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

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You selected 59400 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

10,347 distinct procedures filed
19 distinct payers
282,414 rate rows
2026-07-31 last MRF observed
Data quality

217,287 of 282,414 rate rows are consumer-grade (76.9%)

65,127 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,125
placeholder amount (≤ $0.02) — excluded from medians 844
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 114
per-diem day rate — not a per-procedure price 13
exceeds 10× this hospital's gross charge — excluded from medians 6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
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 · 2026-08-01
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
$311,018
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
$254,667
0.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $185,866.70 $193,301.36 $185,866.70 nat. median
$250,089
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $154,143.67 $160,309.42 $154,143.67 nat. median
$209,486
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
$147,677
1.0× 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
$119,243
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
$160,171
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
$165,646
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
$168,174
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $120,860.46 $125,694.88 $120,860.46 nat. median
$180,995
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $116,966.14 $121,644.78 $116,966.14 nat. median
$175,480
0.7× 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
$156,285
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
$168,361
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $104,034.31 $108,195.68 $104,034.31 nat. median
$147,847
0.7× median
5832
APR_DRG 		Neonate With Ecmo 7 $103,047.70 $107,169.60 $103,047.70 nat. median
$169,230
0.6× 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
$165,599
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
$127,600
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $89,171.17 $92,738.02 $89,171.17 nat. median
$120,928
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
$83,517
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $85,255.38 $88,665.60 $85,255.38 nat. median
$101,315
0.8× 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
$108,751
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
$67,603
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $80,139.80 $83,345.39 $80,139.80 nat. median
$127,938
0.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $76,929.98 $80,007.18 $76,929.98 nat. median
$93,192
0.8× 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
$112,711
0.7× median
5831
APR_DRG 		Neonate With Ecmo 7 $74,903.07 $77,899.19 $74,903.07 nat. median
$154,685
outlier · 0.5×
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
$96,420
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
$89,188
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
$63,564
1.1× 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
$71,350
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
$80,447
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $63,759.42 $66,309.80 $63,759.42 nat. median
$82,164
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
$84,000
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
$84,380
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
$79,228
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $57,450.19 $59,748.20 $57,450.19 nat. median
$89,814
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
$78,024
0.7× 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
$67,813
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
$88,000
0.6× median
8514
APR_DRG 		Gender Related Procedures 7 $55,316.44 $57,529.10 $55,316.44 nat. median
$66,302
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
$123,690
outlier · 0.4×
71
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $52,045.78 $54,127.61 $52,045.78 nat. median
$55,310
0.9× 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
$58,488
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
$82,636
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
$89,063
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
$52,271
0.9× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 7 $47,302.36 $49,194.45 $47,302.36 nat. median
$63,005
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
$68,121
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 10,347 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 2026-07-31
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 2026-07-31
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 2026-07-31
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 2026-07-31
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 2026-07-31
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 2026-07-31
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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