Price Transparencybeta Hospital negotiated rates

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

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Hospital

YUMA REGIONAL MEDICAL CENTER

Yuma, AZ · CCN 030013 · Rates published

20,805 distinct procedures filed
9 distinct payers
627,114 rate rows
2024-10-01 last MRF observed · ⚠ 22 mo old
Data quality

279,880 of 627,114 rate rows are consumer-grade (44.6%)

347,234 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 259,272
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 87,252
exceeds 10× this hospital's gross charge — excluded from medians 290
placeholder amount (≤ $0.02) — excluded from medians 192
percent-of-charges filed in the dollar field — excluded from medians 164
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 64

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://yumaregional.pt.panaceainc.com/MRFDownload/yumaregional/yumaregionalmedicalcenter
Found on page https://www.yumaregional.org/patients-and-visitors/patient-resources/transparency-in-pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint e4927484c558bf8d… · 234,703,806 bytes · first seen 2026-05-06

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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,549,198.72 $3,894,619.52 $3,549,198.72 nat. median
$3,324,572
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $492,900.00 $582,420.50 $530,764.58 nat. median
$631,793
0.8× median
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $518,268.24 $518,268.24 $518,268.24 nat. median
$138,284
outlier · 3.7×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $468,441.50 $562,657.11 $512,754.04 nat. median
$691,418
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $444,670.00 $525,430.97 $478,829.55 nat. median
$610,161
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $448,752.40 $515,205.51 $469,511.00 nat. median
$577,541
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $449,245.86 $513,955.10 $468,371.50 nat. median
$588,565
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $434,918.00 $513,907.81 $468,328.40 nat. median
$624,417
0.8× median
'002-4
OTHER 		Heart And/Or Lung Transplant 5 $167,380.80 $391,916.02 $391,916.02 nat. median
$205,014
1.9× median
'161-4
OTHER 		Implantable Heart Assist Systems 5 $147,524.86 $345,424.07 $345,424.07 nat. median
$182,608
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $121,570.30 $350,607.28 $318,733.89 nat. median
$370,165
0.9× median
'007-4
OTHER 		Allogeneic Bone Marrow Transplant 5 $126,946.56 $297,240.74 $297,240.74 nat. median
$131,941
outlier · 2.3×
'009-4
OTHER 		Extracorporeal Membrane Oxygenation (Ecmo) 5 $114,706.45 $268,580.97 $268,580.97 nat. median
$89,522
outlier · 3.0×
'583-4
OTHER 		Neonate With Ecmo 5 $234,679.23 $258,147.16 $258,147.16 nat. median
$221,551
1.2× median
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $257,729.67 $257,729.67 $257,729.67 nat. median
$80,075
outlier · 3.2×
'001-4
OTHER 		Liver Transplant And/Or Intestinal Transplant 5 $108,473.97 $253,987.84 $253,987.84 nat. median
$107,546
outlier · 2.4×
'161-3
OTHER 		Implantable Heart Assist Systems 5 $102,851.43 $240,822.87 $240,822.87 nat. median
$114,612
outlier · 2.1×
'004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $100,711.48 $235,812.25 $235,812.25 nat. median
$101,809
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $234,435.65 $320,415.27 $234,435.65 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $228,034.62 $279,992.80 $228,034.62 nat. median
$205,166
1.1× median
'006-4
OTHER 		Pancreas Transplant 5 $89,651.83 $209,916.48 $209,916.48 nat. median
$56,683
outlier · 3.7×
'583-3
OTHER 		Neonate With Ecmo 5 $188,529.20 $207,382.12 $207,382.12 nat. median
$195,630
1.1× median
'002-3
OTHER 		Heart And/Or Lung Transplant 5 $87,983.55 $206,010.26 $206,010.26 nat. median
$89,928
outlier · 2.3×
'841-3
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $205,876.12 $205,876.12 $205,876.12 nat. median
$108,175
1.9× median
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $185,894.28 $204,483.71 $204,483.71 nat. median
$202,324
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $184,446.37 $286,090.56 $184,446.37 nat. median
$199,832
0.9× median
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $69,722.24 $163,252.07 $163,252.07 nat. median
$82,416
2.0× median
'004-3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $68,865.48 $161,246.01 $161,246.01 nat. median
$62,886
outlier · 2.6×
'863-4
OTHER 		Neonatal Aftercare 5 $66,423.79 $155,528.88 $155,528.88 nat. median
$50,175
outlier · 3.1×
'005-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $66,098.79 $154,767.91 $154,767.91 nat. median
$61,783
outlier · 2.5×
'007-3
OTHER 		Allogeneic Bone Marrow Transplant 5 $65,341.54 $152,994.83 $152,994.83 nat. median
$65,342
outlier · 2.3×
'303-4
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 $61,212.18 $143,326.09 $143,326.09 nat. median
$65,112
outlier · 2.2×
'162-4
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 $60,831.61 $142,435.01 $142,435.01 nat. median
$57,410
outlier · 2.5×
'583-2
OTHER 		Neonate With Ecmo 5 $127,919.92 $140,711.91 $140,711.91 nat. median
$119,004
1.2× median
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $126,918.91 $139,610.80 $139,610.80 nat. median
$119,104
1.2× median
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $124,329.38 $136,762.32 $136,762.32 nat. median
$130,670
1.0× median
'008-4
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 $57,266.97 $134,088.51 $134,088.51 nat. median
$56,082
outlier · 2.4×
'841-1
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $133,787.96 $133,787.96 $133,787.96 nat. median
$43,935
outlier · 3.0×
'841-2
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $133,787.96 $133,787.96 $133,787.96 nat. median
$52,588
outlier · 2.5×
'843-4
OTHER 		Extensive Third Degree Burns Without Skin Graft 5 $128,276.07 $128,276.07 $128,276.07 nat. median
$21,431
outlier · 6.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $127,172.77 $172,894.74 $127,172.77 nat. median
$132,706
1.0× median
'006-3
OTHER 		Pancreas Transplant 5 $53,943.32 $126,306.32 $126,306.32 nat. median
$47,889
outlier · 2.6×
'440-4
OTHER 		Kidney Transplant 5 $53,783.73 $125,932.64 $125,932.64 nat. median
$63,941
2.0× median
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $113,313.81 $124,645.19 $124,645.19 nat. median
$131,074
1.0× median
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $110,847.20 $121,931.93 $121,931.93 nat. median
$112,354
1.1× median
'001-3
OTHER 		Liver Transplant And/Or Intestinal Transplant 5 $51,130.11 $119,719.29 $119,719.29 nat. median
$53,356
outlier · 2.2×
'178-4
OTHER 		External Heart Assist Systems 5 $51,112.02 $119,676.93 $119,676.93 nat. median
$49,577
outlier · 2.4×
'009-3
OTHER 		Extracorporeal Membrane Oxygenation (Ecmo) 5 $50,768.28 $118,872.09 $118,872.09 nat. median
$40,520
outlier · 2.9×
'163-4
OTHER 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 $50,603.52 $118,486.31 $118,486.31 nat. median
$50,686
outlier · 2.3×
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $106,758.05 $117,433.85 $117,433.85 nat. median
$127,072
0.9× median

Other procedures at this hospital

Browse this hospital's 20,805 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 5 — — $3,549,198.72 $3,894,619.52 $3,549,198.72 2024-10-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $492,900.00 $582,420.50 $530,764.58 2024-10-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 9 5 — — $518,268.24 $518,268.24 $518,268.24 2024-10-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 7 — — $468,441.50 $562,657.11 $512,754.04 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $444,670.00 $525,430.97 $478,829.55 2024-10-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 7 — — $448,752.40 $515,205.51 $469,511.00 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 7 — — $449,245.86 $513,955.10 $468,371.50 2024-10-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $434,918.00 $513,907.81 $468,328.40 2024-10-01
'002-4 OTHER Heart And/Or Lung Transplant 9 5 — — $167,380.80 $391,916.02 $391,916.02 2024-10-01
'161-4 OTHER Implantable Heart Assist Systems 9 5 — — $147,524.86 $345,424.07 $345,424.07 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $121,570.30 $350,607.28 $318,733.89 2024-10-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 9 5 — — $126,946.56 $297,240.74 $297,240.74 2024-10-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 9 5 — — $114,706.45 $268,580.97 $268,580.97 2024-10-01
'583-4 OTHER Neonate With Ecmo 9 5 — — $234,679.23 $258,147.16 $258,147.16 2024-10-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 9 5 — — $257,729.67 $257,729.67 $257,729.67 2024-10-01
'001-4 OTHER Liver Transplant And/Or Intestinal Transplant 9 5 — — $108,473.97 $253,987.84 $253,987.84 2024-10-01
'161-3 OTHER Implantable Heart Assist Systems 9 5 — — $102,851.43 $240,822.87 $240,822.87 2024-10-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 5 — — $100,711.48 $235,812.25 $235,812.25 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $234,435.65 $320,415.27 $234,435.65 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $228,034.62 $279,992.80 $228,034.62 2024-10-01
'006-4 OTHER Pancreas Transplant 9 5 — — $89,651.83 $209,916.48 $209,916.48 2024-10-01
'583-3 OTHER Neonate With Ecmo 9 5 — — $188,529.20 $207,382.12 $207,382.12 2024-10-01
'002-3 OTHER Heart And/Or Lung Transplant 9 5 — — $87,983.55 $206,010.26 $206,010.26 2024-10-01
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 9 5 — — $205,876.12 $205,876.12 $205,876.12 2024-10-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 5 — — $185,894.28 $204,483.71 $204,483.71 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 5 — — $184,446.37 $286,090.56 $184,446.37 2024-10-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 9 5 — — $69,722.24 $163,252.07 $163,252.07 2024-10-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 5 — — $68,865.48 $161,246.01 $161,246.01 2024-10-01
'863-4 OTHER Neonatal Aftercare 9 5 — — $66,423.79 $155,528.88 $155,528.88 2024-10-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 5 — — $66,098.79 $154,767.91 $154,767.91 2024-10-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 9 5 — — $65,341.54 $152,994.83 $152,994.83 2024-10-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 5 — — $61,212.18 $143,326.09 $143,326.09 2024-10-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 5 — — $60,831.61 $142,435.01 $142,435.01 2024-10-01
'583-2 OTHER Neonate With Ecmo 9 5 — — $127,919.92 $140,711.91 $140,711.91 2024-10-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 5 — — $126,918.91 $139,610.80 $139,610.80 2024-10-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 5 — — $124,329.38 $136,762.32 $136,762.32 2024-10-01
'008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 5 — — $57,266.97 $134,088.51 $134,088.51 2024-10-01
'841-2 OTHER Extensive Third Degree Burns With Skin Graft 9 5 — — $133,787.96 $133,787.96 $133,787.96 2024-10-01
'841-1 OTHER Extensive Third Degree Burns With Skin Graft 9 5 — — $133,787.96 $133,787.96 $133,787.96 2024-10-01
'843-4 OTHER Extensive Third Degree Burns Without Skin Graft 9 5 — — $128,276.07 $128,276.07 $128,276.07 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $127,172.77 $172,894.74 $127,172.77 2024-10-01
'006-3 OTHER Pancreas Transplant 9 5 — — $53,943.32 $126,306.32 $126,306.32 2024-10-01
'440-4 OTHER Kidney Transplant 9 5 — — $53,783.73 $125,932.64 $125,932.64 2024-10-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 5 — — $113,313.81 $124,645.19 $124,645.19 2024-10-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 5 — — $110,847.20 $121,931.93 $121,931.93 2024-10-01
'001-3 OTHER Liver Transplant And/Or Intestinal Transplant 9 5 — — $51,130.11 $119,719.29 $119,719.29 2024-10-01
'178-4 OTHER External Heart Assist Systems 9 5 — — $51,112.02 $119,676.93 $119,676.93 2024-10-01
'009-3 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 9 5 — — $50,768.28 $118,872.09 $118,872.09 2024-10-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 5 — — $50,603.52 $118,486.31 $118,486.31 2024-10-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 5 — — $106,758.05 $117,433.85 $117,433.85 2024-10-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 5 — — $105,369.36 $115,906.30 $115,906.30 2024-10-01
'167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 9 5 — — $48,974.01 $114,670.85 $114,670.85 2024-10-01
'583-1 OTHER Neonate With Ecmo 9 5 — — $101,072.19 $111,179.41 $111,179.41 2024-10-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 5 — — $47,174.56 $110,457.51 $110,457.51 2024-10-01
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 5 — — $47,007.22 $110,065.68 $110,065.68 2024-10-01
'165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 9 5 — — $46,702.25 $109,351.61 $109,351.61 2024-10-01
'005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 5 — — $46,461.24 $108,787.31 $108,787.31 2024-10-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 5 — — $98,709.59 $108,580.55 $108,580.55 2024-10-01
'910-4 OTHER Craniotomy For Multiple Significant Trauma 9 5 — — $46,162.09 $108,086.85 $108,086.85 2024-10-01
7 MS_DRG Lung Transplant 5 5 — — $106,119.18 $156,808.68 $106,119.18 2024-10-01
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 5 — — $45,315.67 $106,104.99 $106,104.99 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 5 — — $105,926.26 $225,612.04 $105,926.26 2024-10-01
'183-4 OTHER Percutaneous Structural Cardiac Procedures 9 5 — — $45,049.47 $105,481.69 $105,481.69 2024-10-01
'842-3 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 9 5 — — $104,937.56 $104,937.56 $104,937.56 2024-10-01
'690-4 OTHER Acute Leukemia 9 5 — — $44,681.83 $104,620.87 $104,620.87 2024-10-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 5 — — $43,837.99 $102,645.06 $102,645.06 2024-10-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 5 — — $43,401.22 $101,622.37 $101,622.37 2024-10-01
'260-4 OTHER Major Pancreas, Liver And Shunt Procedures 9 5 — — $43,399.92 $101,619.34 $101,619.34 2024-10-01
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 9 5 — — $42,731.83 $100,055.03 $100,055.03 2024-10-01
'232-4 OTHER Gastric Fundoplication 9 5 — — $42,654.30 $99,873.49 $99,873.49 2024-10-01
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 5 — — $42,501.17 $99,514.94 $99,514.94 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $99,150.64 $160,503.09 $99,150.64 2024-10-01
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 5 — — $41,705.80 $97,652.60 $97,652.60 2024-10-01
'021-4 OTHER Open Craniotomy Except Trauma 9 5 — — $41,318.12 $96,744.88 $96,744.88 2024-10-01
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 5 — — $41,172.75 $96,404.48 $96,404.48 2024-10-01
'695-4 OTHER Chemotherapy For Acute Leukemia 9 5 — — $40,774.74 $95,472.56 $95,472.56 2024-10-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 5 — — $40,246.85 $94,236.54 $94,236.54 2024-10-01
'179-4 OTHER Defibrillator Implants 9 5 — — $40,043.97 $93,761.50 $93,761.50 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 5 5 — — $93,179.57 $103,895.25 $93,179.57 2024-10-01
'162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 5 — — $39,454.06 $92,380.25 $92,380.25 2024-10-01
'091-4 OTHER Other Major Head And Neck Procedures 9 5 — — $39,400.44 $92,254.69 $92,254.69 2024-10-01
'169-4 OTHER Major Abdominal Vascular Procedures 9 5 — — $39,377.82 $92,201.74 $92,201.74 2024-10-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 5 — — $92,077.84 $101,039.19 $92,077.84 2024-10-01
'089-4 OTHER Major Cranial Or Facial Bone Procedures 9 5 — — $39,190.45 $91,763.00 $91,763.00 2024-10-01
'002-2 OTHER Heart And/Or Lung Transplant 9 5 — — $73,762.43 $89,954.18 $89,954.18 2024-10-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 5 — — $81,539.80 $89,693.78 $89,693.78 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $89,540.01 $162,300.64 $89,540.01 2024-10-01
'027-4 OTHER Other Open Craniotomy 9 5 — — $37,773.50 $88,445.29 $88,445.29 2024-10-01
215 MS_DRG Other Heart Assist System Implant 5 5 — — $88,370.36 $213,662.32 $88,370.36 2024-10-01
'161-2 OTHER Implantable Heart Assist Systems 9 5 — — $72,036.64 $87,849.56 $87,849.56 2024-10-01
'161-1 OTHER Implantable Heart Assist Systems 9 5 — — $72,036.64 $87,849.56 $87,849.56 2024-10-01
'023-4 OTHER Spinal Procedures 9 5 — — $37,398.11 $87,566.31 $87,566.31 2024-10-01
'020-4 OTHER Open Craniotomy For Trauma 9 5 — — $36,956.16 $86,531.51 $86,531.51 2024-10-01
'022-4 OTHER Ventricular Shunt Procedures 9 5 — — $36,920.63 $86,448.30 $86,448.30 2024-10-01
'220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 9 5 — — $36,851.49 $86,286.42 $86,286.42 2024-10-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 5 — — $78,387.99 $86,226.79 $86,226.79 2024-10-01
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 5 — — $36,629.22 $85,766.00 $85,766.00 2024-10-01
'950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 5 — — $36,551.04 $85,582.94 $85,582.94 2024-10-01
'441-4 OTHER Major Bladder Procedures 9 5 — — $36,220.88 $84,809.86 $84,809.86 2024-10-01
'008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 5 — — $35,874.56 $83,998.97 $83,998.97 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $83,962.57 $140,166.47 $83,962.57 2024-10-01
'178-3 OTHER External Heart Assist Systems 9 5 — — $35,847.42 $83,935.43 $83,935.43 2024-10-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 5 — — $75,615.03 $83,176.53 $83,176.53 2024-10-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 5 — — $75,428.44 $82,971.29 $82,971.29 2024-10-01
'120-4 OTHER Major Respiratory And Chest Procedures 9 5 — — $34,996.48 $81,942.98 $81,942.98 2024-10-01
'440-3 OTHER Kidney Transplant 9 5 — — $34,942.85 $81,817.41 $81,817.41 2024-10-01
'181-4 OTHER Lower Extremity Arterial Procedures 9 5 — — $34,304.48 $80,322.70 $80,322.70 2024-10-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 5 — — $72,970.66 $80,267.73 $80,267.73 2024-10-01
'261-4 OTHER Major Biliary Tract Procedures 9 5 — — $34,106.12 $79,858.25 $79,858.25 2024-10-01
'030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 9 5 — — $33,994.99 $79,598.03 $79,598.03 2024-10-01
'176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 5 — — $33,764.33 $79,057.94 $79,057.94 2024-10-01
'160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 9 5 — — $33,074.27 $77,442.20 $77,442.20 2024-10-01
'321-4 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 9 5 — — $32,994.80 $77,256.11 $77,256.11 2024-10-01
'130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 5 — — $32,941.81 $77,132.06 $77,132.06 2024-10-01
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 9 5 — — $32,859.76 $76,939.92 $76,939.92 2024-10-01
'405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 9 5 — — $32,808.07 $76,818.89 $76,818.89 2024-10-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 5 — — $76,661.82 $118,357.56 $76,661.82 2024-10-01
278002926-75700-108100 CDM Hc Valve Heart Sys Sapien 3 Ultra Resilia Trnscath 20-29mm 8 5 $85,000.00 $55,250.00 35% off $20,995.00 $82,450.00 $76,500.00 2024-10-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 5 — — $68,740.94 $75,615.03 $75,615.03 2024-10-01
'163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 5 — — $32,228.50 $75,461.85 $75,461.85 2024-10-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 5 — — $68,236.65 $75,060.31 $75,060.31 2024-10-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 5 — — $67,976.94 $74,774.63 $74,774.63 2024-10-01
'165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 9 5 — — $31,878.30 $74,641.88 $74,641.88 2024-10-01
'230-4 OTHER Major Small Bowel Procedures 9 5 — — $31,801.41 $74,461.85 $74,461.85 2024-10-01
'026-4 OTHER Other Nervous System And Related Procedures 9 5 — — $31,564.28 $73,906.62 $73,906.62 2024-10-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 9 5 — — $31,444.11 $73,625.23 $73,625.23 2024-10-01
278001583-75700-108100 CDM Hc Tavr System Sapien Xt 29mm Heart Valve W Novaflex 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278002708-75700-108100 CDM Hc System Valve Ultra Thv Sapien 3 20mm-26mm S3ucm223a,s3ucm226a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001514-75700-108100 CDM Hc Tavr System Sapien 26mm W Rf3 9100rf326a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001515-75700-108100 CDM Hc Tavr System Sapien 23mm W Ascendra 3 Tran 9355asp23a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001586-75700-108100 CDM Hc Tavr System Sapien Xt 29mm Heart Valve W Ascendra 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001796-75700-108100 CDM Hc Tavr System Sapien 26mm W Commander 9600cm26a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001516-75700-108100 CDM Hc Tavr System Sapien 26mm W Ascendra 3 Tran 9355asp26a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001581-75700-108100 CDM Hc Tavr System Sapien Xt 23mm Heart Valve W Novaflex 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001795-75700-108100 CDM Hc Tavr System Sapien 23mm W Commander 9600cm23a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001582-75700-108100 CDM Hc Tavr System Sapien Xt 26mm Heart Valve W Novaflex 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278002089-75700-108100 CDM Hc Tavr System Sapien3 20mm Thv W/commander System 9600cm20a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001513-75700-108100 CDM Hc Tavr System Sapien 23mm W Rf3 9100rf323a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001584-75700-108100 CDM Hc Tavr System Sapien Xt 23mm Heart Valve W Ascendra 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278002821-75700-108100 CDM Hc Tavr System Sapien Ultra Cert 18f-21fx20mm-29mm 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001585-75700-108100 CDM Hc Tavr System Sapien Xt 26mm Heart Valve W Ascendra 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278001797-75700-108100 CDM Hc Tavr System Sapien 29mm W Commander 9600cm29a 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278002820-75700-108100 CDM Hc Tavr System Sapien Certitude 18f-21fx20mm-29mm 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
278002822-75700-108100 CDM Hc System Sapien Xt Nova 16f-20fx23mm-29mm 8 5 $81,250.00 $52,812.50 35% off $20,068.75 $78,812.50 $73,125.00 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $73,123.47 $168,875.09 $73,123.47 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $72,924.50 $103,493.04 $72,924.50 2024-10-01
'183-3 OTHER Percutaneous Structural Cardiac Procedures 9 5 — — $30,981.48 $72,542.02 $72,542.02 2024-10-01
'710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 5 — — $30,826.41 $72,178.93 $72,178.93 2024-10-01
'711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 9 5 — — $30,510.46 $71,439.14 $71,439.14 2024-10-01
'304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 5 — — $30,332.78 $71,023.10 $71,023.10 2024-10-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 7 — — $65,476.58 $77,368.45 $70,506.50 2024-10-01
'447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 9 5 — — $30,047.84 $70,355.92 $70,355.92 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $70,206.29 $120,656.63 $70,206.29 2024-10-01
'844-4 OTHER Partial Thickness Burns Without Skin Graft 9 5 — — $69,811.29 $69,811.29 $69,811.29 2024-10-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 5 — — $29,724.78 $69,599.49 $69,599.49 2024-10-01
'002-1 OTHER Heart And/Or Lung Transplant 9 5 — — $57,022.09 $69,539.13 $69,539.13 2024-10-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 5 — — $63,210.77 $69,531.85 $69,531.85 2024-10-01
'029-4 OTHER Other Percutaneous Intracranial Procedures 9 5 — — $29,670.50 $69,472.41 $69,472.41 2024-10-01
'179-3 OTHER Defibrillator Implants 9 5 — — $29,580.05 $69,260.61 $69,260.61 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 — — $69,153.43 $154,862.17 $69,153.43 2024-10-01
'480-4 OTHER Major Male Pelvic Procedures 9 5 — — $29,424.33 $68,896.00 $68,896.00 2024-10-01
'404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 9 5 — — $29,306.09 $68,619.15 $68,619.15 2024-10-01
'182-4 OTHER Other Peripheral Vascular Procedures 9 5 — — $28,955.25 $67,797.66 $67,797.66 2024-10-01
278001777-75700-108100 CDM Hc Tavr System Corevalve 26mm Mcs-p3-26-aoa-US 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278001776-75700-108100 CDM Hc Tavr System Corevalve 29mm Mcs-p3-29-aoa-US 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278002564-75700-108100 CDM Hc Tavr System Evolut Pro Plus Value 23mm-34mm 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278001775-75700-108100 CDM Hc Tavr System Corevalve 31mm Mcs-p3-31-aoa-US 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278002917-75700-108100 CDM Hc Cath Evolutfx 23-34mm Valve 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278002039-75700-108100 CDM Hc Tavr System Corevalve Evolut Pro 23mm-29mm 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
278001829-75700-108100 CDM Hc Tavr System Corevalve Evolut R 23mm-34mm 8 5 $75,000.00 $48,750.00 35% off $18,525.00 $72,750.00 $67,500.00 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $67,475.96 $114,807.15 $67,475.96 2024-10-01
'121-4 OTHER Other Respiratory And Chest Procedures 9 5 — — $28,639.30 $67,057.87 $67,057.87 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $66,711.20 $121,091.12 $66,711.20 2024-10-01
'511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 9 5 — — $28,366.63 $66,419.44 $66,419.44 2024-10-01
'608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 5 — — $60,215.92 $66,237.52 $66,237.52 2024-10-01
'007-2 OTHER Allogeneic Bone Marrow Transplant 9 5 — — $54,266.38 $66,178.52 $66,178.52 2024-10-01
'167-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 9 5 — — $28,096.55 $65,787.06 $65,787.06 2024-10-01
'231-4 OTHER Major Large Bowel Procedures 9 5 — — $27,921.46 $65,377.07 $65,377.07 2024-10-01
'690-3 OTHER Acute Leukemia 9 5 — — $27,869.77 $65,256.04 $65,256.04 2024-10-01
'170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 9 5 — — $27,842.63 $65,192.50 $65,192.50 2024-10-01
'444-4 OTHER Renal Dialysis Access Device Procedures And Vessel Repair 9 5 — — $27,474.99 $64,331.68 $64,331.68 2024-10-01
'305-4 OTHER Amputation Of Lower Limb Except Toes 9 5 — — $27,454.96 $64,284.78 $64,284.78 2024-10-01
'951-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 5 — — $27,420.71 $64,204.60 $64,204.60 2024-10-01
'403-4 OTHER Procedures For Obesity 9 5 — — $27,300.53 $63,923.21 $63,923.21 2024-10-01
'309-4 OTHER Other Significant Hip And Femur Surgery 9 5 — — $26,929.01 $63,053.31 $63,053.31 2024-10-01
278001103-75700-108100 CDM Hc Cath Impella 5.0 Heart Asst Dev 005062 8 5 $70,000.00 $45,500.00 35% off $17,290.00 $67,900.00 $63,000.00 2024-10-01
'315-4 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 9 5 — — $26,845.02 $62,856.64 $62,856.64 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $62,569.86 $88,643.41 $62,569.86 2024-10-01
'910-3 OTHER Craniotomy For Multiple Significant Trauma 9 5 — — $26,580.76 $62,237.87 $62,237.87 2024-10-01
'325-4 OTHER Non-elective Or Complex Knee Joint Replacement 9 5 — — $26,580.11 $62,236.36 $62,236.36 2024-10-01
'073-4 OTHER Orbit And Eye Procedures 9 5 — — $26,489.01 $62,023.05 $62,023.05 2024-10-01
'650-4 OTHER Splenectomy 9 5 — — $26,459.93 $61,954.97 $61,954.97 2024-10-01
'050-4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 9 5 — — $26,189.21 $61,321.07 $61,321.07 2024-10-01
'166-3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 5 — — $26,157.55 $61,246.94 $61,246.94 2024-10-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 5 — — $55,591.59 $61,150.75 $61,150.75 2024-10-01
'793-4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 9 5 — — $26,087.12 $61,082.04 $61,082.04 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $60,868.17 $151,381.28 $60,868.17 2024-10-01
'024-4 OTHER Open Extracranial Vascular Procedures 9 5 — — $25,961.13 $60,787.03 $60,787.03 2024-10-01
'175-4 OTHER Percutaneous Cardiac Intervention Without Ami 9 5 — — $25,912.02 $60,672.05 $60,672.05 2024-10-01
'691-4 OTHER Lymphoma, Myeloma And Non-acute Leukemia 9 5 — — $25,911.37 $60,670.54 $60,670.54 2024-10-01
'313-4 OTHER Knee And Lower Leg Procedures Except Foot 9 5 — — $25,875.19 $60,585.82 $60,585.82 2024-10-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 5 — — $54,787.25 $60,265.98 $60,265.98 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $60,254.80 $108,629.95 $60,254.80 2024-10-01
'180-4 OTHER Other Circulatory System Procedures 9 5 — — $25,715.60 $60,212.14 $60,212.14 2024-10-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 5 — — $54,704.04 $60,174.45 $60,174.45 2024-10-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 5 — — $54,704.04 $60,174.45 $60,174.45 2024-10-01
'317-4 OTHER Tendon, Muscle And Other Soft Tissue Procedures 9 5 — — $25,665.85 $60,095.65 $60,095.65 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $59,863.77 $89,688.67 $59,863.77 2024-10-01
'098-4 OTHER Other Ear, Nose, Mouth And Throat Procedures 9 5 — — $25,537.27 $59,794.59 $59,794.59 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $59,762.55 $95,625.04 $59,762.55 2024-10-01
'863-3 OTHER Neonatal Aftercare 9 5 — — $25,506.90 $59,723.49 $59,723.49 2024-10-01
'442-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 9 5 — — $25,445.52 $59,579.76 $59,579.76 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $59,456.29 $78,061.71 $59,456.29 2024-10-01
'401-4 OTHER Adrenal Procedures 9 5 — — $25,365.40 $59,392.17 $59,392.17 2024-10-01
'952-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 9 5 — — $25,342.79 $59,339.22 $59,339.22 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $59,301.44 $83,978.23 $59,301.44 2024-10-01
'222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 9 5 — — $25,310.48 $59,263.57 $59,263.57 2024-10-01
'021-3 OTHER Open Craniotomy Except Trauma 9 5 — — $25,249.75 $59,121.36 $59,121.36 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $58,988.26 $85,835.36 $58,988.26 2024-10-01
'006-1 OTHER Pancreas Transplant 9 5 — — $48,355.02 $58,969.54 $58,969.54 2024-10-01
'006-2 OTHER Pancreas Transplant 9 5 — — $48,355.02 $58,969.54 $58,969.54 2024-10-01
'223-4 OTHER Other Small And Large Bowel Procedures 9 5 — — $25,167.69 $58,929.23 $58,929.23 2024-10-01
J9226 HCPCS Supprelin La Implant 9 5 — — $58,927.14 $64,662.15 $58,927.14 2024-10-01
'004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 5 — — $48,237.43 $58,826.13 $58,826.13 2024-10-01
'512-4 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 9 5 — — $25,050.74 $58,655.40 $58,655.40 2024-10-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 5 — — $53,303.38 $58,633.72 $58,633.72 2024-10-01
'229-4 OTHER Other Digestive System And Abdominal Procedures 9 5 — — $25,039.76 $58,629.68 $58,629.68 2024-10-01
'049-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 9 5 — — $24,990.01 $58,513.19 $58,513.19 2024-10-01
'264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 9 5 — — $24,985.48 $58,502.60 $58,502.60 2024-10-01
'484-4 OTHER Other Male Reproductive System And Related Procedures 9 5 — — $24,908.59 $58,322.57 $58,322.57 2024-10-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $53,630.37 $63,785.58 $58,128.32 2024-10-01
'443-4 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 9 5 — — $24,820.72 $58,116.82 $58,116.82 2024-10-01
'310-4 OTHER Intervertebral Disc Excision And Decompression 9 5 — — $24,714.76 $57,868.71 $57,868.71 2024-10-01
'226-4 OTHER Anal Procedures 9 5 — — $24,610.73 $57,625.14 $57,625.14 2024-10-01
'130-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 5 — — $24,540.31 $57,460.24 $57,460.24 2024-10-01
'224-4 OTHER Peritoneal Adhesiolysis 9 5 — — $24,539.01 $57,457.21 $57,457.21 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $57,377.41 $74,416.96 $57,377.41 2024-10-01
'322-4 OTHER Shoulder And Elbow Joint Replacement 9 5 — — $24,442.10 $57,230.28 $57,230.28 2024-10-01
'842-2 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 9 5 — — $56,888.88 $56,888.88 $56,888.88 2024-10-01
0424T OTHER Insj/rplc Nstim Apnea Compl 4 4 — — $56,564.71 $62,221.19 $56,564.71 2024-10-01
'030-3 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 9 5 — — $24,112.57 $56,458.72 $56,458.72 2024-10-01
'227-4 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 9 5 — — $24,085.44 $56,395.18 $56,395.18 2024-10-01
C1604 HCPCS Hc System Endocross Detour 8 5 $62,500.00 $40,625.00 35% off $15,437.50 $60,625.00 $56,250.00 2024-10-01
278001596-75700-108100 CDM Hc Set Impella Cp With Smart Assist 7fr 8 5 $62,500.00 $40,625.00 35% off $15,437.50 $60,625.00 $56,250.00 2024-10-01
'696-4 OTHER Other Chemotherapy 9 5 — — $23,857.36 $55,861.13 $55,861.13 2024-10-01
'692-4 OTHER Radiotherapy 9 5 — — $23,772.71 $55,662.95 $55,662.95 2024-10-01
'023-3 OTHER Spinal Procedures 9 5 — — $23,744.93 $55,597.89 $55,597.89 2024-10-01
'320-4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 9 5 — — $23,564.66 $55,175.80 $55,175.80 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $55,067.54 $114,211.28 $55,067.54 2024-10-01
'514-4 OTHER Female Reproductive System Reconstructive Procedures 9 5 — — $23,500.70 $55,026.03 $55,026.03 2024-10-01
'091-3 OTHER Other Major Head And Neck Procedures 9 5 — — $23,451.59 $54,911.05 $54,911.05 2024-10-01
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 5 — — $49,823.78 $54,806.16 $54,806.16 2024-10-01
'174-4 OTHER Percutaneous Cardiac Intervention With Ami 9 5 — — $23,372.12 $54,724.97 $54,724.97 2024-10-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 5 — — $49,720.40 $54,692.44 $54,692.44 2024-10-01
'089-3 OTHER Major Cranial Or Facial Bone Procedures 9 5 — — $23,257.11 $54,455.68 $54,455.68 2024-10-01
'517-4 OTHER Dilation And Curettage For Non-obstetric Diagnoses 9 5 — — $23,152.44 $54,210.59 $54,210.59 2024-10-01
'169-3 OTHER Major Abdominal Vascular Procedures 9 5 — — $23,139.52 $54,180.34 $54,180.34 2024-10-01
'591-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 5 — — $49,198.46 $54,118.31 $54,118.31 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 5 — — $54,036.31 $132,340.69 $54,036.31 2024-10-01
278000845-75700-108100 CDM Hc Cath IV Micraxial Pump Impella2.5 8 5 $60,000.00 $39,000.00 35% off $14,820.00 $58,200.00 $54,000.00 2024-10-01
278002713-75700-108100 CDM Hc Stent Graft Thoracic System 20f Tapered Coveredseal Valiant N 8 5 $59,972.00 $38,981.80 35% off $14,813.08 $58,172.84 $53,974.80 2024-10-01
'312-3 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 5 — — $23,023.21 $53,908.02 $53,908.02 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $45,661.17 $59,173.49 $53,794.08 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 5 5 — — $53,725.73 $91,409.25 $53,725.73 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 5 — — $53,438.51 $83,240.84 $53,438.51 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 5 — — $53,438.51 $121,570.30 $53,438.51 2024-10-01
'483-4 OTHER Penis, Testes And Scrotal Procedures 9 5 — — $22,752.49 $53,274.13 $53,274.13 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $53,130.53 $146,847.69 $53,130.53 2024-10-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 5 — — $52,913.38 $109,521.27 $52,913.38 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $52,687.59 $110,216.46 $52,687.59 2024-10-01
'001-2 OTHER Liver Transplant And/Or Intestinal Transplant 9 5 — — $43,144.06 $52,614.71 $52,614.71 2024-10-01
'001-1 OTHER Liver Transplant And/Or Intestinal Transplant 9 5 — — $43,144.06 $52,614.71 $52,614.71 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $52,558.68 $83,580.98 $52,558.68 2024-10-01
'519-4 OTHER Uterine And Adnexa Procedures For Leiomyoma 9 5 — — $22,404.23 $52,458.69 $52,458.69 2024-10-01
'660-4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 9 5 — — $22,394.54 $52,436.00 $52,436.00 2024-10-01
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 5 — — $47,587.89 $52,346.68 $52,346.68 2024-10-01
'445-4 OTHER Other Bladder Procedures 9 5 — — $22,355.13 $52,343.72 $52,343.72 2024-10-01
'020-3 OTHER Open Craniotomy For Trauma 9 5 — — $22,342.20 $52,313.46 $52,313.46 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $52,311.26 $80,457.62 $52,311.26 2024-10-01
'171-4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 9 5 — — $22,291.81 $52,195.45 $52,195.45 2024-10-01
'363-4 OTHER Breast Procedures Except Mastectomy 9 5 — — $22,284.70 $52,178.81 $52,178.81 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $52,133.05 $83,665.39 $52,133.05 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $51,908.11 $97,693.21 $51,908.11 2024-10-01
'680-3 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 5 — — $22,127.69 $51,811.19 $51,811.19 2024-10-01
'912-3 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 5 — — $22,116.06 $51,783.95 $51,783.95 2024-10-01
'381-4 OTHER Major Skin Disorders 9 5 — — $22,085.05 $51,711.34 $51,711.34 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $51,462.58 $102,395.64 $51,462.58 2024-10-01
'625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 5 — — $46,405.33 $51,045.86 $51,045.86 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $50,874.29 $90,033.78 $50,874.29 2024-10-01
'043-4 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 9 5 — — $21,666.36 $50,731.00 $50,731.00 2024-10-01
'040-4 OTHER Spinal Disorders And Injuries 9 5 — — $21,520.98 $50,390.60 $50,390.60 2024-10-01
'316-4 OTHER Hand And Wrist Procedures 9 5 — — $21,488.68 $50,314.96 $50,314.96 2024-10-01
278002714-75700-108100 CDM Hc Stent Graft Thoracic System 20f Straight Coveredseal Valiant 8 5 $55,787.00 $36,261.55 35% off $13,779.39 $54,113.39 $50,208.30 2024-10-01
'364-4 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 9 5 — — $21,406.62 $50,122.83 $50,122.83 2024-10-01
'263-4 OTHER Cholecystectomy 9 5 — — $21,380.13 $50,060.80 $50,060.80 2024-10-01
'324-4 OTHER Elective Hip Joint Replacement 9 5 — — $21,279.33 $49,824.79 $49,824.79 2024-10-01
'177-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 9 5 — — $21,234.75 $49,720.40 $49,720.40 2024-10-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 5 — — $45,196.30 $49,715.93 $49,715.93 2024-10-01
'004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 5 — — $40,633.23 $49,552.73 $49,552.73 2024-10-01
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 5 — — $44,971.89 $49,469.08 $49,469.08 2024-10-01
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