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

COVENANT MEDICAL CENTER

Saginaw, MI · CCN 230070 · Rates published

15,856 distinct procedures filed
26 distinct payers
1,058,597 rate rows
2025-03-12 last MRF observed · ⚠ 17 mo old
Data quality

512,806 of 1,058,597 rate rows are consumer-grade (48.4%)

545,791 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
professional (physician) fee — not the facility price 544,194
percent-of-charges filed in the dollar field — excluded from medians 585
exceeds 10× this hospital's gross charge — excluded from medians 328
placeholder amount (≤ $0.02) — excluded from medians 309
template filing: same amount across many unrelated codes — excluded 231
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 67
per-diem day rate — not a per-procedure price 40
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 37

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/8515/383369438_covenant-medical-center-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CovenantHealthcare/8515
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint 2c68dc2d2ac1714a… · 690,750,391 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $1,968,674.40 $3,672,900.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 15 $1,932,280.00 $3,605,000.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $1,782,443.75 $3,325,454.76 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $1,761,296.00 $3,286,000.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $1,590,848.00 $2,968,000.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $1,280,297.23 $4,610,025.46 $2,388,614.23 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 15 $1,249,952.00 $4,500,760.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $283,647.37 $1,021,342.21 $529,192.86 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $282,538.16 $1,017,348.23 $527,123.43 nat. median
$631,793
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $282,250.95 $1,016,314.05 $526,587.59 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $276,965.18 $997,281.33 $516,726.08 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $262,348.39 $944,650.00 $489,455.96 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $246,844.30 $888,823.68 $460,530.40 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate With Ecmo 5 $340,741.50 $340,741.50 $340,741.50 nat. median
$311,018
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $111,597.44 $460,473.29 $291,435.97 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $217,789.41 $403,850.85 $217,789.41 nat. median
$261,939
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $208,868.06 $208,868.06 $208,868.06 nat. median
$254,667
0.8× median
5833
APR_DRG 		Neonate With Ecmo 5 $194,031.74 $194,031.74 $194,031.74 nat. median
$250,089
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $190,863.74 $190,863.74 $190,863.74 nat. median
$119,243
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 13 $183,487.39 $289,655.39 $183,487.39 nat. median
$205,166
0.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $176,642.34 $176,642.34 $176,642.34 nat. median
$147,677
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 13 $165,808.20 $309,948.57 $165,808.20 nat. median
$199,832
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $157,850.37 $157,850.37 $157,850.37 nat. median
$209,486
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $145,622.26 $145,622.26 $145,622.26 nat. median
$168,174
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $142,043.56 $142,043.56 $142,043.56 nat. median
$67,603
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $137,974.27 $137,974.27 $137,974.27 nat. median
$180,995
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $130,223.33 $130,223.33 $130,223.33 nat. median
$160,171
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $128,697.00 $128,697.00 $128,697.00 nat. median
$165,646
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $125,133.49 $125,133.49 $125,133.49 nat. median
$168,361
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $119,823.11 $119,823.11 $119,823.11 nat. median
$156,285
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $118,942.64 $118,942.64 $118,942.64 nat. median
$175,480
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $117,604.22 $117,604.22 $117,604.22 nat. median
$165,599
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $115,978.86 $115,978.86 $115,978.86 nat. median
$147,847
0.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $112,923.38 $112,923.38 $112,923.38 nat. median
$63,564
1.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $109,468.15 $172,527.30 $109,468.15 nat. median
$132,706
0.8× median
5832
APR_DRG 		Neonate With Ecmo 5 $107,574.18 $107,574.18 $107,574.18 nat. median
$169,230
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $101,534.45 $230,463.76 $101,534.45 nat. median
$114,305
0.9× median
7
MS_DRG 		Lung Transplant 13 $101,279.81 $159,570.05 $101,279.81 nat. median
$122,690
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $101,075.03 $101,075.03 $101,075.03 nat. median
$127,600
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 18 $53,599.97 $194,939.90 $99,999.95 nat. median
$111,503
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $99,409.17 $99,409.17 $99,409.17 nat. median
$120,928
0.8× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $98,788.62 $98,788.62 $98,788.62 nat. median
$71,350
1.4× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $98,788.06 $98,788.06 $98,788.06 nat. median
$89,188
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $97,755.69 $97,755.69 $97,755.69 nat. median
$108,751
0.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $97,441.19 $97,441.19 $97,441.19 nat. median
$96,420
1.0× median
5831
APR_DRG 		Neonate With Ecmo 5 $96,562.41 $96,562.41 $96,562.41 nat. median
$154,685
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $94,971.38 $94,971.38 $94,971.38 nat. median
$127,938
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 15 $49,964.15 $179,908.23 $93,216.70 nat. median
$97,404
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $90,491.96 $90,491.96 $90,491.96 nat. median
$83,517
1.1× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $87,074.16 $87,074.16 $87,074.16 nat. median
$112,711
0.8× median

Other procedures at this hospital

Browse this hospital's 15,856 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
             
33270 CPT Hchg Ins Or Replace Subc Implan Defib W Subc Ele 52 26 $76,933.00 $53,853.10 30% off $16,837.53 $69,239.70 $51,929.78 2025-03-12
33289 CPT Hchg Transcath Implant Wireless Pulm Art Pressure Sensor Cardiomems 51 26 $75,868.00 $53,107.60 30% off $14,929.48 $68,281.20 $51,210.90 2025-03-12
33240 CPT Hchg Ins Of Subc Impt Defib Pulse Gen With Existi Subc Electrode 52 26 $54,256.00 $37,979.20 30% off $11,787.89 $48,830.40 $36,622.80 2025-03-12
C1736 HCPCS Hchg Paradise Ultrasound Rdn 34 26 $52,000.00 $36,400.00 30% off $19,640.40 $46,800.00 $35,100.00 2025-03-12
33264 CPT Hchg Remove Replace Icd With Existing Multi Leads 52 26 $48,795.00 $34,156.50 30% off $16,837.53 $60,627.66 $32,936.62 2025-03-12
L8688 HCPCS Hchg Sentiva Generator Model 1000 34 26 $48,201.00 $33,740.70 30% off $18,205.52 $43,380.90 $32,535.67 2025-03-12
33249 CPT Hchg Insert Of Icd Generator/lead Dual 62 26 $47,781.00 $33,446.70 30% off $16,837.53 $60,627.66 $33,592.05 2025-03-12
37231 CPT Hchg Ir Ather Plus Stent Tib/per Lt 52 26 $45,004.00 $31,502.80 30% off $9,430.19 $40,503.60 $30,377.70 2025-03-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 15 — — $1,968,674.40 $3,672,900.00 $3,672,900.00 2025-03-12
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 15 — — $1,932,280.00 $3,605,000.00 $3,605,000.00 2025-03-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 15 — — $1,782,443.75 $3,325,454.76 $3,325,454.76 2025-03-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 15 — — $1,761,296.00 $3,286,000.00 $3,286,000.00 2025-03-12
J3393 HCPCS Inj, Betibeglogene Autotemce 15 15 — — $1,590,848.00 $2,968,000.00 $2,968,000.00 2025-03-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 17 15 — — $1,280,297.23 $4,610,025.46 $2,388,614.23 2025-03-12
J3392 HCPCS Inj, Exagamglogene Autotem 17 15 — — $1,249,952.00 $4,500,760.00 $2,332,000.00 2025-03-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 15 — — $283,647.37 $1,021,342.21 $529,192.86 2025-03-12
Q2056 HCPCS Ciltacabtagene Car-pos T 17 15 — — $282,538.16 $1,017,348.23 $527,123.43 2025-03-12
Q2055 HCPCS Idecabtagene Vicleucel Car 17 15 — — $282,250.95 $1,016,314.05 $526,587.59 2025-03-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 15 — — $276,965.18 $997,281.33 $516,726.08 2025-03-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 15 — — $262,348.39 $944,650.00 $489,455.96 2025-03-12
Q2053 HCPCS Brexucabtagene Car Pos T 17 15 — — $246,844.30 $888,823.68 $460,530.40 2025-03-12
5834 APR_DRG Neonate With Ecmo 5 5 — — $340,741.50 $340,741.50 $340,741.50 2025-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 13 — — $111,597.44 $460,473.29 $291,435.97 2025-03-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 13 — — $217,789.41 $403,850.85 $217,789.41 2025-03-12
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $208,868.06 $208,868.06 $208,868.06 2025-03-12
5833 APR_DRG Neonate With Ecmo 5 5 — — $194,031.74 $194,031.74 $194,031.74 2025-03-12
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $190,863.74 $190,863.74 $190,863.74 2025-03-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 16 13 — — $183,487.39 $289,655.39 $183,487.39 2025-03-12
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $176,642.34 $176,642.34 $176,642.34 2025-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 16 13 — — $165,808.20 $309,948.57 $165,808.20 2025-03-12
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $157,850.37 $157,850.37 $157,850.37 2025-03-12
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $145,622.26 $145,622.26 $145,622.26 2025-03-12
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $142,043.56 $142,043.56 $142,043.56 2025-03-12
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $137,974.27 $137,974.27 $137,974.27 2025-03-12
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $130,223.33 $130,223.33 $130,223.33 2025-03-12
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $128,697.00 $128,697.00 $128,697.00 2025-03-12
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $125,133.49 $125,133.49 $125,133.49 2025-03-12
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $119,823.11 $119,823.11 $119,823.11 2025-03-12
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $118,942.64 $118,942.64 $118,942.64 2025-03-12
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $117,604.22 $117,604.22 $117,604.22 2025-03-12
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $115,978.86 $115,978.86 $115,978.86 2025-03-12
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $112,923.38 $112,923.38 $112,923.38 2025-03-12
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 13 — — $109,468.15 $172,527.30 $109,468.15 2025-03-12
5832 APR_DRG Neonate With Ecmo 5 5 — — $107,574.18 $107,574.18 $107,574.18 2025-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 16 13 — — $101,534.45 $230,463.76 $101,534.45 2025-03-12
7 MS_DRG Lung Transplant 16 13 — — $101,279.81 $159,570.05 $101,279.81 2025-03-12
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $101,075.03 $101,075.03 $101,075.03 2025-03-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 21 18 — — $53,599.97 $194,939.90 $99,999.95 2025-03-12
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $99,409.17 $99,409.17 $99,409.17 2025-03-12
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $98,788.62 $98,788.62 $98,788.62 2025-03-12
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $98,788.06 $98,788.06 $98,788.06 2025-03-12
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $97,755.69 $97,755.69 $97,755.69 2025-03-12
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $97,441.19 $97,441.19 $97,441.19 2025-03-12
5831 APR_DRG Neonate With Ecmo 5 5 — — $96,562.41 $96,562.41 $96,562.41 2025-03-12
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $94,971.38 $94,971.38 $94,971.38 2025-03-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 17 15 — — $49,964.15 $179,908.23 $93,216.70 2025-03-12
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $90,491.96 $90,491.96 $90,491.96 2025-03-12
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $87,074.16 $87,074.16 $87,074.16 2025-03-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $85,901.71 $85,901.71 $85,901.71 2025-03-12
E0194 HCPCS Air Fluidized Bed 4 4 — — $85,680.56 $85,680.56 $85,680.56 2025-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 13 — — $85,468.69 $148,701.55 $85,468.69 2025-03-12
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $84,605.48 $84,605.48 $84,605.48 2025-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 13 — — $84,498.00 $156,558.74 $84,498.00 2025-03-12
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $83,568.04 $83,568.04 $83,568.04 2025-03-12
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $83,371.69 $83,371.69 $83,371.69 2025-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 13 — — $82,611.42 $152,697.71 $82,611.42 2025-03-12
215 MS_DRG Other Heart Assist System Implant 16 13 — — $82,190.11 $129,362.51 $82,190.11 2025-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $81,268.81 $127,904.63 $81,268.81 2025-03-12
K0606 HCPCS Aed Garment W Elec Analysis 4 4 — — $79,010.39 $79,010.39 $79,010.39 2025-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $74,908.42 $135,228.32 $74,908.42 2025-03-12
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $72,695.23 $72,695.23 $72,695.23 2025-03-12
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $72,059.50 $72,059.50 $72,059.50 2025-03-12
850 MS_DRG Acute Leukemia With Other Procedures 16 13 — — $71,519.49 $112,477.30 $71,519.49 2025-03-12
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $68,809.36 $68,809.36 $68,809.36 2025-03-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 17 15 — — $36,154.63 $130,183.63 $67,452.66 2025-03-12
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $66,111.13 $66,111.13 $66,111.13 2025-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 13 — — $65,824.99 $103,466.32 $65,824.99 2025-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $65,788.73 $103,408.93 $65,788.73 2025-03-12
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $65,070.32 $65,070.32 $65,070.32 2025-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 13 — — $64,796.44 $101,838.73 $64,796.44 2025-03-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 15 — — $33,958.16 $122,274.71 $63,354.77 2025-03-12
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $63,226.68 $63,226.68 $63,226.68 2025-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 13 — — $62,639.78 $121,020.13 $62,639.78 2025-03-12
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $62,574.06 $62,574.06 $62,574.06 2025-03-12
10 MS_DRG Pancreas Transplant 16 13 — — $58,460.90 $97,350.33 $61,959.97 2025-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 13 — — $61,607.34 $97,079.44 $61,607.34 2025-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 13 — — $60,751.65 $95,438.24 $60,751.65 2025-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $60,142.83 $98,176.94 $60,142.83 2025-03-12
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $58,410.82 $58,410.82 $58,410.82 2025-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 13 — — $58,034.02 $105,083.29 $58,034.02 2025-03-12
38240 CPT Trnsplj Allogeneic Hematopoietic Cells Per Donor 21 18 — — $3,440.46 $111,836.69 $57,946.47 2025-03-12
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $57,884.23 $57,884.23 $57,884.23 2025-03-12
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $57,679.44 $57,679.44 $57,679.44 2025-03-12
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $56,200.93 $56,200.93 $56,200.93 2025-03-12
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $56,069.84 $56,069.84 $56,069.84 2025-03-12
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $55,915.13 $55,915.13 $55,915.13 2025-03-12
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $55,615.26 $55,615.26 $55,615.26 2025-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $55,244.65 $86,723.97 $55,244.65 2025-03-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 18 — — $29,488.16 $106,179.38 $55,015.23 2025-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 13 — — $54,969.18 $94,156.06 $54,969.18 2025-03-12
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $54,174.44 $54,174.44 $54,174.44 2025-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 16 13 — — $54,116.55 $88,431.26 $54,116.55 2025-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 13 — — $53,127.33 $124,464.24 $53,127.33 2025-03-12
8514 APR_DRG Gender Related Procedures 5 5 — — $52,818.01 $52,818.01 $52,818.01 2025-03-12
8513 APR_DRG Gender Related Procedures 5 5 — — $52,818.01 $52,818.01 $52,818.01 2025-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 13 — — $52,173.62 $81,864.39 $52,173.62 2025-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 13 — — $51,974.55 $81,549.37 $51,974.55 2025-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 13 — — $51,887.35 $81,411.40 $51,887.35 2025-03-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $51,164.53 $51,164.53 $51,164.53 2025-03-12
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $51,033.45 $51,033.45 $51,033.45 2025-03-12
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $50,365.64 $50,365.64 $50,365.64 2025-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 16 13 — — $50,341.04 $90,904.76 $50,341.04 2025-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $50,269.29 $90,609.78 $50,269.29 2025-03-12
8634 APR_DRG Neonatal Aftercare 5 5 — — $50,228.93 $50,228.93 $50,228.93 2025-03-12
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $49,812.60 $49,812.60 $49,812.60 2025-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 13 — — $49,238.40 $92,788.31 $49,238.40 2025-03-12
L7181 HCPCS Electronic Elbo Simultaneous 21 18 — — $25,926.73 $93,355.57 $48,370.76 2025-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 13 — — $48,236.09 $92,809.73 $48,236.09 2025-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 13 — — $48,174.37 $75,535.94 $48,174.37 2025-03-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $48,048.85 $48,048.85 $48,048.85 2025-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 13 — — $47,956.76 $85,217.85 $47,956.76 2025-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 13 — — $47,790.86 $74,929.11 $47,790.86 2025-03-12
G0448 HCPCS Place Perm Pacing Cardiovert 4 4 — — $47,644.67 $47,644.67 $47,644.67 2025-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 13 — — $47,574.83 $90,352.71 $47,574.83 2025-03-12
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $47,444.62 $47,444.62 $47,444.62 2025-03-12
28 MS_DRG Spinal Procedures With Mcc 16 13 — — $47,349.50 $74,230.70 $47,349.50 2025-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 13 — — $47,013.09 $146,630.14 $47,013.09 2025-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 13 — — $47,013.09 $75,019.00 $47,013.09 2025-03-12
L7180 HCPCS Electronic Elbow Sequential 21 18 — — $25,181.48 $90,672.13 $46,980.38 2025-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 13 — — $46,665.09 $81,300.79 $46,665.09 2025-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $46,344.87 $72,875.08 $46,344.87 2025-03-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 13 — — $14,142.28 $88,358.89 $46,310.15 2025-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 13 — — $45,842.53 $71,846.08 $45,842.53 2025-03-12
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $45,459.77 $45,459.77 $45,459.77 2025-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 13 — — $45,364.93 $74,122.54 $45,364.93 2025-03-12
J9226 HCPCS Supprelin La Implant 17 15 — — $24,307.72 $87,525.92 $45,350.22 2025-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $44,725.24 $72,491.12 $44,725.24 2025-03-12
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $44,521.35 $44,521.35 $44,521.35 2025-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $44,460.57 $74,239.54 $44,460.57 2025-03-12
33276 CPT Insj Phrnc Nrv Stim Sys 17 15 — — $23,632.56 $85,094.84 $44,090.59 2025-03-12
0266T CPT Implt/rpl Crtd Sns Dev Total 17 15 — — $23,632.56 $85,094.84 $44,090.59 2025-03-12
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $43,817.54 $43,817.54 $43,817.54 2025-03-12
653 MS_DRG Major Bladder Procedures With Mcc 16 13 — — $43,453.63 $68,065.87 $43,453.63 2025-03-12
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $43,383.77 $43,383.77 $43,383.77 2025-03-12
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 4 4 — — $43,107.32 $43,107.32 $43,107.32 2025-03-12
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 5 5 — — $43,091.78 $43,091.78 $43,091.78 2025-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 13 — — $43,088.66 $88,457.62 $43,088.66 2025-03-12
834 MS_DRG Acute Leukemia With Mcc 16 13 — — $43,088.66 $121,600.19 $43,088.66 2025-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $42,909.65 $67,205.06 $42,909.65 2025-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 13 — — $42,650.39 $66,794.81 $42,650.39 2025-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 13 — — $42,423.53 $66,435.83 $42,423.53 2025-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 13 — — $42,327.86 $66,284.43 $42,327.86 2025-03-12
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $42,304.14 $42,304.14 $42,304.14 2025-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 13 — — $42,114.10 $71,653.99 $42,114.10 2025-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 13 — — $42,074.76 $68,185.16 $42,074.76 2025-03-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 13 — — $42,070.12 $75,076.68 $42,070.12 2025-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 13 — — $41,490.63 $65,205.76 $41,490.63 2025-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $41,309.32 $73,292.00 $41,309.32 2025-03-12
K0743 HCPCS Portable Home Suction Pump 4 4 — — $40,937.40 $40,937.40 $40,937.40 2025-03-12
913 APR_DRG Other Major Head And Neck Procedures 5 5 — — $40,643.91 $40,643.91 $40,643.91 2025-03-12
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $40,534.20 $40,534.20 $40,534.20 2025-03-12
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $40,440.81 $40,440.81 $40,440.81 2025-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 13 — — $40,178.13 $62,882.72 $40,178.13 2025-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 13 — — $40,046.18 $68,784.99 $40,046.18 2025-03-12
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $39,983.42 $39,983.42 $39,983.42 2025-03-12
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $39,938.41 $39,938.41 $39,938.41 2025-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 13 — — $39,749.91 $62,205.07 $39,749.91 2025-03-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 13 — — $39,629.52 $62,014.59 $39,629.52 2025-03-12
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $39,504.08 $39,504.08 $39,504.08 2025-03-12
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $39,372.44 $39,372.44 $39,372.44 2025-03-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 13 — — $39,304.68 $61,500.55 $39,304.68 2025-03-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 13 — — $39,075.51 $66,702.05 $39,075.51 2025-03-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $39,045.41 $64,879.47 $39,045.41 2025-03-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 13 — — $39,029.98 $61,065.87 $39,029.98 2025-03-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 13 — — $38,891.08 $84,046.20 $38,891.08 2025-03-12
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $38,776.64 $38,776.64 $38,776.64 2025-03-12
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $38,764.27 $38,764.27 $38,764.27 2025-03-12
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 17 15 — — $20,776.77 $74,811.88 $38,762.63 2025-03-12
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 4 4 — — $38,723.55 $38,723.55 $38,723.55 2025-03-12
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $38,262.43 $38,262.43 $38,262.43 2025-03-12
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $38,195.48 $38,195.48 $38,195.48 2025-03-12
245 MS_DRG Aicd Generator Procedures 16 13 — — $38,146.47 $60,334.56 $38,146.47 2025-03-12
83 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $38,130.22 $38,130.22 $38,130.22 2025-03-12
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $38,017.70 $38,017.70 $38,017.70 2025-03-12
20931 CPT Allograft For Spine Surgery Only Structural 4 4 — — $37,988.32 $37,988.32 $37,988.32 2025-03-12
471 MS_DRG Cervical Spinal Fusion With Mcc 16 13 — — $37,918.86 $59,307.63 $37,918.86 2025-03-12
1784 APR_DRG External Heart Assist Devices 5 5 — — $37,865.79 $37,865.79 $37,865.79 2025-03-12
6 MS_DRG Liver Transplant Without Mcc 16 13 — — $37,856.35 $59,208.73 $37,856.35 2025-03-12
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $37,402.37 $37,402.37 $37,402.37 2025-03-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 13 — — $37,287.68 $58,308.86 $37,287.68 2025-03-12
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $37,270.00 $37,270.00 $37,270.00 2025-03-12
799 MS_DRG Splenic Procedures With Mcc 16 13 — — $37,127.97 $58,056.11 $37,127.97 2025-03-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 13 — — $37,121.02 $72,573.52 $37,121.02 2025-03-12
6904 APR_DRG Acute Leukemia 5 5 — — $36,924.00 $36,924.00 $36,924.00 2025-03-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 13 — — $36,741.36 $68,229.65 $36,741.36 2025-03-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 13 — — $36,546.93 $62,859.15 $36,546.93 2025-03-12
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $36,516.12 $36,516.12 $36,516.12 2025-03-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 13 — — $36,333.96 $74,221.42 $36,333.96 2025-03-12
163 MS_DRG Major Chest Procedures With Mcc 16 13 — — $36,004.50 $56,278.33 $36,004.50 2025-03-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 13 — — $35,989.85 $126,542.24 $35,989.85 2025-03-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $35,876.40 $65,148.08 $35,876.40 2025-03-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 13 — — $35,870.99 $56,067.10 $35,870.99 2025-03-12
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $35,461.24 $35,461.24 $35,461.24 2025-03-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 13 — — $35,251.38 $55,086.64 $35,251.38 2025-03-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 13 — — $35,043.83 $54,758.19 $35,043.83 2025-03-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 13 — — $34,948.15 $63,758.90 $34,948.15 2025-03-12
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $34,627.47 $34,627.47 $34,627.47 2025-03-12
901 MS_DRG Wound Debridements For Injuries With Mcc 16 13 — — $34,625.61 $54,096.41 $34,625.61 2025-03-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 13 — — $34,334.71 $53,636.09 $34,334.71 2025-03-12
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 15 — — $18,380.94 $66,185.08 $34,292.79 2025-03-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 17 15 — — $18,376.46 $66,168.97 $34,284.44 2025-03-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $34,080.06 $34,080.06 $34,080.06 2025-03-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 16 13 — — $31,715.48 $52,831.45 $33,826.21 2025-03-12
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $33,793.13 $33,793.13 $33,793.13 2025-03-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $33,757.54 $68,555.94 $33,757.54 2025-03-12
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $33,482.58 $33,482.58 $33,482.58 2025-03-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 13 — — $33,354.01 $52,084.20 $33,354.01 2025-03-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 13 — — $33,305.40 $67,466.67 $33,305.40 2025-03-12
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 5 — — $33,258.10 $33,258.10 $33,258.10 2025-03-12
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $33,178.77 $33,178.77 $33,178.77 2025-03-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $33,109.01 $33,109.01 $33,109.01 2025-03-12
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 4 4 — — $33,108.25 $33,108.25 $33,108.25 2025-03-12
140 MS_DRG Major Head And Neck Procedures With Mcc 16 13 — — $33,072.36 $55,224.42 $33,072.36 2025-03-12
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $33,027.43 $33,027.43 $33,027.43 2025-03-12
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $32,840.09 $32,840.09 $32,840.09 2025-03-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 13 — — $32,774.52 $65,289.80 $32,774.52 2025-03-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 13 — — $32,766.80 $51,155.02 $32,766.80 2025-03-12
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $32,702.81 $32,702.81 $32,702.81 2025-03-12
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $32,665.12 $32,665.12 $32,665.12 2025-03-12
793 MS_DRG Full Term Neonate With Major Problems 16 13 — — $3,534.75 $32,619.42 $32,619.42 2025-03-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 13 — — $32,543.80 $50,802.15 $32,543.80 2025-03-12
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $32,526.72 $32,526.72 $32,526.72 2025-03-12
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $32,499.71 $32,499.71 $32,499.71 2025-03-12
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $32,463.15 $32,463.15 $32,463.15 2025-03-12
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 4 4 — — $32,400.18 $32,400.18 $32,400.18 2025-03-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 13 — — $32,168.80 $54,248.87 $32,168.80 2025-03-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 13 — — $32,151.06 $50,180.66 $32,151.06 2025-03-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 13 — — $32,104.00 $68,119.24 $32,104.00 2025-03-12
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $31,996.75 $31,996.75 $31,996.75 2025-03-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 13 — — $31,948.12 $49,859.54 $31,948.12 2025-03-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 13 — — $31,823.91 $53,733.08 $31,823.91 2025-03-12
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $31,808.84 $31,808.84 $31,808.84 2025-03-12
791 MS_DRG Prematurity With Major Problems 16 13 — — $8,163.70 $35,247.83 $31,766.02 2025-03-12
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $31,754.83 $31,754.83 $31,754.83 2025-03-12
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $31,668.75 $31,668.75 $31,668.75 2025-03-12
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $31,636.12 $31,636.12 $31,636.12 2025-03-12
1794 APR_DRG Defibrillator Implants 5 5 — — $31,476.91 $31,476.91 $31,476.91 2025-03-12
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $31,416.71 $31,416.71 $31,416.71 2025-03-12
33231 CPT Insj Implntbl Defib Pulse Gen W/Exist Multileads 21 18 — — $16,837.53 $60,627.66 $31,413.29 2025-03-12
0408T CPT Insj/rplc Cardiac Modulj Sys 17 15 — — $16,837.53 $60,627.66 $31,413.29 2025-03-12
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 15 — — $16,837.53 $60,627.66 $31,413.29 2025-03-12
0571T CPT Insj/rplcmt Icds Ss Eltrd 17 15 — — $16,837.53 $60,627.66 $31,413.29 2025-03-12
4414 APR_DRG Major Bladder Procedures 5 5 — — $31,340.76 $31,340.76 $31,340.76 2025-03-12
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $31,226.55 $31,226.55 $31,226.55 2025-03-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 13 — — $31,178.05 $48,640.98 $31,178.05 2025-03-12
69930 CPT Cochlear Device Implantation W/wo Mastoidectomy 21 18 — — $16,704.26 $60,147.81 $31,164.67 2025-03-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 13 — — $31,156.46 $48,606.79 $31,156.46 2025-03-12
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $31,086.46 $31,086.46 $31,086.46 2025-03-12
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $31,033.58 $31,033.58 $31,033.58 2025-03-12
63082 CPT Vertebral Corpectomy Dcmprn Cervical Ea Seg 4 4 — — $30,905.77 $30,905.77 $30,905.77 2025-03-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 13 — — $30,884.83 $48,177.00 $30,884.83 2025-03-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 13 — — $30,822.34 $49,525.99 $30,822.34 2025-03-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 13 — — $30,760.62 $47,980.42 $30,760.62 2025-03-12
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $30,756.78 $30,756.78 $30,756.78 2025-03-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 13 — — $30,626.34 $47,767.96 $30,626.34 2025-03-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 13 — — $30,611.69 $47,744.76 $30,611.69 2025-03-12
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $30,607.13 $30,607.13 $30,607.13 2025-03-12
1783 APR_DRG External Heart Assist Devices 5 5 — — $30,553.12 $30,553.12 $30,553.12 2025-03-12
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $30,526.68 $30,526.68 $30,526.68 2025-03-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 13 — — $30,445.02 $47,481.03 $30,445.02 2025-03-12
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $30,291.51 $30,291.51 $30,291.51 2025-03-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 13 — — $29,583.10 $47,191.65 $30,262.13 2025-03-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 13 — — $30,232.06 $47,144.03 $30,232.06 2025-03-12
912 APR_DRG Other Major Head And Neck Procedures 5 5 — — $30,159.86 $30,159.86 $30,159.86 2025-03-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 13 — — $30,148.73 $47,012.16 $30,148.73 2025-03-12
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $30,121.60 $30,121.60 $30,121.60 2025-03-12
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $30,026.52 $30,026.52 $30,026.52 2025-03-12
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $30,014.71 $30,014.71 $30,014.71 2025-03-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 13 — — $29,933.44 $76,831.69 $29,933.44 2025-03-12
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 17 15 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 17 15 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
61886 CPT Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds 21 18 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 21 18 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 21 18 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 21 18 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
0268T CPT Implt/rpl Crtd Sns Dev Gen 17 15 — — $16,003.57 $57,624.81 $29,857.41 2025-03-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $29,773.72 $57,037.11 $29,773.72 2025-03-12
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $29,751.98 $29,751.98 $29,751.98 2025-03-12
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $29,728.35 $29,728.35 $29,728.35 2025-03-12
E0483 HCPCS Hi Freq Chest Wall Oscil Sys 4 4 — — $29,691.90 $29,691.90 $29,691.90 2025-03-12
E0467 HCPCS Home Vent Multi-function 4 4 — — $29,649.98 $29,649.98 $29,649.98 2025-03-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 13 — — $29,545.32 $46,057.34 $29,545.32 2025-03-12
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $29,353.66 $29,353.66 $29,353.66 2025-03-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 13 — — $29,313.07 $45,689.82 $29,313.07 2025-03-12
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $29,270.95 $29,270.95 $29,270.95 2025-03-12
4014 APR_DRG Adrenal Procedures 5 5 — — $29,218.63 $29,218.63 $29,218.63 2025-03-12
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $29,003.16 $29,003.16 $29,003.16 2025-03-12
L5856 HCPCS Elec Knee-shin Swing/stance 21 18 — — $15,533.38 $55,931.75 $28,980.18 2025-03-12
L6880 HCPCS Elec Hand Ind Art Digits 21 18 — — $15,460.03 $55,667.65 $28,843.34 2025-03-12
22858 CPT Total Disc Arthrp Ant 2nd Level Cervical 4 4 — — $28,747.27 $28,747.27 $28,747.27 2025-03-12
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