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

NORTHWEST HEALTH - PORTER

Valparaiso, IN · CCN 150035 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $1,387 across 50 payers · range $185-$19,165

Source: https://www.nwhealthporter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/208473972_northwest-health-porter_standardcharges.csv · observed 2026-07-15

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

5,549 distinct procedures filed
53 distinct payers
259,282 rate rows
2026-07-15 last MRF observed
Data quality

235,860 of 259,282 rate rows are consumer-grade (91.0%)

23,422 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,062
per-diem day rate — not a per-procedure price 5,471
placeholder amount (≤ $0.02) — excluded from medians 1,667
template filing: same amount across many unrelated codes — excluded 202
exceeds 10× this hospital's gross charge — excluded from medians 17
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nwhealthporter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/208473972_northwest-health-porter_standardcharges.csv
Found on page https://www.nwhealthporter.com/pricing-information
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint 92fcefaafb6d72c2… · 599,888,436 bytes · first seen 2026-05-09

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
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $647,979.12 $647,979.12 $647,979.12 nat. median
$123,836
outlier · 5.2×
5833
APR_DRG 		Neonate With Ecmo 9 $588,944.20 $588,944.20 $588,944.20 nat. median
$244,017
outlier · 2.4×
5834
APR_DRG 		Neonate With Ecmo 9 $588,944.20 $588,944.20 $588,944.20 nat. median
$307,206
1.9× median
5831
APR_DRG 		Neonate With Ecmo 9 $558,502.30 $558,502.30 $558,502.30 nat. median
$146,500
outlier · 3.8×
5832
APR_DRG 		Neonate With Ecmo 9 $558,502.30 $558,502.30 $558,502.30 nat. median
$159,249
outlier · 3.5×
24
APR_DRG 		Heart And/or Lung Transplant 9 $537,458.68 $537,458.68 $537,458.68 nat. median
$241,437
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $503,124.62 $503,124.62 $503,124.62 nat. median
$247,214
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $469,930.95 $469,930.95 $469,930.95 nat. median
$202,993
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $469,136.53 $469,136.53 $469,136.53 nat. median
$133,164
outlier · 3.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $292,556.34 $924,501.11 $455,463.33 nat. median
$359,454
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $396,403.43 $396,403.43 $396,403.43 nat. median
$175,204
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $393,435.20 $393,435.20 $393,435.20 nat. median
$122,016
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $378,177.99 $378,177.99 $378,177.99 nat. median
$67,735
outlier · 5.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $211,042.52 $600,172.69 $340,826.67 nat. median
$249,036
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $333,375.47 $333,375.47 $333,375.47 nat. median
$170,082
2.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $332,614.53 $332,614.53 $332,614.53 nat. median
$162,342
outlier · 2.0×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $328,688.97 $328,688.97 $328,688.97 nat. median
$136,566
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $317,330.38 $317,330.38 $317,330.38 nat. median
$151,838
outlier · 2.1×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $304,837.81 $304,837.81 $304,837.81 nat. median
$67,994
outlier · 4.5×
1613
APR_DRG 		Implantable Heart Assist Systems 9 $303,870.59 $303,870.59 $303,870.59 nat. median
$120,517
outlier · 2.5×
1612
APR_DRG 		Implantable Heart Assist Systems 9 $303,851.24 $303,851.24 $303,851.24 nat. median
$84,880
outlier · 3.6×
1611
APR_DRG 		Implantable Heart Assist Systems 9 $302,838.59 $302,838.59 $302,838.59 nat. median
$76,852
outlier · 3.9×
23
APR_DRG 		Heart And/or Lung Transplant 7 $295,712.02 $295,712.02 $295,712.02 nat. median
$110,944
outlier · 2.7×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $294,207.35 $294,207.35 $294,207.35 nat. median
$120,208
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $294,207.35 $294,207.35 $294,207.35 nat. median
$145,061
outlier · 2.0×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $281,118.69 $281,118.69 $281,118.69 nat. median
$1
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $263,883.82 $263,883.82 $263,883.82 nat. median
$380,401
0.7× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $259,835.61 $259,835.61 $259,835.61 nat. median
$39,056
outlier · 6.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $250,369.68 $250,369.68 $250,369.68 nat. median
$165,000
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $245,243.37 $245,243.37 $245,243.37 nat. median
$118,620
outlier · 2.1×
22
APR_DRG 		Heart And/or Lung Transplant 7 $243,586.70 $243,586.70 $243,586.70 nat. median
$92,229
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $242,358.25 $242,358.25 $242,358.25 nat. median
$98,624
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $235,523.02 $235,523.02 $235,523.02 nat. median
$154,011
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $228,748.68 $228,748.68 $228,748.68 nat. median
$81,521
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $227,390.60 $227,390.60 $227,390.60 nat. median
$163,587
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $144,767.75 $457,393.68 $225,693.15 nat. median
$198,418
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $143,919.57 $454,712.88 $224,374.46 nat. median
$190,559
1.2× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $220,943.88 $220,943.88 $220,943.88 nat. median
$89,273
outlier · 2.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $219,132.78 $219,132.78 $219,132.78 nat. median
$96,883
outlier · 2.3×
22842
CPT 		Insert Spine Fixation Device 19 $543.00 $374,884.35 $217,120.52 nat. median
$2,369
outlier · 91.7×
21
APR_DRG 		Heart And/or Lung Transplant 7 $217,018.03 $217,018.03 $217,018.03 nat. median
$73,922
outlier · 2.9×
7
MS_DRG 		Lung Transplant 25 $157,500.33 $544,334.07 $213,673.39 nat. median
$117,974
1.8× median
33990
CPT 		Insj Perq Vad L Hrt Arterial 19 $283.63 $347,155.96 $201,061.16 nat. median
$4,381
outlier · 45.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $199,957.70 $199,957.70 $199,957.70 nat. median
$74,757
outlier · 2.7×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $198,437.33 $198,437.33 $198,437.33 nat. median
$66,446
outlier · 3.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $191,842.30 $191,842.30 $191,842.30 nat. median
$108,695
1.8× median
63053
CPT 		Lam Factc/frmt Arthrd Lum Ea 18 $180.98 $325,181.45 $189,689.18 nat. median
$1,895
outlier · 100.1×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 $186,758.52 $186,758.52 $186,758.52 nat. median
$66,667
outlier · 2.8×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 $181,159.91 $181,159.91 $181,159.91 nat. median
$80,771
outlier · 2.2×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $180,772.13 $180,772.13 $180,772.13 nat. median
$73,704
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 5,549 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $647,979.12 $647,979.12 $647,979.12 2026-07-15
5833 APR_DRG Neonate With Ecmo 11 9 — — $588,944.20 $588,944.20 $588,944.20 2026-07-15
5834 APR_DRG Neonate With Ecmo 11 9 — — $588,944.20 $588,944.20 $588,944.20 2026-07-15
5831 APR_DRG Neonate With Ecmo 11 9 — — $558,502.30 $558,502.30 $558,502.30 2026-07-15
5832 APR_DRG Neonate With Ecmo 11 9 — — $558,502.30 $558,502.30 $558,502.30 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 11 9 — — $537,458.68 $537,458.68 $537,458.68 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $503,124.62 $503,124.62 $503,124.62 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 11 9 — — $469,930.95 $469,930.95 $469,930.95 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 9 — — $469,136.53 $469,136.53 $469,136.53 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 29 — — $292,556.34 $924,501.11 $455,463.33 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $396,403.43 $396,403.43 $396,403.43 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $393,435.20 $393,435.20 $393,435.20 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $378,177.99 $378,177.99 $378,177.99 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 25 — — $211,042.52 $600,172.69 $340,826.67 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 — — $333,375.47 $333,375.47 $333,375.47 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $332,614.53 $332,614.53 $332,614.53 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 — — $328,688.97 $328,688.97 $328,688.97 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $317,330.38 $317,330.38 $317,330.38 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $304,837.81 $304,837.81 $304,837.81 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 11 9 — — $303,870.59 $303,870.59 $303,870.59 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 11 9 — — $303,851.24 $303,851.24 $303,851.24 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 11 9 — — $302,838.59 $302,838.59 $302,838.59 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 7 — — $295,712.02 $295,712.02 $295,712.02 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 11 9 — — $294,207.35 $294,207.35 $294,207.35 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 9 — — $294,207.35 $294,207.35 $294,207.35 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $281,118.69 $281,118.69 $281,118.69 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $263,883.82 $263,883.82 $263,883.82 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $259,835.61 $259,835.61 $259,835.61 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 9 — — $250,369.68 $250,369.68 $250,369.68 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $245,243.37 $245,243.37 $245,243.37 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 7 — — $243,586.70 $243,586.70 $243,586.70 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 9 — — $242,358.25 $242,358.25 $242,358.25 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $235,523.02 $235,523.02 $235,523.02 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 — — $228,748.68 $228,748.68 $228,748.68 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 9 — — $227,390.60 $227,390.60 $227,390.60 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 29 — — $144,767.75 $457,393.68 $225,693.15 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 29 — — $143,919.57 $454,712.88 $224,374.46 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 — — $220,943.88 $220,943.88 $220,943.88 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $219,132.78 $219,132.78 $219,132.78 2026-07-15
22842 CPT Insert Spine Fixation Device 28 19 $446,290.89 $120,498.54 73% off $543.00 $374,884.35 $217,120.52 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 7 — — $217,018.03 $217,018.03 $217,018.03 2026-07-15
7 MS_DRG Lung Transplant 27 25 — — $157,500.33 $544,334.07 $213,673.39 2026-07-15
33990 CPT Insj Perq Vad L Hrt Arterial 28 19 $413,280.91 $111,585.85 73% off $283.63 $347,155.96 $201,061.16 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $199,957.70 $199,957.70 $199,957.70 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 7 — — $198,437.33 $198,437.33 $198,437.33 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $191,842.30 $191,842.30 $191,842.30 2026-07-15
63053 CPT Lam Factc/frmt Arthrd Lum Ea 27 18 $387,120.77 $104,522.61 73% off $180.98 $325,181.45 $189,689.18 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 9 — — $186,758.52 $186,758.52 $186,758.52 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 9 — — $181,159.91 $181,159.91 $181,159.91 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 — — $180,772.13 $180,772.13 $180,772.13 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 9 — — $180,120.92 $180,120.92 $180,120.92 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $172,990.93 $172,990.93 $172,990.93 2026-07-15
63052 CPT Lam Facetc/frmt Arthrd Lum 1 27 18 $351,756.57 $94,974.27 73% off $203.23 $295,475.52 $172,360.72 2026-07-15
64 APR_DRG Pancreas Transplant 9 7 — — $171,455.28 $171,455.28 $171,455.28 2026-07-15
63 APR_DRG Pancreas Transplant 9 7 — — $171,455.28 $171,455.28 $171,455.28 2026-07-15
62 APR_DRG Pancreas Transplant 9 7 — — $171,455.28 $171,455.28 $171,455.28 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 9 — — $169,641.18 $169,641.18 $169,641.18 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $167,555.65 $167,555.65 $167,555.65 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 — — $166,227.07 $166,227.07 $166,227.07 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 7 — — $166,222.61 $166,222.61 $166,222.61 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 7 — — $166,061.36 $166,061.36 $166,061.36 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 9 — — $157,422.04 $157,422.04 $157,422.04 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $153,859.46 $153,859.46 $153,859.46 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 9 — — $152,229.56 $152,229.56 $152,229.56 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 9 — — $151,921.76 $151,921.76 $151,921.76 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 9 — — $150,780.11 $150,780.11 $150,780.11 2026-07-15
8634 APR_DRG Neonatal Aftercare 11 9 — — $150,117.29 $150,117.29 $150,117.29 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 9 — — $149,016.91 $149,016.91 $149,016.91 2026-07-15
22840 CPT Insert Spine Fixation Device 28 19 $305,758.29 $82,554.74 73% off $543.00 $256,836.96 $148,751.40 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $147,993.49 $147,993.49 $147,993.49 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 29 — — $94,004.38 $296,948.64 $146,770.22 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 11 9 — — $143,859.47 $143,859.47 $143,859.47 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 9 — — $142,378.87 $142,378.87 $142,378.87 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 9 — — $141,031.91 $141,031.91 $141,031.91 2026-07-15
4404 APR_DRG Kidney Transplant 11 9 — — $140,057.84 $140,057.84 $140,057.84 2026-07-15
4403 APR_DRG Kidney Transplant 11 9 — — $138,967.79 $138,967.79 $138,967.79 2026-07-15
4402 APR_DRG Kidney Transplant 11 9 — — $138,883.94 $138,883.94 $138,883.94 2026-07-15
4401 APR_DRG Kidney Transplant 11 9 — — $138,825.89 $138,825.89 $138,825.89 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 11 9 — — $138,009.22 $138,009.22 $138,009.22 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 25 — — $85,494.51 $243,041.11 $137,817.35 2026-07-15
20931 CPT Spinal Bone Allograft 28 19 $280,745.29 $75,801.23 73% off $86.63 $235,826.04 $136,582.59 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $135,568.66 $135,568.66 $135,568.66 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $134,562.75 $134,562.75 $134,562.75 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 9 — — $134,367.74 $134,367.74 $134,367.74 2026-07-15
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 9 — — $134,367.74 $134,367.74 $134,367.74 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 9 — — $133,236.70 $133,236.70 $133,236.70 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 11 9 — — $132,125.87 $132,125.87 $132,125.87 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 9 — — $131,273.94 $131,273.94 $131,273.94 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 9 — — $131,271.86 $131,271.86 $131,271.86 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 9 — — $127,924.41 $127,924.41 $127,924.41 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 9 — — $127,924.41 $127,924.41 $127,924.41 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $127,441.76 $127,441.76 $127,441.76 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 25 — — $77,812.91 $221,190.19 $125,396.30 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 9 — — $125,385.71 $125,385.71 $125,385.71 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 11 9 — — $124,923.91 $124,923.91 $124,923.91 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 7 — — $122,893.92 $122,893.92 $122,893.92 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $122,184.42 $122,184.42 $122,184.42 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 — — $120,077.11 $120,077.11 $120,077.11 2026-07-15
20930 CPT Spinal Bone Allograft 26 17 $244,414.54 $65,991.93 73% off $397.89 $205,308.21 $120,007.54 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 9 — — $119,929.30 $119,929.30 $119,929.30 2026-07-15
49617 CPT Rpr Aa Hrn Rcr > 10 Rdc 40 27 $203,976.64 $55,073.69 73% off $728.49 $171,340.38 $119,326.35 2026-07-15
20936 CPT Spinal Bone Autograft 26 17 $242,393.07 $65,446.13 73% off $467.51 $203,610.18 $119,014.99 2026-07-15
1784 APR_DRG External Heart Assist Systems 11 9 — — $118,390.37 $118,390.37 $118,390.37 2026-07-15
22853 CPT Insj Biomechanical Device 28 19 $240,731.35 $64,997.46 73% off $202.60 $202,214.33 $117,115.80 2026-07-15
37229 CPT Tib/per Revasc W/ather 29 20 $232,378.62 $62,742.23 73% off $1,188.75 $195,198.04 $116,189.31 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 9 — — $116,133.18 $116,133.18 $116,133.18 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 9 — — $115,963.34 $115,963.34 $115,963.34 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 32 29 — — $73,850.25 $233,248.56 $115,436.15 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 9 — — $115,169.99 $115,169.99 $115,169.99 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $114,623.02 $114,623.02 $114,623.02 2026-07-15
8633 APR_DRG Neonatal Aftercare 11 9 — — $113,807.97 $113,807.97 $113,807.97 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 11 9 — — $113,743.82 $113,743.82 $113,743.82 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 9 — — $112,777.42 $112,777.42 $112,777.42 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $112,195.05 $112,195.05 $112,195.05 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 11 9 — — $111,911.47 $111,911.47 $111,911.47 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 11 9 — — $111,739.26 $111,739.26 $111,739.26 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 11 9 — — $111,363.86 $111,363.86 $111,363.86 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 9 — — $111,276.39 $111,276.39 $111,276.39 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 9 — — $111,053.89 $111,053.89 $111,053.89 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 11 9 — — $110,819.19 $110,819.19 $110,819.19 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $109,899.76 $109,899.76 $109,899.76 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 9 — — $109,627.95 $109,627.95 $109,627.95 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 11 9 — — $107,954.58 $107,954.58 $107,954.58 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $104,674.53 $104,674.53 $104,674.53 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 11 9 — — $104,651.81 $104,651.81 $104,651.81 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 11 9 — — $103,777.96 $103,777.96 $103,777.96 2026-07-15
22552 CPT Arthrd Ant Ntrbd Cervical Ea 28 19 $213,277.58 $57,584.95 73% off $311.80 $179,153.17 $103,759.54 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 9 — — $102,054.57 $102,054.57 $102,054.57 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 11 9 — — $101,277.72 $101,277.72 $101,277.72 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 9 — — $101,038.94 $101,038.94 $101,038.94 2026-07-15
22845 CPT Insert Spine Fixation Device 28 19 $206,773.93 $55,828.96 73% off $543.00 $173,690.10 $100,595.52 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 11 9 — — $100,576.91 $100,576.91 $100,576.91 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 28 26 — — $38,882.04 $257,720.41 $98,146.93 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $98,064.99 $98,064.99 $98,064.99 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 9 — — $97,549.52 $97,549.52 $97,549.52 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 9 — — $97,374.00 $97,374.00 $97,374.00 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 11 9 — — $97,069.40 $97,069.40 $97,069.40 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 11 9 — — $97,040.10 $97,040.10 $97,040.10 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 9 — — $96,948.30 $96,948.30 $96,948.30 2026-07-15
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 11 9 — — $96,872.40 $96,872.40 $96,872.40 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $96,758.04 $96,758.04 $96,758.04 2026-07-15
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $96,758.04 $96,758.04 $96,758.04 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 9 — — $96,758.04 $96,758.04 $96,758.04 2026-07-15
37237 CPT Open/perq Place Stent Ea Add 28 19 $197,643.61 $53,363.77 73% off $169.37 $166,020.63 $96,153.61 2026-07-15
6903 APR_DRG Acute Leukemia 11 9 — — $95,802.54 $95,802.54 $95,802.54 2026-07-15
6904 APR_DRG Acute Leukemia 11 9 — — $95,802.54 $95,802.54 $95,802.54 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 9 — — $94,985.80 $94,985.80 $94,985.80 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 9 — — $94,520.97 $94,520.97 $94,520.97 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $93,687.08 $93,687.08 $93,687.08 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 11 9 — — $93,332.37 $93,332.37 $93,332.37 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 9 — — $93,047.62 $93,047.62 $93,047.62 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 — — $92,323.37 $92,323.37 $92,323.37 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 11 9 — — $92,232.30 $92,232.30 $92,232.30 2026-07-15
215 MS_DRG Other Heart Assist System Implant 34 29 — — $67,642.16 $213,626.99 $91,805.67 2026-07-15
50400 CPT Revision Of Kidney/ureter 30 20 $194,089.00 $52,404.03 73% off $968.92 $163,034.76 $90,542.52 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $90,453.59 $90,453.59 $90,453.59 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 9 — — $90,448.37 $90,448.37 $90,448.37 2026-07-15
1783 APR_DRG External Heart Assist Systems 11 9 — — $90,339.64 $90,339.64 $90,339.64 2026-07-15
234 APR_DRG Spinal Procedures 11 9 — — $90,204.57 $90,204.57 $90,204.57 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 29 — — $57,125.43 $180,387.33 $89,433.71 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 9 — — $89,298.56 $89,298.56 $89,298.56 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 30 28 — — $60,225.76 $273,655.62 $88,703.89 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 9 — — $88,620.13 $88,620.13 $88,620.13 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 9 — — $88,491.13 $88,491.13 $88,491.13 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 9 — — $87,793.50 $87,793.50 $87,793.50 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 11 9 — — $87,568.42 $87,568.42 $87,568.42 2026-07-15
10 MS_DRG Pancreas Transplant 27 25 — — $54,234.81 $154,120.35 $87,270.86 2026-07-15
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 11 9 — — $85,912.30 $85,912.30 $85,912.30 2026-07-15
1794 APR_DRG Defibrillator Implants 11 9 — — $85,673.79 $85,673.79 $85,673.79 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 11 9 — — $85,568.88 $85,568.88 $85,568.88 2026-07-15
33225 CPT L Ventric Pacing Lead Add-on 39 28 $307,050.72 $82,903.69 73% off $357.33 $257,922.60 $85,360.10 2026-07-15
274 APR_DRG Other Open Craniotomy 11 9 — — $84,403.30 $84,403.30 $84,403.30 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 30 — — $38,588.00 $209,899.91 $84,062.16 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 29 — — $53,506.59 $168,949.43 $83,807.40 2026-07-15
37226 CPT Fem/popl Revasc W/stent 29 20 $167,317.13 $45,175.63 73% off $882.98 $140,546.39 $83,658.57 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 11 9 — — $83,239.52 $83,239.52 $83,239.52 2026-07-15
37232 CPT Tib/per Revasc Add-on 29 20 $165,543.35 $44,696.70 73% off $341.24 $139,056.41 $82,771.68 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $82,468.45 $82,468.45 $82,468.45 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 11 9 — — $81,963.38 $81,963.38 $81,963.38 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 29 — — $51,821.72 $163,624.17 $81,187.91 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 11 9 — — $80,814.58 $80,814.58 $80,814.58 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 7 — — $80,603.23 $80,603.23 $80,603.23 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 7 — — $80,551.63 $80,551.63 $80,551.63 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 9 — — $79,950.34 $79,950.34 $79,950.34 2026-07-15
6902 APR_DRG Acute Leukemia 11 9 — — $79,314.45 $79,314.45 $79,314.45 2026-07-15
4414 APR_DRG Major Bladder Procedures 11 9 — — $79,252.26 $79,252.26 $79,252.26 2026-07-15
64486 CPT Tap Block Unil By Injection 28 19 $162,644.54 $43,914.03 73% off $46.42 $136,621.41 $79,126.57 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 9 — — $78,591.47 $78,591.47 $78,591.47 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 11 9 — — $78,448.14 $78,448.14 $78,448.14 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 11 9 — — $78,298.23 $78,298.23 $78,298.23 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 9 — — $78,058.12 $78,058.12 $78,058.12 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 11 9 — — $77,900.70 $77,900.70 $77,900.70 2026-07-15
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 11 9 — — $77,121.40 $77,121.40 $77,121.40 2026-07-15
37222 CPT Iliac Revasc Add-on 29 20 $154,048.53 $41,593.10 73% off $315.79 $129,400.77 $77,024.26 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 9 — — $76,940.27 $76,940.27 $76,940.27 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 9 — — $76,935.52 $76,935.52 $76,935.52 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 11 9 — — $76,544.35 $76,544.35 $76,544.35 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 11 9 — — $76,239.22 $76,239.22 $76,239.22 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 29 — — $48,508.16 $153,151.18 $76,036.25 2026-07-15
37215 CPT Transcath Stent Cca W/eps 30 20 $162,883.60 $43,978.57 73% off $798.69 $136,822.22 $75,985.20 2026-07-15
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $75,527.18 $75,527.18 $75,527.18 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 11 9 — — $75,266.96 $75,266.96 $75,266.96 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair 11 9 — — $74,569.02 $74,569.02 $74,569.02 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 11 9 — — $74,455.37 $74,455.37 $74,455.37 2026-07-15
37221 CPT Iliac Revasc W/stent 29 20 $148,465.50 $40,085.69 73% off $839.31 $124,711.02 $74,232.75 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 29 — — $47,028.39 $148,474.16 $73,735.63 2026-07-15
1782 APR_DRG External Heart Assist Systems 11 9 — — $73,715.50 $73,715.50 $73,715.50 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 29 — — $46,798.91 $147,748.83 $73,378.85 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 9 — — $72,944.62 $72,944.62 $72,944.62 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 30 — — $35,280.00 $180,954.29 $72,469.82 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 29 — — $45,805.19 $144,608.06 $71,833.88 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 9 — — $71,827.10 $71,827.10 $71,827.10 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 9 — — $71,420.76 $71,420.76 $71,420.76 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $71,077.02 $71,077.02 $71,077.02 2026-07-15
215 OTHER Other Heart Assist System Implant 1 1 — — $70,841.20 $70,841.20 $70,841.20 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 11 9 — — $70,758.66 $70,758.66 $70,758.66 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 26 — — $40,380.30 $127,461.90 $70,260.35 2026-07-15
1824 APR_DRG Other Peripheral Vascular And Related Procedures 11 9 — — $70,195.10 $70,195.10 $70,195.10 2026-07-15
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 9 — — $70,070.79 $70,070.79 $70,070.79 2026-07-15
64473 CPT Lwr Xtr Fscl Pln Blk Uni Njx 27 18 $142,791.66 $38,553.75 73% off $52.21 $119,944.99 $69,967.91 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 11 9 — — $69,722.43 $69,722.43 $69,722.43 2026-07-15
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $69,137.09 $69,137.09 $69,137.09 2026-07-15
6953 APR_DRG Chemotherapy For Acute Leukemia 11 9 — — $69,037.41 $69,037.41 $69,037.41 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 9 — — $68,755.81 $68,755.81 $68,755.81 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 29 — — $43,798.78 $138,266.48 $68,714.48 2026-07-15
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 11 9 — — $68,672.66 $68,672.66 $68,672.66 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 25 — — $42,417.93 $120,506.30 $68,163.15 2026-07-15
37228 CPT Tib/per Revasc W/tla 29 20 $135,448.20 $36,571.01 73% off $922.19 $113,776.49 $67,724.10 2026-07-15
1793 APR_DRG Defibrillator Implants 11 9 — — $67,549.46 $67,549.46 $67,549.46 2026-07-15
37220 CPT Iliac Revasc 29 20 $134,891.63 $36,420.74 73% off $682.73 $113,308.97 $67,445.82 2026-07-15
37225 CPT Fem/popl Revas W/ather 29 20 $133,564.31 $36,062.36 73% off $1,022.59 $112,194.02 $66,782.15 2026-07-15
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 9 — — $66,705.33 $66,705.33 $66,705.33 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 9 — — $66,541.14 $66,541.14 $66,541.14 2026-07-15
233 APR_DRG Spinal Procedures 11 9 — — $66,407.89 $66,407.89 $66,407.89 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 11 9 — — $66,397.62 $66,397.62 $66,397.62 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 29 — — $44,199.97 $138,845.81 $66,315.10 2026-07-15
734 APR_DRG Orbit And Eye Procedures 11 9 — — $66,312.82 $66,312.82 $66,312.82 2026-07-15
293 APR_DRG Other Percutaneous Intracranial Procedures 11 9 — — $66,238.49 $66,238.49 $66,238.49 2026-07-15
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 11 9 — — $66,086.72 $66,086.72 $66,086.72 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 30 — — $37,097.00 $164,873.64 $66,029.73 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 11 9 — — $65,886.11 $65,886.11 $65,886.11 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 30 — — $32,104.00 $164,165.43 $65,746.10 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 29 — — $41,725.36 $131,713.14 $65,490.88 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 11 9 — — $65,432.59 $65,432.59 $65,432.59 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 9 — — $65,226.10 $65,226.10 $65,226.10 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 11 9 — — $65,179.74 $65,179.74 $65,179.74 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 11 9 — — $65,173.95 $65,173.95 $65,173.95 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 11 9 — — $65,116.56 $65,116.56 $65,116.56 2026-07-15
2804 APR_DRG Alcoholic Liver Disease 11 9 — — $65,080.29 $65,080.29 $65,080.29 2026-07-15
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 9 — — $64,851.31 $64,851.31 $64,851.31 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $64,837.29 $64,837.29 $64,837.29 2026-07-15
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 9 — — $64,275.23 $64,275.23 $64,275.23 2026-07-15
J9029 HCPCS 55566-1050-01 - Nc -nadofaragene Firadenovec Vncg 23 21 $0.01 — $57,847.31 $154,259.50 $64,274.79 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 32 29 — — $40,912.37 $129,143.57 $64,226.90 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 32 29 — — $40,900.85 $129,107.17 $64,209.01 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 11 9 — — $64,136.78 $64,136.78 $64,136.78 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $63,841.42 $63,841.42 $63,841.42 2026-07-15
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 11 9 — — $63,777.03 $63,777.03 $63,777.03 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 29 — — $40,606.40 $128,176.52 $63,751.21 2026-07-15
8632 APR_DRG Neonatal Aftercare 11 9 — — $63,739.24 $63,739.24 $63,739.24 2026-07-15
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 9 — — $63,495.98 $63,495.98 $63,495.98 2026-07-15
1781 APR_DRG External Heart Assist Systems 11 9 — — $63,427.05 $63,427.05 $63,427.05 2026-07-15
64488 CPT Tap Block Bi Injection 28 19 $130,029.66 $35,108.01 73% off $54.21 $109,224.91 $63,259.43 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 11 9 — — $63,111.68 $63,111.68 $63,111.68 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 29 — — $39,940.98 $126,073.35 $62,716.67 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 11 9 — — $62,708.61 $62,708.61 $62,708.61 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 9 — — $62,661.22 $62,661.22 $62,661.22 2026-07-15
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 11 9 — — $62,534.12 $62,534.12 $62,534.12 2026-07-15
403 APR_DRG Spinal Disorders And Injuries 11 9 — — $62,277.48 $62,277.48 $62,277.48 2026-07-15
404 APR_DRG Spinal Disorders And Injuries 11 9 — — $62,277.48 $62,277.48 $62,277.48 2026-07-15
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 11 9 — — $61,869.17 $61,869.17 $61,869.17 2026-07-15
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 9 — — $61,660.06 $61,660.06 $61,660.06 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 11 9 — — $61,559.03 $61,559.03 $61,559.03 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 11 9 — — $61,349.82 $61,349.82 $61,349.82 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 29 — — $39,030.52 $123,195.70 $61,301.14 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 29 — — $38,822.02 $122,536.71 $60,976.99 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 — — $60,936.37 $60,936.37 $60,936.37 2026-07-15
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 9 — — $60,877.12 $60,877.12 $60,877.12 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 9 — — $60,862.60 $60,862.60 $60,862.60 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 11 9 — — $60,388.22 $60,388.22 $60,388.22 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $60,339.48 $60,339.48 $60,339.48 2026-07-15
4034 APR_DRG Procedures For Obesity 11 9 — — $60,156.30 $60,156.30 $60,156.30 2026-07-15
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 11 9 — — $60,046.08 $60,046.08 $60,046.08 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 29 — — $48,794.49 $154,056.18 $59,905.46 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 29 — — $44,588.76 $140,763.36 $59,670.53 2026-07-15
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 11 9 — — $59,372.64 $59,372.64 $59,372.64 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 29 — — $37,627.24 $118,760.43 $59,119.44 2026-07-15
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 11 9 — — $59,072.93 $59,072.93 $59,072.93 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 11 9 — — $59,064.33 $59,064.33 $59,064.33 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 27 — — $16,368.90 $153,241.03 $58,999.04 2026-07-15
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 9 — — $58,642.72 $58,642.72 $58,642.72 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 29 — — $37,271.86 $117,637.21 $58,566.93 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 9 — — $58,534.65 $58,534.65 $58,534.65 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 29 — — $37,160.85 $117,286.35 $58,394.34 2026-07-15
37224 CPT Fem/popl Revas W/tla 29 20 $116,670.12 $31,500.93 73% off $757.24 $98,002.90 $58,335.06 2026-07-15
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 11 9 — — $58,099.48 $58,099.48 $58,099.48 2026-07-15
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 11 9 — — $58,094.37 $58,094.37 $58,094.37 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 11 9 — — $57,893.58 $57,893.58 $57,893.58 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery 11 9 — — $57,414.32 $57,414.32 $57,414.32 2026-07-15
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 11 9 — — $57,366.69 $57,366.69 $57,366.69 2026-07-15
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