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

Florida Medical Center

Lauderdale Lakes, FL · CCN 100210 · Rates published

Your selected procedure

You selected 93458 (CPT)

L HRT ARTERY/VENTRICLE ANGIO

This hospital’s price: $4,232 across 100 payers · range $1,021-$49,470

Source: https://floridamedctr.org/pricetransparency/995054044_hsa-fmc-llc_standardcharges.csv · observed 2026-09-21

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.

11,082 distinct procedures filed
105 distinct payers
729,622 rate rows
2026-09-21 last MRF observed
Data quality

696,831 of 729,622 rate rows are consumer-grade (95.5%)

32,791 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,879
per-diem day rate — not a per-procedure price 9,497
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,276
exceeds 10× this hospital's gross charge — excluded from medians 1,820
placeholder amount (≤ $0.02) — excluded from medians 1,246
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://floridamedctr.org/pricetransparency/995054044_hsa-fmc-llc_standardcharges.csv
Found on page https://floridamedctr.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-22
Content fingerprint 82f9fd1fe601a4bf… · 135,338,670 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $427,835.83 $807,583.72 $436,531.74 nat. median
$168,055
outlier · 2.6×
7
MS_DRG 		Lung Transplant 3 $285,054.21 $538,046.99 $290,836.21 nat. median
$70,649
outlier · 4.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $225,200.98 $425,058.76 $229,761.49 nat. median
$186,516
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $219,867.92 $219,867.92 $219,867.92 nat. median
$68,335
outlier · 3.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $208,745.64 $208,745.64 $208,745.64 nat. median
$181,762
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $174,023.24 $400,795.44 $202,829.75 nat. median
$131,925
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $187,566.92 $187,566.92 $187,566.92 nat. median
$187,567
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $151,857.91 $323,319.88 $174,767.50 nat. median
$145,435
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $138,492.30 $138,492.30 $138,492.30 nat. median
$225,531
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $120,172.89 $253,371.25 $136,957.43 nat. median
$97,418
1.4× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $50,643.83 $157,058.74 $106,760.99 nat. median
$40,584
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $85,983.32 $185,537.59 $100,290.59 nat. median
$72,715
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $99,023.99 $99,023.99 $99,023.99 nat. median
$202,242
outlier · 0.5×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $97,850.00 $97,850.00 $97,850.00 nat. median
$95,499
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $95,318.67 $95,318.67 $95,318.67 nat. median
$152,792
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $92,880.70 $175,270.48 $94,740.80 nat. median
$65,418
1.4× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 3 $40,697.09 $94,106.86 $94,106.86 nat. median
$29,718
outlier · 3.2×
652
MS_DRG 		Kidney Transplant 3 $28,910.09 $94,106.86 $94,106.86 nat. median
$21,500
outlier · 4.4×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 3 $32,724.31 $94,106.86 $94,106.86 nat. median
$24,308
outlier · 3.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $91,539.98 $91,539.98 $91,539.98 nat. median
$173,018
0.5× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 5 $77,799.88 $168,421.24 $91,038.51 nat. median
$74,509
1.2× median
8634
APR_DRG 		Neonatal Aftercare 1 $89,125.58 $89,125.58 $89,125.58 nat. median
$79,210
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $84,784.75 $159,987.30 $86,479.62 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 5 $71,238.40 $154,697.33 $83,620.18 nat. median
$73,023
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $69,992.07 $152,090.52 $82,211.09 nat. median
$69,822
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $80,678.13 $80,678.13 $80,678.13 nat. median
$149,836
0.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $57,938.10 $146,951.82 $80,124.60 nat. median
$41,943
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $63,399.81 $273,655.62 $74,757.97 nat. median
$2,106
outlier · 35.5×
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 1 $72,711.39 $72,711.39 $72,711.39 nat. median
$69,976
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $72,629.72 $72,629.72 $72,629.72 nat. median
$136,566
0.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $64,068.46 $149,561.98 $72,389.05 nat. median
$52,327
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $71,513.08 $71,513.08 $71,513.08 nat. median
$135,630
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $60,312.61 $131,845.12 $71,267.63 nat. median
$60,505
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $60,123.01 $131,448.55 $71,053.27 nat. median
$59,651
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $69,787.65 $69,787.65 $69,787.65 nat. median
$155,539
outlier · 0.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $60,487.29 $139,226.00 $68,140.65 nat. median
$37,013
1.8× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $67,519.29 $67,519.29 $67,519.29 nat. median
$117,894
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $56,298.16 $123,448.56 $66,728.95 nat. median
$56,428
1.2× median
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 $65,876.69 $65,876.69 $65,876.69 nat. median
$70,730
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $54,935.20 $120,597.82 $65,188.01 nat. median
$55,923
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $54,698.38 $120,102.50 $64,920.27 nat. median
$55,935
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $55,452.83 $120,037.68 $64,885.23 nat. median
$47,121
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $56,950.94 $149,774.07 $63,945.45 nat. median
$47,340
1.4× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 $63,860.00 $63,860.00 $63,860.00 nat. median
$69,517
0.9× median
10
MS_DRG 		Pancreas Transplant 3 $59,934.79 $113,076.66 $61,122.52 nat. median
$23,080
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $51,045.24 $112,461.63 $60,790.07 nat. median
$45,605
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $51,015.20 $112,398.80 $60,756.11 nat. median
$51,518
1.2× median
6
MS_DRG 		Liver Transplant Without Mcc 3 $59,498.59 $112,253.23 $60,677.42 nat. median
$31,278
1.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 3 $58,764.74 $110,867.89 $59,928.59 nat. median
$32,772
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $49,208.66 $108,620.27 $58,713.66 nat. median
$49,569
1.2× median

Other procedures at this hospital

Browse this hospital's 11,082 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $427,835.83 $807,583.72 $436,531.74 2026-09-21
7 MS_DRG Lung Transplant 3 3 — — $285,054.21 $538,046.99 $290,836.21 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $225,200.98 $425,058.76 $229,761.49 2026-09-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $219,867.92 $219,867.92 $219,867.92 2026-09-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $208,745.64 $208,745.64 $208,745.64 2026-09-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $174,023.24 $400,795.44 $202,829.75 2026-09-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $187,566.92 $187,566.92 $187,566.92 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 5 — — $151,857.91 $323,319.88 $174,767.50 2026-09-21
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $138,492.30 $138,492.30 $138,492.30 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $120,172.89 $253,371.25 $136,957.43 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $50,643.83 $157,058.74 $106,760.99 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $85,983.32 $185,537.59 $100,290.59 2026-09-21
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $99,023.99 $99,023.99 $99,023.99 2026-09-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $97,850.00 $97,850.00 $97,850.00 2026-09-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $95,318.67 $95,318.67 $95,318.67 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $92,880.70 $175,270.48 $94,740.80 2026-09-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $32,724.31 $94,106.86 $94,106.86 2026-09-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $40,697.09 $94,106.86 $94,106.86 2026-09-21
652 MS_DRG Kidney Transplant 3 3 — — $28,910.09 $94,106.86 $94,106.86 2026-09-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $91,539.98 $91,539.98 $91,539.98 2026-09-21
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 5 5 — — $77,799.88 $168,421.24 $91,038.51 2026-09-21
8634 APR_DRG Neonatal Aftercare 1 1 — — $89,125.58 $89,125.58 $89,125.58 2026-09-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $84,784.75 $159,987.30 $86,479.62 2026-09-21
215 MS_DRG Other Heart Assist System Implant 5 5 — — $71,238.40 $154,697.33 $83,620.18 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $69,992.07 $152,090.52 $82,211.09 2026-09-21
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $80,678.13 $80,678.13 $80,678.13 2026-09-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $57,938.10 $146,951.82 $80,124.60 2026-09-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 5 — — $63,399.81 $273,655.62 $74,757.97 2026-09-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $72,711.39 $72,711.39 $72,711.39 2026-09-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $72,629.72 $72,629.72 $72,629.72 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $64,068.46 $149,561.98 $72,389.05 2026-09-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $71,513.08 $71,513.08 $71,513.08 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $60,312.61 $131,845.12 $71,267.63 2026-09-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $60,123.01 $131,448.55 $71,053.27 2026-09-21
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $69,787.65 $69,787.65 $69,787.65 2026-09-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $60,487.29 $139,226.00 $68,140.65 2026-09-21
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $67,519.29 $67,519.29 $67,519.29 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $56,298.16 $123,448.56 $66,728.95 2026-09-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $65,876.69 $65,876.69 $65,876.69 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $54,935.20 $120,597.82 $65,188.01 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $54,698.38 $120,102.50 $64,920.27 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $55,452.83 $120,037.68 $64,885.23 2026-09-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $56,950.94 $149,774.07 $63,945.45 2026-09-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $63,860.00 $63,860.00 $63,860.00 2026-09-21
10 MS_DRG Pancreas Transplant 3 3 — — $59,934.79 $113,076.66 $61,122.52 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 — — $51,045.24 $112,461.63 $60,790.07 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $51,015.20 $112,398.80 $60,756.11 2026-09-21
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $59,498.59 $112,253.23 $60,677.42 2026-09-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $58,764.74 $110,867.89 $59,928.59 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $49,208.66 $108,620.27 $58,713.66 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $45,885.51 $65,662.10 $58,398.00 2026-09-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $57,967.70 $57,967.70 $57,967.70 2026-09-21
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $57,781.20 $57,781.20 $57,781.20 2026-09-21
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $57,323.19 $57,323.19 $57,323.19 2026-09-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $47,451.49 $176,973.88 $56,727.03 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $47,043.67 $104,092.03 $56,265.96 2026-09-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $47,043.67 $104,092.03 $56,265.96 2026-09-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $46,872.67 $103,734.37 $56,072.63 2026-09-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $50,013.59 $95,713.10 $55,715.60 2026-09-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $53,554.82 $53,554.82 $53,554.82 2026-09-21
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $53,001.14 $53,001.14 $53,001.14 2026-09-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 5 — — $43,846.28 $97,404.39 $52,651.02 2026-09-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 5 — — $43,759.71 $97,223.33 $52,553.15 2026-09-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 5 — — $47,011.40 $111,204.34 $52,154.05 2026-09-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $43,375.51 $96,419.74 $52,118.78 2026-09-21
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $42,987.02 $95,607.17 $51,679.55 2026-09-21
276 MS_DRG Non-maligant Breast Disorders 5 5 — — $42,974.84 $95,581.69 $51,665.78 2026-09-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $51,521.63 $51,521.63 $51,521.63 2026-09-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $51,500.00 $51,500.00 $51,500.00 2026-09-21
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $51,350.17 $51,350.17 $51,350.17 2026-09-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $42,663.62 $94,930.77 $51,313.93 2026-09-21
A9543 HCPCS Y90 Ibritumomab Rx =< 40 Mci 55 55 $73,949.96 $56,824.55 23% off $2,671.00 $122,172.78 $51,142.09 2026-09-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $42,424.65 $94,430.94 $50,550.68 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $41,987.51 $93,516.61 $50,549.52 2026-09-21
570 MS_DRG Skin Debridement With Mcc 5 5 — — $36,763.75 $94,008.12 $49,833.62 2026-09-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $40,998.04 $91,447.07 $49,430.85 2026-09-21
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $44,661.05 $94,613.05 $49,365.80 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $40,777.68 $90,986.14 $49,181.70 2026-09-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $48,884.60 $48,884.60 $48,884.60 2026-09-21
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $48,383.19 $48,383.19 $48,383.19 2026-09-21
278 MS_DRG Cellulitis Age >17 Without Cc 5 5 — — $39,823.97 $88,991.38 $48,103.45 2026-09-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $39,514.88 $88,344.90 $47,754.00 2026-09-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 5 — — $39,139.26 $87,559.26 $47,329.33 2026-09-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $39,083.46 $87,442.54 $47,266.24 2026-09-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 5 — — $39,021.93 $87,313.86 $47,196.68 2026-09-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 5 — — $38,865.95 $86,987.61 $47,020.33 2026-09-21
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $46,925.11 $46,925.11 $46,925.11 2026-09-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 — — $42,596.58 $110,477.57 $46,916.70 2026-09-21
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $46,654.87 $46,654.87 $46,654.87 2026-09-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $38,154.08 $85,498.69 $46,215.51 2026-09-21
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $46,095.99 $46,095.99 $46,095.99 2026-09-21
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $46,021.77 $46,021.77 $46,021.77 2026-09-21
64568 CPT Opn Impltj Crnl Nrv Nea&pg 9 9 — — $1,449.76 $75,186.06 $45,996.81 2026-09-21
64654 CPT 1st Opn Implt Bat Modulj Sys 9 9 — — $13,984.00 $75,186.06 $45,996.81 2026-09-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $37,875.04 $84,915.06 $45,900.03 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 5 — — $37,749.84 $84,653.19 $45,758.48 2026-09-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 5 — — $41,521.11 $138,244.72 $45,640.85 2026-09-21
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $45,189.30 $45,189.30 $45,189.30 2026-09-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $37,242.58 $83,592.21 $45,184.98 2026-09-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $44,855.03 $44,855.03 $44,855.03 2026-09-21
33276 CPT Insj Phrnc Nrv Stim Sys 10 10 — $45,111.59 $36,929.00 $48,296.65 $44,749.25 2026-09-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $40,620.20 $109,598.09 $44,572.10 2026-09-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 5 — — $40,508.10 $84,664.50 $44,439.10 2026-09-21
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $44,123.38 $44,123.38 $44,123.38 2026-09-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $36,060.64 $81,120.06 $43,848.68 2026-09-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $39,763.34 $84,568.35 $43,555.60 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $35,682.87 $80,329.94 $43,421.59 2026-09-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 — — $39,474.26 $110,477.57 $43,212.65 2026-09-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $35,396.69 $79,731.37 $43,098.04 2026-09-21
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $43,034.55 $43,034.55 $43,034.55 2026-09-21
799 MS_DRG Splenectomy With Mcc 5 5 — — $39,315.71 $95,843.19 $43,024.55 2026-09-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $35,212.81 $79,346.78 $42,890.15 2026-09-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $35,066.15 $79,040.01 $42,724.33 2026-09-21
64 APR_DRG Pancreas Transplant 1 1 — — $42,249.53 $42,249.53 $42,249.53 2026-09-21
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $34,547.43 $77,955.08 $42,137.88 2026-09-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 5 — — $34,061.64 $76,939.00 $41,588.65 2026-09-21
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 — — $41,136.35 $41,136.35 $41,136.35 2026-09-21
277 MS_DRG Cellulitis Age >17 W Cc 5 5 — — $33,043.55 $74,809.58 $40,437.61 2026-09-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 5 — — $32,951.25 $146,158.35 $40,333.25 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $32,886.14 $74,480.33 $40,259.64 2026-09-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $36,793.17 $149,561.98 $40,032.05 2026-09-21
245 MS_DRG Aicd Generator Procedures 5 5 — — $32,642.18 $73,970.07 $39,983.82 2026-09-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 5 — — $36,694.69 $60,941.24 $39,915.20 2026-09-21
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 — — $36,654.64 $58,837.29 $39,867.70 2026-09-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $32,529.84 $73,735.12 $39,856.82 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $32,065.51 $72,763.92 $39,331.85 2026-09-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $32,056.21 $72,744.48 $39,321.34 2026-09-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $31,930.29 $72,481.08 $39,178.96 2026-09-21
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $38,855.06 $38,855.06 $38,855.06 2026-09-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 — — $31,428.75 $71,432.07 $38,611.93 2026-09-21
791 MS_DRG Prematurity With Major Problems 5 5 — — $35,552.74 $69,116.70 $38,560.50 2026-09-21
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 5 5 — — $30,960.84 $70,453.40 $38,082.92 2026-09-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $34,952.93 $51,555.44 $37,848.95 2026-09-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 — — $30,714.00 $69,937.12 $37,803.85 2026-09-21
140 MS_DRG Major Head And Neck Procedures With Mcc 5 5 — — $30,516.53 $69,524.09 $37,580.59 2026-09-21
21931 CPT Exc Back Les Sc 3 Cm/> 5 5 — — $1,724.73 $37,500.00 $37,500.00 2026-09-21
21925 CPT Biopsy Soft Tissue Of Back 5 5 — — $1,724.73 $37,500.00 $37,500.00 2026-09-21
21930 CPT Exc Back Les Sc < 3 Cm 5 5 — — $1,724.73 $37,500.00 $37,500.00 2026-09-21
21933 CPT Exc Back Tum Deep 5 Cm/> 5 5 — — $3,033.33 $37,500.00 $37,500.00 2026-09-21
48020 CPT Removal Of Pancreatic Stone 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48153 CPT Pancreatectomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48540 CPT Fuse Pancreas Cyst And Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48120 CPT Removal Of Pancreas Lesion 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48520 CPT Fuse Pancreas Cyst And Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48140 CPT Partial Removal Of Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48155 CPT Removal Of Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
21936 CPT Resect Back Tum 5 Cm/> 5 5 — — $3,033.33 $37,500.00 $37,500.00 2026-09-21
48146 CPT Pancreatectomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48100 CPT Biopsy Of Pancreas Open 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50770 CPT Splicing Of Ureters 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50740 CPT Fusion Of Ureter & Kidney 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48000 CPT Drainage Of Abdomen 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48105 CPT Resect/debride Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50780 CPT Reimplant Ureter In Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
21935 CPT Resect Back Tum < 5 Cm 5 5 — — $3,033.33 $37,500.00 $37,500.00 2026-09-21
48148 CPT Removal Of Pancreatic Duct 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48548 CPT Fuse Pancreas And Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
21932 CPT Exc Back Tum Deep < 5 Cm 5 5 — — $3,033.33 $37,500.00 $37,500.00 2026-09-21
48145 CPT Partial Removal Of Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48152 CPT Pancreatectomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50722 CPT Release Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48545 CPT Pancreatorrhaphy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48547 CPT Duodenal Exclusion 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50728 CPT Revise Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48510 CPT Drain Pancreatic Pseudocyst 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48400 CPT Injection Intraop Add-on 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48500 CPT Surgery Of Pancreatic Cyst 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50920 CPT Closure Ureter/skin Fistula 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50900 CPT Repair Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50930 CPT Closure Ureter/bowel Fistula 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50840 CPT Replace Ureter By Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50845 CPT Appendico-vesicostomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50860 CPT Transplant Ureter To Skin 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50825 CPT Construct Bowel Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50830 CPT Revise Urine Flow 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50940 CPT Release Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50800 CPT Implant Ureter In Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50785 CPT Reimplant Ureter In Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50810 CPT Fusion Of Ureter & Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50815 CPT Urine Shunt To Intestine 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50783 CPT Reimplant Ureter In Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50760 CPT Ureteroureterostomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50820 CPT Construct Bowel Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48150 CPT Partial Removal Of Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48154 CPT Pancreatectomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50725 CPT Release/revise Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50700 CPT Revision Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50715 CPT Release Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48001 CPT Placement Of Drain Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
21920 CPT Biopsy Soft Tissue Of Back 5 5 — — $1,724.73 $37,500.00 $37,500.00 2026-09-21
50782 CPT Reimplant Ureter In Bladder 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48552 CPT Prep Donor Pancreas/venous 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48551 CPT Prep Donor Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48554 CPT Transpl Allograft Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
48556 CPT Removal Allograft Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
50750 CPT Fusion Of Ureter & Kidney 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $37,322.34 $37,322.34 $37,322.34 2026-09-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $30,215.32 $68,894.07 $37,240.04 2026-09-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 5 — — $30,163.81 $68,786.35 $37,181.81 2026-09-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 5 — — $34,233.03 $42,401.53 $36,994.90 2026-09-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $29,969.21 $68,379.33 $36,961.80 2026-09-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $29,853.30 $68,136.89 $36,830.75 2026-09-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $33,998.38 $69,334.45 $36,716.55 2026-09-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 — — $29,713.06 $67,843.59 $36,672.21 2026-09-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 5 — — $33,793.38 $71,557.18 $36,473.35 2026-09-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 5 — — $29,516.32 $67,432.07 $36,449.77 2026-09-21
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $14,453.40 $39,611.20 $36,438.43 2026-09-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $36,320.58 $36,320.58 $36,320.58 2026-09-21
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $36,041.95 $36,041.95 $36,041.95 2026-09-21
23395 CPT Muscle Transfer Shoulder/arm 5 5 — — $7,577.51 $35,792.96 $35,792.96 2026-09-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 — — $33,182.36 $89,712.30 $35,748.50 2026-09-21
69930 CPT Implant Cochlear Device 5 5 — — $10,451.00 $42,222.71 $35,465.34 2026-09-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $32,892.47 $76,047.89 $35,404.60 2026-09-21
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $35,234.36 $35,234.36 $35,234.36 2026-09-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 — — $32,462.44 $54,668.96 $34,894.45 2026-09-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $27,988.10 $64,235.66 $34,721.98 2026-09-21
63 APR_DRG Pancreas Transplant 1 1 — — $34,534.67 $34,534.67 $34,534.67 2026-09-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $27,693.34 $63,619.13 $34,388.72 2026-09-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $27,625.35 $63,476.96 $34,311.87 2026-09-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $34,128.46 $34,128.46 $34,128.46 2026-09-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 5 — — $31,739.32 $43,314.94 $34,036.60 2026-09-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 5 — — $31,672.85 $68,944.20 $33,957.75 2026-09-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $32,105.28 $34,470.75 $33,830.17 2026-09-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 — — $31,550.34 $55,339.18 $33,812.40 2026-09-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 5 — — $26,805.44 $61,762.05 $33,384.89 2026-09-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 — — $26,741.77 $61,628.87 $33,312.90 2026-09-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 5 — — $26,738.91 $61,622.87 $33,309.66 2026-09-21
33249 CPT Insj/rplcmt Defib W/lead(s) 74 73 $213,209.45 $32,157.88 85% off $570.84 $213,209.45 $33,197.40 2026-09-21
0408T CPT Insj/rplc Cardiac Modulj Sys 71 71 $71,277.02 $32,157.88 55% off $692.00 $127,692.58 $32,778.73 2026-09-21
33270 CPT Ins/rep Subq Defibrillator 71 70 $208,617.28 $32,157.88 85% off $354.00 $208,617.28 $32,778.73 2026-09-21
33231 CPT Insrt Pulse Gen W/mult Leads 73 72 $105,209.92 $32,157.88 69% off $354.00 $127,692.58 $32,778.73 2026-09-21
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 71 70 $252,493.05 $32,157.88 87% off $354.00 $252,493.05 $32,778.73 2026-09-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $26,268.84 $60,639.71 $32,778.22 2026-09-21
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 5 — — $26,170.83 $79,728.89 $32,667.40 2026-09-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $30,502.89 $55,336.35 $32,569.80 2026-09-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $32,485.71 $32,485.71 $32,485.71 2026-09-21
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $32,430.95 $32,430.95 $32,430.95 2026-09-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $25,940.45 $59,952.84 $32,406.94 2026-09-21
332 MS_DRG Rectal Resection With Mcc 5 5 — — $25,904.67 $59,878.01 $32,366.49 2026-09-21
265 MS_DRG Aicd Lead Procedures 5 5 — — $25,886.79 $59,840.60 $32,346.27 2026-09-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 5 — — $25,841.00 $59,744.83 $32,294.50 2026-09-21
279 MS_DRG Cellulitis Age 0-17 5 5 — — $25,802.37 $59,664.04 $32,250.83 2026-09-21
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 9 — — $13,984.00 $49,196.76 $32,224.05 2026-09-21
64656 CPT Revj/rplcmt Bat Mod Sys Pg 9 9 — — $13,984.00 $49,196.76 $32,224.05 2026-09-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 — — $25,548.38 $59,132.81 $31,963.68 2026-09-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 — — $25,510.46 $59,053.48 $31,920.80 2026-09-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 5 — — $25,489.00 $59,008.58 $31,896.53 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 — — $25,443.91 $58,914.29 $31,845.56 2026-09-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 5 — — $25,231.42 $58,469.82 $31,605.31 2026-09-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 5 — — $25,179.92 $58,362.12 $31,547.09 2026-09-21
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $31,462.83 $31,462.83 $31,462.83 2026-09-21
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 10 10 — $31,614.29 $27,599.00 $33,835.25 $31,355.25 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $24,957.42 $57,896.75 $31,295.54 2026-09-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 — — $24,950.97 $57,883.26 $31,288.25 2026-09-21
1784 APR_DRG External Heart Assist Systems 1 1 — — $31,226.97 $31,226.97 $31,226.97 2026-09-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 5 — — $24,836.48 $57,643.80 $31,158.81 2026-09-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 5 — — $24,716.30 $57,392.42 $31,022.93 2026-09-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 5 — — $28,953.33 $52,539.55 $30,731.55 2026-09-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 5 — — $24,408.64 $56,748.93 $30,675.10 2026-09-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 — — $24,376.46 $56,681.61 $30,638.71 2026-09-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 5 — — $28,840.44 $52,550.87 $30,597.60 2026-09-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 5 — — $28,544.14 $70,369.46 $30,246.10 2026-09-21
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $23,900.67 $55,686.46 $30,100.79 2026-09-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 5 — — $28,353.54 $62,621.02 $30,020.00 2026-09-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $29,872.69 $29,872.69 $29,872.69 2026-09-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 5 — — $23,633.80 $55,128.28 $29,799.07 2026-09-21
37 MS_DRG Extracranial Procedures With Mcc 5 5 — — $23,553.67 $54,960.69 $29,708.48 2026-09-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 5 — — $23,550.82 $54,954.71 $29,705.25 2026-09-21
J9228 HCPCS Ipilimumab 200 Mg Inj 119 59 $221,659.62 $9,521.60 96% off $2,671.00 $221,659.62 $29,691.35 2026-09-21
J9266 HCPCS Pegaspargase Single Dose Inj 63 59 $168,935.46 $29,663.96 82% off $2,671.00 $168,935.46 $29,663.96 2026-09-21
665 MS_DRG Prostatectomy With Mcc 5 5 — — $28,042.83 $36,728.77 $29,651.40 2026-09-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 5 — — $23,272.50 $54,372.59 $29,390.59 2026-09-21
33289 CPT Tcat Impl Wrls P-art Prs Snr 72 70 $32,873.31 $29,389.07 $570.84 $116,686.35 $29,371.71 2026-09-21
23462 CPT Repair Shoulder Capsule 5 5 — — $7,577.51 $29,358.38 $29,358.38 2026-09-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 5 — — $23,170.19 $54,158.60 $29,274.92 2026-09-21
954 APR_DRG Cleft Lip And Palate Repair 1 1 — — $29,240.31 $29,240.31 $29,240.31 2026-09-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 5 — — $23,088.62 $53,988.00 $29,182.70 2026-09-21
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 — — $27,564.75 $47,780.20 $29,084.25 2026-09-21
974 APR_DRG Tonsil And Adenoid Procedures 1 1 — — $29,074.96 $29,074.96 $29,074.96 2026-09-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 5 — — $22,969.15 $53,738.12 $29,047.63 2026-09-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 5 — — $22,843.22 $53,474.71 $28,905.25 2026-09-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 5 — — $22,801.01 $53,386.43 $28,857.53 2026-09-21
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $28,819.75 $28,819.75 $28,819.75 2026-09-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 5 — — $22,733.06 $53,244.30 $28,780.70 2026-09-21
500 MS_DRG Soft Tissue Procedures With Mcc 5 5 — — $22,642.90 $53,055.72 $28,678.77 2026-09-21
62 APR_DRG Pancreas Transplant 1 1 — — $28,620.76 $28,620.76 $28,620.76 2026-09-21
324 MS_DRG Urinary Stones Without Cc 5 5 — — $22,544.17 $52,849.23 $28,567.15 2026-09-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $22,533.43 $52,826.75 $28,555.00 2026-09-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $22,480.48 $52,715.99 $28,495.13 2026-09-21
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $28,337.78 $28,337.78 $28,337.78 2026-09-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $22,284.46 $52,306.01 $28,273.52 2026-09-21
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $28,240.67 $28,240.67 $28,240.67 2026-09-21
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $28,232.08 $28,232.08 $28,232.08 2026-09-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 5 — — $22,245.09 $52,223.69 $28,229.02 2026-09-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 5 5 — — $26,624.61 $149,561.98 $27,968.95 2026-09-21
263 MS_DRG Vein Ligation And Stripping 5 5 — — $21,874.48 $51,448.52 $27,810.01 2026-09-21
668 MS_DRG Transurethral Procedures With Mcc 5 5 — — $26,431.60 $32,141.91 $27,740.00 2026-09-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 5 — — $21,701.35 $51,086.40 $27,614.27 2026-09-21
7544 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $27,528.81 $27,528.81 $27,528.81 2026-09-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 5 — — $21,610.49 $50,896.37 $27,511.55 2026-09-21
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