Hospital

MULTICARE VALLEY HOSPITAL

Spokane Valley, WA · CCN 500119 · Rates published

17,376 distinct procedures filed

18 distinct payers

465,144 rate rows

2025-07-28 last MRF observed · ⚠ 15 mo old

Data quality

462,713 of 465,144 rate rows are consumer-grade (99.5%)

2,431 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	1,179
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	605
per-diem day rate — not a per-procedure price	428
percent-of-charges filed in the dollar field — excluded from medians	89
exceeds 10× this hospital's gross charge — excluded from medians	41
placeholder amount (≤ $0.02) — excluded from medians	38
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	34
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	17

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8064/911352172-1538345251_multicare-valley-hospital_standardcharges.csv
Found on page	https://multicare.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-27
Content fingerprint	88874c4a6db37cd8… · 1,218,597,828 bytes · first seen 2026-05-15

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	7	$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	7	$3,611,561.33	$3,792,139.40	$3,719,908.17	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,256,023.83	$3,418,825.02	$3,353,704.54	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$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	7	$2,889,249.07	$4,871,273.93	$2,975,926.54	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	8	$2,374,668.61	$4,393,136.92	$2,457,782.00	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	8	$2,285,360.00	$4,227,916.00	$2,365,347.60	nat. median $2,401,965 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	9	$542,105.91	$1,902,048.26	$788,640.00	nat. median $646,415 1.2× median
Q2057 HCPCS	Afamitresgene Autoleucel	8	$755,207.60	$1,397,134.06	$781,639.86	nat. median $813,967 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	9	$567,195.70	$2,239,870.39	$761,878.92	nat. median $739,258 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	9	$517,070.01	$2,092,117.21	$711,472.00	nat. median $622,450 1.1× median
Q2053 HCPCS	Brexucabtagene Car Pos T	9	$479,611.17	$1,932,630.48	$697,625.99	nat. median $591,721 1.2× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	9	$492,783.91	$1,938,487.92	$695,932.84	nat. median $608,239 1.1× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	9	$506,113.44	$2,045,284.43	$695,868.80	nat. median $640,950 1.1× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$304,236.63	$788,461.51	$527,494.52	nat. median $359,454 1.5× median
5834 APR_DRG	Neonate With Ecmo	5	$362,861.68	$381,004.77	$373,747.53	nat. median $307,206 1.2× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$227,429.94	$603,053.38	$370,669.04	nat. median $249,036 1.5× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$161,564.59	$495,972.58	$323,132.05	nat. median $198,418 1.6× median
5833 APR_DRG	Neonate With Ecmo	5	$291,504.25	$306,079.46	$300,249.38	nat. median $244,017 1.2× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$287,430.11	$301,801.61	$296,053.01	nat. median $247,214 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	14	$168,114.82	$448,070.46	$286,811.57	nat. median $190,559 1.5× median
C9301 HCPCS	Apc	8	$272,685.00	$504,467.25	$282,228.97	nat. median $459,112 0.6× median
1614 APR_DRG	Implantable Heart Assist Systems	5	$222,539.80	$233,666.79	$229,215.99	nat. median $202,993 1.1× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	5	$200,336.49	$210,353.31	$206,346.58	nat. median $155,939 1.3× median
5832 APR_DRG	Neonate With Ecmo	5	$197,789.90	$207,679.40	$203,723.60	nat. median $159,249 1.3× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$196,241.97	$206,054.07	$202,129.23	nat. median $162,342 1.2× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$192,238.77	$201,850.71	$198,005.93	nat. median $165,000 1.2× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	14	$105,558.12	$295,415.91	$193,561.77	nat. median $126,695 1.5× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$175,206.39	$183,966.71	$180,462.58	nat. median $175,204 1.0× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	$173,033.19	$181,684.85	$178,224.19	nat. median $163,587 1.1× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$171,391.97	$179,961.57	$176,533.73	nat. median $133,164 1.3× median
7 MS_DRG	Lung Transplant	14	$93,403.90	$273,229.40	$170,292.52	nat. median $117,974 1.4× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$165,069.95	$173,323.45	$170,022.05	nat. median $154,011 1.1× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$162,922.15	$171,068.26	$167,809.81	nat. median $151,838 1.1× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	14	$106,186.50	$273,919.33	$165,197.27	nat. median $110,307 1.5× median
5831 APR_DRG	Neonate With Ecmo	5	$156,278.11	$164,092.01	$160,966.45	nat. median $146,500 1.1× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	$89,431.38	$331,683.42	$160,046.99	nat. median $104,013 1.5× median
1613 APR_DRG	Implantable Heart Assist Systems	5	$155,150.12	$162,907.63	$159,804.63	nat. median $120,517 1.3× median
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	$152,624.94	$160,256.19	$157,203.69	nat. median $107,681 1.5× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	12	$88,419.04	$227,758.77	$156,578.02	nat. median $97,323 1.6× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$151,922.64	$159,518.77	$156,480.32	nat. median $122,016 1.3× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	$85,051.28	$219,009.19	$150,562.92	nat. median $93,276 1.6× median
C2624 HCPCS	Hc Kit Intro Cardio Mem	18	$19,838.00	$237,929.04	$150,300.00	nat. median $32,662 outlier · 4.6×
C9741 HCPCS	Fee Schedule	1	$148,739.04	$148,739.04	$148,739.04	nat. median $12,039 outlier · 12.4×
215 MS_DRG	Other Heart Assist System Implant	14	$86,012.12	$232,307.48	$148,647.74	nat. median $93,901 1.6× median
L6700 HCPCS	Ue Add Ext Power Myoel	1	$145,786.13	$145,786.13	$145,786.13	nat. median $30,378 outlier · 4.8×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	14	$86,451.49	$222,647.01	$141,224.84	nat. median $95,038 1.5× median
850 MS_DRG	Acute Leukemia With Other Procedures	11	$74,883.62	$192,593.19	$132,402.64	nat. median $78,268 1.7× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$78,417.95	$217,154.68	$130,195.29	nat. median $90,551 1.4× median
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$126,077.03	$132,380.88	$129,859.34	nat. median $118,620 1.1× median

Other procedures at this hospital

Browse this hospital's 17,376 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J1414	HCPCS	Inj, Beqvez, Per Tx Dose	7	7	—	—	$3,635,800.00	$3,817,590.00	$3,744,874.00	2025-07-28
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	7	7	—	—	$3,611,561.33	$3,792,139.40	$3,719,908.17	2025-07-28
J1413	HCPCS	Inj Delandistrogene Mox Rokl	7	7	—	—	$3,256,023.83	$3,418,825.02	$3,353,704.54	2025-07-28
J3394	HCPCS	Inj, Lovotibeglogene Autotem	7	7	—	—	$3,220,280.00	$3,381,294.00	$3,316,888.40	2025-07-28
J3393	HCPCS	Inj, Betibeglogene Autotemce	8	7	—	—	$2,889,249.07	$4,871,273.93	$2,975,926.54	2025-07-28
J3399	HCPCS	Inj Onase Abepar-xioi Treat	10	8	—	—	$2,374,668.61	$4,393,136.92	$2,457,782.00	2025-07-28
J3392	HCPCS	Inj, Exagamglogene Autotem	10	8	—	—	$2,285,360.00	$4,227,916.00	$2,365,347.60	2025-07-28
Q2056	HCPCS	Ciltacabtagene Car-pos T	15	9	—	—	$542,105.91	$1,902,048.26	$788,640.00	2025-07-28
Q2057	HCPCS	Afamitresgene Autoleucel	10	8	—	—	$755,207.60	$1,397,134.06	$781,639.86	2025-07-28
Q2042	HCPCS	Tisagenlecleucel Car-pos T	15	9	—	—	$567,195.70	$2,239,870.39	$761,878.92	2025-07-28
Q2055	HCPCS	Idecabtagene Vicleucel Car	15	9	—	—	$517,070.01	$2,092,117.21	$711,472.00	2025-07-28
Q2053	HCPCS	Brexucabtagene Car Pos T	15	9	—	—	$479,611.17	$1,932,630.48	$697,625.99	2025-07-28
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	15	9	—	—	$492,783.91	$1,938,487.92	$695,932.84	2025-07-28
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	15	9	—	—	$506,113.44	$2,045,284.43	$695,868.80	2025-07-28
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	13	—	—	$304,236.63	$788,461.51	$527,494.52	2025-07-28
5834	APR_DRG	Neonate With Ecmo	5	5	—	—	$362,861.68	$381,004.77	$373,747.53	2025-07-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	14	—	—	$227,429.94	$603,053.38	$370,669.04	2025-07-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	13	—	—	$161,564.59	$495,972.58	$323,132.05	2025-07-28
5833	APR_DRG	Neonate With Ecmo	5	5	—	—	$291,504.25	$306,079.46	$300,249.38	2025-07-28
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$287,430.11	$301,801.61	$296,053.01	2025-07-28
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	24	14	—	—	$168,114.82	$448,070.46	$286,811.57	2025-07-28
C9301	HCPCS	Apc	10	8	—	—	$272,685.00	$504,467.25	$282,228.97	2025-07-28
1614	APR_DRG	Implantable Heart Assist Systems	5	5	—	—	$222,539.80	$233,666.79	$229,215.99	2025-07-28
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$200,336.49	$210,353.31	$206,346.58	2025-07-28
5832	APR_DRG	Neonate With Ecmo	5	5	—	—	$197,789.90	$207,679.40	$203,723.60	2025-07-28
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$196,241.97	$206,054.07	$202,129.23	2025-07-28
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$192,238.77	$201,850.71	$198,005.93	2025-07-28
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	24	14	—	—	$105,558.12	$295,415.91	$193,561.77	2025-07-28
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$175,206.39	$183,966.71	$180,462.58	2025-07-28
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$173,033.19	$181,684.85	$178,224.19	2025-07-28
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$171,391.97	$179,961.57	$176,533.73	2025-07-28
7	MS_DRG	Lung Transplant	24	14	—	—	$93,403.90	$273,229.40	$170,292.52	2025-07-28
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$165,069.95	$173,323.45	$170,022.05	2025-07-28
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$162,922.15	$171,068.26	$167,809.81	2025-07-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	24	14	—	—	$106,186.50	$273,919.33	$165,197.27	2025-07-28
5831	APR_DRG	Neonate With Ecmo	5	5	—	—	$156,278.11	$164,092.01	$160,966.45	2025-07-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	14	—	—	$89,431.38	$331,683.42	$160,046.99	2025-07-28
1613	APR_DRG	Implantable Heart Assist Systems	5	5	—	—	$155,150.12	$162,907.63	$159,804.63	2025-07-28
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$152,624.94	$160,256.19	$157,203.69	2025-07-28
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	19	12	—	—	$88,419.04	$227,758.77	$156,578.02	2025-07-28
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$151,922.64	$159,518.77	$156,480.32	2025-07-28
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	11	—	—	$85,051.28	$219,009.19	$150,562.92	2025-07-28
C2624	HCPCS	Hc Kit Intro Cardio Mem	50	18	$208,750.00	$83,500.00 60% off	$19,838.00	$237,929.04	$150,300.00	2025-07-28
C9741	HCPCS	Fee Schedule	1	1	—	—	$148,739.04	$148,739.04	$148,739.04	2025-07-28
215	MS_DRG	Other Heart Assist System Implant	24	14	—	—	$86,012.12	$232,307.48	$148,647.74	2025-07-28
L6700	HCPCS	Ue Add Ext Power Myoel	1	1	—	—	$145,786.13	$145,786.13	$145,786.13	2025-07-28
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	24	14	—	—	$86,451.49	$222,647.01	$141,224.84	2025-07-28
850	MS_DRG	Acute Leukemia With Other Procedures	17	11	—	—	$74,883.62	$192,593.19	$132,402.64	2025-07-28
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	14	—	—	$78,417.95	$217,154.68	$130,195.29	2025-07-28
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$126,077.03	$132,380.88	$129,859.34	2025-07-28
Q0480	HCPCS	Driver Pneumatic Vad, Rep	17	10	—	—	$97,999.91	$337,999.70	$124,999.89	2025-07-28
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$121,203.78	$127,263.97	$124,839.89	2025-07-28
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$116,915.88	$122,761.68	$120,423.36	2025-07-28
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$116,628.15	$122,459.56	$120,126.99	2025-07-28
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	17	11	—	—	$67,872.07	$174,376.92	$119,879.44	2025-07-28
453	MS_DRG	DRG	8	5	—	—	$89,306.63	$191,410.75	$119,247.14	2025-07-28
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$112,827.19	$118,468.55	$116,212.01	2025-07-28
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	14	—	—	$68,906.95	$179,012.44	$115,473.39	2025-07-28
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	24	14	—	—	$65,622.88	$214,864.48	$113,746.52	2025-07-28
1612	APR_DRG	Implantable Heart Assist Systems	5	5	—	—	$108,666.99	$114,100.34	$111,927.00	2025-07-28
1611	APR_DRG	Implantable Heart Assist Systems	5	5	—	—	$108,666.99	$114,100.34	$111,927.00	2025-07-28
231	MS_DRG	Coronary Bypass With Ptca With Mcc	24	14	—	—	$68,944.77	$177,163.83	$111,709.17	2025-07-28
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	13	—	—	$64,546.16	$165,736.06	$111,381.95	2025-07-28
0809T	CPT	Fee Schedule	1	1	—	—	$110,342.16	$110,342.16	$110,342.16	2025-07-28
0775T	CPT	Fee Schedule	1	1	—	—	$110,342.16	$110,342.16	$110,342.16	2025-07-28
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	2	2	—	—	$104,868.79	$115,588.71	$110,228.75	2025-07-28
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	5	5	—	—	$106,287.37	$111,601.74	$109,476.00	2025-07-28
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$105,507.63	$110,783.02	$108,672.86	2025-07-28
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$105,175.01	$110,433.76	$108,330.26	2025-07-28
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$105,106.25	$110,361.57	$108,259.44	2025-07-28
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$103,883.02	$109,077.17	$106,999.51	2025-07-28
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	24	14	—	—	$63,653.72	$163,417.47	$105,164.74	2025-07-28
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	14	—	—	$63,018.79	$167,707.18	$104,045.76	2025-07-28
8634	APR_DRG	Neonatal Aftercare	5	5	—	—	$100,199.79	$105,209.78	$103,205.78	2025-07-28
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$99,709.06	$104,694.52	$102,700.34	2025-07-28
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	5	5	—	—	$99,626.03	$104,607.33	$102,614.81	2025-07-28
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	11	—	—	$57,910.42	$148,496.15	$102,087.11	2025-07-28
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	12	—	—	$57,623.13	$147,749.77	$101,573.99	2025-07-28
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	—	—	$97,736.86	$102,623.70	$100,668.96	2025-07-28
J9029	HCPCS	Instill Adstiladrin, Tx Dose	15	9	—	—	$61,970.89	$218,737.05	$98,880.00	2025-07-28
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	17	11	—	—	$54,707.63	$140,175.16	$96,366.65	2025-07-28
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$93,106.48	$97,761.80	$95,899.67	2025-07-28
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	23	13	—	—	$60,819.49	$156,054.03	$95,519.63	2025-07-28
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$92,338.46	$96,955.39	$95,108.62	2025-07-28
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$91,764.30	$96,352.51	$94,517.23	2025-07-28
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	24	14	—	—	$56,733.92	$145,439.55	$93,819.40	2025-07-28
222	MS_DRG	DRG	6	3	—	—	$80,937.78	$175,327.30	$93,802.27	2025-07-28
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	23	13	—	—	$54,403.02	$139,635.76	$91,388.48	2025-07-28
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	24	14	—	—	$54,409.07	$144,794.77	$91,131.86	2025-07-28
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	24	14	—	—	$52,315.00	$135,209.75	$90,124.36	2025-07-28
0614T	CPT	Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg	55	18	$124,117.00	$49,646.80 60% off	$5,481.40	$114,450.25	$89,364.24	2025-07-28
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	12	—	—	$50,601.13	$129,506.32	$89,032.11	2025-07-28
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	24	14	—	—	$51,646.46	$132,222.14	$88,921.18	2025-07-28
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	17	11	—	—	$50,536.75	$129,339.06	$88,917.13	2025-07-28
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$85,955.98	$90,253.78	$88,534.66	2025-07-28
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	—	—	$84,712.34	$88,947.96	$87,253.71	2025-07-28
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$84,583.96	$88,813.16	$87,121.48	2025-07-28
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	5	—	—	$84,583.96	$88,813.16	$87,121.48	2025-07-28
A9604	HCPCS	C Samarium 153 Up To 150mci - A9604	60	18	$120,256.00	$48,102.40 60% off	$4,228.61	$86,584.32	$86,584.32	2025-07-28
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	14	—	—	$52,721.57	$135,180.10	$86,477.55	2025-07-28
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	24	14	—	—	$46,668.09	$128,299.99	$86,366.72	2025-07-28
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	5	—	—	$82,417.53	$86,538.40	$84,890.05	2025-07-28
0302T	CPT	Fee Schedule	1	1	—	—	$84,488.21	$84,488.21	$84,488.21	2025-07-28
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	24	14	—	—	$48,962.72	$147,763.70	$84,328.46	2025-07-28
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	24	14	—	—	$38,760.51	$128,749.49	$83,472.40	2025-07-28
33249	CPT	C Insert Or Replacement Permanent Implantable Defibrillator System,w/transvenous…	60	18	$115,208.00	$46,083.20 60% off	$5,481.40	$153,826.61	$82,949.76	2025-07-28
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	24	14	—	—	$43,191.23	$126,192.56	$82,371.34	2025-07-28
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	24	14	—	—	$49,325.65	$140,039.48	$82,371.34	2025-07-28
0548T	CPT	Fee Schedule	1	1	—	—	$82,234.21	$82,234.21	$82,234.21	2025-07-28
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$79,581.94	$83,561.04	$81,969.40	2025-07-28
28	MS_DRG	Spinal Procedures With Mcc	24	14	—	—	$49,676.50	$127,104.11	$81,670.64	2025-07-28
224	MS_DRG	DRG	6	3	—	—	$70,024.55	$153,281.00	$81,526.29	2025-07-28
459	MS_DRG	DRG	8	5	—	—	$57,595.62	$140,156.08	$81,440.93	2025-07-28
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	14	—	—	$46,939.64	$135,371.64	$81,364.45	2025-07-28
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	24	14	—	—	$49,911.48	$127,714.59	$81,356.96	2025-07-28
454	MS_DRG	DRG	8	5	—	—	$59,236.94	$126,962.44	$80,893.29	2025-07-28
955	MS_DRG	Craniotomy For Multiple Significant Trauma	23	13	—	—	$55,702.26	$142,759.27	$80,433.27	2025-07-28
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	24	14	—	—	$45,232.83	$156,807.91	$80,276.68	2025-07-28
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	24	14	—	—	$47,606.76	$121,726.83	$80,061.89	2025-07-28
1784	APR_DRG	External Heart Assist Systems	5	5	—	—	$77,101.74	$80,956.83	$79,414.80	2025-07-28
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	24	14	—	—	$48,104.88	$125,548.76	$79,384.96	2025-07-28
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$77,037.90	$80,889.80	$79,349.04	2025-07-28
33276	CPT	Insj Phrnc Nrv Stim Sys	15	10	—	—	$47,048.17	$226,757.52	$79,323.21	2025-07-28
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$76,877.86	$80,721.75	$79,184.19	2025-07-28
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	11	—	—	$45,046.13	$115,074.22	$79,110.43	2025-07-28
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	5	—	—	$76,583.10	$80,412.26	$78,880.60	2025-07-28
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	17	11	—	—	$44,775.75	$114,371.74	$78,627.50	2025-07-28
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	5	—	—	$76,334.90	$80,151.65	$78,624.95	2025-07-28
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	14	—	—	$48,628.76	$124,382.02	$78,612.20	2025-07-28
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	5	—	—	$76,071.00	$79,874.55	$78,353.13	2025-07-28
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	24	14	—	—	$46,663.62	$119,276.53	$76,771.35	2025-07-28
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	—	—	$73,876.95	$77,570.80	$76,093.26	2025-07-28
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	5	—	—	$73,580.81	$77,259.85	$75,788.23	2025-07-28
834	MS_DRG	Acute Leukemia With Mcc	24	14	—	—	$45,232.83	$125,963.08	$75,104.27	2025-07-28
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$72,765.25	$76,403.51	$74,948.21	2025-07-28
226	MS_DRG	DRG	6	3	—	—	$64,227.03	$137,657.68	$74,796.47	2025-07-28
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	24	14	—	—	$43,237.97	$112,799.54	$74,764.16	2025-07-28
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	24	14	—	—	$44,216.47	$112,918.71	$74,674.73	2025-07-28
0387T	CPT	Fee Schedule	1	1	—	—	$74,487.20	$74,487.20	$74,487.20	2025-07-28
653	MS_DRG	Major Bladder Procedures With Mcc	24	14	—	—	$45,613.46	$116,548.16	$74,200.86	2025-07-28
69715	CPT	Fee Schedule	1	1	—	—	$74,094.11	$74,094.11	$74,094.11	2025-07-28
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	17	11	—	—	$42,197.42	$107,673.14	$74,022.39	2025-07-28
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	5	5	—	—	$71,751.77	$75,339.36	$73,904.32	2025-07-28
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	24	14	—	—	$44,439.37	$119,309.01	$73,815.98	2025-07-28
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$71,162.79	$74,720.93	$73,297.68	2025-07-28
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	5	—	—	$70,909.53	$74,455.01	$73,036.82	2025-07-28
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	5	5	—	—	$70,449.85	$73,972.34	$72,563.35	2025-07-28
C9746	HCPCS	Fee Schedule	1	1	—	—	$72,378.23	$72,378.23	$72,378.23	2025-07-28
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	24	14	—	—	$44,539.16	$113,757.08	$72,292.15	2025-07-28
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$70,086.77	$73,591.11	$72,189.38	2025-07-28
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	5	5	—	—	$69,882.39	$73,376.51	$71,978.86	2025-07-28
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	12	—	—	$41,016.09	$104,603.99	$71,912.43	2025-07-28
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	5	5	—	—	$69,635.34	$73,117.10	$71,724.40	2025-07-28
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$69,535.84	$73,012.63	$71,621.92	2025-07-28
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	24	14	—	—	$44,175.42	$112,812.08	$71,289.51	2025-07-28
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	14	—	—	$43,377.14	$112,425.92	$71,199.64	2025-07-28
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	24	14	—	—	$43,566.25	$111,229.42	$71,050.68	2025-07-28
223	MS_DRG	DRG	6	3	—	—	$60,344.34	$129,335.92	$70,886.80	2025-07-28
0312T	CPT	Apc	2	2	—	—	$5,481.40	$136,290.39	$70,885.90	2025-07-28
0424T	CPT	Apc	2	2	—	—	$5,481.40	$136,290.39	$70,885.90	2025-07-28
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	5	5	—	—	$68,357.92	$71,775.82	$70,408.66	2025-07-28
0571T	CPT	Hc Insert Or Replacement Implantable Icd System With Substernal Electrode(s) Inc…	55	18	$97,603.00	$39,041.20 60% off	$5,481.40	$162,672.22	$70,274.16	2025-07-28
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	24	14	—	—	$40,855.14	$129,402.55	$70,253.37	2025-07-28
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	24	14	—	—	$41,047.47	$118,655.26	$70,162.74	2025-07-28
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	5	5	—	—	$67,956.99	$71,354.84	$69,995.70	2025-07-28
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$67,424.91	$70,796.16	$69,447.66	2025-07-28
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	24	14	—	—	$41,750.80	$111,282.90	$69,445.63	2025-07-28
6904	APR_DRG	Acute Leukemia	5	5	—	—	$67,402.35	$70,772.46	$69,424.42	2025-07-28
C9767	HCPCS	C Revascularization,any Vessel,w/intravascular Lithotripsy Stent Placement And A…	55	18	$96,386.00	$38,554.40 60% off	$5,481.40	$80,321.51	$69,397.92	2025-07-28
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	12	9	—	—	$66,103.61	$227,989.99	$69,078.27	2025-07-28
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	24	14	—	—	$42,059.81	$107,880.91	$68,849.66	2025-07-28
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	20	13	—	—	$37,391.70	$124,287.93	$68,662.77	2025-07-28
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	24	14	—	—	$41,625.26	$111,963.71	$68,629.27	2025-07-28
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	5	5	—	—	$66,128.91	$69,435.36	$68,112.78	2025-07-28
10	MS_DRG	Pancreas Transplant	24	14	—	—	$35,142.34	$166,691.51	$67,835.04	2025-07-28
245	MS_DRG	Aicd Generator Procedures	24	14	—	—	$40,078.58	$112,719.48	$67,779.24	2025-07-28
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	5	5	—	—	$65,711.51	$68,997.08	$67,682.85	2025-07-28
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	24	14	—	—	$40,999.99	$104,562.18	$67,575.88	2025-07-28
33231	CPT	C Insert Implantable Defibrillator Pulse Generator Only,with Existing Multiple L…	60	18	$93,804.00	$37,521.60 60% off	$5,481.40	$153,826.61	$67,538.88	2025-07-28
33264	CPT	C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De…	60	18	$93,804.00	$37,521.60 60% off	$5,481.40	$153,826.61	$67,538.88	2025-07-28
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	5	5	—	—	$65,470.17	$68,743.68	$67,434.28	2025-07-28
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	5	5	—	—	$65,468.37	$68,741.79	$67,432.43	2025-07-28
0620T	CPT	Hc Endovascular Venous Arterialization Tibial Or Peroneal Vein Intravascular Ste…	55	18	$93,378.00	$37,351.20 60% off	$5,481.40	$97,200.47	$67,232.16	2025-07-28
77371	CPT	C Gamma Knife Delivery-intermed	74	18	$103,060.00	$41,224.00 60% off	$4,041.24	$91,270.08	$67,036.32	2025-07-28
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	19	12	—	—	$38,188.29	$99,569.57	$66,861.76	2025-07-28
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	5	5	—	—	$64,649.11	$67,881.56	$66,588.58	2025-07-28
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	24	14	—	—	$41,286.47	$105,306.47	$66,546.20	2025-07-28
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	5	5	—	—	$64,460.32	$67,683.34	$66,394.13	2025-07-28
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	24	14	—	—	$38,613.19	$116,610.74	$66,361.24	2025-07-28
2324	APR_DRG	Gastric Fundoplication	5	5	—	—	$64,343.52	$67,560.70	$66,273.83	2025-07-28
471	MS_DRG	Cervical Spinal Fusion With Mcc	24	14	—	—	$39,841.19	$104,449.78	$66,068.74	2025-07-28
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	5	5	—	—	$64,113.03	$67,318.68	$66,036.42	2025-07-28
799	MS_DRG	Splenic Procedures With Mcc	24	14	—	—	$39,016.35	$107,096.00	$65,608.49	2025-07-28
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	14	—	—	$39,182.93	$104,866.18	$65,543.51	2025-07-28
6	MS_DRG	Liver Transplant Without Mcc	24	14	—	—	$39,776.01	$101,382.22	$65,471.65	2025-07-28
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	22	13	—	—	$37,829.39	$96,324.82	$65,000.54	2025-07-28
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	5	5	—	—	$62,913.08	$66,058.74	$64,800.47	2025-07-28
0266T	CPT	Apc	16	11	—	—	$5,481.40	$124,971.63	$64,361.90	2025-07-28
214	APR_DRG	Open Craniotomy Except Trauma	5	5	—	—	$62,327.60	$65,443.98	$64,197.43	2025-07-28
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	14	—	—	$39,009.11	$99,389.79	$64,187.91	2025-07-28
38240	CPT	Transplt Allo Hct/donor	22	13	—	—	$2,837.77	$221,064.92	$63,997.67	2025-07-28
36836	CPT	Hc Percutaneous Fistula Creation Upper Extremity Single Access Artery And Vein I…	60	18	$88,422.00	$35,368.80 60% off	$2,393.14	$86,557.93	$63,663.84	2025-07-28
36837	CPT	Hc Percutaneous Fistula Creation Upper Extremity Separate Access Artery And Vei…	60	18	$88,422.00	$35,368.80 60% off	$2,393.14	$86,557.93	$63,663.84	2025-07-28
6954	APR_DRG	Chemotherapy For Acute Leukemia	5	5	—	—	$61,508.77	$64,584.21	$63,354.03	2025-07-28
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	5	—	—	$61,294.79	$64,359.53	$63,133.63	2025-07-28
163	MS_DRG	Major Chest Procedures With Mcc	24	14	—	—	$37,844.68	$103,290.10	$63,029.32	2025-07-28
225	MS_DRG	DRG	6	3	—	—	$54,000.49	$117,149.98	$62,624.12	2025-07-28
36906	CPT	Hc Percut Translmnl Mech Thromb/inf Thromb,circuit,any Method,inc Image W/transc…	60	18	$86,861.00	$34,744.40 60% off	$5,481.40	$74,487.20	$62,539.92	2025-07-28
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	5	5	—	—	$60,711.55	$63,747.13	$62,532.90	2025-07-28
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	14	—	—	$37,711.09	$96,017.49	$62,487.48	2025-07-28
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	24	14	—	—	$37,705.46	$100,983.25	$62,417.67	2025-07-28
1794	APR_DRG	Defibrillator Implants	5	5	—	—	$60,405.62	$63,425.90	$62,217.79	2025-07-28
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	24	14	—	—	$38,410.40	$97,834.31	$62,108.26	2025-07-28
455	MS_DRG	DRG	8	5	—	—	$46,539.77	$99,748.62	$62,073.12	2025-07-28
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	22	13	—	—	$36,103.26	$91,840.27	$62,003.90	2025-07-28
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	5	—	—	$59,516.24	$62,492.05	$61,301.73	2025-07-28
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	19	12	—	—	$35,029.76	$89,051.28	$61,220.36	2025-07-28
914	APR_DRG	Other Major Head And Neck Procedures	5	5	—	—	$59,435.36	$62,407.13	$61,218.42	2025-07-28
1694	APR_DRG	Major Abdominal Vascular Procedures	5	5	—	—	$59,400.74	$62,370.78	$61,182.77	2025-07-28
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	14	—	—	$35,501.33	$104,462.27	$60,958.93	2025-07-28
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	5	5	—	—	$59,123.85	$62,080.04	$60,897.56	2025-07-28
894	APR_DRG	Major Cranial Or Facial Bone Procedures	5	5	—	—	$59,117.97	$62,073.87	$60,891.51	2025-07-28
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	24	14	—	—	$37,059.27	$94,641.47	$60,483.90	2025-07-28
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	24	14	—	—	$36,743.01	$93,517.19	$60,135.42	2025-07-28
93580	CPT	Hc Percutaneous Transcatheter Closure Congenital Interartrial Communication W/im…	60	18	$83,320.00	$33,328.00 60% off	$6,855.87	$74,487.20	$59,990.40	2025-07-28
140	MS_DRG	Major Head And Neck Procedures With Mcc	22	13	—	—	$34,786.73	$88,419.88	$59,718.36	2025-07-28
227	MS_DRG	DRG	6	3	—	—	$51,016.96	$109,344.56	$59,474.71	2025-07-28
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	24	14	—	—	$36,842.80	$93,761.62	$59,472.02	2025-07-28
901	MS_DRG	Wound Debridements For Injuries With Mcc	24	14	—	—	$36,406.64	$92,628.46	$59,269.42	2025-07-28
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	5	5	—	—	$57,339.73	$60,206.72	$59,059.93	2025-07-28
93591	CPT	C Percutaneous Transcatheter Closure Paravalvular Leal:initial Occlusion Device,…	55	18	$81,777.00	$32,710.80 60% off	$18,773.81	$74,487.20	$58,879.44	2025-07-28
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	5	—	—	$57,118.13	$59,974.03	$58,831.67	2025-07-28
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	17	11	—	—	$33,614.25	$85,373.73	$58,692.15	2025-07-28
274	APR_DRG	Other Open Craniotomy	5	5	—	—	$56,981.25	$59,830.32	$58,690.69	2025-07-28
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	22	13	—	—	$19,358.56	$219,924.53	$58,391.21	2025-07-28
A9543	HCPCS	Y90 Ibritumomab, Rx	22	13	—	—	$27,010.94	$292,798.95	$58,194.02	2025-07-28
234	APR_DRG	Spinal Procedures	5	5	—	—	$56,414.80	$59,235.54	$58,107.24	2025-07-28
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	24	14	—	—	$35,080.46	$89,346.95	$57,827.22	2025-07-28
L7181	HCPCS	Electronic Elbo Simultaneous	18	11	—	—	$46,267.04	$189,550.45	$57,630.95	2025-07-28
33903	CPT	Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab…	60	18	$79,906.00	$31,962.40 60% off	$5,833.67	$57,532.32	$57,532.32	2025-07-28
204	APR_DRG	Open Craniotomy For Trauma	5	5	—	—	$55,748.50	$58,535.93	$57,420.96	2025-07-28
224	APR_DRG	Ventricular Shunt Procedures	5	5	—	—	$55,694.58	$58,479.30	$57,365.41	2025-07-28
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	5	5	—	—	$55,590.12	$58,369.63	$57,257.83	2025-07-28
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	5	5	—	—	$55,254.89	$58,017.64	$56,912.54	2025-07-28
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	—	—	$55,136.47	$57,893.29	$56,790.56	2025-07-28
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	—	—	$55,127.51	$57,883.89	$56,781.34	2025-07-28
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	15	10	—	—	$33,520.48	$161,558.30	$56,515.54	2025-07-28
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	24	14	—	—	$34,235.50	$89,829.97	$56,321.84	2025-07-28
4414	APR_DRG	Major Bladder Procedures	5	5	—	—	$54,638.96	$57,370.91	$56,278.13	2025-07-28
31	MS_DRG	Ventricular Shunt Procedures With Mcc	24	14	—	—	$34,476.11	$90,902.20	$56,247.33	2025-07-28
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	17	11	—	—	$32,235.76	$81,805.94	$56,230.05	2025-07-28
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	5	5	—	—	$54,489.98	$57,214.48	$56,124.68	2025-07-28
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$54,104.90	$56,810.14	$55,728.05	2025-07-28
1783	APR_DRG	External Heart Assist Systems	5	5	—	—	$54,075.57	$56,779.35	$55,697.84	2025-07-28
93653	CPT	C Ep Eval W/induct Arryth, Pacing, Svt Ablation	60	18	$76,796.00	$30,718.40 60% off	$11,086.02	$91,697.96	$55,293.12	2025-07-28
93654	CPT	C Ep Eval W/induct Arryth, Pacing, Vt Ablation, And 3d Mapping When Perf	60	18	$76,796.00	$30,718.40 60% off	$11,086.02	$91,697.96	$55,293.12	2025-07-28
93656	CPT	Hc Compre Ep Eval W/transsept Cath, Mult Elect Caths, Induc Of Arrhythmia, Ablat…	60	18	$76,796.00	$30,718.40 60% off	$11,086.02	$91,697.96	$55,293.12	2025-07-28
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	24	14	—	—	$33,844.40	$85,971.67	$55,216.90	2025-07-28
33263	CPT	C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De…	60	18	$76,516.00	$30,606.40 60% off	$5,481.40	$110,857.90	$55,091.52	2025-07-28
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	24	14	—	—	$33,610.56	$85,796.06	$54,920.21	2025-07-28
36903	CPT	C Intro Ndl/cath W/diagnostic Angio Dialysis Circuit,placmnt Vascular Stent,inc …	60	18	$75,983.00	$30,393.20 60% off	$5,481.40	$54,707.76	$54,707.76	2025-07-28
1204	APR_DRG	Major Respiratory And Chest Procedures	5	5	—	—	$52,792.26	$55,431.88	$54,376.03	2025-07-28
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	24	14	—	—	$33,484.69	$87,006.78	$54,053.23	2025-07-28
C9752	HCPCS	Fee Schedule	1	1	—	—	$53,987.24	$53,987.24	$53,987.24	2025-07-28
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	24	14	—	—	$32,505.35	$82,492.75	$53,911.76	2025-07-28
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$52,115.96	$54,721.75	$53,679.44	2025-07-28
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	5	—	—	$52,115.96	$54,721.75	$53,679.44	2025-07-28
L7180	HCPCS	Electronic Elbow Sequential	18	11	—	—	$43,094.61	$176,553.31	$53,679.31	2025-07-28
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	24	14	—	—	$32,811.14	$83,287.22	$53,670.75	2025-07-28
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	24	14	—	—	$31,737.64	$80,498.22	$53,550.51	2025-07-28
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	24	14	—	—	$33,616.29	$87,591.97	$53,476.32	2025-07-28
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	23	13	—	—	$33,825.89	$87,556.43	$53,419.67	2025-07-28
1814	APR_DRG	Lower Extremity Arterial Procedures	5	5	—	—	$51,747.90	$54,335.30	$53,300.34	2025-07-28
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$51,715.52	$54,301.29	$53,266.98	2025-07-28
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	5	5	—	—	$51,715.52	$54,301.29	$53,266.98	2025-07-28
0408T	CPT	Insj/rplc Cardiac Modulj Sys	17	11	—	—	$5,481.40	$119,841.25	$53,154.47	2025-07-28
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	24	14	—	—	$32,440.16	$88,655.72	$53,016.18	2025-07-28
2614	APR_DRG	Major Biliary Tract Procedures	5	5	—	—	$51,449.24	$54,021.70	$52,992.72	2025-07-28
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	24	14	—	—	$31,855.94	$83,046.82	$52,989.22	2025-07-28
0803T	CPT	Hc Transcatheter Removal And Replacement Permanent Dual Chamber Leadless Pacemak…	54	18	$73,586.00	$29,434.40 60% off	$19,713.69	$86,557.93	$52,981.92	2025-07-28
0801T	CPT	Hc Transcatheter Removal And Replacement Permanent Dual Chamber Leadless Pacemak…	54	18	$73,586.00	$29,434.40 60% off	$19,713.69	$93,648.15	$52,981.92	2025-07-28
0802T	CPT	Hc Transcatheter Removal And Replacement Dual Chamber Leadless Pacemaker Inc Ima…	54	18	$73,586.00	$29,434.40 60% off	$19,713.69	$93,648.15	$52,981.92	2025-07-28
33270	CPT	C Insert/repl Subq Icd W/electrode, Induction Of Arrythmia, & Progamming	60	18	$73,515.00	$29,406.00 60% off	$5,481.40	$153,826.61	$52,930.80	2025-07-28
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	24	14	—	—	$32,220.47	$81,752.64	$52,895.70	2025-07-28
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	24	14	—	—	$29,163.34	$101,176.87	$52,879.63	2025-07-28
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$51,281.49	$53,845.57	$52,819.94	2025-07-28
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	16	10	—	—	$31,860.24	$149,240.42	$52,805.19	2025-07-28
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	24	14	—	—	$32,046.65	$82,751.17	$52,778.23	2025-07-28
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	5	5	—	—	$50,933.58	$53,480.26	$52,461.58	2025-07-28
C1826	HCPCS	Hc Neurostim Implant Inceptiv MRI Strl Lf Disp	54	18	$72,634.00	$29,053.60 60% off	$19,458.65	$52,296.48	$52,296.48	2025-07-28
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	5	5	—	—	$50,738.88	$53,275.82	$52,261.04	2025-07-28
0268T	CPT	Apc	17	11	—	—	$5,481.40	$113,905.57	$51,894.03	2025-07-28
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	17	11	—	—	$5,481.40	$151,489.88	$51,894.03	2025-07-28
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	24	14	—	—	$31,108.35	$82,401.40	$51,651.12	2025-07-28
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	24	14	—	—	$32,788.61	$83,228.68	$51,521.03	2025-07-28
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	24	14	—	—	$31,346.55	$81,874.65	$51,444.48	2025-07-28
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	5	5	—	—	$49,891.92	$52,386.52	$51,388.68	2025-07-28
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	24	14	—	—	$30,866.13	$78,233.99	$51,282.49	2025-07-28
3214	APR_DRG	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	5	5	—	—	$49,772.05	$52,260.65	$51,265.21	2025-07-28
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	23	13	—	—	$31,513.12	$80,132.02	$51,219.39	2025-07-28

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