Price Transparencybeta Hospital negotiated rates

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

Aurora St. Luke's South Shore

Cudahy, WI · CCN 520056 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $20,827 across 1 payer · range $20,679-$22,691

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11258/390806181_aurora-st-lukes-south-shore-of-aurora-health-care-metro-inc_standardcharges.csv · observed 2025-11-21

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

10,930 distinct procedures filed
2 distinct payers
102,815 rate rows
2025-11-21 last MRF observed
Data quality

95,548 of 102,815 rate rows are consumer-grade (92.9%)

7,267 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 6,906
placeholder amount (≤ $0.02) — excluded from medians 112
exceeds 10× this hospital's gross charge — excluded from medians 98
per-diem day rate — not a per-procedure price 72
percent-of-charges filed in the dollar field — excluded from medians 71
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11258/390806181_aurora-st-lukes-south-shore-of-aurora-health-care-metro-inc_standardcharges.csv
Found on page https://www.aurorahealthcare.org/patients-visitors/billing-payment/health-care-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint 37717fc52cf3de59… · 122,545,328 bytes · first seen 2026-05-09

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 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,321,781.51 $3,321,781.51 $3,321,781.51 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,193,000.00 $3,193,000.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,403,458.75 $2,403,458.75 $2,403,458.75 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $756,895.90 $854,081.78 $781,409.21 nat. median
$370,165
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $565,337.78 $637,927.49 $583,647.18 nat. median
$261,939
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $565,623.84 $565,623.84 $565,623.84 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $551,318.34 $551,318.34 $551,318.34 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $528,312.43 $528,312.43 $528,312.43 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $516,485.97 $516,485.97 $516,485.97 nat. median
$624,417
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $476,116.60 $537,250.25 $491,536.42 nat. median
$205,166
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $489,517.15 $489,517.15 $489,517.15 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $488,051.51 $488,051.51 $488,051.51 nat. median
$577,541
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 2 $430,132.21 $485,361.45 $444,062.75 nat. median
$199,832
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 2 $283,589.10 $320,002.11 $292,773.60 nat. median
$132,706
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $262,953.13 $296,716.46 $271,469.30 nat. median
$114,305
outlier · 2.4×
7
MS_DRG 		Lung Transplant 2 $262,290.82 $295,969.11 $270,785.53 nat. median
$122,690
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $221,165.38 $249,563.15 $228,328.18 nat. median
$108,240
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $218,640.57 $246,714.15 $225,721.60 nat. median
$100,978
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $213,733.46 $241,176.96 $220,655.57 nat. median
$99,646
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 2 $212,637.64 $239,940.44 $219,524.26 nat. median
$98,002
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $210,241.28 $237,236.38 $217,050.29 nat. median
$96,835
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $193,697.58 $218,568.46 $199,970.80 nat. median
$92,900
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $184,882.83 $208,621.90 $190,870.57 nat. median
$81,364
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $170,071.17 $191,908.41 $175,579.20 nat. median
$79,040
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $169,976.84 $191,801.97 $175,481.83 nat. median
$80,459
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $167,395.84 $188,889.57 $172,817.23 nat. median
$81,124
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $161,786.28 $182,559.73 $167,025.99 nat. median
$77,385
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 2 $160,018.11 $180,564.53 $165,200.56 nat. median
$67,750
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $159,100.91 $179,529.56 $164,253.66 nat. median
$69,153
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $156,875.15 $177,018.01 $161,955.81 nat. median
$73,475
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $155,291.63 $175,231.16 $160,321.01 nat. median
$74,472
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $149,806.49 $169,041.74 $154,658.23 nat. median
$71,485
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $142,551.19 $160,854.85 $147,167.95 nat. median
$66,640
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $141,834.69 $160,046.35 $146,428.24 nat. median
$68,581
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $139,616.96 $157,543.86 $144,138.68 nat. median
$65,958
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $137,043.98 $154,640.51 $141,482.38 nat. median
$64,357
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $134,563.33 $151,841.34 $138,921.39 nat. median
$62,262
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $134,045.52 $151,257.05 $138,386.80 nat. median
$62,911
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $133,818.73 $151,001.14 $138,152.67 nat. median
$65,792
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $129,796.70 $146,462.68 $134,000.39 nat. median
$62,218
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $129,610.05 $146,252.06 $133,807.69 nat. median
$63,840
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $126,928.70 $143,226.42 $131,039.49 nat. median
$60,294
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $124,321.61 $140,284.58 $128,347.96 nat. median
$58,419
outlier · 2.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $124,161.05 $140,103.40 $128,182.21 nat. median
$59,832
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $123,595.07 $139,464.76 $127,597.90 nat. median
$59,159
outlier · 2.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $122,601.61 $138,343.73 $126,572.26 nat. median
$59,257
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 10,930 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-11-21
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-11-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 1 — — $3,321,781.51 $3,321,781.51 $3,321,781.51 2025-11-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 1 — — $3,193,000.00 $3,193,000.00 $3,193,000.00 2025-11-21
J3393 HCPCS Inj, Betibeglogene Autotemce 4 1 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2025-11-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 1 — — $2,403,458.75 $2,403,458.75 $2,403,458.75 2025-11-21
J3392 HCPCS Inj, Exagamglogene Autotem 4 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $756,895.90 $854,081.78 $781,409.21 2025-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $565,337.78 $637,927.49 $583,647.18 2025-11-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $565,623.84 $565,623.84 $565,623.84 2025-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $551,318.34 $551,318.34 $551,318.34 2025-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $528,312.43 $528,312.43 $528,312.43 2025-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $516,485.97 $516,485.97 $516,485.97 2025-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $476,116.60 $537,250.25 $491,536.42 2025-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $489,517.15 $489,517.15 $489,517.15 2025-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $488,051.51 $488,051.51 $488,051.51 2025-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 2 — — $430,132.21 $485,361.45 $444,062.75 2025-11-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 2 — — $283,589.10 $320,002.11 $292,773.60 2025-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 6 2 — — $262,953.13 $296,716.46 $271,469.30 2025-11-21
7 MS_DRG Lung Transplant 6 2 — — $262,290.82 $295,969.11 $270,785.53 2025-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $221,165.38 $249,563.15 $228,328.18 2025-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 2 — — $218,640.57 $246,714.15 $225,721.60 2025-11-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $213,733.46 $241,176.96 $220,655.57 2025-11-21
215 MS_DRG Other Heart Assist System Implant 6 2 — — $212,637.64 $239,940.44 $219,524.26 2025-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $210,241.28 $237,236.38 $217,050.29 2025-11-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $193,697.58 $218,568.46 $199,970.80 2025-11-21
850 MS_DRG Acute Leukemia With Other Procedures 6 2 — — $184,882.83 $208,621.90 $190,870.57 2025-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $170,071.17 $191,908.41 $175,579.20 2025-11-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $169,976.84 $191,801.97 $175,481.83 2025-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 2 — — $167,395.84 $188,889.57 $172,817.23 2025-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $161,786.28 $182,559.73 $167,025.99 2025-11-21
10 MS_DRG Pancreas Transplant 6 2 — — $160,018.11 $180,564.53 $165,200.56 2025-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 2 — — $159,100.91 $179,529.56 $164,253.66 2025-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 2 — — $156,875.15 $177,018.01 $161,955.81 2025-11-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $155,291.63 $175,231.16 $160,321.01 2025-11-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $149,806.49 $169,041.74 $154,658.23 2025-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $142,551.19 $160,854.85 $147,167.95 2025-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 2 — — $141,834.69 $160,046.35 $146,428.24 2025-11-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 2 — — $139,616.96 $157,543.86 $144,138.68 2025-11-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $137,043.98 $154,640.51 $141,482.38 2025-11-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 2 — — $134,563.33 $151,841.34 $138,921.39 2025-11-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 2 — — $134,045.52 $151,257.05 $138,386.80 2025-11-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 2 — — $133,818.73 $151,001.14 $138,152.67 2025-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 2 — — $129,796.70 $146,462.68 $134,000.39 2025-11-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $129,610.05 $146,252.06 $133,807.69 2025-11-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 2 — — $126,928.70 $143,226.42 $131,039.49 2025-11-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 2 — — $124,321.61 $140,284.58 $128,347.96 2025-11-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 2 — — $124,161.05 $140,103.40 $128,182.21 2025-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $123,595.07 $139,464.76 $127,597.90 2025-11-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 2 — — $122,601.61 $138,343.73 $126,572.26 2025-11-21
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $122,015.57 $137,682.44 $125,967.24 2025-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 2 — — $121,140.51 $136,695.03 $125,063.85 2025-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 2 — — $121,140.51 $136,695.03 $125,063.85 2025-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $120,235.36 $135,673.65 $124,129.38 2025-11-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $119,402.45 $134,733.80 $123,269.49 2025-11-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 2 — — $118,095.89 $133,259.48 $121,920.62 2025-11-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 2 — — $116,853.56 $131,857.63 $120,638.05 2025-11-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $115,189.76 $129,980.19 $118,920.36 2025-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $114,501.36 $129,203.40 $118,209.67 2025-11-21
653 MS_DRG Major Bladder Procedures With Mcc 6 2 — — $111,882.22 $126,247.97 $115,505.71 2025-11-21
834 MS_DRG Acute Leukemia With Mcc 6 2 — — $110,932.91 $125,176.76 $114,525.65 2025-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 2 — — $110,932.91 $125,176.76 $114,525.65 2025-11-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $110,467.29 $124,651.35 $114,044.95 2025-11-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 2 — — $109,792.94 $123,890.41 $113,348.76 2025-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $109,202.88 $123,224.59 $112,739.60 2025-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 2 — — $108,954.01 $122,943.77 $112,482.67 2025-11-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $108,398.07 $122,316.45 $111,908.72 2025-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 2 — — $108,295.71 $122,200.95 $111,803.04 2025-11-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $108,283.67 $122,187.36 $111,790.61 2025-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 2 — — $106,776.41 $120,486.57 $110,234.54 2025-11-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $106,304.77 $119,954.36 $109,747.62 2025-11-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 2 — — $103,362.51 $116,634.31 $106,710.07 2025-11-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 2 — — $103,019.31 $116,247.05 $106,355.76 2025-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 2 — — $101,935.53 $115,024.11 $105,236.88 2025-11-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 2 — — $101,090.58 $114,070.67 $104,364.57 2025-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 2 — — $84,391.90 $122,169.42 $104,333.11 2025-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 2 — — $100,494.50 $113,398.06 $103,749.18 2025-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $100,416.23 $113,309.74 $103,668.38 2025-11-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 2 — — $100,376.09 $113,264.44 $103,626.93 2025-11-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $100,014.83 $112,856.80 $103,253.98 2025-11-21
245 MS_DRG Aicd Generator Procedures 6 2 — — $98,078.08 $110,671.36 $101,254.50 2025-11-21
471 MS_DRG Cervical Spinal Fusion With Mcc 6 2 — — $97,486.01 $110,003.27 $100,643.26 2025-11-21
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $97,323.44 $109,819.83 $100,475.42 2025-11-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $95,844.29 $108,150.75 $98,948.36 2025-11-21
799 MS_DRG Splenic Procedures With Mcc 6 2 — — $95,428.84 $107,681.96 $98,519.45 2025-11-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $95,410.77 $107,661.57 $98,500.80 2025-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $94,423.33 $106,547.34 $97,481.39 2025-11-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 2 — — $93,917.57 $105,976.64 $96,959.24 2025-11-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 2 — — $93,363.63 $105,351.58 $96,387.37 2025-11-21
163 MS_DRG Major Chest Procedures With Mcc 6 2 — — $92,506.64 $104,384.55 $95,502.62 2025-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 2 — — $92,468.51 $104,341.52 $95,463.26 2025-11-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $92,173.48 $104,008.61 $95,158.68 2025-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 2 — — $92,159.43 $103,992.76 $95,144.17 2025-11-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 2 — — $90,547.81 $102,174.21 $93,480.35 2025-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $90,007.93 $101,565.00 $92,922.99 2025-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $89,759.06 $101,284.18 $92,666.05 2025-11-21
901 MS_DRG Wound Debridements For Injuries With Mcc 6 2 — — $88,920.14 $100,337.53 $91,799.96 2025-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 2 — — $88,163.50 $99,483.74 $91,018.82 2025-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 2 — — $86,840.88 $97,991.30 $89,653.37 2025-11-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $86,662.26 $97,789.75 $89,468.96 2025-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 2 — — $85,612.60 $96,605.31 $88,385.30 2025-11-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 2 — — $85,486.16 $96,462.63 $88,254.76 2025-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 6 2 — — $84,880.04 $95,778.69 $87,629.02 2025-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 2 — — $84,105.34 $94,904.52 $86,829.24 2025-11-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 2 — — $84,085.27 $94,881.87 $86,808.51 2025-11-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 2 — — $70,060.94 $101,423.30 $86,615.84 2025-11-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 2 — — $83,505.25 $94,227.37 $86,209.71 2025-11-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 2 — — $82,529.85 $93,126.73 $85,202.71 2025-11-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 2 — — $82,483.69 $93,074.64 $85,155.05 2025-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 2 — — $82,361.26 $92,936.49 $85,028.67 2025-11-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $81,955.85 $92,479.02 $84,610.12 2025-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 2 — — $81,632.72 $92,114.41 $84,276.52 2025-11-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 2 — — $79,952.86 $90,218.85 $82,542.26 2025-11-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 2 — — $79,896.66 $90,155.44 $82,484.24 2025-11-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 2 — — $79,190.20 $89,358.27 $81,754.90 2025-11-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 2 — — $79,027.63 $89,174.83 $81,587.08 2025-11-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 2 — — $78,867.07 $88,993.65 $81,421.31 2025-11-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $78,517.85 $88,599.59 $81,060.79 2025-11-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 2 — — $78,479.72 $88,556.56 $81,021.42 2025-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 2 — — $78,046.21 $88,067.39 $80,573.86 2025-11-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 2 — — $77,570.55 $87,530.66 $80,082.80 2025-11-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 2 — — $77,492.28 $87,442.33 $80,001.99 2025-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 2 — — $77,275.52 $87,197.74 $79,778.21 2025-11-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 2 — — $76,715.57 $86,565.89 $79,200.12 2025-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $76,300.12 $86,097.10 $78,771.22 2025-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 2 — — $75,706.05 $85,426.75 $78,157.91 2025-11-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 2 — — $75,101.94 $84,745.07 $77,534.24 2025-11-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 2 — — $73,229.41 $82,632.11 $75,601.07 2025-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 2 — — $72,721.64 $82,059.14 $75,076.85 2025-11-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 2 — — $71,946.94 $81,184.97 $74,277.05 2025-11-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 2 — — $71,942.92 $81,180.44 $74,272.91 2025-11-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 2 — — $71,930.88 $81,166.85 $74,260.48 2025-11-21
265 MS_DRG Aicd Lead Procedures 6 2 — — $71,593.70 $80,786.38 $73,912.39 2025-11-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 2 — — $71,272.58 $80,424.03 $73,580.86 2025-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 2 — — $70,855.13 $79,952.97 $73,149.89 2025-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 2 — — $70,837.07 $79,932.59 $73,131.24 2025-11-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $70,658.44 $79,731.03 $72,946.83 2025-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 2 — — $70,321.27 $79,350.56 $72,598.74 2025-11-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $70,299.19 $79,325.65 $72,575.95 2025-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $70,271.09 $79,293.94 $72,546.93 2025-11-21
264 MS_DRG Other Circulatory System O.r. Procedures 6 2 — — $70,146.66 $79,153.53 $72,418.47 2025-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 2 — — $69,693.08 $78,641.71 $71,950.20 2025-11-21
332 MS_DRG Rectal Resection With Mcc 6 2 — — $69,616.81 $78,555.65 $71,871.46 2025-11-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 2 — — $69,540.54 $78,469.59 $71,792.73 2025-11-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 2 — — $69,129.11 $78,005.33 $71,367.96 2025-11-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $69,020.73 $77,883.03 $71,256.08 2025-11-21
665 MS_DRG Prostatectomy With Mcc 6 2 — — $68,912.35 $77,760.74 $71,144.19 2025-11-21
252 MS_DRG Other Vascular Procedures With Mcc 6 2 — — $68,848.13 $77,688.27 $71,077.89 2025-11-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 2 — — $68,362.43 $77,140.21 $70,576.46 2025-11-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 2 — — $68,077.44 $76,818.62 $70,282.24 2025-11-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 2 — — $67,368.97 $76,019.18 $69,550.82 2025-11-21
37 MS_DRG Extracranial Procedures With Mcc 6 2 — — $66,650.46 $75,208.42 $68,809.04 2025-11-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 2 — — $66,269.13 $74,778.13 $68,415.37 2025-11-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 2 — — $65,416.16 $73,815.63 $67,534.76 2025-11-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 2 — — $65,388.06 $73,783.93 $67,505.76 2025-11-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $64,611.35 $72,907.49 $66,703.89 2025-11-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $64,312.31 $72,570.05 $66,395.16 2025-11-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 2 — — $64,125.66 $72,359.43 $66,202.47 2025-11-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $64,003.23 $72,221.28 $66,076.08 2025-11-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 2 — — $63,830.63 $72,026.52 $65,897.89 2025-11-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 2 — — $63,702.18 $71,881.58 $65,765.28 2025-11-21
500 MS_DRG Soft Tissue Procedures With Mcc 6 2 — — $63,595.81 $71,761.55 $65,655.46 2025-11-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 2 — — $62,638.47 $70,681.29 $64,667.12 2025-11-21
662 MS_DRG Minor Bladder Procedures With Mcc 6 2 — — $62,610.37 $70,649.58 $64,638.11 2025-11-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 2 — — $62,343.44 $70,348.38 $64,362.54 2025-11-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 2 — — $62,064.47 $70,033.58 $64,074.53 2025-11-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $61,936.02 $69,888.64 $63,941.92 2025-11-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 2 — — $61,891.87 $69,838.82 $63,896.33 2025-11-21
652 MS_DRG Kidney Transplant 6 2 — — $61,643.00 $69,558.00 $63,639.41 2025-11-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 2 — — $61,586.80 $69,494.58 $63,581.39 2025-11-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 1 — — $63,402.04 $63,402.04 $63,402.04 2025-11-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $61,386.10 $69,268.11 $63,374.19 2025-11-21
570 MS_DRG Skin Debridement With Mcc 6 2 — — $60,414.71 $68,172.00 $62,371.35 2025-11-21
974 MS_DRG HIV With Major Related Condition With Mcc 6 2 — — $59,933.03 $67,628.47 $61,874.07 2025-11-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $59,178.40 $66,776.94 $61,094.99 2025-11-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 2 — — $59,025.87 $66,604.83 $60,937.52 2025-11-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 2 — — $58,865.31 $66,423.65 $60,771.76 2025-11-21
668 MS_DRG Transurethral Procedures With Mcc 6 2 — — $58,530.14 $66,045.45 $60,425.74 2025-11-21
800 MS_DRG Splenic Procedures With Cc 6 2 — — $58,479.97 $65,988.83 $60,373.93 2025-11-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 2 — — $58,447.85 $65,952.59 $60,340.79 2025-11-21
472 MS_DRG Cervical Spinal Fusion With Cc 6 2 — — $58,146.80 $65,612.89 $60,029.99 2025-11-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 2 — — $57,542.70 $64,931.21 $59,406.31 2025-11-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 2 — — $57,442.35 $64,817.98 $59,302.71 2025-11-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 2 — — $57,362.07 $64,727.39 $59,219.83 2025-11-21
C1826 HCPCS 3044508 - Neurostimulator Implantable Inceptiv 15 2 $81,600.00 $40,800.00 50% off $48,470.40 $68,707.20 $59,160.00 2025-11-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 2 — — $57,135.28 $64,471.48 $58,985.70 2025-11-21
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $56,639.55 $63,912.10 $58,473.91 2025-11-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 2 — — $47,103.35 $68,188.88 $58,233.54 2025-11-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 2 — — $56,364.59 $63,601.83 $58,190.05 2025-11-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 2 — — $56,306.39 $63,536.16 $58,129.96 2025-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $56,824.55 $56,824.55 $56,824.55 2025-11-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 2 — — $54,919.55 $61,971.25 $56,698.21 2025-11-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 2 — — $54,821.21 $61,860.28 $56,596.68 2025-11-21
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 2 — — $54,524.17 $61,525.10 $56,290.02 2025-11-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 2 — — $54,257.24 $61,223.90 $56,014.45 2025-11-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 2 — — $54,078.62 $61,022.34 $55,830.04 2025-11-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 2 — — $53,863.87 $60,780.02 $55,608.33 2025-11-21
263 MS_DRG Vein Ligation And Stripping 6 2 — — $53,829.75 $60,741.52 $55,573.11 2025-11-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 2 — — $44,951.16 $65,073.28 $55,572.80 2025-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $55,536.50 $55,536.50 $55,536.50 2025-11-21
849 MS_DRG Radiotherapy 6 2 — — $53,608.98 $60,492.40 $55,345.20 2025-11-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $53,442.40 $60,304.43 $55,173.21 2025-11-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 2 — — $53,251.73 $60,089.29 $54,976.38 2025-11-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 2 — — $53,185.50 $60,014.55 $54,908.00 2025-11-21
503 MS_DRG Foot Procedures With Mcc 6 2 — — $53,117.26 $59,937.55 $54,837.55 2025-11-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 2 — — $53,063.07 $59,876.40 $54,781.60 2025-11-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 2 — — $52,513.16 $59,255.88 $54,213.88 2025-11-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 2 — — $51,953.20 $58,624.02 $53,635.79 2025-11-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $51,866.90 $58,526.64 $53,546.69 2025-11-21
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 2 — — $51,254.77 $57,835.91 $52,914.74 2025-11-21
253 MS_DRG Other Vascular Procedures With Cc 6 2 — — $51,238.71 $57,817.79 $52,898.16 2025-11-21
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 2 — — $50,879.46 $57,412.41 $52,527.27 2025-11-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 2 — — $48,021.84 $57,600.04 $52,389.70 2025-11-21
545 MS_DRG Connective Tissue Disorders With Mcc 6 2 — — $50,714.88 $57,226.70 $52,357.37 2025-11-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 2 — — $50,674.74 $57,181.41 $52,315.93 2025-11-21
164 MS_DRG Major Chest Procedures With Cc 6 2 — — $50,516.19 $57,002.50 $52,152.24 2025-11-21
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 2 — — $50,257.29 $56,710.35 $51,884.96 2025-11-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 2 — — $50,219.15 $56,667.32 $51,845.59 2025-11-21
397 MS_DRG Appendix Procedures With Mcc 6 2 — — $49,729.45 $56,114.74 $51,340.01 2025-11-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 2 — — $49,528.75 $55,888.27 $51,132.82 2025-11-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 2 — — $49,137.38 $55,446.65 $50,728.78 2025-11-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 2 — — $48,731.97 $54,989.18 $50,310.23 2025-11-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 2 — — $48,543.31 $54,776.30 $50,115.46 2025-11-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 2 — — $48,390.78 $54,604.18 $49,957.99 2025-11-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 2 — — $48,188.07 $54,375.45 $49,748.72 2025-11-21
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 2 — — $48,111.80 $54,289.39 $49,669.99 2025-11-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 6 2 — — $48,111.80 $54,289.39 $49,669.99 2025-11-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 2 — — $40,082.95 $58,025.85 $49,554.27 2025-11-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 2 — — $47,696.36 $53,820.60 $49,241.08 2025-11-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 2 — — $47,513.72 $53,614.51 $49,052.53 2025-11-21
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $47,501.68 $53,600.92 $49,040.10 2025-11-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 2 — — $47,439.46 $53,530.71 $48,975.86 2025-11-21
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $47,363.19 $53,444.66 $48,897.13 2025-11-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 2 — — $39,382.98 $57,012.53 $48,688.90 2025-11-21
C1767 HCPCS 3005513 - Generator Nrstm 5 Impl Pulse Proclaim Plus Spnl Cord Stim 23 2 $81,957.00 $40,978.50 50% off $26,658.72 $69,007.79 $48,682.46 2025-11-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 2 — — $46,935.70 $52,962.27 $48,455.79 2025-11-21
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 2 — — $46,566.41 $52,545.57 $48,074.54 2025-11-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 2 — — $46,458.04 $52,423.28 $47,962.65 2025-11-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 2 — — $46,413.88 $52,373.45 $47,917.07 2025-11-21
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 2 — — $46,329.59 $52,278.33 $47,830.05 2025-11-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 2 — — $46,042.59 $51,954.48 $47,533.76 2025-11-21
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 2 — — $45,966.32 $51,868.42 $47,455.01 2025-11-21
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 2 — — $45,825.83 $51,709.90 $47,309.98 2025-11-21
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 2 — — $45,739.53 $51,612.51 $47,220.88 2025-11-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 2 — — $45,655.24 $51,517.40 $47,133.85 2025-11-21
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 2 — — $45,478.62 $51,318.10 $46,951.52 2025-11-21
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 6 2 — — $45,324.08 $51,143.72 $46,791.98 2025-11-21
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 2 — — $45,322.07 $51,141.46 $46,789.90 2025-11-21
113 MS_DRG Orbital Procedures With Cc/mcc 6 2 — — $45,289.96 $51,105.22 $46,756.75 2025-11-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 2 — — $45,213.70 $51,019.16 $46,678.01 2025-11-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 2 — — $45,197.64 $51,001.04 $46,661.44 2025-11-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 2 — — $45,139.44 $50,935.37 $46,601.35 2025-11-21
709 MS_DRG Penis Procedures With Cc/mcc 6 2 — — $45,099.30 $50,890.07 $46,559.91 2025-11-21
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 2 — — $44,804.27 $50,557.16 $46,255.32 2025-11-21
30 MS_DRG Spinal Procedures Without Cc/mcc 6 2 — — $44,663.78 $50,398.63 $46,110.29 2025-11-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 2 — — $44,420.93 $50,124.61 $45,859.58 2025-11-21
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 2 — — $44,141.96 $49,809.81 $45,571.57 2025-11-21
935 MS_DRG Non-extensive Burns 6 2 — — $44,081.75 $49,741.87 $45,509.41 2025-11-21
J9226 HCPCS Supprelin La Implant 4 1 — — $45,261.80 $45,261.80 $45,261.80 2025-11-21
906 MS_DRG Hand Procedures For Injuries 6 2 — — $43,802.78 $49,427.08 $45,221.40 2025-11-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 2 — — $43,730.52 $49,345.55 $45,146.81 2025-11-21
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 6 2 — — $43,537.85 $49,128.14 $44,947.90 2025-11-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 2 — — $35,042.85 $53,833.27 $44,797.35 2025-11-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 2 — — $43,297.01 $48,856.37 $44,699.26 2025-11-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 2 — — $43,220.75 $48,770.31 $44,620.52 2025-11-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 2 — — $36,075.62 $52,224.66 $44,600.04 2025-11-21
141 MS_DRG Major Head And Neck Procedures With Cc 6 2 — — $43,120.40 $48,657.08 $44,516.92 2025-11-21
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 2 — — $43,066.21 $48,595.93 $44,460.97 2025-11-21
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 2 — — $43,036.10 $48,561.96 $44,429.90 2025-11-21
835 MS_DRG Acute Leukemia With Cc 6 2 — — $42,867.51 $48,371.73 $44,255.85 2025-11-21
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 2 — — $42,865.51 $48,369.46 $44,253.78 2025-11-21
32 MS_DRG Ventricular Shunt Procedures With Cc 6 2 — — $42,861.49 $48,364.93 $44,249.64 2025-11-21
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 2 — — $42,781.21 $48,274.35 $44,166.75 2025-11-21
333 MS_DRG Rectal Resection With Cc 6 2 — — $42,654.77 $48,131.67 $44,036.21 2025-11-21
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 2 — — $42,566.46 $48,032.02 $43,945.04 2025-11-21
595 MS_DRG Major Skin Disorders With Mcc 6 2 — — $42,450.06 $47,900.67 $43,824.87 2025-11-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 2 — — $42,393.86 $47,837.26 $43,766.85 2025-11-21
374 MS_DRG Digestive Malignancy With Mcc 6 2 — — $42,375.80 $47,816.88 $43,748.21 2025-11-21
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 2 — — $42,375.80 $47,816.88 $43,748.21 2025-11-21
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 2 — — $42,203.20 $47,622.11 $43,570.01 2025-11-21
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $42,076.76 $47,479.44 $43,439.48 2025-11-21
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 6 2 — — $41,956.34 $47,343.55 $43,315.16 2025-11-21
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 2 — — $41,691.41 $47,044.61 $43,041.65 2025-11-21
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 2 — — $41,643.24 $46,990.26 $42,991.93 2025-11-21
592 MS_DRG Skin Ulcers With Mcc 6 2 — — $41,269.94 $46,569.03 $42,606.54 2025-11-21
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 6 2 — — $41,091.32 $46,367.47 $42,422.12 2025-11-21
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 6 2 — — $40,705.97 $45,932.65 $42,024.30 2025-11-21
539 MS_DRG Osteomyelitis With Mcc 6 2 — — $40,589.57 $45,801.29 $41,904.12 2025-11-21
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 2 — — $40,483.20 $45,681.26 $41,794.31 2025-11-21
548 MS_DRG Septic Arthritis With Mcc 6 2 — — $40,433.02 $45,624.65 $41,742.51 2025-11-21
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 2 — — $40,390.88 $45,577.09 $41,699.01 2025-11-21
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 2 — — $40,374.82 $45,558.97 $41,682.42 2025-11-21
93656 CPT Compre Ep Eval Abltj Atr Fib 7 2 — — $35,919.00 $51,608.00 $41,417.00 2025-11-21
93653 CPT Compre Ep Eval Tx Svt 7 2 — — $35,919.00 $51,608.00 $41,417.00 2025-11-21
93654 CPT Compre Ep Eval Tx Vt 7 2 — — $35,919.00 $51,608.00 $41,417.00 2025-11-21
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 2 — — $40,107.89 $45,257.76 $41,406.85 2025-11-21
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 2 — — $40,101.87 $45,250.97 $41,400.63 2025-11-21
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 6 2 — — $40,073.77 $45,219.26 $41,371.62 2025-11-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 2 — — $39,923.24 $45,049.41 $41,216.22 2025-11-21
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 2 — — $39,895.15 $45,017.71 $41,187.21 2025-11-21
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