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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

CLEVELAND CLINIC INDIAN RIVER HOSPITAL

Vero Beach, FL · CCN 100105 · Rates published

21,104 distinct procedures filed
37 distinct payers
1,013,597 rate rows
2025-06-28 last MRF observed · ⚠ 13 mo old
Data quality

375,180 of 1,013,597 rate rows are consumer-grade (37.0%)

638,417 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 362,185
professional (physician) fee — not the facility price 221,971
per-diem day rate — not a per-procedure price 49,906
placeholder amount (≤ $0.02) — excluded from medians 4,004
exceeds 10× this hospital's gross charge — excluded from medians 270
percent-of-charges filed in the dollar field — excluded from medians 81

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/indianriver
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-15
Content fingerprint fac15af71f348557… · 16,303,461 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,672,900.00 $4,040,190.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 12 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,325,454.76 $3,658,000.24 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 12 $3,286,000.00 $4,374,720.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 12 $2,968,000.00 $4,659,760.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 16 $1,530,000.00 $4,972,500.00 $2,388,614.23 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 13 $2,112,000.00 $4,147,875.50 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 18 $529,192.86 $2,279,168.03 $1,006,062.29 nat. median
$753,246
1.3× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 18 $460,530.40 $1,774,080.00 $651,974.40 nat. median
$619,808
1.1× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 18 $527,123.43 $2,004,693.12 $579,835.77 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 18 $516,726.08 $1,871,913.34 $568,398.69 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 18 $489,455.96 $1,933,747.20 $538,401.56 nat. median
$634,303
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $257,314.43 $593,297.77 $312,318.24 nat. median
$370,174
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $201,970.27 $255,690.78 $244,540.52 nat. median
$111,989
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $192,192.31 $443,143.70 $233,338.89 nat. median
$265,286
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $172,225.05 $218,033.86 $208,525.76 nat. median
$96,983
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $161,860.66 $373,207.09 $196,553.01 nat. median
$206,474
1.0× median
5834
APR_DRG 		9 $192,207.36 $230,648.83 $192,207.36 nat. median
$309,665
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $146,227.81 $337,161.93 $177,593.66 nat. median
$202,976
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $124,624.00 $157,771.77 $150,891.60 nat. median
$70,825
outlier · 2.1×
5884
APR_DRG 		9 $125,393.59 $150,472.31 $125,393.59 nat. median
$246,434
0.5× median
5833
APR_DRG 		9 $124,517.93 $149,421.52 $124,517.93 nat. median
$244,017
0.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $96,408.99 $222,293.16 $117,173.98 nat. median
$133,161
0.9× median
0024
APR_DRG 		9 $111,047.26 $133,256.71 $111,047.26 nat. median
$372,987
outlier · 0.3×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $89,852.83 $113,752.10 $108,791.55 nat. median
$50,598
outlier · 2.2×
7
MS_DRG 		Lung Transplant 14 $89,168.42 $205,598.36 $108,392.69 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $89,393.58 $206,117.52 $106,941.77 nat. median
$117,357
0.9× median
0114
APR_DRG 		9 $97,644.17 $117,173.00 $97,644.17 nat. median
$197,700
outlier · 0.5×
5832
APR_DRG 		9 $95,607.07 $114,728.48 $95,607.07 nat. median
$156,126
0.6× median
1614
APR_DRG 		9 $95,167.09 $114,200.51 $95,167.09 nat. median
$207,730
outlier · 0.5×
6304
APR_DRG 		9 $91,470.33 $109,764.40 $91,470.33 nat. median
$150,721
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $75,187.41 $173,361.92 $91,436.69 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $74,329.08 $171,382.83 $90,395.71 nat. median
$102,358
0.9× median
8414
APR_DRG 		9 $90,217.23 $108,260.68 $90,217.23 nat. median
$160,267
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $72,660.86 $167,536.36 $88,372.51 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 14 $72,288.32 $166,677.39 $87,920.70 nat. median
$99,019
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $72,440.58 $91,708.49 $87,709.24 nat. median
$49,027
1.8× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $71,328.16 $90,300.18 $86,362.34 nat. median
$39,823
outlier · 2.2×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $83,855.43 $83,855.43 $83,855.43 nat. median
$87,428
1.0× median
6094
APR_DRG 		9 $82,446.63 $98,935.96 $82,446.63 nat. median
$162,982
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $71,473.65 $164,798.99 $81,709.68 nat. median
$98,894
0.8× median
5883
APR_DRG 		9 $81,552.63 $97,863.16 $81,552.63 nat. median
$182,665
outlier · 0.4×
6314
APR_DRG 		9 $80,942.26 $97,130.71 $80,942.26 nat. median
$122,924
0.7× median
5914
APR_DRG 		9 $79,657.88 $95,589.46 $79,657.88 nat. median
$164,289
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $59,904.00 $151,831.11 $77,086.18 nat. median
$93,672
0.8× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $63,343.15 $80,191.31 $76,694.29 nat. median
$35,999
outlier · 2.1×
0074
APR_DRG 		9 $75,611.36 $90,733.63 $75,611.36 nat. median
$178,275
outlier · 0.4×
0094
APR_DRG 		9 $75,232.48 $90,278.98 $75,232.48 nat. median
$166,008
outlier · 0.5×
5934
APR_DRG 		9 $73,863.27 $88,635.92 $73,863.27 nat. median
$151,838
outlier · 0.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $62,852.79 $144,921.61 $71,912.64 nat. median
$83,470
0.9× median

Other procedures at this hospital

Browse this hospital's 21,104 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 12 — — $3,672,900.00 $4,040,190.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 13 12 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 12 — — $3,325,454.76 $3,658,000.24 $3,325,454.76 2025-06-28
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 14 12 — — $3,286,000.00 $4,374,720.00 $3,286,000.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 15 12 — — $2,968,000.00 $4,659,760.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 21 16 — $4,972,500.00 $1,530,000.00 $4,972,500.00 $2,388,614.23 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 18 13 — — $2,112,000.00 $4,147,875.50 $2,332,000.00 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 31 18 $2,848,960.04 $1,851,824.03 35% off $529,192.86 $2,279,168.03 $1,006,062.29 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 27 18 $2,217,600.00 $1,441,440.00 35% off $460,530.40 $1,774,080.00 $651,974.40 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 25 18 $2,505,866.40 $1,628,813.16 35% off $527,123.43 $2,004,693.12 $579,835.77 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 25 18 $2,339,891.68 $1,520,929.59 35% off $516,726.08 $1,871,913.34 $568,398.69 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 25 18 $2,417,184.00 $1,571,169.60 35% off $489,455.96 $1,933,747.20 $538,401.56 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 32 14 — — $257,314.43 $593,297.77 $312,318.24 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 1 — — $201,970.27 $255,690.78 $244,540.52 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 14 — — $192,192.31 $443,143.70 $233,338.89 2025-06-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 1 — — $172,225.05 $218,033.86 $208,525.76 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 14 — — $161,860.66 $373,207.09 $196,553.01 2025-06-28
5834 APR_DRG — 10 9 — — $192,207.36 $230,648.83 $192,207.36 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $146,227.81 $337,161.93 $177,593.66 2025-06-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 1 — — $124,624.00 $157,771.77 $150,891.60 2025-06-28
5884 APR_DRG — 10 9 — — $125,393.59 $150,472.31 $125,393.59 2025-06-28
5833 APR_DRG — 10 9 — — $124,517.93 $149,421.52 $124,517.93 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 14 — — $96,408.99 $222,293.16 $117,173.98 2025-06-28
0024 APR_DRG — 10 9 — — $111,047.26 $133,256.71 $111,047.26 2025-06-28
L7181 HCPCS Electronic Elbo Simultaneous 3 1 — — $89,852.83 $113,752.10 $108,791.55 2025-06-28
7 MS_DRG Lung Transplant 32 14 — — $89,168.42 $205,598.36 $108,392.69 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 32 14 — — $89,393.58 $206,117.52 $106,941.77 2025-06-28
0114 APR_DRG — 10 9 — — $97,644.17 $117,173.00 $97,644.17 2025-06-28
5832 APR_DRG — 10 9 — — $95,607.07 $114,728.48 $95,607.07 2025-06-28
1614 APR_DRG — 10 9 — — $95,167.09 $114,200.51 $95,167.09 2025-06-28
6304 APR_DRG — 10 9 — — $91,470.33 $109,764.40 $91,470.33 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 14 — — $75,187.41 $173,361.92 $91,436.69 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 14 — — $74,329.08 $171,382.83 $90,395.71 2025-06-28
8414 APR_DRG — 10 9 — — $90,217.23 $108,260.68 $90,217.23 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 14 — — $72,660.86 $167,536.36 $88,372.51 2025-06-28
215 MS_DRG Other Heart Assist System Implant 32 14 — — $72,288.32 $166,677.39 $87,920.70 2025-06-28
L7180 HCPCS Electronic Elbow Sequential 3 1 — — $72,440.58 $91,708.49 $87,709.24 2025-06-28
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 1 — — $71,328.16 $90,300.18 $86,362.34 2025-06-28
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $83,855.43 $83,855.43 $83,855.43 2025-06-28
6094 APR_DRG — 10 9 — — $82,446.63 $98,935.96 $82,446.63 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $71,473.65 $164,798.99 $81,709.68 2025-06-28
5883 APR_DRG — 10 9 — — $81,552.63 $97,863.16 $81,552.63 2025-06-28
6314 APR_DRG — 10 9 — — $80,942.26 $97,130.71 $80,942.26 2025-06-28
5914 APR_DRG — 10 9 — — $79,657.88 $95,589.46 $79,657.88 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $59,904.00 $151,831.11 $77,086.18 2025-06-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 3 1 — — $63,343.15 $80,191.31 $76,694.29 2025-06-28
0074 APR_DRG — 10 9 — — $75,611.36 $90,733.63 $75,611.36 2025-06-28
0094 APR_DRG — 10 9 — — $75,232.48 $90,278.98 $75,232.48 2025-06-28
5934 APR_DRG — 10 9 — — $73,863.27 $88,635.92 $73,863.27 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 28 14 — — $62,852.79 $144,921.61 $71,912.64 2025-06-28
5882 APR_DRG — 10 9 — — $71,560.89 $85,873.07 $71,560.89 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $57,785.35 $133,237.45 $70,331.67 2025-06-28
5831 APR_DRG — 10 9 — — $69,493.59 $83,392.31 $69,493.59 2025-06-28
6034 APR_DRG — 10 9 — — $68,321.01 $81,985.21 $68,321.01 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 14 — — $57,817.42 $133,311.39 $67,744.02 2025-06-28
0014 APR_DRG — 10 9 — — $67,242.61 $80,691.13 $67,242.61 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 14 — — $55,000.89 $126,817.23 $66,954.70 2025-06-28
0044 APR_DRG — 10 9 — — $66,782.13 $80,138.56 $66,782.13 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 14 — — $54,087.97 $124,712.28 $65,847.52 2025-06-28
L5856 HCPCS Elec Knee-shin Swing/stance 3 1 — — $53,833.26 $68,151.96 $65,179.96 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 14 — — $56,907.91 $131,214.32 $65,156.67 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 3 1 — — $53,579.15 $67,830.25 $64,872.28 2025-06-28
1613 APR_DRG — 10 9 — — $64,392.40 $77,270.88 $64,392.40 2025-06-28
10 MS_DRG Pancreas Transplant 32 14 — — $45,551.10 $125,431.24 $63,768.93 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 30 18 $72,000.00 $46,800.00 35% off $14,400.00 $145,427.37 $63,354.77 2025-06-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $62,761.45 $62,761.45 $62,761.45 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 32 14 — — $53,331.30 $122,967.60 $62,526.18 2025-06-28
0023 APR_DRG — 10 9 — — $62,352.42 $74,822.90 $62,352.42 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 14 — — $50,928.24 $117,426.79 $62,015.43 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $52,792.96 $121,726.35 $61,900.03 2025-06-28
5881 APR_DRG — 10 9 — — $61,338.01 $73,605.61 $61,338.01 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 30 18 $175,562.52 $114,115.64 35% off $35,112.50 $175,562.52 $60,450.88 2025-06-28
38240 HCPCS Transplt Allo Hct/donor 16 12 — — $59,365.89 $135,947.88 $59,365.89 2025-06-28
5913 APR_DRG — 10 9 — — $59,125.13 $70,950.16 $59,125.13 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $48,218.14 $111,178.04 $58,728.66 2025-06-28
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $57,878.55 $57,878.55 $57,878.55 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 14 — — $47,464.20 $109,439.66 $57,814.29 2025-06-28
0113 APR_DRG — 10 9 — — $56,946.04 $68,335.25 $56,946.04 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 14 — — $46,589.49 $107,422.82 $56,408.98 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $48,461.72 $111,739.68 $55,558.13 2025-06-28
1604 APR_DRG — 10 9 — — $55,523.63 $66,628.36 $55,523.63 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 14 — — $45,570.13 $105,072.45 $55,517.18 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 14 — — $45,493.03 $104,894.68 $55,423.68 2025-06-28
6024 APR_DRG — 10 9 — — $54,849.27 $65,819.12 $54,849.27 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 14 — — $44,125.71 $101,741.99 $53,765.40 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $44,062.25 $101,595.68 $53,688.44 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 14 — — $43,150.70 $99,493.89 $52,582.93 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 14 — — $45,746.17 $105,478.34 $52,472.08 2025-06-28
1612 APR_DRG — 10 9 — — $51,688.83 $62,026.60 $51,688.83 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $42,264.39 $97,450.30 $51,508.03 2025-06-28
5933 APR_DRG — 10 9 — — $51,226.92 $61,472.30 $51,226.92 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $42,017.40 $96,880.80 $51,208.48 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 32 14 — — $41,870.70 $96,542.56 $51,030.57 2025-06-28
Q0483 HCPCS Monitor Elec Vad, Rep 3 1 — — $42,045.78 $53,229.21 $50,907.97 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 14 — — $41,679.66 $96,102.07 $50,798.87 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 32 14 — — $41,480.43 $95,642.69 $50,557.24 2025-06-28
L5858 HCPCS Stance Phase Only 3 1 — — $41,677.44 $52,762.90 $50,462.00 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 14 — — $41,182.95 $94,956.78 $50,196.46 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 14 — — $41,182.95 $94,956.78 $50,196.46 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 32 14 — — $40,875.23 $94,247.27 $49,823.26 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $40,592.07 $94,734.00 $49,479.85 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 14 — — $40,561.37 $93,523.59 $49,442.62 2025-06-28
1611 APR_DRG — 10 9 — — $49,247.33 $59,096.80 $49,247.33 2025-06-28
5891 APR_DRG — 10 9 — — $48,983.84 $58,780.61 $48,983.84 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $40,147.90 $92,570.23 $48,941.16 2025-06-28
0112 APR_DRG — 10 9 — — $48,895.77 $58,674.92 $48,895.77 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 14 — — $42,209.81 $97,324.44 $48,453.24 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $39,725.55 $91,596.42 $48,428.94 2025-06-28
0064 APR_DRG — 10 9 — — $48,372.75 $58,047.30 $48,372.75 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $39,159.93 $90,292.24 $47,742.96 2025-06-28
5892 APR_DRG — 10 9 — — $47,538.79 $57,046.55 $47,538.79 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $38,925.90 $89,752.63 $47,459.14 2025-06-28
8514 APR_DRG — 10 9 — — $46,902.89 $56,283.47 $46,902.89 2025-06-28
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 1 — — $38,581.64 $48,843.68 $46,713.68 2025-06-28
5893 APR_DRG — 10 9 — — $46,525.81 $55,830.97 $46,525.81 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $38,035.50 $87,699.61 $46,379.26 2025-06-28
8424 APR_DRG — 10 9 — — $46,203.37 $55,444.04 $46,203.37 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 14 — — $37,712.77 $86,955.48 $45,987.86 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 14 — — $37,712.77 $86,955.48 $45,987.86 2025-06-28
0022 APR_DRG — 10 9 — — $45,376.95 $54,452.34 $45,376.95 2025-06-28
8 MS_DRG Simultaneous Pancreas/kidney Transplant 32 14 — — $37,124.63 $85,599.39 $45,274.57 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $37,040.02 $85,404.31 $45,171.97 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 12 — — $45,170.60 $103,440.68 $45,170.60 2025-06-28
0266T HCPCS Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 26 17 — — $11,814.25 $103,440.68 $45,170.60 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $36,851.02 $84,968.53 $44,942.75 2025-06-28
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 32 14 — — $36,816.23 $84,888.30 $44,900.55 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $36,812.13 $84,878.86 $44,895.59 2025-06-28
5912 APR_DRG — 10 9 — — $44,835.59 $53,802.71 $44,835.59 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 32 14 — — $36,299.72 $94,734.00 $44,274.15 2025-06-28
L6975 HCPCS Interscap-thor Myoelectronic 3 1 — — $36,465.11 $46,164.19 $44,151.04 2025-06-28
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 1 — — $36,451.41 $46,146.83 $44,134.44 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $36,139.38 $94,734.00 $44,079.68 2025-06-28
6303 APR_DRG — 10 9 — — $43,677.03 $52,412.44 $43,677.03 2025-06-28
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $43,582.79 $43,582.79 $43,582.79 2025-06-28
0054 APR_DRG — 10 9 — — $43,560.21 $52,272.25 $43,560.21 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $37,554.47 $86,590.50 $43,162.76 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 15 8 $148,226.40 $96,347.16 35% off $775.95 $148,226.40 $42,985.66 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 14 — — $37,325.22 $86,061.91 $42,902.24 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 14 — — $35,022.46 $80,752.36 $42,725.09 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 14 — — $34,654.02 $79,902.83 $42,278.24 2025-06-28
6074 APR_DRG — 10 9 — — $42,035.35 $50,442.42 $42,035.35 2025-06-28
5932 APR_DRG — 10 9 — — $41,957.34 $50,348.81 $41,957.34 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 14 — — $34,366.77 $79,240.51 $41,929.88 2025-06-28
0043 APR_DRG — 10 9 — — $41,876.46 $50,251.75 $41,876.46 2025-06-28
0021 APR_DRG — 10 9 — — $41,730.88 $50,077.06 $41,730.88 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 14 — — $34,164.13 $78,773.27 $41,684.12 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 14 — — $34,123.87 $78,680.45 $41,635.29 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $34,001.06 $78,397.28 $41,486.35 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $34,137.52 $78,711.92 $41,389.63 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 14 — — $34,760.46 $80,148.25 $40,435.38 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 14 — — $35,139.13 $81,021.37 $40,417.89 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 32 14 — — $33,086.09 $76,287.61 $40,376.68 2025-06-28
L6970 HCPCS Interscapular-thor Switch CT 3 1 — — $33,341.75 $42,210.06 $40,369.35 2025-06-28
3034 APR_DRG — 10 9 — — $39,878.55 $47,854.26 $39,878.55 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 14 — — $32,583.24 $75,128.17 $39,766.83 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 32 14 — — $32,442.00 $74,802.51 $39,595.54 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $32,435.86 $74,788.35 $39,588.10 2025-06-28
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 1 — — $32,585.61 $41,252.80 $39,453.83 2025-06-28
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 1 — — $32,537.26 $41,191.59 $39,395.29 2025-06-28
245 MS_DRG Aicd Generator Procedures 32 14 — — $26,279.00 $76,879.14 $39,277.14 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 32 14 — — $32,100.17 $74,014.34 $39,180.97 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 14 — — $31,928.23 $73,617.89 $38,972.44 2025-06-28
6023 APR_DRG — 10 9 — — $38,906.55 $46,687.86 $38,906.55 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 14 — — $31,739.91 $73,183.69 $38,744.06 2025-06-28
L6965 HCPCS Shldr Disartic Myoelectronic 3 1 — — $31,997.34 $40,508.07 $38,741.57 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 32 14 — — $31,448.57 $72,511.93 $38,390.72 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 14 — — $31,435.61 $72,482.04 $38,374.99 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $31,335.31 $94,734.00 $38,253.36 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 32 14 — — $12,905.00 $76,415.04 $38,147.54 2025-06-28
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $31,334.91 $39,669.44 $37,939.52 2025-06-28
1624 APR_DRG — 10 9 — — $37,904.71 $45,485.65 $37,904.71 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $30,782.65 $70,976.49 $37,583.10 2025-06-28
0084 APR_DRG — 10 9 — — $37,476.23 $44,971.48 $37,476.23 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 14 — — $30,599.11 $70,553.30 $37,360.50 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 14 — — $30,514.50 $70,358.22 $37,257.90 2025-06-28
0073 APR_DRG — 10 9 — — $36,953.92 $44,344.70 $36,953.92 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 14 — — $22,910.00 $72,239.77 $36,936.84 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 32 14 — — $30,229.30 $69,700.63 $36,912.00 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 14 — — $29,972.07 $69,107.53 $36,600.04 2025-06-28
L6960 HCPCS Shldr Disartic Switch Contro 3 1 — — $30,001.16 $37,980.94 $36,324.65 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $29,461.71 $67,930.78 $35,981.08 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $29,104.87 $67,107.99 $35,548.30 2025-06-28
4404 APR_DRG — 10 9 — — $35,422.95 $42,507.54 $35,422.95 2025-06-28
0620T HCPCS Endovascular Venous Arterialization Tibl/prnl Vn 16 12 — — $35,132.80 $80,454.12 $35,132.80 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 32 14 — — $28,855.83 $66,533.77 $35,061.56 2025-06-28
8634 APR_DRG — 10 9 — — $35,009.21 $42,011.05 $35,009.21 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 14 — — $28,592.46 $65,926.52 $34,926.87 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 14 — — $28,691.82 $68,070.79 $34,833.82 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 32 14 — — $28,455.32 $65,610.31 $34,760.54 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 14 — — $28,388.46 $65,456.13 $34,679.45 2025-06-28
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $34,614.71 $34,614.71 $34,614.71 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 14 — — $28,585.64 $65,910.79 $34,523.99 2025-06-28
0063 APR_DRG — 10 9 — — $34,364.32 $41,237.18 $34,364.32 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $23,538.00 $67,008.88 $34,298.16 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 — — $28,056.86 $64,691.56 $34,277.29 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 14 — — $28,041.17 $64,655.37 $34,258.26 2025-06-28
6134 APR_DRG — 10 9 — — $34,228.80 $41,074.56 $34,228.80 2025-06-28
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 32 14 — — $27,999.55 $64,559.41 $34,207.78 2025-06-28
6114 APR_DRG — 10 9 — — $34,068.84 $40,882.61 $34,068.84 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 14 — — $27,751.87 $63,988.34 $33,907.40 2025-06-28
791 MS_DRG Prematurity With Major Problems 32 14 — — $27,700.70 $63,870.35 $33,845.35 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $27,180.79 $62,671.57 $33,214.79 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 14 — — $26,921.51 $62,073.75 $32,900.36 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 14 — — $26,811.66 $61,820.47 $32,767.12 2025-06-28
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 32 14 — — $26,679.98 $63,513.00 $32,607.42 2025-06-28
Q0479 HCPCS Power Module Combo Vad, Rep 3 1 — — $26,871.46 $34,018.79 $32,535.29 2025-06-28
0093 APR_DRG — 10 9 — — $32,422.48 $38,906.98 $32,422.48 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 14 — — $26,370.90 $60,804.18 $32,232.58 2025-06-28
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 12 — — $32,182.77 $73,698.55 $32,182.77 2025-06-28
0915T HCPCS Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 16 12 — — $32,182.77 $73,698.55 $32,182.77 2025-06-28
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 17 — — $4,825.17 $73,698.55 $32,182.77 2025-06-28
33270 HCPCS Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 37 19 $60,866.00 $39,562.90 35% off $723.55 $73,698.55 $32,182.77 2025-06-28
33264 HCPCS Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 37 19 $60,866.00 $39,562.90 35% off $519.08 $73,698.55 $32,182.77 2025-06-28
33231 HCPCS Insrt Pulse Gen W/mult Leads 16 12 — — $32,182.77 $73,698.55 $32,182.77 2025-06-28
33249 HCPCS Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 37 19 $60,866.00 $39,562.90 35% off $1,177.60 $73,698.55 $32,182.77 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 14 — — $27,861.72 $64,241.62 $32,147.59 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 14 — — $26,270.60 $60,572.92 $32,110.93 2025-06-28
L6955 HCPCS Above Elbow Myoelectronic CT 3 1 — — $26,485.22 $33,529.82 $32,067.64 2025-06-28
69930 HCPCS Implant Cochlear Device 26 17 — — $14,840.94 $73,115.24 $31,928.05 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 14 — — $26,080.24 $60,134.00 $31,880.06 2025-06-28
1674 APR_DRG — 10 9 — — $31,789.10 $38,146.92 $31,789.10 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $25,939.00 $59,808.34 $31,708.77 2025-06-28
1634 APR_DRG — 10 9 — — $31,574.50 $37,889.40 $31,574.50 2025-06-28
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 32 14 — — $24,253.26 $74,208.00 $31,542.43 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 14 — — $25,737.04 $59,342.68 $31,463.84 2025-06-28
0013 APR_DRG — 10 9 — — $31,456.59 $37,747.91 $31,456.59 2025-06-28
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 32 14 — — $6,001.00 $62,627.52 $31,352.04 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 14 — — $25,531.67 $58,869.14 $31,214.76 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 14 — — $26,344.29 $60,742.83 $31,137.28 2025-06-28
6022 APR_DRG — 10 9 — — $31,113.66 $37,336.39 $31,113.66 2025-06-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 14 — — $12,906.00 $61,946.32 $31,016.29 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 14 — — $26,692.94 $61,546.73 $30,819.35 2025-06-28
6093 APR_DRG — 10 9 — — $30,783.67 $36,940.40 $30,783.67 2025-06-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 14 — — $12,808.00 $61,177.03 $30,637.13 2025-06-28
61886 HCPCS Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
64582 HCPCS Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 18 12 — — $3,283.00 $70,048.31 $30,588.78 2025-06-28
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 14 — — $24,895.08 $57,401.35 $30,442.72 2025-06-28
1784 APR_DRG — 10 9 — — $30,258.13 $36,309.76 $30,258.13 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 14 — — $24,722.46 $57,003.33 $30,233.36 2025-06-28
6033 APR_DRG — 10 9 — — $30,178.33 $36,214.00 $30,178.33 2025-06-28
0053 APR_DRG — 10 9 — — $30,089.90 $36,107.88 $30,089.90 2025-06-28
6124 APR_DRG — 10 9 — — $30,025.55 $36,030.66 $30,025.55 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 14 — — $24,459.09 $56,396.07 $29,913.96 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 14 — — $24,457.73 $56,392.93 $29,912.30 2025-06-28
265 MS_DRG Aicd Lead Procedures 32 14 — — $24,339.01 $56,119.19 $29,768.32 2025-06-28
8504 APR_DRG — 10 9 — — $29,751.28 $35,701.54 $29,751.28 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 14 — — $24,229.84 $55,867.48 $29,635.92 2025-06-28
0072 APR_DRG — 10 9 — — $29,633.02 $35,559.62 $29,633.02 2025-06-28
1654 APR_DRG — 10 9 — — $29,487.43 $35,384.92 $29,487.43 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 14 — — $24,087.92 $55,540.25 $29,463.81 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 14 — — $24,081.78 $55,526.09 $29,456.36 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 14 — — $24,021.05 $55,386.08 $29,382.71 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 14 — — $23,906.43 $55,121.78 $29,243.69 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $23,898.92 $55,104.48 $29,234.59 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 14 — — $23,889.37 $55,082.45 $29,223.00 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 32 14 — — $23,847.07 $54,984.91 $29,171.71 2025-06-28
6073 APR_DRG — 10 9 — — $29,098.49 $34,918.19 $29,098.49 2025-06-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 14 — — $23,692.87 $54,629.37 $28,984.69 2025-06-28
332 MS_DRG Rectal Resection With Mcc 32 14 — — $23,666.94 $54,569.59 $28,953.25 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 14 — — $23,641.01 $54,509.81 $28,921.80 2025-06-28
8413 APR_DRG — 10 9 — — $28,871.31 $34,645.57 $28,871.31 2025-06-28
6214 APR_DRG — 10 9 — — $28,840.39 $34,608.47 $28,840.39 2025-06-28
6804 APR_DRG — 10 9 — — $28,815.59 $34,578.71 $28,815.59 2025-06-28
L6945 HCPCS Elbow Disart Myoelectronic C 3 1 — — $23,773.02 $30,096.22 $28,783.77 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 14 — — $23,501.14 $54,187.30 $28,752.17 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 14 — — $23,464.30 $54,102.35 $28,707.49 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 32 14 — — $23,405.62 $53,967.05 $28,636.32 2025-06-28
665 MS_DRG Prostatectomy With Mcc 32 14 — — $23,427.45 $54,017.40 $28,615.69 2025-06-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $23,370.14 $53,885.25 $28,593.29 2025-06-28
6334 APR_DRG — 10 9 — — $28,549.94 $34,259.93 $28,549.94 2025-06-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 14 — — $7,529.00 $56,383.49 $28,274.53 2025-06-28
0071 APR_DRG — 10 9 — — $28,151.65 $33,781.98 $28,151.65 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 14 — — $22,902.76 $52,807.60 $28,026.46 2025-06-28
3044 APR_DRG — 10 9 — — $27,960.06 $33,552.07 $27,960.06 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 32 14 — — $22,658.50 $52,244.40 $27,730.22 2025-06-28
C9760 HCPCS Non-blind Interatrial Shunt 16 12 — — $27,604.45 $63,214.19 $27,604.45 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 14 — — $22,528.86 $51,945.49 $27,573.00 2025-06-28
0062 APR_DRG — 10 9 — — $27,515.76 $33,018.91 $27,515.76 2025-06-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 14 — — $23,143.62 $53,362.94 $27,414.55 2025-06-28
33289 HCPCS Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 37 19 $42,096.00 $27,362.40 35% off $435.81 $65,346.96 $27,362.40 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 14 — — $22,238.89 $51,276.88 $27,221.33 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 14 — — $22,229.33 $51,254.86 $27,209.74 2025-06-28
3033 APR_DRG — 10 9 — — $27,175.70 $32,610.84 $27,175.70 2025-06-28
J9266 HCPCS Oncaspar 750 Unit/ml Injection Solution 30 18 $25,742.56 $16,732.66 35% off $5,148.51 $61,991.51 $27,070.53 2025-06-28
5911 APR_DRG — 10 9 — — $26,951.75 $32,342.10 $26,951.75 2025-06-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 14 — — $13,150.00 $53,586.34 $26,895.89 2025-06-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 14 — — $21,965.28 $50,646.03 $26,889.50 2025-06-28
L6950 HCPCS Above Elbow Switch Control 3 1 — — $22,114.59 $27,996.68 $26,775.79 2025-06-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $21,863.62 $50,411.62 $26,766.20 2025-06-28
9104 APR_DRG — 10 9 — — $26,692.58 $32,031.10 $26,692.58 2025-06-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 14 — — $21,800.17 $50,265.31 $26,689.24 2025-06-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 14 — — $21,758.55 $50,169.35 $26,638.77 2025-06-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 14 — — $21,699.87 $50,034.05 $26,567.61 2025-06-28
6084 APR_DRG — 10 9 — — $26,558.14 $31,869.77 $26,558.14 2025-06-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 14 — — $21,656.20 $49,933.37 $26,514.65 2025-06-28
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