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

13,918 distinct procedures filed
19 distinct payers
342,811 rate rows
2024-12-02 last MRF observed · ⚠ 22 mo old
Data quality

341,431 of 342,811 rate rows are consumer-grade (99.6%)

1,380 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 35
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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://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 · 2026-09-11
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 $998,294.95 nat. median
$621,313
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $901,523.96 $969,380.60 $946,761.72 nat. median
$574,037
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $835,958.40 $898,880.00 $877,906.13 nat. median
$562,501
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $277,488.67 $562,293.29 $325,868.78 nat. median
$168,055
1.9× median
222
MS_DRG 		Other DRG 3 $205,602.00 $302,673.00 $259,043.25 nat. median
$2,024
outlier · 128.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $204,484.67 $413,578.83 $239,959.06 nat. median
$186,516
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $198,941.25 $402,286.48 $233,435.67 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 11 $161,192.93 $325,390.42 $189,014.17 nat. median
$145,435
1.3× median
5834
APR_DRG 		Neonate With Ecmo 2 $173,450.97 $173,450.97 $173,450.97 nat. median
$390,362
outlier · 0.4×
223
MS_DRG 		Other DRG 3 $131,297.00 $182,044.00 $162,613.50 nat. median
$2,024
outlier · 80.3×
226
MS_DRG 		Other DRG 3 $131,630.00 $177,878.00 $159,469.75 nat. median
$2,024
outlier · 78.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $156,001.54 $156,001.54 $156,001.54 nat. median
$286,698
0.5× median
224
MS_DRG 		Other DRG 3 $116,765.00 $176,538.00 $148,276.00 nat. median
$2,024
outlier · 73.3×
225
MS_DRG 		Other DRG 3 $116,765.00 $162,137.00 $144,675.75 nat. median
$2,024
outlier · 71.5×
24
APR_DRG 		Heart And/or Lung Transplant 2 $135,887.22 $135,887.22 $135,887.22 nat. median
$225,531
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $135,539.08 $135,539.08 $135,539.08 nat. median
$202,242
0.7× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 11 $111,592.82 $224,351.40 $130,645.71 nat. median
$97,418
1.3× median
453
MS_DRG 		Other DRG 12 $54,987.00 $312,162.00 $130,197.82 nat. median
$2,106
outlier · 61.8×
34
APR_DRG 		Bone Marrow Transplant 2 $128,104.58 $128,104.58 $128,104.58 nat. median
$187,752
0.7× median
5833
APR_DRG 		Neonate With Ecmo 2 $124,742.27 $124,742.27 $124,742.27 nat. median
$268,208
outlier · 0.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $64,612.71 $311,529.00 $121,080.26 nat. median
$59,651
outlier · 2.0×
227
MS_DRG 		Other DRG 3 $98,290.00 $132,824.00 $120,680.50 nat. median
$2,024
outlier · 59.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $115,429.86 $115,429.86 $115,429.86 nat. median
$135,630
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $114,356.53 $114,356.53 $114,356.53 nat. median
$173,018
0.7× median
5832
APR_DRG 		Neonate With Ecmo 2 $113,401.70 $113,401.70 $113,401.70 nat. median
$201,678
0.6× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $110,446.50 $110,446.50 $110,446.50 nat. median
$136,566
0.8× median
7
MS_DRG 		Lung Transplant 11 $93,359.99 $187,209.80 $109,189.66 nat. median
$70,649
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $93,192.91 $186,869.45 $108,993.04 nat. median
$65,418
1.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $99,373.59 $120,701.30 $108,445.38 nat. median
$63,499
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 13 $4,245.00 $249,811.00 $107,731.54 nat. median
$73,023
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $102,895.19 $102,895.19 $102,895.19 nat. median
$173,134
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $87,325.08 $174,916.26 $102,087.90 nat. median
$72,715
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $4,245.00 $184,865.00 $98,473.84 nat. median
$69,822
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $82,154.02 $164,382.42 $96,002.69 nat. median
$74,509
1.3× median
454
MS_DRG 		Other DRG 12 $47,282.68 $235,074.00 $95,753.50 nat. median
$2,106
outlier · 45.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $95,250.33 $95,250.33 $95,250.33 nat. median
$171,497
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $79,002.08 $157,961.70 $92,293.55 nat. median
$69,922
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $48,255.16 $224,499.00 $91,631.64 nat. median
$44,036
outlier · 2.1×
J9226
HCPCS 		Supprelin La Implant 3 $82,911.25 $92,642.65 $88,464.41 nat. median
$57,036
1.6× 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
$168,439
0.5× median
459
MS_DRG 		Other DRG 12 $38,569.00 $185,328.00 $87,492.51 nat. median
$2,106
outlier · 41.6×
230
MS_DRG 		DRG 2 $72,214.00 $97,587.00 $85,876.33 nat. median
$2,024
outlier · 42.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $85,780.30 $85,780.30 $85,780.30 nat. median
$198,578
outlier · 0.4×
64
APR_DRG 		Pancreas Transplant 2 $84,921.86 $84,921.86 $84,921.86 nat. median
$92,994
0.9× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $84,530.06 $84,530.06 $84,530.06 nat. median
$56,989
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $4,245.00 $165,146.00 $84,476.75 nat. median
$60,505
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $46,975.50 $204,513.00 $83,713.60 nat. median
$42,674
2.0× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $83,273.59 $83,273.59 $83,273.59 nat. median
$117,894
0.7× 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
$99,483
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
$91,350
0.9× median

Other procedures at this hospital

Browse this hospital's 13,918 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 $998,294.95 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $901,523.96 $969,380.60 $946,761.72 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $835,958.40 $898,880.00 $877,906.13 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $277,488.67 $562,293.29 $325,868.78 2024-12-02
222 MS_DRG Other DRG 4 3 — — $205,602.00 $302,673.00 $259,043.25 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 11 — — $204,484.67 $413,578.83 $239,959.06 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 11 — — $198,941.25 $402,286.48 $233,435.67 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 14 11 — — $161,192.93 $325,390.42 $189,014.17 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 Other DRG 4 3 — — $131,297.00 $182,044.00 $162,613.50 2024-12-02
226 MS_DRG Other DRG 4 3 — — $131,630.00 $177,878.00 $159,469.75 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 Other DRG 4 3 — — $116,765.00 $176,538.00 $148,276.00 2024-12-02
225 MS_DRG Other DRG 4 3 — — $116,765.00 $162,137.00 $144,675.75 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
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 14 11 — — $111,592.82 $224,351.40 $130,645.71 2024-12-02
453 MS_DRG Other DRG 18 12 — — $54,987.00 $312,162.00 $130,197.82 2024-12-02
34 APR_DRG Bone Marrow Transplant 2 2 — — $128,104.58 $128,104.58 $128,104.58 2024-12-02
5833 APR_DRG Neonate With Ecmo 2 2 — — $124,742.27 $124,742.27 $124,742.27 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $64,612.71 $311,529.00 $121,080.26 2024-12-02
227 MS_DRG Other DRG 4 3 — — $98,290.00 $132,824.00 $120,680.50 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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $110,446.50 $110,446.50 $110,446.50 2024-12-02
7 MS_DRG Lung Transplant 14 11 — — $93,359.99 $187,209.80 $109,189.66 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 11 — — $93,192.91 $186,869.45 $108,993.04 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $99,373.59 $120,701.30 $108,445.38 2024-12-02
215 MS_DRG Other Heart Assist System Implant 18 13 — — $4,245.00 $249,811.00 $107,731.54 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
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $87,325.08 $174,916.26 $102,087.90 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $4,245.00 $184,865.00 $98,473.84 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $82,154.02 $164,382.42 $96,002.69 2024-12-02
454 MS_DRG Other DRG 18 12 — — $47,282.68 $235,074.00 $95,753.50 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 11 — — $79,002.08 $157,961.70 $92,293.55 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 12 — — $48,255.16 $224,499.00 $91,631.64 2024-12-02
J9226 HCPCS Supprelin La Implant 4 3 — — $82,911.25 $92,642.65 $88,464.41 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
459 MS_DRG Other DRG 18 12 — — $38,569.00 $185,328.00 $87,492.51 2024-12-02
230 MS_DRG DRG 3 2 — — $72,214.00 $97,587.00 $85,876.33 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 13 — — $4,245.00 $165,146.00 $84,476.75 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $46,975.50 $204,513.00 $83,713.60 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
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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 13 — — $4,245.00 $153,602.00 $80,332.85 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 13 — — $4,245.00 $152,183.00 $76,788.38 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $64,785.03 $129,000.53 $75,563.19 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 12 — — $39,511.10 $226,687.00 $72,938.32 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $4,245.00 $160,757.00 $72,230.96 2024-12-02
5831 APR_DRG Neonate With Ecmo 2 2 — — $71,816.22 $71,816.22 $71,816.22 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $61,346.89 $121,996.80 $71,517.26 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 12 — — $38,021.66 $168,564.00 $70,941.65 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 13 — — $4,245.00 $159,870.00 $69,937.00 2024-12-02
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,873.13 $69,873.13 $69,873.13 2024-12-02
455 MS_DRG Other DRG 18 12 — — $35,964.33 $166,455.00 $69,512.14 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
246 MS_DRG Other DRG 6 4 — — $43,588.00 $89,232.00 $69,337.83 2024-12-02
4404 APR_DRG Kidney Transplant 2 2 — — $69,057.76 $69,057.76 $69,057.76 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 13 — — $4,245.00 $143,166.00 $69,048.89 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $4,245.00 $154,921.00 $67,580.29 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $52,543.65 $105,665.00 $66,577.99 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $35,405.41 $168,740.00 $65,365.14 2024-12-02
248 MS_DRG Other DRG 4 3 — — $52,524.00 $73,070.00 $65,113.00 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 11 — — $55,645.39 $110,382.42 $64,807.84 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $43,929.95 $122,876.00 $64,767.49 2024-12-02
C1767 HCPCS Hc Implant Neurostim Generator 35 17 $131,083.31 $52,433.32 60% off $35,392.49 $120,596.65 $64,755.16 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
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $46,606.89 $116,940.00 $63,507.29 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $54,171.69 $107,380.38 $63,073.61 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 14 11 — — $53,640.49 $106,298.30 $62,448.51 2024-12-02
0812 RC Hc Pancreas Fee 67 17 $138,852.90 $55,541.16 60% off $28,165.05 $127,744.67 $62,189.00 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $53,301.85 $105,608.46 $62,050.00 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 13 — — $4,245.00 $120,495.00 $62,020.67 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 14 11 — — $53,214.19 $105,429.90 $61,946.85 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $52,948.97 $104,889.62 $61,634.74 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 13 — — $4,245.00 $142,998.00 $60,751.28 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 12 — — $42,704.24 $123,064.00 $59,940.83 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 — — $34,543.82 $129,687.00 $59,452.35 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
460 MS_DRG Spinal Fusion 20 12 — — $28,864.04 $113,812.00 $58,461.36 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 13 — — $4,245.00 $138,561.00 $58,270.44 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 13 — — $4,245.00 $115,265.00 $57,022.04 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 13 — — $4,245.00 $143,499.00 $56,644.78 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
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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $48,045.38 $94,900.64 $55,864.29 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $47,986.19 $94,780.07 $55,794.64 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 13 — — $4,245.00 $117,740.00 $55,705.02 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 11 — — $47,737.45 $94,273.37 $55,501.92 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 11 — — $47,737.45 $94,273.37 $55,501.92 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 11 — — $47,470.73 $93,730.05 $55,188.05 2024-12-02
63 APR_DRG Pancreas Transplant 2 2 — — $54,776.17 $54,776.17 $54,776.17 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $47,087.13 $92,948.63 $54,736.64 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $30,194.00 $93,199.00 $54,426.18 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $46,761.23 $92,284.74 $54,353.13 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 12 — — $43,891.74 $86,439.39 $54,320.07 2024-12-02
624000007 OTHER Hc Fda Ide G190285 Amplatz Cardiac Plug 39 17 $100,001.02 $40,000.41 60% off $33,000.34 $92,000.94 $53,286.26 2024-12-02
62 APR_DRG Pancreas Transplant 2 2 — — $53,144.34 $53,144.34 $53,144.34 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $21,271.00 $93,816.00 $52,696.63 2024-12-02
140 MS_DRG Major Head And Neck Procedures With Mcc 17 12 — — $29,764.59 $150,730.00 $51,697.19 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $44,037.09 $86,735.47 $51,147.41 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
834 MS_DRG Acute Leukemia With Mcc 14 11 — — $43,407.00 $85,451.94 $50,405.93 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 11 — — $38,913.98 $120,962.00 $50,174.86 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
247 MS_DRG Other DRG 6 4 — — $31,134.00 $63,640.00 $49,241.67 2024-12-02
33249 CPT Hc Ins Rpl Icd System Dual 49 17 $77,952.53 $31,181.01 60% off $909.57 $167,409.00 $49,114.92 2024-12-02
4014 APR_DRG Adrenal Procedures 2 2 — — $48,813.03 $48,813.03 $48,813.03 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 14 11 — — $42,017.96 $82,622.36 $48,771.34 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
249 MS_DRG Other DRG 4 3 — — $38,857.00 $54,892.00 $48,379.50 2024-12-02
245 MS_DRG Aicd Generator Procedures 19 13 — — $4,245.00 $94,995.00 $47,950.89 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 11 — — $15,729.00 $121,816.00 $47,630.05 2024-12-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 13 — — $4,245.00 $135,404.00 $47,495.46 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 11 — — $40,879.91 $80,304.07 $47,432.10 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 12 — — $34,138.50 $92,952.00 $46,963.42 2024-12-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 12 — — $30,307.02 $116,614.00 $46,924.87 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 11 — — $30,514.55 $208,299.00 $46,771.99 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 12 — — $30,655.41 $90,171.00 $46,674.02 2024-12-02
6904 APR_DRG Acute Leukemia 2 2 — — $46,656.16 $46,656.16 $46,656.16 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $40,090.24 $78,695.45 $46,502.83 2024-12-02
92934 CPT Prq Card Stent/ath/angio 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
C9741 HCPCS Ptca W/stent 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 2 2 — — $46,243.95 $46,243.95 $46,243.95 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 34 17 $108,194.38 $43,277.75 60% off $532.29 $99,538.83 $46,212.89 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
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $45,896.38 $45,896.38 $45,896.38 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
799 MS_DRG Splenic Procedures With Mcc 14 11 — — $38,579.08 $75,617.11 $44,724.53 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $4,001.00 $86,575.44 $44,722.39 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $29,844.76 $84,188.00 $44,162.62 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $44,139.25 $44,139.25 $44,139.25 2024-12-02
33240 CPT Hc Insert Generator Only (icd) To Existing Single Lead 49 17 $44,296.75 $17,718.70 60% off $365.36 $167,409.00 $43,937.96 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 13 — — $4,245.00 $84,936.00 $43,783.18 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 14 11 — — $37,697.25 $73,820.77 $43,686.81 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
10 MS_DRG Pancreas Transplant 14 11 — — $37,522.69 $73,465.16 $43,481.39 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 11 — — $37,471.74 $73,361.38 $43,421.43 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 11 — — $37,095.64 $73,929.13 $43,281.69 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 11 — — $37,288.93 $72,988.99 $43,206.31 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 12 — — $27,578.39 $90,135.00 $43,001.40 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 11 — — $36,974.26 $72,347.98 $42,836.01 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 13 — — $4,245.00 $88,994.00 $42,615.63 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 14 11 — — $36,773.48 $71,938.96 $42,599.73 2024-12-02
4034 APR_DRG Procedures For Obesity 2 2 — — $42,507.99 $42,507.99 $42,507.99 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
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
265 MS_DRG Aicd Lead Procedures 17 12 — — $27,936.52 $98,979.00 $41,888.94 2024-12-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 12 — — $30,688.37 $81,775.00 $41,884.21 2024-12-02
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 49 17 $114,909.36 $45,963.74 60% off $560.26 $167,409.00 $41,401.24 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
252 MS_DRG Other Vascular Procedures With Mcc 19 13 — — $4,245.00 $86,564.00 $41,132.33 2024-12-02
32 APR_DRG Bone Marrow Transplant 2 2 — — $41,047.96 $41,047.96 $41,047.96 2024-12-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 12 — — $27,397.08 $83,104.00 $40,897.76 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 11 — — $35,187.39 $68,708.00 $40,733.26 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $35,154.43 $68,640.84 $40,694.46 2024-12-02
61 APR_DRG Pancreas Transplant 2 2 — — $40,571.68 $40,571.68 $40,571.68 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 11 — — $34,340.03 $70,627.96 $40,563.90 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
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $40,115.82 $40,115.82 $40,115.82 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 11 — — $34,636.72 $67,586.24 $40,085.24 2024-12-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 13 — — $4,245.00 $97,122.00 $40,066.42 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
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 35 17 $79,875.00 $31,950.00 60% off $21,566.25 $73,485.00 $39,458.25 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $33,883.01 $66,050.88 $39,198.29 2024-12-02
A9543 HCPCS Y-90 Zevalin 39 17 $70,810.44 $28,324.18 60% off $17,702.61 $108,036.36 $39,094.50 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $39,074.80 $39,074.80 $39,074.80 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 11 — — $33,695.71 $65,669.33 $38,977.87 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
0811 RC Hc Living Donor/stand Acquisition 39 17 $72,910.01 $29,164.00 60% off $24,060.30 $67,077.21 $38,850.62 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 12 — — $28,289.39 $66,609.00 $38,808.81 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $13,574.00 $68,074.62 $38,788.78 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 11 — — $33,515.15 $65,301.52 $38,765.39 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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 12 — — $23,091.36 $108,133.00 $38,615.02 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
C9602 HCPCS Hc Cor Atherectomy & Drug-eluting Stent Inital Ves 39 17 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $38,474.48 2024-12-02
C9607 HCPCS Hc Cor Revasc Chronic Occ Drug-eluting Stent/pta/atherect Initial Ves 39 17 $41,533.50 $16,613.40 60% off $1,267.00 $74,934.00 $38,474.48 2024-12-02
93616 CPT Esophageal Recording W/pacg 5 4 — — $28,044.00 $49,041.00 $38,412.80 2024-12-02
93601 CPT Eps 5 4 — — $28,044.00 $49,041.00 $38,412.80 2024-12-02
93617 CPT Eps 5 4 — — $28,044.00 $49,041.00 $38,412.80 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 12 — — $26,405.87 $70,250.00 $38,301.55 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
8444 APR_DRG Partial Thickness Burns Without Skin Graft 2 2 — — $38,068.38 $38,068.38 $38,068.38 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 13 — — $4,245.00 $101,570.00 $37,746.73 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 12 — — $28,818.34 $58,955.00 $37,622.38 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 11 — — $32,475.99 $63,184.68 $37,542.53 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 11 — — $32,300.68 $62,827.55 $37,336.23 2024-12-02
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $37,142.40 $37,142.40 $37,142.40 2024-12-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 12 — — $27,143.10 $70,186.00 $37,064.47 2024-12-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 12 — — $25,739.08 $61,528.00 $36,839.66 2024-12-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 11 — — $31,860.14 $61,930.14 $36,817.81 2024-12-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 11 — — $31,762.74 $61,731.74 $36,703.19 2024-12-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 12 — — $22,764.71 $76,957.00 $36,667.96 2024-12-02
253 MS_DRG Other Vascular Procedures With Cc 19 13 — — $4,245.00 $86,382.00 $36,598.75 2024-12-02
C9600 HCPCS Hc Cor Stent Drug Eluting Coronary Initial Major Vessel 39 17 $31,274.44 $12,509.78 60% off $1,267.00 $74,934.00 $36,598.54 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
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 12 — — $23,891.52 $70,250.00 $36,439.18 2024-12-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 11 — — $31,535.73 $61,269.30 $36,436.05 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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 11 — — $31,463.81 $61,122.78 $36,351.41 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 35 17 $65,104.83 $26,041.93 60% off $16,276.21 $59,896.44 $36,335.00 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
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
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
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 11 — — $31,110.18 $60,402.42 $35,935.27 2024-12-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 12 — — $26,374.41 $70,225.00 $35,909.84 2024-12-02
C9606 HCPCS Hc Cor Revasc Acute Mi Drug-eluting Stent/pta/atherect Initial Ves 39 17 $27,167.47 $10,866.99 60% off $1,267.00 $74,934.00 $35,847.55 2024-12-02
93628 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93630 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93626 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93635 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93646 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93604 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93652 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93629 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93607 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93631 CPT Ntraop Epicar&endcar Pac&map 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93605 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93639 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93625 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93638 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93647 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93649 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93651 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93611 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93627 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93643 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93637 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93632 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93614 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93633 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93648 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93659 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93636 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93658 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93606 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93645 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93634 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93608 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 2024-12-02
93661 CPT Eps 4 3 — — $28,044.00 $49,001.00 $35,755.75 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
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