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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

DAVIS MEDICAL CENTER

Elkins, WV · CCN 510030 · Rates published

13,347 distinct procedures filed
19 distinct payers
666,352 rate rows
2025-08-07 last MRF observed · ⚠ 14 mo old
Data quality

373,476 of 666,352 rate rows are consumer-grade (56.0%)

292,876 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
professional (physician) fee — not the facility price 289,046
placeholder amount (≤ $0.02) — excluded from medians 3,304
percent-of-charges filed in the dollar field — excluded from medians 448
exceeds 10× this hospital's gross charge — excluded from medians 60
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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/8555/550375433_davis-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/DavisMedicalCenter/8555
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 5e8f64f2dc52a6b0… · 170,285,750 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,333,725.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,672,900.00 $3,895,500.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,648,414.00 $3,869,530.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,291,326.18 $3,490,800.50 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,228,741.45 $3,424,422.75 $3,261,355.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,921,179.80 $3,098,221.00 $2,950,686.67 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,427,594.44 $2,574,721.38 $2,452,115.60 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,308,680.00 $2,448,600.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $762,913.80 $809,151.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $572,541.33 $607,240.81 $578,324.58 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $547,845.04 $581,047.77 $553,378.83 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $536,219.30 $568,717.44 $541,635.66 nat. median
$579,571
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $535,847.84 $568,323.47 $541,260.45 nat. median
$574,037
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $527,745.71 $559,730.30 $533,076.48 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $484,822.80 $514,206.00 $489,720.00 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $246,173.44 $952,285.91 $305,835.89 nat. median
$168,055
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $267,671.25 $283,893.75 $270,375.00 nat. median
$286,598
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $121,246.45 $711,277.74 $228,433.79 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $176,122.48 $599,024.42 $192,382.52 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 11 $72,137.76 $541,169.33 $173,801.80 nat. median
$145,435
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $128,242.13 $136,014.38 $129,537.50 nat. median
$108,243
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 11 $46,176.70 $356,796.63 $114,588.72 nat. median
$97,418
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $110,741.40 $117,453.00 $111,860.00 nat. median
$95,583
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $51,279.16 $330,833.55 $106,250.41 nat. median
$72,715
1.5× median
7
MS_DRG 		Lung Transplant 11 $54,883.19 $330,000.27 $105,982.80 nat. median
$70,649
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $54,783.41 $278,258.44 $89,365.42 nat. median
$65,418
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $71,967.29 $275,081.87 $88,345.21 nat. median
$74,509
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $84,101.86 $264,514.33 $86,650.39 nat. median
$2,736
outlier · 31.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $46,308.69 $268,908.00 $86,362.42 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 11 $49,275.58 $267,529.29 $85,919.64 nat. median
$73,023
1.2× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 7 $80,133.76 $84,990.35 $80,943.19 nat. median
$68,802
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $46,481.40 $243,699.93 $78,266.60 nat. median
$69,822
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $73,957.82 $232,609.69 $76,198.96 nat. median
$2,633
outlier · 28.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $66,962.58 $210,608.49 $68,991.75 nat. median
$2,596
outlier · 26.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $53,504.22 $213,974.45 $68,719.98 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $29,653.67 $213,855.77 $68,681.86 nat. median
$59,651
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $41,777.15 $203,550.84 $65,372.34 nat. median
$56,428
1.2× median
10
MS_DRG 		Pancreas Transplant 11 $21,537.35 $201,326.22 $64,657.86 nat. median
$23,080
outlier · 2.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $35,765.08 $200,172.25 $64,287.26 nat. median
$45,605
1.4× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $62,796.74 $66,602.61 $63,431.05 nat. median
$66,211
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $38,932.86 $197,371.92 $63,387.93 nat. median
$55,935
1.1× median
453
MS_DRG 		Inpatient Ms-DRG 4 $60,066.18 $63,069.49 $63,069.49 nat. median
$2,106
outlier · 30.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $43,316.75 $195,379.61 $62,748.07 nat. median
$55,923
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $26,928.84 $188,478.51 $60,531.70 nat. median
$52,327
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $57,024.10 $179,350.28 $58,752.10 nat. median
$9,905
outlier · 5.9×
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $57,038.36 $60,495.24 $57,614.51 nat. median
$48,410
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $47,011.60 $178,448.82 $57,310.58 nat. median
$51,518
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,256.30 $59,665.78 $56,824.55 nat. median
$65,477
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $29,197.30 $175,658.58 $56,414.46 nat. median
$48,611
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,386.51 $58,743.27 $55,945.97 nat. median
$63,499
0.9× median

Other procedures at this hospital

Browse this hospital's 13,347 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 14 7 — — $4,333,725.00 $4,596,375.00 $4,377,500.00 2025-08-07
J1414 HCPCS Inj, Beqvez, Per Tx Dose 14 7 — — $3,672,900.00 $3,895,500.00 $3,710,000.00 2025-08-07
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 7 — — $3,648,414.00 $3,869,530.00 $3,685,266.67 2025-08-07
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $3,291,326.18 $3,490,800.50 $3,324,571.90 2025-08-07
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 7 — — $3,228,741.45 $3,424,422.75 $3,261,355.00 2025-08-07
J3393 HCPCS Inj, Betibeglogene Autotemce 14 7 — — $2,921,179.80 $3,098,221.00 $2,950,686.67 2025-08-07
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 7 — — $2,427,594.44 $2,574,721.38 $2,452,115.60 2025-08-07
J3392 HCPCS Inj, Exagamglogene Autotem 14 7 — — $2,308,680.00 $2,448,600.00 $2,332,000.00 2025-08-07
Q2057 HCPCS Afamitresgene Autoleucel 14 7 — — $762,913.80 $809,151.00 $770,620.00 2025-08-07
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 7 — — $572,541.33 $607,240.81 $578,324.58 2025-08-07
Q2056 HCPCS Ciltacabtagene Car-pos T 14 7 — — $547,845.04 $581,047.77 $553,378.83 2025-08-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $536,219.30 $568,717.44 $541,635.66 2025-08-07
Q2055 HCPCS Idecabtagene Vicleucel Car 14 7 — — $535,847.84 $568,323.47 $541,260.45 2025-08-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 7 — — $527,745.71 $559,730.30 $533,076.48 2025-08-07
Q2053 HCPCS Brexucabtagene Car Pos T 14 7 — — $484,822.80 $514,206.00 $489,720.00 2025-08-07
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 11 — — $246,173.44 $952,285.91 $305,835.89 2025-08-07
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $267,671.25 $283,893.75 $270,375.00 2025-08-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 11 — — $121,246.45 $711,277.74 $228,433.79 2025-08-07
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 11 — — $176,122.48 $599,024.42 $192,382.52 2025-08-07
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 24 11 — — $72,137.76 $541,169.33 $173,801.80 2025-08-07
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $128,242.13 $136,014.38 $129,537.50 2025-08-07
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 24 11 — — $46,176.70 $356,796.63 $114,588.72 2025-08-07
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 14 7 — — $110,741.40 $117,453.00 $111,860.00 2025-08-07
14 MS_DRG Allogeneic Bone Marrow Transplant 24 11 — — $51,279.16 $330,833.55 $106,250.41 2025-08-07
7 MS_DRG Lung Transplant 24 11 — — $54,883.19 $330,000.27 $105,982.80 2025-08-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 11 — — $54,783.41 $278,258.44 $89,365.42 2025-08-07
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 11 — — $71,967.29 $275,081.87 $88,345.21 2025-08-07
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $84,101.86 $264,514.33 $86,650.39 2025-08-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 11 — — $46,308.69 $268,908.00 $86,362.42 2025-08-07
215 MS_DRG Other Heart Assist System Implant 24 11 — — $49,275.58 $267,529.29 $85,919.64 2025-08-07
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 7 — — $80,133.76 $84,990.35 $80,943.19 2025-08-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $46,481.40 $243,699.93 $78,266.60 2025-08-07
850 MS_DRG Acute Leukemia With Other Procedures 16 8 — — $73,957.82 $232,609.69 $76,198.96 2025-08-07
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 8 — — $66,962.58 $210,608.49 $68,991.75 2025-08-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 11 — — $53,504.22 $213,974.45 $68,719.98 2025-08-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $29,653.67 $213,855.77 $68,681.86 2025-08-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 11 — — $41,777.15 $203,550.84 $65,372.34 2025-08-07
10 MS_DRG Pancreas Transplant 24 11 — — $21,537.35 $201,326.22 $64,657.86 2025-08-07
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 11 — — $35,765.08 $200,172.25 $64,287.26 2025-08-07
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 7 — — $62,796.74 $66,602.61 $63,431.05 2025-08-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 11 — — $38,932.86 $197,371.92 $63,387.93 2025-08-07
453 MS_DRG Inpatient Ms-DRG 8 4 — — $60,066.18 $63,069.49 $63,069.49 2025-08-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $43,316.75 $195,379.61 $62,748.07 2025-08-07
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 11 — — $26,928.84 $188,478.51 $60,531.70 2025-08-07
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $57,024.10 $179,350.28 $58,752.10 2025-08-07
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $57,038.36 $60,495.24 $57,614.51 2025-08-07
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 11 — — $47,011.60 $178,448.82 $57,310.58 2025-08-07
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,256.30 $59,665.78 $56,824.55 2025-08-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 11 — — $29,197.30 $175,658.58 $56,414.46 2025-08-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 7 — — $55,386.51 $58,743.27 $55,945.97 2025-08-07
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 8 — — $53,828.75 $169,300.38 $55,459.92 2025-08-07
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — — $31,685.89 $172,421.40 $55,374.81 2025-08-07
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 11 — — $24,808.48 $168,648.90 $54,163.25 2025-08-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 11 — — $41,925.70 $168,363.57 $54,071.60 2025-08-07
38240 CPT Transplt Allo Hct/donor 22 10 — — $168.58 $55,750.40 $53,095.62 2025-08-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 11 — — $33,146.29 $163,303.27 $52,446.44 2025-08-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $42,897.96 $163,068.43 $52,371.02 2025-08-07
L7180 HCPCS Electronic Elbow Sequential 14 7 — — $51,755.12 $54,891.80 $52,277.90 2025-08-07
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 11 — — $45,920.78 $159,694.90 $51,287.57 2025-08-07
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 8 — — $49,667.56 $156,212.79 $51,172.63 2025-08-07
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 11 — — $30,422.35 $156,414.79 $50,234.12 2025-08-07
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 11 — — $41,548.07 $155,500.71 $49,940.58 2025-08-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 11 — — $45,559.25 $154,957.81 $49,766.20 2025-08-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 11 — — $42,411.61 $154,250.78 $49,539.14 2025-08-07
28 MS_DRG Spinal Procedures With Mcc 24 11 — — $19,527.50 $153,513.45 $49,302.34 2025-08-07
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 11 — — $27,637.57 $152,412.51 $48,948.76 2025-08-07
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 11 — — $27,637.57 $152,412.51 $48,948.76 2025-08-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 11 — — $38,897.07 $151,273.69 $48,583.02 2025-08-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $36,785.66 $150,225.77 $48,246.47 2025-08-07
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 11 — — $6,276.95 $150,112.14 $48,209.98 2025-08-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 11 — — $32,739.13 $148,581.93 $47,718.54 2025-08-07
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — — $30,448.30 $147,018.90 $47,216.55 2025-08-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $26,614.30 $144,925.59 $46,544.26 2025-08-07
459 MS_DRG Inpatient Ms-DRG 8 4 — — $44,315.41 $46,531.18 $46,531.18 2025-08-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — — $25,093.94 $144,059.48 $46,266.11 2025-08-07
J9226 HCPCS Supprelin La Implant 14 7 — — $45,104.79 $47,838.41 $45,560.39 2025-08-07
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $44,189.71 $138,984.03 $45,528.79 2025-08-07
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 8 — — $43,919.94 $138,135.60 $45,250.85 2025-08-07
653 MS_DRG Major Bladder Procedures With Mcc 24 11 — — $36,171.79 $140,764.22 $45,207.81 2025-08-07
J2507 HCPCS Pegloticase 8 Mg/ml Soln 90 19 $69,367.00 $48,556.90 30% off $1,495.75 $67,979.66 $45,036.53 2025-08-07
834 MS_DRG Acute Leukemia With Mcc 24 11 — — $29,671.12 $139,569.85 $44,824.21 2025-08-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 11 — — $32,707.36 $139,569.85 $44,824.21 2025-08-07
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 11 — — $23,542.27 $137,393.22 $44,125.16 2025-08-07
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 11 — — $29,832.20 $137,080.10 $44,024.60 2025-08-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — — $16,915.43 $136,380.65 $43,799.98 2025-08-07
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 11 — — $35,891.70 $136,251.87 $43,758.62 2025-08-07
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 11 — — $37,973.13 $136,236.72 $43,753.74 2025-08-07
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 11 — — $36,946.28 $134,340.37 $43,144.72 2025-08-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $32,757.47 $133,746.97 $42,954.15 2025-08-07
C1767 HCPCS Neurostimulator Generator 50 19 $65,826.00 $46,078.20 30% off $11,354.99 $64,509.48 $42,737.53 2025-08-07
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 8 — — $41,347.62 $130,045.18 $42,600.57 2025-08-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 11 — — $25,241.59 $129,613.38 $41,626.60 2025-08-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 11 — — $22,001.33 $128,643.74 $41,315.19 2025-08-07
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 11 — — $20,829.07 $128,249.83 $41,188.70 2025-08-07
L8701 HCPCS Ewh S/d Uprt Micro Sensor 14 7 — — $40,729.92 $43,198.40 $41,141.33 2025-08-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 11 — — $17,113.19 $127,186.76 $40,847.27 2025-08-07
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 11 — — $13,234.44 $126,436.81 $40,606.40 2025-08-07
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 11 — — $29,802.67 $126,338.33 $40,574.77 2025-08-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 11 — — $24,474.26 $126,287.83 $40,558.56 2025-08-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 11 — — $24,743.16 $125,833.31 $40,412.59 2025-08-07
0266T CPT Professional Services 14 7 — — $39,995.65 $42,419.63 $40,399.65 2025-08-07
33276 CPT Insj Phrnc Nrv Stim Sys 22 10 — — $419.11 $42,419.63 $40,399.65 2025-08-07
64590 CPT 64590 Insert/repl Perip Neurstim, Fac 72 19 $61,863.00 $43,304.10 30% off $213.12 $60,625.74 $40,164.56 2025-08-07
64580 CPT 64580 Imp Inc Neurostim,neuromu. Fac 72 19 $61,863.00 $43,304.10 30% off $229.12 $60,625.74 $40,164.56 2025-08-07
245 MS_DRG Aicd Generator Procedures 24 11 — — $30,278.28 $123,396.59 $39,630.02 2025-08-07
471 MS_DRG Cervical Spinal Fusion With Mcc 24 11 — — $32,580.29 $122,651.68 $39,390.78 2025-08-07
6 MS_DRG Liver Transplant Without Mcc 24 11 — — $21,641.60 $122,447.15 $39,325.10 2025-08-07
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — — $30,921.23 $120,586.15 $38,727.41 2025-08-07
799 MS_DRG Splenic Procedures With Mcc 24 11 — — $18,286.34 $120,063.45 $38,559.56 2025-08-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — — $22,668.44 $120,040.73 $38,552.24 2025-08-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 11 — — $22,568.67 $118,798.38 $38,153.26 2025-08-07
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 11 — — $27,693.94 $118,162.05 $37,948.91 2025-08-07
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 11 — — $18,792.38 $117,465.13 $37,725.06 2025-08-07
163 MS_DRG Major Chest Procedures With Mcc 24 11 — — $17,092.61 $116,386.91 $37,378.79 2025-08-07
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 11 — — $20,123.03 $116,338.93 $37,363.37 2025-08-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $23,263.52 $115,967.74 $37,244.18 2025-08-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 11 — — $21,576.27 $115,950.07 $37,238.48 2025-08-07
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 11 — — $21,874.26 $113,922.41 $36,587.29 2025-08-07
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 11 — — $24,629.07 $113,243.16 $36,369.13 2025-08-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 11 — — $26,780.74 $112,930.05 $36,268.58 2025-08-07
454 MS_DRG Inpatient Ms-DRG 8 4 — — $34,436.22 $36,158.03 $36,158.03 2025-08-07
901 MS_DRG Wound Debridements For Injuries With Mcc 24 11 — — $28,917.65 $111,874.56 $35,929.60 2025-08-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 11 — — $29,145.39 $110,922.59 $35,623.88 2025-08-07
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 11 — — $4,329.75 $109,258.55 $35,089.43 2025-08-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $23,280.52 $109,033.82 $35,017.27 2025-08-07
L6700 HCPCS Ue Add Ext Power Myoel 14 7 — — $34,370.69 $36,453.76 $34,717.87 2025-08-07
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 11 — — $11,952.12 $107,713.19 $34,593.15 2025-08-07
L5856 HCPCS Elec Knee-shin Swing/stance 14 7 — — $34,222.67 $36,296.77 $34,568.35 2025-08-07
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 11 — — $26,732.87 $107,554.11 $34,542.06 2025-08-07
L6880 HCPCS Elec Hand Ind Art Digits 14 7 — — $34,020.33 $36,082.17 $34,363.97 2025-08-07
140 MS_DRG Major Head And Neck Procedures With Mcc 24 11 — — $25,243.83 $106,791.53 $34,297.13 2025-08-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 11 — — $14,022.81 $105,816.84 $33,984.10 2025-08-07
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 11 — — $14,171.36 $105,791.59 $33,976.00 2025-08-07
793 MS_DRG Full Term Neonate With Major Problems 24 11 — — $1,829.98 $105,309.30 $33,821.09 2025-08-07
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 8 — — $32,784.41 $103,112.46 $33,777.88 2025-08-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 11 — — $17,621.02 $105,061.84 $33,741.63 2025-08-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 11 — — $28,948.97 $103,834.64 $33,347.52 2025-08-07
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 11 — — $17,807.59 $103,776.56 $33,328.85 2025-08-07
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 11 — — $20,427.73 $103,622.53 $33,279.38 2025-08-07
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 11 — — $16,302.00 $102,705.92 $32,985.01 2025-08-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 11 — — $31,393.89 $98,738.99 $32,979.44 2025-08-07
791 MS_DRG Prematurity With Major Problems 24 11 — — $3,938.70 $102,516.53 $32,924.19 2025-08-07
J3241 HCPCS Teprotumumab-trbw (tepezza) 500 Mg Vial 90 19 $50,608.00 $35,425.60 30% off $174.74 $49,595.84 $32,857.25 2025-08-07
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 8 — — $31,409.14 $98,786.96 $32,360.93 2025-08-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 11 — — $12,745.41 $100,592.41 $32,306.23 2025-08-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 11 — — $24,163.30 $100,521.71 $32,283.52 2025-08-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 11 — — $12,355.25 $99,632.87 $31,998.07 2025-08-07
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 11 — — $25,100.65 $99,428.34 $31,932.38 2025-08-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 11 — — $24,932.42 $99,226.33 $31,867.51 2025-08-07
62361 CPT 62361 Imp/rep Device, Subcu Res, Fac 72 19 $48,703.00 $34,092.10 30% off $324.36 $47,728.94 $31,620.42 2025-08-07
62362 CPT 62362 Imp/rep Device, Subcu Res, Fac 72 19 $48,703.00 $34,092.10 30% off $282.03 $47,728.94 $31,620.42 2025-08-07
62360 CPT 62360 Imp/rep Device,subcu,reser, Fac 72 19 $48,703.00 $34,092.10 30% off $225.67 $47,728.94 $31,620.42 2025-08-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 11 — — $26,068.44 $98,193.56 $31,535.82 2025-08-07
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 14 7 — — $31,107.83 $32,993.15 $31,422.05 2025-08-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 11 — — $10,634.44 $97,595.12 $31,343.63 2025-08-07
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 11 — — $21,757.03 $97,496.64 $31,312.00 2025-08-07
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 11 — — $13,858.60 $97,223.93 $31,224.41 2025-08-07
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 11 — — $20,195.51 $96,519.42 $30,998.15 2025-08-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — — $21,598.64 $95,996.73 $30,830.29 2025-08-07
J2350 HCPCS Ocrelizumab 30 Mg/ml Soln 64 19 $47,247.00 $33,072.90 30% off $59.11 $46,302.06 $30,675.12 2025-08-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 11 — — $19,160.17 $95,249.30 $30,590.24 2025-08-07
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 11 — — $12,951.22 $94,489.24 $30,346.13 2025-08-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 11 — — $18,750.32 $92,133.32 $29,589.52 2025-08-07
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 11 — — $12,547.64 $91,494.47 $29,384.33 2025-08-07
455 MS_DRG Inpatient Ms-DRG 8 4 — — $27,842.04 $29,234.14 $29,234.14 2025-08-07
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 11 — — $15,559.27 $90,519.78 $29,071.32 2025-08-07
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 11 — — $24,300.66 $90,514.73 $29,069.69 2025-08-07
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 11 — — $24,399.98 $90,499.58 $29,064.83 2025-08-07
265 MS_DRG Aicd Lead Procedures 24 11 — — $23,614.30 $90,075.37 $28,928.57 2025-08-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 11 — — $18,063.52 $89,671.35 $28,798.82 2025-08-07
0408T CPT Insj/rplc Cardiac Modulj Sys 14 7 — — $28,495.77 $30,222.78 $28,783.60 2025-08-07
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 22 10 — — $291.14 $30,222.78 $28,783.60 2025-08-07
33270 CPT Ins/rep Subq Defibrillator 22 10 — — $404.83 $30,222.78 $28,783.60 2025-08-07
33249 CPT Insert/replace Pacemaker Dual Or Single 22 10 — — $659.55 $30,222.78 $28,783.60 2025-08-07
33231 CPT Insrt Pulse Gen W/mult Leads 22 10 — — $289.41 $30,222.78 $28,783.60 2025-08-07
0571T CPT Insj/rplcmt Icds Ss Eltrd 14 7 — — $28,495.77 $30,222.78 $28,783.60 2025-08-07
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $28,495.77 $30,222.78 $28,783.60 2025-08-07
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 11 — — $11,350.78 $89,146.13 $28,630.14 2025-08-07
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 11 — — $18,711.84 $89,123.40 $28,622.86 2025-08-07
69930 CPT Implant Cochlear Device 22 10 — — $866.27 $29,983.58 $28,555.79 2025-08-07
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 11 — — $23,928.84 $88,898.67 $28,550.66 2025-08-07
J3357 HCPCS Ustekinumab (stelara) 90 Mg Syringe-1ml 64 19 $43,878.00 $30,714.60 30% off $156.10 $43,000.44 $28,487.79 2025-08-07
J9266 HCPCS Pegaspargase Injection 14 7 — — $28,139.82 $29,845.26 $28,424.06 2025-08-07
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 11 — — $23,554.79 $88,474.45 $28,414.43 2025-08-07
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — — $14,180.75 $88,446.68 $28,405.52 2025-08-07
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 11 — — $24,035.33 $88,411.33 $28,394.17 2025-08-07
264 MS_DRG Other Circulatory System O.r. Procedures 24 11 — — $11,926.17 $88,254.77 $28,343.88 2025-08-07
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 11 — — $15,473.82 $87,684.10 $28,160.60 2025-08-07
332 MS_DRG Rectal Resection With Mcc 24 11 — — $23,596.85 $87,588.14 $28,129.78 2025-08-07
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 11 — — $22,756.58 $87,492.19 $28,098.97 2025-08-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 11 — — $22,276.05 $86,974.54 $27,932.72 2025-08-07
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 11 — — $15,834.44 $86,838.19 $27,888.92 2025-08-07
665 MS_DRG Prostatectomy With Mcc 24 11 — — $19,947.19 $86,701.83 $27,845.15 2025-08-07
252 MS_DRG Other Vascular Procedures With Mcc 24 11 — — $15,047.86 $86,621.03 $27,819.19 2025-08-07
L8614 HCPCS Cochlear Device 14 7 — — $27,534.51 $29,203.27 $27,812.64 2025-08-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 11 — — $19,902.00 $86,489.73 $27,777.01 2025-08-07
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 11 — — $17,308.71 $86,009.96 $27,622.94 2025-08-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 11 — — $22,304.24 $85,651.39 $27,507.78 2025-08-07
61886 CPT Implant Neurostim Arrays 22 10 — — $654.87 $28,725.87 $27,357.97 2025-08-07
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 22 10 — — $604.42 $28,725.87 $27,357.97 2025-08-07
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 14 7 — — $27,084.39 $28,725.87 $27,357.97 2025-08-07
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 22 10 — — $279.32 $28,725.87 $27,357.97 2025-08-07
64568 CPT Opn Impltj Crnl Nrv Nea&pg 22 10 — — $439.53 $28,725.87 $27,357.97 2025-08-07
0268T CPT Outpatient Services 14 7 — — $27,084.39 $28,725.87 $27,357.97 2025-08-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 11 — — $15,324.37 $84,760.03 $27,221.51 2025-08-07
Q0483 HCPCS Monitor Elec Vad, Rep 14 7 — — $26,697.23 $28,315.25 $26,966.90 2025-08-07
37 MS_DRG Extracranial Procedures With Mcc 24 11 — — $12,081.42 $83,856.05 $26,931.18 2025-08-07
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 11 — — $11,673.82 $83,376.28 $26,777.10 2025-08-07
L5858 HCPCS Stance Phase Only 14 7 — — $26,456.72 $28,060.16 $26,723.96 2025-08-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 11 — — $15,191.49 $82,537.94 $26,507.85 2025-08-07
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 11 — — $11,746.30 $82,303.11 $26,432.45 2025-08-07
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 11 — — $20,964.64 $82,267.76 $26,421.09 2025-08-07
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 11 — — $22,009.83 $81,290.54 $26,107.25 2025-08-07
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 11 — — $15,537.80 $80,914.30 $25,986.44 2025-08-07
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 11 — — $19,835.33 $80,679.47 $25,910.98 2025-08-07
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 11 — — $18,488.58 $80,525.44 $25,861.52 2025-08-07
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 11 — — $14,813.86 $80,308.28 $25,791.78 2025-08-07
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 11 — — $21,483.21 $80,146.67 $25,739.88 2025-08-07
500 MS_DRG Soft Tissue Procedures With Mcc 24 11 — — $12,218.34 $80,012.84 $25,696.91 2025-08-07
L6975 HCPCS Interscap-thor Myoelectronic 14 7 — — $25,318.14 $26,852.57 $25,573.88 2025-08-07
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 8 — — $24,775.97 $77,924.59 $25,526.75 2025-08-07
33289 CPT Tcat Impl Wrls P-art Prs Snr 22 10 — — $243.64 $26,797.91 $25,521.82 2025-08-07
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 11 — — $19,040.70 $78,808.37 $25,310.06 2025-08-07
662 MS_DRG Minor Bladder Procedures With Mcc 24 11 — — $19,350.32 $78,773.02 $25,298.73 2025-08-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 11 — — $22,296.63 $78,437.18 $25,190.86 2025-08-07
L5973 HCPCS Ank-foot Sys Dors-plant Flex 14 7 — — $24,841.93 $26,347.50 $25,092.86 2025-08-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 11 — — $16,850.55 $78,086.19 $25,078.15 2025-08-07
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 11 — — $11,018.78 $77,869.03 $25,008.40 2025-08-07
652 MS_DRG Kidney Transplant 24 11 — — $13,442.50 $77,555.92 $24,907.84 2025-08-07
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 11 — — $20,546.30 $77,485.22 $24,885.12 2025-08-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 11 — — $17,444.28 $77,232.71 $24,804.02 2025-08-07
C9760 HCPCS Non-blind Interatrial Shunt 14 7 — — $24,441.96 $25,923.29 $24,688.85 2025-08-07
570 MS_DRG Skin Debridement With Mcc 24 11 — — $8,683.66 $76,010.56 $24,411.53 2025-08-07
J9600 HCPCS Porfimer Sodium Injection 14 7 — — $23,986.14 $25,439.84 $24,228.42 2025-08-07
974 MS_DRG HIV With Major Related Condition With Mcc 24 11 — — $17,425.94 $75,404.54 $24,216.89 2025-08-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — — $14,751.67 $74,455.10 $23,911.98 2025-08-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 11 — — $11,898.87 $74,263.19 $23,850.35 2025-08-07
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 11 — — $14,951.67 $74,061.18 $23,785.47 2025-08-07
N90 OTHER Inpatient Ms-DRG 8 4 — — $22,579.40 $23,708.37 $23,708.37 2025-08-07
668 MS_DRG Transurethral Procedures With Mcc 24 11 — — $18,829.07 $73,639.49 $23,650.05 2025-08-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 11 — — $20,007.15 $73,599.09 $23,637.06 2025-08-07
800 MS_DRG Splenic Procedures With Cc 24 11 — — $12,087.24 $73,576.36 $23,629.77 2025-08-07
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 11 — — $8,023.71 $73,535.96 $23,616.78 2025-08-07
472 MS_DRG Cervical Spinal Fusion With Cc 24 11 — — $18,543.16 $73,157.20 $23,495.15 2025-08-07
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 14 7 — — $23,145.05 $24,547.78 $23,378.84 2025-08-07
L6970 HCPCS Interscapular-thor Switch CT 14 7 — — $23,107.18 $24,507.62 $23,340.59 2025-08-07
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 11 — — $18,863.07 $72,397.14 $23,251.05 2025-08-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 11 — — $18,801.78 $72,313.81 $23,224.29 2025-08-07
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $17,075.16 $72,270.89 $23,210.48 2025-08-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 11 — — $18,178.51 $72,169.88 $23,178.07 2025-08-07
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 11 — — $19,334.66 $71,884.55 $23,086.41 2025-08-07
654 MS_DRG Major Bladder Procedures With Cc 24 11 — — $21,252.78 $71,260.85 $22,886.12 2025-08-07
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 11 — — $16,979.41 $70,914.91 $22,775.03 2025-08-07
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 11 — — $17,490.37 $70,841.68 $22,751.49 2025-08-07
L6965 HCPCS Shldr Disartic Myoelectronic 14 7 — — $22,453.96 $23,814.81 $22,680.77 2025-08-07
64575 CPT 64575 Imp Inc Neurostim,periph, Fac 72 19 $34,367.00 $24,056.90 30% off $224.94 $33,679.66 $22,312.78 2025-08-07
64553 CPT 64553 Imp Percut Neurostim Cran,fac 72 19 $34,367.00 $24,056.90 30% off $341.83 $33,679.66 $22,312.78 2025-08-07
460 MS_DRG Inpatient Ms-DRG 8 4 — — $21,153.45 $22,211.12 $22,211.12 2025-08-07
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 11 — — $20,314.53 $69,096.84 $22,191.12 2025-08-07
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 11 — — $16,904.24 $68,973.11 $22,151.37 2025-08-07
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 11 — — $17,389.25 $68,846.85 $22,110.84 2025-08-07
963 MS_DRG Other Multiple Significant Trauma With Mcc 24 11 — — $18,655.02 $68,599.39 $22,031.37 2025-08-07
93653 CPT Compre Ep Eval Tx Svt 22 10 — — $608.61 $23,125.32 $22,024.12 2025-08-07
93654 CPT Compre Ep Eval Tx Vt 22 10 — — $733.38 $23,125.32 $22,024.12 2025-08-07
93656 CPT Compre Ep Eval Abltj Atr Fib 22 10 — — $690.06 $23,125.32 $22,024.12 2025-08-07
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 11 — — $15,109.61 $68,263.55 $21,923.50 2025-08-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 11 — — $18,311.40 $68,038.82 $21,851.31 2025-08-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 11 — — $10,914.09 $67,768.63 $21,764.55 2025-08-07
263 MS_DRG Vein Ligation And Stripping 24 11 — — $18,877.39 $67,725.71 $21,750.78 2025-08-07
849 MS_DRG Radiotherapy 24 11 — — $17,378.96 $67,447.95 $21,661.57 2025-08-07
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 11 — — $17,700.21 $67,238.36 $21,594.25 2025-08-07
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 11 — — $18,572.25 $66,998.48 $21,517.21 2025-08-07
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 24 11 — — $17,361.06 $66,915.15 $21,490.45 2025-08-07
503 MS_DRG Foot Procedures With Mcc 24 11 — — $17,920.35 $66,829.30 $21,462.88 2025-08-07
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 24 11 — — $16,920.79 $66,761.12 $21,440.97 2025-08-07
545 MS_DRG Connective Tissue Disorders With Mcc 24 11 — — $20,287.23 $63,806.75 $21,414.30 2025-08-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 11 — — $14,157.04 $66,240.95 $21,273.92 2025-08-07
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 11 — — $10,228.63 $66,069.24 $21,218.78 2025-08-07
N89 OTHER Inpatient Ms-DRG 8 4 — — $20,099.32 $21,104.29 $21,104.29 2025-08-07
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 24 11 — — $9,242.50 $65,364.74 $20,992.51 2025-08-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 11 — — $12,348.09 $65,256.16 $20,957.66 2025-08-07
J9247 HCPCS Melphalan (pepaxto) 20 Mg Pwd Vial 76 19 $32,266.00 $22,586.20 30% off $278.42 $31,620.68 $20,948.70 2025-08-07
L5859 HCPCS Knee-shin Pro Flex/ext Cont 14 7 — — $20,728.78 $21,985.07 $20,938.16 2025-08-07
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Soln 64 19 $32,219.00 $22,553.30 30% off $241.38 $31,574.62 $20,918.19 2025-08-07
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 14 7 — — $20,690.39 $21,944.35 $20,899.38 2025-08-07
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 11 — — $5,458.61 $64,486.00 $20,710.30 2025-08-07
253 MS_DRG Other Vascular Procedures With Cc 24 11 — — $13,005.81 $64,465.80 $20,703.82 2025-08-07
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 11 — — $12,673.37 $64,344.60 $20,664.89 2025-08-07
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 24 11 — — $7,828.63 $64,013.81 $20,558.66 2025-08-07
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 11 — — $9,024.16 $63,756.25 $20,475.93 2025-08-07
164 MS_DRG Major Chest Procedures With Cc 24 11 — — $14,451.44 $63,556.77 $20,411.87 2025-08-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 11 — — $14,548.98 $63,231.03 $20,307.26 2025-08-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 11 — — $16,113.19 $63,183.05 $20,291.85 2025-08-07
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 14 7 — — $19,998.05 $21,210.05 $20,200.05 2025-08-07
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 14 7 — — $19,998.05 $21,210.05 $20,200.05 2025-08-07
0515T CPT Insj Wcs Lv Compl Sys 14 7 — — $19,949.78 $21,158.86 $20,151.29 2025-08-07
0409T CPT Insj/rplc Car Modulj Pls Gn 14 7 — — $19,949.78 $21,158.86 $20,151.29 2025-08-07
0916T CPT Insj Perm Ccm-d Sys Pg Only 14 7 — — $19,949.78 $21,158.86 $20,151.29 2025-08-07
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 14 7 — — $19,949.78 $21,158.86 $20,151.29 2025-08-07
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 14 7 — — $19,949.78 $21,158.86 $20,151.29 2025-08-07
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