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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

SARASOTA MEMORIAL HOSPITAL - VENICE

North Venice, FL · CCN 100359 · Rates published

22,867 distinct procedures filed
18 distinct payers
859,718 rate rows
2025-08-01 last MRF observed · ⚠ 14 mo old
Data quality

766,032 of 859,718 rate rows are consumer-grade (89.1%)

93,686 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 70,862
template filing: same amount across many unrelated codes — excluded 12,006
per-diem day rate — not a per-procedure price 7,922
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,032
placeholder amount (≤ $0.02) — excluded from medians 820
percent-of-charges filed in the dollar field — excluded from medians 44

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.smh.com/Portals/0/Documents/Financial/596012500_Sarasota-Memorial-Hospital-Venice_standardcharges.csv
Found on page https://www.smh.com/billchat
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint dbf5fc6d293fc0aa… · 122,864,908 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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 6 $4,377,500.00 $4,815,250.00 $4,552,600.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,452,115.60 $2,697,327.16 $2,550,200.22 nat. median
$2,455,111
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $250,211.07 $901,675.34 $589,281.35 nat. median
$168,055
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $186,886.69 $673,475.88 $440,143.77 nat. median
$186,516
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $157,392.38 $567,188.43 $404,971.91 nat. median
$131,925
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $142,191.07 $512,408.12 $365,858.84 nat. median
$145,435
outlier · 2.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $730,012.50 $283,893.75 nat. median
$286,598
1.0× median
4486189
CDM 		Tricuspid Valve, Evoque 5 $204,073.58 $271,444.03 $249,041.72 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $93,747.55 $337,834.17 $241,213.23 nat. median
$97,418
outlier · 2.5×
5834
APR_DRG 		Neonate With Ecmo 6 $208,261.10 $229,087.20 $227,004.59 nat. median
$390,362
0.6× median
C1823
HCPCS 		Generator, Neuro-implt, Tranven Sens/Stim Lead 5 $180,100.13 $239,556.26 $219,785.65 nat. median
$86,625
outlier · 2.5×
C1831
HCPCS 		Aprevo Level 1 Personalized Interbody Cage 5 $122,835.02 $314,204.80 $213,046.29 nat. median
$5,834
outlier · 36.5×
C1827
HCPCS 		Generator, Neurostimulator 5 $171,849.60 $228,582.00 $209,717.10 nat. median
$34
outlier · 6132.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $86,925.80 $313,250.94 $204,722.18 nat. median
$72,715
outlier · 2.8×
7
MS_DRG 		Lung Transplant 8 $86,706.86 $312,461.94 $204,206.54 nat. median
$70,649
outlier · 2.9×
3265395
CDM 		Valve Aortic/Mitral 5 $165,884.78 $220,648.03 $202,437.92 —
3265393
CDM 		Valve Aortic/Mitral 5 $161,111.18 $214,298.53 $196,612.45 —
4486114
CDM 		Clasp Ii Trial Mitraclip 5 $158,481.02 $210,800.08 $193,402.73 —
4400400
CDM 		Encircle Valve System G170152 5 $158,481.02 $210,800.08 $193,402.73 —
C1825
HCPCS 		Generator Neurostim, Non-rechg, Carotid Leads 5 $149,177.18 $226,997.53 $191,348.25 nat. median
$35,000
outlier · 5.5×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 4 $156,793.61 $210,945.63 $190,963.17 nat. median
$2,106
outlier · 90.7×
3265391
CDM 		Valve Aortic/Mitral 5 $156,337.58 $207,949.03 $190,786.97 —
3265390
CDM 		Valve Aortic/Mitral 5 $153,950.78 $204,774.28 $187,874.23 —
212
MS_DRG 		Testes Procedures Age 0-17 8 $72,277.17 $260,462.26 $185,969.77 nat. median
$74,509
outlier · 2.5×
3264395
CDM 		Stent Graft 5 $151,563.98 $201,599.53 $184,961.49 —
3263761
CDM 		Pump Impella 5 $149,772.48 $199,216.60 $182,775.23 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $69,500.57 $250,456.34 $178,825.55 nat. median
$2,736
outlier · 65.4×
215
MS_DRG 		Other Heart Assist System Implant 8 $62,612.00 $253,311.07 $174,263.27 nat. median
$73,023
outlier · 2.4×
4433427
CDM 		Tricupspid Clip Kit 5 $142,421.76 $189,439.20 $173,804.76 —
3265385
CDM 		Valve Aortic/Mitral 5 $142,016.78 $188,900.53 $173,310.54 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $73,111.81 $263,470.01 $172,188.33 nat. median
$65,418
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $70,655.00 $254,616.50 $166,402.20 nat. median
$69,922
outlier · 2.4×
4386196
CDM 		Lariat Device 5 $130,082.78 $173,026.78 $158,746.86 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $62,612.00 $230,748.15 $158,741.29 nat. median
$69,822
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $61,117.69 $220,247.32 $157,256.34 nat. median
$2,633
outlier · 59.7×
3263759
CDM 		Pump Impella 5 $127,695.98 $169,852.03 $155,834.12 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $56,190.14 $202,490.10 $144,577.71 nat. median
$59,651
outlier · 2.4×
C2642
HCPCS 		Brachytx Stranded C-131 15 $107.86 $263,235.33 $144,534.54 nat. median
$8,770
outlier · 16.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $55,336.93 $199,415.41 $142,382.39 nat. median
$2,596
outlier · 54.9×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 2 $135,475.88 $182,265.36 $141,897.09 nat. median
$2,024
outlier · 70.1×
C1605
HCPCS 		Aveir Dr Leadless Pacemaker System 5 $115,761.98 $153,978.28 $141,270.43 nat. median
$17,883
outlier · 7.9×
4441798
CDM 		Mitra Clip Kit 5 $114,856.56 $152,773.95 $140,165.50 —
3263078
CDM 		Mitra Clip Kit 5 $114,856.56 $152,773.95 $140,165.50 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $56,221.33 $202,602.48 $139,378.71 nat. median
$60,505
outlier · 2.3×
C1824
HCPCS 		Generator Cardiac Modulation 5 $108,601.58 $163,502.53 $139,232.80 nat. median
$32,119
outlier · 4.3×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $127,555.94 $140,311.53 $139,035.97 nat. median
$286,698
outlier · 0.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $53,482.54 $192,732.84 $137,611.04 nat. median
$56,428
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $117,351.92 $157,881.90 $135,405.04 nat. median
$2,106
outlier · 64.3×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 4 $108,221.81 $145,598.52 $131,806.27 nat. median
$2,106
outlier · 62.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 2 $125,436.30 $168,758.41 $131,381.66 nat. median
$2,024
outlier · 64.9×

Other procedures at this hospital

Browse this hospital's 22,867 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 12 6 — — $4,377,500.00 $4,815,250.00 $4,552,600.00 2025-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,452,115.60 $2,697,327.16 $2,550,200.22 2025-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 28 8 — — $250,211.07 $901,675.34 $589,281.35 2025-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 8 — — $186,886.69 $673,475.88 $440,143.77 2025-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 8 — — $157,392.38 $567,188.43 $404,971.91 2025-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 32 8 — — $142,191.07 $512,408.12 $365,858.84 2025-08-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $270,375.00 $730,012.50 $283,893.75 2025-08-01
4486189 CDM Tricuspid Valve, Evoque 16 5 $327,041.00 $130,816.40 60% off $204,073.58 $271,444.03 $249,041.72 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 32 8 — — $93,747.55 $337,834.17 $241,213.23 2025-08-01
5834 APR_DRG Neonate With Ecmo 16 6 — — $208,261.10 $229,087.20 $227,004.59 2025-08-01
C1823 HCPCS Generator, Neuro-implt, Tranven Sens/Stim Lead 16 5 $288,622.00 $115,448.80 60% off $180,100.13 $239,556.26 $219,785.65 2025-08-01
C1831 HCPCS Aprevo Level 1 Personalized Interbody Cage 80 5 $287,706.00 $115,082.40 60% off $122,835.02 $314,204.80 $213,046.29 2025-08-01
C1827 HCPCS Generator, Neurostimulator 16 5 $275,400.00 $110,160.00 60% off $171,849.60 $228,582.00 $209,717.10 2025-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 8 — — $86,925.80 $313,250.94 $204,722.18 2025-08-01
7 MS_DRG Lung Transplant 28 8 — — $86,706.86 $312,461.94 $204,206.54 2025-08-01
3265395 CDM Valve Aortic/Mitral 16 5 $265,841.00 $106,336.40 60% off $165,884.78 $220,648.03 $202,437.92 2025-08-01
3265393 CDM Valve Aortic/Mitral 16 5 $258,191.00 $103,276.40 60% off $161,111.18 $214,298.53 $196,612.45 2025-08-01
4486114 CDM Clasp Ii Trial Mitraclip 16 5 $253,976.00 $101,590.40 60% off $158,481.02 $210,800.08 $193,402.73 2025-08-01
4400400 CDM Encircle Valve System G170152 16 5 $253,976.00 $101,590.40 60% off $158,481.02 $210,800.08 $193,402.73 2025-08-01
C1825 HCPCS Generator Neurostim, Non-rechg, Carotid Leads 32 5 $256,278.50 $102,511.40 60% off $149,177.18 $226,997.53 $191,348.25 2025-08-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 12 4 — — $156,793.61 $210,945.63 $190,963.17 2025-08-01
3265391 CDM Valve Aortic/Mitral 16 5 $250,541.00 $100,216.40 60% off $156,337.58 $207,949.03 $190,786.97 2025-08-01
3265390 CDM Valve Aortic/Mitral 16 5 $246,716.00 $98,686.40 60% off $153,950.78 $204,774.28 $187,874.23 2025-08-01
212 MS_DRG Testes Procedures Age 0-17 32 8 — — $72,277.17 $260,462.26 $185,969.77 2025-08-01
3264395 CDM Stent Graft 16 5 $242,891.00 $97,156.40 60% off $151,563.98 $201,599.53 $184,961.49 2025-08-01
3263761 CDM Pump Impella 16 5 $240,020.00 $96,008.00 60% off $149,772.48 $199,216.60 $182,775.23 2025-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 8 — — $69,500.57 $250,456.34 $178,825.55 2025-08-01
215 MS_DRG Other Heart Assist System Implant 34 8 — — $62,612.00 $253,311.07 $174,263.27 2025-08-01
4433427 CDM Tricupspid Clip Kit 16 5 $228,240.00 $91,296.00 60% off $142,421.76 $189,439.20 $173,804.76 2025-08-01
3265385 CDM Valve Aortic/Mitral 16 5 $227,591.00 $91,036.40 60% off $142,016.78 $188,900.53 $173,310.54 2025-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 8 — — $73,111.81 $263,470.01 $172,188.33 2025-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 8 — — $70,655.00 $254,616.50 $166,402.20 2025-08-01
4386196 CDM Lariat Device 16 5 $208,466.00 $83,386.40 60% off $130,082.78 $173,026.78 $158,746.86 2025-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 8 — — $62,612.00 $230,748.15 $158,741.29 2025-08-01
850 MS_DRG Acute Leukemia With Other Procedures 32 8 — — $61,117.69 $220,247.32 $157,256.34 2025-08-01
3263759 CDM Pump Impella 16 5 $204,641.00 $81,856.40 60% off $127,695.98 $169,852.03 $155,834.12 2025-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 32 8 — — $56,190.14 $202,490.10 $144,577.71 2025-08-01
C2642 HCPCS Brachytx Stranded C-131 146 15 $219,565.00 $87,826.00 60% off $107.86 $263,235.33 $144,534.54 2025-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 8 — — $55,336.93 $199,415.41 $142,382.39 2025-08-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 2 — — $135,475.88 $182,265.36 $141,897.09 2025-08-01
C1605 HCPCS Aveir Dr Leadless Pacemaker System 16 5 $185,516.00 $74,206.40 60% off $115,761.98 $153,978.28 $141,270.43 2025-08-01
3263078 CDM Mitra Clip Kit 16 5 $184,065.00 $73,626.00 60% off $114,856.56 $152,773.95 $140,165.50 2025-08-01
4441798 CDM Mitra Clip Kit 16 5 $184,065.00 $73,626.00 60% off $114,856.56 $152,773.95 $140,165.50 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 8 — — $56,221.33 $202,602.48 $139,378.71 2025-08-01
C1824 HCPCS Generator Cardiac Modulation 32 5 $185,516.00 $74,206.40 60% off $108,601.58 $163,502.53 $139,232.80 2025-08-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 16 6 — — $127,555.94 $140,311.53 $139,035.97 2025-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 8 — — $53,482.54 $192,732.84 $137,611.04 2025-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 3 — — $117,351.92 $157,881.90 $135,405.04 2025-08-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 12 4 — — $108,221.81 $145,598.52 $131,806.27 2025-08-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 2 — — $125,436.30 $168,758.41 $131,381.66 2025-08-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $119,243.36 $131,167.70 $129,975.27 2025-08-01
24 APR_DRG Heart And/or Lung Transplant 16 6 — — $119,164.66 $131,081.13 $129,889.48 2025-08-01
5833 APR_DRG Neonate With Ecmo 16 6 — — $118,611.62 $130,472.78 $129,286.66 2025-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 34 8 — — $51,859.05 $186,882.31 $128,564.15 2025-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 8 — — $49,522.32 $178,461.56 $127,421.35 2025-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 8 — — $51,335.57 $184,995.89 $127,266.40 2025-08-01
10 MS_DRG Pancreas Transplant 28 8 — — $52,898.03 $190,626.46 $124,582.11 2025-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 8 — — $52,594.83 $189,533.82 $123,868.02 2025-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 8 — — $47,123.90 $169,818.45 $121,250.19 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 8 — — $46,153.91 $166,322.96 $118,754.41 2025-08-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 2 — — $113,257.52 $152,373.42 $118,625.64 2025-08-01
3264388 CDM Stent Graft 16 5 $154,916.00 $61,966.40 60% off $96,667.58 $128,580.28 $117,968.54 2025-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 8 — — $45,303.35 $163,257.82 $116,565.91 2025-08-01
C1713 HCPCS Anchor/Screw 1,664 5 $156,828.50 $62,731.40 60% off $59.90 $331,764.28 $116,557.98 2025-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 8 — — $46,887.04 $168,964.90 $116,238.02 2025-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 14 7 — — $109,316.30 $295,154.01 $114,782.12 2025-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 8 — — $44,483.31 $160,302.67 $114,455.93 2025-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 8 — — $44,312.14 $159,685.82 $114,015.51 2025-08-01
3264386 CDM Stent Graft 16 5 $147,266.00 $58,906.40 60% off $91,893.98 $122,230.78 $112,143.06 2025-08-01
4341772 CDM Left Atrail Appendage Close Device 16 5 $147,266.00 $58,906.40 60% off $91,893.98 $122,230.78 $112,143.06 2025-08-01
4341860 CDM Pump Impella 16 5 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,011.47 2025-08-01
3263760 CDM Pump Impella 16 5 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,011.47 2025-08-01
4441860 CDM Pump Impella 16 5 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,011.47 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 8 — — $42,907.58 $154,624.28 $110,401.57 2025-08-01
268 MS_DRG Septicemia Or Severe Sepsis Age 0-17 34 8 — — $44,237.16 $159,415.65 $109,668.68 2025-08-01
3264385 CDM Stent Graft 16 5 $143,441.00 $57,376.40 60% off $89,507.18 $119,056.03 $109,230.32 2025-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 8 — — $41,959.49 $151,207.69 $107,962.12 2025-08-01
3264384 CDM Stent Graft 16 5 $139,616.00 $55,846.40 60% off $87,120.38 $115,881.28 $106,317.58 2025-08-01
4341601 CDM Asap Laac Dev 16 5 $139,616.00 $55,846.40 60% off $87,120.38 $115,881.28 $106,317.58 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 8 — — $42,845.88 $154,401.93 $106,219.54 2025-08-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 32 8 — — $41,044.57 $147,910.64 $105,608.04 2025-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 8 — — $40,857.48 $147,236.40 $105,126.63 2025-08-01
L8614 HCPCS Cochlear Device, All Int/Ext Components 464 5 $135,791.00 $54,316.40 60% off $5,969.18 $201,599.53 $104,841.13 2025-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 32 8 — — $40,714.83 $146,722.36 $104,759.61 2025-08-01
28 MS_DRG Spinal Procedures With Mcc 32 8 — — $40,335.33 $145,354.77 $103,783.14 2025-08-01
4341600 CDM Asap Laac Dev 16 5 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $103,404.85 2025-08-01
3264383 CDM Stent Graft 16 5 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $103,404.85 2025-08-01
4341770 CDM Left Atrial Appendage Close Device 16 5 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $103,404.85 2025-08-01
C1822 HCPCS Generator Neurostim, High -freq, Recharge 32 5 $135,791.00 $54,316.40 60% off $82,346.78 $115,881.28 $103,385.65 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 8 — — $41,097.65 $148,101.91 $101,885.49 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 32 8 — — $39,441.64 $142,134.22 $101,483.68 2025-08-01
4037320 CDM Embolization System 16 5 $132,268.00 $52,907.20 60% off $82,535.23 $109,782.44 $100,722.08 2025-08-01
3264382 CDM Stent Graft 16 5 $131,966.00 $52,786.40 60% off $82,346.78 $109,531.78 $100,492.11 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 8 — — $40,529.06 $146,052.91 $100,475.90 2025-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 8 — — $38,628.90 $139,205.37 $99,392.49 2025-08-01
5832 APR_DRG Neonate With Ecmo 16 6 — — $91,071.80 $100,178.98 $99,268.26 2025-08-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 12 4 — — $81,491.49 $109,636.31 $99,250.68 2025-08-01
C1767 HCPCS Generator Neurostimulator, Non-rechargeable 720 5 $131,966.00 $52,786.40 60% off $1,195.58 $255,570.28 $99,116.95 2025-08-01
C1776 HCPCS Joint Device Implantable 1,264 5 $131,966.00 $52,786.40 60% off $1,672.94 $293,667.28 $98,989.62 2025-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 34 8 — — $39,746.84 $143,234.04 $98,536.68 2025-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 32 8 — — $38,078.89 $137,223.31 $97,977.29 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 8 — — $39,471.50 $142,241.81 $97,854.09 2025-08-01
3264381 CDM Stent Graft 16 5 $128,141.00 $51,256.40 60% off $79,959.98 $106,357.03 $97,579.37 2025-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 8 — — $37,851.32 $136,403.24 $97,391.76 2025-08-01
1614 APR_DRG Implantable Heart Assist Systems 16 6 — — $88,926.10 $97,818.71 $96,929.45 2025-08-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 16 6 — — $88,871.48 $97,758.63 $96,869.92 2025-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 8 — — $39,039.58 $140,685.34 $96,783.32 2025-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $88,742.47 $97,616.72 $96,729.29 2025-08-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 2 — — $92,339.68 $124,231.15 $96,716.34 2025-08-01
C1882 HCPCS Aicd Other Than Single/Dual 256 5 $130,053.50 $52,021.40 60% off $27,450.38 $131,755.03 $96,530.19 2025-08-01
C1820 HCPCS Generator Neurostim, Non High -freq, Recharge 352 5 $130,053.50 $52,021.40 60% off $8,355.98 $233,347.03 $96,102.92 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 32 8 — — $36,985.50 $133,283.11 $95,163.99 2025-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $87,176.41 $95,894.05 $95,022.29 2025-08-01
3264380 CDM Stent Graft 16 5 $124,316.00 $49,726.40 60% off $77,573.18 $103,182.28 $94,666.64 2025-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 8 — — $36,671.68 $132,152.22 $94,356.54 2025-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 8 — — $36,671.68 $132,152.22 $94,356.54 2025-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 8 — — $40,046.06 $144,312.33 $94,313.95 2025-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 8 — — $40,046.06 $144,312.33 $94,313.95 2025-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 8 — — $36,517.75 $131,597.53 $93,960.49 2025-08-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 2 — — $89,490.94 $120,398.55 $93,732.58 2025-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 8 — — $36,294.83 $130,794.18 $93,386.90 2025-08-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 16 6 — — $85,478.46 $94,026.30 $93,171.51 2025-08-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 2 — — $88,836.27 $119,517.76 $93,046.88 2025-08-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 32 8 — — $36,017.50 $129,794.79 $92,673.34 2025-08-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 16 6 — — $84,952.00 $93,447.20 $92,597.68 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 8 — — $35,833.72 $129,132.51 $92,200.47 2025-08-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 32 8 — — $35,799.89 $129,010.57 $92,113.40 2025-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 8 — — $35,795.90 $128,996.23 $92,103.17 2025-08-01
3264379 CDM Stent Graft 16 5 $120,491.00 $48,196.40 60% off $75,186.38 $100,007.53 $91,753.90 2025-08-01
C1840 HCPCS Telescopic Intraocular Lens 16 5 $120,491.00 $48,196.40 60% off $75,186.38 $100,007.53 $91,753.90 2025-08-01
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 6 — — $83,645.03 $92,009.54 $91,173.09 2025-08-01
5831 APR_DRG Neonate With Ecmo 16 6 — — $81,748.00 $89,922.80 $89,105.32 2025-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 8 — — $34,169.09 $123,133.74 $87,917.35 2025-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 34 8 — — $35,297.64 $127,200.66 $87,506.65 2025-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 8 — — $35,141.73 $126,638.80 $87,120.12 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 8 — — $33,800.87 $121,806.79 $86,969.92 2025-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 32 8 — — $33,697.37 $121,433.81 $86,703.61 2025-08-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 6 — — $79,102.08 $87,012.29 $86,221.27 2025-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 8 — — $33,418.05 $120,427.24 $85,984.92 2025-08-01
3264377 CDM Stent Graft 16 5 $112,841.00 $45,136.40 60% off $70,412.78 $93,658.03 $85,928.42 2025-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 8 — — $33,221.00 $119,717.14 $85,477.91 2025-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 8 — — $33,195.12 $119,623.90 $85,411.33 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 8 — — $33,181.85 $119,576.08 $85,377.19 2025-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 28 8 — — $36,099.77 $130,091.26 $85,019.90 2025-08-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 6 — — $77,520.20 $85,272.22 $84,497.02 2025-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 8 — — $34,055.64 $122,724.90 $84,427.58 2025-08-01
245 MS_DRG Aicd Generator Procedures 32 8 — — $32,422.19 $116,838.50 $83,422.57 2025-08-01
3265366 CDM Valve Aortic/Mitral 16 5 $109,016.00 $43,606.40 60% off $68,025.98 $90,483.28 $83,015.68 2025-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 8 — — $32,226.47 $116,133.19 $82,918.97 2025-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 8 — — $33,062.43 $119,145.72 $81,965.32 2025-08-01
C1721 HCPCS Aicd Dual Chamber 176 5 $109,016.00 $43,606.40 60% off $56,091.98 $115,881.28 $81,768.61 2025-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 8 — — $31,683.75 $114,177.43 $81,522.56 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 8 — — $31,540.44 $113,661.00 $81,153.83 2025-08-01
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 6 — — $73,540.00 $80,894.00 $80,158.60 2025-08-01
3265365 CDM Valve Aortic/Mitral 16 5 $105,191.00 $42,076.40 60% off $65,639.18 $87,308.53 $80,102.95 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 8 — — $31,046.83 $111,882.17 $79,883.74 2025-08-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 16 6 — — $72,794.70 $80,074.17 $79,346.23 2025-08-01
163 MS_DRG Major Chest Procedures With Mcc 32 8 — — $30,580.41 $110,201.36 $78,683.65 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 8 — — $30,465.63 $109,787.74 $78,388.33 2025-08-01
799 MS_DRG Splenic Procedures With Mcc 34 8 — — $12,360.00 $113,682.51 $78,206.95 2025-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 34 8 — — $31,214.02 $112,484.67 $77,382.91 2025-08-01
3265364 CDM Valve Aortic/Mitral 16 5 $101,366.00 $40,546.40 60% off $63,252.38 $84,133.78 $77,190.21 2025-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 8 — — $29,932.87 $107,867.84 $77,017.52 2025-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 6 — — $70,549.10 $77,604.01 $76,898.51 2025-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 8 — — $29,754.40 $107,224.69 $76,558.32 2025-08-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 8 — — $30,863.71 $111,222.28 $76,514.45 2025-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 16 6 — — $70,159.56 $77,175.51 $76,473.92 2025-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 8 — — $29,672.13 $106,928.22 $76,346.64 2025-08-01
4050715 CDM Fredx Flow Diverter 16 5 $99,754.00 $39,901.60 60% off $62,246.50 $82,795.82 $75,962.67 2025-08-01
1613 APR_DRG Implantable Heart Assist Systems 16 6 — — $69,631.31 $76,594.44 $75,898.12 2025-08-01
6 MS_DRG Liver Transplant Without Mcc 28 8 — — $32,172.72 $115,939.52 $75,771.18 2025-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 8 — — $29,394.80 $105,928.82 $75,633.07 2025-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 8 — — $30,470.27 $109,804.47 $75,539.08 2025-08-01
Q4128 HCPCS Flex/Allo Hd Per Square Centimeter 52 5 $105,191.00 $42,076.40 60% off $50.47 $96,832.78 $75,211.57 2025-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 8 — — $29,144.67 $105,027.46 $74,989.49 2025-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 3 — — $64,722.88 $87,076.31 $74,679.69 2025-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 8 — — $28,707.45 $103,451.85 $73,864.51 2025-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 32 8 — — $28,648.40 $103,239.06 $73,712.58 2025-08-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 6 — — $66,996.16 $73,695.78 $73,025.82 2025-08-01
3262641 CDM Custom Supply Kit 16 5 $95,715.00 $38,286.00 60% off $59,726.16 $79,443.45 $72,886.97 2025-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 8 — — $28,301.41 $101,988.62 $72,819.76 2025-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 8 — — $28,259.61 $101,837.99 $72,712.21 2025-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 16 6 — — $66,329.56 $72,962.52 $72,299.23 2025-08-01
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 32 8 — — $28,059.24 $101,115.94 $72,196.67 2025-08-01
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc With Other Prob 28 8 — — $30,567.80 $110,155.94 $71,991.36 2025-08-01
408T OTHER Ins/Repl Cardiac Mod System Gen And Electrodes 16 5 $94,489.00 $37,795.60 60% off $58,961.14 $78,425.87 $71,953.38 2025-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 8 — — $27,803.15 $100,193.06 $71,537.74 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 8 — — $27,796.51 $100,169.15 $71,520.66 2025-08-01
3264372 CDM Stent Graft 16 5 $93,716.00 $37,486.40 60% off $58,478.78 $77,784.28 $71,364.74 2025-08-01
793 MS_DRG Full Term Neonate With Major Problems 32 8 — — $27,669.79 $99,712.48 $71,194.61 2025-08-01
C1722 HCPCS Aicd Single 144 5 $93,716.00 $37,486.40 60% off $48,931.58 $134,929.78 $71,080.57 2025-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 7 — — $67,452.66 $182,122.18 $70,825.29 2025-08-01
23 APR_DRG Heart And/or Lung Transplant 16 6 — — $64,911.19 $71,402.31 $70,753.20 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 8 — — $27,267.07 $98,261.21 $70,158.40 2025-08-01
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 32 8 — — $27,226.60 $98,115.36 $70,054.26 2025-08-01
C2622 HCPCS Prosthesis Penile, Non-inflatable 32 5 $91,803.50 $36,721.40 60% off $56,091.98 $77,784.28 $69,888.29 2025-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 8 — — $27,092.58 $97,632.40 $69,709.43 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 8 — — $26,985.76 $97,247.47 $69,434.59 2025-08-01
791 MS_DRG Prematurity With Major Problems 32 8 — — $26,936.00 $97,068.15 $69,306.55 2025-08-01
571T OTHER Ins/rpl Imp Card Defib Sys,Substrnl Electrd 16 5 $90,856.00 $36,342.40 60% off $56,694.14 $75,410.48 $69,186.85 2025-08-01
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 6 — — $63,082.80 $69,391.08 $68,760.25 2025-08-01
3265361 CDM Valve Aortic/Mitral 16 5 $89,891.00 $35,956.40 60% off $56,091.98 $74,609.53 $68,451.99 2025-08-01
3264371 CDM Stent Graft 16 5 $89,891.00 $35,956.40 60% off $56,091.98 $74,609.53 $68,451.99 2025-08-01
269 MS_DRG Traumatic Injury Age 0-17 34 8 — — $27,604.77 $99,478.18 $68,435.19 2025-08-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 16 6 — — $62,395.71 $68,635.28 $68,011.32 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 8 — — $26,430.44 $95,246.28 $68,005.74 2025-08-01
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 32 8 — — $26,411.86 $95,179.34 $67,957.94 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 8 — — $27,282.33 $98,316.20 $67,635.82 2025-08-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 32 8 — — $26,178.32 $94,337.74 $67,357.04 2025-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 8 — — $26,124.58 $94,144.08 $67,218.76 2025-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 8 — — $26,071.50 $93,952.81 $67,082.20 2025-08-01
4386092 CDM Maze Kit 16 5 $88,018.00 $35,207.20 60% off $54,923.23 $73,054.94 $67,025.71 2025-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 8 — — $25,956.06 $93,536.79 $66,785.17 2025-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 8 — — $25,800.15 $92,974.93 $66,384.00 2025-08-01
3261203 CDM Drill Burr/Bit 16 5 $86,880.00 $34,752.00 60% off $54,213.12 $72,110.40 $66,159.12 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 32 8 — — $25,642.91 $92,408.29 $65,979.41 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 8 — — $25,617.03 $92,315.04 $65,912.84 2025-08-01
4300499 CDM Catalyst Laao Device G190285 16 5 $86,481.00 $34,592.40 60% off $53,964.14 $71,779.23 $65,855.28 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 8 — — $25,545.38 $92,056.82 $65,728.47 2025-08-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 32 8 — — $25,360.27 $91,389.76 $65,252.19 2025-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 8 — — $25,222.93 $90,894.85 $64,898.82 2025-08-01
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 6 — — $59,458.71 $65,404.58 $64,810.00 2025-08-01
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 6 — — $59,458.71 $65,404.58 $64,810.00 2025-08-01
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 6 — — $59,458.71 $65,404.58 $64,810.00 2025-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 32 8 — — $25,026.55 $90,187.14 $64,393.52 2025-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 34 8 — — $25,943.46 $93,491.36 $64,316.61 2025-08-01
3262637 CDM Custom Supply Kit 16 5 $83,935.00 $33,574.00 60% off $52,375.44 $69,666.05 $63,916.50 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 32 8 — — $24,826.84 $89,467.48 $63,879.68 2025-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 6 — — $58,588.00 $64,446.80 $63,860.92 2025-08-01
C1813 HCPCS Prosthesis Penile, Inflatable 480 5 $84,153.50 $33,661.40 60% off $2,150.30 $163,502.53 $62,780.49 2025-08-01
3264369 CDM Stent Graft 16 5 $82,241.00 $32,896.40 60% off $51,318.38 $68,260.03 $62,626.52 2025-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 8 — — $24,207.83 $87,236.77 $62,286.96 2025-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 8 — — $24,039.98 $86,631.87 $61,855.06 2025-08-01
3263801 CDM Pump Set 16 5 $80,990.00 $32,396.00 60% off $50,537.76 $67,221.70 $61,673.88 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 8 — — $23,782.55 $85,704.20 $61,192.71 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 8 — — $23,778.57 $85,689.86 $61,182.46 2025-08-01
271 MS_DRG Poisoning & Toxic Effects Of Drugs Age 0-17 34 8 — — $22,852.37 $82,352.16 $60,945.21 2025-08-01
265 MS_DRG Aicd Lead Procedures 32 8 — — $23,667.11 $85,288.18 $60,895.68 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 32 8 — — $23,560.95 $84,905.64 $60,622.54 2025-08-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 6 — — $55,400.17 $60,940.19 $60,386.18 2025-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 8 — — $23,422.95 $84,408.33 $60,267.46 2025-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 8 — — $23,416.98 $84,386.82 $60,252.10 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 8 — — $23,357.93 $84,174.03 $60,100.17 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 8 — — $23,246.47 $83,772.35 $59,813.37 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 8 — — $23,239.17 $83,746.05 $59,794.59 2025-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 8 — — $23,229.89 $83,712.58 $59,770.69 2025-08-01
3264368 CDM Stent Graft 16 5 $78,416.00 $31,366.40 60% off $48,931.58 $65,085.28 $59,713.79 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 8 — — $23,188.75 $83,564.35 $59,664.85 2025-08-01
3262635 CDM Custom Supply Kit 16 5 $78,045.00 $31,218.00 60% off $48,700.08 $64,777.35 $59,431.27 2025-08-01
3263800 CDM Pump Set 16 5 $78,045.00 $31,218.00 60% off $48,700.08 $64,777.35 $59,431.27 2025-08-01
332 MS_DRG Rectal Resection With Mcc 32 8 — — $23,013.60 $82,933.15 $59,214.18 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 8 — — $22,988.38 $82,842.29 $59,149.31 2025-08-01
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 6 — — $54,106.85 $59,517.54 $58,976.47 2025-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 8 — — $12,360.00 $85,708.98 $58,962.79 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 8 — — $22,816.55 $82,223.05 $58,707.17 2025-08-01
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 6 — — $53,796.73 $59,176.40 $58,638.43 2025-08-01
665 MS_DRG Prostatectomy With Mcc 32 8 — — $22,780.72 $82,093.94 $58,614.99 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 32 8 — — $22,759.49 $82,017.43 $58,560.36 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 8 — — $22,724.99 $81,893.11 $58,471.59 2025-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 8 — — $22,598.93 $81,438.84 $58,147.24 2025-08-01
Q4130 HCPCS Strattice Tm Per Square Centimeter 240 5 $78,416.00 $31,366.40 60% off $8,355.98 $166,677.28 $57,406.19 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 8 — — $22,270.52 $80,255.34 $57,302.22 2025-08-01
3262634 CDM Custom Supply Kit 16 5 $75,100.00 $30,040.00 60% off $46,862.40 $62,333.00 $57,188.65 2025-08-01
3260681 CDM Cannula/Needle 16 5 $75,100.00 $30,040.00 60% off $46,862.40 $62,333.00 $57,188.65 2025-08-01
C1815 HCPCS Prosthesis Urinary Sphincter 384 5 $76,503.50 $30,601.40 60% off $5,969.18 $163,502.53 $57,090.75 2025-08-01
3264367 CDM Stent Graft 16 5 $74,591.00 $29,836.40 60% off $46,544.78 $61,910.53 $56,801.04 2025-08-01
4442122 CDM Stent Graft 16 5 $74,591.00 $29,836.40 60% off $46,544.78 $61,910.53 $56,801.04 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 32 8 — — $22,033.00 $79,399.40 $56,691.08 2025-08-01
143 MS_DRG Stomach Esophageal And Duodenal Proc Age 0-17 32 8 — — $21,906.94 $78,945.13 $56,366.74 2025-08-01
1612 APR_DRG Implantable Heart Assist Systems 16 6 — — $51,234.90 $56,358.39 $55,846.04 2025-08-01
1611 APR_DRG Implantable Heart Assist Systems 16 6 — — $51,234.90 $56,358.39 $55,846.04 2025-08-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 32 8 — — $21,686.67 $78,151.35 $55,799.98 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 8 — — $21,218.00 $81,099.33 $55,791.62 2025-08-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 2 — — $53,255.40 $71,648.29 $55,779.57 2025-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 6 — — $51,048.39 $56,153.23 $55,642.75 2025-08-01
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 32 8 — — $21,624.96 $77,928.99 $55,641.21 2025-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 8 — — $21,615.68 $77,895.52 $55,617.32 2025-08-01
J9029 HCPCS Instill Adstiladrin Tx Dose 50 15 $72,000.00 $28,800.00 60% off $15,211.53 $171,263.84 $55,584.00 2025-08-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 2 — — $53,000.61 $71,305.50 $55,512.70 2025-08-01
C1772 HCPCS Pump Infusion Programmable 80 5 $74,591.00 $29,836.40 60% off $29,837.18 $74,609.53 $55,234.63 2025-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 8 — — $20,609.20 $74,268.53 $54,962.87 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 8 — — $21,358.92 $76,970.24 $54,956.67 2025-08-01
3261198 CDM Drill Burr/Bit 16 5 $72,155.00 $28,862.00 60% off $45,024.72 $59,888.65 $54,946.03 2025-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 8 — — $21,260.06 $76,614.00 $54,702.31 2025-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 8 — — $21,198.36 $76,391.65 $54,543.55 2025-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 8 — — $21,157.89 $76,245.80 $54,439.42 2025-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 8 — — $21,100.83 $76,040.18 $54,292.61 2025-08-01
651 MS_DRG Neonate Birthwt 2000-2499g With Signif O.r. Proc With Mult Major Prob 28 8 — — $23,038.81 $83,024.00 $54,259.55 2025-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 8 — — $21,058.37 $75,887.17 $54,183.35 2025-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 8 — — $21,023.20 $75,760.45 $54,092.88 2025-08-01
22 APR_DRG Heart And/or Lung Transplant 16 6 — — $49,153.16 $54,068.47 $53,576.94 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 8 — — $20,697.44 $74,586.52 $53,254.69 2025-08-01
C1786 HCPCS Pacemaker Single Chamber Rate-responsive 256 5 $68,853.50 $27,541.40 60% off $13,129.58 $93,658.03 $52,862.07 2025-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 8 — — $20,516.98 $73,936.19 $52,790.37 2025-08-01
3261197 CDM Drill Burr/Bit 16 5 $69,210.00 $27,684.00 60% off $43,187.04 $57,444.30 $52,703.42 2025-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 8 — — $20,474.52 $73,783.17 $52,681.10 2025-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 8 — — $20,459.92 $73,730.57 $52,643.55 2025-08-01
173 MS_DRG Urethral Procedures Age 0-17 32 8 — — $20,359.07 $73,367.16 $52,384.07 2025-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 8 — — $20,292.73 $73,128.07 $52,213.36 2025-08-01
409T OTHER Ins/Repl Cardiac Mod System Generator Only 16 5 $67,698.00 $27,079.20 60% off $42,243.55 $56,189.34 $51,552.03 2025-08-01
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