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Hospital

CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS

Westminster, CO · CCN 060104 · Rates published

13,825 distinct procedures filed
23 distinct payers
458,671 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

448,762 of 458,671 rate rows are consumer-grade (97.8%)

9,909 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,925
per-diem day rate — not a per-procedure price 2,210
template filing: same amount across many unrelated codes — excluded 489
exceeds 10× this hospital's gross charge — excluded from medians 168
placeholder amount (≤ $0.02) — excluded from medians 100
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/8275/840405257_commonspirit-health-st-anthony-north-campus_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 12b4f398c6e68698… · 466,454,551 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 1 $813,285.00 $813,285.00 $813,285.00 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $749,907.36 $749,907.36 $749,907.36 nat. median
$674,188
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $741,576.00 $741,576.00 $741,576.00 nat. median
$620,080
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $511,072.50 $1,022,145.00 $640,043.93 nat. median
$754,974
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $484,690.30 $969,380.60 $622,032.06 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $449,440.00 $898,880.00 $595,508.00 nat. median
$634,511
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $294,667.91 $562,293.29 $307,317.99 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 16 $216,734.60 $413,578.83 $226,360.23 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $210,816.88 $402,286.48 $220,212.85 nat. median
$206,368
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $194,874.46 $194,874.46 $194,874.46 nat. median
$309,665
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $170,519.76 $325,390.42 $178,351.87 nat. median
$202,986
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $175,269.80 $175,269.80 $175,269.80 nat. median
$246,434
0.7× median
226
MS_DRG 		DRG 4 $131,630.00 $177,878.00 $160,090.00 nat. median
$49,935
outlier · 3.2×
223
MS_DRG 		DRG 4 $131,297.00 $179,931.00 $159,685.00 nat. median
$44,728
outlier · 3.6×
224
MS_DRG 		DRG 4 $116,765.00 $177,858.00 $157,790.00 nat. median
$54,196
outlier · 2.9×
24
APR_DRG 		Heart And/or Lung Transplant 4 $152,671.09 $152,671.09 $152,671.09 nat. median
$234,738
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $152,279.95 $152,279.95 $152,279.95 nat. median
$207,730
0.7× median
34
APR_DRG 		Bone Marrow Transplant 4 $143,927.19 $143,927.19 $143,927.19 nat. median
$209,067
0.7× median
225
MS_DRG 		DRG 4 $116,765.00 $160,254.00 $142,558.00 nat. median
$48,649
outlier · 2.9×
5833
APR_DRG 		Neonate With Ecmo 4 $140,149.59 $140,149.59 $140,149.59 nat. median
$244,017
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $129,686.97 $129,686.97 $129,686.97 nat. median
$105,658
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $128,481.07 $128,481.07 $128,481.07 nat. median
$160,267
0.8× median
5832
APR_DRG 		Neonate With Ecmo 4 $127,408.31 $127,408.31 $127,408.31 nat. median
$156,126
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $124,088.10 $124,088.10 $124,088.10 nat. median
$129,535
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $117,570.60 $224,351.40 $123,347.85 nat. median
$133,176
0.9× median
227
MS_DRG 		DRG 4 $98,290.00 $132,824.00 $122,079.00 nat. median
$39,020
outlier · 3.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $115,604.11 $115,604.11 $115,604.11 nat. median
$182,736
0.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $107,015.01 $107,015.01 $107,015.01 nat. median
$164,279
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $77,622.99 $182,720.00 $105,030.76 nat. median
$93,672
1.1× median
7
MS_DRG 		Lung Transplant 16 $98,106.67 $187,209.80 $103,128.56 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $97,928.31 $186,869.45 $102,943.28 nat. median
$108,660
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $99,061.02 $99,061.02 $99,061.02 nat. median
$151,838
0.7× median
453
MS_DRG 		DRG 17 $54,987.00 $312,162.00 $98,919.81 nat. median
$87,411
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $91,664.28 $174,916.26 $96,436.15 nat. median
$117,303
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $96,375.30 $96,375.30 $96,375.30 nat. median
$162,982
0.6× median
64
APR_DRG 		Pancreas Transplant 4 $95,410.83 $95,410.83 $95,410.83 nat. median
$91,748
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $82,779.30 $255,479.00 $95,341.68 nat. median
$100,136
1.0× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 4 $94,970.64 $94,970.64 $94,970.64 nat. median
$57,769
1.6× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $93,558.98 $93,558.98 $93,558.98 nat. median
$93,528
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $93,409.28 $93,409.28 $93,409.28 nat. median
$93,260
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $53,426.66 $120,701.30 $92,859.27 nat. median
$66,682
1.4× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $91,330.64 $91,330.64 $91,330.64 nat. median
$68,217
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $67,418.34 $307,913.00 $91,222.97 nat. median
$81,118
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $86,144.06 $164,382.42 $90,701.70 nat. median
$102,358
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $90,661.76 $90,661.76 $90,661.76 nat. median
$150,721
0.6× median
230
MS_DRG 		DRG 2 $72,214.00 $97,587.00 $87,828.00 nat. median
$29,793
outlier · 2.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $64,905.37 $163,230.00 $87,822.69 nat. median
$79,312
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $61,674.18 $150,416.00 $86,282.07 nat. median
$74,915
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 17 $81,697.97 $249,811.00 $86,083.07 nat. median
$99,019
0.9× median

Other procedures at this hospital

Browse this hospital's 13,825 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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $749,907.36 $749,907.36 $749,907.36 2024-12-02
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $741,576.00 $741,576.00 $741,576.00 2024-12-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $511,072.50 $1,022,145.00 $640,043.93 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $484,690.30 $969,380.60 $622,032.06 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $449,440.00 $898,880.00 $595,508.00 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 16 — — $294,667.91 $562,293.29 $307,317.99 2024-12-02
222 MS_DRG DRG 7 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 20 16 — — $216,734.60 $413,578.83 $226,360.23 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 20 16 — — $210,816.88 $402,286.48 $220,212.85 2024-12-02
5834 APR_DRG Neonate With Ecmo 4 4 — — $194,874.46 $194,874.46 $194,874.46 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 20 16 — — $170,519.76 $325,390.42 $178,351.87 2024-12-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $175,269.80 $175,269.80 $175,269.80 2024-12-02
226 MS_DRG DRG 7 4 — — $131,630.00 $177,878.00 $160,090.00 2024-12-02
223 MS_DRG DRG 7 4 — — $131,297.00 $179,931.00 $159,685.00 2024-12-02
224 MS_DRG DRG 7 4 — — $116,765.00 $177,858.00 $157,790.00 2024-12-02
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $152,671.09 $152,671.09 $152,671.09 2024-12-02
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $152,279.95 $152,279.95 $152,279.95 2024-12-02
34 APR_DRG Bone Marrow Transplant 4 4 — — $143,927.19 $143,927.19 $143,927.19 2024-12-02
225 MS_DRG DRG 7 4 — — $116,765.00 $160,254.00 $142,558.00 2024-12-02
5833 APR_DRG Neonate With Ecmo 4 4 — — $140,149.59 $140,149.59 $140,149.59 2024-12-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $129,686.97 $129,686.97 $129,686.97 2024-12-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $128,481.07 $128,481.07 $128,481.07 2024-12-02
5832 APR_DRG Neonate With Ecmo 4 4 — — $127,408.31 $127,408.31 $127,408.31 2024-12-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $124,088.10 $124,088.10 $124,088.10 2024-12-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 16 — — $117,570.60 $224,351.40 $123,347.85 2024-12-02
227 MS_DRG DRG 7 4 — — $98,290.00 $132,824.00 $122,079.00 2024-12-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $115,604.11 $115,604.11 $115,604.11 2024-12-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $107,015.01 $107,015.01 $107,015.01 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 — — $77,622.99 $182,720.00 $105,030.76 2024-12-02
7 MS_DRG Lung Transplant 20 16 — — $98,106.67 $187,209.80 $103,128.56 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 16 — — $97,928.31 $186,869.45 $102,943.28 2024-12-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $99,061.02 $99,061.02 $99,061.02 2024-12-02
453 MS_DRG DRG 27 17 — — $54,987.00 $312,162.00 $98,919.81 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 20 16 — — $91,664.28 $174,916.26 $96,436.15 2024-12-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $96,375.30 $96,375.30 $96,375.30 2024-12-02
64 APR_DRG Pancreas Transplant 4 4 — — $95,410.83 $95,410.83 $95,410.83 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 16 — — $82,779.30 $255,479.00 $95,341.68 2024-12-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $94,970.64 $94,970.64 $94,970.64 2024-12-02
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $93,558.98 $93,558.98 $93,558.98 2024-12-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $93,409.28 $93,409.28 $93,409.28 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 6 — — $53,426.66 $120,701.30 $92,859.27 2024-12-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $91,330.64 $91,330.64 $91,330.64 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 17 — — $67,418.34 $307,913.00 $91,222.97 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 16 — — $86,144.06 $164,382.42 $90,701.70 2024-12-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $90,661.76 $90,661.76 $90,661.76 2024-12-02
230 MS_DRG DRG 3 2 — — $72,214.00 $97,587.00 $87,828.00 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 17 — — $64,905.37 $163,230.00 $87,822.69 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $61,674.18 $150,416.00 $86,282.07 2024-12-02
215 MS_DRG Other Heart Assist System Implant 23 17 — — $81,697.97 $249,811.00 $86,083.07 2024-12-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $84,918.28 $84,918.28 $84,918.28 2024-12-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $84,724.62 $84,724.62 $84,724.62 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 17 — — $62,381.20 $151,819.00 $84,407.27 2024-12-02
5831 APR_DRG Neonate With Ecmo 4 4 — — $80,686.47 $80,686.47 $80,686.47 2024-12-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $79,411.77 $79,411.77 $79,411.77 2024-12-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $77,923.03 $77,923.03 $77,923.03 2024-12-02
4404 APR_DRG Kidney Transplant 4 4 — — $77,587.31 $77,587.31 $77,587.31 2024-12-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $77,198.72 $77,198.72 $77,198.72 2024-12-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $76,856.64 $76,856.64 $76,856.64 2024-12-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $75,878.79 $75,878.79 $75,878.79 2024-12-02
33 APR_DRG Bone Marrow Transplant 4 4 — — $75,826.56 $75,826.56 $75,826.56 2024-12-02
246 MS_DRG DRG Carveouts 11 7 — — $43,588.00 $88,195.00 $74,966.00 2024-12-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $74,682.45 $74,682.45 $74,682.45 2024-12-02
459 MS_DRG DRG 27 17 — — $38,569.00 $185,328.00 $74,036.36 2024-12-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $73,729.45 $73,729.45 $73,729.45 2024-12-02
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $72,529.28 $72,529.28 $72,529.28 2024-12-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $72,061.06 $72,061.06 $72,061.06 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 16 — — $67,602.30 $129,000.53 $71,440.37 2024-12-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $71,417.02 $71,417.02 $71,417.02 2024-12-02
33270 CPT Hc Insert/replace (sicd) Subcutaneous Icd System 65 23 $114,909.36 $45,963.74 60% off $543.45 $167,409.00 $71,243.80 2024-12-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $70,913.77 $70,913.77 $70,913.77 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 — — $50,909.67 $158,891.00 $68,885.28 2024-12-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $68,612.81 $68,612.81 $68,612.81 2024-12-02
454 MS_DRG DRG 27 17 — — $48,918.17 $235,074.00 $68,276.26 2024-12-02
33991 CPT Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc 65 23 $109,708.35 $43,883.34 60% off $428.29 $93,252.10 $68,019.18 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 16 — — $63,932.01 $121,996.80 $67,627.65 2024-12-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $66,982.64 $66,982.64 $66,982.64 2024-12-02
8634 APR_DRG Neonatal Aftercare 4 4 — — $66,834.85 $66,834.85 $66,834.85 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 17 — — $48,590.25 $204,513.00 $65,746.90 2024-12-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $65,738.52 $65,738.52 $65,738.52 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 17 — — $47,033.04 $119,096.00 $65,645.14 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $41,946.31 $141,339.00 $65,596.24 2024-12-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $65,409.81 $65,409.81 $65,409.81 2024-12-02
0812 RC Hc Liver Fee 91 23 $125,924.19 $50,369.68 60% off $28,165.05 $118,024.97 $65,260.86 2024-12-02
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $65,129.51 $65,129.51 $65,129.51 2024-12-02
J9226 HCPCS Supprelin La Implant 6 3 — — $44,575.94 $92,642.65 $64,832.79 2024-12-02
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $59,344.30 $69,873.13 $64,608.72 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 17 — — $47,576.90 $158,015.00 $64,375.75 2024-12-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $64,319.21 $64,319.21 $64,319.21 2024-12-02
248 MS_DRG DRG 7 4 — — $52,524.00 $72,221.00 $63,880.00 2024-12-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $63,466.22 $63,466.22 $63,466.22 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 17 — — $45,339.06 $121,450.00 $63,280.81 2024-12-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $62,769.31 $62,769.31 $62,769.31 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 — — $45,562.21 $154,211.00 $61,649.69 2024-12-02
63 APR_DRG Pancreas Transplant 4 4 — — $61,541.75 $61,541.75 $61,541.75 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 16 — — $57,845.53 $110,382.42 $61,304.97 2024-12-02
62 APR_DRG Pancreas Transplant 4 4 — — $59,708.37 $59,708.37 $59,708.37 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 16 — — $56,272.33 $107,380.38 $59,670.71 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 26 18 — — $48,196.75 $116,940.00 $59,275.54 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 20 16 — — $55,705.27 $106,298.30 $59,081.64 2024-12-02
624000007 CPT Hc Fda Ide G190285 Amplatz Cardiac Plug 53 23 $100,001.02 $40,000.41 60% off $33,000.34 $85,000.87 $59,000.61 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 16 — — $55,343.76 $105,608.46 $58,706.10 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 20 16 — — $55,250.18 $105,429.90 $58,608.89 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 16 — — $54,967.05 $104,889.62 $58,314.78 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 17 — — $54,823.89 $143,166.00 $58,166.06 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 17 — — $54,534.36 $105,665.00 $57,865.29 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $37,179.50 $136,951.00 $57,426.66 2024-12-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $57,233.50 $57,233.50 $57,233.50 2024-12-02
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $56,981.88 $56,981.88 $56,981.88 2024-12-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $56,707.31 $56,707.31 $56,707.31 2024-12-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $56,655.08 $56,655.08 $56,655.08 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 17 — — $40,445.09 $118,403.00 $56,450.17 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 17 — — $41,572.80 $116,373.00 $56,251.67 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 17 — — $30,194.00 $93,199.00 $56,129.39 2024-12-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $55,528.81 $55,528.81 $55,528.81 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 59 20 $89,034.31 $35,613.72 60% off $391.49 $167,409.00 $55,201.27 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 27 17 — — $21,271.00 $93,816.00 $54,910.80 2024-12-02
4014 APR_DRG Adrenal Procedures 4 4 — — $54,842.08 $54,842.08 $54,842.08 2024-12-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $54,632.50 $54,632.50 $54,632.50 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 47 23 $108,194.38 $43,277.75 60% off $532.29 $91,965.22 $54,097.19 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 17 — — $49,956.31 $224,499.00 $53,109.57 2024-12-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $53,096.62 $53,096.62 $53,096.62 2024-12-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $53,057.76 $53,057.76 $53,057.76 2024-12-02
247 MS_DRG DRG 12 8 — — $31,134.00 $62,901.00 $53,015.50 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 16 — — $49,732.36 $94,900.64 $52,876.94 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 16 — — $49,669.18 $94,780.07 $52,811.30 2024-12-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $52,636.68 $52,636.68 $52,636.68 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 16 — — $49,403.65 $94,273.37 $52,535.46 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 16 — — $49,403.65 $94,273.37 $52,535.46 2024-12-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $52,488.89 $52,488.89 $52,488.89 2024-12-02
6904 APR_DRG Acute Leukemia 4 4 — — $52,418.82 $52,418.82 $52,418.82 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 16 — — $49,118.92 $93,730.05 $52,239.68 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 4 4 — — $51,955.69 $51,955.69 $51,955.69 2024-12-02
460 MS_DRG DRG 28 18 — — $30,657.63 $114,152.00 $51,866.07 2024-12-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $51,860.78 $51,860.78 $51,860.78 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 16 — — $48,709.42 $92,948.63 $51,814.29 2024-12-02
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $51,793.89 $51,793.89 $51,793.89 2024-12-02
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $51,565.19 $51,565.19 $51,565.19 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 16 — — $48,361.51 $92,284.74 $51,452.88 2024-12-02
455 MS_DRG DRG 27 17 — — $36,835.59 $166,455.00 $51,412.31 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 13 — — $49,533.74 $86,575.44 $51,065.71 2024-12-02
234 APR_DRG Spinal Procedures 4 4 — — $50,706.47 $50,706.47 $50,706.47 2024-12-02
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $50,510.27 $50,510.27 $50,510.27 2024-12-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $50,395.60 $50,395.60 $50,395.60 2024-12-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $50,321.71 $50,321.71 $50,321.71 2024-12-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $50,300.68 $50,300.68 $50,300.68 2024-12-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $50,061.16 $50,061.16 $50,061.16 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $49,591.03 $49,591.03 $49,591.03 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 17 — — $35,319.17 $128,181.00 $49,295.81 2024-12-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $49,075.03 $49,075.03 $49,075.03 2024-12-02
245 MS_DRG Aicd Generator Procedures 27 17 — — $36,242.14 $93,891.00 $49,038.81 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 17 — — $37,694.06 $168,740.00 $49,034.48 2024-12-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $48,880.74 $48,880.74 $48,880.74 2024-12-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $48,443.10 $48,443.10 $48,443.10 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 16 — — $45,453.43 $86,735.47 $48,431.95 2024-12-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $48,416.98 $48,416.98 $48,416.98 2024-12-02
33249 CPT Hc Ins Rpl Icd System Dual 59 20 $77,952.53 $31,181.01 60% off $882.28 $167,409.00 $48,330.57 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 17 — — $45,298.27 $86,439.39 $48,270.77 2024-12-02
249 MS_DRG DRG 8 5 — — $38,857.00 $54,255.00 $48,269.00 2024-12-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $47,951.95 $47,951.95 $47,951.95 2024-12-02
4034 APR_DRG Procedures For Obesity 4 4 — — $47,758.29 $47,758.29 $47,758.29 2024-12-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $47,740.45 $47,740.45 $47,740.45 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 20 16 — — $44,780.80 $85,451.94 $47,733.21 2024-12-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $47,491.37 $47,491.37 $47,491.37 2024-12-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $47,372.88 $47,372.88 $47,372.88 2024-12-02
61886 CPT Hc Ins/repl Cranial Neurostim Pulse Gen/recvr 65 23 $76,338.17 $30,535.27 60% off $870.90 $73,070.00 $47,329.67 2024-12-02
93601 CPT Eps 2 1 — — $45,608.00 $49,041.00 $47,324.50 2024-12-02
93617 CPT Eps 2 1 — — $45,608.00 $49,041.00 $47,324.50 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 16 — — $35,971.00 $82,904.00 $47,134.47 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 18 — — $44,030.59 $123,064.00 $46,953.89 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 26 16 — — $38,685.53 $255,479.00 $46,873.16 2024-12-02
92934 CPT Prq Card Stent/ath/angio 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
C9741 HCPCS Ptca W/stent 2 1 — — $44,796.00 $48,168.00 $46,482.00 2024-12-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $46,332.61 $46,332.61 $46,332.61 2024-12-02
62361 CPT Hc Impl Repl Epi Pump Nonprog 65 23 $74,602.40 $29,840.96 60% off $430.36 $63,412.04 $46,253.49 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 22 16 — — $43,297.97 $113,740.00 $46,192.84 2024-12-02
32 APR_DRG Bone Marrow Transplant 4 4 — — $46,117.93 $46,117.93 $46,117.93 2024-12-02
93616 CPT Esophageal Recording W/pacg 3 2 — — $41,004.00 $49,041.00 $45,608.00 2024-12-02
61 APR_DRG Pancreas Transplant 4 4 — — $45,582.82 $45,582.82 $45,582.82 2024-12-02
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $45,379.61 $45,379.61 $45,379.61 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 17 — — $32,321.52 $83,950.00 $45,111.92 2024-12-02
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $45,070.65 $45,070.65 $45,070.65 2024-12-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $45,036.89 $45,036.89 $45,036.89 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 16 — — $42,083.08 $146,910.00 $44,930.79 2024-12-02
4414 APR_DRG Major Bladder Procedures 4 4 — — $44,788.45 $44,788.45 $44,788.45 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 43 23 $79,875.00 $31,950.00 60% off $21,566.25 $67,893.75 $44,730.00 2024-12-02
4403 APR_DRG Kidney Transplant 4 4 — — $44,719.65 $44,719.65 $44,719.65 2024-12-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $44,645.75 $44,645.75 $44,645.75 2024-12-02
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 4 — — $44,586.51 $44,586.51 $44,586.51 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 16 — — $41,240.09 $78,695.45 $44,055.09 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 4 4 — — $43,901.06 $43,901.06 $43,901.06 2024-12-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $43,658.35 $43,658.35 $43,658.35 2024-12-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $43,594.65 $43,594.65 $43,594.65 2024-12-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 17 — — $31,168.21 $90,171.00 $43,502.21 2024-12-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $43,446.86 $43,446.86 $43,446.86 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 17 — — $40,621.84 $226,687.00 $43,412.85 2024-12-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $43,319.45 $43,319.45 $43,319.45 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 17 — — $40,299.52 $148,337.00 $43,078.02 2024-12-02
0811 RC Hc Living Donor/stand Acquisition 53 23 $72,910.01 $29,164.00 60% off $24,060.30 $61,973.51 $43,016.90 2024-12-02
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $42,908.56 $42,908.56 $42,908.56 2024-12-02
C1721 HCPCS Hc Implant Aicd Dual 43 23 $76,544.38 $30,617.75 60% off $20,666.98 $65,062.72 $42,864.85 2024-12-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $42,850.59 $42,850.59 $42,850.59 2024-12-02
8444 APR_DRG Partial Thickness Burns Without Skin Graft 4 4 — — $42,770.33 $42,770.33 $42,770.33 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 16 — — $39,984.40 $119,558.00 $42,750.67 2024-12-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $42,619.35 $42,619.35 $42,619.35 2024-12-02
6934 APR_DRG Chemotherapy 4 4 — — $42,539.09 $42,539.09 $42,539.09 2024-12-02
C1820 HCPCS Hc Implant Neurostm Gen Rechrg 43 23 $75,871.29 $30,348.52 60% off $20,485.25 $64,490.60 $42,487.93 2024-12-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $42,423.15 $42,423.15 $42,423.15 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 20 16 — — $39,626.89 $75,617.11 $42,379.29 2024-12-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 17 — — $30,302.82 $83,210.00 $42,294.37 2024-12-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $42,267.71 $42,267.71 $42,267.71 2024-12-02
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $42,143.49 $42,143.49 $42,143.49 2024-12-02
0424T CPT Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea 53 23 $67,856.15 $27,142.46 60% off $1,267.00 $57,677.73 $42,070.82 2024-12-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $41,995.70 $41,995.70 $41,995.70 2024-12-02
J9228 HCPCS Ipilimumab 5 Mg/ml Injection (so) 62 23 $119,454.58 $47,781.83 60% off $172.42 $101,536.39 $41,809.10 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 17 — — $39,031.84 $168,564.00 $41,761.14 2024-12-02
10 MS_DRG Pancreas Transplant 24 16 — — $38,499.17 $255,479.00 $41,207.81 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 16 — — $38,444.79 $73,361.38 $41,151.31 2024-12-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $41,096.85 $41,096.85 $41,096.85 2024-12-02
93631 CPT Ntraop Epicar&endcar Pac&map 1 1 — — $41,004.00 $41,004.00 $41,004.00 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 16 — — $38,249.64 $72,988.99 $40,948.58 2024-12-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $40,910.83 $40,910.83 $40,910.83 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 18 — — $26,631.74 $69,434.00 $40,879.28 2024-12-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $40,803.81 $40,803.81 $40,803.81 2024-12-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $40,735.65 $40,735.65 $40,735.65 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 16 — — $38,742.31 $73,929.13 $40,734.23 2024-12-02
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 4 4 — — $40,682.77 $40,682.77 $40,682.77 2024-12-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $40,670.67 $40,670.67 $40,670.67 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 16 — — $37,913.72 $72,347.98 $40,599.63 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 59 20 $65,317.97 $26,127.19 60% off $387.19 $167,409.00 $40,497.14 2024-12-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 16 — — $27,660.28 $82,904.00 $40,416.59 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 20 16 — — $37,699.37 $71,938.96 $40,376.97 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 18 — — $29,207.10 $58,955.00 $40,142.41 2024-12-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $40,061.67 $40,061.67 $40,061.67 2024-12-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 18 — — $27,883.43 $89,090.00 $40,006.29 2024-12-02
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $39,817.69 $39,817.69 $39,817.69 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 59 20 $64,164.18 $25,665.67 60% off $375.39 $167,409.00 $39,781.79 2024-12-02
6504 APR_DRG Splenic Procedures 4 4 — — $39,585.81 $39,585.81 $39,585.81 2024-12-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $39,499.17 $39,499.17 $39,499.17 2024-12-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $39,331.63 $39,331.63 $39,331.63 2024-12-02
120 EAPG Immunotherapy 4 4 — — $39,166.85 $39,166.85 $39,166.85 2024-12-02
C2622 HCPCS Hc Implant Gu Penile Non-infl 43 23 $69,937.21 $27,974.88 60% off $18,883.05 $59,446.63 $39,164.84 2024-12-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $39,161.54 $39,161.54 $39,161.54 2024-12-02
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $39,046.88 $39,046.88 $39,046.88 2024-12-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 18 — — $23,947.61 $69,434.00 $39,006.12 2024-12-02
A9543 HCPCS Y-90 Zevalin 53 23 $70,810.44 $28,324.18 60% off $17,702.61 $114,584.02 $38,945.74 2024-12-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $38,810.54 $38,810.54 $38,810.54 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 17 — — $28,642.44 $66,609.00 $38,755.75 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 16 — — $15,729.00 $125,134.00 $38,741.88 2024-12-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 4 — — $38,628.35 $38,628.35 $38,628.35 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 16 — — $36,006.20 $68,708.00 $38,618.08 2024-12-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 17 — — $27,642.69 $101,764.00 $38,581.56 2024-12-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $38,413.67 $38,413.67 $38,413.67 2024-12-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $38,411.76 $38,411.76 $38,411.76 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 16 — — $13,574.00 $68,074.62 $38,273.28 2024-12-02
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 4 4 — — $38,263.33 $38,263.33 $38,263.33 2024-12-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $38,259.50 $38,259.50 $38,259.50 2024-12-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $38,184.97 $38,184.97 $38,184.97 2024-12-02
2214 APR_DRG Major Small & Large Bowel Procedures 4 4 — — $38,074.13 $38,074.13 $38,074.13 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 16 — — $35,418.34 $67,586.24 $38,007.41 2024-12-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $37,967.11 $37,967.11 $37,967.11 2024-12-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $37,862.00 $37,862.00 $37,862.00 2024-12-02
2234 APR_DRG Other Small And Large Bowel Procedures 4 4 — — $37,729.49 $37,729.49 $37,729.49 2024-12-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $37,682.99 $37,682.99 $37,682.99 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 16 — — $36,548.05 $70,627.96 $37,678.40 2024-12-02
93656 CPT Hc Comp Ep Eval W Pv Iso Abl 58 23 $60,647.73 $24,259.09 60% off $910.16 $58,710.00 $37,601.59 2024-12-02
4402 APR_DRG Kidney Transplant 4 4 — — $37,525.64 $37,525.64 $37,525.64 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 17 — — $34,886.48 $92,952.00 $37,454.91 2024-12-02
252 MS_DRG Other Vascular Procedures With Mcc 27 17 — — $26,823.69 $88,919.00 $37,438.47 2024-12-02
93653 CPT Hc Comp Ep Eval W Svt Abl 52 20 $60,337.69 $24,135.08 60% off $802.62 $58,710.00 $37,409.37 2024-12-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 17 — — $27,633.89 $133,832.00 $37,391.09 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 20 16 — — $34,613.74 $66,050.88 $37,171.59 2024-12-02
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $37,152.98 $37,152.98 $37,152.98 2024-12-02
J9600 HCPCS Porfimer Sodium Injection 5 4 — — $5,588.82 $39,357.54 $37,108.53 2024-12-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $36,974.61 $36,974.61 $36,974.61 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 16 — — $34,413.79 $65,669.33 $36,963.88 2024-12-02
33363 CPT Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach 65 23 $59,568.25 $23,827.30 60% off $1,267.00 $50,633.01 $36,932.32 2024-12-02
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 4 — — $36,871.41 $36,871.41 $36,871.41 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 16 — — $34,221.04 $65,301.52 $36,763.65 2024-12-02
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $36,708.97 $36,708.97 $36,708.97 2024-12-02
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $36,546.53 $36,546.53 $36,546.53 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 47 23 $65,104.83 $26,041.93 60% off $16,276.21 $55,339.11 $36,458.71 2024-12-02
64568 CPT Hc Incis/implant Cranial Nerve Stim Electrode 59 20 $58,791.60 $23,516.64 60% off $592.89 $49,972.86 $36,450.79 2024-12-02
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 — — $36,444.60 $36,444.60 $36,444.60 2024-12-02
1734 APR_DRG Other Vascular Procedures 4 4 — — $36,206.35 $36,206.35 $36,206.35 2024-12-02
793 MS_DRG Full Term Neonate With Major Problems 15 13 — — $35,101.44 $60,735.99 $36,187.05 2024-12-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 17 — — $25,919.92 $62,559.00 $36,177.05 2024-12-02
62362 CPT Hc Impl Repl Epi Pump W Wo Progr 59 20 $74,602.40 $29,840.96 60% off $379.71 $63,412.04 $36,131.00 2024-12-02
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $36,090.41 $36,090.41 $36,090.41 2024-12-02
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $36,040.72 $36,040.72 $36,040.72 2024-12-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 17 — — $33,260.48 $88,994.00 $35,765.81 2024-12-02
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $35,681.44 $35,681.44 $35,681.44 2024-12-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 16 — — $33,111.72 $59,736.06 $35,611.28 2024-12-02
33362 CPT Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach 65 23 $57,180.66 $22,872.26 60% off $1,246.61 $48,603.56 $35,452.01 2024-12-02
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 4 — — $35,441.28 $35,441.28 $35,441.28 2024-12-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 16 — — $32,924.57 $62,827.55 $35,416.86 2024-12-02
791 MS_DRG Prematurity With Major Problems 15 13 — — $34,202.04 $59,125.71 $35,259.83 2024-12-02
3624 APR_DRG Mastectomy Procedures 4 4 — — $35,213.22 $35,213.22 $35,213.22 2024-12-02
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 4 — — $35,175.63 $35,175.63 $35,175.63 2024-12-02
652 MS_DRG Kidney Transplant 30 16 — — $24,029.19 $82,904.00 $35,110.92 2024-12-02
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