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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

MULTICARE AUBURN MEDICAL CENTER

Auburn, WA · CCN 500015 · Rates published

17,536 distinct procedures filed
17 distinct payers
482,218 rate rows
2025-07-26 last MRF observed
Data quality

479,961 of 482,218 rate rows are consumer-grade (99.5%)

2,257 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
template filing: same amount across many unrelated codes — excluded 1,173
per-diem day rate — not a per-procedure price 669
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 160
exceeds 10× this hospital's gross charge — excluded from medians 110
placeholder amount (≤ $0.02) — excluded from medians 80
percent-of-charges filed in the dollar field — excluded from medians 65
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8059/911352172-1255327201_multicare-auburn-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/AuburnMedicalCenter/8059
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d6c0a3e33dabe00c… · 1,257,487,353 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,635,800.00 $3,817,590.00 $3,744,874.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,611,561.33 $3,792,139.40 $3,719,908.17 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,256,023.83 $3,418,825.02 $3,353,704.54 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,220,280.00 $3,381,294.00 $3,316,888.40 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,889,249.07 $4,871,273.93 $2,975,926.54 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,374,668.61 $4,749,337.21 $2,469,655.35 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,285,360.00 $4,570,720.00 $2,376,774.40 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $567,195.70 $1,779,427.10 $978,684.91 nat. median
$754,974
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $492,783.91 $1,636,873.20 $900,280.26 nat. median
$634,511
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $542,105.91 $1,420,148.58 $851,315.28 nat. median
$675,122
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $517,070.01 $1,357,132.84 $791,626.02 nat. median
$625,184
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $755,207.60 $1,510,415.20 $785,415.90 nat. median
$824,563
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $506,113.44 $1,326,789.84 $774,588.03 nat. median
$674,188
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,611.17 $1,258,432.00 $753,125.21 nat. median
$620,080
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $321,317.42 $962,364.30 $718,845.33 nat. median
$370,174
1.9× median
0100T
CPT 		Prosth Retina Receive&gen 3 $10,931.23 $969,903.18 $533,446.75 nat. median
$11,210
outlier · 47.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $240,304.08 $718,806.53 $525,282.46 nat. median
$265,286
2.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $398,393.73 $398,393.73 $398,393.73 nat. median
$309,665
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $183,123.24 $546,898.70 $397,525.59 nat. median
$202,986
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $194,058.92 $605,405.86 $358,145.28 nat. median
$206,368
1.7× median
5833
APR_DRG 		Neonate With Ecmo 5 $320,048.85 $320,048.85 $320,048.85 nat. median
$244,017
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $315,575.76 $315,575.76 $315,575.76 nat. median
$246,434
1.3× median
C9301
HCPCS 		Apc 7 $272,685.00 $545,370.00 $283,592.40 nat. median
$459,112
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $121,147.55 $360,574.63 $258,910.02 nat. median
$133,176
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $244,331.28 $244,331.28 $244,331.28 nat. median
$207,730
1.2× median
7
MS_DRG 		Lung Transplant 13 $112,140.13 $333,492.81 $242,341.96 nat. median
$122,708
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $112,420.23 $334,334.97 $228,461.58 nat. median
$117,303
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $94,747.45 $336,638.88 $224,784.63 nat. median
$108,660
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $219,953.78 $219,953.78 $219,953.78 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 5 $217,157.83 $217,157.83 $217,157.83 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $215,458.32 $215,458.32 $215,458.32 nat. median
$164,279
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $93,679.67 $277,991.91 $214,703.13 nat. median
$102,358
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $211,063.12 $211,063.12 $211,063.12 nat. median
$162,982
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 13 $91,140.92 $270,363.98 $200,596.83 nat. median
$99,019
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $91,604.36 $285,015.30 $198,590.01 nat. median
$100,136
2.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $192,362.90 $192,362.90 $192,362.90 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $189,976.90 $189,976.90 $189,976.90 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $188,174.97 $188,174.97 $188,174.97 nat. median
$122,924
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $181,233.88 $181,233.88 $181,233.88 nat. median
$150,721
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $83,130.83 $246,278.21 $179,973.71 nat. median
$93,672
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $178,875.77 $178,875.77 $178,875.77 nat. median
$151,838
1.2× median
453
MS_DRG 		DRG 6 $111,605.24 $228,741.83 $176,643.15 nat. median
$87,411
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $90,127.46 $267,490.43 $175,959.96 nat. median
$98,905
1.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $171,581.13 $171,581.13 $171,581.13 nat. median
$145,122
1.2× median
C2624
HCPCS 		Hc Kit Intro Cardio Mem 17 $31,153.50 $355,861.12 $171,355.80 nat. median
$32,760
outlier · 5.2×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $170,342.69 $170,342.69 $170,342.69 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $167,570.24 $167,570.24 $167,570.24 nat. median
$109,499
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $166,799.17 $166,799.17 $166,799.17 nat. median
$105,658
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $69,634.97 $232,452.25 $158,664.18 nat. median
$77,576
outlier · 2.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $73,138.80 $216,241.17 $158,021.29 nat. median
$79,312
2.0× median

Other procedures at this hospital

Browse this hospital's 17,536 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
             
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 13 — — $28,866.45 $83,136.50 $60,755.18 2025-07-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 13 — — $28,878.34 $83,172.23 $60,781.29 2025-07-26
33902 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 58 17 $83,468.00 $33,387.20 60% off $5,967.06 $89,798.29 $60,931.64 2025-07-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 13 — — $28,957.27 $83,412.12 $60,954.72 2025-07-26
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $61,033.60 $61,033.60 $61,033.60 2025-07-26
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $61,148.28 $61,148.28 $61,148.28 2025-07-26
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $61,207.49 $61,207.49 $61,207.49 2025-07-26
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 11 — — $27,258.83 $78,305.57 $61,297.05 2025-07-26
665 MS_DRG Prostatectomy With Mcc 32 13 — — $30,356.94 $87,620.37 $61,578.12 2025-07-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 12 — — $29,239.08 $84,259.38 $61,640.07 2025-07-26
L7180 HCPCS Electronic Elbow Sequential 20 11 — — $43,094.61 $176,553.31 $61,670.22 2025-07-26
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 9 — — $34,972.10 $161,558.30 $61,830.68 2025-07-26
37 MS_DRG Extracranial Procedures With Mcc 32 13 — — $29,400.35 $84,744.26 $61,928.14 2025-07-26
234 APR_DRG Spinal Procedures 5 5 — — $61,939.03 $61,939.03 $61,939.03 2025-07-26
274 APR_DRG Other Open Craniotomy 5 5 — — $62,560.96 $62,560.96 $62,560.96 2025-07-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 13 — — $29,704.22 $85,657.88 $62,595.74 2025-07-26
33903 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 58 17 $85,870.00 $34,348.00 60% off $5,967.06 $73,848.20 $62,685.10 2025-07-26
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $62,711.23 $62,711.23 $62,711.23 2025-07-26
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $62,954.54 $62,954.54 $62,954.54 2025-07-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 13 — — $30,003.84 $86,788.87 $63,254.02 2025-07-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 13 — — $30,124.37 $87,416.02 $63,518.82 2025-07-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 11 — — $28,411.50 $81,771.18 $63,800.76 2025-07-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 13 — — $31,170.93 $90,065.18 $63,804.75 2025-07-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 13 — — $30,285.64 $90,596.74 $63,873.13 2025-07-26
252 MS_DRG Other Vascular Procedures With Mcc 32 13 — — $30,329.78 $87,538.70 $63,970.10 2025-07-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 13 — — $30,402.77 $87,758.18 $64,130.47 2025-07-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 13 — — $30,448.61 $87,901.09 $64,231.17 2025-07-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 13 — — $30,622.61 $90,064.54 $64,613.46 2025-07-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 12 — — $36,096.50 $104,874.44 $64,677.81 2025-07-26
332 MS_DRG Rectal Resection With Mcc 32 13 — — $30,654.87 $101,450.66 $64,684.32 2025-07-26
36837 CPT Hc Percutaneous Fistula Creation Upper Extremity Separate Access Artery And Vei… 58 17 $88,809.00 $35,523.60 60% off $2,447.85 $89,798.29 $64,830.57 2025-07-26
36836 CPT Hc Percutaneous Fistula Creation Upper Extremity Single Access Artery And Vein I… 58 17 $88,809.00 $35,523.60 60% off $2,447.85 $89,798.29 $64,830.57 2025-07-26
C9773 HCPCS Hc Revascularization,endovascular,open Or Percutaneous,tibial/peroneal Artery(ie… 53 17 $88,828.00 $35,531.20 60% off $5,022.44 $89,798.29 $64,844.44 2025-07-26
C9774 HCPCS Hc Revascularization,endovascular, Open Or Percutaneous,tibial/peroneal Artery(i… 53 17 $88,828.00 $35,531.20 60% off $5,022.44 $89,798.29 $64,844.44 2025-07-26
C9775 HCPCS Hc Revascularization,endovascular,open/percutaneous,tibial/peroneal Artery(ies),… 53 17 $88,828.00 $35,531.20 60% off $5,022.44 $89,798.29 $64,844.44 2025-07-26
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $64,906.91 $64,906.91 $64,906.91 2025-07-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 13 — — $33,985.54 $98,530.17 $64,909.09 2025-07-26
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $64,913.36 $64,913.36 $64,913.36 2025-07-26
264 MS_DRG Other Circulatory System O.r. Procedures 32 13 — — $30,878.95 $89,189.85 $65,104.44 2025-07-26
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $65,217.37 $65,217.37 $65,217.37 2025-07-26
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $65,255.38 $65,255.38 $65,255.38 2025-07-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $30,943.46 $89,396.56 $65,318.35 2025-07-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 13 — — $30,952.79 $89,411.87 $65,338.86 2025-07-26
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $65,344.17 $65,344.17 $65,344.17 2025-07-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 13 — — $33,657.06 $97,542.54 $65,599.80 2025-07-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 13 — — $30,931.57 $91,686.13 $65,606.68 2025-07-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 13 — — $31,095.39 $92,808.00 $65,652.15 2025-07-26
L7181 HCPCS Electronic Elbo Simultaneous 20 11 — — $46,267.04 $189,550.45 $66,210.12 2025-07-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 13 — — $31,355.12 $90,621.52 $66,222.78 2025-07-26
1794 APR_DRG Defibrillator Implants 5 5 — — $66,320.64 $66,320.64 $66,320.64 2025-07-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 10 — — $34,419.28 $100,273.18 $66,417.76 2025-07-26
C9767 HCPCS C Revascularization,any Vessel,w/intravascular Lithotripsy Stent Placement And A… 56 17 $90,992.00 $36,396.80 60% off $5,022.44 $89,798.29 $66,424.16 2025-07-26
93581 CPT Hc Percutaneous Transcatheter Closure Congenital Ventricular Septal Defect W/imp… 61 17 $90,992.00 $36,396.80 60% off $7,012.62 $89,798.29 $66,424.16 2025-07-26
265 MS_DRG Aicd Lead Procedures 32 13 — — $31,490.93 $91,027.29 $66,521.15 2025-07-26
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $66,656.53 $66,656.53 $66,656.53 2025-07-26
38240 CPT Transplt Allo Hct/donor 24 13 — — $2,902.65 $275,916.62 $66,769.11 2025-07-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 13 — — $31,633.53 $93,140.31 $66,834.43 2025-07-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 13 — — $31,638.62 $97,150.57 $66,845.62 2025-07-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 12 — — $30,687.12 $88,610.54 $66,847.46 2025-07-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 13 — — $31,640.32 $95,246.63 $66,849.35 2025-07-26
J9226 HCPCS Supprelin La Implant 24 13 — — $19,801.18 $197,966.04 $66,863.91 2025-07-26
0266T CPT Apc 18 11 — — $5,022.44 $216,860.56 $67,149.11 2025-07-26
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $67,296.88 $67,296.88 $67,296.88 2025-07-26
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $67,531.81 $67,531.81 $67,531.81 2025-07-26
0312T CPT Apc 4 2 — — $48,045.92 $136,290.39 $67,701.07 2025-07-26
0316T CPT Apc 4 2 — — $48,045.92 $89,711.23 $67,701.07 2025-07-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 13 — — $31,967.95 $92,481.93 $67,971.90 2025-07-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 13 — — $32,182.70 $93,107.17 $68,040.96 2025-07-26
90288 CPT Botulism Ig IV 1 1 — — $68,187.00 $68,187.00 $68,187.00 2025-07-26
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $68,430.82 $68,430.82 $68,430.82 2025-07-26
791 MS_DRG Prematurity With Major Problems 28 11 — — $30,705.16 $103,613.75 $68,882.93 2025-07-26
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $69,073.64 $69,073.64 $69,073.64 2025-07-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $35,873.26 $104,203.26 $69,276.82 2025-07-26
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 8 — — $66,103.61 $132,207.21 $69,408.79 2025-07-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 13 — — $32,974.63 $95,546.88 $69,780.82 2025-07-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 13 — — $33,230.11 $96,256.34 $70,342.12 2025-07-26
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $70,391.09 $70,391.09 $70,391.09 2025-07-26
2324 APR_DRG Gastric Fundoplication 5 5 — — $70,644.15 $70,644.15 $70,644.15 2025-07-26
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $70,772.39 $70,772.39 $70,772.39 2025-07-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 13 — — $33,481.36 $98,664.72 $70,894.10 2025-07-26
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $70,979.66 $70,979.66 $70,979.66 2025-07-26
0571T CPT Hc Insert Or Replacement Implantable Icd System With Substernal Electrode(s) Inc… 56 17 $97,603.00 $39,041.20 60% off $5,022.44 $168,478.08 $71,250.19 2025-07-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 13 — — $33,893.87 $98,277.52 $71,800.39 2025-07-26
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $71,879.15 $71,879.15 $71,879.15 2025-07-26
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $71,881.13 $71,881.13 $71,881.13 2025-07-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 13 — — $31,178.57 $108,901.48 $72,015.00 2025-07-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 13 — — $34,018.65 $98,632.25 $72,074.52 2025-07-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 13 — — $35,002.40 $101,587.46 $72,087.32 2025-07-26
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $72,146.09 $72,146.09 $72,146.09 2025-07-26
C9746 HCPCS Fee Schedule 1 1 — — $72,378.23 $72,378.23 $72,378.23 2025-07-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 13 — — $34,219.81 $99,929.01 $72,516.48 2025-07-26
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $72,604.37 $72,604.37 $72,604.37 2025-07-26
460 MS_DRG DRG 17 6 — — $45,999.31 $94,097.28 $72,916.58 2025-07-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 13 — — $34,403.15 $100,268.82 $72,919.27 2025-07-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 13 — — $34,634.87 $106,570.29 $73,428.36 2025-07-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 13 — — $34,703.62 $100,709.58 $73,579.41 2025-07-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 13 — — $36,773.84 $106,928.80 $73,715.93 2025-07-26
6904 APR_DRG Acute Leukemia 5 5 — — $74,002.50 $74,002.50 $74,002.50 2025-07-26
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $74,027.28 $74,027.28 $74,027.28 2025-07-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 13 — — $35,026.17 $101,658.92 $74,144.51 2025-07-26
C9150 HCPCS Apc 1 1 — — $74,256.00 $74,256.00 $74,256.00 2025-07-26
0387T CPT Fee Schedule 1 1 — — $74,487.20 $74,487.20 $74,487.20 2025-07-26
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $74,611.46 $74,611.46 $74,611.46 2025-07-26
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $75,051.65 $75,051.65 $75,051.65 2025-07-26
140 MS_DRG Major Head And Neck Procedures With Mcc 30 12 — — $37,109.96 $107,924.08 $75,312.65 2025-07-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 13 — — $35,736.61 $103,792.39 $75,848.88 2025-07-26
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $76,344.91 $76,344.91 $76,344.91 2025-07-26
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $76,454.15 $76,454.15 $76,454.15 2025-07-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 13 — — $36,044.72 $104,718.77 $76,525.80 2025-07-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 13 — — $36,116.02 $104,933.14 $76,682.44 2025-07-26
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $76,725.39 $76,725.39 $76,725.39 2025-07-26
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $76,949.79 $76,949.79 $76,949.79 2025-07-26
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $77,348.42 $77,348.42 $77,348.42 2025-07-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 13 — — $36,528.54 $106,847.63 $77,588.73 2025-07-26
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $77,853.12 $77,853.12 $77,853.12 2025-07-26
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $78,131.18 $78,131.18 $78,131.18 2025-07-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 13 — — $36,782.33 $106,936.46 $78,146.31 2025-07-26
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $78,777.83 $78,777.83 $78,777.83 2025-07-26
0620T CPT Hc Endovascular Venous Arterialization Tibial Or Peroneal Vein Intravascular Ste… 53 17 $108,941.00 $43,576.40 60% off $5,022.44 $168,669.88 $79,526.93 2025-07-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 13 — — $37,419.77 $108,853.01 $79,546.77 2025-07-26
227 MS_DRG DRG 6 3 — — $61,924.75 $125,447.21 $79,633.55 2025-07-26
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $79,890.55 $79,890.55 $79,890.55 2025-07-26
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $80,212.19 $80,212.19 $80,212.19 2025-07-26
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $80,785.97 $80,785.97 $80,785.97 2025-07-26
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $81,111.11 $81,111.11 $81,111.11 2025-07-26
225 MS_DRG DRG 6 3 — — $64,861.22 $126,371.69 $82,028.14 2025-07-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 11 — — $37,366.30 $108,694.78 $82,526.76 2025-07-26
901 MS_DRG Wound Debridements For Injuries With Mcc 31 13 — — $38,818.59 $113,058.70 $82,619.96 2025-07-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 13 — — $39,173.38 $114,125.44 $83,399.45 2025-07-26
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $83,520.01 $83,520.01 $83,520.01 2025-07-26
33276 CPT Insj Phrnc Nrv Stim Sys 14 9 — — $49,085.61 $226,757.52 $83,529.84 2025-07-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 13 — — $39,278.63 $114,441.89 $83,630.69 2025-07-26
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $83,809.75 $83,809.75 $83,809.75 2025-07-26
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $84,082.25 $84,082.25 $84,082.25 2025-07-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 13 — — $39,506.96 $115,128.38 $84,132.32 2025-07-26
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $84,405.87 $84,405.87 $84,405.87 2025-07-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 12 — — $38,498.59 $112,096.60 $84,433.52 2025-07-26
0302T CPT Fee Schedule 1 1 — — $84,488.21 $84,488.21 $84,488.21 2025-07-26
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $84,581.59 $84,581.59 $84,581.59 2025-07-26
1784 APR_DRG External Heart Assist Systems 5 5 — — $84,651.68 $84,651.68 $84,651.68 2025-07-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $37,863.69 $120,260.12 $85,069.99 2025-07-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 13 — — $40,188.54 $117,180.18 $85,629.75 2025-07-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $40,194.49 $118,223.76 $85,642.80 2025-07-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 13 — — $19,801.18 $244,385.12 $85,926.50 2025-07-26
163 MS_DRG Major Chest Procedures With Mcc 32 13 — — $40,335.39 $121,024.69 $85,952.36 2025-07-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 10 — — $44,926.52 $131,420.34 $87,078.77 2025-07-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 13 — — $40,932.09 $119,413.18 $87,263.32 2025-07-26
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $87,374.74 $87,374.74 $87,374.74 2025-07-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 12 — — $40,319.26 $117,570.64 $87,785.04 2025-07-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $41,563.59 $121,329.74 $88,650.73 2025-07-26
799 MS_DRG Splenic Procedures With Mcc 32 13 — — $41,571.23 $130,119.59 $88,667.51 2025-07-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 11 — — $43,680.49 $127,674.01 $88,913.61 2025-07-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 13 — — $41,746.93 $128,475.51 $89,053.52 2025-07-26
245 MS_DRG Aicd Generator Procedures 32 13 — — $42,691.64 $124,703.48 $90,328.93 2025-07-26
6 MS_DRG Liver Transplant Without Mcc 32 13 — — $42,372.50 $123,743.93 $90,427.88 2025-07-26
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $90,487.99 $90,487.99 $90,487.99 2025-07-26
471 MS_DRG Cervical Spinal Fusion With Mcc 32 13 — — $42,441.25 $125,854.48 $90,578.93 2025-07-26
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 56 17 $124,117.00 $49,646.80 60% off $5,022.44 $120,710.56 $90,605.41 2025-07-26
223 MS_DRG DRG 6 3 — — $71,715.38 $130,394.44 $90,700.62 2025-07-26
455 MS_DRG DRG 17 6 — — $58,181.70 $119,632.97 $91,808.03 2025-07-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 10 — — $47,646.07 $139,596.95 $92,426.36 2025-07-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 13 — — $41,145.99 $128,942.75 $92,507.58 2025-07-26
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $92,866.57 $92,866.57 $92,866.57 2025-07-26
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $92,866.57 $92,866.57 $92,866.57 2025-07-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $47,931.26 $140,492.70 $92,987.15 2025-07-26
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $93,007.52 $93,007.52 $93,007.52 2025-07-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 13 — — $43,663.51 $127,638.28 $93,264.24 2025-07-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 13 — — $43,965.69 $128,531.48 $93,928.11 2025-07-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 13 — — $43,713.59 $134,479.65 $94,318.74 2025-07-26
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $94,372.93 $94,372.93 $94,372.93 2025-07-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 13 — — $44,323.03 $129,608.42 $94,713.19 2025-07-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 13 — — $44,455.44 $131,054.07 $95,004.10 2025-07-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 11 — — $40,697.82 $118,724.14 $95,332.36 2025-07-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 13 — — $44,781.38 $130,989.06 $95,720.18 2025-07-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 13 — — $43,510.73 $129,402.55 $96,685.01 2025-07-26
10 MS_DRG Pancreas Transplant 32 13 — — $50,092.95 $203,460.75 $97,326.18 2025-07-26
A9543 HCPCS Y90 Ibritumomab, Rx 24 13 — — $27,628.52 $279,194.92 $97,349.65 2025-07-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 13 — — $44,912.03 $151,716.40 $98,314.21 2025-07-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $46,170.86 $135,801.41 $98,772.86 2025-07-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $61,970.89 $173,040.00 $98,880.00 2025-07-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 13 — — $46,370.32 $135,763.85 $99,211.09 2025-07-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 12 — — $59,171.02 $174,248.01 $100,239.37 2025-07-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 13 — — $47,007.77 $141,145.91 $100,611.55 2025-07-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 13 — — $47,012.86 $137,695.71 $100,622.74 2025-07-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 13 — — $47,056.15 $137,825.86 $100,717.85 2025-07-26
226 MS_DRG DRG 6 3 — — $77,877.69 $159,932.89 $100,744.83 2025-07-26
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $100,750.02 $100,750.02 $100,750.02 2025-07-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 13 — — $47,291.27 $138,532.77 $101,234.40 2025-07-26
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $101,380.41 $101,380.41 $101,380.41 2025-07-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 13 — — $47,396.52 $139,699.22 $101,465.63 2025-07-26
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $102,223.62 $102,223.62 $102,223.62 2025-07-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 12 — — $57,902.92 $170,435.32 $102,339.50 2025-07-26
834 MS_DRG Acute Leukemia With Mcc 32 13 — — $48,128.18 $141,046.49 $103,073.09 2025-07-26
653 MS_DRG Major Bladder Procedures With Mcc 32 13 — — $48,529.66 $142,253.58 $103,955.14 2025-07-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 10 — — $53,722.60 $157,866.72 $104,374.99 2025-07-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 13 — — $49,637.34 $145,583.94 $106,388.70 2025-07-26
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $107,307.42 $107,307.42 $107,307.42 2025-07-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 13 — — $50,632.13 $148,574.89 $108,574.25 2025-07-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 13 — — $51,877.98 $154,025.96 $108,915.16 2025-07-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $51,710.10 $151,821.03 $109,013.18 2025-07-26
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $109,381.58 $109,381.58 $109,381.58 2025-07-26
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $109,472.75 $109,472.75 $109,472.75 2025-07-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 13 — — $51,157.53 $150,154.58 $109,728.56 2025-07-26
8634 APR_DRG Neonatal Aftercare 5 5 — — $110,011.52 $110,011.52 $110,011.52 2025-07-26
224 MS_DRG DRG 6 3 — — $84,108.08 $177,130.75 $110,015.42 2025-07-26
0809T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-26
0775T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $49,928.48 $150,835.48 $110,352.74 2025-07-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 13 — — $52,445.16 $154,025.96 $112,557.46 2025-07-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 13 — — $48,128.18 $169,634.95 $112,747.88 2025-07-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 10 — — $58,121.91 $171,091.18 $113,025.61 2025-07-26
28 MS_DRG Spinal Procedures With Mcc 32 13 — — $52,815.23 $155,138.63 $113,370.52 2025-07-26
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $108,131.37 $118,851.29 $113,491.33 2025-07-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 13 — — $53,063.08 $155,883.82 $113,915.04 2025-07-26
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $114,055.43 $114,055.43 $114,055.43 2025-07-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 13 — — $53,300.74 $160,290.19 $114,437.18 2025-07-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 13 — — $46,556.13 $157,147.06 $114,838.11 2025-07-26
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $115,398.44 $115,398.44 $115,398.44 2025-07-26
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $115,473.92 $115,473.92 $115,473.92 2025-07-26
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $115,839.12 $115,839.12 $115,839.12 2025-07-26
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $116,695.22 $116,695.22 $116,695.22 2025-07-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 13 — — $54,893.09 $181,088.53 $117,935.55 2025-07-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 13 — — $52,062.35 $164,925.09 $118,113.10 2025-07-26
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $119,307.85 $119,307.85 $119,307.85 2025-07-26
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $119,307.85 $119,307.85 $119,307.85 2025-07-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $61,500.11 $181,158.82 $119,668.37 2025-07-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 32 13 — — $56,106.01 $165,055.70 $119,912.00 2025-07-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $56,027.08 $164,792.85 $120,426.92 2025-07-26
454 MS_DRG DRG 17 6 — — $74,434.81 $152,187.23 $121,922.32 2025-07-26
222 MS_DRG DRG 6 3 — — $97,216.21 $191,307.81 $123,468.40 2025-07-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 11 — — $53,790.50 $158,070.88 $123,794.13 2025-07-26
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $123,875.43 $123,875.43 $123,875.43 2025-07-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 13 — — $57,807.00 $172,923.11 $124,337.40 2025-07-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 13 — — $64,568.51 $190,473.62 $127,521.07 2025-07-26
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $128,048.58 $128,048.58 $128,048.58 2025-07-26
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $128,364.49 $128,364.49 $128,364.49 2025-07-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 32 13 — — $60,259.17 $177,529.88 $129,724.81 2025-07-26
459 MS_DRG DRG 17 6 — — $69,179.42 $165,732.14 $132,208.27 2025-07-26
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $133,072.26 $133,072.26 $133,072.26 2025-07-26
Q0480 HCPCS Driver Pneumatic Vad, Rep 19 10 — — $97,999.91 $219,999.80 $133,999.88 2025-07-26
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $138,422.71 $138,422.71 $138,422.71 2025-07-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 11 — — $61,197.09 $180,337.08 $140,251.64 2025-07-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $72,007.36 $212,836.80 $140,329.37 2025-07-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $66,888.27 $203,093.70 $144,288.90 2025-07-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 13 — — $67,557.97 $199,459.22 $145,760.23 2025-07-26
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $145,786.13 $145,786.13 $145,786.13 2025-07-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 12 — — $68,499.29 $202,289.38 $147,828.29 2025-07-26
C9741 HCPCS Fee Schedule 1 1 — — $148,739.04 $148,739.04 $148,739.04 2025-07-26
850 MS_DRG Acute Leukemia With Other Procedures 16 10 — — $79,402.92 $235,072.38 $154,871.68 2025-07-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $73,098.91 $216,118.67 $157,933.64 2025-07-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 13 — — $73,138.80 $216,241.17 $158,021.29 2025-07-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 13 — — $69,634.97 $232,452.25 $158,664.18 2025-07-26
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $166,799.17 $166,799.17 $166,799.17 2025-07-26
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $167,570.24 $167,570.24 $167,570.24 2025-07-26
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $170,342.69 $170,342.69 $170,342.69 2025-07-26
C2624 HCPCS Hc Kit Intro Cardio Mem 50 17 $259,630.00 $103,852.00 60% off $31,153.50 $355,861.12 $171,355.80 2025-07-26
5831 APR_DRG Neonate With Ecmo 5 5 — — $171,581.13 $171,581.13 $171,581.13 2025-07-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $90,127.46 $267,490.43 $175,959.96 2025-07-26
453 MS_DRG DRG 17 6 — — $111,605.24 $228,741.83 $176,643.15 2025-07-26
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $178,875.77 $178,875.77 $178,875.77 2025-07-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $83,130.83 $246,278.21 $179,973.71 2025-07-26
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $181,233.88 $181,233.88 $181,233.88 2025-07-26
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $188,174.97 $188,174.97 $188,174.97 2025-07-26
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $189,976.90 $189,976.90 $189,976.90 2025-07-26
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $192,362.90 $192,362.90 $192,362.90 2025-07-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 13 — — $91,604.36 $285,015.30 $198,590.01 2025-07-26
215 MS_DRG Other Heart Assist System Implant 32 13 — — $91,140.92 $270,363.98 $200,596.83 2025-07-26
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $211,063.12 $211,063.12 $211,063.12 2025-07-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 11 — — $93,679.67 $277,991.91 $214,703.13 2025-07-26
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $215,458.32 $215,458.32 $215,458.32 2025-07-26
5832 APR_DRG Neonate With Ecmo 5 5 — — $217,157.83 $217,157.83 $217,157.83 2025-07-26
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $219,953.78 $219,953.78 $219,953.78 2025-07-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 13 — — $94,747.45 $336,638.88 $224,784.63 2025-07-26
14 MS_DRG Allogeneic Bone Marrow Transplant 32 13 — — $112,420.23 $334,334.97 $228,461.58 2025-07-26
7 MS_DRG Lung Transplant 32 13 — — $112,140.13 $333,492.81 $242,341.96 2025-07-26
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $244,331.28 $244,331.28 $244,331.28 2025-07-26
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 32 13 — — $121,147.55 $360,574.63 $258,910.02 2025-07-26
C9301 HCPCS Apc 9 7 — — $272,685.00 $545,370.00 $283,592.40 2025-07-26
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $315,575.76 $315,575.76 $315,575.76 2025-07-26
5833 APR_DRG Neonate With Ecmo 5 5 — — $320,048.85 $320,048.85 $320,048.85 2025-07-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 22 12 — — $194,058.92 $605,405.86 $358,145.28 2025-07-26
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 32 13 — — $183,123.24 $546,898.70 $397,525.59 2025-07-26
5834 APR_DRG Neonate With Ecmo 5 5 — — $398,393.73 $398,393.73 $398,393.73 2025-07-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 13 — — $240,304.08 $718,806.53 $525,282.46 2025-07-26
0100T CPT Prosth Retina Receive&gen 5 3 — — $10,931.23 $969,903.18 $533,446.75 2025-07-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 12 — — $321,317.42 $962,364.30 $718,845.33 2025-07-26
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $479,611.17 $1,258,432.00 $753,125.21 2025-07-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $506,113.44 $1,326,789.84 $774,588.03 2025-07-26
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $755,207.60 $1,510,415.20 $785,415.90 2025-07-26
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $517,070.01 $1,357,132.84 $791,626.02 2025-07-26
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $542,105.91 $1,420,148.58 $851,315.28 2025-07-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 9 — — $492,783.91 $1,636,873.20 $900,280.26 2025-07-26
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 9 — — $567,195.70 $1,779,427.10 $978,684.91 2025-07-26
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $2,285,360.00 $4,570,720.00 $2,376,774.40 2025-07-26
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 7 — — $2,374,668.61 $4,749,337.21 $2,469,655.35 2025-07-26
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,889,249.07 $4,871,273.93 $2,975,926.54 2025-07-26
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,220,280.00 $3,381,294.00 $3,316,888.40 2025-07-26
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,256,023.83 $3,418,825.02 $3,353,704.54 2025-07-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,611,561.33 $3,792,139.40 $3,719,908.17 2025-07-26
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 6 — — $3,635,800.00 $3,817,590.00 $3,744,874.00 2025-07-26
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