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

MOSAIC LIFE CARE AT ST JOSEPH

Saint Joseph, MO · CCN 260006 · Rates published

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You selected 59510 (CPT)

HC CAESAREAN SECTION

This hospital’s price: $5,540 across 24 payers · range $1,988-$12,460

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12744/440545289-1437259694_heartland-regional-medical-center_standardcharges.csv · observed 2025-09-26

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.

15,751 distinct procedures filed
25 distinct payers
584,675 rate rows
2025-09-26 last MRF observed · ⚠ 13 mo old
Data quality

335,671 of 584,675 rate rows are consumer-grade (57.4%)

249,004 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 241,972
placeholder amount (≤ $0.02) — excluded from medians 5,965
percent-of-charges filed in the dollar field — excluded from medians 987
exceeds 10× this hospital's gross charge — excluded from medians 44
per-diem day rate — not a per-procedure price 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
template filing: same amount across many unrelated codes — excluded 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12744/440545289-1437259694_heartland-regional-medical-center_standardcharges.csv
Found on page https://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph-medical-center/main-medical-center/medical-bills-made-easy/price-and-quality-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint f377193c378fab9e… · 498,582,803 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,324,571.90 $3,324,571.90 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,261,355.00 $3,261,355.00 $3,261,355.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $2,968,000.00 $2,959,343.33 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,222,890.60 $4,659,019.63 $2,452,115.60 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $4,430,800.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $35,448.00 $3,685,266.67 $1,860,357.33 nat. median
$3,685,267
0.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,464,178.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $565,623.84 $1,098,816.70 $578,324.58 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $551,318.34 $1,051,419.78 $553,378.83 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,485.97 $1,029,107.75 $541,635.66 nat. median
$579,571
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $528,312.43 $1,028,394.85 $541,260.45 nat. median
$574,037
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,517.15 $1,012,845.30 $533,076.48 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $488,051.51 $930,468.00 $489,720.00 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate With Ecmo 1 $338,395.05 $338,395.05 $338,395.05 nat. median
$390,362
0.9× median
5833
APR_DRG 		Neonate With Ecmo 1 $297,231.01 $297,231.01 $297,231.01 nat. median
$268,208
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $270,375.00 $513,712.50 $270,375.00 nat. median
$286,598
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $257,714.17 $257,714.17 $257,714.17 nat. median
$286,698
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $231,969.04 $231,969.04 $231,969.04 nat. median
$225,531
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $118,772.55 $663,007.83 $229,570.41 nat. median
$168,055
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $209,553.70 $209,553.70 $209,553.70 nat. median
$187,567
1.1× median
5832
APR_DRG 		Neonate With Ecmo 1 $204,513.76 $204,513.76 $204,513.76 nat. median
$201,678
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $197,169.47 $197,169.47 $197,169.47 nat. median
$202,242
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $196,214.05 $196,214.05 $196,214.05 nat. median
$173,018
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $186,403.31 $186,403.31 $186,403.31 nat. median
$135,803
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $98,011.35 $495,216.11 $180,413.81 nat. median
$186,516
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $176,127.45 $176,127.45 $176,127.45 nat. median
$173,134
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $168,769.00 $168,769.00 $168,769.00 nat. median
$152,383
1.1× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $168,769.00 $168,769.00 $168,769.00 nat. median
$130,862
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $162,166.07 $162,166.07 $162,166.07 nat. median
$171,497
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $160,433.88 $160,433.88 $160,433.88 nat. median
$149,836
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $160,015.99 $160,015.99 $160,015.99 nat. median
$181,762
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $158,405.00 $158,405.00 $158,405.00 nat. median
$198,578
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $151,206.31 $151,206.31 $151,206.31 nat. median
$152,792
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $149,432.41 $149,432.41 $149,432.41 nat. median
$168,439
0.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $142,767.31 $142,767.31 $142,767.31 nat. median
$136,566
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $138,052.39 $138,052.39 $138,052.39 nat. median
$115,963
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $135,079.11 $135,079.11 $135,079.11 nat. median
$135,630
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $134,868.19 $134,868.19 $134,868.19 nat. median
$155,539
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 $106,294.50 $417,064.54 $129,338.32 nat. median
$131,925
1.0× median
5831
APR_DRG 		Neonate With Ecmo 1 $128,011.85 $128,011.85 $128,011.85 nat. median
$173,909
0.7× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $125,909.77 $125,909.77 $125,909.77 nat. median
$117,894
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $116,908.85 $116,908.85 $116,908.85 nat. median
$120,079
1.0× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $110,357.86 $110,357.86 $110,357.86 nat. median
$124,731
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $109,621.23 $109,621.23 $109,621.23 nat. median
$109,992
1.0× median
64
APR_DRG 		Pancreas Transplant 1 $109,571.65 $109,571.65 $109,571.65 nat. median
$92,994
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $107,007.60 $107,007.60 $107,007.60 nat. median
$106,926
1.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $105,923.90 $105,923.90 $105,923.90 nat. median
$68,335
1.6× median
1611
APR_DRG 		Implantable Heart Assist Systems 1 $104,114.59 $104,114.59 $104,114.59 nat. median
$108,954
1.0× median

Other procedures at this hospital

Browse this hospital's 15,751 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2025-09-26
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-09-26
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,324,571.90 $3,324,571.90 $3,324,571.90 2025-09-26
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,261,355.00 $3,261,355.00 $3,261,355.00 2025-09-26
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,950,686.67 $2,968,000.00 $2,959,343.33 2025-09-26
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,222,890.60 $4,659,019.63 $2,452,115.60 2025-09-26
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $4,430,800.00 $2,332,000.00 2025-09-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $35,448.00 $3,685,266.67 $1,860,357.33 2025-09-26
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $1,464,178.00 $770,620.00 2025-09-26
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $565,623.84 $1,098,816.70 $578,324.58 2025-09-26
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $551,318.34 $1,051,419.78 $553,378.83 2025-09-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $516,485.97 $1,029,107.75 $541,635.66 2025-09-26
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $528,312.43 $1,028,394.85 $541,260.45 2025-09-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $489,517.15 $1,012,845.30 $533,076.48 2025-09-26
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $488,051.51 $930,468.00 $489,720.00 2025-09-26
5834 APR_DRG Neonate With Ecmo 1 1 — — $338,395.05 $338,395.05 $338,395.05 2025-09-26
5833 APR_DRG Neonate With Ecmo 1 1 — — $297,231.01 $297,231.01 $297,231.01 2025-09-26
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $270,375.00 $513,712.50 $270,375.00 2025-09-26
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $257,714.17 $257,714.17 $257,714.17 2025-09-26
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $231,969.04 $231,969.04 $231,969.04 2025-09-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $118,772.55 $663,007.83 $229,570.41 2025-09-26
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $209,553.70 $209,553.70 $209,553.70 2025-09-26
5832 APR_DRG Neonate With Ecmo 1 1 — — $204,513.76 $204,513.76 $204,513.76 2025-09-26
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $197,169.47 $197,169.47 $197,169.47 2025-09-26
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $196,214.05 $196,214.05 $196,214.05 2025-09-26
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $186,403.31 $186,403.31 $186,403.31 2025-09-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $98,011.35 $495,216.11 $180,413.81 2025-09-26
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $176,127.45 $176,127.45 $176,127.45 2025-09-26
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $168,769.00 $168,769.00 $168,769.00 2025-09-26
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $168,769.00 $168,769.00 $168,769.00 2025-09-26
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $162,166.07 $162,166.07 $162,166.07 2025-09-26
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $160,433.88 $160,433.88 $160,433.88 2025-09-26
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $160,015.99 $160,015.99 $160,015.99 2025-09-26
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $158,405.00 $158,405.00 $158,405.00 2025-09-26
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $151,206.31 $151,206.31 $151,206.31 2025-09-26
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $149,432.41 $149,432.41 $149,432.41 2025-09-26
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $142,767.31 $142,767.31 $142,767.31 2025-09-26
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $138,052.39 $138,052.39 $138,052.39 2025-09-26
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $135,079.11 $135,079.11 $135,079.11 2025-09-26
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $134,868.19 $134,868.19 $134,868.19 2025-09-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 10 — — $106,294.50 $417,064.54 $129,338.32 2025-09-26
5831 APR_DRG Neonate With Ecmo 1 1 — — $128,011.85 $128,011.85 $128,011.85 2025-09-26
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $125,909.77 $125,909.77 $125,909.77 2025-09-26
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $116,908.85 $116,908.85 $116,908.85 2025-09-26
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $110,357.86 $110,357.86 $110,357.86 2025-09-26
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $109,621.23 $109,621.23 $109,621.23 2025-09-26
64 APR_DRG Pancreas Transplant 1 1 — — $109,571.65 $109,571.65 $109,571.65 2025-09-26
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $107,007.60 $107,007.60 $107,007.60 2025-09-26
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $105,923.90 $105,923.90 $105,923.90 2025-09-26
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $104,114.59 $104,114.59 $104,114.59 2025-09-26
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $101,526.94 $101,526.94 $101,526.94 2025-09-26
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $101,356.94 $101,356.94 $101,356.94 2025-09-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 7 — — $47,388.15 $191,533.30 $100,807.00 2025-09-26
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $100,022.19 $100,022.19 $100,022.19 2025-09-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $37,434.15 $187,235.03 $98,544.75 2025-09-26
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $97,771.37 $97,771.37 $97,771.37 2025-09-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $47,352.60 $184,176.10 $96,934.79 2025-09-26
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 10 — — $77,107.95 $376,785.37 $95,176.30 2025-09-26
7 MS_DRG Lung Transplant 10 10 — — $44,366.40 $229,767.89 $94,702.27 2025-09-26
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $93,216.70 $177,111.73 $93,216.70 2025-09-26
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $93,081.64 $93,081.64 $93,081.64 2025-09-26
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 10 — — $79,999.95 $205,566.70 $90,900.76 2025-09-26
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $89,700.69 $89,700.69 $89,700.69 2025-09-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $44,295.30 $193,744.86 $89,682.76 2025-09-26
120 EAPG Car T-cell Immunotherapy 1 1 — — $89,523.36 $89,523.36 $89,523.36 2025-09-26
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $89,259.97 $89,259.97 $89,259.97 2025-09-26
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $88,572.13 $88,572.13 $88,572.13 2025-09-26
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $87,260.20 $87,260.20 $87,260.20 2025-09-26
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $87,120.11 $87,120.11 $87,120.11 2025-09-26
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $86,439.36 $86,439.36 $86,439.36 2025-09-26
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $86,395.29 $86,395.29 $86,395.29 2025-09-26
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $36,936.45 $230,348.04 $86,116.72 2025-09-26
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $85,712.17 $85,712.17 $85,712.17 2025-09-26
850 MS_DRG Acute Leukemia With Other Procedures 7 7 — — $37,149.75 $161,963.87 $85,244.14 2025-09-26
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $83,880.82 $83,880.82 $83,880.82 2025-09-26
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $82,030.58 $82,030.58 $82,030.58 2025-09-26
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $81,081.46 $81,081.46 $81,081.46 2025-09-26
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $80,399.92 $80,399.92 $80,399.92 2025-09-26
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $79,903.32 $79,903.32 $79,903.32 2025-09-26
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $77,369.97 $77,369.97 $77,369.97 2025-09-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 7 — — $37,683.00 $146,646.48 $77,182.36 2025-09-26
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $76,478.30 $76,478.30 $76,478.30 2025-09-26
4404 APR_DRG Kidney Transplant 1 1 — — $74,074.80 $74,074.80 $74,074.80 2025-09-26
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $73,610.47 $73,610.47 $73,610.47 2025-09-26
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $73,213.82 $73,213.82 $73,213.82 2025-09-26
246 EAPG Class IV Therapeutic Radiopharmaceuticals 1 1 — — $71,826.75 $71,826.75 $71,826.75 2025-09-26
63 APR_DRG Pancreas Transplant 1 1 — — $70,317.66 $70,317.66 $70,317.66 2025-09-26
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $69,355.95 $69,355.95 $69,355.95 2025-09-26
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $68,949.07 $68,949.07 $68,949.07 2025-09-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $42,695.55 $169,684.97 $68,670.81 2025-09-26
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $67,820.51 $67,820.51 $67,820.51 2025-09-26
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $67,497.06 $67,497.06 $67,497.06 2025-09-26
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $67,452.66 $128,160.05 $67,452.66 2025-09-26
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $66,493.63 $66,493.63 $66,493.63 2025-09-26
8634 APR_DRG Neonatal Aftercare 1 1 — — $66,215.03 $66,215.03 $66,215.03 2025-09-26
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $65,820.74 $65,820.74 $65,820.74 2025-09-26
1784 APR_DRG External Heart Assist Systems 1 1 — — $65,801.07 $65,801.07 $65,801.07 2025-09-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $32,066.10 $124,884.28 $65,728.57 2025-09-26
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $65,563.40 $65,563.40 $65,563.40 2025-09-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 7 — — $30,964.05 $124,256.66 $65,398.24 2025-09-26
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $65,193.51 $65,193.51 $65,193.51 2025-09-26
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $64,472.61 $64,472.61 $64,472.61 2025-09-26
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $64,299.47 $64,299.47 $64,299.47 2025-09-26
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $63,532.94 $63,532.94 $63,532.94 2025-09-26
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $63,417.25 $63,417.25 $63,417.25 2025-09-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 10 — — $60,768.00 $120,519.00 $63,402.04 2025-09-26
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $63,152.81 $63,152.81 $63,152.81 2025-09-26
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $63,127.63 $63,127.63 $63,127.63 2025-09-26
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 10 — — $53,147.25 $248,423.75 $62,389.05 2025-09-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 7 — — $30,288.60 $117,887.44 $62,046.02 2025-09-26
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $61,972.32 $61,972.32 $61,972.32 2025-09-26
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $61,900.70 $61,900.70 $61,900.70 2025-09-26
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $61,878.66 $61,878.66 $61,878.66 2025-09-26
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $61,862.92 $61,862.92 $61,862.92 2025-09-26
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $61,797.60 $61,797.60 $61,797.60 2025-09-26
62 APR_DRG Pancreas Transplant 1 1 — — $61,461.55 $61,461.55 $61,461.55 2025-09-26
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $60,714.69 $60,714.69 $60,714.69 2025-09-26
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $60,537.61 $60,537.61 $60,537.61 2025-09-26
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $60,527.38 $60,527.38 $60,527.38 2025-09-26
6904 APR_DRG Acute Leukemia 1 1 — — $59,674.27 $59,674.27 $59,674.27 2025-09-26
38240 CPT Transplt Allo Hct/donor 4 4 — — $59,597.96 $113,236.12 $59,597.96 2025-09-26
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $59,530.25 $59,530.25 $59,530.25 2025-09-26
3060 EAPG Ventricular Assist Device Procedures 1 1 — — $58,903.92 $58,903.92 $58,903.92 2025-09-26
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $58,882.55 $58,882.55 $58,882.55 2025-09-26
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $58,533.91 $58,533.91 $58,533.91 2025-09-26
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $58,522.11 $58,522.11 $58,522.11 2025-09-26
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $58,464.66 $58,464.66 $58,464.66 2025-09-26
7594 APR_DRG Eating Disorders 1 1 — — $57,769.73 $57,769.73 $57,769.73 2025-09-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 7 — — $27,337.95 $108,916.40 $57,324.42 2025-09-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 7 — — $27,231.30 $108,775.74 $57,250.39 2025-09-26
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $57,016.58 $57,016.58 $57,016.58 2025-09-26
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.55 $107,966.64 $56,824.55 2025-09-26
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $56,733.26 $56,733.26 $56,733.26 2025-09-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 7 — — $55,536.50 $106,297.34 $55,945.97 2025-09-26
993 MS_DRG Inpatient Ms-DRG 3 3 — — $55,849.05 $55,849.05 $55,849.05 2025-09-26
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $55,788.86 $55,788.86 $55,788.86 2025-09-26
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $55,756.59 $55,756.59 $55,756.59 2025-09-26
C1827 HCPCS Generator Vivistim Pair Vns 33 25 $73,750.00 $62,687.50 $29,500.00 $131,275.00 $55,755.00 2025-09-26
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $55,673.17 $55,673.17 $55,673.17 2025-09-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 7 — — $23,641.60 $104,528.50 $55,015.00 2025-09-26
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 1 1 — — $54,979.82 $54,979.82 $54,979.82 2025-09-26
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $54,935.75 $54,935.75 $54,935.75 2025-09-26
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $54,133.80 $54,133.80 $54,133.80 2025-09-26
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $53,493.18 $53,493.18 $53,493.18 2025-09-26
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $53,024.12 $53,024.12 $53,024.12 2025-09-26
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 43 25 $81,216.34 $69,033.89 $2,400.56 $144,565.09 $52,790.62 2025-09-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $35,869.95 $141,732.89 $52,448.41 2025-09-26
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $52,115.93 $52,115.93 $52,115.93 2025-09-26
1794 APR_DRG Defibrillator Implants 1 1 — — $51,998.66 $51,998.66 $51,998.66 2025-09-26
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $51,338.37 $51,338.37 $51,338.37 2025-09-26
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $51,238.42 $51,238.42 $51,238.42 2025-09-26
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $51,210.09 $51,210.09 $51,210.09 2025-09-26
234 APR_DRG Spinal Procedures 1 1 — — $50,988.94 $50,988.94 $50,988.94 2025-09-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $24,885.00 $96,780.98 $50,937.36 2025-09-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 7 — — $24,707.25 $96,190.31 $50,626.48 2025-09-26
215 MS_DRG Other Heart Assist System Implant 10 10 — — $44,970.75 $186,275.16 $50,601.45 2025-09-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 10 — — $19,019.25 $95,673.44 $50,354.44 2025-09-26
4014 APR_DRG Adrenal Procedures 1 1 — — $49,744.70 $49,744.70 $49,744.70 2025-09-26
4414 APR_DRG Major Bladder Procedures 1 1 — — $49,742.34 $49,742.34 $49,742.34 2025-09-26
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $49,572.34 $49,572.34 $49,572.34 2025-09-26
224 MS_DRG Inpatient Ms-DRG 3 3 — — $49,560.54 $49,560.54 $49,560.54 2025-09-26
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $49,507.02 $49,507.02 $49,507.02 2025-09-26
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $49,358.28 $49,358.28 $49,358.28 2025-09-26
274 APR_DRG Other Open Craniotomy 1 1 — — $49,130.84 $49,130.84 $49,130.84 2025-09-26
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $48,912.05 $48,912.05 $48,912.05 2025-09-26
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $48,872.70 $48,872.70 $48,872.70 2025-09-26
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $48,147.09 $48,147.09 $48,147.09 2025-09-26
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $33,054.59 $91,452.85 $48,133.08 2025-09-26
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $47,878.72 $47,878.72 $47,878.72 2025-09-26
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $47,787.43 $47,787.43 $47,787.43 2025-09-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 7 — — $23,285.25 $90,557.71 $47,661.95 2025-09-26
250 EAPG Cochlear Device Implantation 1 1 — — $47,492.72 $47,492.72 $47,492.72 2025-09-26
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $47,465.54 $47,465.54 $47,465.54 2025-09-26
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $47,345.92 $47,345.92 $47,345.92 2025-09-26
1783 APR_DRG External Heart Assist Systems 1 1 — — $47,216.85 $47,216.85 $47,216.85 2025-09-26
466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 1 1 — — $47,156.42 $47,156.42 $47,156.42 2025-09-26
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $47,073.62 $47,073.62 $47,073.62 2025-09-26
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $46,804.46 $46,804.46 $46,804.46 2025-09-26
C1822 HCPCS Kit Ipg Hfxd 109 25 $61,250.00 $52,062.50 $1,000.00 $120,150.00 $46,305.00 2025-09-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 7 — — $19,623.60 $87,976.95 $46,303.66 2025-09-26
4403 APR_DRG Kidney Transplant 1 1 — — $45,960.01 $45,960.01 $45,960.01 2025-09-26
1782 APR_DRG External Heart Assist Systems 1 1 — — $45,923.81 $45,923.81 $45,923.81 2025-09-26
222 MS_DRG Inpatient Ms-DRG 3 3 — — $45,748.57 $45,748.57 $45,748.57 2025-09-26
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $45,715.26 $45,715.26 $45,715.26 2025-09-26
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $45,603.50 $45,603.50 $45,603.50 2025-09-26
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $45,594.84 $45,594.84 $45,594.84 2025-09-26
J9226 HCPCS Supprelin La Implant 10 10 — — $45,261.80 $86,564.74 $45,560.39 2025-09-26
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $45,558.64 $45,558.64 $45,558.64 2025-09-26
33276 CPT Insj Phrnc Nrv Stim Sys 4 4 — — $45,347.18 $86,159.64 $45,347.18 2025-09-26
0266T CPT Outpatient Services 4 4 — — $45,347.18 $86,159.64 $45,347.18 2025-09-26
6 MS_DRG Liver Transplant Without Mcc 10 10 — — $17,490.60 $85,267.90 $44,877.84 2025-09-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $38,109.60 $148,907.28 $44,486.31 2025-09-26
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $44,464.71 $44,464.71 $44,464.71 2025-09-26
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 1 1 — — $44,248.23 $44,248.23 $44,248.23 2025-09-26
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $44,208.15 $44,208.15 $44,208.15 2025-09-26
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $44,149.91 $44,149.91 $44,149.91 2025-09-26
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $43,835.90 $43,835.90 $43,835.90 2025-09-26
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $43,513.23 $43,513.23 $43,513.23 2025-09-26
2324 APR_DRG Gastric Fundoplication 1 1 — — $43,495.92 $43,495.92 $43,495.92 2025-09-26
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $29,785.66 $82,408.64 $43,372.97 2025-09-26
83 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $43,242.50 $43,242.50 $43,242.50 2025-09-26
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $43,141.77 $43,141.77 $43,141.77 2025-09-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 7 — — $21,045.60 $81,799.37 $43,052.30 2025-09-26
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $42,839.56 $42,839.56 $42,839.56 2025-09-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 10 — — $19,339.20 $81,015.30 $42,639.63 2025-09-26
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $42,605.03 $42,605.03 $42,605.03 2025-09-26
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $42,605.03 $42,605.03 $42,605.03 2025-09-26
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $42,511.38 $42,511.38 $42,511.38 2025-09-26
61 APR_DRG Pancreas Transplant 1 1 — — $42,501.94 $42,501.94 $42,501.94 2025-09-26
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $42,263.47 $42,263.47 $42,263.47 2025-09-26
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $42,023.44 $42,023.44 $42,023.44 2025-09-26
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $42,023.44 $42,023.44 $42,023.44 2025-09-26
264 APR_DRG Other Nervous System And Related Procedures 1 1 — — $41,994.32 $41,994.32 $41,994.32 2025-09-26
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $41,957.33 $41,957.33 $41,957.33 2025-09-26
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $41,892.80 $41,892.80 $41,892.80 2025-09-26
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $41,862.10 $41,862.10 $41,862.10 2025-09-26
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $41,582.72 $41,582.72 $41,582.72 2025-09-26
C1826 HCPCS Neurostimultr Inceptiv 977119 33 25 $55,000.00 $46,750.00 $22,000.00 $97,900.00 $41,580.00 2025-09-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 10 — — $26,058.15 $97,188.82 $41,303.93 2025-09-26
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $41,010.57 $41,010.57 $41,010.57 2025-09-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 10 — — $28,902.15 $139,380.71 $40,970.08 2025-09-26
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $40,784.70 $40,784.70 $40,784.70 2025-09-26
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $40,515.55 $40,515.55 $40,515.55 2025-09-26
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $40,310.93 $40,310.93 $40,310.93 2025-09-26
93581 CPT Hc Prq Tcat Clsr Cgen Ventr Septal Dfct W/implt 37 25 $62,000.00 $52,700.00 $18,095.06 $110,360.00 $40,300.00 2025-09-26
93582 CPT Hc Percutan Transcath Closure Pat Duct Arteriosus 40 25 $62,000.00 $52,700.00 $12,751.98 $110,360.00 $40,300.00 2025-09-26
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $40,081.12 $40,081.12 $40,081.12 2025-09-26
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $40,048.07 $40,048.07 $40,048.07 2025-09-26
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $39,997.70 $39,997.70 $39,997.70 2025-09-26
7584 APR_DRG Behavioral Disorders 1 1 — — $39,953.63 $39,953.63 $39,953.63 2025-09-26
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $39,927.66 $39,927.66 $39,927.66 2025-09-26
453 MS_DRG Inpatient Ms-DRG 3 3 — — $39,779.14 $39,779.14 $39,779.14 2025-09-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 10 — — $19,908.00 $106,129.97 $39,772.38 2025-09-26
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $39,575.87 $39,575.87 $39,575.87 2025-09-26
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $39,565.64 $39,565.64 $39,565.64 2025-09-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 7 — — $18,237.15 $74,899.24 $39,420.65 2025-09-26
1824 APR_DRG Other Peripheral Vascular And Related Procedures 1 1 — — $39,244.54 $39,244.54 $39,244.54 2025-09-26
1214 APR_DRG Other Respiratory And Chest Procedures 1 1 — — $39,153.25 $39,153.25 $39,153.25 2025-09-26
8633 APR_DRG Neonatal Aftercare 1 1 — — $39,139.87 $39,139.87 $39,139.87 2025-09-26
4402 APR_DRG Kidney Transplant 1 1 — — $39,131.21 $39,131.21 $39,131.21 2025-09-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 10 — — $35,727.75 $148,989.87 $39,111.44 2025-09-26
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $38,966.73 $38,966.73 $38,966.73 2025-09-26
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $38,786.51 $38,786.51 $38,786.51 2025-09-26
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $38,786.51 $38,786.51 $38,786.51 2025-09-26
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $38,732.99 $38,732.99 $38,732.99 2025-09-26
C1767 HCPCS Controller Proclai Plus 7 Ipg 261 25 $47,500.00 $40,375.00 $390.00 $178,547.35 $38,637.00 2025-09-26
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $38,629.63 $73,396.30 $38,629.63 2025-09-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 10 — — $29,328.75 $122,314.10 $38,585.75 2025-09-26
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $38,484.30 $38,484.30 $38,484.30 2025-09-26
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $38,315.88 $38,315.88 $38,315.88 2025-09-26
834 MS_DRG Acute Leukemia With Mcc 10 10 — — $17,455.05 $97,188.82 $38,298.62 2025-09-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 10 — — $26,164.80 $107,409.83 $38,117.25 2025-09-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $32,812.65 $105,337.12 $38,116.63 2025-09-26
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $38,004.23 $38,004.23 $38,004.23 2025-09-26
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $37,961.73 $37,961.73 $37,961.73 2025-09-26
1793 APR_DRG Defibrillator Implants 1 1 — — $37,860.21 $37,860.21 $37,860.21 2025-09-26
6504 APR_DRG Splenectomy 1 1 — — $37,809.84 $37,809.84 $37,809.84 2025-09-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 7 — — $18,450.45 $71,806.93 $37,793.12 2025-09-26
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $37,720.12 $37,720.12 $37,720.12 2025-09-26
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 1 1 — — $37,709.10 $37,709.10 $37,709.10 2025-09-26
224 EAPG Level Ii Neurostimulator And Related Device Implantation 1 1 — — $37,671.08 $37,671.08 $37,671.08 2025-09-26
791 MS_DRG Prematurity With Major Problems 7 7 — — $5,843.38 $71,392.08 $37,574.78 2025-09-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $30,821.85 $107,902.05 $37,358.54 2025-09-26
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $37,314.03 $37,314.03 $37,314.03 2025-09-26
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $37,270.75 $37,270.75 $37,270.75 2025-09-26
1781 APR_DRG External Heart Assist Systems 1 1 — — $36,857.57 $36,857.57 $36,857.57 2025-09-26
226 MS_DRG Inpatient Ms-DRG 3 3 — — $36,755.39 $36,755.39 $36,755.39 2025-09-26
5184 APR_DRG Other Female Reproductive System And Related Procedures 1 1 — — $36,689.15 $36,689.15 $36,689.15 2025-09-26
82 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $36,530.97 $36,530.97 $36,530.97 2025-09-26
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $36,527.03 $36,527.03 $36,527.03 2025-09-26
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $36,501.85 $36,501.85 $36,501.85 2025-09-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $26,484.75 $131,239.40 $36,393.87 2025-09-26
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $36,289.36 $36,289.36 $36,289.36 2025-09-26
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $36,242.92 $36,242.92 $36,242.92 2025-09-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $17,739.45 $68,795.49 $36,208.15 2025-09-26
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $36,117.00 $36,117.00 $36,117.00 2025-09-26
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $36,075.29 $36,075.29 $36,075.29 2025-09-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $33,950.25 $136,043.99 $36,068.01 2025-09-26
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $35,803.78 $35,803.78 $35,803.78 2025-09-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 10 — — $27,729.00 $111,200.05 $35,592.13 2025-09-26
C1882 HCPCS Biv Unify Crtd40 Cd325740 622 25 $42,477.50 $36,105.88 $10,961.00 $142,422.25 $35,591.50 2025-09-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $28,013.40 $113,548.73 $35,494.98 2025-09-26
4401 APR_DRG Kidney Transplant 1 1 — — $35,486.62 $35,486.62 $35,486.62 2025-09-26
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $35,378.80 $35,378.80 $35,378.80 2025-09-26
6903 APR_DRG Acute Leukemia 1 1 — — $35,282.78 $35,282.78 $35,282.78 2025-09-26
734 APR_DRG Orbit And Eye Procedures 1 1 — — $35,282.00 $35,282.00 $35,282.00 2025-09-26
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $35,270.14 $67,013.27 $35,270.14 2025-09-26
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $35,257.60 $35,257.60 $35,257.60 2025-09-26
2294 APR_DRG Other Digestive System And Abdominal Procedures 1 1 — — $35,158.44 $35,158.44 $35,158.44 2025-09-26
5144 APR_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $35,105.71 $35,105.71 $35,105.71 2025-09-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $24,387.30 $102,374.95 $34,976.68 2025-09-26
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $34,923.91 $34,923.91 $34,923.91 2025-09-26
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $34,906.60 $34,906.60 $34,906.60 2025-09-26
82 EAPG Comprehensive Cardiac Electrophysiologic Procedures With Ablation 1 1 — — $34,891.70 $34,891.70 $34,891.70 2025-09-26
104 EAPG Major Open Coronary Artery Procedures Including Cabg 1 1 — — $34,826.43 $34,826.43 $34,826.43 2025-09-26
2234 APR_DRG Other Small And Large Bowel Procedures 1 1 — — $34,818.45 $34,818.45 $34,818.45 2025-09-26
4034 APR_DRG Procedures For Obesity 1 1 — — $34,669.71 $34,669.71 $34,669.71 2025-09-26
465 EAPG Class Xiii Combined Chemotherapy And Pharmacotherapy 1 1 — — $34,628.85 $34,628.85 $34,628.85 2025-09-26
3094 APR_DRG Other Significant Hip And Femur Surgery 1 1 — — $34,515.46 $34,515.46 $34,515.46 2025-09-26
9103 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $34,497.36 $34,497.36 $34,497.36 2025-09-26
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