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

WEST SUBURBAN MEDICAL CENTER

Oak Park, IL · CCN 140049 · Rates published

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You selected 93306 (CPT)

Echo2D Spectr/Color FLO 93306 BCE

This hospital’s price: $811 across 14 payers · range $231-$2,324

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12712/611899386_resilience-healthcare-west-suburban-medical-center-llc_standardcharges.csv · observed 2025-03-17

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.

20,040 distinct procedures filed
18 distinct payers
385,152 rate rows
2025-03-17 last MRF observed · ⚠ 19 mo old
Data quality

381,053 of 385,152 rate rows are consumer-grade (98.9%)

4,099 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
placeholder amount (≤ $0.02) — excluded from medians 1,887
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,789
per-diem day rate — not a per-procedure price 297
exceeds 10× this hospital's gross charge — excluded from medians 78
percent-of-charges filed in the dollar field — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/12712/611899386_resilience-healthcare-west-suburban-medical-center-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/WestSuburbanMedicalCenter/12712
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint 35dfee080aef62e1… · 225,718,475 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,562,713.00 $3,746,358.00 $3,672,900.00 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 9 $3,496,850.00 $3,677,100.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,225,691.11 $3,391,963.85 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,187,420.00 $3,351,720.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,878,960.00 $3,027,360.00 $2,968,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,316,955.80 $2,436,386.51 $2,388,614.23 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,262,040.00 $2,378,640.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $513,317.07 $539,776.71 $529,192.86 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $511,309.73 $537,665.90 $527,123.43 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $510,789.97 $537,119.34 $526,587.59 nat. median
$622,245
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $501,224.29 $527,060.60 $516,726.08 nat. median
$640,950
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $354,350.00 $499,245.08 $489,455.96 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $446,714.49 $469,741.01 $460,530.40 nat. median
$591,650
0.8× median
Q2040
HCPCS 		Fee Schedule 1 $451,250.00 $451,250.00 $451,250.00 nat. median
$10,345
outlier · 43.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $279,074.72 $677,057.90 $333,462.32 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $208,445.42 $505,705.49 $249,583.87 nat. median
$249,124
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $175,548.72 $425,895.43 $210,516.16 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $10,038.00 $384,761.51 $190,380.77 nat. median
$190,557
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $185,188.79 $185,188.79 $185,188.79 nat. median
$307,273
0.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $151,905.03 $151,905.03 $151,905.03 nat. median
$247,214
0.6× median
02HA3QZ
OTHER 		Insertion Of Implant Heart Assist Into Heart, Perc Approach 1 $151,224.00 $151,224.00 $151,224.00 nat. median
$22,378
outlier · 6.8×
02HA0QZ
OTHER 		Insertion Of Implant Heart Assist Into Heart, Open Approach 1 $151,224.00 $151,224.00 $151,224.00 nat. median
$22,378
outlier · 6.8×
02HA4QZ
OTHER 		Insert Implant Heart Assist In Heart, Perc Endo 1 $151,224.00 $151,224.00 $151,224.00 nat. median
$22,378
outlier · 6.8×
5833
APR_DRG 		Neonate With Ecmo 5 $146,673.05 $146,673.05 $146,673.05 nat. median
$244,017
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $145,239.25 $145,239.25 $145,239.25 nat. median
$202,993
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $140,160.21 $140,160.21 $140,160.21 nat. median
$241,915
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $104,562.00 $253,675.89 $126,213.24 nat. median
$126,722
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $96,953.32 $235,216.62 $117,177.25 nat. median
$110,192
1.1× median
7
MS_DRG 		Lung Transplant 13 $96,709.12 $234,624.17 $116,887.24 nat. median
$117,894
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $111,268.19 $111,268.19 $111,268.19 nat. median
$120,517
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $110,258.30 $110,258.30 $110,258.30 nat. median
$154,011
0.7× median
33270
CPT 		Inser/replac Difibrilator Sub Cut 18 $2,880.00 $108,790.27 $108,790.27 nat. median
$32,113
outlier · 3.4×
5832
APR_DRG 		Neonate With Ecmo 5 $108,157.32 $108,157.32 $108,157.32 nat. median
$159,249
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $102,423.24 $102,423.24 $102,423.24 nat. median
$156,153
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $87,583.89 $101,999.95 $99,999.95 nat. median
$111,503
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $99,070.99 $99,070.99 $99,070.99 nat. median
$151,838
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $81,545.78 $197,836.67 $98,879.46 nat. median
$103,967
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $97,863.00 $97,863.00 $97,863.00 nat. median
$175,429
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $80,614.86 $195,578.19 $97,773.91 nat. median
$97,414
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $95,826.91 $95,826.91 $95,826.91 nat. median
$145,061
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $95,669.41 $95,669.41 $95,669.41 nat. median
$162,514
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $78,805.56 $191,188.68 $95,625.20 nat. median
$94,964
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $95,546.44 $95,546.44 $95,546.44 nat. median
$124,042
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 13 $78,401.52 $190,208.44 $95,145.38 nat. median
$93,917
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $95,059.15 $95,059.15 $95,059.15 nat. median
$165,000
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $77,517.96 $188,064.86 $94,096.06 nat. median
$93,270
1.0× median
5831
APR_DRG 		Neonate With Ecmo 5 $93,467.47 $93,467.47 $93,467.47 nat. median
$146,591
0.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $90,420.20 $95,081.03 $93,216.70 nat. median
$97,020
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $91,886.79 $91,886.79 $91,886.79 nat. median
$170,172
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $91,260.97 $91,260.97 $91,260.97 nat. median
$133,164
0.7× median

Other procedures at this hospital

Browse this hospital's 20,040 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 9 — — $3,562,713.00 $3,746,358.00 $3,672,900.00 2025-03-17
J1414 HCPCS Inj, Beqvez, Per Tx Dose 11 9 — — $3,496,850.00 $3,677,100.00 $3,605,000.00 2025-03-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 9 — — $3,225,691.11 $3,391,963.85 $3,325,454.76 2025-03-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 9 — — $3,187,420.00 $3,351,720.00 $3,286,000.00 2025-03-17
J3393 HCPCS Inj, Betibeglogene Autotemce 11 9 — — $2,878,960.00 $3,027,360.00 $2,968,000.00 2025-03-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 9 — — $2,316,955.80 $2,436,386.51 $2,388,614.23 2025-03-17
J3392 HCPCS Inj, Exagamglogene Autotem 11 9 — — $2,262,040.00 $2,378,640.00 $2,332,000.00 2025-03-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 9 — — $513,317.07 $539,776.71 $529,192.86 2025-03-17
Q2056 HCPCS Ciltacabtagene Car-pos T 11 9 — — $511,309.73 $537,665.90 $527,123.43 2025-03-17
Q2055 HCPCS Idecabtagene Vicleucel Car 11 9 — — $510,789.97 $537,119.34 $526,587.59 2025-03-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $501,224.29 $527,060.60 $516,726.08 2025-03-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 9 — — $354,350.00 $499,245.08 $489,455.96 2025-03-17
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $446,714.49 $469,741.01 $460,530.40 2025-03-17
Q2040 HCPCS Fee Schedule 1 1 — — $451,250.00 $451,250.00 $451,250.00 2025-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 13 — — $279,074.72 $677,057.90 $333,462.32 2025-03-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 13 — — $208,445.42 $505,705.49 $249,583.87 2025-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 19 13 — — $175,548.72 $425,895.43 $210,516.16 2025-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 20 13 — — $10,038.00 $384,761.51 $190,380.77 2025-03-17
5834 APR_DRG Neonate With Ecmo 5 5 — — $185,188.79 $185,188.79 $185,188.79 2025-03-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $151,905.03 $151,905.03 $151,905.03 2025-03-17
02HA3QZ OTHER Insertion Of Implant Heart Assist Into Heart, Perc Approach 1 1 — — $151,224.00 $151,224.00 $151,224.00 2025-03-17
02HA4QZ OTHER Insert Implant Heart Assist In Heart, Perc Endo 1 1 — — $151,224.00 $151,224.00 $151,224.00 2025-03-17
02HA0QZ OTHER Insertion Of Implant Heart Assist Into Heart, Open Approach 1 1 — — $151,224.00 $151,224.00 $151,224.00 2025-03-17
5833 APR_DRG Neonate With Ecmo 5 5 — — $146,673.05 $146,673.05 $146,673.05 2025-03-17
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $145,239.25 $145,239.25 $145,239.25 2025-03-17
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $140,160.21 $140,160.21 $140,160.21 2025-03-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 19 13 — — $104,562.00 $253,675.89 $126,213.24 2025-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 19 13 — — $96,953.32 $235,216.62 $117,177.25 2025-03-17
7 MS_DRG Lung Transplant 19 13 — — $96,709.12 $234,624.17 $116,887.24 2025-03-17
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $111,268.19 $111,268.19 $111,268.19 2025-03-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $110,258.30 $110,258.30 $110,258.30 2025-03-17
33270 CPT Inser/replac Difibrilator Sub Cut 46 18 $167,369.65 $56,905.68 66% off $2,880.00 $108,790.27 $108,790.27 2025-03-17
5832 APR_DRG Neonate With Ecmo 5 5 — — $108,157.32 $108,157.32 $108,157.32 2025-03-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $102,423.24 $102,423.24 $102,423.24 2025-03-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 9 — — $87,583.89 $101,999.95 $99,999.95 2025-03-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $99,070.99 $99,070.99 $99,070.99 2025-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $81,545.78 $197,836.67 $98,879.46 2025-03-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $97,863.00 $97,863.00 $97,863.00 2025-03-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 13 — — $80,614.86 $195,578.19 $97,773.91 2025-03-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $95,826.91 $95,826.91 $95,826.91 2025-03-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $95,669.41 $95,669.41 $95,669.41 2025-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $78,805.56 $191,188.68 $95,625.20 2025-03-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $95,546.44 $95,546.44 $95,546.44 2025-03-17
215 MS_DRG Other Heart Assist System Implant 19 13 — — $78,401.52 $190,208.44 $95,145.38 2025-03-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $95,059.15 $95,059.15 $95,059.15 2025-03-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $77,517.96 $188,064.86 $94,096.06 2025-03-17
5831 APR_DRG Neonate With Ecmo 5 5 — — $93,467.47 $93,467.47 $93,467.47 2025-03-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 11 9 — — $90,420.20 $95,081.03 $93,216.70 2025-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $91,886.79 $91,886.79 $91,886.79 2025-03-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $91,260.97 $91,260.97 $91,260.97 2025-03-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $91,014.29 $91,014.29 $91,014.29 2025-03-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $89,599.08 $89,599.08 $89,599.08 2025-03-17
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $89,338.73 $89,338.73 $89,338.73 2025-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $89,105.33 $89,105.33 $89,105.33 2025-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $71,418.14 $173,266.20 $86,852.01 2025-03-17
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $86,673.03 $86,673.03 $86,673.03 2025-03-17
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $84,871.47 $84,871.47 $84,871.47 2025-03-17
850 MS_DRG Acute Leukemia With Other Procedures 19 13 — — $68,168.06 $165,381.24 $82,992.24 2025-03-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $79,636.46 $79,636.46 $79,636.46 2025-03-17
64 APR_DRG Pancreas Transplant 5 5 — — $79,126.39 $79,126.39 $79,126.39 2025-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 13 — — $62,706.86 $152,131.93 $76,506.60 2025-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $40,147.00 $152,047.55 $76,465.29 2025-03-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 13 — — $61,720.44 $149,738.79 $75,335.14 2025-03-17
90288 CPT Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2025-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 13 — — $59,652.14 $144,720.93 $72,878.85 2025-03-17
10 MS_DRG Pancreas Transplant 19 13 — — $59,000.20 $143,139.27 $72,104.61 2025-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $58,662.02 $142,318.82 $71,702.98 2025-03-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $71,014.28 $71,014.28 $71,014.28 2025-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 13 — — $57,841.36 $140,327.83 $70,728.39 2025-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $57,257.50 $138,911.34 $70,035.01 2025-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 13 — — $55,235.08 $134,004.78 $67,633.20 2025-03-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 9 — — $65,429.08 $68,801.71 $67,452.66 2025-03-17
33263 CPT Remov & Replc Defibri W Dual Lead 46 18 $101,940.48 $34,659.76 66% off $2,880.00 $66,261.31 $66,261.31 2025-03-17
33262 CPT Remov & Replc Defibri W Single Lead 46 18 $101,940.48 $34,659.76 66% off $2,880.00 $66,261.31 $66,261.31 2025-03-17
36906 CPT Chi Perq Dia-cir Thro+stn+img+s&i Bce 47 18 $100,254.49 $34,086.53 66% off $1,204.84 $65,165.42 $65,165.42 2025-03-17
93590 CPT Perq Transcath Cls Mitral 46 18 $100,254.49 $34,086.53 66% off $5,099.00 $65,165.42 $65,165.42 2025-03-17
93591 CPT Perq Transcath Cls Aortic 46 18 $100,254.49 $34,086.53 66% off $5,099.00 $65,165.42 $65,165.42 2025-03-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $52,559.98 $127,514.77 $64,456.29 2025-03-17
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $64,320.79 $64,320.79 $64,320.79 2025-03-17
8283037 CDM Imp Nstim Intellis Sensor MRI 29 18 $140,797.55 $47,871.17 66% off $20,823.96 $91,518.41 $64,274.08 2025-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 13 — — $52,295.80 $126,873.85 $64,142.57 2025-03-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $63,709.02 $63,709.02 $63,709.02 2025-03-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 9 — — $61,454.13 $95,032.16 $63,354.77 2025-03-17
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $39,226.63 $87,357.60 $63,292.12 2025-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 19 13 — — $51,478.10 $124,890.04 $63,171.45 2025-03-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $63,076.74 $63,076.74 $63,076.74 2025-03-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $62,283.56 $62,283.56 $62,283.56 2025-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 13 — — $50,529.42 $122,588.47 $62,044.81 2025-03-17
38240 CPT Transplt Allo Hct/donor 15 11 — — $4,300.00 $62,884.17 $61,651.15 2025-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $61,456.98 $61,456.98 $61,456.98 2025-03-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 13 — — $49,614.78 $120,369.48 $60,958.61 2025-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 13 — — $49,423.86 $119,906.29 $60,731.88 2025-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 13 — — $49,340.24 $119,703.42 $60,632.55 2025-03-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $59,980.29 $59,980.29 $59,980.29 2025-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 19 13 — — $47,857.28 $116,105.64 $58,871.42 2025-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $47,788.46 $115,938.68 $58,789.69 2025-03-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $57,922.19 $57,922.19 $57,922.19 2025-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 13 — — $46,799.82 $113,540.16 $57,615.58 2025-03-17
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 29 18 $125,766.87 $42,760.74 66% off $18,600.92 $81,748.47 $57,412.58 2025-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 13 — — $45,838.56 $111,208.06 $56,474.01 2025-03-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 13 — — $45,779.36 $111,064.44 $56,403.73 2025-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 13 — — $45,570.68 $110,558.16 $56,155.88 2025-03-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $56,047.77 $56,047.77 $56,047.77 2025-03-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $55,996.53 $55,996.53 $55,996.53 2025-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 13 — — $45,411.58 $110,172.18 $55,966.93 2025-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 13 — — $45,204.38 $109,669.49 $55,720.87 2025-03-17
63 APR_DRG Pancreas Transplant 5 5 — — $55,637.51 $55,637.51 $55,637.51 2025-03-17
28 MS_DRG Spinal Procedures With Mcc 19 13 — — $44,988.30 $109,145.26 $55,464.28 2025-03-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $55,375.27 $55,375.27 $55,375.27 2025-03-17
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $55,139.97 $55,139.97 $55,139.97 2025-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 13 — — $44,665.66 $108,362.51 $55,081.11 2025-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 13 — — $44,665.66 $108,362.51 $55,081.11 2025-03-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 9 — — $44,671.27 $82,522.85 $55,015.23 2025-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 13 — — $44,331.92 $107,552.83 $54,684.73 2025-03-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $54,545.27 $54,545.27 $54,545.27 2025-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $44,024.82 $106,807.78 $54,320.04 2025-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 13 — — $43,991.52 $106,726.99 $54,280.50 2025-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $54,151.33 $54,151.33 $54,151.33 2025-03-17
0120 EAPG Car T-cell Immunotherapy 5 5 — — $54,064.47 $54,064.47 $54,064.47 2025-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 13 — — $43,543.08 $105,639.04 $53,747.93 2025-03-17
8282510 CDM Mesh Hernia Phasix St 30x35cm 29 18 $117,313.95 $39,886.74 66% off $17,350.73 $76,254.07 $53,553.82 2025-03-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $53,274.28 $53,274.28 $53,274.28 2025-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 13 — — $43,085.02 $104,527.75 $53,203.94 2025-03-17
223 MS_DRG Defib Implant w/Cath &hf/ami 1 1 — — $52,996.00 $52,996.00 $52,996.00 2025-03-17
222 MS_DRG Defib Implant w/Cath &hf/ami 1 1 — — $52,996.00 $52,996.00 $52,996.00 2025-03-17
4404 APR_DRG Kidney Transplant 5 5 — — $52,643.90 $52,643.90 $52,643.90 2025-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $40,147.00 $103,039.45 $52,475.41 2025-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 13 — — $42,217.74 $102,423.66 $52,173.98 2025-03-17
8283038 CDM Gen Pulse Spectra Wavewriter 29 18 $113,496.93 $38,588.96 66% off $16,786.20 $73,773.00 $51,811.35 2025-03-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $51,799.87 $51,799.87 $51,799.87 2025-03-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $51,761.91 $51,761.91 $51,761.91 2025-03-17
8282807 CDM Defib Emblem MRI S-icd 29 18 $113,372.09 $38,546.51 66% off $16,767.73 $73,691.86 $51,754.36 2025-03-17
653 MS_DRG Major Bladder Procedures With Mcc 19 13 — — $41,252.04 $100,080.79 $51,027.11 2025-03-17
834 MS_DRG Acute Leukemia With Mcc 19 13 — — $40,902.02 $99,231.62 $50,611.44 2025-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 13 — — $40,902.02 $99,231.62 $50,611.44 2025-03-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $50,495.48 $50,495.48 $50,495.48 2025-03-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $40,730.34 $98,815.11 $50,407.56 2025-03-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 13 — — $40,481.70 $98,211.89 $50,112.26 2025-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 13 — — $40,264.14 $97,684.07 $49,853.91 2025-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 13 — — $40,172.38 $97,461.45 $49,744.93 2025-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 13 — — $39,967.40 $96,964.15 $49,501.50 2025-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 13 — — $39,929.66 $96,872.59 $49,456.69 2025-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 13 — — $39,925.22 $96,861.82 $49,451.41 2025-03-17
C1721 HCPCS Dual Chamber Impl Defibrillator Ellips 29 18 $108,102.41 $36,754.82 66% off $15,988.35 $70,266.57 $49,348.75 2025-03-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $49,288.24 $49,288.24 $49,288.24 2025-03-17
1784 APR_DRG External Heart Assist Systems 5 5 — — $48,959.20 $48,959.20 $48,959.20 2025-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 13 — — $39,369.48 $112,971.00 $48,791.41 2025-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $39,195.58 $95,091.66 $48,584.90 2025-03-17
L7181 HCPCS Electronic Elbo Simultaneous 12 9 — — $31,171.58 $49,338.18 $48,370.76 2025-03-17
62 APR_DRG Pancreas Transplant 5 5 — — $48,298.85 $48,298.85 $48,298.85 2025-03-17
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 46 18 $73,361.65 $24,942.96 66% off $5,099.00 $47,685.07 $47,685.07 2025-03-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,358.79 $47,358.79 $47,358.79 2025-03-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 13 — — $38,110.74 $92,459.75 $47,296.55 2025-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 13 — — $37,984.20 $92,152.75 $47,146.29 2025-03-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $47,030.51 $47,030.51 $47,030.51 2025-03-17
L7180 HCPCS Electronic Elbow Sequential 12 9 — — $30,275.58 $47,919.99 $46,980.38 2025-03-17
33276 CPT Insj Phrnc Nrv Stim Sys 15 11 — — $2,880.00 $47,847.61 $46,909.42 2025-03-17
0266T CPT Implt/rpl Crtd Sns Dev Total 14 11 — — $21,938.00 $47,847.61 $46,909.42 2025-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 13 — — $37,700.04 $91,463.35 $46,808.81 2025-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 13 — — $37,584.60 $91,183.29 $46,671.72 2025-03-17
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $46,481.74 $46,481.74 $46,481.74 2025-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 13 — — $37,273.06 $90,427.47 $46,301.74 2025-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 13 — — $37,053.28 $89,894.26 $46,040.71 2025-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 13 — — $37,024.42 $89,824.24 $46,006.45 2025-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 13 — — $37,009.62 $89,788.34 $45,988.88 2025-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 13 — — $36,876.42 $89,465.18 $45,830.68 2025-03-17
J9226 HCPCS Supprelin La Implant 13 9 — — $32,385.19 $68,025.33 $45,350.22 2025-03-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $45,072.98 $45,072.98 $45,072.98 2025-03-17
245 MS_DRG Aicd Generator Procedures 19 13 — — $36,162.32 $87,732.72 $44,982.63 2025-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 20 13 — — $20,075.00 $87,203.11 $44,723.39 2025-03-17
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $35,884.08 $87,057.69 $44,652.20 2025-03-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $44,335.20 $44,335.20 $44,335.20 2025-03-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $44,168.60 $44,168.60 $44,168.60 2025-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 13 — — $35,338.70 $85,734.55 $44,004.53 2025-03-17
33264 CPT Remov & Replc Defibri W Multi Lead 49 18 $108,300.20 $36,822.07 66% off $2,880.00 $70,395.13 $43,985.26 2025-03-17
799 MS_DRG Splenic Procedures With Mcc 19 13 — — $35,185.52 $85,362.92 $43,822.61 2025-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 13 — — $35,178.86 $85,346.77 $43,814.70 2025-03-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $43,414.50 $43,414.50 $43,414.50 2025-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 13 — — $34,814.78 $84,463.48 $43,382.32 2025-03-17
0246 EAPG Class IV Therapeutic Radiopharmaceuticals 5 5 — — $43,377.17 $43,377.17 $43,377.17 2025-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 13 — — $34,628.30 $84,011.06 $43,160.85 2025-03-17
8283394 CDM Vascular Graft 23mm X12mm X18cm 29 18 $94,445.51 $32,111.47 66% off $13,968.49 $61,389.58 $43,114.38 2025-03-17
36905 CPT Chi Perq Dia-cir Thro Plst Img S&i Bce 47 18 $66,142.28 $22,488.38 66% off $1,040.36 $42,992.48 $42,992.48 2025-03-17
36903 CPT Chi Intro Ndl Dial-circ Stnt-plasty S&i Bce 47 18 $66,142.28 $22,488.38 66% off $747.56 $42,992.48 $42,992.48 2025-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 13 — — $34,424.06 $83,515.56 $42,918.31 2025-03-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $42,820.19 $42,820.19 $42,820.19 2025-03-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $42,727.20 $42,727.20 $42,727.20 2025-03-17
163 MS_DRG Major Chest Procedures With Mcc 19 13 — — $34,108.08 $82,748.97 $42,543.04 2025-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 13 — — $34,094.02 $82,714.86 $42,526.35 2025-03-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $42,503.29 $42,503.29 $42,503.29 2025-03-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $42,433.08 $42,433.08 $42,433.08 2025-03-17
225 MS_DRG Defib Implant w/Cath Without Hf/ami 1 1 — — $42,422.00 $42,422.00 $42,422.00 2025-03-17
224 MS_DRG Defib Implant w/Cath Without Hf/ami 1 1 — — $42,422.00 $42,422.00 $42,422.00 2025-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $33,985.24 $82,450.95 $42,397.17 2025-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 13 — — $33,980.06 $82,438.38 $42,391.00 2025-03-17
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $42,357.56 $42,357.56 $42,357.56 2025-03-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $41,928.33 $41,928.33 $41,928.33 2025-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $41,779.18 $41,779.18 $41,779.18 2025-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 13 — — $33,385.84 $80,996.75 $41,685.31 2025-03-17
33249 CPT Insrt/repostn Elect Sngl/dual Aicd 46 18 $63,942.70 $21,740.52 66% off $5,099.00 $41,562.76 $41,562.76 2025-03-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $41,450.14 $41,450.14 $41,450.14 2025-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 13 — — $33,186.78 $80,513.82 $41,448.90 2025-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 13 — — $33,095.02 $80,291.20 $41,339.94 2025-03-17
459 MS_DRG Spinal Fusion 1 1 — — $41,256.00 $41,256.00 $41,256.00 2025-03-17
460 MS_DRG Spinal Fusion 1 1 — — $41,256.00 $41,256.00 $41,256.00 2025-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $41,067.97 $41,067.97 $41,067.97 2025-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 19 13 — — $32,785.70 $79,540.77 $40,972.61 2025-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 13 — — $32,506.72 $78,863.94 $40,641.27 2025-03-17
8634 APR_DRG Neonatal Aftercare 5 5 — — $40,636.08 $40,636.08 $40,636.08 2025-03-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $40,629.25 $40,629.25 $40,629.25 2025-03-17
227 MS_DRG Defib Implant Without Cath 1 1 — — $40,147.00 $40,147.00 $40,147.00 2025-03-17
226 MS_DRG Defib Implant Without Cath 1 1 — — $40,147.00 $40,147.00 $40,147.00 2025-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $40,137.40 $40,137.40 $40,137.40 2025-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 19 13 — — $32,019.06 $77,680.84 $40,062.16 2025-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $31,953.20 $77,521.05 $39,983.93 2025-03-17
1794 APR_DRG Defibrillator Implants 5 5 — — $39,888.44 $39,888.44 $39,888.44 2025-03-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $39,722.97 $39,722.97 $39,722.97 2025-03-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $39,671.74 $39,671.74 $39,671.74 2025-03-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $39,636.82 $39,636.82 $39,636.82 2025-03-17
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 2 2 — — $39,621.00 $39,621.00 $39,621.00 2025-03-17
32701 CPT Thorax Stereo Rad Targetw/tx 2 2 — — $39,621.00 $39,621.00 $39,621.00 2025-03-17
77432 CPT Stereotactic Radiation Trmt 3 3 — — $783.17 $39,621.00 $39,621.00 2025-03-17
G0339 HCPCS Robot Lin-radsurg Com, First 2 2 — — $39,621.00 $39,621.00 $39,621.00 2025-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 13 — — $31,566.18 $76,582.11 $39,524.31 2025-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 13 — — $31,519.56 $76,469.01 $39,468.95 2025-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 19 13 — — $31,296.08 $75,926.83 $39,203.54 2025-03-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $38,888.42 $38,888.42 $38,888.42 2025-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 13 — — $31,010.44 $75,233.84 $38,864.32 2025-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 13 — — $31,003.04 $75,215.89 $38,855.53 2025-03-17
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $37,599.75 $39,537.88 $38,762.63 2025-03-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $38,753.69 $38,753.69 $38,753.69 2025-03-17
793 MS_DRG Full Term Neonate With Major Problems 19 13 — — $30,861.70 $74,872.99 $38,687.69 2025-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 13 — — $30,789.18 $74,697.05 $38,601.57 2025-03-17
8283050 CDM Mesh Phasix St 25x30cm 29 18 $84,555.24 $28,748.78 66% off $12,505.72 $54,960.91 $38,599.47 2025-03-17
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $38,546.48 $38,546.48 $38,546.48 2025-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 13 — — $30,429.54 $73,824.53 $38,174.45 2025-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 13 — — $30,412.52 $73,783.24 $38,154.24 2025-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 13 — — $30,367.38 $73,673.73 $38,100.64 2025-03-17
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $38,027.68 $38,027.68 $38,027.68 2025-03-17
61 APR_DRG Pancreas Transplant 5 5 — — $37,965.06 $37,965.06 $37,965.06 2025-03-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 13 — — $30,217.90 $73,311.08 $37,923.10 2025-03-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $37,919.52 $37,919.52 $37,919.52 2025-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 13 — — $30,098.76 $73,022.03 $37,781.63 2025-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $37,754.05 $37,754.05 $37,754.05 2025-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $37,716.10 $37,716.10 $37,716.10 2025-03-17
791 MS_DRG Prematurity With Major Problems 19 13 — — $30,043.26 $72,887.38 $37,715.71 2025-03-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $37,588.21 $37,588.21 $37,588.21 2025-03-17
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $37,556.33 $37,556.33 $37,556.33 2025-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 13 — — $29,479.38 $71,519.37 $37,046.06 2025-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 13 — — $29,458.66 $71,469.10 $37,021.45 2025-03-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $36,842.08 $36,842.08 $36,842.08 2025-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 13 — — $29,198.18 $70,837.15 $36,712.12 2025-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 13 — — $29,138.24 $70,691.73 $36,640.92 2025-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 13 — — $35,473.49 $70,548.11 $36,570.61 2025-03-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 15 11 — — $3,558.00 $37,214.93 $36,485.22 2025-03-17
33224 CPT Insert Pacing Lead & Connect 46 18 $56,123.22 $19,081.89 66% off $5,099.00 $36,480.09 $36,480.09 2025-03-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 13 — — $28,950.28 $70,235.73 $36,417.70 2025-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 13 — — $28,936.22 $70,201.62 $36,401.01 2025-03-17
1783 APR_DRG External Heart Assist Systems 5 5 — — $36,220.06 $36,220.06 $36,220.06 2025-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 13 — — $28,776.38 $69,813.83 $36,211.17 2025-03-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $36,072.81 $36,072.81 $36,072.81 2025-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 13 — — $28,601.00 $69,388.35 $36,002.90 2025-03-17
234 APR_DRG Spinal Procedures 5 5 — — $35,980.20 $35,980.20 $35,980.20 2025-03-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 13 — — $28,572.14 $69,318.33 $35,968.63 2025-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 13 — — $28,492.22 $69,124.44 $35,873.72 2025-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 13 — — $28,285.76 $68,623.55 $35,628.54 2025-03-17
3060 EAPG Ventricular Assist Device Procedures 5 5 — — $35,572.84 $35,572.84 $35,572.84 2025-03-17
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $35,487.22 $35,487.22 $35,487.22 2025-03-17
4414 APR_DRG Major Bladder Procedures 5 5 — — $35,480.76 $35,480.76 $35,480.76 2025-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 13 — — $28,132.58 $68,251.92 $35,446.60 2025-03-17
8282934 CDM Defibrillator Aic Biventricular 29 18 $77,272.13 $26,272.52 66% off $11,428.55 $50,226.88 $35,274.72 2025-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 13 — — $27,913.54 $67,720.51 $35,186.49 2025-03-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $35,046.60 $35,046.60 $35,046.60 2025-03-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $35,035.97 $35,035.97 $35,035.97 2025-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 13 — — $27,690.80 $67,180.13 $34,921.95 2025-03-17
4403 APR_DRG Kidney Transplant 5 5 — — $34,700.48 $34,700.48 $34,700.48 2025-03-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $34,587.01 $34,587.01 $34,587.01 2025-03-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $34,535.77 $34,535.77 $34,535.77 2025-03-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 11 9 — — $33,255.91 $34,970.13 $34,284.44 2025-03-17
33225 CPT L Ventric Pacing Lead Add-on 35 18 $52,699.91 $17,917.97 66% off $5,099.00 $34,254.94 $34,254.94 2025-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 13 — — $27,000.38 $65,505.11 $34,102.03 2025-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 13 — — $26,813.16 $65,050.90 $33,879.69 2025-03-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $33,872.38 $33,872.38 $33,872.38 2025-03-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $33,800.66 $33,800.66 $33,800.66 2025-03-17
1782 APR_DRG External Heart Assist Systems 5 5 — — $33,745.63 $33,745.63 $33,745.63 2025-03-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $33,613.18 $33,613.18 $33,613.18 2025-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 13 — — $26,527.52 $64,357.91 $33,540.46 2025-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 13 — — $26,526.04 $64,354.32 $33,538.71 2025-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 13 — — $11,375.00 $64,343.55 $33,533.43 2025-03-17
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 11 9 — — $32,418.98 $34,090.06 $33,421.63 2025-03-17
33231 CPT Insrt Pulse Gen W/mult Leads 17 13 — — $2,880.00 $41,533.00 $33,421.63 2025-03-17
0408T CPT Insj/rplc Cardiac Modulj Sys 17 13 — — $6,183.00 $41,533.00 $33,421.63 2025-03-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 15 11 — — $6,183.00 $41,533.00 $33,421.63 2025-03-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $33,386.23 $33,386.23 $33,386.23 2025-03-17
265 MS_DRG Aicd Lead Procedures 19 13 — — $26,397.28 $64,041.94 $33,385.80 2025-03-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $33,289.45 $33,289.45 $33,289.45 2025-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 13 — — $26,278.88 $63,754.69 $33,245.18 2025-03-17
69930 CPT Implant Cochlear Device 17 13 — — $4,960.00 $41,533.00 $33,157.11 2025-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 13 — — $26,124.96 $63,381.27 $33,062.41 2025-03-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $33,057.19 $33,057.19 $33,057.19 2025-03-17
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