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

CLEVELAND CLINIC INDIAN RIVER HOSPITAL

Vero Beach, FL · CCN 100105 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,915 across 12 payers · range $5,557-$29,576

Source: https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/indianriver · observed 2025-06-28

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.

19,768 distinct procedures filed
37 distinct payers
1,000,236 rate rows
2025-06-28 last MRF observed · ⚠ 14 mo old
Data quality

361,802 of 1,000,236 rate rows are consumer-grade (36.2%)

638,434 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 361,421
professional (physician) fee — not the facility price 221,971
per-diem day rate — not a per-procedure price 49,905
placeholder amount (≤ $0.02) — excluded from medians 4,004
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 764
exceeds 10× this hospital's gross charge — excluded from medians 270
percent-of-charges filed in the dollar field — excluded from medians 81
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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 not_modified · 2026-08-14
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
$3,324,572
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
$2,997,086
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
$2,460,273
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
$2,405,851
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
$691,418
1.5× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 18 $460,530.40 $1,774,080.00 $651,974.40 nat. median
$577,541
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
$631,793
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
$624,417
0.9× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 18 $489,455.96 $1,933,747.20 $538,401.56 nat. median
$588,565
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $257,314.43 $593,297.77 $312,318.24 nat. median
$370,165
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $201,970.27 $255,690.78 $244,540.52 nat. median
$111,503
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
$261,939
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $172,225.05 $218,033.86 $208,525.76 nat. median
$97,404
outlier · 2.1×
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
$205,166
1.0× 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
$199,832
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $124,624.00 $157,771.77 $150,891.60 nat. median
$70,178
outlier · 2.2×
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
$132,706
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $89,852.83 $113,752.10 $108,791.55 nat. median
$50,449
outlier · 2.2×
7
MS_DRG 		Lung Transplant 14 $89,168.42 $205,598.36 $108,392.69 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $89,393.58 $206,117.52 $106,941.77 nat. median
$114,305
0.9× 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
$108,240
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $74,329.08 $171,382.83 $90,395.71 nat. median
$100,978
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $72,660.86 $167,536.36 $88,372.51 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 14 $72,288.32 $166,677.39 $87,920.70 nat. median
$98,002
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $72,440.58 $91,708.49 $87,709.24 nat. median
$46,980
1.9× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $71,328.16 $90,300.18 $86,362.34 nat. median
$39,921
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
$83,623
1.0× 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
$96,835
0.8× median
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
$92,900
0.8× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $63,343.15 $80,191.31 $76,694.29 nat. median
$35,670
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $62,852.79 $144,921.61 $71,912.64 nat. median
$81,364
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $57,785.35 $133,237.45 $70,331.67 nat. median
$80,459
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $57,817.42 $133,311.39 $67,744.02 nat. median
$79,040
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $55,000.89 $126,817.23 $66,954.70 nat. median
$77,385
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $54,087.97 $124,712.28 $65,847.52 nat. median
$69,153
1.0× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 1 $53,833.26 $68,151.96 $65,179.96 nat. median
$30,017
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $56,907.91 $131,214.32 $65,156.67 nat. median
$81,124
0.8× median
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $53,579.15 $67,830.25 $64,872.28 nat. median
$30,016
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 14 $45,551.10 $125,431.24 $63,768.93 nat. median
$67,750
0.9× median
J9029
HCPCS 		Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 18 $14,400.00 $145,427.37 $63,354.77 nat. median
$69,291
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $62,761.45 $62,761.45 $62,761.45 nat. median
$62,767
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 14 $53,331.30 $122,967.60 $62,526.18 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $50,928.24 $117,426.79 $62,015.43 nat. median
$71,485
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $52,792.96 $121,726.35 $61,900.03 nat. median
$74,472
0.8× median
J9226
HCPCS 		Supprelin La 50 Mg (65 Mcg/day) Implant Kit 18 $35,112.50 $175,562.52 $60,450.88 nat. median
$55,200
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 12 $59,365.89 $135,947.88 $59,365.89 nat. median
$13,835
outlier · 4.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $48,218.14 $111,178.04 $58,728.66 nat. median
$68,581
0.9× median

Other procedures at this hospital

Browse this hospital's 19,768 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
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
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
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
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
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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 28 14 — — $62,852.79 $144,921.61 $71,912.64 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 14 — — $57,817.42 $133,311.39 $67,744.02 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
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
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
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
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
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
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
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
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
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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 14 — — $41,182.95 $94,956.78 $50,196.46 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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $40,147.90 $92,570.23 $48,941.16 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
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
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
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 1 — — $38,581.64 $48,843.68 $46,713.68 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
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
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
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
0266T OTHER Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 26 17 — — $11,814.25 $103,440.68 $45,170.60 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 12 — — $45,170.60 $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
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
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
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
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
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
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
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
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
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
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
0620T OTHER 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
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
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
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
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
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
0915T OTHER Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 16 12 — — $32,182.77 $73,698.55 $32,182.77 2025-06-28
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 12 — — $32,182.77 $73,698.55 $32,182.77 2025-06-28
0408T OTHER 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
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
33231 HCPCS Insrt Pulse Gen W/mult Leads 16 12 — — $32,182.77 $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
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
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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 14 — — $12,808.00 $61,177.03 $30,637.13 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
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 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
61886 HCPCS Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
0268T OTHER Implt/rpl Crtd Sns Dev Gen 16 12 — — $30,588.78 $70,048.31 $30,588.78 2025-06-28
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 12 — — $30,588.78 $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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 14 — — $24,722.46 $57,003.33 $30,233.36 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
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
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
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
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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 14 — — $22,902.76 $52,807.60 $28,026.46 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
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
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
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
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
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
500 MS_DRG Soft Tissue Procedures With Mcc 32 14 — — $21,620.04 $49,849.99 $26,470.79 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 27 18 $111,950.40 $72,767.76 35% off $22,390.08 $111,950.40 $26,257.15 2025-06-28
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 32 14 — — $21,294.58 $63,513.00 $26,076.08 2025-06-28
662 MS_DRG Minor Bladder Procedures With Mcc 32 14 — — $21,285.03 $49,077.55 $26,064.49 2025-06-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 14 — — $21,194.28 $48,868.31 $25,954.44 2025-06-28
472 MS_DRG Cervical Spinal Fusion With Cc 32 14 — — $12,905.00 $65,054.00 $25,819.33 2025-06-28
L5991 HCPCS Low Pros Ext Osseo Connector 3 1 — — $21,292.50 $26,955.92 $25,780.42 2025-06-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 14 — — $21,040.77 $48,514.34 $25,768.26 2025-06-28
652 MS_DRG Kidney Transplant 32 14 — — $20,956.16 $48,319.26 $25,665.65 2025-06-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 14 — — $20,937.06 $48,275.22 $25,642.47 2025-06-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 14 — — $20,868.83 $48,117.90 $25,559.72 2025-06-28
570 MS_DRG Skin Debridement With Mcc 32 14 — — $20,538.59 $47,356.47 $25,159.22 2025-06-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 14 — — $18,899.00 $48,649.64 $25,036.95 2025-06-28
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $20,374.84 $46,978.90 $24,960.62 2025-06-28
L7191 HCPCS Elbow Child Myoelectronic CT 3 1 — — $20,496.91 $25,948.73 $24,817.14 2025-06-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $20,118.30 $46,387.38 $24,649.49 2025-06-28
93654 HCPCS Compre Ep Eval Abltj 3d Mapg Tx Vt 37 19 $79,446.00 $51,639.90 35% off $1,096.00 $63,556.80 $24,625.03 2025-06-28
93653 HCPCS Compre Ep Eval Abltj 3d Mapg Tx Svt 37 19 $79,446.00 $51,639.90 35% off $1,085.53 $63,556.80 $24,625.03 2025-06-28
93656 HCPCS Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 37 19 $79,446.00 $51,639.90 35% off $1,096.00 $63,556.80 $24,625.03 2025-06-28
C9073 HCPCS Car T-cell Immunotherapy 10 9 — — $23,379.56 $29,532.07 $24,610.06 2025-06-28
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 32 14 — — $19,007.55 $54,451.00 $24,589.72 2025-06-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 14 — — $20,066.44 $46,267.81 $24,586.61 2025-06-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 14 — — $20,011.86 $46,141.96 $24,520.40 2025-06-28
L6935 HCPCS Below Elbow Myoelectronic CT 3 1 — — $20,231.52 $25,612.75 $24,495.82 2025-06-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 14 — — $21,055.78 $48,548.95 $24,413.08 2025-06-28
668 MS_DRG Transurethral Procedures With Mcc 32 14 — — $19,897.91 $45,879.23 $24,382.22 2025-06-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 14 — — $19,887.00 $45,854.06 $24,368.97 2025-06-28
800 MS_DRG Splenic Procedures With Cc 32 14 — — $19,880.86 $45,839.90 $24,361.53 2025-06-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 14 — — $19,869.94 $45,814.73 $24,348.29 2025-06-28
L6925 HCPCS Wrist Disart Myoelectronic C 3 1 — — $19,922.37 $25,221.37 $24,121.50 2025-06-28
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 14 — — $19,562.22 $45,105.22 $23,975.10 2025-06-28
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 32 14 — — $19,539.71 $45,053.30 $23,947.78 2025-06-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 14 — — $19,528.11 $45,026.56 $23,933.72 2025-06-28
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 32 14 — — $19,500.82 $44,963.63 $23,900.61 2025-06-28
L7186 HCPCS Electron Elbow Child Switch 3 1 — — $19,615.38 $24,832.72 $23,749.80 2025-06-28
654 MS_DRG Major Bladder Procedures With Cc 32 14 — — $19,255.19 $44,397.28 $23,602.72 2025-06-28
L6940 HCPCS Elbow Disarticulation Switch 3 1 — — $19,456.10 $24,631.07 $23,556.95 2025-06-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 14 — — $19,161.71 $44,181.75 $23,489.36 2025-06-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 32 14 — — $19,423.72 $44,785.86 $23,418.85 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 27 18 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $23,196.34 2025-06-28
L5857 HCPCS Elec Knee-shin Swing Only 3 1 — — $19,102.01 $24,182.80 $23,128.23 2025-06-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 14 — — $18,670.46 $43,049.04 $22,893.57 2025-06-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 14 — — $18,637.02 $42,971.96 $22,853.02 2025-06-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 14 — — $16,149.00 $44,136.13 $22,760.14 2025-06-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 14 — — $18,536.04 $42,739.12 $22,730.55 2025-06-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 14 — — $18,445.30 $42,529.89 $22,620.50 2025-06-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 14 — — $18,384.57 $42,389.87 $22,546.85 2025-06-28
0916T OTHER Insertion Perm Ccm-d System Pulse Generator Only 16 12 — — $22,531.04 $51,596.07 $22,531.04 2025-06-28
0409T OTHER Insj/rplc Car Modulj Pls Gn 26 17 — — $13,660.87 $51,596.07 $22,531.04 2025-06-28
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 16 12 — — $22,531.04 $51,596.07 $22,531.04 2025-06-28
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 12 — — $22,531.04 $51,596.07 $22,531.04 2025-06-28
0515T OTHER Insj Wcs Lv Compl Sys 16 12 — — $22,531.04 $51,596.07 $22,531.04 2025-06-28
0923T OTHER Rmvl&rplcmt Permanent Ccm-d Pulse Generator Only 27 18 $26,751.00 $17,388.15 35% off $4,348.00 $51,596.07 $22,531.04 2025-06-28
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 12 — — $22,531.04 $51,596.07 $22,531.04 2025-06-28
33262 HCPCS Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 37 19 $46,659.00 $30,328.35 35% off $478.99 $51,596.07 $22,531.04 2025-06-28
33263 HCPCS Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 45 19 $46,659.00 $30,328.35 35% off $498.19 $51,596.07 $22,531.04 2025-06-28
33230 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 37 19 $46,659.00 $30,328.35 35% off $483.15 $51,596.07 $22,531.04 2025-06-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 14 — — $18,311.57 $42,221.54 $22,458.32 2025-06-28
263 MS_DRG Vein Ligation And Stripping 32 14 — — $18,299.97 $42,194.80 $22,444.24 2025-06-28
849 MS_DRG Radiotherapy 32 14 — — $18,224.92 $42,021.75 $22,353.22 2025-06-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 14 — — $18,168.28 $41,891.17 $22,284.53 2025-06-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 14 — — $18,103.47 $41,741.72 $22,205.93 2025-06-28
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 32 14 — — $18,080.95 $41,689.80 $22,178.62 2025-06-28
503 MS_DRG Foot Procedures With Mcc 32 14 — — $18,057.75 $41,636.31 $22,150.49 2025-06-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 32 14 — — $18,039.33 $41,593.83 $22,128.15 2025-06-28
L8619 HCPCS Coch Imp Ext Proc/contr Rplc 3 1 — — $18,211.25 $23,055.13 $22,049.73 2025-06-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 14 — — $17,898.78 $41,269.76 $21,957.68 2025-06-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 14 — — $17,852.38 $41,162.78 $21,901.42 2025-06-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 32 14 — — $17,662.02 $40,723.86 $21,670.54 2025-06-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 14 — — $17,632.68 $40,656.21 $21,634.96 2025-06-28
64580 HCPCS Opn Impltj Nea Neuromuscular 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
64590 HCPCS Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn 37 19 $30,411.00 $19,767.15 35% off $397.48 $49,293.28 $21,525.45 2025-06-28
63655 HCPCS Implant Neuroelectrodes 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
61891 HCPCS Revj/rplcmt Skull-mntd Cranial Nstim Pg/receiver 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
61885 HCPCS Insj/rplcmt Cranial Neurostim Pulse Generator 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
0680T OTHER Insj/rplcmt Pg Only Isdss 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
0816T OTHER Open Insj/rplcmt Integrated Nstimj Sys Ptn Subq 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
0817T OTHER Open Insj/rplcmt Integrated Nstimj Sys Ptn Subf 16 12 — — $21,525.45 $49,293.28 $21,525.45 2025-06-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 32 14 — — $12,905.00 $51,954.00 $21,427.95 2025-06-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 14 — — $17,424.58 $40,176.38 $21,382.58 2025-06-28
253 MS_DRG Other Vascular Procedures With Cc 32 14 — — $17,419.12 $40,163.80 $21,375.96 2025-06-28
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