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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

CAMPBELL COUNTY HEALTH

Gillette, WY · CCN 530002 · Rates published

10,967 distinct procedures filed
6 distinct payers
75,615 rate rows
2025-12-08 last MRF observed
Data quality

37,417 of 75,615 rate rows are consumer-grade (49.5%)

38,198 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 37,998
placeholder amount (≤ $0.02) — excluded from medians 104
percent-of-charges filed in the dollar field — excluded from medians 72
per-diem day rate — not a per-procedure price 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13739/830234097-1487638417_campbell-county-memorial-hospital_standardcharges.csv
Found on page https://www.cchwyo.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint f5a86681742a54ab… · 24,889,609 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $3,939,750.00 $3,939,750.00 $3,939,750.00 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,339,000.00 $3,339,000.00 $3,339,000.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,316,740.00 $3,316,740.00 $3,316,740.00 nat. median
$3,685,267
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $2,992,114.71 $2,992,114.71 $2,992,114.71 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $2,935,219.50 $2,935,219.50 $2,935,219.50 nat. median
$3,248,446
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,655,618.00 $2,655,618.00 $2,655,618.00 nat. median
$2,968,000
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,206,904.04 $2,206,904.04 $2,206,904.04 nat. median
$2,455,111
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,098,800.00 $2,098,800.00 $2,098,800.00 nat. median
$2,332,000
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $693,558.00 $693,558.00 $693,558.00 nat. median
$813,967
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $437,811.44 $662,085.92 $662,085.92 nat. median
$168,055
outlier · 3.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $520,492.12 $520,492.12 $520,492.12 nat. median
$621,313
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $498,040.95 $498,040.95 $498,040.95 nat. median
$599,737
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $327,008.44 $494,522.67 $494,522.67 nat. median
$186,516
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $487,472.09 $487,472.09 $487,472.09 nat. median
$579,571
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $487,134.40 $487,134.40 $487,134.40 nat. median
$574,037
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $479,768.83 $479,768.83 $479,768.83 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $440,748.00 $440,748.00 $440,748.00 nat. median
$513,770
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $275,400.22 $416,477.48 $416,477.48 nat. median
$131,925
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 2 $248,801.46 $376,253.17 $376,253.17 nat. median
$145,435
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 2 $164,036.50 $248,066.28 $248,066.28 nat. median
$97,418
outlier · 2.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $243,337.50 $243,337.50 $243,337.50 nat. median
$286,598
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $152,100.04 $230,015.20 $230,015.20 nat. median
$72,715
outlier · 3.2×
7
MS_DRG 		Lung Transplant 2 $151,716.93 $229,435.85 $229,435.85 nat. median
$70,649
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $127,928.73 $193,461.85 $193,461.85 nat. median
$65,418
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $126,468.31 $191,253.31 $191,253.31 nat. median
$74,509
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $123,629.88 $186,960.87 $186,960.87 nat. median
$69,922
outlier · 2.7×
215
MS_DRG 		Other Heart Assist System Implant 2 $122,996.03 $186,002.31 $186,002.31 nat. median
$73,023
outlier · 2.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $121,609.92 $183,906.12 $183,906.12 nat. median
$2,736
outlier · 67.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $112,040.52 $169,434.71 $169,434.71 nat. median
$69,822
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $106,941.82 $161,724.12 $161,724.12 nat. median
$2,633
outlier · 61.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $98,374.29 $148,767.79 $148,767.79 nat. median
$60,505
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $98,319.74 $148,685.28 $148,685.28 nat. median
$59,651
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $96,826.80 $146,427.57 $146,427.57 nat. median
$2,596
outlier · 56.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $93,582.06 $141,520.67 $141,520.67 nat. median
$56,428
outlier · 2.5×
10
MS_DRG 		Pancreas Transplant 2 $92,559.30 $139,973.99 $139,973.99 nat. median
$23,080
outlier · 6.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $92,028.77 $139,171.68 $139,171.68 nat. median
$45,605
outlier · 3.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $90,741.33 $137,224.72 $137,224.72 nat. median
$55,935
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $89,825.37 $135,839.55 $135,839.55 nat. median
$55,923
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $86,652.60 $131,041.50 $131,041.50 nat. median
$52,327
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $82,455.91 $124,695.00 $124,695.00 nat. median
$9,905
outlier · 12.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $82,041.47 $124,068.25 $124,068.25 nat. median
$51,518
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $80,758.67 $122,128.31 $122,128.31 nat. median
$48,611
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $79,270.38 $119,877.63 $119,877.63 nat. median
$47,340
outlier · 2.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $77,835.51 $117,707.71 $117,707.71 nat. median
$2,958
outlier · 39.8×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $77,535.99 $117,254.77 $117,254.77 nat. median
$37,013
outlier · 3.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $77,404.79 $117,056.39 $117,056.39 nat. median
$49,569
outlier · 2.4×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $116,583.75 $116,583.75 $116,583.75 nat. median
$108,243
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $75,078.33 $113,538.16 $113,538.16 nat. median
$47,121
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $74,970.37 $113,374.89 $113,374.89 nat. median
$47,458
outlier · 2.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $73,419.40 $111,029.41 $111,029.41 nat. median
$41,943
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 10,967 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $3,939,750.00 $3,939,750.00 $3,939,750.00 2025-12-08
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,339,000.00 $3,339,000.00 $3,339,000.00 2025-12-08
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,316,740.00 $3,316,740.00 $3,316,740.00 2025-12-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $2,992,114.71 $2,992,114.71 $2,992,114.71 2025-12-08
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $2,935,219.50 $2,935,219.50 $2,935,219.50 2025-12-08
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,655,618.00 $2,655,618.00 $2,655,618.00 2025-12-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,206,904.04 $2,206,904.04 $2,206,904.04 2025-12-08
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,098,800.00 $2,098,800.00 $2,098,800.00 2025-12-08
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $693,558.00 $693,558.00 $693,558.00 2025-12-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $437,811.44 $662,085.92 $662,085.92 2025-12-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $520,492.12 $520,492.12 $520,492.12 2025-12-08
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $498,040.95 $498,040.95 $498,040.95 2025-12-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $327,008.44 $494,522.67 $494,522.67 2025-12-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $487,472.09 $487,472.09 $487,472.09 2025-12-08
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $487,134.40 $487,134.40 $487,134.40 2025-12-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $479,768.83 $479,768.83 $479,768.83 2025-12-08
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $440,748.00 $440,748.00 $440,748.00 2025-12-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $275,400.22 $416,477.48 $416,477.48 2025-12-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 2 — — $248,801.46 $376,253.17 $376,253.17 2025-12-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 3 2 — — $164,036.50 $248,066.28 $248,066.28 2025-12-08
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $243,337.50 $243,337.50 $243,337.50 2025-12-08
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $152,100.04 $230,015.20 $230,015.20 2025-12-08
7 MS_DRG Lung Transplant 3 2 — — $151,716.93 $229,435.85 $229,435.85 2025-12-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $127,928.73 $193,461.85 $193,461.85 2025-12-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $126,468.31 $191,253.31 $191,253.31 2025-12-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $123,629.88 $186,960.87 $186,960.87 2025-12-08
215 MS_DRG Other Heart Assist System Implant 3 2 — — $122,996.03 $186,002.31 $186,002.31 2025-12-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $121,609.92 $183,906.12 $183,906.12 2025-12-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $112,040.52 $169,434.71 $169,434.71 2025-12-08
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $106,941.82 $161,724.12 $161,724.12 2025-12-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $98,374.29 $148,767.79 $148,767.79 2025-12-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $98,319.74 $148,685.28 $148,685.28 2025-12-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $96,826.80 $146,427.57 $146,427.57 2025-12-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $93,582.06 $141,520.67 $141,520.67 2025-12-08
10 MS_DRG Pancreas Transplant 3 2 — — $92,559.30 $139,973.99 $139,973.99 2025-12-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $92,028.77 $139,171.68 $139,171.68 2025-12-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 2 — — $90,741.33 $137,224.72 $137,224.72 2025-12-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $89,825.37 $135,839.55 $135,839.55 2025-12-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $86,652.60 $131,041.50 $131,041.50 2025-12-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $82,455.91 $124,695.00 $124,695.00 2025-12-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $82,041.47 $124,068.25 $124,068.25 2025-12-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $80,758.67 $122,128.31 $122,128.31 2025-12-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $79,270.38 $119,877.63 $119,877.63 2025-12-08
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $77,835.51 $117,707.71 $117,707.71 2025-12-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 2 — — $77,535.99 $117,254.77 $117,254.77 2025-12-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $77,404.79 $117,056.39 $117,056.39 2025-12-08
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $116,583.75 $116,583.75 $116,583.75 2025-12-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 2 — — $75,078.33 $113,538.16 $113,538.16 2025-12-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $74,970.37 $113,374.89 $113,374.89 2025-12-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 2 — — $73,419.40 $111,029.41 $111,029.41 2025-12-08
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 10 6 $114,869.84 $103,382.86 $204.39 $109,126.35 $109,126.35 2025-12-08
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 2 — — $71,911.36 $108,748.89 $108,748.89 2025-12-08
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $71,818.51 $108,608.44 $108,608.44 2025-12-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $71,491.11 $108,113.36 $108,113.36 2025-12-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 2 — — $71,241.52 $107,735.91 $107,735.91 2025-12-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 2 — — $70,916.48 $107,244.34 $107,244.34 2025-12-08
28 MS_DRG Spinal Procedures With Mcc 3 2 — — $70,577.49 $106,731.70 $106,731.70 2025-12-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 2 — — $70,071.34 $105,966.26 $105,966.26 2025-12-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 2 — — $70,071.34 $105,966.26 $105,966.26 2025-12-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 2 — — $69,547.77 $105,174.48 $105,174.48 2025-12-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $69,065.97 $104,445.91 $104,445.91 2025-12-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 2 — — $69,013.75 $104,366.91 $104,366.91 2025-12-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 2 — — $68,310.23 $103,303.02 $103,303.02 2025-12-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 2 — — $67,591.63 $102,216.30 $102,216.30 2025-12-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $66,629.23 $100,760.91 $100,760.91 2025-12-08
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $100,674.00 $100,674.00 $100,674.00 2025-12-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $66,231.05 $100,158.74 $100,158.74 2025-12-08
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $64,716.06 $97,867.68 $97,867.68 2025-12-08
834 MS_DRG Acute Leukemia With Mcc 3 2 — — $64,166.95 $97,037.28 $97,037.28 2025-12-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 2 — — $64,166.95 $97,037.28 $97,037.28 2025-12-08
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $63,897.61 $96,629.98 $96,629.98 2025-12-08
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $63,507.56 $96,040.10 $96,040.10 2025-12-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 2 — — $63,166.22 $95,523.95 $95,523.95 2025-12-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 2 — — $63,022.29 $95,306.26 $95,306.26 2025-12-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $62,700.73 $94,819.96 $94,819.96 2025-12-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $62,641.51 $94,730.42 $94,730.42 2025-12-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $62,634.55 $94,719.89 $94,719.89 2025-12-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 2 — — $61,762.72 $93,401.43 $93,401.43 2025-12-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $61,489.90 $92,988.87 $92,988.87 2025-12-08
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $59,787.99 $90,415.16 $90,415.16 2025-12-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $59,589.48 $90,114.95 $90,114.95 2025-12-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 2 — — $59,143.69 $89,440.80 $89,440.80 2025-12-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 2 — — $58,962.59 $89,166.92 $89,166.92 2025-12-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 2 — — $58,473.85 $88,427.82 $88,427.82 2025-12-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 2 — — $58,129.06 $87,906.40 $87,906.40 2025-12-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $58,083.78 $87,837.93 $87,837.93 2025-12-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $58,060.58 $87,802.82 $87,802.82 2025-12-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 2 — — $57,851.60 $87,486.81 $87,486.81 2025-12-08
245 MS_DRG Aicd Generator Procedures 3 2 — — $56,731.33 $85,792.66 $85,792.66 2025-12-08
471 MS_DRG Cervical Spinal Fusion With Mcc 3 2 — — $56,388.86 $85,274.76 $85,274.76 2025-12-08
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $56,294.81 $85,132.56 $85,132.56 2025-12-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $55,439.23 $83,838.68 $83,838.68 2025-12-08
799 MS_DRG Splenic Procedures With Mcc 3 2 — — $55,198.92 $83,475.27 $83,475.27 2025-12-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $55,188.48 $83,459.47 $83,459.47 2025-12-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 2 — — $54,617.30 $82,595.71 $82,595.71 2025-12-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 2 — — $54,324.76 $82,153.30 $82,153.30 2025-12-08
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $54,004.35 $81,668.76 $81,668.76 2025-12-08
163 MS_DRG Major Chest Procedures With Mcc 3 2 — — $53,508.65 $80,919.12 $80,919.12 2025-12-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 2 — — $53,486.57 $80,885.76 $80,885.76 2025-12-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $53,315.92 $80,627.69 $80,627.69 2025-12-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 2 — — $53,307.82 $80,615.40 $80,615.40 2025-12-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 2 — — $52,375.59 $79,205.65 $79,205.65 2025-12-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 2 — — $52,063.30 $78,733.39 $78,733.39 2025-12-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $51,919.34 $78,515.70 $78,515.70 2025-12-08
901 MS_DRG Wound Debridements For Injuries With Mcc 3 2 — — $51,434.11 $77,781.86 $77,781.86 2025-12-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $50,996.42 $77,120.00 $77,120.00 2025-12-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 2 — — $50,231.39 $75,963.06 $75,963.06 2025-12-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $50,128.08 $75,806.81 $75,806.81 2025-12-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 2 — — $49,520.92 $74,888.63 $74,888.63 2025-12-08
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $49,447.77 $74,778.03 $74,778.03 2025-12-08
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $49,097.19 $74,247.84 $74,247.84 2025-12-08
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 2 — — $48,649.07 $73,570.17 $73,570.17 2025-12-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 2 — — $48,637.47 $73,552.62 $73,552.62 2025-12-08
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $48,415.73 $73,217.30 $73,217.30 2025-12-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 2 — — $48,301.96 $73,045.25 $73,045.25 2025-12-08
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $72,848.87 $72,848.87 $72,848.87 2025-12-08
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 2 — — $47,737.76 $72,192.03 $72,192.03 2025-12-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 2 — — $47,711.05 $72,151.65 $72,151.65 2025-12-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 2 — — $47,640.25 $72,044.56 $72,044.56 2025-12-08
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $47,405.74 $71,689.93 $71,689.93 2025-12-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 2 — — $47,218.82 $71,407.27 $71,407.27 2025-12-08
791 MS_DRG Prematurity With Major Problems 3 2 — — $47,131.75 $71,275.60 $71,275.60 2025-12-08
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 2 — — $46,247.15 $69,937.84 $69,937.84 2025-12-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 2 — — $46,214.64 $69,888.68 $69,888.68 2025-12-08
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 2 — — $45,806.01 $69,270.71 $69,270.71 2025-12-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 2 — — $45,711.96 $69,128.51 $69,128.51 2025-12-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 2 — — $45,619.10 $68,988.06 $68,988.06 2025-12-08
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $45,417.10 $68,682.58 $68,682.58 2025-12-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 2 — — $45,395.06 $68,649.23 $68,649.23 2025-12-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 2 — — $45,144.29 $68,270.02 $68,270.02 2025-12-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 2 — — $44,869.15 $67,853.94 $67,853.94 2025-12-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 2 — — $44,823.87 $67,785.47 $67,785.47 2025-12-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 2 — — $44,698.49 $67,595.87 $67,595.87 2025-12-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 2 — — $44,374.59 $67,106.05 $67,106.05 2025-12-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $44,134.28 $66,742.65 $66,742.65 2025-12-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 2 — — $43,790.66 $66,222.99 $66,222.99 2025-12-08
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 2 — — $43,441.24 $65,694.55 $65,694.55 2025-12-08
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 2 — — $42,358.10 $64,056.58 $64,056.58 2025-12-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $42,064.40 $63,612.41 $63,612.41 2025-12-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 2 — — $41,616.28 $62,934.75 $62,934.75 2025-12-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 2 — — $41,613.96 $62,931.24 $62,931.24 2025-12-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 2 — — $41,606.99 $62,920.70 $62,920.70 2025-12-08
265 MS_DRG Aicd Lead Procedures 3 2 — — $41,411.96 $62,625.76 $62,625.76 2025-12-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 2 — — $41,226.20 $62,344.87 $62,344.87 2025-12-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 2 — — $40,984.75 $61,979.70 $61,979.70 2025-12-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $40,974.30 $61,963.90 $61,963.90 2025-12-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $40,870.98 $61,807.65 $61,807.65 2025-12-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 2 — — $40,675.95 $61,512.71 $61,512.71 2025-12-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $40,663.17 $61,493.40 $61,493.40 2025-12-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 2 — — $40,646.93 $61,468.82 $61,468.82 2025-12-08
264 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $40,574.95 $61,359.98 $61,359.98 2025-12-08
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $40,312.58 $60,963.21 $60,963.21 2025-12-08
332 MS_DRG Rectal Resection With Mcc 3 2 — — $40,268.47 $60,896.50 $60,896.50 2025-12-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 2 — — $40,224.36 $60,829.78 $60,829.78 2025-12-08
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $39,986.37 $60,469.89 $60,469.89 2025-12-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 2 — — $39,923.67 $60,375.08 $60,375.08 2025-12-08
665 MS_DRG Prostatectomy With Mcc 3 2 — — $39,860.99 $60,280.28 $60,280.28 2025-12-08
252 MS_DRG Other Vascular Procedures With Mcc 3 2 — — $39,823.85 $60,224.10 $60,224.10 2025-12-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $39,763.47 $60,132.81 $60,132.81 2025-12-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 2 — — $39,542.90 $59,799.25 $59,799.25 2025-12-08
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 2 — — $39,378.05 $59,549.95 $59,549.95 2025-12-08
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $38,968.25 $58,930.23 $58,930.23 2025-12-08
37 MS_DRG Extracranial Procedures With Mcc 3 2 — — $38,552.64 $58,301.72 $58,301.72 2025-12-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $38,332.08 $57,968.16 $57,968.16 2025-12-08
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 2 — — $37,946.66 $57,385.30 $57,385.30 2025-12-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 2 — — $37,838.69 $57,222.03 $57,222.03 2025-12-08
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 2 — — $37,822.43 $57,197.45 $57,197.45 2025-12-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $57,087.95 $57,087.95 $57,087.95 2025-12-08
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 2 — — $37,373.16 $56,518.03 $56,518.03 2025-12-08
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $37,200.19 $56,256.45 $56,256.45 2025-12-08
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 2 — — $37,092.21 $56,093.18 $56,093.18 2025-12-08
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 2 — — $37,021.40 $55,986.08 $55,986.08 2025-12-08
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 2 — — $36,921.56 $55,835.10 $55,835.10 2025-12-08
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 2 — — $36,847.26 $55,722.74 $55,722.74 2025-12-08
500 MS_DRG Soft Tissue Procedures With Mcc 3 2 — — $36,785.74 $55,629.70 $55,629.70 2025-12-08
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 2 — — $36,231.98 $54,792.28 $54,792.28 2025-12-08
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $36,215.72 $54,767.70 $54,767.70 2025-12-08
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 2 — — $36,061.32 $54,534.20 $54,534.20 2025-12-08
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 2 — — $35,899.97 $54,290.17 $54,290.17 2025-12-08
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $35,825.66 $54,177.82 $54,177.82 2025-12-08
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 2 — — $35,800.12 $54,139.19 $54,139.19 2025-12-08
652 MS_DRG Kidney Transplant 3 2 — — $35,656.17 $53,921.50 $53,921.50 2025-12-08
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 2 — — $35,623.66 $53,872.34 $53,872.34 2025-12-08
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 2 — — $35,507.57 $53,696.78 $53,696.78 2025-12-08
38240 CPT Transplt Allo Hct/donor 1 1 — — $53,228.10 $53,228.10 $53,228.10 2025-12-08
570 MS_DRG Skin Debridement With Mcc 3 2 — — $34,945.70 $52,847.07 $52,847.07 2025-12-08
974 MS_DRG HIV With Major Related Condition With Mcc 3 2 — — $34,667.06 $52,425.73 $52,425.73 2025-12-08
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $51,853.06 $51,853.06 $51,853.06 2025-12-08
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $34,230.58 $51,765.62 $51,765.62 2025-12-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 2 — — $34,142.34 $51,632.20 $51,632.20 2025-12-08
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 2 — — $34,049.49 $51,491.75 $51,491.75 2025-12-08
668 MS_DRG Transurethral Procedures With Mcc 3 2 — — $33,855.62 $51,198.56 $51,198.56 2025-12-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 2 — — $33,837.02 $51,170.47 $51,170.47 2025-12-08
800 MS_DRG Splenic Procedures With Cc 3 2 — — $33,826.57 $51,154.67 $51,154.67 2025-12-08
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $51,142.09 $51,142.09 $51,142.09 2025-12-08
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 2 — — $33,808.01 $51,126.58 $51,126.58 2025-12-08
472 MS_DRG Cervical Spinal Fusion With Cc 3 2 — — $33,633.87 $50,863.24 $50,863.24 2025-12-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $50,351.37 $50,351.37 $50,351.37 2025-12-08
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 2 — — $33,284.45 $50,334.81 $50,334.81 2025-12-08
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 2 — — $33,246.13 $50,276.87 $50,276.87 2025-12-08
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 2 — — $33,226.40 $50,247.03 $50,247.03 2025-12-08
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 2 — — $33,179.96 $50,176.80 $50,176.80 2025-12-08
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 2 — — $33,048.76 $49,978.42 $49,978.42 2025-12-08
654 MS_DRG Major Bladder Procedures With Cc 3 2 — — $32,762.03 $49,544.79 $49,544.79 2025-12-08
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 2 — — $32,602.99 $49,304.27 $49,304.27 2025-12-08
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 2 — — $32,569.32 $49,253.36 $49,253.36 2025-12-08
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 2 — — $31,767.12 $48,040.24 $48,040.24 2025-12-08
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 2 — — $31,710.24 $47,954.21 $47,954.21 2025-12-08
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $31,652.20 $47,866.43 $47,866.43 2025-12-08
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 2 — — $31,538.43 $47,694.39 $47,694.39 2025-12-08
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $31,384.04 $47,460.89 $47,460.89 2025-12-08
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 2 — — $31,280.71 $47,304.64 $47,304.64 2025-12-08
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 2 — — $31,156.49 $47,116.79 $47,116.79 2025-12-08
263 MS_DRG Vein Ligation And Stripping 3 2 — — $31,136.76 $47,086.95 $47,086.95 2025-12-08
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,050.11 $47,050.11 $47,050.11 2025-12-08
849 MS_DRG Radiotherapy 3 2 — — $31,009.05 $46,893.83 $46,893.83 2025-12-08
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 2 — — $30,912.71 $46,748.12 $46,748.12 2025-12-08
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 2 — — $30,802.40 $46,581.33 $46,581.33 2025-12-08
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 2 — — $30,764.10 $46,523.40 $46,523.40 2025-12-08
503 MS_DRG Foot Procedures With Mcc 3 2 — — $30,724.62 $46,463.71 $46,463.71 2025-12-08
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 2 — — $30,693.29 $46,416.31 $46,416.31 2025-12-08
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 2 — — $30,454.14 $46,054.65 $46,054.65 2025-12-08
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 2 — — $30,375.18 $45,935.27 $45,935.27 2025-12-08
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 2 — — $30,051.31 $45,445.46 $45,445.46 2025-12-08
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 2 — — $30,001.37 $45,369.97 $45,369.97 2025-12-08
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 2 — — $29,647.31 $44,834.51 $44,834.51 2025-12-08
253 MS_DRG Other Vascular Procedures With Cc 3 2 — — $29,638.02 $44,820.47 $44,820.47 2025-12-08
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 2 — — $29,582.31 $44,736.20 $44,736.20 2025-12-08
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 2 — — $29,430.23 $44,506.22 $44,506.22 2025-12-08
545 MS_DRG Connective Tissue Disorders With Mcc 3 2 — — $29,335.01 $44,362.26 $44,362.26 2025-12-08
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 2 — — $29,311.79 $44,327.14 $44,327.14 2025-12-08
164 MS_DRG Major Chest Procedures With Cc 3 2 — — $29,220.10 $44,188.45 $44,188.45 2025-12-08
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 2 — — $29,070.32 $43,961.98 $43,961.98 2025-12-08
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 2 — — $29,048.28 $43,928.62 $43,928.62 2025-12-08
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $28,765.01 $43,500.26 $43,500.26 2025-12-08
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 2 — — $28,648.93 $43,324.70 $43,324.70 2025-12-08
792 MS_DRG Prematurity Without Major Problems 3 2 — — $28,438.81 $43,006.93 $43,006.93 2025-12-08
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $28,422.54 $42,982.35 $42,982.35 2025-12-08
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 2 — — $28,188.05 $42,627.72 $42,627.72 2025-12-08
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 2 — — $28,078.90 $42,462.70 $42,462.70 2025-12-08
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 2 — — $27,990.69 $42,329.27 $42,329.27 2025-12-08
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 2 — — $27,873.45 $42,151.96 $42,151.96 2025-12-08
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 2 — — $27,829.32 $42,085.24 $42,085.24 2025-12-08
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 2 — — $27,829.32 $42,085.24 $42,085.24 2025-12-08
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 2 — — $27,589.01 $41,721.83 $41,721.83 2025-12-08
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 2 — — $27,483.36 $41,562.07 $41,562.07 2025-12-08
347 MS_DRG Anal And Stomal Procedures With Mcc 3 2 — — $27,476.41 $41,551.54 $41,551.54 2025-12-08
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 2 — — $27,440.42 $41,497.12 $41,497.12 2025-12-08
C1882 HCPCS Hb Xper-medtronic Bi-v Icd Cellular 15 6 $48,750.00 $43,875.00 $26,562.50 $46,312.50 $41,437.50 2025-12-08
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $27,396.30 $41,430.40 $41,430.40 2025-12-08
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 2 — — $27,149.03 $41,056.46 $41,056.46 2025-12-08
J9226 HCPCS Supprelin La Implant 1 1 — — $41,004.35 $41,004.35 $41,004.35 2025-12-08
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 2 — — $26,935.42 $40,733.43 $40,733.43 2025-12-08
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 2 — — $26,872.73 $40,638.63 $40,638.63 2025-12-08
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 2 — — $26,847.17 $40,600.01 $40,600.01 2025-12-08
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 2 — — $26,798.43 $40,526.27 $40,526.27 2025-12-08
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $40,500.45 $40,500.45 $40,500.45 2025-12-08
0266T CPT Apc 1 1 — — $40,500.45 $40,500.45 $40,500.45 2025-12-08
33262 CPT Hb Radiant Ccl-remv&replc Cvd Gen Sing Lead 10 6 $42,620.00 $38,358.00 $20,201.57 $40,489.00 $40,489.00 2025-12-08
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 2 — — $26,632.42 $40,275.22 $40,275.22 2025-12-08
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $26,588.30 $40,208.51 $40,208.51 2025-12-08
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 2 — — $26,507.04 $40,085.61 $40,085.61 2025-12-08
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 2 — — $26,457.12 $40,010.12 $40,010.12 2025-12-08
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 2 — — $26,408.36 $39,936.39 $39,936.39 2025-12-08
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 2 — — $26,306.21 $39,781.90 $39,781.90 2025-12-08
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 3 2 — — $26,216.82 $39,646.71 $39,646.71 2025-12-08
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 2 — — $26,215.64 $39,644.96 $39,644.96 2025-12-08
113 MS_DRG Orbital Procedures With Cc/mcc 3 2 — — $26,197.08 $39,616.87 $39,616.87 2025-12-08
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 2 — — $26,152.97 $39,550.16 $39,550.16 2025-12-08
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 2 — — $26,143.69 $39,536.11 $39,536.11 2025-12-08
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 2 — — $26,110.02 $39,485.20 $39,485.20 2025-12-08
709 MS_DRG Penis Procedures With Cc/mcc 3 2 — — $26,086.81 $39,450.09 $39,450.09 2025-12-08
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 10 6 $41,281.92 $37,153.73 $53.73 $39,217.82 $39,217.82 2025-12-08
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 2 — — $25,916.15 $39,192.01 $39,192.01 2025-12-08
30 MS_DRG Spinal Procedures Without Cc/mcc 3 2 — — $25,834.89 $39,069.12 $39,069.12 2025-12-08
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 2 — — $25,694.42 $38,856.69 $38,856.69 2025-12-08
C1721 HCPCS Hb Xper-medtronic Icd-dual 15 6 $45,505.00 $40,954.50 $31,875.00 $43,229.75 $38,679.25 2025-12-08
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 2 — — $25,533.04 $38,612.67 $38,612.67 2025-12-08
935 MS_DRG Non-extensive Burns 3 2 — — $25,498.21 $38,560.00 $38,560.00 2025-12-08
906 MS_DRG Hand Procedures For Injuries 3 2 — — $25,336.85 $38,315.97 $38,315.97 2025-12-08
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 2 — — $25,295.04 $38,252.77 $38,252.77 2025-12-08
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 2 — — $25,183.61 $38,084.23 $38,084.23 2025-12-08
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 2 — — $25,044.31 $37,873.56 $37,873.56 2025-12-08
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 2 — — $25,000.18 $37,806.85 $37,806.85 2025-12-08
141 MS_DRG Major Head And Neck Procedures With Cc 3 2 — — $24,942.13 $37,719.07 $37,719.07 2025-12-08
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 3 2 — — $24,910.80 $37,671.66 $37,671.66 2025-12-08
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 2 — — $24,893.38 $37,645.33 $37,645.33 2025-12-08
835 MS_DRG Acute Leukemia With Cc 3 2 — — $24,795.86 $37,497.86 $37,497.86 2025-12-08
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 2 — — $24,794.70 $37,496.10 $37,496.10 2025-12-08
32 MS_DRG Ventricular Shunt Procedures With Cc 3 2 — — $24,792.39 $37,492.59 $37,492.59 2025-12-08
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 2 — — $24,745.95 $37,422.37 $37,422.37 2025-12-08
333 MS_DRG Rectal Resection With Cc 3 2 — — $24,672.82 $37,311.77 $37,311.77 2025-12-08
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 2 — — $24,621.73 $37,234.52 $37,234.52 2025-12-08
595 MS_DRG Major Skin Disorders With Mcc 3 2 — — $24,554.41 $37,132.70 $37,132.70 2025-12-08
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 2 — — $24,521.88 $37,083.54 $37,083.54 2025-12-08
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $24,511.45 $37,067.74 $37,067.74 2025-12-08
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 2 — — $24,511.45 $37,067.74 $37,067.74 2025-12-08
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $37,027.20 $37,027.20 $37,027.20 2025-12-08
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 2 — — $24,473.13 $37,009.80 $37,009.80 2025-12-08
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 3 2 — — $24,411.62 $36,916.76 $36,916.76 2025-12-08
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