Hospital

CENTURA HEALTH-ST ANTHONY HOSPITAL

Lakewood, CO · CCN 060015 · Rates published

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HC ECHO 2D MMODE W DOPPLER COMPL

This hospital’s price: $552 across 18 payers · range $199-$3,752

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8274/840405257_commonspirit-health-st-anthony-hospital_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.

13,836 distinct procedures filed

25 distinct payers

454,036 rate rows

2024-12-02 last MRF observed · ⚠ 22 mo old

Data quality

451,204 of 454,036 rate rows are consumer-grade (99.4%)

2,832 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
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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	46
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8274/840405257_commonspirit-health-st-anthony-hospital_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	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 $646,415 1.3× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	3	$511,072.50	$1,022,145.00	$769,015.35	nat. median $738,272 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	3	$484,690.30	$969,380.60	$759,373.81	nat. median $622,245 1.2× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$749,907.36	$749,907.36	$749,907.36	nat. median $640,950 1.2× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$741,576.00	$741,576.00	$741,576.00	nat. median $591,650 1.3× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	3	$449,440.00	$898,880.00	$741,576.00	nat. median $608,101 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 $359,358 0.8× median
222 MS_DRG	DRG	4	$205,602.00	$304,936.00	$277,841.00	nat. median $47,579 outlier · 5.8×
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 $249,124 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 $198,433 1.0× median
5834 APR_DRG	Neonate With Ecmo	5	$179,144.57	$179,144.57	$179,144.57	nat. median $307,273 0.6× median
223 MS_DRG	DRG	4	$131,297.00	$182,044.00	$171,287.00	nat. median $32,619 outlier · 5.3×
226 MS_DRG	DRG	4	$131,630.00	$177,878.00	$163,049.00	nat. median $38,225 outlier · 4.3×
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 $190,557 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 $247,214 0.7× median
224 MS_DRG	DRG	4	$116,765.00	$177,858.00	$157,790.00	nat. median $39,629 outlier · 4.0×
225 MS_DRG	DRG	4	$116,765.00	$162,137.00	$153,288.00	nat. median $34,024 outlier · 4.5×
24 APR_DRG	Heart And/or Lung Transplant	5	$140,347.77	$140,347.77	$140,347.77	nat. median $241,915 0.6× median
1614 APR_DRG	Implantable Heart Assist Systems	5	$139,988.21	$139,988.21	$139,988.21	nat. median $202,993 0.7× median
34 APR_DRG	Bone Marrow Transplant	5	$132,309.66	$132,309.66	$132,309.66	nat. median $241,408 0.5× median
227 MS_DRG	DRG	4	$98,290.00	$132,824.00	$131,268.00	nat. median $31,634 outlier · 4.1×
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 $122,016 1.0× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	5	$118,110.33	$118,110.33	$118,110.33	nat. median $156,153 0.8× median
5832 APR_DRG	Neonate With Ecmo	5	$117,124.16	$117,124.16	$117,124.16	nat. median $159,249 0.7× median
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	5	$114,071.95	$114,071.95	$114,071.95	nat. median $136,728 0.8× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	17	$111,467.38	$224,351.40	$111,467.38	nat. median $126,722 0.9× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$106,272.77	$106,272.77	$106,272.77	nat. median $175,429 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 $162,514 0.6× median
7 MS_DRG	Lung Transplant	17	$93,144.57	$187,209.80	$93,144.57	nat. median $117,894 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 $94,964 1.0× 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 $103,967 0.9× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	7	$53,426.66	$120,701.30	$92,859.27	nat. median $65,720 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 $90,581 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 $165,000 0.5× median
230 MS_DRG	DRG	2	$72,214.00	$97,587.00	$87,828.00	nat. median $12,593 outlier · 7.0×
64 APR_DRG	Pancreas Transplant	5	$87,709.45	$87,709.45	$87,709.45	nat. median $91,239 1.0× median
9104 APR_DRG	Craniotomy For Multiple Significant Trauma	5	$87,304.79	$87,304.79	$87,304.79	nat. median $57,695 1.5× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	17	$87,079.88	$174,916.26	$87,079.88	nat. median $110,192 0.8× 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 $72,473 1.2× median
23 APR_DRG	Heart And/or Lung Transplant	5	$86,007.08	$86,007.08	$86,007.08	nat. median $111,046 0.8× 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 $93,998 0.9× median
Q4125 HCPCS	Hc Skin Subst Arthroflex Sq Cm	25	$40,682.25	$128,073.75	$84,378.00	nat. median $705 outlier · 119.7×
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$83,958.61	$83,958.61	$83,958.61	nat. median $81,668 1.0× 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 $154,011 0.5× median
453 MS_DRG	DRG	18	$54,987.00	$312,162.00	$83,213.90	nat. median $71,201 1.2× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	17	$81,883.30	$164,382.42	$81,883.30	nat. median $97,414 0.8× median
215 MS_DRG	Other Heart Assist System Implant	18	$77,697.88	$249,811.00	$79,697.93	nat. median $93,917 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 $77,696 1.0× median

Other procedures at this hospital

Browse this hospital's 13,836 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	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 >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 >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 >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	OTHER	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 >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 >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
93617	CPT	Eps	1	1	—	—	$49,041.00	$49,041.00	$49,041.00	2024-12-02
93601	CPT	Eps	1	1	—	—	$49,041.00	$49,041.00	$49,041.00	2024-12-02
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
C9741	HCPCS	Ptca W/stent	1	1	—	—	$48,168.00	$48,168.00	$48,168.00	2024-12-02
92934	CPT	Prq Card Stent/ath/angio	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
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
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
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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