Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
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 · 2026-05-18
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
$3,710,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,316,740.00 $3,316,740.00 $3,316,740.00 nat. median
$3,710,000
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
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,655,618.00 $2,655,618.00 $2,655,618.00 nat. median
$3,004,655
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
$2,468,984
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,098,800.00 $2,098,800.00 $2,098,800.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $693,558.00 $693,558.00 $693,558.00 nat. median
$824,563
0.8× 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
$370,174
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $520,492.12 $520,492.12 $520,492.12 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $498,040.95 $498,040.95 $498,040.95 nat. median
$674,867
0.7× 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
$265,286
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $487,472.09 $487,472.09 $487,472.09 nat. median
$673,137
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $487,134.40 $487,134.40 $487,134.40 nat. median
$625,184
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $479,768.83 $479,768.83 $479,768.83 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $440,748.00 $440,748.00 $440,748.00 nat. median
$619,808
0.7× 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
$206,474
outlier · 2.0×
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
$202,976
1.9× median
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
$133,161
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $243,337.50 $243,337.50 $243,337.50 nat. median
$324,450
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $152,100.04 $230,015.20 $230,015.20 nat. median
$117,357
2.0× median
7
MS_DRG 		Lung Transplant 2 $151,716.93 $229,435.85 $229,435.85 nat. median
$122,708
1.9× median
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
$108,660
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $126,468.31 $191,253.31 $191,253.31 nat. median
$102,358
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $123,629.88 $186,960.87 $186,960.87 nat. median
$100,136
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 2 $122,996.03 $186,002.31 $186,002.31 nat. median
$99,019
1.9× median
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
$98,894
1.9× median
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
$93,672
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $106,941.82 $161,724.12 $161,724.12 nat. median
$83,470
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $98,374.29 $148,767.79 $148,767.79 nat. median
$79,312
1.9× median
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
$81,118
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $96,826.80 $146,427.57 $146,427.57 nat. median
$82,711
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $93,582.06 $141,520.67 $141,520.67 nat. median
$77,570
1.8× median
10
MS_DRG 		Pancreas Transplant 2 $92,559.30 $139,973.99 $139,973.99 nat. median
$68,884
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $92,028.77 $139,171.68 $139,171.68 nat. median
$71,271
2.0× median
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
$73,807
1.9× median
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
$74,915
1.8× median
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
$72,135
1.8× median
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
$68,090
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $82,041.47 $124,068.25 $124,068.25 nat. median
$68,886
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $80,758.67 $122,128.31 $122,128.31 nat. median
$66,526
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $79,270.38 $119,877.63 $119,877.63 nat. median
$64,732
1.9× median
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
$63,724
1.8× median
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
$64,023
1.8× median
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
$65,950
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $116,583.75 $116,583.75 $116,583.75 nat. median
$111,989
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $75,078.33 $113,538.16 $113,538.16 nat. median
$62,134
1.8× median
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
$64,508
1.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $73,419.40 $111,029.41 $111,029.41 nat. median
$60,185
1.8× median

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.

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
             
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $51,142.09 $51,142.09 $51,142.09 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
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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 2 — — $48,649.07 $73,570.17 $73,570.17 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
263 MS_DRG Vein Ligation And Stripping 3 2 — — $31,136.76 $47,086.95 $47,086.95 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
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
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
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
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
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
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
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
668 MS_DRG Transurethral Procedures With Mcc 3 2 — — $33,855.62 $51,198.56 $51,198.56 2025-12-08
38240 CPT Transplt Allo Hct/donor 1 1 — — $53,228.10 $53,228.10 $53,228.10 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
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
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
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
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $520,492.12 $520,492.12 $520,492.12 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
J9226 HCPCS Supprelin La Implant 1 1 — — $41,004.35 $41,004.35 $41,004.35 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
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 2 — — $28,188.05 $42,627.72 $42,627.72 2025-12-08
799 MS_DRG Splenic Procedures With Mcc 3 2 — — $55,198.92 $83,475.27 $83,475.27 2025-12-08
800 MS_DRG Splenic Procedures With Cc 3 2 — — $33,826.57 $51,154.67 $51,154.67 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
28 MS_DRG Spinal Procedures With Mcc 3 2 — — $70,577.49 $106,731.70 $106,731.70 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
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
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
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
500 MS_DRG Soft Tissue Procedures With Mcc 3 2 — — $36,785.74 $55,629.70 $55,629.70 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
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
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
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
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
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
570 MS_DRG Skin Debridement With Mcc 3 2 — — $34,945.70 $52,847.07 $52,847.07 2025-12-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $50,351.37 $50,351.37 $50,351.37 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
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
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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $92,028.77 $139,171.68 $139,171.68 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
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
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
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
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
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
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
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
332 MS_DRG Rectal Resection With Mcc 3 2 — — $40,268.47 $60,896.50 $60,896.50 2025-12-08
333 MS_DRG Rectal Resection With Cc 3 2 — — $24,672.82 $37,311.77 $37,311.77 2025-12-08
849 MS_DRG Radiotherapy 3 2 — — $31,009.05 $46,893.83 $46,893.83 2025-12-08
665 MS_DRG Prostatectomy With Mcc 3 2 — — $39,860.99 $60,280.28 $60,280.28 2025-12-08
792 MS_DRG Prematurity Without Major Problems 3 2 — — $28,438.81 $43,006.93 $43,006.93 2025-12-08
791 MS_DRG Prematurity With Major Problems 3 2 — — $47,131.75 $71,275.60 $71,275.60 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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 2 — — $39,378.05 $59,549.95 $59,549.95 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $42,064.40 $63,612.41 $63,612.41 2025-12-08
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 2 — — $24,521.88 $37,083.54 $37,083.54 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
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
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
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 2 — — $36,231.98 $54,792.28 $54,792.28 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
709 MS_DRG Penis Procedures With Cc/mcc 3 2 — — $26,086.81 $39,450.09 $39,450.09 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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 2 — — $63,022.29 $95,306.26 $95,306.26 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
10 MS_DRG Pancreas Transplant 3 2 — — $92,559.30 $139,973.99 $139,973.99 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
253 MS_DRG Other Vascular Procedures With Cc 3 2 — — $29,638.02 $44,820.47 $44,820.47 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
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
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
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
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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 2 — — $31,538.43 $47,694.39 $47,694.39 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 2 — — $29,048.28 $43,928.62 $43,928.62 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $39,986.37 $60,469.89 $60,469.89 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
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
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
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
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
215 MS_DRG Other Heart Assist System Implant 3 2 — — $122,996.03 $186,002.31 $186,002.31 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
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 2 — — $26,872.73 $40,638.63 $40,638.63 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
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
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
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
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
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
264 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $40,574.95 $61,359.98 $61,359.98 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 2 — — $36,061.32 $54,534.20 $54,534.20 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
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
113 MS_DRG Orbital Procedures With Cc/mcc 3 2 — — $26,197.08 $39,616.87 $39,616.87 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
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $243,337.50 $243,337.50 $243,337.50 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
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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $31,652.20 $47,866.43 $47,866.43 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
935 MS_DRG Non-extensive Burns 3 2 — — $25,498.21 $38,560.00 $38,560.00 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
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
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
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
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
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
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
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
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
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
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
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $36,215.72 $54,767.70 $54,767.70 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
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
595 MS_DRG Major Skin Disorders With Mcc 3 2 — — $24,554.41 $37,132.70 $37,132.70 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
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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $49,097.19 $74,247.84 $74,247.84 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
163 MS_DRG Major Chest Procedures With Mcc 3 2 — — $53,508.65 $80,919.12 $80,919.12 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
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $64,716.06 $97,867.68 $97,867.68 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
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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 2 — — $37,021.40 $55,986.08 $55,986.08 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
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
7 MS_DRG Lung Transplant 3 2 — — $151,716.93 $229,435.85 $229,435.85 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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $56,294.81 $85,132.56 $85,132.56 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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $487,472.09 $487,472.09 $487,472.09 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
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
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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $40,312.58 $60,963.21 $60,963.21 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
652 MS_DRG Kidney Transplant 3 2 — — $35,656.17 $53,921.50 $53,921.50 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
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
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
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
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
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
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $57,087.95 $57,087.95 $57,087.95 2025-12-08
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $40,500.45 $40,500.45 $40,500.45 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,316,740.00 $3,316,740.00 $3,316,740.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,655,618.00 $2,655,618.00 $2,655,618.00 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
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $3,939,750.00 $3,939,750.00 $3,939,750.00 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $2,992,114.71 $2,992,114.71 $2,992,114.71 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
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
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $487,134.40 $487,134.40 $487,134.40 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
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
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
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
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $40,974.30 $61,963.90 $61,963.90 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
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
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
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
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
906 MS_DRG Hand Procedures For Injuries 3 2 — — $25,336.85 $38,315.97 $38,315.97 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
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
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
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $48,415.73 $73,217.30 $73,217.30 2025-12-08
503 MS_DRG Foot Procedures With Mcc 3 2 — — $30,724.62 $46,463.71 $46,463.71 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
37 MS_DRG Extracranial Procedures With Mcc 3 2 — — $38,552.64 $58,301.72 $58,301.72 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
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
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
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
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $72,848.87 $72,848.87 $72,848.87 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
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
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
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,050.11 $47,050.11 $47,050.11 2025-12-08
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $51,853.06 $51,853.06 $51,853.06 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
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
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $116,583.75 $116,583.75 $116,583.75 2025-12-08
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $24,511.45 $37,067.74 $37,067.74 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $79,270.38 $119,877.63 $119,877.63 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $51,919.34 $78,515.70 $78,515.70 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 2 — — $33,226.40 $50,247.03 $50,247.03 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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 2 — — $47,737.76 $72,192.03 $72,192.03 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 2 — — $70,916.48 $107,244.34 $107,244.34 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
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
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
545 MS_DRG Connective Tissue Disorders With Mcc 3 2 — — $29,335.01 $44,362.26 $44,362.26 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $126,468.31 $191,253.31 $191,253.31 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
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
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
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $498,040.95 $498,040.95 $498,040.95 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
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 2 — — $24,745.95 $37,422.37 $37,422.37 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
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
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
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
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 2 — — $27,483.36 $41,562.07 $41,562.07 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
472 MS_DRG Cervical Spinal Fusion With Cc 3 2 — — $33,633.87 $50,863.24 $50,863.24 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
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 2 — — $26,408.36 $39,936.39 $39,936.39 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
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
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
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
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
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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 2 — — $32,569.32 $49,253.36 $49,253.36 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
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
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
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
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $440,748.00 $440,748.00 $440,748.00 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
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
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
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
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
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $100,674.00 $100,674.00 $100,674.00 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
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
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
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
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $479,768.83 $479,768.83 $479,768.83 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 2 — — $70,071.34 $105,966.26 $105,966.26 2025-12-08
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $28,765.01 $43,500.26 $43,500.26 2025-12-08
0266T CPT Apc 1 1 — — $40,500.45 $40,500.45 $40,500.45 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
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
347 MS_DRG Anal And Stomal Procedures With Mcc 3 2 — — $27,476.41 $41,551.54 $41,551.54 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
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
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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $152,100.04 $230,015.20 $230,015.20 2025-12-08
265 MS_DRG Aicd Lead Procedures 3 2 — — $41,411.96 $62,625.76 $62,625.76 2025-12-08
245 MS_DRG Aicd Generator Procedures 3 2 — — $56,731.33 $85,792.66 $85,792.66 2025-12-08
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $693,558.00 $693,558.00 $693,558.00 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
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $106,941.82 $161,724.12 $161,724.12 2025-12-08
834 MS_DRG Acute Leukemia With Mcc 3 2 — — $64,166.95 $97,037.28 $97,037.28 2025-12-08
835 MS_DRG Acute Leukemia With Cc 3 2 — — $24,795.86 $37,497.86 $37,497.86 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
See an error in this hospital's data? Submit a correction