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 →

Export CSV
Hospital

LONGS PEAK HOSPITAL

Longmont, CO · CCN 060128 · Rates published

19,968 distinct procedures filed
25 distinct payers
622,242 rate rows
2025-11-01 last MRF observed
Data quality

616,981 of 622,242 rate rows are consumer-grade (99.2%)

5,261 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 1,973
per-diem day rate — not a per-procedure price 1,136
placeholder amount (≤ $0.02) — excluded from medians 971
template filing: same amount across many unrelated codes — excluded 946
exceeds 10× this hospital's gross charge — excluded from medians 145
percent-of-charges filed in the dollar field — excluded from medians 52
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8083/611786722_longs-peak-hospital_standardcharges.csv
Found on page https://www.uchealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-01
Content fingerprint a66e35bb8a25846d… · 317,747,725 bytes · first seen 2026-05-18

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $338,579.12 $1,486,956.54 $633,837.14 nat. median
$168,055
outlier · 3.8×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $591,726.20 $591,726.20 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $1,271,682.00 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,172,582.42 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $557,317.93 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,159,555.20 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,159,555.20 $489,304.61 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $220,050.16 $964,974.97 $411,334.80 nat. median
$186,516
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $167,870.18 $735,183.12 $313,382.64 nat. median
$131,925
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $166,890.43 $730,868.54 $311,543.49 nat. median
$145,435
outlier · 2.1×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $278,250.00 $278,250.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $257,500.00 $257,500.00 nat. median
$264,195
1.0× median
J3285
HCPCS 		Treprostinil Sodium 5 Mg/ml Injection Solution 23 $50.25 $307,805.48 $229,095.23 nat. median
$1,658
outlier · 138.2×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $205,640.00 $205,640.00 nat. median
$207,733
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $109,233.95 $476,959.11 $203,310.85 nat. median
$97,418
outlier · 2.1×
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 25 $55,272.32 $262,050.71 $195,040.60 nat. median
$63,499
outlier · 3.1×
7
MS_DRG 		Lung Transplant 16 $102,187.38 $445,927.19 $190,083.04 nat. median
$70,649
outlier · 2.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $94,897.64 $413,824.37 $176,398.74 nat. median
$72,715
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $89,532.95 $390,199.20 $166,328.16 nat. median
$65,418
outlier · 2.5×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $89,431.31 $389,751.56 $166,137.35 nat. median
$2,110
outlier · 78.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $87,104.33 $379,504.00 $161,769.17 nat. median
$2,736
outlier · 59.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $85,954.15 $374,438.76 $159,610.04 nat. median
$74,509
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $81,547.30 $355,031.76 $151,337.52 nat. median
$69,922
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 16 $78,783.25 $342,859.34 $146,148.85 nat. median
$73,023
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $77,421.16 $336,860.94 $143,591.94 nat. median
$69,822
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $71,375.44 $310,236.57 $132,242.91 nat. median
$2,596
outlier · 51.0×
90288
CPT 		Botulism Ig IV 1 $130,529.40 $130,529.40 $130,529.40 nat. median
$43,548
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $68,637.96 $298,181.22 $127,104.14 nat. median
$2,633
outlier · 48.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $66,842.71 $290,275.18 $123,734.07 nat. median
$60,505
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $66,635.50 $289,362.68 $123,345.11 nat. median
$59,651
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $62,455.41 $270,954.26 $115,498.25 nat. median
$56,428
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $60,965.87 $264,394.58 $112,702.09 nat. median
$55,923
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $60,707.06 $263,254.82 $112,216.25 nat. median
$55,935
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $60,509.23 $262,383.64 $111,844.89 nat. median
$52,327
outlier · 2.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $110,139.19 $257,999.82 $110,139.19 nat. median
$108,243
1.0× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 20 $559.97 $149,430.69 $109,884.82 nat. median
$57,284
1.9× median
E0194NU
OTHER 		Other Outpatient 1 $101,271.46 $111,658.27 $106,464.87 nat. median
$14,403
outlier · 7.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $57,371.43 $248,565.27 $105,954.61 nat. median
$9,905
outlier · 10.7×
10
MS_DRG 		Pancreas Transplant 16 $57,035.98 $247,088.05 $105,324.92 nat. median
$23,080
outlier · 4.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 $57,012.54 $246,984.75 $105,280.89 nat. median
$37,013
outlier · 2.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $56,714.63 $245,672.82 $104,721.66 nat. median
$45,605
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $56,681.78 $245,528.19 $104,660.01 nat. median
$51,518
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 19,968 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 9 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-11-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2025-11-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2025-11-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 9 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2025-11-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-11-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 9 9 — — $770,620.00 $770,620.00 $770,620.00 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 16 — — $338,579.12 $1,486,956.54 $633,837.14 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 9 — — $591,726.20 $591,726.20 $591,726.20 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 9 — — $565,868.95 $1,271,682.00 $565,868.95 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $562,538.19 $1,172,582.42 $562,538.19 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 9 — — $557,317.93 $557,317.93 $557,317.93 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 9 — — $533,230.17 $1,159,555.20 $533,230.17 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $489,304.61 $1,159,555.20 $489,304.61 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 16 — — $220,050.16 $964,974.97 $411,334.80 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 16 — — $167,870.18 $735,183.12 $313,382.64 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 25 16 — — $166,890.43 $730,868.54 $311,543.49 2025-11-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 9 — — $278,250.00 $278,250.00 $278,250.00 2025-11-01
J3403 HCPCS Revakinagene, Per Implant 9 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
J3285 HCPCS Treprostinil Sodium 5 Mg/ml Injection Solution 62 23 $439,722.12 $153,902.75 65% off $50.25 $307,805.48 $229,095.23 2025-11-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 9 — — $205,640.00 $205,640.00 $205,640.00 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 25 16 — — $109,233.95 $476,959.11 $203,310.85 2025-11-01
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 64 25 $374,358.16 $131,025.36 65% off $55,272.32 $262,050.71 $195,040.60 2025-11-01
7 MS_DRG Lung Transplant 25 16 — — $102,187.38 $445,927.19 $190,083.04 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 16 — — $94,897.64 $413,824.37 $176,398.74 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 16 — — $89,532.95 $390,199.20 $166,328.16 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 25 16 — — $89,431.31 $389,751.56 $166,137.35 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $87,104.33 $379,504.00 $161,769.17 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $85,954.15 $374,438.76 $159,610.04 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 16 — — $81,547.30 $355,031.76 $151,337.52 2025-11-01
215 MS_DRG Other Heart Assist System Implant 25 16 — — $78,783.25 $342,859.34 $146,148.85 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $77,421.16 $336,860.94 $143,591.94 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 16 — — $71,375.44 $310,236.57 $132,242.91 2025-11-01
90288 CPT Botulism Ig IV 1 1 — — $130,529.40 $130,529.40 $130,529.40 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 25 16 — — $68,637.96 $298,181.22 $127,104.14 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $66,842.71 $290,275.18 $123,734.07 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $66,635.50 $289,362.68 $123,345.11 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 16 — — $62,455.41 $270,954.26 $115,498.25 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $60,965.87 $264,394.58 $112,702.09 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $60,707.06 $263,254.82 $112,216.25 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 16 — — $60,509.23 $262,383.64 $111,844.89 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $110,139.19 $257,999.82 $110,139.19 2025-11-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 47 20 $210,911.35 $73,818.98 65% off $559.97 $149,430.69 $109,884.82 2025-11-01
E0194NU OTHER Other Outpatient 2 1 — — $101,271.46 $111,658.27 $106,464.87 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $57,371.43 $248,565.27 $105,954.61 2025-11-01
10 MS_DRG Pancreas Transplant 25 16 — — $57,035.98 $247,088.05 $105,324.92 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 16 — — $57,012.54 $246,984.75 $105,280.89 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 16 — — $56,714.63 $245,672.82 $104,721.66 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $56,681.78 $245,528.19 $104,660.01 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 16 — — $54,972.53 $238,000.92 $101,451.40 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 16 — — $54,707.46 $236,833.61 $100,953.82 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 16 — — $53,559.61 $231,778.70 $98,799.09 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 16 — — $53,210.89 $230,242.94 $98,144.45 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 16 — — $53,172.57 $230,074.21 $98,072.52 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $52,341.40 $226,413.88 $96,512.25 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $52,341.40 $226,413.88 $96,512.25 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $52,154.51 $225,590.91 $96,161.45 2025-11-01
J7330 HCPCS Hb Autologous Cultured Chondrocyctes, Implant 55 25 $182,777.50 $63,972.13 65% off $53,517.25 $169,346.84 $95,227.08 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 16 — — $51,242.03 $221,572.46 $94,448.53 2025-11-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 62 23 $180,981.95 $63,343.69 65% off $183.48 $126,687.37 $94,291.60 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $93,216.70 $93,216.70 $93,216.70 2025-11-01
A9543 HCPCS Hb Radiant-yttriumy90ibritumomab/dose To 40 Mc 76 23 $173,183.79 $60,614.33 65% off $1,798.00 $181,678.98 $90,228.76 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 16 — — $48,847.05 $211,025.33 $89,952.66 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 16 — — $48,791.52 $210,780.84 $89,848.44 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $48,332.55 $208,759.57 $88,986.84 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 25 16 — — $47,907.97 $206,889.80 $88,189.83 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $47,894.68 $206,831.26 $88,164.87 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $47,554.55 $205,333.39 $87,526.38 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 16 — — $5,377.00 $204,658.48 $87,238.69 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 16 — — $47,293.39 $204,183.29 $87,036.14 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $46,815.65 $202,079.37 $86,139.31 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 16 — — $46,785.94 $201,948.52 $86,083.53 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 16 — — $46,022.00 $198,584.32 $84,649.49 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 16 — — $45,734.26 $197,317.15 $84,109.34 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 16 — — $45,551.30 $196,511.39 $83,765.88 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 16 — — $45,493.43 $196,256.58 $83,657.26 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $44,887.44 $193,587.95 $82,519.72 2025-11-01
K0606NUKF OTHER Other Outpatient 2 1 — — $78,366.37 $86,403.94 $82,385.15 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 16 — — $44,751.40 $192,988.80 $82,264.32 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $44,451.14 $191,666.53 $81,700.68 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 16 — — $44,113.36 $190,178.98 $81,066.59 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 25 16 — — $43,854.55 $189,039.22 $80,580.75 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 16 — — $43,702.86 $188,371.20 $80,296.00 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $43,641.86 $188,102.61 $80,181.51 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 16 — — $43,574.62 $187,806.48 $80,055.28 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 16 — — $43,404.17 $187,055.82 $79,735.30 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $42,626.17 $183,629.64 $78,274.84 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 16 — — $42,601.14 $183,519.45 $78,227.87 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 16 — — $42,321.22 $182,286.71 $77,702.40 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 16 — — $42,184.40 $181,684.11 $77,445.53 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 16 — — $41,630.01 $179,242.74 $76,404.86 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 25 16 — — $41,559.65 $178,932.84 $76,272.76 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $40,338.31 $173,554.25 $73,980.06 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 16 — — $39,925.46 $171,736.13 $73,205.06 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 16 — — $39,612.68 $170,358.77 $72,617.94 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 16 — — $39,543.88 $170,055.75 $72,488.77 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 16 — — $39,411.73 $169,473.82 $72,240.71 2025-11-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 62 23 $138,517.18 $48,481.02 65% off $3,295.57 $96,962.03 $72,167.45 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $39,251.44 $168,767.92 $71,939.81 2025-11-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 64 25 $137,359.00 $48,075.65 65% off $28,424.06 $96,151.30 $71,564.04 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 25 16 — — $38,684.57 $166,271.46 $70,875.66 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 16 — — $38,493.77 $165,431.27 $70,517.52 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 16 — — $38,153.64 $163,933.39 $69,879.02 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 16 — — $37,689.19 $161,888.01 $69,007.15 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $37,614.12 $161,557.44 $68,866.24 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 16 — — $37,504.66 $161,075.37 $68,660.75 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 25 16 — — $37,185.64 $159,670.46 $68,061.89 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $37,040.99 $159,033.43 $67,790.34 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 16 — — $36,868.97 $158,275.88 $67,467.43 2025-11-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $67,452.66 $67,452.66 $67,452.66 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 16 — — $36,777.48 $157,873.00 $67,295.69 2025-11-01
245 MS_DRG Aicd Generator Procedures 25 16 — — $36,602.33 $157,101.68 $66,966.91 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 16 — — $36,495.22 $156,629.94 $66,765.82 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 16 — — $36,479.58 $156,561.07 $66,736.46 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 25 16 — — $36,340.39 $155,948.14 $66,475.19 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 25 16 — — $35,972.11 $154,326.30 $65,783.86 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 16 — — $35,961.95 $154,281.54 $65,764.78 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 16 — — $35,824.33 $153,675.50 $65,506.45 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 16 — — $35,276.21 $151,261.68 $64,477.52 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 16 — — $34,764.84 $149,009.69 $63,517.58 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 14 — — $63,342.28 $180,194.95 $63,342.28 2025-11-01
0909T CPT Hb Replacement Int Neurostimulation Sys Vagus Nerve 55 25 $121,083.00 $42,379.05 65% off $1,650.00 $84,758.10 $63,084.25 2025-11-01
0908T CPT Hb Open Impltj Int Neurostimulation Sys Vagus Nerve 50 21 $121,080.00 $42,378.00 65% off $1,650.00 $84,756.00 $63,082.68 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 16 — — $34,495.09 $147,821.72 $63,011.19 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 16 — — $34,279.28 $146,871.34 $62,606.07 2025-11-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 82 25 $136,335.18 $47,717.32 65% off $149.40 $96,593.48 $62,577.85 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 16 — — $34,087.71 $146,027.71 $62,246.46 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 16 — — $33,950.10 $145,421.67 $61,988.13 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 16 — — $33,893.79 $145,173.74 $61,882.45 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 16 — — $33,877.38 $145,101.43 $61,851.62 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 16 — — $33,781.20 $144,677.89 $61,671.08 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 16 — — $33,742.11 $144,505.72 $61,597.69 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $33,681.12 $144,237.14 $61,483.21 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $33,554.46 $143,679.31 $61,245.42 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 25 16 — — $5,377.00 $143,576.01 $61,201.39 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 16 — — $33,401.19 $143,004.40 $60,957.73 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 16 — — $33,186.17 $142,057.47 $60,554.09 2025-11-01
791 MS_DRG Prematurity With Major Problems 25 16 — — $5,377.00 $139,767.61 $59,578.00 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 16 — — $32,365.17 $138,441.90 $59,012.90 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 16 — — $32,080.55 $137,188.50 $58,478.62 2025-11-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 62 23 $111,670.83 $39,084.80 65% off $2,210.45 $78,169.58 $58,180.50 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 16 — — $31,516.01 $134,702.36 $57,418.87 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 16 — — $31,377.61 $134,092.88 $57,159.07 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 16 — — $31,193.87 $133,283.68 $56,814.13 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 16 — — $31,119.58 $132,956.56 $56,674.69 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 16 — — $30,948.34 $132,202.46 $56,353.25 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 16 — — $30,351.75 $129,575.14 $55,233.31 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 16 — — $30,223.51 $129,010.42 $54,992.59 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 16 — — $30,153.93 $128,703.96 $54,861.96 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 16 — — $30,150.80 $128,690.19 $54,856.09 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 62 23 $105,203.44 $36,821.21 65% off $54.07 $73,642.41 $54,810.99 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 16 — — $30,068.69 $128,328.63 $54,701.97 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 16 — — $29,904.49 $127,605.52 $54,393.73 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 16 — — $29,648.81 $126,479.53 $53,913.76 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 16 — — $29,637.07 $126,427.87 $53,891.74 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 16 — — $29,300.08 $124,943.77 $53,259.12 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 16 — — $29,278.18 $124,847.35 $53,218.02 2025-11-01
332 MS_DRG Rectal Resection With Mcc 25 16 — — $29,239.10 $124,675.18 $53,144.63 2025-11-01
265 MS_DRG Aicd Lead Procedures 25 16 — — $29,219.54 $124,589.10 $53,107.94 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 16 — — $29,169.50 $124,368.72 $53,014.00 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $29,127.27 $124,182.78 $52,934.74 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 16 — — $28,942.74 $123,370.14 $52,588.34 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 16 — — $28,877.84 $123,084.33 $52,466.51 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 16 — — $28,849.70 $122,960.37 $52,413.67 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 16 — — $28,808.25 $122,777.87 $52,335.88 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 16 — — $28,784.80 $122,674.57 $52,291.84 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 16 — — $28,758.21 $122,557.49 $52,241.94 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 16 — — $28,735.54 $122,457.63 $52,199.37 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 16 — — $28,503.31 $121,434.94 $51,763.43 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 16 — — $28,447.01 $121,187.02 $51,657.75 2025-11-01
J9226 HCPCS Supprelin La Implant 21 14 — — $41,262.24 $129,427.95 $51,577.80 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 25 16 — — $28,203.84 $120,116.12 $51,201.27 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 16 — — $28,196.80 $120,085.13 $51,188.06 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 16 — — $28,071.70 $119,534.19 $50,953.21 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 16 — — $27,940.34 $118,955.70 $50,706.62 2025-11-01
33264 CPT Hb Remv&replc Cvd Gen Mult Lead 66 25 $97,107.00 $33,987.45 65% off $908.01 $68,800.31 $50,592.75 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 16 — — $27,815.24 $118,404.75 $50,471.77 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $27,735.47 $118,053.53 $50,322.06 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 16 — — $27,604.11 $117,475.03 $50,075.46 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 16 — — $27,568.93 $117,320.08 $50,009.41 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 16 — — $27,048.96 $115,030.22 $49,033.33 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $48,901.12 $120,085.66 $48,901.12 2025-11-01
33263 CPT Hb Radiant Ccl-remv&replc Cvd Gen Dual Lead 66 25 $93,203.00 $32,621.05 65% off $870.69 $66,034.33 $48,558.76 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 16 — — $26,757.31 $113,745.83 $48,485.84 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 25 16 — — $26,669.73 $113,360.17 $48,321.44 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 16 — — $26,666.61 $113,346.40 $48,315.57 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 16 — — $26,362.44 $112,006.92 $47,744.60 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 16 — — $26,250.62 $111,514.51 $47,534.70 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 16 — — $26,222.48 $111,390.55 $47,481.86 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 16 — — $26,187.29 $111,235.59 $47,415.81 2025-11-01
652 MS_DRG Kidney Transplant 25 16 — — $26,180.26 $111,204.60 $47,402.60 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 16 — — $26,161.49 $111,121.96 $47,367.37 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 16 — — $26,112.22 $110,905.03 $47,274.90 2025-11-01
33276 CPT Hb Radiant-insertion Phrenic Nerve Stimulator System 62 23 $90,449.00 $31,657.15 65% off $2,475.70 $63,314.30 $47,123.93 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 16 — — $26,030.90 $110,546.91 $47,122.25 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 16 — — $25,893.29 $109,940.88 $46,863.92 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 16 — — $25,847.15 $109,737.71 $46,777.32 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 16 — — $25,822.93 $109,630.97 $46,731.82 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 16 — — $25,772.89 $109,410.59 $46,637.88 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 16 — — $25,674.35 $108,976.72 $46,452.93 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 16 — — $25,636.82 $108,811.44 $46,382.48 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 16 — — $25,566.46 $108,501.53 $46,250.38 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 16 — — $25,554.73 $108,449.88 $46,228.36 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 16 — — $25,496.87 $108,195.07 $46,119.74 2025-11-01
665 MS_DRG Prostatectomy With Mcc 25 16 — — $25,333.45 $107,475.40 $45,812.97 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 16 — — $25,282.63 $107,251.58 $45,717.57 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 16 — — $25,239.62 $107,062.19 $45,636.84 2025-11-01
C1815 HCPCS Hb Or-impl Urinary Incont Male (40) 82 25 $88,646.96 $31,026.44 65% off $15,573.50 $79,782.26 $44,944.01 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 16 — — $24,866.64 $105,419.69 $44,936.70 2025-11-01
263 MS_DRG Vein Ligation And Stripping 25 16 — — $24,834.59 $105,278.51 $44,876.52 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 16 — — $24,645.37 $104,445.21 $44,521.31 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 16 — — $24,546.07 $104,007.90 $44,334.90 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 16 — — $24,542.94 $103,994.12 $44,329.03 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 16 — — $24,517.13 $103,880.49 $44,280.59 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 16 — — $24,201.24 $102,489.36 $43,687.60 2025-11-01
C2616 HCPCS Hb Xper-boston Scientific Brachy Tx Ns Spheres Yt-90 Per Source 91 25 $69,763.76 $24,417.32 65% off $17,485.10 $152,701.25 $43,672.11 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 16 — — $23,964.32 $101,446.01 $43,242.86 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 16 — — $23,948.69 $101,377.14 $43,213.50 2025-11-01
570 MS_DRG Skin Debridement With Mcc 25 16 — — $23,925.23 $101,273.84 $43,169.47 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 25 16 — — $23,760.24 $100,547.28 $42,859.76 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $42,853.91 $105,235.65 $42,853.91 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 16 — — $23,700.03 $100,282.14 $42,746.74 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 16 — — $23,619.50 $99,927.47 $42,595.56 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 16 — — $23,605.43 $99,865.49 $42,569.14 2025-11-01
C1882 HCPCS Hb Xper-medtronic Cobalt Xt Vr MRI Surescan 568 25 $93,481.82 $32,718.64 65% off $11,215.15 $128,350.47 $42,459.34 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 16 — — $23,505.34 $99,424.73 $42,381.26 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 25 16 — — $23,494.39 $99,376.52 $42,360.71 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 25 16 — — $23,461.56 $99,231.90 $42,299.06 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 16 — — $23,370.85 $98,832.47 $42,128.80 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 16 — — $23,216.82 $98,154.12 $41,839.64 2025-11-01
33287 CPT Hb Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 62 23 $79,691.00 $27,891.85 65% off $1,670.00 $55,783.70 $41,519.01 2025-11-01
800 MS_DRG Splenic Procedures With Cc 25 16 — — $22,895.45 $96,738.88 $41,236.37 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 25 16 — — $22,816.47 $96,391.10 $41,088.13 2025-11-01
503 MS_DRG Foot Procedures With Mcc 25 16 — — $22,752.36 $96,108.74 $40,967.77 2025-11-01
0515T CPT Hb Radiant Ccl-insertion Wrls Car Stimulator Lv Pacg Compl Sys 66 25 $78,240.00 $27,384.00 65% off $3,751.00 $56,232.00 $40,763.04 2025-11-01
0520T CPT Hb Radiant Ccl-rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 66 25 $78,240.00 $27,384.00 65% off $3,751.00 $56,232.00 $40,763.04 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 16 — — $22,602.24 $95,447.60 $40,685.95 2025-11-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $40,491.40 $40,491.40 $40,491.40 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 16 — — $22,486.51 $94,937.98 $40,468.71 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 16 — — $22,420.83 $94,648.74 $40,345.42 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 16 — — $22,415.35 $94,624.63 $40,335.14 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 62 23 $77,061.89 $26,971.67 65% off $197.83 $53,943.32 $40,149.25 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 16 — — $22,304.33 $94,135.67 $40,126.72 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 16 — — $22,202.68 $93,688.03 $39,935.90 2025-11-01
33230 CPT Hb Insert Dfib Pulse Gen Only W Exist Dual Lead 75 25 $76,432.00 $26,751.20 65% off $861.92 $56,232.00 $39,821.07 2025-11-01
849 MS_DRG Radiotherapy 25 16 — — $22,114.32 $93,298.92 $39,770.04 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 16 — — $22,088.52 $93,185.29 $39,721.60 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 16 — — $22,019.71 $92,882.27 $39,592.44 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $39,482.40 $96,956.25 $39,482.40 2025-11-01
33270 CPT Hb Insert/replace S-icd W Subq Lead 66 25 $75,244.00 $26,335.40 65% off $1,264.04 $56,232.00 $39,202.12 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 16 — — $21,727.27 $91,594.44 $39,043.48 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 16 — — $21,654.56 $91,274.20 $38,906.97 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 16 — — $21,550.57 $90,816.23 $38,711.76 2025-11-01
33249 CPT Hb Radiant Ccl-insrt/repl Dfib W Leads Sngl/dual Chmb 66 25 $73,768.00 $25,818.80 65% off $2,054.10 $56,232.00 $38,433.13 2025-11-01
33240 CPT Hb Radiant Ccl-insert Dfib Pulse Gen Only W Exist Sngl Lead 69 25 $73,601.00 $25,760.35 65% off $822.98 $56,232.00 $38,346.12 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 62 23 $73,184.00 $25,614.40 65% off $227.28 $51,228.80 $38,128.86 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 25 16 — — $21,223.73 $89,376.89 $38,098.22 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 16 — — $21,199.48 $89,270.15 $38,052.72 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 16 — — $21,123.64 $88,936.14 $37,910.34 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 25 16 — — $21,095.49 $88,812.17 $37,857.50 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 25 16 — — $21,095.49 $88,812.17 $37,857.50 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 25 16 — — $21,004.80 $88,412.74 $37,687.23 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $35,777.29 $39,446.76 $37,612.03 2025-11-01
E0766RRKF OTHER Other Outpatient 2 1 — — $35,777.29 $39,446.76 $37,612.03 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 25 16 — — $20,890.63 $87,910.00 $37,472.93 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 16 — — $20,796.03 $87,493.35 $37,295.33 2025-11-01
C1767 HCPCS Hb Or-impl Pain Svc Transmitter (28) 649 25 $76,827.36 $26,889.58 65% off $8,775.14 $186,190.78 $37,231.73 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 16 — — $20,758.50 $87,328.07 $37,224.88 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 25 16 — — $20,663.88 $86,911.42 $37,047.27 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 25 16 — — $20,655.27 $86,873.54 $37,031.13 2025-11-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 16 — — $20,412.89 $85,806.08 $36,576.11 2025-11-01
L8614 HCPCS Hb Or Impl Ear Cochlear Complete (40) 664 25 $76,827.36 $26,889.58 65% off $8,775.14 $159,564.54 $36,522.55 2025-11-01
545 MS_DRG Connective Tissue Disorders With Mcc 25 16 — — $20,333.14 $85,454.86 $36,426.39 2025-11-01
E0764NUKF OTHER Other Outpatient 2 1 — — $34,438.25 $37,970.38 $36,204.32 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 16 — — $20,157.20 $84,680.09 $36,096.14 2025-11-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 16 — — $20,151.72 $84,655.99 $36,085.86 2025-11-01
792 MS_DRG Prematurity Without Major Problems 25 16 — — $5,377.00 $84,335.75 $35,949.36 2025-11-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 16 — — $20,039.91 $84,163.58 $35,875.97 2025-11-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 25 16 — — $20,017.23 $84,063.72 $35,833.40 2025-11-01
0266T CPT Op Surgery 22 15 — — $616.87 $45,224.60 $35,809.00 2025-11-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 25 16 — — $19,867.89 $83,406.03 $35,553.05 2025-11-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 25 16 — — $19,806.12 $83,134.01 $35,437.10 2025-11-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 25 16 — — $19,735.76 $82,824.10 $35,304.99 2025-11-01
37231 CPT Hb Radiant Ccl-revasc Tibio/peroneal Stent Ather Uni Init+/- Pta 69 25 $67,743.00 $23,710.05 65% off $3,094.88 $47,995.92 $35,294.11 2025-11-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 16 — — $19,672.42 $82,545.18 $35,186.10 2025-11-01
397 MS_DRG Appendix Procedures With Mcc 25 16 — — $19,654.44 $82,465.99 $35,152.34 2025-11-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 25 16 — — $19,620.03 $82,314.48 $35,087.76 2025-11-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 16 — — $19,587.97 $82,173.30 $35,027.58 2025-11-01
E0483NU OTHER Other Outpatient 2 1 — — $33,083.86 $36,477.07 $34,780.46 2025-11-01
113 MS_DRG Orbital Procedures With Cc/mcc 25 16 — — $19,311.95 $80,957.78 $34,509.45 2025-11-01
C1721 HCPCS Hb Xper-boston Scientific Icd Dual 325 25 $68,671.94 $24,035.18 65% off $10,626.71 $93,345.82 $34,401.74 2025-11-01
333 MS_DRG Rectal Resection With Cc 25 16 — — $19,242.37 $80,651.31 $34,378.81 2025-11-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 16 — — $19,214.22 $80,527.35 $34,325.97 2025-11-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 16 — — $19,200.93 $80,468.81 $34,301.02 2025-11-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 9 — — $34,284.44 $34,284.44 $34,284.44 2025-11-01
709 MS_DRG Penis Procedures With Cc/mcc 25 16 — — $19,124.30 $80,131.36 $34,157.17 2025-11-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 16 — — $19,111.78 $80,076.27 $34,133.69 2025-11-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 25 16 — — $19,093.02 $79,993.63 $34,098.46 2025-11-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 16 — — $18,999.98 $79,583.86 $33,923.79 2025-11-01
See an error in this hospital's data? Submit a correction