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 →

Export CSV
Hospital

TRINITY HEALTH MUSKEGON HOSPITAL

Muskegon, MI · CCN 230066 · Rates published

23,066 distinct procedures filed
161 distinct payers
6,398,875 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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/mercyhealthhackley
Found on page https://www.trinityhealthmichigan.org/tools-and-resources/billing-and-insurance/our-prices
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint cb2c9aeacdea80b9… · 224,140,516 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
J1823
HCPCS 		Inj. Inebilizumab-cdon 1 Mg 147 $338.69 $370,157.28 $312,165.98 nat. median
$562
outlier · 555.2×
'583-4
OTHER 		Neonate With Ecmo 5 $307,532.80 $319,834.11 $307,532.80 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $209,100.36 $628,057.51 $298,714.80 nat. median
$168,055
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $153,824.96 $461,949.83 $219,749.94 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $149,627.72 $449,336.76 $213,753.89 nat. median
$131,925
1.6× median
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $201,078.78 $209,121.93 $201,078.78 —
'583-3
OTHER 		Neonate With Ecmo 5 $199,486.02 $207,465.46 $199,486.02 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $121,046.37 $363,447.15 $172,923.38 nat. median
$145,435
1.2× median
'161-4
OTHER 		Implantable Heart Assist Systems 5 $165,578.63 $172,201.78 $165,578.63 —
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $163,959.64 $170,518.03 $163,959.64 —
'011-4
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $153,254.03 $159,384.19 $153,254.03 —
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $150,684.86 $156,712.25 $150,684.86 —
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $143,978.34 $149,737.47 $143,978.34 —
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $132,580.44 $137,883.66 $132,580.44 —
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $130,003.62 $135,203.76 $130,003.62 —
'007-4
OTHER 		Allogeneic Bone Marrow Transplant 5 $125,841.14 $130,874.79 $125,841.14 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $83,491.36 $250,590.90 $119,273.37 nat. median
$97,418
1.2× median
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 147 $42.99 $140,820.28 $118,758.44 nat. median
$76
outlier · 1571.1×
'593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $118,199.74 $122,927.73 $118,199.74 —
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $117,047.92 $121,729.84 $117,047.92 —
'588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $112,018.86 $116,499.61 $112,018.86 —
'583-2
OTHER 		Neonate With Ecmo 5 $110,964.31 $115,402.88 $110,964.31 —
'603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $107,827.42 $112,140.52 $107,827.42 —
'009-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $99,806.82 $103,799.09 $99,806.82 —
7
MS_DRG 		Lung Transplant 11 $69,686.26 $209,105.32 $99,551.80 nat. median
$70,649
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $69,559.76 $208,725.17 $99,371.09 nat. median
$65,418
1.5× median
'004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $99,085.57 $103,048.99 $99,085.57 —
'588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $96,132.28 $99,977.57 $96,132.28 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $65,116.90 $195,373.96 $93,024.14 nat. median
$72,715
1.3× median
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $92,900.32 $96,616.33 $92,900.32 —
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $91,946.86 $95,624.73 $91,946.86 —
'591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $90,181.44 $93,788.70 $90,181.44 —
'011-3
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $89,720.28 $93,309.09 $89,720.28 —
2433805008
NDC 		Carmustine In Polifeprosan 7.7 Mg Wafer 8 Each Box 140 $55,500.99 $104,631.11 $88,238.90 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $61,201.60 $183,608.12 $87,430.85 nat. median
$74,509
1.2× median
'161-3
OTHER 		Implantable Heart Assist Systems 5 $86,479.03 $89,938.19 $86,479.03 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $58,815.09 $176,436.45 $84,021.56 nat. median
$69,922
1.2× median
'161-2
OTHER 		Implantable Heart Assist Systems 5 $83,048.18 $86,370.11 $83,048.18 —
215
MS_DRG 		Other Heart Assist System Implant 11 $58,048.14 $174,131.70 $82,925.92 nat. median
$73,023
1.1× median
'593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $81,688.74 $84,956.29 $81,688.74 —
'583-1
OTHER 		Neonate With Ecmo 5 $80,881.71 $84,116.98 $80,881.71 —
J9600
HCPCS 		Porfimer Per 75 Mg 147 $4,777.54 $94,679.96 $79,846.76 nat. median
$26,416
outlier · 3.0×
'589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $79,114.10 $82,278.66 $79,114.10 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $55,157.90 $165,446.25 $78,797.00 nat. median
$69,822
1.1× median
'589-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $77,854.65 $80,968.84 $77,854.65 —
J9228
HCPCS 		Injection Ipilimumab 1 Mg 147 $123.75 $92,150.68 $77,713.74 nat. median
$6,073
outlier · 12.8×
'011-2
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $77,153.08 $80,239.20 $77,153.08 —
'589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $76,213.27 $79,261.80 $76,213.27 —
A9542
HCPCS 		Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 141 $3,966.37 $88,020.00 $74,230.20 nat. median
$3,055
outlier · 24.3×
A9604
HCPCS 		Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 147 $12,081.90 $86,184.00 $72,681.84 nat. median
$11,059
outlier · 6.6×

Other procedures at this hospital

Browse this hospital's 23,066 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
             
J1823 HCPCS Inj. Inebilizumab-cdon 1 Mg 167 147 $411,285.87 $267,335.82 35% off $338.69 $370,157.28 $312,165.98 2025-01-01
'583-4 OTHER Neonate With Ecmo 5 5 — — $307,532.80 $319,834.11 $307,532.80 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 11 — — $209,100.36 $628,057.51 $298,714.80 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 11 — — $153,824.96 $461,949.83 $219,749.94 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 11 — — $149,627.72 $449,336.76 $213,753.89 2025-01-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $201,078.78 $209,121.93 $201,078.78 2025-01-01
'583-3 OTHER Neonate With Ecmo 5 5 — — $199,486.02 $207,465.46 $199,486.02 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 11 — — $121,046.37 $363,447.15 $172,923.38 2025-01-01
'161-4 OTHER Implantable Heart Assist Systems 5 5 — — $165,578.63 $172,201.78 $165,578.63 2025-01-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $163,959.64 $170,518.03 $163,959.64 2025-01-01
'011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $153,254.03 $159,384.19 $153,254.03 2025-01-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $150,684.86 $156,712.25 $150,684.86 2025-01-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $143,978.34 $149,737.47 $143,978.34 2025-01-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $132,580.44 $137,883.66 $132,580.44 2025-01-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $130,003.62 $135,203.76 $130,003.62 2025-01-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $125,841.14 $130,874.79 $125,841.14 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 11 — — $83,491.36 $250,590.90 $119,273.37 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 167 147 $156,466.98 $101,703.54 35% off $42.99 $140,820.28 $118,758.44 2025-01-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $118,199.74 $122,927.73 $118,199.74 2025-01-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $117,047.92 $121,729.84 $117,047.92 2025-01-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $112,018.86 $116,499.61 $112,018.86 2025-01-01
'583-2 OTHER Neonate With Ecmo 5 5 — — $110,964.31 $115,402.88 $110,964.31 2025-01-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $107,827.42 $112,140.52 $107,827.42 2025-01-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $99,806.82 $103,799.09 $99,806.82 2025-01-01
7 MS_DRG Lung Transplant 15 11 — — $69,686.26 $209,105.32 $99,551.80 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 11 — — $69,559.76 $208,725.17 $99,371.09 2025-01-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $99,085.57 $103,048.99 $99,085.57 2025-01-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $96,132.28 $99,977.57 $96,132.28 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 11 — — $65,116.90 $195,373.96 $93,024.14 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $92,900.32 $96,616.33 $92,900.32 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $91,946.86 $95,624.73 $91,946.86 2025-01-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $90,181.44 $93,788.70 $90,181.44 2025-01-01
'011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $89,720.28 $93,309.09 $89,720.28 2025-01-01
2433805008 NDC Carmustine In Polifeprosan 7.7 Mg Wafer 8 Each Box 154 140 $116,256.79 $75,566.91 35% off $55,500.99 $104,631.11 $88,238.90 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 11 — — $61,201.60 $183,608.12 $87,430.85 2025-01-01
'161-3 OTHER Implantable Heart Assist Systems 5 5 — — $86,479.03 $89,938.19 $86,479.03 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 11 — — $58,815.09 $176,436.45 $84,021.56 2025-01-01
'161-2 OTHER Implantable Heart Assist Systems 5 5 — — $83,048.18 $86,370.11 $83,048.18 2025-01-01
215 MS_DRG Other Heart Assist System Implant 15 11 — — $58,048.14 $174,131.70 $82,925.92 2025-01-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $81,688.74 $84,956.29 $81,688.74 2025-01-01
'583-1 OTHER Neonate With Ecmo 5 5 — — $80,881.71 $84,116.98 $80,881.71 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 167 147 $105,199.95 $68,379.97 35% off $4,777.54 $94,679.96 $79,846.76 2025-01-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $79,114.10 $82,278.66 $79,114.10 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $55,157.90 $165,446.25 $78,797.00 2025-01-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $77,854.65 $80,968.84 $77,854.65 2025-01-01
J9228 HCPCS Injection Ipilimumab 1 Mg 167 147 $102,389.64 $66,553.27 35% off $123.75 $92,150.68 $77,713.74 2025-01-01
'011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $77,153.08 $80,239.20 $77,153.08 2025-01-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $76,213.27 $79,261.80 $76,213.27 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 156 141 $97,800.00 $63,570.00 35% off $3,966.37 $88,020.00 $74,230.20 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 167 147 $95,760.00 $62,244.00 35% off $12,081.90 $86,184.00 $72,681.84 2025-01-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $72,657.84 $75,564.15 $72,657.84 2025-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 15 11 — — $50,370.71 $151,060.29 $71,958.15 2025-01-01
27800000002-2116 CDM Valve Sapien 3 Thv 29mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2111 CDM Valve Sapien 3 Thv 26mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2106 CDM Valve Sapien 3 Thv 23mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2814 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2811 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2808 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2117 CDM Valve Sapien Transcath 23mm Ascendra + Sys 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2107 CDM Valve Sapien 3 Thv 23mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
27800000002-2112 CDM Valve Sapien 3 Thv 26mm W/command System 154 140 $94,575.00 $61,473.75 35% off $45,150.11 $85,117.50 $71,782.43 2025-01-01
'161-1 OTHER Implantable Heart Assist Systems 5 5 — — $68,970.74 $71,729.57 $68,970.74 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 11 — — $48,050.57 $144,088.06 $68,643.67 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $47,920.10 $143,695.98 $68,457.28 2025-01-01
27800000002-100 CDM Device Impella 5.5 Smartassist 154 140 $90,000.00 $58,500.00 35% off $42,966.00 $81,000.00 $68,310.00 2025-01-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $68,201.40 $70,929.46 $68,201.40 2025-01-01
27800000002-2824 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2952 CDM Kit Mitraclip 1 Mbr0303 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1490 CDM Kit Mitraclip 2 Mbr0302 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2444 CDM Valve Aortic Evolut Tm Pro 26mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1496 CDM Kit Mitraclp 3 Sgc0301 Cds0501 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2446 CDM Valve Aortic Evolut Tm Pro 29mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2022 CDM Valve Aort 34mm Evolutr 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2021 CDM Valve Aort 34mm Evolutr 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2448 CDM Valve Aortic Evolut Tm Pro 34mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-3060 CDM Kit Mitraclip 2 Mbr0202 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1483 CDM Kit Mitraclip 1 Mbr0101 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2450 CDM Valve Aortic Evolut Tm Pro 34mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1489 CDM Kit Mitraclip 2 Mbr0102 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1495 CDM Kit Mitraclp 2 Sgc0301 Cds0501 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1487 CDM Kit Mitraclip 1 Mbr0301 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2010 CDM Valve Aort 26mm Pro Perc 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1485 CDM Kit Mitraclip 1 Mbr0201 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-1493 CDM Kit Mitraclp 1 Sgc0301 Cds0501 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2447 CDM Valve Aortic Evolut Tm Pro 29mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2443 CDM Valve Aortic Evolut Tm Pro 26mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2009 CDM Valve Aort 26mm Pro Perc 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2445 CDM Valve Aortic Evolut Tm Pro 29mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2449 CDM Valve Aortic Evolut Tm Pro 34mm 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
27800000002-2978 CDM Kit Mitraclip G4 Delivery Sys Ntw 154 140 $87,300.00 $56,745.00 35% off $41,677.02 $78,570.00 $66,260.70 2025-01-01
J9298 HCPCS Opdualag Per 1 Each 167 147 $87,194.88 $56,676.67 35% off $133.35 $78,475.39 $66,180.91 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 11 — — $46,137.73 $138,339.81 $65,911.04 2025-01-01
27200000002-22961 CDM Handpiece Electr Ster Disp Electrosurgical 154 140 $86,692.50 $56,350.13 35% off $41,387.00 $78,023.25 $65,799.61 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 11 — — $45,447.36 $136,265.19 $64,924.80 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 167 147 $85,076.88 $55,299.97 35% off $115.63 $76,569.19 $64,573.35 2025-01-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $64,520.85 $67,101.68 $64,520.85 2025-01-01
'008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $64,277.16 $66,848.25 $64,277.16 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 15 11 — — $44,347.42 $132,959.78 $63,353.46 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $43,845.96 $131,452.83 $62,637.08 2025-01-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $62,227.07 $64,716.15 $62,227.07 2025-01-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $61,652.80 $64,118.91 $61,652.80 2025-01-01
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $60,087.91 $62,491.43 $60,087.91 2025-01-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $60,079.17 $62,482.34 $60,079.17 2025-01-01
'851-4 OTHER Gender Related Procedures 5 5 — — $59,946.39 $62,344.25 $59,946.39 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 167 147 $78,900.03 $51,285.02 35% off $144.49 $71,010.03 $59,885.12 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 11 — — $41,130.43 $123,292.43 $58,757.76 2025-01-01
J3357 HCPCS Ustekinumab Sub Cu Inj 1 Mg 167 147 $76,829.58 $49,939.23 35% off $110.71 $69,146.62 $58,313.65 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 11 — — $40,014.61 $119,939.28 $57,163.73 2025-01-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $56,714.44 $58,983.02 $56,714.44 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 11 — — $39,612.42 $118,730.65 $56,589.17 2025-01-01
'007-1 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $56,450.53 $58,708.55 $56,450.53 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 11 — — $39,356.01 $117,960.13 $56,222.87 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 11 — — $39,289.64 $117,760.68 $56,128.06 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 11 — — $39,088.83 $117,157.21 $55,841.18 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 11 — — $38,987.28 $116,852.07 $55,696.12 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 15 11 — — $38,781.93 $116,234.97 $55,402.76 2025-01-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $55,384.50 $57,599.88 $55,384.50 2025-01-01
27800000002-248 CDM Impella Rp With Smart Assist 154 140 $72,750.00 $47,287.50 35% off $34,730.85 $65,475.00 $55,217.25 2025-01-01
27800000002-1646 CDM Set Pump Impella Rp 154 140 $72,750.00 $47,287.50 35% off $34,730.85 $65,475.00 $55,217.25 2025-01-01
27800000002-1642 CDM Set Pump Impella Cp 154 140 $72,750.00 $47,287.50 35% off $34,730.85 $65,475.00 $55,217.25 2025-01-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $55,095.45 $57,299.27 $55,095.45 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 11 — — $37,725.67 $113,060.82 $53,893.82 2025-01-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $53,846.93 $56,000.81 $53,846.93 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $36,211.06 $108,509.27 $51,730.09 2025-01-01
27800000002-278 CDM Valve Sapien Thv Edwards Resilia 26mm 154 140 $68,000.00 $44,200.00 35% off $32,463.20 $61,200.00 $51,612.00 2025-01-01
27800000002-280 CDM Valve Sapien Thv Edwards Resilia 20mm 154 140 $68,000.00 $44,200.00 35% off $32,463.20 $61,200.00 $51,612.00 2025-01-01
27800000002-274 CDM Valve Sapien Thv Edwards Resilia 23mm 154 140 $68,000.00 $44,200.00 35% off $32,463.20 $61,200.00 $51,612.00 2025-01-01
27800000002-276 CDM Valve Sapien Thv Edwards Resilia 29mm 154 140 $68,000.00 $44,200.00 35% off $32,463.20 $61,200.00 $51,612.00 2025-01-01
'005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $51,429.66 $53,486.85 $51,429.66 2025-01-01
'167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $51,380.48 $53,435.70 $51,380.48 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 15 11 — — $35,534.88 $106,477.27 $50,764.11 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $35,376.04 $105,999.95 $50,537.20 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 11 — — $35,331.23 $105,865.28 $50,473.18 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 11 — — $35,142.89 $105,299.32 $50,204.13 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 11 — — $35,142.89 $105,299.32 $50,204.13 2025-01-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $50,111.19 $52,115.64 $50,111.19 2025-01-01
'007-2 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $50,062.02 $52,064.50 $50,062.02 2025-01-01
'863-4 OTHER Neonatal Aftercare 5 5 — — $50,053.82 $52,055.97 $50,053.82 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 11 — — $34,940.95 $104,692.45 $49,915.64 2025-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 15 11 — — $34,798.56 $104,264.57 $49,712.23 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 11 — — $34,650.50 $103,819.64 $49,500.72 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $34,565.98 $103,565.64 $49,379.97 2025-01-01
27800000002-2115 CDM Valve Sapien 3 Thv 29mm W/command System 154 140 $65,000.00 $42,250.00 35% off $31,031.00 $58,500.00 $49,335.00 2025-01-01
27800000002-2110 CDM Valve Sapien 3 Thv 26mm W/command System 154 140 $65,000.00 $42,250.00 35% off $31,031.00 $58,500.00 $49,335.00 2025-01-01
27800000002-2103 CDM Valve Sapien 3 Thv 20mm W/command System 154 140 $65,000.00 $42,250.00 35% off $31,031.00 $58,500.00 $49,335.00 2025-01-01
27800000002-2813 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 154 140 $65,000.00 $42,250.00 35% off $31,031.00 $58,500.00 $49,335.00 2025-01-01
27800000002-2810 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 154 140 $65,000.00 $42,250.00 35% off $31,031.00 $58,500.00 $49,335.00 2025-01-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $49,333.12 $51,306.44 $49,333.12 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 11 — — $34,403.74 $103,078.09 $49,148.20 2025-01-01
J2507 HCPCS Pegloticase Per 1 Mg 167 147 $64,638.66 $42,015.13 35% off $2,412.94 $58,174.79 $49,060.74 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 15 11 — — $34,286.88 $102,726.93 $48,981.26 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 11 — — $34,139.39 $102,283.70 $48,770.56 2025-01-01
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $48,630.45 $50,575.67 $48,630.45 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 11 — — $33,847.25 $101,405.78 $48,353.21 2025-01-01
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $48,269.28 $50,200.05 $48,269.28 2025-01-01
'160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $48,247.97 $50,177.89 $48,247.97 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 11 — — $33,461.51 $100,246.59 $47,802.15 2025-01-01
'009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $46,485.83 $48,345.26 $46,485.83 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $32,418.30 $97,111.64 $46,311.85 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $32,341.14 $96,879.81 $46,201.63 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $32,260.03 $96,636.03 $46,085.75 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $32,231.09 $96,549.09 $46,044.42 2025-01-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $45,950.90 $47,788.94 $45,950.90 2025-01-01
27800000002-243 CDM Valve Aortic 29mm Evolut Fx 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-2020 CDM Valve Aort 34mm Evolutr 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-2017 CDM Valve Aort 29mm Pro Perc 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-244 CDM Valve Aortic 34mm Evolut Fx 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-2014 CDM Valve Aort 29mm Evolutr 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-246 CDM Valve Aortic 23mm Evolut Fx 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-2005 CDM Valve Aort 26mm Evolutr 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-2008 CDM Valve Aort 26mm Pro Perc 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-242 CDM Valve Aortic 26mm Evolut Fx 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
27800000002-1999 CDM Valve Aort 23mm Pro Perc 154 140 $60,000.00 $39,000.00 35% off $28,644.00 $54,000.00 $45,540.00 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 11 — — $31,864.07 $95,446.15 $45,520.10 2025-01-01
'176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $45,474.99 $47,293.99 $45,474.99 2025-01-01
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $45,087.59 $46,891.09 $45,087.59 2025-01-01
J2350 HCPCS Injection Ocrelizumab 1 Mg 167 147 $59,143.14 $38,443.04 35% off $42.18 $53,228.83 $44,889.64 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 11 — — $31,331.97 $93,847.14 $44,759.96 2025-01-01
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $44,184.94 $45,952.34 $44,184.94 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 15 11 — — $30,812.35 $92,285.64 $44,017.64 2025-01-01
'690-4 OTHER Acute Leukemia 5 5 — — $42,906.91 $44,623.19 $42,906.91 2025-01-01
'631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $42,828.77 $44,541.92 $42,828.77 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 15 11 — — $29,950.67 $89,696.20 $42,786.67 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $29,853.66 $89,404.70 $42,648.09 2025-01-01
27200000002-21713 CDM Connect Perf Y 1/2x3/8x3/8in Unequal 154 140 $56,000.00 $36,400.00 35% off $26,734.40 $50,400.00 $42,504.00 2025-01-01
27200000002-22959 CDM Handpiece Electr Ster Disp Electrosurgical 154 140 $56,000.00 $36,400.00 35% off $26,734.40 $50,400.00 $42,504.00 2025-01-01
'020-4 OTHER Open Craniotomy For Trauma 5 5 — — $42,422.25 $44,119.14 $42,422.25 2025-01-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $42,353.95 $44,048.11 $42,353.95 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 15 11 — — $29,588.75 $88,608.60 $42,269.64 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 11 — — $29,524.65 $88,415.97 $42,178.07 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 15 11 — — $29,352.76 $87,899.45 $41,932.52 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 167 147 $55,035.00 $35,772.75 35% off $26,273.71 $90,412.25 $41,771.57 2025-01-01
J9333 HCPCS Injection Rozanolixizumab-noli 1 Mg 167 147 $54,450.00 $35,392.50 35% off $15.98 $49,005.00 $41,327.55 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 11 — — $28,914.26 $86,581.71 $41,306.09 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 11 — — $28,788.89 $86,204.97 $41,126.99 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 11 — — $28,685.65 $85,894.72 $40,979.50 2025-01-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $40,942.05 $42,579.73 $40,942.05 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 11 — — $28,462.15 $85,223.07 $40,660.21 2025-01-01
'630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $40,638.26 $42,263.79 $40,638.26 2025-01-01
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $40,605.47 $42,229.69 $40,605.47 2025-01-01
'091-3 OTHER Other Major Head And Neck Procedures 5 5 — — $40,603.29 $42,227.42 $40,603.29 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 15 11 — — $28,208.58 $84,461.07 $40,297.97 2025-01-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $40,220.26 $41,829.07 $40,220.26 2025-01-01
'091-4 OTHER Other Major Head And Neck Procedures 5 5 — — $40,194.58 $41,802.36 $40,194.58 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 11 — — $28,006.63 $83,854.19 $40,009.47 2025-01-01
'178-4 OTHER External Heart Assist Systems 5 5 — — $39,966.73 $41,565.40 $39,966.73 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 15 11 — — $27,786.53 $83,192.77 $39,695.04 2025-01-01
C2616 HCPCS Brachytherapy Source Non-stranded Yttrium-90 Per Source 165 146 $51,900.00 $33,735.00 35% off $12,023.91 $46,710.00 $39,392.10 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 15 11 — — $27,540.90 $82,454.63 $39,344.14 2025-01-01
'740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 5 5 — — $39,217.62 $40,786.32 $39,217.62 2025-01-01
10 MS_DRG Pancreas Transplant 15 11 — — $27,408.72 $82,057.44 $39,155.32 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 11 — — $27,370.15 $81,941.52 $39,100.22 2025-01-01
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $39,095.77 $40,659.60 $39,095.77 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 11 — — $27,231.74 $81,525.57 $38,902.48 2025-01-01
'625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $38,706.19 $40,254.44 $38,706.19 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 11 — — $27,085.38 $82,575.67 $38,693.40 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $26,993.48 $80,809.60 $38,562.12 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 15 11 — — $26,841.46 $80,352.74 $38,344.94 2025-01-01
'591-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $38,310.05 $39,842.45 $38,310.05 2025-01-01
'004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $38,226.99 $39,756.07 $38,226.99 2025-01-01
'759-4 OTHER Eating Disorders 5 5 — — $38,152.14 $39,678.23 $38,152.14 2025-01-01
27800000002-208 CDM Plug Cardiac Amulet Amplatzer 20mm 154 140 $50,238.24 $32,654.86 35% off $23,983.74 $45,214.42 $38,130.82 2025-01-01
27800000002-105 CDM Plug Cardiac Amulet Amplatzer 16mm 154 140 $50,238.24 $32,654.86 35% off $23,983.74 $45,214.42 $38,130.82 2025-01-01
27800000002-104 CDM Plug Cardiac Amulet Amplatzer 18mm 154 140 $50,238.24 $32,654.86 35% off $23,983.74 $45,214.42 $38,130.82 2025-01-01
27800000002-102 CDM Plug Cardiac Amulet Amplatzer 22mm 154 140 $50,238.24 $32,654.86 35% off $23,983.74 $45,214.42 $38,130.82 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,966.36 $39,485.01 $37,966.36 2025-01-01
27800000002-1647 CDM Set Pump Impella Rp 154 140 $50,000.00 $32,500.00 35% off $23,870.00 $45,000.00 $37,950.00 2025-01-01
27800000002-1643 CDM Set Pump Impella Cp 154 140 $50,000.00 $32,500.00 35% off $23,870.00 $45,000.00 $37,950.00 2025-01-01
27800000002-249 CDM Impella Rp With Smart Assist 154 140 $50,000.00 $32,500.00 35% off $23,870.00 $45,000.00 $37,950.00 2025-01-01
'162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $37,875.11 $39,390.11 $37,875.11 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $26,472.73 $79,244.68 $37,818.19 2025-01-01
'165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $37,746.71 $39,256.58 $37,746.71 2025-01-01
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $37,734.14 $39,243.51 $37,734.14 2025-01-01
27800000002-19 CDM Device Clsur Watchman Flx Laa 20mm 154 140 $49,470.00 $32,155.50 35% off $23,616.98 $44,523.00 $37,547.73 2025-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 15 11 — — $26,228.80 $78,511.66 $37,469.72 2025-01-01
'232-4 OTHER Gastric Fundoplication 5 5 — — $37,412.31 $38,908.80 $37,412.31 2025-01-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Recon Soln 1 Each Vial 167 147 $49,146.00 $31,944.90 35% off $235.30 $44,231.40 $37,301.81 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia 5 5 — — $37,232.54 $38,721.84 $37,232.54 2025-01-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $37,111.79 $38,596.26 $37,111.79 2025-01-01
245 MS_DRG Aicd Generator Procedures 15 11 — — $25,807.89 $77,246.78 $36,868.41 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $25,805.62 $77,239.96 $36,865.17 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 11 — — $25,725.07 $76,997.89 $36,750.10 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 11 — — $25,640.55 $76,743.89 $36,629.35 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 11 — — $25,615.58 $76,668.88 $36,593.69 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 11 — — $25,405.13 $76,036.44 $36,293.04 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 11 — — $25,223.60 $75,490.93 $36,033.72 2025-01-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $35,968.72 $37,407.47 $35,968.72 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 11 — — $25,153.26 $75,279.55 $35,933.23 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 11 — — $24,998.96 $78,888.40 $35,712.80 2025-01-01
'011-1 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $35,628.31 $37,053.44 $35,628.31 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 11 — — $24,846.37 $74,357.31 $35,494.81 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 11 — — $24,652.93 $73,776.01 $35,218.47 2025-01-01
'050-4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $35,038.75 $36,440.30 $35,038.75 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 11 — — $24,511.11 $73,349.83 $35,015.87 2025-01-01
'183-4 OTHER Percutaneous Structural Cardiac Procedures 5 5 — — $34,936.03 $36,333.47 $34,936.03 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 11 — — $24,374.40 $72,939.00 $34,820.57 2025-01-01
'441-4 OTHER Major Bladder Procedures 5 5 — — $34,680.31 $36,067.52 $34,680.31 2025-01-01
27800000002-309 CDM Coil Web Sgl Layer 6x2mm 154 140 $45,600.43 $29,640.28 35% off $21,769.65 $41,040.39 $34,610.73 2025-01-01
'169-4 OTHER Major Abdominal Vascular Procedures 5 5 — — $34,471.04 $35,849.88 $34,471.04 2025-01-01
'120-4 OTHER Major Respiratory And Chest Procedures 5 5 — — $34,427.87 $35,804.98 $34,427.87 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 15 11 — — $23,980.71 $71,755.94 $34,258.16 2025-01-01
'004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $34,247.02 $35,616.90 $34,247.02 2025-01-01
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $34,107.68 $35,471.99 $34,107.68 2025-01-01
'009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $33,930.65 $35,287.88 $33,930.65 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 156 141 $44,600.00 $28,990.00 35% off $504.15 $40,140.00 $33,851.40 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 11 — — $23,693.10 $70,891.65 $33,847.29 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 11 — — $23,587.59 $70,574.58 $33,696.56 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 11 — — $23,454.85 $70,175.68 $33,506.93 2025-01-01
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $33,383.16 $34,718.49 $33,383.16 2025-01-01
791 MS_DRG Prematurity With Major Problems 15 11 — — $23,347.64 $69,853.49 $33,353.77 2025-01-01
'008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,197.93 $34,525.85 $33,197.93 2025-01-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $33,053.68 $34,375.83 $33,053.68 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 11 — — $23,121.29 $69,173.32 $33,030.42 2025-01-01
27800000002-2516 CDM Coil Web Sngl Layer 7x3 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-2522 CDM Coil Web Sngl Layer 6x3 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-991 CDM Coil Web Sngl Layer 10x6 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-1000 CDM Coil Web Sngl Layer 6x4 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-2725 CDM Coil Web Sngl Layer 11x8 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-2518 CDM Coil Web Sngl Layer 9x4 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-996 CDM Coil Web Sngl Layer 5x3 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-998 CDM Coil Web Sngl Layer 5x4 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-1002 CDM Coil Web Sngl Layer 7x5 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-994 CDM Coil Web Sngl Layer 4x3 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
27800000002-992 CDM Coil Web Sngl Layer 11x6 154 140 $43,504.50 $28,277.93 35% off $20,769.05 $39,154.05 $33,019.92 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 11 — — $23,047.55 $68,951.71 $32,925.07 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 11 — — $23,027.13 $68,890.34 $32,895.90 2025-01-01
'310-4 OTHER Intervertebral Disc Excision And Decompression 5 5 — — $32,868.45 $34,183.19 $32,868.45 2025-01-01
'514-4 OTHER Female Reproductive System Reconstructive Procedures 5 5 — — $32,713.27 $34,021.80 $32,713.27 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 11 — — $22,875.67 $68,435.18 $32,679.53 2025-01-01
27800000002-118 CDM Device Embol Pipeline Flex 5x35mm 154 140 $42,990.89 $27,944.08 35% off $20,523.85 $38,691.80 $32,630.09 2025-01-01
27800000002-129 CDM Device Embol Pipeline Flex 5x30mm 154 140 $42,990.89 $27,944.08 35% off $20,523.85 $38,691.80 $32,630.09 2025-01-01
27800000002-121 CDM Device Embol Pipeline Flex 4.25x25mm 154 140 $42,990.89 $27,944.08 35% off $20,523.85 $38,691.80 $32,630.09 2025-01-01
27800000002-151 CDM Device Embol Pipeline Flex 5x25mm 154 140 $42,990.89 $27,944.08 35% off $20,523.85 $38,691.80 $32,630.09 2025-01-01
27800000002-143 CDM Device Embol Pipeline Flex 4.5x25mm 154 140 $42,990.89 $27,944.08 35% off $20,523.85 $38,691.80 $32,630.09 2025-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 15 11 — — $22,821.21 $68,271.53 $32,601.73 2025-01-01
'179-4 OTHER Defibrillator Implants 5 5 — — $32,545.53 $33,847.35 $32,545.53 2025-01-01
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $32,411.11 $33,707.55 $32,411.11 2025-01-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $32,346.64 $33,640.51 $32,346.64 2025-01-01
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $32,286.53 $33,577.99 $32,286.53 2025-01-01
'021-4 OTHER Open Craniotomy Except Trauma 5 5 — — $32,220.96 $33,509.80 $32,220.96 2025-01-01
See an error in this hospital's data? Submit a correction