Hospital

MERCY REGIONAL MEDICAL CENTER

Durango, CO · CCN 060013 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,375 across 11 payers · range $3,499-$10,984

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8269/840405257_commonspirit-health-mercy_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.

13,241 distinct procedures filed

16 distinct payers

261,728 rate rows

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

Data quality

256,351 of 261,728 rate rows are consumer-grade (97.9%)

5,377 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	4,589
per-diem day rate — not a per-procedure price	543
template filing: same amount across many unrelated codes — excluded	121
exceeds 10× this hospital's gross charge — excluded from medians	85
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	20
percent-of-charges filed in the dollar field — excluded from medians	13
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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/8269/840405257_commonspirit-health-mercy_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	ad814569081eb805… · 321,443,404 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
222 MS_DRG	DRG	3	$384,374.00	$427,082.00	$414,338.00	nat. median $58,534 outlier · 7.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$294,667.91	$358,986.33	$358,986.33	nat. median $370,165 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$216,734.60	$264,042.18	$264,042.18	nat. median $261,939 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	$210,816.88	$256,832.78	$256,832.78	nat. median $205,166 1.3× median
223 MS_DRG	DRG	3	$231,181.00	$256,868.00	$249,203.00	nat. median $40,712 outlier · 6.1×
224 MS_DRG	DRG	3	$224,192.00	$249,102.00	$241,670.00	nat. median $51,048 outlier · 4.7×
226 MS_DRG	DRG	3	$213,703.00	$237,448.00	$230,363.00	nat. median $46,826 outlier · 4.9×
225 MS_DRG	DRG	3	$205,900.00	$228,778.00	$221,952.00	nat. median $45,104 outlier · 4.9×
5834 APR_DRG	Neonate With Ecmo	2	$209,047.88	$209,047.88	$209,047.88	nat. median $311,018 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	9	$170,519.76	$207,739.83	$207,739.83	nat. median $199,832 1.0× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$188,017.35	$188,017.35	$188,017.35	nat. median $254,667 0.7× median
227 MS_DRG	DRG	3	$167,717.00	$186,352.00	$180,793.00	nat. median $38,383 outlier · 4.7×
24 APR_DRG	Heart And/or Lung Transplant	2	$163,775.02	$163,775.02	$163,775.02	nat. median $243,231 0.7× median
1614 APR_DRG	Implantable Heart Assist Systems	2	$163,355.43	$163,355.43	$163,355.43	nat. median $209,486 0.8× median
34 APR_DRG	Bone Marrow Transplant	2	$154,395.16	$154,395.16	$154,395.16	nat. median $241,408 0.6× median
5833 APR_DRG	Neonate With Ecmo	2	$150,342.81	$150,342.81	$150,342.81	nat. median $250,089 0.6× median
230 MS_DRG	DRG	2	$138,157.00	$153,508.00	$145,832.50	nat. median $27,929 outlier · 5.2×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	9	$117,570.60	$143,233.23	$143,233.23	nat. median $132,706 1.1× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$139,119.24	$139,119.24	$139,119.24	nat. median $127,600 1.1× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	2	$137,825.64	$137,825.64	$137,825.64	nat. median $165,646 0.8× median
5832 APR_DRG	Neonate With Ecmo	2	$136,674.85	$136,674.85	$136,674.85	nat. median $169,230 0.8× median
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	2	$133,113.16	$133,113.16	$133,113.16	nat. median $137,901 1.0× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$124,012.12	$124,012.12	$124,012.12	nat. median $180,995 0.7× median
246 MS_DRG	DRG	3	$111,097.00	$123,441.00	$119,757.00	nat. median $25,356 outlier · 4.7×
7 MS_DRG	Lung Transplant	9	$98,106.67	$119,520.82	$119,520.82	nat. median $122,690 1.0× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	$97,928.31	$119,303.54	$119,303.54	nat. median $108,240 1.1× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$114,798.32	$114,798.32	$114,798.32	nat. median $168,361 0.7× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	9	$91,664.28	$111,672.23	$111,672.23	nat. median $114,305 1.0× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$106,265.84	$106,265.84	$106,265.84	nat. median $156,285 0.7× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	9	$86,144.06	$104,947.09	$104,947.09	nat. median $100,978 1.0× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$103,384.77	$103,384.77	$103,384.77	nat. median $168,174 0.6× median
64 APR_DRG	Pancreas Transplant	2	$102,350.16	$102,350.16	$102,350.16	nat. median $92,994 1.1× median
9104 APR_DRG	Craniotomy For Multiple Significant Trauma	2	$101,877.96	$101,877.96	$101,877.96	nat. median $58,249 1.7× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	$82,779.30	$100,847.89	$100,847.89	nat. median $99,646 1.0× median
23 APR_DRG	Heart And/or Lung Transplant	2	$100,363.62	$100,363.62	$100,363.62	nat. median $116,111 0.9× median
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	2	$100,203.03	$100,203.03	$100,203.03	nat. median $96,420 1.0× median
248 MS_DRG	DRG	3	$92,792.00	$103,102.00	$100,025.00	nat. median $21,372 outlier · 4.7×
215 MS_DRG	Other Heart Assist System Implant	10	$81,697.97	$380,682.00	$99,530.53	nat. median $98,002 1.0× median
J9226 HCPCS	Supprelin La Implant	1	$98,565.01	$98,565.01	$98,565.01	nat. median $55,200 1.8× median
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	$97,973.21	$97,973.21	$97,973.21	nat. median $88,000 1.1× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	$97,255.68	$97,255.68	$97,255.68	nat. median $160,171 0.6× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$77,622.99	$260,855.00	$94,566.09	nat. median $92,900 1.0× median
5892 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	2	$91,094.47	$91,094.47	$91,094.47	nat. median $89,188 1.0× median
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$90,886.73	$90,886.73	$90,886.73	nat. median $123,690 0.7× median

Other procedures at this hospital

Browse this hospital's 13,241 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
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	2	2	—	—	$741,576.00	$741,576.00	$741,576.00	2024-12-02
Q2053	HCPCS	Brexucabtagene Car Pos T	2	2	—	—	$741,576.00	$741,576.00	$741,576.00	2024-12-02
222	MS_DRG	DRG	3	3	—	—	$384,374.00	$427,082.00	$414,338.00	2024-12-02
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$294,667.91	$358,986.33	$358,986.33	2024-12-02
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	9	—	—	$216,734.60	$264,042.18	$264,042.18	2024-12-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	9	—	—	$210,816.88	$256,832.78	$256,832.78	2024-12-02
223	MS_DRG	DRG	3	3	—	—	$231,181.00	$256,868.00	$249,203.00	2024-12-02
224	MS_DRG	DRG	3	3	—	—	$224,192.00	$249,102.00	$241,670.00	2024-12-02
226	MS_DRG	DRG	3	3	—	—	$213,703.00	$237,448.00	$230,363.00	2024-12-02
225	MS_DRG	DRG	3	3	—	—	$205,900.00	$228,778.00	$221,952.00	2024-12-02
5834	APR_DRG	Neonate With Ecmo	2	2	—	—	$209,047.88	$209,047.88	$209,047.88	2024-12-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	9	9	—	—	$170,519.76	$207,739.83	$207,739.83	2024-12-02
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$188,017.35	$188,017.35	$188,017.35	2024-12-02
227	MS_DRG	DRG	3	3	—	—	$167,717.00	$186,352.00	$180,793.00	2024-12-02
24	APR_DRG	Heart And/or Lung Transplant	2	2	—	—	$163,775.02	$163,775.02	$163,775.02	2024-12-02
1614	APR_DRG	Implantable Heart Assist Systems	2	2	—	—	$163,355.43	$163,355.43	$163,355.43	2024-12-02
34	APR_DRG	Bone Marrow Transplant	2	2	—	—	$154,395.16	$154,395.16	$154,395.16	2024-12-02
5833	APR_DRG	Neonate With Ecmo	2	2	—	—	$150,342.81	$150,342.81	$150,342.81	2024-12-02
230	MS_DRG	DRG	2	2	—	—	$138,157.00	$153,508.00	$145,832.50	2024-12-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	9	9	—	—	$117,570.60	$143,233.23	$143,233.23	2024-12-02
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$139,119.24	$139,119.24	$139,119.24	2024-12-02
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$137,825.64	$137,825.64	$137,825.64	2024-12-02
5832	APR_DRG	Neonate With Ecmo	2	2	—	—	$136,674.85	$136,674.85	$136,674.85	2024-12-02
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$133,113.16	$133,113.16	$133,113.16	2024-12-02
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$124,012.12	$124,012.12	$124,012.12	2024-12-02
246	MS_DRG	DRG	3	3	—	—	$111,097.00	$123,441.00	$119,757.00	2024-12-02
7	MS_DRG	Lung Transplant	9	9	—	—	$98,106.67	$119,520.82	$119,520.82	2024-12-02
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	9	—	—	$97,928.31	$119,303.54	$119,303.54	2024-12-02
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$114,798.32	$114,798.32	$114,798.32	2024-12-02
14	MS_DRG	Allogeneic Bone Marrow Transplant	9	9	—	—	$91,664.28	$111,672.23	$111,672.23	2024-12-02
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$106,265.84	$106,265.84	$106,265.84	2024-12-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	9	9	—	—	$86,144.06	$104,947.09	$104,947.09	2024-12-02
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$103,384.77	$103,384.77	$103,384.77	2024-12-02
64	APR_DRG	Pancreas Transplant	2	2	—	—	$102,350.16	$102,350.16	$102,350.16	2024-12-02
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	2	2	—	—	$101,877.96	$101,877.96	$101,877.96	2024-12-02
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	9	—	—	$82,779.30	$100,847.89	$100,847.89	2024-12-02
23	APR_DRG	Heart And/or Lung Transplant	2	2	—	—	$100,363.62	$100,363.62	$100,363.62	2024-12-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$100,203.03	$100,203.03	$100,203.03	2024-12-02
248	MS_DRG	DRG	3	3	—	—	$92,792.00	$103,102.00	$100,025.00	2024-12-02
215	MS_DRG	Other Heart Assist System Implant	11	10	—	—	$81,697.97	$380,682.00	$99,530.53	2024-12-02
J9226	HCPCS	Supprelin La Implant	1	1	—	—	$98,565.01	$98,565.01	$98,565.01	2024-12-02
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$97,973.21	$97,973.21	$97,973.21	2024-12-02
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$97,255.68	$97,255.68	$97,255.68	2024-12-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	10	—	—	$77,622.99	$260,855.00	$94,566.09	2024-12-02
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$91,094.47	$91,094.47	$91,094.47	2024-12-02
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$90,886.73	$90,886.73	$90,886.73	2024-12-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	3	3	—	—	$87,553.03	$128,417.37	$87,553.03	2024-12-02
5831	APR_DRG	Neonate With Ecmo	2	2	—	—	$86,554.88	$86,554.88	$86,554.88	2024-12-02
453	MS_DRG	DRG	12	10	—	—	$54,987.00	$223,122.00	$86,343.33	2024-12-02
247	MS_DRG	DRG	3	3	—	—	$79,231.00	$88,034.00	$85,407.00	2024-12-02
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	2	—	—	$85,187.47	$85,187.47	$85,187.47	2024-12-02
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$83,590.45	$83,590.45	$83,590.45	2024-12-02
4404	APR_DRG	Kidney Transplant	2	2	—	—	$83,230.32	$83,230.32	$83,230.32	2024-12-02
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$82,813.47	$82,813.47	$82,813.47	2024-12-02
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	2	—	—	$82,446.50	$82,446.50	$82,446.50	2024-12-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	9	9	—	—	$67,602.30	$82,358.13	$82,358.13	2024-12-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	10	—	—	$67,418.34	$387,554.00	$82,134.03	2024-12-02
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$81,397.54	$81,397.54	$81,397.54	2024-12-02
33	APR_DRG	Bone Marrow Transplant	2	2	—	—	$81,341.50	$81,341.50	$81,341.50	2024-12-02
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$80,114.18	$80,114.18	$80,114.18	2024-12-02
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$79,091.87	$79,091.87	$79,091.87	2024-12-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	12	10	—	—	$64,905.37	$215,617.00	$79,072.54	2024-12-02
C1767	HCPCS	Hc Implant Neurostim Generator	28	16	$131,083.31	$52,433.32 60% off	$35,392.49	$120,596.65	$77,994.57	2024-12-02
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	9	9	—	—	$63,932.01	$77,886.72	$77,886.72	2024-12-02
22	APR_DRG	Heart And/or Lung Transplant	2	2	—	—	$77,804.41	$77,804.41	$77,804.41	2024-12-02
33249	CPT	Hc Insert/replace (icd) Single/dual Lead/s System	39	16	$93,091.38	$37,236.55 60% off	$891.38	$188,927.00	$77,731.30	2024-12-02
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$77,302.14	$77,302.14	$77,302.14	2024-12-02
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$76,611.25	$76,611.25	$76,611.25	2024-12-02
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	2	2	—	—	$76,071.40	$76,071.40	$76,071.40	2024-12-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	12	10	—	—	$62,381.20	$212,490.00	$75,997.41	2024-12-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	10	—	—	$61,674.18	$210,525.00	$75,136.06	2024-12-02
J7330	HCPCS	Cultured Chondrocytes Implnt	1	1	—	—	$74,339.91	$74,339.91	$74,339.91	2024-12-02
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$73,603.09	$73,603.09	$73,603.09	2024-12-02
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	17	12	$97,449.98	$38,979.99 60% off	$243.62	$89,653.98	$73,087.49	2024-12-02
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$71,854.36	$71,854.36	$71,854.36	2024-12-02
8634	APR_DRG	Neonatal Aftercare	2	2	—	—	$71,695.82	$71,695.82	$71,695.82	2024-12-02
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	2	2	—	—	$70,519.75	$70,519.75	$70,519.75	2024-12-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	9	9	—	—	$57,845.53	$70,471.72	$70,471.72	2024-12-02
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$70,167.13	$70,167.13	$70,167.13	2024-12-02
21	APR_DRG	Heart And/or Lung Transplant	2	2	—	—	$69,866.45	$69,866.45	$69,866.45	2024-12-02
249	MS_DRG	DRG	3	3	—	—	$64,534.00	$71,704.00	$69,565.00	2024-12-02
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$68,997.21	$68,997.21	$68,997.21	2024-12-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	9	9	—	—	$56,272.33	$68,555.13	$68,555.13	2024-12-02
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	—	—	$68,082.19	$68,082.19	$68,082.19	2024-12-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	9	9	—	—	$55,705.27	$67,864.30	$67,864.30	2024-12-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	9	9	—	—	$55,343.76	$67,423.88	$67,423.88	2024-12-02
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$67,334.59	$67,334.59	$67,334.59	2024-12-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	9	9	—	—	$55,250.18	$67,309.88	$67,309.88	2024-12-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	9	9	—	—	$54,967.05	$66,964.95	$66,964.95	2024-12-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	10	—	—	$54,823.89	$225,203.00	$66,790.53	2024-12-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	12	10	—	—	$54,534.36	$138,633.00	$66,437.81	2024-12-02
63	APR_DRG	Pancreas Transplant	2	2	—	—	$66,017.75	$66,017.75	$66,017.75	2024-12-02
459	MS_DRG	DRG	12	10	—	—	$38,569.00	$245,223.00	$64,623.52	2024-12-02
J9269	HCPCS	Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution	29	16	$108,194.38	$43,277.75 60% off	$532.29	$99,538.83	$64,375.65	2024-12-02
62	APR_DRG	Pancreas Transplant	2	2	—	—	$64,051.02	$64,051.02	$64,051.02	2024-12-02
A9543	HCPCS	Y-90 Zevalin	31	16	$70,810.44	$28,324.18 60% off	$23,367.45	$108,036.36	$63,729.40	2024-12-02
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	17	12	$82,845.00	$33,138.00 60% off	$488.68	$76,217.40	$62,133.75	2024-12-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	10	—	—	$50,909.67	$226,834.00	$62,021.94	2024-12-02
C9608	HCPCS	Perc D-e Cor Revasc Chro Add	2	2	—	—	$21,588.00	$101,512.00	$61,550.00	2024-12-02
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$61,396.16	$61,396.16	$61,396.16	2024-12-02
214	APR_DRG	Open Craniotomy Except Trauma	2	2	—	—	$61,126.23	$61,126.23	$61,126.23	2024-12-02
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	11	10	—	—	$49,956.31	$341,984.00	$60,860.48	2024-12-02
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	2	2	—	—	$60,831.70	$60,831.70	$60,831.70	2024-12-02
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$60,775.66	$60,775.66	$60,775.66	2024-12-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	9	9	—	—	$49,732.36	$60,587.66	$60,587.66	2024-12-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	9	9	—	—	$49,669.18	$60,510.68	$60,510.68	2024-12-02
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	9	9	—	—	$49,403.65	$60,187.19	$60,187.19	2024-12-02
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	9	9	—	—	$49,403.65	$60,187.19	$60,187.19	2024-12-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	9	9	—	—	$49,118.92	$59,840.31	$59,840.31	2024-12-02
454	MS_DRG	DRG	12	10	—	—	$48,918.17	$204,531.00	$59,595.74	2024-12-02
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$59,567.47	$59,567.47	$59,567.47	2024-12-02
955	MS_DRG	Craniotomy For Multiple Significant Trauma	9	9	—	—	$48,709.42	$59,341.43	$59,341.43	2024-12-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	10	—	—	$48,590.25	$272,070.00	$59,196.25	2024-12-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	9	9	—	—	$48,361.51	$58,917.58	$58,917.58	2024-12-02
4014	APR_DRG	Adrenal Procedures	2	2	—	—	$58,830.81	$58,830.81	$58,830.81	2024-12-02
28	MS_DRG	Spinal Procedures With Mcc	11	10	—	—	$48,196.75	$151,332.00	$58,716.86	2024-12-02
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	2	2	—	—	$58,605.98	$58,605.98	$58,605.98	2024-12-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	8	8	—	—	$58,463.52	$58,463.52	$58,463.52	2024-12-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	12	10	—	—	$47,576.90	$208,726.00	$57,961.71	2024-12-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	12	10	—	—	$47,033.04	$166,688.00	$57,299.14	2024-12-02
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$56,958.39	$56,958.39	$56,958.39	2024-12-02
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$56,916.70	$56,916.70	$56,916.70	2024-12-02
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$56,465.00	$56,465.00	$56,465.00	2024-12-02
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$56,306.46	$56,306.46	$56,306.46	2024-12-02
6904	APR_DRG	Acute Leukemia	2	2	—	—	$56,231.29	$56,231.29	$56,231.29	2024-12-02
904	APR_DRG	Major Larynx & Trachea Procedures	2	2	—	—	$55,734.48	$55,734.48	$55,734.48	2024-12-02
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	2	2	—	—	$55,632.66	$55,632.66	$55,632.66	2024-12-02
224	APR_DRG	Ventricular Shunt Procedures	2	2	—	—	$55,560.91	$55,560.91	$55,560.91	2024-12-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	10	—	—	$45,562.21	$218,602.00	$55,507.26	2024-12-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	9	9	—	—	$45,453.43	$55,374.75	$55,374.75	2024-12-02
1694	APR_DRG	Major Abdominal Vascular Procedures	2	2	—	—	$55,315.58	$55,315.58	$55,315.58	2024-12-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	12	10	—	—	$45,339.06	$169,985.00	$55,235.41	2024-12-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	11	10	—	—	$45,298.27	$116,087.00	$55,185.72	2024-12-02
834	MS_DRG	Acute Leukemia With Mcc	9	9	—	—	$44,780.80	$54,555.30	$54,555.30	2024-12-02
234	APR_DRG	Spinal Procedures	2	2	—	—	$54,394.41	$54,394.41	$54,394.41	2024-12-02
1613	APR_DRG	Implantable Heart Assist Systems	2	2	—	—	$54,183.93	$54,183.93	$54,183.93	2024-12-02
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$54,060.93	$54,060.93	$54,060.93	2024-12-02
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$53,981.66	$53,981.66	$53,981.66	2024-12-02
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$53,959.10	$53,959.10	$53,959.10	2024-12-02
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$53,702.16	$53,702.16	$53,702.16	2024-12-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	11	10	—	—	$44,030.59	$171,505.00	$53,641.33	2024-12-02
77371	CPT	Srs Multisource	3	3	—	—	$51,737.00	$57,486.00	$53,584.00	2024-12-02
204	APR_DRG	Open Craniotomy For Trauma	2	2	—	—	$53,197.84	$53,197.84	$53,197.84	2024-12-02
653	MS_DRG	Major Bladder Procedures With Mcc	9	9	—	—	$43,297.97	$52,748.80	$52,748.80	2024-12-02
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$52,644.31	$52,644.31	$52,644.31	2024-12-02
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$52,435.89	$52,435.89	$52,435.89	2024-12-02
64568	CPT	Hc Incis/implant Cranial Nerve Stim Electrode	35	15	$62,786.93	$25,114.77 60% off	$599.01	$57,763.98	$52,427.09	2024-12-02
894	APR_DRG	Major Cranial Or Facial Bone Procedures	2	2	—	—	$51,966.42	$51,966.42	$51,966.42	2024-12-02
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	—	—	$51,938.40	$51,938.40	$51,938.40	2024-12-02
120	EAPG	Immunotherapy	2	2	—	—	$51,584.80	$51,584.80	$51,584.80	2024-12-02
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$51,439.54	$51,439.54	$51,439.54	2024-12-02
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	9	9	—	—	$42,083.08	$51,268.73	$51,268.73	2024-12-02
4034	APR_DRG	Procedures For Obesity	2	2	—	—	$51,231.80	$51,231.80	$51,231.80	2024-12-02
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$51,212.66	$51,212.66	$51,212.66	2024-12-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	10	—	—	$41,946.31	$197,818.00	$51,102.11	2024-12-02
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$50,945.47	$50,945.47	$50,945.47	2024-12-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$50,818.36	$50,818.36	$50,818.36	2024-12-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	12	10	—	—	$41,572.80	$162,876.00	$50,647.08	2024-12-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	12	10	—	—	$30,194.00	$121,127.00	$50,536.97	2024-12-02
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	9	9	—	—	$41,240.09	$50,241.74	$50,241.74	2024-12-02
J7311	HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	17	12	$66,587.50	$26,635.00 60% off	$531.93	$61,260.50	$49,940.63	2024-12-02
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	2	2	—	—	$49,702.43	$49,702.43	$49,702.43	2024-12-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	11	10	—	—	$40,621.84	$356,586.00	$49,488.54	2024-12-02
32	APR_DRG	Bone Marrow Transplant	2	2	—	—	$49,472.14	$49,472.14	$49,472.14	2024-12-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	12	10	—	—	$40,445.09	$159,454.00	$49,273.21	2024-12-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	11	10	—	—	$40,299.52	$224,978.00	$49,095.87	2024-12-02
61	APR_DRG	Pancreas Transplant	2	2	—	—	$48,898.11	$48,898.11	$48,898.11	2024-12-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	10	9	—	—	$39,984.40	$162,341.00	$48,711.97	2024-12-02
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	2	2	—	—	$48,680.12	$48,680.12	$48,680.12	2024-12-02
914	APR_DRG	Other Major Head And Neck Procedures	2	2	—	—	$48,348.69	$48,348.69	$48,348.69	2024-12-02
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$48,312.47	$48,312.47	$48,312.47	2024-12-02
799	MS_DRG	Splenic Procedures With Mcc	9	9	—	—	$39,626.89	$48,276.42	$48,276.42	2024-12-02
4414	APR_DRG	Major Bladder Procedures	2	2	—	—	$48,045.96	$48,045.96	$48,045.96	2024-12-02
4403	APR_DRG	Kidney Transplant	2	2	—	—	$47,972.15	$47,972.15	$47,972.15	2024-12-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	12	10	—	—	$21,271.00	$123,965.00	$47,929.54	2024-12-02
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	2	2	—	—	$47,892.88	$47,892.88	$47,892.88	2024-12-02
9304	APR_DRG	Multiple Significant Trauma Without O.r. Procedure	2	2	—	—	$47,829.33	$47,829.33	$47,829.33	2024-12-02
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	11	10	—	—	$39,031.84	$256,780.00	$47,551.48	2024-12-02
C2616	HCPCS	Yttrium-90 Brachytx Src Non-stranded	28	16	$79,875.00	$31,950.00 60% off	$21,566.25	$73,485.00	$47,525.62	2024-12-02
6	MS_DRG	Liver Transplant Without Mcc	9	9	—	—	$38,685.53	$47,129.58	$47,129.58	2024-12-02
244	APR_DRG	Open Extracranial Vascular Procedures	2	2	—	—	$47,094.03	$47,094.03	$47,094.03	2024-12-02
10	MS_DRG	Pancreas Transplant	9	9	—	—	$38,499.17	$46,902.55	$46,902.55	2024-12-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	9	9	—	—	$38,444.79	$46,836.29	$46,836.29	2024-12-02
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	2	2	—	—	$46,833.67	$46,833.67	$46,833.67	2024-12-02
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	2	2	—	—	$46,765.33	$46,765.33	$46,765.33	2024-12-02
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	2	2	—	—	$46,606.79	$46,606.79	$46,606.79	2024-12-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	9	9	—	—	$38,249.64	$46,598.54	$46,598.54	2024-12-02
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$46,470.12	$46,470.12	$46,470.12	2024-12-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	9	9	—	—	$38,742.31	$46,347.16	$46,347.16	2024-12-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	9	9	—	—	$37,913.72	$46,189.31	$46,189.31	2024-12-02
1204	APR_DRG	Major Respiratory And Chest Procedures	2	2	—	—	$46,029.35	$46,029.35	$46,029.35	2024-12-02
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$45,967.16	$45,967.16	$45,967.16	2024-12-02
163	MS_DRG	Major Chest Procedures With Mcc	9	9	—	—	$37,699.37	$45,928.17	$45,928.17	2024-12-02
8444	APR_DRG	Partial Thickness Burns Without Skin Graft	2	2	—	—	$45,881.06	$45,881.06	$45,881.06	2024-12-02
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$45,719.10	$45,719.10	$45,719.10	2024-12-02
6934	APR_DRG	Chemotherapy	2	2	—	—	$45,633.00	$45,633.00	$45,633.00	2024-12-02
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$45,508.63	$45,508.63	$45,508.63	2024-12-02
246	EAPG	Class IV Therapeutic Radiopharmaceuticals	2	2	—	—	$45,445.73	$45,445.73	$45,445.73	2024-12-02
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$45,341.88	$45,341.88	$45,341.88	2024-12-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	10	—	—	$37,179.50	$191,678.00	$45,294.83	2024-12-02
264	APR_DRG	Other Nervous System And Related Procedures	2	2	—	—	$45,208.63	$45,208.63	$45,208.63	2024-12-02
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$45,050.09	$45,050.09	$45,050.09	2024-12-02
455	MS_DRG	DRG	12	10	—	—	$36,835.59	$182,244.00	$44,875.85	2024-12-02
245	MS_DRG	Aicd Generator Procedures	12	10	—	—	$36,242.14	$121,590.00	$44,152.86	2024-12-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	10	—	—	$42,043.00	$188,396.00	$44,148.96	2024-12-02
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	2	—	—	$44,085.86	$44,085.86	$44,085.86	2024-12-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	10	9	—	—	$15,729.00	$163,487.00	$44,010.60	2024-12-02
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$43,886.32	$43,886.32	$43,886.32	2024-12-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	9	9	—	—	$36,006.20	$43,865.42	$43,865.42	2024-12-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	9	9	—	—	$35,971.00	$43,822.55	$43,822.55	2024-12-02
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	2	—	—	$43,771.51	$43,771.51	$43,771.51	2024-12-02
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	2	2	—	—	$43,698.39	$43,698.39	$43,698.39	2024-12-02
7914	APR_DRG	O.r. Procedure For Other Complications Of Treatment	2	2	—	—	$43,641.68	$43,641.68	$43,641.68	2024-12-02
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$43,628.69	$43,628.69	$43,628.69	2024-12-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	9	9	—	—	$13,574.00	$43,461.06	$43,461.06	2024-12-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	9	9	—	—	$35,418.34	$43,149.25	$43,149.25	2024-12-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	12	10	—	—	$35,319.17	$179,402.00	$43,028.43	2024-12-02
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	2	2	—	—	$42,975.40	$42,975.40	$42,975.40	2024-12-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	9	9	—	—	$37,012.34	$42,763.40	$42,763.40	2024-12-02
1214	APR_DRG	Other Respiratory And Chest Procedures	2	2	—	—	$42,713.67	$42,713.67	$42,713.67	2024-12-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	11	10	—	—	$34,886.48	$134,598.00	$42,501.29	2024-12-02
6504	APR_DRG	Splenic Procedures	2	2	—	—	$42,464.92	$42,464.92	$42,464.92	2024-12-02
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	2	—	—	$42,371.98	$42,371.98	$42,371.98	2024-12-02
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	2	—	—	$42,192.26	$42,192.26	$42,192.26	2024-12-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	9	9	—	—	$34,613.74	$42,169.03	$42,169.03	2024-12-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$42,009.80	$42,009.80	$42,009.80	2024-12-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	9	9	—	—	$34,413.79	$41,925.44	$41,925.44	2024-12-02
2614	APR_DRG	Major Biliary Tract Procedures	2	2	—	—	$41,886.80	$41,886.80	$41,886.80	2024-12-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	9	9	—	—	$34,221.04	$41,690.61	$41,690.61	2024-12-02
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$41,633.27	$41,633.27	$41,633.27	2024-12-02
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	2	2	—	—	$41,437.83	$41,437.83	$41,437.83	2024-12-02
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$41,207.53	$41,207.53	$41,207.53	2024-12-02
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	2	2	—	—	$41,205.48	$41,205.48	$41,205.48	2024-12-02
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	29	16	$69,000.33	$27,600.13 60% off	$101.34	$63,480.30	$41,055.19	2024-12-02
7724	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	2	2	—	—	$41,046.26	$41,046.26	$41,046.26	2024-12-02
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$41,042.16	$41,042.16	$41,042.16	2024-12-02
793	MS_DRG	Full Term Neonate With Major Problems	8	8	—	—	$41,014.40	$41,014.40	$41,014.40	2024-12-02
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$40,962.20	$40,962.20	$40,962.20	2024-12-02
2214	APR_DRG	Major Small & Large Bowel Procedures	2	2	—	—	$40,843.30	$40,843.30	$40,843.30	2024-12-02
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	2	2	—	—	$40,728.49	$40,728.49	$40,728.49	2024-12-02
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$40,615.74	$40,615.74	$40,615.74	2024-12-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	11	10	—	—	$33,260.48	$139,986.00	$40,520.39	2024-12-02
2234	APR_DRG	Other Small And Large Bowel Procedures	2	2	—	—	$40,473.60	$40,473.60	$40,473.60	2024-12-02
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$40,423.71	$40,423.71	$40,423.71	2024-12-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	9	9	—	—	$33,111.72	$40,339.16	$40,339.16	2024-12-02
4402	APR_DRG	Kidney Transplant	2	2	—	—	$40,254.92	$40,254.92	$40,254.92	2024-12-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	9	9	—	—	$32,924.57	$40,111.15	$40,111.15	2024-12-02
791	MS_DRG	Prematurity With Major Problems	8	8	—	—	$39,926.99	$39,926.99	$39,926.99	2024-12-02
2294	APR_DRG	Other Digestive System And Abdominal Procedures	2	2	—	—	$39,855.16	$39,855.16	$39,855.16	2024-12-02
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	16	12	$50,863.68	$20,345.47 60% off	$302.99	$46,794.59	$39,800.83	2024-12-02
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$39,663.81	$39,663.81	$39,663.81	2024-12-02
4834	APR_DRG	Penis, Testes And Scrotal Procedures	2	2	—	—	$39,553.11	$39,553.11	$39,553.11	2024-12-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	9	9	—	—	$32,454.28	$39,538.22	$39,538.22	2024-12-02
J7310	HCPCS	Ganciclovir Long Act Implant	1	1	—	—	$39,516.80	$39,516.80	$39,516.80	2024-12-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	9	9	—	—	$32,350.31	$39,411.55	$39,411.55	2024-12-02
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	2	2	—	—	$39,378.85	$39,378.85	$39,378.85	2024-12-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	12	10	—	—	$32,321.52	$146,870.00	$39,376.47	2024-12-02
9123	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	2	—	—	$39,204.59	$39,204.59	$39,204.59	2024-12-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	9	9	—	—	$32,107.97	$39,116.31	$39,116.31	2024-12-02
3174	APR_DRG	Tendon, Muscle And Other Soft Tissue Procedures	2	2	—	—	$39,095.25	$39,095.25	$39,095.25	2024-12-02
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	9	9	—	—	$32,031.19	$39,022.77	$39,022.77	2024-12-02
1734	APR_DRG	Other Vascular Procedures	2	2	—	—	$38,839.68	$38,839.68	$38,839.68	2024-12-02
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	29	16	$65,104.83	$26,041.93 60% off	$17,578.30	$59,896.44	$38,737.37	2024-12-02
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	2	2	—	—	$38,715.30	$38,715.30	$38,715.30	2024-12-02
2224	APR_DRG	Other Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$38,662.00	$38,662.00	$38,662.00	2024-12-02
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	9	9	—	—	$31,653.68	$38,562.87	$38,562.87	2024-12-02
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	43	16	$65,041.27	$26,016.51 60% off	$5,392.94	$92,193.75	$38,374.35	2024-12-02
C1882	HCPCS	Hc Implant Aicd Other	28	16	$64,372.88	$25,749.15 60% off	$17,380.68	$59,223.05	$38,301.86	2024-12-02
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	2	2	—	—	$38,276.58	$38,276.58	$38,276.58	2024-12-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	9	9	—	—	$31,279.38	$38,106.86	$38,106.86	2024-12-02
5184	APR_DRG	Other Female Reproductive System And Related Procedures	2	2	—	—	$38,018.96	$38,018.96	$38,018.96	2024-12-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	11	10	—	—	$31,203.40	$114,340.00	$38,014.29	2024-12-02
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	12	10	—	—	$31,168.21	$89,434.00	$37,971.42	2024-12-02
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	9	9	—	—	$31,089.83	$37,875.93	$37,875.93	2024-12-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	10	9	—	—	$31,017.84	$279,553.00	$37,788.24	2024-12-02
3624	APR_DRG	Mastectomy Procedures	2	2	—	—	$37,774.31	$37,774.31	$37,774.31	2024-12-02
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	2	2	—	—	$37,733.99	$37,733.99	$37,733.99	2024-12-02
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	11	10	—	—	$30,796.30	$178,295.00	$37,518.34	2024-12-02
2624	APR_DRG	Cholecystectomy Except Laparoscopic	2	2	—	—	$37,512.58	$37,512.58	$37,512.58	2024-12-02
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$37,469.53	$37,469.53	$37,469.53	2024-12-02
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	9	9	—	—	$30,597.15	$37,275.72	$37,275.72	2024-12-02
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	2	2	—	—	$37,233.77	$37,233.77	$37,233.77	2024-12-02
J9600	HCPCS	Porfimer Sodium Injection	3	3	—	—	$7,001.04	$37,108.53	$37,108.53	2024-12-02
3054	APR_DRG	Amputation Of Lower Limb Except Toes	2	2	—	—	$37,086.16	$37,086.16	$37,086.16	2024-12-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	12	10	—	—	$30,302.82	$116,462.00	$36,917.15	2024-12-02
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$36,903.02	$36,903.02	$36,903.02	2024-12-02
140	MS_DRG	Major Head And Neck Procedures With Mcc	11	10	—	—	$30,217.24	$236,718.00	$36,812.89	2024-12-02
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$36,577.74	$36,577.74	$36,577.74	2024-12-02
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	2	2	—	—	$36,534.01	$36,534.01	$36,534.01	2024-12-02
4814	APR_DRG	Penis Procedures	2	2	—	—	$36,530.59	$36,530.59	$36,530.59	2024-12-02
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	2	2	—	—	$36,503.94	$36,503.94	$36,503.94	2024-12-02
4804	APR_DRG	Major Male Pelvic Procedures	2	2	—	—	$36,411.00	$36,411.00	$36,411.00	2024-12-02
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$36,382.30	$36,382.30	$36,382.30	2024-12-02
3094	APR_DRG	Other Significant Hip And Femur Surgery	2	2	—	—	$36,376.83	$36,376.83	$36,376.83	2024-12-02
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	9	9	—	—	$29,844.54	$36,358.83	$36,358.83	2024-12-02
4401	APR_DRG	Kidney Transplant	2	2	—	—	$36,332.41	$36,332.41	$36,332.41	2024-12-02

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