Hospital

ST MARY-CORWIN HOSPITAL

Pueblo, CO · CCN 060012 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $17,334 across 11 payers · range $17,334-$50,504

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8279/840405257_commonspirit-health-st-mary_standardcharges.csv · observed 2024-12-02

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

13,540 distinct procedures filed

18 distinct payers

265,343 rate rows

2024-12-02 last MRF observed · ⚠ 20 mo old

Data quality

259,774 of 265,343 rate rows are consumer-grade (97.9%)

5,569 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,311
per-diem day rate — not a per-procedure price	1,050
template filing: same amount across many unrelated codes — excluded	124
exceeds 10× this hospital's gross charge — excluded from medians	57
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	21
placeholder amount (≤ $0.02) — excluded from medians	6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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/8279/840405257_commonspirit-health-st-mary_standardcharges.csv
Found on page	https://www.mountain.commonspirit.org/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-11
Content fingerprint	362269c52cc63d3d… · 308,842,122 bytes · first seen 2026-05-08

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
Q2056 HCPCS	Ciltacabtagene Car-pos T	2	$813,285.00	$813,285.00	$813,285.00	nat. median $631,793 1.3× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	2	$769,015.35	$769,015.35	$769,015.35	nat. median $691,418 1.1× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	2	$759,373.81	$759,373.81	$759,373.81	nat. median $610,161 1.2× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	2	$749,907.36	$749,907.36	$749,907.36	nat. median $624,417 1.2× median
Q2053 HCPCS	Brexucabtagene Car Pos T	2	$741,576.00	$741,576.00	$741,576.00	nat. median $577,541 1.3× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	2	$741,576.00	$741,576.00	$741,576.00	nat. median $588,565 1.3× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	$310,357.75	$611,504.49	$310,357.75	nat. median $370,165 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	$228,688.14	$476,175.72	$228,688.14	nat. median $261,939 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$222,486.71	$321,140.86	$222,486.71	nat. median $205,166 1.1× median
5834 APR_DRG	Neonate With Ecmo	3	$205,765.16	$205,765.16	$205,765.16	nat. median $311,018 0.7× median
222 MS_DRG	Other DRG	4	$116,579.39	$299,160.00	$185,222.00	nat. median $58,534 outlier · 3.2×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$185,064.88	$185,064.88	$185,064.88	nat. median $254,667 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	11	$180,257.66	$342,371.26	$180,257.66	nat. median $199,832 0.9× median
24 APR_DRG	Heart And/or Lung Transplant	3	$161,203.22	$161,203.22	$161,203.22	nat. median $243,231 0.7× median
1614 APR_DRG	Implantable Heart Assist Systems	3	$160,790.23	$160,790.23	$160,790.23	nat. median $209,486 0.8× median
223 MS_DRG	Other DRG	4	$79,459.93	$179,931.00	$152,941.00	nat. median $40,712 outlier · 3.8×
34 APR_DRG	Bone Marrow Transplant	3	$151,970.66	$151,970.66	$151,970.66	nat. median $241,408 0.6× median
5833 APR_DRG	Neonate With Ecmo	3	$147,981.95	$147,981.95	$147,981.95	nat. median $250,089 0.6× median
224 MS_DRG	Other DRG	4	$107,940.16	$174,489.00	$138,181.00	nat. median $51,048 outlier · 2.7×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$136,934.63	$136,934.63	$136,934.63	nat. median $127,600 1.1× median
225 MS_DRG	Other DRG	4	$77,008.54	$160,254.00	$136,216.00	nat. median $45,104 outlier · 3.0×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	3	$135,661.33	$135,661.33	$135,661.33	nat. median $165,646 0.8× median
5832 APR_DRG	Neonate With Ecmo	3	$134,528.62	$134,528.62	$134,528.62	nat. median $169,230 0.8× median
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	3	$131,022.85	$131,022.85	$131,022.85	nat. median $137,901 1.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	11	$124,770.00	$232,312.90	$124,770.00	nat. median $132,706 0.9× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$122,064.73	$122,064.73	$122,064.73	nat. median $180,995 0.7× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$112,995.62	$112,995.62	$112,995.62	nat. median $168,361 0.7× median
227 MS_DRG	Other DRG	4	$76,445.18	$146,514.00	$110,954.00	nat. median $38,383 outlier · 2.9×
226 MS_DRG	Other DRG	4	$97,460.10	$166,328.00	$109,971.00	nat. median $46,826 outlier · 2.3×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	$104,597.12	$104,597.12	$104,597.12	nat. median $156,285 0.7× median
7 MS_DRG	Lung Transplant	11	$104,372.92	$206,523.10	$104,372.92	nat. median $122,690 0.9× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	$104,186.01	$227,937.91	$104,186.01	nat. median $108,240 1.0× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	$101,761.30	$101,761.30	$101,761.30	nat. median $168,174 0.6× median
64 APR_DRG	Pancreas Transplant	3	$100,742.93	$100,742.93	$100,742.93	nat. median $92,994 1.1× median
9104 APR_DRG	Craniotomy For Multiple Significant Trauma	3	$100,278.15	$100,278.15	$100,278.15	nat. median $58,249 1.7× median
23 APR_DRG	Heart And/or Lung Transplant	3	$98,787.59	$98,787.59	$98,787.59	nat. median $116,111 0.9× median
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	3	$98,629.52	$98,629.52	$98,629.52	nat. median $96,420 1.0× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	11	$97,621.67	$189,363.17	$97,621.67	nat. median $114,305 0.9× median
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	$96,434.72	$96,434.72	$96,434.72	nat. median $88,000 1.1× median
237 MS_DRG	DRG Carveouts	1	$95,813.00	$95,813.00	$95,813.00	nat. median $2,024 outlier · 47.3×
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$95,728.46	$95,728.46	$95,728.46	nat. median $160,171 0.6× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	3	$87,553.03	$120,701.30	$95,033.24	nat. median $65,655 1.4× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	$91,836.80	$91,836.80	$91,836.80	nat. median $100,978 0.9× median
5892 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	3	$89,664.00	$89,664.00	$89,664.00	nat. median $89,188 1.0× median
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	$89,459.52	$89,459.52	$89,459.52	nat. median $123,690 0.7× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	11	$88,310.72	$192,983.63	$88,310.72	nat. median $99,646 0.9× median
215 MS_DRG	Other Heart Assist System Implant	11	$87,177.55	$174,309.54	$87,177.55	nat. median $98,002 0.9× median
J9226 HCPCS	Supprelin La Implant	1	$78,682.80	$92,642.65	$85,662.73	nat. median $55,200 1.6× median
5831 APR_DRG	Neonate With Ecmo	3	$85,195.70	$85,195.70	$85,195.70	nat. median $154,685 0.6× median
9114 APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	$83,849.76	$83,849.76	$83,849.76	nat. median $54,718 1.5× median

Other procedures at this hospital

Browse this hospital's 13,540 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2056	HCPCS	Ciltacabtagene Car-pos T	2	2	—	—	$813,285.00	$813,285.00	$813,285.00	2024-12-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	2	2	—	—	$769,015.35	$769,015.35	$769,015.35	2024-12-02
Q2055	HCPCS	Idecabtagene Vicleucel Car	2	2	—	—	$759,373.81	$759,373.81	$759,373.81	2024-12-02
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	2	2	—	—	$749,907.36	$749,907.36	$749,907.36	2024-12-02
Q2053	HCPCS	Brexucabtagene Car Pos T	2	2	—	—	$741,576.00	$741,576.00	$741,576.00	2024-12-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	2	2	—	—	$741,576.00	$741,576.00	$741,576.00	2024-12-02
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	11	—	—	$310,357.75	$611,504.49	$310,357.75	2024-12-02
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	11	—	—	$228,688.14	$476,175.72	$228,688.14	2024-12-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	12	11	—	—	$222,486.71	$321,140.86	$222,486.71	2024-12-02
5834	APR_DRG	Neonate With Ecmo	3	3	—	—	$205,765.16	$205,765.16	$205,765.16	2024-12-02
222	MS_DRG	Other DRG	5	4	—	—	$116,579.39	$299,160.00	$185,222.00	2024-12-02
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$185,064.88	$185,064.88	$185,064.88	2024-12-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	12	11	—	—	$180,257.66	$342,371.26	$180,257.66	2024-12-02
24	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$161,203.22	$161,203.22	$161,203.22	2024-12-02
1614	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$160,790.23	$160,790.23	$160,790.23	2024-12-02
223	MS_DRG	Other DRG	5	4	—	—	$79,459.93	$179,931.00	$152,941.00	2024-12-02
34	APR_DRG	Bone Marrow Transplant	3	3	—	—	$151,970.66	$151,970.66	$151,970.66	2024-12-02
5833	APR_DRG	Neonate With Ecmo	3	3	—	—	$147,981.95	$147,981.95	$147,981.95	2024-12-02
224	MS_DRG	Other DRG	5	4	—	—	$107,940.16	$174,489.00	$138,181.00	2024-12-02
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$136,934.63	$136,934.63	$136,934.63	2024-12-02
225	MS_DRG	Other DRG	5	4	—	—	$77,008.54	$160,254.00	$136,216.00	2024-12-02
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$135,661.33	$135,661.33	$135,661.33	2024-12-02
5832	APR_DRG	Neonate With Ecmo	3	3	—	—	$134,528.62	$134,528.62	$134,528.62	2024-12-02
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$131,022.85	$131,022.85	$131,022.85	2024-12-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	12	11	—	—	$124,770.00	$232,312.90	$124,770.00	2024-12-02
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$122,064.73	$122,064.73	$122,064.73	2024-12-02
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$112,995.62	$112,995.62	$112,995.62	2024-12-02
227	MS_DRG	Other DRG	5	4	—	—	$76,445.18	$146,514.00	$110,954.00	2024-12-02
226	MS_DRG	Other DRG	5	4	—	—	$97,460.10	$166,328.00	$109,971.00	2024-12-02
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$104,597.12	$104,597.12	$104,597.12	2024-12-02
7	MS_DRG	Lung Transplant	12	11	—	—	$104,372.92	$206,523.10	$104,372.92	2024-12-02
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	11	—	—	$104,186.01	$227,937.91	$104,186.01	2024-12-02
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$101,761.30	$101,761.30	$101,761.30	2024-12-02
64	APR_DRG	Pancreas Transplant	3	3	—	—	$100,742.93	$100,742.93	$100,742.93	2024-12-02
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	3	3	—	—	$100,278.15	$100,278.15	$100,278.15	2024-12-02
23	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$98,787.59	$98,787.59	$98,787.59	2024-12-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$98,629.52	$98,629.52	$98,629.52	2024-12-02
14	MS_DRG	Allogeneic Bone Marrow Transplant	12	11	—	—	$97,621.67	$189,363.17	$97,621.67	2024-12-02
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$96,434.72	$96,434.72	$96,434.72	2024-12-02
237	MS_DRG	DRG Carveouts	1	1	—	—	$95,813.00	$95,813.00	$95,813.00	2024-12-02
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$95,728.46	$95,728.46	$95,728.46	2024-12-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	4	3	—	—	$87,553.03	$120,701.30	$95,033.24	2024-12-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	10	—	—	$91,836.80	$91,836.80	$91,836.80	2024-12-02
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$89,664.00	$89,664.00	$89,664.00	2024-12-02
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$89,459.52	$89,459.52	$89,459.52	2024-12-02
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	12	11	—	—	$88,310.72	$192,983.63	$88,310.72	2024-12-02
215	MS_DRG	Other Heart Assist System Implant	12	11	—	—	$87,177.55	$174,309.54	$87,177.55	2024-12-02
J9226	HCPCS	Supprelin La Implant	2	1	—	—	$78,682.80	$92,642.65	$85,662.73	2024-12-02
5831	APR_DRG	Neonate With Ecmo	3	3	—	—	$85,195.70	$85,195.70	$85,195.70	2024-12-02
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$83,849.76	$83,849.76	$83,849.76	2024-12-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	11	—	—	$82,907.21	$182,720.00	$82,907.21	2024-12-02
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$82,277.81	$82,277.81	$82,277.81	2024-12-02
4404	APR_DRG	Kidney Transplant	3	3	—	—	$81,923.34	$81,923.34	$81,923.34	2024-12-02
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$81,513.03	$81,513.03	$81,513.03	2024-12-02
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$81,151.83	$81,151.83	$81,151.83	2024-12-02
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$80,119.33	$80,119.33	$80,119.33	2024-12-02
33	APR_DRG	Bone Marrow Transplant	3	3	—	—	$80,064.18	$80,064.18	$80,064.18	2024-12-02
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$78,856.13	$78,856.13	$78,856.13	2024-12-02
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$77,849.87	$77,849.87	$77,849.87	2024-12-02
22	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$76,582.63	$76,582.63	$76,582.63	2024-12-02
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$76,088.24	$76,088.24	$76,088.24	2024-12-02
453	MS_DRG	DRG	14	11	—	—	$75,834.11	$244,267.00	$75,834.11	2024-12-02
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$75,408.21	$75,408.21	$75,408.21	2024-12-02
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$74,876.83	$74,876.83	$74,876.83	2024-12-02
246	MS_DRG	Other DRG	5	4	—	—	$45,607.96	$88,195.00	$74,668.00	2024-12-02
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$72,447.28	$72,447.28	$72,447.28	2024-12-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	11	—	—	$72,406.10	$157,393.23	$72,406.10	2024-12-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	11	—	—	$72,213.33	$307,913.00	$72,213.33	2024-12-02
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$70,726.01	$70,726.01	$70,726.01	2024-12-02
8634	APR_DRG	Neonatal Aftercare	3	3	—	—	$70,569.96	$70,569.96	$70,569.96	2024-12-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	14	11	—	—	$69,579.88	$163,230.00	$69,579.88	2024-12-02
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	3	—	—	$69,412.36	$69,412.36	$69,412.36	2024-12-02
238	MS_DRG	DRG Carveouts	1	1	—	—	$69,383.00	$69,383.00	$69,383.00	2024-12-02
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$69,065.28	$69,065.28	$69,065.28	2024-12-02
21	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$68,769.33	$68,769.33	$68,769.33	2024-12-02
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	12	11	—	—	$68,559.86	$120,703.16	$68,559.86	2024-12-02
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$67,913.74	$67,913.74	$67,913.74	2024-12-02
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$67,013.08	$67,013.08	$67,013.08	2024-12-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	14	11	—	—	$66,934.69	$151,819.00	$66,934.69	2024-12-02
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$66,277.22	$66,277.22	$66,277.22	2024-12-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	11	—	—	$66,193.77	$150,416.00	$66,193.77	2024-12-02
63	APR_DRG	Pancreas Transplant	3	3	—	—	$64,981.06	$64,981.06	$64,981.06	2024-12-02
J7330	HCPCS	Cultured Chondrocytes Implnt	2	1	—	—	$59,344.30	$69,873.13	$64,608.72	2024-12-02
A9543	HCPCS	Y-90 Zevalin	32	18	$70,810.44	$28,324.18 60% off	$21,951.24	$108,036.36	$63,299.44	2024-12-02
62	APR_DRG	Pancreas Transplant	3	3	—	—	$63,045.22	$63,045.22	$63,045.22	2024-12-02
J9269	HCPCS	Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution	30	18	$108,194.38	$43,277.75 60% off	$532.29	$91,965.22	$62,752.74	2024-12-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	12	11	—	—	$62,181.58	$125,370.84	$62,181.58	2024-12-02
248	MS_DRG	Other DRG	5	4	—	—	$45,827.21	$72,221.00	$61,388.00	2024-12-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	10	10	—	—	$60,532.95	$60,532.95	$60,532.95	2024-12-02
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$60,432.04	$60,432.04	$60,432.04	2024-12-02
214	APR_DRG	Open Craniotomy Except Trauma	3	3	—	—	$60,166.35	$60,166.35	$60,166.35	2024-12-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	12	11	—	—	$59,938.70	$114,888.45	$59,938.70	2024-12-02
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$59,876.44	$59,876.44	$59,876.44	2024-12-02
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$59,821.29	$59,821.29	$59,821.29	2024-12-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	12	11	—	—	$59,559.86	$104,744.41	$59,559.86	2024-12-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	12	11	—	—	$59,461.80	$111,081.90	$59,461.80	2024-12-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	12	11	—	—	$59,165.10	$122,614.90	$59,165.10	2024-12-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	12	11	—	—	$59,015.07	$117,086.09	$59,015.07	2024-12-02
33225	CPT	Hc Insert Lead Only Biv/lt Vent Lead At Time Of Insrt/repl Icd/pace Gen	38	14	$90,802.71	$36,321.08 60% off	$457.39	$77,182.30	$58,885.56	2024-12-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	15	11	—	—	$58,711.66	$108,532.35	$58,711.66	2024-12-02
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$58,632.07	$58,632.07	$58,632.07	2024-12-02
C1820	HCPCS	Hc Implant Neurostm Gen Rechrg	28	18	$97,020.00	$38,808.00 60% off	$32,986.80	$82,467.00	$58,212.00	2024-12-02
4014	APR_DRG	Adrenal Procedures	3	3	—	—	$57,906.97	$57,906.97	$57,906.97	2024-12-02
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$57,685.68	$57,685.68	$57,685.68	2024-12-02
459	MS_DRG	DRG	15	11	—	—	$57,151.04	$180,360.00	$57,151.04	2024-12-02
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	30	18	$97,449.98	$38,979.99 60% off	$243.62	$82,832.48	$56,520.99	2024-12-02
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$56,063.96	$56,063.96	$56,063.96	2024-12-02
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$56,022.93	$56,022.93	$56,022.93	2024-12-02
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$55,578.32	$55,578.32	$55,578.32	2024-12-02
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$55,422.27	$55,422.27	$55,422.27	2024-12-02
6904	APR_DRG	Acute Leukemia	3	3	—	—	$55,348.28	$55,348.28	$55,348.28	2024-12-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	11	—	—	$54,913.19	$158,891.00	$54,913.19	2024-12-02
904	APR_DRG	Major Larynx & Trachea Procedures	3	3	—	—	$54,859.27	$54,859.27	$54,859.27	2024-12-02
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	3	3	—	—	$54,759.05	$54,759.05	$54,759.05	2024-12-02
224	APR_DRG	Ventricular Shunt Procedures	3	3	—	—	$54,688.43	$54,688.43	$54,688.43	2024-12-02
1694	APR_DRG	Major Abdominal Vascular Procedures	3	3	—	—	$54,446.95	$54,446.95	$54,446.95	2024-12-02
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	12	11	—	—	$53,914.12	$111,670.64	$53,914.12	2024-12-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	12	11	—	—	$53,679.44	$99,317.12	$53,679.44	2024-12-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	10	10	—	—	$53,613.23	$53,613.23	$53,613.23	2024-12-02
234	APR_DRG	Spinal Procedures	3	3	—	—	$53,540.24	$53,540.24	$53,540.24	2024-12-02
247	MS_DRG	Other DRG	5	4	—	—	$29,074.05	$62,901.00	$53,466.00	2024-12-02
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	12	11	—	—	$53,334.97	$73,933.35	$53,334.97	2024-12-02
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	12	11	—	—	$53,334.97	$102,935.88	$53,334.97	2024-12-02
1613	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$53,333.07	$53,333.07	$53,333.07	2024-12-02
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$53,212.00	$53,212.00	$53,212.00	2024-12-02
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$53,133.97	$53,133.97	$53,133.97	2024-12-02
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$53,111.77	$53,111.77	$53,111.77	2024-12-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	12	11	—	—	$53,036.59	$114,859.69	$53,036.59	2024-12-02
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$52,858.86	$52,858.86	$52,858.86	2024-12-02
454	MS_DRG	DRG	14	11	—	—	$52,826.21	$194,997.00	$52,826.21	2024-12-02
955	MS_DRG	Craniotomy For Multiple Significant Trauma	12	11	—	—	$52,607.46	$113,959.65	$52,607.46	2024-12-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	11	—	—	$52,482.57	$200,106.00	$52,482.57	2024-12-02
204	APR_DRG	Open Craniotomy For Trauma	3	3	—	—	$52,362.46	$52,362.46	$52,362.46	2024-12-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	12	11	—	—	$52,242.86	$89,963.16	$52,242.86	2024-12-02
28	MS_DRG	Spinal Procedures With Mcc	12	11	—	—	$52,070.21	$99,435.55	$52,070.21	2024-12-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	10	10	—	—	$51,852.29	$51,852.29	$51,852.29	2024-12-02
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$51,817.63	$51,817.63	$51,817.63	2024-12-02
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$51,612.48	$51,612.48	$51,612.48	2024-12-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	14	11	—	—	$51,420.65	$158,015.00	$51,420.65	2024-12-02
894	APR_DRG	Major Cranial Or Facial Bone Procedures	3	3	—	—	$51,150.38	$51,150.38	$51,150.38	2024-12-02
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$51,122.80	$51,122.80	$51,122.80	2024-12-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	14	11	—	—	$50,850.71	$119,096.00	$50,850.71	2024-12-02
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$50,631.78	$50,631.78	$50,631.78	2024-12-02
4034	APR_DRG	Procedures For Obesity	3	3	—	—	$50,427.30	$50,427.30	$50,427.30	2024-12-02
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$50,408.46	$50,408.46	$50,408.46	2024-12-02
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$50,145.46	$50,145.46	$50,145.46	2024-12-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$50,020.35	$50,020.35	$50,020.35	2024-12-02
33249	CPT	Hc Ins Rpl Icd System Dual	38	14	$76,124.19	$30,449.68 60% off	$909.57	$138,135.00	$49,366.54	2024-12-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	11	—	—	$49,309.36	$153,123.00	$49,309.36	2024-12-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	12	11	—	—	$49,195.37	$95,569.78	$49,195.37	2024-12-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	11	—	—	$49,075.52	$121,450.00	$49,075.52	2024-12-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	11	—	—	$49,032.77	$88,677.39	$49,032.77	2024-12-02
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	3	3	—	—	$48,921.94	$48,921.94	$48,921.94	2024-12-02
32	APR_DRG	Bone Marrow Transplant	3	3	—	—	$48,695.27	$48,695.27	$48,695.27	2024-12-02
834	MS_DRG	Acute Leukemia With Mcc	12	11	—	—	$48,490.49	$93,556.54	$48,490.49	2024-12-02
61	APR_DRG	Pancreas Transplant	3	3	—	—	$48,130.25	$48,130.25	$48,130.25	2024-12-02
C2616	HCPCS	Yttrium-90 Brachytx Src Non-stranded	28	18	$79,875.00	$31,950.00 60% off	$27,157.50	$67,893.75	$47,925.00	2024-12-02
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	3	—	—	$47,915.68	$47,915.68	$47,915.68	2024-12-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	12	11	—	—	$47,704.31	$93,757.86	$47,704.31	2024-12-02
914	APR_DRG	Other Major Head And Neck Procedures	3	3	—	—	$47,589.46	$47,589.46	$47,589.46	2024-12-02
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$47,553.81	$47,553.81	$47,553.81	2024-12-02
4414	APR_DRG	Major Bladder Procedures	3	3	—	—	$47,291.48	$47,291.48	$47,291.48	2024-12-02
4403	APR_DRG	Kidney Transplant	3	3	—	—	$47,218.84	$47,218.84	$47,218.84	2024-12-02
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	3	3	—	—	$47,140.81	$47,140.81	$47,140.81	2024-12-02
9304	APR_DRG	Multiple Significant Trauma Without O.r. Procedure	3	3	—	—	$47,078.26	$47,078.26	$47,078.26	2024-12-02
653	MS_DRG	Major Bladder Procedures With Mcc	12	11	—	—	$46,936.57	$94,008.25	$46,936.57	2024-12-02
37227	CPT	Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas	44	14	$53,756.42	$21,502.57 60% off	$694.25	$68,539.45	$46,364.93	2024-12-02
244	APR_DRG	Open Extracranial Vascular Procedures	3	3	—	—	$46,354.50	$46,354.50	$46,354.50	2024-12-02
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	3	3	—	—	$46,098.23	$46,098.23	$46,098.23	2024-12-02
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	3	3	—	—	$46,030.97	$46,030.97	$46,030.97	2024-12-02
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	3	3	—	—	$45,874.92	$45,874.92	$45,874.92	2024-12-02
93656	CPT	Hc Comp Ep Eval W Pv Iso Abl	40	18	$70,646.97	$28,258.79 60% off	$938.31	$65,715.00	$45,814.56	2024-12-02
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$45,740.39	$45,740.39	$45,740.39	2024-12-02
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	12	11	—	—	$45,663.43	$94,590.23	$45,663.43	2024-12-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	11	—	—	$45,520.11	$141,339.00	$45,520.11	2024-12-02
1204	APR_DRG	Major Respiratory And Chest Procedures	3	3	—	—	$45,306.54	$45,306.54	$45,306.54	2024-12-02
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	41	18	$100,210.60	$40,084.24 60% off	$5,392.94	$85,179.01	$45,285.97	2024-12-02
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$45,245.33	$45,245.33	$45,245.33	2024-12-02
8444	APR_DRG	Partial Thickness Burns Without Skin Graft	3	3	—	—	$45,160.58	$45,160.58	$45,160.58	2024-12-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	14	11	—	—	$45,128.70	$116,373.00	$45,128.70	2024-12-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	15	11	—	—	$45,033.99	$89,090.00	$45,033.99	2024-12-02
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$45,001.17	$45,001.17	$45,001.17	2024-12-02
6934	APR_DRG	Chemotherapy	3	3	—	—	$44,916.41	$44,916.41	$44,916.41	2024-12-02
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$44,793.99	$44,793.99	$44,793.99	2024-12-02
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	12	11	—	—	$44,780.03	$87,384.85	$44,780.03	2024-12-02
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$44,629.87	$44,629.87	$44,629.87	2024-12-02
37236	CPT	Hc Plc Stent Art W/wo Anpl Ini	48	18	$77,491.71	$30,996.68 60% off	$428.12	$65,867.95	$44,557.73	2024-12-02
264	APR_DRG	Other Nervous System And Related Procedures	3	3	—	—	$44,498.71	$44,498.71	$44,498.71	2024-12-02
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$44,342.66	$44,342.66	$44,342.66	2024-12-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	12	11	—	—	$44,132.14	$86,599.86	$44,132.14	2024-12-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	14	11	—	—	$43,946.91	$113,928.00	$43,946.91	2024-12-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	12	11	—	—	$43,794.37	$83,376.98	$43,794.37	2024-12-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	14	11	—	—	$43,464.14	$119,558.00	$43,464.14	2024-12-02
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	3	—	—	$43,393.57	$43,393.57	$43,393.57	2024-12-02
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$43,197.16	$43,197.16	$43,197.16	2024-12-02
799	MS_DRG	Splenic Procedures With Mcc	12	11	—	—	$43,089.49	$88,103.87	$43,089.49	2024-12-02
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	3	—	—	$43,084.16	$43,084.16	$43,084.16	2024-12-02
33240	CPT	Hc Insert Generator Only (icd) To Existing Single Lead	38	14	$66,370.90	$26,548.36 60% off	$365.36	$138,135.00	$43,041.53	2024-12-02
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	3	3	—	—	$43,012.19	$43,012.19	$43,012.19	2024-12-02
7914	APR_DRG	O.r. Procedure For Other Complications Of Treatment	3	3	—	—	$42,956.36	$42,956.36	$42,956.36	2024-12-02
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$42,943.58	$42,943.58	$42,943.58	2024-12-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	15	11	—	—	$42,791.11	$91,177.00	$42,791.11	2024-12-02
338	MS_DRG	DRG	2	2	—	—	$40,447.87	$44,942.67	$42,695.27	2024-12-02
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	12	11	—	—	$42,465.91	$87,307.03	$42,465.91	2024-12-02
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	3	3	—	—	$42,300.54	$42,300.54	$42,300.54	2024-12-02
6	MS_DRG	Liver Transplant Without Mcc	12	11	—	—	$42,103.00	$81,363.74	$42,103.00	2024-12-02
1214	APR_DRG	Other Respiratory And Chest Procedures	3	3	—	—	$42,042.93	$42,042.93	$42,042.93	2024-12-02
10	MS_DRG	Pancreas Transplant	12	11	—	—	$41,907.71	$70,155.56	$41,907.71	2024-12-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	12	11	—	—	$41,850.71	$78,670.39	$41,850.71	2024-12-02
6504	APR_DRG	Splenic Procedures	3	3	—	—	$41,798.09	$41,798.09	$41,798.09	2024-12-02
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	3	—	—	$41,706.61	$41,706.61	$41,706.61	2024-12-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	10	10	—	—	$41,646.21	$41,646.21	$41,646.21	2024-12-02
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	3	3	—	—	$41,529.71	$41,529.71	$41,529.71	2024-12-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	12	11	—	—	$41,429.97	$91,056.06	$41,429.97	2024-12-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$41,350.11	$41,350.11	$41,350.11	2024-12-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	11	—	—	$41,294.19	$77,491.21	$41,294.19	2024-12-02
2614	APR_DRG	Major Biliary Tract Procedures	3	3	—	—	$41,229.04	$41,229.04	$41,229.04	2024-12-02
163	MS_DRG	Major Chest Procedures With Mcc	12	11	—	—	$41,069.56	$81,945.72	$41,069.56	2024-12-02
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$40,979.49	$40,979.49	$40,979.49	2024-12-02
120	EAPG	Immunotherapy	3	3	—	—	$40,940.85	$40,940.85	$40,940.85	2024-12-02
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	3	3	—	—	$40,787.12	$40,787.12	$40,787.12	2024-12-02
33264	CPT	Hc Replace Generator Only (icd) Multiple	38	14	$62,659.24	$25,063.70 60% off	$403.60	$133,906.00	$40,634.51	2024-12-02
33263	CPT	Hc Replace Generator Only (icd) Dual	38	14	$62,659.24	$25,063.70 60% off	$387.00	$133,906.00	$40,634.51	2024-12-02
33262	CPT	Hc Replace Generator Only (icd) Single	38	14	$62,659.24	$25,063.70 60% off	$372.90	$133,906.00	$40,634.51	2024-12-02
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$40,560.44	$40,560.44	$40,560.44	2024-12-02
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	3	3	—	—	$40,558.42	$40,558.42	$40,558.42	2024-12-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	11	—	—	$40,524.77	$136,951.00	$40,524.77	2024-12-02
7724	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	3	—	—	$40,401.70	$40,401.70	$40,401.70	2024-12-02
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$40,397.67	$40,397.67	$40,397.67	2024-12-02
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$40,318.97	$40,318.97	$40,318.97	2024-12-02
2214	APR_DRG	Major Small & Large Bowel Procedures	3	3	—	—	$40,201.93	$40,201.93	$40,201.93	2024-12-02
455	MS_DRG	DRG	15	11	—	—	$40,164.37	$133,568.00	$40,164.37	2024-12-02
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	3	3	—	—	$40,088.93	$40,088.93	$40,088.93	2024-12-02
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$39,977.94	$39,977.94	$39,977.94	2024-12-02
2234	APR_DRG	Other Small And Large Bowel Procedures	3	3	—	—	$39,838.03	$39,838.03	$39,838.03	2024-12-02
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$39,788.93	$39,788.93	$39,788.93	2024-12-02
4402	APR_DRG	Kidney Transplant	3	3	—	—	$39,622.79	$39,622.79	$39,622.79	2024-12-02
245	MS_DRG	Aicd Generator Procedures	15	11	—	—	$39,542.47	$93,891.00	$39,542.47	2024-12-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	11	—	—	$39,539.11	$149,680.00	$39,539.11	2024-12-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	14	11	—	—	$39,420.10	$120,402.00	$39,420.10	2024-12-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	12	11	—	—	$39,295.21	$73,194.04	$39,295.21	2024-12-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	12	11	—	—	$39,258.33	$78,565.50	$39,258.33	2024-12-02
2294	APR_DRG	Other Digestive System And Abdominal Procedures	3	3	—	—	$39,229.30	$39,229.30	$39,229.30	2024-12-02
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	30	18	$65,104.83	$26,041.93 60% off	$20,182.50	$55,339.11	$39,062.90	2024-12-02
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$39,040.96	$39,040.96	$39,040.96	2024-12-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	10	10	—	—	$38,947.38	$38,947.38	$38,947.38	2024-12-02
4834	APR_DRG	Penis, Testes And Scrotal Procedures	3	3	—	—	$38,932.00	$38,932.00	$38,932.00	2024-12-02
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	3	3	—	—	$38,760.48	$38,760.48	$38,760.48	2024-12-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	12	11	—	—	$38,679.18	$74,654.06	$38,679.18	2024-12-02
J7311	HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	30	18	$66,587.50	$26,635.00 60% off	$531.93	$56,599.38	$38,620.75	2024-12-02
9123	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$38,588.96	$38,588.96	$38,588.96	2024-12-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	14	11	—	—	$38,575.25	$128,181.00	$38,575.25	2024-12-02
3174	APR_DRG	Tendon, Muscle And Other Soft Tissue Procedures	3	3	—	—	$38,481.33	$38,481.33	$38,481.33	2024-12-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	12	11	—	—	$38,347.27	$86,990.66	$38,347.27	2024-12-02
1734	APR_DRG	Other Vascular Procedures	3	3	—	—	$38,229.77	$38,229.77	$38,229.77	2024-12-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	12	11	—	—	$38,121.81	$72,859.06	$38,121.81	2024-12-02
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	3	3	—	—	$38,107.35	$38,107.35	$38,107.35	2024-12-02
2224	APR_DRG	Other Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$38,054.88	$38,054.88	$38,054.88	2024-12-02
36906	CPT	Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Stent Wwo …	38	14	$58,612.25	$23,444.90 60% off	$500.52	$66,423.00	$38,010.04	2024-12-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	12	11	—	—	$37,836.00	$74,415.51	$37,836.00	2024-12-02
77371	CPT	Srs Multisource	4	3	—	—	$33,488.00	$40,274.00	$37,822.50	2024-12-02
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	3	3	—	—	$37,675.52	$37,675.52	$37,675.52	2024-12-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	12	11	—	—	$37,626.47	$69,311.35	$37,626.47	2024-12-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	12	11	—	—	$37,424.48	$71,436.26	$37,424.48	2024-12-02
5184	APR_DRG	Other Female Reproductive System And Related Procedures	3	3	—	—	$37,421.94	$37,421.94	$37,421.94	2024-12-02
3624	APR_DRG	Mastectomy Procedures	3	3	—	—	$37,181.13	$37,181.13	$37,181.13	2024-12-02
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	3	3	—	—	$37,141.45	$37,141.45	$37,141.45	2024-12-02
2624	APR_DRG	Cholecystectomy Except Laparoscopic	3	3	—	—	$36,923.52	$36,923.52	$36,923.52	2024-12-02
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$36,881.14	$36,881.14	$36,881.14	2024-12-02
793	MS_DRG	Full Term Neonate With Major Problems	10	10	—	—	$36,842.80	$36,842.80	$36,842.80	2024-12-02
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	3	3	—	—	$36,649.08	$36,649.08	$36,649.08	2024-12-02
3054	APR_DRG	Amputation Of Lower Limb Except Toes	3	3	—	—	$36,503.79	$36,503.79	$36,503.79	2024-12-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	12	11	—	—	$36,417.86	$72,346.44	$36,417.86	2024-12-02
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	16	10	$82,845.00	$33,138.00 60% off	$488.68	$70,418.25	$36,327.54	2024-12-02
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$36,323.53	$36,323.53	$36,323.53	2024-12-02
341	MS_DRG	DRG	2	2	—	—	$34,395.53	$38,217.76	$36,306.65	2024-12-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	10	10	—	—	$36,261.97	$36,261.97	$36,261.97	2024-12-02
36903	CPT	Hc Inject Dialysis Circuit With Stent Wwo Pta Peripheral Segment	42	18	$55,897.70	$22,359.08 60% off	$308.14	$47,513.05	$36,249.66	2024-12-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	12	11	—	—	$36,065.84	$69,719.08	$36,065.84	2024-12-02
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$36,003.35	$36,003.35	$36,003.35	2024-12-02
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	3	3	—	—	$35,960.31	$35,960.31	$35,960.31	2024-12-02
4814	APR_DRG	Penis Procedures	3	3	—	—	$35,956.94	$35,956.94	$35,956.94	2024-12-02
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	3	3	—	—	$35,930.71	$35,930.71	$35,930.71	2024-12-02
791	MS_DRG	Prematurity With Major Problems	10	10	—	—	$35,907.43	$35,907.43	$35,907.43	2024-12-02
4804	APR_DRG	Major Male Pelvic Procedures	3	3	—	—	$35,839.23	$35,839.23	$35,839.23	2024-12-02
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$35,810.98	$35,810.98	$35,810.98	2024-12-02
3094	APR_DRG	Other Significant Hip And Femur Surgery	3	3	—	—	$35,805.60	$35,805.60	$35,805.60	2024-12-02
4401	APR_DRG	Kidney Transplant	3	3	—	—	$35,761.88	$35,761.88	$35,761.88	2024-12-02
249	MS_DRG	Other DRG	5	4	—	—	$27,661.07	$54,255.00	$35,689.00	2024-12-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	12	11	—	—	$35,573.01	$62,018.00	$35,573.01	2024-12-02
4434	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	3	3	—	—	$35,550.67	$35,550.67	$35,550.67	2024-12-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	12	11	—	—	$35,464.06	$70,556.52	$35,464.06	2024-12-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	14	11	—	—	$35,433.88	$83,950.00	$35,433.88	2024-12-02
1774	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	3	3	—	—	$35,380.50	$35,380.50	$35,380.50	2024-12-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	12	11	—	—	$35,210.10	$61,662.73	$35,210.10	2024-12-02
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	12	11	—	—	$35,129.64	$66,140.92	$35,129.64	2024-12-02
37231	CPT	Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves	42	18	$54,169.65	$21,667.86 60% off	$714.18	$66,423.00	$35,129.01	2024-12-02
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$35,064.36	$35,064.36	$35,064.36	2024-12-02
31	APR_DRG	Bone Marrow Transplant	3	3	—	—	$35,024.00	$35,024.00	$35,024.00	2024-12-02
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	30	18	$60,331.15	$24,132.46 60% off	$236.40	$51,281.48	$34,992.07	2024-12-02

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