Price Transparency 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

CLEVELAND CLINIC MARTIN NORTH HOSPITAL

Stuart, FL · CCN 100044 · Rates published

21,630 distinct procedures filed
32 distinct payers
1,132,289 rate rows
2025-06-28 last MRF observed · ⚠ 12 mo old
Data quality

397,256 of 1,132,289 rate rows are consumer-grade (35.1%)

735,033 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 384,111
professional (physician) fee — not the facility price 280,673
per-diem day rate — not a per-procedure price 66,210
placeholder amount (≤ $0.02) — excluded from medians 3,362
exceeds 10× this hospital's gross charge — excluded from medians 492
percent-of-charges filed in the dollar field — excluded from medians 185

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/martin-north-south-tradition
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 614bc36507ab1fda… · 19,269,976 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 11 $3,672,900.00 $4,424,158.31 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 11 $3,605,000.00 $4,424,158.31 $3,605,000.00 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 11 $3,286,000.00 $4,865,760.00 $3,351,720.00 nat. median
$3,286,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $3,325,454.76 $3,961,209.50 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 11 $2,968,000.00 $4,674,600.00 $3,086,720.00 nat. median
$3,006,423
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $2,978,101.83 $2,978,101.83 $2,978,101.83 nat. median
$824,563
outlier · 3.6×
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 13 $2,388,614.23 $4,972,500.00 $2,508,044.94 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 11 $2,332,000.00 $4,897,200.00 $2,436,940.00 nat. median
$2,448,600
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $1,075,311.87 $1,075,311.87 $1,075,311.87 nat. median
$459,112
outlier · 2.3×
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 14 $529,192.86 $2,564,064.04 $890,857.55 nat. median
$754,974
1.2× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 14 $460,530.40 $1,995,840.00 $615,878.02 nat. median
$620,080
1.0× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 14 $527,123.43 $2,255,279.76 $579,835.77 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 14 $516,726.08 $2,105,902.51 $568,398.69 nat. median
$674,188
0.8× median
INTESTONLYP
CPT 		Intestine Only-pediatric 1 $540,500.00 $540,500.00 $540,500.00 —
Q2041
HCPCS 		Yescarta Intravenous Suspension 14 $489,455.96 $2,175,465.60 $538,401.56 nat. median
$634,511
0.8× median
INTESTONLYA
CPT 		Intestine Only-adult 1 $485,000.00 $485,000.00 $485,000.00 —
005-LA
MS_DRG 		Liver (Live Donor) - Adult 1 $458,602.00 $458,602.00 $458,602.00 —
006-LA
MS_DRG 		Liver (Live Donor) - Adult 1 $458,602.00 $458,602.00 $458,602.00 —
005-LP
MS_DRG 		Liver (Live Donor) - Pediatric 1 $457,752.00 $457,752.00 $457,752.00 —
006-LP
MS_DRG 		Liver (Live Donor) - Pediatric 1 $457,752.00 $457,752.00 $457,752.00 —
014-UP
MS_DRG 		Allogeneic Unrelated Bmt ? Pediatric 1 $444,062.00 $444,062.00 $444,062.00 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $270,317.46 $734,192.79 $407,618.80 nat. median
$370,174
1.1× median
006-DA
MS_DRG 		Liver (Deceased Donor) - Adult 1 $397,360.00 $397,360.00 $397,360.00 —
005-DA
MS_DRG 		Liver (Deceased Donor) - Adult 1 $397,360.00 $397,360.00 $397,360.00 —
014-RP
MS_DRG 		Allogeneic Related Bmt ? Pediatric 1 $394,880.00 $394,880.00 $394,880.00 —
014-UA
MS_DRG 		Allogeneic Unrelated Bmt ? Adult 1 $392,967.00 $392,967.00 $392,967.00 —
005-DP
MS_DRG 		Liver (Deceased Donor) - Pediatric 1 $385,169.00 $385,169.00 $385,169.00 —
006-DP
MS_DRG 		Liver (Deceased Donor) - Pediatric 1 $385,169.00 $385,169.00 $385,169.00 —
002-P
MS_DRG 		Heart - Pediatric 1 $363,339.00 $363,339.00 $363,339.00 —
001-P
MS_DRG 		Heart - Pediatric 1 $363,339.00 $363,339.00 $363,339.00 —
007-D
MS_DRG 		Lung (Double) - Adult 1 $354,264.00 $354,264.00 $354,264.00 —
007-S
MS_DRG 		Lung (Single) - Adult 1 $349,729.00 $349,729.00 $349,729.00 —
014-RA
MS_DRG 		Allogeneic Related Bmt ? Adult 1 $349,444.00 $349,444.00 $349,444.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $201,904.48 $548,380.46 $304,457.07 nat. median
$265,286
1.1× median
002-A
MS_DRG 		Heart - Adult & Pediatric 1 $295,292.00 $295,292.00 $295,292.00 —
001-A
MS_DRG 		Heart - Adult & Pediatric 1 $295,292.00 $295,292.00 $295,292.00 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $170,040.07 $461,835.47 $256,407.89 nat. median
$206,368
1.2× median
KIDPANC
CPT 		Kidney/Pancreas - Adult & Pediatric 1 $238,302.00 $238,302.00 $238,302.00 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $153,617.22 $417,230.39 $231,643.45 nat. median
$202,986
1.1× median
017-P
MS_DRG 		Autologous Bmt - Pediatric 1 $222,030.00 $222,030.00 $222,030.00 —
016-P
MS_DRG 		Autologous Bmt - Pediatric 1 $222,030.00 $222,030.00 $222,030.00 —
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $161,066.00 $283,566.43 $213,166.75 nat. median
$111,989
1.9× median
5834
APR_DRG 		8 $192,207.36 $230,648.83 $199,895.65 nat. median
$309,665
0.6× median
017-A
MS_DRG 		Autologous Bmt - Adult 1 $196,483.00 $196,483.00 $196,483.00 —
016-A
MS_DRG 		Autologous Bmt - Adult 1 $196,483.00 $196,483.00 $196,483.00 —
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $137,344.97 $241,804.12 $181,772.57 nat. median
$96,983
1.9× median
650-DP
MS_DRG 		Kidney (Deceased) - Pediatric 1 $166,486.00 $166,486.00 $166,486.00 —
651-DP
MS_DRG 		Kidney (Deceased) - Pediatric 1 $166,486.00 $166,486.00 $166,486.00 —
652-DP
MS_DRG 		Kidney (Deceased) - Pediatric 1 $166,486.00 $166,486.00 $166,486.00 —
650-LP
MS_DRG 		Kidney ( Live Donor) - Pediatric 1 $153,120.00 $153,120.00 $153,120.00 —

Other procedures at this hospital

Browse this hospital's 21,630 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
             
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 19 13 — $4,972,500.00 $2,388,614.23 $4,972,500.00 $2,508,044.94 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 16 11 — — $2,332,000.00 $4,897,200.00 $2,436,940.00 2025-06-28
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 14 11 — — $3,286,000.00 $4,865,760.00 $3,351,720.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 15 11 — — $2,968,000.00 $4,674,600.00 $3,086,720.00 2025-06-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 11 — — $3,672,900.00 $4,424,158.31 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 11 — — $3,605,000.00 $4,424,158.31 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 11 — — $3,325,454.76 $3,961,209.50 $3,325,454.76 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $2,978,101.83 $2,978,101.83 $2,978,101.83 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 25 14 $2,848,960.04 $1,851,824.03 35% off $529,192.86 $2,564,064.04 $890,857.55 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 21 14 $2,505,866.40 $1,628,813.16 35% off $527,123.43 $2,255,279.76 $579,835.77 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 21 14 $2,417,184.00 $1,571,169.60 35% off $489,455.96 $2,175,465.60 $538,401.56 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 21 14 $2,339,891.68 $1,520,929.59 35% off $516,726.08 $2,105,902.51 $568,398.69 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 24 14 $2,217,600.00 $1,441,440.00 35% off $460,530.40 $1,995,840.00 $615,878.02 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $1,075,311.87 $1,075,311.87 $1,075,311.87 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 34 14 — — $270,317.46 $734,192.79 $407,618.80 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 14 — — $201,904.48 $548,380.46 $304,457.07 2025-06-28
INTESTONLYP CPT Intestine Only-pediatric 1 1 — — $540,500.00 $540,500.00 $540,500.00 2025-06-28
INTESTONLYA CPT Intestine Only-adult 1 1 — — $485,000.00 $485,000.00 $485,000.00 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 14 — — $170,040.07 $461,835.47 $256,407.89 2025-06-28
005-LA MS_DRG Liver (Live Donor) - Adult 1 1 — — $458,602.00 $458,602.00 $458,602.00 2025-06-28
006-LA MS_DRG Liver (Live Donor) - Adult 1 1 — — $458,602.00 $458,602.00 $458,602.00 2025-06-28
006-LP MS_DRG Liver (Live Donor) - Pediatric 1 1 — — $457,752.00 $457,752.00 $457,752.00 2025-06-28
005-LP MS_DRG Liver (Live Donor) - Pediatric 1 1 — — $457,752.00 $457,752.00 $457,752.00 2025-06-28
014-UP MS_DRG Allogeneic Unrelated Bmt ? Pediatric 1 1 — — $444,062.00 $444,062.00 $444,062.00 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 14 — — $153,617.22 $417,230.39 $231,643.45 2025-06-28
006-DA MS_DRG Liver (Deceased Donor) - Adult 1 1 — — $397,360.00 $397,360.00 $397,360.00 2025-06-28
005-DA MS_DRG Liver (Deceased Donor) - Adult 1 1 — — $397,360.00 $397,360.00 $397,360.00 2025-06-28
014-RP MS_DRG Allogeneic Related Bmt ? Pediatric 1 1 — — $394,880.00 $394,880.00 $394,880.00 2025-06-28
014-UA MS_DRG Allogeneic Unrelated Bmt ? Adult 1 1 — — $392,967.00 $392,967.00 $392,967.00 2025-06-28
005-DP MS_DRG Liver (Deceased Donor) - Pediatric 1 1 — — $385,169.00 $385,169.00 $385,169.00 2025-06-28
006-DP MS_DRG Liver (Deceased Donor) - Pediatric 1 1 — — $385,169.00 $385,169.00 $385,169.00 2025-06-28
002-P MS_DRG Heart - Pediatric 1 1 — — $363,339.00 $363,339.00 $363,339.00 2025-06-28
001-P MS_DRG Heart - Pediatric 1 1 — — $363,339.00 $363,339.00 $363,339.00 2025-06-28
007-D MS_DRG Lung (Double) - Adult 1 1 — — $354,264.00 $354,264.00 $354,264.00 2025-06-28
007-S MS_DRG Lung (Single) - Adult 1 1 — — $349,729.00 $349,729.00 $349,729.00 2025-06-28
014-RA MS_DRG Allogeneic Related Bmt ? Adult 1 1 — — $349,444.00 $349,444.00 $349,444.00 2025-06-28
001-A MS_DRG Heart - Adult & Pediatric 1 1 — — $295,292.00 $295,292.00 $295,292.00 2025-06-28
002-A MS_DRG Heart - Adult & Pediatric 1 1 — — $295,292.00 $295,292.00 $295,292.00 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 1 — — $161,066.00 $283,566.43 $213,166.75 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 14 — — $101,280.88 $275,082.84 $152,724.11 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 34 14 — — $93,910.96 $255,065.84 $141,610.80 2025-06-28
7 MS_DRG Lung Transplant 34 14 — — $93,674.42 $254,423.40 $141,254.12 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 27 14 $72,000.00 $46,800.00 35% off $25,200.00 $244,495.79 $65,888.96 2025-06-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 1 — — $137,344.97 $241,804.12 $181,772.57 2025-06-28
KIDPANC CPT Kidney/Pancreas - Adult & Pediatric 1 1 — — $238,302.00 $238,302.00 $238,302.00 2025-06-28
5834 APR_DRG — 10 8 — — $192,207.36 $230,648.83 $199,895.65 2025-06-28
38240 HCPCS Transplt Allo Hct/donor 14 10 — — $59,365.89 $228,558.67 $60,553.21 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 14 — — $56,026.32 $227,659.00 $81,556.32 2025-06-28
017-P MS_DRG Autologous Bmt - Pediatric 1 1 — — $222,030.00 $222,030.00 $222,030.00 2025-06-28
016-P MS_DRG Autologous Bmt - Pediatric 1 1 — — $222,030.00 $222,030.00 $222,030.00 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 24 14 $148,248.86 $96,361.76 35% off $14,774.74 $219,601.49 $34,720.64 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 14 — — $78,986.90 $214,531.52 $119,106.43 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 14 — — $78,085.19 $212,082.45 $117,746.71 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 14 — — $76,332.67 $207,322.52 $115,104.04 2025-06-28
215 MS_DRG Other Heart Assist System Implant 34 14 — — $75,941.31 $206,259.57 $114,513.89 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $75,085.47 $203,935.09 $109,164.14 2025-06-28
017-A MS_DRG Autologous Bmt - Adult 1 1 — — $196,483.00 $196,483.00 $196,483.00 2025-06-28
016-A MS_DRG Autologous Bmt - Adult 1 1 — — $196,483.00 $196,483.00 $196,483.00 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $69,177.06 $187,887.61 $91,724.32 2025-06-28
10 MS_DRG Pancreas Transplant 35 15 — — $57,148.79 $186,135.00 $83,190.28 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $66,028.97 $179,337.27 $95,997.21 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 27 14 $175,562.52 $114,115.64 35% off $45,350.22 $175,562.52 $71,287.34 2025-06-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 1 — — $99,384.37 $174,972.20 $131,532.69 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 14 10 — — $45,170.60 $173,906.82 $46,074.01 2025-06-28
0266T HCPCS Implt/rpl Crtd Sns Dev Total 24 15 — — $12,436.05 $173,906.82 $45,170.60 2025-06-28
650-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
651-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
652-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 14 — — $60,739.14 $164,969.89 $85,598.18 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 14 — — $60,705.45 $164,878.39 $91,539.35 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $59,783.67 $162,374.80 $86,917.39 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 14 — — $57,780.27 $156,933.49 $87,128.40 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 14 — — $56,821.22 $154,328.68 $85,682.23 2025-06-28
651-LP MS_DRG Kidney (Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
650-LP MS_DRG Kidney ( Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
652-LP MS_DRG Kidney (Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $55,460.78 $150,633.65 $80,632.49 2025-06-28
5884 APR_DRG — 10 8 — — $125,393.59 $150,472.31 $130,409.33 2025-06-28
5833 APR_DRG — 10 8 — — $124,517.93 $149,421.52 $129,498.65 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 14 6 $148,226.40 $96,347.16 35% off $618.80 $148,226.40 $54,102.63 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 14 — — $53,501.82 $145,313.05 $80,676.80 2025-06-28
651-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
650-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
652-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $50,910.66 $138,275.36 $74,017.24 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 14 — — $50,654.77 $137,580.36 $68,564.67 2025-06-28
27879075 CDM Tavr Device Kit 21 7 $152,727.00 $99,272.55 35% off $31,767.22 $137,454.30 $64,298.07 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $49,862.73 $135,429.14 $75,189.33 2025-06-28
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 14 10 — — $35,132.80 $135,261.29 $35,835.46 2025-06-28
81200100 CDM Acquisition Fee Liver 14 6 $149,100.00 $96,915.00 35% off $31,012.80 $134,190.00 $57,403.50 2025-06-28
0024 APR_DRG — 10 8 — — $111,047.26 $133,256.71 $115,489.15 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 14 — — $48,943.82 $132,933.34 $73,803.68 2025-06-28
650-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
652-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
651-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $48,057.88 $130,527.10 $69,869.68 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 14 — — $47,872.95 $130,024.83 $72,188.89 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 14 — — $47,791.96 $129,804.84 $72,066.76 2025-06-28
L7181 HCPCS Electronic Elbo Simultaneous 3 1 — — $71,655.28 $126,153.46 $94,833.94 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 14 — — $46,355.53 $125,903.45 $69,900.73 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $46,288.87 $125,722.40 $69,960.36 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 14 — — $43,785.88 $125,209.00 $68,138.59 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $42,643.33 $125,209.00 $67,307.00 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 34 14 — — $38,134.08 $125,209.00 $60,652.94 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $37,965.63 $125,209.00 $60,385.03 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $32,918.79 $125,209.00 $52,357.93 2025-06-28
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 14 10 — — $32,182.77 $123,903.68 $32,826.43 2025-06-28
0915T HCPCS Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 14 10 — — $32,182.77 $123,903.68 $32,826.43 2025-06-28
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $123,643.11 $123,643.11 $123,643.11 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 14 — — $45,331.26 $123,121.47 $68,356.20 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 14 — — $44,400.16 $120,592.58 $60,518.66 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 14 — — $44,342.82 $120,436.84 $64,468.48 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 14 — — $44,140.69 $119,887.84 $66,560.90 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 34 14 — — $43,986.58 $119,469.28 $66,328.52 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 34 14 — — $43,576.58 $118,355.71 $65,710.27 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 14 — — $43,264.06 $117,506.90 $65,239.03 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 14 — — $43,264.06 $117,506.90 $65,239.03 2025-06-28
0114 APR_DRG — 10 8 — — $97,644.17 $117,173.00 $101,549.94 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 34 14 — — $42,940.80 $116,628.89 $64,751.57 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 14 — — $42,611.08 $115,733.37 $64,254.37 2025-06-28
5832 APR_DRG — 10 8 — — $95,607.07 $114,728.48 $99,431.35 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 14 — — $42,176.71 $114,553.61 $63,599.38 2025-06-28
1614 APR_DRG — 10 8 — — $95,167.09 $114,200.51 $98,973.77 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 14 — — $41,733.02 $113,348.54 $62,930.33 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 24 14 $111,950.40 $72,767.76 35% off $23,870.14 $111,950.40 $33,526.02 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 14 — — $41,138.81 $111,734.64 $62,034.31 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 14 — — $40,892.96 $111,066.89 $61,663.57 2025-06-28
6304 APR_DRG — 10 8 — — $91,470.33 $109,764.40 $95,129.15 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 34 14 — — $39,957.56 $108,526.31 $60,253.07 2025-06-28
8414 APR_DRG — 10 8 — — $90,217.23 $108,260.68 $93,825.92 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 14 — — $39,618.53 $107,605.48 $59,741.82 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 34 14 — — $39,618.53 $107,605.48 $59,741.82 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $39,452.23 $107,153.82 $57,358.22 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 14 — — $39,211.40 $106,499.69 $57,008.08 2025-06-28
8 MS_DRG Simultaneous Pancreas/kidney Transplant 34 14 — — $39,000.66 $105,927.33 $58,810.13 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 14 — — $38,911.78 $105,685.93 $58,676.10 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $38,713.23 $105,146.67 $58,376.71 2025-06-28
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 34 14 — — $38,676.68 $105,047.38 $58,321.58 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 14 — — $38,672.38 $105,035.70 $58,315.10 2025-06-28
81200110 CDM Acquisition Kidney Cadaver 14 6 $116,200.00 $75,530.00 35% off $24,169.60 $104,580.00 $44,737.00 2025-06-28
L7180 HCPCS Electronic Elbow Sequential 3 1 — — $57,769.47 $101,706.64 $76,456.42 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 14 — — $36,914.84 $100,262.15 $53,669.19 2025-06-28
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 1 — — $56,882.34 $100,144.79 $75,282.32 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 14 — — $36,792.27 $99,929.24 $55,480.03 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 14 — — $20,946.00 $99,181.67 $39,803.55 2025-06-28
6094 APR_DRG — 10 8 — — $82,446.63 $98,935.96 $85,744.49 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $36,405.21 $98,877.97 $54,896.38 2025-06-28
81200120 CDM Acquisition Fee Heart 14 6 $109,100.00 $70,915.00 35% off $22,692.80 $98,190.00 $42,003.50 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 14 — — $36,103.44 $98,058.37 $54,441.33 2025-06-28
5883 APR_DRG — 10 8 — — $81,552.63 $97,863.16 $84,814.74 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 14 — — $35,890.56 $97,480.17 $54,120.32 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 14 — — $35,862.60 $97,404.24 $54,078.17 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $35,848.27 $97,365.31 $54,056.55 2025-06-28
6314 APR_DRG — 10 8 — — $80,942.26 $97,130.71 $84,179.95 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 14 — — $35,719.25 $97,014.88 $53,861.99 2025-06-28
5914 APR_DRG — 10 8 — — $79,657.88 $95,589.46 $82,844.20 2025-06-28
245 MS_DRG Aicd Generator Procedures 34 14 — — $16,044.00 $95,136.22 $38,180.04 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 34 14 — — $11,206.00 $94,561.92 $37,949.56 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 34 14 — — $34,758.05 $94,404.23 $52,412.57 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 14 — — $34,229.78 $92,969.43 $51,615.99 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 34 14 — — $34,081.41 $92,566.45 $51,392.26 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $34,074.96 $92,548.93 $51,382.53 2025-06-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $92,540.48 $92,540.48 $92,540.48 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 34 14 — — $33,722.30 $91,591.10 $50,850.75 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 14 — — $33,541.67 $91,100.51 $50,578.38 2025-06-28
0074 APR_DRG — 10 8 — — $75,611.36 $90,733.63 $78,635.82 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 14 — — $33,343.84 $90,563.19 $50,280.06 2025-06-28
0094 APR_DRG — 10 8 — — $75,232.48 $90,278.98 $78,241.77 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 34 14 — — $33,037.78 $89,731.91 $49,818.54 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 14 — — $33,024.16 $89,694.92 $49,798.01 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 14 — — $25,671.00 $89,395.11 $40,257.57 2025-06-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 3 1 — — $50,514.50 $88,933.84 $66,854.66 2025-06-28
5934 APR_DRG — 10 8 — — $73,863.27 $88,635.92 $76,817.80 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 14 — — $32,338.20 $87,831.83 $48,763.62 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 14 — — $32,145.39 $87,308.14 $48,472.88 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 14 — — $32,056.51 $87,066.74 $48,338.86 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 34 14 — — $31,756.89 $86,252.97 $47,887.06 2025-06-28
5882 APR_DRG — 10 8 — — $71,560.89 $85,873.07 $74,423.32 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 14 — — $31,486.67 $85,519.03 $47,479.58 2025-06-28
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $85,340.73 $85,340.73 $85,340.73 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 14 — — $31,014.31 $84,236.09 $45,090.62 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 14 — — $30,950.52 $84,062.82 $46,671.10 2025-06-28
5831 APR_DRG — 10 8 — — $69,493.59 $83,392.31 $72,273.33 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 14 — — $30,575.64 $83,044.65 $46,105.82 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 14 — — $30,466.00 $82,922.00 $40,399.92 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 34 14 — — $30,314.02 $82,334.07 $45,711.31 2025-06-28
6034 APR_DRG — 10 8 — — $68,321.01 $81,985.21 $71,053.85 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 14 — — $30,037.34 $81,582.60 $45,294.10 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 14 — — $30,030.17 $81,563.13 $45,283.29 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 34 14 — — $29,893.27 $81,191.29 $45,076.85 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 14 — — $29,823.02 $81,000.51 $44,970.93 2025-06-28
0014 APR_DRG — 10 8 — — $67,242.61 $80,691.13 $69,932.32 2025-06-28
0044 APR_DRG — 10 8 — — $66,782.13 $80,138.56 $69,453.42 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 14 — — $29,474.67 $80,054.36 $44,445.63 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 14 — — $29,458.18 $80,009.59 $44,420.77 2025-06-28
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 34 14 — — $29,414.46 $79,890.83 $44,354.85 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $29,269.67 $79,497.58 $42,554.15 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 14 — — $29,154.27 $79,184.14 $43,962.49 2025-06-28
791 MS_DRG Prematurity With Major Problems 34 14 — — $29,100.51 $79,038.13 $43,881.43 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 14 — — $28,554.32 $77,554.67 $43,057.82 2025-06-28
1613 APR_DRG — 10 8 — — $64,392.40 $77,270.88 $66,968.10 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 14 — — $28,281.95 $76,814.89 $42,647.10 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 14 — — $28,166.55 $76,501.45 $42,473.08 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 14 — — $28,041.83 $76,162.71 $40,769.04 2025-06-28
L5856 HCPCS Elec Knee-shin Swing/stance 3 1 — — $42,930.62 $75,581.95 $56,817.58 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $27,703.51 $75,243.82 $41,774.86 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 3 1 — — $42,727.97 $75,225.17 $56,549.38 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 14 — — $27,675.55 $75,167.89 $41,732.70 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 14 — — $27,598.14 $74,957.64 $41,615.96 2025-06-28
0023 APR_DRG — 10 8 — — $62,352.42 $74,822.90 $64,846.51 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 14 — — $27,398.16 $74,414.48 $41,314.41 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 14 — — $27,249.79 $74,011.50 $41,090.68 2025-06-28
5881 APR_DRG — 10 8 — — $61,338.01 $73,605.61 $63,791.53 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 14 — — $27,037.62 $73,435.24 $40,770.74 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $26,821.87 $72,849.26 $40,445.41 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 14 — — $26,153.11 $71,032.89 $39,436.98 2025-06-28
5913 APR_DRG — 10 8 — — $59,125.13 $70,950.16 $61,490.13 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $25,971.77 $70,540.35 $39,163.52 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 14 — — $25,695.09 $69,788.89 $38,746.31 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 14 — — $25,693.66 $69,784.99 $38,744.15 2025-06-28
265 MS_DRG Aicd Lead Procedures 34 14 — — $25,568.94 $69,446.25 $38,556.08 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 14 — — $25,454.25 $69,134.76 $38,383.15 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 14 — — $25,305.16 $68,729.83 $38,158.32 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 14 — — $25,298.71 $68,712.31 $38,148.60 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 14 — — $25,234.92 $68,539.04 $38,052.40 2025-06-28
0113 APR_DRG — 10 8 — — $56,946.04 $68,335.25 $59,223.88 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 14 — — $25,114.50 $68,211.98 $37,870.82 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $25,106.62 $68,190.56 $37,858.93 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 14 — — $25,096.58 $68,163.31 $37,843.80 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 34 14 — — $25,052.14 $68,042.61 $37,776.79 2025-06-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 14 — — $24,890.15 $67,602.63 $37,532.52 2025-06-28
332 MS_DRG Rectal Resection With Mcc 34 14 — — $24,862.91 $67,528.65 $37,491.44 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 14 — — $24,835.67 $67,454.67 $37,450.38 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 14 — — $24,688.73 $67,055.58 $37,228.80 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 14 — — $24,650.03 $66,950.45 $37,170.43 2025-06-28
665 MS_DRG Prostatectomy With Mcc 34 14 — — $24,611.32 $66,845.32 $37,112.07 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 34 14 — — $24,588.39 $66,783.03 $37,077.48 2025-06-28
1604 APR_DRG — 10 8 — — $55,523.63 $66,628.36 $57,744.57 2025-06-28
6024 APR_DRG — 10 8 — — $54,849.27 $65,819.12 $57,043.24 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 14 — — $24,060.12 $65,348.24 $36,280.90 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 34 14 — — $23,803.51 $64,651.28 $35,893.94 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 14 — — $23,667.32 $64,281.39 $35,688.58 2025-06-28
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $64,261.94 $64,261.94 $64,261.94 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 14 — — $23,362.69 $63,454.00 $35,229.23 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 14 — — $23,352.66 $63,426.74 $35,214.09 2025-06-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 14 — — $22,968.46 $62,383.26 $34,634.76 2025-06-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 14 — — $22,901.80 $62,202.21 $34,534.24 2025-06-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 14 — — $22,858.08 $62,083.45 $34,468.31 2025-06-28
1612 APR_DRG — 10 8 — — $51,688.83 $62,026.60 $53,756.38 2025-06-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 14 — — $22,796.44 $61,916.03 $34,375.35 2025-06-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 14 — — $22,750.56 $61,791.43 $34,306.18 2025-06-28
500 MS_DRG Soft Tissue Procedures With Mcc 34 14 — — $22,712.57 $61,688.25 $34,248.90 2025-06-28
5933 APR_DRG — 10 8 — — $51,226.92 $61,472.30 $53,276.00 2025-06-28
662 MS_DRG Minor Bladder Procedures With Mcc 34 14 — — $22,360.64 $60,732.37 $33,718.20 2025-06-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 14 — — $22,265.30 $60,473.45 $33,574.44 2025-06-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 14 — — $22,104.03 $60,035.42 $33,331.25 2025-06-28
652 MS_DRG Kidney Transplant 34 14 — — $22,015.15 $59,794.02 $33,197.23 2025-06-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 34 14 — — $21,995.08 $59,739.50 $33,166.96 2025-06-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 14 — — $21,923.40 $59,544.82 $33,058.88 2025-06-28
1611 APR_DRG — 10 8 — — $49,247.33 $59,096.80 $51,217.22 2025-06-28
5891 APR_DRG — 10 8 — — $48,983.84 $58,780.61 $50,943.19 2025-06-28
0112 APR_DRG — 10 8 — — $48,895.77 $58,674.92 $50,851.60 2025-06-28
L5858 HCPCS Stance Phase Only 3 1 — — $33,236.67 $58,515.17 $43,987.89 2025-06-28
0064 APR_DRG — 10 8 — — $48,372.75 $58,047.30 $50,307.66 2025-06-28
5892 APR_DRG — 10 8 — — $47,538.79 $57,046.55 $49,440.34 2025-06-28
8514 APR_DRG — 10 8 — — $46,902.89 $56,283.47 $48,779.01 2025-06-28
5893 APR_DRG — 10 8 — — $46,525.81 $55,830.97 $48,386.84 2025-06-28
8424 APR_DRG — 10 8 — — $46,203.37 $55,444.04 $48,051.51 2025-06-28
0022 APR_DRG — 10 8 — — $45,376.95 $54,452.34 $47,192.03 2025-06-28
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 1 — — $30,767.85 $54,168.66 $40,720.47 2025-06-28
5912 APR_DRG — 10 8 — — $44,835.59 $53,802.71 $46,629.01 2025-06-28
6303 APR_DRG — 10 8 — — $43,677.03 $52,412.44 $45,424.11 2025-06-28
0054 APR_DRG — 10 8 — — $43,560.21 $52,272.25 $45,302.62 2025-06-28
L6975 HCPCS Interscap-thor Myoelectronic 3 1 — — $29,079.97 $51,197.05 $38,486.60 2025-06-28
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 1 — — $29,069.04 $51,177.80 $38,472.14 2025-06-28
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $51,038.68 $51,038.68 $51,038.68 2025-06-28
6074 APR_DRG — 10 8 — — $42,035.35 $50,442.42 $43,716.76 2025-06-28
5932 APR_DRG — 10 8 — — $41,957.34 $50,348.81 $43,635.63 2025-06-28
0043 APR_DRG — 10 8 — — $41,876.46 $50,251.75 $43,551.51 2025-06-28
0021 APR_DRG — 10 8 — — $41,730.88 $50,077.06 $43,400.11 2025-06-28
C9734 HCPCS U/s Trtmt, Not Leiomyomata 1 1 — — $49,724.51 $49,724.51 $49,724.51 2025-06-28
3034 APR_DRG — 10 8 — — $39,878.55 $47,854.26 $41,473.70 2025-06-28
L6970 HCPCS Interscapular-thor Switch CT 3 1 — — $26,589.17 $46,811.84 $35,190.09 2025-06-28
6023 APR_DRG — 10 8 — — $38,906.55 $46,687.86 $40,462.82 2025-06-28
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 1 — — $25,947.61 $45,682.34 $34,341.00 2025-06-28
1624 APR_DRG — 10 8 — — $37,904.71 $45,485.65 $39,420.90 2025-06-28
0084 APR_DRG — 10 8 — — $37,476.23 $44,971.48 $38,975.28 2025-06-28
L6965 HCPCS Shldr Disartic Myoelectronic 3 1 — — $25,517.04 $44,924.29 $33,771.15 2025-06-28
0073 APR_DRG — 10 8 — — $36,953.92 $44,344.70 $38,432.08 2025-06-28
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $24,988.77 $43,994.24 $33,072.00 2025-06-28
C8004 HCPCS Sim Ang W/prs Cath Rad Emb 1 1 — — $43,826.23 $43,826.23 $43,826.23 2025-06-28
4404 APR_DRG — 10 8 — — $35,422.95 $42,507.54 $36,839.87 2025-06-28
8634 APR_DRG — 10 8 — — $35,009.21 $42,011.05 $36,409.58 2025-06-28
0063 APR_DRG — 10 8 — — $34,364.32 $41,237.18 $35,738.90 2025-06-28
6134 APR_DRG — 10 8 — — $34,228.80 $41,074.56 $35,597.95 2025-06-28
6114 APR_DRG — 10 8 — — $34,068.84 $40,882.61 $35,431.60 2025-06-28
0093 APR_DRG — 10 8 — — $32,422.48 $38,906.98 $33,719.38 2025-06-28
1674 APR_DRG — 10 8 — — $31,789.10 $38,146.92 $33,060.67 2025-06-28
1634 APR_DRG — 10 8 — — $31,574.50 $37,889.40 $32,837.49 2025-06-28
0013 APR_DRG — 10 8 — — $31,456.59 $37,747.91 $32,714.85 2025-06-28
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