Price Transparency 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

NORTON CLARK HOSPITAL

Jeffersonville, IN · CCN 150009 · Rates published

13,891 distinct procedures filed
19 distinct payers
257,405 rate rows
2025-04-24 last MRF observed · ⚠ 14 mo old
Data quality

255,682 of 257,405 rate rows are consumer-grade (99.3%)

1,723 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
per-diem day rate — not a per-procedure price 857
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 672
placeholder amount (≤ $0.02) — excluded from medians 182
percent-of-charges filed in the dollar field — excluded from medians 12

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12740/474000401_norton-healthcare-indiana-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/NortonKingsClarkHospital/12740
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,710,000.00 $3,895,500.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,675,000.00 $3,895,500.00 $3,747,625.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,321,781.51 $4,816,583.19 $3,421,434.96 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,193,000.00 $4,629,850.00 $3,288,790.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,968,000.00 $4,303,600.00 $3,057,040.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,231,250.00 $3,485,015.19 $2,403,458.75 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,381,400.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $565,623.84 $820,154.57 $582,592.56 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $548,128.28 $799,411.59 $564,572.13 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $516,485.97 $748,904.66 $557,917.92 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $528,312.43 $766,053.02 $554,728.05 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $489,517.15 $709,799.87 $528,759.00 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $485,100.00 $707,674.69 $499,653.00 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $298,014.77 $432,121.42 $306,955.21 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $222,687.51 $322,896.89 $229,368.14 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $187,602.65 $272,023.84 $193,230.73 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 9 $169,520.01 $245,804.01 $174,605.61 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $111,894.17 $162,246.55 $115,251.00 nat. median
$133,176
0.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $109,403.98 $115,968.22 $109,403.98 nat. median
$246,434
outlier · 0.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $103,779.41 $150,480.14 $106,892.79 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 9 $103,518.95 $150,102.48 $106,624.52 nat. median
$122,708
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 14 $72,648.53 $144,999.93 $99,999.95 nat. median
$111,989
0.9× median
24
APR_DRG 		Heart &/or Lung Transplant 9 $98,727.72 $104,651.38 $98,727.72 nat. median
$234,738
outlier · 0.4×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 8 $93,216.70 $135,164.22 $96,013.20 nat. median
$96,983
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 9 $95,450.99 $101,178.05 $95,450.99 nat. median
$207,730
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $87,347.00 $126,653.15 $89,967.41 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $86,354.17 $125,213.55 $88,944.80 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $84,424.53 $122,415.57 $86,957.27 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $83,993.61 $121,790.73 $86,513.42 nat. median
$99,019
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $83,051.27 $120,424.34 $85,542.81 nat. median
$98,905
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $76,545.72 $110,991.29 $78,842.09 nat. median
$93,672
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $73,079.46 $105,965.22 $75,271.84 nat. median
$83,442
0.9× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 9 $71,979.64 $76,298.42 $71,979.64 nat. median
$129,535
0.6× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 8 $67,452.66 $97,806.36 $69,476.24 nat. median
$70,825
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $67,255.01 $97,519.76 $69,272.66 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $67,217.91 $97,465.97 $69,234.45 nat. median
$81,118
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $66,202.97 $95,994.31 $68,189.06 nat. median
$82,712
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $66,644.33 $70,642.99 $66,644.33 nat. median
$187,294
outlier · 0.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $63,997.10 $92,795.80 $65,917.01 nat. median
$77,576
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 14 $55,536.50 $80,527.93 $65,732.65 nat. median
$66,682
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 $65,369.09 $69,291.24 $65,369.09 nat. median
$105,658
0.6× median
10
MS_DRG 		Pancreas Transplant 9 $63,301.81 $91,787.62 $65,200.86 nat. median
$68,882
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $65,007.90 $68,908.37 $65,007.90 nat. median
$164,834
outlier · 0.4×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 14 $63,000.00 $91,932.96 $64,890.00 nat. median
$69,774
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $62,941.12 $91,264.62 $64,829.35 nat. median
$71,240
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $62,065.86 $89,995.50 $63,927.84 nat. median
$73,807
0.9× median
38240
CPT 		Transplt Allo Hct/donor 8 $2,453.00 $89,836.67 $63,815.01 nat. median
$15,912
outlier · 4.0×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $63,630.47 $67,448.30 $63,630.47 nat. median
$164,279
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $61,443.18 $89,092.61 $63,286.48 nat. median
$74,915
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $59,286.23 $85,965.03 $61,064.82 nat. median
$72,138
0.8× median

Other procedures at this hospital

Browse this hospital's 13,891 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 8 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2025-04-24
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 14 — — $3,675,000.00 $3,895,500.00 $3,747,625.00 2025-04-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 14 — — $3,321,781.51 $4,816,583.19 $3,421,434.96 2025-04-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,193,000.00 $4,629,850.00 $3,288,790.00 2025-04-24
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,968,000.00 $4,303,600.00 $3,057,040.00 2025-04-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 19 14 — — $2,231,250.00 $3,485,015.19 $2,403,458.75 2025-04-24
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $3,381,400.00 $2,401,960.00 2025-04-24
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $565,623.84 $820,154.57 $582,592.56 2025-04-24
Q2056 HCPCS Ciltacabtagene Car-pos T 19 14 — — $548,128.28 $799,411.59 $564,572.13 2025-04-24
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 14 — — $516,485.97 $748,904.66 $557,917.92 2025-04-24
Q2055 HCPCS Idecabtagene Vicleucel Car 19 14 — — $528,312.43 $766,053.02 $554,728.05 2025-04-24
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 14 — — $489,517.15 $709,799.87 $528,759.00 2025-04-24
Q2053 HCPCS Brexucabtagene Car Pos T 19 14 — — $485,100.00 $707,674.69 $499,653.00 2025-04-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $298,014.77 $432,121.42 $306,955.21 2025-04-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 9 — — $222,687.51 $322,896.89 $229,368.14 2025-04-24
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 9 — — $187,602.65 $272,023.84 $193,230.73 2025-04-24
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 9 — — $169,520.01 $245,804.01 $174,605.61 2025-04-24
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 8 — — $111,894.17 $162,246.55 $115,251.00 2025-04-24
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 9 — — $109,403.98 $115,968.22 $109,403.98 2025-04-24
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $103,779.41 $150,480.14 $106,892.79 2025-04-24
7 MS_DRG Lung Transplant 12 9 — — $103,518.95 $150,102.48 $106,624.52 2025-04-24
Q0480 HCPCS Driver Pneumatic Vad, Rep 19 14 — — $72,648.53 $144,999.93 $99,999.95 2025-04-24
24 APR_DRG Heart &/or Lung Transplant 9 9 — — $98,727.72 $104,651.38 $98,727.72 2025-04-24
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $93,216.70 $135,164.22 $96,013.20 2025-04-24
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 9 — — $95,450.99 $101,178.05 $95,450.99 2025-04-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $87,347.00 $126,653.15 $89,967.41 2025-04-24
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 9 — — $86,354.17 $125,213.55 $88,944.80 2025-04-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $84,424.53 $122,415.57 $86,957.27 2025-04-24
215 MS_DRG Other Heart Assist System Implant 12 9 — — $83,993.61 $121,790.73 $86,513.42 2025-04-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $83,051.27 $120,424.34 $85,542.81 2025-04-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $76,545.72 $110,991.29 $78,842.09 2025-04-24
850 MS_DRG Acute Leukemia With Other Procedures 12 9 — — $73,079.46 $105,965.22 $75,271.84 2025-04-24
14 APR_DRG Liver Transplant &/or Intestinal Transplant 9 9 — — $71,979.64 $76,298.42 $71,979.64 2025-04-24
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $67,452.66 $97,806.36 $69,476.24 2025-04-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 9 — — $67,255.01 $97,519.76 $69,272.66 2025-04-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 9 — — $67,217.91 $97,465.97 $69,234.45 2025-04-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 9 — — $66,202.97 $95,994.31 $68,189.06 2025-04-24
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $66,644.33 $70,642.99 $66,644.33 2025-04-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 9 — — $63,997.10 $92,795.80 $65,917.01 2025-04-24
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 19 14 — — $55,536.50 $80,527.93 $65,732.65 2025-04-24
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 9 — — $65,369.09 $69,291.24 $65,369.09 2025-04-24
10 MS_DRG Pancreas Transplant 12 9 — — $63,301.81 $91,787.62 $65,200.86 2025-04-24
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $65,007.90 $68,908.37 $65,007.90 2025-04-24
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 14 — — $63,000.00 $91,932.96 $64,890.00 2025-04-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $62,941.12 $91,264.62 $64,829.35 2025-04-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 9 — — $62,065.86 $89,995.50 $63,927.84 2025-04-24
38240 CPT Transplt Allo Hct/donor 11 8 — — $2,453.00 $89,836.67 $63,815.01 2025-04-24
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 9 — — $63,630.47 $67,448.30 $63,630.47 2025-04-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $61,443.18 $89,092.61 $63,286.48 2025-04-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 9 — — $59,286.23 $85,965.03 $61,064.82 2025-04-24
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 9 — — $60,298.76 $63,916.69 $60,298.76 2025-04-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $56,433.19 $81,828.13 $58,126.19 2025-04-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 9 — — $56,151.44 $81,419.59 $57,835.98 2025-04-24
21 APR_DRG Heart &/or Lung Transplant 9 9 — — $56,959.66 $60,377.24 $56,959.66 2025-04-24
22 APR_DRG Heart &/or Lung Transplant 9 9 — — $56,959.66 $60,377.24 $56,959.66 2025-04-24
23 APR_DRG Heart &/or Lung Transplant 9 9 — — $56,959.66 $60,377.24 $56,959.66 2025-04-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 9 — — $55,279.35 $80,155.06 $56,937.73 2025-04-24
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 9 — — $56,876.50 $60,289.09 $56,876.50 2025-04-24
A9543 HCPCS Y90 Ibritumomab, Rx 19 14 — — $12,505.30 $82,395.60 $56,824.55 2025-04-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 9 — — $54,267.57 $78,687.98 $55,895.60 2025-04-24
C1882 HCPCS Hb Icd Incepta Rfhe Df4 N160 44 19 $84,851.00 $11,879.14 86% off $33,649.13 $123,033.95 $55,373.76 2025-04-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 9 — — $53,292.09 $77,273.53 $54,890.85 2025-04-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 9 — — $53,088.47 $76,978.28 $54,681.12 2025-04-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 9 — — $52,999.29 $76,848.97 $54,589.27 2025-04-24
5832 APR_DRG Neonate W Ecmo 9 9 — — $53,956.72 $57,194.12 $53,956.72 2025-04-24
5833 APR_DRG Neonate W Ecmo 9 9 — — $53,956.72 $57,194.12 $53,956.72 2025-04-24
5834 APR_DRG Neonate W Ecmo 9 9 — — $53,956.72 $57,194.12 $53,956.72 2025-04-24
5831 APR_DRG Neonate W Ecmo 9 9 — — $53,956.72 $57,194.12 $53,956.72 2025-04-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 9 — — $51,417.71 $74,555.68 $52,960.24 2025-04-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $51,344.29 $74,449.22 $52,884.62 2025-04-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 9 — — $50,289.89 $72,920.34 $51,798.59 2025-04-24
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 9 — — $51,684.96 $54,786.06 $51,684.96 2025-04-24
J9226 HCPCS Supprelin La Implant 19 14 — — $45,261.80 $65,629.61 $51,205.74 2025-04-24
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 9 — — $51,124.33 $54,191.79 $51,124.33 2025-04-24
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 9 — — $49,264.70 $71,433.82 $50,742.64 2025-04-24
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 9 — — $49,201.54 $71,342.23 $50,677.59 2025-04-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $48,978.99 $71,019.54 $50,448.36 2025-04-24
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 9 — — $48,809.30 $70,773.49 $50,273.58 2025-04-24
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 9 — — $48,588.32 $70,453.06 $50,045.97 2025-04-24
28 MS_DRG Spinal Procedures With Mcc 12 9 — — $48,357.88 $70,118.93 $49,808.62 2025-04-24
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $48,013.78 $69,619.98 $49,454.19 2025-04-24
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 9 — — $48,013.78 $69,619.98 $49,454.19 2025-04-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 9 — — $47,657.83 $69,103.85 $49,087.56 2025-04-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $47,330.31 $68,628.95 $48,750.22 2025-04-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 8 — — $304.15 $68,577.43 $48,713.62 2025-04-24
0266T CPT Outpatient Services 10 8 — — $47,141.62 $68,355.35 $48,555.87 2025-04-24
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $47,141.62 $68,355.35 $48,555.87 2025-04-24
L7181 HCPCS Electronic Elbo Simultaneous 19 14 — — $37,858.44 $70,137.60 $48,370.76 2025-04-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 9 — — $46,816.54 $67,883.98 $48,221.04 2025-04-24
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 9 — — $47,896.92 $50,770.74 $47,896.92 2025-04-24
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 9 9 — — $47,896.92 $50,770.74 $47,896.92 2025-04-24
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 9 — — $47,896.92 $50,770.74 $47,896.92 2025-04-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 9 — — $46,328.00 $67,175.60 $47,717.84 2025-04-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 9 — — $45,673.74 $66,226.92 $47,043.95 2025-04-24
L7180 HCPCS Electronic Elbow Sequential 19 14 — — $25,912.94 $68,121.55 $46,980.38 2025-04-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $45,403.02 $65,834.38 $46,765.11 2025-04-24
64 APR_DRG Pancreas Transplant 9 9 — — $46,244.64 $49,019.32 $46,244.64 2025-04-24
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 9 — — $45,988.46 $48,747.77 $45,988.46 2025-04-24
653 MS_DRG Major Bladder Procedures With Mcc 12 9 — — $44,373.09 $64,340.98 $45,704.28 2025-04-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 9 — — $43,999.80 $63,799.71 $45,319.79 2025-04-24
834 MS_DRG Acute Leukemia With Mcc 12 9 — — $43,999.80 $63,799.71 $45,319.79 2025-04-24
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $43,816.70 $63,534.22 $45,131.20 2025-04-24
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 9 — — $45,117.39 $47,824.43 $45,117.39 2025-04-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 9 — — $43,551.52 $63,149.70 $44,858.07 2025-04-24
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $43,319.48 $62,813.25 $44,619.06 2025-04-24
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 9 — — $43,221.63 $62,671.36 $44,518.28 2025-04-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 9 — — $43,003.01 $62,354.36 $44,293.10 2025-04-24
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 9 — — $42,962.76 $62,296.00 $44,251.64 2025-04-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $42,958.02 $62,289.13 $44,246.76 2025-04-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 9 — — $42,365.32 $61,429.71 $43,636.28 2025-04-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $42,179.86 $61,160.80 $43,445.26 2025-04-24
C1820 HCPCS Hb Stimulator Restorsens Ss 97714 44 19 $65,566.00 $9,179.24 86% off $1,263.74 $95,070.70 $42,788.37 2025-04-24
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 9 — — $42,465.06 $45,012.96 $42,465.06 2025-04-24
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 9 — — $41,022.85 $59,483.13 $42,253.54 2025-04-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 9 — — $40,887.91 $59,287.47 $42,114.55 2025-04-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 9 — — $40,584.84 $58,848.02 $41,802.39 2025-04-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 9 — — $40,461.71 $58,669.48 $41,675.56 2025-04-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 9 — — $40,129.46 $58,187.72 $41,333.34 2025-04-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 9 — — $39,895.07 $57,847.85 $41,091.92 2025-04-24
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 9 — — $39,864.28 $57,803.21 $41,060.21 2025-04-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 9 — — $39,848.49 $57,780.31 $41,043.94 2025-04-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 9 — — $39,706.42 $57,574.31 $40,897.61 2025-04-24
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $40,664.43 $43,104.30 $40,664.43 2025-04-24
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $40,223.96 $42,637.40 $40,223.96 2025-04-24
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $40,223.96 $42,637.40 $40,223.96 2025-04-24
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $40,223.96 $42,637.40 $40,223.96 2025-04-24
245 MS_DRG Aicd Generator Procedures 12 9 — — $38,944.83 $56,470.00 $40,113.17 2025-04-24
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 8 — — $38,762.63 $56,205.81 $39,925.51 2025-04-24
471 MS_DRG Cervical Spinal Fusion With Mcc 12 9 — — $38,712.02 $56,132.43 $39,873.38 2025-04-24
6 MS_DRG Liver Transplant Without Mcc 12 9 — — $38,648.08 $56,039.72 $39,807.52 2025-04-24
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $39,580.87 $41,955.72 $39,580.87 2025-04-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 9 — — $38,066.42 $55,196.31 $39,208.41 2025-04-24
799 MS_DRG Splenic Procedures With Mcc 12 9 — — $37,903.06 $54,959.44 $39,040.15 2025-04-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $37,895.96 $54,949.14 $39,032.84 2025-04-24
C1721 HCPCS Hb Icd Protecta Xt Dr D314drg 64 19 $67,611.00 $9,465.54 86% off $21,991.43 $104,711.75 $38,699.81 2025-04-24
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 9 — — $37,507.67 $54,386.12 $38,632.90 2025-04-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 9 — — $37,308.77 $54,097.72 $38,428.03 2025-04-24
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 9 — — $37,090.96 $53,781.89 $38,203.69 2025-04-24
163 MS_DRG Major Chest Procedures With Mcc 12 9 — — $36,753.96 $53,293.24 $37,856.58 2025-04-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 9 — — $36,738.95 $53,271.48 $37,841.12 2025-04-24
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 8 — — $3,396.00 $53,165.44 $37,765.80 2025-04-24
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 9 9 — — $37,726.32 $39,989.90 $37,726.32 2025-04-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $36,622.94 $53,103.26 $37,721.63 2025-04-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 9 — — $36,617.41 $53,095.24 $37,715.93 2025-04-24
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $37,576.21 $39,830.78 $37,576.21 2025-04-24
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $37,515.60 $39,766.54 $37,515.60 2025-04-24
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $37,515.60 $39,766.54 $37,515.60 2025-04-24
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $37,515.60 $39,766.54 $37,515.60 2025-04-24
C1767 HCPCS Hb Stimulator Proclaim 5 3660 54 19 $57,291.00 $8,020.74 86% off $1,263.74 $83,071.95 $37,388.11 2025-04-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 9 — — $35,983.66 $52,176.31 $37,063.17 2025-04-24
C1722 HCPCS Hb Icd Inogen El Vr Df4 D140 34 19 $56,677.00 $7,934.78 86% off $23,067.54 $82,181.65 $36,987.42 2025-04-24
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 9 — — $35,771.38 $51,868.50 $36,844.52 2025-04-24
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 9 — — $35,673.50 $51,726.58 $36,743.71 2025-04-24
4404 APR_DRG Kidney Transplant 9 9 — — $36,521.91 $38,713.22 $36,521.91 2025-04-24
901 MS_DRG Wound Debridements For Injuries With Mcc 12 9 — — $35,343.61 $51,248.23 $36,403.92 2025-04-24
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 9 — — $35,046.08 $50,816.82 $36,097.46 2025-04-24
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 12 9 — — $34,525.98 $50,062.67 $35,561.76 2025-04-24
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 9 — — $34,455.74 $49,960.82 $35,489.41 2025-04-24
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 8 — — $34,284.44 $49,712.44 $35,312.97 2025-04-24
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 9 — — $34,042.96 $49,362.29 $35,064.25 2025-04-24
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 9 — — $33,993.25 $49,290.21 $35,013.05 2025-04-24
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $34,847.77 $36,938.64 $34,847.77 2025-04-24
140 MS_DRG Major Head And Neck Procedures With Mcc 12 9 — — $33,754.89 $48,944.59 $34,767.54 2025-04-24
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 9 — — $34,706.12 $36,788.49 $34,706.12 2025-04-24
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 8 — — $4,580.00 $48,701.25 $34,594.68 2025-04-24
33270 CPT Ins/rep Subq Defibrillator 11 8 — — $7,517.00 $48,701.25 $34,594.68 2025-04-24
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 11 8 — — $7,517.00 $48,701.25 $34,594.68 2025-04-24
33249 CPT Insj/rplcmt Defib W/lead(s) 11 8 — — $7,517.00 $48,701.25 $34,594.68 2025-04-24
33231 CPT Insrt Pulse Gen W/mult Leads 11 8 — — $7,517.00 $48,701.25 $34,594.68 2025-04-24
0408T CPT Insj/rplc Cardiac Modulj Sys 11 8 — — $7,517.00 $48,701.25 $34,594.68 2025-04-24
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 10 8 — — $33,587.07 $48,701.25 $34,594.68 2025-04-24
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 9 — — $33,450.27 $48,502.89 $34,453.78 2025-04-24
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 9 — — $33,442.37 $48,491.44 $34,445.64 2025-04-24
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 9 — — $33,214.28 $48,160.71 $34,210.71 2025-04-24
8634 APR_DRG Neonatal Aftercare 9 9 — — $33,901.29 $35,935.37 $33,901.29 2025-04-24
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 9 — — $32,830.73 $47,604.56 $33,815.65 2025-04-24
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 9 — — $32,812.59 $47,578.26 $33,796.97 2025-04-24
793 MS_DRG Full Term Neonate With Major Problems 12 9 — — $157.02 $48,272.88 $33,791.01 2025-04-24
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 9 — — $32,764.42 $47,508.41 $33,747.35 2025-04-24
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 9 — — $32,605.03 $47,277.29 $33,583.18 2025-04-24
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 9 — — $32,477.95 $47,093.03 $33,452.29 2025-04-24
69930 CPT Implant Cochlear Device 13 9 — — $4,580.00 $48,315.79 $33,321.24 2025-04-24
791 MS_DRG Prematurity With Major Problems 12 9 — — $205.64 $47,007.20 $32,905.04 2025-04-24
0268T CPT Outpatient Services 10 8 — — $31,923.52 $46,289.11 $32,881.23 2025-04-24
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 11 8 — — $1,941.00 $46,289.11 $32,881.23 2025-04-24
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 10 8 — — $31,923.52 $46,289.11 $32,881.23 2025-04-24
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 11 8 — — $3,000.00 $46,289.11 $32,881.23 2025-04-24
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 9 — — $31,817.36 $46,135.17 $32,771.88 2025-04-24
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 9 — — $31,795.27 $46,103.14 $32,749.13 2025-04-24
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 9 — — $31,517.46 $45,700.32 $32,462.98 2025-04-24
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 9 — — $31,453.55 $45,607.65 $32,397.16 2025-04-24
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 9 — — $32,246.54 $34,181.33 $32,246.54 2025-04-24
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 9 — — $31,253.08 $45,316.97 $32,190.67 2025-04-24
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 9 — — $31,238.07 $45,295.20 $32,175.21 2025-04-24
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 9 — — $32,097.13 $34,022.96 $32,097.13 2025-04-24
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 9 — — $32,097.13 $34,022.96 $32,097.13 2025-04-24
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 9 — — $32,097.13 $34,022.96 $32,097.13 2025-04-24
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 9 — — $31,067.61 $45,048.03 $31,999.64 2025-04-24
61886 CPT Implant Neurostim Arrays 13 9 — — $3,000.00 $46,289.11 $31,923.52 2025-04-24
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 13 9 — — $1,941.00 $46,289.11 $31,923.52 2025-04-24
64568 CPT Opn Impltj Crnl Nrv Nea&pg 13 9 — — $1,941.00 $46,289.11 $31,923.52 2025-04-24
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 9 — — $24,339.03 $45,516.07 $31,861.24 2025-04-24
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 9 — — $30,880.57 $44,776.83 $31,806.99 2025-04-24
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 9 — — $30,849.78 $44,732.18 $31,775.27 2025-04-24
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 9 — — $31,722.21 $33,625.54 $31,722.21 2025-04-24
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 9 — — $31,722.21 $33,625.54 $31,722.21 2025-04-24
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 9 — — $31,722.21 $33,625.54 $31,722.21 2025-04-24
63 APR_DRG Pancreas Transplant 9 9 — — $31,710.58 $33,613.21 $31,710.58 2025-04-24
62 APR_DRG Pancreas Transplant 9 9 — — $31,710.58 $33,613.21 $31,710.58 2025-04-24
61 APR_DRG Pancreas Transplant 9 9 — — $31,710.58 $33,613.21 $31,710.58 2025-04-24
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 9 — — $30,764.54 $44,608.58 $31,687.48 2025-04-24
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 9 — — $30,544.35 $44,289.31 $31,460.68 2025-04-24
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $30,380.97 $44,052.41 $31,292.40 2025-04-24
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 9 — — $30,147.38 $43,713.70 $31,051.80 2025-04-24
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 9 — — $29,909.82 $43,369.24 $30,807.11 2025-04-24
33289 CPT Tcat Impl Wrls P-art Prs Snr 11 8 — — $4,580.00 $43,182.38 $30,674.38 2025-04-24
C1813 HCPCS Hb Prosth Penile Lgx 72404251 34 19 $33,606.00 $4,704.84 86% off $13,677.64 $48,728.70 $30,304.21 2025-04-24
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 9 — — $29,173.48 $42,301.55 $30,048.68 2025-04-24
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 9 — — $28,973.81 $42,012.02 $29,843.02 2025-04-24
C9760 HCPCS Non-blind Interatrial Shunt 10 8 — — $28,808.97 $41,773.01 $29,673.24 2025-04-24
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 9 — — $28,669.15 $41,570.27 $29,529.22 2025-04-24
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 9 — — $28,667.57 $41,567.98 $29,527.60 2025-04-24
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 9 — — $28,662.84 $41,561.12 $29,522.73 2025-04-24
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $29,423.31 $31,188.71 $29,423.31 2025-04-24
265 MS_DRG Aicd Lead Procedures 12 9 — — $28,530.27 $41,368.89 $29,386.18 2025-04-24
104 APR_DRG Head Trauma With Deep Coma 9 9 — — $29,365.88 $31,127.83 $29,365.88 2025-04-24
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 9 — — $28,403.98 $41,185.77 $29,256.10 2025-04-24
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 9 — — $29,104.41 $30,850.67 $29,104.41 2025-04-24
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 9 — — $29,104.41 $30,850.67 $29,104.41 2025-04-24
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 9 — — $29,104.41 $30,850.67 $29,104.41 2025-04-24
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 9 — — $28,239.84 $40,947.77 $29,087.04 2025-04-24
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 9 — — $28,232.72 $40,937.44 $29,079.70 2025-04-24
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 9 — — $28,162.49 $40,835.61 $29,007.36 2025-04-24
L5856 HCPCS Elec Knee-shin Swing/stance 19 14 — — $17,323.21 $42,021.26 $28,980.18 2025-04-24
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 9 — — $28,873.61 $30,606.03 $28,873.61 2025-04-24
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 9 — — $28,029.89 $40,643.34 $28,870.79 2025-04-24
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $28,021.20 $40,630.74 $28,861.84 2025-04-24
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 9 — — $28,010.16 $40,614.73 $28,850.46 2025-04-24
L6880 HCPCS Elec Hand Ind Art Digits 19 14 — — $22,574.88 $41,822.84 $28,843.34 2025-04-24
264 MS_DRG Other Circulatory System O.r. Procedures 12 9 — — $27,961.24 $40,543.80 $28,800.08 2025-04-24
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $28,682.97 $30,403.95 $28,682.97 2025-04-24
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 9 — — $27,782.87 $40,285.16 $28,616.36 2025-04-24
332 MS_DRG Rectal Resection With Mcc 12 9 — — $27,752.88 $40,241.68 $28,585.47 2025-04-24
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 9 — — $27,722.90 $40,198.21 $28,554.59 2025-04-24
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 9 — — $28,427.85 $30,133.52 $28,427.85 2025-04-24
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 9 — — $28,427.85 $30,133.52 $28,427.85 2025-04-24
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 9 — — $27,561.09 $39,963.58 $28,387.92 2025-04-24
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 9 — — $27,518.47 $39,901.78 $28,344.02 2025-04-24
665 MS_DRG Prostatectomy With Mcc 12 9 — — $27,475.87 $39,840.01 $28,300.15 2025-04-24
252 MS_DRG Other Vascular Procedures With Mcc 12 9 — — $27,450.60 $39,803.37 $28,274.12 2025-04-24
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 9 — — $27,409.58 $39,743.89 $28,231.87 2025-04-24
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 9 9 — — $28,225.94 $29,919.50 $28,225.94 2025-04-24
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 9 — — $28,148.77 $29,837.70 $28,148.77 2025-04-24
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 9 — — $28,148.77 $29,837.70 $28,148.77 2025-04-24
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 9 — — $28,148.77 $29,837.70 $28,148.77 2025-04-24
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 9 — — $27,259.61 $39,526.43 $28,077.40 2025-04-24
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 9 — — $27,147.54 $39,363.93 $27,961.97 2025-04-24
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 9 — — $26,868.96 $38,959.99 $27,675.03 2025-04-24
J9266 HCPCS Pegaspargase Injection 19 14 — — $26,815.15 $39,252.27 $27,619.60 2025-04-24
37 MS_DRG Extracranial Procedures With Mcc 12 9 — — $26,586.39 $38,550.27 $27,383.98 2025-04-24
102 APR_DRG Head Trauma With Deep Coma 9 9 — — $27,256.56 $28,891.95 $27,256.56 2025-04-24
103 APR_DRG Head Trauma With Deep Coma 9 9 — — $27,256.56 $28,891.95 $27,256.56 2025-04-24
101 APR_DRG Head Trauma With Deep Coma 9 9 — — $27,256.56 $28,891.95 $27,256.56 2025-04-24
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 9 — — $26,436.46 $38,332.87 $27,229.55 2025-04-24
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 9 — — $26,174.44 $37,952.94 $26,959.67 2025-04-24
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 9 — — $26,101.03 $37,846.49 $26,884.06 2025-04-24
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 9 — — $26,089.99 $37,830.49 $26,872.69 2025-04-24
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $26,658.23 $28,257.72 $26,658.23 2025-04-24
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $26,658.23 $28,257.72 $26,658.23 2025-04-24
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 9 — — $25,784.56 $37,387.61 $26,558.10 2025-04-24
93653 CPT Compre Ep Eval Tx Svt 11 8 — — $4,580.00 $37,264.34 $26,470.53 2025-04-24
93654 CPT Compre Ep Eval Tx Vt 11 8 — — $4,580.00 $37,264.34 $26,470.53 2025-04-24
93656 CPT Compre Ep Eval Abltj Atr Fib 11 8 — — $4,580.00 $37,264.34 $26,470.53 2025-04-24
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 9 — — $26,453.85 $28,041.08 $26,453.85 2025-04-24
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 9 — — $25,666.96 $37,217.09 $26,436.97 2025-04-24
C1772 HCPCS Hb Pump Synchromed Ii 863720 44 19 $40,497.00 $5,669.58 86% off $16,482.28 $64,836.75 $26,428.35 2025-04-24
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 9 — — $26,392.18 $27,975.71 $26,392.18 2025-04-24
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 9 — — $25,593.57 $37,110.68 $26,361.38 2025-04-24
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 9 — — $25,545.41 $37,040.84 $26,311.77 2025-04-24
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 9 — — $25,477.54 $36,942.43 $26,241.87 2025-04-24
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 9 — — $25,427.03 $36,869.19 $26,189.84 2025-04-24
500 MS_DRG Soft Tissue Procedures With Mcc 12 9 — — $25,385.21 $36,808.55 $26,146.77 2025-04-24
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 9 9 — — $25,999.28 $27,559.24 $25,999.28 2025-04-24
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 9 — — $25,008.75 $36,262.69 $25,759.01 2025-04-24
662 MS_DRG Minor Bladder Procedures With Mcc 12 9 — — $24,997.70 $36,246.67 $25,747.63 2025-04-24
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 9 — — $24,892.75 $36,094.49 $25,639.53 2025-04-24
8633 APR_DRG Neonatal Aftercare 9 9 — — $25,544.02 $27,076.66 $25,544.02 2025-04-24
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 9 — — $24,783.04 $35,935.41 $25,526.53 2025-04-24
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 9 — — $24,732.51 $35,862.14 $25,474.49 2025-04-24
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 9 — — $24,715.16 $35,836.98 $25,456.61 2025-04-24
652 MS_DRG Kidney Transplant 12 9 — — $24,617.30 $35,695.09 $25,355.82 2025-04-24
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 9 — — $24,595.20 $35,663.04 $25,333.06 2025-04-24
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 9 — — $24,516.29 $35,548.62 $25,251.78 2025-04-24
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 9 — — $25,088.04 $26,593.32 $25,088.04 2025-04-24
J9600 HCPCS Porfimer Sodium Injection 10 8 — — $24,228.42 $35,131.21 $24,955.27 2025-04-24
570 MS_DRG Skin Debridement With Mcc 12 9 — — $24,134.29 $34,994.72 $24,858.32 2025-04-24
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 9 — — $24,703.60 $26,185.82 $24,703.60 2025-04-24
974 MS_DRG HIV With Major Related Condition With Mcc 12 9 — — $23,944.87 $34,720.06 $24,663.22 2025-04-24
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 9 — — $23,648.13 $34,289.79 $24,357.57 2025-04-24
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 9 — — $24,357.22 $25,818.65 $24,357.22 2025-04-24
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