Hospital

ST MARYS GOOD SAMARITAN HOSPITAL

Greensboro, GA · CCN 111329 · Rates published

14,689 distinct procedures filed

29 distinct payers

954,886 rate rows

2025-01-01 last MRF observed · ⚠ 19 mo old

Data quality

912,947 of 954,886 rate rows are consumer-grade (95.6%)

41,939 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	24,105
template filing: same amount across many unrelated codes — excluded	9,444
exceeds 10× this hospital's gross charge — excluded from medians	5,364
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,529
percent-of-charges filed in the dollar field — excluded from medians	735
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	657
per-diem day rate — not a per-procedure price	80
placeholder amount (≤ $0.02) — excluded from medians	25

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stmarys-goodsamaritanhospital
Found on page	https://www.stmaryshealthcaresystem.org/for-patients/billing-insurance/price-estimates
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-17
Content fingerprint	7d3640d537ffb7a2… · 16,663,902 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$366,169.30	$366,169.30	$366,169.30	nat. median $370,165 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$269,472.14	$269,472.14	$269,472.14	nat. median $261,939 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	$262,129.62	$262,129.62	$262,129.62	nat. median $205,166 1.3× median
'161-4 OTHER	Implantable Heart Assist Systems	3	$194,567.98	$231,604.46	$231,604.46	nat. median $182,608 1.3× median
'583-4 OTHER	Neonate With Ecmo	3	$185,790.31	$221,155.95	$221,155.95	nat. median $221,551 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	$212,130.24	$212,130.24	$212,130.24	nat. median $199,832 1.1× median
'009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	$167,490.34	$199,372.53	$199,372.53	nat. median $89,522 outlier · 2.2×
'583-3 OTHER	Neonate With Ecmo	3	$147,149.19	$175,159.39	$175,159.39	nat. median $195,630 0.9× median
'161-3 OTHER	Implantable Heart Assist Systems	3	$142,441.32	$169,555.36	$169,555.36	nat. median $114,612 1.5× median
'004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$140,215.17	$166,905.46	$166,905.46	nat. median $101,809 1.6× median
'630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$140,070.32	$166,733.03	$166,733.03	nat. median $127,072 1.3× median
'588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$137,297.07	$163,431.89	$163,431.89	nat. median $202,324 0.8× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	$146,432.62	$146,432.62	$146,432.62	nat. median $132,706 1.1× median
'002-4 OTHER	Heart And/or Lung Transplant	3	$110,463.06	$131,489.96	$131,489.96	nat. median $205,014 0.6× median
'583-2 OTHER	Neonate With Ecmo	3	$108,508.67	$129,163.56	$129,163.56	nat. median $119,004 1.1× median
'841-4 OTHER	Extensive Third Degree Burns With Skin Graft	3	$102,756.26	$122,316.17	$122,316.17	nat. median $138,284 0.9× median
7 MS_DRG	Lung Transplant	1	$122,282.39	$122,282.39	$122,282.39	nat. median $122,690 1.0× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$122,061.10	$122,061.10	$122,061.10	nat. median $108,240 1.1× median
'591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$100,605.54	$119,756.05	$119,756.05	nat. median $119,104 1.0× median
'588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$98,180.67	$116,869.60	$116,869.60	nat. median $131,074 0.9× median
'005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	$97,181.63	$115,680.38	$115,680.38	nat. median $61,783 1.9× median
'588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$96,137.70	$114,437.74	$114,437.74	nat. median $110,776 1.0× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	1	$114,288.88	$114,288.88	$114,288.88	nat. median $114,305 1.0× median
'011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	$95,856.96	$114,103.56	$114,103.56	nat. median $98,418 1.2× median
'609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	$95,367.32	$113,520.71	$113,520.71	nat. median $130,670 0.9× median
J2326 HCPCS	Inj Nusinersen 0.1mg	28	$79,968.68	$413,702.43	$111,699.66	nat. median $2,353 outlier · 47.5×
'583-1 OTHER	Neonate With Ecmo	3	$93,770.89	$111,620.40	$111,620.40	nat. median $105,798 1.1× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	1	$107,439.57	$107,439.57	$107,439.57	nat. median $100,978 1.1× median
'161-2 OTHER	Implantable Heart Assist Systems	3	$89,628.67	$106,689.71	$106,689.71	nat. median $86,952 1.2× median
'007-4 OTHER	Allogeneic Bone Marrow Transplant	3	$88,460.83	$105,299.56	$105,299.56	nat. median $131,941 0.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	1	$103,264.69	$103,264.69	$103,264.69	nat. median $99,646 1.0× median
215 MS_DRG	Other Heart Assist System Implant	1	$101,923.01	$101,923.01	$101,923.01	nat. median $98,002 1.0× median
'161-1 OTHER	Implantable Heart Assist Systems	3	$85,147.06	$101,355.01	$101,355.01	nat. median $70,718 1.4× median
'593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	$83,317.18	$99,176.80	$99,176.80	nat. median $115,906 0.9× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$96,866.90	$96,866.90	$96,866.90	nat. median $92,900 1.0× median
'603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	$79,895.06	$95,103.28	$95,103.28	nat. median $102,933 0.9× median
'006-4 OTHER	Pancreas Transplant	3	$79,383.27	$94,494.07	$94,494.07	nat. median $56,683 1.7× median
'005-3 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	$75,874.96	$90,317.94	$90,317.94	nat. median $52,609 1.7× median
'630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$73,971.46	$88,052.10	$88,052.10	nat. median $57,119 1.5× median
J7330 HCPCS	Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes	27	$55,551.71	$287,386.00	$87,509.04	nat. median $75,807 1.2× median
'001-4 OTHER	Liver Transplant And/or Intestinal Transplant	3	$72,977.80	$86,869.30	$86,869.30	nat. median $107,546 0.8× median
'001-2 OTHER	Liver Transplant And/or Intestinal Transplant	3	$72,977.80	$86,869.30	$86,869.30	nat. median $43,144 outlier · 2.0×
'001-3 OTHER	Liver Transplant And/or Intestinal Transplant	3	$72,977.80	$86,869.30	$86,869.30	nat. median $53,356 1.6× median
'593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	$71,946.44	$85,641.62	$85,641.62	nat. median $82,229 1.0× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	$84,433.54	$84,433.54	$84,433.54	nat. median $77,385 1.1× median
'002-3 OTHER	Heart And/or Lung Transplant	3	$69,050.48	$82,194.41	$82,194.41	nat. median $89,928 0.9× median
'162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	$68,842.77	$81,947.16	$81,947.16	nat. median $57,410 1.4× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	1	$81,087.29	$81,087.29	$81,087.29	nat. median $79,040 1.0× median
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	$79,879.58	$79,879.58	$79,879.58	nat. median $69,153 1.2× median
453 MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	1	$70,550.00	$88,492.32	$79,521.16	nat. median $83,623 1.0× median

Other procedures at this hospital

Browse this hospital's 14,689 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$366,169.30	$366,169.30	$366,169.30	2025-01-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$269,472.14	$269,472.14	$269,472.14	2025-01-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	1	—	—	$262,129.62	$262,129.62	$262,129.62	2025-01-01
'161-4	OTHER	Implantable Heart Assist Systems	3	3	—	—	$194,567.98	$231,604.46	$231,604.46	2025-01-01
'583-4	OTHER	Neonate With Ecmo	3	3	—	—	$185,790.31	$221,155.95	$221,155.95	2025-01-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	1	—	—	$212,130.24	$212,130.24	$212,130.24	2025-01-01
'009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$167,490.34	$199,372.53	$199,372.53	2025-01-01
'583-3	OTHER	Neonate With Ecmo	3	3	—	—	$147,149.19	$175,159.39	$175,159.39	2025-01-01
'161-3	OTHER	Implantable Heart Assist Systems	3	3	—	—	$142,441.32	$169,555.36	$169,555.36	2025-01-01
'004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$140,215.17	$166,905.46	$166,905.46	2025-01-01
'630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$140,070.32	$166,733.03	$166,733.03	2025-01-01
'588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$137,297.07	$163,431.89	$163,431.89	2025-01-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	1	—	—	$146,432.62	$146,432.62	$146,432.62	2025-01-01
'002-4	OTHER	Heart And/or Lung Transplant	3	3	—	—	$110,463.06	$131,489.96	$131,489.96	2025-01-01
'583-2	OTHER	Neonate With Ecmo	3	3	—	—	$108,508.67	$129,163.56	$129,163.56	2025-01-01
'841-4	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$102,756.26	$122,316.17	$122,316.17	2025-01-01
7	MS_DRG	Lung Transplant	1	1	—	—	$122,282.39	$122,282.39	$122,282.39	2025-01-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$122,061.10	$122,061.10	$122,061.10	2025-01-01
'591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$100,605.54	$119,756.05	$119,756.05	2025-01-01
'588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$98,180.67	$116,869.60	$116,869.60	2025-01-01
'005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$97,181.63	$115,680.38	$115,680.38	2025-01-01
'588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$96,137.70	$114,437.74	$114,437.74	2025-01-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$114,288.88	$114,288.88	$114,288.88	2025-01-01
'011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$95,856.96	$114,103.56	$114,103.56	2025-01-01
'609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$95,367.32	$113,520.71	$113,520.71	2025-01-01
J2326	HCPCS	Inj Nusinersen 0.1mg	37	28	$413,702.43	$268,906.58 35% off	$79,968.68	$413,702.43	$111,699.66	2025-01-01
'583-1	OTHER	Neonate With Ecmo	3	3	—	—	$93,770.89	$111,620.40	$111,620.40	2025-01-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	1	1	—	—	$107,439.57	$107,439.57	$107,439.57	2025-01-01
'161-2	OTHER	Implantable Heart Assist Systems	3	3	—	—	$89,628.67	$106,689.71	$106,689.71	2025-01-01
'007-4	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$88,460.83	$105,299.56	$105,299.56	2025-01-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$103,264.69	$103,264.69	$103,264.69	2025-01-01
215	MS_DRG	Other Heart Assist System Implant	1	1	—	—	$101,923.01	$101,923.01	$101,923.01	2025-01-01
'161-1	OTHER	Implantable Heart Assist Systems	3	3	—	—	$85,147.06	$101,355.01	$101,355.01	2025-01-01
'593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$83,317.18	$99,176.80	$99,176.80	2025-01-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$96,866.90	$96,866.90	$96,866.90	2025-01-01
'603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$79,895.06	$95,103.28	$95,103.28	2025-01-01
'006-4	OTHER	Pancreas Transplant	3	3	—	—	$79,383.27	$94,494.07	$94,494.07	2025-01-01
'005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$75,874.96	$90,317.94	$90,317.94	2025-01-01
'630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$73,971.46	$88,052.10	$88,052.10	2025-01-01
J7330	HCPCS	Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes	36	27	$287,386.00	$186,800.90 35% off	$55,551.71	$287,386.00	$87,509.04	2025-01-01
'001-2	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$72,977.80	$86,869.30	$86,869.30	2025-01-01
'001-4	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$72,977.80	$86,869.30	$86,869.30	2025-01-01
'001-3	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$72,977.80	$86,869.30	$86,869.30	2025-01-01
'593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$71,946.44	$85,641.62	$85,641.62	2025-01-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	1	—	—	$84,433.54	$84,433.54	$84,433.54	2025-01-01
'002-3	OTHER	Heart And/or Lung Transplant	3	3	—	—	$69,050.48	$82,194.41	$82,194.41	2025-01-01
'162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$68,842.77	$81,947.16	$81,947.16	2025-01-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	1	1	—	—	$81,087.29	$81,087.29	$81,087.29	2025-01-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	1	—	—	$79,879.58	$79,879.58	$79,879.58	2025-01-01
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	2	1	—	—	$70,550.00	$88,492.32	$79,521.16	2025-01-01
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$66,765.08	$79,473.98	$79,473.98	2025-01-01
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$66,238.32	$78,846.95	$78,846.95	2025-01-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	1	1	—	—	$77,955.38	$77,955.38	$77,955.38	2025-01-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$77,078.13	$77,078.13	$77,078.13	2025-01-01
'588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$63,281.91	$75,327.77	$75,327.77	2025-01-01
'631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$62,914.38	$74,890.28	$74,890.28	2025-01-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$65,246.00	$84,205.30	$74,725.65	2025-01-01
'633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	3	—	—	$62,571.39	$74,482.00	$74,482.00	2025-01-01
'950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$61,504.71	$73,212.28	$73,212.28	2025-01-01
'634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	3	3	—	—	$61,027.63	$72,644.40	$72,644.40	2025-01-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	1	1	—	—	$72,327.67	$72,327.67	$72,327.67	2025-01-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$70,375.68	$70,375.68	$70,375.68	2025-01-01
'602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$58,963.71	$70,187.60	$70,187.60	2025-01-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	1	1	—	—	$69,672.10	$69,672.10	$69,672.10	2025-01-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	1	1	—	—	$69,223.55	$69,223.55	$69,223.55	2025-01-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	1	1	—	—	$69,107.44	$69,107.44	$69,107.44	2025-01-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	1	1	—	—	$68,756.14	$68,756.14	$68,756.14	2025-01-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	1	1	—	—	$68,578.51	$68,578.51	$68,578.51	2025-01-01
'004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$57,303.23	$68,211.04	$68,211.04	2025-01-01
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$56,742.36	$67,543.40	$67,543.40	2025-01-01
'591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$56,229.97	$66,933.48	$66,933.48	2025-01-01
27800000002-52209	CDM	Device Impella 5.5 Smartassist	37	28	$247,500.00	$160,875.00 35% off	$47,841.75	$247,500.00	$66,825.00	2025-01-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$63,721.87	$63,721.87	$63,721.87	2025-01-01
'165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$53,306.47	$63,453.49	$63,453.49	2025-01-01
'602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$53,065.84	$63,167.06	$63,167.06	2025-01-01
'002-1	OTHER	Heart And/or Lung Transplant	3	3	—	—	$52,792.89	$62,842.14	$62,842.14	2025-01-01
'002-2	OTHER	Heart And/or Lung Transplant	3	3	—	—	$52,792.89	$62,842.14	$62,842.14	2025-01-01
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	1	1	—	—	$62,538.97	$62,538.97	$62,538.97	2025-01-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	1	1	—	—	$62,261.11	$62,261.11	$62,261.11	2025-01-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	1	1	—	—	$62,182.71	$62,182.71	$62,182.71	2025-01-01
'593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$52,226.62	$62,168.09	$62,168.09	2025-01-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	1	1	—	—	$61,853.24	$61,853.24	$61,853.24	2025-01-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	1	1	—	—	$61,853.24	$61,853.24	$61,853.24	2025-01-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	1	1	—	—	$61,499.96	$61,499.96	$61,499.96	2025-01-01
'303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$51,526.28	$61,334.43	$61,334.43	2025-01-01
'842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$51,393.99	$61,176.96	$61,176.96	2025-01-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$60,991.87	$60,991.87	$60,991.87	2025-01-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	1	1	—	—	$60,560.19	$60,560.19	$60,560.19	2025-01-01
28	MS_DRG	Spinal Procedures With Mcc	1	1	—	—	$60,355.76	$60,355.76	$60,355.76	2025-01-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	2	1	—	—	$54,140.00	$66,371.49	$60,255.75	2025-01-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$60,097.75	$60,097.75	$60,097.75	2025-01-01
'711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	3	3	—	—	$50,281.22	$59,852.37	$59,852.37	2025-01-01
'021-4	OTHER	Open Craniotomy Except Trauma	3	3	—	—	$50,111.82	$59,650.73	$59,650.73	2025-01-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	1	1	—	—	$59,586.68	$59,586.68	$59,586.68	2025-01-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	1	1	—	—	$58,911.87	$58,911.87	$58,911.87	2025-01-01
'602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$48,863.77	$58,165.11	$58,165.11	2025-01-01
'007-3	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$48,588.42	$57,837.34	$57,837.34	2025-01-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$57,086.91	$57,086.91	$57,086.91	2025-01-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	1	1	—	—	$56,951.95	$56,951.95	$56,951.95	2025-01-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	1	1	—	—	$56,810.04	$56,810.04	$56,810.04	2025-01-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	1	1	—	—	$56,759.43	$56,759.43	$56,759.43	2025-01-01
'008-3	OTHER	Autologous Bone Marrow Transplant	3	3	—	—	$47,345.75	$56,358.14	$56,358.14	2025-01-01
'008-4	OTHER	Autologous Bone Marrow Transplant	3	3	—	—	$47,345.75	$56,358.14	$56,358.14	2025-01-01
'011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$47,183.54	$56,165.03	$56,165.03	2025-01-01
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	1	1	—	—	$56,117.37	$56,117.37	$56,117.37	2025-01-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$49,895.00	$60,844.01	$55,369.51	2025-01-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	1	1	—	—	$55,186.53	$55,186.53	$55,186.53	2025-01-01
'130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$46,220.41	$55,018.58	$55,018.58	2025-01-01
653	MS_DRG	Major Bladder Procedures With Mcc	1	1	—	—	$54,277.52	$54,277.52	$54,277.52	2025-01-01
'912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$45,327.32	$53,955.49	$53,955.49	2025-01-01
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	2	1	—	—	$46,551.00	$61,250.88	$53,900.94	2025-01-01
'178-4	OTHER	External Heart Assist Systems	3	3	—	—	$45,152.53	$53,747.43	$53,747.43	2025-01-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	1	1	—	—	$52,770.11	$52,770.11	$52,770.11	2025-01-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$52,600.42	$52,600.42	$52,600.42	2025-01-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	1	1	—	—	$52,136.99	$52,136.99	$52,136.99	2025-01-01
'130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$43,731.49	$52,055.89	$52,055.89	2025-01-01
11	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	1	1	—	—	$51,724.16	$51,724.16	$51,724.16	2025-01-01
'004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$43,325.05	$51,572.08	$51,572.08	2025-01-01
'166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$43,085.62	$51,287.07	$51,287.07	2025-01-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	1	1	—	—	$50,957.06	$50,957.06	$50,957.06	2025-01-01
'220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$42,758.19	$50,897.32	$50,897.32	2025-01-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	1	1	—	—	$50,737.75	$50,737.75	$50,737.75	2025-01-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	1	1	—	—	$50,557.14	$50,557.14	$50,557.14	2025-01-01
27800000002-52403	CDM	Valve Sapien Thv Edwards Resilia 26mm	37	28	$187,000.00	$121,550.00 35% off	$36,147.10	$187,000.00	$50,490.00	2025-01-01
27800000002-52400	CDM	Valve Sapien Thv Edwards Resilia 23mm	37	28	$187,000.00	$121,550.00 35% off	$36,147.10	$187,000.00	$50,490.00	2025-01-01
27800000002-52401	CDM	Valve Sapien Thv Edwards Resilia 29mm	37	28	$187,000.00	$121,550.00 35% off	$36,147.10	$187,000.00	$50,490.00	2025-01-01
'440-4	OTHER	Kidney Transplant	3	3	—	—	$42,284.71	$50,333.71	$50,333.71	2025-01-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	1	1	—	—	$50,166.15	$50,166.15	$50,166.15	2025-01-01
799	MS_DRG	Splenic Procedures With Mcc	1	1	—	—	$49,722.56	$49,722.56	$49,722.56	2025-01-01
'607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$41,719.04	$49,660.37	$49,660.37	2025-01-01
'167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$41,599.93	$49,518.58	$49,518.58	2025-01-01
'611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$41,584.96	$49,500.76	$49,500.76	2025-01-01
'163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$41,574.79	$49,488.65	$49,488.65	2025-01-01
'303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$41,506.55	$49,407.42	$49,407.42	2025-01-01
'303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$41,506.55	$49,407.42	$49,407.42	2025-01-01
'303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$41,506.55	$49,407.42	$49,407.42	2025-01-01
'006-3	OTHER	Pancreas Transplant	3	3	—	—	$41,312.60	$49,176.57	$49,176.57	2025-01-01
'009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$41,201.87	$49,044.75	$49,044.75	2025-01-01
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	1	1	—	—	$48,984.24	$48,984.24	$48,984.24	2025-01-01
'609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$41,019.90	$48,828.14	$48,828.14	2025-01-01
6	MS_DRG	Liver Transplant Without Mcc	1	1	—	—	$48,554.54	$48,554.54	$48,554.54	2025-01-01
'863-4	OTHER	Neonatal Aftercare	3	3	—	—	$40,768.49	$48,528.87	$48,528.87	2025-01-01
10	MS_DRG	Pancreas Transplant	1	1	—	—	$48,323.32	$48,323.32	$48,323.32	2025-01-01
27200000002-17908	CDM	Introducer Lotus 25 Edge	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53126	CDM	Valve Sapien 3 Thv 23mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53333	CDM	Valve Sapien 3 Ultra Thv 26mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53329	CDM	Valve Sapien 3 Ultra Thv 23mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53134	CDM	Valve Thv Sapien 3 26mm W/certitudesystem	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53127	CDM	Valve Sapien 3 Thv 26mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53133	CDM	Valve Thv Sapien 3 23mm W/certitudesystem	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27200000002-17907	CDM	Introducer Lotus 23 Edge	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53128	CDM	Valve Sapien 3 Thv 29mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
27800000002-53326	CDM	Valve Sapien 3 Ultra Thv 20mm W/command System	37	28	$178,750.00	$116,187.50 35% off	$34,552.38	$178,750.00	$48,262.50	2025-01-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	1	1	—	—	$48,255.84	$48,255.84	$48,255.84	2025-01-01
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$40,518.88	$48,231.75	$48,231.75	2025-01-01
'179-4	OTHER	Defibrillator Implants	3	3	—	—	$40,460.82	$48,162.64	$48,162.64	2025-01-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	2	1	—	—	$28,071.00	$68,219.27	$48,145.14	2025-01-01
'440-3	OTHER	Kidney Transplant	3	3	—	—	$40,387.79	$48,075.70	$48,075.70	2025-01-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$48,013.70	$48,013.70	$48,013.70	2025-01-01
'182-4	OTHER	Other Peripheral Vascular And Related Procedures	3	3	—	—	$40,274.66	$47,941.04	$47,941.04	2025-01-01
'030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	3	3	—	—	$40,139.38	$47,780.01	$47,780.01	2025-01-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	1	1	—	—	$47,757.67	$47,757.67	$47,757.67	2025-01-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	1	1	—	—	$47,596.91	$47,596.91	$47,596.91	2025-01-01
'007-2	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$39,816.74	$47,395.95	$47,395.95	2025-01-01
163	MS_DRG	Major Chest Procedures With Mcc	1	1	—	—	$47,330.96	$47,330.96	$47,330.96	2025-01-01
'091-4	OTHER	Other Major Head And Neck Procedures	3	3	—	—	$39,644.94	$47,191.46	$47,191.46	2025-01-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$46,685.92	$46,685.92	$46,685.92	2025-01-01
'091-3	OTHER	Other Major Head And Neck Procedures	3	3	—	—	$39,125.97	$46,573.70	$46,573.70	2025-01-01
'613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	3	—	—	$39,015.23	$46,441.88	$46,441.88	2025-01-01
'603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$38,879.95	$46,280.85	$46,280.85	2025-01-01
'001-1	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$38,671.64	$46,032.88	$46,032.88	2025-01-01
'183-4	OTHER	Percutaneous Structural Cardiac Procedures	3	3	—	—	$38,620.17	$45,971.61	$45,971.61	2025-01-01
'710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	3	3	—	—	$38,517.81	$45,849.77	$45,849.77	2025-01-01
245	MS_DRG	Aicd Generator Procedures	1	1	—	—	$45,522.86	$45,522.86	$45,522.86	2025-01-01
'607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$38,138.90	$45,398.73	$45,398.73	2025-01-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	1	1	—	—	$45,377.98	$45,377.98	$45,377.98	2025-01-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	1	1	—	—	$45,230.12	$45,230.12	$45,230.12	2025-01-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$45,186.45	$45,186.45	$45,186.45	2025-01-01
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	3	—	—	$37,877.32	$45,087.36	$45,087.36	2025-01-01
'007-1	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$37,839.01	$45,041.76	$45,041.76	2025-01-01
'183-3	OTHER	Percutaneous Structural Cardiac Procedures	3	3	—	—	$37,815.67	$45,013.98	$45,013.98	2025-01-01
'841-3	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$37,710.31	$44,888.56	$44,888.56	2025-01-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$44,818.28	$44,818.28	$44,818.28	2025-01-01
'089-3	OTHER	Major Cranial Or Facial Bone Procedures	3	3	—	—	$37,635.49	$44,799.50	$44,799.50	2025-01-01
'089-4	OTHER	Major Cranial Or Facial Bone Procedures	3	3	—	—	$37,635.49	$44,799.50	$44,799.50	2025-01-01
27800000002-53472	CDM	Kit Mitraclip G4 Delivery Sys Ntw	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53339	CDM	Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53456	CDM	Kit Mitraclip 3 Mbr0103	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53070	CDM	Valve Aort 29mm Pro Perc	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53517	CDM	Kit Mitraclip 2 Mbr0202	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52837	CDM	Kit Mitraclip 1 Mbr0201	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52368	CDM	Valve Aort 23mm Evolutr	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52838	CDM	Kit Mitraclip 1 Mbr0301	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52372	CDM	Valve Aortic 26mm Evolut Fx	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52836	CDM	Kit Mitraclip 1 Mbr0101	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52377	CDM	Valve Aortic 23mm Evolut Fx	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52376	CDM	Valve Aortic 34mm Evolut Fx	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53071	CDM	Valve Aort 34mm Evolutr	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52374	CDM	Valve Aortic 29mm Evolut Fx	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53067	CDM	Valve Aort 26mm Evolutr	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52839	CDM	Kit Mitraclip 2 Mbr0102	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-52840	CDM	Kit Mitraclip 2 Mbr0302	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
27800000002-53068	CDM	Valve Aort 26mm Pro Perc	37	28	$165,000.00	$107,250.00 35% off	$31,894.50	$165,000.00	$44,550.00	2025-01-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	1	1	—	—	$44,500.73	$44,500.73	$44,500.73	2025-01-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	1	1	—	—	$44,377.67	$44,377.67	$44,377.67	2025-01-01
'304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$37,233.84	$44,321.39	$44,321.39	2025-01-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	1	1	—	—	$44,107.75	$44,107.75	$44,107.75	2025-01-01
'690-4	OTHER	Acute Leukemia	3	3	—	—	$36,999.19	$44,042.08	$44,042.08	2025-01-01
'690-3	OTHER	Acute Leukemia	3	3	—	—	$36,999.19	$44,042.08	$44,042.08	2025-01-01
'178-3	OTHER	External Heart Assist Systems	3	3	—	—	$36,862.12	$43,878.92	$43,878.92	2025-01-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	1	1	—	—	$43,840.80	$43,840.80	$43,840.80	2025-01-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$42,134.00	$45,518.89	$43,826.44	2025-01-01
'162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$36,813.63	$43,821.20	$43,821.20	2025-01-01
'006-2	OTHER	Pancreas Transplant	3	3	—	—	$36,704.69	$43,691.52	$43,691.52	2025-01-01
'006-1	OTHER	Pancreas Transplant	3	3	—	—	$36,704.69	$43,691.52	$43,691.52	2025-01-01
'603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$36,603.53	$43,571.10	$43,571.10	2025-01-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	1	1	—	—	$43,502.41	$43,502.41	$43,502.41	2025-01-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	1	1	—	—	$43,254.31	$43,254.31	$43,254.31	2025-01-01
'165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$36,237.19	$43,135.03	$43,135.03	2025-01-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	1	1	—	—	$43,015.15	$43,015.15	$43,015.15	2025-01-01
'130-2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$35,850.51	$42,674.74	$42,674.74	2025-01-01
'680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$35,652.97	$42,439.61	$42,439.61	2025-01-01
793	MS_DRG	Full Term Neonate With Major Problems	1	1	—	—	$42,326.45	$42,326.45	$42,326.45	2025-01-01
J1747	HCPCS	Injection Spesolimab-sbzo 1 Mg	37	28	$156,466.98	$101,703.54 35% off	$30,245.07	$156,466.98	$42,246.08	2025-01-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	1	1	—	—	$41,823.32	$41,823.32	$41,823.32	2025-01-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	2	1	—	—	$31,425.00	$52,024.85	$41,724.93	2025-01-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	1	—	—	$41,638.74	$41,638.74	$41,638.74	2025-01-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	2	1	—	—	$33,641.00	$49,369.28	$41,505.14	2025-01-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	1	1	—	—	$41,406.53	$41,406.53	$41,406.53	2025-01-01
'740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	3	3	—	—	$34,699.43	$41,304.55	$41,304.55	2025-01-01
'608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$34,648.55	$41,243.98	$41,243.98	2025-01-01
791	MS_DRG	Prematurity With Major Problems	1	1	—	—	$41,218.97	$41,218.97	$41,218.97	2025-01-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	1	1	—	—	$40,823.02	$40,823.02	$40,823.02	2025-01-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	1	1	—	—	$40,694.01	$40,694.01	$40,694.01	2025-01-01
'260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$34,173.27	$40,678.23	$40,678.23	2025-01-01
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	2	1	—	—	$35,070.00	$46,259.20	$40,664.60	2025-01-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	1	1	—	—	$40,658.28	$40,658.28	$40,658.28	2025-01-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	1	1	—	—	$40,393.32	$40,393.32	$40,393.32	2025-01-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	1	1	—	—	$40,298.06	$40,298.06	$40,298.06	2025-01-01
'607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$33,622.57	$40,022.71	$40,022.71	2025-01-01
'911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$33,614.19	$40,012.74	$40,012.74	2025-01-01
'681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$33,592.64	$39,987.08	$39,987.08	2025-01-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	1	1	—	—	$39,829.66	$39,829.66	$39,829.66	2025-01-01
'178-2	OTHER	External Heart Assist Systems	3	3	—	—	$33,221.52	$39,545.32	$39,545.32	2025-01-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	1	1	—	—	$39,365.23	$39,365.23	$39,365.23	2025-01-01
'230-4	OTHER	Major Small Bowel Procedures	3	3	—	—	$33,052.12	$39,343.67	$39,343.67	2025-01-01
'608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$32,997.65	$39,278.83	$39,278.83	2025-01-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	1	1	—	—	$39,270.96	$39,270.96	$39,270.96	2025-01-01
273	MS_DRG	Percutaneous Intracardiac Procedures W Mcc	1	1	—	—	$39,227.29	$39,227.29	$39,227.29	2025-01-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	1	1	—	—	$39,130.04	$39,130.04	$39,130.04	2025-01-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	1	1	—	—	$39,040.73	$39,040.73	$39,040.73	2025-01-01
'621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	3	3	—	—	$32,623.53	$38,833.50	$38,833.50	2025-01-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	1	1	—	—	$38,765.84	$38,765.84	$38,765.84	2025-01-01
'759-4	OTHER	Eating Disorders	3	3	—	—	$32,469.69	$38,650.38	$38,650.38	2025-01-01
C1824	HCPCS	Kit Ipg Optimizer Smart Mini	74	28	$143,000.00	$92,950.00 35% off	$20,103.20	$143,000.00	$38,610.00	2025-01-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	1	1	—	—	$38,518.74	$38,518.74	$38,518.74	2025-01-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	1	1	—	—	$38,153.55	$38,153.55	$38,153.55	2025-01-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	1	1	—	—	$38,047.37	$38,047.37	$38,047.37	2025-01-01
'167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$31,797.48	$37,850.21	$37,850.21	2025-01-01
'169-4	OTHER	Major Abdominal Vascular Procedures	3	3	—	—	$31,709.49	$37,745.47	$37,745.47	2025-01-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	1	1	—	—	$37,584.93	$37,584.93	$37,584.93	2025-01-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	1	1	—	—	$37,492.64	$37,492.64	$37,492.64	2025-01-01
'304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$31,485.62	$37,478.99	$37,478.99	2025-01-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	1	1	—	—	$37,465.84	$37,465.84	$37,465.84	2025-01-01
'027-4	OTHER	Other Open Craniotomy	3	3	—	—	$31,381.46	$37,355.01	$37,355.01	2025-01-01
'612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$31,359.32	$37,328.64	$37,328.64	2025-01-01
'614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	3	—	—	$31,352.73	$37,320.80	$37,320.80	2025-01-01
'005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$31,332.98	$37,297.29	$37,297.29	2025-01-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	1	1	—	—	$37,252.48	$37,252.48	$37,252.48	2025-01-01
27800000002-52891	CDM	Set Pump Impella Cp	37	28	$137,500.00	$89,375.00 35% off	$26,578.75	$137,500.00	$37,125.00	2025-01-01
27800000002-52896	CDM	Set Pump Impella Rp	37	28	$137,500.00	$89,375.00 35% off	$26,578.75	$137,500.00	$37,125.00	2025-01-01
27800000002-52893	CDM	Set Pump Impella Cp	37	28	$137,500.00	$89,375.00 35% off	$26,578.75	$137,500.00	$37,125.00	2025-01-01
27800000002-52890	CDM	Set Pump Impella Cp	37	28	$137,500.00	$89,375.00 35% off	$26,578.75	$137,500.00	$37,125.00	2025-01-01
27800000002-52892	CDM	Set Pump Impella Cp	37	28	$137,500.00	$89,375.00 35% off	$26,578.75	$137,500.00	$37,125.00	2025-01-01
'361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	3	—	—	$31,040.27	$36,948.86	$36,948.86	2025-01-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	1	1	—	—	$36,794.01	$36,794.01	$36,794.01	2025-01-01
'261-4	OTHER	Major Biliary Tract Procedures	3	3	—	—	$30,895.41	$36,776.43	$36,776.43	2025-01-01
'176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	3	3	—	—	$30,892.42	$36,772.87	$36,772.87	2025-01-01
'231-4	OTHER	Major Large Bowel Procedures	3	3	—	—	$30,844.53	$36,715.86	$36,715.86	2025-01-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	1	1	—	—	$36,646.15	$36,646.15	$36,646.15	2025-01-01
'695-4	OTHER	Chemotherapy For Acute Leukemia	3	3	—	—	$30,780.48	$36,639.62	$36,639.62	2025-01-01
332	MS_DRG	Rectal Resection With Mcc	1	1	—	—	$36,553.86	$36,553.86	$36,553.86	2025-01-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	1	1	—	—	$36,505.23	$36,505.23	$36,505.23	2025-01-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	1	1	—	—	$36,441.72	$36,441.72	$36,441.72	2025-01-01
'021-3	OTHER	Open Craniotomy Except Trauma	3	3	—	—	$30,362.07	$36,141.57	$36,141.57	2025-01-01
'020-4	OTHER	Open Craniotomy For Trauma	3	3	—	—	$30,330.35	$36,103.81	$36,103.81	2025-01-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	1	1	—	—	$36,093.40	$36,093.40	$36,093.40	2025-01-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	1	1	—	—	$36,031.87	$36,031.87	$36,031.87	2025-01-01
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	3	—	—	$30,213.62	$35,964.86	$35,964.86	2025-01-01
'178-1	OTHER	External Heart Assist Systems	3	3	—	—	$30,195.67	$35,943.49	$35,943.49	2025-01-01
27800000002-52402	CDM	Valve Sapien Thv Edwards Resilia 29mm	37	28	$132,600.00	$86,190.00 35% off	$25,631.58	$132,600.00	$35,802.00	2025-01-01
'009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$30,050.81	$35,771.06	$35,771.06	2025-01-01
'023-4	OTHER	Spinal Procedures	3	3	—	—	$30,000.53	$35,711.20	$35,711.20	2025-01-01
265	MS_DRG	Aicd Lead Procedures	1	1	—	—	$35,626.00	$35,626.00	$35,626.00	2025-01-01
'591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$29,920.91	$35,616.44	$35,616.44	2025-01-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	1	1	—	—	$35,537.67	$35,537.67	$35,537.67	2025-01-01
'092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	3	3	—	—	$29,807.18	$35,481.06	$35,481.06	2025-01-01
'589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$29,774.86	$35,442.58	$35,442.58	2025-01-01
'120-4	OTHER	Major Respiratory And Chest Procedures	3	3	—	—	$29,730.56	$35,389.85	$35,389.85	2025-01-01
'401-4	OTHER	Adrenal Procedures	3	3	—	—	$29,600.67	$35,235.24	$35,235.24	2025-01-01

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