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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 GOOD SAMARITAN HOSPITAL

Puyallup, WA · CCN 500079 · Rates published

17,580 distinct procedures filed
17 distinct payers
491,575 rate rows
2025-07-29 last MRF observed
Data quality

489,194 of 491,575 rate rows are consumer-grade (99.5%)

2,381 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 664
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 281
exceeds 10× this hospital's gross charge — excluded from medians 111
placeholder amount (≤ $0.02) — excluded from medians 82
percent-of-charges filed in the dollar field — excluded from medians 70
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8061/911352172-1841231461_good-samaritan-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GoodSamaritanHospital/8061
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 9f8c62b552367a89… · 1,369,364,733 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 $3,744,874.00 $3,999,380.00 $3,799,411.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,719,908.17 $3,972,717.47 $3,774,081.59 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,353,704.54 $3,581,626.21 $3,402,544.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,316,888.40 $3,542,308.00 $3,365,192.60 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,975,926.54 $4,871,273.93 $3,033,711.52 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,445,908.66 $4,749,337.21 $2,493,402.04 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,353,920.80 $4,570,720.00 $2,399,628.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $584,211.57 $1,779,427.10 $978,684.91 nat. median
$754,974
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $507,567.43 $1,636,873.20 $900,280.26 nat. median
$634,511
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $558,369.09 $1,420,148.58 $851,315.28 nat. median
$675,122
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $777,863.83 $1,510,415.20 $792,967.98 nat. median
$824,563
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $532,582.11 $1,357,132.84 $791,626.02 nat. median
$625,184
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $521,296.84 $1,326,789.84 $774,588.03 nat. median
$674,188
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $493,999.51 $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 $324,588.21 $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 $242,611.56 $718,806.53 $525,282.46 nat. median
$265,286
2.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $404,321.78 $404,321.78 $404,321.78 nat. median
$309,665
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $184,750.80 $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 $357,853.11 nat. median
$206,368
1.7× median
5833
APR_DRG 		Neonate With Ecmo 5 $324,811.14 $324,811.14 $324,811.14 nat. median
$244,017
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $320,271.49 $320,271.49 $320,271.49 nat. median
$246,434
1.3× median
C9301
HCPCS 		Apc 7 $280,865.55 $545,370.00 $286,319.25 nat. median
$459,112
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $122,038.17 $360,574.63 $258,910.02 nat. median
$133,176
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $247,966.91 $247,966.91 $247,966.91 nat. median
$207,730
1.2× median
7
MS_DRG 		Lung Transplant 13 $112,189.56 $333,492.81 $242,341.96 nat. median
$122,708
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $113,207.07 $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 $95,324.15 $336,638.88 $224,784.63 nat. median
$108,660
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $223,226.67 $223,226.67 $223,226.67 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 5 $220,389.12 $220,389.12 $220,389.12 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $218,664.32 $218,664.32 $218,664.32 nat. median
$164,279
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $94,243.67 $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 $214,203.72 $214,203.72 $214,203.72 nat. median
$162,982
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 13 $91,674.73 $270,363.98 $200,596.83 nat. median
$99,019
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $92,143.68 $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 $195,225.24 $195,225.24 $195,225.24 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $192,803.73 $192,803.73 $192,803.73 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $190,974.99 $190,974.99 $190,974.99 nat. median
$122,924
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $183,930.62 $183,930.62 $183,930.62 nat. median
$150,721
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $181,537.42 $181,537.42 $181,537.42 nat. median
$151,838
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $83,569.40 $246,278.21 $179,973.71 nat. median
$93,672
1.9× median
453
MS_DRG 		DRG 6 $111,605.24 $228,741.83 $176,643.15 nat. median
$87,411
outlier · 2.0×
5831
APR_DRG 		Neonate With Ecmo 5 $174,134.24 $174,134.24 $174,134.24 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $172,877.37 $172,877.37 $172,877.37 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $170,063.66 $170,063.66 $170,063.66 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $169,281.12 $169,281.12 $169,281.12 nat. median
$105,658
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $90,649.22 $267,490.43 $168,792.90 nat. median
$98,905
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $69,913.06 $232,452.25 $158,664.18 nat. median
$77,576
outlier · 2.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $73,458.56 $216,241.17 $158,021.29 nat. median
$79,312
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $73,418.19 $216,118.67 $157,933.64 nat. median
$81,118
1.9× median

Other procedures at this hospital

Browse this hospital's 17,580 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 6 — — $3,744,874.00 $3,999,380.00 $3,799,411.00 2025-07-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,719,908.17 $3,972,717.47 $3,774,081.59 2025-07-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,353,704.54 $3,581,626.21 $3,402,544.90 2025-07-29
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,316,888.40 $3,542,308.00 $3,365,192.60 2025-07-29
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,975,926.54 $4,871,273.93 $3,033,711.52 2025-07-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 7 — — $2,445,908.66 $4,749,337.21 $2,493,402.04 2025-07-29
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $2,353,920.80 $4,570,720.00 $2,399,628.00 2025-07-29
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 9 — — $584,211.57 $1,779,427.10 $978,684.91 2025-07-29
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 9 — — $507,567.43 $1,636,873.20 $900,280.26 2025-07-29
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $558,369.09 $1,420,148.58 $851,315.28 2025-07-29
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $777,863.83 $1,510,415.20 $792,967.98 2025-07-29
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $532,582.11 $1,357,132.84 $791,626.02 2025-07-29
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $521,296.84 $1,326,789.84 $774,588.03 2025-07-29
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $493,999.51 $1,258,432.00 $753,125.21 2025-07-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 12 — — $324,588.21 $962,364.30 $718,845.33 2025-07-29
0100T CPT Prosth Retina Receive&gen 5 3 — — $10,931.23 $969,903.18 $533,446.75 2025-07-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 13 — — $242,611.56 $718,806.53 $525,282.46 2025-07-29
5834 APR_DRG Neonate With Ecmo 5 5 — — $404,321.78 $404,321.78 $404,321.78 2025-07-29
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 32 13 — — $184,750.80 $546,898.70 $397,525.59 2025-07-29
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 $357,853.11 2025-07-29
5833 APR_DRG Neonate With Ecmo 5 5 — — $324,811.14 $324,811.14 $324,811.14 2025-07-29
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $320,271.49 $320,271.49 $320,271.49 2025-07-29
C9301 HCPCS Apc 9 7 — — $280,865.55 $545,370.00 $286,319.25 2025-07-29
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 32 13 — — $122,038.17 $360,574.63 $258,910.02 2025-07-29
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $247,966.91 $247,966.91 $247,966.91 2025-07-29
7 MS_DRG Lung Transplant 32 13 — — $112,189.56 $333,492.81 $242,341.96 2025-07-29
14 MS_DRG Allogeneic Bone Marrow Transplant 32 13 — — $113,207.07 $334,334.97 $228,461.58 2025-07-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 13 — — $95,324.15 $336,638.88 $224,784.63 2025-07-29
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $223,226.67 $223,226.67 $223,226.67 2025-07-29
5832 APR_DRG Neonate With Ecmo 5 5 — — $220,389.12 $220,389.12 $220,389.12 2025-07-29
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $218,664.32 $218,664.32 $218,664.32 2025-07-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 11 — — $94,243.67 $277,991.91 $214,703.13 2025-07-29
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $214,203.72 $214,203.72 $214,203.72 2025-07-29
215 MS_DRG Other Heart Assist System Implant 32 13 — — $91,674.73 $270,363.98 $200,596.83 2025-07-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 13 — — $92,143.68 $285,015.30 $198,590.01 2025-07-29
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $195,225.24 $195,225.24 $195,225.24 2025-07-29
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $192,803.73 $192,803.73 $192,803.73 2025-07-29
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $190,974.99 $190,974.99 $190,974.99 2025-07-29
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $183,930.62 $183,930.62 $183,930.62 2025-07-29
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $181,537.42 $181,537.42 $181,537.42 2025-07-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $83,569.40 $246,278.21 $179,973.71 2025-07-29
453 MS_DRG DRG 17 6 — — $111,605.24 $228,741.83 $176,643.15 2025-07-29
5831 APR_DRG Neonate With Ecmo 5 5 — — $174,134.24 $174,134.24 $174,134.24 2025-07-29
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $172,877.37 $172,877.37 $172,877.37 2025-07-29
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $170,063.66 $170,063.66 $170,063.66 2025-07-29
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $169,281.12 $169,281.12 $169,281.12 2025-07-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $90,649.22 $267,490.43 $168,792.90 2025-07-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 13 — — $69,913.06 $232,452.25 $158,664.18 2025-07-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 13 — — $73,458.56 $216,241.17 $158,021.29 2025-07-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $73,418.19 $216,118.67 $157,933.64 2025-07-29
C9741 HCPCS Fee Schedule 1 1 — — $148,739.04 $148,739.04 $148,739.04 2025-07-29
850 MS_DRG Acute Leukemia With Other Procedures 16 10 — — $79,797.16 $235,072.38 $148,508.59 2025-07-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 12 — — $68,763.87 $202,289.38 $147,828.29 2025-07-29
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $145,786.13 $145,786.13 $145,786.13 2025-07-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 13 — — $67,811.36 $199,459.22 $145,760.23 2025-07-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $67,133.70 $203,093.70 $144,288.90 2025-07-29
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $140,482.42 $140,482.42 $140,482.42 2025-07-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 11 — — $61,374.85 $180,337.08 $140,251.64 2025-07-29
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $135,052.36 $135,052.36 $135,052.36 2025-07-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $72,313.66 $212,836.80 $134,520.69 2025-07-29
Q0480 HCPCS Driver Pneumatic Vad, Rep 19 10 — — $100,939.91 $219,999.80 $133,999.88 2025-07-29
459 MS_DRG DRG 17 6 — — $69,179.42 $165,732.14 $132,208.27 2025-07-29
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $130,274.54 $130,274.54 $130,274.54 2025-07-29
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $129,953.93 $129,953.93 $129,953.93 2025-07-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 32 13 — — $60,425.78 $177,529.88 $129,724.81 2025-07-29
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $125,718.68 $125,718.68 $125,718.68 2025-07-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 13 — — $57,944.45 $172,923.11 $124,337.40 2025-07-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 11 — — $53,880.19 $158,070.88 $123,794.13 2025-07-29
222 MS_DRG DRG 6 3 — — $97,216.21 $191,307.81 $123,468.40 2025-07-29
454 MS_DRG DRG 17 6 — — $74,434.81 $152,187.23 $121,922.32 2025-07-29
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $121,083.13 $121,083.13 $121,083.13 2025-07-29
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $121,083.13 $121,083.13 $121,083.13 2025-07-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $56,143.36 $164,792.85 $120,426.92 2025-07-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 32 13 — — $56,223.23 $165,055.70 $119,912.00 2025-07-29
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $118,431.63 $118,431.63 $118,431.63 2025-07-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 13 — — $52,131.49 $164,925.09 $118,113.10 2025-07-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 13 — — $54,995.88 $181,088.53 $117,935.55 2025-07-29
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $117,562.80 $117,562.80 $117,562.80 2025-07-29
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $117,192.16 $117,192.16 $117,192.16 2025-07-29
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $117,115.56 $117,115.56 $117,115.56 2025-07-29
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $115,752.56 $115,752.56 $115,752.56 2025-07-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 12 — — $64,786.36 $190,473.62 $115,281.04 2025-07-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 13 — — $46,556.13 $157,147.06 $114,838.11 2025-07-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $61,681.47 $181,158.82 $114,647.37 2025-07-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 13 — — $53,384.61 $160,290.19 $114,437.18 2025-07-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 13 — — $53,144.12 $155,883.82 $113,915.04 2025-07-29
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $108,131.37 $118,851.29 $113,491.33 2025-07-29
28 MS_DRG Spinal Procedures With Mcc 32 13 — — $52,893.32 $155,138.63 $113,370.52 2025-07-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 13 — — $48,150.54 $169,634.95 $112,747.88 2025-07-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 13 — — $52,518.85 $154,025.96 $112,557.46 2025-07-29
8634 APR_DRG Neonatal Aftercare 5 5 — — $111,648.48 $111,648.48 $111,648.48 2025-07-29
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $111,101.69 $111,101.69 $111,101.69 2025-07-29
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $111,009.17 $111,009.17 $111,009.17 2025-07-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $49,972.24 $150,835.48 $110,352.74 2025-07-29
0809T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-29
0775T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 12 — — $59,324.68 $174,248.01 $110,242.13 2025-07-29
224 MS_DRG DRG 6 3 — — $84,108.08 $177,130.75 $110,015.42 2025-07-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 13 — — $51,215.91 $150,154.58 $109,728.56 2025-07-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 13 — — $51,775.05 $151,821.03 $109,013.18 2025-07-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 13 — — $51,877.98 $154,025.96 $108,915.16 2025-07-29
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $108,904.14 $108,904.14 $108,904.14 2025-07-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 13 — — $50,684.26 $148,574.89 $108,574.25 2025-07-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 10 — — $58,263.10 $171,091.18 $108,257.85 2025-07-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 13 — — $49,677.64 $145,583.94 $106,388.70 2025-07-29
653 MS_DRG Major Bladder Procedures With Mcc 32 13 — — $48,556.79 $142,253.58 $103,955.14 2025-07-29
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $103,744.70 $103,744.70 $103,744.70 2025-07-29
834 MS_DRG Acute Leukemia With Mcc 32 13 — — $48,150.54 $141,046.49 $103,073.09 2025-07-29
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $102,888.93 $102,888.93 $102,888.93 2025-07-29
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $102,249.16 $102,249.16 $102,249.16 2025-07-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 12 — — $58,041.50 $170,435.32 $101,601.36 2025-07-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 13 — — $47,410.18 $139,699.22 $101,465.63 2025-07-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 13 — — $47,303.67 $138,532.77 $101,234.40 2025-07-29
226 MS_DRG DRG 6 3 — — $77,877.69 $159,932.89 $100,744.83 2025-07-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 13 — — $47,065.76 $137,825.86 $100,717.85 2025-07-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 13 — — $47,021.96 $137,695.71 $100,622.74 2025-07-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 13 — — $47,016.80 $141,145.91 $100,611.55 2025-07-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 10 — — $53,811.47 $157,866.72 $99,937.03 2025-07-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 13 — — $46,371.78 $135,763.85 $99,211.09 2025-07-29
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $63,830.02 $173,040.00 $98,880.00 2025-07-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $46,169.94 $135,801.41 $98,772.86 2025-07-29
A9543 HCPCS Y90 Ibritumomab, Rx 24 13 — — $28,267.31 $279,194.92 $97,349.65 2025-07-29
10 MS_DRG Pancreas Transplant 32 13 — — $50,092.95 $203,460.75 $97,326.18 2025-07-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 13 — — $43,478.18 $129,402.55 $96,685.01 2025-07-29
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $95,777.19 $95,777.19 $95,777.19 2025-07-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 13 — — $44,763.94 $130,989.06 $95,720.18 2025-07-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 11 — — $40,631.83 $118,724.14 $95,332.36 2025-07-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 13 — — $44,434.13 $131,054.07 $95,004.10 2025-07-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 13 — — $44,300.14 $129,608.42 $94,713.19 2025-07-29
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $94,391.46 $94,391.46 $94,391.46 2025-07-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 13 — — $43,683.46 $134,479.65 $94,318.74 2025-07-29
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $94,248.41 $94,248.41 $94,248.41 2025-07-29
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $94,248.41 $94,248.41 $94,248.41 2025-07-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 13 — — $43,938.55 $128,531.48 $93,928.11 2025-07-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 13 — — $43,632.78 $127,638.28 $93,264.24 2025-07-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 13 — — $41,085.32 $128,942.75 $92,507.58 2025-07-29
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $91,834.44 $91,834.44 $91,834.44 2025-07-29
455 MS_DRG DRG 17 6 — — $58,181.70 $119,632.97 $91,808.03 2025-07-29
223 MS_DRG DRG 6 3 — — $71,715.38 $130,394.44 $90,700.62 2025-07-29
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 2025-07-29
471 MS_DRG Cervical Spinal Fusion With Mcc 32 13 — — $42,395.98 $125,854.48 $90,578.93 2025-07-29
6 MS_DRG Liver Transplant Without Mcc 32 13 — — $42,326.41 $123,743.93 $90,427.88 2025-07-29
245 MS_DRG Aicd Generator Procedures 32 13 — — $42,649.36 $124,703.48 $90,328.93 2025-07-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 13 — — $251.22 $151,716.40 $89,595.74 2025-07-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 13 — — $41,693.41 $128,475.51 $89,053.52 2025-07-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $47,951.28 $140,492.70 $88,983.34 2025-07-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 11 — — $43,649.96 $127,674.01 $88,913.61 2025-07-29
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $88,674.87 $88,674.87 $88,674.87 2025-07-29
799 MS_DRG Splenic Procedures With Mcc 32 13 — — $41,515.62 $130,119.59 $88,667.51 2025-07-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $41,507.89 $121,329.74 $88,650.73 2025-07-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 10 — — $47,662.69 $139,596.95 $88,443.93 2025-07-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 12 — — $40,248.76 $117,570.64 $87,785.04 2025-07-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 13 — — $40,868.88 $119,413.18 $87,263.32 2025-07-29
163 MS_DRG Major Chest Procedures With Mcc 32 13 — — $40,265.08 $121,024.69 $85,952.36 2025-07-29
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 13 — — $20,258.99 $244,385.12 $85,926.50 2025-07-29
1784 APR_DRG External Heart Assist Systems 5 5 — — $85,911.29 $85,911.29 $85,911.29 2025-07-29
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $85,840.15 $85,840.15 $85,840.15 2025-07-29
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $85,661.82 $85,661.82 $85,661.82 2025-07-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $40,122.50 $118,223.76 $85,642.80 2025-07-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 13 — — $40,116.49 $117,180.18 $85,629.75 2025-07-29
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $85,333.39 $85,333.39 $85,333.39 2025-07-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $37,764.00 $120,260.12 $85,069.99 2025-07-29
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $85,056.83 $85,056.83 $85,056.83 2025-07-29
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $84,762.78 $84,762.78 $84,762.78 2025-07-29
0302T CPT Fee Schedule 1 1 — — $84,488.21 $84,488.21 $84,488.21 2025-07-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 12 — — $38,406.44 $112,096.60 $84,433.52 2025-07-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 13 — — $39,426.80 $115,128.38 $84,132.32 2025-07-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 13 — — $39,195.76 $114,441.89 $83,630.69 2025-07-29
33276 CPT Insj Phrnc Nrv Stim Sys 14 9 — — $50,558.18 $226,757.52 $83,529.84 2025-07-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 13 — — $39,089.26 $114,125.44 $83,399.45 2025-07-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 10 — — $44,910.81 $131,420.34 $83,300.20 2025-07-29
901 MS_DRG Wound Debridements For Injuries With Mcc 31 13 — — $38,730.25 $113,058.70 $82,619.96 2025-07-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 11 — — $37,260.69 $108,694.78 $82,526.76 2025-07-29
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $82,318.03 $82,318.03 $82,318.03 2025-07-29
225 MS_DRG DRG 6 3 — — $64,861.22 $126,371.69 $82,028.14 2025-07-29
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $81,988.06 $81,988.06 $81,988.06 2025-07-29
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $81,079.31 $81,079.31 $81,079.31 2025-07-29
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $80,212.19 $80,212.19 $80,212.19 2025-07-29
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $79,950.03 $79,950.03 $79,950.03 2025-07-29
227 MS_DRG DRG 6 3 — — $61,924.75 $125,447.21 $79,633.55 2025-07-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 13 — — $37,314.80 $108,853.01 $79,546.77 2025-07-29
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 2025-07-29
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $79,293.76 $79,293.76 $79,293.76 2025-07-29
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $79,011.56 $79,011.56 $79,011.56 2025-07-29
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $78,499.36 $78,499.36 $78,499.36 2025-07-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 13 — — $36,669.77 $106,936.46 $78,146.31 2025-07-29
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $78,094.80 $78,094.80 $78,094.80 2025-07-29
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $77,867.06 $77,867.06 $77,867.06 2025-07-29
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $77,591.78 $77,591.78 $77,591.78 2025-07-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 13 — — $36,412.96 $106,847.63 $77,588.73 2025-07-29
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $77,480.91 $77,480.91 $77,480.91 2025-07-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 13 — — $35,995.54 $104,933.14 $76,682.44 2025-07-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 13 — — $35,923.40 $104,718.77 $76,525.80 2025-07-29
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $76,168.41 $76,168.41 $76,168.41 2025-07-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 13 — — $35,611.62 $103,792.39 $75,848.88 2025-07-29
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $75,721.67 $75,721.67 $75,721.67 2025-07-29
140 MS_DRG Major Head And Neck Procedures With Mcc 30 12 — — $37,001.30 $107,924.08 $75,312.65 2025-07-29
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $75,128.80 $75,128.80 $75,128.80 2025-07-29
6904 APR_DRG Acute Leukemia 5 5 — — $75,103.65 $75,103.65 $75,103.65 2025-07-29
0387T CPT Fee Schedule 1 1 — — $74,487.20 $74,487.20 $74,487.20 2025-07-29
C9150 HCPCS Apc 1 1 — — $74,256.00 $74,256.00 $74,256.00 2025-07-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 13 — — $34,892.73 $101,658.92 $74,144.51 2025-07-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 13 — — $36,661.18 $106,928.80 $73,715.93 2025-07-29
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $73,684.72 $73,684.72 $73,684.72 2025-07-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 13 — — $34,566.35 $100,709.58 $73,579.41 2025-07-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 13 — — $34,496.78 $106,570.29 $73,428.36 2025-07-29
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $73,219.62 $73,219.62 $73,219.62 2025-07-29
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $72,950.71 $72,950.71 $72,950.71 2025-07-29
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $72,948.71 $72,948.71 $72,948.71 2025-07-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 13 — — $34,262.31 $100,268.82 $72,919.27 2025-07-29
460 MS_DRG DRG 17 6 — — $45,999.31 $94,097.28 $72,916.58 2025-07-29
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 8 — — $68,086.72 $132,207.21 $72,713.97 2025-07-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 13 — — $34,076.79 $99,929.01 $72,516.48 2025-07-29
C9746 HCPCS Fee Schedule 1 1 — — $72,378.23 $72,378.23 $72,378.23 2025-07-29
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 13 — — $34,868.68 $101,587.46 $72,087.32 2025-07-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 13 — — $33,873.23 $98,632.25 $72,074.52 2025-07-29
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $72,035.83 $72,035.83 $72,035.83 2025-07-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 13 — — $30,999.39 $108,901.48 $72,015.00 2025-07-29
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $71,825.47 $71,825.47 $71,825.47 2025-07-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 13 — — $33,746.97 $98,277.52 $71,800.39 2025-07-29
2324 APR_DRG Gastric Fundoplication 5 5 — — $71,695.33 $71,695.33 $71,695.33 2025-07-29
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $71,438.50 $71,438.50 $71,438.50 2025-07-29
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 2025-07-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 13 — — $33,329.55 $98,664.72 $70,894.10 2025-07-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 13 — — $33,075.32 $96,256.34 $70,342.12 2025-07-29
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $70,101.45 $70,101.45 $70,101.45 2025-07-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 13 — — $32,816.80 $95,546.88 $69,780.82 2025-07-29
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $69,449.07 $69,449.07 $69,449.07 2025-07-29
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $68,536.68 $68,536.68 $68,536.68 2025-07-29
0266T CPT Apc 18 11 — — $5,022.44 $216,860.56 $68,376.26 2025-07-29
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $68,298.25 $68,298.25 $68,298.25 2025-07-29
90288 CPT Botulism Ig IV 1 1 — — $68,187.00 $68,187.00 $68,187.00 2025-07-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 13 — — $32,015.45 $93,107.17 $68,040.96 2025-07-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 13 — — $31,798.15 $92,481.93 $67,971.90 2025-07-29
38240 CPT Transplt Allo Hct/donor 24 13 — — $2,969.76 $275,916.62 $67,736.78 2025-07-29
0312T CPT Apc 4 2 — — $48,045.92 $136,290.39 $67,701.07 2025-07-29
0316T CPT Apc 4 2 — — $48,045.92 $89,711.23 $67,701.07 2025-07-29
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $67,648.38 $67,648.38 $67,648.38 2025-07-29
1794 APR_DRG Defibrillator Implants 5 5 — — $67,307.49 $67,307.49 $67,307.49 2025-07-29
791 MS_DRG Prematurity With Major Problems 32 13 — — $30,705.16 $103,613.75 $67,159.46 2025-07-29
J9226 HCPCS Supprelin La Implant 24 13 — — $20,258.99 $197,966.04 $66,863.91 2025-07-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 13 — — $31,466.62 $95,246.63 $66,849.35 2025-07-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 12 — — $30,502.09 $88,610.54 $66,847.46 2025-07-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 13 — — $31,464.90 $97,150.57 $66,845.62 2025-07-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 13 — — $31,459.75 $93,140.31 $66,834.43 2025-07-29
265 MS_DRG Aicd Lead Procedures 32 13 — — $31,315.46 $91,027.29 $66,521.15 2025-07-29
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 2025-07-29
93581 CPT Hc Percutaneous Transcatheter Closure Congenital Ventricular Septal Defect W/imp… 61 17 $90,992.00 $36,396.80 60% off $7,174.76 $89,798.29 $66,424.16 2025-07-29
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $66,316.49 $66,316.49 $66,316.49 2025-07-29
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $66,226.37 $66,226.37 $66,226.37 2025-07-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 13 — — $31,178.04 $90,621.52 $66,222.78 2025-07-29
L7181 HCPCS Electronic Elbo Simultaneous 20 11 — — $47,655.06 $189,550.45 $66,210.12 2025-07-29
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $66,187.79 $66,187.79 $66,187.79 2025-07-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $35,749.90 $104,203.26 $66,176.94 2025-07-29
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $65,879.26 $65,879.26 $65,879.26 2025-07-29
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $65,872.72 $65,872.72 $65,872.72 2025-07-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 13 — — $30,915.22 $92,808.00 $65,652.15 2025-07-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 13 — — $30,749.45 $91,686.13 $65,606.68 2025-07-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 13 — — $30,770.92 $89,411.87 $65,338.86 2025-07-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $30,761.47 $89,396.56 $65,318.35 2025-07-29
264 MS_DRG Other Circulatory System O.r. Procedures 32 13 — — $30,696.20 $89,189.85 $65,104.44 2025-07-29
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 13 — — $33,839.73 $98,530.17 $64,909.09 2025-07-29
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 2025-07-29
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 2025-07-29
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 2025-07-29
36837 CPT Hc Percutaneous Fistula Creation Upper Extremity Separate Access Artery And Vei… 58 17 $88,809.00 $35,523.60 60% off $2,504.45 $89,798.29 $64,830.57 2025-07-29
36836 CPT Hc Percutaneous Fistula Creation Upper Extremity Single Access Artery And Vein I… 58 17 $88,809.00 $35,523.60 60% off $2,504.45 $89,798.29 $64,830.57 2025-07-29
332 MS_DRG Rectal Resection With Mcc 32 13 — — $30,469.45 $101,450.66 $64,684.32 2025-07-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 13 — — $30,436.81 $90,064.54 $64,613.46 2025-07-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 12 — — $35,975.79 $104,874.44 $64,236.68 2025-07-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 13 — — $30,260.74 $87,901.09 $64,231.17 2025-07-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 13 — — $30,214.36 $87,758.18 $64,130.47 2025-07-29
252 MS_DRG Other Vascular Procedures With Mcc 32 13 — — $30,140.50 $87,538.70 $63,970.10 2025-07-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 12 — — $33,507.34 $97,542.54 $63,921.82 2025-07-29
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $63,891.30 $63,891.30 $63,891.30 2025-07-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 13 — — $30,095.84 $90,596.74 $63,873.13 2025-07-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 13 — — $30,991.66 $90,065.18 $63,804.75 2025-07-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 11 — — $28,199.41 $81,771.18 $63,800.76 2025-07-29
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $63,644.37 $63,644.37 $63,644.37 2025-07-29
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 13 — — $29,932.65 $87,416.02 $63,518.82 2025-07-29
274 APR_DRG Other Open Craniotomy 5 5 — — $63,491.86 $63,491.86 $63,491.86 2025-07-29
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 10 — — $34,278.62 $100,273.18 $63,426.89 2025-07-29
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 13 — — $29,810.68 $86,788.87 $63,254.02 2025-07-29
234 APR_DRG Spinal Procedures 5 5 — — $62,860.68 $62,860.68 $62,860.68 2025-07-29
33903 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 58 17 $85,870.00 $34,348.00 60% off $6,105.02 $73,848.20 $62,685.10 2025-07-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 13 — — $29,507.50 $85,657.88 $62,595.74 2025-07-29
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $62,118.25 $62,118.25 $62,118.25 2025-07-29
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $62,058.16 $62,058.16 $62,058.16 2025-07-29
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $61,941.78 $61,941.78 $61,941.78 2025-07-29
37 MS_DRG Extracranial Procedures With Mcc 32 13 — — $29,200.01 $84,744.26 $61,928.14 2025-07-29
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 9 — — $36,021.27 $161,558.30 $61,830.68 2025-07-29
L7180 HCPCS Electronic Elbow Sequential 20 11 — — $44,387.45 $176,553.31 $61,670.22 2025-07-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 12 — — $29,036.83 $84,259.38 $61,640.07 2025-07-29
665 MS_DRG Prostatectomy With Mcc 32 13 — — $30,167.98 $87,620.37 $61,578.12 2025-07-29
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $61,568.24 $61,568.24 $61,568.24 2025-07-29
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $61,436.29 $61,436.29 $61,436.29 2025-07-29
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,426.31 $61,426.31 $61,426.31 2025-07-29
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 11 — — $27,033.04 $78,305.57 $61,297.05 2025-07-29
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 13 — — $28,751.67 $83,412.12 $60,954.72 2025-07-29
33902 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 58 17 $83,468.00 $33,387.20 60% off $6,105.02 $89,798.29 $60,931.64 2025-07-29
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