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

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Hospital

H Lee Moffitt Cancer Center & Research Institute I

Tampa, FL · CCN 100271 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $22,271 across 7 payers · range $5,634-$43,336

Source: https://eforms.moffitt.org/Moffittcancercenter_standardcharges/593238634_H.-Lee-Moffitt-Cancer-Center-and-Research-Institute-Hospital,-Inc._standardcharges.json · observed 2025-10-24

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.

28,677 distinct procedures filed
20 distinct payers
754,907 rate rows
2025-10-24 last MRF observed
Data quality

740,203 of 754,907 rate rows are consumer-grade (98.1%)

14,704 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
per-diem day rate — not a per-procedure price 7,697
placeholder amount (≤ $0.02) — excluded from medians 4,158
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,639
percent-of-charges filed in the dollar field — excluded from medians 168
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://eforms.moffitt.org/Moffittcancercenter_standardcharges/593238634_H.-Lee-Moffitt-Cancer-Center-and-Research-Institute-Hospital,-Inc._standardcharges.json
Found on page https://www.moffitt.org/patient-family/insurance-financial-information/obtain-a-cost-estimate/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-07-31
Content fingerprint d5dddf13136d9e31… · 674,001,594 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 2 $3,444,000.00 $3,605,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,211,776.00 $3,264,000.00 $3,264,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 1 $3,162,000.00 $3,162,000.00 $3,162,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 1 $2,856,000.00 $2,856,000.00 $2,856,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,284,891.65 $2,322,044.36 $2,322,044.00 nat. median
$2,460,273
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel Including Leukapheresis And Dose Preparation Procedures… 16 $348,960.00 $1,817,500.00 $981,450.00 nat. median
$809,151
1.2× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 16 $3.31 $1,719,876.78 $733,390.20 nat. median
$691,418
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel Up To 100 Million Autologous B Cell Maturation Antigen… 16 $266,548.99 $1,713,151.16 $555,310.40 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel (breyanzi) Up To 110 Million Car Positive Viable T Cell… 16 $255,048.19 $1,679,359.75 $531,350.40 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel (abecma), Up To 460 Million Autologous B-cell Maturation… 16 $99,999.00 $1,711,409.68 $513,360.20 nat. median
$610,161
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel (yescarta) 16 $0.87 $1,590,731.86 $503,580.00 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel Up To 200 Million Autologous Anti Cd19 Car Positive Vi… 16 $221,760.00 $1,496,723.81 $462,000.00 nat. median
$577,541
0.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car Positive Viable T Cells In… 16 $126,000.00 $656,250.00 $354,375.00 nat. median
$302,242
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 7 $59,638.73 $492,583.89 $246,291.95 nat. median
$199,832
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $82,946.56 $647,420.21 $215,839.60 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $55,940.54 $545,244.84 $213,505.20 nat. median
$205,166
1.0× median
5834
APR_DRG 		Neonate With Ecmo 1 $167,795.51 $167,795.51 $167,795.51 nat. median
$311,018
0.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 7 $40,467.32 $324,763.92 $162,381.96 nat. median
$132,706
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $32,985.77 $275,137.80 $160,000.00 nat. median
$114,305
1.4× median
5833
APR_DRG 		Neonate With Ecmo 1 $147,384.19 $147,384.19 $147,384.19 nat. median
$250,089
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $39,705.23 $253,276.78 $139,473.28 nat. median
$108,240
1.3× median
212
MS_DRG 		Testes Procedures Age 0-17 6 $83,095.95 $250,385.40 $132,862.01 nat. median
$100,978
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 7 $30,363.53 $243,510.88 $132,063.89 nat. median
$98,002
1.3× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $127,789.62 $127,789.62 $127,789.62 nat. median
$254,667
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $80,865.54 $240,766.59 $127,757.98 nat. median
$96,835
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $33,616.43 $244,765.81 $126,199.01 nat. median
$99,646
1.3× median
7
MS_DRG 		Lung Transplant 6 $35,974.91 $300,373.30 $124,487.11 nat. median
$122,690
1.0× median
24
APR_DRG 		N/a 1 $115,023.52 $115,023.52 $115,023.52 nat. median
$243,231
outlier · 0.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $71,065.18 $211,726.31 $112,348.33 nat. median
$81,364
1.4× median
A9699
HCPCS 		Ra 224 Radspherin 1 $111,687.82 $111,687.82 $111,687.82 nat. median
$4,125
outlier · 27.1×
C9760
HCPCS 		Non-blind Interatrial Shunt 2 $108,919.00 $108,919.00 $108,919.00 nat. median
$27,848
outlier · 3.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $61,000.00 $795,325.24 $106,519.90 nat. median
$370,165
outlier · 0.3×
16
MS_DRG 		Autolous Bone Marrow Transplant With Cc/mcc 6 $17,930.73 $155,000.00 $104,876.95 nat. median
$55,867
1.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $103,908.96 $103,908.96 $103,908.96 nat. median
$160,171
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $64,343.10 $191,700.35 $101,721.96 nat. median
$81,124
1.3× median
5832
APR_DRG 		Neonate With Ecmo 1 $101,409.58 $101,409.58 $101,409.58 nat. median
$169,230
0.6× median
6
MS_DRG 		Liver Transplant Without Mcc 6 $14,173.01 $158,270.29 $101,177.34 nat. median
$46,106
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $28,709.38 $221,820.88 $100,963.01 nat. median
$92,900
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 4 $49,291.12 $99,999.92 $98,399.92 nat. median
$111,503
0.9× median
1614
APR_DRG 		N/a 1 $97,767.82 $97,767.82 $97,767.82 nat. median
$209,486
outlier · 0.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $24,734.76 $194,764.12 $97,382.06 nat. median
$79,040
1.2× median
8414
APR_DRG 		N/a 1 $97,293.98 $97,293.98 $97,293.98 nat. median
$165,646
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $19,452.26 $137,692.55 $95,288.22 nat. median
$60,162
1.6× median
J9029
HCPCS 		Instill Adstiladrin Tx Dose 18 $38,776.32 $232,512.02 $95,258.10 nat. median
$69,291
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $27,416.83 $185,276.32 $92,638.16 nat. median
$77,385
1.2× median
114
APR_DRG 		N/a 1 $92,429.61 $92,429.61 $92,429.61 nat. median
$119,243
0.8× median
C9782
HCPCS 		Blind Myocar Trpl Bon Marrow 1 $91,543.00 $91,543.00 $91,543.00 nat. median
$18,376
outlier · 5.0×
C9758
HCPCS 		Blind Interatrial Shunt Ide 2 $91,543.00 $91,543.00 $91,543.00 nat. median
$17,921
outlier · 5.1×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $15,379.51 $112,569.11 $89,450.93 nat. median
$40,712
outlier · 2.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $22,564.00 $161,470.04 $89,450.93 nat. median
$58,534
1.5× median

Other procedures at this hospital

Browse this hospital's 28,677 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 6 2 — — $3,444,000.00 $3,605,000.00 $3,500,000.00 2025-10-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 1 — — $3,211,776.00 $3,264,000.00 $3,264,000.00 2025-10-24
J3394 HCPCS Inj Lovotibeglogene Autotem 1 1 — — $3,162,000.00 $3,162,000.00 $3,162,000.00 2025-10-24
J3393 HCPCS Inj Betibeglogene Autotemce 1 1 — — $2,856,000.00 $2,856,000.00 $2,856,000.00 2025-10-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 2 — — $2,284,891.65 $2,322,044.36 $2,322,044.00 2025-10-24
Q2057 HCPCS Afamitresgene Autoleucel Including Leukapheresis And Dose Preparation Procedures… 24 16 $1,817,500.00 $908,750.00 50% off $348,960.00 $1,817,500.00 $981,450.00 2025-10-24
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 53 16 $1,353,075.00 $676,537.50 50% off $3.31 $1,719,876.78 $733,390.20 2025-10-24
Q2056 HCPCS Ciltacabtagene Autoleucel Up To 100 Million Autologous B Cell Maturation Antigen… 33 16 $1,388,276.00 $694,138.00 50% off $266,548.99 $1,713,151.16 $555,310.40 2025-10-24
Q2054 HCPCS Lisocabtagene Maraleucel (breyanzi) Up To 110 Million Car Positive Viable T Cell… 33 16 $1,328,376.00 $664,188.00 50% off $255,048.19 $1,679,359.75 $531,350.40 2025-10-24
Q2055 HCPCS Idecabtagene Vicleucel (abecma), Up To 460 Million Autologous B-cell Maturation … 34 16 $1,320,781.00 $660,390.50 50% off $99,999.00 $1,711,409.68 $513,360.20 2025-10-24
Q2041 HCPCS Axicabtagene Ciloleucel (yescarta) 33 16 $1,258,950.00 $629,475.00 50% off $0.87 $1,590,731.86 $503,580.00 2025-10-24
Q2053 HCPCS Brexucabtagene Autoleucel Up To 200 Million Autologous Anti Cd19 Car Positive Vi… 33 16 $1,155,000.00 $577,500.00 50% off $221,760.00 $1,496,723.81 $462,000.00 2025-10-24
Q2058 HCPCS Obecabtagene Autoleucel 10 Up To 400 Million Cd19 Car Positive Viable T Cells In… 24 16 $656,250.00 $328,125.00 50% off $126,000.00 $656,250.00 $354,375.00 2025-10-24
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 13 7 — — $59,638.73 $492,583.89 $246,291.95 2025-10-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $82,946.56 $647,420.21 $215,839.60 2025-10-24
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 7 — — $55,940.54 $545,244.84 $213,505.20 2025-10-24
5834 APR_DRG Neonate With Ecmo 1 1 — — $167,795.51 $167,795.51 $167,795.51 2025-10-24
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 13 7 — — $40,467.32 $324,763.92 $162,381.96 2025-10-24
14 MS_DRG Allogeneic Bone Marrow Transplant 8 6 — — $32,985.77 $275,137.80 $160,000.00 2025-10-24
5833 APR_DRG Neonate With Ecmo 1 1 — — $147,384.19 $147,384.19 $147,384.19 2025-10-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $39,705.23 $253,276.78 $139,473.28 2025-10-24
212 MS_DRG Testes Procedures Age 0-17 12 6 — — $83,095.95 $250,385.40 $132,862.01 2025-10-24
215 MS_DRG Other Heart Assist System Implant 13 7 — — $30,363.53 $243,510.88 $132,063.89 2025-10-24
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $127,789.62 $127,789.62 $127,789.62 2025-10-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $80,865.54 $240,766.59 $127,757.98 2025-10-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $33,616.43 $244,765.81 $126,199.01 2025-10-24
7 MS_DRG Lung Transplant 12 6 — — $35,974.91 $300,373.30 $124,487.11 2025-10-24
24 APR_DRG N/a 1 1 — — $115,023.52 $115,023.52 $115,023.52 2025-10-24
850 MS_DRG Acute Leukemia With Other Procedures 12 6 — — $71,065.18 $211,726.31 $112,348.33 2025-10-24
A9699 HCPCS Ra 224 Radspherin 1 1 — — $111,687.82 $111,687.82 $111,687.82 2025-10-24
C9760 HCPCS Non-blind Interatrial Shunt 3 2 — — $108,919.00 $108,919.00 $108,919.00 2025-10-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 6 — — $61,000.00 $795,325.24 $106,519.90 2025-10-24
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 8 6 — — $17,930.73 $155,000.00 $104,876.95 2025-10-24
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $103,908.96 $103,908.96 $103,908.96 2025-10-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 6 — — $64,343.10 $191,700.35 $101,721.96 2025-10-24
5832 APR_DRG Neonate With Ecmo 1 1 — — $101,409.58 $101,409.58 $101,409.58 2025-10-24
6 MS_DRG Liver Transplant Without Mcc 12 6 — — $14,173.01 $158,270.29 $101,177.34 2025-10-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $28,709.38 $221,820.88 $100,963.01 2025-10-24
Q0480 HCPCS Driver Pneumatic Vad Rep 9 4 — — $49,291.12 $99,999.92 $98,399.92 2025-10-24
1614 APR_DRG N/a 1 1 — — $97,767.82 $97,767.82 $97,767.82 2025-10-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 7 — — $24,734.76 $194,764.12 $97,382.06 2025-10-24
8414 APR_DRG N/a 1 1 — — $97,293.98 $97,293.98 $97,293.98 2025-10-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 — — $19,452.26 $137,692.55 $95,288.22 2025-10-24
J9029 HCPCS Instill Adstiladrin Tx Dose 49 18 $201,960.00 $100,980.00 50% off $38,776.32 $232,512.02 $95,258.10 2025-10-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 7 — — $27,416.83 $185,276.32 $92,638.16 2025-10-24
114 APR_DRG N/a 1 1 — — $92,429.61 $92,429.61 $92,429.61 2025-10-24
C9758 HCPCS Blind Interatrial Shunt Ide 3 2 — — $91,543.00 $91,543.00 $91,543.00 2025-10-24
C9782 HCPCS Blind Myocar Trpl Bon Marrow 1 1 — — $91,543.00 $91,543.00 $91,543.00 2025-10-24
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $15,379.51 $112,569.11 $89,450.93 2025-10-24
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $22,564.00 $161,470.04 $89,450.93 2025-10-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $23,954.10 $177,838.70 $87,488.12 2025-10-24
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $87,334.07 $87,334.07 $87,334.07 2025-10-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $54,766.47 $163,248.46 $86,624.53 2025-10-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 6 — — $54,281.20 $162,427.93 $86,189.13 2025-10-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 13 7 — — $22,824.22 $179,652.14 $85,500.63 2025-10-24
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $83,685.41 $83,685.41 $83,685.41 2025-10-24
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $83,685.41 $83,685.41 $83,685.41 2025-10-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $18,709.91 $148,428.37 $82,938.60 2025-10-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 6 — — $51,722.90 $154,100.82 $81,770.52 2025-10-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 7 — — $21,025.67 $182,201.06 $80,603.68 2025-10-24
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $80,411.14 $80,411.14 $80,411.14 2025-10-24
74 APR_DRG N/a 1 1 — — $79,552.15 $79,552.15 $79,552.15 2025-10-24
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $79,345.18 $79,345.18 $79,345.18 2025-10-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 7 — — $19,850.99 $156,941.65 $79,334.25 2025-10-24
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 7 — — $17,262.94 $140,402.36 $78,802.23 2025-10-24
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $78,546.10 $78,546.10 $78,546.10 2025-10-24
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 5 4 — — $12,878.68 $126,753.90 $77,863.11 2025-10-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $17,501.35 $136,738.71 $77,518.11 2025-10-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 7 — — $20,007.77 $127,039.46 $76,515.64 2025-10-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 13 7 — — $24,899.79 $194,656.09 $76,222.80 2025-10-24
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 11 6 — — $26,979.20 $186,878.06 $76,206.36 2025-10-24
7155033 CDM Nmdp Intl Marrow Collection Courier 24 16 $140,510.00 $70,255.00 50% off $26,977.92 $140,510.00 $75,875.40 2025-10-24
10 MS_DRG Pancreas Transplant 12 6 — — $12,220.62 $183,251.43 $75,775.25 2025-10-24
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 6 — — $47,724.99 $142,188.22 $75,449.33 2025-10-24
C9792 HCPCS Blind/nonblind Trans Atrial 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9901 HCPCS Endo Defect Closure Gi Tract 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9772 HCPCS Revasc Lithotrip Tibi/perone 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9780 HCPCS Insert Cv Cath Inf & Sup App 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9765 HCPCS Revasc Intra Lithotrip-stent 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9766 HCPCS Revasc Intra Lithotrip-ather 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9783 HCPCS Blind Cor Sinus Reducer Impl 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $75,312.00 $75,312.00 $75,312.00 2025-10-24
94 APR_DRG N/a 1 1 — — $74,976.92 $74,976.92 $74,976.92 2025-10-24
7150263 CDM Nmdp-cord Blood Unit Shipment 24 16 $138,148.00 $69,074.00 50% off $26,524.42 $138,148.00 $74,599.92 2025-10-24
7155031 CDM Nmdp-int'l Primary Pbsc Collection /courier 24 16 $137,530.00 $68,765.00 50% off $26,405.76 $137,530.00 $74,266.20 2025-10-24
7155032 CDM Nmdp-int'l Secondary Pbsc Collection/courier 24 16 $137,530.00 $68,765.00 50% off $26,405.76 $137,530.00 $74,266.20 2025-10-24
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 7 — — $12,844.50 $99,657.34 $74,138.40 2025-10-24
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $74,097.21 $74,097.21 $74,097.21 2025-10-24
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 7 — — $15,208.29 $108,132.82 $71,547.76 2025-10-24
14 APR_DRG N/a 1 1 — — $70,792.21 $70,792.21 $70,792.21 2025-10-24
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 6 — — $38,501.71 $142,372.09 $70,032.46 2025-10-24
8235079 CDM Ribavirin Inh 24 16 $128,850.00 $64,425.00 50% off $24,739.20 $128,850.00 $69,579.00 2025-10-24
3335079 CDM Ribavirin Inh 24 16 $128,850.00 $64,425.00 50% off $24,739.20 $128,850.00 $69,579.00 2025-10-24
8035079 CDM Ribavirin Inh 24 16 $128,850.00 $64,425.00 50% off $24,739.20 $128,850.00 $69,579.00 2025-10-24
3935079 CDM Ribavirin Inh 24 16 $128,850.00 $64,425.00 50% off $24,739.20 $128,850.00 $69,579.00 2025-10-24
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $14,905.04 $106,661.84 $68,848.49 2025-10-24
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $20,891.87 $149,504.14 $68,848.49 2025-10-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 7 — — $21,838.74 $171,557.17 $68,462.06 2025-10-24
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $68,454.10 $68,454.10 $68,454.10 2025-10-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $16,017.24 $121,739.35 $68,327.43 2025-10-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 13 7 — — $17,744.18 $136,635.28 $68,317.64 2025-10-24
A9543 HCPCS Yttrium-90 Zevalin-therapy 34 16 $125,328.00 $62,664.00 50% off $24,062.98 $157,143.79 $68,194.48 2025-10-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 7 — — $17,652.53 $135,242.45 $67,621.23 2025-10-24
7150255 CDM Nmdp-marrow Collection/courier 24 16 $124,466.00 $62,233.00 50% off $23,897.47 $124,466.00 $67,211.64 2025-10-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $13,944.03 $105,556.32 $67,172.26 2025-10-24
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $42,472.62 $126,506.23 $67,128.01 2025-10-24
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $66,979.97 $66,979.97 $66,979.97 2025-10-24
1613 APR_DRG N/a 1 1 — — $66,875.14 $66,875.14 $66,875.14 2025-10-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 6 — — $42,201.82 $125,733.97 $66,718.22 2025-10-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 13 7 — — $17,790.45 $131,914.37 $65,957.18 2025-10-24
7155036 CDM Nmdp-int'l Cord Blood Unit Shipment 24 16 $121,843.00 $60,921.50 50% off $23,393.86 $121,843.00 $65,795.22 2025-10-24
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 6 — — $16,476.97 $125,058.24 $64,371.52 2025-10-24
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 53 18 $239,276.00 $119,638.00 50% off $45,940.99 $239,276.00 $64,111.99 2025-10-24
5831 APR_DRG Neonate With Ecmo 1 1 — — $63,475.69 $63,475.69 $63,475.69 2025-10-24
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 6 — — $39,729.94 $118,369.90 $62,810.62 2025-10-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 7 — — $12,484.41 $159,888.20 $62,608.50 2025-10-24
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 11 6 — — $17,949.88 $128,986.65 $62,601.63 2025-10-24
23 APR_DRG N/a 1 1 — — $62,433.54 $62,433.54 $62,433.54 2025-10-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 7 — — $21,358.68 $145,357.71 $62,216.66 2025-10-24
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 13 7 — — $16,331.98 $124,773.24 $61,561.06 2025-10-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $16,890.44 $131,126.02 $61,527.94 2025-10-24
7150256 CDM Nmdp-primary Pbsc Collection/courier 24 16 $113,345.00 $56,672.50 50% off $21,762.24 $113,345.00 $61,206.30 2025-10-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 13 7 — — $15,284.03 $122,279.48 $61,139.74 2025-10-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 7 — — $18,245.76 $153,507.84 $60,110.10 2025-10-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 7 — — $20,395.60 $153,248.12 $60,008.40 2025-10-24
7150209 CDM Nmdp-secondary Pbsc Collection / Courier 24 16 $110,947.00 $55,473.50 50% off $21,301.82 $110,947.00 $59,911.38 2025-10-24
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $34,411.99 $114,995.85 $59,530.18 2025-10-24
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 11 6 — — $14,110.24 $97,127.50 $59,412.24 2025-10-24
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $38,501.71 $106,919.27 $58,295.90 2025-10-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 7 — — $19,349.71 $148,642.12 $58,204.80 2025-10-24
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $57,970.05 $57,970.05 $57,970.05 2025-10-24
J7330 HCPCS Cultured Chondrocytes Implnt 11 4 — — $33,406.63 $193,351.49 $57,294.42 2025-10-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 7 — — $14,523.70 $114,536.17 $57,268.08 2025-10-24
0947T CPT MRI Guid Low Intensity Focused US Mrgfus Stereotactic Bbb Disruption Using Micro… 24 16 $105,050.00 $52,525.00 50% off $20,169.60 $105,050.00 $56,727.00 2025-10-24
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 13 7 — — $14,184.21 $99,244.91 $55,702.20 2025-10-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $17,300.36 $141,540.07 $55,423.80 2025-10-24
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 13 7 — — $18,905.59 $141,045.91 $55,230.30 2025-10-24
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $14,796.00 $105,881.54 $54,733.31 2025-10-24
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $18,863.45 $134,988.58 $54,733.31 2025-10-24
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $54,721.89 $54,721.89 $54,721.89 2025-10-24
28 MS_DRG Spinal Procedures With Mcc 13 7 — — $17,320.99 $139,731.23 $54,715.50 2025-10-24
1612 APR_DRG N/a 1 1 — — $54,356.33 $54,356.33 $54,356.33 2025-10-24
64 APR_DRG Pancreas Transplant 1 1 — — $54,331.76 $54,331.76 $54,331.76 2025-10-24
1604 APR_DRG N/a 1 1 — — $53,060.37 $53,060.37 $53,060.37 2025-10-24
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 7 — — $12,290.46 $94,459.64 $53,016.42 2025-10-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 7 — — $13,685.57 $105,894.18 $52,947.09 2025-10-24
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 7 — — $7,569.96 $68,462.06 $52,564.30 2025-10-24
113 APR_DRG N/a 1 1 — — $52,523.17 $52,523.17 $52,523.17 2025-10-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 7 — — $15,670.97 $133,819.74 $52,400.70 2025-10-24
C1822 HCPCS Kit Ipg Senza Ii 50 16 $107,685.50 $53,842.75 50% off $108.00 $125,468.00 $52,064.50 2025-10-24
323 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 6 — — $31,940.10 $97,898.05 $51,947.64 2025-10-24
1611 APR_DRG N/a 1 1 — — $51,626.17 $51,626.17 $51,626.17 2025-10-24
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 — — $13,380.85 $102,791.34 $51,395.67 2025-10-24
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 7 — — $9,727.75 $71,395.20 $50,656.84 2025-10-24
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $50,342.88 $50,342.88 $50,342.88 2025-10-24
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $50,258.78 $50,258.78 $50,258.78 2025-10-24
653 MS_DRG Major Bladder Procedures With Mcc 13 7 — — $16,375.59 $128,126.61 $50,171.40 2025-10-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $13,498.44 $109,263.64 $49,966.00 2025-10-24
C9150 HCPCS Xe129 Xenon- Diagnostic 1 1 — — $49,920.00 $49,920.00 $49,920.00 2025-10-24
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $31,501.89 $93,855.16 $49,802.37 2025-10-24
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 7 — — $16,296.91 $127,039.46 $49,745.70 2025-10-24
22 APR_DRG N/a 1 1 — — $49,596.79 $49,596.79 $49,596.79 2025-10-24
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $11,637.11 $87,378.27 $49,041.93 2025-10-24
J9226 HCPCS Supprelin La Implant 33 14 — — $43,541.00 $174,983.37 $49,036.63 2025-10-24
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 7 — — $10,450.65 $79,811.94 $49,029.14 2025-10-24
90288 CPT Botulism Ig IV 1 1 — — $48,705.00 $48,705.00 $48,705.00 2025-10-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 — — $15,447.00 $124,136.58 $48,609.00 2025-10-24
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 7 — — $15,221.84 $124,019.37 $48,563.10 2025-10-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $10,775.54 $124,005.58 $48,557.70 2025-10-24
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $48,480.53 $48,480.53 $48,480.53 2025-10-24
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 7 — — $9,101.51 $62,216.66 $47,769.16 2025-10-24
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 6 — — $30,313.78 $89,918.00 $47,713.19 2025-10-24
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 13 7 — — $8,633.83 $64,548.27 $47,265.80 2025-10-24
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 7 — — $12,019.04 $94,512.51 $47,256.25 2025-10-24
L7181 HCPCS Electronic Elbo Simultaneous 9 4 — — $24,262.36 $47,492.96 $46,289.43 2025-10-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 7 — — $15,066.83 $117,976.87 $46,197.00 2025-10-24
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $46,155.09 $46,155.09 $46,155.09 2025-10-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 7 — — $14,443.25 $114,949.88 $45,942.72 2025-10-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 7 — — $13,004.23 $103,694.61 $45,942.72 2025-10-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 7 — — $15,457.31 $117,094.29 $45,851.40 2025-10-24
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 13 7 — — $15,085.10 $116,735.74 $45,711.00 2025-10-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 7 — — $13,703.84 $115,768.11 $45,332.10 2025-10-24
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 7 — — $11,521.30 $94,319.44 $45,077.33 2025-10-24
799 MS_DRG Splenic Procedures With Mcc 13 7 — — $15,347.09 $109,284.32 $44,839.94 2025-10-24
652 MS_DRG Kidney Transplant 12 6 — — $9,091.79 $70,593.06 $44,793.40 2025-10-24
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $44,478.60 $44,478.60 $44,478.60 2025-10-24
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 13 7 — — $11,093.98 $88,833.16 $44,416.58 2025-10-24
C1820 HCPCS Ipg Neurostim Sys W/adaptivestim Surescan 74 16 $83,001.00 $41,500.50 50% off $14,296.90 $103,150.00 $44,334.17 2025-10-24
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $44,260.49 $44,260.49 $44,260.49 2025-10-24
245 MS_DRG Aicd Generator Procedures 13 7 — — $14,369.57 $112,318.21 $43,981.20 2025-10-24
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 13 7 — — $11,210.98 $87,854.04 $43,927.02 2025-10-24
8424 APR_DRG N/a 1 1 — — $43,919.13 $43,919.13 $43,919.13 2025-10-24
471 MS_DRG Cervical Spinal Fusion With Mcc 13 7 — — $14,844.04 $111,640.18 $43,715.70 2025-10-24
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 5 — — $7,099.32 $53,857.09 $43,286.91 2025-10-24
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $43,268.65 $43,268.65 $43,268.65 2025-10-24
21 APR_DRG N/a 1 1 — — $43,199.15 $43,199.15 $43,199.15 2025-10-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 — — $15,153.18 $109,760.09 $42,979.50 2025-10-24
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $42,861.62 $42,861.62 $42,861.62 2025-10-24
407 MS_DRG Pancreas- Liver And Shunt Procedures Without Cc/mcc 13 7 — — $6,559.14 $55,811.15 $42,851.09 2025-10-24
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $42,839.73 $42,839.73 $42,839.73 2025-10-24
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $42,501.05 $42,501.05 $42,501.05 2025-10-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 7 — — $12,749.90 $107,553.63 $42,115.50 2025-10-24
7150218 CDM Nmdp-whole Blood Collection / Courier 24 16 $77,772.00 $38,886.00 50% off $14,932.22 $77,772.00 $41,996.88 2025-10-24
3034 APR_DRG N/a 1 1 — — $41,592.92 $41,592.92 $41,592.92 2025-10-24
163 MS_DRG Major Chest Procedures With Mcc 13 7 — — $14,274.38 $105,937.85 $41,482.80 2025-10-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 7 — — $13,624.87 $105,540.23 $41,327.10 2025-10-24
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 7 — — $10,985.53 $82,374.66 $41,187.33 2025-10-24
7150377 CDM Nmdp Related Marrow Collection Courier 24 16 $76,243.00 $38,121.50 50% off $14,638.66 $76,243.00 $41,171.22 2025-10-24
7150376 CDM Nmdp Related Pbsc Collection Courier 24 16 $76,243.00 $38,121.50 50% off $14,638.66 $76,243.00 $41,171.22 2025-10-24
265 MS_DRG Aicd Lead Procedures 13 7 — — $9,967.05 $81,988.52 $40,994.26 2025-10-24
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $40,675.19 $40,675.19 $40,675.19 2025-10-24
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 7 — — $8,910.25 $70,298.86 $40,386.23 2025-10-24
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 7 — — $12,073.56 $103,076.34 $40,362.30 2025-10-24
7155034 CDM Nmdp-int'l Primary Lymphocyte Collection/courier 24 16 $74,466.00 $37,233.00 50% off $14,297.47 $74,466.00 $40,211.64 2025-10-24
73 APR_DRG N/a 1 1 — — $40,204.80 $40,204.80 $40,204.80 2025-10-24
901 MS_DRG Wound Debridements For Injuries With Mcc 13 7 — — $12,962.67 $101,830.61 $39,874.50 2025-10-24
84 APR_DRG N/a 1 1 — — $39,866.89 $39,866.89 $39,866.89 2025-10-24
332 MS_DRG Rectal Resection With Mcc 13 7 — — $11,965.70 $79,724.60 $39,862.30 2025-10-24
140 MS_DRG Major Head And Neck Procedures With Mcc 13 7 — — $12,248.62 $97,203.93 $39,669.71 2025-10-24
1624 APR_DRG N/a 1 1 — — $39,620.75 $39,620.75 $39,620.75 2025-10-24
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 7 — — $10,266.76 $79,166.09 $39,583.04 2025-10-24
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 7 — — $12,691.55 $100,964.12 $39,535.20 2025-10-24
252 MS_DRG Other Vascular Procedures With Mcc 13 7 — — $9,852.71 $78,844.31 $39,422.16 2025-10-24
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 13 7 — — $8,798.56 $65,821.58 $39,199.36 2025-10-24
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $24,692.63 $73,649.93 $39,080.86 2025-10-24
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 7 — — $10,236.40 $77,961.73 $38,980.86 2025-10-24
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 7 — — $8,938.25 $99,449.47 $38,942.10 2025-10-24
7150216 CDM Nmdp-primary Lymphocyte Collection/ Courier 24 16 $71,999.00 $35,999.50 50% off $13,823.81 $71,999.00 $38,879.46 2025-10-24
324 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 6 — — $22,902.75 $73,436.18 $38,845.35 2025-10-24
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 7 — — $10,814.02 $80,473.88 $38,804.32 2025-10-24
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 7 — — $10,071.67 $77,150.39 $38,575.20 2025-10-24
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 7 — — $12,443.71 $98,042.85 $38,391.30 2025-10-24
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $38,364.73 $38,364.73 $38,364.73 2025-10-24
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 7 — — $7,391.67 $56,271.73 $38,363.26 2025-10-24
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 7 — — $10,296.82 $96,293.77 $38,281.23 2025-10-24
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 6 — — $19,547.45 $139,868.57 $38,220.50 2025-10-24
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $37,922.37 $37,922.37 $37,922.37 2025-10-24
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 7 — — $7,353.94 $56,719.92 $37,735.92 2025-10-24
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 7 — — $12,144.59 $96,316.75 $37,715.40 2025-10-24
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $23,806.95 $70,928.62 $37,636.85 2025-10-24
793 MS_DRG Full Term Neonate With Major Problems 13 7 — — $3,943.14 $95,854.77 $37,534.50 2025-10-24
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 7 — — $12,602.26 $95,629.53 $37,446.30 2025-10-24
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 7 — — $9,740.72 $74,881.87 $37,440.94 2025-10-24
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 7 — — $11,587.31 $93,485.12 $37,437.93 2025-10-24
173 MS_DRG Urethral Procedures Age 0-17 12 6 — — $23,723.63 $70,528.70 $37,424.65 2025-10-24
L7180 HCPCS Electronic Elbow Sequential 9 4 — — $19,560.65 $38,289.48 $37,319.18 2025-10-24
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 4 — — $20,283.02 $37,701.48 $36,922.17 2025-10-24
800 MS_DRG Splenic Procedures With Cc 13 7 — — $7,834.60 $66,970.78 $36,834.89 2025-10-24
4404 APR_DRG N/a 1 1 — — $36,730.47 $36,730.47 $36,730.47 2025-10-24
791 MS_DRG Prematurity With Major Problems 13 7 — — $12,118.36 $93,312.74 $36,539.10 2025-10-24
112 APR_DRG N/a 1 1 — — $36,500.46 $36,500.46 $36,500.46 2025-10-24
654 MS_DRG Major Bladder Procedures With Cc 13 7 — — $8,376.85 $64,863.15 $36,405.09 2025-10-24
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $36,303.47 $36,303.47 $36,303.47 2025-10-24
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 7 — — $9,610.76 $81,122.03 $36,273.04 2025-10-24
J9266 HCPCS Pegaspargase Injection 57 18 $85,343.00 $42,671.50 50% off $16,385.86 $104,451.40 $36,094.04 2025-10-24
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 13 7 — — $6,372.59 $51,309.48 $35,866.61 2025-10-24
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 7 — — $11,392.22 $91,561.36 $35,853.30 2025-10-24
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 13 7 — — $10,463.85 $91,497.01 $35,828.10 2025-10-24
7150294 CDM Ach Marrow Collection 24 16 $65,919.00 $32,959.50 50% off $12,656.45 $65,919.00 $35,596.26 2025-10-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 6 — — $15,861.34 $105,596.84 $35,520.83 2025-10-24
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 13 7 — — $10,741.23 $90,687.97 $35,511.30 2025-10-24
655 MS_DRG Major Bladder Procedures Without Cc/mcc 13 7 — — $6,361.69 $47,744.66 $35,454.38 2025-10-24
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 7 — — $12,569.54 $90,501.80 $35,438.40 2025-10-24
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 — — $10,803.11 $88,495.30 $35,420.07 2025-10-24
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 7 — — $9,580.70 $73,992.39 $35,415.93 2025-10-24
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 7 — — $9,419.50 $90,317.93 $35,366.40 2025-10-24
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 7 — — $6,057.85 $45,942.72 $35,274.23 2025-10-24
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 13 7 — — $6,215.22 $50,079.84 $35,274.23 2025-10-24
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 13 7 — — $11,826.31 $89,874.34 $35,192.70 2025-10-24
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 13 7 — — $4,922.08 $49,966.00 $35,032.20 2025-10-24
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 7 — — $11,786.23 $89,377.88 $34,998.30 2025-10-24
63 APR_DRG Pancreas Transplant 1 1 — — $34,867.35 $34,867.35 $34,867.35 2025-10-24
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 7 — — $10,467.45 $88,743.52 $34,749.90 2025-10-24
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 6 — — $22,178.31 $65,430.85 $34,719.57 2025-10-24
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 6 — — $20,400.77 $65,782.51 $34,693.94 2025-10-24
617 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 13 7 — — $5,728.97 $45,158.76 $34,672.32 2025-10-24
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 — — $7,662.49 $61,684.46 $34,621.02 2025-10-24
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 7 — — $8,335.00 $60,907.60 $34,609.80 2025-10-24
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $34,390.44 $34,390.44 $34,390.44 2025-10-24
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 — — $10,685.53 $78,724.80 $34,266.23 2025-10-24
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $34,188.84 $34,188.84 $34,188.84 2025-10-24
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 13 7 — — $4,502.13 $45,942.72 $34,137.60 2025-10-24
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 13 7 — — $10,697.62 $86,697.95 $33,948.90 2025-10-24
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 7 — — $7,946.59 $62,780.80 $33,828.06 2025-10-24
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 13 7 — — $10,671.38 $86,006.13 $33,678.00 2025-10-24
93 APR_DRG N/a 1 1 — — $33,629.37 $33,629.37 $33,629.37 2025-10-24
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