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 JAY, INC.

Portland, IN · CCN 151320 · Rates published

26,895 distinct procedures filed
25 distinct payers
1,270,488 rate rows
2026-03-25 last MRF observed
Data quality

1,176,606 of 1,270,488 rate rows are consumer-grade (92.6%)

93,882 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 81,017
per-diem day rate — not a per-procedure price 10,780
exceeds 10× this hospital's gross charge — excluded from medians 1,463
placeholder amount (≤ $0.02) — excluded from medians 622
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.iuhealth.org/resources/822736786_indiana-university-health-jay-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 10a598096775c283… · 61,225,828 bytes · first seen 2026-06-16

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 18 $0.03 $4,694,976.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
56508781
CDM 		Lovotibeglogene Autotemcel Inj 16 $0.03 $4,185,000.00 $3,323,820.00 nat. median
$3,255,000
1.0× median
56501190
CDM 		Betibeglogene Autotemcel Inj 16 $0.03 $4,108,104.00 $3,262,747.49 nat. median
$3,195,192
1.0× median
56507668
CDM 		Exagamglogene Autotemcel Inj 17 $1,384,227.90 $3,103,650.00 $2,517,405.00 nat. median
$2,434,641
1.0× median
56504608
CDM 		Afamitresgene Autoleucel Inj 19 $729,544.50 $1,635,750.00 $1,299,149.00 nat. median
$1,235,900
1.1× median
56507262
CDM 		Lifileucel Inj 16 $645,810.00 $1,453,072.50 $1,162,458.00 nat. median
$1,130,168
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $885,247.40 $888,745.21 $886,996.30 nat. median
$370,174
outlier · 2.4×
56504582
CDM 		Obecabtagene Autoleucel Inj 19 $379,323.00 $850,500.00 $675,486.00 nat. median
$642,600
1.1× median
52590841
CDM 		Tisagenlecleucel Inj (iv)(all) 16 $0.03 $820,908.99 $651,984.16 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
52599552
CDM 		Ciltacabtagene Autoleucel Inj 18 $0.03 $749,669.13 $583,075.96 nat. median
$583,076
1.0× median
52597630
CDM 		Lisocabtagene Maraleucel Inj 18 $0.03 $717,323.04 $581,828.69 nat. median
$585,814
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $574,489.95 $576,759.89 $575,624.92 nat. median
$265,286
outlier · 2.2×
52598240
CDM 		Idecabtagene Vicleucel Inj 18 $0.03 $713,221.79 $571,369.89 nat. median
$571,370
1.0× median
52594413
CDM 		Tisagenlecleucel Inj (iv)(dlbcl) 16 $0.03 $706,254.93 $560,923.36 nat. median
$549,309
1.0× median
5832
APR_DRG 		4 $558,502.30 $558,502.30 $558,502.30 nat. median
$156,126
outlier · 3.6×
5831
APR_DRG 		4 $558,502.30 $558,502.30 $558,502.30 nat. median
$144,745
outlier · 3.9×
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) 18 $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) 18 $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×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $437,685.25 $439,414.64 $438,549.95 nat. median
$206,474
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $435,116.60 $436,835.84 $435,976.22 nat. median
$202,976
outlier · 2.1×
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×
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×
52780152
CDM 		Heartmate 19 $524.16 $385,630.20 $299,934.60 nat. median
$281,939
1.1× median
0023
APR_DRG 		4 $295,712.02 $295,712.02 $295,712.02 nat. median
$167,082
1.8× 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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $283,953.70 $285,075.66 $284,514.68 nat. median
$133,161
outlier · 2.1×
7
MS_DRG 		Lung Transplant 2 $265,479.10 $266,528.07 $266,003.58 nat. median
$122,708
outlier · 2.2×
6094
APR_DRG 		4 $250,369.68 $250,369.68 $250,369.68 nat. median
$162,982
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $246,366.95 $247,340.40 $246,853.67 nat. median
$117,357
outlier · 2.1×
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

Other procedures at this hospital

Browse this hospital's 26,895 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 31 18 — $2,333,924.74 $0.03 $4,694,976.00 $3,360,000.00 2026-03-25
56508781 CDM Lovotibeglogene Autotemcel Inj 24 16 $4,650,000.00 $2,080,410.00 55% off $0.03 $4,185,000.00 $3,323,820.00 2026-03-25
56501190 CDM Betibeglogene Autotemcel Inj 24 16 $4,564,560.00 $2,042,184.14 55% off $0.03 $4,108,104.00 $3,262,747.49 2026-03-25
56507668 CDM Exagamglogene Autotemcel Inj 33 17 $3,448,500.00 $1,542,858.90 55% off $1,384,227.90 $3,103,650.00 $2,517,405.00 2026-03-25
56504608 CDM Afamitresgene Autoleucel Inj 40 19 $1,817,500.00 $813,149.50 55% off $729,544.50 $1,635,750.00 $1,299,149.00 2026-03-25
56507262 CDM Lifileucel Inj 31 16 $1,614,525.00 $722,338.49 55% off $645,810.00 $1,453,072.50 $1,162,458.00 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $885,247.40 $888,745.21 $886,996.30 2026-03-25
56504582 CDM Obecabtagene Autoleucel Inj 40 19 $945,000.00 $422,793.00 55% off $379,323.00 $850,500.00 $675,486.00 2026-03-25
52590841 CDM Tisagenlecleucel Inj (iv)(all) 24 16 $912,121.10 $408,082.98 55% off $0.03 $820,908.99 $651,984.16 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
52599552 CDM Ciltacabtagene Autoleucel Inj 31 18 $832,965.70 $372,668.85 55% off $0.03 $749,669.13 $583,075.96 2026-03-25
52597630 CDM Lisocabtagene Maraleucel Inj 31 18 $797,025.60 $356,589.25 55% off $0.03 $717,323.04 $581,828.69 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $574,489.95 $576,759.89 $575,624.92 2026-03-25
52598240 CDM Idecabtagene Vicleucel Inj 31 18 $792,468.65 $354,550.47 55% off $0.03 $713,221.79 $571,369.89 2026-03-25
52594413 CDM Tisagenlecleucel Inj (iv)(dlbcl) 24 16 $784,727.70 $351,087.17 55% off $0.03 $706,254.93 $560,923.36 2026-03-25
5831 APR_DRG — 7 4 — — $558,502.30 $558,502.30 $558,502.30 2026-03-25
5832 APR_DRG — 7 4 — — $558,502.30 $558,502.30 $558,502.30 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) 31 18 $755,370.00 $337,952.54 55% 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) 31 18 $693,000.00 $310,048.20 55% 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $437,685.25 $439,414.64 $438,549.95 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $435,116.60 $436,835.84 $435,976.22 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
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
52780152 CDM Heartmate 43 19 $428,478.00 $191,701.06 55% off $524.16 $385,630.20 $299,934.60 2026-03-25
0023 APR_DRG — 7 4 — — $295,712.02 $295,712.02 $295,712.02 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $283,953.70 $285,075.66 $284,514.68 2026-03-25
7 MS_DRG Lung Transplant 2 2 — — $265,479.10 $266,528.07 $266,003.58 2026-03-25
6094 APR_DRG — 7 4 — — $250,369.68 $250,369.68 $250,369.68 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $246,366.95 $247,340.40 $246,853.67 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $232,301.90 $233,219.78 $232,760.84 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $232,035.40 $232,952.22 $232,493.81 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $225,934.60 $226,827.32 $226,380.96 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $222,919.05 $223,799.85 $223,359.45 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $211,365.25 $212,200.40 $211,782.83 2026-03-25
215 MS_DRG Other Heart Assist System Implant 2 2 — — $204,118.50 $204,925.02 $204,521.76 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $200,547.40 $201,339.81 $200,943.60 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
55729339 CDM Heartmate 43 19 $276,183.00 $123,564.27 55% off $524.16 $248,564.70 $193,328.10 2026-03-25
5933 APR_DRG — 7 4 — — $191,842.30 $191,842.30 $191,842.30 2026-03-25
55727275 CDM Implant Hvad Pump 43 19 $273,585.00 $122,401.93 55% off $524.16 $246,226.50 $191,509.50 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 43 19 $266,044.00 $119,028.09 55% off $524.16 $239,439.60 $186,230.80 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $184,696.80 $185,426.58 $185,061.69 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
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $177,519.75 $178,221.17 $177,870.46 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $172,812.95 $173,495.77 $173,154.36 2026-03-25
6023 APR_DRG — 7 4 — — $172,990.93 $172,990.93 $172,990.93 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $172,269.70 $172,950.38 $172,610.04 2026-03-25
0063 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
0062 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $161,310.40 $161,947.77 $161,629.08 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $157,405.15 $158,027.09 $157,716.12 2026-03-25
6093 APR_DRG — 7 4 — — $157,422.04 $157,422.04 $157,422.04 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $156,726.60 $157,345.86 $157,036.23 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $156,207.95 $156,825.16 $156,516.55 2026-03-25
55747836 CDM Gammatile Therapy Device 43 19 $222,668.00 $99,621.66 55% off $524.16 $200,401.20 $155,867.60 2026-03-25
6124 APR_DRG — 7 4 — — $153,859.46 $153,859.46 $153,859.46 2026-03-25
52760881 CDM Lung Acquisition-double 36 17 $210,810.00 $94,316.39 55% off $84,324.00 $189,729.00 $152,942.65 2026-03-25
6114 APR_DRG — 7 4 — — $152,229.56 $152,229.56 $152,229.56 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $147,981.30 $148,566.01 $148,273.65 2026-03-25
58100025 CDM Kidney Acquisition-lrd 36 17 $204,309.00 $91,407.85 55% off $81,723.60 $183,878.10 $148,226.18 2026-03-25
5913 APR_DRG — 7 4 — — $147,993.49 $147,993.49 $147,993.49 2026-03-25
10 MS_DRG Pancreas Transplant 2 2 — — $147,101.85 $147,683.08 $147,392.46 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $147,040.35 $147,621.34 $147,330.85 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $146,259.30 $146,837.20 $146,548.25 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $146,173.20 $146,750.76 $146,461.98 2026-03-25
0914 APR_DRG — 7 4 — — $143,859.47 $143,859.47 $143,859.47 2026-03-25
3033 APR_DRG — 7 4 — — $142,378.87 $142,378.87 $142,378.87 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $141,691.90 $142,251.76 $141,971.83 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $140,996.95 $141,554.06 $141,275.51 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $137,987.55 $138,532.77 $138,260.16 2026-03-25
0214 APR_DRG — 7 4 — — $138,009.22 $138,009.22 $138,009.22 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $137,073.25 $137,614.86 $137,344.05 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $136,972.80 $137,514.01 $137,243.40 2026-03-25
50730332 CDM Aicd Other Than Sing/dual 43 19 $195,559.00 $87,493.10 55% off $82.84 $176,003.10 $136,891.30 2026-03-25
55747828 CDM Gammatile Therapy Device 43 19 $193,750.00 $86,683.75 55% off $524.16 $174,375.00 $135,625.00 2026-03-25
6022 APR_DRG — 7 4 — — $135,568.66 $135,568.66 $135,568.66 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $134,793.65 $135,326.25 $135,059.95 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $134,303.70 $134,834.36 $134,569.03 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
56329485 CDM Gemcitabine Ives Sys 225mg 39 18 $216,315.00 $96,779.33 55% off $37.28 $194,683.50 $133,682.67 2026-03-25
1634 APR_DRG — 7 4 — — $133,236.70 $133,236.70 $133,236.70 2026-03-25
52799806 CDM Aicd Other Than Sing/dual 43 19 $189,768.00 $84,902.20 55% off $82.84 $170,791.20 $132,837.60 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $131,911.35 $132,432.56 $132,171.96 2026-03-25
9124 APR_DRG — 7 4 — — $132,125.87 $132,125.87 $132,125.87 2026-03-25
52573912 CDM Sipuleucel-t 250 Ml 43 19 $196,489.65 $87,909.47 55% off $65,732.65 $176,840.69 $132,036.55 2026-03-25
56507742 CDM Nadofaragene Firadenovec Inj 43 19 $182,700.00 $81,739.98 55% off $63,945.00 $174,225.62 $131,726.70 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
55748990 CDM Cultured Chondrocyter Implnt 35 16 $148,357.00 $66,374.92 55% off $59,550.50 $170,165.33 $131,014.07 2026-03-25
3004 APR_DRG — 7 4 — — $129,752.55 $129,752.55 $129,752.55 2026-03-25
52596475 CDM Botulism Immune Globulin Inj 50 mg/mL (iv) 31 16 $178,162.85 $79,710.06 55% off $71,265.14 $160,346.57 $128,277.25 2026-03-25
5892 APR_DRG — 7 4 — — $127,924.41 $127,924.41 $127,924.41 2026-03-25
5891 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
52797297 CDM Aicd Dual Chamber 43 19 $181,549.00 $81,225.02 55% off $82.84 $163,394.10 $127,084.30 2026-03-25
55700751 CDM Aicd Other Than Sing/dual 43 19 $180,610.00 $80,804.91 55% off $82.84 $162,549.00 $126,427.00 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $125,632.20 $126,128.60 $125,880.40 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $125,486.65 $125,982.48 $125,734.57 2026-03-25
1654 APR_DRG — 7 4 — — $125,385.71 $125,385.71 $125,385.71 2026-03-25
50721950 CDM Bmt Allogeneic Unrelated 36 17 $172,363.00 $77,115.21 55% off $68,945.20 $155,126.70 $125,049.36 2026-03-25
0224 APR_DRG — 7 4 — — $124,923.91 $124,923.91 $124,923.91 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $124,283.30 $124,774.37 $124,528.83 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $123,170.15 $123,656.82 $123,413.49 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $123,135.30 $123,621.83 $123,378.57 2026-03-25
52797313 CDM Aicd Dual Chamber 43 19 $175,811.00 $78,657.84 55% off $82.84 $158,229.90 $123,067.70 2026-03-25
0071 APR_DRG — 7 4 — — $122,893.92 $122,893.92 $122,893.92 2026-03-25
56300825 CDM Y-90 Zevalin, Per Dose 43 19 $153,485.10 $68,669.23 55% off $48,770.67 $173,265.87 $122,788.08 2026-03-25
56209950 CDM Aicd Other Than Sing/dual 43 19 $175,116.00 $78,346.90 55% off $82.84 $157,604.40 $122,581.20 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $122,243.55 $122,726.56 $122,485.05 2026-03-25
0111 APR_DRG — 7 4 — — $122,184.42 $122,184.42 $122,184.42 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $121,841.75 $122,323.17 $122,082.46 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $121,558.85 $122,039.16 $121,799.01 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $120,306.30 $120,781.66 $120,543.98 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $120,228.40 $120,703.45 $120,465.92 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $118,225.55 $118,692.69 $118,459.12 2026-03-25
1784 APR_DRG — 7 4 — — $118,390.37 $118,390.37 $118,390.37 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $117,471.15 $117,935.30 $117,703.23 2026-03-25
52797305 CDM Aicd Other Than Sing/dual 43 19 $167,818.00 $75,081.77 55% off $82.84 $151,036.20 $117,472.60 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $116,991.45 $117,453.71 $117,222.58 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $116,839.75 $117,301.41 $117,070.58 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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $115,251.00 $115,706.38 $115,478.69 2026-03-25
55747810 CDM Gammatile Therapy Device 43 19 $164,831.00 $73,745.39 55% off $524.16 $148,347.90 $115,381.70 2026-03-25
6033 APR_DRG — 7 4 — — $115,169.99 $115,169.99 $115,169.99 2026-03-25
52799947 CDM Aicd Other Than Sing/dual 43 19 $164,467.00 $73,582.54 55% off $82.84 $148,020.30 $115,126.90 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $114,894.30 $115,348.27 $115,121.29 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
58100033 CDM Heart Acquisition 36 17 $157,985.00 $70,682.49 55% off $63,194.00 $142,186.50 $114,618.12 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $114,107.10 $114,557.96 $114,332.53 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $113,221.50 $113,668.86 $113,445.18 2026-03-25
5931 APR_DRG — 7 4 — — $112,777.42 $112,777.42 $112,777.42 2026-03-25
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $112,542.95 $112,987.63 $112,765.29 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $112,145.25 $112,588.36 $112,366.80 2026-03-25
50738376 CDM Aicd Other Than Sing/dual 43 19 $160,522.00 $71,817.54 55% off $82.84 $144,469.80 $112,365.40 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $111,985.35 $112,427.83 $112,206.59 2026-03-25
5912 APR_DRG — 7 4 — — $112,195.05 $112,195.05 $112,195.05 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $111,809.05 $112,250.83 $112,029.94 2026-03-25
58142126 CDM Liver Acquisition Living Donor 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58100058 CDM Liver Acquisition Cadaveric 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 2026-03-25
58142134 CDM Liver Acquistion Domino 36 17 $154,411.00 $69,083.48 55% off $61,764.40 $138,969.90 $112,025.18 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $111,362.15 $111,802.17 $111,582.16 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
3044 APR_DRG — 7 4 — — $111,053.89 $111,053.89 $111,053.89 2026-03-25
55704142 CDM Generator Neuro Non-recharg 43 19 $158,625.00 $70,968.83 55% off $524.16 $142,762.50 $111,037.50 2026-03-25
2604 APR_DRG — 7 4 — — $110,819.19 $110,819.19 $110,819.19 2026-03-25
58100074 CDM Pancreas Acquisition 36 17 $152,460.00 $68,210.60 55% off $60,984.00 $137,214.00 $110,609.73 2026-03-25
55700744 CDM Aicd Other Than Sing/dual 43 19 $157,265.00 $70,360.36 55% off $82.84 $141,538.50 $110,085.50 2026-03-25
53300687 CDM Srs,(cerebral)1 Ses Multi Co60 43 19 $157,077.00 $70,276.25 55% off $29,078.36 $141,369.30 $109,953.90 2026-03-25
6123 APR_DRG — 7 4 — — $109,899.76 $109,899.76 $109,899.76 2026-03-25
5911 APR_DRG — 7 4 — — $109,627.95 $109,627.95 $109,627.95 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $109,322.40 $109,754.36 $109,538.38 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $109,256.80 $109,688.50 $109,472.65 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $108,522.90 $108,951.70 $108,737.30 2026-03-25
52799780 CDM Aicd Dual Chamber 43 19 $155,189.00 $69,431.56 55% off $82.84 $139,670.10 $108,632.30 2026-03-25
57601171 CDM Intestine Acquisition 36 17 $149,697.00 $66,974.44 55% off $59,878.80 $134,727.30 $108,605.17 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $108,164.15 $108,591.53 $108,377.84 2026-03-25
2004 APR_DRG — 7 4 — — $107,954.58 $107,954.58 $107,954.58 2026-03-25
50751577 CDM Aicd Other Than Sing/dual 43 19 $153,226.00 $68,553.31 55% off $82.84 $137,903.40 $107,258.20 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $106,710.70 $107,132.34 $106,921.52 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $106,526.20 $106,947.11 $106,736.65 2026-03-25
58100017 CDM Lung Acquisition-single 36 17 $146,611.00 $65,593.76 55% off $58,644.40 $131,949.90 $106,366.28 2026-03-25
56208754 CDM Aicd Dual Chamber 43 19 $151,037.00 $67,573.95 55% off $82.84 $135,933.30 $105,725.90 2026-03-25
50736792 CDM Aicd Dual Chamber 43 19 $150,462.00 $67,316.70 55% off $82.84 $135,415.80 $105,323.40 2026-03-25
55747802 CDM Gammatile Therapy Device 43 19 $150,373.00 $67,276.88 55% off $524.16 $135,335.70 $105,261.10 2026-03-25
52798253 CDM Aicd Dual Chamber 43 19 $150,270.00 $67,230.80 55% off $82.84 $135,243.00 $105,189.00 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
1814 APR_DRG — 7 4 — — $103,777.96 $103,777.96 $103,777.96 2026-03-25
52794633 CDM Aicd Dual Chamber 43 19 $148,184.00 $66,297.52 55% off $82.84 $133,365.60 $103,728.80 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $103,324.10 $103,732.36 $103,528.23 2026-03-25
50755347 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
50751544 CDM Aicd Dual Chamber 43 19 $146,622.00 $65,598.68 55% off $82.84 $131,959.80 $102,635.40 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $102,241.70 $102,645.68 $102,443.69 2026-03-25
1304 APR_DRG — 7 4 — — $102,054.57 $102,054.57 $102,054.57 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $101,421.70 $101,822.44 $101,622.07 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $101,241.30 $101,641.33 $101,441.32 2026-03-25
7104 APR_DRG — 7 4 — — $101,277.72 $101,277.72 $101,277.72 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $100,894.85 $101,293.51 $101,094.18 2026-03-25
3032 APR_DRG — 7 4 — — $101,038.94 $101,038.94 $101,038.94 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $100,474.60 $100,871.60 $100,673.10 2026-03-25
55737928 CDM Aicd Dual Chamber 43 19 $143,732.00 $64,305.70 55% off $82.84 $129,358.80 $100,612.40 2026-03-25
2304 APR_DRG — 7 4 — — $100,576.91 $100,576.91 $100,576.91 2026-03-25
58100041 CDM Kidney Acquisition-cadaveric 36 17 $137,181.00 $61,374.78 55% off $54,872.40 $123,462.90 $99,524.82 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $98,988.35 $99,379.47 $99,183.91 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $98,488.15 $98,877.30 $98,682.73 2026-03-25
6224 APR_DRG — 7 4 — — $98,064.99 $98,064.99 $98,064.99 2026-03-25
52534120 CDM Sod Benzo-sod Phenylac Inj 100mg/mL 31 16 $136,187.30 $60,930.20 55% off $54,474.92 $122,568.57 $98,054.86 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $97,596.40 $97,982.02 $97,789.21 2026-03-25
1664 APR_DRG — 7 4 — — $97,549.52 $97,549.52 $97,549.52 2026-03-25
52749710 CDM Aicd Dual Chamber 43 19 $139,326.00 $62,334.45 55% off $82.84 $125,393.40 $97,528.20 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
50736800 CDM Aicd Single Chamber 43 19 $138,633.00 $62,024.40 55% off $82.84 $124,769.70 $97,043.10 2026-03-25
3214 APR_DRG — 7 4 — — $97,040.10 $97,040.10 $97,040.10 2026-03-25
55729305 CDM Generator Neuro Non-recharg 43 19 $138,541.00 $61,983.24 55% off $524.16 $124,686.90 $96,978.70 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
6302 APR_DRG — 7 4 — — $96,758.04 $96,758.04 $96,758.04 2026-03-25
6303 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
55737936 CDM Aicd Single Chamber 43 19 $137,983.00 $61,733.59 55% off $82.84 $124,184.70 $96,588.10 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $96,378.70 $96,759.51 $96,569.10 2026-03-25
55720247 CDM Pmkr Other Than Sing/dual 43 19 $137,883.00 $61,688.85 55% off $82.84 $124,094.70 $96,518.10 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $96,181.90 $96,561.94 $96,371.92 2026-03-25
55700736 CDM Aicd Dual Chamber 43 19 $137,666.00 $61,591.77 55% off $82.84 $123,899.40 $96,366.20 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $95,894.90 $96,273.80 $96,084.35 2026-03-25
6904 APR_DRG — 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6903 APR_DRG — 7 4 — — $95,802.54 $95,802.54 $95,802.54 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $95,058.50 $95,434.10 $95,246.30 2026-03-25
55747794 CDM Gammatile Therapy Device 43 19 $135,915.00 $60,808.37 55% off $524.16 $122,323.50 $95,140.50 2026-03-25
52794617 CDM Aicd Dual Chamber 43 19 $135,882.00 $60,793.61 55% off $82.84 $122,293.80 $95,117.40 2026-03-25
6113 APR_DRG — 7 4 — — $94,985.80 $94,985.80 $94,985.80 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $94,679.25 $95,053.35 $94,866.30 2026-03-25
52799913 CDM Aicd Dual Chamber 43 19 $135,516.00 $60,629.86 55% off $82.84 $121,964.40 $94,861.20 2026-03-25
3043 APR_DRG — 7 4 — — $94,520.97 $94,520.97 $94,520.97 2026-03-25
52730017 CDM Aicd Dual Chamber 43 19 $134,984.00 $60,391.84 55% off $82.84 $121,485.60 $94,488.80 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $94,228.25 $94,600.57 $94,414.41 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $93,988.40 $94,359.77 $94,174.08 2026-03-25
245 MS_DRG Aicd Generator Procedures 2 2 — — $93,529.20 $93,898.75 $93,713.98 2026-03-25
6021 APR_DRG — 7 4 — — $93,687.08 $93,687.08 $93,687.08 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $93,248.35 $93,616.79 $93,432.57 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $93,207.35 $93,575.63 $93,391.49 2026-03-25
7114 APR_DRG — 7 4 — — $93,332.37 $93,332.37 $93,332.37 2026-03-25
9514 APR_DRG — 7 4 — — $93,047.62 $93,047.62 $93,047.62 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $92,842.45 $93,209.29 $93,025.87 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
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $91,876.90 $92,239.93 $92,058.41 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $91,850.25 $92,213.17 $92,031.71 2026-03-25
55737332 CDM Anchor/screw Bn/bntis/bn 43 19 $131,399.00 $58,787.91 55% off $524.16 $118,259.10 $91,979.30 2026-03-25
52794377 CDM Aicd Single Chamber 43 19 $131,301.00 $58,744.07 55% off $82.84 $118,170.90 $91,910.70 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $91,489.45 $91,850.94 $91,670.20 2026-03-25
58100066 CDM Pancreas Acq-combined W/kidney 36 17 $125,917.00 $56,335.27 55% off $50,366.80 $113,325.30 $91,352.79 2026-03-25
55748008 CDM System Circulatory Assist 43 19 $130,130.00 $58,220.16 55% off $524.16 $117,117.00 $91,091.00 2026-03-25
52550092 CDM Histrelin Inj 50 Mg (Supprelin La) 43 19 $125,577.35 $56,183.31 55% off $50,406.75 $124,713.11 $90,541.27 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $90,052.40 $90,408.22 $90,230.31 2026-03-25
0234 APR_DRG — 7 4 — — $90,204.57 $90,204.57 $90,204.57 2026-03-25
55751507 CDM Device Ventricular Assist 43 19 $127,767.00 $57,162.96 55% off $121.68 $114,990.30 $89,436.90 2026-03-25
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