-12-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 7 — — $39,716.33 $410,588.67 $59,091.10 2025-12-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 7 — — $39,304.81 $406,269.21 $58,469.45 2025-12-16
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 1 1 — — $58,276.68 $58,276.68 $58,276.68 2025-12-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 7 — — $38,983.97 $402,901.63 $57,984.79 2025-12-16
A9543 HCPCS Y90 Ibritumomab, Rx 13 6 — — $56,824.55 $150,680.50 $57,788.81 2025-12-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 7 — — $38,757.64 $400,525.93 $57,642.89 2025-12-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 7 — — $38,727.92 $400,213.97 $57,597.99 2025-12-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 7 — — $38,712.67 $400,053.99 $57,574.97 2025-12-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 7 — — $38,575.50 $398,614.17 $57,367.75 2025-12-16
B0106 OTHER Stroke M <41.50 And A <84.50 1 1 — — $56,853.14 $56,853.14 $56,853.14 2025-12-16
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $56,377.45 $56,377.45 $56,377.45 2025-12-16
245 MS_DRG Aicd Generator Procedures 15 7 — — $37,840.10 $390,895.13 $56,256.84 2025-12-16
471 MS_DRG Cervical Spinal Fusion With Mcc 15 7 — — $37,615.29 $388,535.43 $55,917.24 2025-12-16
6 MS_DRG Liver Transplant Without Mcc 15 7 — — $37,553.56 $387,887.51 $55,823.99 2025-12-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 7 — — $22,612.00 $407,517.05 $55,662.76 2025-12-16
B1903 OTHER Guillain-barr? M >=38.50 And M <51.50 1 1 — — $55,637.84 $55,637.84 $55,637.84 2025-12-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 7 — — $36,991.91 $381,992.25 $54,975.56 2025-12-16
163 MS_DRG Major Chest Procedures With Mcc 16 7 — — $35,724.58 $368,689.91 $54,844.87 2025-12-16
799 MS_DRG Splenic Procedures With Mcc 15 7 — — $36,834.16 $380,336.45 $54,737.26 2025-12-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $54,726.91 $102,207.85 $54,726.91 2025-12-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 7 — — $36,827.30 $380,264.46 $54,726.90 2025-12-16
B0205 OTHER Traumatic Brain Injury M <35.50 1 1 — — $54,410.52 $54,410.52 $54,410.52 2025-12-16
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 15 7 — — $36,452.36 $376,328.95 $54,160.51 2025-12-16
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 1 1 — — $54,044.12 $54,044.12 $54,044.12 2025-12-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 7 — — $36,260.32 $374,313.21 $53,870.40 2025-12-16
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $53,813.06 $53,813.06 $53,813.06 2025-12-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 7 — — $36,049.99 $372,105.48 $53,552.67 2025-12-16
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 1 1 — — $53,311.33 $53,311.33 $53,311.33 2025-12-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 7 — — $35,710.10 $368,537.93 $53,039.24 2025-12-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 7 — — $35,592.74 $367,306.08 $52,861.95 2025-12-16
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 1 1 — — $52,640.61 $52,640.61 $52,640.61 2025-12-16
D1904 OTHER Guillain-barr? M <38.50 1 1 — — $52,430.39 $52,430.39 $52,430.39 2025-12-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $35,598.08 $367,362.07 $52,371.71 2025-12-16
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 1 1 — — $52,300.25 $52,300.25 $52,300.25 2025-12-16
A1904 OTHER Guillain-barr? M <38.50 1 1 — — $52,076.01 $52,076.01 $52,076.01 2025-12-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 7 — — $34,980.80 $360,882.88 $51,937.54 2025-12-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 5 — — $51,693.85 $96,480.63 $51,693.85 2025-12-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 7 — — $34,775.80 $358,731.15 $51,627.87 2025-12-16
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 1 1 — — $51,627.52 $51,627.52 $51,627.52 2025-12-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 7 — — $34,681.30 $357,739.28 $51,485.12 2025-12-16
901 MS_DRG Wound Debridements For Injuries With Mcc 15 7 — — $34,362.75 $354,395.70 $51,003.92 2025-12-16
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 1 1 — — $50,958.80 $50,958.80 $50,958.80 2025-12-16
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 1 1 — — $50,942.79 $50,942.79 $50,942.79 2025-12-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 7 — — $34,075.45 $351,380.07 $50,569.91 2025-12-16
B0105 OTHER Stroke M <41.50 And A >=84.50 1 1 — — $50,394.20 $50,394.20 $50,394.20 2025-12-16
C0106 OTHER Stroke M <41.50 And A <84.50 1 1 — — $50,344.14 $50,344.14 $50,344.14 2025-12-16
7460187 CDM Hc Replace Tricuspid Valve W Cpb 12 5 $108,963.40 $87,170.72 $4,644.00 $81,722.55 $50,341.09 2025-12-16
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 1 1 — — $50,081.86 $50,081.86 $50,081.86 2025-12-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 7 — — $33,573.24 $346,108.73 $49,811.27 2025-12-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $33,505.42 $345,396.82 $49,708.82 2025-12-16
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 1 1 — — $49,653.40 $49,653.40 $49,653.40 2025-12-16
B2102 OTHER Burns M <52.50 1 1 — — $49,577.32 $49,577.32 $49,577.32 2025-12-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 7 — — $33,106.85 $341,213.34 $49,106.74 2025-12-16
B0604 OTHER Neurological M <43.50 1 1 — — $49,052.75 $49,052.75 $49,052.75 2025-12-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 7 — — $33,058.84 $340,709.41 $49,034.21 2025-12-16
7460189 CDM Hc Subcutaneous Implantable Defibrillator Generator Replacement 12 5 $105,864.44 $84,691.55 20% off $4,644.00 $79,398.33 $48,909.37 2025-12-16
140 MS_DRG Major Head And Neck Procedures With Mcc 15 7 — — $32,828.70 $338,293.71 $48,686.55 2025-12-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 7 — — $32,534.54 $335,206.09 $48,242.19 2025-12-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 7 — — $32,526.91 $335,126.10 $48,230.68 2025-12-16
793 MS_DRG Full Term Neonate With Major Problems 13 7 — — $32,381.36 $333,598.30 $48,010.80 2025-12-16
7460247 CDM Hc Transcatheter Tricuspid Valve Replacement 12 5 $103,774.70 $83,019.76 20% off $4,644.00 $77,831.03 $47,943.91 2025-12-16
7460123 CDM Hc Transcatheter Aortic Valve Replacement 12 5 $103,774.70 $83,019.76 20% off $4,644.00 $77,831.03 $47,943.91 2025-12-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 7 — — $32,306.68 $332,814.39 $47,897.98 2025-12-16
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 1 1 — — $47,883.50 $47,883.50 $47,883.50 2025-12-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 5 — — $47,744.02 $89,022.30 $47,744.02 2025-12-16
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 1 1 — — $47,547.14 $47,547.14 $47,547.14 2025-12-16
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 1 1 — — $47,503.09 $47,503.09 $47,503.09 2025-12-16
B1004 OTHER Amputation Lower Extremity M <47.50 1 1 — — $47,445.03 $47,445.03 $47,445.03 2025-12-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 7 — — $31,918.78 $328,742.90 $47,312.02 2025-12-16
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 15 7 — — $31,872.29 $328,254.96 $47,241.79 2025-12-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 7 — — $31,093.00 $328,926.88 $46,892.33 2025-12-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 7 — — $31,595.66 $325,351.33 $46,823.91 2025-12-16
B1504 OTHER Pulmonary M <45.50 1 1 — — $46,762.29 $46,762.29 $46,762.29 2025-12-16
J9226 HCPCS Supprelin La Implant 15 7 — — $45,560.39 $106,602.50 $46,532.84 2025-12-16
791 MS_DRG Prematurity With Major Problems 14 7 — — $31,538.50 $324,751.40 $46,297.07 2025-12-16
B0704 OTHER Fracture Of Lower Extremity M <41.50 1 1 — — $46,119.60 $46,119.60 $46,119.60 2025-12-16
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 1 1 — — $45,969.44 $45,969.44 $45,969.44 2025-12-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 7 — — $30,957.80 $318,656.16 $45,860.35 2025-12-16
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 15 7 — — $30,936.47 $318,432.19 $45,828.12 2025-12-16
D0106 OTHER Stroke M <41.50 And A <84.50 1 1 — — $45,659.10 $45,659.10 $45,659.10 2025-12-16
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $45,519.05 $45,519.05 $45,519.05 2025-12-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 7 — — $30,668.21 $315,616.54 $45,422.90 2025-12-16
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 1 1 — — $45,356.78 $45,356.78 $45,356.78 2025-12-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 7 — — $30,606.49 $314,968.62 $45,329.65 2025-12-16
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $45,311.00 $45,764.11 $45,311.00 2025-12-16
0266T HCPCS Implt/rpl Crtd Sns Dev Total 10 6 — — $33,317.85 $76,119.07 $45,311.00 2025-12-16
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 1 1 — — $45,288.71 $45,288.71 $45,288.71 2025-12-16
B0904 OTHER Other Orthopedic M <44.5 1 1 — — $45,138.54 $45,138.54 $45,138.54 2025-12-16
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 15 7 — — $30,398.44 $312,784.90 $45,015.37 2025-12-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 — — $30,545.52 $314,328.70 $44,811.19 2025-12-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 7 — — $30,233.83 $311,057.11 $44,766.71 2025-12-16
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 5 3 — — $33,317.85 $76,119.07 $44,643.25 2025-12-16
0424T HCPCS Insj/rplc Nstim Apnea Compl 5 3 — — $33,317.85 $76,119.07 $44,643.25 2025-12-16
0312T HCPCS Laps Impltj Nstim Vagus 5 3 — — $33,317.85 $76,119.07 $44,643.25 2025-12-16
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 5 3 — — $33,317.85 $76,119.07 $44,643.25 2025-12-16
0316T HCPCS Replc Vagus Nerve Pls Gen 5 3 — — $33,317.85 $76,119.07 $44,643.25 2025-12-16
C0105 OTHER Stroke M <41.50 And A >=84.50 1 1 — — $44,623.99 $44,623.99 $44,623.99 2025-12-16
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 1 1 — — $44,599.97 $44,599.97 $44,599.97 2025-12-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 7 — — $30,053.22 $309,161.35 $44,493.88 2025-12-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 7 — — $30,023.50 $308,849.39 $44,448.98 2025-12-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 7 — — $29,941.20 $307,985.50 $44,324.65 2025-12-16
B2005 OTHER Miscellaneous M <46.50 And A <77.50 1 1 — — $44,237.58 $44,237.58 $44,237.58 2025-12-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 7 — — $29,728.58 $305,753.78 $44,003.47 2025-12-16
B0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 1 1 — — $43,951.27 $43,951.27 $43,951.27 2025-12-16
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 1 1 — — $43,875.19 $43,875.19 $43,875.19 2025-12-16
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 1 1 — — $43,779.08 $43,779.08 $43,779.08 2025-12-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 7 — — $29,570.83 $304,097.98 $43,765.17 2025-12-16
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 1 1 — — $43,448.73 $43,448.73 $43,448.73 2025-12-16
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $43,426.67 $43,426.67 $43,426.67 2025-12-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 7 — — $29,345.25 $301,730.28 $43,424.42 2025-12-16
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 1 1 — — $43,346.62 $43,346.62 $43,346.62 2025-12-16
A0106 OTHER Stroke M <41.50 And A <84.50 1 1 — — $43,296.56 $43,296.56 $43,296.56 2025-12-16
C0205 OTHER Traumatic Brain Injury M <35.50 1 1 — — $43,244.51 $43,244.51 $43,244.51 2025-12-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 7 — — $29,115.87 $299,322.58 $43,077.90 2025-12-16
B1404 OTHER Cardiac M <45.50 1 1 — — $43,064.31 $43,064.31 $43,064.31 2025-12-16
B0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 1 1 — — $42,569.78 $42,569.78 $42,569.78 2025-12-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $42,544.39 $79,204.00 $42,544.39 2025-12-16
B2004 OTHER Miscellaneous M <46.50 And A >=77.50 1 1 — — $42,321.51 $42,321.51 $42,321.51 2025-12-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 5 — — $42,288.33 $78,720.50 $42,288.33 2025-12-16
B1203 OTHER Osteoarthritis M <49.50 And A >=74.50 1 1 — — $42,249.44 $42,249.44 $42,249.44 2025-12-16
C2102 OTHER Burns M <52.50 1 1 — — $42,189.37 $42,189.37 $42,189.37 2025-12-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 7 — — $28,404.85 $291,859.51 $42,003.83 2025-12-16
B0805 OTHER Replacement Of Lower-extremity Joint M <42.50 1 1 — — $41,977.14 $41,977.14 $41,977.14 2025-12-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 7 — — $28,212.05 $289,835.77 $41,712.58 2025-12-16
7460159 CDM Hc Percutaneous Biventricular Insertion 12 5 $89,891.40 $71,913.12 20% off $4,644.00 $67,418.55 $41,529.82 2025-12-16
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 1 1 — — $41,486.62 $41,486.62 $41,486.62 2025-12-16
C0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 1 1 — — $41,314.43 $41,314.43 $41,314.43 2025-12-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 7 — — $27,917.89 $286,748.15 $41,268.22 2025-12-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 7 — — $27,916.36 $286,732.15 $41,265.92 2025-12-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 7 — — $27,911.79 $286,684.16 $41,259.01 2025-12-16
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 1 1 — — $41,104.21 $41,104.21 $41,104.21 2025-12-16
265 MS_DRG Aicd Lead Procedures 15 7 — — $27,783.76 $285,340.33 $41,065.61 2025-12-16
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 1 1 — — $40,986.08 $40,986.08 $40,986.08 2025-12-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 7 — — $27,661.83 $284,060.49 $40,881.41 2025-12-16
C1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 1 1 — — $40,825.91 $40,825.91 $40,825.91 2025-12-16
7460120 CDM Hc Insert Subq Defib W Eltrd 12 5 $88,097.60 $70,478.08 20% off $4,644.00 $66,073.20 $40,701.09 2025-12-16
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 7 — — $27,503.32 $282,396.70 $40,641.96 2025-12-16
B1604 OTHER Pain Syndrome M <43.50 1 1 — — $40,637.70 $40,637.70 $40,637.70 2025-12-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 7 — — $27,496.46 $282,324.71 $40,631.60 2025-12-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 7 — — $27,428.64 $281,612.79 $40,529.15 2025-12-16
B0104 OTHER Stroke M >=41.50 And M <50.50 1 1 — — $40,513.57 $40,513.57 $40,513.57 2025-12-16
D0105 OTHER Stroke M <41.50 And A >=84.50 1 1 — — $40,471.52 $40,471.52 $40,471.52 2025-12-16
C1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 1 1 — — $40,457.51 $40,457.51 $40,457.51 2025-12-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 7 — — $27,300.61 $280,268.96 $40,335.75 2025-12-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 7 — — $27,292.22 $280,180.97 $40,323.08 2025-12-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 7 — — $27,281.56 $280,068.99 $40,306.97 2025-12-16
D0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 1 1 — — $40,243.28 $40,243.28 $40,243.28 2025-12-16
264 MS_DRG Other Circulatory System O.r. Procedures 15 7 — — $27,234.31 $279,573.05 $40,235.59 2025-12-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 7 — — $27,062.08 $277,765.28 $39,975.42 2025-12-16
B0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 1 1 — — $39,960.98 $39,960.98 $39,960.98 2025-12-16
332 MS_DRG Rectal Resection With Mcc 15 7 — — $27,033.12 $277,461.31 $39,931.67 2025-12-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 7 — — $27,004.16 $277,157.35 $39,887.93 2025-12-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 5 — — $39,846.64 $74,109.94 $39,846.64 2025-12-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 7 — — $26,847.93 $275,517.56 $39,651.93 2025-12-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 7 — — $26,806.78 $275,085.61 $39,589.77 2025-12-16
D0205 OTHER Traumatic Brain Injury M <35.50 1 1 — — $39,544.53 $39,544.53 $39,544.53 2025-12-16
665 MS_DRG Prostatectomy With Mcc 15 7 — — $26,765.63 $274,653.66 $39,527.60 2025-12-16
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $31,978.90 $49,167.28 $39,333.82 2025-12-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 7 — — $26,556.82 $272,461.94 $39,212.17 2025-12-16
C1004 OTHER Amputation Lower Extremity M <47.50 1 1 — — $39,210.17 $39,210.17 $39,210.17 2025-12-16
B1902 OTHER Guillain-barr? M >=51.50 And M <66.50 1 1 — — $39,204.16 $39,204.16 $39,204.16 2025-12-16
252 MS_DRG Other Vascular Procedures With Mcc 16 7 — — $26,741.24 $274,397.70 $39,118.57 2025-12-16
C1903 OTHER Guillain-barr? M >=38.50 And M <51.50 1 1 — — $39,023.97 $39,023.97 $39,023.97 2025-12-16
B0603 OTHER Neurological M >=43.50 And M <52.50 1 1 — — $38,787.71 $38,787.71 $38,787.71 2025-12-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 7 — — $23,178.00 $271,326.08 $38,680.67 2025-12-16
B1103 OTHER Amputation Non-lower Extremity M <52.50 1 1 — — $38,635.55 $38,635.55 $38,635.55 2025-12-16
A0105 OTHER Stroke M <41.50 And A >=84.50 1 1 — — $38,377.27 $38,377.27 $38,377.27 2025-12-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 7 — — $26,179.60 $268,502.43 $38,278.13 2025-12-16
37 MS_DRG Extracranial Procedures With Mcc 15 7 — — $25,906.77 $265,638.79 $38,230.20 2025-12-16
B1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 1 1 — — $38,076.95 $38,076.95 $38,076.95 2025-12-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 7 — — $25,761.98 $264,118.98 $38,011.47 2025-12-16
C1504 OTHER Pulmonary M <45.50 1 1 — — $37,630.47 $37,630.47 $37,630.47 2025-12-16
C0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 1 1 — — $37,622.46 $37,622.46 $37,622.46 2025-12-16
D1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 1 1 — — $37,616.45 $37,616.45 $37,616.45 2025-12-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 7 — — $25,438.10 $260,719.41 $37,522.21 2025-12-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 7 — — $25,427.43 $260,607.42 $37,506.10 2025-12-16
B0903 OTHER Other Orthopedic M >=44.50 And M <51.50 1 1 — — $37,464.29 $37,464.29 $37,464.29 2025-12-16
B0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 1 1 — — $37,366.18 $37,366.18 $37,366.18 2025-12-16
D1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 1 1 — — $37,348.17 $37,348.17 $37,348.17 2025-12-16
B1503 OTHER Pulmonary M >=45.50 And M <56.50 1 1 — — $37,340.16 $37,340.16 $37,340.16 2025-12-16
C0604 OTHER Neurological M <43.50 1 1 — — $37,137.94 $37,137.94 $37,137.94 2025-12-16
A0205 OTHER Traumatic Brain Injury M <35.50 1 1 — — $37,129.93 $37,129.93 $37,129.93 2025-12-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 7 — — $25,132.50 $257,511.81 $37,060.58 2025-12-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 7 — — $25,018.96 $256,319.96 $36,889.05 2025-12-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 7 — — $24,948.08 $255,576.05 $36,781.99 2025-12-16
B0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 1 1 — — $36,739.51 $36,739.51 $36,739.51 2025-12-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 7 — — $24,901.60 $255,088.11 $36,711.77 2025-12-16
C0704 OTHER Fracture Of Lower Extremity M <41.50 1 1 — — $36,711.48 $36,711.48 $36,711.48 2025-12-16
C1103 OTHER Amputation Non-lower Extremity M <52.50 1 1 — — $36,655.42 $36,655.42 $36,655.42 2025-12-16
B0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 1 1 — — $36,623.39 $36,623.39 $36,623.39 2025-12-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 7 — — $24,836.06 $254,400.20 $36,612.76 2025-12-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 7 — — $24,787.28 $253,888.26 $36,539.09 2025-12-16
C1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 1 1 — — $36,483.24 $36,483.24 $36,483.24 2025-12-16
500 MS_DRG Soft Tissue Procedures With Mcc 15 7 — — $24,746.89 $253,464.31 $36,478.07 2025-12-16
C1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 1 1 — — $36,427.17 $36,427.17 $36,427.17 2025-12-16
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 1 1 — — $36,315.05 $36,315.05 $36,315.05 2025-12-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 7 — — $22,612.00 $273,981.75 $36,043.82 2025-12-16
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 15 7 — — $24,383.39 $249,648.79 $35,928.95 2025-12-16
662 MS_DRG Minor Bladder Procedures With Mcc 15 7 — — $24,372.72 $249,536.80 $35,912.84 2025-12-16
C1604 OTHER Pain Syndrome M <43.50 1 1 — — $35,908.62 $35,908.62 $35,908.62 2025-12-16
C0104 OTHER Stroke M >=41.50 And M <50.50 1 1 — — $35,876.58 $35,876.58 $35,876.58 2025-12-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 7 — — $24,271.36 $248,472.94 $35,759.73 2025-12-16
B1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 1 1 — — $35,692.38 $35,692.38 $35,692.38 2025-12-16
69930 HCPCS Implant Cochlear Device 10 6 — — $32,027.29 $62,781.65 $35,680.43 2025-12-16
D1004 OTHER Amputation Lower Extremity M <47.50 1 1 — — $35,680.37 $35,680.37 $35,680.37 2025-12-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 7 — — $24,165.43 $247,361.08 $35,599.71 2025-12-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 7 — — $24,099.89 $246,673.16 $35,500.71 2025-12-16
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 1 1 — — $35,492.17 $35,492.17 $35,492.17 2025-12-16
C2005 OTHER Miscellaneous M <46.50 And A <77.50 1 1 — — $35,466.14 $35,466.14 $35,466.14 2025-12-16
652 MS_DRG Kidney Transplant 15 7 — — $24,005.40 $245,681.29 $35,357.96 2025-12-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 7 — — $23,984.06 $245,457.31 $35,325.72 2025-12-16
C0805 OTHER Replacement Of Lower-extremity Joint M <42.50 1 1 — — $35,295.96 $35,295.96 $35,295.96 2025-12-16
D1504 OTHER Pulmonary M <45.50 1 1 — — $35,277.94 $35,277.94 $35,277.94 2025-12-16
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