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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 · ⚠ 17 mo old
Data quality

913,604 of 954,886 rate rows are consumer-grade (95.7%)

41,282 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 25,634
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-charges filed in the dollar field — excluded from medians 735
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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 viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
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
$370,174
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
$265,286
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
$206,368
1.3× median
'161-4
APR_DRG 		Implantable Heart Assist Systems 3 $194,567.98 $231,604.46 $231,604.46 —
'583-4
APR_DRG 		Neonate With Ecmo 3 $185,790.31 $221,155.95 $221,155.95 —
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
$202,986
1.0× median
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $167,490.34 $199,372.53 $199,372.53 —
'583-3
APR_DRG 		Neonate With Ecmo 3 $147,149.19 $175,159.39 $175,159.39 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 3 $142,441.32 $169,555.36 $169,555.36 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $140,215.17 $166,905.46 $166,905.46 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $140,070.32 $166,733.03 $166,733.03 —
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $137,297.07 $163,431.89 $163,431.89 —
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
$133,176
1.1× median
'002-4
APR_DRG 		Heart And/or Lung Transplant 3 $110,463.06 $131,489.96 $131,489.96 —
'583-2
APR_DRG 		Neonate With Ecmo 3 $108,508.67 $129,163.56 $129,163.56 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $102,756.26 $122,316.17 $122,316.17 —
7
MS_DRG 		Lung Transplant 1 $122,282.39 $122,282.39 $122,282.39 nat. median
$122,708
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
$108,660
1.1× median
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $100,605.54 $119,756.05 $119,756.05 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $98,180.67 $116,869.60 $116,869.60 —
'005-4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $97,181.63 $115,680.38 $115,680.38 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $96,137.70 $114,437.74 $114,437.74 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $114,288.88 $114,288.88 $114,288.88 nat. median
$117,303
1.0× median
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $95,856.96 $114,103.56 $114,103.56 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $95,367.32 $113,520.71 $113,520.71 —
J2326
HCPCS 		Inj Nusinersen 0.1mg 28 $79,968.68 $413,702.43 $111,699.66 nat. median
$2,677
outlier · 41.7×
'583-1
APR_DRG 		Neonate With Ecmo 3 $93,770.89 $111,620.40 $111,620.40 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $107,439.57 $107,439.57 $107,439.57 nat. median
$102,358
1.0× median
'161-2
APR_DRG 		Implantable Heart Assist Systems 3 $89,628.67 $106,689.71 $106,689.71 —
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $88,460.83 $105,299.56 $105,299.56 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $103,264.69 $103,264.69 $103,264.69 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 1 $101,923.01 $101,923.01 $101,923.01 nat. median
$99,019
1.0× median
'161-1
APR_DRG 		Implantable Heart Assist Systems 3 $85,147.06 $101,355.01 $101,355.01 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $83,317.18 $99,176.80 $99,176.80 —
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
$93,672
1.0× median
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $79,895.06 $95,103.28 $95,103.28 —
'006-4
APR_DRG 		Pancreas Transplant 3 $79,383.27 $94,494.07 $94,494.07 —
'005-3
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $75,874.96 $90,317.94 $90,317.94 —
'630-3
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $73,971.46 $88,052.10 $88,052.10 —
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 27 $55,551.71 $287,386.00 $87,509.04 nat. median
$76,377
1.1× median
'001-2
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $72,977.80 $86,869.30 $86,869.30 —
'001-3
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $72,977.80 $86,869.30 $86,869.30 —
'001-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $72,977.80 $86,869.30 $86,869.30 —
'593-3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $71,946.44 $85,641.62 $85,641.62 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $84,433.54 $84,433.54 $84,433.54 nat. median
$77,576
1.1× median
'002-3
APR_DRG 		Heart And/or Lung Transplant 3 $69,050.48 $82,194.41 $82,194.41 —
'162-4
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $68,842.77 $81,947.16 $81,947.16 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $81,087.29 $81,087.29 $81,087.29 nat. median
$79,312
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
$71,240
1.1× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $70,550.00 $88,492.32 $79,521.16 nat. median
$87,411
0.9× 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.

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
             
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 APR_DRG Implantable Heart Assist Systems 3 3 — — $194,567.98 $231,604.46 $231,604.46 2025-01-01
'583-4 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $167,490.34 $199,372.53 $199,372.53 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 3 3 — — $147,149.19 $175,159.39 $175,159.39 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 3 3 — — $142,441.32 $169,555.36 $169,555.36 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $140,215.17 $166,905.46 $166,905.46 2025-01-01
'630-4 APR_DRG 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 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 3 3 — — $110,463.06 $131,489.96 $131,489.96 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 3 3 — — $108,508.67 $129,163.56 $129,163.56 2025-01-01
'841-4 APR_DRG 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 APR_DRG 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 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $98,180.67 $116,869.60 $116,869.60 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $97,181.63 $115,680.38 $115,680.38 2025-01-01
'588-2 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Implantable Heart Assist Systems 3 3 — — $89,628.67 $106,689.71 $106,689.71 2025-01-01
'007-4 APR_DRG 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 APR_DRG Implantable Heart Assist Systems 3 3 — — $85,147.06 $101,355.01 $101,355.01 2025-01-01
'593-4 APR_DRG 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 APR_DRG 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 APR_DRG Pancreas Transplant 3 3 — — $79,383.27 $94,494.07 $94,494.07 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $75,874.96 $90,317.94 $90,317.94 2025-01-01
'630-3 APR_DRG 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
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $72,977.80 $86,869.30 $86,869.30 2025-01-01
'001-2 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $72,977.80 $86,869.30 $86,869.30 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $72,977.80 $86,869.30 $86,869.30 2025-01-01
'593-3 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 3 3 — — $69,050.48 $82,194.41 $82,194.41 2025-01-01
'162-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $63,281.91 $75,327.77 $75,327.77 2025-01-01
'631-4 APR_DRG 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 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $62,571.39 $74,482.00 $74,482.00 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $61,504.71 $73,212.28 $73,212.28 2025-01-01
'634-4 APR_DRG 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 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $57,303.23 $68,211.04 $68,211.04 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $56,742.36 $67,543.40 $67,543.40 2025-01-01
'591-3 APR_DRG 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 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $53,306.47 $63,453.49 $63,453.49 2025-01-01
'602-3 APR_DRG 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 APR_DRG Heart And/or Lung Transplant 3 3 — — $52,792.89 $62,842.14 $62,842.14 2025-01-01
'002-2 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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
'008-4 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $47,345.75 $56,358.14 $56,358.14 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $47,345.75 $56,358.14 $56,358.14 2025-01-01
'011-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $43,325.05 $51,572.08 $51,572.08 2025-01-01
'166-4 APR_DRG 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 APR_DRG 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
27800000002-52401 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
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
'440-4 APR_DRG 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 APR_DRG 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 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $41,599.93 $49,518.58 $49,518.58 2025-01-01
'611-4 APR_DRG 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 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $41,574.79 $49,488.65 $49,488.65 2025-01-01
'303-1 APR_DRG 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 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $41,506.55 $49,407.42 $49,407.42 2025-01-01
'303-2 APR_DRG 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 APR_DRG Pancreas Transplant 3 3 — — $41,312.60 $49,176.57 $49,176.57 2025-01-01
'009-3 APR_DRG 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 APR_DRG 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 APR_DRG 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
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
27800000002-53126 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
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
27800000002-53133 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
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
27800000002-53333 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
27800000002-53326 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
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
27800000002-53134 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
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 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $40,518.88 $48,231.75 $48,231.75 2025-01-01
'179-4 APR_DRG 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 APR_DRG 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 APR_DRG Other Peripheral Vascular And Related Procedures 3 3 — — $40,274.66 $47,941.04 $47,941.04 2025-01-01
'030-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Other Major Head And Neck Procedures 3 3 — — $39,125.97 $46,573.70 $46,573.70 2025-01-01
'613-4 APR_DRG 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 APR_DRG 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 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $38,671.64 $46,032.88 $46,032.88 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $38,620.17 $45,971.61 $45,971.61 2025-01-01
'710-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $37,839.01 $45,041.76 $45,041.76 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $37,815.67 $45,013.98 $45,013.98 2025-01-01
'841-3 APR_DRG 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
'089-4 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $37,635.49 $44,799.50 $44,799.50 2025-01-01
'089-3 APR_DRG 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
27800000002-53071 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
27800000002-53070 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
27800000002-52838 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
27800000002-52840 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
27800000002-52376 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
27800000002-53067 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
27800000002-52374 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
27800000002-53456 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
27800000002-52836 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
27800000002-53339 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
27800000002-52372 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
27800000002-52837 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
27800000002-52839 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
27800000002-52377 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
27800000002-53068 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
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
27800000002-52368 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
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 APR_DRG 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
'690-3 APR_DRG Acute Leukemia 3 3 — — $36,999.19 $44,042.08 $44,042.08 2025-01-01
'690-4 APR_DRG Acute Leukemia 3 3 — — $36,999.19 $44,042.08 $44,042.08 2025-01-01
'178-3 APR_DRG 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 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $36,813.63 $43,821.20 $43,821.20 2025-01-01
'006-1 APR_DRG Pancreas Transplant 3 3 — — $36,704.69 $43,691.52 $43,691.52 2025-01-01
'006-2 APR_DRG Pancreas Transplant 3 3 — — $36,704.69 $43,691.52 $43,691.52 2025-01-01
'603-2 APR_DRG 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 APR_DRG 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 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $35,850.51 $42,674.74 $42,674.74 2025-01-01
'680-4 APR_DRG 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 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $34,699.43 $41,304.55 $41,304.55 2025-01-01
'608-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Major Small Bowel Procedures 3 3 — — $33,052.12 $39,343.67 $39,343.67 2025-01-01
'608-3 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $31,797.48 $37,850.21 $37,850.21 2025-01-01
'169-4 APR_DRG 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 APR_DRG 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 APR_DRG Other Open Craniotomy 3 3 — — $31,381.46 $37,355.01 $37,355.01 2025-01-01
'612-4 APR_DRG 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 APR_DRG 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 APR_DRG 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
27800000002-52892 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
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
27800000002-52890 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
27800000002-52891 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
27800000002-52893 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
'361-4 APR_DRG 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 APR_DRG Major Biliary Tract Procedures 3 3 — — $30,895.41 $36,776.43 $36,776.43 2025-01-01
'176-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Open Craniotomy Except Trauma 3 3 — — $30,362.07 $36,141.57 $36,141.57 2025-01-01
'020-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $30,050.81 $35,771.06 $35,771.06 2025-01-01
'023-4 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG 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 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $29,730.56 $35,389.85 $35,389.85 2025-01-01
'401-4 APR_DRG Adrenal Procedures 3 3 — — $29,600.67 $35,235.24 $35,235.24 2025-01-01
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