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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

CAPITAL MEDICAL CENTER

Olympia, WA · CCN 500139 · Rates published

17,174 distinct procedures filed
17 distinct payers
475,231 rate rows
2025-07-25 last MRF observed · ⚠ 15 mo old
Data quality

472,473 of 475,231 rate rows are consumer-grade (99.4%)

2,758 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 1,222
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 540
per-diem day rate — not a per-procedure price 500
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 237
percent-of-charges filed in the dollar field — excluded from medians 107
exceeds 10× this hospital's gross charge — excluded from medians 74
placeholder amount (≤ $0.02) — excluded from medians 59
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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/9371/911352172-1841258639_multicare-capital-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CapitalMedicalCenter/9371
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-27
Content fingerprint 3b16c4495aa0559b… · 1,233,613,882 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 5 $3,635,800.00 $3,817,590.00 $3,744,874.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,611,561.33 $3,792,139.40 $3,719,908.17 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $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 5 $3,220,280.00 $3,381,294.00 $3,316,888.40 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,889,249.07 $4,871,273.93 $2,990,372.79 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,374,668.61 $4,393,136.92 $2,481,528.70 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,285,360.00 $4,227,916.00 $2,388,201.20 nat. median
$2,332,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $567,195.70 $3,371,118.06 $1,049,312.05 nat. median
$621,313
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $542,105.91 $3,285,857.29 $913,990.57 nat. median
$599,737
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $492,783.91 $2,917,522.22 $911,650.24 nat. median
$562,501
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $517,070.01 $3,148,742.06 $871,780.04 nat. median
$574,037
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $506,113.44 $3,078,256.36 $853,307.26 nat. median
$579,571
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,611.17 $2,908,706.47 $808,624.44 nat. median
$513,770
1.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $755,207.60 $1,397,134.06 $789,191.94 nat. median
$813,967
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $314,931.72 $872,862.76 $655,542.16 nat. median
$168,055
outlier · 3.9×
0100T
CPT 		Prosth Retina Receive&gen 3 $9,036.08 $969,903.18 $611,039.00 nat. median
$11,456
outlier · 53.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $235,298.80 $707,587.70 $482,165.39 nat. median
$186,516
outlier · 2.6×
5834
APR_DRG 		Neonate With Ecmo 5 $389,356.46 $458,066.42 $400,808.12 nat. median
$390,362
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $179,092.29 $538,361.79 $370,120.98 nat. median
$145,435
outlier · 2.5×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $118,851.29 $555,571.53 $337,211.41 nat. median
$95,583
outlier · 3.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $194,058.92 $595,916.74 $334,179.58 nat. median
$131,925
outlier · 2.5×
5833
APR_DRG 		Neonate With Ecmo 5 $312,788.78 $367,986.80 $321,988.45 nat. median
$268,208
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $308,417.15 $362,843.71 $317,488.25 nat. median
$286,698
1.1× median
C9301
HCPCS 		Apc 7 $272,685.00 $504,467.25 $284,955.83 nat. median
$377,029
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $238,788.81 $280,928.01 $245,812.01 nat. median
$202,242
1.2× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $118,172.63 $354,945.60 $241,510.32 nat. median
$97,418
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $214,964.29 $252,899.17 $221,286.77 nat. median
$173,018
1.3× median
5832
APR_DRG 		Neonate With Ecmo 5 $212,231.77 $249,684.43 $218,473.88 nat. median
$201,678
1.1× median
7
MS_DRG 		Lung Transplant 13 $109,318.69 $328,288.26 $218,256.06 nat. median
$70,649
outlier · 3.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $210,570.81 $247,730.36 $216,764.07 nat. median
$171,497
1.3× median
C2624
HCPCS 		Hc Kit Intro Cardio Mem 17 $31,153.50 $351,723.20 $214,194.75 nat. median
$26,491
outlier · 8.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $206,275.31 $242,676.84 $212,342.23 nat. median
$198,578
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $92,222.37 $331,683.42 $204,095.86 nat. median
$65,418
outlier · 3.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $109,594.02 $303,241.16 $203,923.79 nat. median
$72,715
outlier · 2.8×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $187,999.29 $221,175.64 $193,528.68 nat. median
$173,134
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $91,172.78 $273,654.77 $191,643.07 nat. median
$74,509
outlier · 2.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $185,667.41 $218,432.25 $191,128.22 nat. median
$152,792
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $183,906.36 $216,360.42 $189,315.37 nat. median
$181,762
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $89,132.84 $267,512.93 $183,911.97 nat. median
$69,922
outlier · 2.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $177,122.73 $208,379.68 $182,332.22 nat. median
$187,567
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $88,677.29 $266,141.38 $181,751.94 nat. median
$73,023
outlier · 2.5×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $174,818.10 $205,668.35 $179,959.81 nat. median
$168,439
1.1× median
5831
APR_DRG 		Neonate With Ecmo 5 $167,688.94 $197,281.10 $172,620.97 nat. median
$173,909
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $166,478.59 $195,857.17 $171,375.02 nat. median
$155,539
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $163,769.03 $192,669.45 $168,585.77 nat. median
$115,963
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $163,015.45 $191,782.89 $167,810.03 nat. median
$135,630
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $80,803.69 $242,435.63 $166,672.06 nat. median
$69,822
outlier · 2.4×
453
MS_DRG 		DRG 6 $111,605.24 $191,410.75 $162,695.85 nat. median
$2,106
outlier · 77.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $87,681.10 $263,142.05 $162,210.03 nat. median
$2,736
outlier · 59.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $97,999.91 $681,999.39 $155,805.93 nat. median
$108,243
1.4× median

Other procedures at this hospital

Browse this hospital's 17,174 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
             
0100T CPT Prosth Retina Receive&gen 5 3 — — $9,036.08 $969,903.18 $611,039.00 2025-07-25
0266T CPT Apc 17 11 — — $4,810.97 $124,121.90 $82,468.36 2025-07-25
0302T CPT Fee Schedule 1 1 — — $84,488.21 $84,488.21 $84,488.21 2025-07-25
0312T CPT Apc 4 2 — — $55,034.42 $136,290.39 $71,195.32 2025-07-25
0316T CPT Apc 4 2 — — $55,034.42 $89,711.23 $71,195.32 2025-07-25
0387T CPT Fee Schedule 1 1 — — $74,487.20 $74,487.20 $74,487.20 2025-07-25
0571T CPT Hc Insert Or Replacement Implantable Icd System With Substernal Electrode(s) Inc… 55 17 $97,603.00 $39,041.20 60% off $4,810.97 $165,471.98 $80,522.48 2025-07-25
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 55 17 $124,117.00 $49,646.80 60% off $4,810.97 $118,556.76 $102,396.52 2025-07-25
0620T CPT Hc Endovascular Venous Arterialization Tibial Or Peroneal Vein Intravascular Ste… 52 17 $99,037.00 $39,614.80 60% off $4,810.97 $96,539.57 $81,705.52 2025-07-25
0775T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-25
0809T CPT Fee Schedule 1 1 — — $110,342.16 $110,342.16 $110,342.16 2025-07-25
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 13 9 — — $34,849.57 $161,558.30 $64,471.70 2025-07-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 13 — — $235,298.80 $707,587.70 $482,165.39 2025-07-25
10 MS_DRG Pancreas Transplant 31 13 — — $46,404.24 $200,281.76 $85,648.38 2025-07-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 13 — — $45,301.15 $135,545.01 $91,746.05 2025-07-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 13 — — $34,519.90 $103,084.94 $70,869.82 2025-07-25
14 MS_DRG Allogeneic Bone Marrow Transplant 31 13 — — $109,594.02 $303,241.16 $203,923.79 2025-07-25
140 MS_DRG Major Head And Neck Procedures With Mcc 29 12 — — $35,566.99 $106,237.50 $67,223.73 2025-07-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 13 — — $50,640.89 $140,039.48 $106,297.23 2025-07-25
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $112,854.48 $132,769.98 $116,173.73 2025-07-25
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $116,601.44 $137,178.16 $120,030.89 2025-07-25
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $116,601.44 $137,178.16 $120,030.89 2025-07-25
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $166,478.59 $195,857.17 $171,375.02 2025-07-25
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $238,788.81 $280,928.01 $245,812.01 2025-07-25
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $63,861.89 $75,131.63 $65,740.18 2025-07-25
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $98,464.58 $115,840.68 $101,360.59 2025-07-25
163 MS_DRG Major Chest Procedures With Mcc 31 13 — — $38,737.46 $115,783.10 $81,171.95 2025-07-25
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $81,908.59 $96,363.04 $84,317.66 2025-07-25
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $75,593.83 $88,933.92 $77,817.18 2025-07-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 13 — — $32,405.70 $96,719.54 $66,510.62 2025-07-25
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $65,144.48 $76,640.57 $67,060.49 2025-07-25
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $79,271.16 $93,260.19 $81,602.67 2025-07-25
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $63,737.96 $74,985.83 $65,612.60 2025-07-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 13 — — $50,640.89 $139,700.91 $98,342.87 2025-07-25
1783 APR_DRG External Heart Assist Systems 5 5 — — $58,023.96 $68,263.48 $59,730.55 2025-07-25
1784 APR_DRG External Heart Assist Systems 5 5 — — $82,731.42 $97,331.08 $85,164.70 2025-07-25
1794 APR_DRG Defibrillator Implants 5 5 — — $64,816.21 $76,254.36 $66,722.57 2025-07-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 12 — — $314,931.72 $872,862.76 $655,542.16 2025-07-25
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $72,918.95 $85,787.01 $75,063.63 2025-07-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 12 — — $66,421.46 $199,133.78 $136,902.04 2025-07-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 13 — — $92,222.37 $331,683.42 $204,095.86 2025-07-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 13 — — $67,537.80 $214,864.48 $141,961.53 2025-07-25
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $59,819.04 $70,375.35 $61,578.43 2025-07-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 31 13 — — $54,239.36 $149,683.34 $111,703.65 2025-07-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 13 — — $46,397.47 $156,807.91 $97,346.81 2025-07-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 11 — — $91,172.78 $273,654.77 $191,643.07 2025-07-25
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $66,878.52 $78,680.61 $68,845.54 2025-07-25
215 MS_DRG Other Heart Assist System Implant 31 13 — — $88,677.29 $266,141.38 $181,751.94 2025-07-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 13 — — $80,803.69 $242,435.63 $166,672.06 2025-07-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 13 — — $54,161.77 $162,222.45 $111,525.76 2025-07-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 13 — — $49,918.35 $149,446.42 $101,361.38 2025-07-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 13 — — $64,837.90 $194,366.00 $133,625.73 2025-07-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 13 — — $29,736.67 $101,176.87 $65,386.54 2025-07-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 13 — — $44,473.50 $133,053.10 $91,472.40 2025-07-25
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $59,649.10 $70,175.41 $61,403.49 2025-07-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 13 — — $38,598.96 $115,366.11 $79,313.61 2025-07-25
222 MS_DRG DRG 6 3 — — $97,216.21 $175,327.30 $124,868.63 2025-07-25
223 MS_DRG DRG 6 3 — — $73,806.96 $129,335.92 $93,638.45 2025-07-25
224 MS_DRG DRG 6 3 — — $84,108.08 $153,281.00 $108,522.99 2025-07-25
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $59,761.18 $70,307.27 $61,518.86 2025-07-25
225 MS_DRG DRG 6 3 — — $64,861.22 $117,149.98 $83,364.16 2025-07-25
226 MS_DRG DRG 6 3 — — $77,877.69 $137,657.68 $99,169.03 2025-07-25
227 MS_DRG DRG 6 3 — — $61,924.75 $109,344.56 $78,819.38 2025-07-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 13 — — $41,858.70 $129,402.55 $87,758.83 2025-07-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 13 — — $47,880.91 $143,312.11 $98,525.87 2025-07-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 13 — — $70,981.92 $212,864.37 $144,393.75 2025-07-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 13 — — $51,248.28 $153,450.54 $105,496.45 2025-07-25
2324 APR_DRG Gastric Fundoplication 5 5 — — $69,041.64 $81,225.46 $71,072.28 2025-07-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 13 — — $65,496.18 $196,347.97 $134,986.68 2025-07-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 13 — — $44,669.56 $133,643.42 $91,879.99 2025-07-25
234 APR_DRG Spinal Procedures 5 5 — — $60,533.99 $71,216.46 $62,314.40 2025-07-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 13 — — $49,375.20 $147,811.10 $101,619.11 2025-07-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 13 — — $34,589.99 $103,295.95 $71,014.90 2025-07-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 13 — — $42,305.90 $126,526.93 $85,527.39 2025-07-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 13 — — $32,000.22 $95,498.70 $65,653.98 2025-07-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 13 — — $28,581.96 $85,207.04 $59,739.90 2025-07-25
245 MS_DRG Aicd Generator Procedures 31 13 — — $41,053.57 $122,756.42 $80,627.20 2025-07-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 13 — — $37,595.25 $112,344.18 $77,235.91 2025-07-25
252 MS_DRG Other Vascular Procedures With Mcc 31 13 — — $28,902.34 $86,171.65 $59,242.98 2025-07-25
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $70,248.63 $82,645.44 $72,314.76 2025-07-25
265 MS_DRG Aicd Lead Procedures 31 13 — — $30,043.71 $89,608.06 $61,603.93 2025-07-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 13 — — $50,264.60 $150,488.90 $105,502.92 2025-07-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 13 — — $39,534.24 $118,182.06 $82,853.89 2025-07-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 13 — — $55,911.37 $167,490.11 $115,149.21 2025-07-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 13 — — $34,995.47 $104,516.78 $71,854.27 2025-07-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 13 — — $43,107.69 $128,940.96 $88,648.59 2025-07-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 13 — — $29,019.15 $86,523.33 $59,488.23 2025-07-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 13 — — $32,906.30 $98,226.74 $67,529.61 2025-07-25
274 APR_DRG Other Open Craniotomy 5 5 — — $61,141.81 $71,931.54 $62,940.10 2025-07-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 11 — — $59,243.69 $177,523.04 $124,821.60 2025-07-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 11 — — $51,963.30 $155,603.33 $109,793.41 2025-07-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 11 — — $39,093.72 $116,855.73 $83,513.90 2025-07-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 11 — — $42,025.56 $125,682.90 $82,884.49 2025-07-25
28 MS_DRG Spinal Procedures With Mcc 31 13 — — $51,004.65 $152,717.04 $104,992.14 2025-07-25
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 31 13 — — $179,092.29 $538,361.79 $370,120.98 2025-07-25
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $76,087.08 $89,514.21 $78,324.93 2025-07-25
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $99,080.67 $116,565.49 $101,994.80 2025-07-25
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $70,957.39 $83,479.29 $73,044.38 2025-07-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 13 — — $35,244.94 $105,267.87 $72,370.67 2025-07-25
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $70,250.55 $82,647.71 $72,316.75 2025-07-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $51,896.56 $155,402.37 $96,008.63 2025-07-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 29 12 — — $36,931.96 $110,347.14 $77,360.71 2025-07-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 11 — — $35,818.96 $106,996.13 $73,663.02 2025-07-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 13 — — $42,657.15 $127,584.48 $87,714.23 2025-07-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 13 — — $38,593.12 $115,348.53 $80,367.42 2025-07-25
332 MS_DRG Rectal Resection With Mcc 31 13 — — $29,221.89 $87,133.74 $61,087.22 2025-07-25
33230 CPT C Insert Implantable Defibrillator Pulse Generator Only,with Existing Dual Leads 60 17 $135,634.00 $54,253.60 60% off $4,810.97 $118,556.76 $111,898.05 2025-07-25
33231 CPT C Insert Implantable Defibrillator Pulse Generator Only,with Existing Multiple L… 60 17 $135,634.00 $54,253.60 60% off $4,810.97 $165,471.98 $111,898.05 2025-07-25
33240 CPT C Insert Implantable Defibrillator Pulse Generator Only W/existing Single Lead 60 17 $87,780.00 $35,112.00 60% off $4,810.97 $118,556.76 $72,418.50 2025-07-25
33262 CPT C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De… 60 17 $135,634.00 $54,253.60 60% off $4,810.97 $118,556.76 $111,898.05 2025-07-25
33263 CPT C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De… 60 17 $135,634.00 $54,253.60 60% off $4,810.97 $118,556.76 $111,898.05 2025-07-25
33264 CPT C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De… 61 17 $135,634.00 $54,253.60 60% off $4,810.97 $165,471.98 $111,898.05 2025-07-25
33276 CPT Insj Phrnc Nrv Stim Sys 13 9 — — $48,913.62 $226,757.52 $84,301.34 2025-07-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 13 — — $30,512.60 $91,019.81 $63,609.98 2025-07-25
33900 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial No… 57 17 $72,960.00 $29,184.00 60% off $6,421.50 $62,016.00 $60,192.00 2025-07-25
33901 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial No… 57 17 $72,960.00 $29,184.00 60% off $6,421.50 $62,016.00 $60,192.00 2025-07-25
33902 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 57 17 $94,849.00 $37,939.60 60% off $6,421.50 $88,196.04 $78,250.43 2025-07-25
33903 CPT Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab… 57 17 $88,526.00 $35,410.40 60% off $6,421.50 $75,247.10 $73,033.95 2025-07-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 13 — — $32,726.09 $97,684.14 $67,158.28 2025-07-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 13 — — $35,871.52 $107,154.38 $73,667.72 2025-07-25
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $59,289.39 $69,752.23 $61,033.20 2025-07-25
36836 CPT Hc Percutaneous Fistula Creation Upper Extremity Single Access Artery And Vein I… 57 17 $114,518.00 $45,807.20 60% off $2,634.28 $97,340.30 $94,477.35 2025-07-25
36837 CPT Hc Percutaneous Fistula Creation Upper Extremity Separate Access Artery And Vei… 57 17 $114,518.00 $45,807.20 60% off $2,634.28 $97,340.30 $94,477.35 2025-07-25
37227 CPT C Revascularization,endovascular,open Or Percutaneous,femoral, Popliteal Artery,… 60 17 $98,869.00 $39,547.60 60% off $4,810.97 $88,196.04 $81,566.93 2025-07-25
37231 CPT C Revascularization,endovascular,open Or Percutaneous,tibial,peroneal Artery,uni… 60 17 $98,869.00 $39,547.60 60% off $4,810.97 $88,196.04 $81,566.93 2025-07-25
38240 CPT Transplt Allo Hct/donor 23 13 — — $3,123.71 $192,014.09 $70,753.81 2025-07-25
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 31 13 — — $118,172.63 $354,945.60 $241,510.32 2025-07-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 13 — — $31,753.26 $94,755.15 $65,142.76 2025-07-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 10 — — $32,922.16 $98,274.46 $60,905.99 2025-07-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 13 — — $45,574.82 $136,368.94 $93,753.90 2025-07-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 13 — — $29,493.88 $87,952.66 $61,661.37 2025-07-25
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $65,770.30 $77,376.82 $67,704.72 2025-07-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 13 — — $29,514.74 $88,015.46 $60,510.68 2025-07-25
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $78,078.29 $91,856.81 $80,374.71 2025-07-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 13 — — $34,217.04 $102,173.09 $69,586.64 2025-07-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $87,681.10 $263,142.05 $162,210.03 2025-07-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $59,541.55 $178,419.82 $110,151.87 2025-07-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $46,203.90 $138,262.99 $85,477.22 2025-07-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $69,869.76 $209,515.87 $129,259.05 2025-07-25
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $111,468.16 $131,139.01 $114,746.64 2025-07-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $45,923.57 $137,418.96 $84,958.60 2025-07-25
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $163,015.45 $191,782.89 $167,810.03 2025-07-25
4414 APR_DRG Major Bladder Procedures 5 5 — — $58,628.49 $68,974.69 $60,352.85 2025-07-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $56,220.90 $168,422.06 $104,008.67 2025-07-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $34,351.37 $102,577.52 $63,550.03 2025-07-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 10 — — $43,250.36 $129,370.51 $80,013.17 2025-07-25
453 MS_DRG DRG 17 6 — — $111,605.24 $191,410.75 $162,695.85 2025-07-25
454 MS_DRG DRG 17 6 — — $74,434.81 $126,962.44 $108,827.33 2025-07-25
455 MS_DRG DRG 17 6 — — $58,181.70 $99,748.62 $84,816.10 2025-07-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 13 — — $70,942.71 $212,746.30 $149,148.98 2025-07-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 13 — — $48,167.09 $144,173.73 $101,075.27 2025-07-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 13 — — $36,307.88 $108,468.16 $76,043.33 2025-07-25
459 MS_DRG DRG 17 6 — — $69,179.42 $140,156.08 $118,008.51 2025-07-25
460 MS_DRG DRG 17 6 — — $45,999.31 $81,878.81 $67,056.86 2025-07-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 13 — — $51,481.89 $154,153.90 $105,986.95 2025-07-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 13 — — $45,343.71 $135,673.12 $93,275.49 2025-07-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 13 — — $42,787.31 $127,976.35 $87,983.66 2025-07-25
471 MS_DRG Cervical Spinal Fusion With Mcc 31 13 — — $40,807.44 $122,015.38 $83,885.25 2025-07-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 13 — — $37,698.71 $112,655.66 $76,559.72 2025-07-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 13 — — $28,974.09 $86,387.68 $59,391.51 2025-07-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 13 — — $29,910.21 $89,206.14 $61,329.32 2025-07-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 13 — — $29,654.91 $88,437.47 $60,799.10 2025-07-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 13 — — $89,132.84 $267,512.93 $183,911.97 2025-07-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 13 — — $30,183.87 $90,030.08 $61,895.81 2025-07-25
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $59,152.71 $69,591.43 $60,892.50 2025-07-25
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $75,204.24 $88,475.58 $77,416.13 2025-07-25
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $106,989.44 $125,869.93 $110,136.19 2025-07-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 13 — — $46,556.13 $154,693.98 $106,351.36 2025-07-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 13 — — $29,190.18 $87,038.29 $59,838.83 2025-07-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 13 — — $45,296.15 $135,529.94 $93,175.32 2025-07-25
5831 APR_DRG Neonate With Ecmo 5 5 — — $167,688.94 $197,281.10 $172,620.97 2025-07-25
5832 APR_DRG Neonate With Ecmo 5 5 — — $212,231.77 $249,684.43 $218,473.88 2025-07-25
5833 APR_DRG Neonate With Ecmo 5 5 — — $312,788.78 $367,986.80 $321,988.45 2025-07-25
5834 APR_DRG Neonate With Ecmo 5 5 — — $389,356.46 $458,066.42 $400,808.12 2025-07-25
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $90,759.96 $106,776.42 $93,429.37 2025-07-25
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $90,759.96 $106,776.42 $93,429.37 2025-07-25
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $187,999.29 $221,175.64 $193,528.68 2025-07-25
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $308,417.15 $362,843.71 $317,488.25 2025-07-25
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $130,053.61 $153,004.25 $133,878.72 2025-07-25
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $125,452.63 $147,591.34 $129,142.42 2025-07-25
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $114,048.07 $134,174.20 $117,402.43 2025-07-25
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $81,625.42 $96,029.90 $84,026.17 2025-07-25
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $113,211.40 $133,189.88 $116,541.15 2025-07-25
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $125,143.89 $147,228.11 $128,824.59 2025-07-25
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $210,570.81 $247,730.36 $216,764.07 2025-07-25
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $104,873.23 $123,380.27 $107,957.74 2025-07-25
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $121,065.41 $142,429.89 $124,626.15 2025-07-25
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $174,818.10 $205,668.35 $179,959.81 2025-07-25
6 MS_DRG Liver Transplant Without Mcc 31 13 — — $40,739.86 $121,811.90 $83,745.35 2025-07-25
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $82,662.92 $97,250.49 $85,094.18 2025-07-25
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $92,232.15 $108,508.42 $94,944.86 2025-07-25
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $135,282.69 $159,156.11 $139,261.59 2025-07-25
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $78,953.40 $92,886.35 $81,275.56 2025-07-25
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $163,769.03 $192,669.45 $168,585.77 2025-07-25
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,055.43 $68,300.51 $59,762.94 2025-07-25
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $72,348.02 $85,115.32 $74,475.91 2025-07-25
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $112,780.71 $132,683.19 $116,097.79 2025-07-25
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $61,526.46 $72,384.07 $63,336.07 2025-07-25
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $99,904.75 $117,535.01 $102,843.13 2025-07-25
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $82,491.18 $97,048.45 $84,917.40 2025-07-25
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $206,275.31 $242,676.84 $212,342.23 2025-07-25
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $90,897.71 $106,938.49 $93,571.18 2025-07-25
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $74,613.08 $87,780.10 $76,807.59 2025-07-25
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $74,984.93 $88,217.57 $77,190.37 2025-07-25
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $58,468.63 $68,786.62 $60,188.30 2025-07-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 13 — — $32,528.35 $97,088.80 $67,526.19 2025-07-25
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $70,509.51 $82,952.36 $72,583.32 2025-07-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 13 — — $31,502.12 $93,999.04 $64,662.62 2025-07-25
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $63,440.85 $74,636.29 $65,306.75 2025-07-25
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $76,990.81 $90,577.42 $79,255.24 2025-07-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 13 — — $33,201.66 $99,115.98 $68,156.55 2025-07-25
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $88,435.34 $104,041.58 $91,036.38 2025-07-25
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $177,122.73 $208,379.68 $182,332.22 2025-07-25
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $61,288.67 $72,104.32 $63,091.28 2025-07-25
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $183,906.36 $216,360.42 $189,315.37 2025-07-25
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $69,369.54 $81,611.22 $71,409.82 2025-07-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 12 — — $38,721.60 $115,735.38 $80,024.02 2025-07-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 12 — — $29,253.59 $87,229.20 $61,152.39 2025-07-25
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $69,166.97 $81,372.90 $71,201.29 2025-07-25
653 MS_DRG Major Bladder Procedures With Mcc 31 13 — — $46,792.11 $140,033.95 $96,272.01 2025-07-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 13 — — $35,236.60 $105,242.75 $65,798.51 2025-07-25
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $76,358.83 $89,833.91 $78,604.67 2025-07-25
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $67,506.76 $79,419.71 $69,492.25 2025-07-25
6904 APR_DRG Acute Leukemia 5 5 — — $72,323.81 $85,086.83 $74,450.98 2025-07-25
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $65,999.90 $77,646.95 $67,941.08 2025-07-25
7 MS_DRG Lung Transplant 31 13 — — $109,318.69 $328,288.26 $218,256.06 2025-07-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 13 — — $33,134.08 $98,912.51 $68,001.11 2025-07-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 13 — — $33,495.34 $100,000.21 $64,344.83 2025-07-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 11 — — $44,912.03 $137,592.40 $86,527.44 2025-07-25
799 MS_DRG Splenic Procedures With Mcc 31 13 — — $39,952.25 $119,440.58 $82,114.97 2025-07-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 13 — — $45,678.27 $136,680.43 $93,621.43 2025-07-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 13 — — $30,190.55 $90,050.18 $61,044.22 2025-07-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 13 — — $48,858.75 $146,256.18 $100,550.03 2025-07-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 13 — — $39,323.99 $117,549.04 $80,102.31 2025-07-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 13 — — $40,124.95 $119,960.56 $82,340.67 2025-07-25
834 MS_DRG Acute Leukemia With Mcc 31 13 — — $46,397.47 $127,929.36 $95,455.09 2025-07-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 13 — — $42,058.10 $118,655.26 $86,189.29 2025-07-25
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $85,392.71 $100,462.01 $87,904.26 2025-07-25
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $214,964.29 $252,899.17 $221,286.77 2025-07-25
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $106,900.34 $125,765.11 $110,044.47 2025-07-25
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $77,139.30 $231,402.93 $142,707.71 2025-07-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 13 — — $42,008.88 $125,632.66 $86,380.91 2025-07-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 13 — — $37,923.15 $113,331.39 $77,914.66 2025-07-25
8634 APR_DRG Neonatal Aftercare 5 5 — — $107,515.99 $126,489.40 $110,678.23 2025-07-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 31 13 — — $58,321.76 $161,008.19 $120,145.71 2025-07-25
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $63,434.54 $74,628.87 $65,300.27 2025-07-25
901 MS_DRG Wound Debridements For Injuries With Mcc 31 13 — — $37,246.50 $111,294.16 $76,513.98 2025-07-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 13 — — $33,518.70 $100,070.54 $66,181.06 2025-07-25
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $74,719.84 $87,905.70 $76,917.49 2025-07-25
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $73,349.16 $86,293.12 $75,506.48 2025-07-25
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $68,794.32 $80,934.49 $70,817.68 2025-07-25
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $63,775.11 $75,029.54 $65,650.85 2025-07-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 12 — — $194,058.92 $595,916.74 $334,179.58 2025-07-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 12 — — $56,005.65 $167,773.97 $95,258.19 2025-07-25
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $82,174.91 $96,676.36 $84,591.82 2025-07-25
93581 CPT Hc Percutaneous Transcatheter Closure Congenital Ventricular Septal Defect W/imp… 60 17 $90,992.00 $36,396.80 60% off $7,546.69 $88,196.04 $75,068.40 2025-07-25
93591 CPT C Percutaneous Transcatheter Closure Paravalvular Leal:initial Occlusion Device,… 55 17 $76,015.00 $30,406.00 60% off $19,518.19 $88,196.04 $62,712.38 2025-07-25
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $185,667.41 $218,432.25 $191,128.22 2025-07-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 13 — — $30,723.69 $84,449.16 $63,011.52 2025-07-25
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $59,162.32 $69,602.73 $60,902.39 2025-07-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $57,252.14 $171,526.90 $96,527.11 2025-07-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $62,557.66 $187,500.70 $105,472.22 2025-07-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 13 — — $53,047.10 $158,866.42 $109,220.08 2025-07-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 13 — — $30,188.88 $82,965.57 $61,913.08 2025-07-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 13 — — $39,944.74 $119,417.97 $82,111.52 2025-07-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 13 — — $29,505.56 $87,987.82 $60,081.62 2025-07-25
A9543 HCPCS Y90 Ibritumomab, Rx 22 12 — — $29,732.66 $440,677.21 $98,456.49 2025-07-25
C1822 HCPCS Hc Cap Nrstm Hfx Iq Bundle 67 17 $85,400.00 $34,160.00 60% off $193.55 $72,590.00 $69,360.00 2025-07-25
C1826 HCPCS Hc Neurostim Implant Inceptiv MRI Strl Lf Disp 56 17 $87,216.00 $34,886.40 60% off $30,525.60 $74,133.60 $71,953.20 2025-07-25
C2624 HCPCS Hc Kit Intro Cardio Mem 49 17 $259,630.00 $103,852.00 60% off $31,153.50 $351,723.20 $214,194.75 2025-07-25
C9301 HCPCS Apc 8 7 — — $272,685.00 $504,467.25 $284,955.83 2025-07-25
C9741 HCPCS Fee Schedule 1 1 — — $148,739.04 $148,739.04 $148,739.04 2025-07-25
C9746 HCPCS Fee Schedule 1 1 — — $72,378.23 $72,378.23 $72,378.23 2025-07-25
C9767 HCPCS C Revascularization,any Vessel,w/intravascular Lithotripsy Stent Placement And A… 55 17 $96,386.00 $38,554.40 60% off $4,810.97 $88,196.04 $79,518.45 2025-07-25
C9773 HCPCS Hc Revascularization,endovascular,open Or Percutaneous,tibial/peroneal Artery(ie… 52 17 $88,828.00 $35,531.20 60% off $4,810.97 $88,196.04 $73,283.10 2025-07-25
C9774 HCPCS Hc Revascularization,endovascular, Open Or Percutaneous,tibial/peroneal Artery(i… 52 17 $88,828.00 $35,531.20 60% off $4,810.97 $88,196.04 $73,283.10 2025-07-25
C9775 HCPCS Hc Revascularization,endovascular,open/percutaneous,tibial/peroneal Artery(ies),… 52 17 $88,828.00 $35,531.20 60% off $4,810.97 $88,196.04 $73,283.10 2025-07-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,611,561.33 $3,792,139.40 $3,719,908.17 2025-07-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,256,023.83 $3,418,825.02 $3,353,704.54 2025-07-25
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,635,800.00 $3,817,590.00 $3,744,874.00 2025-07-25
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,285,360.00 $4,227,916.00 $2,388,201.20 2025-07-25
J3393 HCPCS Inj, Betibeglogene Autotemce 6 5 — — $2,889,249.07 $4,871,273.93 $2,990,372.79 2025-07-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,220,280.00 $3,381,294.00 $3,316,888.40 2025-07-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,374,668.61 $4,393,136.92 $2,481,528.70 2025-07-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 8 — — $61,970.89 $377,876.18 $104,482.93 2025-07-25
J9226 HCPCS Supprelin La Implant 22 12 — — $21,309.20 $269,760.30 $73,012.23 2025-07-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $118,851.29 $555,571.53 $337,211.41 2025-07-25
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $145,786.13 $145,786.13 $145,786.13 2025-07-25
L7180 HCPCS Electronic Elbow Sequential 19 11 — — $43,094.61 $299,903.29 $66,968.34 2025-07-25
L7181 HCPCS Electronic Elbo Simultaneous 19 11 — — $46,267.04 $321,980.86 $71,898.26 2025-07-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $66,103.61 $460,027.14 $77,705.46 2025-07-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 10 — — $97,999.91 $681,999.39 $155,805.93 2025-07-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 9 — — $492,783.91 $2,917,522.22 $911,650.24 2025-07-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 9 — — $567,195.70 $3,371,118.06 $1,049,312.05 2025-07-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 12 — — $21,309.20 $330,997.53 $90,289.28 2025-07-25
Q2053 HCPCS Brexucabtagene Car Pos T 13 8 — — $479,611.17 $2,908,706.47 $808,624.44 2025-07-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 8 — — $506,113.44 $3,078,256.36 $853,307.26 2025-07-25
Q2055 HCPCS Idecabtagene Vicleucel Car 13 8 — — $517,070.01 $3,148,742.06 $871,780.04 2025-07-25
Q2056 HCPCS Ciltacabtagene Car-pos T 13 8 — — $542,105.91 $3,285,857.29 $913,990.57 2025-07-25
Q2057 HCPCS Afamitresgene Autoleucel 8 7 — — $755,207.60 $1,397,134.06 $789,191.94 2025-07-25
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