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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 MEDICAL CENTER - SUMMIT

Summit, WI · CCN 520206 · Rates published

12,041 distinct procedures filed
15 distinct payers
325,023 rate rows
2025-11-21 last MRF observed
Data quality

318,250 of 325,023 rate rows are consumer-grade (97.9%)

6,773 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 5,514
exceeds 10× this hospital's gross charge — excluded from medians 415
percent-of-charges filed in the dollar field — excluded from medians 307
per-diem day rate — not a per-procedure price 264
placeholder amount (≤ $0.02) — excluded from medians 198
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 71
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11249/390806347_aurora-medical-center-summit_standardcharges.csv
Found on page https://www.aurorahealthcare.org/patients-visitors/billing-payment/health-care-costs
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 0aee4cdd9c995e4d… · 145,555,786 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
$3,703,693
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
$3,324,572
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
$2,994,107
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
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $620,149.28 $854,081.78 $758,574.12 nat. median
$359,358
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $565,623.84 $1,380,122.16 $724,994.21 nat. median
$738,272
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $551,318.34 $1,345,216.74 $722,159.10 nat. median
$646,415
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $528,312.43 $1,289,082.32 $692,617.59 nat. median
$622,245
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,485.97 $1,260,225.76 $677,113.10 nat. median
$640,950
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,517.15 $1,194,421.85 $641,756.98 nat. median
$608,101
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $488,051.51 $1,190,845.68 $630,926.65 nat. median
$591,650
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $463,199.53 $637,927.49 $566,591.27 nat. median
$249,124
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $390,097.72 $537,250.25 $477,172.27 nat. median
$198,433
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 $352,421.23 $485,361.45 $431,085.92 nat. median
$190,557
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $232,353.72 $320,002.11 $284,217.89 nat. median
$126,722
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $215,446.00 $296,716.46 $263,536.16 nat. median
$110,192
outlier · 2.4×
7
MS_DRG 		Lung Transplant 12 $214,903.35 $295,969.11 $262,872.38 nat. median
$117,894
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $181,207.95 $249,563.15 $221,655.76 nat. median
$103,967
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $179,139.29 $246,714.15 $219,125.35 nat. median
$97,414
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $175,118.73 $241,176.96 $214,207.35 nat. median
$94,964
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 12 $174,220.89 $239,940.44 $213,109.11 nat. median
$93,917
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $172,257.48 $237,236.38 $210,707.43 nat. median
$93,270
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $158,702.69 $218,568.46 $194,127.05 nat. median
$90,581
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $151,480.48 $208,621.90 $185,292.76 nat. median
$78,262
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $139,344.81 $191,908.41 $170,448.26 nat. median
$77,043
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $139,267.52 $191,801.97 $170,353.72 nat. median
$77,696
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $137,152.83 $188,889.57 $167,767.00 nat. median
$78,037
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $132,556.73 $182,559.73 $162,144.99 nat. median
$74,460
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 12 $131,108.01 $180,564.53 $160,372.91 nat. median
$64,903
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $130,356.52 $179,529.56 $159,453.67 nat. median
$66,660
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $128,532.88 $177,018.01 $157,222.98 nat. median
$71,758
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $127,235.45 $175,231.16 $155,635.95 nat. median
$72,473
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $122,741.30 $169,041.74 $150,138.65 nat. median
$68,004
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $116,796.80 $160,854.85 $142,867.26 nat. median
$63,648
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $116,209.75 $160,046.35 $142,149.17 nat. median
$66,649
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $114,392.69 $157,543.86 $139,926.52 nat. median
$62,721
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $112,284.57 $154,640.51 $137,347.84 nat. median
$61,711
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $110,252.09 $151,841.34 $134,861.69 nat. median
$60,543
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $109,827.83 $151,257.05 $134,342.73 nat. median
$61,329
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $109,642.01 $151,001.14 $134,115.44 nat. median
$63,896
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $106,346.64 $146,462.68 $130,084.49 nat. median
$59,384
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $106,193.71 $146,252.06 $129,897.43 nat. median
$62,038
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $103,996.79 $143,226.42 $127,210.13 nat. median
$58,216
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 $101,860.71 $140,284.58 $124,597.26 nat. median
$56,686
outlier · 2.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $101,729.16 $140,103.40 $124,436.35 nat. median
$57,560
outlier · 2.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $101,265.44 $139,464.76 $123,869.11 nat. median
$58,118
outlier · 2.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $100,451.46 $138,343.73 $122,873.45 nat. median
$57,804
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 12,041 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
             
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 20 12 — — $620,149.28 $854,081.78 $758,574.12 2025-11-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $565,623.84 $1,380,122.16 $724,994.21 2025-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $551,318.34 $1,345,216.74 $722,159.10 2025-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $528,312.43 $1,289,082.32 $692,617.59 2025-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $516,485.97 $1,260,225.76 $677,113.10 2025-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $489,517.15 $1,194,421.85 $641,756.98 2025-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $488,051.51 $1,190,845.68 $630,926.65 2025-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 12 — — $463,199.53 $637,927.49 $566,591.27 2025-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 12 — — $390,097.72 $537,250.25 $477,172.27 2025-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 20 12 — — $352,421.23 $485,361.45 $431,085.92 2025-11-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 12 — — $232,353.72 $320,002.11 $284,217.89 2025-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 20 12 — — $215,446.00 $296,716.46 $263,536.16 2025-11-21
7 MS_DRG Lung Transplant 20 12 — — $214,903.35 $295,969.11 $262,872.38 2025-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 12 — — $181,207.95 $249,563.15 $221,655.76 2025-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 12 — — $179,139.29 $246,714.15 $219,125.35 2025-11-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 12 — — $175,118.73 $241,176.96 $214,207.35 2025-11-21
215 MS_DRG Other Heart Assist System Implant 20 12 — — $174,220.89 $239,940.44 $213,109.11 2025-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $172,257.48 $237,236.38 $210,707.43 2025-11-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $158,702.69 $218,568.46 $194,127.05 2025-11-21
850 MS_DRG Acute Leukemia With Other Procedures 20 12 — — $151,480.48 $208,621.90 $185,292.76 2025-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 — — $139,344.81 $191,908.41 $170,448.26 2025-11-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $139,267.52 $191,801.97 $170,353.72 2025-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 12 — — $137,152.83 $188,889.57 $167,767.00 2025-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 12 — — $132,556.73 $182,559.73 $162,144.99 2025-11-21
10 MS_DRG Pancreas Transplant 20 12 — — $131,108.01 $180,564.53 $160,372.91 2025-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 12 — — $130,356.52 $179,529.56 $159,453.67 2025-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 12 — — $128,532.88 $177,018.01 $157,222.98 2025-11-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $127,235.45 $175,231.16 $155,635.95 2025-11-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 12 — — $122,741.30 $169,041.74 $150,138.65 2025-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $116,796.80 $160,854.85 $142,867.26 2025-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 12 — — $116,209.75 $160,046.35 $142,149.17 2025-11-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 12 — — $114,392.69 $157,543.86 $139,926.52 2025-11-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 12 — — $112,284.57 $154,640.51 $137,347.84 2025-11-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 12 — — $110,252.09 $151,841.34 $134,861.69 2025-11-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 12 — — $109,827.83 $151,257.05 $134,342.73 2025-11-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 12 — — $109,642.01 $151,001.14 $134,115.44 2025-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 12 — — $106,346.64 $146,462.68 $130,084.49 2025-11-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $106,193.71 $146,252.06 $129,897.43 2025-11-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 12 — — $103,996.79 $143,226.42 $127,210.13 2025-11-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 12 — — $101,860.71 $140,284.58 $124,597.26 2025-11-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 12 — — $101,729.16 $140,103.40 $124,436.35 2025-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $101,265.44 $139,464.76 $123,869.11 2025-11-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 12 — — $100,451.46 $138,343.73 $122,873.45 2025-11-21
28 MS_DRG Spinal Procedures With Mcc 20 12 — — $99,971.30 $137,682.44 $122,286.11 2025-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 12 — — $99,254.34 $136,695.03 $121,409.11 2025-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 12 — — $99,254.34 $136,695.03 $121,409.11 2025-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 12 — — $98,512.72 $135,673.65 $120,501.95 2025-11-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $97,830.29 $134,733.80 $119,667.20 2025-11-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 12 — — $96,759.78 $133,259.48 $118,357.74 2025-11-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 12 — — $95,741.90 $131,857.63 $117,112.65 2025-11-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $94,378.69 $129,980.19 $115,445.16 2025-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $93,814.66 $129,203.40 $114,755.24 2025-11-21
653 MS_DRG Major Bladder Procedures With Mcc 20 12 — — $91,668.72 $126,247.97 $112,130.29 2025-11-21
834 MS_DRG Acute Leukemia With Mcc 20 12 — — $90,890.92 $125,176.76 $111,178.88 2025-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 12 — — $90,890.92 $125,176.76 $111,178.88 2025-11-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $90,509.42 $124,651.35 $110,712.22 2025-11-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 12 — — $89,956.90 $123,890.41 $110,036.38 2025-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 12 — — $89,473.45 $123,224.59 $109,445.01 2025-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 12 — — $89,269.54 $122,943.77 $109,195.58 2025-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 12 — — $84,391.90 $135,007.40 $109,095.18 2025-11-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 — — $88,814.04 $122,316.45 $108,638.42 2025-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 12 — — $88,730.18 $122,200.95 $108,535.83 2025-11-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $88,720.31 $122,187.36 $108,523.76 2025-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 12 — — $87,485.37 $120,486.57 $107,013.16 2025-11-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $87,098.93 $119,954.36 $106,540.48 2025-11-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 12 — — $84,688.24 $116,634.31 $103,591.69 2025-11-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 12 — — $84,407.05 $116,247.05 $103,247.73 2025-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 12 — — $83,519.08 $115,024.11 $102,161.54 2025-11-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 12 — — $82,826.78 $114,070.67 $101,314.73 2025-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 12 — — $82,338.40 $113,398.06 $100,717.32 2025-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 — — $82,274.27 $113,309.74 $100,638.88 2025-11-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 12 — — $82,241.38 $113,264.44 $100,598.65 2025-11-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $81,945.39 $112,856.80 $100,236.58 2025-11-21
245 MS_DRG Aicd Generator Procedures 20 12 — — $80,358.54 $110,671.36 $98,295.54 2025-11-21
471 MS_DRG Cervical Spinal Fusion With Mcc 20 12 — — $79,873.44 $110,003.27 $97,702.16 2025-11-21
6 MS_DRG Liver Transplant Without Mcc 20 12 — — $79,740.24 $109,819.83 $97,539.23 2025-11-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 12 — — $78,528.32 $108,150.75 $96,056.79 2025-11-21
799 MS_DRG Splenic Procedures With Mcc 20 12 — — $78,187.93 $107,681.96 $95,640.42 2025-11-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 12 — — $78,173.13 $107,661.57 $95,622.32 2025-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 12 — — $77,364.09 $106,547.34 $94,632.69 2025-11-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 12 — — $76,949.70 $105,976.64 $94,125.80 2025-11-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 12 — — $76,495.84 $105,351.58 $93,570.64 2025-11-21
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2025-11-21
163 MS_DRG Major Chest Procedures With Mcc 20 12 — — $75,793.68 $104,384.55 $92,711.75 2025-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 12 — — $75,762.44 $104,341.52 $92,673.54 2025-11-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $75,520.71 $104,008.61 $92,377.85 2025-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 12 — — $75,509.20 $103,992.76 $92,363.77 2025-11-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 12 — — $74,188.75 $102,174.21 $90,748.57 2025-11-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 12 — — $70,060.94 $112,081.20 $90,569.25 2025-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 12 — — $73,746.41 $101,565.00 $90,207.50 2025-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 12 — — $73,542.50 $101,284.18 $89,958.08 2025-11-21
901 MS_DRG Wound Debridements For Injuries With Mcc 20 12 — — $72,855.14 $100,337.53 $89,117.29 2025-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 12 — — $72,235.20 $99,483.74 $88,358.98 2025-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 12 — — $71,151.54 $97,991.30 $87,033.43 2025-11-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $71,005.19 $97,789.75 $86,854.41 2025-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 12 — — $70,145.17 $96,605.31 $85,802.43 2025-11-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 12 — — $70,041.57 $96,462.63 $85,675.70 2025-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 20 12 — — $69,544.96 $95,778.69 $85,068.24 2025-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 12 — — $68,910.23 $94,904.52 $84,291.82 2025-11-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 12 — — $68,893.78 $94,881.87 $84,271.71 2025-11-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 12 — — $68,418.55 $94,227.37 $83,690.40 2025-11-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $63,402.04 $154,700.98 $83,120.08 2025-11-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 12 — — $67,619.37 $93,126.73 $82,712.84 2025-11-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 12 — — $67,581.55 $93,074.64 $82,666.58 2025-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 12 — — $67,481.24 $92,936.49 $82,543.88 2025-11-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 12 — — $67,149.07 $92,479.02 $82,137.57 2025-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 12 — — $66,884.33 $92,114.41 $81,813.72 2025-11-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 12 — — $65,507.96 $90,218.85 $80,130.14 2025-11-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 12 — — $65,461.92 $90,155.44 $80,073.81 2025-11-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 12 — — $64,883.09 $89,358.27 $79,365.79 2025-11-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 12 — — $64,749.89 $89,174.83 $79,202.86 2025-11-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 12 — — $64,618.34 $88,993.65 $79,041.94 2025-11-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 12 — — $64,332.22 $88,599.59 $78,691.95 2025-11-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 12 — — $64,300.97 $88,556.56 $78,653.73 2025-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 12 — — $63,945.78 $88,067.39 $78,219.26 2025-11-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 12 — — $63,556.06 $87,530.66 $77,742.54 2025-11-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 12 — — $63,491.93 $87,442.33 $77,664.10 2025-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 12 — — $63,314.33 $87,197.74 $77,446.86 2025-11-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 12 — — $62,855.55 $86,565.89 $76,885.67 2025-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $62,515.15 $86,097.10 $76,469.29 2025-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 12 — — $62,028.41 $85,426.75 $75,873.90 2025-11-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 12 — — $61,533.45 $84,745.07 $75,268.46 2025-11-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 12 — — $59,999.22 $82,632.11 $73,391.77 2025-11-21
90288 CPT Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2025-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 12 — — $59,583.19 $82,059.14 $72,882.88 2025-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 10 — — $55,536.50 $135,509.06 $72,808.35 2025-11-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 12 — — $58,948.45 $81,184.97 $72,106.46 2025-11-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 12 — — $58,945.16 $81,180.44 $72,102.43 2025-11-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 12 — — $58,935.30 $81,166.85 $72,090.37 2025-11-21
265 MS_DRG Aicd Lead Procedures 20 12 — — $58,659.04 $80,786.38 $71,752.44 2025-11-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 12 — — $58,395.93 $80,424.03 $71,430.61 2025-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 12 — — $58,053.90 $79,952.97 $71,012.23 2025-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 12 — — $58,039.10 $79,932.59 $70,994.13 2025-11-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 12 — — $57,892.75 $79,731.03 $70,815.11 2025-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 12 — — $57,616.49 $79,350.56 $70,477.18 2025-11-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 12 — — $57,598.40 $79,325.65 $70,455.06 2025-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 12 — — $57,575.38 $79,293.94 $70,426.90 2025-11-21
264 MS_DRG Other Circulatory System O.r. Procedures 20 12 — — $57,473.42 $79,153.53 $70,302.19 2025-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 12 — — $57,101.79 $78,641.71 $69,847.61 2025-11-21
332 MS_DRG Rectal Resection With Mcc 20 12 — — $57,039.30 $78,555.65 $69,771.17 2025-11-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 12 — — $56,976.82 $78,469.59 $69,694.73 2025-11-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 12 — — $56,639.71 $78,005.33 $69,282.39 2025-11-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 12 — — $56,550.92 $77,883.03 $69,173.76 2025-11-21
665 MS_DRG Prostatectomy With Mcc 20 12 — — $56,462.12 $77,760.74 $69,065.15 2025-11-21
252 MS_DRG Other Vascular Procedures With Mcc 20 12 — — $56,409.50 $77,688.27 $69,000.78 2025-11-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 12 — — $56,011.55 $77,140.21 $68,514.01 2025-11-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 12 — — $55,778.05 $76,818.62 $68,228.39 2025-11-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 12 — — $55,197.57 $76,019.18 $67,518.35 2025-11-21
37 MS_DRG Extracranial Procedures With Mcc 20 12 — — $54,608.88 $75,208.42 $66,798.24 2025-11-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 12 — — $54,296.44 $74,778.13 $66,416.07 2025-11-21
A9699 HCPCS Radiopharm Rx Agent Noc 46 15 $91,130.00 $45,565.00 50% off $45,565.00 $77,095.98 $66,069.25 2025-11-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 12 — — $53,597.57 $73,815.63 $65,561.20 2025-11-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 12 — — $53,574.55 $73,783.93 $65,533.04 2025-11-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 12 — — $52,938.17 $72,907.49 $64,754.61 2025-11-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 — — $52,693.15 $72,570.05 $64,454.90 2025-11-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 12 — — $52,540.22 $72,359.43 $64,267.84 2025-11-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 12 — — $52,439.92 $72,221.28 $64,145.14 2025-11-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 12 — — $52,298.50 $72,026.52 $63,972.15 2025-11-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 12 — — $52,193.26 $71,881.58 $63,843.43 2025-11-21
500 MS_DRG Soft Tissue Procedures With Mcc 20 12 — — $52,106.10 $71,761.55 $63,736.82 2025-11-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 12 — — $51,321.72 $70,681.29 $62,777.35 2025-11-21
662 MS_DRG Minor Bladder Procedures With Mcc 20 12 — — $51,298.70 $70,649.58 $62,749.19 2025-11-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 12 — — $51,080.00 $70,348.38 $62,481.67 2025-11-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 12 — — $50,851.43 $70,033.58 $62,202.08 2025-11-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 12 — — $50,746.18 $69,888.64 $62,073.35 2025-11-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 12 — — $50,710.01 $69,838.82 $62,029.10 2025-11-21
652 MS_DRG Kidney Transplant 20 12 — — $50,506.10 $69,558.00 $61,779.68 2025-11-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 12 — — $50,460.06 $69,494.58 $61,723.36 2025-11-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 12 — — $50,295.62 $69,268.11 $61,522.21 2025-11-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 12 — — $47,103.35 $75,354.40 $60,891.50 2025-11-21
570 MS_DRG Skin Debridement With Mcc 20 12 — — $49,499.73 $68,172.00 $60,548.67 2025-11-21
974 MS_DRG HIV With Major Related Condition With Mcc 20 12 — — $49,105.07 $67,628.47 $60,065.92 2025-11-21
J9226 HCPCS Supprelin La Implant 16 10 — — $45,261.80 $110,438.78 $59,338.21 2025-11-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 — — $48,486.78 $66,776.94 $59,309.62 2025-11-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 12 — — $48,361.80 $66,604.83 $59,156.75 2025-11-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 12 — — $48,230.25 $66,423.65 $58,995.83 2025-11-21
668 MS_DRG Transurethral Procedures With Mcc 20 12 — — $47,955.64 $66,045.45 $58,659.92 2025-11-21
800 MS_DRG Splenic Procedures With Cc 20 12 — — $47,914.53 $65,988.83 $58,609.63 2025-11-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 12 — — $47,888.22 $65,952.59 $58,577.44 2025-11-21
472 MS_DRG Cervical Spinal Fusion With Cc 20 12 — — $47,641.56 $65,612.89 $58,275.73 2025-11-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 12 — — $44,951.16 $71,911.40 $58,109.32 2025-11-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 12 — — $47,146.59 $64,931.21 $57,670.29 2025-11-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 12 — — $47,064.37 $64,817.98 $57,569.71 2025-11-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 12 — — $46,998.60 $64,727.39 $57,489.26 2025-11-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 12 — — $46,812.78 $64,471.48 $57,261.96 2025-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 5 2 — — $56,824.55 $99,234.09 $56,824.55 2025-11-21
654 MS_DRG Major Bladder Procedures With Cc 20 12 — — $46,406.61 $63,912.10 $56,765.13 2025-11-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 12 — — $46,181.33 $63,601.83 $56,489.57 2025-11-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 12 — — $46,133.64 $63,536.16 $56,431.23 2025-11-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 12 — — $44,997.36 $61,971.25 $55,041.32 2025-11-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 12 — — $44,916.79 $61,860.28 $54,942.76 2025-11-21
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 12 — — $44,673.41 $61,525.10 $54,645.07 2025-11-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 12 — — $44,454.71 $61,223.90 $54,377.54 2025-11-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 12 — — $44,308.36 $61,022.34 $54,198.53 2025-11-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 12 — — $44,132.41 $60,780.02 $53,983.29 2025-11-21
263 MS_DRG Vein Ligation And Stripping 20 12 — — $44,104.45 $60,741.52 $53,949.10 2025-11-21
849 MS_DRG Radiotherapy 20 12 — — $43,923.57 $60,492.40 $53,727.84 2025-11-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 12 — — $43,787.08 $60,304.43 $53,560.90 2025-11-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 12 — — $43,630.87 $60,089.29 $53,369.80 2025-11-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 20 12 — — $43,576.60 $60,014.55 $53,303.43 2025-11-21
503 MS_DRG Foot Procedures With Mcc 20 12 — — $43,520.69 $59,937.55 $53,235.04 2025-11-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 20 12 — — $43,476.29 $59,876.40 $53,180.72 2025-11-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 12 — — $43,025.73 $59,255.88 $52,629.59 2025-11-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 20 12 — — $42,566.94 $58,624.02 $52,068.39 2025-11-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 12 — — $42,496.23 $58,526.64 $51,981.90 2025-11-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 12 — — $40,082.95 $64,123.40 $51,816.08 2025-11-21
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 12 — — $41,994.69 $57,835.91 $51,368.41 2025-11-21
253 MS_DRG Other Vascular Procedures With Cc 20 12 — — $41,981.53 $57,817.79 $51,352.32 2025-11-21
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 12 — — $41,687.18 $57,412.41 $50,992.27 2025-11-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 12 — — $39,382.98 $63,003.60 $50,911.21 2025-11-21
545 MS_DRG Connective Tissue Disorders With Mcc 20 12 — — $41,552.34 $57,226.70 $50,827.33 2025-11-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 12 — — $41,519.46 $57,181.41 $50,787.10 2025-11-21
164 MS_DRG Major Chest Procedures With Cc 20 12 — — $41,389.55 $57,002.50 $50,628.19 2025-11-21
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 12 — — $41,177.42 $56,710.35 $50,368.72 2025-11-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 20 12 — — $41,146.18 $56,667.32 $50,330.50 2025-11-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 12 — — $44,834.57 $59,983.00 $50,303.93 2025-11-21
397 MS_DRG Appendix Procedures With Mcc 20 12 — — $40,744.94 $56,114.74 $49,839.71 2025-11-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 20 12 — — $40,580.50 $55,888.27 $49,638.57 2025-11-21
C1826 HCPCS 3044508 - Neurostimulator Implantable Inceptiv 46 15 $68,400.00 $34,200.00 50% off $34,200.00 $57,866.40 $49,590.00 2025-11-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 12 — — $40,259.85 $55,446.65 $49,246.33 2025-11-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 12 — — $39,927.68 $54,989.18 $48,840.02 2025-11-21
C1820 HCPCS 3011284 - Generator Nrstm Eterna Nrpls Scs Sys 46 15 $67,203.00 $33,601.50 50% off $33,601.50 $56,853.74 $48,722.18 2025-11-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 12 — — $39,773.10 $54,776.30 $48,650.94 2025-11-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 20 12 — — $39,648.13 $54,604.18 $48,498.07 2025-11-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 12 — — $39,482.04 $54,375.45 $48,294.92 2025-11-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 20 12 — — $39,419.56 $54,289.39 $48,218.48 2025-11-21
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 12 — — $39,419.56 $54,289.39 $48,218.48 2025-11-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 12 — — $39,079.17 $53,820.60 $47,802.11 2025-11-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 20 12 — — $38,929.53 $53,614.51 $47,619.07 2025-11-21
347 MS_DRG Anal And Stomal Procedures With Mcc 20 12 — — $38,919.66 $53,600.92 $47,607.00 2025-11-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 12 — — $38,868.68 $53,530.71 $47,544.65 2025-11-21
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 12 — — $38,806.20 $53,444.66 $47,468.21 2025-11-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 12 — — $38,455.94 $52,962.27 $47,039.77 2025-11-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 12 — — $35,042.85 $56,060.40 $47,014.29 2025-11-21
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 12 — — $38,153.37 $52,545.57 $46,669.66 2025-11-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 12 — — $36,075.62 $57,712.60 $46,635.71 2025-11-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 12 — — $38,064.57 $52,423.28 $46,561.04 2025-11-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 12 — — $38,028.39 $52,373.45 $46,516.79 2025-11-21
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 12 — — $37,959.33 $52,278.33 $46,432.32 2025-11-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 20 12 — — $37,724.18 $51,954.48 $46,144.68 2025-11-21
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 12 — — $37,661.69 $51,868.42 $46,068.24 2025-11-21
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 20 12 — — $37,546.59 $51,709.90 $45,927.43 2025-11-21
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 20 12 — — $37,475.88 $51,612.51 $45,840.94 2025-11-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 12 — — $37,406.81 $51,517.40 $45,756.46 2025-11-21
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 12 — — $37,262.10 $51,318.10 $45,579.46 2025-11-21
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 20 12 — — $37,135.49 $51,143.72 $45,424.57 2025-11-21
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 20 12 — — $37,133.84 $51,141.46 $45,422.56 2025-11-21
113 MS_DRG Orbital Procedures With Cc/mcc 20 12 — — $37,107.53 $51,105.22 $45,390.38 2025-11-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 12 — — $37,045.04 $51,019.16 $45,313.95 2025-11-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 12 — — $37,031.89 $51,001.04 $45,297.85 2025-11-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 20 12 — — $36,984.20 $50,935.37 $45,239.53 2025-11-21
709 MS_DRG Penis Procedures With Cc/mcc 20 12 — — $36,951.31 $50,890.07 $45,199.29 2025-11-21
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 12 — — $36,709.59 $50,557.16 $44,903.61 2025-11-21
30 MS_DRG Spinal Procedures Without Cc/mcc 20 12 — — $36,594.48 $50,398.63 $44,762.81 2025-11-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 20 12 — — $36,395.51 $50,124.61 $44,519.42 2025-11-21
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 20 12 — — $36,166.93 $49,809.81 $44,239.83 2025-11-21
935 MS_DRG Non-extensive Burns 20 12 — — $36,117.60 $49,741.87 $44,179.49 2025-11-21
906 MS_DRG Hand Procedures For Injuries 20 12 — — $35,889.03 $49,427.08 $43,899.90 2025-11-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 12 — — $35,829.83 $49,345.55 $43,827.49 2025-11-21
C2616 HCPCS Yttrium 90 Sir Spheres Per Source 46 15 $60,390.00 $30,195.00 50% off $30,195.00 $51,089.94 $43,782.75 2025-11-21
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 12 — — $35,671.97 $49,128.14 $43,634.38 2025-11-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 12 — — $35,474.64 $48,856.37 $43,393.01 2025-11-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 20 12 — — $35,412.15 $48,770.31 $43,316.58 2025-11-21
141 MS_DRG Major Head And Neck Procedures With Cc 20 12 — — $35,329.93 $48,657.08 $43,216.01 2025-11-21
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 20 12 — — $35,285.54 $48,595.93 $43,161.69 2025-11-21
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 20 12 — — $35,260.87 $48,561.96 $43,131.52 2025-11-21
835 MS_DRG Acute Leukemia With Cc 20 12 — — $35,122.74 $48,371.73 $42,962.56 2025-11-21
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 20 12 — — $35,121.10 $48,369.46 $42,960.55 2025-11-21
32 MS_DRG Ventricular Shunt Procedures With Cc 20 12 — — $35,117.81 $48,364.93 $42,956.52 2025-11-21
412 MS_DRG Cholecystectomy With C.d.e. With Cc 20 12 — — $35,052.03 $48,274.35 $42,876.07 2025-11-21
333 MS_DRG Rectal Resection With Cc 20 12 — — $34,948.43 $48,131.67 $42,749.35 2025-11-21
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 20 12 — — $34,876.08 $48,032.02 $42,660.84 2025-11-21
595 MS_DRG Major Skin Disorders With Mcc 20 12 — — $34,780.70 $47,900.67 $42,544.18 2025-11-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 20 12 — — $34,734.66 $47,837.26 $42,487.86 2025-11-21
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 20 12 — — $34,719.86 $47,816.88 $42,469.76 2025-11-21
374 MS_DRG Digestive Malignancy With Mcc 20 12 — — $34,719.86 $47,816.88 $42,469.76 2025-11-21
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 20 12 — — $34,578.44 $47,622.11 $42,296.77 2025-11-21
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 12 — — $34,474.85 $47,479.44 $42,170.05 2025-11-21
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 20 12 — — $34,376.18 $47,343.55 $42,049.36 2025-11-21
655 MS_DRG Major Bladder Procedures Without Cc/mcc 20 12 — — $34,159.12 $47,044.61 $41,783.85 2025-11-21
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 20 12 — — $34,119.66 $46,990.26 $41,735.57 2025-11-21
592 MS_DRG Skin Ulcers With Mcc 20 12 — — $33,813.80 $46,569.03 $41,361.44 2025-11-21
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 20 12 — — $33,667.45 $46,367.47 $41,182.43 2025-11-21
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 20 12 — — $33,351.72 $45,932.65 $40,796.23 2025-11-21
539 MS_DRG Osteomyelitis With Mcc 20 12 — — $33,256.35 $45,801.29 $40,679.57 2025-11-21
908 MS_DRG Other O.r. Procedures For Injuries With Cc 20 12 — — $33,169.19 $45,681.26 $40,572.96 2025-11-21
548 MS_DRG Septic Arthritis With Mcc 20 12 — — $33,128.08 $45,624.65 $40,522.67 2025-11-21
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 20 12 — — $33,093.55 $45,577.09 $40,480.43 2025-11-21
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 20 12 — — $33,080.39 $45,558.97 $40,464.34 2025-11-21
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 20 12 — — $32,861.69 $45,257.76 $40,196.82 2025-11-21
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 20 12 — — $32,856.76 $45,250.97 $40,190.79 2025-11-21
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 20 12 — — $32,833.73 $45,219.26 $40,162.62 2025-11-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 20 12 — — $32,710.40 $45,049.41 $40,011.76 2025-11-21
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