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

ST ANTHONY SUMMIT MEDICAL CENTER

Frisco, CO · CCN 060118 · Rates published

12,647 distinct procedures filed
17 distinct payers
240,913 rate rows
2024-12-02 last MRF observed · ⚠ 18 mo old
Data quality

240,355 of 240,913 rate rows are consumer-grade (99.8%)

558 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
template filing: same amount across many unrelated codes — excluded 286
per-diem day rate — not a per-procedure price 194
exceeds 10× this hospital's gross charge — excluded from medians 53
percent-of-charges filed in the dollar field — excluded from medians 13
placeholder amount (≤ $0.02) — excluded from medians 12

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/8276/840405257_commonspirit-health-st-anthony-summit_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 28f7686d13ba6839… · 303,975,330 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $267,033.68 $842,776.76 $267,033.68 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $196,409.03 $619,880.48 $196,409.03 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $191,046.28 $602,955.26 $191,046.28 nat. median
$206,474
0.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $190,288.56 $190,288.56 $190,288.56 nat. median
$309,665
0.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $171,145.25 $171,145.25 $171,145.25 nat. median
$246,434
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 $154,528.26 $487,701.86 $154,528.26 nat. median
$202,976
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $149,078.35 $149,078.35 $149,078.35 nat. median
$234,729
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $148,696.41 $148,696.41 $148,696.41 nat. median
$207,730
0.7× median
34
APR_DRG 		Bone Marrow Transplant 3 $140,540.21 $140,540.21 $140,540.21 nat. median
$209,067
0.7× median
5833
APR_DRG 		Neonate With Ecmo 3 $136,851.51 $136,851.51 $136,851.51 nat. median
$244,017
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $126,635.11 $126,635.11 $126,635.11 nat. median
$105,658
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $125,457.58 $125,457.58 $125,457.58 nat. median
$160,267
0.8× median
5832
APR_DRG 		Neonate With Ecmo 3 $124,410.07 $124,410.07 $124,410.07 nat. median
$156,126
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $121,167.99 $121,167.99 $121,167.99 nat. median
$129,535
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $112,883.65 $112,883.65 $112,883.65 nat. median
$182,665
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $106,544.72 $336,262.50 $106,544.72 nat. median
$133,161
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $104,496.67 $104,496.67 $104,496.67 nat. median
$164,289
0.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $96,729.86 $96,729.86 $96,729.86 nat. median
$151,838
0.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $94,107.34 $94,107.34 $94,107.34 nat. median
$162,982
0.6× median
64
APR_DRG 		Pancreas Transplant 3 $93,165.57 $93,165.57 $93,165.57 nat. median
$91,009
1.0× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 3 $92,735.74 $92,735.74 $92,735.74 nat. median
$57,769
1.6× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $91,357.30 $91,357.30 $91,357.30 nat. median
$93,528
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $91,211.12 $91,211.12 $91,211.12 nat. median
$93,370
1.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $89,181.40 $89,181.40 $89,181.40 nat. median
$68,217
1.3× median
7
MS_DRG 		Lung Transplant 10 $88,906.13 $280,593.90 $88,906.13 nat. median
$122,708
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $88,744.50 $280,083.79 $88,744.50 nat. median
$108,660
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $88,528.25 $88,528.25 $88,528.25 nat. median
$150,721
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $83,067.92 $262,168.09 $83,067.92 nat. median
$117,357
0.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $82,919.93 $82,919.93 $82,919.93 nat. median
$89,796
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $82,730.83 $82,730.83 $82,730.83 nat. median
$118,620
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $80,139.99 $80,139.99 $80,139.99 nat. median
$66,682
1.2× median
5831
APR_DRG 		Neonate With Ecmo 3 $78,787.71 $78,787.71 $78,787.71 nat. median
$144,745
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $78,065.39 $246,379.76 $78,065.39 nat. median
$102,358
0.8× median
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 $77,543.01 $77,543.01 $77,543.01 nat. median
$52,039
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $76,089.30 $76,089.30 $76,089.30 nat. median
$122,924
0.6× median
4404
APR_DRG 		Kidney Transplant 3 $75,761.48 $75,761.48 $75,761.48 nat. median
$79,034
1.0× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $75,382.04 $75,382.04 $75,382.04 nat. median
$69,788
1.1× median
9124
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 $75,048.00 $75,048.00 $75,048.00 nat. median
$55,151
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $75,016.18 $236,756.25 $75,016.18 nat. median
$100,136
0.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 $74,093.17 $74,093.17 $74,093.17 nat. median
$84,063
0.9× median
33
APR_DRG 		Bone Marrow Transplant 3 $74,042.16 $74,042.16 $74,042.16 nat. median
$113,142
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $74,036.26 $233,663.55 $74,036.26 nat. median
$99,019
0.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $72,924.98 $72,924.98 $72,924.98 nat. median
$97,957
0.7× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $71,994.40 $71,994.40 $71,994.40 nat. median
$81,781
0.9× median
22
APR_DRG 		Heart And/or Lung Transplant 3 $70,822.48 $70,822.48 $70,822.48 nat. median
$77,804
0.9× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $70,365.28 $70,365.28 $70,365.28 nat. median
$69,926
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,343.43 $222,008.74 $70,343.43 nat. median
$93,672
0.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $69,736.39 $69,736.39 $69,736.39 nat. median
$102,919
0.7× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $69,244.98 $69,244.98 $69,244.98 nat. median
$80,416
0.9× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 17 $33,540.26 $102,784.66 $68,162.46 nat. median
$509
outlier · 133.8×

Other procedures at this hospital

Browse this hospital's 12,647 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $267,033.68 $842,776.76 $267,033.68 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $196,409.03 $619,880.48 $196,409.03 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 11 10 — — $191,046.28 $602,955.26 $191,046.28 2024-12-02
5834 APR_DRG Neonate With Ecmo 3 3 — — $190,288.56 $190,288.56 $190,288.56 2024-12-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $171,145.25 $171,145.25 $171,145.25 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 11 10 — — $154,528.26 $487,701.86 $154,528.26 2024-12-02
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $149,078.35 $149,078.35 $149,078.35 2024-12-02
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $148,696.41 $148,696.41 $148,696.41 2024-12-02
34 APR_DRG Bone Marrow Transplant 3 3 — — $140,540.21 $140,540.21 $140,540.21 2024-12-02
5833 APR_DRG Neonate With Ecmo 3 3 — — $136,851.51 $136,851.51 $136,851.51 2024-12-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $126,635.11 $126,635.11 $126,635.11 2024-12-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $125,457.58 $125,457.58 $125,457.58 2024-12-02
5832 APR_DRG Neonate With Ecmo 3 3 — — $124,410.07 $124,410.07 $124,410.07 2024-12-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $121,167.99 $121,167.99 $121,167.99 2024-12-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $112,883.65 $112,883.65 $112,883.65 2024-12-02
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 10 — — $106,544.72 $336,262.50 $106,544.72 2024-12-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $104,496.67 $104,496.67 $104,496.67 2024-12-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $96,729.86 $96,729.86 $96,729.86 2024-12-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $94,107.34 $94,107.34 $94,107.34 2024-12-02
64 APR_DRG Pancreas Transplant 3 3 — — $93,165.57 $93,165.57 $93,165.57 2024-12-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $92,735.74 $92,735.74 $92,735.74 2024-12-02
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $91,357.30 $91,357.30 $91,357.30 2024-12-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $91,211.12 $91,211.12 $91,211.12 2024-12-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $89,181.40 $89,181.40 $89,181.40 2024-12-02
7 MS_DRG Lung Transplant 11 10 — — $88,906.13 $280,593.90 $88,906.13 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $88,744.50 $280,083.79 $88,744.50 2024-12-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $88,528.25 $88,528.25 $88,528.25 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $83,067.92 $262,168.09 $83,067.92 2024-12-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $82,919.93 $82,919.93 $82,919.93 2024-12-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $82,730.83 $82,730.83 $82,730.83 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $80,139.99 $80,139.99 $80,139.99 2024-12-02
5831 APR_DRG Neonate With Ecmo 3 3 — — $78,787.71 $78,787.71 $78,787.71 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $78,065.39 $246,379.76 $78,065.39 2024-12-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $77,543.01 $77,543.01 $77,543.01 2024-12-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $76,089.30 $76,089.30 $76,089.30 2024-12-02
4404 APR_DRG Kidney Transplant 3 3 — — $75,761.48 $75,761.48 $75,761.48 2024-12-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $75,382.04 $75,382.04 $75,382.04 2024-12-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $75,048.00 $75,048.00 $75,048.00 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $75,016.18 $236,756.25 $75,016.18 2024-12-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $74,093.17 $74,093.17 $74,093.17 2024-12-02
33 APR_DRG Bone Marrow Transplant 3 3 — — $74,042.16 $74,042.16 $74,042.16 2024-12-02
215 MS_DRG Other Heart Assist System Implant 11 10 — — $74,036.26 $233,663.55 $74,036.26 2024-12-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $72,924.98 $72,924.98 $72,924.98 2024-12-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $71,994.40 $71,994.40 $71,994.40 2024-12-02
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $70,822.48 $70,822.48 $70,822.48 2024-12-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $70,365.28 $70,365.28 $70,365.28 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $70,343.43 $222,008.74 $70,343.43 2024-12-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $69,736.39 $69,736.39 $69,736.39 2024-12-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $69,244.98 $69,244.98 $69,244.98 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 29 17 $108,194.38 $43,277.75 60% off $33,540.26 $102,784.66 $68,162.46 2024-12-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $66,998.17 $66,998.17 $66,998.17 2024-12-02
J9226 HCPCS Supprelin La Implant 1 1 — — $66,863.91 $66,863.91 $66,863.91 2024-12-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $65,406.37 $65,406.37 $65,406.37 2024-12-02
8634 APR_DRG Neonatal Aftercare 3 3 — — $65,262.05 $65,262.05 $65,262.05 2024-12-02
453 MS_DRG DRG 11 10 — — $64,226.90 $202,704.53 $64,226.90 2024-12-02
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $64,191.52 $64,191.52 $64,191.52 2024-12-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $63,870.55 $63,870.55 $63,870.55 2024-12-02
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $63,596.85 $63,596.85 $63,596.85 2024-12-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $62,805.61 $62,805.61 $62,805.61 2024-12-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $61,972.70 $61,972.70 $61,972.70 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 45 17 $100,210.60 $40,084.24 60% off $5,056.62 $95,200.07 $61,789.21 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 29 17 $97,449.98 $38,979.99 60% off $230.94 $92,577.48 $61,393.49 2024-12-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $61,292.19 $61,292.19 $61,292.19 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $61,262.49 $193,348.65 $61,262.49 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $61,095.79 $192,822.53 $61,095.79 2024-12-02
63 APR_DRG Pancreas Transplant 3 3 — — $60,093.51 $60,093.51 $60,093.51 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $58,818.48 $185,635.20 $58,818.48 2024-12-02
62 APR_DRG Pancreas Transplant 3 3 — — $58,303.28 $58,303.28 $58,303.28 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $57,936.41 $182,851.31 $57,936.41 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $56,531.03 $178,415.85 $56,531.03 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $55,890.32 $176,393.70 $55,890.32 2024-12-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $55,886.65 $55,886.65 $55,886.65 2024-12-02
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $55,640.95 $55,640.95 $55,640.95 2024-12-02
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $55,372.85 $55,372.85 $55,372.85 2024-12-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $55,321.84 $55,321.84 $55,321.84 2024-12-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $54,222.07 $54,222.07 $54,222.07 2024-12-02
4014 APR_DRG Adrenal Procedures 3 3 — — $53,551.51 $53,551.51 $53,551.51 2024-12-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $53,346.86 $53,346.86 $53,346.86 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $52,420.73 $165,443.44 $52,420.73 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 29 17 $82,845.00 $33,138.00 60% off $451.13 $78,702.75 $52,192.35 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 29 17 $79,875.00 $31,950.00 60% off $27,956.25 $75,881.25 $51,918.75 2024-12-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $51,847.12 $51,847.12 $51,847.12 2024-12-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $51,809.17 $51,809.17 $51,809.17 2024-12-02
120 EAPG Immunotherapy 3 3 — — $51,584.80 $51,584.80 $51,584.80 2024-12-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $51,398.00 $51,398.00 $51,398.00 2024-12-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $51,253.69 $51,253.69 $51,253.69 2024-12-02
6904 APR_DRG Acute Leukemia 3 3 — — $51,185.27 $51,185.27 $51,185.27 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $50,995.06 $160,943.93 $50,995.06 2024-12-02
904 APR_DRG Major Larynx & Trachea Procedures 3 3 — — $50,733.04 $50,733.04 $50,733.04 2024-12-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $50,640.36 $50,640.36 $50,640.36 2024-12-02
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $50,575.04 $50,575.04 $50,575.04 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 11 10 — — $50,481.18 $159,322.09 $50,481.18 2024-12-02
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $50,351.73 $50,351.73 $50,351.73 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 10 — — $50,153.57 $158,288.14 $50,153.57 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 11 10 — — $50,068.77 $158,020.50 $50,068.77 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $49,812.19 $157,210.73 $49,812.19 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $49,682.46 $156,801.26 $49,682.46 2024-12-02
234 APR_DRG Spinal Procedures 3 3 — — $49,513.22 $49,513.22 $49,513.22 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 10 — — $49,420.08 $155,973.19 $49,420.08 2024-12-02
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $49,321.63 $49,321.63 $49,321.63 2024-12-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $49,209.66 $49,209.66 $49,209.66 2024-12-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $49,137.51 $49,137.51 $49,137.51 2024-12-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $49,116.98 $49,116.98 $49,116.98 2024-12-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $48,883.09 $48,883.09 $48,883.09 2024-12-02
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $48,424.03 $48,424.03 $48,424.03 2024-12-02
459 MS_DRG DRG 11 10 — — $48,070.51 $151,713.86 $48,070.51 2024-12-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $47,920.17 $47,920.17 $47,920.17 2024-12-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $47,730.45 $47,730.45 $47,730.45 2024-12-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $47,303.11 $47,303.11 $47,303.11 2024-12-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $47,277.60 $47,277.60 $47,277.60 2024-12-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $46,823.51 $46,823.51 $46,823.51 2024-12-02
4034 APR_DRG Procedures For Obesity 3 3 — — $46,634.41 $46,634.41 $46,634.41 2024-12-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $46,617.00 $46,617.00 $46,617.00 2024-12-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $46,373.78 $46,373.78 $46,373.78 2024-12-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $46,258.08 $46,258.08 $46,258.08 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $46,135.31 $145,606.24 $46,135.31 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $45,271.36 $142,879.54 $45,271.36 2024-12-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $45,242.29 $45,242.29 $45,242.29 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $45,068.42 $142,239.04 $45,068.42 2024-12-02
32 APR_DRG Bone Marrow Transplant 3 3 — — $45,032.66 $45,032.66 $45,032.66 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $45,011.16 $142,058.33 $45,011.16 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 10 — — $44,770.53 $141,298.88 $44,770.53 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 10 — — $44,770.53 $141,298.88 $44,770.53 2024-12-02
A9543 HCPCS Y-90 Zevalin 30 17 $70,810.44 $28,324.18 60% off $21,951.24 $67,269.92 $44,610.58 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $44,512.50 $140,484.53 $44,512.50 2024-12-02
61 APR_DRG Pancreas Transplant 3 3 — — $44,510.14 $44,510.14 $44,510.14 2024-12-02
454 MS_DRG DRG 11 10 — — $44,330.58 $139,910.36 $44,330.58 2024-12-02
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $44,311.71 $44,311.71 $44,311.71 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $44,141.40 $139,313.33 $44,141.40 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $44,033.41 $138,972.49 $44,033.41 2024-12-02
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $44,010.02 $44,010.02 $44,010.02 2024-12-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $43,977.05 $43,977.05 $43,977.05 2024-12-02
246 EAPG Class IV Therapeutic Radiopharmaceuticals 3 3 — — $43,868.77 $43,868.77 $43,868.77 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $43,826.12 $138,318.26 $43,826.12 2024-12-02
4414 APR_DRG Major Bladder Procedures 3 3 — — $43,734.46 $43,734.46 $43,734.46 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $43,676.81 $137,847.04 $43,676.81 2024-12-02
4403 APR_DRG Kidney Transplant 3 3 — — $43,667.28 $43,667.28 $43,667.28 2024-12-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $43,595.12 $43,595.12 $43,595.12 2024-12-02
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 3 3 — — $43,537.27 $43,537.27 $43,537.27 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 9 — — $43,488.37 $135,956.00 $43,488.37 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 29 17 $69,000.33 $27,600.13 60% off $21,390.10 $65,550.31 $43,470.21 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $43,115.10 $136,074.23 $43,115.10 2024-12-02
244 APR_DRG Open Extracranial Vascular Procedures 3 3 — — $42,867.96 $42,867.96 $42,867.96 2024-12-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $42,630.96 $42,630.96 $42,630.96 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $42,622.24 $134,518.73 $42,622.24 2024-12-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $42,568.75 $42,568.75 $42,568.75 2024-12-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $42,424.44 $42,424.44 $42,424.44 2024-12-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $42,300.03 $42,300.03 $42,300.03 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 29 17 $66,587.50 $26,635.00 60% off $448.58 $63,258.13 $41,950.13 2024-12-02
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $41,898.82 $41,898.82 $41,898.82 2024-12-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $41,842.21 $41,842.21 $41,842.21 2024-12-02
8444 APR_DRG Partial Thickness Burns Without Skin Graft 3 3 — — $41,763.83 $41,763.83 $41,763.83 2024-12-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $41,616.41 $41,616.41 $41,616.41 2024-12-02
6934 APR_DRG Chemotherapy 3 3 — — $41,538.03 $41,538.03 $41,538.03 2024-12-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $41,424.82 $41,424.82 $41,424.82 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $41,289.34 $130,312.01 $41,289.34 2024-12-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $41,273.04 $41,273.04 $41,273.04 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $41,190.77 $130,000.91 $41,190.77 2024-12-02
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $41,151.74 $41,151.74 $41,151.74 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $41,087.12 $129,673.80 $41,087.12 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $41,050.16 $129,557.14 $41,050.16 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 29 17 $65,104.83 $26,041.93 60% off $20,182.50 $61,849.59 $41,016.04 2024-12-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $41,007.43 $41,007.43 $41,007.43 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 11 10 — — $40,581.22 $128,077.13 $40,581.22 2024-12-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $40,129.73 $40,129.73 $40,129.73 2024-12-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $39,948.10 $39,948.10 $39,948.10 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 10 — — $39,901.36 $125,931.45 $39,901.36 2024-12-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $39,843.59 $39,843.59 $39,843.59 2024-12-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $39,777.03 $39,777.03 $39,777.03 2024-12-02
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 3 3 — — $39,725.40 $39,725.40 $39,725.40 2024-12-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $39,713.59 $39,713.59 $39,713.59 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $39,237.45 $123,836.10 $39,237.45 2024-12-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $39,118.91 $39,118.91 $39,118.91 2024-12-02
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $38,880.67 $38,880.67 $38,880.67 2024-12-02
6504 APR_DRG Splenic Procedures 3 3 — — $38,654.25 $38,654.25 $38,654.25 2024-12-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $38,569.65 $38,569.65 $38,569.65 2024-12-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $38,406.06 $38,406.06 $38,406.06 2024-12-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $38,239.97 $38,239.97 $38,239.97 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 10 — — $38,136.49 $120,361.39 $38,136.49 2024-12-02
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $38,128.00 $38,128.00 $38,128.00 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $38,012.55 $119,970.23 $38,012.55 2024-12-02
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 29 17 $60,331.15 $24,132.46 60% off $210.99 $57,314.59 $38,008.62 2024-12-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $37,897.23 $37,897.23 $37,897.23 2024-12-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $37,719.32 $37,719.32 $37,719.32 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $37,674.07 $118,901.96 $37,674.07 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $37,592.17 $118,643.48 $37,592.17 2024-12-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $37,509.69 $37,509.69 $37,509.69 2024-12-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $37,507.83 $37,507.83 $37,507.83 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $37,372.55 $117,950.36 $37,372.55 2024-12-02
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 3 3 — — $37,362.89 $37,362.89 $37,362.89 2024-12-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $37,359.16 $37,359.16 $37,359.16 2024-12-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $37,286.38 $37,286.38 $37,286.38 2024-12-02
2214 APR_DRG Major Small & Large Bowel Procedures 3 3 — — $37,178.15 $37,178.15 $37,178.15 2024-12-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $37,073.64 $37,073.64 $37,073.64 2024-12-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $36,971.01 $36,971.01 $36,971.01 2024-12-02
2234 APR_DRG Other Small And Large Bowel Procedures 3 3 — — $36,841.62 $36,841.62 $36,841.62 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 10 — — $36,812.29 $116,182.13 $36,812.29 2024-12-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $36,796.21 $36,796.21 $36,796.21 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $36,652.11 $115,676.59 $36,652.11 2024-12-02
4402 APR_DRG Kidney Transplant 3 3 — — $36,642.57 $36,642.57 $36,642.57 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $36,520.20 $115,260.26 $36,520.20 2024-12-02
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 3 — — $36,278.68 $36,278.68 $36,278.68 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $36,234.63 $114,358.99 $36,234.63 2024-12-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $36,104.50 $36,104.50 $36,104.50 2024-12-02
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 3 — — $36,003.73 $36,003.73 $36,003.73 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $35,910.64 $113,336.48 $35,910.64 2024-12-02
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $35,845.11 $35,845.11 $35,845.11 2024-12-02
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $35,686.49 $35,686.49 $35,686.49 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $35,652.62 $112,522.13 $35,652.62 2024-12-02
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 3 — — $35,586.97 $35,586.97 $35,586.97 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 10 — — $35,371.40 $111,634.58 $35,371.40 2024-12-02
1734 APR_DRG Other Vascular Procedures 3 3 — — $35,354.32 $35,354.32 $35,354.32 2024-12-02
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $35,241.11 $35,241.11 $35,241.11 2024-12-02
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $35,192.59 $35,192.59 $35,192.59 2024-12-02
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 29 17 $55,721.05 $22,288.42 60% off $17,273.53 $52,935.00 $35,104.26 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 11 10 — — $35,057.56 $110,644.09 $35,057.56 2024-12-02
10 MS_DRG Pancreas Transplant 11 10 — — $34,888.68 $110,111.10 $34,888.68 2024-12-02
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 3 — — $34,841.76 $34,841.76 $34,841.76 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $34,839.40 $109,955.55 $34,839.40 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 10 — — $34,662.55 $109,397.40 $34,662.55 2024-12-02
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 3 — — $34,607.25 $34,607.25 $34,607.25 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 10 — — $34,475.55 $110,806.50 $34,475.55 2024-12-02
3624 APR_DRG Mastectomy Procedures 3 3 — — $34,384.56 $34,384.56 $34,384.56 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $34,358.14 $108,436.65 $34,358.14 2024-12-02
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $34,347.86 $34,347.86 $34,347.86 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $34,163.89 $107,823.60 $34,163.89 2024-12-02
2624 APR_DRG Cholecystectomy Except Laparoscopic 3 3 — — $34,146.32 $34,146.32 $34,146.32 2024-12-02
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $34,107.13 $34,107.13 $34,107.13 2024-12-02
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 3 — — $33,892.53 $33,892.53 $33,892.53 2024-12-02
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 3 — — $33,758.17 $33,758.17 $33,758.17 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $33,692.77 $106,336.73 $33,692.77 2024-12-02
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $33,591.46 $33,591.46 $33,591.46 2024-12-02
455 MS_DRG DRG 11 10 — — $33,381.11 $105,353.10 $33,381.11 2024-12-02
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $33,295.37 $33,295.37 $33,295.37 2024-12-02
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $33,255.56 $33,255.56 $33,255.56 2024-12-02
4814 APR_DRG Penis Procedures 3 3 — — $33,252.45 $33,252.45 $33,252.45 2024-12-02
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $33,228.19 $33,228.19 $33,228.19 2024-12-02
4804 APR_DRG Major Male Pelvic Procedures 3 3 — — $33,143.59 $33,143.59 $33,143.59 2024-12-02
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $33,117.46 $33,117.46 $33,117.46 2024-12-02
3094 APR_DRG Other Significant Hip And Femur Surgery 3 3 — — $33,112.49 $33,112.49 $33,112.49 2024-12-02
4401 APR_DRG Kidney Transplant 3 3 — — $33,072.05 $33,072.05 $33,072.05 2024-12-02
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 3 — — $32,876.73 $32,876.73 $32,876.73 2024-12-02
245 MS_DRG Aicd Generator Procedures 11 10 — — $32,843.32 $103,655.78 $32,843.32 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $32,840.42 $103,646.63 $32,840.42 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 10 — — $32,737.50 $103,321.80 $32,737.50 2024-12-02
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 3 3 — — $32,719.36 $32,719.36 $32,719.36 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $32,629.50 $102,980.96 $32,629.50 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 10 — — $32,597.61 $102,880.31 $32,597.61 2024-12-02
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $32,427.00 $32,427.00 $32,427.00 2024-12-02
31 APR_DRG Bone Marrow Transplant 3 3 — — $32,389.67 $32,389.67 $32,389.67 2024-12-02
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $32,340.53 $32,340.53 $32,340.53 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $32,328.71 $102,031.65 $32,328.71 2024-12-02
1804 APR_DRG Other Circulatory System Procedures 3 3 — — $32,130.91 $32,130.91 $32,130.91 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $32,096.78 $101,299.65 $32,096.78 2024-12-02
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 3 — — $32,052.53 $32,052.53 $32,052.53 2024-12-02
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 29 17 $50,863.68 $20,345.47 60% off $15,767.74 $48,320.50 $32,044.12 2024-12-02
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $32,036.36 $32,036.36 $32,036.36 2024-12-02
250 EAPG Cochlear Device Implantation 3 3 — — $32,011.81 $32,011.81 $32,011.81 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $32,006.90 $101,016.00 $32,006.90 2024-12-02
9102 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $31,999.03 $31,999.03 $31,999.03 2024-12-02
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $31,946.78 $31,946.78 $31,946.78 2024-12-02
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $31,932.47 $31,932.47 $31,932.47 2024-12-02
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 3 — — $31,870.89 $31,870.89 $31,870.89 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $31,809.76 $105,858.64 $31,809.76 2024-12-02
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $31,802.47 $31,802.47 $31,802.47 2024-12-02
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 3 — — $31,737.78 $31,737.78 $31,737.78 2024-12-02
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $31,646.34 $31,646.34 $31,646.34 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $31,614.79 $99,778.46 $31,614.79 2024-12-02
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $31,495.18 $31,495.18 $31,495.18 2024-12-02
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $31,381.35 $31,381.35 $31,381.35 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 11 10 — — $31,367.64 $98,998.43 $31,367.64 2024-12-02
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $31,329.72 $31,329.72 $31,329.72 2024-12-02
5464 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 3 3 — — $31,233.92 $31,233.92 $31,233.92 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 10 — — $31,186.44 $98,426.55 $31,186.44 2024-12-02
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 3 — — $31,174.83 $31,174.83 $31,174.83 2024-12-02
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 3 — — $31,078.41 $31,078.41 $31,078.41 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $31,011.76 $97,875.26 $31,011.76 2024-12-02
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $30,806.58 $30,806.58 $30,806.58 2024-12-02
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 3 3 — — $30,764.28 $30,764.28 $30,764.28 2024-12-02
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $30,752.46 $30,752.46 $30,752.46 2024-12-02
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $30,513.60 $30,513.60 $30,513.60 2024-12-02
793 MS_DRG Full Term Neonate With Major Problems 10 9 — — $30,508.75 $95,379.00 $30,508.75 2024-12-02
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 3 — — $30,466.32 $30,466.32 $30,466.32 2024-12-02
3634 APR_DRG Breast Procedures Except Mastectomy 3 3 — — $30,249.23 $30,249.23 $30,249.23 2024-12-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $30,141.28 $95,127.98 $30,141.28 2024-12-02
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $30,096.21 $30,096.21 $30,096.21 2024-12-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $30,006.47 $94,702.50 $30,006.47 2024-12-02
704 APR_DRG Orbital Procedures 3 3 — — $29,938.21 $29,938.21 $29,938.21 2024-12-02
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $29,908.35 $29,908.35 $29,908.35 2024-12-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $29,836.87 $94,167.23 $29,836.87 2024-12-02
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $29,833.71 $29,833.71 $29,833.71 2024-12-02
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $29,702.46 $29,702.46 $29,702.46 2024-12-02
791 MS_DRG Prematurity With Major Problems 10 9 — — $29,699.88 $92,850.00 $29,699.88 2024-12-02
4444 APR_DRG Renal Dialysis Access Device Procedures 3 3 — — $29,624.08 $29,624.08 $29,624.08 2024-12-02
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $29,606.66 $29,606.66 $29,606.66 2024-12-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $29,410.69 $92,822.18 $29,410.69 2024-12-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $29,316.47 $92,524.80 $29,316.47 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $29,290.38 $92,442.45 $29,290.38 2024-12-02
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $29,185.54 $29,185.54 $29,185.54 2024-12-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 10 — — $29,096.86 $91,831.69 $29,096.86 2024-12-02
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