Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HOLY CROSS HOSPITAL

Ft Lauderdale, FL · CCN 100073 · Rates published

25,843 distinct procedures filed
53 distinct payers
4,037,628 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

3,023,992 of 4,037,628 rate rows are consumer-grade (74.9%)

1,013,636 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 914,304
template filing: same amount across many unrelated codes — excluded 38,638
exceeds 10× this hospital's gross charge — excluded from medians 32,322
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24,450
placeholder amount (≤ $0.02) — excluded from medians 1,328
percent-of-charges filed in the dollar field — excluded from medians 1,314
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,236
per-diem day rate — not a per-procedure price 44

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/holycrosshospitalftlauderdale
Found on page https://www.holy-cross.com/for-patients/billing-and-insurance/get-a-price-estimate#MRF
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint b34f4b577450f604… · 44,118,557 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 $24,000.00 $940,299.39 $398,859.07 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $24,000.00 $691,610.47 $293,369.44 nat. median
$261,939
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $24,000.00 $672,726.74 $285,359.29 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $24,000.00 $544,136.70 $230,813.57 nat. median
$199,832
1.2× median
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 28 $323.00 $287,386.00 $172,431.60 nat. median
$75,807
outlier · 2.3×
'583-4
OTHER 		Neonate With Ecmo 2 $167,795.51 $172,829.38 $170,312.45 nat. median
$221,551
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $24,000.00 $375,173.40 $159,142.20 nat. median
$132,706
1.2× median
'583-3
OTHER 		Neonate With Ecmo 2 $147,384.19 $151,805.72 $149,594.96 nat. median
$195,630
0.8× median
27800000002-52209
CDM 		Device Impella 5.5 Smartassist 29 $323.00 $247,500.00 $148,500.00 nat. median
$148,252
1.0× median
7
MS_DRG 		Lung Transplant 24 $24,000.00 $313,063.06 $132,796.05 nat. median
$122,690
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $24,000.00 $312,493.92 $132,554.63 nat. median
$108,240
1.2× median
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $127,789.61 $131,623.30 $129,706.45 nat. median
$202,324
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $24,000.00 $292,505.09 $124,075.70 nat. median
$114,305
1.1× median
'002-4
OTHER 		Heart And/or Lung Transplant 2 $115,023.52 $118,474.23 $116,748.88 nat. median
$205,014
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $24,000.00 $274,889.81 $116,603.60 nat. median
$100,978
1.2× median
27800000002-52403
CDM 		Valve Sapien Thv Edwards Resilia 26mm 29 $323.00 $187,000.00 $112,200.00 nat. median
$112,013
1.0× median
27800000002-52401
CDM 		Valve Sapien Thv Edwards Resilia 29mm 29 $323.00 $187,000.00 $112,200.00 nat. median
$112,013
1.0× median
27800000002-52400
CDM 		Valve Sapien Thv Edwards Resilia 23mm 29 $323.00 $187,000.00 $112,200.00 nat. median
$112,013
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $24,000.00 $264,152.70 $112,049.10 nat. median
$99,646
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 25 $24,000.00 $260,702.13 $110,585.42 nat. median
$98,002
1.1× median
27800000002-53333
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27800000002-53128
CDM 		Valve Sapien 3 Thv 29mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27200000002-17907
CDM 		Introducer Lotus 23 Edge 28 $323.00 $178,750.00 $107,250.00 nat. median
$534
outlier · 200.9×
27800000002-53127
CDM 		Valve Sapien 3 Thv 26mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27800000002-53329
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27800000002-53134
CDM 		Valve Thv Sapien 3 26mm W/certitudesystem 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27800000002-53326
CDM 		Valve Sapien 3 Ultra Thv 20mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27200000002-17908
CDM 		Introducer Lotus 25 Edge 28 $323.00 $178,750.00 $107,250.00 nat. median
$44
outlier · 2441.4×
27800000002-53126
CDM 		Valve Sapien 3 Thv 23mm W/command System 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
27800000002-53133
CDM 		Valve Thv Sapien 3 23mm W/certitudesystem 29 $323.00 $178,750.00 $107,250.00 nat. median
$107,071
1.0× median
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $103,908.95 $107,026.22 $105,467.58 nat. median
$127,072
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $24,000.00 $247,698.67 $105,069.58 nat. median
$92,900
1.1× median
'583-2
OTHER 		Neonate With Ecmo 2 $101,409.57 $104,451.86 $102,930.71 nat. median
$119,004
0.9× median
'161-4
OTHER 		Implantable Heart Assist Systems 2 $97,767.82 $100,700.85 $99,234.34 nat. median
$182,608
0.5× median
27800000002-52376
CDM 		Valve Aortic 34mm Evolut Fx 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52838
CDM 		Kit Mitraclip 1 Mbr0301 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53517
CDM 		Kit Mitraclip 2 Mbr0202 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53068
CDM 		Valve Aort 26mm Pro Perc 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52372
CDM 		Valve Aortic 26mm Evolut Fx 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53339
CDM 		Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53472
CDM 		Kit Mitraclip G4 Delivery Sys Ntw 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53070
CDM 		Valve Aort 29mm Pro Perc 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52839
CDM 		Kit Mitraclip 2 Mbr0102 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52374
CDM 		Valve Aortic 29mm Evolut Fx 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52840
CDM 		Kit Mitraclip 2 Mbr0302 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52836
CDM 		Kit Mitraclip 1 Mbr0101 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53067
CDM 		Valve Aort 26mm Evolutr 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-53456
CDM 		Kit Mitraclip 3 Mbr0103 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52377
CDM 		Valve Aortic 23mm Evolut Fx 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median
27800000002-52837
CDM 		Kit Mitraclip 1 Mbr0201 29 $323.00 $165,000.00 $99,000.00 nat. median
$98,835
1.0× median

Other procedures at this hospital

Browse this hospital's 25,843 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
             
500 MS_DRG Soft Tissue Procedures With Mcc 82 25 — — $24,000.00 $82,762.74 $35,106.55 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 82 25 — — $24,000.00 $83,104.74 $35,251.62 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 82 25 — — $24,000.00 $83,354.85 $35,357.72 2025-01-01
'006-3 OTHER Pancreas Transplant 4 2 — — $34,867.35 $35,913.37 $35,390.36 2025-01-01
27800000002-52253 CDM Device Embol Pipeline Flex 5x25mm 106 29 $59,094.00 $38,411.10 35% off $323.00 $59,094.00 $35,456.40 2025-01-01
27800000002-52242 CDM Device Embol Pipeline Flex 4x30mm 106 29 $59,094.00 $38,411.10 35% off $323.00 $59,094.00 $35,456.40 2025-01-01
27800000002-52241 CDM Device Embol Pipeline Flex 3x25mm 106 29 $59,094.00 $38,411.10 35% off $323.00 $59,094.00 $35,456.40 2025-01-01
27800000002-52228 CDM Device Embol Pipeline Flex 5x35mm 106 29 $59,094.00 $38,411.10 35% off $323.00 $59,094.00 $35,456.40 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 82 25 — — $24,000.00 $84,069.47 $35,660.84 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 82 25 — — $24,000.00 $84,610.53 $35,890.36 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 82 25 — — $24,000.00 $84,875.96 $36,002.95 2025-01-01
27800000002-52998 CDM Stent Graft 28-110-16-30mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52995 CDM Stent Graft 25-80-16-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52994 CDM Stent Graft 25-80-13-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52999 CDM Stent Graft 28-70-20-30mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52992 CDM Stent Graft 25-100-20-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52993 CDM Stent Graft 25-70-16-30mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52989 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52988 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
27800000002-52991 CDM Stent Graft 25-100-16-40mm Afx2 Bifurcated 106 29 $60,225.00 $39,146.25 35% off $323.00 $60,225.00 $36,135.00 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 82 25 — — $24,000.00 $85,299.63 $36,182.66 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 82 25 — — $24,000.00 $85,595.68 $36,308.24 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 82 25 — — $24,000.00 $85,983.62 $36,472.79 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 82 25 — — $24,000.00 $86,152.06 $36,544.25 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 82 25 — — $24,000.00 $86,180.14 $36,556.15 2025-01-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $36,303.47 $37,392.57 $36,848.02 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 82 25 — — $24,000.00 $86,922.83 $36,871.19 2025-01-01
33270 HCPCS Hc Insertion/replacement Permanent Subcutaneous Implantable Defi 158 51 $70,549.00 $45,856.85 35% off $323.00 $70,549.00 $36,897.13 2025-01-01
'011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $36,500.45 $37,595.46 $37,047.96 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 82 25 — — $24,000.00 $87,494.52 $37,113.69 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 82 25 — — $24,000.00 $87,560.88 $37,141.84 2025-01-01
'440-4 OTHER Kidney Transplant 4 2 — — $36,730.46 $37,832.37 $37,281.42 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 82 25 — — $24,000.00 $88,181.06 $37,404.91 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 82 25 — — $24,000.00 $88,209.14 $37,416.82 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 82 25 — — $24,000.00 $88,265.28 $37,440.64 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 82 25 — — $24,000.00 $88,359.72 $37,480.69 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 82 25 — — $24,000.00 $88,977.35 $37,742.68 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 82 25 — — $24,000.00 $89,970.15 $38,163.82 2025-01-01
265 MS_DRG Aicd Lead Procedures 82 25 — — $24,000.00 $90,197.30 $38,260.17 2025-01-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $37,922.36 $39,060.03 $38,491.19 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 82 25 — — $24,000.00 $91,241.15 $38,702.95 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 82 25 — — $24,000.00 $91,399.39 $38,770.07 2025-01-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $38,364.72 $39,515.66 $38,940.19 2025-01-01
27800000002-53432 CDM Stent Valiant 42x38x150 106 29 $64,917.45 $42,196.34 35% off $323.00 $64,917.45 $38,950.47 2025-01-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 82 25 — — $24,000.00 $92,295.21 $39,150.06 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 82 25 — — $24,000.00 $92,458.55 $39,219.35 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 82 25 — — $24,000.00 $92,820.96 $39,373.08 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 82 25 — — $24,000.00 $93,201.24 $39,534.39 2025-01-01
332 MS_DRG Rectal Resection With Mcc 82 25 — — $24,000.00 $93,265.04 $39,561.45 2025-01-01
27800000002-53536 CDM Vale Heart Intuity Elite 19mm 106 29 $66,000.00 $42,900.00 35% off $323.00 $66,000.00 $39,600.00 2025-01-01
27800000002-53571 CDM Vale Heart Intuity Elite 23mm 106 29 $66,000.00 $42,900.00 35% off $323.00 $66,000.00 $39,600.00 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 82 25 — — $24,000.00 $93,356.92 $39,600.43 2025-01-01
27800000002-52445 CDM Device Watchman Flx Pro Procedure 106 29 $66,300.00 $43,095.00 35% off $323.00 $66,300.00 $39,780.00 2025-01-01
27800000002-52359 CDM Watchman Flx Procedure - Device 106 29 $66,300.00 $43,095.00 35% off $323.00 $66,300.00 $39,780.00 2025-01-01
27800000002-52358 CDM Watchman Flx Procedure - Device 106 29 $66,300.00 $43,095.00 35% off $323.00 $66,300.00 $39,780.00 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 82 25 — — $24,000.00 $94,380.36 $40,034.55 2025-01-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $39,620.75 $40,809.37 $40,215.06 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 82 25 — — $24,000.00 $94,929.08 $40,267.31 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 82 25 — — $24,000.00 $94,997.99 $40,296.54 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 82 25 — — $24,000.00 $95,235.34 $40,397.22 2025-01-01
'008-4 OTHER Autologous Bone Marrow Transplant 4 2 — — $39,866.88 $41,062.89 $40,464.88 2025-01-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 4 2 — — $40,204.80 $41,410.94 $40,807.87 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 82 25 — — $24,000.00 $96,424.67 $40,901.71 2025-01-01
C1820 HCPCS Charger Prdgy MRI W/pt Control 1,752 29 $87,725.00 $57,021.25 35% off $323.00 $136,205.30 $40,985.20 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 82 25 — — $24,000.00 $96,697.75 $41,017.55 2025-01-01
27800000002-53000 CDM Stent Graft Prox 46x46x200mm Valiant Captivia Free Flo Str 106 29 $68,427.45 $44,477.84 35% off $323.00 $68,427.45 $41,056.47 2025-01-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $40,675.18 $41,895.44 $41,285.31 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 150 51 $153,216.00 $99,590.40 35% off $323.00 $153,216.00 $41,368.32 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 82 25 — — $24,000.00 $97,636.96 $41,415.95 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 82 25 — — $24,000.00 $98,272.46 $41,685.51 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 154 51 $168,319.92 $109,407.95 35% off $323.00 $168,319.92 $41,938.68 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 82 25 — — $24,000.00 $100,115.15 $41,982.51 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 82 25 — — $24,000.00 $98,979.42 $41,985.39 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 82 25 — — $24,000.00 $99,209.12 $42,082.83 2025-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 82 25 — — $24,000.00 $99,459.23 $42,188.92 2025-01-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $41,592.92 $42,840.71 $42,216.82 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 82 25 — — $24,000.00 $99,571.53 $42,236.56 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 82 25 — — $24,000.00 $99,813.99 $42,339.40 2025-01-01
C1882 HCPCS Icd Crtd Cobalt Xt Hf Quad MRI Is4 Df4 2,658 29 $78,126.40 $50,782.16 35% off $323.00 $94,396.50 $42,345.77 2025-01-01
7011434001 NDC Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Solution 6 Ml Vial 96 28 $71,136.24 $46,238.56 35% off $323.00 $71,136.24 $42,681.74 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 96 28 $71,360.00 $46,384.00 35% off $323.00 $71,360.00 $42,816.00 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 82 25 — — $24,000.00 $101,008.42 $42,846.06 2025-01-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $42,501.05 $43,776.08 $43,138.57 2025-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 82 25 — — $24,000.00 $102,213.06 $43,357.05 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 82 25 — — $24,000.00 $102,458.07 $43,460.98 2025-01-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $42,839.73 $44,124.92 $43,482.32 2025-01-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $42,861.62 $44,147.47 $43,504.54 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 82 25 — — $24,000.00 $103,139.51 $43,750.03 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 82 25 — — $24,000.00 $103,231.39 $43,789.00 2025-01-01
'002-1 OTHER Heart And/or Lung Transplant 4 2 — — $43,199.14 $44,495.11 $43,847.12 2025-01-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $43,268.64 $44,566.70 $43,917.67 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 82 25 — — $24,000.00 $103,563.17 $43,929.74 2025-01-01
791 MS_DRG Prematurity With Major Problems 82 25 — — $24,000.00 $104,581.50 $44,361.70 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 82 25 — — $24,000.00 $105,063.87 $44,566.31 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $43,919.12 $45,236.69 $44,577.90 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 82 25 — — $24,000.00 $105,661.08 $44,819.64 2025-01-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $44,260.49 $45,588.30 $44,924.40 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 82 25 — — $24,000.00 $106,135.79 $45,021.00 2025-01-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $44,478.59 $45,812.95 $45,145.77 2025-01-01
27800000002-52237 CDM Device Embol Pipeline Flex 4.25x16mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52230 CDM Device Embol Pipeline Flex 4.5x14mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52239 CDM Device Embol Pipeline Flex 4.75x14mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52225 CDM Device Embol Pipeline Flex 4.25x12mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52243 CDM Device Embol Pipeline Flex 5x18mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52247 CDM Device Embol Pipeline Flex 4x16mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52250 CDM Device Embol Pipeline Flex 4.75x12mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
27800000002-52221 CDM Device Embol Pipeline Flex 4x14mm 106 29 $75,796.88 $49,267.97 35% off $323.00 $75,796.88 $45,478.13 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 82 25 — — $24,000.00 $107,429.75 $45,569.88 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 82 25 — — $24,000.00 $109,200.98 $46,321.21 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 82 25 — — $24,000.00 $109,816.06 $46,582.11 2025-01-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $46,155.09 $47,539.74 $46,847.41 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 82 25 — — $24,000.00 $110,454.11 $46,852.76 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 82 25 — — $24,000.00 $111,324.41 $47,221.93 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 150 51 $73,380.00 $47,697.00 35% off $323.00 $140,774.65 $47,476.86 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 82 25 — — $24,000.00 $112,705.15 $47,807.62 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 82 25 — — $24,000.00 $113,021.62 $47,941.86 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 82 25 — — $24,000.00 $113,838.33 $48,288.29 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 82 25 — — $24,000.00 $114,785.20 $48,689.94 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 82 25 — — $24,000.00 $114,897.49 $48,737.57 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 82 25 — — $24,000.00 $115,277.77 $48,898.88 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 25 — — $24,000.00 $115,640.18 $49,052.61 2025-01-01
245 MS_DRG Aicd Generator Procedures 82 25 — — $24,000.00 $115,650.39 $49,056.94 2025-01-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $48,480.53 $49,934.95 $49,207.74 2025-01-01
27800000002-52355 CDM Conduit Konect Resilia Aortic Vlv 25mm 106 29 $82,500.00 $53,625.00 35% off $323.00 $82,500.00 $49,500.00 2025-01-01
27800000002-52353 CDM Conduit Konect Resilia Aortic Vlv 23mm 106 29 $82,500.00 $53,625.00 35% off $323.00 $82,500.00 $49,500.00 2025-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 82 25 — — $24,000.00 $117,544.12 $49,860.23 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 82 25 — — $24,000.00 $118,108.16 $50,099.48 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 25 — — $24,000.00 $118,641.57 $50,325.74 2025-01-01
'002-2 OTHER Heart And/or Lung Transplant 4 2 — — $49,596.78 $51,084.68 $50,340.73 2025-01-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $50,258.78 $51,766.54 $51,012.66 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 82 25 — — $24,000.00 $120,300.50 $51,029.43 2025-01-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $50,342.87 $51,853.16 $51,098.01 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 82 25 — — $24,000.00 $120,984.49 $51,319.57 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 82 25 — — $24,000.00 $122,056.41 $51,774.26 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 82 25 — — $24,000.00 $122,679.15 $52,038.42 2025-01-01
10 MS_DRG Pancreas Transplant 80 24 — — $24,000.00 $122,852.70 $52,112.03 2025-01-01
27800000002-52422 CDM Generator Implantable Proclaim 5 106 29 $87,270.30 $56,725.70 35% off $323.00 $87,270.30 $52,362.18 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 80 24 — — $24,000.00 $123,447.36 $52,364.28 2025-01-01
'161-1 OTHER Implantable Heart Assist Systems 4 2 — — $51,626.16 $53,174.94 $52,400.55 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 82 25 — — $24,000.00 $123,628.57 $52,441.14 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 82 25 — — $24,000.00 $124,552.46 $52,833.05 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 82 25 — — $24,000.00 $125,542.72 $53,253.09 2025-01-01
'011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $52,523.16 $54,098.85 $53,311.01 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 82 25 — — $24,000.00 $126,451.30 $53,638.50 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $53,060.36 $54,652.17 $53,856.26 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 82 25 — — $24,000.00 $127,592.13 $54,122.42 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 82 25 — — $24,000.00 $128,597.70 $54,548.97 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 82 25 — — $24,000.00 $129,062.20 $54,746.00 2025-01-01
27800000002-53375 CDM Stent Graft Prox 28x28x150mm Valiant Captivia Free Flo Str 106 29 $91,550.25 $59,507.66 35% off $323.00 $91,550.25 $54,930.15 2025-01-01
27800000002-53431 CDM Stent Valiant 42x38x150 106 29 $91,550.25 $59,507.66 35% off $323.00 $91,550.25 $54,930.15 2025-01-01
27800000002-53374 CDM Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm 106 29 $91,550.25 $59,507.66 35% off $323.00 $91,550.25 $54,930.15 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 82 25 — — $24,000.00 $129,626.24 $54,985.25 2025-01-01
'006-4 OTHER Pancreas Transplant 4 2 — — $54,331.75 $55,961.70 $55,146.72 2025-01-01
'161-2 OTHER Implantable Heart Assist Systems 4 2 — — $54,356.33 $55,987.02 $55,171.68 2025-01-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $54,721.88 $56,363.54 $55,542.71 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 82 25 — — $24,000.00 $131,599.09 $55,822.10 2025-01-01
C2624 HCPCS System Cardiomems Pa Sensor And Delivery 106 29 $93,500.00 $60,775.00 35% off $323.00 $93,500.00 $56,100.00 2025-01-01
27800000002-52188 CDM Device Clsur Watchman Flx Laa 20mm 106 29 $93,500.00 $60,775.00 35% off $323.00 $93,500.00 $56,100.00 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 82 25 — — $24,000.00 $132,372.41 $56,150.13 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 82 25 — — $24,000.00 $132,660.80 $56,272.47 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 25 — — $24,000.00 $133,852.68 $56,778.04 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 80 24 — — $24,000.00 $134,289.11 $56,963.16 2025-01-01
27800000002-52897 CDM Set Pump Impella Rp 106 29 $97,500.00 $63,375.00 35% off $323.00 $97,500.00 $58,500.00 2025-01-01
27800000002-52895 CDM Set Pump Impella Cp 106 29 $97,500.00 $63,375.00 35% off $323.00 $97,500.00 $58,500.00 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 82 25 — — $24,000.00 $138,165.90 $58,607.63 2025-01-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $57,970.05 $59,709.15 $58,839.60 2025-01-01
27800000002-53501 CDM Stent Valiant Navion Vnmf4040c183tu Freeflo 175mm 106 29 $98,975.25 $64,333.91 35% off $323.00 $98,975.25 $59,385.15 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 82 25 — — $24,000.00 $140,503.71 $59,599.30 2025-01-01
27800000002-52894 CDM Set Pump Impella Cp 106 29 $100,000.00 $65,000.00 35% off $323.00 $100,000.00 $60,000.00 2025-01-01
27800000002-53528 CDM Stent Graft Confrm Thor 45x45x20 24f 106 29 $100,595.00 $65,386.75 35% off $323.00 $100,595.00 $60,357.00 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 82 25 — — $24,000.00 $142,897.68 $60,614.77 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 82 25 — — $24,000.00 $144,548.95 $61,315.22 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 82 25 — — $24,000.00 $144,679.11 $61,370.43 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 82 25 — — $24,000.00 $145,044.08 $61,525.24 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 25 — — $24,000.00 $145,391.18 $61,672.47 2025-01-01
C1822 HCPCS Sable 10x22mm 6-12mm 8deg 370 29 $104,000.00 $67,600.00 35% off $323.00 $143,000.00 $62,400.00 2025-01-01
'002-3 OTHER Heart And/or Lung Transplant 4 2 — — $62,433.53 $64,306.54 $63,370.04 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 82 25 — — $24,000.00 $150,084.67 $63,663.38 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 82 25 — — $24,000.00 $151,820.17 $64,399.54 2025-01-01
'583-1 OTHER Neonate With Ecmo 4 2 — — $63,475.68 $65,379.95 $64,427.82 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 82 25 — — $24,000.00 $153,134.55 $64,957.08 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 82 25 — — $24,000.00 $153,798.12 $65,238.56 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 82 25 — — $24,000.00 $154,323.88 $65,461.57 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 25 — — $24,000.00 $155,053.81 $65,771.20 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 82 25 — — $24,000.00 $155,434.08 $65,932.51 2025-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 82 25 — — $24,000.00 $156,100.21 $66,215.06 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 82 25 — — $24,000.00 $156,740.81 $66,486.80 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 80 24 — — $24,000.00 $157,649.39 $66,872.20 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 80 24 — — $24,000.00 $157,649.39 $66,872.20 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 82 25 — — $24,000.00 $158,496.72 $67,231.63 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 194 29 $143,000.00 $92,950.00 35% off $323.00 $143,000.00 $67,288.00 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 82 25 — — $24,000.00 $158,698.35 $67,317.15 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 82 25 — — $24,000.00 $159,412.96 $67,620.28 2025-01-01
'161-3 OTHER Implantable Heart Assist Systems 4 2 — — $66,875.14 $68,881.39 $67,878.26 2025-01-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $66,979.96 $68,989.36 $67,984.66 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 25 — — $24,000.00 $162,455.19 $68,910.74 2025-01-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $68,454.10 $70,507.72 $69,480.91 2025-01-01
27800000002-52378 CDM Valve Aortic 23mm Evolut Fx 106 29 $117,000.00 $76,050.00 35% off $323.00 $117,000.00 $70,200.00 2025-01-01
27800000002-53341 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 106 29 $117,000.00 $76,050.00 35% off $323.00 $117,000.00 $70,200.00 2025-01-01
27800000002-53340 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 106 29 $117,000.00 $76,050.00 35% off $323.00 $117,000.00 $70,200.00 2025-01-01
27800000002-52373 CDM Valve Aortic 26mm Evolut Fx 106 29 $117,000.00 $76,050.00 35% off $323.00 $117,000.00 $70,200.00 2025-01-01
27800000002-52375 CDM Valve Aortic 29mm Evolut Fx 106 29 $117,000.00 $76,050.00 35% off $323.00 $117,000.00 $70,200.00 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 82 25 — — $24,000.00 $169,269.56 $71,801.28 2025-01-01
'001-4 OTHER Liver Transplant And/or Intestinal Transplant 4 2 — — $70,792.21 $72,915.98 $71,854.10 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 82 25 — — $24,000.00 $174,021.76 $73,817.08 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 82 25 — — $24,000.00 $174,945.65 $74,208.98 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 82 25 — — $24,000.00 $175,402.50 $74,402.77 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 82 25 — — $24,000.00 $176,305.98 $74,786.01 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 82 25 — — $24,000.00 $176,604.58 $74,912.67 2025-01-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $74,097.20 $76,320.12 $75,208.66 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 82 25 — — $24,000.00 $177,758.18 $75,402.01 2025-01-01
27800000002-53130 CDM Valve Sapien 3 Thv 29mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53335 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53330 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53334 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53327 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53331 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53129 CDM Valve Sapien 3 Thv 29mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53328 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53336 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
27800000002-53332 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 106 29 $126,750.00 $82,387.50 35% off $323.00 $126,750.00 $76,050.00 2025-01-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $74,976.92 $77,226.23 $76,101.57 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 82 25 — — $24,000.00 $179,567.69 $76,169.57 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 96 28 $130,400.00 $84,760.00 35% off $323.00 $130,400.00 $78,240.00 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 82 25 — — $24,000.00 $184,587.87 $78,299.05 2025-01-01
27800000002-52402 CDM Valve Sapien Thv Edwards Resilia 29mm 106 29 $132,600.00 $86,190.00 35% off $323.00 $132,600.00 $79,560.00 2025-01-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $78,546.10 $80,902.48 $79,724.29 2025-01-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $79,345.18 $81,725.54 $80,535.36 2025-01-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 4 2 — — $79,552.15 $81,938.71 $80,745.43 2025-01-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $80,411.13 $82,823.46 $81,617.30 2025-01-01
27800000002-52893 CDM Set Pump Impella Cp 106 29 $137,500.00 $89,375.00 35% off $323.00 $137,500.00 $82,500.00 2025-01-01
27800000002-52896 CDM Set Pump Impella Rp 106 29 $137,500.00 $89,375.00 35% off $323.00 $137,500.00 $82,500.00 2025-01-01
27800000002-52892 CDM Set Pump Impella Cp 106 29 $137,500.00 $89,375.00 35% off $323.00 $137,500.00 $82,500.00 2025-01-01
27800000002-52891 CDM Set Pump Impella Cp 106 29 $137,500.00 $89,375.00 35% off $323.00 $137,500.00 $82,500.00 2025-01-01
27800000002-52890 CDM Set Pump Impella Cp 106 29 $137,500.00 $89,375.00 35% off $323.00 $137,500.00 $82,500.00 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 25 — — $24,000.00 $196,805.25 $83,481.45 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 82 25 — — $24,000.00 $199,061.39 $84,438.47 2025-01-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $83,685.41 $86,195.97 $84,940.69 2025-01-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $83,685.41 $86,195.97 $84,940.69 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 82 25 — — $24,000.00 $204,010.11 $86,537.63 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 82 25 — — $24,000.00 $207,116.13 $87,855.16 2025-01-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $87,334.07 $89,954.09 $88,644.08 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 25 — — $24,000.00 $215,135.15 $91,256.68 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 82 25 — — $24,000.00 $215,722.15 $91,505.68 2025-01-01
0310453530 NDC Injection Tremelimumab-actl 1 Mg 96 28 $156,000.00 $101,400.00 35% off $323.00 $156,000.00 $93,600.00 2025-01-01
'011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $92,429.60 $95,202.49 $93,816.05 2025-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 82 25 — — $24,000.00 $226,160.65 $95,933.52 2025-01-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 4 2 — — $97,293.98 $100,212.80 $98,753.39 2025-01-01
27800000002-53339 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52376 CDM Valve Aortic 34mm Evolut Fx 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52838 CDM Kit Mitraclip 1 Mbr0301 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53472 CDM Kit Mitraclip G4 Delivery Sys Ntw 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53071 CDM Valve Aort 34mm Evolutr 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52374 CDM Valve Aortic 29mm Evolut Fx 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52368 CDM Valve Aort 23mm Evolutr 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52840 CDM Kit Mitraclip 2 Mbr0302 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53067 CDM Valve Aort 26mm Evolutr 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53456 CDM Kit Mitraclip 3 Mbr0103 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52377 CDM Valve Aortic 23mm Evolut Fx 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52837 CDM Kit Mitraclip 1 Mbr0201 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53517 CDM Kit Mitraclip 2 Mbr0202 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52839 CDM Kit Mitraclip 2 Mbr0102 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52372 CDM Valve Aortic 26mm Evolut Fx 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-52836 CDM Kit Mitraclip 1 Mbr0101 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53068 CDM Valve Aort 26mm Pro Perc 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
27800000002-53070 CDM Valve Aort 29mm Pro Perc 106 29 $165,000.00 $107,250.00 35% off $323.00 $165,000.00 $99,000.00 2025-01-01
'161-4 OTHER Implantable Heart Assist Systems 4 2 — — $97,767.82 $100,700.85 $99,234.34 2025-01-01
'583-2 OTHER Neonate With Ecmo 4 2 — — $101,409.57 $104,451.86 $102,930.71 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 25 — — $24,000.00 $247,698.67 $105,069.58 2025-01-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $103,908.95 $107,026.22 $105,467.58 2025-01-01
27200000002-17908 CDM Introducer Lotus 25 Edge 98 28 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53126 CDM Valve Sapien 3 Thv 23mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53134 CDM Valve Thv Sapien 3 26mm W/certitudesystem 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53128 CDM Valve Sapien 3 Thv 29mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53127 CDM Valve Sapien 3 Thv 26mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53329 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53326 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53133 CDM Valve Thv Sapien 3 23mm W/certitudesystem 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27800000002-53333 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 106 29 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
27200000002-17907 CDM Introducer Lotus 23 Edge 98 28 $178,750.00 $116,187.50 35% off $323.00 $178,750.00 $107,250.00 2025-01-01
215 MS_DRG Other Heart Assist System Implant 82 25 — — $24,000.00 $260,702.13 $110,585.42 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 80 24 — — $24,000.00 $264,152.70 $112,049.10 2025-01-01
27800000002-52403 CDM Valve Sapien Thv Edwards Resilia 26mm 106 29 $187,000.00 $121,550.00 35% off $323.00 $187,000.00 $112,200.00 2025-01-01
27800000002-52401 CDM Valve Sapien Thv Edwards Resilia 29mm 106 29 $187,000.00 $121,550.00 35% off $323.00 $187,000.00 $112,200.00 2025-01-01
27800000002-52400 CDM Valve Sapien Thv Edwards Resilia 23mm 106 29 $187,000.00 $121,550.00 35% off $323.00 $187,000.00 $112,200.00 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 82 25 — — $24,000.00 $274,889.81 $116,603.60 2025-01-01
'002-4 OTHER Heart And/or Lung Transplant 4 2 — — $115,023.52 $118,474.23 $116,748.88 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 80 24 — — $24,000.00 $292,505.09 $124,075.70 2025-01-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $127,789.61 $131,623.30 $129,706.45 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 82 25 — — $24,000.00 $312,493.92 $132,554.63 2025-01-01
7 MS_DRG Lung Transplant 80 24 — — $24,000.00 $313,063.06 $132,796.05 2025-01-01
27800000002-52209 CDM Device Impella 5.5 Smartassist 106 29 $247,500.00 $160,875.00 35% off $323.00 $247,500.00 $148,500.00 2025-01-01
'583-3 OTHER Neonate With Ecmo 4 2 — — $147,384.19 $151,805.72 $149,594.96 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 82 25 — — $24,000.00 $375,173.40 $159,142.20 2025-01-01
'583-4 OTHER Neonate With Ecmo 4 2 — — $167,795.51 $172,829.38 $170,312.45 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 106 28 $287,386.00 $186,800.90 35% off $323.00 $287,386.00 $172,431.60 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 82 25 — — $24,000.00 $544,136.70 $230,813.57 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 82 25 — — $24,000.00 $672,726.74 $285,359.29 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 82 25 — — $24,000.00 $691,610.47 $293,369.44 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 82 25 — — $24,000.00 $940,299.39 $398,859.07 2025-01-01
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