Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

ST JOE MERCY HOSPITAL SYSTEM LIVONIA

Livonia, MI · CCN 230002 · Rates published

22,515 distinct procedures filed
137 distinct payers
11,223,432 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

9,909,002 of 11,223,432 rate rows are consumer-grade (88.3%)

1,314,430 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 1,295,934
template filing: same amount across many unrelated codes — excluded 13,272
placeholder amount (≤ $0.02) — excluded from medians 3,704
percent-of-charges filed in the dollar field — excluded from medians 1,396
per-diem day rate — not a per-procedure price 118
exceeds 10× this hospital's gross charge — excluded from medians 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stmarylivonia
Found on page https://www.trinityhealthmichigan.org/tools-and-resources/billing-and-insurance/our-prices
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b38cb76642158346… · 203,740,961 bytes · first seen 2026-05-08

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
'583-4
APR_DRG 		Neonate With Ecmo 7 $310,552.79 $322,974.91 $313,658.32 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $15,290.00 $580,235.68 $309,031.00 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $15,290.00 $426,775.85 $227,352.89 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $15,290.00 $415,123.17 $221,150.82 nat. median
$206,368
1.1× median
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $202,929.80 $211,047.00 $204,959.10 —
'583-3
APR_DRG 		Neonate With Ecmo 7 $201,319.56 $209,372.34 $203,332.76 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $15,290.00 $335,773.40 $178,917.37 nat. median
$202,986
0.9× median
'161-4
APR_DRG 		Implantable Heart Assist Systems 7 $167,039.82 $173,721.42 $168,710.22 —
'631-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $165,403.06 $172,019.19 $167,057.10 —
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $154,579.89 $160,763.09 $156,125.69 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $151,982.51 $158,061.81 $153,502.34 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $145,202.35 $151,010.44 $146,654.38 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $133,679.28 $139,026.46 $135,016.08 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $131,074.17 $136,317.14 $132,384.91 —
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $126,865.98 $131,940.63 $128,134.65 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $15,290.00 $231,510.30 $123,423.93 nat. median
$133,176
0.9× median
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $119,140.67 $123,906.30 $120,332.07 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $117,976.21 $122,695.26 $119,155.97 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $112,891.92 $117,407.60 $114,020.84 —
'583-2
APR_DRG 		Neonate With Ecmo 7 $111,825.79 $116,298.82 $112,944.05 —
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $108,654.46 $113,000.64 $109,741.01 —
7
MS_DRG 		Lung Transplant 17 $15,290.00 $193,183.53 $103,024.73 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $15,290.00 $192,832.33 $102,837.80 nat. median
$108,660
0.9× median
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $100,545.78 $104,567.61 $101,551.24 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $99,816.61 $103,809.28 $100,814.78 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $96,830.89 $100,704.13 $97,799.20 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $15,290.00 $180,497.71 $96,272.78 nat. median
$117,303
0.8× median
'842-4
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $93,563.44 $97,305.99 $94,499.08 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $92,599.51 $96,303.49 $93,525.51 —
'591-3
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $90,814.70 $94,447.30 $91,722.85 —
'011-3
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $90,348.48 $93,962.42 $91,251.96 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 18 $15,290.00 $169,627.75 $90,487.30 nat. median
$102,358
0.9× median
'161-3
APR_DRG 		Implantable Heart Assist Systems 7 $87,071.64 $90,554.51 $87,942.36 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $15,290.00 $163,002.15 $86,960.86 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 18 $15,290.00 $160,872.89 $85,827.57 nat. median
$99,019
0.9× median
'161-2
APR_DRG 		Implantable Heart Assist Systems 7 $83,603.12 $86,947.24 $84,439.15 —
'593-3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $82,228.75 $85,517.90 $83,051.04 —
'583-1
APR_DRG 		Neonate With Ecmo 7 $81,412.85 $84,669.37 $82,226.99 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $15,290.00 $152,848.77 $81,556.78 nat. median
$93,672
0.9× median
'589-1
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $79,625.84 $82,810.87 $80,422.10 —
'589-2
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $78,352.56 $81,486.66 $79,136.08 —
'011-2
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $77,643.28 $80,749.01 $78,419.71 —
'589-3
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $76,693.15 $79,760.88 $77,460.08 —
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 18 $15,290.00 $139,558.19 $74,482.95 nat. median
$87,411
0.9× median
'630-3
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $73,098.68 $76,022.64 $73,829.67 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $15,290.00 $133,116.85 $71,054.58 nat. median
$77,576
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $15,290.00 $132,754.62 $70,861.79 nat. median
$81,118
0.9× median
0310453530
NDC 		Injection Tremelimumab-actl 1 Mg 114 $20.50 $105,300.00 $70,668.00 nat. median
$70,668
1.0× median
'161-1
APR_DRG 		Implantable Heart Assist Systems 7 $69,371.09 $72,145.93 $70,064.80 —
'591-2
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $68,593.31 $71,337.04 $69,279.24 —

Other procedures at this hospital

Browse this hospital's 22,515 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
             
'583-4 APR_DRG Neonate With Ecmo 16 7 — — $310,552.79 $322,974.91 $313,658.32 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 18 — — $15,290.00 $580,235.68 $309,031.00 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 18 — — $15,290.00 $426,775.85 $227,352.89 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 18 — — $15,290.00 $415,123.17 $221,150.82 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 7 — — $202,929.80 $211,047.00 $204,959.10 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 16 7 — — $201,319.56 $209,372.34 $203,332.76 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 18 — — $15,290.00 $335,773.40 $178,917.37 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 16 7 — — $167,039.82 $173,721.42 $168,710.22 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 7 — — $165,403.06 $172,019.19 $167,057.10 2025-01-01
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $154,579.89 $160,763.09 $156,125.69 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 7 — — $151,982.51 $158,061.81 $153,502.34 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 16 7 — — $145,202.35 $151,010.44 $146,654.38 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 7 — — $133,679.28 $139,026.46 $135,016.08 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 7 — — $131,074.17 $136,317.14 $132,384.91 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $126,865.98 $131,940.63 $128,134.65 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 18 — — $15,290.00 $231,510.30 $123,423.93 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 7 — — $119,140.67 $123,906.30 $120,332.07 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 7 — — $117,976.21 $122,695.26 $119,155.97 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 7 — — $112,891.92 $117,407.60 $114,020.84 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 16 7 — — $111,825.79 $116,298.82 $112,944.05 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 7 — — $108,654.46 $113,000.64 $109,741.01 2025-01-01
7 MS_DRG Lung Transplant 42 17 — — $15,290.00 $193,183.53 $103,024.73 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 18 — — $15,290.00 $192,832.33 $102,837.80 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $100,545.78 $104,567.61 $101,551.24 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $99,816.61 $103,809.28 $100,814.78 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 7 — — $96,830.89 $100,704.13 $97,799.20 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 17 — — $15,290.00 $180,497.71 $96,272.78 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 16 7 — — $93,563.44 $97,305.99 $94,499.08 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 7 — — $92,599.51 $96,303.49 $93,525.51 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 7 — — $90,814.70 $94,447.30 $91,722.85 2025-01-01
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $90,348.48 $93,962.42 $91,251.96 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 44 18 — — $15,290.00 $169,627.75 $90,487.30 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 16 7 — — $87,071.64 $90,554.51 $87,942.36 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 17 — — $15,290.00 $163,002.15 $86,960.86 2025-01-01
215 MS_DRG Other Heart Assist System Implant 44 18 — — $15,290.00 $160,872.89 $85,827.57 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 16 7 — — $83,603.12 $86,947.24 $84,439.15 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 7 — — $82,228.75 $85,517.90 $83,051.04 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 16 7 — — $81,412.85 $84,669.37 $82,226.99 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 18 — — $15,290.00 $152,848.77 $81,556.78 2025-01-01
'589-1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 16 7 — — $79,625.84 $82,810.87 $80,422.10 2025-01-01
'589-2 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 16 7 — — $78,352.56 $81,486.66 $79,136.08 2025-01-01
'011-2 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $77,643.28 $80,749.01 $78,419.71 2025-01-01
'589-3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 16 7 — — $76,693.15 $79,760.88 $77,460.08 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 44 18 — — $15,290.00 $139,558.19 $74,482.95 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 7 — — $73,098.68 $76,022.64 $73,829.67 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 18 — — $15,290.00 $133,116.85 $71,054.58 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 18 — — $15,290.00 $132,754.62 $70,861.79 2025-01-01
0310453530 NDC Injection Tremelimumab-actl 1 Mg 250 114 $117,000.00 $76,050.00 35% off $20.50 $105,300.00 $70,668.00 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 16 7 — — $69,371.09 $72,145.93 $70,064.80 2025-01-01
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 7 — — $68,593.31 $71,337.04 $69,279.24 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 18 — — $15,290.00 $127,806.28 $68,228.07 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 18 — — $15,290.00 $125,889.63 $67,207.94 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 18 — — $15,290.00 $122,835.90 $65,582.61 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $64,872.34 $67,467.23 $65,521.06 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $64,625.97 $67,211.01 $65,272.23 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 18 — — $15,290.00 $121,443.69 $64,841.61 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 294 127 $105,199.95 $68,379.97 35% off $20.50 $94,679.96 $63,540.77 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $62,553.36 $65,055.50 $63,178.90 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $61,972.79 $64,451.71 $62,592.53 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 16 7 — — $60,390.72 $62,806.35 $60,994.62 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 7 — — $60,381.88 $62,797.16 $60,985.70 2025-01-01
'851-4 APR_DRG Gender Related Procedures 16 7 — — $60,247.65 $62,657.56 $60,850.12 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 18 — — $15,290.00 $113,904.64 $60,829.00 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 18 — — $15,290.00 $110,806.81 $59,180.20 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 250 114 $97,800.00 $63,570.00 35% off $20.50 $88,020.00 $59,071.20 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 18 — — $15,290.00 $109,690.21 $58,585.89 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 18 — — $15,290.00 $108,978.36 $58,207.01 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 18 — — $15,290.00 $108,794.09 $58,108.94 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 288 127 $95,760.00 $62,244.00 35% off $20.50 $86,184.00 $57,839.04 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 18 — — $15,290.00 $108,236.58 $57,812.20 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 18 — — $15,290.00 $107,954.67 $57,662.16 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 7 — — $56,980.20 $59,259.42 $57,550.01 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 18 — — $15,290.00 $107,384.56 $57,358.72 2025-01-01
'007-1 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $56,713.39 $58,981.94 $57,280.53 2025-01-01
27800000002-2117 CDM Valve Sapien Transcath 23mm Ascendra + Sys 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2111 CDM Valve Sapien 3 Thv 26mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2116 CDM Valve Sapien 3 Thv 29mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2107 CDM Valve Sapien 3 Thv 23mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2811 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2112 CDM Valve Sapien 3 Thv 26mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2808 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2106 CDM Valve Sapien 3 Thv 23mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
27800000002-2814 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 250 114 $94,575.00 $61,473.75 35% off $20.50 $85,117.50 $57,123.30 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 7 — — $55,635.66 $57,861.09 $56,192.01 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $55,343.44 $57,557.18 $55,896.88 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 44 18 — — $15,290.00 $104,452.09 $55,797.93 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 7 — — $54,081.21 $56,244.46 $54,622.02 2025-01-01
27800000002-100 CDM Device Impella 5.5 Smartassist 250 114 $90,000.00 $58,500.00 35% off $20.50 $81,000.00 $54,360.00 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 18 — — $15,290.00 $100,247.11 $53,559.86 2025-01-01
27800000002-2445 CDM Valve Aortic Evolut Tm Pro 29mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2444 CDM Valve Aortic Evolut Tm Pro 26mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-3060 CDM Kit Mitraclip 2 Mbr0202 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1496 CDM Kit Mitraclp 3 Sgc0301 Cds0501 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2021 CDM Valve Aort 34mm Evolutr 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2443 CDM Valve Aortic Evolut Tm Pro 26mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2824 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1490 CDM Kit Mitraclip 2 Mbr0302 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2009 CDM Valve Aort 26mm Pro Perc 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1485 CDM Kit Mitraclip 1 Mbr0201 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2448 CDM Valve Aortic Evolut Tm Pro 34mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2450 CDM Valve Aortic Evolut Tm Pro 34mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1483 CDM Kit Mitraclip 1 Mbr0101 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2010 CDM Valve Aort 26mm Pro Perc 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2952 CDM Kit Mitraclip 1 Mbr0303 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1487 CDM Kit Mitraclip 1 Mbr0301 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1489 CDM Kit Mitraclip 2 Mbr0102 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2022 CDM Valve Aort 34mm Evolutr 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2449 CDM Valve Aortic Evolut Tm Pro 34mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2447 CDM Valve Aortic Evolut Tm Pro 29mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1493 CDM Kit Mitraclp 1 Sgc0301 Cds0501 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-1495 CDM Kit Mitraclp 2 Sgc0301 Cds0501 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2978 CDM Kit Mitraclip G4 Delivery Sys Ntw 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
27800000002-2446 CDM Valve Aortic Evolut Tm Pro 29mm 250 114 $87,300.00 $56,745.00 35% off $20.50 $78,570.00 $52,729.20 2025-01-01
J9298 HCPCS Opdualag Per 1 Each 294 127 $87,194.88 $56,676.67 35% off $20.50 $78,475.39 $52,665.71 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 18 — — $15,290.00 $98,369.83 $52,560.68 2025-01-01
27200000002-22961 CDM Handpiece Electr Ster Disp Electrosurgical 250 114 $86,692.50 $56,350.13 35% off $20.50 $78,023.25 $52,362.27 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 18 — — $15,290.00 $97,928.86 $52,325.98 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 44 18 — — $15,290.00 $97,804.44 $52,259.76 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 7 — — $51,637.39 $53,702.89 $52,153.76 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 16 7 — — $51,587.67 $53,651.19 $52,103.55 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 17 — — $15,290.00 $97,281.57 $51,981.47 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 17 — — $15,290.00 $97,281.57 $51,981.47 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 18 — — $15,290.00 $96,720.91 $51,683.05 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 44 18 — — $15,290.00 $96,325.61 $51,472.66 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 294 127 $85,076.88 $55,299.97 35% off $20.50 $76,569.19 $51,386.44 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 18 — — $15,290.00 $95,914.56 $51,253.88 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 18 — — $15,290.00 $95,679.90 $51,128.98 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 18 — — $15,290.00 $95,229.48 $50,889.25 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 7 — — $50,304.45 $52,316.63 $50,807.49 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $50,254.73 $52,264.93 $50,757.28 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 16 7 — — $50,246.44 $52,256.31 $50,748.91 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 44 18 — — $15,290.00 $94,905.05 $50,716.57 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 18 — — $15,290.00 $94,495.57 $50,498.63 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 18 — — $15,290.00 $93,684.50 $50,066.94 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 7 — — $49,517.83 $51,498.54 $50,013.01 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 18 — — $15,290.00 $92,613.57 $49,496.95 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 7 — — $48,807.44 $50,759.75 $49,295.52 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 16 7 — — $48,442.31 $50,380.00 $48,926.74 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 7 — — $48,420.76 $50,357.60 $48,904.97 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 18 — — $15,290.00 $89,717.33 $47,955.44 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 18 — — $15,290.00 $89,503.14 $47,841.44 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 18 — — $15,290.00 $89,277.93 $47,721.57 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 18 — — $15,290.00 $89,197.61 $47,678.82 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 294 127 $78,900.03 $51,285.02 35% off $20.50 $71,010.03 $47,655.62 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 44 18 — — $15,290.00 $88,178.65 $47,136.49 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $46,639.27 $48,504.85 $47,105.67 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 7 — — $46,098.47 $47,942.42 $46,559.46 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 18 — — $15,290.00 $86,701.39 $46,350.23 2025-01-01
'176-4 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 16 7 — — $45,617.33 $47,442.03 $46,073.51 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 16 7 — — $45,225.68 $47,034.72 $45,677.94 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 44 18 — — $15,290.00 $85,258.79 $45,582.41 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $44,313.12 $46,085.64 $44,756.25 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 17 — — $15,290.00 $82,866.51 $44,309.13 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 18 — — $15,290.00 $82,597.21 $44,165.80 2025-01-01
27800000002-1642 CDM Set Pump Impella Cp 250 114 $72,750.00 $47,287.50 35% off $20.50 $65,475.00 $43,941.00 2025-01-01
27800000002-1646 CDM Set Pump Impella Rp 250 114 $72,750.00 $47,287.50 35% off $20.50 $65,475.00 $43,941.00 2025-01-01
27800000002-248 CDM Impella Rp With Smart Assist 250 114 $72,750.00 $47,287.50 35% off $20.50 $65,475.00 $43,941.00 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 18 — — $15,290.00 $81,861.73 $43,774.34 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 18 — — $15,290.00 $81,683.76 $43,679.62 2025-01-01
'690-4 APR_DRG Acute Leukemia 16 7 — — $43,021.05 $44,741.90 $43,451.26 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 18 — — $15,290.00 $81,206.57 $43,425.64 2025-01-01
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 7 — — $42,942.06 $44,659.74 $43,371.48 2025-01-01
'020-4 APR_DRG Open Craniotomy For Trauma 16 7 — — $42,531.07 $44,232.32 $42,956.39 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 7 — — $42,462.02 $44,160.51 $42,886.65 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 18 — — $15,290.00 $79,989.17 $42,777.68 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 18 — — $15,290.00 $79,641.12 $42,592.44 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 18 — — $15,290.00 $79,354.49 $42,439.88 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 18 — — $15,290.00 $78,733.98 $42,109.61 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 44 18 — — $15,290.00 $78,030.00 $41,734.92 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 16 7 — — $41,034.62 $42,676.02 $41,444.97 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 44 18 — — $15,290.00 $77,469.33 $41,436.51 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 7 — — $40,727.49 $42,356.59 $41,134.76 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 44 18 — — $15,290.00 $76,858.27 $41,111.28 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 16 7 — — $40,694.34 $42,322.12 $41,101.29 2025-01-01
'091-3 APR_DRG Other Major Head And Neck Procedures 16 7 — — $40,692.13 $42,319.83 $41,099.06 2025-01-01
27800000002-276 CDM Valve Sapien Thv Edwards Resilia 29mm 250 114 $68,000.00 $44,200.00 35% off $20.50 $61,200.00 $41,072.00 2025-01-01
27800000002-278 CDM Valve Sapien Thv Edwards Resilia 26mm 250 114 $68,000.00 $44,200.00 35% off $20.50 $61,200.00 $41,072.00 2025-01-01
27800000002-274 CDM Valve Sapien Thv Edwards Resilia 23mm 250 114 $68,000.00 $44,200.00 35% off $20.50 $61,200.00 $41,072.00 2025-01-01
27800000002-280 CDM Valve Sapien Thv Edwards Resilia 20mm 250 114 $68,000.00 $44,200.00 35% off $20.50 $61,200.00 $41,072.00 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 42 17 — — $15,290.00 $76,176.34 $40,748.33 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 7 — — $40,304.90 $41,917.11 $40,707.96 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 16 7 — — $40,278.94 $41,890.10 $40,681.73 2025-01-01
10 MS_DRG Pancreas Transplant 42 17 — — $15,290.00 $75,809.39 $40,553.02 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 18 — — $15,290.00 $75,702.29 $40,496.02 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 16 7 — — $40,048.59 $41,650.53 $40,449.07 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 18 — — $15,290.00 $75,318.02 $40,291.49 2025-01-01
J9229 HCPCS Inj Inotuzumab Oxogam Per 0.1 Mg 294 127 $66,706.47 $43,359.21 35% off $20.50 $60,035.82 $40,290.71 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 18 — — $15,290.00 $76,288.16 $40,075.23 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 18 — — $15,290.00 $74,656.56 $39,939.43 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 44 18 — — $15,290.00 $74,234.49 $39,714.79 2025-01-01
'740-4 APR_DRG Mental Illness Diagnosis With O.r. Procedure 16 7 — — $39,291.25 $40,862.90 $39,684.17 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 16 7 — — $39,168.06 $40,734.79 $39,559.74 2025-01-01
27800000002-2115 CDM Valve Sapien 3 Thv 29mm W/command System 250 114 $65,000.00 $42,250.00 35% off $20.50 $58,500.00 $39,260.00 2025-01-01
27800000002-2103 CDM Valve Sapien 3 Thv 20mm W/command System 250 114 $65,000.00 $42,250.00 35% off $20.50 $58,500.00 $39,260.00 2025-01-01
27800000002-2110 CDM Valve Sapien 3 Thv 26mm W/command System 250 114 $65,000.00 $42,250.00 35% off $20.50 $58,500.00 $39,260.00 2025-01-01
27800000002-2810 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 250 114 $65,000.00 $42,250.00 35% off $20.50 $58,500.00 $39,260.00 2025-01-01
27800000002-2813 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 250 114 $65,000.00 $42,250.00 35% off $20.50 $58,500.00 $39,260.00 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 18 — — $15,290.00 $73,210.80 $39,169.94 2025-01-01
'625-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 16 7 — — $38,774.20 $40,325.18 $39,161.94 2025-01-01
J2507 HCPCS Pegloticase Per 1 Mg 294 127 $64,638.66 $42,015.13 35% off $20.50 $58,174.79 $39,041.75 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 44 18 — — $15,290.00 $72,533.59 $38,809.50 2025-01-01
'591-1 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 7 — — $38,373.71 $39,908.67 $38,757.45 2025-01-01
'004-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $38,289.75 $39,821.34 $38,672.65 2025-01-01
'759-4 APR_DRG Eating Disorders 16 7 — — $38,214.07 $39,742.63 $38,596.21 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 16 7 — — $38,026.25 $39,547.31 $38,406.52 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $37,934.00 $39,451.37 $38,313.35 2025-01-01
245 MS_DRG Aicd Generator Procedures 44 18 — — $15,290.00 $71,365.02 $38,187.53 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 18 — — $15,290.00 $71,358.72 $38,184.18 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 7 — — $37,804.19 $39,316.36 $38,182.23 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 7 — — $37,791.48 $39,303.15 $38,169.40 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 18 — — $15,290.00 $71,135.08 $38,065.15 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 18 — — $15,290.00 $70,900.42 $37,940.25 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 18 — — $15,290.00 $70,831.13 $37,903.37 2025-01-01
'232-4 APR_DRG Gastric Fundoplication 16 7 — — $37,466.12 $38,964.76 $37,840.78 2025-01-01
7772694881 NDC Nitroprusside 25 Mcg/ml Solution 1000 Ml Bag 250 114 $62,500.00 $40,625.00 35% off $20.50 $56,250.00 $37,750.00 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 16 7 — — $37,284.38 $38,775.76 $37,657.22 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 18 — — $15,290.00 $70,246.84 $37,592.38 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 16 7 — — $37,162.30 $38,648.79 $37,533.93 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 18 — — $15,290.00 $69,742.87 $37,324.15 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 18 — — $15,290.00 $69,547.58 $37,220.21 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 18 — — $15,290.00 $72,881.65 $36,992.21 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 44 18 — — $15,290.00 $68,695.56 $36,766.73 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 44 18 — — $15,290.00 $68,158.52 $36,480.89 2025-01-01
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 7 — — $36,006.68 $37,446.95 $36,366.74 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 18 — — $15,290.00 $67,764.80 $36,271.33 2025-01-01
27800000002-246 CDM Valve Aortic 23mm Evolut Fx 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-2008 CDM Valve Aort 26mm Pro Perc 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-2014 CDM Valve Aort 29mm Evolutr 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-244 CDM Valve Aortic 34mm Evolut Fx 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-1999 CDM Valve Aort 23mm Pro Perc 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-2017 CDM Valve Aort 29mm Pro Perc 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-2020 CDM Valve Aort 34mm Evolutr 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-2005 CDM Valve Aort 26mm Evolutr 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-243 CDM Valve Aortic 29mm Evolut Fx 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
27800000002-242 CDM Valve Aortic 26mm Evolut Fx 250 114 $60,000.00 $39,000.00 35% off $20.50 $54,000.00 $36,240.00 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 44 18 — — $15,290.00 $67,385.25 $36,069.32 2025-01-01
'011-1 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $35,662.53 $37,089.04 $36,019.16 2025-01-01
J2350 HCPCS Injection Ocrelizumab 1 Mg 294 127 $59,143.14 $38,443.04 35% off $20.50 $53,228.83 $35,722.46 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 44 18 — — $15,290.00 $66,292.27 $35,487.59 2025-01-01
'050-4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 16 7 — — $35,066.49 $36,469.16 $35,417.16 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 16 7 — — $34,962.64 $36,361.16 $35,312.27 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 18 — — $15,290.00 $65,493.79 $35,062.60 2025-01-01
'441-4 APR_DRG Major Bladder Procedures 16 7 — — $34,704.12 $36,092.28 $35,051.16 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 18 — — $15,290.00 $65,200.86 $34,906.69 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 16 7 — — $34,492.55 $35,872.25 $34,837.48 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 16 7 — — $34,448.91 $35,826.87 $34,793.40 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 18 — — $15,290.00 $64,832.33 $34,710.54 2025-01-01
'004-1 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $34,266.07 $35,636.71 $34,608.73 2025-01-01
791 MS_DRG Prematurity With Major Problems 44 18 — — $15,290.00 $64,534.68 $34,552.12 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 16 7 — — $34,125.20 $35,490.22 $34,466.46 2025-01-01
'009-2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $33,946.23 $35,304.08 $34,285.69 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 18 — — $15,290.00 $63,906.29 $34,217.66 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 44 18 — — $15,290.00 $63,701.56 $34,108.69 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 18 — — $15,290.00 $63,644.86 $34,078.52 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 18 — — $15,290.00 $63,224.36 $33,854.71 2025-01-01
27200000002-21713 CDM Connect Perf Y 1/2x3/8x3/8in Unequal 250 114 $56,000.00 $36,400.00 35% off $20.50 $50,400.00 $33,824.00 2025-01-01
27200000002-22959 CDM Handpiece Electr Ster Disp Electrosurgical 250 114 $56,000.00 $36,400.00 35% off $20.50 $50,400.00 $33,824.00 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 18 — — $15,290.00 $63,073.17 $33,774.24 2025-01-01
'651-4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 16 7 — — $33,392.72 $34,728.44 $33,726.65 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $33,205.46 $34,533.68 $33,537.51 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 16 7 — — $33,059.62 $34,382.02 $33,390.22 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 18 — — $15,290.00 $62,329.82 $33,378.60 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 288 127 $55,035.00 $35,772.75 35% off $20.50 $114,584.02 $33,241.14 2025-01-01
'310-4 APR_DRG Intervertebral Disc Excision And Decompression 16 7 — — $32,872.36 $34,187.25 $33,201.08 2025-01-01
'514-4 APR_DRG Female Reproductive System Reconstructive Procedures 16 7 — — $32,715.48 $34,024.10 $33,042.64 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 18 — — $15,290.00 $61,592.76 $32,986.30 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 18 — — $15,290.00 $61,443.15 $32,906.67 2025-01-01
'179-4 APR_DRG Defibrillator Implants 16 7 — — $32,545.89 $33,847.74 $32,871.35 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 18 — — $15,290.00 $61,373.85 $32,869.79 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 18 — — $15,290.00 $61,219.51 $32,787.64 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 7 — — $32,410.00 $33,706.41 $32,734.10 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 18 — — $15,290.00 $61,077.77 $32,712.20 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 7 — — $32,344.82 $33,638.61 $32,668.27 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 7 — — $32,284.05 $33,575.42 $32,606.90 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 16 7 — — $32,217.77 $33,506.48 $32,539.95 2025-01-01
'160-2 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 7 — — $32,186.28 $33,473.73 $32,508.15 2025-01-01
'089-4 APR_DRG Major Cranial Or Facial Bone Procedures 16 7 — — $32,161.42 $33,447.89 $32,483.04 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 18 — — $15,290.00 $60,641.52 $32,480.01 2025-01-01
'181-4 APR_DRG Lower Extremity Arterial Procedures 16 7 — — $32,110.60 $33,395.03 $32,431.71 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 18 — — $15,290.00 $60,249.37 $32,271.29 2025-01-01
'261-4 APR_DRG Major Biliary Tract Procedures 16 7 — — $31,874.17 $33,149.15 $32,192.92 2025-01-01
'841-1 APR_DRG Extensive Third Degree Burns With Skin Graft 16 7 — — $31,871.41 $33,146.28 $32,190.13 2025-01-01
'841-2 APR_DRG Extensive Third Degree Burns With Skin Graft 16 7 — — $31,869.20 $33,143.98 $32,187.90 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 18 — — $15,290.00 $59,669.81 $31,962.82 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 44 18 — — $15,290.00 $59,501.30 $31,873.13 2025-01-01
'009-1 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $31,545.50 $32,807.32 $31,860.96 2025-01-01
'623-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 16 7 — — $31,497.44 $32,757.34 $31,812.42 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 16 7 — — $31,428.39 $32,685.53 $31,742.67 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 7 — — $31,304.10 $32,556.26 $31,617.14 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 44 18 — — $15,290.00 $58,767.39 $31,482.52 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 16 7 — — $31,120.70 $32,365.53 $31,431.90 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 18 — — $15,290.00 $58,620.93 $31,404.56 2025-01-01
'162-2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $31,085.90 $32,329.34 $31,396.76 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 18 — — $15,290.00 $58,578.41 $31,381.93 2025-01-01
C2616 HCPCS Brachytherapy Source Non-stranded Yttrium-90 Per Source 288 127 $51,900.00 $33,735.00 35% off $20.50 $46,710.00 $31,347.60 2025-01-01
'027-4 APR_DRG Other Open Craniotomy 16 7 — — $30,977.08 $32,216.16 $31,286.85 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 18 — — $15,290.00 $58,239.80 $31,201.71 2025-01-01
'613-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 7 — — $30,827.38 $32,060.48 $31,135.65 2025-01-01
'165-3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 7 — — $30,654.47 $31,880.66 $30,961.02 2025-01-01
'230-4 APR_DRG Major Small Bowel Procedures 16 7 — — $30,631.83 $31,857.10 $30,938.15 2025-01-01
See an error in this hospital's data? Submit a correction