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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

ADVENTHEALTH NORTH PINELLAS

Tarpon Springs, FL · CCN 100055 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,145 across 10 payers · range $13,407-$29,764

Source: https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=o5XNLZjVLU0SslATESFp8g*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5SgyVEwg$ · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,032 distinct procedures filed
61 distinct payers
1,046,080 rate rows
2026-04-01 last MRF observed
Data quality

999,322 of 1,046,080 rate rows are consumer-grade (95.5%)

46,758 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 24,689
exceeds 10× this hospital's gross charge — excluded from medians 16,575
template filing: same amount across many unrelated codes — excluded 3,565
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
per-diem day rate — not a per-procedure price 715
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 325
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=o5XNLZjVLU0SslATESFp8g*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint 662a4ca4b168a9e8… · 25,506,771 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 38 $258,139.00 $2,382,438.26 $352,095.80 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $193,039.00 $1,546,106.59 $229,896.02 nat. median
$261,939
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $86,017.61 $488,892.30 $226,958.18 nat. median
$83,623
outlier · 2.7×
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$311,018
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $74,322.62 $422,422.28 $196,100.84 nat. median
$58,534
outlier · 3.4×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $68,814.86 $391,118.25 $181,568.59 nat. median
$51,048
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 $160,272.87 $1,276,690.00 $180,819.80 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 $147,090.00 $1,171,015.51 $174,477.43 nat. median
$199,832
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $64,379.74 $365,910.62 $169,866.47 nat. median
$62,767
outlier · 2.7×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $62,133.54 $353,144.05 $163,939.85 nat. median
$46,826
outlier · 3.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $59,370.92 $337,442.39 $156,650.68 nat. median
$57,648
outlier · 2.7×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 41 $221.00 $500,417.00 $147,345.00 nat. median
$13,835
outlier · 10.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$250,089
0.6× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $50,657.92 $287,920.90 $133,661.34 nat. median
$40,712
outlier · 3.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $49,095.09 $279,038.37 $129,537.81 nat. median
$45,104
outlier · 2.9×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 $48,735.93 $276,997.04 $128,590.17 nat. median
$38,383
outlier · 3.4×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$243,231
0.5× median
2046
OTHER 		Pmkr, Dual, Leadless 2 $46,344.45 $192,016.59 $119,180.52 nat. median
$5,033
outlier · 23.7×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $42,166.65 $254,095.56 $115,179.15 nat. median
$46,399
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 $97,287.00 $764,195.59 $114,371.01 nat. median
$132,706
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,305.00 $125,166.00 $111,607.00 nat. median
$119,243
0.9× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 41 $22,045.00 $241,416.00 $111,558.00 nat. median
$53,130
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 17 $85,595.34 $624,469.51 $109,871.59 nat. median
$96,134
1.1× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $109,278.00 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,775.00 nat. median
$209,486
0.5× median
7
MS_DRG 		Lung Transplant 38 $90,049.00 $714,475.48 $107,025.01 nat. median
$122,690
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $104,550.00 nat. median
$160,171
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $103,118.00 nat. median
$165,646
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 38 $90,274.00 $705,100.00 $101,346.75 nat. median
$114,305
0.9× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 41 $25,037.00 $172,009.00 $100,596.50 nat. median
$32,499
outlier · 3.1×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $35,507.24 $201,810.00 $95,471.92 nat. median
$37,051
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $88,071.00 $105,685.00 $94,236.00 nat. median
$168,174
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 $76,073.00 $625,186.74 $93,832.87 nat. median
$108,240
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $87,116.00 $104,539.00 $93,214.00 nat. median
$180,995
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $86,464.00 $103,757.00 $92,516.00 nat. median
$147,677
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 $72,360.00 $608,050.63 $91,301.06 nat. median
$96,835
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $85,092.00 $102,110.00 $91,048.00 nat. median
$168,361
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 38 $75,215.00 $599,934.97 $90,102.00 nat. median
$100,978
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $80,769.00 $96,923.00 $86,423.00 nat. median
$175,480
outlier · 0.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $80,365.00 $96,438.00 $85,990.00 nat. median
$165,599
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 38 $73,547.00 $573,119.00 $85,507.90 nat. median
$99,646
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $78,902.00 $94,682.00 $84,425.00 nat. median
$156,285
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 38 $73,175.00 $570,180.00 $83,179.42 nat. median
$98,002
0.8× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 41 $20,470.00 $224,172.00 $82,247.50 nat. median
$35,282
outlier · 2.3×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 41 $20,470.00 $270,450.00 $82,247.50 nat. median
$7,752
outlier · 10.6×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $76,443.00 $91,731.00 $81,794.00 nat. median
$147,847
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 $66,738.00 $539,726.86 $81,206.42 nat. median
$92,900
0.9× median
5831
APR_DRG 		Neonate With Ecmo 7 $74,234.00 $89,081.00 $79,431.00 nat. median
$154,685
0.5× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $72,982.00 $87,578.00 $78,090.00 nat. median
$109,499
0.7× median

Other procedures at this hospital

Browse this hospital's 14,032 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 62 38 $0.01 — $258,139.00 $2,382,438.26 $352,095.80 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 38 $0.01 — $193,039.00 $1,546,106.59 $229,896.02 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 11 4 — — $86,017.61 $488,892.30 $226,958.18 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 2024-12-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 4 — — $74,322.62 $422,422.28 $196,100.84 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 4 — — $68,814.86 $391,118.25 $181,568.59 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 38 $0.01 — $160,272.87 $1,276,690.00 $180,819.80 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 38 $0.01 — $147,090.00 $1,171,015.51 $174,477.43 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 4 — — $64,379.74 $365,910.62 $169,866.47 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 4 — — $62,133.54 $353,144.05 $163,939.85 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 4 — — $59,370.92 $337,442.39 $156,650.68 2026-04-01
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 65 41 $556,018.73 $222,407.49 60% off $221.00 $500,417.00 $147,345.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $133,948.00 $160,737.00 $143,324.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 4 — — $50,657.92 $287,920.90 $133,661.34 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 4 — — $49,095.09 $279,038.37 $129,537.81 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 4 — — $48,735.93 $276,997.04 $128,590.17 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $118,623.00 $142,347.00 $126,926.00 2024-12-15
2046 OTHER Pmkr, Dual, Leadless 2 2 — — $46,344.45 $192,016.59 $119,180.52 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 5 — — $42,166.65 $254,095.56 $115,179.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 38 $0.01 — $97,287.00 $764,195.59 $114,371.01 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $104,305.00 $125,166.00 $111,607.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 128 41 $268,240.00 $107,296.00 60% off $22,045.00 $241,416.00 $111,558.00 2024-12-15
209 MS_DRG Complex Aortic Arch Procedures 31 17 — — $85,595.34 $624,469.51 $109,871.59 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $109,278.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
7 MS_DRG Lung Transplant 62 38 $0.01 — $90,049.00 $714,475.48 $107,025.01 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $97,710.00 $117,252.00 $104,550.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $96,372.00 $115,646.00 $103,118.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 62 38 $0.01 — $90,274.00 $705,100.00 $101,346.75 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 78 41 $191,121.00 $76,448.40 60% off $25,037.00 $172,009.00 $100,596.50 2024-12-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 4 — — $35,507.24 $201,810.00 $95,471.92 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $88,071.00 $105,685.00 $94,236.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 38 $0.01 — $76,073.00 $625,186.74 $93,832.87 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $87,116.00 $104,539.00 $93,214.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 7 $0.01 — $86,464.00 $103,757.00 $92,516.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 38 $0.01 — $72,360.00 $608,050.63 $91,301.06 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $85,092.00 $102,110.00 $91,048.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 38 $0.01 — $75,215.00 $599,934.97 $90,102.00 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $80,365.00 $96,438.00 $85,990.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 38 $0.01 — $73,547.00 $573,119.00 $85,507.90 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $78,902.00 $94,682.00 $84,425.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 62 38 $0.01 — $73,175.00 $570,180.00 $83,179.42 2026-04-01
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 278 41 $228,380.00 $91,352.00 60% off $20,470.00 $270,450.00 $82,247.50 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 128 41 $156,260.00 $62,504.00 60% off $20,470.00 $224,172.00 $82,247.50 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $76,443.00 $91,731.00 $81,794.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 $0.01 — $66,738.00 $539,726.86 $81,206.42 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $72,982.00 $87,578.00 $78,090.00 2024-12-15
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 11 4 — — $29,216.13 $166,053.68 $77,087.00 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $71,830.00 $86,196.00 $76,858.00 2024-12-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 4 — — $29,076.35 $165,259.21 $76,718.18 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $71,338.00 $85,605.00 $76,332.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 38 $0.01 — $57,799.00 $497,068.64 $74,903.80 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 62 38 $0.01 — $63,742.00 $495,757.00 $72,488.49 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 38 $0.01 — $58,709.00 $465,086.01 $70,178.46 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $65,522.00 $78,627.00 $70,109.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 38 $0.01 — $58,677.00 $463,623.98 $69,962.46 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 11 4 — — $25,786.65 $146,561.76 $68,038.28 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $63,159.00 $75,790.00 $67,580.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 38 $0.01 — $55,893.00 $434,129.56 $65,604.74 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $60,831.00 $72,997.00 $65,089.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 178 41 $133,572.25 $53,428.90 60% off $16,140.00 $140,634.00 $64,849.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 38 $0.01 — $54,224.00 $421,793.33 $63,782.11 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 38 $0.01 — $51,822.00 $420,397.50 $63,575.88 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 7 $0.01 — $59,311.00 $71,174.00 $63,463.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $58,591.00 $70,309.00 $62,692.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 38 $0.01 — $53,686.00 $423,619.49 $62,589.54 2026-04-01
10 MS_DRG Pancreas Transplant 62 38 $0.01 — $54,753.46 $429,083.00 $61,570.94 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 38 $0.01 — $54,447.51 $426,624.00 $61,225.10 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 38 $0.01 — $49,356.00 $398,257.38 $60,304.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 62 38 $0.01 — $46,465.00 $395,725.03 $59,930.59 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 38 $0.01 — $49,113.00 $393,391.30 $59,585.79 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $54,722.00 $65,666.00 $58,552.00 2024-12-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 11 4 — — $21,928.11 $124,631.29 $57,857.51 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 38 $0.01 — $46,388.00 $379,460.62 $57,527.57 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 65 38 $0.01 — $500.00 $381,330.92 $56,484.18 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 38 $0.01 — $47,484.00 $371,361.52 $56,330.95 2026-04-01
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 96 41 $106,919.22 $42,767.69 60% off $1,915.00 $192,455.00 $56,325.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $52,325.00 $62,790.00 $55,988.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 38 $0.01 — $43,106.00 $368,900.89 $55,967.40 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 62 38 $0.01 — $46,641.00 $368,630.55 $55,927.46 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $52,231.00 $62,678.00 $55,888.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 31 17 — — $43,819.49 $314,855.38 $55,396.88 2026-04-01
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 63 38 $0.01 — $45,021.00 $355,008.83 $55,145.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 $0.01 — $44,958.00 $362,765.88 $55,060.97 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 $0.01 — $41,489.00 $362,765.88 $55,060.97 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 38 $0.01 — $42,914.00 $361,447.29 $54,866.16 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $50,782.00 $60,938.00 $54,337.00 2024-12-15
8514 APR_DRG Gender Related Procedures 9 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $49,700.00 $59,640.00 $53,179.00 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 7 $0.01 — $49,355.00 $59,226.00 $52,810.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 78 41 $98,195.00 $39,278.00 60% off $12,864.00 $88,376.00 $51,685.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 38 $0.01 — $41,772.00 $338,109.96 $51,418.13 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 38 $0.01 — $44,047.00 $340,355.00 $51,360.26 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $47,894.00 $57,473.00 $51,247.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 38 $0.01 — $42,576.00 $334,479.70 $50,881.79 2026-04-01
37229 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 93 41 $106,275.18 $42,510.07 60% off $1,478.00 $191,295.00 $50,800.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 93 41 $106,275.18 $42,510.07 60% off $1,478.00 $191,295.00 $50,800.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 93 41 $106,275.18 $42,510.07 60% off $179.00 $191,295.00 $50,800.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 128 41 $185,895.00 $74,358.00 60% off $8,595.00 $167,306.00 $50,647.50 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 62 38 $0.01 — $42,377.00 $331,483.92 $50,439.16 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 38 $0.01 — $43,161.00 $333,364.00 $50,425.30 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 38 $0.01 — $40,057.00 $328,990.19 $50,070.71 2026-04-01
C1882 HCPCS Defibrillator Crdc Ilesto 7 Hf-t Bi-v W/landline H 3,025 41 $117,004.50 $46,801.80 60% off $5.00 $213,830.00 $49,958.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $46,657.00 $55,988.00 $49,923.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 62 38 $0.01 — $42,080.00 $327,147.48 $49,798.46 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $46,532.00 $55,838.00 $49,789.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 38 $0.01 — $41,045.00 $323,776.53 $49,300.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 38 $0.01 — $40,623.00 $323,566.88 $49,269.43 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 4 — — $18,535.52 $105,349.02 $48,906.11 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 61 38 $0.01 — $41,458.00 $327,908.84 $48,771.43 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 38 $0.01 — $38,223.00 $318,176.67 $48,473.06 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 38 $0.01 — $39,823.00 $316,146.38 $48,173.08 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $44,903.00 $53,883.00 $48,046.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $44,820.00 $53,783.00 $47,957.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 38 $0.01 — $37,749.00 $314,447.11 $47,922.02 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $44,733.00 $53,680.00 $47,865.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 62 38 $0.01 — $42,450.51 $330,259.00 $47,667.29 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 38 $0.01 — $38,452.00 $310,171.36 $47,290.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 38 $0.01 — $38,023.00 $309,211.39 $47,148.46 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 62 38 $0.01 — $41,775.32 $324,834.00 $46,904.18 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 38 $0.01 — $35,037.00 $307,092.82 $46,683.57 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 11 4 — — $17,634.71 $100,229.16 $46,529.32 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 62 38 $0.01 — $38,611.00 $302,883.27 $46,213.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 38 $0.01 — $37,938.00 $301,812.96 $46,055.36 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 62 38 $0.01 — $37,198.00 $301,382.62 $45,991.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 38 $0.01 — $37,714.00 $300,908.15 $45,921.68 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 7 $0.01 — $42,599.00 $51,119.00 $45,581.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 96 41 $85,606.87 $34,242.75 60% off $2,480.00 $154,092.00 $45,098.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 64 38 $0.01 — $34,900.00 $272,953.01 $45,078.26 2026-04-01
C2616 HCPCS Microsphere Gl Therasphere Y-90 3 Gbq 128 41 $175,745.10 $70,298.04 60% off $7,779.00 $158,171.00 $44,986.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 38 $0.01 — $37,038.00 $294,215.91 $44,932.92 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 62 38 $0.01 — $36,038.00 $294,039.36 $44,906.84 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,328 41 $99,165.00 $39,666.00 60% off $8,074.00 $211,735.00 $44,618.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 38 $0.01 — $38,611.00 $297,463.00 $44,615.02 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 38 $0.01 — $35,921.00 $291,098.75 $44,472.37 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $41,561.00 $49,873.00 $44,470.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 62 38 $0.01 — $38,933.00 $300,008.00 $44,158.78 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 38 $0.01 — $35,659.00 $287,187.12 $43,894.44 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $40,490.00 $48,589.00 $43,325.00 2024-12-15
5362 OTHER Level 2 Laparoscopy And Related Services 4 3 — — $11,056.16 $136,181.77 $43,249.21 2026-04-01
37238 CPT Hc Open/perq Placement Intravascular Stent Same 1st 95 41 $80,965.52 $32,386.21 60% off $7,047.00 $145,738.00 $42,912.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 96 41 $80,965.52 $32,386.21 60% off $2,178.00 $145,738.00 $42,653.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 38 $0.01 — $32,235.00 $278,072.87 $42,547.83 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 38 $0.01 — $37,710.00 $290,359.00 $42,243.17 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $39,475.00 $47,370.00 $42,238.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 38 $0.01 — $35,553.00 $275,159.85 $42,117.44 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 11 4 — — $15,806.88 $89,840.46 $41,706.58 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 38 $0.01 — $35,266.00 $271,535.11 $41,581.90 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $41,291.99 $41,291.99 $41,291.99 2026-04-01
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 93 41 $85,606.87 $34,242.75 60% off $614.00 $154,092.00 $40,920.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 93 41 $85,606.87 $34,242.75 60% off $291.00 $154,092.00 $40,920.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 93 41 $85,606.87 $34,242.75 60% off $119.00 $154,092.00 $40,920.00 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 93 41 $85,606.87 $34,242.75 60% off $758.00 $154,092.00 $40,920.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 62 38 $0.01 — $34,041.00 $266,404.21 $40,823.82 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 38 $0.01 — $35,023.00 $272,467.50 $40,767.15 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 38 $0.01 — $35,063.00 $269,472.00 $40,624.93 2026-04-01
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 128 41 $177,295.00 $70,918.00 60% off $6,207.00 $159,566.00 $40,277.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 38 $0.01 — $33,000.00 $262,658.10 $40,270.35 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 7 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 38 $0.01 — $32,336.00 $259,380.94 $39,786.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 38 $0.01 — $33,336.00 $258,851.30 $39,707.91 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 38 $0.01 — $33,483.00 $258,078.90 $39,593.79 2026-04-01
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 625 41 $128,431.88 $51,372.75 60% off $354.00 $181,062.00 $39,540.00 2024-12-15
63 APR_DRG Pancreas Transplant 9 7 $0.01 — $36,709.00 $44,050.00 $39,278.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 62 38 $0.01 — $33,986.00 $260,969.00 $39,261.21 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 7 $0.01 — $36,564.00 $43,877.00 $39,123.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 38 $0.01 — $32,640.00 $254,807.26 $39,110.41 2026-04-01
C1721 HCPCS Defibrillator Crdc Ilesto 7 Dr-t 2chb W/landline H 2,504 41 $97,613.10 $39,045.24 60% off $9.00 $135,268.00 $39,055.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 7 $0.01 — $36,393.00 $43,672.00 $38,940.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 62 38 $0.01 — $34,242.00 $262,993.00 $38,888.81 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 38 $0.01 — $32,828.00 $252,948.00 $38,835.71 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 38 $0.01 — $31,683.00 $250,956.33 $38,541.45 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 38 $0.01 — $31,415.00 $250,845.99 $38,525.14 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 38 $0.01 — $33,342.00 $255,889.00 $38,380.04 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 63 38 $0.01 — $32,231.00 $253,593.50 $38,042.25 2026-04-01
C1722 HCPCS Defibrillator Crdc Ilesto 7 Vr-t 1chb W/landline H 2,428 41 $91,125.00 $36,450.00 60% off $4,670.00 $146,310.00 $38,006.50 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 62 38 $0.01 — $32,349.00 $248,053.00 $37,996.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 38 $0.01 — $29,493.00 $247,193.67 $37,985.53 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 62 38 $0.01 — $30,873.00 $246,222.66 $37,842.07 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 38 $0.01 — $30,006.00 $242,355.17 $37,270.65 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 11 4 — — $14,106.21 $80,174.50 $37,219.36 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $34,634.00 $41,561.00 $37,059.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 38 $0.01 — $29,963.00 $238,746.99 $36,737.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 38 $0.01 — $31,499.00 $241,353.00 $36,456.32 2026-04-01
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 128 41 $69,115.00 $27,646.00 60% off $7,794.00 $62,204.00 $36,379.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 7 $0.01 — $33,958.00 $40,749.00 $36,335.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 62 38 $0.01 — $29,757.00 $235,320.87 $36,231.36 2026-04-01
69930 HCPCS Implant Cochlear Device 11 10 — — $1,128.00 $76,439.25 $36,153.70 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 7 $0.01 — $33,728.00 $40,474.00 $36,089.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 62 38 $0.01 — $28,763.00 $233,969.18 $36,031.64 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $33,602.00 $40,323.00 $35,955.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 38 $0.01 — $28,901.00 $232,600.94 $35,829.49 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 38 $0.01 — $28,942.00 $232,485.08 $35,812.38 2026-04-01
C1817 HCPCS Occluder Sept Amplatzer Cvd Dbl Disc 45deg 4mm 6fr 428 41 $78,575.16 $31,430.06 60% off $6,692.00 $89,626.00 $35,756.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 38 $0.01 — $29,487.00 $231,806.47 $35,712.11 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 62 38 $0.01 — $31,130.00 $238,436.00 $35,671.35 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 38 $0.01 — $28,958.00 $231,100.28 $35,607.78 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $33,236.00 $39,883.00 $35,563.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 38 $0.01 — $30,362.00 $232,382.00 $35,475.72 2026-04-01
Q0479 HCPCS Module Pwr Heartmate Ii Cntrlr Tethered Operation 72 41 $94,003.20 $37,601.28 60% off $12,314.00 $84,603.00 $35,392.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 38 $0.01 — $28,653.00 $229,125.16 $35,315.96 2026-04-01
31296 CPT Hc Nasal/sinus Endo Dil Frontal 96 41 $66,919.90 $26,767.96 60% off $376.00 $120,456.00 $35,253.50 2024-12-15
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 96 41 $66,919.90 $26,767.96 60% off $1,114.00 $120,456.00 $35,253.50 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $32,884.00 $39,460.00 $35,186.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 101 41 $114,699.91 $45,879.96 60% off $1,544.00 $103,230.00 $35,107.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 62 38 $0.01 — $27,582.00 $227,607.96 $35,091.79 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 63 38 $0.01 — $13,055.61 $232,998.17 $35,068.82 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 61 38 $0.01 — $29,356.00 $230,041.00 $34,641.88 2026-04-01
1784 APR_DRG External Heart Assist Systems 9 7 $0.01 — $32,322.00 $38,787.00 $34,585.00 2024-12-15
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 10 — — $32,778.73 $72,768.78 $34,581.57 2026-04-01
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 65 41 $114,699.91 $45,879.96 60% off $119.00 $103,230.00 $34,502.00 2024-12-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $32,237.00 $38,684.00 $34,494.00 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $32,143.00 $38,571.00 $34,393.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $32,074.00 $38,489.00 $34,319.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 38 $0.01 — $27,594.00 $221,815.01 $34,235.91 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 7 $0.01 — $31,781.00 $38,137.00 $34,006.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 38 $0.01 — $30,325.47 $232,861.00 $33,964.76 2026-04-01
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 102 41 $84,223.94 $33,689.58 60% off $707.00 $75,802.00 $33,898.50 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $31,655.00 $37,985.00 $33,870.00 2024-12-15
63685 HCPCS Insrt/redo Spine N Generator 11 10 — — $506.00 $71,537.38 $33,835.25 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 10 — — $578.00 $71,537.38 $33,835.25 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 10 — — $506.00 $71,537.38 $33,835.25 2026-04-01
791 MS_DRG Prematurity With Major Problems 61 38 $0.01 — $28,602.00 $223,939.09 $33,760.93 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $31,499.00 $37,799.00 $33,704.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 38 $0.01 — $25,361.00 $219,806.78 $33,635.17 2026-04-01
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 64 41 $114,699.91 $45,879.96 60% off $14,380.00 $103,230.00 $33,540.00 2024-12-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 31 17 — — $26,933.91 $189,711.00 $33,378.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 38 $0.01 — $26,841.00 $215,823.43 $33,350.67 2026-04-01
Q0495 HCPCS Charger Batt Heartmate Univ 116 41 $84,602.88 $33,841.15 60% off $4,951.00 $76,143.00 $33,333.50 2024-12-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $31,084.00 $37,300.00 $33,259.00 2024-12-15
50592 CPT Hc Perc Radiofreq Ablate Renal Tumor 96 41 $63,062.52 $25,225.01 60% off $1,879.00 $113,513.00 $33,221.50 2024-12-15
32998 CPT Hc Perq Radiofreq Ablation Tx, Pul Tumor 96 41 $63,062.52 $25,225.01 60% off $119.00 $113,513.00 $33,221.50 2024-12-15
C1875 HCPCS Stent Cor Cp Cov 6.0cm 10 Zig Strl 628 41 $69,417.16 $27,766.86 60% off $7,968.00 $77,471.00 $33,022.50 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 38 $0.01 — $27,434.00 $213,550.39 $33,014.83 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $30,841.00 $37,009.00 $33,000.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 62 38 $0.01 — $27,713.00 $213,230.40 $32,967.56 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 7 $0.01 — $30,808.00 $36,969.00 $32,964.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 38 $0.01 — $26,639.00 $213,026.27 $32,937.40 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 7 $0.01 — $30,781.00 $36,938.00 $32,936.00 2024-12-15
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 65 41 $84,223.94 $33,689.58 60% off $380.00 $75,802.00 $32,913.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 38 $0.01 — $28,082.00 $214,391.00 $32,758.87 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 7 $0.01 — $30,498.00 $36,597.00 $32,632.00 2024-12-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $30,072.00 $36,087.00 $32,177.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 62 38 $0.01 — $26,982.00 $207,608.47 $32,136.94 2026-04-01
C1820 HCPCS Stimulator Neurostim Primeadvanced Surescan 925 41 $78,610.80 $31,444.32 60% off $867.00 $138,227.00 $32,112.00 2024-12-15
31288 CPT Hc Nasal/sinus Endoscopy,remv Tiss Sphenoid 93 41 $66,919.90 $26,767.96 60% off $376.00 $120,456.00 $31,988.00 2024-12-15
31287 CPT Hc Nasal/sinus Endoscopy,sphenoidotomy 93 41 $66,919.90 $26,767.96 60% off $376.00 $120,456.00 $31,988.00 2024-12-15
31267 CPT Hc Nasal/sinus Endoscopy,rmv Tiss Maxill Sinus 93 41 $66,919.90 $26,767.96 60% off $376.00 $120,456.00 $31,988.00 2024-12-15
31276 CPT Hc Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus 93 41 $66,919.90 $26,767.96 60% off $376.00 $120,456.00 $31,988.00 2024-12-15
31255 CPT Hc Nasal/sinus Ndsc W/total Ethoidectomy 93 41 $66,919.90 $26,767.96 60% off $863.00 $120,456.00 $31,988.00 2024-12-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 7 $0.01 — $29,867.00 $35,841.00 $31,958.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 62 38 $0.01 — $25,356.00 $206,190.58 $31,927.44 2026-04-01
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 178 41 $108,180.00 $43,272.00 60% off $1,835.00 $110,885.00 $31,848.50 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 38 $0.01 — $27,823.00 $212,346.00 $31,841.85 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 62 38 $0.01 — $24,595.00 $204,452.69 $31,670.67 2026-04-01
62 APR_DRG Pancreas Transplant 9 7 $0.01 — $29,393.00 $35,271.00 $31,450.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 38 $0.01 — $27,246.00 $207,793.00 $31,404.13 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 38 $0.01 — $25,132.00 $202,565.84 $31,391.90 2026-04-01
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 98 41 $114,699.91 $45,879.96 60% off $937.00 $103,230.00 $31,346.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 38 $0.01 — $28,007.36 $214,240.00 $31,344.62 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 38 $0.01 — $23,432.00 $206,703.67 $31,343.29 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 63 38 $0.01 — $27,172.00 $207,212.00 $31,201.69 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 38 $0.01 — $27,768.00 $211,910.00 $31,145.02 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 7 $0.01 — $29,030.00 $34,835.00 $31,062.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 38 $0.01 — $24,924.00 $200,033.49 $31,017.75 2026-04-01
332 MS_DRG Rectal Resection With Mcc 62 38 $0.01 — $24,570.00 $199,757.64 $30,976.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 38 $0.01 — $25,241.00 $199,619.71 $30,956.61 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 38 $0.01 — $25,360.00 $199,266.62 $30,904.45 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $28,790.00 $34,548.00 $30,806.00 2024-12-15
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 11 4 — — $11,647.43 $66,199.68 $30,731.84 2026-04-01
L8619 HCPCS Hc Supply Cochlear Implnt, Ext Speech Processor_cont Rplcmt - L8619 749 41 $110,170.00 $44,068.00 60% off $626.00 $181,062.00 $30,720.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 63 38 $0.01 — $27,273.00 $208,003.00 $30,572.85 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 38 $0.01 — $25,625.00 $197,010.12 $30,571.05 2026-04-01
C1761 HCPCS Catheter Cor C2 Ivl Sys 014 138cm 6fr 2.5x12mm 37 22 $51,136.00 $20,454.40 60% off $8,284.00 $46,022.00 $30,528.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 38 $0.01 — $24,792.00 $196,717.72 $30,527.85 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 7 $0.01 — $28,513.00 $34,216.00 $30,509.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 38 $0.01 — $24,809.00 $196,552.20 $30,503.40 2026-04-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 65 41 $106,275.18 $42,510.07 60% off $1,544.00 $95,648.00 $30,501.00 2024-12-15
19296 CPT Hc Place Postop Breast Cath For Rad 93 41 $63,790.98 $25,516.39 60% off $238.00 $114,824.00 $30,492.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 38 $0.01 — $26,434.00 $201,383.00 $30,475.69 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 38 $0.01 — $24,404.00 $196,204.63 $30,452.05 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $27,902.58 $32,922.34 $30,412.46 2026-04-01
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