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

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
             
64654 CPT 1st Opn Implt Bat Modulj Sys 9 9 — — $13,984.00 $75,186.06 $45,996.81 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
245 MS_DRG Aicd Generator Procedures 5 5 — — $32,642.18 $73,970.07 $39,983.82 2026-09-21
265 MS_DRG Aicd Lead Procedures 5 5 — — $25,886.79 $59,840.60 $32,346.27 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $85,983.32 $185,537.59 $100,290.59 2026-09-21
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $80,678.13 $80,678.13 $80,678.13 2026-09-21
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $46,021.77 $46,021.77 $46,021.77 2026-09-21
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $31,462.83 $31,462.83 $31,462.83 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
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
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
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
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
50845 CPT Appendico-vesicostomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $42,424.65 $94,430.94 $50,550.68 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
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
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
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
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
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
48100 CPT Biopsy Of Pancreas Open 7 7 — — $37,500.00 $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
21920 CPT Biopsy Soft Tissue Of Back 5 5 — — $1,724.73 $37,500.00 $37,500.00 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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $22,480.48 $52,715.99 $28,495.13 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
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
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
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
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
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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $27,693.34 $63,619.13 $34,388.72 2026-09-21
279 MS_DRG Cellulitis Age 0-17 5 5 — — $25,802.37 $59,664.04 $32,250.83 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
278 MS_DRG Cellulitis Age >17 Without Cc 5 5 — — $39,823.97 $88,991.38 $48,103.45 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
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
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
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
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
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
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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 5 — — $23,633.80 $55,128.28 $29,799.07 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
50930 CPT Closure Ureter/bowel Fistula 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
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
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
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
50825 CPT Construct Bowel Bladder 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
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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $60,312.61 $131,845.12 $71,267.63 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $41,987.51 $93,516.61 $50,549.52 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 5 — — $22,969.15 $53,738.12 $29,047.63 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $32,529.84 $73,735.12 $39,856.82 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
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
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
7544 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $27,528.81 $27,528.81 $27,528.81 2026-09-21
48510 CPT Drain Pancreatic Pseudocyst 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
48547 CPT Duodenal Exclusion 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
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
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
21931 CPT Exc Back Les Sc 3 Cm/> 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
21932 CPT Exc Back Tum Deep < 5 Cm 5 5 — — $3,033.33 $37,500.00 $37,500.00 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
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
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
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $91,539.98 $91,539.98 $91,539.98 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
1784 APR_DRG External Heart Assist Systems 1 1 — — $31,226.97 $31,226.97 $31,226.97 2026-09-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $95,318.67 $95,318.67 $95,318.67 2026-09-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $53,554.82 $53,554.82 $53,554.82 2026-09-21
37 MS_DRG Extracranial Procedures With Mcc 5 5 — — $23,553.67 $54,960.69 $29,708.48 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
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $14,453.40 $39,611.20 $36,438.43 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
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
48548 CPT Fuse Pancreas And Bowel 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
48520 CPT Fuse Pancreas Cyst And Bowel 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
50740 CPT Fusion Of Ureter & Kidney 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
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $138,492.30 $138,492.30 $138,492.30 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
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $48,383.19 $48,383.19 $48,383.19 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
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 — — $24,376.46 $56,681.61 $30,638.71 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
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
69930 CPT Implant Cochlear Device 5 5 — — $10,451.00 $42,222.71 $35,465.34 2026-09-21
50800 CPT Implant Ureter In Bowel 7 7 — — $37,500.00 $37,500.00 $37,500.00 2026-09-21
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $99,023.99 $99,023.99 $99,023.99 2026-09-21
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $69,787.65 $69,787.65 $69,787.65 2026-09-21
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $53,001.14 $53,001.14 $53,001.14 2026-09-21
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $51,350.17 $51,350.17 $51,350.17 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
48400 CPT Injection Intraop Add-on 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
33276 CPT Insj Phrnc Nrv Stim Sys 10 10 — $45,111.59 $36,929.00 $48,296.65 $44,749.25 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
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
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
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
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
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
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
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
652 MS_DRG Kidney Transplant 3 3 — — $28,910.09 $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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $32,724.31 $94,106.86 $94,106.86 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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $72,629.72 $72,629.72 $72,629.72 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $84,784.75 $159,987.30 $86,479.62 2026-09-21
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $59,498.59 $112,253.23 $60,677.42 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
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
7 MS_DRG Lung Transplant 3 3 — — $285,054.21 $538,046.99 $290,836.21 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 5 — — $28,953.33 $52,539.55 $30,731.55 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
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $44,661.05 $94,613.05 $49,365.80 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
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $32,065.51 $72,763.92 $39,331.85 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
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
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
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 — — $27,564.75 $47,780.20 $29,084.25 2026-09-21
23395 CPT Muscle Transfer Shoulder/arm 5 5 — — $7,577.51 $35,792.96 $35,792.96 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
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
8634 APR_DRG Neonatal Aftercare 1 1 — — $89,125.58 $89,125.58 $89,125.58 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
276 MS_DRG Non-maligant Breast Disorders 5 5 — — $42,974.84 $95,581.69 $51,665.78 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
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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 9 9 — — $1,449.76 $75,186.06 $45,996.81 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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $28,819.75 $28,819.75 $28,819.75 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $22,533.43 $52,826.75 $28,555.00 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
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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $31,930.29 $72,481.08 $39,178.96 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
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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 — — $25,443.91 $58,914.29 $31,845.56 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
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
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
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
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
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
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
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
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
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $24,957.42 $57,896.75 $31,295.54 2026-09-21
10 MS_DRG Pancreas Transplant 3 3 — — $59,934.79 $113,076.66 $61,122.52 2026-09-21
64 APR_DRG Pancreas Transplant 1 1 — — $42,249.53 $42,249.53 $42,249.53 2026-09-21
63 APR_DRG Pancreas Transplant 1 1 — — $34,534.67 $34,534.67 $34,534.67 2026-09-21
62 APR_DRG Pancreas Transplant 1 1 — — $28,620.76 $28,620.76 $28,620.76 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
48153 CPT Pancreatectomy 7 7 — — $37,500.00 $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
48152 CPT Pancreatectomy 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
48545 CPT Pancreatorrhaphy 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
48145 CPT Partial Removal Of Pancreas 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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 5 — — $29,516.32 $67,432.07 $36,449.77 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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 — — $25,548.38 $59,132.81 $31,963.68 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
48001 CPT Placement Of Drain Pancreas 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
791 MS_DRG Prematurity With Major Problems 5 5 — — $35,552.74 $69,116.70 $38,560.50 2026-09-21
48551 CPT Prep Donor Pancreas 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
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
665 MS_DRG Prostatectomy With Mcc 5 5 — — $28,042.83 $36,728.77 $29,651.40 2026-09-21
332 MS_DRG Rectal Resection With Mcc 5 5 — — $25,904.67 $59,878.01 $32,366.49 2026-09-21
50780 CPT Reimplant Ureter In Bladder 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
50783 CPT Reimplant Ureter In Bladder 7 7 — — $37,500.00 $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
50722 CPT Release Of Ureter 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
50715 CPT Release Of Ureter 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
48556 CPT Removal Allograft 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
48120 CPT Removal Of Pancreas Lesion 7 7 — — $37,500.00 $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
48020 CPT Removal Of Pancreatic Stone 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
23462 CPT Repair Shoulder Capsule 5 5 — — $7,577.51 $29,358.38 $29,358.38 2026-09-21
50840 CPT Replace Ureter By Bowel 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
21935 CPT Resect Back Tum < 5 Cm 5 5 — — $3,033.33 $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
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
50728 CPT Revise Ureter 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
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
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
50700 CPT Revision Of Ureter 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
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
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
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $58,764.74 $110,867.89 $59,928.59 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
570 MS_DRG Skin Debridement With Mcc 5 5 — — $36,763.75 $94,008.12 $49,833.62 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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 — — $32,462.44 $54,668.96 $34,894.45 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $47,451.49 $176,973.88 $56,727.03 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
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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 5 — — $26,170.83 $79,728.89 $32,667.40 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
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $42,987.02 $95,607.17 $51,679.55 2026-09-21
799 MS_DRG Splenectomy With Mcc 5 5 — — $39,315.71 $95,843.19 $43,024.55 2026-09-21
50770 CPT Splicing Of Ureters 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
48500 CPT Surgery Of Pancreatic Cyst 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
974 APR_DRG Tonsil And Adenoid Procedures 1 1 — — $29,074.96 $29,074.96 $29,074.96 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
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
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
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
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
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
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
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
48554 CPT Transpl Allograft Pancreas 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
668 MS_DRG Transurethral Procedures With Mcc 5 5 — — $26,431.60 $32,141.91 $27,740.00 2026-09-21
50760 CPT Ureteroureterostomy 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
324 MS_DRG Urinary Stones Without Cc 5 5 — — $22,544.17 $52,849.23 $28,567.15 2026-09-21
50815 CPT Urine Shunt To Intestine 7 7 — — $37,500.00 $37,500.00 $37,500.00 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
263 MS_DRG Vein Ligation And Stripping 5 5 — — $21,874.48 $51,448.52 $27,810.01 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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 — — $36,654.64 $58,837.29 $39,867.70 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
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