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

CENTURA HEALTH-ST ANTHONY HOSPITAL

Lakewood, CO · CCN 060015 · Rates published

13,842 distinct procedures filed
25 distinct payers
454,036 rate rows
2024-12-02 last MRF observed · ⚠ 19 mo old
Data quality

451,250 of 454,036 rate rows are consumer-grade (99.4%)

2,786 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 2,044
template filing: same amount across many unrelated codes — excluded 482
exceeds 10× this hospital's gross charge — excluded from medians 145
placeholder amount (≤ $0.02) — excluded from medians 98
percent-of-charges filed in the dollar field — excluded from medians 17

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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/8274/840405257_commonspirit-health-st-anthony-hospital_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-16
Content fingerprint 166d3be4d1875b26… · 465,609,096 bytes · first seen 2026-05-09

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 1 $813,285.00 $813,285.00 $813,285.00 nat. median
$674,867
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $511,072.50 $1,022,145.00 $769,015.35 nat. median
$753,246
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $484,690.30 $969,380.60 $759,373.81 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $749,907.36 $749,907.36 $749,907.36 nat. median
$673,137
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $449,440.00 $898,880.00 $741,576.00 nat. median
$634,303
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $741,576.00 $741,576.00 $741,576.00 nat. median
$619,808
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $278,181.91 $562,293.29 $278,181.91 nat. median
$370,174
0.8× median
222
MS_DRG 		DRG 4 $205,602.00 $304,936.00 $277,841.00 nat. median
$63,570
outlier · 4.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $204,817.64 $413,578.83 $204,817.64 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $199,246.86 $402,286.48 $199,246.86 nat. median
$206,474
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $179,144.57 $179,144.57 $179,144.57 nat. median
$309,665
0.6× median
223
MS_DRG 		DRG 4 $131,297.00 $182,044.00 $171,287.00 nat. median
$44,728
outlier · 3.8×
226
MS_DRG 		DRG 4 $131,630.00 $177,878.00 $163,049.00 nat. median
$49,935
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 17 $161,312.26 $325,390.42 $161,312.26 nat. median
$202,976
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $161,122.36 $161,122.36 $161,122.36 nat. median
$246,434
0.7× median
224
MS_DRG 		DRG 4 $116,765.00 $177,858.00 $157,790.00 nat. median
$54,196
outlier · 2.9×
225
MS_DRG 		DRG 4 $116,765.00 $162,137.00 $153,288.00 nat. median
$48,704
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 5 $140,347.77 $140,347.77 $140,347.77 nat. median
$234,729
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $139,988.21 $139,988.21 $139,988.21 nat. median
$207,730
0.7× median
34
APR_DRG 		Bone Marrow Transplant 5 $132,309.66 $132,309.66 $132,309.66 nat. median
$209,067
0.6× median
227
MS_DRG 		DRG 4 $98,290.00 $132,824.00 $131,268.00 nat. median
$39,020
outlier · 3.4×
5833
APR_DRG 		Neonate With Ecmo 5 $128,836.98 $128,836.98 $128,836.98 nat. median
$244,017
0.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $119,218.89 $119,218.89 $119,218.89 nat. median
$105,658
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $118,110.33 $118,110.33 $118,110.33 nat. median
$160,267
0.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $117,124.16 $117,124.16 $117,124.16 nat. median
$156,126
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $114,071.95 $114,071.95 $114,071.95 nat. median
$129,535
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $111,467.38 $224,351.40 $111,467.38 nat. median
$133,161
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $106,272.77 $106,272.77 $106,272.77 nat. median
$182,665
0.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $98,376.96 $98,376.96 $98,376.96 nat. median
$164,289
0.6× median
7
MS_DRG 		Lung Transplant 17 $93,144.57 $187,209.80 $93,144.57 nat. median
$122,708
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $78,715.81 $255,479.00 $93,128.15 nat. median
$100,136
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $92,976.67 $186,869.45 $92,976.67 nat. median
$108,660
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $53,426.66 $120,701.30 $92,859.27 nat. median
$66,682
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $73,861.80 $184,865.00 $91,326.88 nat. median
$93,672
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $91,065.01 $91,065.01 $91,065.01 nat. median
$151,838
0.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $88,596.07 $88,596.07 $88,596.07 nat. median
$162,982
0.5× median
230
MS_DRG 		DRG 2 $72,214.00 $97,587.00 $87,828.00 nat. median
$29,847
outlier · 2.9×
64
APR_DRG 		Pancreas Transplant 5 $87,709.45 $87,709.45 $87,709.45 nat. median
$91,009
1.0× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 5 $87,304.79 $87,304.79 $87,304.79 nat. median
$57,769
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,079.88 $174,916.26 $87,079.88 nat. median
$117,357
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $58,848.03 $152,183.00 $86,080.13 nat. median
$74,915
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $86,007.08 $86,007.08 $86,007.08 nat. median
$93,528
0.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $85,869.46 $85,869.46 $85,869.46 nat. median
$93,370
0.9× median
Q4125
HCPCS 		Hc Skin Subst Arthroflex Sq Cm 25 $40,682.25 $128,073.75 $84,378.00 nat. median
$471
outlier · 179.2×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $83,958.61 $83,958.61 $83,958.61 nat. median
$68,217
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $83,343.71 $83,343.71 $83,343.71 nat. median
$150,721
0.6× median
453
MS_DRG 		DRG 18 $54,987.00 $312,162.00 $83,213.90 nat. median
$87,428
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $81,883.30 $164,382.42 $81,883.30 nat. median
$102,358
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $77,697.88 $249,811.00 $79,697.93 nat. median
$99,019
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $64,255.43 $311,529.00 $79,320.65 nat. median
$81,118
1.0× median

Other procedures at this hospital

Browse this hospital's 13,842 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
             
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $813,285.00 $813,285.00 $813,285.00 2024-12-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $511,072.50 $1,022,145.00 $769,015.35 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $484,690.30 $969,380.60 $759,373.81 2024-12-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $749,907.36 $749,907.36 $749,907.36 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $449,440.00 $898,880.00 $741,576.00 2024-12-02
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $741,576.00 $741,576.00 $741,576.00 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 17 — — $278,181.91 $562,293.29 $278,181.91 2024-12-02
222 MS_DRG DRG 5 4 — — $205,602.00 $304,936.00 $277,841.00 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 17 — — $204,817.64 $413,578.83 $204,817.64 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 17 — — $199,246.86 $402,286.48 $199,246.86 2024-12-02
5834 APR_DRG Neonate With Ecmo 5 5 — — $179,144.57 $179,144.57 $179,144.57 2024-12-02
223 MS_DRG DRG 5 4 — — $131,297.00 $182,044.00 $171,287.00 2024-12-02
226 MS_DRG DRG 5 4 — — $131,630.00 $177,878.00 $163,049.00 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 17 — — $161,312.26 $325,390.42 $161,312.26 2024-12-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $161,122.36 $161,122.36 $161,122.36 2024-12-02
224 MS_DRG DRG 5 4 — — $116,765.00 $177,858.00 $157,790.00 2024-12-02
225 MS_DRG DRG 5 4 — — $116,765.00 $162,137.00 $153,288.00 2024-12-02
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $140,347.77 $140,347.77 $140,347.77 2024-12-02
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $139,988.21 $139,988.21 $139,988.21 2024-12-02
34 APR_DRG Bone Marrow Transplant 5 5 — — $132,309.66 $132,309.66 $132,309.66 2024-12-02
227 MS_DRG DRG 5 4 — — $98,290.00 $132,824.00 $131,268.00 2024-12-02
5833 APR_DRG Neonate With Ecmo 5 5 — — $128,836.98 $128,836.98 $128,836.98 2024-12-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $119,218.89 $119,218.89 $119,218.89 2024-12-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $118,110.33 $118,110.33 $118,110.33 2024-12-02
5832 APR_DRG Neonate With Ecmo 5 5 — — $117,124.16 $117,124.16 $117,124.16 2024-12-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $114,071.95 $114,071.95 $114,071.95 2024-12-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 21 17 — — $111,467.38 $224,351.40 $111,467.38 2024-12-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $106,272.77 $106,272.77 $106,272.77 2024-12-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $98,376.96 $98,376.96 $98,376.96 2024-12-02
7 MS_DRG Lung Transplant 21 17 — — $93,144.57 $187,209.80 $93,144.57 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 17 — — $78,715.81 $255,479.00 $93,128.15 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 17 — — $92,976.67 $186,869.45 $92,976.67 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 7 — — $53,426.66 $120,701.30 $92,859.27 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $73,861.80 $184,865.00 $91,326.88 2024-12-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $91,065.01 $91,065.01 $91,065.01 2024-12-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $88,596.07 $88,596.07 $88,596.07 2024-12-02
230 MS_DRG DRG 3 2 — — $72,214.00 $97,587.00 $87,828.00 2024-12-02
64 APR_DRG Pancreas Transplant 5 5 — — $87,709.45 $87,709.45 $87,709.45 2024-12-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $87,304.79 $87,304.79 $87,304.79 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 21 17 — — $87,079.88 $174,916.26 $87,079.88 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 — — $58,848.03 $152,183.00 $86,080.13 2024-12-02
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $86,007.08 $86,007.08 $86,007.08 2024-12-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $85,869.46 $85,869.46 $85,869.46 2024-12-02
Q4125 HCPCS Hc Skin Subst Arthroflex Sq Cm 42 25 $150,675.00 $60,270.00 60% off $40,682.25 $128,073.75 $84,378.00 2024-12-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $83,958.61 $83,958.61 $83,958.61 2024-12-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $83,343.71 $83,343.71 $83,343.71 2024-12-02
453 MS_DRG DRG 26 18 — — $54,987.00 $312,162.00 $83,213.90 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 17 — — $81,883.30 $164,382.42 $81,883.30 2024-12-02
215 MS_DRG Other Heart Assist System Implant 24 18 — — $77,697.88 $249,811.00 $79,697.93 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $64,255.43 $311,529.00 $79,320.65 2024-12-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $78,063.84 $78,063.84 $78,063.84 2024-12-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $77,885.81 $77,885.81 $77,885.81 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 18 — — $61,889.79 $165,146.00 $76,364.03 2024-12-02
5831 APR_DRG Neonate With Ecmo 5 5 — — $74,173.62 $74,173.62 $74,173.62 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 18 — — $59,513.60 $153,602.00 $73,394.24 2024-12-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $73,001.81 $73,001.81 $73,001.81 2024-12-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $71,633.23 $71,633.23 $71,633.23 2024-12-02
4404 APR_DRG Kidney Transplant 5 5 — — $71,324.61 $71,324.61 $71,324.61 2024-12-02
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 64 25 $114,909.36 $45,963.74 60% off $543.45 $167,409.00 $71,243.80 2024-12-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $70,967.39 $70,967.39 $70,967.39 2024-12-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $70,652.92 $70,652.92 $70,652.92 2024-12-02
J9226 HCPCS Supprelin La Implant 4 3 — — $44,575.94 $92,642.65 $70,067.32 2024-12-02
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,873.13 $69,873.13 $69,873.13 2024-12-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $69,754.00 $69,754.00 $69,754.00 2024-12-02
33 APR_DRG Bone Marrow Transplant 5 5 — — $69,705.98 $69,705.98 $69,705.98 2024-12-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $68,654.22 $68,654.22 $68,654.22 2024-12-02
C1722 HCPCS Hc Implant Aicd Single 42 25 $121,649.41 $48,659.76 60% off $32,845.34 $103,402.00 $68,123.67 2024-12-02
33991 CPT Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 64 25 $109,708.35 $43,883.34 60% off $428.29 $93,252.10 $68,019.18 2024-12-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $67,778.15 $67,778.15 $67,778.15 2024-12-02
248 MS_DRG DRG 5 4 — — $52,524.00 $73,070.00 $67,424.00 2024-12-02
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $66,674.85 $66,674.85 $66,674.85 2024-12-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $66,244.43 $66,244.43 $66,244.43 2024-12-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $65,652.38 $65,652.38 $65,652.38 2024-12-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $65,189.74 $65,189.74 $65,189.74 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 17 — — $64,428.60 $129,000.53 $64,428.60 2024-12-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $63,074.51 $63,074.51 $63,074.51 2024-12-02
459 MS_DRG DRG 26 18 — — $38,569.00 $185,328.00 $62,380.62 2024-12-02
624000007 CPT Hc Fda Ide G190285 Amplatz Cardiac Plug 52 25 $100,001.02 $40,000.41 60% off $33,000.34 $85,000.87 $62,000.64 2024-12-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $61,575.93 $61,575.93 $61,575.93 2024-12-02
8634 APR_DRG Neonatal Aftercare 5 5 — — $61,440.07 $61,440.07 $61,440.07 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 17 — — $60,973.49 $121,996.80 $60,973.49 2024-12-02
246 MS_DRG DRG Carveouts 10 8 — — $43,588.00 $89,232.00 $60,605.50 2024-12-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $60,432.23 $60,432.23 $60,432.23 2024-12-02
C1820 HCPCS Hc Implant Neurostm Gen Rechrg 42 25 $107,395.93 $42,958.37 60% off $28,996.90 $91,286.54 $60,141.72 2024-12-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $60,130.05 $60,130.05 $60,130.05 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $48,714.62 $160,757.00 $59,897.47 2024-12-02
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $59,872.39 $59,872.39 $59,872.39 2024-12-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $59,127.49 $59,127.49 $59,127.49 2024-12-02
454 MS_DRG DRG 26 18 — — $46,839.87 $235,074.00 $58,597.21 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 — — $40,276.76 $142,998.00 $58,545.47 2024-12-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $58,343.35 $58,343.35 $58,343.35 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 26 19 — — $46,160.75 $116,940.00 $57,733.05 2024-12-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $57,702.69 $57,702.69 $57,702.69 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $46,531.18 $204,513.00 $57,168.57 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 46 25 $108,194.38 $43,277.75 60% off $532.29 $91,965.22 $56,802.05 2024-12-02
63 APR_DRG Pancreas Transplant 5 5 — — $56,574.22 $56,574.22 $56,574.22 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 18 — — $45,065.27 $120,495.00 $56,339.09 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 18 — — $45,577.24 $159,870.00 $55,976.32 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 18 — — $52,126.81 $105,665.00 $55,606.68 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 17 — — $55,243.85 $110,382.42 $55,243.85 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 64 25 $89,034.31 $35,613.72 60% off $391.49 $167,409.00 $55,201.27 2024-12-02
62 APR_DRG Pancreas Transplant 5 5 — — $54,888.83 $54,888.83 $54,888.83 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 18 — — $52,399.36 $143,166.00 $54,823.89 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 18 — — $43,470.60 $122,876.00 $54,309.93 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 17 — — $53,762.88 $107,380.38 $53,762.88 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $43,680.67 $154,921.00 $53,605.95 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 17 — — $53,229.07 $106,298.30 $53,229.07 2024-12-02
0812 RC Hc Pancreas Fee 88 25 $85,348.63 $34,139.45 60% off $28,165.05 $118,024.97 $52,916.15 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 17 — — $52,888.75 $105,608.46 $52,888.75 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 17 — — $52,800.66 $105,429.90 $52,800.66 2024-12-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $52,613.72 $52,613.72 $52,613.72 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 17 — — $52,534.13 $104,889.62 $52,534.13 2024-12-02
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $52,382.41 $52,382.41 $52,382.41 2024-12-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $52,130.01 $52,130.01 $52,130.01 2024-12-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $52,081.99 $52,081.99 $52,081.99 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 — — $35,789.42 $138,561.00 $51,892.32 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 46 25 $97,449.98 $38,979.99 60% off $153.96 $82,832.48 $51,161.24 2024-12-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $51,046.63 $51,046.63 $51,046.63 2024-12-02
4014 APR_DRG Adrenal Procedures 5 5 — — $50,415.34 $50,415.34 $50,415.34 2024-12-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $50,222.67 $50,222.67 $50,222.67 2024-12-02
249 MS_DRG DRG 6 5 — — $38,857.00 $54,892.00 $49,884.50 2024-12-02
C1817 HCPCS Hc Implant Cardiac Septal 42 25 $87,969.21 $35,187.68 60% off $23,751.69 $74,773.83 $49,262.76 2024-12-02
93601 CPT Eps 1 1 — — $49,041.00 $49,041.00 $49,041.00 2024-12-02
93617 CPT Eps 1 1 — — $49,041.00 $49,041.00 $49,041.00 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 18 — — $39,925.15 $117,740.00 $48,912.24 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 18 — — $47,817.15 $224,499.00 $48,886.73 2024-12-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $48,810.76 $48,810.76 $48,810.76 2024-12-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $48,775.04 $48,775.04 $48,775.04 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 18 — — $38,863.55 $118,403.00 $48,447.63 2024-12-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $48,387.95 $48,387.95 $48,387.95 2024-12-02
33249 CPT Hc Insert/replace (icd) Single/dual Lead/s System 64 25 $77,952.53 $31,181.01 60% off $882.28 $167,409.00 $48,330.57 2024-12-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $48,252.09 $48,252.09 $48,252.09 2024-12-02
6904 APR_DRG Acute Leukemia 5 5 — — $48,187.67 $48,187.67 $48,187.67 2024-12-02
92934 CPT Prq Card Stent/ath/angio 1 1 — — $48,168.00 $48,168.00 $48,168.00 2024-12-02
C9741 HCPCS Ptca W/stent 1 1 — — $48,168.00 $48,168.00 $48,168.00 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 18 — — $30,194.00 $93,199.00 $47,984.73 2024-12-02
C1721 HCPCS Hc Implant Aicd Dual 42 25 $85,444.04 $34,177.62 60% off $23,069.89 $72,627.43 $47,848.66 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 5 5 — — $47,761.93 $47,761.93 $47,761.93 2024-12-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 — — $47,674.67 $47,674.67 $47,674.67 2024-12-02
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $47,613.18 $47,613.18 $47,613.18 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 17 — — $47,606.34 $94,900.64 $47,606.34 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 17 — — $47,546.86 $94,780.07 $47,546.86 2024-12-02
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $47,402.95 $47,402.95 $47,402.95 2024-12-02
61886 CPT Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 64 25 $76,338.17 $30,535.27 60% off $870.90 $73,070.00 $47,329.67 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 17 — — $47,296.89 $94,273.37 $47,296.89 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 17 — — $47,296.89 $94,273.37 $47,296.89 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 17 — — $34,651.77 $82,904.00 $47,134.47 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 17 — — $47,028.85 $93,730.05 $47,028.85 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 17 — — $46,643.36 $92,948.63 $46,643.36 2024-12-02
234 APR_DRG Spinal Procedures 5 5 — — $46,613.54 $46,613.54 $46,613.54 2024-12-02
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $46,433.18 $46,433.18 $46,433.18 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 26 18 — — $21,271.00 $93,816.00 $46,368.04 2024-12-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $46,327.77 $46,327.77 $46,327.77 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 17 — — $46,315.85 $92,284.74 $46,315.85 2024-12-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,259.83 $46,259.83 $46,259.83 2024-12-02
62362 CPT Hc Impl Repl Epi Pump W Wo Progr 64 25 $74,602.40 $29,840.96 60% off $379.71 $63,412.04 $46,253.49 2024-12-02
62361 CPT Hc Impl Repl Epi Pump Nonprog 64 25 $74,602.40 $29,840.96 60% off $430.36 $63,412.04 $46,253.49 2024-12-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $46,240.51 $46,240.51 $46,240.51 2024-12-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $46,020.32 $46,020.32 $46,020.32 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 13 — — $45,964.99 $86,575.44 $45,964.99 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $45,588.14 $45,588.14 $45,588.14 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $34,904.00 $168,740.00 $45,538.74 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 26 17 — — $37,207.15 $255,479.00 $45,515.23 2024-12-02
0811 RC Hc Living Donor/stand Acquisition 52 25 $72,910.01 $29,164.00 60% off $24,060.30 $61,973.51 $45,204.21 2024-12-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $45,113.79 $45,113.79 $45,113.79 2024-12-02
93616 CPT Esophageal Recording W/pacg 2 2 — — $41,004.00 $49,041.00 $45,022.50 2024-12-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $44,935.18 $44,935.18 $44,935.18 2024-12-02
247 MS_DRG DRG 11 9 — — $31,134.00 $63,640.00 $44,614.00 2024-12-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $44,532.86 $44,532.86 $44,532.86 2024-12-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $44,508.85 $44,508.85 $44,508.85 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 18 — — $43,432.21 $86,439.39 $44,365.24 2024-12-02
455 MS_DRG DRG 26 18 — — $35,465.67 $166,455.00 $44,123.95 2024-12-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $44,081.36 $44,081.36 $44,081.36 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 19 — — $42,238.84 $123,064.00 $44,030.59 2024-12-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 17 — — $26,828.29 $82,904.00 $43,912.03 2024-12-02
4034 APR_DRG Procedures For Obesity 5 5 — — $43,903.33 $43,903.33 $43,903.33 2024-12-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $43,886.93 $43,886.93 $43,886.93 2024-12-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $43,657.96 $43,657.96 $43,657.96 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 17 — — $43,578.27 $86,735.47 $43,578.27 2024-12-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $43,549.04 $43,549.04 $43,549.04 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 46 25 $82,845.00 $33,138.00 60% off $300.75 $70,418.25 $43,493.62 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 21 17 — — $42,945.07 $85,451.94 $42,945.07 2024-12-02
245 MS_DRG Aicd Generator Procedures 26 18 — — $34,907.01 $94,995.00 $42,640.47 2024-12-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $42,592.73 $42,592.73 $42,592.73 2024-12-02
32 APR_DRG Bone Marrow Transplant 5 5 — — $42,395.38 $42,395.38 $42,395.38 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 18 — — $34,038.15 $129,687.00 $42,307.49 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 17 — — $40,405.51 $146,910.00 $42,083.08 2024-12-02
0431T CPT Hc Replace Neurostimulator Generator Only For Central Sleep Apnea 52 25 $67,856.15 $27,142.46 60% off $1,267.00 $57,677.73 $42,070.82 2024-12-02
0427T CPT Hc Insert Neurostimulator Generator Only For Central Sleep Apnea 52 25 $67,856.15 $27,142.46 60% off $1,267.00 $57,677.73 $42,070.82 2024-12-02
0424T CPT Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea 52 25 $67,856.15 $27,142.46 60% off $1,267.00 $57,677.73 $42,070.82 2024-12-02
61 APR_DRG Pancreas Transplant 5 5 — — $41,903.47 $41,903.47 $41,903.47 2024-12-02
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $41,716.66 $41,716.66 $41,716.66 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 22 17 — — $41,549.18 $113,740.00 $41,549.18 2024-12-02
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $41,432.63 $41,432.63 $41,432.63 2024-12-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $41,401.60 $41,401.60 $41,401.60 2024-12-02
4414 APR_DRG Major Bladder Procedures 5 5 — — $41,173.21 $41,173.21 $41,173.21 2024-12-02
120 EAPG Immunotherapy 5 5 — — $41,171.90 $41,171.90 $41,171.90 2024-12-02
4403 APR_DRG Kidney Transplant 5 5 — — $41,109.96 $41,109.96 $41,109.96 2024-12-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $41,042.03 $41,042.03 $41,042.03 2024-12-02
93631 CPT Ntraop Epicar&endcar Pac&map 1 1 — — $41,004.00 $41,004.00 $41,004.00 2024-12-02
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 5 5 — — $40,987.57 $40,987.57 $40,987.57 2024-12-02
460 MS_DRG DRG 27 19 — — $28,330.34 $114,152.00 $40,833.14 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 18 — — $39,029.94 $226,687.00 $40,621.84 2024-12-02
C2616 HCPCS Hc Brachytx Src Nonstr Yttrium-90 60 25 $84,268.13 $33,707.25 60% off $21,566.25 $71,627.91 $40,614.44 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 64 25 $65,317.97 $26,127.19 60% off $387.19 $167,409.00 $40,497.14 2024-12-02
C1815 HCPCS Hc Implant Gu Urinary Sphnchtr 42 25 $72,214.76 $28,885.90 60% off $19,497.99 $61,382.55 $40,440.27 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 5 5 — — $40,357.45 $40,357.45 $40,357.45 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 18 — — $38,726.52 $148,337.00 $40,299.52 2024-12-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $40,134.33 $40,134.33 $40,134.33 2024-12-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $40,075.77 $40,075.77 $40,075.77 2024-12-02
652 MS_DRG Kidney Transplant 32 17 — — $23,410.08 $82,904.00 $40,017.10 2024-12-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,939.91 $39,939.91 $39,939.91 2024-12-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $39,822.79 $39,822.79 $39,822.79 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 64 25 $64,164.18 $25,665.67 60% off $375.39 $167,409.00 $39,781.79 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 17 — — $39,611.94 $78,695.45 $39,611.94 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 19 — — $28,284.42 $58,955.00 $39,519.78 2024-12-02
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $39,445.07 $39,445.07 $39,445.07 2024-12-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $39,391.78 $39,391.78 $39,391.78 2024-12-02
J9600 HCPCS Porfimer Sodium Injection 5 5 — — $6,580.38 $39,357.54 $39,357.54 2024-12-02
8444 APR_DRG Partial Thickness Burns Without Skin Graft 5 5 — — $39,317.99 $39,317.99 $39,317.99 2024-12-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $39,179.20 $39,179.20 $39,179.20 2024-12-02
6934 APR_DRG Chemotherapy 5 5 — — $39,105.41 $39,105.41 $39,105.41 2024-12-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $38,998.83 $38,998.83 $38,998.83 2024-12-02
A9543 HCPCS Y-90 Zevalin 52 25 $70,810.44 $28,324.18 60% off $17,702.61 $114,584.02 $38,945.74 2024-12-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 19 — — $27,038.35 $90,135.00 $38,917.57 2024-12-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $38,855.94 $38,855.94 $38,855.94 2024-12-02
C1767 HCPCS Hc Implant Neurostim Generator 42 25 $69,184.66 $27,673.86 60% off $18,679.86 $58,806.96 $38,743.41 2024-12-02
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $38,741.75 $38,741.75 $38,741.75 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 18 — — $31,216.25 $84,936.00 $38,716.72 2024-12-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $38,605.89 $38,605.89 $38,605.89 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 17 — — $38,429.87 $120,962.00 $38,429.87 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 18 — — $37,533.16 $168,564.00 $38,282.50 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 21 17 — — $38,093.32 $75,617.11 $38,093.32 2024-12-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $37,779.59 $37,779.59 $37,779.59 2024-12-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $37,608.59 $37,608.59 $37,608.59 2024-12-02
93656 CPT Hc Comp Ep Eval W Pv Iso Abl 57 25 $60,647.73 $24,259.09 60% off $910.16 $58,710.00 $37,601.59 2024-12-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $37,510.21 $37,510.21 $37,510.21 2024-12-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $37,447.54 $37,447.54 $37,447.54 2024-12-02
93653 CPT Hc Comp Ep Eval W Svt Abl 57 25 $60,337.69 $24,135.08 60% off $802.62 $58,710.00 $37,409.37 2024-12-02
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 5 5 — — $37,398.94 $37,398.94 $37,398.94 2024-12-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $37,387.81 $37,387.81 $37,387.81 2024-12-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 18 — — $30,130.55 $90,171.00 $37,335.21 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 19 — — $25,860.05 $70,250.00 $37,170.56 2024-12-02
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $37,142.40 $37,142.40 $37,142.40 2024-12-02
77371 CPT Srs Multisource 5 4 — — $16,197.00 $43,896.00 $37,100.00 2024-12-02
10 MS_DRG Pancreas Transplant 23 17 — — $37,031.72 $255,479.00 $37,031.72 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 17 — — $36,980.52 $73,361.38 $36,980.52 2024-12-02
33363 CPT Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach 64 25 $59,568.25 $23,827.30 60% off $1,267.00 $50,633.01 $36,932.32 2024-12-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $36,827.97 $36,827.97 $36,827.97 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 17 — — $36,796.81 $72,988.99 $36,796.81 2024-12-02
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $36,603.68 $36,603.68 $36,603.68 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 17 — — $36,602.56 $73,929.13 $36,602.56 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 17 — — $36,480.59 $72,347.98 $36,480.59 2024-12-02
64568 CPT Hc Incis/implant Cranial Nerve Stim Electrode 64 25 $58,791.60 $23,516.64 60% off $592.89 $49,972.86 $36,450.79 2024-12-02
6504 APR_DRG Splenic Procedures 5 5 — — $36,390.52 $36,390.52 $36,390.52 2024-12-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $36,310.87 $36,310.87 $36,310.87 2024-12-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 18 — — $29,315.90 $84,188.00 $36,298.60 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 21 17 — — $36,278.81 $71,938.96 $36,278.81 2024-12-02
C1786 HCPCS Hc Implant Pacer Single Rr 60 25 $80,509.44 $32,203.78 60% off $3,622.70 $68,433.02 $36,229.25 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 46 25 $69,000.33 $27,600.13 60% off $101.34 $58,650.28 $36,225.18 2024-12-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $36,156.86 $36,156.86 $36,156.86 2024-12-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $36,000.50 $36,000.50 $36,000.50 2024-12-02
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $35,895.09 $35,895.09 $35,895.09 2024-12-02
Q4116 HCPCS Hc Skin Subst Alloderm Sq Cm 42 25 $63,980.13 $25,592.05 60% off $17,274.64 $54,383.11 $35,828.88 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 46 25 $65,104.83 $26,041.93 60% off $16,276.21 $55,339.11 $35,807.66 2024-12-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $35,677.83 $35,677.83 $35,677.83 2024-12-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $35,510.34 $35,510.34 $35,510.34 2024-12-02
33362 CPT Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach 64 25 $57,180.66 $22,872.26 60% off $1,246.61 $48,603.56 $35,452.01 2024-12-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $35,312.99 $35,312.99 $35,312.99 2024-12-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $35,311.23 $35,311.23 $35,311.23 2024-12-02
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 — — $35,174.78 $35,174.78 $35,174.78 2024-12-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $35,171.27 $35,171.27 $35,171.27 2024-12-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $35,102.75 $35,102.75 $35,102.75 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 61 25 $65,041.27 $26,016.51 60% off $3,371.08 $85,179.01 $35,073.71 2024-12-02
246 EAPG Class IV Therapeutic Radiopharmaceuticals 5 5 — — $35,013.42 $35,013.42 $35,013.42 2024-12-02
2214 APR_DRG Major Small & Large Bowel Procedures 5 5 — — $35,000.86 $35,000.86 $35,000.86 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 46 25 $66,587.50 $26,635.00 60% off $299.05 $56,599.38 $34,958.44 2024-12-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $34,902.48 $34,902.48 $34,902.48 2024-12-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,805.85 $34,805.85 $34,805.85 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 17 — — $15,729.00 $125,134.00 $34,797.08 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 17 — — $34,684.90 $68,708.00 $34,684.90 2024-12-02
2234 APR_DRG Other Small And Large Bowel Procedures 5 5 — — $34,684.04 $34,684.04 $34,684.04 2024-12-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $34,641.29 $34,641.29 $34,641.29 2024-12-02
93654 CPT Hc Comp Ep Eval W Vt Abl Wwo 3dmp 57 25 $55,770.79 $22,308.32 60% off $967.28 $58,710.00 $34,577.89 2024-12-02
4402 APR_DRG Kidney Transplant 5 5 — — $34,496.65 $34,496.65 $34,496.65 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 17 — — $13,574.00 $68,074.62 $34,372.44 2024-12-02
37227 CPT Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas 66 25 $55,438.74 $22,175.50 60% off $673.42 $47,122.93 $34,372.02 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 18 — — $33,630.83 $92,952.00 $34,258.65 2024-12-02
37238 CPT Hc Plc Stent Ven W/wo Anpl Ini 66 25 $55,147.25 $22,058.90 60% off $288.76 $46,875.16 $34,191.29 2024-12-02
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 5 — — $34,154.06 $34,154.06 $34,154.06 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 17 — — $34,131.51 $67,586.24 $34,131.51 2024-12-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $33,990.09 $33,990.09 $33,990.09 2024-12-02
4834 APR_DRG Penis, Testes And Scrotal Procedures 5 5 — — $33,895.22 $33,895.22 $33,895.22 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 17 — — $33,833.36 $70,627.96 $33,833.36 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 64 25 $54,431.64 $21,772.66 60% off $371.43 $167,409.00 $33,747.61 2024-12-02
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $33,745.89 $33,745.89 $33,745.89 2024-12-02
33364 CPT Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach 64 25 $54,399.14 $21,759.66 60% off $1,267.00 $46,239.27 $33,727.46 2024-12-02
33361 CPT Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach 64 25 $54,399.14 $21,759.66 60% off $1,143.05 $46,239.27 $33,727.46 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 18 — — $27,752.86 $66,609.00 $33,699.10 2024-12-02
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $33,596.56 $33,596.56 $33,596.56 2024-12-02
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