Price Transparencybeta Hospital negotiated rates

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

ATRIUM HEALTH FLOYD POLK MEDICAL CENTER

Cedartown, GA · CCN 111330 · Rates published

Your selected procedure

You selected 302 (APR_DRG)

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

This hospital’s price: $27,093 across 4 payers · range $27,093-$30,963

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11222/453957368_polk-medical-center-inc_standardcharges.csv · observed 2025-11-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,330 distinct procedures filed
20 distinct payers
743,523 rate rows
2025-11-19 last MRF observed
Data quality

742,346 of 743,523 rate rows are consumer-grade (99.8%)

1,177 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
percent-of-charges filed in the dollar field — excluded from medians 741
per-diem day rate — not a per-procedure price 171
exceeds 10× this hospital's gross charge — excluded from medians 110
template filing: same amount across many unrelated codes — excluded 86
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 56
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11222/453957368_polk-medical-center-inc_standardcharges.csv
Found on page https://www.atriumhealthfloydharbin.org/patients-visitors/billing-payment/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-07-31
Content fingerprint 570441489af7eba8… · 1,521,933,629 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,200,000.00 $3,200,000.00 $3,200,000.00 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,322,044.36 $2,322,044.36 $2,322,044.36 nat. median
$2,460,273
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $507,495.55 $507,495.55 $507,495.55 nat. median
$631,793
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $484,690.30 $484,690.30 $484,690.30 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $474,060.62 $474,060.62 $474,060.62 nat. median
$624,417
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$577,541
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $245,266.80 $280,304.92 $245,266.80 nat. median
$209,486
1.2× median
5834
APR_DRG 		Neonate With Ecmo 4 $234,248.66 $267,712.75 $234,248.66 nat. median
$311,018
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $211,155.85 $241,320.97 $211,155.85 nat. median
$165,599
1.3× median
5833
APR_DRG 		Neonate With Ecmo 4 $185,497.17 $211,996.76 $185,497.17 nat. median
$250,089
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $179,610.76 $205,269.44 $179,610.76 nat. median
$127,938
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $176,743.02 $201,992.03 $176,743.02 nat. median
$127,600
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $176,592.10 $201,819.54 $176,592.10 nat. median
$160,171
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $173,120.63 $197,852.15 $173,120.63 nat. median
$254,667
0.7× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 20 $32,646.80 $216,045.00 $150,031.25 nat. median
$69,291
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 4 $139,236.08 $159,126.95 $139,236.08 nat. median
$243,231
0.6× median
5832
APR_DRG 		Neonate With Ecmo 4 $136,821.14 $156,367.02 $136,821.14 nat. median
$169,230
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $129,576.33 $148,087.24 $129,576.33 nat. median
$165,646
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $126,859.53 $144,982.32 $126,859.53 nat. median
$168,361
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $123,765.40 $141,446.17 $123,765.40 nat. median
$180,995
0.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $122,557.93 $140,066.21 $122,557.93 nat. median
$88,000
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $121,199.54 $138,513.76 $121,199.54 nat. median
$147,847
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $120,822.20 $138,082.51 $120,822.20 nat. median
$119,243
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $120,218.47 $137,392.54 $120,218.47 nat. median
$168,174
0.7× median
5831
APR_DRG 		Neonate With Ecmo 4 $118,256.33 $135,150.10 $118,256.33 nat. median
$154,685
0.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $112,973.66 $129,112.75 $112,973.66 nat. median
$93,192
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $111,539.79 $127,474.04 $111,539.79 nat. median
$175,480
0.6× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $107,313.65 $122,644.18 $107,313.65 nat. median
$82,164
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $105,049.65 $120,056.75 $105,049.65 nat. median
$156,285
0.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $100,748.06 $115,140.64 $100,748.06 nat. median
$109,499
0.9× median
64
APR_DRG 		Pancreas Transplant 4 $100,068.85 $114,364.40 $100,068.85 nat. median
$92,994
1.1× median
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $95,691.78 $109,362.04 $95,691.78 nat. median
$52,271
1.8× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $93,276.86 $106,602.12 $93,276.86 nat. median
$80,447
1.2× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $91,993.91 $105,135.90 $91,993.91 nat. median
$74,748
1.2× median
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $91,993.91 $105,135.90 $91,993.91 nat. median
$59,223
1.6× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $91,993.91 $105,135.90 $91,993.91 nat. median
$137,901
0.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $90,710.98 $103,669.69 $90,710.98 nat. median
$112,711
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $87,088.58 $99,529.80 $87,088.58 nat. median
$116,111
0.8× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $86,786.71 $99,184.81 $86,786.71 nat. median
$82,636
1.1× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 20 $326.65 $121,568.94 $84,422.88 nat. median
$498
outlier · 169.6×
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 $84,145.38 $96,166.15 $84,145.38 nat. median
$68,121
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $83,541.64 $95,476.16 $83,541.64 nat. median
$101,315
0.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $79,768.31 $91,163.78 $79,768.31 nat. median
$120,928
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $79,315.51 $90,646.30 $79,315.51 nat. median
$147,677
0.5× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 4 $78,862.71 $90,128.81 $78,862.71 nat. median
$60,465
1.3× median
9504
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 $77,579.78 $88,662.60 $77,579.78 nat. median
$53,396
1.5× median
6344
APR_DRG 		Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 $76,976.05 $87,972.62 $76,976.05 nat. median
$39,994
1.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $74,334.71 $84,953.95 $74,334.71 nat. median
$123,690
0.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $72,221.64 $82,539.01 $72,221.64 nat. median
$78,024
0.9× median

Other procedures at this hospital

Browse this hospital's 5,330 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2025-11-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,200,000.00 $3,200,000.00 $3,200,000.00 2025-11-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,322,044.36 $2,322,044.36 $2,322,044.36 2025-11-19
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $507,495.55 $507,495.55 $507,495.55 2025-11-19
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $484,690.30 $484,690.30 $484,690.30 2025-11-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $474,060.62 $474,060.62 $474,060.62 2025-11-19
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $449,440.00 $449,440.00 $449,440.00 2025-11-19
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $245,266.80 $280,304.92 $245,266.80 2025-11-19
5834 APR_DRG Neonate With Ecmo 4 4 — — $234,248.66 $267,712.75 $234,248.66 2025-11-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $211,155.85 $241,320.97 $211,155.85 2025-11-19
5833 APR_DRG Neonate With Ecmo 4 4 — — $185,497.17 $211,996.76 $185,497.17 2025-11-19
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $179,610.76 $205,269.44 $179,610.76 2025-11-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $176,743.02 $201,992.03 $176,743.02 2025-11-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $176,592.10 $201,819.54 $176,592.10 2025-11-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $173,120.63 $197,852.15 $173,120.63 2025-11-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 55 20 $240,050.00 $120,025.00 50% off $32,646.80 $216,045.00 $150,031.25 2025-11-19
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $139,236.08 $159,126.95 $139,236.08 2025-11-19
5832 APR_DRG Neonate With Ecmo 4 4 — — $136,821.14 $156,367.02 $136,821.14 2025-11-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $129,576.33 $148,087.24 $129,576.33 2025-11-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $126,859.53 $144,982.32 $126,859.53 2025-11-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $123,765.40 $141,446.17 $123,765.40 2025-11-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $122,557.93 $140,066.21 $122,557.93 2025-11-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $121,199.54 $138,513.76 $121,199.54 2025-11-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $120,822.20 $138,082.51 $120,822.20 2025-11-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $120,218.47 $137,392.54 $120,218.47 2025-11-19
5831 APR_DRG Neonate With Ecmo 4 4 — — $118,256.33 $135,150.10 $118,256.33 2025-11-19
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $112,973.66 $129,112.75 $112,973.66 2025-11-19
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $111,539.79 $127,474.04 $111,539.79 2025-11-19
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $107,313.65 $122,644.18 $107,313.65 2025-11-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $105,049.65 $120,056.75 $105,049.65 2025-11-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $100,748.06 $115,140.64 $100,748.06 2025-11-19
64 APR_DRG Pancreas Transplant 4 4 — — $100,068.85 $114,364.40 $100,068.85 2025-11-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $95,691.78 $109,362.04 $95,691.78 2025-11-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $93,276.86 $106,602.12 $93,276.86 2025-11-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $91,993.91 $105,135.90 $91,993.91 2025-11-19
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $91,993.91 $105,135.90 $91,993.91 2025-11-19
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $91,993.91 $105,135.90 $91,993.91 2025-11-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $90,710.98 $103,669.69 $90,710.98 2025-11-19
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $87,088.58 $99,529.80 $87,088.58 2025-11-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $86,786.71 $99,184.81 $86,786.71 2025-11-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 55 20 $135,076.60 $67,538.30 50% off $326.65 $121,568.94 $84,422.88 2025-11-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $84,145.38 $96,166.15 $84,145.38 2025-11-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $83,541.64 $95,476.16 $83,541.64 2025-11-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $79,768.31 $91,163.78 $79,768.31 2025-11-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $79,315.51 $90,646.30 $79,315.51 2025-11-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $78,862.71 $90,128.81 $78,862.71 2025-11-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $77,579.78 $88,662.60 $77,579.78 2025-11-19
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $76,976.05 $87,972.62 $76,976.05 2025-11-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $74,334.71 $84,953.95 $74,334.71 2025-11-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $72,221.64 $82,539.01 $72,221.64 2025-11-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $71,542.44 $81,762.79 $71,542.44 2025-11-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $70,863.24 $80,986.56 $70,863.24 2025-11-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 55 20 $111,115.60 $55,557.80 50% off $200.49 $100,004.04 $69,447.25 2025-11-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $67,240.83 $76,846.67 $67,240.83 2025-11-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $66,938.97 $76,501.68 $66,938.97 2025-11-19
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $66,561.63 $76,070.44 $66,561.63 2025-11-19
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $66,561.63 $76,070.44 $66,561.63 2025-11-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $65,882.44 $75,294.22 $65,882.44 2025-11-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $64,976.84 $74,259.24 $64,976.84 2025-11-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $64,825.90 $74,086.74 $64,825.90 2025-11-19
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $63,392.04 $72,448.04 $63,392.04 2025-11-19
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $63,165.64 $72,189.30 $63,165.64 2025-11-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 55 20 $100,182.50 $50,091.25 50% off $72.88 $90,164.25 $62,614.07 2025-11-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $61,580.83 $70,378.09 $61,580.83 2025-11-19
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $61,278.97 $70,033.10 $61,278.97 2025-11-19
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $59,694.17 $68,221.91 $59,694.17 2025-11-19
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $59,694.17 $68,221.91 $59,694.17 2025-11-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $59,467.77 $67,963.16 $59,467.77 2025-11-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $58,260.30 $66,583.20 $58,260.30 2025-11-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 55 20 $91,682.00 $45,841.00 50% off $2,580.14 $82,513.80 $57,301.25 2025-11-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $57,128.30 $65,289.48 $57,128.30 2025-11-19
1784 APR_DRG External Heart Assist Systems 4 4 — — $56,901.89 $65,030.74 $56,901.89 2025-11-19
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $55,453.57 $55,453.57 $55,453.57 2025-11-19
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 55 20 $88,490.00 $44,245.00 50% off $300.59 $79,641.00 $55,306.25 2025-11-19
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $55,166.16 $63,047.04 $55,166.16 2025-11-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $54,637.89 $62,443.31 $54,637.89 2025-11-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $54,336.03 $62,098.32 $54,336.03 2025-11-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $53,883.23 $61,580.83 $53,883.23 2025-11-19
4404 APR_DRG Kidney Transplant 4 4 — — $53,279.50 $60,890.86 $53,279.50 2025-11-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $52,600.30 $60,114.62 $52,600.30 2025-11-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $52,449.36 $59,942.12 $52,449.36 2025-11-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $52,449.36 $59,942.12 $52,449.36 2025-11-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $52,449.36 $59,942.12 $52,449.36 2025-11-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $52,298.43 $59,769.64 $52,298.43 2025-11-19
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $52,298.43 $59,769.64 $52,298.43 2025-11-19
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $52,298.43 $59,769.64 $52,298.43 2025-11-19
63 APR_DRG Pancreas Transplant 4 4 — — $52,072.03 $59,510.89 $52,072.03 2025-11-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $51,921.09 $59,338.39 $51,921.09 2025-11-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $51,694.69 $59,079.65 $51,694.69 2025-11-19
8634 APR_DRG Neonatal Aftercare 4 4 — — $51,392.83 $58,734.66 $51,392.83 2025-11-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 55 20 $81,970.00 $40,985.00 50% off $208.93 $73,773.00 $51,231.25 2025-11-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $51,090.96 $58,389.67 $51,090.96 2025-11-19
1794 APR_DRG Defibrillator Implants 4 4 — — $51,015.49 $58,303.42 $51,015.49 2025-11-19
4403 APR_DRG Kidney Transplant 4 4 — — $50,940.03 $58,217.17 $50,940.03 2025-11-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $50,789.10 $58,044.68 $50,789.10 2025-11-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $50,638.16 $57,872.18 $50,638.16 2025-11-19
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $50,185.36 $57,354.70 $50,185.36 2025-11-19
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $49,958.96 $57,095.95 $49,958.96 2025-11-19
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $49,355.23 $56,405.98 $49,355.23 2025-11-19
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $49,204.29 $56,233.48 $49,204.29 2025-11-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $49,053.36 $56,060.99 $49,053.36 2025-11-19
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $48,751.49 $55,715.99 $48,751.49 2025-11-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $48,676.03 $55,629.74 $48,676.03 2025-11-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $48,525.09 $55,457.24 $48,525.09 2025-11-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $48,072.30 $54,939.77 $48,072.30 2025-11-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $47,770.42 $54,594.77 $47,770.42 2025-11-19
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $47,694.96 $54,508.52 $47,694.96 2025-11-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $47,694.96 $54,508.52 $47,694.96 2025-11-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $47,544.02 $54,336.02 $47,544.02 2025-11-19
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $47,468.56 $54,249.78 $47,468.56 2025-11-19
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $47,468.56 $54,249.78 $47,468.56 2025-11-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $46,940.29 $53,646.05 $46,940.29 2025-11-19
6903 APR_DRG Acute Leukemia 4 4 — — $46,638.43 $53,301.06 $46,638.43 2025-11-19
6904 APR_DRG Acute Leukemia 4 4 — — $46,638.43 $53,301.06 $46,638.43 2025-11-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 55 20 $74,455.55 $37,227.78 50% off $10,125.95 $67,010.00 $46,534.72 2025-11-19
1783 APR_DRG External Heart Assist Systems 4 4 — — $46,487.49 $53,128.56 $46,487.49 2025-11-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $46,412.03 $53,042.32 $46,412.03 2025-11-19
61 APR_DRG Pancreas Transplant 4 4 — — $46,261.09 $52,869.82 $46,261.09 2025-11-19
62 APR_DRG Pancreas Transplant 4 4 — — $46,261.09 $52,869.82 $46,261.09 2025-11-19
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $46,185.63 $52,783.57 $46,185.63 2025-11-19
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $45,657.36 $52,179.84 $45,657.36 2025-11-19
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $45,204.56 $51,662.35 $45,204.56 2025-11-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $44,978.16 $51,403.61 $44,978.16 2025-11-19
J9226 HCPCS Supprelin La Implant 1 1 — — $44,578.75 $44,578.75 $44,578.75 2025-11-19
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $43,770.69 $50,023.64 $43,770.69 2025-11-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $43,695.23 $49,937.40 $43,695.23 2025-11-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $43,091.49 $49,247.41 $43,091.49 2025-11-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $42,412.29 $48,471.19 $42,412.29 2025-11-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $42,412.29 $48,471.19 $42,412.29 2025-11-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $42,336.82 $48,384.94 $42,336.82 2025-11-19
1782 APR_DRG External Heart Assist Systems 4 4 — — $41,884.03 $47,867.46 $41,884.03 2025-11-19
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $41,657.63 $47,608.72 $41,657.63 2025-11-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $41,582.15 $47,522.46 $41,582.15 2025-11-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $41,129.35 $47,004.97 $41,129.35 2025-11-19
7594 APR_DRG Eating Disorders 4 4 — — $40,902.96 $46,746.24 $40,902.96 2025-11-19
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $40,072.82 $45,797.51 $40,072.82 2025-11-19
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $39,997.36 $45,711.26 $39,997.36 2025-11-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $39,695.49 $45,366.28 $39,695.49 2025-11-19
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $39,544.55 $45,193.78 $39,544.55 2025-11-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $39,544.55 $45,193.78 $39,544.55 2025-11-19
274 APR_DRG Other Open Craniotomy 4 4 — — $39,544.55 $45,193.78 $39,544.55 2025-11-19
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $39,469.09 $45,107.53 $39,469.09 2025-11-19
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $39,167.23 $44,762.54 $39,167.23 2025-11-19
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $38,940.83 $44,503.80 $38,940.83 2025-11-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $38,940.83 $44,503.80 $38,940.83 2025-11-19
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $38,865.35 $44,417.54 $38,865.35 2025-11-19
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $38,789.89 $44,331.30 $38,789.89 2025-11-19
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $38,261.62 $43,727.57 $38,261.62 2025-11-19
213 APR_DRG Open Craniotomy Except Trauma 4 4 — — $38,261.62 $43,727.57 $38,261.62 2025-11-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $38,110.68 $43,555.07 $38,110.68 2025-11-19
1781 APR_DRG External Heart Assist Systems 4 4 — — $38,035.22 $43,468.82 $38,035.22 2025-11-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $37,884.28 $43,296.32 $37,884.28 2025-11-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 55 20 $60,528.35 $30,264.18 50% off $187.00 $54,475.52 $37,830.22 2025-11-19
234 APR_DRG Spinal Procedures 4 4 — — $37,808.82 $43,210.08 $37,808.82 2025-11-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $37,733.36 $43,123.84 $37,733.36 2025-11-19
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $37,582.42 $42,951.34 $37,582.42 2025-11-19
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $37,506.96 $42,865.09 $37,506.96 2025-11-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $37,506.96 $42,865.09 $37,506.96 2025-11-19
4014 APR_DRG Adrenal Procedures 4 4 — — $37,356.02 $42,692.59 $37,356.02 2025-11-19
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $37,280.55 $42,606.35 $37,280.55 2025-11-19
1792 APR_DRG Defibrillator Implants 4 4 — — $37,205.09 $42,520.10 $37,205.09 2025-11-19
1793 APR_DRG Defibrillator Implants 4 4 — — $37,205.09 $42,520.10 $37,205.09 2025-11-19
1693 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $37,054.15 $42,347.60 $37,054.15 2025-11-19
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $37,054.15 $42,347.60 $37,054.15 2025-11-19
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $36,903.22 $42,175.10 $36,903.22 2025-11-19
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $36,752.29 $42,002.62 $36,752.29 2025-11-19
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 4 — — $36,676.82 $41,916.36 $36,676.82 2025-11-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $36,148.55 $41,312.63 $36,148.55 2025-11-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 55 20 $57,484.95 $28,742.48 50% off $211.76 $51,736.46 $35,928.10 2025-11-19
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $35,922.15 $41,053.88 $35,922.15 2025-11-19
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $35,771.22 $40,881.40 $35,771.22 2025-11-19
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 4 — — $35,092.02 $40,105.16 $35,092.02 2025-11-19
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $35,092.02 $40,105.16 $35,092.02 2025-11-19
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 4 — — $34,941.08 $39,932.66 $34,941.08 2025-11-19
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $34,714.69 $39,673.93 $34,714.69 2025-11-19
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $34,412.82 $39,328.93 $34,412.82 2025-11-19
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $34,337.35 $39,242.69 $34,337.35 2025-11-19
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $34,337.35 $39,242.69 $34,337.35 2025-11-19
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $34,110.95 $38,983.94 $34,110.95 2025-11-19
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $33,960.01 $38,811.44 $33,960.01 2025-11-19
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $33,884.55 $38,725.20 $33,884.55 2025-11-19
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $33,658.15 $38,466.46 $33,658.15 2025-11-19
6504 APR_DRG Splenectomy 4 4 — — $33,658.15 $38,466.46 $33,658.15 2025-11-19
3084 APR_DRG Hip And Femur Fracture Repair 4 4 — — $33,280.82 $38,035.22 $33,280.82 2025-11-19
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $33,205.35 $37,948.97 $33,205.35 2025-11-19
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $33,054.42 $37,776.48 $33,054.42 2025-11-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $32,978.95 $37,690.22 $32,978.95 2025-11-19
8633 APR_DRG Neonatal Aftercare 4 4 — — $32,978.95 $37,690.22 $32,978.95 2025-11-19
3094 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $32,828.02 $37,517.74 $32,828.02 2025-11-19
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $32,752.56 $37,431.49 $32,752.56 2025-11-19
4402 APR_DRG Kidney Transplant 4 4 — — $32,450.68 $37,086.49 $32,450.68 2025-11-19
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $32,450.68 $37,086.49 $32,450.68 2025-11-19
4414 APR_DRG Major Bladder Procedures 4 4 — — $32,375.22 $37,000.25 $32,375.22 2025-11-19
2234 APR_DRG Other Small And Large Bowel Procedures 4 4 — — $32,299.75 $36,914.00 $32,299.75 2025-11-19
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $32,073.35 $36,655.26 $32,073.35 2025-11-19
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $32,073.35 $36,655.26 $32,073.35 2025-11-19
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $31,997.89 $36,569.02 $31,997.89 2025-11-19
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $31,997.89 $36,569.02 $31,997.89 2025-11-19
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $31,545.09 $36,051.53 $31,545.09 2025-11-19
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $31,394.15 $35,879.03 $31,394.15 2025-11-19
2324 APR_DRG Gastric Fundoplication 4 4 — — $31,318.69 $35,792.78 $31,318.69 2025-11-19
1813 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $31,243.21 $35,706.53 $31,243.21 2025-11-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $31,167.75 $35,620.28 $31,167.75 2025-11-19
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $31,092.29 $35,534.04 $31,092.29 2025-11-19
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $31,092.29 $35,534.04 $31,092.29 2025-11-19
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 — — $30,865.88 $35,275.30 $30,865.88 2025-11-19
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $30,639.48 $35,016.55 $30,639.48 2025-11-19
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 4 — — $30,564.02 $34,930.31 $30,564.02 2025-11-19
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 55 20 $48,850.00 $24,425.00 50% off $230.74 $43,965.00 $30,531.25 2025-11-19
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $30,413.08 $34,757.81 $30,413.08 2025-11-19
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $30,337.62 $34,671.56 $30,337.62 2025-11-19
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $30,262.14 $34,585.31 $30,262.14 2025-11-19
4401 APR_DRG Kidney Transplant 4 4 — — $30,035.75 $34,326.58 $30,035.75 2025-11-19
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $30,035.75 $34,326.58 $30,035.75 2025-11-19
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $29,809.35 $34,067.83 $29,809.35 2025-11-19
3093 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $29,733.88 $33,981.58 $29,733.88 2025-11-19
3624 APR_DRG Mastectomy Procedures 4 4 — — $29,733.88 $33,981.58 $29,733.88 2025-11-19
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 4 — — $29,658.42 $33,895.33 $29,658.42 2025-11-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $29,658.42 $33,895.33 $29,658.42 2025-11-19
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 4 — — $29,582.95 $33,809.09 $29,582.95 2025-11-19
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 55 20 $47,227.55 $23,613.78 50% off $232.55 $42,504.80 $29,517.22 2025-11-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $29,356.55 $33,550.34 $29,356.55 2025-11-19
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $29,356.55 $33,550.34 $29,356.55 2025-11-19
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $29,281.09 $33,464.10 $29,281.09 2025-11-19
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 4 — — $28,903.75 $33,032.86 $28,903.75 2025-11-19
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $28,752.81 $32,860.36 $28,752.81 2025-11-19
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $28,752.81 $32,860.36 $28,752.81 2025-11-19
7524 APR_DRG Disorders Of Personality And Impulse Control 4 4 — — $28,677.35 $32,774.11 $28,677.35 2025-11-19
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $28,601.88 $32,687.87 $28,601.88 2025-11-19
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $28,601.88 $32,687.87 $28,601.88 2025-11-19
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $28,450.95 $32,515.37 $28,450.95 2025-11-19
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 86 20 $142,084.90 $71,042.45 50% off $172.71 $127,876.41 $28,416.98 2025-11-19
4804 APR_DRG Major Male Pelvic Procedures 4 4 — — $28,375.48 $32,429.12 $28,375.48 2025-11-19
4034 APR_DRG Procedures For Obesity 4 4 — — $28,300.02 $32,342.88 $28,300.02 2025-11-19
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $28,300.02 $32,342.88 $28,300.02 2025-11-19
244 APR_DRG Open Extracranial Vascular Procedures 4 4 — — $28,224.55 $32,256.62 $28,224.55 2025-11-19
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $28,224.55 $32,256.62 $28,224.55 2025-11-19
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $28,224.55 $32,256.62 $28,224.55 2025-11-19
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 4 — — $28,149.08 $32,170.38 $28,149.08 2025-11-19
454 APR_DRG Cva And Precerebral Occlusion With Infarction 4 4 — — $28,149.08 $32,170.38 $28,149.08 2025-11-19
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $28,149.08 $32,170.38 $28,149.08 2025-11-19
4694 APR_DRG Acute Kidney Injury 4 4 — — $28,073.62 $32,084.14 $28,073.62 2025-11-19
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $27,998.15 $31,997.88 $27,998.15 2025-11-19
2303 APR_DRG Major Small Bowel Procedures 4 4 — — $27,922.68 $31,911.64 $27,922.68 2025-11-19
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $27,847.22 $31,825.39 $27,847.22 2025-11-19
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $27,620.82 $31,566.65 $27,620.82 2025-11-19
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 4 — — $27,545.34 $31,480.39 $27,545.34 2025-11-19
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $27,469.88 $31,394.15 $27,469.88 2025-11-19
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $27,469.88 $31,394.15 $27,469.88 2025-11-19
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 4 — — $27,469.88 $31,394.15 $27,469.88 2025-11-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $27,469.88 $31,394.15 $27,469.88 2025-11-19
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $27,243.48 $31,135.40 $27,243.48 2025-11-19
1692 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $27,168.02 $31,049.16 $27,168.02 2025-11-19
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections 4 4 — — $27,168.02 $31,049.16 $27,168.02 2025-11-19
36906 CPT Thrmbc/nfs Dialysis Circuit 2 1 — — $27,118.14 $27,118.14 $27,118.14 2025-11-19
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 4 4 — — $27,092.55 $30,962.92 $27,092.55 2025-11-19
1823 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $27,092.55 $30,962.92 $27,092.55 2025-11-19
302 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $27,092.55 $30,962.92 $27,092.55 2025-11-19
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $27,017.08 $30,876.66 $27,017.08 2025-11-19
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $26,866.15 $30,704.17 $26,866.15 2025-11-19
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $26,866.15 $30,704.17 $26,866.15 2025-11-19
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $26,715.21 $30,531.67 $26,715.21 2025-11-19
734 APR_DRG Orbit And Eye Procedures 4 4 — — $26,715.21 $30,531.67 $26,715.21 2025-11-19
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 — — $26,564.29 $30,359.18 $26,564.29 2025-11-19
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $26,564.29 $30,359.18 $26,564.29 2025-11-19
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 55 20 $42,477.05 $21,238.53 50% off $27.58 $38,229.35 $26,548.16 2025-11-19
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $26,337.89 $30,100.44 $26,337.89 2025-11-19
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 55 20 $42,126.05 $21,063.03 50% off $48.80 $37,913.45 $26,328.78 2025-11-19
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 4 — — $26,262.41 $30,014.18 $26,262.41 2025-11-19
233 APR_DRG Spinal Procedures 4 4 — — $26,111.48 $29,841.70 $26,111.48 2025-11-19
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 4 — — $26,111.48 $29,841.70 $26,111.48 2025-11-19
444 APR_DRG Intracranial Hemorrhage 4 4 — — $26,111.48 $29,841.70 $26,111.48 2025-11-19
4413 APR_DRG Major Bladder Procedures 4 4 — — $25,960.55 $29,669.20 $25,960.55 2025-11-19
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 4 — — $25,885.08 $29,582.95 $25,885.08 2025-11-19
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $25,809.61 $29,496.70 $25,809.61 2025-11-19
273 APR_DRG Other Open Craniotomy 4 4 — — $25,809.61 $29,496.70 $25,809.61 2025-11-19
6924 APR_DRG Radiotherapy 4 4 — — $25,583.22 $29,237.96 $25,583.22 2025-11-19
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 4 — — $25,507.74 $29,151.71 $25,507.74 2025-11-19
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 4 — — $25,507.74 $29,151.71 $25,507.74 2025-11-19
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 — — $25,432.28 $29,065.46 $25,432.28 2025-11-19
7113 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $25,432.28 $29,065.46 $25,432.28 2025-11-19
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 4 — — $25,432.28 $29,065.46 $25,432.28 2025-11-19
9513 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $25,281.34 $28,892.96 $25,281.34 2025-11-19
3233 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 4 — — $25,205.88 $28,806.72 $25,205.88 2025-11-19
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 4 — — $25,205.88 $28,806.72 $25,205.88 2025-11-19
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $25,205.88 $28,806.72 $25,205.88 2025-11-19
4444 APR_DRG Renal Dialysis Access Device Procedures 4 4 — — $25,205.88 $28,806.72 $25,205.88 2025-11-19
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $25,205.88 $28,806.72 $25,205.88 2025-11-19
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 55 20 $40,230.00 $20,115.00 50% off $226.28 $36,207.00 $25,143.75 2025-11-19
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $25,130.42 $28,720.48 $25,130.42 2025-11-19
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 4 — — $25,054.94 $28,634.22 $25,054.94 2025-11-19
3244 APR_DRG Elective Hip Joint Replacement 4 4 — — $25,054.94 $28,634.22 $25,054.94 2025-11-19
6343 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $24,979.48 $28,547.98 $24,979.48 2025-11-19
212 APR_DRG Open Craniotomy Except Trauma 4 4 — — $24,979.48 $28,547.98 $24,979.48 2025-11-19
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 — — $24,904.02 $28,461.73 $24,904.02 2025-11-19
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 4 4 — — $24,828.54 $28,375.48 $24,828.54 2025-11-19
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $24,753.08 $28,289.23 $24,753.08 2025-11-19
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $24,677.61 $28,202.99 $24,677.61 2025-11-19
3243 APR_DRG Elective Hip Joint Replacement 4 4 — — $24,677.61 $28,202.99 $24,677.61 2025-11-19
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $24,602.15 $28,116.74 $24,602.15 2025-11-19
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