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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

MEMORIAL HOSPITAL MIRAMAR

Miramar, FL · CCN 100285 · Rates published

35,263 distinct procedures filed
82 distinct payers
4,292,649 rate rows
2025-07-30 last MRF observed
Data quality

3,397,945 of 4,292,649 rate rows are consumer-grade (79.2%)

894,704 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 881,519
percent-of-charges filed in the dollar field — excluded from medians 4,357
template filing: same amount across many unrelated codes — excluded 3,469
per-diem day rate — not a per-procedure price 3,088
exceeds 10× this hospital's gross charge — excluded from medians 1,562
placeholder amount (≤ $0.02) — excluded from medians 709
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mhs.pt.panaceainc.com/MRFDownload/mhs/miramar
Found on page https://www.mhs.net/patients-and-visitors/billing/charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 42e86e72725e202a… · 158,188,372 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 19 $3,672,900.00 $4,591,125.00 $4,003,461.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 19 $3,605,000.00 $4,506,250.00 $3,929,450.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 19 $3,325,454.76 $4,156,818.45 $3,624,745.69 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 19 $3,286,000.00 $4,107,500.00 $3,581,740.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 19 $2,968,000.00 $3,710,000.00 $3,235,120.00 nat. median
$3,004,655
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 20 $2,332,000.00 $4,314,200.00 $2,565,200.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 28 $10,712.95 $4,418,936.33 $2,424,443.45 nat. median
$2,468,984
1.0× median
Q2042
HCPCS 		Hc Kymriah All 25 Or Less Yrs 69 $2,109.00 $4,918,121.25 $2,189,476.80 nat. median
$753,246
outlier · 2.9×
Q2041
HCPCS 		Hc Yescarta 69 $2,109.00 $4,292,500.00 $2,041,600.00 nat. median
$634,303
outlier · 3.2×
Q2053
HCPCS 		Hc Tecartus 69 $2,109.00 $3,995,000.00 $1,917,600.00 nat. median
$619,808
outlier · 3.1×
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,369,153.31 $1,369,153.31 $1,369,153.31 nat. median
$824,563
1.7× median
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T Carvykti 69 $2,109.00 $4,762,638.40 $985,108.95 nat. median
$674,867
1.5× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T - Breyanzi 69 $2,109.00 $4,922,967.10 $981,697.55 nat. median
$673,137
1.5× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car - Abecma 69 $2,109.00 $4,894,820.20 $976,575.54 nat. median
$625,184
1.6× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $494,364.16 $494,364.16 $494,364.16 nat. median
$459,112
1.1× median
AUTOALLOU
CPT 		Autologous/Allogeneic Unrelated 1 $410,617.00 $410,617.00 $410,617.00 —
AUTOALLOR
CPT 		Autologous/Allogeneic Related 1 $368,900.00 $368,900.00 $368,900.00 —
002-P
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc-pediatric 5 $235,278.00 $360,600.00 $338,586.00 —
001-P
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc-pediatric 5 $235,278.00 $360,600.00 $338,586.00 —
AUTOALLO
CPT 		Autologous/allogeneic Stem Cell-tandem 2 $293,266.00 $351,777.00 $322,521.50 —
ALLOUOP
CPT 		Allogeneic Matched/mismatched Unrelated 2 $226,475.70 $414,850.00 $320,662.85 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 $156,000.00 $548,539.30 $320,228.35 nat. median
$370,174
0.9× median
ALLOROP
CPT 		Allogenic Matched/mismatched Related 2 $184,260.45 $414,850.00 $299,555.22 —
001-A
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc-adult 5 $209,136.00 $338,506.00 $283,234.00 —
002-A
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc-adult 5 $209,136.00 $338,506.00 $283,234.00 —
014-U
MS_DRG 		Allogeneic Bone Marrow Transplant-matched/mismatched-unrelated 5 $240,400.00 $309,899.00 $266,648.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $222,161.51 $410,998.79 $239,934.44 nat. median
$265,286
0.9× median
AUTOTAN
CPT 		Autologous Stem Cell - Tandem 3 $180,300.00 $255,667.00 $234,518.00 —
014-R
MS_DRG 		Allogeneic Bone Marrow Transplant-matched/mismatched-related 5 $202,155.00 $269,747.00 $230,049.00 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $187,533.60 $346,937.16 $202,536.29 nat. median
$206,474
1.0× median
5834
APR_DRG 		12 $192,207.36 $297,921.41 $201,817.73 nat. median
$309,665
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $169,686.46 $313,919.95 $183,261.38 nat. median
$202,976
0.9× median
027844057-80
CDM 		Hc Heartmate3 Lvad Implant Kit 106524us 50 $33,832.65 $193,748.31 $146,608.15 nat. median
$146,608
1.0× median
651-P
MS_DRG 		Kidney - Pediatric 2 $114,750.00 $160,910.00 $137,830.00 —
650-P
MS_DRG 		Kidney - Pediatric 2 $114,750.00 $160,910.00 $137,830.00 —
652-P
MS_DRG 		Kidney - Pediatric 2 $114,750.00 $160,910.00 $137,830.00 —
AUTOOP
CPT 		Autologous, Outpatient 2 $125,861.20 $143,031.00 $134,446.10 —
5884
APR_DRG 		12 $125,393.59 $194,360.06 $131,663.27 nat. median
$246,434
0.5× median
5833
APR_DRG 		12 $124,517.93 $193,002.79 $130,743.83 nat. median
$244,017
0.5× median
651-A
MS_DRG 		Kidney - Adult 2 $105,590.00 $148,991.00 $127,290.50 —
652-A
MS_DRG 		Kidney - Adult 2 $105,590.00 $148,991.00 $127,290.50 —
650-A
MS_DRG 		Kidney - Adult 2 $105,590.00 $148,991.00 $127,290.50 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $112,811.15 $208,700.63 $121,836.05 nat. median
$133,161
0.9× median
027800228-80
CDM 		Hc Vad Hmii Sealed Implant Kit Thoratec 106015 50 $27,431.25 $157,089.63 $118,868.75 nat. median
$118,869
1.0× median
0024
APR_DRG 		13 $111,047.26 $172,123.25 $116,599.62 nat. median
$372,987
outlier · 0.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $104,802.06 $193,883.81 $113,186.23 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 20 $104,545.01 $193,408.27 $112,908.62 nat. median
$122,708
0.9× median
0114
APR_DRG 		12 $97,644.18 $151,348.48 $102,526.39 nat. median
$197,700
0.5× median
027856109-80
CDM 		Hc Vad Hw Dvc Vent Asst Kt Pmp 1103 50 $23,402.85 $134,020.32 $101,412.35 nat. median
$101,412
1.0× median
5832
APR_DRG 		12 $95,607.08 $148,190.97 $100,387.43 nat. median
$156,126
0.6× median

Other procedures at this hospital

Browse this hospital's 35,263 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 23 19 — — $3,672,900.00 $4,591,125.00 $4,003,461.00 2025-07-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 23 19 — — $3,605,000.00 $4,506,250.00 $3,929,450.00 2025-07-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 23 19 — — $3,325,454.76 $4,156,818.45 $3,624,745.69 2025-07-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 23 19 — — $3,286,000.00 $4,107,500.00 $3,581,740.00 2025-07-30
J3393 HCPCS Inj, Betibeglogene Autotemce 23 19 — — $2,968,000.00 $3,710,000.00 $3,235,120.00 2025-07-30
J3392 HCPCS Inj, Exagamglogene Autotem 25 20 — — $2,332,000.00 $4,314,200.00 $2,565,200.00 2025-07-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 40 28 — — $10,712.95 $4,418,936.33 $2,424,443.45 2025-07-30
Q2042 HCPCS Hc Kymriah All 25 Or Less Yrs 187 69 $4,718,700.00 — $2,109.00 $4,918,121.25 $2,189,476.80 2025-07-30
Q2041 HCPCS Hc Yescarta 187 69 $4,400,000.00 — $2,109.00 $4,292,500.00 $2,041,600.00 2025-07-30
Q2053 HCPCS Hc Tecartus 187 69 $4,400,000.00 — $2,109.00 $3,995,000.00 $1,917,600.00 2025-07-30
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $1,369,153.31 $1,369,153.31 $1,369,153.31 2025-07-30
Q2056 HCPCS Hc Ciltacabtagene Car-pos T Carvykti 122 69 — — $2,109.00 $4,762,638.40 $985,108.95 2025-07-30
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T - Breyanzi 122 69 — — $2,109.00 $4,922,967.10 $981,697.55 2025-07-30
Q2055 HCPCS Hc Idecabtagene Vicleucel Car - Abecma 122 69 — — $2,109.00 $4,894,820.20 $976,575.54 2025-07-30
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $494,364.16 $494,364.16 $494,364.16 2025-07-30
AUTOALLOU CPT Autologous/Allogeneic Unrelated 1 1 — — $410,617.00 $410,617.00 $410,617.00 2025-07-30
AUTOALLOR CPT Autologous/Allogeneic Related 1 1 — — $368,900.00 $368,900.00 $368,900.00 2025-07-30
001-P MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc-pediatric 5 5 — — $235,278.00 $360,600.00 $338,586.00 2025-07-30
002-P MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc-pediatric 5 5 — — $235,278.00 $360,600.00 $338,586.00 2025-07-30
AUTOALLO CPT Autologous/allogeneic Stem Cell-tandem 2 2 — — $293,266.00 $351,777.00 $322,521.50 2025-07-30
ALLOUOP CPT Allogeneic Matched/mismatched Unrelated 2 2 — — $226,475.70 $414,850.00 $320,662.85 2025-07-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 20 — — $156,000.00 $548,539.30 $320,228.35 2025-07-30
ALLOROP CPT Allogenic Matched/mismatched Related 2 2 — — $184,260.45 $414,850.00 $299,555.22 2025-07-30
002-A MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc-adult 5 5 — — $209,136.00 $338,506.00 $283,234.00 2025-07-30
001-A MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc-adult 5 5 — — $209,136.00 $338,506.00 $283,234.00 2025-07-30
014-U MS_DRG Allogeneic Bone Marrow Transplant-matched/mismatched-unrelated 5 5 — — $240,400.00 $309,899.00 $266,648.00 2025-07-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 20 — — $222,161.51 $410,998.79 $239,934.44 2025-07-30
AUTOTAN CPT Autologous Stem Cell - Tandem 3 3 — — $180,300.00 $255,667.00 $234,518.00 2025-07-30
014-R MS_DRG Allogeneic Bone Marrow Transplant-matched/mismatched-related 5 5 — — $202,155.00 $269,747.00 $230,049.00 2025-07-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 20 — — $187,533.60 $346,937.16 $202,536.29 2025-07-30
5834 APR_DRG — 15 12 — — $192,207.36 $297,921.41 $201,817.73 2025-07-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 20 — — $169,686.46 $313,919.95 $183,261.38 2025-07-30
027844057-80 CDM Hc Heartmate3 Lvad Implant Kit 106524us 81 50 $225,551.00 — $33,832.65 $193,748.31 $146,608.15 2025-07-30
651-P MS_DRG Kidney - Pediatric 2 2 — — $114,750.00 $160,910.00 $137,830.00 2025-07-30
652-P MS_DRG Kidney - Pediatric 2 2 — — $114,750.00 $160,910.00 $137,830.00 2025-07-30
650-P MS_DRG Kidney - Pediatric 2 2 — — $114,750.00 $160,910.00 $137,830.00 2025-07-30
AUTOOP CPT Autologous, Outpatient 2 2 — — $125,861.20 $143,031.00 $134,446.10 2025-07-30
5884 APR_DRG — 15 12 — — $125,393.59 $194,360.06 $131,663.27 2025-07-30
5833 APR_DRG — 15 12 — — $124,517.93 $193,002.79 $130,743.83 2025-07-30
650-A MS_DRG Kidney - Adult 2 2 — — $105,590.00 $148,991.00 $127,290.50 2025-07-30
652-A MS_DRG Kidney - Adult 2 2 — — $105,590.00 $148,991.00 $127,290.50 2025-07-30
651-A MS_DRG Kidney - Adult 2 2 — — $105,590.00 $148,991.00 $127,290.50 2025-07-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 20 — — $112,811.15 $208,700.63 $121,836.05 2025-07-30
027800228-80 CDM Hc Vad Hmii Sealed Implant Kit Thoratec 106015 81 50 $182,875.00 — $27,431.25 $157,089.63 $118,868.75 2025-07-30
0024 APR_DRG — 17 13 — — $111,047.26 $172,123.25 $116,599.62 2025-07-30
14 MS_DRG Allogeneic Bone Marrow Transplant 25 20 — — $104,802.06 $193,883.81 $113,186.23 2025-07-30
7 MS_DRG Lung Transplant 25 20 — — $104,545.01 $193,408.27 $112,908.62 2025-07-30
0114 APR_DRG — 15 12 — — $97,644.18 $151,348.48 $102,526.39 2025-07-30
027856109-80 CDM Hc Vad Hw Dvc Vent Asst Kt Pmp 1103 81 50 $156,019.00 — $23,402.85 $134,020.32 $101,412.35 2025-07-30
5832 APR_DRG — 15 12 — — $95,607.08 $148,190.97 $100,387.43 2025-07-30
1614 APR_DRG — 15 12 — — $95,167.09 $147,508.99 $99,925.44 2025-07-30
6304 APR_DRG — 15 12 — — $91,470.33 $141,779.01 $96,043.85 2025-07-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 20 — — $88,583.69 $163,879.83 $95,670.39 2025-07-30
8414 APR_DRG — 15 12 — — $90,217.23 $139,836.71 $94,728.09 2025-07-30
081211206-253 CDM Hc Organ Acquisition Heart Cadaver Donor 87 50 $184,832.00 — $2,109.00 $157,107.20 $94,264.32 2025-07-30
081211206-255 CDM Hc Organ Acquisition Heart Cadaver Donor 87 50 $184,832.00 — $2,109.00 $157,107.20 $94,264.32 2025-07-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 20 — — $85,699.26 $158,543.63 $92,555.21 2025-07-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 20 — — $84,343.90 $156,036.22 $91,513.14 2025-07-30
6094 APR_DRG — 15 12 — — $82,446.63 $127,792.28 $86,568.96 2025-07-30
5883 APR_DRG — 15 12 — — $81,552.64 $126,406.59 $85,630.27 2025-07-30
6314 APR_DRG — 15 12 — — $80,942.26 $125,460.50 $84,989.37 2025-07-30
081538240-255 CDM Hc Stem Cell Acquisition 87 50 $164,806.00 — $2,109.00 $140,085.10 $84,051.06 2025-07-30
081538240-253 CDM Hc Stem Cell Acquisition 87 50 $164,806.00 — $2,109.00 $140,085.10 $84,051.06 2025-07-30
5914 APR_DRG — 15 12 — — $79,657.89 $123,469.73 $83,640.78 2025-07-30
850 MS_DRG Acute Leukemia With Other Procedures 24 20 — — $74,501.96 $137,828.63 $80,462.12 2025-07-30
0074 APR_DRG — 17 13 — — $75,611.37 $117,197.62 $79,391.94 2025-07-30
0094 APR_DRG — 15 12 — — $75,232.49 $116,610.36 $78,994.11 2025-07-30
5934 APR_DRG — 15 12 — — $73,863.28 $114,488.08 $77,556.44 2025-07-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 44 25 — — $63,354.77 $210,574.58 $77,292.82 2025-07-30
5882 APR_DRG — 15 12 — — $71,560.89 $110,919.38 $75,138.93 2025-07-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 20 — — $68,716.75 $127,125.99 $74,214.09 2025-07-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 35 — — $38,331.00 $162,066.99 $73,873.00 2025-07-30
215 MS_DRG Other Heart Assist System Implant 65 41 — — $20,478.00 $238,383.00 $73,872.00 2025-07-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 65 41 — — $20,478.00 $217,149.75 $73,872.00 2025-07-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 65 41 — — $20,478.00 $190,662.75 $73,566.10 2025-07-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 20 — — $67,715.03 $125,272.81 $73,470.80 2025-07-30
5831 APR_DRG — 15 12 — — $69,493.60 $107,715.08 $72,968.28 2025-07-30
187001050 NDC Sodium Benzoate-sodium Phenylacetate 10-10 % Soln 50 Ml Vial 86 51 $142,640.39 — $2,109.00 $121,244.33 $72,033.40 2025-07-30
6034 APR_DRG — 15 12 — — $68,321.02 $105,897.58 $71,737.07 2025-07-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 20 — — $65,537.88 $121,245.08 $70,780.92 2025-07-30
0014 APR_DRG — 17 13 — — $67,242.62 $104,226.06 $70,604.75 2025-07-30
0044 APR_DRG — 15 12 — — $66,782.14 $103,512.32 $70,121.25 2025-07-30
10 MS_DRG Pancreas Transplant 26 20 — — $64,851.63 $155,000.00 $70,039.77 2025-07-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 20 — — $64,495.66 $275,000.00 $69,655.31 2025-07-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 65 41 — — $20,478.00 $175,869.00 $68,086.04 2025-07-30
J9266 HCPCS Pegaspargase 750 Unit/ml Soln 5 Ml Vial 120 69 $352,172.33 — $6,281.00 $299,346.48 $67,676.33 2025-07-30
1613 APR_DRG — 15 12 — — $64,392.40 $99,808.22 $67,612.02 2025-07-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 41 — — $20,478.00 $174,093.75 $67,428.43 2025-07-30
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml Susp 250 Ml Bag 120 69 $172,980.00 — $6,281.00 $147,033.00 $67,290.39 2025-07-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 20 — — $60,888.37 $112,643.48 $65,759.45 2025-07-30
0023 APR_DRG — 17 13 — — $62,352.43 $96,646.27 $65,470.05 2025-07-30
5881 APR_DRG — 15 12 — — $61,338.01 $95,073.92 $64,404.91 2025-07-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 36 — — $37,593.00 $106,919.66 $63,466.00 2025-07-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 22 — — $52,500.00 $107,434.11 $62,718.30 2025-07-30
5913 APR_DRG — 15 12 — — $59,125.13 $91,643.95 $62,081.39 2025-07-30
48554 HCPCS Hc Organ Acquisition Pancreas Cadaver Donor 167 57 $108,362.00 — $1,788.00 $92,107.70 $61,920.60 2025-07-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 20 — — $56,933.68 $105,327.31 $61,488.38 2025-07-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 20 — — $55,935.07 $103,479.88 $60,409.88 2025-07-30
0113 APR_DRG — 15 12 — — $56,946.04 $88,266.36 $59,793.34 2025-07-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 20 — — $54,972.30 $101,698.76 $59,644.95 2025-07-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 64 40 — — $20,478.00 $101,164.12 $59,331.40 2025-07-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 20 — — $54,771.33 $101,326.96 $59,153.04 2025-07-30
1604 APR_DRG — 15 12 — — $55,523.63 $86,061.63 $58,299.81 2025-07-30
027257598-255 CDM Hc Tray Press Montr 2.5f Cpmsy250 87 50 $114,205.00 — $2,109.00 $97,074.25 $58,244.55 2025-07-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 65 41 — — $20,478.00 $145,302.75 $57,824.36 2025-07-30
6024 APR_DRG — 15 12 — — $54,849.27 $85,016.37 $57,591.73 2025-07-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 20 — — $53,122.31 $98,276.27 $57,372.10 2025-07-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 57 36 — — $37,593.00 $94,345.10 $57,117.03 2025-07-30
A9543 HCPCS Hc Zevalin Y-90 Tx Dose Upto 40 Mci 122 69 $304,169.00 — $2,109.00 $258,543.65 $56,271.26 2025-07-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 20 — — $52,009.20 $96,217.02 $56,169.94 2025-07-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 65 41 — — $20,478.00 $137,445.75 $55,728.00 2025-07-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 59 38 — — $31,202.00 $93,139.00 $55,340.79 2025-07-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 65 41 — — $20,478.00 $133,859.25 $54,825.00 2025-07-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 20 — — $50,715.37 $93,823.43 $54,772.61 2025-07-30
081111207-255 CDM Adult Kidney Transplant Living 87 50 $107,322.00 — $2,109.00 $91,223.70 $54,734.22 2025-07-30
081111207-253 CDM Adult Kidney Transplant Living 87 50 $107,322.00 — $2,109.00 $91,223.70 $54,734.22 2025-07-30
081211207-253 CDM Hc Organ Acquisition Kidney Cadaver Donor 87 50 $107,322.00 — $2,109.00 $91,223.70 $54,734.22 2025-07-30
081211207-255 CDM Hc Organ Acquisition Kidney Cadaver Donor 87 50 $107,322.00 — $2,109.00 $91,223.70 $54,734.22 2025-07-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 21 — — $15,000.00 $94,229.82 $54,500.49 2025-07-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 22 — — $49,762.73 $154,950.00 $54,490.19 2025-07-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 22 — — $49,762.73 $154,950.00 $54,490.19 2025-07-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 65 41 — — $20,478.00 $132,394.50 $54,410.80 2025-07-30
1612 APR_DRG — 15 12 — — $51,688.84 $80,117.70 $54,273.28 2025-07-30
28 MS_DRG Spinal Procedures With Mcc 24 20 — — $50,102.35 $92,689.35 $54,110.54 2025-07-30
5933 APR_DRG — 15 12 — — $51,226.92 $79,401.73 $53,788.27 2025-07-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 37 22 — — $23,112.00 $93,513.62 $53,075.30 2025-07-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 20 — — $49,053.11 $90,748.25 $52,977.36 2025-07-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 20 — — $48,098.90 $88,982.97 $51,946.82 2025-07-30
1611 APR_DRG — 15 12 — — $49,247.34 $76,333.38 $51,709.71 2025-07-30
5891 APR_DRG — 15 12 — — $48,983.85 $75,924.97 $51,433.04 2025-07-30
0112 APR_DRG — 15 12 — — $48,895.78 $75,788.46 $51,340.57 2025-07-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 20 — — $47,185.98 $87,294.06 $50,960.87 2025-07-30
0064 APR_DRG — 17 13 — — $48,372.76 $74,977.78 $50,791.40 2025-07-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 22 — — $25,593.00 $87,788.35 $50,300.36 2025-07-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 65 41 — — $20,478.00 $112,124.25 $50,202.00 2025-07-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 65 41 — — $20,478.00 $119,704.50 $50,202.00 2025-07-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 41 — — $20,478.00 $119,175.75 $50,202.00 2025-07-30
5892 APR_DRG — 15 12 — — $47,538.79 $73,685.12 $49,915.73 2025-07-30
J9226 HCPCS Supprelin La Implant 59 31 — — $15,400.68 $150,556.09 $49,885.24 2025-07-30
653 MS_DRG Major Bladder Procedures With Mcc 24 20 — — $46,169.46 $85,413.50 $49,863.03 2025-07-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 40 — — $20,478.00 $93,139.00 $49,711.00 2025-07-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 20 — — $45,620.31 $84,397.57 $49,498.04 2025-07-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 20 — — $45,801.02 $84,731.89 $49,465.11 2025-07-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 24 20 — — $45,801.02 $84,731.89 $49,465.11 2025-07-30
8514 APR_DRG — 15 12 — — $46,902.89 $72,699.48 $49,248.03 2025-07-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 20 — — $45,358.58 $83,913.37 $49,214.07 2025-07-30
5893 APR_DRG — 15 12 — — $46,525.81 $72,115.01 $48,852.10 2025-07-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 27 20 — — $45,129.57 $430,374.00 $48,739.95 2025-07-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 36 — — $37,593.00 $93,139.00 $48,727.70 2025-07-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 20 — — $45,032.98 $83,311.01 $48,635.63 2025-07-30
8424 APR_DRG — 15 12 — — $46,203.37 $71,615.22 $48,513.54 2025-07-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 59 38 — — $31,202.00 $93,139.00 $48,453.93 2025-07-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 20 — — $44,817.22 $82,911.86 $48,402.60 2025-07-30
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 24 20 — — $44,777.49 $82,838.36 $48,359.70 2025-07-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 20 — — $44,772.82 $82,829.72 $48,354.65 2025-07-30
0022 APR_DRG — 17 13 — — $45,376.96 $70,334.29 $47,645.81 2025-07-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 41 — — $20,478.00 $103,333.50 $47,602.00 2025-07-30
5912 APR_DRG — 15 12 — — $44,835.60 $69,495.18 $47,077.38 2025-07-30
33276 HCPCS Insj Phrnc Nrv Stim Sys 38 33 — — $546.77 $83,565.61 $46,977.43 2025-07-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 64 40 — — $20,478.00 $93,139.00 $46,804.00 2025-07-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 20 — — $42,862.85 $79,296.27 $46,506.19 2025-07-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 64 40 — — $20,478.00 $93,139.00 $46,401.37 2025-07-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 63 39 — — $20,478.00 $93,139.00 $46,200.00 2025-07-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 65 41 — — $20,478.00 $93,139.00 $46,200.00 2025-07-30
027843979-80 CDM Hc Kit Nrstm Rns Vagus Nrv Stm Rns-320-k 81 50 $70,851.00 — $10,627.65 $60,861.01 $46,053.15 2025-07-30
6303 APR_DRG — 15 12 — — $43,677.04 $67,699.41 $45,860.89 2025-07-30
0266T HCPCS Implt/rpl Crtd Sns Dev Total 40 28 — — $12,436.05 $83,565.61 $45,848.16 2025-07-30
0054 APR_DRG — 15 12 — — $43,560.21 $67,518.33 $45,738.22 2025-07-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 20 — — $42,309.02 $78,271.69 $45,693.75 2025-07-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 20 — — $41,981.09 $77,665.02 $45,339.58 2025-07-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 20 — — $41,749.74 $77,237.02 $45,089.72 2025-07-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 20 — — $41,719.36 $77,180.82 $45,056.92 2025-07-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 20 — — $41,703.78 $77,151.99 $45,040.09 2025-07-30
90288 HCPCS Botulism Immune Globulinhuman 100 Mg Solr 1 Each Vial 111 65 $145,111.00 — $1,135.76 $123,344.35 $44,984.41 2025-07-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 22 — — $22,147.00 $78,496.50 $44,552.07 2025-07-30
6074 APR_DRG — 15 12 — — $42,035.35 $65,154.79 $44,137.12 2025-07-30
5932 APR_DRG — 15 12 — — $41,957.35 $65,033.89 $44,055.22 2025-07-30
0043 APR_DRG — 15 12 — — $41,876.47 $64,908.53 $43,970.29 2025-07-30
471 MS_DRG Cervical Spinal Fusion With Mcc 24 20 — — $40,582.10 $75,076.89 $43,828.68 2025-07-30
0021 APR_DRG — 17 13 — — $41,730.88 $64,682.86 $43,817.42 2025-07-30
6 MS_DRG Liver Transplant Without Mcc 25 20 — — $40,519.01 $74,960.17 $43,760.54 2025-07-30
245 MS_DRG Aicd Generator Procedures 55 40 — — $3,928.00 $75,502.00 $43,668.73 2025-07-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 20 — — $39,944.93 $73,898.12 $43,140.53 2025-07-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 64 40 — — $20,478.00 $93,139.00 $43,029.00 2025-07-30
799 MS_DRG Splenic Procedures With Mcc 24 20 — — $39,783.69 $73,599.83 $42,966.39 2025-07-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 20 — — $39,776.68 $73,586.86 $42,958.82 2025-07-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 20 — — $39,197.14 $72,514.71 $42,332.92 2025-07-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 21 — — $38,634.75 $142,055.00 $41,918.71 2025-07-30
3034 APR_DRG — 15 12 — — $39,878.55 $61,811.75 $41,872.48 2025-07-30
163 MS_DRG Major Chest Procedures With Mcc 24 20 — — $38,649.55 $71,501.67 $41,741.52 2025-07-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 20 — — $38,514.79 $71,252.36 $41,595.98 2025-07-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 20 — — $37,889.30 $70,095.21 $40,920.45 2025-07-30
6023 APR_DRG — 15 12 — — $38,906.55 $60,305.15 $40,851.88 2025-07-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 20 — — $37,679.76 $69,707.56 $40,694.15 2025-07-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 20 — — $37,583.17 $69,528.86 $40,589.83 2025-07-30
901 MS_DRG Wound Debridements For Injuries With Mcc 24 20 — — $37,257.58 $68,926.52 $40,238.19 2025-07-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 20 — — $36,963.91 $68,383.23 $39,921.03 2025-07-30
1624 APR_DRG — 15 12 — — $37,904.72 $58,752.32 $39,799.96 2025-07-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 20 — — $36,450.59 $67,433.59 $39,366.64 2025-07-30
0084 APR_DRG — 17 13 — — $37,476.23 $58,088.16 $39,350.04 2025-07-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 20 — — $36,381.26 $67,305.33 $39,291.77 2025-07-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 20 — — $35,973.88 $66,551.68 $38,851.79 2025-07-30
0073 APR_DRG — 17 13 — — $36,953.93 $57,278.59 $38,801.63 2025-07-30
140 MS_DRG Major Head And Neck Procedures With Mcc 24 20 — — $35,689.56 $66,025.69 $38,544.73 2025-07-30
25010021027 NDC Ethacrynic Acid 50 Mg Solr 1 Each Vial 86 51 $76,130.87 — $2,109.00 $64,711.24 $38,446.09 2025-07-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 20 — — $35,388.89 $65,469.45 $38,220.01 2025-07-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 20 — — $35,381.10 $65,455.04 $38,211.60 2025-07-30
793 MS_DRG Full Term Neonate With Major Problems 24 20 — — $35,232.32 $65,179.79 $38,050.91 2025-07-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 20 — — $34,759.51 $64,305.09 $37,540.27 2025-07-30
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 24 20 — — $34,711.99 $64,217.18 $37,488.95 2025-07-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 22 — — $33,438.00 $63,926.08 $37,319.02 2025-07-30
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $37,276.00 $37,276.00 $37,276.00 2025-07-30
4404 APR_DRG — 17 13 — — $35,422.96 $54,905.59 $37,194.11 2025-07-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 20 — — $34,429.23 $63,694.08 $37,183.58 2025-07-30
791 MS_DRG Prematurity With Major Problems 25 21 — — $2,030.00 $63,586.00 $37,120.48 2025-07-30
8634 APR_DRG — 15 12 — — $35,009.21 $54,264.28 $36,759.67 2025-07-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 20 — — $33,777.26 $62,487.93 $36,479.44 2025-07-30
J0480 HCPCS Basiliximab 20 Mg Solr 1 Each Vial 238 69 $59,313.82 — $1,116.91 $60,429.61 $36,459.22 2025-07-30
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 24 20 — — $33,755.45 $62,447.58 $36,455.89 2025-07-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 20 — — $33,481.26 $61,940.33 $36,159.77 2025-07-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 20 — — $33,418.17 $61,823.61 $36,091.62 2025-07-30
0063 APR_DRG — 17 13 — — $34,364.33 $53,264.71 $36,082.55 2025-07-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 20 — — $33,220.31 $61,457.57 $36,044.04 2025-07-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 20 — — $33,355.85 $61,708.32 $36,024.32 2025-07-30
6134 APR_DRG — 15 12 — — $34,228.81 $53,054.66 $35,940.25 2025-07-30
027216817-79 CDM Hc System Embl Prot Nav6 190cm .014in 22437-19 87 50 $70,415.00 — $2,109.00 $59,852.75 $35,911.65 2025-07-30
6114 APR_DRG — 15 12 — — $34,068.84 $52,806.70 $35,772.28 2025-07-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 20 — — $33,037.26 $61,118.93 $35,680.25 2025-07-30
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 40 28 — — $7,047.29 $64,995.68 $35,659.79 2025-07-30
C1822 HCPCS Hc Kit Patient Maestro Rechrgable 2404 246 51 $56,430.00 — $470.25 $79,299.00 $35,550.90 2025-07-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 20 — — $32,852.65 $60,777.40 $35,480.87 2025-07-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 20 — — $32,822.27 $60,721.20 $35,448.06 2025-07-30
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 25 20 — — $32,182.77 $59,538.13 $35,401.05 2025-07-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 20 — — $32,738.15 $60,565.58 $35,357.21 2025-07-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 20 — — $32,520.82 $60,163.52 $35,122.49 2025-07-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 20 — — $32,359.58 $59,865.22 $34,948.35 2025-07-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 20 — — $32,129.01 $59,438.67 $34,699.34 2025-07-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 20 — — $31,894.55 $59,004.92 $34,446.12 2025-07-30
0093 APR_DRG — 15 12 — — $32,422.49 $50,254.86 $34,043.61 2025-07-30
5484 APR_DRG — 15 12 — — $32,130.18 $49,801.78 $33,736.69 2025-07-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 20 — — $31,167.80 $57,660.43 $33,661.23 2025-07-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 20 — — $30,970.73 $57,295.85 $33,448.39 2025-07-30
C1820 HCPCS Hc Kit Impl Maestro Rechrgable 2400 246 51 $54,884.00 — $5,486.25 $63,954.00 $33,413.01 2025-07-30
1674 APR_DRG — 15 12 — — $31,789.10 $49,273.11 $33,378.56 2025-07-30
C1826 HCPCS Hc System Evoke G4 Stimulator 2x60cm Leads Permsys-60-2-g4 82 51 $51,205.00 — $7,680.75 $51,205.00 $33,283.25 2025-07-30
1634 APR_DRG — 15 12 — — $31,574.50 $48,940.48 $33,153.23 2025-07-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 20 — — $30,670.05 $56,739.59 $33,123.66 2025-07-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 20 — — $30,668.50 $56,736.73 $33,121.98 2025-07-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 20 — — $30,663.82 $56,728.07 $33,116.93 2025-07-30
0013 APR_DRG — 17 13 — — $31,456.60 $48,757.73 $33,029.43 2025-07-30
C1759 HCPCS Hc Shunt Ventriclr Backtiseal Kit 246 51 $52,250.00 — $239.10 $73,150.00 $32,917.50 2025-07-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 20 — — $30,408.33 $56,255.41 $32,841.00 2025-07-30
265 MS_DRG Aicd Lead Procedures 61 41 — — $3,928.00 $56,485.98 $32,670.27 2025-07-30
6022 APR_DRG — 15 12 — — $31,113.67 $48,226.19 $32,669.35 2025-07-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 20 — — $30,246.31 $55,955.67 $32,666.02 2025-07-30
0408T HCPCS Insj/rplc Cardiac Modulj Sys 40 28 — — $5,079.14 $59,538.13 $32,665.51 2025-07-30
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 40 28 — — $14,379.86 $59,538.13 $32,665.51 2025-07-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 20 — — $30,239.30 $55,942.71 $32,658.45 2025-07-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 20 — — $30,169.97 $55,814.44 $32,583.58 2025-07-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 20 — — $30,039.11 $55,572.35 $32,442.24 2025-07-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 20 — — $30,030.54 $55,556.50 $32,432.99 2025-07-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 20 — — $30,019.64 $55,536.33 $32,421.21 2025-07-30
027216116-79 CDM Hc Matrix Wnd W 40 Cm L20 Cm Sgl Use Indiv Packed Mtx-2040 87 50 $63,522.00 — $2,109.00 $53,993.70 $32,396.22 2025-07-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 21 — — $29,795.30 $142,055.00 $32,327.90 2025-07-30
6093 APR_DRG — 15 12 — — $30,783.68 $47,714.70 $32,322.86 2025-07-30
264 MS_DRG Other Circulatory System O.r. Procedures 26 20 — — $20,609.00 $55,446.98 $32,219.20 2025-07-30
332 MS_DRG Rectal Resection With Mcc 24 20 — — $29,765.70 $55,066.55 $32,146.96 2025-07-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 20 — — $29,736.10 $55,011.79 $32,115.00 2025-07-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 20 — — $29,534.36 $54,638.57 $31,897.11 2025-07-30
665 MS_DRG Prostatectomy With Mcc 24 20 — — $29,492.29 $54,560.74 $31,851.68 2025-07-30
252 MS_DRG Other Vascular Procedures With Mcc 24 20 — — $29,467.37 $54,514.63 $31,824.76 2025-07-30
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 38 33 — — $546.77 $56,589.24 $31,812.33 2025-07-30
1784 APR_DRG — 15 12 — — $30,258.13 $46,900.10 $31,771.04 2025-07-30
6033 APR_DRG — 15 12 — — $30,178.33 $46,776.41 $31,687.25 2025-07-30
0053 APR_DRG — 15 12 — — $30,089.90 $46,639.35 $31,594.40 2025-07-30
6124 APR_DRG — 15 12 — — $30,025.56 $46,539.62 $31,526.84 2025-07-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 22 — — $22,147.00 $54,439.69 $31,486.75 2025-07-30
027217127-79 CDM Hc Distractor Surg Ips Kawamoto Ti M Oral/max 60-008-92-09 87 50 $61,520.00 — $2,109.00 $52,292.00 $31,375.20 2025-07-30
8504 APR_DRG — 16 13 — — $29,751.29 $46,114.50 $31,238.85 2025-07-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 20 — — $28,893.29 $53,452.59 $31,204.75 2025-07-30
0072 APR_DRG — 17 13 — — $29,633.02 $45,931.18 $31,114.67 2025-07-30
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 40 28 — — $4,001.39 $56,589.24 $31,047.61 2025-07-30
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 40 28 — — $12,436.05 $56,589.24 $31,047.61 2025-07-30
1654 APR_DRG — 15 12 — — $29,487.44 $45,705.53 $30,961.81 2025-07-30
37 MS_DRG Extracranial Procedures With Mcc 24 20 — — $28,614.42 $52,936.68 $30,903.58 2025-07-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 20 — — $28,466.42 $52,662.88 $30,743.74 2025-07-30
6073 APR_DRG — 15 12 — — $29,098.49 $45,102.66 $30,553.41 2025-07-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 20 — — $28,135.37 $52,050.43 $30,386.21 2025-07-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 20 — — $28,124.47 $52,030.27 $30,374.43 2025-07-30
8413 APR_DRG — 15 12 — — $28,871.31 $44,750.53 $30,314.88 2025-07-30
6214 APR_DRG — 15 12 — — $28,840.40 $44,702.62 $30,282.42 2025-07-30
6804 APR_DRG — 15 12 — — $28,815.59 $44,664.16 $30,256.37 2025-07-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 20 — — $27,823.02 $51,472.59 $30,048.86 2025-07-30
93654 HCPCS Hc Comprehensi Electrophysiologic Eval W/treatm Incl 3d Mapping 132 76 $98,131.00 — $2,109.00 $83,411.35 $30,042.54 2025-07-30
6334 APR_DRG — 15 12 — — $28,549.95 $44,252.42 $29,977.45 2025-07-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 20 — — $27,706.96 $51,257.88 $29,923.52 2025-07-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 20 — — $27,587.00 $51,035.95 $29,793.96 2025-07-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 37 — — $2,045.00 $66,460.88 $29,733.00 2025-07-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 58 38 — — $3,928.00 $61,430.19 $29,733.00 2025-07-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 20 — — $27,520.01 $50,912.02 $29,721.61 2025-07-30
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