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

CHELSEA HOSPITAL

Chelsea, MI · CCN 230259 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,540 across 6 payers · range $12,540-$12,916

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stjoseph-chelsea · observed 2025-01-01

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

22,671 distinct procedures filed
128 distinct payers
5,153,019 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

4,699,295 of 5,153,019 rate rows are consumer-grade (91.2%)

453,724 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 439,985
exceeds 10× this hospital's gross charge — excluded from medians 7,051
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,031
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,791
percent-of-charges filed in the dollar field — excluded from medians 884
placeholder amount (≤ $0.02) — excluded from medians 876
template filing: same amount across many unrelated codes — excluded 67
per-diem day rate — not a per-procedure price 39

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stjoseph-chelsea
Found on page https://www.trinityhealthmichigan.org/tools-and-resources/billing-and-insurance/our-prices
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 359036acf4608d6b… · 182,645,790 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
'583-4
OTHER 		Neonate With Ecmo 5 $318,081.18 $330,804.43 $318,081.18 nat. median
$221,551
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $275,329.21 $613,246.74 $275,329.21 nat. median
$370,165
0.7× median
J2326
HCPCS 		Inj Nusinersen 0.1mg 121 $4.05 $375,641.81 $261,459.94 nat. median
$2,353
outlier · 111.1×
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $207,769.56 $216,080.34 $207,769.56 nat. median
$202,324
1.0× median
'583-3
OTHER 		Neonate With Ecmo 5 $206,119.09 $214,363.85 $206,119.09 nat. median
$195,630
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $202,510.57 $451,056.20 $202,510.57 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $196,981.22 $438,740.56 $196,981.22 nat. median
$205,166
1.0× median
'161-4
OTHER 		Implantable Heart Assist Systems 5 $170,982.98 $177,822.30 $170,982.98 nat. median
$182,608
0.9× median
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $169,305.33 $176,077.54 $169,305.33 nat. median
$112,354
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $159,328.75 $354,876.39 $159,328.75 nat. median
$199,832
0.8× median
'011-4
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $158,211.78 $164,540.25 $158,211.78 nat. median
$98,418
1.6× median
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $155,549.51 $161,771.49 $155,549.51 nat. median
$127,072
1.2× median
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $148,599.97 $154,543.97 $148,599.97 nat. median
$138,284
1.1× median
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $136,789.03 $142,260.59 $136,789.03 nat. median
$130,670
1.0× median
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $134,118.84 $139,483.59 $134,118.84 nat. median
$131,074
1.0× median
'007-4
OTHER 		Allogeneic Bone Marrow Transplant 5 $129,805.52 $134,997.74 $129,805.52 nat. median
$131,941
1.0× median
'593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $121,887.22 $126,762.71 $121,887.22 nat. median
$115,906
1.1× median
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,693.67 $125,521.42 $120,693.67 nat. median
$119,104
1.0× median
'588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $115,482.36 $120,101.65 $115,482.36 nat. median
$110,776
1.0× median
'583-2
OTHER 		Neonate With Ecmo 5 $114,389.60 $118,965.18 $114,389.60 nat. median
$119,004
1.0× median
'603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $111,139.04 $115,584.60 $111,139.04 nat. median
$102,933
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $109,854.58 $244,681.50 $109,854.58 nat. median
$132,706
0.8× median
'009-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 5 $102,827.79 $106,940.90 $102,827.79 nat. median
$89,522
1.1× median
'004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $102,080.41 $106,163.63 $102,080.41 nat. median
$101,809
1.0× median
'588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $99,020.10 $102,980.90 $99,020.10 nat. median
$98,245
1.0× median
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 121 $61.42 $142,072.02 $98,887.13 nat. median
$92
outlier · 1078.1×
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $95,671.02 $99,497.86 $95,671.02 nat. median
$80,075
1.2× median
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $94,683.01 $98,470.33 $94,683.01 nat. median
$82,416
1.1× median
'591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $92,853.61 $96,567.75 $92,853.61 nat. median
$84,666
1.1× median
'011-3
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $92,375.74 $96,070.77 $92,375.74 nat. median
$48,444
1.9× median
7
MS_DRG 		Lung Transplant 13 $91,668.04 $204,174.23 $91,668.04 nat. median
$122,690
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $91,501.39 $203,803.04 $91,501.39 nat. median
$108,240
0.8× median
'161-3
OTHER 		Implantable Heart Assist Systems 5 $89,017.04 $92,577.72 $89,017.04 nat. median
$114,612
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $85,648.46 $190,766.68 $85,648.46 nat. median
$114,305
0.7× median
'161-2
OTHER 		Implantable Heart Assist Systems 5 $85,461.87 $88,880.34 $85,461.87 nat. median
$86,952
1.0× median
'593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $84,053.17 $87,415.30 $84,053.17 nat. median
$82,229
1.0× median
'583-1
OTHER 		Neonate With Ecmo 5 $83,216.89 $86,545.57 $83,216.89 nat. median
$105,798
0.8× median
'589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $81,385.23 $84,640.64 $81,385.23 nat. median
$78,851
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 14 $80,490.53 $179,278.30 $80,490.53 nat. median
$100,978
0.8× median
'589-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $80,080.14 $83,283.35 $80,080.14 nat. median
$77,835
1.0× median
'011-2
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $79,353.14 $82,527.27 $79,353.14 nat. median
$42,087
1.9× median
'589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $78,379.28 $81,514.45 $78,379.28 nat. median
$46,281
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $77,346.59 $172,275.75 $77,346.59 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 14 $76,336.23 $170,025.35 $76,336.23 nat. median
$98,002
0.8× median
'630-3
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $74,695.01 $77,682.81 $74,695.01 nat. median
$57,119
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $72,528.69 $161,544.72 $72,528.69 nat. median
$92,900
0.8× median
'161-1
OTHER 		Implantable Heart Assist Systems 5 $70,874.30 $73,709.27 $70,874.30 nat. median
$70,718
1.0× median
'591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $70,077.09 $72,880.17 $70,077.09 nat. median
$68,201
1.0× median
'303-4
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 $66,263.16 $68,913.69 $66,263.16 nat. median
$65,112
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 14 $66,222.14 $147,498.00 $66,222.14 nat. median
$83,623
0.8× median

Other procedures at this hospital

Browse this hospital's 22,671 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
             
'583-4 OTHER Neonate With Ecmo 5 5 — — $318,081.18 $330,804.43 $318,081.18 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $275,329.21 $613,246.74 $275,329.21 2025-01-01
J2326 HCPCS Inj Nusinersen 0.1mg 134 121 $413,702.43 $268,906.58 35% off $4.05 $375,641.81 $261,459.94 2025-01-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $207,769.56 $216,080.34 $207,769.56 2025-01-01
'583-3 OTHER Neonate With Ecmo 5 5 — — $206,119.09 $214,363.85 $206,119.09 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 14 — — $202,510.57 $451,056.20 $202,510.57 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 14 — — $196,981.22 $438,740.56 $196,981.22 2025-01-01
'161-4 OTHER Implantable Heart Assist Systems 5 5 — — $170,982.98 $177,822.30 $170,982.98 2025-01-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $169,305.33 $176,077.54 $169,305.33 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 14 — — $159,328.75 $354,876.39 $159,328.75 2025-01-01
'011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $158,211.78 $164,540.25 $158,211.78 2025-01-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $155,549.51 $161,771.49 $155,549.51 2025-01-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $148,599.97 $154,543.97 $148,599.97 2025-01-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $136,789.03 $142,260.59 $136,789.03 2025-01-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $134,118.84 $139,483.59 $134,118.84 2025-01-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $129,805.52 $134,997.74 $129,805.52 2025-01-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $121,887.22 $126,762.71 $121,887.22 2025-01-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,693.67 $125,521.42 $120,693.67 2025-01-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $115,482.36 $120,101.65 $115,482.36 2025-01-01
'583-2 OTHER Neonate With Ecmo 5 5 — — $114,389.60 $118,965.18 $114,389.60 2025-01-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $111,139.04 $115,584.60 $111,139.04 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 14 — — $109,854.58 $244,681.50 $109,854.58 2025-01-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $102,827.79 $106,940.90 $102,827.79 2025-01-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $102,080.41 $106,163.63 $102,080.41 2025-01-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $99,020.10 $102,980.90 $99,020.10 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 134 121 $156,466.98 $101,703.54 35% off $61.42 $142,072.02 $98,887.13 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $95,671.02 $99,497.86 $95,671.02 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $94,683.01 $98,470.33 $94,683.01 2025-01-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $92,853.61 $96,567.75 $92,853.61 2025-01-01
'011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $92,375.74 $96,070.77 $92,375.74 2025-01-01
7 MS_DRG Lung Transplant 16 13 — — $91,668.04 $204,174.23 $91,668.04 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 14 — — $91,501.39 $203,803.04 $91,501.39 2025-01-01
'161-3 OTHER Implantable Heart Assist Systems 5 5 — — $89,017.04 $92,577.72 $89,017.04 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 13 — — $85,648.46 $190,766.68 $85,648.46 2025-01-01
'161-2 OTHER Implantable Heart Assist Systems 5 5 — — $85,461.87 $88,880.34 $85,461.87 2025-01-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $84,053.17 $87,415.30 $84,053.17 2025-01-01
'583-1 OTHER Neonate With Ecmo 5 5 — — $83,216.89 $86,545.57 $83,216.89 2025-01-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $81,385.23 $84,640.64 $81,385.23 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 17 14 — — $80,490.53 $179,278.30 $80,490.53 2025-01-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $80,080.14 $83,283.35 $80,080.14 2025-01-01
'011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $79,353.14 $82,527.27 $79,353.14 2025-01-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $78,379.28 $81,514.45 $78,379.28 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 13 — — $77,346.59 $172,275.75 $77,346.59 2025-01-01
215 MS_DRG Other Heart Assist System Implant 17 14 — — $76,336.23 $170,025.35 $76,336.23 2025-01-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $74,695.01 $77,682.81 $74,695.01 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $72,528.69 $161,544.72 $72,528.69 2025-01-01
'161-1 OTHER Implantable Heart Assist Systems 5 5 — — $70,874.30 $73,709.27 $70,874.30 2025-01-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $70,077.09 $72,880.17 $70,077.09 2025-01-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $66,263.16 $68,913.69 $66,263.16 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 14 — — $66,222.14 $147,498.00 $66,222.14 2025-01-01
'008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $66,010.64 $68,651.07 $66,010.64 2025-01-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $63,886.25 $66,441.70 $63,886.25 2025-01-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,291.18 $65,822.83 $63,291.18 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 14 — — $63,165.64 $140,690.20 $63,165.64 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 14 — — $62,993.76 $140,307.36 $62,993.76 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 120 110 $97,800.00 $63,570.00 35% off $181.00 $88,802.40 $61,809.60 2025-01-01
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $61,669.58 $64,136.36 $61,669.58 2025-01-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,660.52 $64,126.94 $61,660.52 2025-01-01
'851-4 OTHER Gender Related Procedures 5 5 — — $61,522.94 $63,983.86 $61,522.94 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 14 — — $60,645.71 $135,077.50 $60,645.71 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 134 121 $95,760.00 $62,244.00 35% off $181.00 $86,950.08 $60,520.32 2025-01-01
27800000002-2107 CDM Valve Sapien 3 Thv 23mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2106 CDM Valve Sapien 3 Thv 23mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2116 CDM Valve Sapien 3 Thv 29mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2814 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2111 CDM Valve Sapien 3 Thv 26mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2808 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2811 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2112 CDM Valve Sapien 3 Thv 26mm W/command System 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
27800000002-2117 CDM Valve Sapien Transcath 23mm Ascendra + Sys 120 110 $94,575.00 $61,473.75 35% off $181.00 $85,874.10 $59,771.40 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 14 — — $59,736.23 $133,051.81 $59,736.23 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 14 — — $58,287.20 $129,824.34 $58,287.20 2025-01-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,173.86 $60,500.81 $58,173.86 2025-01-01
'007-1 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $57,900.39 $60,216.41 $57,900.39 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $57,626.57 $128,352.92 $57,626.57 2025-01-01
27800000002-100 CDM Device Impella 5.5 Smartassist 120 110 $90,000.00 $58,500.00 35% off $181.00 $81,720.00 $56,880.00 2025-01-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $56,795.73 $59,067.56 $56,795.73 2025-01-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,496.21 $58,756.06 $56,496.21 2025-01-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $55,202.45 $57,410.55 $55,202.45 2025-01-01
27800000002-1495 CDM Kit Mitraclp 2 Sgc0301 Cds0501 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2447 CDM Valve Aortic Evolut Tm Pro 29mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2448 CDM Valve Aortic Evolut Tm Pro 34mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2449 CDM Valve Aortic Evolut Tm Pro 34mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2444 CDM Valve Aortic Evolut Tm Pro 26mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1489 CDM Kit Mitraclip 2 Mbr0102 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2010 CDM Valve Aort 26mm Pro Perc 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2978 CDM Kit Mitraclip G4 Delivery Sys Ntw 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-3060 CDM Kit Mitraclip 2 Mbr0202 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2022 CDM Valve Aort 34mm Evolutr 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2009 CDM Valve Aort 26mm Pro Perc 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2952 CDM Kit Mitraclip 1 Mbr0303 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1485 CDM Kit Mitraclip 1 Mbr0201 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1493 CDM Kit Mitraclp 1 Sgc0301 Cds0501 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1496 CDM Kit Mitraclp 3 Sgc0301 Cds0501 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2450 CDM Valve Aortic Evolut Tm Pro 34mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2021 CDM Valve Aort 34mm Evolutr 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1487 CDM Kit Mitraclip 1 Mbr0301 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2443 CDM Valve Aortic Evolut Tm Pro 26mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2445 CDM Valve Aortic Evolut Tm Pro 29mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1490 CDM Kit Mitraclip 2 Mbr0302 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-1483 CDM Kit Mitraclip 1 Mbr0101 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2446 CDM Valve Aortic Evolut Tm Pro 29mm 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
27800000002-2824 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 120 110 $87,300.00 $56,745.00 35% off $181.00 $79,268.40 $55,173.60 2025-01-01
J9298 HCPCS Opdualag Per 1 Each 134 121 $87,194.88 $56,676.67 35% off $181.00 $79,172.95 $55,107.16 2025-01-01
27200000002-22961 CDM Handpiece Electr Ster Disp Electrosurgical 120 110 $86,692.50 $56,350.13 35% off $181.00 $78,716.79 $54,789.66 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 14 — — $54,049.20 $120,384.96 $54,049.20 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 134 121 $85,076.88 $55,299.97 35% off $165.18 $77,249.81 $53,768.59 2025-01-01
'005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $52,697.58 $54,805.48 $52,697.58 2025-01-01
'167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $52,646.62 $54,752.48 $52,646.62 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 14 — — $52,579.24 $117,110.89 $52,579.24 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 14 — — $52,049.40 $115,930.76 $52,049.40 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 14 — — $51,711.62 $115,178.41 $51,711.62 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 14 — — $51,624.18 $114,983.66 $51,624.18 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 14 — — $51,359.63 $114,394.43 $51,359.63 2025-01-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $51,331.34 $53,384.59 $51,331.34 2025-01-01
'007-2 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $51,280.38 $53,331.60 $51,280.38 2025-01-01
'863-4 OTHER Neonatal Aftercare 5 5 — — $51,271.88 $53,322.76 $51,271.88 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 14 — — $51,225.86 $114,096.48 $51,225.86 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 14 — — $50,955.34 $113,493.93 $50,955.34 2025-01-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $50,525.07 $52,546.07 $50,525.07 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 134 121 $78,900.03 $51,285.02 35% off $181.00 $71,641.23 $49,864.82 2025-01-01
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $49,796.93 $51,788.81 $49,796.93 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 14 — — $49,563.85 $110,394.63 $49,563.85 2025-01-01
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $49,422.68 $51,399.59 $49,422.68 2025-01-01
'160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $49,400.59 $51,376.61 $49,400.59 2025-01-01
'009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $47,574.60 $49,477.58 $47,574.60 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $47,568.53 $105,950.42 $47,568.53 2025-01-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $47,020.29 $48,901.10 $47,020.29 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 14 — — $46,677.73 $103,966.33 $46,677.73 2025-01-01
'176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $46,527.13 $48,388.22 $46,527.13 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 14 — — $46,468.49 $103,500.27 $46,468.49 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 17 14 — — $46,409.45 $103,368.78 $46,409.45 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 13 — — $46,161.34 $102,816.17 $46,161.34 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 13 — — $46,161.34 $102,816.17 $46,161.34 2025-01-01
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $46,125.69 $47,970.72 $46,125.69 2025-01-01
27800000002-1646 CDM Set Pump Impella Rp 120 110 $72,750.00 $47,287.50 35% off $181.00 $66,057.00 $45,978.00 2025-01-01
27800000002-248 CDM Impella Rp With Smart Assist 120 110 $72,750.00 $47,287.50 35% off $181.00 $66,057.00 $45,978.00 2025-01-01
27800000002-1642 CDM Set Pump Impella Cp 120 110 $72,750.00 $47,287.50 35% off $181.00 $66,057.00 $45,978.00 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 14 — — $45,895.30 $102,223.60 $45,895.30 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 14 — — $45,707.73 $101,805.81 $45,707.73 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 14 — — $45,512.68 $101,371.38 $45,512.68 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 14 — — $45,401.33 $101,123.37 $45,401.33 2025-01-01
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $45,190.33 $46,997.94 $45,190.33 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 14 — — $45,187.60 $100,647.32 $45,187.60 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 17 14 — — $45,033.65 $100,304.43 $45,033.65 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 14 — — $44,839.35 $99,871.66 $44,839.35 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 14 — — $44,454.49 $99,014.45 $44,454.49 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 14 — — $43,946.32 $97,882.59 $43,946.32 2025-01-01
'690-4 OTHER Acute Leukemia 5 5 — — $43,865.99 $45,620.63 $43,865.99 2025-01-01
'631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $43,785.02 $45,536.42 $43,785.02 2025-01-01
'020-4 OTHER Open Craniotomy For Trauma 5 5 — — $43,363.77 $45,098.32 $43,363.77 2025-01-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $43,292.99 $45,024.71 $43,292.99 2025-01-01
27800000002-278 CDM Valve Sapien Thv Edwards Resilia 26mm 120 110 $68,000.00 $44,200.00 35% off $181.00 $61,744.00 $42,976.00 2025-01-01
27800000002-280 CDM Valve Sapien Thv Edwards Resilia 20mm 120 110 $68,000.00 $44,200.00 35% off $181.00 $61,744.00 $42,976.00 2025-01-01
27800000002-274 CDM Valve Sapien Thv Edwards Resilia 23mm 120 110 $68,000.00 $44,200.00 35% off $181.00 $61,744.00 $42,976.00 2025-01-01
27800000002-276 CDM Valve Sapien Thv Edwards Resilia 29mm 120 110 $68,000.00 $44,200.00 35% off $181.00 $61,744.00 $42,976.00 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $42,572.01 $94,821.57 $42,572.01 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 14 — — $42,470.38 $94,595.20 $42,470.38 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 14 — — $42,363.51 $94,357.18 $42,363.51 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 14 — — $42,325.40 $94,272.29 $42,325.40 2025-01-01
J9229 HCPCS Inj Inotuzumab Oxogam Per 0.1 Mg 134 121 $66,706.47 $43,359.21 35% off $181.00 $60,569.47 $42,158.49 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 17 14 — — $41,841.89 $93,195.36 $41,841.89 2025-01-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $41,829.93 $43,503.13 $41,829.93 2025-01-01
'630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $41,515.13 $43,175.74 $41,515.13 2025-01-01
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $41,481.15 $43,140.40 $41,481.15 2025-01-01
'091-3 OTHER Other Major Head And Neck Procedures 5 5 — — $41,478.89 $43,138.05 $41,478.89 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 14 — — $41,140.91 $91,634.05 $41,140.91 2025-01-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $41,081.98 $42,725.26 $41,081.98 2025-01-01
27800000002-2115 CDM Valve Sapien 3 Thv 29mm W/command System 120 110 $65,000.00 $42,250.00 35% off $181.00 $59,020.00 $41,080.00 2025-01-01
27800000002-2110 CDM Valve Sapien 3 Thv 26mm W/command System 120 110 $65,000.00 $42,250.00 35% off $181.00 $59,020.00 $41,080.00 2025-01-01
27800000002-2810 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 120 110 $65,000.00 $42,250.00 35% off $181.00 $59,020.00 $41,080.00 2025-01-01
27800000002-2103 CDM Valve Sapien 3 Thv 20mm W/command System 120 110 $65,000.00 $42,250.00 35% off $181.00 $59,020.00 $41,080.00 2025-01-01
27800000002-2813 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 120 110 $65,000.00 $42,250.00 35% off $181.00 $59,020.00 $41,080.00 2025-01-01
'091-4 OTHER Other Major Head And Neck Procedures 5 5 — — $41,055.37 $42,697.58 $41,055.37 2025-01-01
J2507 HCPCS Pegloticase Per 1 Mg 134 121 $64,638.66 $42,015.13 35% off $181.00 $58,691.90 $40,851.63 2025-01-01
'178-4 OTHER External Heart Assist Systems 5 5 — — $40,819.27 $42,452.04 $40,819.27 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 17 14 — — $40,456.38 $90,109.37 $40,456.38 2025-01-01
'740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 5 5 — — $40,043.01 $41,644.73 $40,043.01 2025-01-01
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $39,916.74 $41,513.41 $39,916.74 2025-01-01
'625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $39,513.04 $41,093.56 $39,513.04 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 13 — — $39,321.21 $87,581.00 $39,321.21 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $39,193.42 $87,296.37 $39,193.42 2025-01-01
'591-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $39,102.55 $40,666.65 $39,102.55 2025-01-01
'004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $39,016.49 $40,577.15 $39,016.49 2025-01-01
'759-4 OTHER Eating Disorders 5 5 — — $38,938.92 $40,496.48 $38,938.92 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 14 — — $38,844.43 $86,519.05 $38,844.43 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 14 — — $38,759.98 $86,330.96 $38,759.98 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $38,746.41 $40,296.27 $38,746.41 2025-01-01
'162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $38,651.85 $40,197.92 $38,651.85 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 14 — — $38,533.55 $85,826.61 $38,533.55 2025-01-01
'165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $38,518.80 $40,059.55 $38,518.80 2025-01-01
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $38,505.77 $40,046.00 $38,505.77 2025-01-01
'232-4 OTHER Gastric Fundoplication 5 5 — — $38,172.28 $39,699.17 $38,172.28 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia 5 5 — — $37,986.00 $39,505.44 $37,986.00 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 14 — — $37,955.88 $84,539.96 $37,955.88 2025-01-01
27800000002-1999 CDM Valve Aort 23mm Pro Perc 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-243 CDM Valve Aortic 29mm Evolut Fx 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-2005 CDM Valve Aort 26mm Evolutr 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-246 CDM Valve Aortic 23mm Evolut Fx 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-244 CDM Valve Aortic 34mm Evolut Fx 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-2020 CDM Valve Aort 34mm Evolutr 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-242 CDM Valve Aortic 26mm Evolut Fx 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-2008 CDM Valve Aort 26mm Pro Perc 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-2014 CDM Valve Aort 29mm Evolutr 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
27800000002-2017 CDM Valve Aort 29mm Pro Perc 120 110 $60,000.00 $39,000.00 35% off $181.00 $54,480.00 $37,920.00 2025-01-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $37,860.87 $39,375.30 $37,860.87 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 14 — — $37,790.72 $84,172.10 $37,790.72 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 14 — — $37,654.71 $83,869.16 $37,654.71 2025-01-01
J2350 HCPCS Injection Ocrelizumab 1 Mg 134 121 $59,143.14 $38,443.04 35% off $60.25 $53,701.97 $37,378.46 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 14 — — $37,360.27 $83,213.35 $37,360.27 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 17 14 — — $37,026.23 $82,469.32 $37,026.23 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 14 — — $36,760.18 $81,876.76 $36,760.18 2025-01-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $36,676.38 $38,143.44 $36,676.38 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 14 — — $36,470.23 $81,230.93 $36,470.23 2025-01-01
'011-1 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $36,323.64 $37,776.59 $36,323.64 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 16 13 — — $36,146.64 $80,510.20 $36,146.64 2025-01-01
10 MS_DRG Pancreas Transplant 16 13 — — $35,972.52 $80,122.37 $35,972.52 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 14 — — $35,921.70 $80,009.19 $35,921.70 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 14 — — $35,739.36 $79,603.05 $35,739.36 2025-01-01
'050-4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $35,712.71 $37,141.22 $35,712.71 2025-01-01
'183-4 OTHER Percutaneous Structural Cardiac Procedures 5 5 — — $35,606.26 $37,030.51 $35,606.26 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 14 — — $35,546.55 $80,628.38 $35,546.55 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 14 — — $35,425.49 $78,903.96 $35,425.49 2025-01-01
27200000002-21713 CDM Connect Perf Y 1/2x3/8x3/8in Unequal 120 110 $56,000.00 $36,400.00 35% off $181.00 $50,848.00 $35,392.00 2025-01-01
27200000002-22959 CDM Handpiece Electr Ster Disp Electrosurgical 120 110 $56,000.00 $36,400.00 35% off $181.00 $50,848.00 $35,392.00 2025-01-01
'441-4 OTHER Major Bladder Procedures 5 5 — — $35,341.28 $36,754.93 $35,341.28 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 17 14 — — $35,225.21 $78,457.87 $35,225.21 2025-01-01
'169-4 OTHER Major Abdominal Vascular Procedures 5 5 — — $35,124.43 $36,529.41 $35,124.43 2025-01-01
'120-4 OTHER Major Respiratory And Chest Procedures 5 5 — — $35,079.70 $36,482.89 $35,079.70 2025-01-01
'004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $34,892.29 $36,287.98 $34,892.29 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 134 121 $55,035.00 $35,772.75 35% off $181.00 $114,584.02 $34,782.12 2025-01-01
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $34,747.90 $36,137.82 $34,747.90 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $34,739.46 $77,375.95 $34,739.46 2025-01-01
'009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $34,564.46 $35,947.04 $34,564.46 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 17 14 — — $34,418.11 $76,660.21 $34,418.11 2025-01-01
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $33,997.12 $35,357.00 $33,997.12 2025-01-01
245 MS_DRG Aicd Generator Procedures 17 14 — — $33,863.61 $75,425.15 $33,863.61 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 14 — — $33,860.62 $75,418.50 $33,860.62 2025-01-01
'008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,805.18 $35,157.39 $33,805.18 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 14 — — $33,754.50 $75,182.14 $33,754.50 2025-01-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $33,655.70 $35,001.93 $33,655.70 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 14 — — $33,643.15 $74,934.13 $33,643.15 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 14 — — $33,610.27 $74,860.89 $33,610.27 2025-01-01
'310-4 OTHER Intervertebral Disc Excision And Decompression 5 5 — — $33,463.76 $34,802.31 $33,463.76 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 14 — — $33,333.02 $74,243.36 $33,333.02 2025-01-01
'514-4 OTHER Female Reproductive System Reconstructive Procedures 5 5 — — $33,302.96 $34,635.08 $33,302.96 2025-01-01
'179-4 OTHER Defibrillator Implants 5 5 — — $33,129.14 $34,454.31 $33,129.14 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 14 — — $33,093.88 $73,710.72 $33,093.88 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 14 — — $33,001.21 $73,504.32 $33,001.21 2025-01-01
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $32,989.85 $34,309.44 $32,989.85 2025-01-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $32,923.04 $34,239.96 $32,923.04 2025-01-01
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $32,860.76 $34,175.19 $32,860.76 2025-01-01
C2616 HCPCS Brachytherapy Source Non-stranded Yttrium-90 Per Source 134 121 $51,900.00 $33,735.00 35% off $181.00 $61,023.53 $32,800.80 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 14 — — $32,797.94 $77,028.07 $32,797.94 2025-01-01
'021-4 OTHER Open Craniotomy Except Trauma 5 5 — — $32,792.82 $34,104.53 $32,792.82 2025-01-01
'160-2 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $32,760.54 $34,070.96 $32,760.54 2025-01-01
'089-4 OTHER Major Cranial Or Facial Bone Procedures 5 5 — — $32,735.06 $34,044.46 $32,735.06 2025-01-01
'181-4 OTHER Lower Extremity Arterial Procedures 5 5 — — $32,682.97 $33,990.29 $32,682.97 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 14 — — $32,596.92 $72,603.83 $32,596.92 2025-01-01
'261-4 OTHER Major Biliary Tract Procedures 5 5 — — $32,440.64 $33,738.27 $32,440.64 2025-01-01
'841-1 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $32,437.81 $33,735.32 $32,437.81 2025-01-01
'841-2 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $32,435.54 $33,732.96 $32,435.54 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 14 — — $32,342.09 $72,036.23 $32,342.09 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 14 — — $32,155.26 $71,620.11 $32,155.26 2025-01-01
'009-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $32,103.75 $33,387.90 $32,103.75 2025-01-01
'623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $32,054.49 $33,336.67 $32,054.49 2025-01-01
'170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 5 — — $31,983.72 $33,263.07 $31,983.72 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 14 — — $31,975.16 $71,218.96 $31,975.16 2025-01-01
'950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $31,856.32 $33,130.57 $31,856.32 2025-01-01
27800000002-105 CDM Plug Cardiac Amulet Amplatzer 16mm 120 110 $50,238.24 $32,654.86 35% off $181.00 $45,616.32 $31,750.57 2025-01-01
27800000002-104 CDM Plug Cardiac Amulet Amplatzer 18mm 120 110 $50,238.24 $32,654.86 35% off $181.00 $45,616.32 $31,750.57 2025-01-01
27800000002-102 CDM Plug Cardiac Amulet Amplatzer 22mm 120 110 $50,238.24 $32,654.86 35% off $181.00 $45,616.32 $31,750.57 2025-01-01
27800000002-208 CDM Plug Cardiac Amulet Amplatzer 20mm 120 110 $50,238.24 $32,654.86 35% off $181.00 $45,616.32 $31,750.57 2025-01-01
'220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $31,668.34 $32,935.07 $31,668.34 2025-01-01
'162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $31,632.67 $32,897.98 $31,632.67 2025-01-01
27800000002-249 CDM Impella Rp With Smart Assist 120 110 $50,000.00 $32,500.00 35% off $181.00 $45,400.00 $31,600.00 2025-01-01
27800000002-1647 CDM Set Pump Impella Rp 120 110 $50,000.00 $32,500.00 35% off $181.00 $45,400.00 $31,600.00 2025-01-01
27800000002-1643 CDM Set Pump Impella Cp 120 110 $50,000.00 $32,500.00 35% off $181.00 $45,400.00 $31,600.00 2025-01-01
'027-4 OTHER Other Open Craniotomy 5 5 — — $31,521.13 $32,781.98 $31,521.13 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 17 14 — — $31,456.52 $70,063.80 $31,456.52 2025-01-01
'613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $31,367.69 $32,622.40 $31,367.69 2025-01-01
27800000002-19 CDM Device Clsur Watchman Flx Laa 20mm 120 110 $49,470.00 $32,155.50 35% off $181.00 $44,918.76 $31,265.04 2025-01-01
'165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $31,190.47 $32,438.09 $31,190.47 2025-01-01
'230-4 OTHER Major Small Bowel Procedures 5 5 — — $31,167.26 $32,413.95 $31,167.26 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 14 — — $31,077.64 $69,219.90 $31,077.64 2025-01-01
'612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $31,068.74 $32,311.49 $31,068.74 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 14 — — $30,938.64 $68,910.30 $30,938.64 2025-01-01
'163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $30,887.55 $32,123.05 $30,887.55 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 14 — — $30,763.77 $68,520.81 $30,763.77 2025-01-01
791 MS_DRG Prematurity With Major Problems 17 14 — — $30,622.53 $68,206.22 $30,622.53 2025-01-01
'023-4 OTHER Spinal Procedures 5 5 — — $30,381.37 $31,596.62 $30,381.37 2025-01-01
'363-4 OTHER Breast Procedures Except Mastectomy 5 5 — — $30,352.49 $31,566.59 $30,352.49 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 14 — — $30,324.35 $67,542.08 $30,324.35 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 14 — — $30,227.20 $67,325.70 $30,227.20 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 14 — — $30,200.29 $67,265.77 $30,200.29 2025-01-01
'178-3 OTHER External Heart Assist Systems 5 5 — — $30,133.94 $31,339.30 $30,133.94 2025-01-01
'614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $30,093.74 $31,297.49 $30,093.74 2025-01-01
'608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $30,024.10 $31,225.06 $30,024.10 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 14 — — $30,000.76 $66,821.35 $30,000.76 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 14 — — $29,929.02 $66,661.56 $29,929.02 2025-01-01
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