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 →

Export CSV
Hospital

ELKHART GENERAL HOSPITAL

Elkhart, IN · CCN 150018 · Rates published

Your selected procedure

You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $17,269 across 12 payers · range $11,708-$35,312

Source: https://www.dropbox.com/scl/fi/o2rm6e68gmssfvbu6m6ay/350877574_Elkhart-General-Hospital_standardcharges.csv?rlkey=q4n32hy0ct1wi5rs6ikidhd5k&st=v00lg33y&dl=1 · observed 2026-05-13

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.

23,300 distinct procedures filed
20 distinct payers
603,084 rate rows
2026-05-13 last MRF observed
Data quality

592,298 of 603,084 rate rows are consumer-grade (98.2%)

10,786 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
template filing: same amount across many unrelated codes — excluded 7,725
per-diem day rate — not a per-procedure price 1,917
percent-of-charges filed in the dollar field — excluded from medians 560
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 399
placeholder amount (≤ $0.02) — excluded from medians 170
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dropbox.com/scl/fi/o2rm6e68gmssfvbu6m6ay/350877574_Elkhart-General-Hospital_standardcharges.csv?rlkey=q4n32hy0ct1wi5rs6ikidhd5k&st=v00lg33y&dl=1
Found on page https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 9e1d72cc6fc5ce09… · 114,607,122 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 7 $2,414,680.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,605,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 10 $1,975,302.94 $3,869,530.00 $3,675,000.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $1,777,623.95 $4,974,693.89 $3,360,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 8 $1,741,166.91 $4,872,668.58 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 9 $1,578,916.64 $4,713,184.00 $2,945,740.00 nat. median
$2,994,107
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 10 $1,249,952.00 $4,430,800.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $1,315,939.29 $4,664,710.16 $2,231,250.00 nat. median
$2,467,989
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $413,052.32 $1,464,178.00 $763,350.00 nat. median
$813,967
0.9× median
114
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $145,701.73 $647,979.12 $647,979.12 nat. median
$10,131
outlier · 64.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $317,165.24 $1,124,279.78 $591,726.20 nat. median
$739,658
0.8× median
5833
OTHER 		Neonate With Ecmo 7 $189,725.36 $588,944.20 $588,944.20 nat. median
$241,478
outlier · 2.4×
5834
OTHER 		Neonate With Ecmo 7 $191,228.48 $588,944.20 $588,944.20 nat. median
$372,748
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $303,305.76 $1,075,151.01 $583,075.96 nat. median
$646,415
0.9× median
5832
OTHER 		Neonate With Ecmo 7 $105,432.07 $558,502.30 $558,502.30 nat. median
$183,648
outlier · 3.0×
5831
OTHER 		Neonate With Ecmo 7 $76,786.44 $558,502.30 $558,502.30 nat. median
$144,202
outlier · 3.9×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $301,520.47 $1,068,822.56 $557,917.92 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $298,722.41 $1,058,904.07 $554,728.05 nat. median
$623,527
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $149,142.00 $551,250.00 $551,250.00 nat. median
$319,951
1.7× median
24
OTHER 		Heart And/or Lung Transplant 7 $550.00 $537,458.68 $537,458.68 nat. median
$27,611
outlier · 19.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $285,811.37 $1,013,137.32 $528,759.00 nat. median
$608,239
0.9× median
5884
OTHER 		Neonate Bwt <1500g W Major Procedure 7 $191,242.03 $503,124.62 $503,124.62 nat. median
$243,175
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $333,847.89 $1,006,920.12 $492,425.64 nat. median
$359,244
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $262,267.27 $929,678.76 $485,100.00 nat. median
$592,235
0.8× median
6314
OTHER 		Neonate Birthwt >2499g W Other Major Procedure 7 $155,895.97 $469,136.53 $469,136.53 nat. median
$156,971
outlier · 3.0×
5883
OTHER 		Neonate Bwt <1500g W Major Procedure 7 $123,561.93 $396,403.43 $396,403.43 nat. median
$168,056
outlier · 2.4×
113
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $85,202.81 $378,177.99 $378,177.99 nat. median
$18,356
outlier · 20.6×
74
OTHER 		Allogeneic Bone Marrow Transplant 7 $119,598.28 $333,375.47 $333,375.47 nat. median
$11,409
outlier · 29.2×
5914
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 7 $111,225.09 $332,614.53 $332,614.53 nat. median
$157,493
outlier · 2.1×
14
OTHER 		Liver Transplant And/or Intestinal Transplant 7 $550.00 $328,688.97 $328,688.97 nat. median
$114,398
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $217,394.18 $653,450.65 $320,656.41 nat. median
$248,541
1.3× median
5934
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 7 $112,321.89 $317,330.38 $317,330.38 nat. median
$151,840
outlier · 2.1×
112
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $73,235.91 $304,837.81 $304,837.81 nat. median
$2,676
outlier · 113.9×
1613
OTHER 		Implantable Heart Assist Systems 7 $79,670.23 $303,870.59 $303,870.59 nat. median
$78
outlier · 3898.8×
1612
OTHER 		Implantable Heart Assist Systems 7 $67,714.74 $303,851.24 $303,851.24 nat. median
$96,189
outlier · 3.2×
1611
OTHER 		Implantable Heart Assist Systems 7 $55,181.08 $302,838.59 $302,838.59 nat. median
$67,062
outlier · 4.5×
23
OTHER 		Heart And/or Lung Transplant 7 $550.00 $295,712.02 $295,712.02 nat. median
$60,056
outlier · 4.9×
5881
OTHER 		Neonate Bwt <1500g W Major Procedure 7 $91,308.53 $294,207.35 $294,207.35 nat. median
$14,035
outlier · 21.0×
5882
OTHER 		Neonate Bwt <1500g W Major Procedure 7 $106,436.25 $294,207.35 $294,207.35 nat. median
$138,777
outlier · 2.1×
J3403
HCPCS 		Revakinagene- Per Implant 10 $138,020.00 $489,250.00 $257,500.00 nat. median
$265,000
1.0× median
6094
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 7 $126,015.66 $250,369.68 $250,369.68 nat. median
$163,006
1.5× median
6024
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $53,773.57 $245,243.37 $245,243.37 nat. median
$119,134
outlier · 2.1×
22
OTHER 		Heart And/or Lung Transplant 7 $550.00 $243,586.70 $243,586.70 nat. median
$38,052
outlier · 6.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 12 $164,092.83 $494,921.15 $242,036.93 nat. median
$190,359
1.3× median
6304
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 $143,255.28 $235,523.02 $235,523.02 nat. median
$177,388
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $149,814.18 $497,842.85 $231,267.88 nat. median
$198,115
1.2× median
54
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $56,977.58 $228,748.68 $228,748.68 nat. median
$16,362
outlier · 14.0×
6074
OTHER 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $40,099.04 $219,132.78 $219,132.78 nat. median
$81,519
outlier · 2.7×
21
OTHER 		Heart And/or Lung Transplant 7 $550.00 $217,018.03 $217,018.03 nat. median
$57,281
outlier · 3.8×

Other procedures at this hospital

Browse this hospital's 23,300 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 9 7 — — $2,414,680.00 $4,730,250.00 $4,505,000.00 2026-05-13
C9172 HCPCS Inj- Beqvez- Per Tx Dose 15 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-05-13
J1414 HCPCS Inj- Beqvez- Per Tx Dose 15 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-05-13
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 24 10 — — $1,975,302.94 $3,869,530.00 $3,675,000.00 2026-05-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 26 11 — — $1,777,623.95 $4,974,693.89 $3,360,000.00 2026-05-13
J3394 HCPCS Inj- Lovotibeglogene Autotem 10 8 — — $1,741,166.91 $4,872,668.58 $3,248,445.72 2026-05-13
J3393 HCPCS Inj- Betibeglogene Autotemce 11 9 — — $1,578,916.64 $4,713,184.00 $2,945,740.00 2026-05-13
J3392 HCPCS Inj- Exagamglogene Autotem 13 10 — — $1,249,952.00 $4,430,800.00 $2,332,000.00 2026-05-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 29 11 — — $1,315,939.29 $4,664,710.16 $2,231,250.00 2026-05-13
Q2057 HCPCS Afamitresgene Autoleucel 28 11 — — $413,052.32 $1,464,178.00 $763,350.00 2026-05-13
114 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 7 — — $145,701.73 $647,979.12 $647,979.12 2026-05-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 10 — — $317,165.24 $1,124,279.78 $591,726.20 2026-05-13
5833 OTHER Neonate With Ecmo 18 7 — — $189,725.36 $588,944.20 $588,944.20 2026-05-13
5834 OTHER Neonate With Ecmo 18 7 — — $191,228.48 $588,944.20 $588,944.20 2026-05-13
Q2056 HCPCS Ciltacabtagene Car-pos T 29 11 — — $303,305.76 $1,075,151.01 $583,075.96 2026-05-13
5832 OTHER Neonate With Ecmo 18 7 — — $105,432.07 $558,502.30 $558,502.30 2026-05-13
5831 OTHER Neonate With Ecmo 18 7 — — $76,786.44 $558,502.30 $558,502.30 2026-05-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 29 11 — — $301,520.47 $1,068,822.56 $557,917.92 2026-05-13
Q2055 HCPCS Idecabtagene Vicleucel Car 29 11 — — $298,722.41 $1,058,904.07 $554,728.05 2026-05-13
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 28 11 — — $149,142.00 $551,250.00 $551,250.00 2026-05-13
24 OTHER Heart And/or Lung Transplant 18 7 — — $550.00 $537,458.68 $537,458.68 2026-05-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 29 11 — — $285,811.37 $1,013,137.32 $528,759.00 2026-05-13
5884 OTHER Neonate Bwt <1500g W Major Procedure 18 7 — — $191,242.03 $503,124.62 $503,124.62 2026-05-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 12 — — $333,847.89 $1,006,920.12 $492,425.64 2026-05-13
Q2053 HCPCS Brexucabtagene Car Pos T 29 11 — — $262,267.27 $929,678.76 $485,100.00 2026-05-13
6314 OTHER Neonate Birthwt >2499g W Other Major Procedure 18 7 — — $155,895.97 $469,136.53 $469,136.53 2026-05-13
5883 OTHER Neonate Bwt <1500g W Major Procedure 18 7 — — $123,561.93 $396,403.43 $396,403.43 2026-05-13
113 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 7 — — $85,202.81 $378,177.99 $378,177.99 2026-05-13
74 OTHER Allogeneic Bone Marrow Transplant 18 7 — — $119,598.28 $333,375.47 $333,375.47 2026-05-13
5914 OTHER Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $111,225.09 $332,614.53 $332,614.53 2026-05-13
14 OTHER Liver Transplant And/or Intestinal Transplant 18 7 — — $550.00 $328,688.97 $328,688.97 2026-05-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $217,394.18 $653,450.65 $320,656.41 2026-05-13
5934 OTHER Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $112,321.89 $317,330.38 $317,330.38 2026-05-13
112 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 7 — — $73,235.91 $304,837.81 $304,837.81 2026-05-13
1613 OTHER Implantable Heart Assist Systems 18 7 — — $79,670.23 $303,870.59 $303,870.59 2026-05-13
1612 OTHER Implantable Heart Assist Systems 18 7 — — $67,714.74 $303,851.24 $303,851.24 2026-05-13
1611 OTHER Implantable Heart Assist Systems 18 7 — — $55,181.08 $302,838.59 $302,838.59 2026-05-13
23 OTHER Heart And/or Lung Transplant 18 7 — — $550.00 $295,712.02 $295,712.02 2026-05-13
5881 OTHER Neonate Bwt <1500g W Major Procedure 18 7 — — $91,308.53 $294,207.35 $294,207.35 2026-05-13
5882 OTHER Neonate Bwt <1500g W Major Procedure 18 7 — — $106,436.25 $294,207.35 $294,207.35 2026-05-13
J3403 HCPCS Revakinagene- Per Implant 13 10 — — $138,020.00 $489,250.00 $257,500.00 2026-05-13
6094 OTHER Neonate Bwt 1500-2499g W Major Procedure 18 7 — — $126,015.66 $250,369.68 $250,369.68 2026-05-13
6024 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $53,773.57 $245,243.37 $245,243.37 2026-05-13
22 OTHER Heart And/or Lung Transplant 18 7 — — $550.00 $243,586.70 $243,586.70 2026-05-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 18 12 — — $164,092.83 $494,921.15 $242,036.93 2026-05-13
6304 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 7 — — $143,255.28 $235,523.02 $235,523.02 2026-05-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $149,814.18 $497,842.85 $231,267.88 2026-05-13
54 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $56,977.58 $228,748.68 $228,748.68 2026-05-13
6074 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $40,099.04 $219,132.78 $219,132.78 2026-05-13
21 OTHER Heart And/or Lung Transplant 18 7 — — $550.00 $217,018.03 $217,018.03 2026-05-13
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 10 — — $110,223.04 $390,716.00 $205,640.00 2026-05-13
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $58,476.04 $199,957.70 $199,957.70 2026-05-13
5933 OTHER Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $77,554.92 $191,842.30 $191,842.30 2026-05-13
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 7 — — $42,394.61 $186,758.52 $186,758.52 2026-05-13
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $52,231.92 $181,159.91 $181,159.91 2026-05-13
13 OTHER Liver Transplant And/or Intestinal Transplant 18 7 — — $550.00 $180,772.13 $180,772.13 2026-05-13
8514 OTHER Gender Related Procedures 17 7 — — $56,851.14 $180,152.55 $180,152.55 2026-05-13
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $61,207.09 $180,120.92 $180,120.92 2026-05-13
6023 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $38,067.27 $172,990.93 $172,990.93 2026-05-13
62 OTHER Methylphenidate 5 Mg Tab 23 8 $25.00 $16.25 35% off $25.00 $171,455.28 $171,455.28 2026-05-13
63 OTHER Pancreas Transplant 18 7 — — $550.00 $171,455.28 $171,455.28 2026-05-13
64 OTHER Pancreas Transplant 18 7 — — $550.00 $171,455.28 $171,455.28 2026-05-13
6334 OTHER Neonate Birthwt >2499g W Major Anomaly 18 7 — — $23,234.04 $169,641.18 $169,641.18 2026-05-13
5932 OTHER Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $51,043.03 $167,555.65 $167,555.65 2026-05-13
53 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $48,741.23 $166,227.07 $166,227.07 2026-05-13
84 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 7 — — $60,975.04 $166,222.61 $166,222.61 2026-05-13
83 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 7 — — $31,380.38 $166,061.36 $166,061.36 2026-05-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 18 12 — — $107,085.70 $322,981.68 $157,951.40 2026-05-13
6093 OTHER Neonate Bwt 1500-2499g W Major Procedure 18 7 — — $46,744.84 $157,422.04 $157,422.04 2026-05-13
6124 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $45,731.81 $153,859.46 $153,859.46 2026-05-13
6114 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 18 7 — — $30,569.75 $163,952.35 $152,229.56 2026-05-13
6092 OTHER Neonate Bwt 1500-2499g W Major Procedure 18 7 — — $25,356.86 $151,921.76 $151,921.76 2026-05-13
6091 OTHER Neonate Bwt 1500-2499g W Major Procedure 18 7 — — $24,854.77 $150,780.11 $150,780.11 2026-05-13
8634 OTHER Neonatal Aftercare 18 7 — — $47,431.11 $150,117.29 $150,117.29 2026-05-13
6214 OTHER Neonate Bwt 2000-2499g W Major Anomaly 18 7 — — $18,372.36 $149,016.91 $149,016.91 2026-05-13
5913 OTHER Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $85,641.94 $147,993.49 $147,993.49 2026-05-13
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $41,842.57 $142,378.87 $142,378.87 2026-05-13
9504 OTHER Extensive Procedure Unrelated To Principal Diagnosis 18 7 — — $29,589.50 $141,031.91 $141,031.91 2026-05-13
4404 OTHER Kidney Transplant 18 7 — — $550.00 $140,057.84 $140,057.84 2026-05-13
4403 OTHER Kidney Transplant 18 7 — — $550.00 $138,967.79 $138,967.79 2026-05-13
4402 OTHER Kidney Transplant 18 7 — — $550.00 $138,883.94 $138,883.94 2026-05-13
4401 OTHER Kidney Transplant 18 7 — — $550.00 $138,825.89 $138,825.89 2026-05-13
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $92,910.84 $280,228.83 $137,043.48 2026-05-13
8414 OTHER Extensive Third Degree Burns With Skin Graft 2 2 — — $136,869.12 $136,869.12 $136,869.12 2026-05-13
6022 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $30,631.14 $135,568.66 $135,568.66 2026-05-13
7 MS_DRG Lung Transplant 17 12 — — $100,118.50 $301,967.84 $135,159.98 2026-05-13
6073 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $27,567.62 $134,562.75 $134,562.75 2026-05-13
5893 OTHER Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $66,187.58 $134,367.74 $134,367.74 2026-05-13
5894 OTHER Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $2,750.35 $134,367.74 $134,367.74 2026-05-13
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 18 7 — — $32,246.68 $132,125.87 $132,125.87 2026-05-13
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 18 7 — — $48,694.40 $131,273.94 $131,273.94 2026-05-13
9114 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 18 7 — — $36,996.49 $131,271.86 $131,271.86 2026-05-13
3004 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 6 — — $129,752.55 $129,752.55 $129,752.55 2026-05-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $87,606.57 $264,230.61 $129,219.69 2026-05-13
5892 OTHER Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $66,187.58 $127,924.41 $127,924.41 2026-05-13
5891 OTHER Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $66,187.58 $127,924.41 $127,924.41 2026-05-13
9104 OTHER Craniotomy For Multiple Significant Trauma 18 7 — — $24,446.34 $127,441.76 $127,441.76 2026-05-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $85,205.32 $256,988.15 $125,677.85 2026-05-13
224 OTHER Ventricular Shunt Procedures 18 7 — — $23,019.16 $124,923.91 $124,923.91 2026-05-13
212 MS_DRG Testes Procedures Age 0-17 18 12 — — $84,068.08 $253,558.13 $124,000.41 2026-05-13
71 OTHER Allogeneic Bone Marrow Transplant 18 7 — — $53,522.26 $142,486.60 $122,893.92 2026-05-13
111 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 7 — — $33,694.67 $122,184.42 $122,184.42 2026-05-13
12 OTHER Liver Transplant And/or Intestinal Transplant 18 7 — — $550.00 $120,077.11 $120,077.11 2026-05-13
93 OTHER Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $44,033.55 $132,078.56 $119,929.30 2026-05-13
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 17 12 — — $87,506.08 $263,927.48 $118,133.21 2026-05-13
6814 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 18 7 — — $35,699.91 $116,133.18 $116,133.18 2026-05-13
6034 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 7 — — $87,585.96 $115,963.34 $115,963.34 2026-05-13
6033 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 7 — — $46,075.73 $115,169.99 $115,169.99 2026-05-13
2994 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 6 — — $115,017.12 $115,017.12 $115,017.12 2026-05-13
42 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $36,169.22 $114,623.02 $114,623.02 2026-05-13
8633 OTHER Neonatal Aftercare 18 7 — — $22,729.35 $113,807.97 $113,807.97 2026-05-13
1834 OTHER Percutaneous Structural Cardiac Procedures 17 7 — — $33,035.45 $113,743.82 $113,743.82 2026-05-13
215 MS_DRG Other Heart Assist System Implant 18 12 — — $76,977.94 $232,173.54 $113,542.46 2026-05-13
5931 OTHER Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $8,959.61 $112,777.42 $112,777.42 2026-05-13
5912 OTHER Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $64,711.84 $112,195.05 $112,195.05 2026-05-13
6344 OTHER Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $15,012.26 $111,911.47 $111,911.47 2026-05-13
204 OTHER Open Craniotomy For Trauma 18 7 — — $40,164.08 $111,739.26 $111,739.26 2026-05-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $75,631.21 $228,111.61 $111,556.04 2026-05-13
6954 OTHER Chemotherapy For Acute Leukemia 18 7 — — $35,222.27 $111,363.86 $111,363.86 2026-05-13
6804 OTHER Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 18 7 — — $43,524.18 $111,276.39 $111,276.39 2026-05-13
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 18 7 — — $34,018.82 $111,053.89 $111,053.89 2026-05-13
2604 OTHER Major Pancreas, Liver And Shunt Procedures 18 7 — — $23,815.73 $110,819.19 $110,819.19 2026-05-13
6123 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $28,865.77 $109,899.76 $109,899.76 2026-05-13
5911 OTHER Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $36,248.30 $109,627.95 $109,627.95 2026-05-13
2004 OTHER Simethicone 80 Mg Chew Tab 23 8 $25.00 $16.25 35% off $25.00 $107,954.58 $107,954.58 2026-05-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $79,710.87 $240,416.32 $107,609.68 2026-05-13
6072 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $20,735.04 $104,674.53 $104,674.53 2026-05-13
1694 OTHER Major Abdominal Vascular Procedures 18 7 — — $32,592.68 $104,651.81 $104,651.81 2026-05-13
104 OTHER Head Trauma With Deep Coma 1 1 — — $104,064.07 $104,064.07 $104,064.07 2026-05-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $69,653.55 $210,082.43 $102,738.99 2026-05-13
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 18 7 — — $20,558.66 $101,277.72 $101,277.72 2026-05-13
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $27,182.60 $101,038.94 $101,038.94 2026-05-13
2304 OTHER Major Small Bowel Procedures 18 7 — — $28,956.30 $100,576.91 $100,576.91 2026-05-13
6224 OTHER Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $27,796.55 $98,064.99 $98,064.99 2026-05-13
6084 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 7 — — $27,905.81 $97,374.00 $97,374.00 2026-05-13
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 18 7 — — $29,416.76 $97,069.40 $97,069.40 2026-05-13
3214 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 18 7 — — $24,592.02 $97,040.10 $97,040.10 2026-05-13
6083 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 7 — — $22,331.84 $96,948.30 $96,948.30 2026-05-13
3213 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 18 7 — — $17,756.32 $96,872.40 $96,872.40 2026-05-13
6302 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 7 — — $38,465.30 $96,758.04 $96,758.04 2026-05-13
6301 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 7 — — $18,470.69 $96,758.04 $96,758.04 2026-05-13
6303 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 7 — — $48,672.85 $96,758.04 $96,758.04 2026-05-13
101 OTHER Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-05-13
103 OTHER Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-05-13
102 OTHER Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-05-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $65,171.87 $196,565.20 $96,128.51 2026-05-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 12 — — $64,967.00 $195,947.29 $95,826.32 2026-05-13
6904 OTHER Acute Leukemia 18 7 — — $40,625.59 $95,802.54 $95,802.54 2026-05-13
6903 OTHER Acute Leukemia 18 7 — — $26,825.15 $95,802.54 $95,802.54 2026-05-13
6113 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 18 7 — — $18,905.66 $94,985.80 $94,985.80 2026-05-13
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $60,762.79 $201,918.93 $93,799.40 2026-05-13
6021 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $11,077.75 $95,180.70 $93,687.08 2026-05-13
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 18 7 — — $23,616.46 $93,332.37 $93,332.37 2026-05-13
9514 OTHER Moderately Extensive Procedure Unrelated To Principal Diagnosis 18 7 — — $21,947.34 $93,047.62 $93,047.62 2026-05-13
52 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 7 — — $21,580.53 $92,323.37 $92,323.37 2026-05-13
1204 OTHER Major Respiratory And Chest Procedures 18 7 — — $32,551.57 $92,232.30 $92,232.30 2026-05-13
3031 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 7 — — $25,075.90 $98,772.21 $90,448.37 2026-05-13
1783 OTHER External Heart Assist Systems 17 7 — — $28,006.75 $90,339.64 $90,339.64 2026-05-13
2992 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 6 — — $90,231.60 $90,231.60 $90,231.60 2026-05-13
234 OTHER Spinal Procedures 19 7 — — $67.20 $90,204.57 $90,204.57 2026-05-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $60,834.00 $183,481.69 $89,730.15 2026-05-13
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $35,834.14 $89,298.56 $89,298.56 2026-05-13
92 OTHER Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $32,078.10 $132,078.56 $88,620.13 2026-05-13
91 OTHER Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $29,816.88 $132,078.56 $88,491.13 2026-05-13
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $88,230.96 $88,230.96 $88,230.96 2026-05-13
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 18 7 — — $28,977.63 $87,793.50 $87,793.50 2026-05-13
304 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 18 7 — — $65.90 $87,568.42 $87,568.42 2026-05-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $59,361.22 $179,039.68 $87,557.80 2026-05-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 12 — — $59,105.33 $178,267.87 $87,180.36 2026-05-13
9304 OTHER Multiple Significant Trauma Without O.r. Procedure 18 7 — — $14,722.45 $85,912.30 $85,912.30 2026-05-13
274 OTHER Other Open Craniotomy 18 7 — — $486.63 $84,403.30 $84,403.30 2026-05-13
7924 OTHER Extensive Or Procedures For Other Complications Of Treatment 18 7 — — $30,512.52 $83,239.52 $83,239.52 2026-05-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $53,468.03 $177,677.93 $82,538.50 2026-05-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $55,807.27 $168,320.57 $82,315.73 2026-05-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $55,157.87 $166,361.89 $81,357.85 2026-05-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $55,125.39 $166,263.96 $81,309.96 2026-05-13
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 18 7 — — $27,323.08 $80,814.58 $80,814.58 2026-05-13
82 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 7 — — $23,253.29 $80,603.23 $80,603.23 2026-05-13
81 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 7 — — $15,486.25 $80,551.63 $80,551.63 2026-05-13
6313 OTHER Neonate Birthwt >2499g W Other Major Procedure 18 7 — — $40,551.18 $79,950.34 $79,950.34 2026-05-13
6902 OTHER Acute Leukemia 18 7 — — $15,827.57 $79,314.45 $79,314.45 2026-05-13
6144 OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 18 7 — — $27,969.81 $78,591.47 $78,591.47 2026-05-13
1214 OTHER Other Respiratory And Chest Procedures 18 7 — — $25,467.69 $78,448.14 $78,448.14 2026-05-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $53,173.31 $160,376.26 $78,430.62 2026-05-13
41 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $32,379.35 $113,049.42 $78,058.12 2026-05-13
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 18 7 — — $21,665.33 $77,900.70 $77,900.70 2026-05-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 12 — — $50,330.07 $167,250.29 $77,694.44 2026-05-13
554 OTHER Head Trauma With Coma > 1 Hour Or Hemorrhage 18 7 — — $14,718.81 $77,121.40 $77,121.40 2026-05-13
6143 OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 18 7 — — $21,158.56 $76,940.27 $76,940.27 2026-05-13
1633 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 18 7 — — $28,699.27 $76,935.52 $76,935.52 2026-05-13
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 18 7 — — $27,160.74 $76,544.35 $76,544.35 2026-05-13
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 — — $51,693.58 $155,913.27 $76,248.04 2026-05-13
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 18 7 — — $38,754.59 $87,926.72 $76,239.22 2026-05-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $51,655.71 $155,799.01 $76,192.18 2026-05-13
6223 OTHER Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $16,653.81 $75,527.18 $75,527.18 2026-05-13
3134 OTHER Knee And Lower Leg Procedures Except Foot 18 7 — — $24,015.01 $75,266.96 $75,266.96 2026-05-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $50,833.91 $153,320.35 $74,980.01 2026-05-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $50,833.91 $153,320.35 $74,980.01 2026-05-13
10 MS_DRG Pancreas Transplant 17 12 — — $55,475.62 $167,320.25 $74,892.09 2026-05-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $48,499.36 $161,166.73 $74,868.38 2026-05-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $50,649.11 $152,763.06 $74,707.44 2026-05-13
3084 OTHER Hip And Femur Fracture Repair 18 7 — — $22,327.68 $74,569.02 $74,569.02 2026-05-13
1833 OTHER Percutaneous Structural Cardiac Procedures 17 7 — — $22,305.82 $74,455.37 $74,455.37 2026-05-13
4484 OTHER Other Kidney, Urinary Tract And Related Percutaneous Procedures 15 6 — — $74,022.53 $74,022.53 $74,022.53 2026-05-13
1782 OTHER External Heart Assist Systems 17 7 — — $26,944.82 $73,715.50 $73,715.50 2026-05-13
5204 OTHER Other GYN Procedures For Malignancy 15 6 — — $73,420.43 $73,420.43 $73,420.43 2026-05-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $49,746.90 $150,041.89 $73,376.68 2026-05-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $47,231.41 $156,953.23 $72,911.04 2026-05-13
Q0480 HCPCS Driver Pneumatic Vad- Rep 31 11 — — $58,277.79 $206,581.72 $72,648.53 2026-05-13
6082 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 7 — — $16,863.49 $71,420.76 $71,420.76 2026-05-13
1824 OTHER Other Peripheral Vascular Procedures 18 7 — — $27,752.84 $70,195.10 $70,195.10 2026-05-13
6213 OTHER Neonate Bwt 2000-2499g W Major Anomaly 18 7 — — $9,319.14 $70,070.79 $70,070.79 2026-05-13
5662812 OTHER Plug Vascular Amplatzer Amulet 25mm 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627329 OTHER Valve Heart Sapien Ultra 23mm (thv) W/commander System 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5661906 OTHER Defibrillator Cobalt Xt Hf Crt-d MRI Surescan Dual Chamber 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5629148 OTHER Generator Implantable Pulse 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5628992 OTHER Defib Vigilant Cd X4 Crt-d Ra:is-1 Rv:df4 Lv:isr 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5639863 OTHER Defibrillator System Aurora Ev-icd Dvea3e4 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627328 OTHER Valve Heart Sapien Ultra 20mm (thv) W/commander System 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5623956 OTHER System Proclaim 5 Elite Generator 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627330 OTHER Valve Heart Sapien Ultra 26mm (thv) W/commander System 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5623411 OTHER MRI Sensor Adaptivestim Intellis 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627181 OTHER Stent Tag Conform Thoracic Sg Ac 26mmx26mmx10cm 20fr 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5628610 OTHER Mitraclip G4 System 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627184 OTHER Stent Tag Conform Thoracic Sg Ac 28mmx28mmx10cm 20fr 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5633213 OTHER System Sapien 3 Ultra Resilia Thv 23mm 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5633769 OTHER Catheter Mitraclip G4 Steerable Guide 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5626838 OTHER Valve Evolut Fx 26mm 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5639959 OTHER Defibrillator Cobalt Xt Hf Quad Crt D MRI Surescan 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5627143 OTHER Device Impella Cp Smart Assit Cp C8 Optical 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5633215 OTHER System Sapien 3 Ultra Resilia Thv 29mm 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5639620 OTHER Wm Flx Pro Device Header 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5633730 OTHER Defibrillator Cobalt Xt Hf Quad Crt-d MRI Surescan 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5633214 OTHER System Sapien 3 Ultra Resilia Thv 26mm 28 18 $99,999.00 $64,999.35 35% off $19,999.80 $129,998.70 $69,999.30 2026-05-13
5628581 OTHER Crtd Cobalt Quad Hf MRI Is4 Df1 28 18 $99,960.00 $64,974.00 35% off $19,992.00 $129,948.00 $69,972.00 2026-05-13
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 12 — — $47,378.89 $142,899.70 $69,883.86 2026-05-13
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 18 7 — — $26,639.40 $69,722.43 $69,722.43 2026-05-13
6122 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 7 — — $17,277.12 $69,137.09 $69,137.09 2026-05-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $46,870.19 $141,365.40 $69,133.53 2026-05-13
6953 OTHER Chemotherapy For Acute Leukemia 18 7 — — $13,224.51 $69,037.41 $69,037.41 2026-05-13
6032 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 7 — — $23,566.51 $84,467.93 $68,755.81 2026-05-13
2064 OTHER Malfunction,reaction,complication Of Cardiac/vasc Device Or Procedure 18 7 — — $12,402.43 $68,672.66 $68,672.66 2026-05-13
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $46,450.40 $140,099.26 $68,514.34 2026-05-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $46,437.25 $140,059.62 $68,494.95 2026-05-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 12 — — $46,100.95 $139,045.30 $67,998.90 2026-05-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 12 — — $45,842.73 $138,266.49 $67,618.02 2026-05-13
1793 OTHER Defibrillator Implants 17 7 — — $22,414.57 $67,549.46 $67,549.46 2026-05-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 10 — — $36,154.63 $128,160.05 $67,452.66 2026-05-13
5627693 OTHER Conduit Konect Resilia Aortic Valved 23mm 28 18 $96,000.00 $62,400.00 35% off $19,200.00 $124,800.00 $67,200.00 2026-05-13
5627694 OTHER Conduit Konect Resilia Aortic Valved 27mm 28 18 $96,000.00 $62,400.00 35% off $19,200.00 $124,800.00 $67,200.00 2026-05-13
5627414 OTHER Valve Heart Conduit Konect Resilia Aortic 25mm 28 18 $96,000.00 $62,400.00 35% off $19,200.00 $124,800.00 $67,200.00 2026-05-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $45,370.37 $136,841.78 $66,921.30 2026-05-13
6071 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $11,620.42 $66,705.33 $66,705.33 2026-05-13
A9604 HCPCS Sm 153 Lexidronam 31 11 — — $2,312.79 $66,678.38 $66,678.38 2026-05-13
1673 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 18 7 — — $24,467.15 $66,541.14 $66,541.14 2026-05-13
233 OTHER Spinal Procedures 19 7 — — $67.20 $66,407.89 $66,407.89 2026-05-13
2244 OTHER Penicillin V Potassium 500 Mg Tab 23 8 $25.00 $16.25 35% off $25.00 $66,397.62 $66,397.62 2026-05-13
8022 OTHER Polatuzumab Vedotin-piiq 140 Mg/7 Ml Inj 28 18 $94,740.29 $61,581.19 35% off $18,948.06 $123,162.38 $66,318.20 2026-05-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $42,952.51 $142,734.15 $66,305.71 2026-05-13
293 OTHER Other Percutaneous Intracranial Procedures 17 7 — — $21,364.60 $66,238.49 $66,238.49 2026-05-13
5640238 OTHER Micra Av2 Pacemaker System 28 18 $94,500.00 $61,425.00 35% off $18,900.00 $122,850.00 $66,150.00 2026-05-13
1924 OTHER Cardiac Catheterization For Other Non-coronary Conditions 18 7 — — $16,830.71 $66,086.72 $66,086.72 2026-05-13
1804 OTHER Other Circulatory System Procedures 18 7 — — $19,458.22 $65,886.11 $65,886.11 2026-05-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $44,585.68 $134,475.05 $65,763.88 2026-05-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 31 11 — — $29,625.96 $105,017.41 $65,732.65 2026-05-13
264 OTHER Other Nervous System And Related Procedures 19 7 — — $67.20 $65,432.59 $65,432.59 2026-05-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $44,301.15 $133,616.96 $65,344.19 2026-05-13
1603 OTHER Indomethacin 25 Mg Cap 23 8 $25.00 $16.25 35% off $25.00 $65,226.10 $65,226.10 2026-05-13
2294 OTHER Other Digestive System And Abdominal Procedures 18 7 — — $18,574.23 $65,179.74 $65,179.74 2026-05-13
3054 OTHER Amputation Of Lower Limb Except Toes 18 7 — — $19,890.07 $65,173.95 $65,173.95 2026-05-13
9123 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 18 7 — — $19,371.85 $65,116.56 $65,116.56 2026-05-13
2804 OTHER Alcoholic Liver Disease 18 7 — — $13,078.30 $65,080.29 $65,080.29 2026-05-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $44,063.04 $132,898.78 $64,992.99 2026-05-13
6333 OTHER Neonate Birthwt >2499g W Major Anomaly 18 7 — — $9,158.36 $64,851.31 $64,851.31 2026-05-13
50070224 OTHER Ipilimumab 200 Mg/40 Ml Inj 28 18 $92,151.00 $59,898.15 35% off $18,430.20 $119,796.30 $64,505.70 2026-05-13
6112 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 18 7 — — $13,897.78 $72,122.13 $64,275.23 2026-05-13
2234 OTHER Other Small And Large Bowel Procedures 18 7 — — $21,494.68 $64,136.78 $64,136.78 2026-05-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $43,463.90 $131,091.66 $64,109.26 2026-05-13
J9029 HCPCS Instill Adstiladrin- Tx Dose 30 11 — — $33,951.46 $120,350.33 $63,945.00 2026-05-13
9103 OTHER Craniotomy For Multiple Significant Trauma 18 7 — — $27,767.93 $63,841.42 $63,841.42 2026-05-13
494 OTHER Bacterial And Tuberculous Infections Of Nervous System 18 7 — — $20,608.61 $63,777.03 $63,777.03 2026-05-13
8632 OTHER Neonatal Aftercare 18 7 — — $13,048.65 $63,739.24 $63,739.24 2026-05-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $41,152.68 $136,753.18 $63,527.31 2026-05-13
9113 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 18 7 — — $16,366.60 $63,495.98 $63,495.98 2026-05-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $43,032.50 $129,790.54 $63,472.94 2026-05-13
1781 OTHER External Heart Assist Systems 17 7 — — $22,942.67 $63,427.05 $63,427.05 2026-05-13
4854 OTHER Prostatectomy Procedures 15 6 — — $63,155.40 $63,155.40 $63,155.40 2026-05-13
1414 OTHER Carmustine 7.7 Mg Implant Dev (per Box, Qty #8) 46 19 $104,632.00 $68,010.80 35% off $9,675.54 $136,021.60 $62,779.20 2026-05-13
2614 OTHER Major Biliary Tract Procedures 18 7 — — $30,126.45 $62,708.61 $62,708.61 2026-05-13
1663 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 18 7 — — $21,101.85 $62,661.22 $62,661.22 2026-05-13
1754 OTHER Percutaneous Coronary Intervention Without Ami 18 7 — — $23,422.39 $64,568.53 $62,534.12 2026-05-13
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 18 12 — — $42,292.65 $127,559.04 $62,381.67 2026-05-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 12 — — $42,232.33 $127,377.16 $62,292.69 2026-05-13
403 OTHER Spinal Disorders And Injuries 19 7 — — $233.00 $62,277.48 $62,277.48 2026-05-13
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 18 12 — — $42,165.85 $127,176.63 $62,194.63 2026-05-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 12 — — $41,997.32 $126,668.31 $61,946.04 2026-05-13
3123 OTHER Megestrol 40 Mg Tab 23 8 $25.00 $16.25 35% off $25.00 $61,869.17 $61,869.17 2026-05-13
6312 OTHER Neonate Birthwt >2499g W Other Major Procedure 18 7 — — $12,286.41 $61,660.06 $61,660.06 2026-05-13
504 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 18 7 — — $33,133.27 $61,559.03 $61,559.03 2026-05-13
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 18 7 — — $38,350.47 $61,349.82 $61,349.82 2026-05-13
See an error in this hospital's data? Submit a correction