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

THREE RIVERS HEALTH

Three Rivers, MI · CCN 230015 · Rates published

Your selected procedure

You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $1,533 across 12 payers · range $1,522-$1,533

Source: https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/381359180-Beacon-Allegan-Hospital-Standard-Charges.csv?v=2 · observed 2026-01-01

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

39,297 distinct procedures filed
71 distinct payers
1,035,565 rate rows
2026-09-21 last MRF observed
Data quality

1,005,137 of 1,035,565 rate rows are consumer-grade (97.1%)

30,428 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
per-diem day rate — not a per-procedure price 14,176
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,786
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,584
placeholder amount (≤ $0.02) — excluded from medians 531
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 267
percent-of-charges filed in the dollar field — excluded from medians 75
template filing: same amount across many unrelated codes — excluded 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/381359180-Beacon-Allegan-Hospital-Standard-Charges.csv?v=2
Found on page https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered viaCMS hospital list
Last fetch success · 2026-10-06
Content fingerprint 9656a81a94a98a93… · 74,143,857 bytes · first seen 2026-10-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 9 $2,414,680.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 9 $1,975,302.94 $3,869,530.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $1,777,623.95 $4,974,693.89 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 10 $1,741,166.91 $4,872,668.58 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 10 $1,578,916.64 $4,418,610.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $1,315,939.29 $4,333,725.00 $2,455,110.61 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 10 $1,249,952.00 $3,498,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $413,052.32 $1,155,930.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $317,165.24 $887,589.30 $591,726.20 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $303,305.76 $848,803.43 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $301,520.47 $843,807.29 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $298,722.41 $835,976.90 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $285,811.37 $799,845.26 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $262,267.27 $733,956.92 $489,304.61 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $309,102.54 $647,742.00 $309,102.54 nat. median
$168,055
1.8× median
5834
OTHER 		Neonate With Ecmo 5 $292,611.04 $292,611.04 $292,611.04 —
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $149,142.00 $417,375.00 $278,250.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene- Per Implant 10 $138,020.00 $386,250.00 $257,500.00 nat. median
$264,195
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $110,223.04 $308,460.00 $205,640.00 nat. median
$207,733
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $201,121.56 $420,358.50 $201,121.56 nat. median
$186,516
1.1× median
5884
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $191,242.03 $191,242.03 $191,242.03 —
5833
OTHER 		Neonate With Ecmo 5 $189,725.36 $189,725.36 $189,725.36 —
1614
OTHER 		Implantable Heart Assist Systems 5 $157,437.62 $157,437.62 $157,437.62 —
6314
OTHER 		Neonate Birthwt >2499g W Other Major Procedure 5 $155,895.97 $155,895.97 $155,895.97 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $153,585.11 $320,257.50 $153,585.11 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 $152,692.56 $318,378.00 $152,692.56 nat. median
$145,435
1.0× median
114
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $145,701.73 $145,701.73 $145,701.73 nat. median
$7,839
outlier · 18.6×
6304
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 $143,255.28 $143,255.28 $143,255.28 —
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $136,869.12 $136,869.12 $136,869.12 —
6094
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 5 $126,015.66 $126,015.66 $126,015.66 —
5883
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $123,561.93 $123,561.93 $123,561.93 —
74
OTHER 		Allogeneic Bone Marrow Transplant 5 $119,598.28 $119,598.28 $119,598.28 nat. median
$4,908
outlier · 24.4×
5934
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 5 $112,321.89 $112,321.89 $112,321.89 —
5914
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 5 $111,225.09 $111,225.09 $111,225.09 —
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $87,444.30 $132,921.00 $110,182.65 nat. median
$2,106
outlier · 52.3×
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 10 $58,277.79 $163,090.83 $108,727.22 nat. median
$108,243
1.0× median
5882
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $106,436.25 $106,436.25 $106,436.25 —
5832
OTHER 		Neonate With Ecmo 5 $105,432.07 $105,432.07 $105,432.07 —
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $103,458.96 $103,458.96 $103,458.96 nat. median
$92,809
1.1× median
6034
OTHER 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 $102,445.03 $102,445.03 $102,445.03 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 $100,166.98 $207,771.00 $100,166.98 nat. median
$97,418
1.0× median
94
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $94,807.55 $94,807.55 $94,807.55 nat. median
$5,680
outlier · 16.7×
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $94,120.75 $94,120.75 $94,120.75 —
7
MS_DRG 		Lung Transplant 9 $93,747.48 $194,253.00 $93,747.48 nat. median
$70,649
1.3× median
5881
OTHER 		Neonate Bwt <1500g W Major Procedure 5 $91,308.53 $91,308.53 $91,308.53 nat. median
$8,666
outlier · 10.5×
8424
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $88,230.96 $88,230.96 $88,230.96 —
1604
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $87,323.03 $87,323.03 $87,323.03 nat. median
$2,154
outlier · 40.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $87,106.46 $180,268.50 $87,106.46 nat. median
$72,715
1.2× median
5913
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 5 $85,641.94 $85,641.94 $85,641.94 —
113
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $85,202.81 $85,202.81 $85,202.81 nat. median
$9,592
outlier · 8.9×

Other procedures at this hospital

Browse this hospital's 39,297 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 13 9 — — $2,414,680.00 $4,730,250.00 $4,505,000.00 2026-05-13
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 13 9 — — $1,975,302.94 $3,869,530.00 $3,685,266.67 2026-05-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 10 — — $1,777,623.95 $4,974,693.89 $3,316,462.59 2026-05-13
J3394 HCPCS Inj- Lovotibeglogene Autotem 14 10 — — $1,741,166.91 $4,872,668.58 $3,248,445.72 2026-05-13
J3393 HCPCS Inj- Betibeglogene Autotemce 14 10 — — $1,578,916.64 $4,418,610.00 $2,945,740.00 2026-05-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 10 — — $1,315,939.29 $4,333,725.00 $2,455,110.61 2026-05-13
J3392 HCPCS Inj- Exagamglogene Autotem 14 10 — — $1,249,952.00 $3,498,000.00 $2,332,000.00 2026-05-13
Q2057 HCPCS Afamitresgene Autoleucel 14 10 — — $413,052.32 $1,155,930.00 $770,620.00 2026-05-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 10 — — $317,165.24 $887,589.30 $591,726.20 2026-05-13
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $303,305.76 $848,803.43 $565,868.95 2026-05-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $301,520.47 $843,807.29 $562,538.19 2026-05-13
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $298,722.41 $835,976.90 $557,317.93 2026-05-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $285,811.37 $799,845.26 $533,230.17 2026-05-13
Q2053 HCPCS Brexucabtagene Car Pos T 15 10 — — $262,267.27 $733,956.92 $489,304.61 2026-05-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 10 — — $309,102.54 $647,742.00 $309,102.54 2026-05-13
5834 OTHER Neonate With Ecmo 5 5 — — $292,611.04 $292,611.04 $292,611.04 2026-05-13
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 10 — — $149,142.00 $417,375.00 $278,250.00 2026-05-13
J3403 HCPCS Revakinagene- Per Implant 14 10 — — $138,020.00 $386,250.00 $257,500.00 2026-05-13
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 10 — — $110,223.04 $308,460.00 $205,640.00 2026-05-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 9 — — $201,121.56 $420,358.50 $201,121.56 2026-05-13
5884 OTHER Neonate Bwt <1500g W Major Procedure 5 5 — — $191,242.03 $191,242.03 $191,242.03 2026-05-13
5833 OTHER Neonate With Ecmo 5 5 — — $189,725.36 $189,725.36 $189,725.36 2026-05-13
1614 OTHER Implantable Heart Assist Systems 5 5 — — $157,437.62 $157,437.62 $157,437.62 2026-05-13
6314 OTHER Neonate Birthwt >2499g W Other Major Procedure 5 5 — — $155,895.97 $155,895.97 $155,895.97 2026-05-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 10 — — $153,585.11 $320,257.50 $153,585.11 2026-05-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 11 10 — — $152,692.56 $318,378.00 $152,692.56 2026-05-13
114 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $145,701.73 $145,701.73 $145,701.73 2026-05-13
6304 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 5 — — $143,255.28 $143,255.28 $143,255.28 2026-05-13
8414 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $136,869.12 $136,869.12 $136,869.12 2026-05-13
6094 OTHER Neonate Bwt 1500-2499g W Major Procedure 5 5 — — $126,015.66 $126,015.66 $126,015.66 2026-05-13
5883 OTHER Neonate Bwt <1500g W Major Procedure 5 5 — — $123,561.93 $123,561.93 $123,561.93 2026-05-13
74 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $119,598.28 $119,598.28 $119,598.28 2026-05-13
5934 OTHER Neonate Birthwt 750-999g Without Major Procedure 5 5 — — $112,321.89 $112,321.89 $112,321.89 2026-05-13
5914 OTHER Neonate Birthwt 500-749g Without Major Procedure 5 5 — — $111,225.09 $111,225.09 $111,225.09 2026-05-13
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 2 — — $87,444.30 $132,921.00 $110,182.65 2026-05-13
Q0480 HCPCS Driver Pneumatic Vad- Rep 14 10 — — $58,277.79 $163,090.83 $108,727.22 2026-05-13
5882 OTHER Neonate Bwt <1500g W Major Procedure 5 5 — — $106,436.25 $106,436.25 $106,436.25 2026-05-13
5832 OTHER Neonate With Ecmo 5 5 — — $105,432.07 $105,432.07 $105,432.07 2026-05-13
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $103,458.96 $103,458.96 $103,458.96 2026-05-13
6034 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 5 — — $102,445.03 $102,445.03 $102,445.03 2026-05-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 11 10 — — $100,166.98 $207,771.00 $100,166.98 2026-05-13
94 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $94,807.55 $94,807.55 $94,807.55 2026-05-13
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $94,120.75 $94,120.75 $94,120.75 2026-05-13
7 MS_DRG Lung Transplant 9 9 — — $93,747.48 $194,253.00 $93,747.48 2026-05-13
5881 OTHER Neonate Bwt <1500g W Major Procedure 5 5 — — $91,308.53 $91,308.53 $91,308.53 2026-05-13
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $88,230.96 $88,230.96 $88,230.96 2026-05-13
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $87,323.03 $87,323.03 $87,323.03 2026-05-13
14 MS_DRG Allogeneic Bone Marrow Transplant 9 9 — — $87,106.46 $180,268.50 $87,106.46 2026-05-13
5913 OTHER Neonate Birthwt 500-749g Without Major Procedure 5 5 — — $85,641.94 $85,641.94 $85,641.94 2026-05-13
113 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $85,202.81 $85,202.81 $85,202.81 2026-05-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $65,447.54 $99,484.50 $82,466.02 2026-05-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 9 — — $82,219.17 $169,977.00 $82,219.17 2026-05-13
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 10 — — $82,126.58 $169,782.00 $82,126.58 2026-05-13
1613 OTHER Implantable Heart Assist Systems 5 5 — — $82,116.39 $82,116.39 $82,116.39 2026-05-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $80,006.69 $165,318.00 $80,006.69 2026-05-13
212 MS_DRG Testes Procedures Age 0-17 11 10 — — $78,958.85 $163,111.50 $78,958.85 2026-05-13
1612 OTHER Implantable Heart Assist Systems 5 5 — — $78,849.43 $78,849.43 $78,849.43 2026-05-13
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $78,168.72 $78,168.72 $78,168.72 2026-05-13
0100T OTHER Prosth Retina Receive&gen 17 7 — — $77,913.19 $77,913.19 $77,913.19 2026-01-01
5933 OTHER Neonate Birthwt 750-999g Without Major Procedure 5 5 — — $77,554.92 $77,554.92 $77,554.92 2026-05-13
5831 OTHER Neonate With Ecmo 5 5 — — $76,786.44 $76,786.44 $76,786.44 2026-05-13
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 2 — — $60,355.65 $91,744.50 $76,050.07 2026-05-13
5891 OTHER Neonate Bwt <500g Or Ga <24 Weeks 5 5 — — $75,103.27 $75,103.27 $75,103.27 2026-05-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 9 — — $74,944.18 $154,657.50 $74,944.18 2026-05-13
5892 OTHER Neonate Bwt <500g Or Ga <24 Weeks 5 5 — — $73,903.98 $73,903.98 $73,903.98 2026-05-13
112 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $73,235.91 $73,235.91 $73,235.91 2026-05-13
215 MS_DRG Other Heart Assist System Implant 11 10 — — $72,426.10 $149,355.00 $72,426.10 2026-05-13
5893 OTHER Neonate Bwt <500g Or Ga <24 Weeks 5 5 — — $72,340.99 $72,340.99 $72,340.99 2026-05-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $71,185.22 $146,742.00 $71,185.22 2026-05-13
152470221 OTHER Polatuzumab Vedotin-piiq 140 Mg/7 Ml Inj 15 10 $94,740.29 $61,581.19 35% off $18,948.06 $94,740.29 $71,055.22 2026-05-13
6303 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 5 — — $68,955.40 $68,955.40 $68,955.40 2026-05-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 10 — — $36,154.63 $101,178.99 $67,452.66 2026-05-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $65,677.51 $135,144.00 $65,677.51 2026-05-13
1611 OTHER Implantable Heart Assist Systems 5 5 — — $65,444.42 $65,444.42 $65,444.42 2026-05-13
5912 OTHER Neonate Birthwt 500-749g Without Major Procedure 5 5 — — $64,711.84 $64,711.84 $64,711.84 2026-05-13
J9029 HCPCS Instill Adstiladrin- Tx Dose 14 10 — — $33,951.46 $95,013.42 $63,342.28 2026-05-13
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $63,183.65 $129,892.50 $63,183.65 2026-05-13
366035 CDM Implant Neuroreceiver Stimulator 56 24 $78,916.95 $38,669.31 51% off $22,096.75 $78,916.95 $62,738.97 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $61,548.16 $126,448.50 $61,548.16 2026-05-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 10 — — $61,359.38 $126,051.00 $61,359.38 2026-05-13
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $61,207.09 $61,207.09 $61,207.09 2026-05-13
84 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $60,975.04 $60,975.04 $60,975.04 2026-05-13
73 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $59,022.87 $59,022.87 $59,022.87 2026-05-13
152481777 OTHER Relatlimab-rmbw-nivolumab 80 Mg-240 Mg/20 Ml 15 10 $78,476.00 $51,009.40 35% off $15,695.20 $78,476.00 $58,857.00 2026-05-13
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $58,476.04 $58,476.04 $58,476.04 2026-05-13
38240 OTHER Transplt Allo Hct/donor 15 10 — — $6,325.00 $87,659.58 $58,439.72 2026-05-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $57,551.29 $118,032.00 $57,551.29 2026-05-13
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 2 2 — — $45,448.06 $69,084.00 $57,266.03 2026-05-13
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $56,985.90 $56,985.90 $56,985.90 2026-05-13
54 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $56,977.58 $56,977.58 $56,977.58 2026-05-13
8514 OTHER Gender Related Procedures 5 5 — — $56,851.14 $56,851.14 $56,851.14 2026-05-13
A9543 HCPCS Y90 Ibritumomab- Rx 15 10 — — $30,457.96 $108,036.36 $56,824.55 2026-05-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $56,194.29 $115,174.50 $56,194.29 2026-05-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 11 10 — — $55,958.52 $114,678.00 $55,958.52 2026-05-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $55,778.29 $114,298.50 $55,778.29 2026-05-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $29,625.96 $89,069.41 $55,272.32 2026-05-13
152470144 OTHER Coagulation Factor VIIa 5,000 Mcg (5 Mg) IV Inj 15 10 $72,360.00 $47,034.00 35% off $14,472.00 $72,360.00 $54,270.00 2026-05-13
6024 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 5 — — $53,773.57 $53,773.57 $53,773.57 2026-05-13
71 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $53,522.26 $53,522.26 $53,522.26 2026-05-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $52,919.73 $108,279.00 $52,919.73 2026-05-13
10 MS_DRG Pancreas Transplant 9 9 — — $52,614.13 $107,635.50 $52,614.13 2026-05-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 10 — — $52,592.77 $107,590.50 $52,592.77 2026-05-13
6134 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 5 5 — — $52,507.16 $52,507.16 $52,507.16 2026-05-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 9 — — $52,321.38 $107,019.00 $52,321.38 2026-05-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $52,291.45 $106,956.00 $52,291.45 2026-05-13
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $52,231.92 $52,231.92 $52,231.92 2026-05-13
220216 CDM Ipilimumab Vl 200mg, Per 1mg 66 28 $66,590.70 $32,629.44 51% off $18,645.40 $66,590.70 $51,940.75 2026-01-01
220489 CDM Ipilimumab Vl 200mg, Per 1mg 66 28 $66,590.70 $32,629.44 51% off $18,645.40 $66,590.70 $51,940.75 2026-01-01
5932 OTHER Neonate Birthwt 750-999g Without Major Procedure 5 5 — — $51,043.03 $51,043.03 $51,043.03 2026-05-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 10 — — $50,734.32 $103,677.00 $50,734.32 2026-05-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $50,492.83 $103,168.50 $50,492.83 2026-05-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $49,447.13 $100,966.50 $49,447.13 2026-05-13
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $49,129.44 $100,297.50 $49,129.44 2026-05-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $49,094.54 $100,224.00 $49,094.54 2026-05-13
53 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $48,741.23 $48,741.23 $48,741.23 2026-05-13
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $48,694.40 $48,694.40 $48,694.40 2026-05-13
L7181 HCPCS Electronic Elbo Simultaneous 14 10 — — $25,926.73 $72,556.14 $48,370.76 2026-05-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $48,337.33 $98,629.50 $48,337.33 2026-05-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $48,337.33 $98,629.50 $48,337.33 2026-05-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $48,167.08 $98,271.00 $48,167.08 2026-05-13
72 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $47,438.92 $47,438.92 $47,438.92 2026-05-13
8634 OTHER Neonatal Aftercare 5 5 — — $47,431.11 $47,431.11 $47,431.11 2026-05-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 10 — — $47,335.79 $96,520.50 $47,335.79 2026-05-13
152470248 OTHER Luspatercept-aamt 75 Mg/1.5 Ml Inj 15 10 $62,790.00 $40,813.50 35% off $12,558.00 $62,790.00 $47,092.50 2026-05-13
L7180 HCPCS Electronic Elbow Sequential 14 10 — — $25,181.48 $70,470.57 $46,980.38 2026-05-13
6093 OTHER Neonate Bwt 1500-2499g W Major Procedure 5 5 — — $46,744.84 $46,744.84 $46,744.84 2026-05-13
6033 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 5 — — $46,075.73 $46,075.73 $46,075.73 2026-05-13
6124 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 5 5 — — $45,731.81 $45,731.81 $45,731.81 2026-05-13
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $45,711.52 $45,711.52 $45,711.52 2026-05-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $36,096.16 $54,868.50 $45,482.33 2026-05-13
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 11 10 — — $45,153.94 $91,926.00 $45,153.94 2026-05-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $45,103.36 $91,819.50 $45,103.36 2026-05-13
J9226 HCPCS Supprelin La Implant 15 10 — — $24,131.07 $71,485.59 $45,020.65 2026-05-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $44,685.24 $90,939.00 $44,685.24 2026-05-13
0266T CPT Implt/rpl Crtd Sns Dev Total 15 10 — — $12,334.00 $66,698.84 $44,465.89 2026-05-13
33276 OTHER Insj Phrnc Nrv Stim Sys 15 10 — — $12,334.00 $66,698.84 $44,465.89 2026-05-13
152470181 OTHER Ocrelizumab 300 Mg/10 Ml Inj 15 10 $59,144.00 $38,443.60 35% off $11,828.80 $59,144.00 $44,358.00 2026-05-13
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $44,298.44 $90,124.50 $44,298.44 2026-05-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $44,286.32 $90,099.00 $44,286.32 2026-05-13
93 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $44,033.55 $44,033.55 $44,033.55 2026-05-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 10 — — $43,976.46 $89,446.50 $43,976.46 2026-05-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 10 10 — — $43,836.84 $89,152.50 $43,836.84 2026-05-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 9 — — $43,738.54 $88,945.50 $43,738.54 2026-05-13
6804 OTHER Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 5 5 — — $43,524.18 $43,524.18 $43,524.18 2026-05-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $43,303.31 $88,029.00 $43,303.31 2026-05-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $43,276.25 $87,972.00 $43,276.25 2026-05-13
1764 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $43,071.00 $43,071.00 $43,071.00 2026-05-13
152470134 OTHER Atezolizumab 1200 Mg/20 Ml Inj 15 10 $57,272.00 $37,226.80 35% off $11,454.40 $57,272.00 $42,954.00 2026-05-13
8413 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $42,702.10 $42,702.10 $42,702.10 2026-05-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $42,580.30 $86,506.50 $42,580.30 2026-05-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $42,318.16 $85,954.50 $42,318.16 2026-05-13
213 MS_DRG Splenic Procedures Age 0-17 11 10 — — $42,151.48 $85,603.50 $42,151.48 2026-05-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $42,098.76 $85,492.50 $42,098.76 2026-05-13
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $41,842.57 $41,842.57 $41,842.57 2026-05-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $41,546.70 $84,330.00 $41,546.70 2026-05-13
8 MS_DRG Simultaneous Pancreas/kidney Transplant 9 9 — — $41,422.77 $84,069.00 $41,422.77 2026-05-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $41,149.24 $83,493.00 $41,149.24 2026-05-13
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 10 — — $40,841.51 $82,845.00 $40,841.51 2026-05-13
6904 OTHER Acute Leukemia 5 5 — — $40,625.59 $40,625.59 $40,625.59 2026-05-13
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 11 10 — — $40,605.73 $82,348.50 $40,605.73 2026-05-13
6313 OTHER Neonate Birthwt >2499g W Other Major Procedure 5 5 — — $40,551.18 $40,551.18 $40,551.18 2026-05-13
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 11 10 — — $40,467.54 $82,057.50 $40,467.54 2026-05-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 11 10 — — $40,411.98 $81,940.50 $40,411.98 2026-05-13
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 11 10 — — $40,350.70 $81,811.50 $40,350.70 2026-05-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 9 — — $40,195.42 $81,484.50 $40,195.42 2026-05-13
204 OTHER Open Craniotomy For Trauma 5 5 — — $40,164.08 $40,164.08 $40,164.08 2026-05-13
6074 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 5 — — $40,099.04 $40,099.04 $40,099.04 2026-05-13
152470078 OTHER Alteplase 100 Mg Inj 15 10 $52,803.00 $34,321.95 35% off $10,560.60 $52,803.00 $39,602.25 2026-05-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $39,486.66 $79,992.00 $39,486.66 2026-05-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $39,463.86 $79,944.00 $39,463.86 2026-05-13
152470237 OTHER Daratumumab-hyaluronidase-fihj 1800 Mg-30,000 Units/15 Ml Inj 15 10 $52,343.00 $34,022.95 35% off $10,468.60 $52,343.00 $39,257.25 2026-05-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $39,208.85 $79,407.00 $39,208.85 2026-05-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $39,084.18 $79,144.50 $39,084.18 2026-05-13
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 14 10 — — $20,776.77 $58,143.95 $38,762.63 2026-05-13
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $38,754.59 $38,754.59 $38,754.59 2026-05-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $38,579.16 $78,081.00 $38,579.16 2026-05-13
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $38,515.05 $77,946.00 $38,515.05 2026-05-13
6302 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 5 — — $38,465.30 $38,465.30 $38,465.30 2026-05-13
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $38,434.08 $38,434.08 $38,434.08 2026-05-13
913 OTHER Other Major Head And Neck Procedures 5 5 — — $38,432.00 $38,432.00 $38,432.00 2026-05-13
6023 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 5 — — $38,067.27 $38,067.27 $38,067.27 2026-05-13
914 OTHER Other Major Head And Neck Procedures 5 5 — — $38,042.82 $38,042.82 $38,042.82 2026-05-13
1784 OTHER External Heart Assist Systems 5 5 — — $37,825.85 $37,825.85 $37,825.85 2026-05-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $37,402.38 $75,603.00 $37,402.38 2026-05-13
7404 OTHER Mental Illness Diagnosis With O.r. Procedure 5 5 — — $37,112.52 $37,112.52 $37,112.52 2026-05-13
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 11 10 — — $37,026.29 $74,811.00 $37,026.29 2026-05-13
9114 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 5 5 — — $36,996.49 $36,996.49 $36,996.49 2026-05-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $36,741.35 $74,211.00 $36,741.35 2026-05-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $36,678.66 $74,079.00 $36,678.66 2026-05-13
152480923 OTHER Lanreotide 120 Mg/0.5 Ml SubQ Monthly Inj 30 10 $49,828.00 $32,388.20 35% off $9,604.20 $51,635.00 $36,664.04 2026-05-13
6254 OTHER Neonate Bwt 2000-2499g W Other Significant Condition 5 5 — — $36,625.52 $36,625.52 $36,625.52 2026-05-13
220523 CDM Ocrelizumab Vl 300mg, Per 1mg 66 28 $46,939.00 $23,000.11 51% off $13,142.92 $46,939.00 $36,612.42 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $36,558.29 $73,825.50 $36,558.29 2026-05-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $36,412.26 $73,518.00 $36,412.26 2026-05-13
5911 OTHER Neonate Birthwt 500-749g Without Major Procedure 5 5 — — $36,248.30 $36,248.30 $36,248.30 2026-05-13
42 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $36,169.22 $36,169.22 $36,169.22 2026-05-13
7594 OTHER Eating Disorders 5 5 — — $36,097.94 $36,097.94 $36,097.94 2026-05-13
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $35,921.03 $35,921.03 $35,921.03 2026-05-13
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $35,895.82 $72,430.50 $35,895.82 2026-05-13
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $35,834.14 $35,834.14 $35,834.14 2026-05-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 10 — — $35,722.01 $72,064.50 $35,722.01 2026-05-13
6814 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 5 5 — — $35,699.91 $35,699.91 $35,699.91 2026-05-13
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 11 10 — — $35,412.14 $71,412.00 $35,412.14 2026-05-13
2324 OTHER Gastric Fundoplication 5 5 — — $35,393.45 $35,393.45 $35,393.45 2026-05-13
152481650 OTHER Pertuzumab-trastuzumab-hyaluronidase 600 Mg-600 Mg-20,000 Units/10 Ml Inj - *Mai… 15 10 $47,116.00 $30,625.40 35% off $9,423.20 $47,116.00 $35,337.00 2026-05-13
6954 OTHER Chemotherapy For Acute Leukemia 5 5 — — $35,222.27 $35,222.27 $35,222.27 2026-05-13
924 OTHER Facial Bone Procedures Except Major Cranial/facial Bone Procedures 6 5 — — $77.70 $35,107.29 $35,107.29 2026-05-13
152470177 OTHER Vedolizumab 300 Mg Inj 15 10 $46,800.00 $30,420.00 35% off $9,360.00 $46,800.00 $35,100.00 2026-05-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 9 — — $34,989.03 $70,521.00 $34,989.03 2026-05-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $34,920.64 $70,377.00 $34,920.64 2026-05-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $34,820.91 $70,167.00 $34,820.91 2026-05-13
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 15 10 — — $10,120.00 $51,877.04 $34,584.69 2026-05-13
152470073 OTHER Ipilimumab 50 Mg/10 Ml Inj 15 10 $46,076.00 $29,949.40 35% off $9,215.20 $46,076.00 $34,557.00 2026-05-13
6 MS_DRG Liver Transplant Without Mcc 9 9 — — $34,530.29 $69,555.00 $34,530.29 2026-05-13
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $34,398.50 $69,277.50 $34,398.50 2026-05-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 14 10 — — $18,376.46 $51,426.66 $34,284.44 2026-05-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 10 — — $34,241.79 $68,947.50 $34,241.79 2026-05-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $34,158.46 $68,772.00 $34,158.46 2026-05-13
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $34,018.82 $34,018.82 $34,018.82 2026-05-13
245 MS_DRG Aicd Generator Procedures 11 10 — — $33,998.89 $68,436.00 $33,998.89 2026-05-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $33,901.31 $68,230.50 $33,901.31 2026-05-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $33,887.05 $68,200.50 $33,887.05 2026-05-13
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $33,760.26 $67,933.50 $33,760.26 2026-05-13
111 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $33,694.67 $33,694.67 $33,694.67 2026-05-13
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $33,424.76 $67,227.00 $33,424.76 2026-05-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $33,415.50 $67,207.50 $33,415.50 2026-05-13
152470007 OTHER Obinutuzumab 1000 Mg/40 Ml Inj 15 10 $44,506.00 $28,928.90 35% off $8,901.20 $44,506.00 $33,379.50 2026-05-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $33,290.12 $66,943.50 $33,290.12 2026-05-13
504 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $33,133.27 $33,133.27 $33,133.27 2026-05-13
152470023 OTHER Leuprolide Depot 30 Mg/4 Months IM Inj Kit 15 10 $44,153.00 $28,699.45 35% off $8,830.60 $44,153.00 $33,114.75 2026-05-13
1834 OTHER Percutaneous Structural Cardiac Procedures 5 5 — — $33,035.45 $33,035.45 $33,035.45 2026-05-13
4414 OTHER Major Bladder Procedures 5 5 — — $32,791.95 $32,791.95 $32,791.95 2026-05-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $32,790.79 $65,892.00 $32,790.79 2026-05-13
1694 OTHER Major Abdominal Vascular Procedures 5 5 — — $32,592.68 $32,592.68 $32,592.68 2026-05-13
1204 OTHER Major Respiratory And Chest Procedures 5 5 — — $32,551.57 $32,551.57 $32,551.57 2026-05-13
41 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $32,379.35 $32,379.35 $32,379.35 2026-05-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $32,324.92 $64,911.00 $32,324.92 2026-05-13
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $32,246.68 $32,246.68 $32,246.68 2026-05-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 10 — — $32,079.18 $64,393.50 $32,079.18 2026-05-13
92 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $32,078.10 $32,078.10 $32,078.10 2026-05-13
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $31,882.56 $63,979.50 $31,882.56 2026-05-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $31,708.04 $63,612.00 $31,708.04 2026-05-13
0408T CPT Insj/rplc Cardiac Modulj Sys 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
33231 OTHER Insrt Pulse Gen W/mult Leads 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
0571T CPT Insj/rplcmt Icds Ss Eltrd 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
33270 OTHER Ins/rep Subq Defibrillator 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
33249 OTHER Insj/rplcmt Defib W/lead(s) 15 10 — — $12,334.00 $47,521.03 $31,680.69 2026-05-13
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 10 — — $18,002.67 $47,521.03 $31,680.69 2026-05-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $31,582.68 $63,348.00 $31,582.68 2026-05-13
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $31,556.76 $31,556.76 $31,556.76 2026-05-13
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 11 10 — — $31,531.39 $63,240.00 $31,531.39 2026-05-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $31,516.42 $63,208.50 $31,516.42 2026-05-13
69930 OTHER Implant Cochlear Device 15 10 — — $12,334.00 $47,144.92 $31,429.94 2026-05-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 10 — — $31,428.81 $63,024.00 $31,428.81 2026-05-13
901 MS_DRG Wound Debridements For Injuries With Mcc 11 10 — — $31,393.20 $62,949.00 $31,393.20 2026-05-13
83 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $31,380.38 $31,380.38 $31,380.38 2026-05-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $31,337.63 $62,832.00 $31,337.63 2026-05-13
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $31,243.02 $31,243.02 $31,243.02 2026-05-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 10 — — $31,222.24 $62,589.00 $31,222.24 2026-05-13
793 MS_DRG Full Term Neonate With Major Problems 10 10 — — $31,200.87 $62,544.00 $31,200.87 2026-05-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $31,082.63 $62,295.00 $31,082.63 2026-05-13
3104 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 5 5 — — $31,066.64 $31,066.64 $31,066.64 2026-05-13
152470231 OTHER Lurbinectedin 4 Mg Inj 15 10 $41,256.00 $26,816.40 35% off $8,251.20 $41,256.00 $30,942.00 2026-05-13
5144 OTHER Female Reproductive System Reconstructive Procedures 5 5 — — $30,918.87 $30,918.87 $30,918.87 2026-05-13
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 11 10 — — $30,886.72 $61,882.50 $30,886.72 2026-05-13
1794 OTHER Defibrillator Implants 5 5 — — $30,759.14 $30,759.14 $30,759.14 2026-05-13
6022 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 5 — — $30,631.14 $30,631.14 $30,631.14 2026-05-13
6114 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 5 5 — — $30,569.75 $30,569.75 $30,569.75 2026-05-13
7924 OTHER Extensive Or Procedures For Other Complications Of Treatment 5 5 — — $30,512.52 $30,512.52 $30,512.52 2026-05-13
1602 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $30,420.42 $30,420.42 $30,420.42 2026-05-13
791 MS_DRG Prematurity With Major Problems 10 10 — — $30,413.03 $60,885.00 $30,413.03 2026-05-13
894 OTHER Major Cranial/facial Bone Procedures 5 5 — — $30,397.01 $30,397.01 $30,397.01 2026-05-13
1814 OTHER Lower Extremity Vascular Procedures 5 5 — — $30,349.14 $30,349.14 $30,349.14 2026-05-13
152470187 OTHER Nivolumab 240 Mg/24 Ml Inj 15 10 $40,419.00 $26,272.35 35% off $8,083.80 $40,419.00 $30,314.25 2026-05-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $30,138.79 $60,307.50 $30,138.79 2026-05-13
2614 OTHER Major Biliary Tract Procedures 5 5 — — $30,126.45 $30,126.45 $30,126.45 2026-05-13
8411 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $30,123.85 $30,123.85 $30,123.85 2026-05-13
8412 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $30,121.77 $30,121.77 $30,121.77 2026-05-13
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 15 10 — — $2,471.00 $45,167.34 $30,111.56 2026-05-13
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
61886 OTHER Implant Neurostim Arrays 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
64568 OTHER Opn Impltj Crnl Nrv Nea&pg 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
0268T CPT Implt/rpl Crtd Sns Dev Gen 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
64582 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 15 10 — — $12,334.00 $45,167.34 $30,111.56 2026-05-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 10 — — $29,879.50 $59,761.50 $29,879.50 2026-05-13
91 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $29,816.88 $29,816.88 $29,816.88 2026-05-13
6234 OTHER Neonate Bwt 2000-2499g W Congenital/perinatal Infection 5 5 — — $29,771.61 $29,771.61 $29,771.61 2026-05-13
1704 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 5 — — $29,706.57 $29,706.57 $29,706.57 2026-05-13
9504 OTHER Extensive Procedure Unrelated To Principal Diagnosis 5 5 — — $29,589.50 $29,589.50 $29,589.50 2026-05-13
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $29,416.76 $29,416.76 $29,416.76 2026-05-13
1622 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $29,383.99 $29,383.99 $29,383.99 2026-05-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $29,365.20 $58,678.50 $29,365.20 2026-05-13
3400223 CDM Temp Pacemaker Insert 1 1 $29,289.00 $14,351.61 51% off $29,289.00 $29,289.00 $29,289.00 2026-01-01
274 OTHER Other Open Craniotomy 6 5 — — $486.63 $29,281.49 $29,281.49 2026-05-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 10 — — $29,239.13 $58,413.00 $29,239.13 2026-05-13
6133 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 5 5 — — $29,140.49 $29,140.49 $29,140.49 2026-05-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $29,071.72 $58,060.50 $29,071.72 2026-05-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 9 — — $29,030.41 $57,973.50 $29,030.41 2026-05-13
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