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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

AURORA LAKELAND MEDICAL CENTER

Elkhorn, WI · CCN 520102 · Rates published

11,846 distinct procedures filed
18 distinct payers
336,330 rate rows
2025-11-21 last MRF observed
Data quality

329,199 of 336,330 rate rows are consumer-grade (97.9%)

7,131 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 5,516
placeholder amount (≤ $0.02) — excluded from medians 481
percent-of-charges filed in the dollar field — excluded from medians 421
exceeds 10× this hospital's gross charge — excluded from medians 365
per-diem day rate — not a per-procedure price 348
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11244/390806347_aurora-lakeland-medical-center_standardcharges.csv
Found on page https://www.aurorahealthcare.org/patients-visitors/billing-payment/health-care-costs
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint a1f3d06d4cc2f443… · 99,974,925 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
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
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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,321,781.51 $3,321,781.51 $3,321,781.51 nat. median
$3,325,455
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
$3,004,655
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
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $529,192.86 $1,380,122.16 $724,994.21 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $527,123.43 $1,345,216.74 $722,159.10 nat. median
$674,867
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $567,125.09 $854,081.78 $710,207.45 nat. median
$370,174
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $526,587.59 $1,289,082.32 $692,617.59 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $516,485.97 $1,260,225.76 $677,113.10 nat. median
$673,137
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $489,455.96 $1,194,421.85 $641,756.98 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $460,530.40 $1,190,845.68 $630,926.65 nat. median
$619,808
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $423,594.90 $637,927.49 $530,465.43 nat. median
$265,286
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $356,743.47 $537,250.25 $446,747.77 nat. median
$206,474
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $322,288.40 $485,361.45 $403,599.89 nat. median
$202,976
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $212,486.94 $320,002.11 $266,096.16 nat. median
$133,161
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $197,024.87 $296,716.46 $246,733.10 nat. median
$117,357
outlier · 2.1×
7
MS_DRG 		Lung Transplant 16 $196,528.61 $295,969.11 $246,111.64 nat. median
$122,708
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $165,714.25 $249,563.15 $207,522.99 nat. median
$108,660
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $163,822.47 $246,714.15 $205,153.92 nat. median
$102,358
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $160,145.68 $241,176.96 $200,549.50 nat. median
$100,136
outlier · 2.0×
215
MS_DRG 		Other Heart Assist System Implant 16 $159,324.60 $239,940.44 $199,521.27 nat. median
$99,019
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $157,529.07 $237,236.38 $197,272.73 nat. median
$98,894
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $145,133.24 $218,568.46 $181,749.52 nat. median
$93,672
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $138,528.55 $208,621.90 $173,478.50 nat. median
$83,470
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $127,430.51 $191,908.41 $159,580.48 nat. median
$79,312
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $127,359.83 $191,801.97 $159,491.97 nat. median
$81,118
2.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $125,425.94 $188,889.57 $157,070.18 nat. median
$82,711
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $121,222.82 $182,559.73 $151,806.64 nat. median
$77,570
2.0× median
10
MS_DRG 		Pancreas Transplant 16 $119,897.97 $180,564.53 $150,147.54 nat. median
$68,884
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $119,210.74 $179,529.56 $149,286.91 nat. median
$71,271
outlier · 2.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $117,543.02 $177,018.01 $147,198.44 nat. median
$73,807
2.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $116,356.53 $175,231.16 $145,712.60 nat. median
$74,915
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $112,246.64 $169,041.74 $140,565.81 nat. median
$72,135
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $106,810.40 $160,854.85 $133,758.05 nat. median
$68,090
2.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $106,273.55 $160,046.35 $133,085.74 nat. median
$68,886
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $104,611.85 $157,543.86 $131,004.81 nat. median
$66,526
2.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $102,683.98 $154,640.51 $128,590.55 nat. median
$64,732
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 $100,825.28 $151,841.34 $126,262.91 nat. median
$63,724
2.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 $100,437.30 $151,257.05 $125,777.04 nat. median
$64,023
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $100,267.37 $151,001.14 $125,564.24 nat. median
$65,950
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $97,253.75 $146,462.68 $121,790.31 nat. median
$62,134
2.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $97,113.90 $146,252.06 $121,615.17 nat. median
$64,508
1.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 16 $95,104.82 $143,226.42 $119,099.22 nat. median
$60,185
2.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 $93,151.39 $140,284.58 $116,652.94 nat. median
$59,099
2.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 $93,031.08 $140,103.40 $116,502.28 nat. median
$60,691
1.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $92,607.01 $139,464.76 $115,971.22 nat. median
$59,793
1.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 16 $91,862.63 $138,343.73 $115,039.04 nat. median
$59,898
1.9× median

Other procedures at this hospital

Browse this hospital's 11,846 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 9 — — $529,192.86 $1,380,122.16 $724,994.21 2025-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $527,123.43 $1,345,216.74 $722,159.10 2025-11-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 16 — — $567,125.09 $854,081.78 $710,207.45 2025-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $526,587.59 $1,289,082.32 $692,617.59 2025-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $516,485.97 $1,260,225.76 $677,113.10 2025-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 9 — — $489,455.96 $1,194,421.85 $641,756.98 2025-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $460,530.40 $1,190,845.68 $630,926.65 2025-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 16 — — $423,594.90 $637,927.49 $530,465.43 2025-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 16 — — $356,743.47 $537,250.25 $446,747.77 2025-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 25 16 — — $322,288.40 $485,361.45 $403,599.89 2025-11-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 25 16 — — $212,486.94 $320,002.11 $266,096.16 2025-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 25 16 — — $197,024.87 $296,716.46 $246,733.10 2025-11-21
7 MS_DRG Lung Transplant 25 16 — — $196,528.61 $295,969.11 $246,111.64 2025-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 16 — — $165,714.25 $249,563.15 $207,522.99 2025-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $163,822.47 $246,714.15 $205,153.92 2025-11-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 16 — — $160,145.68 $241,176.96 $200,549.50 2025-11-21
215 MS_DRG Other Heart Assist System Implant 25 16 — — $159,324.60 $239,940.44 $199,521.27 2025-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $157,529.07 $237,236.38 $197,272.73 2025-11-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $145,133.24 $218,568.46 $181,749.52 2025-11-21
850 MS_DRG Acute Leukemia With Other Procedures 25 16 — — $138,528.55 $208,621.90 $173,478.50 2025-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $127,430.51 $191,908.41 $159,580.48 2025-11-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $127,359.83 $191,801.97 $159,491.97 2025-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 16 — — $125,425.94 $188,889.57 $157,070.18 2025-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 16 — — $121,222.82 $182,559.73 $151,806.64 2025-11-21
10 MS_DRG Pancreas Transplant 25 16 — — $119,897.97 $180,564.53 $150,147.54 2025-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 16 — — $119,210.74 $179,529.56 $149,286.91 2025-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $117,543.02 $177,018.01 $147,198.44 2025-11-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $116,356.53 $175,231.16 $145,712.60 2025-11-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 16 — — $112,246.64 $169,041.74 $140,565.81 2025-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $106,810.40 $160,854.85 $133,758.05 2025-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $106,273.55 $160,046.35 $133,085.74 2025-11-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 16 — — $104,611.85 $157,543.86 $131,004.81 2025-11-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 16 — — $102,683.98 $154,640.51 $128,590.55 2025-11-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 16 — — $100,825.28 $151,841.34 $126,262.91 2025-11-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 16 — — $100,437.30 $151,257.05 $125,777.04 2025-11-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 16 — — $100,267.37 $151,001.14 $125,564.24 2025-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 16 — — $97,253.75 $146,462.68 $121,790.31 2025-11-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $97,113.90 $146,252.06 $121,615.17 2025-11-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 16 — — $95,104.82 $143,226.42 $119,099.22 2025-11-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $93,151.39 $140,284.58 $116,652.94 2025-11-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 16 — — $93,031.08 $140,103.40 $116,502.28 2025-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $92,607.01 $139,464.76 $115,971.22 2025-11-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $91,862.63 $138,343.73 $115,039.04 2025-11-21
28 MS_DRG Spinal Procedures With Mcc 25 16 — — $91,423.52 $137,682.44 $114,489.14 2025-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 16 — — $90,767.86 $136,695.03 $113,668.07 2025-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 16 — — $90,767.86 $136,695.03 $113,668.07 2025-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 16 — — $90,089.65 $135,673.65 $112,818.75 2025-11-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $89,465.57 $134,733.80 $112,037.22 2025-11-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $88,486.60 $133,259.48 $110,811.25 2025-11-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 16 — — $87,555.75 $131,857.63 $109,645.55 2025-11-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $86,309.10 $129,980.19 $108,084.38 2025-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 16 — — $85,793.29 $129,203.40 $107,438.44 2025-11-21
653 MS_DRG Major Bladder Procedures With Mcc 25 16 — — $83,830.83 $126,247.97 $104,980.87 2025-11-21
834 MS_DRG Acute Leukemia With Mcc 25 16 — — $83,119.54 $125,176.76 $104,090.11 2025-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 16 — — $83,119.54 $125,176.76 $104,090.11 2025-11-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $82,770.66 $124,651.35 $103,653.21 2025-11-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 16 — — $82,265.38 $123,890.41 $103,020.46 2025-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 16 — — $84,391.90 $135,007.40 $102,482.89 2025-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 16 — — $81,823.26 $123,224.59 $102,466.80 2025-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 16 — — $81,636.79 $122,943.77 $102,233.28 2025-11-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 16 — — $81,220.24 $122,316.45 $101,711.63 2025-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 16 — — $81,143.54 $122,200.95 $101,615.59 2025-11-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $81,134.52 $122,187.36 $101,604.29 2025-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $80,005.17 $120,486.57 $100,190.01 2025-11-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $79,651.77 $119,954.36 $99,747.45 2025-11-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 16 — — $77,447.20 $116,634.31 $96,986.68 2025-11-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 16 — — $77,190.05 $116,247.05 $96,664.66 2025-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 16 — — $76,378.00 $115,024.11 $95,647.73 2025-11-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 16 — — $75,744.90 $114,070.67 $94,854.90 2025-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 16 — — $75,298.27 $113,398.06 $94,295.59 2025-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $75,239.63 $113,309.74 $94,222.15 2025-11-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 16 — — $75,209.55 $113,264.44 $94,184.48 2025-11-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 16 — — $74,938.87 $112,856.80 $93,845.51 2025-11-21
245 MS_DRG Aicd Generator Procedures 25 16 — — $73,487.70 $110,671.36 $92,028.22 2025-11-21
471 MS_DRG Cervical Spinal Fusion With Mcc 25 16 — — $73,044.08 $110,003.27 $91,472.67 2025-11-21
6 MS_DRG Liver Transplant Without Mcc 25 16 — — $72,922.27 $109,819.83 $91,320.13 2025-11-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 16 — — $71,813.97 $108,150.75 $89,932.22 2025-11-21
799 MS_DRG Splenic Procedures With Mcc 25 16 — — $71,502.68 $107,681.96 $89,542.39 2025-11-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $71,489.15 $107,661.57 $89,525.44 2025-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 16 — — $70,749.28 $106,547.34 $88,598.91 2025-11-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 16 — — $70,370.32 $105,976.64 $88,124.34 2025-11-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $69,955.27 $105,351.58 $87,604.58 2025-11-21
163 MS_DRG Major Chest Procedures With Mcc 25 16 — — $69,313.15 $104,384.55 $86,800.45 2025-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 16 — — $69,284.58 $104,341.52 $86,764.67 2025-11-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $69,063.52 $104,008.61 $86,487.84 2025-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 16 — — $69,052.99 $103,992.76 $86,474.66 2025-11-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 16 — — $70,060.94 $112,081.20 $85,079.82 2025-11-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 16 — — $67,845.44 $102,174.21 $84,962.45 2025-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 16 — — $67,440.92 $101,565.00 $84,455.87 2025-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 16 — — $67,254.45 $101,284.18 $84,222.35 2025-11-21
901 MS_DRG Wound Debridements For Injuries With Mcc 25 16 — — $66,625.86 $100,337.53 $83,435.18 2025-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 16 — — $66,058.93 $99,483.74 $82,725.21 2025-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 16 — — $65,067.92 $97,991.30 $81,484.18 2025-11-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $64,934.08 $97,789.75 $81,316.58 2025-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 16 — — $64,147.60 $96,605.31 $80,331.66 2025-11-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 16 — — $64,052.86 $96,462.63 $80,213.02 2025-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 25 16 — — $63,598.71 $95,778.69 $79,644.29 2025-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 16 — — $63,018.24 $94,904.52 $78,917.38 2025-11-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 16 — — $63,003.20 $94,881.87 $78,898.55 2025-11-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 16 — — $62,568.61 $94,227.37 $78,354.30 2025-11-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $61,837.76 $93,126.73 $77,439.07 2025-11-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 16 — — $61,803.17 $93,074.64 $77,395.75 2025-11-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 12 — — $63,235.61 $154,700.98 $77,382.19 2025-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 16 — — $61,711.44 $92,936.49 $77,280.88 2025-11-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 16 — — $61,407.67 $92,479.02 $76,900.47 2025-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 16 — — $61,165.56 $92,114.41 $76,597.28 2025-11-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 16 — — $59,906.88 $90,218.85 $75,021.04 2025-11-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 16 — — $59,864.77 $90,155.44 $74,968.31 2025-11-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 16 — — $59,335.44 $89,358.27 $74,305.42 2025-11-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 16 — — $59,213.63 $89,174.83 $74,152.88 2025-11-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 16 — — $59,093.32 $88,993.65 $74,002.23 2025-11-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 16 — — $58,831.66 $88,599.59 $73,674.55 2025-11-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 16 — — $58,803.09 $88,556.56 $73,638.77 2025-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 16 — — $58,478.27 $88,067.39 $73,232.00 2025-11-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 16 — — $58,121.87 $87,530.66 $72,785.68 2025-11-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 16 — — $58,063.22 $87,442.33 $72,712.24 2025-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 16 — — $57,900.81 $87,197.74 $72,508.85 2025-11-21
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $58,238.40 $92,817.45 $72,404.20 2025-11-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 16 — — $57,481.25 $86,565.89 $71,983.44 2025-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 16 — — $57,169.96 $86,097.10 $71,593.61 2025-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 16 — — $56,724.84 $85,426.75 $71,036.19 2025-11-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 16 — — $56,272.20 $84,745.07 $70,469.34 2025-11-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 16 — — $54,869.15 $82,632.11 $68,712.32 2025-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 13 — — $55,015.23 $135,509.06 $68,258.98 2025-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 16 — — $54,488.69 $82,059.14 $68,235.87 2025-11-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 16 — — $53,908.22 $81,184.97 $67,508.95 2025-11-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 16 — — $53,905.21 $81,180.44 $67,505.19 2025-11-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 16 — — $53,896.19 $81,166.85 $67,493.89 2025-11-21
265 MS_DRG Aicd Lead Procedures 25 16 — — $53,643.55 $80,786.38 $67,177.51 2025-11-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 16 — — $53,402.95 $80,424.03 $66,876.20 2025-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 16 — — $53,090.16 $79,952.97 $66,484.49 2025-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 16 — — $53,076.62 $79,932.59 $66,467.54 2025-11-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 16 — — $52,942.78 $79,731.03 $66,299.94 2025-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 16 — — $52,690.14 $79,350.56 $65,983.56 2025-11-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $52,673.60 $79,325.65 $65,962.85 2025-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 16 — — $52,652.55 $79,293.94 $65,936.48 2025-11-21
264 MS_DRG Other Circulatory System O.r. Procedures 25 16 — — $52,559.31 $79,153.53 $65,819.72 2025-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 16 — — $52,219.46 $78,641.71 $65,394.12 2025-11-21
332 MS_DRG Rectal Resection With Mcc 25 16 — — $52,162.31 $78,555.65 $65,322.56 2025-11-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 16 — — $52,105.17 $78,469.59 $65,251.00 2025-11-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 16 — — $51,796.89 $78,005.33 $64,864.94 2025-11-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 16 — — $51,715.68 $77,883.03 $64,763.25 2025-11-21
665 MS_DRG Prostatectomy With Mcc 25 16 — — $51,634.48 $77,760.74 $64,661.56 2025-11-21
252 MS_DRG Other Vascular Procedures With Mcc 25 16 — — $51,586.36 $77,688.27 $64,601.29 2025-11-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 16 — — $51,222.44 $77,140.21 $64,145.56 2025-11-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 16 — — $51,008.90 $76,818.62 $63,878.14 2025-11-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 16 — — $50,478.05 $76,019.18 $63,213.37 2025-11-21
37 MS_DRG Extracranial Procedures With Mcc 25 16 — — $49,939.69 $75,208.42 $62,539.19 2025-11-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 16 — — $49,653.97 $74,778.13 $62,181.38 2025-11-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 16 — — $49,014.86 $73,815.63 $61,381.02 2025-11-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 16 — — $48,993.80 $73,783.93 $61,354.66 2025-11-21
90288 CPT Botulism Ig IV 2 2 — — $48,705.00 $73,057.50 $60,881.25 2025-11-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 16 — — $48,411.83 $72,907.49 $60,625.86 2025-11-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $48,187.77 $72,570.05 $60,345.26 2025-11-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 16 — — $48,047.91 $72,359.43 $60,170.12 2025-11-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 16 — — $47,956.18 $72,221.28 $60,055.25 2025-11-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 16 — — $47,826.86 $72,026.52 $59,893.29 2025-11-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 16 — — $47,730.61 $71,881.58 $59,772.77 2025-11-21
500 MS_DRG Soft Tissue Procedures With Mcc 25 16 — — $47,650.91 $71,761.55 $59,672.96 2025-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 8 4 — — $56,824.55 $99,234.09 $59,544.54 2025-11-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 16 — — $46,933.60 $70,681.29 $58,774.67 2025-11-21
662 MS_DRG Minor Bladder Procedures With Mcc 25 16 — — $46,912.54 $70,649.58 $58,748.31 2025-11-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 16 — — $46,712.54 $70,348.38 $58,497.84 2025-11-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 16 — — $46,503.51 $70,033.58 $58,236.08 2025-11-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 16 — — $46,407.27 $69,888.64 $58,115.55 2025-11-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 16 — — $46,374.18 $69,838.82 $58,074.12 2025-11-21
652 MS_DRG Kidney Transplant 25 16 — — $46,187.71 $69,558.00 $57,840.60 2025-11-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 16 — — $46,145.61 $69,494.58 $57,787.88 2025-11-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 16 — — $45,995.23 $69,268.11 $57,599.56 2025-11-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 16 — — $47,103.35 $75,354.40 $57,200.84 2025-11-21
570 MS_DRG Skin Debridement With Mcc 25 16 — — $45,267.39 $68,172.00 $56,688.09 2025-11-21
974 MS_DRG HIV With Major Related Condition With Mcc 25 16 — — $44,906.48 $67,628.47 $56,236.12 2025-11-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 16 — — $44,341.05 $66,776.94 $55,528.04 2025-11-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 16 — — $44,226.76 $66,604.83 $55,384.91 2025-11-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 16 — — $44,106.45 $66,423.65 $55,234.26 2025-11-21
668 MS_DRG Transurethral Procedures With Mcc 25 16 — — $43,855.32 $66,045.45 $54,919.76 2025-11-21
800 MS_DRG Splenic Procedures With Cc 25 16 — — $43,817.72 $65,988.83 $54,872.68 2025-11-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 16 — — $43,793.66 $65,952.59 $54,842.55 2025-11-21
J9226 HCPCS Supprelin La Implant 20 13 — — $45,212.04 $110,438.78 $54,748.24 2025-11-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 16 — — $44,951.16 $71,911.40 $54,587.29 2025-11-21
472 MS_DRG Cervical Spinal Fusion With Cc 25 16 — — $43,568.09 $65,612.89 $54,560.07 2025-11-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 16 — — $43,115.45 $64,931.21 $53,993.23 2025-11-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 16 — — $43,040.26 $64,817.98 $53,899.07 2025-11-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 16 — — $42,980.11 $64,727.39 $53,823.74 2025-11-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 16 — — $42,810.18 $64,471.48 $53,610.94 2025-11-21
654 MS_DRG Major Bladder Procedures With Cc 25 16 — — $42,438.74 $63,912.10 $53,145.79 2025-11-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 16 — — $42,232.72 $63,601.83 $52,887.79 2025-11-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 16 — — $42,189.11 $63,536.16 $52,833.18 2025-11-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 16 — — $41,149.98 $61,971.25 $51,531.88 2025-11-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 16 — — $41,076.30 $61,860.28 $51,439.61 2025-11-21
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 16 — — $40,853.73 $61,525.10 $51,160.89 2025-11-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 16 — — $40,653.73 $61,223.90 $50,910.43 2025-11-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 16 — — $40,519.89 $61,022.34 $50,742.82 2025-11-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 16 — — $40,358.98 $60,780.02 $50,541.32 2025-11-21
263 MS_DRG Vein Ligation And Stripping 25 16 — — $40,333.42 $60,741.52 $50,509.31 2025-11-21
849 MS_DRG Radiotherapy 25 16 — — $40,168.00 $60,492.40 $50,302.16 2025-11-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 16 — — $41,001.11 $61,073.60 $50,156.69 2025-11-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 16 — — $40,043.19 $60,304.43 $50,145.85 2025-11-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 16 — — $39,900.33 $60,089.29 $49,966.95 2025-11-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 25 16 — — $39,850.70 $60,014.55 $49,904.80 2025-11-21
503 MS_DRG Foot Procedures With Mcc 25 16 — — $39,799.57 $59,937.55 $49,840.77 2025-11-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 16 — — $39,758.97 $59,876.40 $49,789.92 2025-11-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 16 — — $39,346.93 $59,255.88 $49,273.93 2025-11-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 25 16 — — $38,927.37 $58,624.02 $48,748.52 2025-11-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 16 — — $40,082.95 $64,123.40 $48,675.49 2025-11-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 16 — — $38,862.70 $58,526.64 $48,667.54 2025-11-21
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 16 — — $38,404.04 $57,835.91 $48,093.16 2025-11-21
253 MS_DRG Other Vascular Procedures With Cc 25 16 — — $38,392.01 $57,817.79 $48,078.10 2025-11-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 16 — — $39,382.98 $63,003.60 $47,825.46 2025-11-21
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 25 16 — — $38,122.83 $57,412.41 $47,741.00 2025-11-21
545 MS_DRG Connective Tissue Disorders With Mcc 25 16 — — $37,999.52 $57,226.70 $47,586.58 2025-11-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 16 — — $37,969.45 $57,181.41 $47,548.92 2025-11-21
164 MS_DRG Major Chest Procedures With Cc 25 16 — — $37,850.65 $57,002.50 $47,400.14 2025-11-21
56 MS_DRG Degenerative Nervous System Disorders With Mcc 25 16 — — $37,656.66 $56,710.35 $47,157.21 2025-11-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 25 16 — — $37,628.08 $56,667.32 $47,121.43 2025-11-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 16 — — $35,042.85 $57,079.68 $46,876.69 2025-11-21
397 MS_DRG Appendix Procedures With Mcc 25 16 — — $37,261.16 $56,114.74 $46,661.93 2025-11-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 25 16 — — $37,110.78 $55,888.27 $46,473.61 2025-11-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 16 — — $36,817.54 $55,446.65 $46,106.39 2025-11-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 16 — — $36,513.77 $54,989.18 $45,725.98 2025-11-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 16 — — $36,372.41 $54,776.30 $45,548.96 2025-11-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 25 16 — — $36,258.12 $54,604.18 $45,405.84 2025-11-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 16 — — $36,106.24 $54,375.45 $45,215.63 2025-11-21
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 25 16 — — $36,049.09 $54,289.39 $45,144.07 2025-11-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 25 16 — — $36,049.09 $54,289.39 $45,144.07 2025-11-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 16 — — $35,737.81 $53,820.60 $44,754.25 2025-11-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 25 16 — — $35,600.96 $53,614.51 $44,582.88 2025-11-21
347 MS_DRG Anal And Stomal Procedures With Mcc 25 16 — — $35,591.94 $53,600.92 $44,571.58 2025-11-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 16 — — $35,545.32 $53,530.71 $44,513.20 2025-11-21
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 16 — — $35,488.18 $53,444.66 $44,441.64 2025-11-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 16 — — $35,167.87 $52,962.27 $44,040.52 2025-11-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 16 — — $36,075.62 $57,712.60 $43,809.11 2025-11-21
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 25 16 — — $34,891.17 $52,545.57 $43,694.01 2025-11-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 25 16 — — $34,809.96 $52,423.28 $43,592.31 2025-11-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 25 16 — — $34,776.88 $52,373.45 $43,550.88 2025-11-21
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 16 — — $34,713.72 $52,278.33 $43,471.79 2025-11-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 25 16 — — $34,498.68 $51,954.48 $43,202.49 2025-11-21
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 25 16 — — $34,441.53 $51,868.42 $43,130.93 2025-11-21
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 25 16 — — $34,336.27 $51,709.90 $42,999.11 2025-11-21
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 25 16 — — $34,271.60 $51,612.51 $42,918.13 2025-11-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 25 16 — — $34,208.44 $51,517.40 $42,839.03 2025-11-21
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 25 16 — — $34,076.11 $51,318.10 $42,673.31 2025-11-21
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 25 16 — — $33,960.32 $51,143.72 $42,528.31 2025-11-21
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 25 16 — — $33,958.81 $51,141.46 $42,526.42 2025-11-21
113 MS_DRG Orbital Procedures With Cc/mcc 25 16 — — $33,934.75 $51,105.22 $42,496.29 2025-11-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 25 16 — — $33,877.61 $51,019.16 $42,424.73 2025-11-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 16 — — $33,865.58 $51,001.04 $42,409.66 2025-11-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 25 16 — — $33,821.97 $50,935.37 $42,355.05 2025-11-21
709 MS_DRG Penis Procedures With Cc/mcc 25 16 — — $33,791.89 $50,890.07 $42,317.39 2025-11-21
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 25 16 — — $33,570.83 $50,557.16 $42,040.56 2025-11-21
30 MS_DRG Spinal Procedures Without Cc/mcc 25 16 — — $33,465.57 $50,398.63 $41,908.73 2025-11-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 25 16 — — $33,283.61 $50,124.61 $41,680.87 2025-11-21
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 16 — — $33,074.58 $49,809.81 $41,419.10 2025-11-21
935 MS_DRG Non-extensive Burns 25 16 — — $33,029.46 $49,741.87 $41,362.60 2025-11-21
906 MS_DRG Hand Procedures For Injuries 25 16 — — $32,820.44 $49,427.08 $41,100.84 2025-11-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 16 — — $32,766.30 $49,345.55 $41,033.04 2025-11-21
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 25 16 — — $32,621.93 $49,128.14 $40,852.26 2025-11-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 25 16 — — $32,441.48 $48,856.37 $40,626.27 2025-11-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 25 16 — — $32,384.33 $48,770.31 $40,554.71 2025-11-21
141 MS_DRG Major Head And Neck Procedures With Cc 25 16 — — $32,309.14 $48,657.08 $40,460.55 2025-11-21
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 25 16 — — $32,268.54 $48,595.93 $40,409.71 2025-11-21
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 25 16 — — $32,245.98 $48,561.96 $40,381.46 2025-11-21
835 MS_DRG Acute Leukemia With Cc 25 16 — — $32,119.66 $48,371.73 $40,223.27 2025-11-21
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 25 16 — — $32,118.16 $48,369.46 $40,221.39 2025-11-21
32 MS_DRG Ventricular Shunt Procedures With Cc 25 16 — — $32,115.15 $48,364.93 $40,217.62 2025-11-21
412 MS_DRG Cholecystectomy With C.d.e. With Cc 25 16 — — $32,055.00 $48,274.35 $40,142.29 2025-11-21
333 MS_DRG Rectal Resection With Cc 25 16 — — $31,960.26 $48,131.67 $40,023.65 2025-11-21
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 25 16 — — $31,894.09 $48,032.02 $39,940.79 2025-11-21
595 MS_DRG Major Skin Disorders With Mcc 25 16 — — $31,806.87 $47,900.67 $39,831.56 2025-11-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 16 — — $31,764.77 $47,837.26 $39,778.83 2025-11-21
374 MS_DRG Digestive Malignancy With Mcc 25 16 — — $31,751.23 $47,816.88 $39,761.88 2025-11-21
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 16 — — $31,751.23 $47,816.88 $39,761.88 2025-11-21
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 25 16 — — $31,621.91 $47,622.11 $39,599.93 2025-11-21
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 16 — — $31,527.17 $47,479.44 $39,481.29 2025-11-21
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 25 16 — — $31,436.94 $47,343.55 $39,368.30 2025-11-21
655 MS_DRG Major Bladder Procedures Without Cc/mcc 25 16 — — $31,238.44 $47,044.61 $39,119.71 2025-11-21
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 25 16 — — $31,202.35 $46,990.26 $39,074.52 2025-11-21
93654 CPT Compre Ep Eval Tx Vt 22 14 — — $14,482.00 $53,464.00 $38,930.50 2025-11-21
93653 CPT Compre Ep Eval Tx Svt 22 14 — — $14,482.00 $53,464.00 $38,930.50 2025-11-21
93656 CPT Compre Ep Eval Abltj Atr Fib 22 14 — — $14,482.00 $53,464.00 $38,930.50 2025-11-21
592 MS_DRG Skin Ulcers With Mcc 25 16 — — $30,922.64 $46,569.03 $38,724.24 2025-11-21
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 25 16 — — $30,788.80 $46,367.47 $38,556.64 2025-11-21
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 25 16 — — $30,500.07 $45,932.65 $38,195.06 2025-11-21
539 MS_DRG Osteomyelitis With Mcc 25 16 — — $30,412.85 $45,801.29 $38,085.84 2025-11-21
908 MS_DRG Other O.r. Procedures For Injuries With Cc 25 16 — — $30,333.15 $45,681.26 $37,986.03 2025-11-21
548 MS_DRG Septic Arthritis With Mcc 25 16 — — $30,295.55 $45,624.65 $37,938.95 2025-11-21
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 25 16 — — $30,263.98 $45,577.09 $37,899.40 2025-11-21
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 25 16 — — $30,251.94 $45,558.97 $37,884.33 2025-11-21
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 25 16 — — $30,051.94 $45,257.76 $37,633.87 2025-11-21
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 25 16 — — $30,047.43 $45,250.97 $37,628.22 2025-11-21
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 25 16 — — $30,026.37 $45,219.26 $37,601.85 2025-11-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 25 16 — — $29,913.59 $45,049.41 $37,460.61 2025-11-21
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 25 16 — — $29,892.54 $45,017.71 $37,434.25 2025-11-21
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