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

OAKLAWN HOSPITAL

Marshall, MI · CCN 230217 · Rates published

9,466 distinct procedures filed
18 distinct payers
280,289 rate rows
2024-12-16 last MRF observed · ⚠ 19 mo old
Data quality

217,288 of 280,289 rate rows are consumer-grade (77.5%)

63,001 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 62,024
placeholder amount (≤ $0.02) — excluded from medians 844
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 114
per-diem day rate — not a per-procedure price 13
exceeds 10× this hospital's gross charge — excluded from medians 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://oaklawnhospital.org/381368347_ella-em-brown-charitable-circle-dba-oaklawn-hospital_standardcharges.csv.zip
Found on page https://oaklawnhospital.org/tools-resources/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 6d35ae4e2a53fefa… · 11,074,588 bytes · first seen 2026-05-17

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
5834
APR_DRG 		Neonate With Ecmo 7 $286,952.92 $298,431.04 $286,952.92 nat. median
$309,665
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $187,356.84 $194,851.12 $187,356.84 nat. median
$246,434
0.8× median
5833
APR_DRG 		Neonate With Ecmo 7 $185,866.70 $193,301.36 $185,866.70 nat. median
$244,017
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $154,143.67 $160,309.42 $154,143.67 nat. median
$207,730
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $152,628.98 $158,734.14 $152,628.98 nat. median
$122,924
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $142,613.04 $148,317.56 $142,613.04 nat. median
$117,173
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $140,209.38 $145,817.76 $140,209.38 nat. median
$150,721
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $133,934.91 $139,292.31 $133,934.91 nat. median
$160,267
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $123,271.28 $128,202.13 $123,271.28 nat. median
$162,982
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $120,860.46 $125,694.88 $120,860.46 nat. median
$182,665
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $116,966.14 $121,644.78 $116,966.14 nat. median
$187,061
0.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $109,817.01 $114,209.69 $109,817.01 nat. median
$151,838
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $108,739.40 $113,088.97 $108,739.40 nat. median
$164,289
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $104,034.31 $108,195.68 $104,034.31 nat. median
$145,336
0.7× median
5832
APR_DRG 		Neonate With Ecmo 7 $103,047.70 $107,169.60 $103,047.70 nat. median
$156,126
0.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $100,112.90 $104,117.41 $100,112.90 nat. median
$109,499
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $92,608.99 $96,313.35 $92,608.99 nat. median
$164,834
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $91,934.21 $95,611.58 $91,934.21 nat. median
$105,658
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $89,171.17 $92,738.02 $89,171.17 nat. median
$124,573
0.7× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $86,147.42 $89,593.32 $86,147.42 nat. median
$80,416
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $85,255.38 $88,665.60 $85,255.38 nat. median
$97,957
0.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $83,603.69 $86,947.84 $83,603.69 nat. median
$102,919
0.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $83,172.24 $86,499.13 $83,172.24 nat. median
$60,831
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $80,139.80 $83,345.39 $80,139.80 nat. median
$119,796
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $76,929.98 $80,007.18 $76,929.98 nat. median
$85,444
0.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $75,658.11 $78,684.44 $75,658.11 nat. median
$108,996
0.7× median
5831
APR_DRG 		Neonate With Ecmo 7 $74,903.07 $77,899.19 $74,903.07 nat. median
$144,745
0.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $73,249.34 $76,179.31 $73,249.34 nat. median
$93,370
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $72,071.02 $74,953.86 $72,071.02 nat. median
$89,796
0.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $71,414.64 $74,271.23 $71,414.64 nat. median
$58,674
1.2× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $70,535.38 $73,356.79 $70,535.38 nat. median
$69,788
1.0× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $67,209.00 $69,897.36 $67,209.00 nat. median
$72,936
0.9× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $63,759.42 $66,309.80 $63,759.42 nat. median
$76,806
0.8× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $63,039.65 $65,561.24 $63,039.65 nat. median
$81,294
0.8× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $59,596.21 $61,980.06 $59,596.21 nat. median
$84,063
0.7× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $59,368.21 $61,742.94 $59,368.21 nat. median
$79,774
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $57,450.19 $59,748.20 $57,450.19 nat. median
$89,273
0.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $56,912.92 $59,189.44 $56,912.92 nat. median
$69,926
0.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 $55,448.84 $57,666.80 $55,448.84 nat. median
$73,845
0.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $55,440.66 $57,658.29 $55,440.66 nat. median
$68,217
0.8× median
8514
APR_DRG 		Gender Related Procedures 7 $55,316.44 $57,529.10 $55,316.44 nat. median
$70,353
0.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $52,292.69 $54,384.40 $52,292.69 nat. median
$118,620
outlier · 0.4×
71
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $52,045.78 $54,127.61 $52,045.78 nat. median
$50,717
1.0× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 $51,048.43 $53,090.37 $51,048.43 nat. median
$55,478
0.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $50,778.01 $52,809.13 $50,778.01 nat. median
$81,781
0.6× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $49,609.92 $51,594.31 $49,609.92 nat. median
$86,338
0.6× median
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $47,348.37 $49,242.30 $47,348.37 nat. median
$47,224
1.0× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 7 $47,302.36 $49,194.45 $47,302.36 nat. median
$62,356
0.8× median
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 $46,114.84 $47,959.43 $46,114.84 nat. median
$66,077
0.7× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $46,068.83 $47,911.59 $46,068.83 nat. median
$66,666
0.7× median

Other procedures at this hospital

Browse this hospital's 9,466 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
             
5834 APR_DRG Neonate With Ecmo 7 7 — — $286,952.92 $298,431.04 $286,952.92 2024-12-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $187,356.84 $194,851.12 $187,356.84 2024-12-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $185,866.70 $193,301.36 $185,866.70 2024-12-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $154,143.67 $160,309.42 $154,143.67 2024-12-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $152,628.98 $158,734.14 $152,628.98 2024-12-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $142,613.04 $148,317.56 $142,613.04 2024-12-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $140,209.38 $145,817.76 $140,209.38 2024-12-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $133,934.91 $139,292.31 $133,934.91 2024-12-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $123,271.28 $128,202.13 $123,271.28 2024-12-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $120,860.46 $125,694.88 $120,860.46 2024-12-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $116,966.14 $121,644.78 $116,966.14 2024-12-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $109,817.01 $114,209.69 $109,817.01 2024-12-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $108,739.40 $113,088.97 $108,739.40 2024-12-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $104,034.31 $108,195.68 $104,034.31 2024-12-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $103,047.70 $107,169.60 $103,047.70 2024-12-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $100,112.90 $104,117.41 $100,112.90 2024-12-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $92,608.99 $96,313.35 $92,608.99 2024-12-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $91,934.21 $95,611.58 $91,934.21 2024-12-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $89,171.17 $92,738.02 $89,171.17 2024-12-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $86,147.42 $89,593.32 $86,147.42 2024-12-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $85,255.38 $88,665.60 $85,255.38 2024-12-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $83,603.69 $86,947.84 $83,603.69 2024-12-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $83,172.24 $86,499.13 $83,172.24 2024-12-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $80,139.80 $83,345.39 $80,139.80 2024-12-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $76,929.98 $80,007.18 $76,929.98 2024-12-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $75,658.11 $78,684.44 $75,658.11 2024-12-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $74,903.07 $77,899.19 $74,903.07 2024-12-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $73,249.34 $76,179.31 $73,249.34 2024-12-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $72,071.02 $74,953.86 $72,071.02 2024-12-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $71,414.64 $74,271.23 $71,414.64 2024-12-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $70,535.38 $73,356.79 $70,535.38 2024-12-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $67,209.00 $69,897.36 $67,209.00 2024-12-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $63,759.42 $66,309.80 $63,759.42 2024-12-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $63,039.65 $65,561.24 $63,039.65 2024-12-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $59,596.21 $61,980.06 $59,596.21 2024-12-16
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $59,368.21 $61,742.94 $59,368.21 2024-12-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $57,450.19 $59,748.20 $57,450.19 2024-12-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $56,912.92 $59,189.44 $56,912.92 2024-12-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $55,448.84 $57,666.80 $55,448.84 2024-12-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $55,440.66 $57,658.29 $55,440.66 2024-12-16
8514 APR_DRG Gender Related Procedures 7 7 — — $55,316.44 $57,529.10 $55,316.44 2024-12-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $52,292.69 $54,384.40 $52,292.69 2024-12-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $52,045.78 $54,127.61 $52,045.78 2024-12-16
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $51,048.43 $53,090.37 $51,048.43 2024-12-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $50,778.01 $52,809.13 $50,778.01 2024-12-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $49,609.92 $51,594.31 $49,609.92 2024-12-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $47,348.37 $49,242.30 $47,348.37 2024-12-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $47,302.36 $49,194.45 $47,302.36 2024-12-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $46,114.84 $47,959.43 $46,114.84 2024-12-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $46,068.83 $47,911.59 $46,068.83 2024-12-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $46,061.16 $47,903.61 $46,061.16 2024-12-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $45,386.89 $47,202.37 $45,386.89 2024-12-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $44,729.49 $46,518.67 $44,729.49 2024-12-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $44,391.59 $46,167.25 $44,391.59 2024-12-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $44,371.65 $46,146.51 $44,371.65 2024-12-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $42,723.03 $44,431.95 $42,723.03 2024-12-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $42,222.56 $43,911.47 $42,222.56 2024-12-16
J2507 HCPCS Pegloticase 8 mg/mL Soln 18 10 $61,073.90 — $24,301.30 $54,966.51 $42,140.99 2024-12-16
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $41,777.31 $43,448.40 $41,777.31 2024-12-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $41,414.87 $43,071.46 $41,414.87 2024-12-16
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Soln 18 10 $58,978.25 — $23,467.45 $53,080.42 $40,694.99 2024-12-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $40,570.37 $42,193.18 $40,570.37 2024-12-16
6904 APR_DRG Acute Leukemia 7 7 — — $39,374.67 $40,949.66 $39,374.67 2024-12-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $39,301.57 $40,873.63 $39,301.57 2024-12-16
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $38,921.23 $40,478.08 $38,921.23 2024-12-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $38,857.33 $40,411.63 $38,857.33 2024-12-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $37,536.39 $39,037.85 $37,536.39 2024-12-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $37,252.17 $38,742.25 $37,252.17 2024-12-16
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $37,221.49 $38,710.35 $37,221.49 2024-12-16
913 APR_DRG Other Major Head And Neck Procedures 7 7 — — $37,219.45 $38,708.23 $37,219.45 2024-12-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $36,861.10 $38,335.54 $36,861.10 2024-12-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $36,837.07 $38,310.55 $36,837.07 2024-12-16
1784 APR_DRG External Heart Assist Systems 7 7 — — $36,623.90 $38,088.86 $36,623.90 2024-12-16
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 7 — — $35,923.05 $37,359.97 $35,923.05 2024-12-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $35,809.05 $37,241.41 $35,809.05 2024-12-16
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $35,444.56 $36,862.35 $35,444.56 2024-12-16
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $35,073.94 $36,476.90 $35,073.94 2024-12-16
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $34,996.24 $36,396.09 $34,996.24 2024-12-16
7594 APR_DRG Eating Disorders 7 7 — — $34,926.21 $36,323.25 $34,926.21 2024-12-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $34,752.40 $36,142.49 $34,752.40 2024-12-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $34,667.03 $36,053.71 $34,667.03 2024-12-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $34,546.90 $35,928.77 $34,546.90 2024-12-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $34,535.14 $35,916.54 $34,535.14 2024-12-16
C1767 HCPCS Gen Proclaim DRG Ipg/w Control 1 Each 198 10 $52,875.00 — $4,822.55 $69,344.10 $34,368.75 2024-12-16
2324 APR_DRG Gastric Fundoplication 7 7 — — $34,234.04 $35,603.40 $34,234.04 2024-12-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $34,065.86 $35,428.49 $34,065.86 2024-12-16
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 7 — — $33,952.88 $35,311.00 $33,952.88 2024-12-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $32,883.45 $34,198.79 $32,883.45 2024-12-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $32,564.97 $33,867.57 $32,564.97 2024-12-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $32,013.39 $33,293.92 $32,013.39 2024-12-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $31,917.28 $33,193.97 $31,917.28 2024-12-16
4414 APR_DRG Major Bladder Procedures 7 7 — — $31,678.04 $32,945.16 $31,678.04 2024-12-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $31,482.25 $32,741.54 $31,482.25 2024-12-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $31,441.87 $32,699.54 $31,441.87 2024-12-16
C1822 HCPCS Pulse Generator Nipg3000 1/each 18 10 $45,527.00 — $18,115.19 $40,974.30 $31,413.63 2024-12-16
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $31,272.66 $32,523.57 $31,272.66 2024-12-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $31,142.30 $32,388.00 $31,142.30 2024-12-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $30,976.68 $32,215.74 $30,976.68 2024-12-16
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 7 — — $30,464.45 $31,683.03 $30,464.45 2024-12-16
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $30,291.16 $31,502.80 $30,291.16 2024-12-16
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 7 7 — — $30,156.20 $31,362.45 $30,156.20 2024-12-16
3104 APR_DRG Intervertebral Disc Excision And Decompression 7 7 — — $29,982.90 $31,182.22 $29,982.90 2024-12-16
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 7 — — $29,837.72 $31,031.23 $29,837.72 2024-12-16
1794 APR_DRG Defibrillator Implants 7 7 — — $29,680.78 $30,868.01 $29,680.78 2024-12-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $29,555.03 $30,737.23 $29,555.03 2024-12-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $29,494.71 $30,674.49 $29,494.71 2024-12-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $29,438.47 $30,616.01 $29,438.47 2024-12-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $29,377.13 $30,552.22 $29,377.13 2024-12-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $29,347.99 $30,521.91 $29,347.99 2024-12-16
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $29,324.99 $30,497.99 $29,324.99 2024-12-16
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $29,277.96 $30,449.08 $29,277.96 2024-12-16
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $29,059.16 $30,221.53 $29,059.16 2024-12-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $29,056.61 $30,218.87 $29,056.61 2024-12-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $29,054.56 $30,216.75 $29,054.56 2024-12-16
J9228 HCPCS Ipilimumab 200 Mg/40 Ml Soln 36 10 $57,799.98 — $9,207.16 $83,214.51 $28,807.75 2024-12-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $28,755.00 $29,905.20 $28,755.00 2024-12-16
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $28,710.53 $29,858.95 $28,710.53 2024-12-16
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 7 7 — — $28,646.63 $29,792.49 $28,646.63 2024-12-16
C1820 HCPCS Generator Spectra Wavewriter 1/each 36 10 $40,176.00 — $15,219.68 $37,891.80 $28,629.36 2024-12-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $28,531.61 $29,672.87 $28,531.61 2024-12-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $28,361.89 $29,496.36 $28,361.89 2024-12-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $28,329.68 $29,462.87 $28,329.68 2024-12-16
274 APR_DRG Other Open Craniotomy 7 7 — — $28,228.98 $29,358.13 $28,228.98 2024-12-16
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $28,090.44 $29,214.06 $28,090.44 2024-12-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $27,930.43 $29,047.65 $27,930.43 2024-12-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $27,909.48 $29,025.85 $27,909.48 2024-12-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $27,820.53 $28,933.35 $27,820.53 2024-12-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $27,656.94 $28,763.22 $27,656.94 2024-12-16
234 APR_DRG Spinal Procedures 7 7 — — $27,199.93 $28,287.93 $27,199.93 2024-12-16
3634 APR_DRG Breast Procedures Except Mastectomy 7 7 — — $27,173.86 $28,260.81 $27,173.86 2024-12-16
1783 APR_DRG External Heart Assist Systems 7 7 — — $26,976.54 $28,055.60 $26,976.54 2024-12-16
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $26,940.24 $28,017.85 $26,940.24 2024-12-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $26,877.36 $27,952.46 $26,877.36 2024-12-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $26,770.01 $27,840.81 $26,770.01 2024-12-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $26,741.89 $27,811.57 $26,741.89 2024-12-16
1824 APR_DRG Other Peripheral Vascular Procedures 7 7 — — $26,727.07 $27,796.15 $26,727.07 2024-12-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $26,545.08 $27,606.89 $26,545.08 2024-12-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $26,304.82 $27,357.01 $26,304.82 2024-12-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $26,166.79 $27,213.47 $26,166.79 2024-12-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $26,145.32 $27,191.14 $26,145.32 2024-12-16
6600016 CDM Or Level 7d 18 10 $37,737.00 — $15,015.55 $33,963.30 $26,038.53 2024-12-16
1782 APR_DRG External Heart Assist Systems 7 7 — — $25,933.18 $26,970.50 $25,933.18 2024-12-16
6903 APR_DRG Acute Leukemia 7 7 — — $25,815.60 $26,848.22 $25,815.60 2024-12-16
2244 APR_DRG Peritoneal Adhesiolysis 7 7 — — $25,786.46 $26,817.92 $25,786.46 2024-12-16
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $25,633.10 $26,658.43 $25,633.10 2024-12-16
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $25,584.54 $26,607.92 $25,584.54 2024-12-16
4034 APR_DRG Procedures For Obesity 7 7 — — $25,529.84 $26,551.03 $25,529.84 2024-12-16
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $25,225.16 $26,234.17 $25,225.16 2024-12-16
4014 APR_DRG Adrenal Procedures 7 7 — — $24,954.23 $25,952.40 $24,954.23 2024-12-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $24,504.88 $25,485.08 $24,504.88 2024-12-16
1214 APR_DRG Other Respiratory And Chest Procedures 7 7 — — $24,481.88 $25,461.15 $24,481.88 2024-12-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $24,372.99 $25,347.91 $24,372.99 2024-12-16
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $24,315.23 $25,287.84 $24,315.23 2024-12-16
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $24,314.72 $25,287.31 $24,314.72 2024-12-16
4804 APR_DRG Major Male Pelvic Procedures 7 7 — — $24,219.12 $25,187.89 $24,219.12 2024-12-16
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $24,205.83 $25,174.06 $24,205.83 2024-12-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $24,096.95 $25,060.82 $24,096.95 2024-12-16
2314 APR_DRG Major Large Bowel Procedures 7 7 — — $24,070.87 $25,033.71 $24,070.87 2024-12-16
912 APR_DRG Other Major Head And Neck Procedures 7 7 — — $23,931.83 $24,889.10 $23,931.83 2024-12-16
L8679 HCPCS Stimulator Intellis Adaptivest 1 Each 18 10 $34,650.00 — $13,787.24 $31,185.00 $23,908.50 2024-12-16
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $23,879.69 $24,834.87 $23,879.69 2024-12-16
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $23,685.94 $24,633.38 $23,685.94 2024-12-16
J9043 HCPCS Cabazitaxel 60 Mg/1.5 Ml Soln 18 10 $34,326.14 — $13,658.37 $30,893.53 $23,685.04 2024-12-16
213 APR_DRG Open Craniotomy Except Trauma 7 7 — — $23,668.56 $24,615.30 $23,668.56 2024-12-16
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $23,621.53 $24,566.39 $23,621.53 2024-12-16
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 7 7 — — $23,536.16 $24,477.61 $23,536.16 2024-12-16
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $23,498.84 $24,438.80 $23,498.84 2024-12-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $23,478.39 $24,417.53 $23,478.39 2024-12-16
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $23,431.87 $24,369.15 $23,431.87 2024-12-16
J7205 HCPCS Antihemophilic Factor Recombinant Fc Fusion Protein Powd 18 10 $33,957.56 — $13,511.71 $30,561.80 $23,430.72 2024-12-16
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 7 7 — — $23,336.28 $24,269.73 $23,336.28 2024-12-16
203 APR_DRG Open Craniotomy For Trauma 7 7 — — $23,316.34 $24,249.00 $23,316.34 2024-12-16
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 7 7 — — $23,226.88 $24,155.96 $23,226.88 2024-12-16
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 7 7 — — $23,163.49 $24,090.03 $23,163.49 2024-12-16
6614 APR_DRG Coagulation And Platelet Disorders 7 7 — — $23,146.11 $24,071.96 $23,146.11 2024-12-16
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $23,094.48 $24,018.26 $23,094.48 2024-12-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $23,092.95 $24,016.67 $23,092.95 2024-12-16
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 7 7 — — $23,054.61 $23,976.79 $23,054.61 2024-12-16
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $23,012.18 $23,932.67 $23,012.18 2024-12-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $22,858.82 $23,773.17 $22,858.82 2024-12-16
1693 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $22,728.97 $23,638.13 $22,728.97 2024-12-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $22,663.03 $23,569.55 $22,663.03 2024-12-16
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $22,613.95 $23,518.51 $22,613.95 2024-12-16
4844 APR_DRG Other Male Reproductive System And Related Procedures 7 7 — — $22,532.16 $23,433.45 $22,532.16 2024-12-16
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 7 7 — — $22,472.35 $23,371.25 $22,472.35 2024-12-16
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $22,464.17 $23,362.74 $22,464.17 2024-12-16
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $22,352.22 $23,246.31 $22,352.22 2024-12-16
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $22,306.21 $23,198.46 $22,306.21 2024-12-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $22,287.30 $23,178.79 $22,287.30 2024-12-16
6504 APR_DRG Splenectomy 7 7 — — $22,221.35 $23,110.21 $22,221.35 2024-12-16
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $22,207.55 $23,095.85 $22,207.55 2024-12-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $22,107.36 $22,991.65 $22,107.36 2024-12-16
893 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $22,097.64 $22,981.55 $22,097.64 2024-12-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $22,076.17 $22,959.22 $22,076.17 2024-12-16
1781 APR_DRG External Heart Assist Systems 7 7 — — $22,001.03 $22,881.07 $22,001.03 2024-12-16
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 7 7 — — $21,977.51 $22,856.61 $21,977.51 2024-12-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $21,953.48 $22,831.62 $21,953.48 2024-12-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $21,791.43 $22,663.09 $21,791.43 2024-12-16
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 7 7 — — $21,569.06 $22,431.82 $21,569.06 2024-12-16
1793 APR_DRG Defibrillator Implants 7 7 — — $21,482.16 $22,341.44 $21,482.16 2024-12-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $21,400.88 $22,256.91 $21,400.88 2024-12-16
3084 APR_DRG Hip And Femur Fracture Repair 7 7 — — $21,396.79 $22,252.66 $21,396.79 2024-12-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $21,375.32 $22,230.33 $21,375.32 2024-12-16
4834 APR_DRG Penis, Testes And Scrotal Procedures 7 7 — — $21,373.27 $22,228.20 $21,373.27 2024-12-16
5184 APR_DRG Other Female Reproductive System And Related Procedures 7 7 — — $21,344.64 $22,198.43 $21,344.64 2024-12-16
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $21,260.30 $22,110.71 $21,260.30 2024-12-16
244 APR_DRG Open Extracranial Vascular Procedures 7 7 — — $21,206.11 $22,054.35 $21,206.11 2024-12-16
734 APR_DRG Orbit And Eye Procedures 7 7 — — $21,190.77 $22,038.40 $21,190.77 2024-12-16
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $21,023.10 $21,864.02 $21,023.10 2024-12-16
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $20,958.69 $21,797.04 $20,958.69 2024-12-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 7 7 — — $20,746.03 $21,575.87 $20,746.03 2024-12-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $20,730.18 $21,559.39 $20,730.18 2024-12-16
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $20,662.70 $21,489.21 $20,662.70 2024-12-16
2234 APR_DRG Other Small And Large Bowel Procedures 7 7 — — $20,578.36 $21,401.49 $20,578.36 2024-12-16
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 7 7 — — $20,510.88 $21,331.31 $20,510.88 2024-12-16
293 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $20,450.56 $21,268.58 $20,450.56 2024-12-16
3244 APR_DRG Elective Hip Joint Replacement 7 7 — — $20,446.98 $21,264.86 $20,446.98 2024-12-16
233 APR_DRG Spinal Procedures 7 7 — — $20,301.29 $21,113.34 $20,301.29 2024-12-16
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 7 7 — — $20,267.04 $21,077.72 $20,267.04 2024-12-16
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $20,248.12 $21,058.05 $20,248.12 2024-12-16
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $20,246.59 $21,056.45 $20,246.59 2024-12-16
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $20,192.40 $21,000.10 $20,192.40 2024-12-16
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $20,137.70 $20,943.21 $20,137.70 2024-12-16
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $20,106.52 $20,910.78 $20,106.52 2024-12-16
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 7 7 — — $20,085.05 $20,888.45 $20,085.05 2024-12-16
2634 APR_DRG Cholecystectomy 7 7 — — $20,039.04 $20,840.60 $20,039.04 2024-12-16
2264 APR_DRG Anal Procedures 7 7 — — $19,893.86 $20,689.61 $19,893.86 2024-12-16
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 7 7 — — $19,877.50 $20,672.60 $19,877.50 2024-12-16
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $19,850.92 $20,644.96 $19,850.92 2024-12-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $19,832.00 $20,625.28 $19,832.00 2024-12-16
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $19,812.58 $20,605.08 $19,812.58 2024-12-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 7 — — $19,707.78 $20,496.09 $19,707.78 2024-12-16
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $19,658.71 $20,445.06 $19,658.71 2024-12-16
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml Soln 18 10 $28,347.10 — $11,279.31 $25,512.39 $19,559.50 2024-12-16
9594514 CDM Interspinous Fix Ultra 8 X 35 1 Each 18 10 $28,295.00 — $11,258.58 $25,465.50 $19,523.55 2024-12-16
954 APR_DRG Cleft Lip And Palate Repair 7 7 — — $19,461.38 $20,239.84 $19,461.38 2024-12-16
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 7 7 — — $19,454.74 $20,232.93 $19,454.74 2024-12-16
3224 APR_DRG Shoulder And Elbow Joint Replacement 7 7 — — $19,453.20 $20,231.33 $19,453.20 2024-12-16
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 7 7 — — $19,429.69 $20,206.88 $19,429.69 2024-12-16
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $19,336.14 $20,109.59 $19,336.14 2024-12-16
3814 APR_DRG Major Skin Disorders 7 7 — — $19,277.35 $20,048.45 $19,277.35 2024-12-16
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 7 7 — — $19,244.12 $20,013.89 $19,244.12 2024-12-16
J2327 HCPCS Risankizumab-rzaa 600 Mg/10 Ml IV Sol 18 10 $27,812.67 — $11,066.66 $25,031.40 $19,190.74 2024-12-16
J9042 HCPCS Brentuximab Vedotin 50 Mg Powd 18 10 $27,764.50 — $11,047.49 $24,988.05 $19,157.51 2024-12-16
3094 APR_DRG Other Significant Hip And Femur Surgery 7 7 — — $19,150.06 $19,916.07 $19,150.06 2024-12-16
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $19,085.14 $19,848.55 $19,085.14 2024-12-16
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $19,083.10 $19,846.42 $19,083.10 2024-12-16
3164 APR_DRG Hand And Wrist Procedures 7 7 — — $19,041.18 $19,802.82 $19,041.18 2024-12-16
4234 APR_DRG Inborn Errors Of Metabolism 7 7 — — $19,001.82 $19,761.89 $19,001.82 2024-12-16
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 7 — — $19,001.82 $19,761.89 $19,001.82 2024-12-16
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 7 7 — — $18,952.23 $19,710.32 $18,952.23 2024-12-16
5004 APR_DRG Malignancy, Male Reproductive System 7 7 — — $18,943.54 $19,701.28 $18,943.54 2024-12-16
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 7 7 — — $18,826.47 $19,579.53 $18,826.47 2024-12-16
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $18,817.27 $19,569.96 $18,817.27 2024-12-16
1813 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $18,722.70 $19,471.61 $18,722.70 2024-12-16
6964 APR_DRG Other Chemotherapy 7 7 — — $18,698.16 $19,446.09 $18,698.16 2024-12-16
1203 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $18,631.20 $19,376.44 $18,631.20 2024-12-16
1804 APR_DRG Other Circulatory System Procedures 7 7 — — $18,577.52 $19,320.62 $18,577.52 2024-12-16
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $18,492.66 $19,232.37 $18,492.66 2024-12-16
4013 APR_DRG Adrenal Procedures 7 7 — — $18,357.19 $19,091.48 $18,357.19 2024-12-16
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $18,193.10 $18,920.82 $18,193.10 2024-12-16
292 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $18,156.80 $18,883.07 $18,156.80 2024-12-16
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Soln 18 10 $26,189.69 — $10,420.88 $23,570.72 $18,070.89 2024-12-16
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $18,036.67 $18,758.14 $18,036.67 2024-12-16
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $18,034.62 $18,756.01 $18,034.62 2024-12-16
J3380 HCPCS Vedolizumab 300 Mg Powd 18 10 $25,945.32 — $10,323.64 $23,350.79 $17,902.27 2024-12-16
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $17,901.20 $18,617.25 $17,901.20 2024-12-16
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 7 — — $17,882.29 $18,597.58 $17,882.29 2024-12-16
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $17,708.99 $18,417.35 $17,708.99 2024-12-16
3624 APR_DRG Mastectomy Procedures 7 7 — — $17,698.77 $18,406.72 $17,698.77 2024-12-16
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $17,607.26 $18,311.55 $17,607.26 2024-12-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $17,599.08 $18,303.05 $17,599.08 2024-12-16
4824 APR_DRG Transurethral Prostatectomy 7 7 — — $17,538.25 $18,239.78 $17,538.25 2024-12-16
6600015 CDM Or Level 7c 18 10 $25,385.00 — $10,100.69 $22,846.50 $17,515.65 2024-12-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $17,510.64 $18,211.07 $17,510.64 2024-12-16
1792 APR_DRG Defibrillator Implants 7 7 — — $17,509.11 $18,209.48 $17,509.11 2024-12-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $17,432.43 $18,129.73 $17,432.43 2024-12-16
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $17,321.50 $18,014.36 $17,321.50 2024-12-16
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $17,291.34 $17,982.99 $17,291.34 2024-12-16
6781007 CDM Proc-level 2 Pacemaker And Similar Procedures 18 10 $25,052.00 — $9,968.19 $22,546.80 $17,285.88 2024-12-16
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $17,232.55 $17,921.85 $17,232.55 2024-12-16
1762 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $17,192.68 $17,880.39 $17,192.68 2024-12-16
6924 APR_DRG Radiotherapy 7 7 — — $17,189.61 $17,877.20 $17,189.61 2024-12-16
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 7 7 — — $17,135.42 $17,820.84 $17,135.42 2024-12-16
4413 APR_DRG Major Bladder Procedures 7 7 — — $17,080.73 $17,763.95 $17,080.73 2024-12-16
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 7 7 — — $17,064.88 $17,747.47 $17,064.88 2024-12-16
3264 APR_DRG Elective Knee Joint Replacement 7 7 — — $17,022.45 $17,703.35 $17,022.45 2024-12-16
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $17,013.76 $17,694.31 $17,013.76 2024-12-16
3213 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $16,905.38 $17,581.60 $16,905.38 2024-12-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $16,782.70 $17,454.00 $16,782.70 2024-12-16
4624 APR_DRG Nephritis And Nephrosis 7 7 — — $16,781.16 $17,452.41 $16,781.16 2024-12-16
212 APR_DRG Open Craniotomy Except Trauma 7 7 — — $16,754.58 $17,424.76 $16,754.58 2024-12-16
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $16,748.96 $17,418.92 $16,748.96 2024-12-16
4464 APR_DRG Urethral And Transurethral Procedures 7 7 — — $16,723.40 $17,392.33 $16,723.40 2024-12-16
9593634 CDM Sonopet Console&handpiece Rent 1 Each 18 10 $24,143.00 — $9,606.50 $21,728.70 $16,658.67 2024-12-16
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $16,637.00 $17,302.48 $16,637.00 2024-12-16
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $16,537.83 $17,199.34 $16,537.83 2024-12-16
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 7 7 — — $16,458.08 $17,116.41 $16,458.08 2024-12-16
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $16,434.57 $17,091.95 $16,434.57 2024-12-16
J9223 HCPCS Lurbinectedin 4 Mg IV Sol 18 10 $23,802.75 — $9,471.11 $21,422.48 $16,423.90 2024-12-16
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