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

INDIANA UNIVERSITY HEALTH NORTH HOSPITAL

Carmel, IN · CCN 150161 · Rates published

27,210 distinct procedures filed
29 distinct payers
1,515,734 rate rows
2026-03-25 last MRF observed
Data quality

1,449,235 of 1,515,734 rate rows are consumer-grade (95.6%)

66,499 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 63,056
exceeds 10× this hospital's gross charge — excluded from medians 1,816
placeholder amount (≤ $0.02) — excluded from medians 1,455
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 172
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.iuhealth.org/resources/351932442_indiana-university-health-north-hospital-inc._standardcharges.zip
Found on page https://iuhealth.org/schedule-an-appointment/price-estimates/standard-charge-listing
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-16
Content fingerprint a76bd4d3aaa35a28… · 67,299,193 bytes · first seen 2026-06-15

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
56552177
CDM 		Delandistrogene Moxeparvovec Inj 22 $0.03 $4,694,976.00 $3,590,874.15 nat. median
$3,360,000
1.1× median
56508781
CDM 		Lovotibeglogene Autotemcel Inj 19 $0.03 $4,185,000.00 $3,348,000.00 nat. median
$3,255,000
1.0× median
56501190
CDM 		Betibeglogene Autotemcel Inj 19 $0.03 $4,108,104.00 $3,286,483.20 nat. median
$3,195,192
1.0× median
56507668
CDM 		Exagamglogene Autotemcel Inj 20 $979,029.15 $3,103,650.00 $2,434,641.00 nat. median
$2,434,641
1.0× median
56504608
CDM 		Afamitresgene Autoleucel Inj 23 $515,988.25 $1,635,750.00 $1,272,250.00 nat. median
$1,235,900
1.0× median
56507262
CDM 		Lifileucel Inj 20 $322,905.00 $1,453,072.50 $1,130,167.50 nat. median
$1,130,168
1.0× median
56504582
CDM 		Obecabtagene Autoleucel Inj 23 $268,285.50 $850,500.00 $661,500.00 nat. median
$642,600
1.0× median
52590841
CDM 		Tisagenlecleucel Inj (iv)(all) 19 $0.03 $820,908.99 $656,727.19 nat. median
$638,485
1.0× median
0114
APR_DRG 		4 $647,979.12 $647,979.12 $647,979.12 nat. median
$197,700
outlier · 3.3×
5833
APR_DRG 		4 $588,944.20 $588,944.20 $588,944.20 nat. median
$244,017
outlier · 2.4×
5834
APR_DRG 		4 $588,944.20 $588,944.20 $588,944.20 nat. median
$309,665
1.9× median
52597630
CDM 		Lisocabtagene Maraleucel Inj 22 $0.03 $717,323.04 $585,813.82 nat. median
$585,814
1.0× median
52599552
CDM 		Ciltacabtagene Autoleucel Inj 22 $0.03 $749,669.13 $583,075.96 nat. median
$583,076
1.0× median
52598240
CDM 		Idecabtagene Vicleucel Inj 22 $0.03 $713,221.79 $571,369.89 nat. median
$571,370
1.0× median
52594413
CDM 		Tisagenlecleucel Inj (iv)(dlbcl) 19 $0.03 $706,254.93 $565,003.94 nat. median
$549,309
1.0× median
5831
APR_DRG 		4 $558,502.30 $558,502.30 $558,502.30 nat. median
$144,745
outlier · 3.9×
5832
APR_DRG 		4 $558,502.30 $558,502.30 $558,502.30 nat. median
$156,126
outlier · 3.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $324,831.07 $2,260,749.13 $545,583.72 nat. median
$370,174
1.5× median
0024
APR_DRG 		4 $537,458.68 $537,458.68 $537,458.68 nat. median
$372,987
1.4× median
52590668
CDM 		Axicabtagene Ciloleucel Inj (iv) 22 $0.03 $679,833.00 $528,759.00 nat. median
$528,759
1.0× median
5884
APR_DRG 		4 $503,124.62 $503,124.62 $503,124.62 nat. median
$246,434
outlier · 2.0×
52596608
CDM 		Brexucabtagene Autoleucel Inj (iv) 22 $0.03 $623,700.00 $485,100.00 nat. median
$485,100
1.0× median
1614
APR_DRG 		4 $469,930.95 $469,930.95 $469,930.95 nat. median
$207,730
outlier · 2.3×
6314
APR_DRG 		4 $469,136.53 $469,136.53 $469,136.53 nat. median
$122,924
outlier · 3.8×
5883
APR_DRG 		4 $396,403.43 $396,403.43 $396,403.43 nat. median
$182,665
outlier · 2.2×
0044
APR_DRG 		4 $393,435.20 $393,435.20 $393,435.20 nat. median
$195,681
outlier · 2.0×
0113
APR_DRG 		4 $378,177.99 $378,177.99 $378,177.99 nat. median
$128,705
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $211,014.00 $1,467,135.24 $354,236.55 nat. median
$265,286
1.3× median
0074
APR_DRG 		4 $333,375.47 $333,375.47 $333,375.47 nat. median
$178,275
1.9× median
5914
APR_DRG 		4 $332,614.53 $332,614.53 $332,614.53 nat. median
$164,289
outlier · 2.0×
0014
APR_DRG 		4 $328,688.97 $328,688.97 $328,688.97 nat. median
$190,591
1.7× median
5934
APR_DRG 		4 $317,330.38 $317,330.38 $317,330.38 nat. median
$151,838
outlier · 2.1×
0112
APR_DRG 		4 $304,837.81 $304,837.81 $304,837.81 nat. median
$93,442
outlier · 3.3×
1613
APR_DRG 		4 $303,870.59 $303,870.59 $303,870.59 nat. median
$119,796
outlier · 2.5×
1612
APR_DRG 		4 $303,851.24 $303,851.24 $303,851.24 nat. median
$85,444
outlier · 3.6×
1611
APR_DRG 		4 $302,838.59 $302,838.59 $302,838.59 nat. median
$76,806
outlier · 3.9×
0023
APR_DRG 		4 $295,712.02 $295,712.02 $295,712.02 nat. median
$167,082
1.8× median
52780152
CDM 		Heartmate 23 $524.16 $385,630.20 $295,649.82 nat. median
$281,939
1.0× median
5881
APR_DRG 		4 $294,207.35 $294,207.35 $294,207.35 nat. median
$124,573
outlier · 2.4×
5882
APR_DRG 		4 $294,207.35 $294,207.35 $294,207.35 nat. median
$145,336
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $160,908.33 $1,117,762.73 $269,999.80 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $159,967.54 $1,111,202.90 $268,418.17 nat. median
$202,976
1.3× median
6094
APR_DRG 		4 $250,369.68 $250,369.68 $250,369.68 nat. median
$162,982
1.5× median
6024
APR_DRG 		4 $245,243.37 $245,243.37 $245,243.37 nat. median
$118,620
outlier · 2.1×
0022
APR_DRG 		4 $243,586.70 $243,586.70 $243,586.70 nat. median
$140,623
1.7× median
1604
APR_DRG 		4 $242,358.25 $242,358.25 $242,358.25 nat. median
$97,957
outlier · 2.5×
6304
APR_DRG 		4 $235,523.02 $235,523.02 $235,523.02 nat. median
$150,721
1.6× median
0054
APR_DRG 		4 $228,748.68 $228,748.68 $228,748.68 nat. median
$149,310
1.5× median
0094
APR_DRG 		4 $227,390.60 $227,390.60 $227,390.60 nat. median
$166,008
1.4× median
0073
APR_DRG 		4 $220,943.88 $220,943.88 $220,943.88 nat. median
$98,566
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 27,210 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
             
56552177 CDM Delandistrogene Moxeparvovec Inj 36 22 — $1,481,004.10 $0.03 $4,694,976.00 $3,590,874.15 2026-03-25
56508781 CDM Lovotibeglogene Autotemcel Inj 29 19 $4,650,000.00 $1,320,135.00 72% off $0.03 $4,185,000.00 $3,348,000.00 2026-03-25
56501190 CDM Betibeglogene Autotemcel Inj 29 19 $4,564,560.00 $1,295,878.58 72% off $0.03 $4,108,104.00 $3,286,483.20 2026-03-25
56507668 CDM Exagamglogene Autotemcel Inj 38 20 $3,448,500.00 $979,029.15 72% off $979,029.15 $3,103,650.00 $2,434,641.00 2026-03-25
56504608 CDM Afamitresgene Autoleucel Inj 45 23 $1,817,500.00 $515,988.25 72% off $515,988.25 $1,635,750.00 $1,272,250.00 2026-03-25
56507262 CDM Lifileucel Inj 37 20 $1,614,525.00 $458,363.65 72% off $322,905.00 $1,453,072.50 $1,130,167.50 2026-03-25
56504582 CDM Obecabtagene Autoleucel Inj 45 23 $945,000.00 $268,285.50 72% off $268,285.50 $850,500.00 $661,500.00 2026-03-25
52590841 CDM Tisagenlecleucel Inj (iv)(all) 29 19 $912,121.10 $258,951.18 72% off $0.03 $820,908.99 $656,727.19 2026-03-25
0114 APR_DRG — 7 4 — — $647,979.12 $647,979.12 $647,979.12 2026-03-25
5834 APR_DRG — 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
5833 APR_DRG — 7 4 — — $588,944.20 $588,944.20 $588,944.20 2026-03-25
52597630 CDM Lisocabtagene Maraleucel Inj 36 22 $797,025.60 $226,275.57 72% off $0.03 $717,323.04 $585,813.82 2026-03-25
52599552 CDM Ciltacabtagene Autoleucel Inj 36 22 $832,965.70 $236,478.96 72% off $0.03 $749,669.13 $583,075.96 2026-03-25
52598240 CDM Idecabtagene Vicleucel Inj 36 22 $792,468.65 $224,981.85 72% off $0.03 $713,221.79 $571,369.89 2026-03-25
52594413 CDM Tisagenlecleucel Inj (iv)(dlbcl) 29 19 $784,727.70 $222,784.19 72% off $0.03 $706,254.93 $565,003.94 2026-03-25
5832 APR_DRG — 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
5831 APR_DRG — 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 16 — — $324,831.07 $2,260,749.13 $545,583.72 2026-03-25
0024 APR_DRG — 7 4 — — $537,458.68 $537,458.68 $537,458.68 2026-03-25
52590668 CDM Axicabtagene Ciloleucel Inj (iv) 36 22 $755,370.00 $214,449.54 72% off $0.03 $679,833.00 $528,759.00 2026-03-25
5884 APR_DRG — 7 4 — — $503,124.62 $503,124.62 $503,124.62 2026-03-25
52596608 CDM Brexucabtagene Autoleucel Inj (iv) 36 22 $693,000.00 $196,742.70 72% off $0.03 $623,700.00 $485,100.00 2026-03-25
1614 APR_DRG — 7 4 — — $469,930.95 $469,930.95 $469,930.95 2026-03-25
6314 APR_DRG — 7 4 — — $469,136.53 $469,136.53 $469,136.53 2026-03-25
5883 APR_DRG — 7 4 — — $396,403.43 $396,403.43 $396,403.43 2026-03-25
0044 APR_DRG — 7 4 — — $393,435.20 $393,435.20 $393,435.20 2026-03-25
0113 APR_DRG — 7 4 — — $378,177.99 $378,177.99 $378,177.99 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 16 — — $211,014.00 $1,467,135.24 $354,236.55 2026-03-25
0074 APR_DRG — 7 4 — — $333,375.47 $333,375.47 $333,375.47 2026-03-25
5914 APR_DRG — 7 4 — — $332,614.53 $332,614.53 $332,614.53 2026-03-25
0014 APR_DRG — 7 4 — — $328,688.97 $328,688.97 $328,688.97 2026-03-25
5934 APR_DRG — 7 4 — — $317,330.38 $317,330.38 $317,330.38 2026-03-25
0112 APR_DRG — 7 4 — — $304,837.81 $304,837.81 $304,837.81 2026-03-25
1613 APR_DRG — 7 4 — — $303,870.59 $303,870.59 $303,870.59 2026-03-25
1612 APR_DRG — 7 4 — — $303,851.24 $303,851.24 $303,851.24 2026-03-25
1611 APR_DRG — 7 4 — — $302,838.59 $302,838.59 $302,838.59 2026-03-25
0023 APR_DRG — 7 4 — — $295,712.02 $295,712.02 $295,712.02 2026-03-25
52780152 CDM Heartmate 49 23 $428,478.00 $121,644.90 72% off $524.16 $385,630.20 $295,649.82 2026-03-25
5882 APR_DRG — 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
5881 APR_DRG — 7 4 — — $294,207.35 $294,207.35 $294,207.35 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 16 — — $160,908.33 $1,117,762.73 $269,999.80 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 16 — — $159,967.54 $1,111,202.90 $268,418.17 2026-03-25
6094 APR_DRG — 7 4 — — $250,369.68 $250,369.68 $250,369.68 2026-03-25
6024 APR_DRG — 7 4 — — $245,243.37 $245,243.37 $245,243.37 2026-03-25
0022 APR_DRG — 7 4 — — $243,586.70 $243,586.70 $243,586.70 2026-03-25
1604 APR_DRG — 7 4 — — $242,358.25 $242,358.25 $242,358.25 2026-03-25
6304 APR_DRG — 7 4 — — $235,523.02 $235,523.02 $235,523.02 2026-03-25
0054 APR_DRG — 7 4 — — $228,748.68 $228,748.68 $228,748.68 2026-03-25
0094 APR_DRG — 7 4 — — $227,390.60 $227,390.60 $227,390.60 2026-03-25
0073 APR_DRG — 7 4 — — $220,943.88 $220,943.88 $220,943.88 2026-03-25
6074 APR_DRG — 7 4 — — $219,132.78 $219,132.78 $219,132.78 2026-03-25
0021 APR_DRG — 7 4 — — $217,018.03 $217,018.03 $217,018.03 2026-03-25
0043 APR_DRG — 7 4 — — $199,957.70 $199,957.70 $199,957.70 2026-03-25
0072 APR_DRG — 7 4 — — $198,437.33 $198,437.33 $198,437.33 2026-03-25
5933 APR_DRG — 7 4 — — $191,842.30 $191,842.30 $191,842.30 2026-03-25
55729339 CDM Heartmate 49 23 $276,183.00 $78,408.35 72% off $524.16 $248,564.70 $190,566.27 2026-03-25
55727275 CDM Implant Hvad Pump 49 23 $273,585.00 $77,670.78 72% off $524.16 $246,226.50 $188,773.65 2026-03-25
8504 APR_DRG — 7 4 — — $186,758.52 $186,758.52 $186,758.52 2026-03-25
55747844 CDM Gammatile Therapy Device 49 23 $266,044.00 $75,529.89 72% off $524.16 $239,439.60 $183,570.36 2026-03-25
1624 APR_DRG — 7 4 — — $181,159.91 $181,159.91 $181,159.91 2026-03-25
0013 APR_DRG — 7 4 — — $180,772.13 $180,772.13 $180,772.13 2026-03-25
8514 APR_DRG — 7 4 — — $180,152.55 $180,152.55 $180,152.55 2026-03-25
3034 APR_DRG — 7 4 — — $180,120.92 $180,120.92 $180,120.92 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 16 — — $104,603.08 $725,162.34 $175,340.46 2026-03-25
6023 APR_DRG — 7 4 — — $172,990.93 $172,990.93 $172,990.93 2026-03-25
0063 APR_DRG — 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
0062 APR_DRG — 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
0064 APR_DRG — 7 4 — — $171,455.28 $171,455.28 $171,455.28 2026-03-25
6334 APR_DRG — 7 4 — — $169,641.18 $169,641.18 $169,641.18 2026-03-25
5932 APR_DRG — 7 4 — — $167,555.65 $167,555.65 $167,555.65 2026-03-25
0053 APR_DRG — 7 4 — — $166,227.07 $166,227.07 $166,227.07 2026-03-25
0084 APR_DRG — 7 4 — — $166,222.61 $166,222.61 $166,222.61 2026-03-25
0083 APR_DRG — 7 4 — — $166,061.36 $166,061.36 $166,061.36 2026-03-25
7 MS_DRG Lung Transplant 30 16 — — $97,836.63 $677,981.82 $163,964.82 2026-03-25
6093 APR_DRG — 7 4 — — $157,422.04 $157,422.04 $157,422.04 2026-03-25
6124 APR_DRG — 7 4 — — $153,859.46 $153,859.46 $153,859.46 2026-03-25
55747836 CDM Gammatile Therapy Device 49 23 $222,668.00 $63,215.45 72% off $524.16 $200,401.20 $153,640.92 2026-03-25
6114 APR_DRG — 7 4 — — $152,229.56 $152,229.56 $152,229.56 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 30 16 — — $90,836.68 $629,173.12 $152,196.62 2026-03-25
6092 APR_DRG — 7 4 — — $151,921.76 $151,921.76 $151,921.76 2026-03-25
6091 APR_DRG — 7 4 — — $150,780.11 $150,780.11 $150,780.11 2026-03-25
8634 APR_DRG — 7 4 — — $150,117.29 $150,117.29 $150,117.29 2026-03-25
6214 APR_DRG — 7 4 — — $149,016.91 $149,016.91 $149,016.91 2026-03-25
52760881 CDM Lung Acquisition-double 42 21 $210,810.00 $59,848.96 72% off $42,162.00 $189,729.00 $148,199.43 2026-03-25
5913 APR_DRG — 7 4 — — $147,993.49 $147,993.49 $147,993.49 2026-03-25
56329485 CDM Gemcitabine Ives Sys 225mg 45 22 $216,315.00 $61,411.83 72% off $37.28 $194,683.50 $145,363.68 2026-03-25
0914 APR_DRG — 7 4 — — $143,859.47 $143,859.47 $143,859.47 2026-03-25
58100025 CDM Kidney Acquisition-lrd 42 21 $204,309.00 $58,003.33 72% off $40,861.80 $183,878.10 $143,629.22 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 16 — — $85,685.25 $593,253.73 $143,536.15 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 30 16 — — $85,587.65 $592,573.14 $143,372.05 2026-03-25
3033 APR_DRG — 7 4 — — $142,378.87 $142,378.87 $142,378.87 2026-03-25
9504 APR_DRG — 7 4 — — $141,031.91 $141,031.91 $141,031.91 2026-03-25
4404 APR_DRG — 7 4 — — $140,057.84 $140,057.84 $140,057.84 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $83,353.19 $576,992.88 $139,615.52 2026-03-25
4403 APR_DRG — 7 4 — — $138,967.79 $138,967.79 $138,967.79 2026-03-25
4402 APR_DRG — 7 4 — — $138,883.94 $138,883.94 $138,883.94 2026-03-25
4401 APR_DRG — 7 4 — — $138,825.89 $138,825.89 $138,825.89 2026-03-25
0214 APR_DRG — 7 4 — — $138,009.22 $138,009.22 $138,009.22 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 16 — — $82,248.72 $569,291.76 $137,758.71 2026-03-25
52573912 CDM Sipuleucel-t 250 Ml 49 23 $196,489.65 $55,783.41 72% off $55,783.41 $176,840.69 $137,542.76 2026-03-25
56507742 CDM Nadofaragene Firadenovec Inj 49 23 $182,700.00 $51,868.53 72% off $51,868.53 $174,225.62 $135,928.80 2026-03-25
6022 APR_DRG — 7 4 — — $135,568.66 $135,568.66 $135,568.66 2026-03-25
50730332 CDM Aicd Other Than Sing/dual 49 23 $195,559.00 $55,519.20 72% off $82.84 $176,003.10 $134,935.71 2026-03-25
6073 APR_DRG — 7 4 — — $134,562.75 $134,562.75 $134,562.75 2026-03-25
5894 APR_DRG — 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
5893 APR_DRG — 7 4 — — $134,367.74 $134,367.74 $134,367.74 2026-03-25
55747828 CDM Gammatile Therapy Device 49 23 $193,750.00 $55,005.63 72% off $524.16 $174,375.00 $133,687.50 2026-03-25
1634 APR_DRG — 7 4 — — $133,236.70 $133,236.70 $133,236.70 2026-03-25
9124 APR_DRG — 7 4 — — $132,125.87 $132,125.87 $132,125.87 2026-03-25
1674 APR_DRG — 7 4 — — $131,273.94 $131,273.94 $131,273.94 2026-03-25
9114 APR_DRG — 7 4 — — $131,271.86 $131,271.86 $131,271.86 2026-03-25
52799806 CDM Aicd Other Than Sing/dual 49 23 $189,768.00 $53,875.14 72% off $82.84 $170,791.20 $130,939.92 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 16 — — $78,017.06 $539,785.61 $130,644.51 2026-03-25
3004 APR_DRG — 7 4 — — $129,752.55 $129,752.55 $129,752.55 2026-03-25
55748990 CDM Cultured Chondrocyter Implnt 41 20 $148,357.00 $42,118.55 72% off $42,118.55 $170,165.33 $128,328.81 2026-03-25
5891 APR_DRG — 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
5892 APR_DRG — 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
9104 APR_DRG — 7 4 — — $127,441.76 $127,441.76 $127,441.76 2026-03-25
56300825 CDM Y-90 Zevalin, Per Dose 49 23 $153,485.10 $43,574.42 72% off $43,574.42 $173,265.87 $126,471.72 2026-03-25
215 MS_DRG Other Heart Assist System Implant 30 16 — — $75,362.89 $521,278.82 $126,182.37 2026-03-25
1654 APR_DRG — 7 4 — — $125,385.71 $125,385.71 $125,385.71 2026-03-25
52797297 CDM Aicd Dual Chamber 49 23 $181,549.00 $51,541.76 72% off $82.84 $163,394.10 $125,268.81 2026-03-25
0224 APR_DRG — 7 4 — — $124,923.91 $124,923.91 $124,923.91 2026-03-25
52596475 CDM Botulism Immune Globulin Inj 50 mg/mL (iv) 37 20 $178,162.85 $50,580.43 72% off $35,632.57 $160,346.57 $124,714.00 2026-03-25
55700751 CDM Aicd Other Than Sing/dual 49 23 $180,610.00 $51,275.18 72% off $82.84 $162,549.00 $124,620.90 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $74,054.95 $512,158.93 $123,983.49 2026-03-25
0071 APR_DRG — 7 4 — — $122,893.92 $122,893.92 $122,893.92 2026-03-25
0111 APR_DRG — 7 4 — — $122,184.42 $122,184.42 $122,184.42 2026-03-25
52797313 CDM Aicd Dual Chamber 49 23 $175,811.00 $49,912.74 72% off $82.84 $158,229.90 $121,309.59 2026-03-25
50721950 CDM Bmt Allogeneic Unrelated 42 21 $172,363.00 $48,933.86 72% off $34,472.60 $155,126.70 $121,171.19 2026-03-25
56209950 CDM Aicd Other Than Sing/dual 49 23 $175,116.00 $49,715.43 72% off $82.84 $157,604.40 $120,830.04 2026-03-25
0012 APR_DRG — 7 4 — — $120,077.11 $120,077.11 $120,077.11 2026-03-25
0093 APR_DRG — 7 4 — — $119,929.30 $119,929.30 $119,929.30 2026-03-25
1784 APR_DRG — 7 4 — — $118,390.37 $118,390.37 $118,390.37 2026-03-25
6814 APR_DRG — 7 4 — — $116,133.18 $116,133.18 $116,133.18 2026-03-25
6034 APR_DRG — 7 4 — — $115,963.34 $115,963.34 $115,963.34 2026-03-25
52797305 CDM Aicd Other Than Sing/dual 49 23 $167,818.00 $47,643.53 72% off $82.84 $151,036.20 $115,794.42 2026-03-25
6033 APR_DRG — 7 4 — — $115,169.99 $115,169.99 $115,169.99 2026-03-25
2994 APR_DRG — 7 4 — — $115,017.12 $115,017.12 $115,017.12 2026-03-25
2993 APR_DRG — 7 4 — — $114,901.02 $114,901.02 $114,901.02 2026-03-25
0042 APR_DRG — 7 4 — — $114,623.02 $114,623.02 $114,623.02 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 16 — — $68,249.55 $471,679.59 $114,223.57 2026-03-25
8633 APR_DRG — 7 4 — — $113,807.97 $113,807.97 $113,807.97 2026-03-25
1834 APR_DRG — 7 4 — — $113,743.82 $113,743.82 $113,743.82 2026-03-25
55747810 CDM Gammatile Therapy Device 49 23 $164,831.00 $46,795.52 72% off $524.16 $148,347.90 $113,733.39 2026-03-25
52799947 CDM Aicd Other Than Sing/dual 49 23 $164,467.00 $46,692.18 72% off $82.84 $148,020.30 $113,482.23 2026-03-25
5931 APR_DRG — 7 4 — — $112,777.42 $112,777.42 $112,777.42 2026-03-25
5912 APR_DRG — 7 4 — — $112,195.05 $112,195.05 $112,195.05 2026-03-25
6344 APR_DRG — 7 4 — — $111,911.47 $111,911.47 $111,911.47 2026-03-25
0204 APR_DRG — 7 4 — — $111,739.26 $111,739.26 $111,739.26 2026-03-25
6954 APR_DRG — 7 4 — — $111,363.86 $111,363.86 $111,363.86 2026-03-25
6804 APR_DRG — 7 4 — — $111,276.39 $111,276.39 $111,276.39 2026-03-25
58100033 CDM Heart Acquisition 42 21 $157,985.00 $44,851.94 72% off $31,597.00 $142,186.50 $111,063.46 2026-03-25
3044 APR_DRG — 7 4 — — $111,053.89 $111,053.89 $111,053.89 2026-03-25
2604 APR_DRG — 7 4 — — $110,819.19 $110,819.19 $110,819.19 2026-03-25
50738376 CDM Aicd Other Than Sing/dual 49 23 $160,522.00 $45,572.20 72% off $82.84 $144,469.80 $110,760.18 2026-03-25
6123 APR_DRG — 7 4 — — $109,899.76 $109,899.76 $109,899.76 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 30 16 — — $65,620.91 $453,350.80 $109,804.34 2026-03-25
53300687 CDM Srs,(cerebral)1 Ses Multi Co60 49 23 $157,077.00 $44,594.16 72% off $29,078.36 $149,223.15 $109,718.28 2026-03-25
5911 APR_DRG — 7 4 — — $109,627.95 $109,627.95 $109,627.95 2026-03-25
58142126 CDM Liver Acquisition Living Donor 42 21 $154,411.00 $43,837.28 72% off $30,882.20 $138,969.90 $108,550.93 2026-03-25
58142134 CDM Liver Acquistion Domino 42 21 $154,411.00 $43,837.28 72% off $30,882.20 $138,969.90 $108,550.93 2026-03-25
58100058 CDM Liver Acquisition Cadaveric 42 21 $154,411.00 $43,837.28 72% off $30,882.20 $138,969.90 $108,550.93 2026-03-25
55700744 CDM Aicd Other Than Sing/dual 49 23 $157,265.00 $44,647.53 72% off $82.84 $141,538.50 $108,512.85 2026-03-25
2004 APR_DRG — 7 4 — — $107,954.58 $107,954.58 $107,954.58 2026-03-25
55704142 CDM Generator Neuro Non-recharg 52 23 $158,625.00 $45,033.64 72% off $524.16 $142,762.50 $107,761.89 2026-03-25
58100074 CDM Pancreas Acquisition 42 21 $152,460.00 $43,283.39 72% off $30,492.00 $137,214.00 $107,179.38 2026-03-25
52799780 CDM Aicd Dual Chamber 49 23 $155,189.00 $44,058.16 72% off $82.84 $139,670.10 $107,080.41 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 16 — — $63,897.01 $441,330.55 $106,906.15 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 16 — — $63,698.04 $439,943.20 $106,571.65 2026-03-25
50751577 CDM Aicd Other Than Sing/dual 49 23 $153,226.00 $43,500.86 72% off $82.84 $137,903.40 $105,725.94 2026-03-25
57601171 CDM Intestine Acquisition 42 21 $149,697.00 $42,498.98 72% off $29,939.40 $134,727.30 $105,236.99 2026-03-25
6072 APR_DRG — 7 4 — — $104,674.53 $104,674.53 $104,674.53 2026-03-25
1694 APR_DRG — 7 4 — — $104,651.81 $104,651.81 $104,651.81 2026-03-25
56208754 CDM Aicd Dual Chamber 49 23 $151,037.00 $42,879.40 72% off $82.84 $135,933.30 $104,215.53 2026-03-25
50736792 CDM Aicd Dual Chamber 49 23 $150,462.00 $42,716.16 72% off $82.84 $135,415.80 $103,818.78 2026-03-25
1814 APR_DRG — 7 4 — — $103,777.96 $103,777.96 $103,777.96 2026-03-25
55747802 CDM Gammatile Therapy Device 49 23 $150,373.00 $42,690.89 72% off $524.16 $135,335.70 $103,757.37 2026-03-25
52798253 CDM Aicd Dual Chamber 49 23 $150,270.00 $42,661.65 72% off $82.84 $135,243.00 $103,686.30 2026-03-25
58100017 CDM Lung Acquisition-single 42 21 $146,611.00 $41,622.86 72% off $29,322.20 $131,949.90 $103,067.54 2026-03-25
52794633 CDM Aicd Dual Chamber 49 23 $148,184.00 $42,069.44 72% off $82.84 $133,365.60 $102,246.96 2026-03-25
1304 APR_DRG — 7 4 — — $102,054.57 $102,054.57 $102,054.57 2026-03-25
7104 APR_DRG — 7 4 — — $101,277.72 $101,277.72 $101,277.72 2026-03-25
50755347 CDM Aicd Dual Chamber 49 23 $146,622.00 $41,625.99 72% off $82.84 $131,959.80 $101,169.18 2026-03-25
50751544 CDM Aicd Dual Chamber 49 23 $146,622.00 $41,625.99 72% off $82.84 $131,959.80 $101,169.18 2026-03-25
3032 APR_DRG — 7 4 — — $101,038.94 $101,038.94 $101,038.94 2026-03-25
2304 APR_DRG — 7 4 — — $100,576.91 $100,576.91 $100,576.91 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 16 — — $59,684.12 $411,955.29 $99,823.52 2026-03-25
55737928 CDM Aicd Dual Chamber 49 23 $143,732.00 $40,805.51 72% off $82.84 $129,358.80 $99,175.08 2026-03-25
6224 APR_DRG — 7 4 — — $98,064.99 $98,064.99 $98,064.99 2026-03-25
1664 APR_DRG — 7 4 — — $97,549.52 $97,549.52 $97,549.52 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 16 — — $58,253.80 $401,982.04 $97,418.89 2026-03-25
6084 APR_DRG — 7 4 — — $97,374.00 $97,374.00 $97,374.00 2026-03-25
2204 APR_DRG — 7 4 — — $97,069.40 $97,069.40 $97,069.40 2026-03-25
3214 APR_DRG — 7 4 — — $97,040.10 $97,040.10 $97,040.10 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 16 — — $58,005.27 $400,249.16 $97,001.07 2026-03-25
6083 APR_DRG — 7 4 — — $96,948.30 $96,948.30 $96,948.30 2026-03-25
3213 APR_DRG — 7 4 — — $96,872.40 $96,872.40 $96,872.40 2026-03-25
6303 APR_DRG — 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6302 APR_DRG — 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6301 APR_DRG — 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 16 — — $57,815.32 $398,924.62 $96,681.71 2026-03-25
58100041 CDM Kidney Acquisition-cadaveric 42 21 $137,181.00 $38,945.69 72% off $27,436.20 $123,462.90 $96,438.24 2026-03-25
52749710 CDM Aicd Dual Chamber 49 23 $139,326.00 $39,554.65 72% off $82.84 $125,393.40 $96,134.94 2026-03-25
6903 APR_DRG — 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6904 APR_DRG — 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
50736800 CDM Aicd Single Chamber 49 23 $138,633.00 $39,357.91 72% off $82.84 $124,769.70 $95,656.77 2026-03-25
52534120 CDM Sod Benzo-sod Phenylac Inj 100mg/mL 37 20 $136,187.30 $38,663.57 72% off $27,237.46 $122,568.57 $95,331.11 2026-03-25
55737936 CDM Aicd Single Chamber 49 23 $137,983.00 $39,173.37 72% off $82.84 $124,184.70 $95,208.27 2026-03-25
55720247 CDM Pmkr Other Than Sing/dual 49 23 $137,883.00 $39,144.98 72% off $82.84 $124,094.70 $95,139.27 2026-03-25
55700736 CDM Aicd Dual Chamber 49 23 $137,666.00 $39,083.38 72% off $82.84 $123,899.40 $94,989.54 2026-03-25
6113 APR_DRG — 7 4 — — $94,985.80 $94,985.80 $94,985.80 2026-03-25
3043 APR_DRG — 7 4 — — $94,520.97 $94,520.97 $94,520.97 2026-03-25
55729305 CDM Generator Neuro Non-recharg 52 23 $138,541.00 $39,331.79 72% off $524.16 $124,686.90 $94,117.83 2026-03-25
55747794 CDM Gammatile Therapy Device 49 23 $135,915.00 $38,586.27 72% off $524.16 $122,323.50 $93,781.35 2026-03-25
52794617 CDM Aicd Dual Chamber 49 23 $135,882.00 $38,576.90 72% off $82.84 $122,293.80 $93,758.58 2026-03-25
6021 APR_DRG — 7 4 — — $93,687.08 $93,687.08 $93,687.08 2026-03-25
52799913 CDM Aicd Dual Chamber 49 23 $135,516.00 $38,472.99 72% off $82.84 $121,964.40 $93,506.04 2026-03-25
52550092 CDM Histrelin Inj 50 Mg (Supprelin La) 49 23 $125,577.35 $35,651.41 72% off $35,651.41 $124,713.11 $93,429.55 2026-03-25
7114 APR_DRG — 7 4 — — $93,332.37 $93,332.37 $93,332.37 2026-03-25
52730017 CDM Aicd Dual Chamber 49 23 $134,984.00 $38,321.96 72% off $82.84 $121,485.60 $93,138.96 2026-03-25
9514 APR_DRG — 7 4 — — $93,047.62 $93,047.62 $93,047.62 2026-03-25
0052 APR_DRG — 7 4 — — $92,323.37 $92,323.37 $92,323.37 2026-03-25
1204 APR_DRG — 7 4 — — $92,232.30 $92,232.30 $92,232.30 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $54,802.25 $377,915.37 $91,616.20 2026-03-25
10 MS_DRG Pancreas Transplant 30 16 — — $54,480.14 $375,669.42 $91,074.68 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 16 — — $54,457.62 $375,512.36 $91,036.82 2026-03-25
55737332 CDM Anchor/screw Bn/bntis/bn 49 23 $131,399.00 $37,304.18 72% off $524.16 $118,259.10 $90,665.31 2026-03-25
52794377 CDM Aicd Single Chamber 49 23 $131,301.00 $37,276.35 72% off $82.84 $118,170.90 $90,597.69 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 16 — — $54,171.55 $373,517.71 $90,555.89 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 16 — — $54,140.02 $373,297.83 $90,502.88 2026-03-25
3031 APR_DRG — 7 4 — — $90,448.37 $90,448.37 $90,448.37 2026-03-25
1783 APR_DRG — 7 4 — — $90,339.64 $90,339.64 $90,339.64 2026-03-25
2992 APR_DRG — 7 4 — — $90,231.60 $90,231.60 $90,231.60 2026-03-25
0234 APR_DRG — 7 4 — — $90,204.57 $90,204.57 $90,204.57 2026-03-25
55748008 CDM System Circulatory Assist 49 23 $130,130.00 $36,943.91 72% off $524.16 $117,117.00 $89,789.70 2026-03-25
1623 APR_DRG — 7 4 — — $89,298.56 $89,298.56 $89,298.56 2026-03-25
0092 APR_DRG — 7 4 — — $88,620.13 $88,620.13 $88,620.13 2026-03-25
58100066 CDM Pancreas Acq-combined W/kidney 42 21 $125,917.00 $35,747.84 72% off $25,183.40 $113,325.30 $88,519.65 2026-03-25
0091 APR_DRG — 7 4 — — $88,491.13 $88,491.13 $88,491.13 2026-03-25
55751507 CDM Device Ventricular Assist 49 23 $127,767.00 $36,273.05 72% off $121.68 $114,990.30 $88,159.23 2026-03-25
1653 APR_DRG — 7 4 — — $87,793.50 $87,793.50 $87,793.50 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 16 — — $52,498.71 $361,853.47 $87,743.54 2026-03-25
0304 APR_DRG — 7 4 — — $87,568.42 $87,568.42 $87,568.42 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 16 — — $52,244.18 $360,078.70 $87,315.62 2026-03-25
53403796 CDM Lu-177 Psma Pluvicto 200 Mci 42 21 $122,902.00 $34,891.88 72% off $24,580.40 $110,611.80 $86,400.10 2026-03-25
55718399 CDM Generator Neuro Rechg Bat Sy 49 23 $125,124.00 $35,522.70 72% off $524.16 $112,611.60 $86,335.56 2026-03-25
50743699 CDM Generator Neuro Non-recharg 52 23 $126,739.00 $35,981.20 72% off $524.16 $114,065.10 $86,100.14 2026-03-25
52738143 CDM Cochlear Device 42 21 $122,280.00 $34,715.29 72% off $24,456.00 $110,052.00 $85,962.84 2026-03-25
9304 APR_DRG — 7 4 — — $85,912.30 $85,912.30 $85,912.30 2026-03-25
1794 APR_DRG — 7 4 — — $85,673.79 $85,673.79 $85,673.79 2026-03-25
52794609 CDM Aicd Single Chamber 49 23 $124,112.00 $35,235.40 72% off $82.84 $111,700.80 $85,637.28 2026-03-25
0894 APR_DRG — 7 4 — — $85,568.88 $85,568.88 $85,568.88 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 16 — — $51,141.97 $352,393.28 $85,462.61 2026-03-25
54899992 CDM Tis Cgen Car Anomal 1st Shnt 49 23 $127,110.00 $36,086.53 72% off $1,854.49 $114,399.00 $85,417.92 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 16 — — $50,807.10 $350,058.33 $84,899.63 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 16 — — $50,770.31 $349,801.80 $84,837.77 2026-03-25
55737894 CDM Cochlear System 49 23 $122,652.00 $34,820.90 72% off $524.16 $110,386.80 $84,629.88 2026-03-25
55729362 CDM Berlin Heart 49 23 $122,434.00 $34,759.01 72% off $524.16 $110,190.60 $84,479.46 2026-03-25
0274 APR_DRG — 7 4 — — $84,403.30 $84,403.30 $84,403.30 2026-03-25
55709984 CDM Aicd Dual Chamber 49 23 $121,901.00 $34,607.69 72% off $82.84 $109,710.90 $84,111.69 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $49,972.18 $344,236.68 $83,495.98 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $49,972.18 $344,236.68 $83,495.98 2026-03-25
7924 APR_DRG — 7 4 — — $83,239.52 $83,239.52 $83,239.52 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 16 — — $49,792.73 $342,985.44 $83,194.29 2026-03-25
50751635 CDM Aicd Single Chamber 49 23 $120,391.00 $34,179.00 72% off $82.84 $108,351.90 $83,069.79 2026-03-25
50734425 CDM Aicd Single Chamber 49 23 $120,357.00 $34,169.35 72% off $82.84 $108,321.30 $83,046.33 2026-03-25
55748479 CDM Implant Cardiovascular Anytype 49 23 $120,009.00 $34,070.56 72% off $524.16 $108,008.10 $82,806.21 2026-03-25
52738135 CDM Cochlear Device 42 21 $117,220.00 $33,278.76 72% off $23,444.00 $105,498.00 $82,405.66 2026-03-25
0294 APR_DRG — 7 4 — — $81,963.38 $81,963.38 $81,963.38 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 16 — — $48,916.52 $336,875.85 $81,721.21 2026-03-25
4054 APR_DRG — 7 4 — — $80,814.58 $80,814.58 $80,814.58 2026-03-25
52738085 CDM Cochlear Device 42 21 $114,882.00 $32,615.00 72% off $22,976.40 $103,393.80 $80,762.04 2026-03-25
0082 APR_DRG — 7 4 — — $80,603.23 $80,603.23 $80,603.23 2026-03-25
0081 APR_DRG — 7 4 — — $80,551.63 $80,551.63 $80,551.63 2026-03-25
56304686 CDM Brachytx Non-stryttrium-90 49 23 $116,646.00 $33,115.80 72% off $524.16 $104,981.40 $80,485.74 2026-03-25
52545092 CDM Carmustine Wafer 42 21 $113,749.00 $32,293.34 72% off $22,749.80 $102,374.10 $79,965.54 2026-03-25
6313 APR_DRG — 7 4 — — $79,950.34 $79,950.34 $79,950.34 2026-03-25
6902 APR_DRG — 7 4 — — $79,314.45 $79,314.45 $79,314.45 2026-03-25
4414 APR_DRG — 7 4 — — $79,252.26 $79,252.26 $79,252.26 2026-03-25
52749603 CDM Aicd Single Chamber 49 23 $114,556.00 $32,522.45 72% off $524.16 $103,100.40 $79,043.64 2026-03-25
6144 APR_DRG — 7 4 — — $78,591.47 $78,591.47 $78,591.47 2026-03-25
1214 APR_DRG — 7 4 — — $78,448.14 $78,448.14 $78,448.14 2026-03-25
0213 APR_DRG — 7 4 — — $78,298.23 $78,298.23 $78,298.23 2026-03-25
4284 APR_DRG — 7 4 — — $78,294.40 $78,294.40 $78,294.40 2026-03-25
55756027 CDM Anchor/screw Bn/bntis/bn 49 23 $113,458.00 $32,210.73 72% off $524.16 $102,112.20 $78,286.02 2026-03-25
0041 APR_DRG — 7 4 — — $78,058.12 $78,058.12 $78,058.12 2026-03-25
4474 APR_DRG — 7 4 — — $77,900.70 $77,900.70 $77,900.70 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 16 — — $46,616.74 $320,840.13 $77,854.86 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 16 — — $46,563.43 $320,468.42 $77,765.24 2026-03-25
55756548 CDM Valve Aortic 49 23 $112,338.00 $31,892.76 72% off $524.16 $101,104.20 $77,513.22 2026-03-25
0554 APR_DRG — 7 4 — — $77,121.40 $77,121.40 $77,121.40 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 16 — — $46,122.69 $317,395.30 $77,024.29 2026-03-25
6143 APR_DRG — 7 4 — — $76,940.27 $76,940.27 $76,940.27 2026-03-25
1633 APR_DRG — 7 4 — — $76,935.52 $76,935.52 $76,935.52 2026-03-25
55725543 CDM Conn Tiss Non-human 49 23 $111,123.00 $31,547.82 72% off $524.16 $100,010.70 $76,674.87 2026-03-25
2644 APR_DRG — 7 4 — — $76,544.35 $76,544.35 $76,544.35 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 30 16 — — $45,714.99 $314,552.53 $76,338.87 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 16 — — $45,702.23 $314,463.53 $76,317.42 2026-03-25
3124 APR_DRG — 7 4 — — $76,239.22 $76,239.22 $76,239.22 2026-03-25
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