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

LONGMONT UNITED HOSPITAL

Longmont, CO · CCN 060003 · Rates published

13,802 distinct procedures filed
19 distinct payers
342,811 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

341,466 of 342,811 rate rows are consumer-grade (99.6%)

1,345 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
per-diem day rate — not a per-procedure price 893
template filing: same amount across many unrelated codes — excluded 309
exceeds 10× this hospital's gross charge — excluded from medians 106
placeholder amount (≤ $0.02) — excluded from medians 24
percent-of-charges filed in the dollar field — excluded from medians 13

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/8268/840460697_commonspirit-health-longmont_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 4f21061e51ec8db3… · 364,254,801 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $950,594.85 $1,022,145.00 $1,022,145.00 nat. median
$753,246
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $901,523.96 $969,380.60 $969,380.60 nat. median
$625,184
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $835,958.40 $898,880.00 $898,880.00 nat. median
$634,303
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $277,488.67 $562,293.29 $277,488.67 nat. median
$370,174
0.7× median
222
MS_DRG 		DRG 3 $205,602.00 $302,673.00 $263,949.00 nat. median
$63,570
outlier · 4.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $204,484.67 $413,578.83 $204,484.67 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $198,941.25 $402,286.48 $198,941.25 nat. median
$206,474
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $173,450.97 $173,450.97 $173,450.97 nat. median
$309,665
0.6× median
223
MS_DRG 		DRG 3 $131,297.00 $182,044.00 $168,556.50 nat. median
$44,728
outlier · 3.8×
226
MS_DRG 		DRG 3 $131,630.00 $177,878.00 $164,185.50 nat. median
$49,935
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 $161,192.93 $325,390.42 $161,192.93 nat. median
$202,976
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $156,001.54 $156,001.54 $156,001.54 nat. median
$246,434
0.6× median
224
MS_DRG 		DRG 3 $116,765.00 $176,538.00 $149,900.50 nat. median
$54,196
outlier · 2.8×
225
MS_DRG 		DRG 3 $116,765.00 $162,137.00 $149,900.50 nat. median
$48,704
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 2 $135,887.22 $135,887.22 $135,887.22 nat. median
$234,729
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $135,539.08 $135,539.08 $135,539.08 nat. median
$207,730
0.7× median
34
APR_DRG 		Bone Marrow Transplant 2 $128,104.58 $128,104.58 $128,104.58 nat. median
$209,067
0.6× median
227
MS_DRG 		DRG 3 $98,290.00 $132,824.00 $125,804.00 nat. median
$39,020
outlier · 3.2×
5833
APR_DRG 		Neonate With Ecmo 2 $124,742.27 $124,742.27 $124,742.27 nat. median
$244,017
0.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $115,429.86 $115,429.86 $115,429.86 nat. median
$105,658
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $114,356.53 $114,356.53 $114,356.53 nat. median
$160,267
0.7× median
5832
APR_DRG 		Neonate With Ecmo 2 $113,401.70 $113,401.70 $113,401.70 nat. median
$156,126
0.7× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $111,592.82 $224,351.40 $111,592.82 nat. median
$133,161
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $110,446.50 $110,446.50 $110,446.50 nat. median
$129,535
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $99,373.59 $120,701.30 $106,853.32 nat. median
$66,682
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $102,895.19 $102,895.19 $102,895.19 nat. median
$182,665
0.6× median
33270
CPT 		Hc Insert/replace (sicd) Subcutaneous Icd System 19 $560.26 $167,409.00 $95,374.77 nat. median
$32,221
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $95,250.33 $95,250.33 $95,250.33 nat. median
$164,289
0.6× median
7
MS_DRG 		Lung Transplant 12 $93,359.99 $187,209.80 $93,359.99 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $93,192.91 $186,869.45 $93,192.91 nat. median
$108,660
0.9× median
33991
CPT 		Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 19 $441.54 $100,931.68 $91,057.93 nat. median
$4,276
outlier · 21.3×
J9226
HCPCS 		Supprelin La Implant 3 $82,911.25 $92,642.65 $89,151.88 nat. median
$60,368
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $88,170.77 $88,170.77 $88,170.77 nat. median
$151,838
0.6× median
230
MS_DRG 		DRG 2 $72,214.00 $97,587.00 $87,828.00 nat. median
$29,847
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $87,325.08 $174,916.26 $87,325.08 nat. median
$117,357
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $85,780.30 $85,780.30 $85,780.30 nat. median
$162,982
0.5× median
64
APR_DRG 		Pancreas Transplant 2 $84,921.86 $84,921.86 $84,921.86 nat. median
$91,009
0.9× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $84,530.06 $84,530.06 $84,530.06 nat. median
$57,769
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $83,273.59 $83,273.59 $83,273.59 nat. median
$93,528
0.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $83,140.34 $83,140.34 $83,140.34 nat. median
$93,370
0.9× median
624000007
CPT 		Hc Fda Ide G190285 Amplatz Cardiac Plug 19 $33,000.34 $92,000.94 $83,000.85 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $82,154.02 $164,382.42 $82,154.02 nat. median
$102,358
0.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $81,290.22 $81,290.22 $81,290.22 nat. median
$68,217
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $80,694.87 $80,694.87 $80,694.87 nat. median
$150,721
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $79,002.08 $157,961.70 $79,002.08 nat. median
$100,136
0.8× median
C1767
HCPCS 		Hc Implant Neurostim Generator 19 $35,392.49 $120,596.65 $77,994.57 nat. median
$22,481
outlier · 3.5×
215
MS_DRG 		Other Heart Assist System Implant 13 $77,989.15 $249,811.00 $77,989.15 nat. median
$99,019
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $75,582.80 $75,582.80 $75,582.80 nat. median
$89,796
0.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $75,410.43 $75,410.43 $75,410.43 nat. median
$118,620
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $74,171.91 $184,865.00 $74,171.91 nat. median
$93,672
0.8× median

Other procedures at this hospital

Browse this hospital's 13,802 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $950,594.85 $1,022,145.00 $1,022,145.00 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $901,523.96 $969,380.60 $969,380.60 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $835,958.40 $898,880.00 $898,880.00 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 12 — — $277,488.67 $562,293.29 $277,488.67 2024-12-02
222 MS_DRG DRG 4 3 — — $205,602.00 $302,673.00 $263,949.00 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 12 — — $204,484.67 $413,578.83 $204,484.67 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 12 — — $198,941.25 $402,286.48 $198,941.25 2024-12-02
5834 APR_DRG Neonate With Ecmo 2 2 — — $173,450.97 $173,450.97 $173,450.97 2024-12-02
223 MS_DRG DRG 4 3 — — $131,297.00 $182,044.00 $168,556.50 2024-12-02
226 MS_DRG DRG 4 3 — — $131,630.00 $177,878.00 $164,185.50 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 14 12 — — $161,192.93 $325,390.42 $161,192.93 2024-12-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $156,001.54 $156,001.54 $156,001.54 2024-12-02
224 MS_DRG DRG 4 3 — — $116,765.00 $176,538.00 $149,900.50 2024-12-02
225 MS_DRG DRG 4 3 — — $116,765.00 $162,137.00 $149,900.50 2024-12-02
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $135,887.22 $135,887.22 $135,887.22 2024-12-02
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $135,539.08 $135,539.08 $135,539.08 2024-12-02
34 APR_DRG Bone Marrow Transplant 2 2 — — $128,104.58 $128,104.58 $128,104.58 2024-12-02
227 MS_DRG DRG 4 3 — — $98,290.00 $132,824.00 $125,804.00 2024-12-02
5833 APR_DRG Neonate With Ecmo 2 2 — — $124,742.27 $124,742.27 $124,742.27 2024-12-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $115,429.86 $115,429.86 $115,429.86 2024-12-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $114,356.53 $114,356.53 $114,356.53 2024-12-02
5832 APR_DRG Neonate With Ecmo 2 2 — — $113,401.70 $113,401.70 $113,401.70 2024-12-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 14 12 — — $111,592.82 $224,351.40 $111,592.82 2024-12-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $110,446.50 $110,446.50 $110,446.50 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $99,373.59 $120,701.30 $106,853.32 2024-12-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $102,895.19 $102,895.19 $102,895.19 2024-12-02
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 49 19 $114,909.36 $45,963.74 60% off $560.26 $167,409.00 $95,374.77 2024-12-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $95,250.33 $95,250.33 $95,250.33 2024-12-02
7 MS_DRG Lung Transplant 14 12 — — $93,359.99 $187,209.80 $93,359.99 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 12 — — $93,192.91 $186,869.45 $93,192.91 2024-12-02
33991 CPT Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 49 19 $109,708.35 $43,883.34 60% off $441.54 $100,931.68 $91,057.93 2024-12-02
J9226 HCPCS Supprelin La Implant 4 3 — — $82,911.25 $92,642.65 $89,151.88 2024-12-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $88,170.77 $88,170.77 $88,170.77 2024-12-02
230 MS_DRG DRG 3 2 — — $72,214.00 $97,587.00 $87,828.00 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 14 12 — — $87,325.08 $174,916.26 $87,325.08 2024-12-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $85,780.30 $85,780.30 $85,780.30 2024-12-02
64 APR_DRG Pancreas Transplant 2 2 — — $84,921.86 $84,921.86 $84,921.86 2024-12-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $84,530.06 $84,530.06 $84,530.06 2024-12-02
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $83,273.59 $83,273.59 $83,273.59 2024-12-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $83,140.34 $83,140.34 $83,140.34 2024-12-02
624000007 CPT Hc Fda Ide G190285 Amplatz Cardiac Plug 39 19 $100,001.02 $40,000.41 60% off $33,000.34 $92,000.94 $83,000.85 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 12 — — $82,154.02 $164,382.42 $82,154.02 2024-12-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $81,290.22 $81,290.22 $81,290.22 2024-12-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $80,694.87 $80,694.87 $80,694.87 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 12 — — $79,002.08 $157,961.70 $79,002.08 2024-12-02
C1767 HCPCS Hc Implant Neurostim Generator 35 19 $131,083.31 $52,433.32 60% off $35,392.49 $120,596.65 $77,994.57 2024-12-02
215 MS_DRG Other Heart Assist System Implant 17 13 — — $77,989.15 $249,811.00 $77,989.15 2024-12-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $75,582.80 $75,582.80 $75,582.80 2024-12-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $75,410.43 $75,410.43 $75,410.43 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $74,171.91 $184,865.00 $74,171.91 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 49 19 $89,034.31 $35,613.72 60% off $403.60 $167,409.00 $73,898.48 2024-12-02
0812 RC Hc Liver Fee 67 19 $125,924.19 $50,369.68 60% off $28,165.05 $127,744.67 $73,592.04 2024-12-02
5831 APR_DRG Neonate With Ecmo 2 2 — — $71,816.22 $71,816.22 $71,816.22 2024-12-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $70,681.65 $70,681.65 $70,681.65 2024-12-02
246 MS_DRG DRG 6 5 — — $43,588.00 $89,232.00 $69,914.00 2024-12-02
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,873.13 $69,873.13 $69,873.13 2024-12-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $69,356.57 $69,356.57 $69,356.57 2024-12-02
4404 APR_DRG Kidney Transplant 2 2 — — $69,057.76 $69,057.76 $69,057.76 2024-12-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $68,711.89 $68,711.89 $68,711.89 2024-12-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $68,407.42 $68,407.42 $68,407.42 2024-12-02
453 MS_DRG DRG 18 13 — — $54,987.00 $312,162.00 $67,849.31 2024-12-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $67,537.07 $67,537.07 $67,537.07 2024-12-02
33 APR_DRG Bone Marrow Transplant 2 2 — — $67,490.58 $67,490.58 $67,490.58 2024-12-02
248 MS_DRG DRG 4 3 — — $52,524.00 $73,070.00 $67,429.00 2024-12-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $66,472.24 $66,472.24 $66,472.24 2024-12-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $65,624.01 $65,624.01 $65,624.01 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 12 — — $64,785.03 $129,000.53 $64,785.03 2024-12-02
33249 CPT Hc Ins Rpl Icd System Dual 49 19 $77,952.53 $31,181.01 60% off $909.57 $167,409.00 $64,700.60 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $64,612.71 $311,529.00 $64,612.71 2024-12-02
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $64,555.78 $64,555.78 $64,555.78 2024-12-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $64,139.04 $64,139.04 $64,139.04 2024-12-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $63,565.80 $63,565.80 $63,565.80 2024-12-02
61886 CPT Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 49 19 $76,338.17 $30,535.27 60% off $897.83 $73,070.00 $63,360.68 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 34 19 $108,194.38 $43,277.75 60% off $532.29 $99,538.83 $63,293.71 2024-12-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $63,117.87 $63,117.87 $63,117.87 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 13 — — $62,258.68 $165,146.00 $62,258.68 2024-12-02
62361 CPT Hc Impl Repl Epi Pump Nonprog 49 19 $74,602.40 $29,840.96 60% off $443.67 $68,634.21 $61,920.00 2024-12-02
62362 CPT Hc Impl Repl Epi Pump W Wo Progr 49 19 $74,602.40 $29,840.96 60% off $391.45 $68,634.21 $61,920.00 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 12 — — $61,346.89 $121,996.80 $61,346.89 2024-12-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $61,069.87 $61,069.87 $61,069.87 2024-12-02
0811 RC Hc Living Donor/stand Acquisition 39 19 $72,910.01 $29,164.00 60% off $24,060.30 $67,077.21 $60,515.31 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 13 — — $59,894.17 $153,602.00 $59,894.17 2024-12-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $59,618.92 $59,618.92 $59,618.92 2024-12-02
8634 APR_DRG Neonatal Aftercare 2 2 — — $59,487.37 $59,487.37 $59,487.37 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $59,231.87 $152,183.00 $59,231.87 2024-12-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $58,511.56 $58,511.56 $58,511.56 2024-12-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $58,218.99 $58,218.99 $58,218.99 2024-12-02
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $57,969.51 $57,969.51 $57,969.51 2024-12-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $57,248.29 $57,248.29 $57,248.29 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 35 19 $97,449.98 $38,979.99 60% off $243.62 $89,653.98 $57,008.24 2024-12-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $56,489.08 $56,489.08 $56,489.08 2024-12-02
0424T CPT Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea 39 19 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $56,320.61 2024-12-02
0431T CPT Hc Replace Neurostimulator Generator Only For Central Sleep Apnea 39 19 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $56,320.61 2024-12-02
0427T CPT Hc Insert Neurostimulator Generator Only For Central Sleep Apnea 39 19 $67,856.15 $27,142.46 60% off $1,267.00 $62,427.66 $56,320.61 2024-12-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $55,868.78 $55,868.78 $55,868.78 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 12 — — $55,645.39 $110,382.42 $55,645.39 2024-12-02
63 APR_DRG Pancreas Transplant 2 2 — — $54,776.17 $54,776.17 $54,776.17 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 49 19 $65,317.97 $26,127.19 60% off $399.16 $167,409.00 $54,213.92 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 12 — — $54,171.69 $107,380.38 $54,171.69 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 14 12 — — $53,640.49 $106,298.30 $53,640.49 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 12 — — $53,301.85 $105,608.46 $53,301.85 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 49 19 $64,164.18 $25,665.67 60% off $387.00 $167,409.00 $53,256.27 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 14 12 — — $53,214.19 $105,429.90 $53,214.19 2024-12-02
62 APR_DRG Pancreas Transplant 2 2 — — $53,144.34 $53,144.34 $53,144.34 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 12 — — $52,948.97 $104,889.62 $52,948.97 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 13 — — $52,814.86 $143,166.00 $52,814.86 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 13 — — $52,543.65 $105,665.00 $52,543.65 2024-12-02
459 MS_DRG DRG 18 13 — — $38,569.00 $185,328.00 $51,148.61 2024-12-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $50,941.55 $50,941.55 $50,941.55 2024-12-02
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $50,717.58 $50,717.58 $50,717.58 2024-12-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $50,473.21 $50,473.21 $50,473.21 2024-12-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $50,426.71 $50,426.71 $50,426.71 2024-12-02
93656 CPT Hc Comp Ep Eval W Pv Iso Abl 45 19 $60,647.73 $24,259.09 60% off $938.31 $58,710.00 $50,337.61 2024-12-02
93653 CPT Hc Comp Ep Eval W Svt Abl 45 19 $60,337.69 $24,135.08 60% off $827.44 $58,710.00 $50,080.28 2024-12-02
249 MS_DRG DRG 4 3 — — $38,857.00 $54,892.00 $49,884.50 2024-12-02
33363 CPT Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach 49 19 $59,568.25 $23,827.30 60% off $1,267.00 $54,802.79 $49,441.65 2024-12-02
247 MS_DRG DRG 6 5 — — $31,134.00 $63,640.00 $49,437.00 2024-12-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $49,424.26 $49,424.26 $49,424.26 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $49,148.22 $160,757.00 $49,148.22 2024-12-02
93617 CPT Eps 1 1 — — $49,041.00 $49,041.00 $49,041.00 2024-12-02
93601 CPT Eps 1 1 — — $49,041.00 $49,041.00 $49,041.00 2024-12-02
93616 CPT Esophageal Recording W/pacg 1 1 — — $49,041.00 $49,041.00 $49,041.00 2024-12-02
4014 APR_DRG Adrenal Procedures 2 2 — — $48,813.03 $48,813.03 $48,813.03 2024-12-02
64568 CPT Hc Incis/implant Cranial Nerve Stim Electrode 49 19 $58,791.60 $23,516.64 60% off $611.23 $54,088.27 $48,797.03 2024-12-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $48,626.49 $48,626.49 $48,626.49 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 35 19 $82,845.00 $33,138.00 60% off $488.68 $76,217.40 $48,464.32 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 13 — — $48,255.16 $224,499.00 $48,255.16 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 12 — — $48,045.38 $94,900.64 $48,045.38 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 12 — — $47,986.19 $94,780.07 $47,986.19 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 12 — — $47,737.45 $94,273.37 $47,737.45 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 12 — — $47,737.45 $94,273.37 $47,737.45 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 35 19 $79,875.00 $31,950.00 60% off $21,566.25 $73,485.00 $47,525.62 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 12 — — $47,470.73 $93,730.05 $47,470.73 2024-12-02
33362 CPT Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach 49 19 $57,180.66 $22,872.26 60% off $1,267.00 $52,606.21 $47,459.95 2024-12-02
454 MS_DRG DRG 18 13 — — $47,282.68 $235,074.00 $47,282.68 2024-12-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $47,259.45 $47,259.45 $47,259.45 2024-12-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $47,224.86 $47,224.86 $47,224.86 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 12 — — $47,087.13 $92,948.63 $47,087.13 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $46,975.50 $204,513.00 $46,975.50 2024-12-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $46,850.08 $46,850.08 $46,850.08 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 12 — — $46,761.23 $92,284.74 $46,761.23 2024-12-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $46,718.53 $46,718.53 $46,718.53 2024-12-02
6904 APR_DRG Acute Leukemia 2 2 — — $46,656.16 $46,656.16 $46,656.16 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 17 13 — — $46,606.89 $116,940.00 $46,606.89 2024-12-02
C9741 HCPCS Ptca W/stent 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
92934 CPT Prq Card Stent/ath/angio 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 11 — — $46,412.09 $86,575.44 $46,412.09 2024-12-02
93654 CPT Hc Comp Ep Eval W Vt Abl Wwo 3dmp 45 19 $55,770.79 $22,308.32 60% off $997.20 $58,710.00 $46,289.75 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 2 2 — — $46,243.95 $46,243.95 $46,243.95 2024-12-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 2 — — $46,159.47 $46,159.47 $46,159.47 2024-12-02
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $46,099.94 $46,099.94 $46,099.94 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 13 — — $46,026.25 $159,870.00 $46,026.25 2024-12-02
37227 CPT Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas 52 19 $55,438.74 $22,175.50 60% off $694.25 $51,003.64 $46,014.15 2024-12-02
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $45,896.38 $45,896.38 $45,896.38 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 13 — — $45,516.78 $120,495.00 $45,516.78 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 49 19 $54,431.64 $21,772.66 60% off $382.92 $167,409.00 $45,178.26 2024-12-02
33361 CPT Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach 49 19 $54,399.14 $21,759.66 60% off $1,178.40 $50,047.21 $45,151.29 2024-12-02
33364 CPT Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach 49 19 $54,399.14 $21,759.66 60% off $1,267.00 $50,047.21 $45,151.29 2024-12-02
234 APR_DRG Spinal Procedures 2 2 — — $45,132.07 $45,132.07 $45,132.07 2024-12-02
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $44,957.43 $44,957.43 $44,957.43 2024-12-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $44,855.37 $44,855.37 $44,855.37 2024-12-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $44,789.60 $44,789.60 $44,789.60 2024-12-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $44,770.89 $44,770.89 $44,770.89 2024-12-02
37231 CPT Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves 49 19 $53,800.01 $21,520.00 60% off $714.18 $49,496.01 $44,654.01 2024-12-02
33340 CPT Hc Closure Left Atrial Appendage With Implant Including Imaging 49 19 $53,798.50 $21,519.40 60% off $768.94 $49,494.62 $44,652.75 2024-12-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $44,557.70 $44,557.70 $44,557.70 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $44,139.25 $44,139.25 $44,139.25 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $44,138.98 $154,921.00 $44,138.98 2024-12-02
0409T CPT Hc Insert Cardiac Contractility Generator Only 39 19 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $44,119.91 2024-12-02
0408T CPT Hc Insert/replace Cardiac Contractility Modulation System 39 19 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $44,119.91 2024-12-02
0414T CPT Hc Replace Cardiac Contractility Generator Only 39 19 $53,156.52 $21,262.61 60% off $1,267.00 $48,904.00 $44,119.91 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 12 — — $44,037.09 $86,735.47 $44,037.09 2024-12-02
33366 CPT Hc Tavr/tavi Aortic Valve Transapical Approach 49 19 $52,950.62 $21,180.25 60% off $1,267.00 $48,714.57 $43,949.01 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 — — $43,929.95 $122,876.00 $43,929.95 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 13 — — $43,891.74 $86,439.39 $43,891.74 2024-12-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $43,679.98 $43,679.98 $43,679.98 2024-12-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $43,507.04 $43,507.04 $43,507.04 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 14 12 — — $43,407.00 $85,451.94 $43,407.00 2024-12-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $43,117.52 $43,117.52 $43,117.52 2024-12-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $43,094.27 $43,094.27 $43,094.27 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 13 — — $42,704.24 $123,064.00 $42,704.24 2024-12-02
120 EAPG Immunotherapy 2 2 — — $42,691.35 $42,691.35 $42,691.35 2024-12-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $42,680.36 $42,680.36 $42,680.36 2024-12-02
4034 APR_DRG Procedures For Obesity 2 2 — — $42,507.99 $42,507.99 $42,507.99 2024-12-02
0483T CPT Hc Transcatheter Replacement Valve Mitral Tmvi Percutaneous Approach 39 19 $51,202.15 $20,480.86 60% off $1,267.00 $47,105.98 $42,497.79 2024-12-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $42,492.11 $42,492.11 $42,492.11 2024-12-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $42,270.42 $42,270.42 $42,270.42 2024-12-02
64582 CPT Hc Implant Hypoglossal Stim, Array & Sensor 49 19 $50,892.12 $20,356.85 60% off $871.81 $46,820.75 $42,240.46 2024-12-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $42,164.96 $42,164.96 $42,164.96 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 14 12 — — $42,017.96 $82,622.36 $42,017.96 2024-12-02
33365 CPT Hc Tavr/tavi Aortic Valve Open Transaortic Approach 49 19 $50,567.85 $20,227.14 60% off $1,267.00 $46,522.42 $41,971.32 2024-12-02
37239 CPT Hc Plc Stent Ven W/wo Anpl Adl 53 19 $50,287.02 $20,114.81 60% off $145.99 $46,264.06 $41,738.22 2024-12-02
A9543 HCPCS Y-90 Zevalin 39 19 $70,810.44 $28,324.18 60% off $17,702.61 $108,036.36 $41,424.11 2024-12-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $41,239.04 $41,239.04 $41,239.04 2024-12-02
32 APR_DRG Bone Marrow Transplant 2 2 — — $41,047.96 $41,047.96 $41,047.96 2024-12-02
36906 CPT Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Stent Wwo … 49 19 $49,412.68 $19,765.07 60% off $500.52 $45,459.67 $41,012.53 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 12 — — $40,879.91 $80,304.07 $40,879.91 2024-12-02
0345T CPT Hc Repair Mitral Valve Percutaneous Via Coronary Sinus 41 19 $49,192.08 $19,676.83 60% off $1,267.00 $45,256.71 $40,829.43 2024-12-02
33418 CPT Hc Transcatheter Repair Mitral Valve Including Transseptal Puncture Initial Pros… 51 19 $49,192.08 $19,676.83 60% off $1,267.00 $45,256.71 $40,829.43 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $40,751.79 $142,998.00 $40,751.79 2024-12-02
61 APR_DRG Pancreas Transplant 2 2 — — $40,571.68 $40,571.68 $40,571.68 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 13 — — $40,401.91 $117,740.00 $40,401.91 2024-12-02
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $40,390.81 $40,390.81 $40,390.81 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 34 19 $69,000.33 $27,600.13 60% off $101.34 $63,480.30 $40,365.19 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 13 — — $30,194.00 $93,199.00 $40,317.25 2024-12-02
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $40,115.82 $40,115.82 $40,115.82 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 12 — — $40,090.24 $78,695.45 $40,090.24 2024-12-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $40,085.77 $40,085.77 $40,085.77 2024-12-02
4414 APR_DRG Major Bladder Procedures 2 2 — — $39,864.64 $39,864.64 $39,864.64 2024-12-02
4403 APR_DRG Kidney Transplant 2 2 — — $39,803.40 $39,803.40 $39,803.40 2024-12-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $39,737.63 $39,737.63 $39,737.63 2024-12-02
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 2 2 — — $39,684.90 $39,684.90 $39,684.90 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 13 — — $39,511.10 $226,687.00 $39,511.10 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 13 — — $39,345.52 $115,265.00 $39,345.52 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 13 — — $39,209.16 $143,499.00 $39,209.16 2024-12-02
36903 CPT Hc Inject Dialysis Circuit With Stent Wwo Pta Peripheral Segment 49 19 $47,221.23 $18,888.49 60% off $308.14 $43,443.53 $39,193.62 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $39,074.80 $39,074.80 $39,074.80 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 35 19 $66,587.50 $26,635.00 60% off $531.93 $61,260.50 $38,953.69 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 12 — — $38,913.98 $120,962.00 $38,913.98 2024-12-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $38,858.78 $38,858.78 $38,858.78 2024-12-02
33217 CPT Hc Insert Lead Only 2 Lead To Existing Icd/pacemaker Generator 49 19 $46,816.70 $18,726.68 60% off $369.40 $43,071.36 $38,857.86 2024-12-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $38,802.08 $38,802.08 $38,802.08 2024-12-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $38,670.53 $38,670.53 $38,670.53 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 14 12 — — $38,579.08 $75,617.11 $38,579.08 2024-12-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $38,557.13 $38,557.13 $38,557.13 2024-12-02
33262 CPT Hc Replace Generator Only (icd) Single 49 19 $46,241.07 $18,496.43 60% off $372.90 $167,409.00 $38,380.08 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 18 13 — — $21,271.00 $93,816.00 $38,312.36 2024-12-02
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $38,191.42 $38,191.42 $38,191.42 2024-12-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $38,139.82 $38,139.82 $38,139.82 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 35 19 $65,104.83 $26,041.93 60% off $16,276.21 $59,896.44 $38,086.32 2024-12-02
8444 APR_DRG Partial Thickness Burns Without Skin Graft 2 2 — — $38,068.38 $38,068.38 $38,068.38 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 48 19 $65,041.27 $26,016.51 60% off $5,392.94 $92,193.75 $38,049.14 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 13 — — $38,021.66 $168,564.00 $38,021.66 2024-12-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $37,934.00 $37,934.00 $37,934.00 2024-12-02
6934 APR_DRG Chemotherapy 2 2 — — $37,862.56 $37,862.56 $37,862.56 2024-12-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $37,759.37 $37,759.37 $37,759.37 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 14 12 — — $37,697.25 $73,820.77 $37,697.25 2024-12-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $37,621.02 $37,621.02 $37,621.02 2024-12-02
10 MS_DRG Pancreas Transplant 14 12 — — $37,522.69 $73,465.16 $37,522.69 2024-12-02
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $37,510.45 $37,510.45 $37,510.45 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 12 — — $37,471.74 $73,361.38 $37,471.74 2024-12-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $37,378.91 $37,378.91 $37,378.91 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 12 — — $37,288.93 $72,988.99 $37,288.93 2024-12-02
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $37,142.40 $37,142.40 $37,142.40 2024-12-02
77371 CPT Srs Multisource 5 4 — — $16,197.00 $41,222.00 $37,100.00 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 12 — — $37,095.64 $73,929.13 $37,095.64 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 12 — — $36,974.26 $72,347.98 $36,974.26 2024-12-02
33289 CPT Hc Place Pulmonary Artery Pressure Sensor & Rt Heart Cath 49 19 $44,544.75 $17,817.90 60% off $326.81 $42,510.00 $36,972.14 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 14 12 — — $36,773.48 $71,938.96 $36,773.48 2024-12-02
33240 CPT Hc Insert Generator Only (icd) To Existing Single Lead 49 19 $44,296.75 $17,718.70 60% off $365.36 $167,409.00 $36,766.31 2024-12-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $36,578.87 $36,578.87 $36,578.87 2024-12-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $36,413.31 $36,413.31 $36,413.31 2024-12-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $36,318.05 $36,318.05 $36,318.05 2024-12-02
246 EAPG Class IV Therapeutic Radiopharmaceuticals 2 2 — — $36,305.58 $36,305.58 $36,305.58 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $36,286.49 $138,561.00 $36,286.49 2024-12-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $36,257.38 $36,257.38 $36,257.38 2024-12-02
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 2 2 — — $36,210.32 $36,210.32 $36,210.32 2024-12-02
77372 CPT Hc Single Fx Srs/sbrt Linac Based 57 19 $43,617.68 $17,447.07 60% off $1,028.10 $41,222.00 $36,202.68 2024-12-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $36,199.55 $36,199.55 $36,199.55 2024-12-02
455 MS_DRG DRG 18 13 — — $35,964.33 $166,455.00 $35,964.33 2024-12-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $35,657.50 $35,657.50 $35,657.50 2024-12-02
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $35,440.34 $35,440.34 $35,440.34 2024-12-02
245 MS_DRG Aicd Generator Procedures 18 13 — — $35,408.41 $94,995.00 $35,408.41 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $35,405.41 $168,740.00 $35,405.41 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 12 — — $15,729.00 $121,816.00 $35,299.03 2024-12-02
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 35 19 $60,331.15 $24,132.46 60% off $236.40 $55,504.66 $35,293.72 2024-12-02
93583 CPT Hc Ablation Transcatheter Septal Reduction Therapy 49 19 $42,511.22 $17,004.49 60% off $721.26 $39,110.32 $35,284.31 2024-12-02
6504 APR_DRG Splenic Procedures 2 2 — — $35,233.95 $35,233.95 $35,233.95 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 12 — — $35,187.39 $68,708.00 $35,187.39 2024-12-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $35,156.84 $35,156.84 $35,156.84 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 12 — — $35,154.43 $68,640.84 $35,154.43 2024-12-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $35,007.71 $35,007.71 $35,007.71 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 12 — — $13,574.00 $68,074.62 $34,876.47 2024-12-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $34,856.32 $34,856.32 $34,856.32 2024-12-02
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $34,754.26 $34,754.26 $34,754.26 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 12 — — $34,636.72 $67,586.24 $34,636.72 2024-12-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $34,543.91 $34,543.91 $34,543.91 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 13 — — $34,543.82 $129,687.00 $34,543.82 2024-12-02
C9607 HCPCS Hc Cor Revasc Chronic Occ Drug-eluting Stent/pta/atherect Initial Ves 39 19 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $34,472.81 2024-12-02
C9767 HCPCS Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent & Atherectomy Ilio/fem/pop … 39 19 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $34,472.81 2024-12-02
C9775 HCPCS Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent With Atherectomy Tib/pero Artery(… 39 19 $41,533.50 $16,613.40 60% off $1,267.00 $38,210.82 $34,472.81 2024-12-02
C9602 HCPCS Hc Cor Atherectomy & Drug-eluting Stent Inital Ves 39 19 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $34,472.81 2024-12-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $34,381.75 $34,381.75 $34,381.75 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 12 — — $34,340.03 $70,627.96 $34,340.03 2024-12-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $34,190.67 $34,190.67 $34,190.67 2024-12-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $34,188.97 $34,188.97 $34,188.97 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 13 — — $34,138.50 $92,952.00 $34,138.50 2024-12-02
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 2 — — $34,056.86 $34,056.86 $34,056.86 2024-12-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $34,053.45 $34,053.45 $34,053.45 2024-12-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $33,987.11 $33,987.11 $33,987.11 2024-12-02
2214 APR_DRG Major Small & Large Bowel Procedures 2 2 — — $33,888.46 $33,888.46 $33,888.46 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 14 12 — — $33,883.01 $66,050.88 $33,883.01 2024-12-02
0266T CPT Hc Insert/repl Carotid Sinus Baroflex Activation System 39 19 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $33,805.31 2024-12-02
0268T CPT Hc Insert/repl Carotid Sinus Baroflex Activation Generator Only 39 19 $40,729.29 $16,291.72 60% off $1,267.00 $37,470.95 $33,805.31 2024-12-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $33,793.20 $33,793.20 $33,793.20 2024-12-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $33,699.65 $33,699.65 $33,699.65 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 12 — — $33,695.71 $65,669.33 $33,695.71 2024-12-02
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $33,581.71 $33,581.71 $33,581.71 2024-12-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $33,540.32 $33,540.32 $33,540.32 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 12 — — $33,515.15 $65,301.52 $33,515.15 2024-12-02
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