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

HACKENSACK UNIVERSITY MEDICAL CENTER

Hackensack, NJ · CCN 310001 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST

This hospital’s price: $1,191 across 13 payers · range $329-$1,638

Source: https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260520/221487576-1316599541_hmh-hospitals-corporation_standardcharges.csv · observed 2025-12-31

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.

51,741 distinct procedures filed
27 distinct payers
3,056,435 rate rows
2025-12-31 last MRF observed
Data quality

2,571,885 of 3,056,435 rate rows are consumer-grade (84.1%)

484,550 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 432,952
per-diem day rate — not a per-procedure price 32,930
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,786
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,564
exceeds 10× this hospital's gross charge — excluded from medians 2,460
placeholder amount (≤ $0.02) — excluded from medians 1,013
percent-of-charges filed in the dollar field — excluded from medians 779
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 66
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260520/221487576-1275107344_hmh-hospitals-corporation_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-17
Content fingerprint b9bd29eab37e048d… · 1,459,462,696 bytes · first seen 2026-07-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,377,500.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,324,571.90 $3,490,800.50 $3,324,571.90 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,261,355.00 $3,424,422.75 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $3,098,221.00 $2,950,686.67 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,452,115.60 $2,574,721.38 $2,452,115.60 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $2,448,600.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $655,027.00 $809,151.00 $770,620.00 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $491,575.89 $922,082.02 $578,324.58 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $470,372.01 $674,570.57 $553,378.83 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $460,390.31 $933,986.41 $541,635.66 nat. median
$640,950
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $460,071.38 $954,928.83 $541,260.45 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $453,115.01 $884,589.61 $533,076.48 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $416,262.00 $878,671.10 $489,720.00 nat. median
$591,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $4,529.00 $1,303,203.52 $340,242.79 nat. median
$359,358
0.9× median
0100T
OTHER 		Prosth Retina Receive&gen 1 $315,676.04 $315,676.04 $315,676.04 nat. median
$5,128
outlier · 61.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $270,375.00 $283,893.75 $270,375.00 nat. median
$319,951
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $143,947.00 $973,383.77 $254,379.79 nat. median
$249,124
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $5,095.00 $896,271.11 $221,818.51 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $98,732.00 $740,590.37 $193,775.97 nat. median
$190,557
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $132,999.99 $132,999.99 $132,999.99 nat. median
$111,503
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $60,132.00 $488,276.28 $128,090.27 nat. median
$126,722
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $4,529.00 $458,724.00 $125,977.61 nat. median
$110,192
1.1× median
7
MS_DRG 		Lung Transplant 15 $5,095.00 $451,605.45 $118,543.64 nat. median
$117,894
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 14 $5,095.00 $411,582.44 $100,628.43 nat. median
$97,414
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $72,998.00 $380,796.75 $100,109.78 nat. median
$103,967
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $5,095.00 $393,629.00 $98,389.52 nat. median
$94,964
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 16 $5,095.00 $494,646.00 $97,889.55 nat. median
$93,917
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $5,095.00 $395,771.09 $96,796.20 nat. median
$93,270
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $52,311.00 $376,985.00 $91,562.15 nat. median
$90,581
1.0× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 2 $89,793.99 $89,793.99 $89,793.99 nat. median
$83,710
1.1× median
Sx00000069838-74820
CDM 		Jts Implant Set 14 $31,024.80 $146,506.00 $86,180.00 nat. median
$86,180
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $5,095.00 $348,034.79 $85,226.29 nat. median
$78,262
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $42,774.00 $322,400.00 $80,488.52 nat. median
$77,043
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $42,400.00 $350,280.00 $80,444.31 nat. median
$77,696
1.0× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 2 $79,852.04 $79,852.04 $79,852.04 nat. median
$70,140
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $5,095.00 $400,186.00 $78,393.62 nat. median
$74,460
1.1× median
B1904
HCPCS 		Guillain-barr? M <38.50 2 $77,698.42 $77,698.42 $77,698.42 nat. median
$73,807
1.1× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 2 $77,515.76 $77,515.76 $77,515.76 nat. median
$67,955
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $5,095.00 $315,116.21 $77,247.76 nat. median
$78,037
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $5,095.00 $275,514.99 $75,776.68 nat. median
$64,903
1.2× median
8010000021-108078
CDM 		Cadaver Donor Kidney Acquisit 7 $19,261.00 $90,003.10 $74,800.00 nat. median
$74,800
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $40,469.00 $295,311.41 $74,303.58 nat. median
$71,758
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $74,055.37 $74,055.37 $74,055.37 nat. median
$71,201
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $40,840.00 $295,250.00 $73,561.39 nat. median
$72,473
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 2 $73,087.44 $73,087.44 $73,087.44 nat. median
$66,421
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $5,095.00 $299,501.32 $72,290.34 nat. median
$66,660
1.1× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 2 $70,434.70 $70,434.70 $70,434.70 nat. median
$62,254
1.1× median
8010000020-108079
CDM 		Live Donor Kidney Acquisition 7 $18,128.00 $84,708.80 $70,400.00 nat. median
$70,400
1.0× median

Other procedures at this hospital

Browse this hospital's 51,741 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 14 6 — $4,377,500.00 $4,377,500.00 $4,596,375.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 14 6 — $3,710,000.00 $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 6 — $3,685,266.67 $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 6 — $3,324,571.90 $3,324,571.90 $3,490,800.50 $3,324,571.90 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 6 — $3,261,355.00 $3,261,355.00 $3,424,422.75 $3,261,355.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 14 6 — $2,950,686.67 $2,950,686.67 $3,098,221.00 $2,950,686.67 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 6 — $2,452,115.60 $2,452,115.60 $2,574,721.38 $2,452,115.60 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 14 6 — $2,332,000.00 $2,332,000.00 $2,448,600.00 $2,332,000.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 16 6 — $770,620.00 $655,027.00 $809,151.00 $770,620.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 10 — $578,324.58 $491,575.89 $922,082.02 $578,324.58 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 18 7 — $553,378.83 $470,372.01 $674,570.57 $553,378.83 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 9 — $541,635.66 $460,390.31 $933,986.41 $541,635.66 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 22 9 — $541,260.45 $460,071.38 $954,928.83 $541,260.45 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 10 — $533,076.48 $453,115.01 $884,589.61 $533,076.48 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 22 9 — $489,720.00 $416,262.00 $878,671.10 $489,720.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 14 — $326,207.42 $4,529.00 $1,303,203.52 $340,242.79 2025-12-31
0100T OTHER Prosth Retina Receive&gen 2 1 — — $315,676.04 $315,676.04 $315,676.04 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 6 — $270,375.00 $270,375.00 $283,893.75 $270,375.00 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 13 — $245,924.75 $143,947.00 $973,383.77 $254,379.79 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 65 16 — $207,113.09 $5,095.00 $896,271.11 $221,818.51 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 13 — $187,109.66 $98,732.00 $740,590.37 $193,775.97 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $132,999.99 $132,999.99 $132,999.99 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 13 — $123,362.67 $60,132.00 $488,276.28 $128,090.27 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 62 15 — $113,327.69 $4,529.00 $458,724.00 $125,977.61 2025-12-31
7 MS_DRG Lung Transplant 63 15 — $113,042.24 $5,095.00 $451,605.45 $118,543.64 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 54 14 — $95,109.74 $5,095.00 $411,582.44 $100,628.43 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 13 — $96,208.04 $72,998.00 $380,796.75 $100,109.78 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 15 — $92,114.97 $5,095.00 $393,629.00 $98,389.52 2025-12-31
215 MS_DRG Other Heart Assist System Implant 66 16 — $92,498.43 $5,095.00 $494,646.00 $97,889.55 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 14 — $91,456.00 $5,095.00 $395,771.09 $96,796.20 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 16 — $84,259.41 $52,311.00 $376,985.00 $91,562.15 2025-12-31
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 6 2 — — $89,793.99 $89,793.99 $89,793.99 2025-12-31
Sx00000069838-74820 CDM Jts Implant Set 56 14 $172,360.00 — $31,024.80 $146,506.00 $86,180.00 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 54 14 — $80,424.95 $5,095.00 $348,034.79 $85,226.29 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 64 16 — $73,981.81 $42,774.00 $322,400.00 $80,488.52 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 18 — $73,940.77 $42,400.00 $350,280.00 $80,444.31 2025-12-31
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 6 2 — — $79,852.04 $79,852.04 $79,852.04 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 65 16 — $69,726.74 $5,095.00 $400,186.00 $78,393.62 2025-12-31
B1904 HCPCS Guillain-barr? M <38.50 6 2 — — $77,698.42 $77,698.42 $77,698.42 2025-12-31
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 6 2 — — $77,515.76 $77,515.76 $77,515.76 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 14 — $72,818.03 $5,095.00 $315,116.21 $77,247.76 2025-12-31
10 MS_DRG Pancreas Transplant 60 15 — $68,964.70 $5,095.00 $275,514.99 $75,776.68 2025-12-31
8010000021-108078 CDM Cadaver Donor Kidney Acquisit 26 7 $93,500.00 — $19,261.00 $90,003.10 $74,800.00 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 16 — $68,241.47 $40,469.00 $295,311.41 $74,303.58 2025-12-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 1 — — $74,055.37 $74,055.37 $74,055.37 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 64 16 — $67,552.63 $40,840.00 $295,250.00 $73,561.39 2025-12-31
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 6 2 — — $73,087.44 $73,087.44 $73,087.44 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 15 — $68,569.40 $5,095.00 $299,501.32 $72,290.34 2025-12-31
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 6 2 — — $70,434.70 $70,434.70 $70,434.70 2025-12-31
8010000020-108079 CDM Live Donor Kidney Acquisition 26 7 $88,000.00 — $18,128.00 $84,708.80 $70,400.00 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 65 16 — $65,166.57 $5,095.00 $291,676.00 $70,320.81 2025-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 56 14 $136,290.00 — $24,532.20 $115,846.50 $68,145.00 2025-12-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $67,832.80 $67,832.80 $67,832.80 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 14 — $61,698.80 $61,128.00 $266,998.33 $67,254.17 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 16 — $60,734.07 $4,529.00 $262,823.53 $66,839.39 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 14 — $62,010.48 $5,095.00 $268,347.11 $65,912.26 2025-12-31
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 6 2 — — $65,681.42 $65,681.42 $65,681.42 2025-12-31
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 6 2 — — $64,727.79 $64,727.79 $64,727.79 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 65 16 — $59,614.81 $5,095.00 $257,980.00 $64,395.48 2025-12-31
8010000023-108076 CDM Cadaver Kidney/pancreas Acquis 26 7 $80,453.00 — $16,573.32 $77,444.06 $64,362.40 2025-12-31
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 6 2 — — $64,063.02 $64,063.02 $64,063.02 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 14 — $58,535.72 $57,994.18 $253,310.27 $63,846.10 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 64 16 — $58,211.82 $35,331.00 $257,328.00 $63,497.12 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 6 — $63,431.05 $53,916.39 $66,602.60 $63,431.05 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 65 16 — $58,310.47 $5,095.00 $252,335.52 $63,003.38 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 67 16 — $56,462.21 $4,529.00 $244,337.28 $62,193.25 2025-12-31
B0106 HCPCS Stroke M <41.50 And A <84.50 6 2 — — $61,728.86 $61,728.86 $61,728.86 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 65 16 — $56,381.02 $11,842.00 $244,242.00 $60,944.10 2025-12-31
C1605 HCPCS System Leadless Pacemaker Aveir Dr 54 16 $118,965.00 — $21,413.70 $118,965.00 $59,839.40 2025-12-31
C1904 HCPCS Guillain-barr? M <38.50 6 2 — — $59,734.52 $59,734.52 $59,734.52 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 65 16 — $55,214.62 $5,095.00 $238,938.38 $59,699.21 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $59,303.26 $59,303.26 $59,303.26 2025-12-31
E0194NU OTHER Air Fluidized Bed 2 1 — — $59,056.79 $59,056.79 $59,056.79 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 64 16 — $53,764.47 $11,842.00 $232,662.95 $58,705.32 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 62 15 — $52,209.21 $4,529.00 $208,576.56 $58,529.01 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 62 15 — $52,209.21 $4,529.00 $251,021.00 $58,529.01 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 53 14 — $54,080.52 $11,842.00 $234,030.63 $58,488.80 2025-12-31
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 6 2 — — $58,409.21 $58,409.21 $58,409.21 2025-12-31
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 6 2 — — $58,305.14 $58,305.14 $58,305.14 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 65 15 — $51,901.37 $4,529.00 $224,600.49 $58,086.00 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 65 16 — $53,332.31 $11,842.00 $236,473.00 $57,690.26 2025-12-31
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 6 2 — — $57,561.78 $57,561.78 $57,561.78 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 14 — $54,010.67 $5,095.00 $233,728.38 $57,521.67 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 16 — $52,302.98 $11,842.00 $276,053.00 $57,419.13 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 65 16 — $52,586.34 $5,095.00 $229,689.59 $57,418.17 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 11 — $55,945.97 $47,554.07 $112,575.34 $57,344.62 2025-12-31
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $57,334.55 $57,334.55 $57,334.55 2025-12-31
0312T OTHER Laps Impltj Nstim Vagus 2 1 — — $57,334.55 $57,334.55 $57,334.55 2025-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 88 23 $129,984.00 $56,824.55 56% off $10,098.00 $128,407.29 $56,824.55 2025-12-31
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 6 2 — — $56,699.47 $56,699.47 $56,699.47 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 65 16 — $51,940.66 $11,842.00 $226,681.00 $56,204.96 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 69 18 — $53,081.10 $5,095.00 $231,850.66 $56,181.97 2025-12-31
Sx00000102245-63204 CDM Custom Pelvis IMPLaNT 56 14 $112,294.40 — $20,212.99 $95,450.24 $56,147.20 2025-12-31
B0205 HCPCS Traumatic Brain Injury M <35.50 6 2 — — $56,038.94 $56,038.94 $56,038.94 2025-12-31
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 6 2 — — $55,877.53 $55,877.53 $55,877.53 2025-12-31
D1904 HCPCS Guillain-barr? M <38.50 6 2 — — $55,739.47 $55,739.47 $55,739.47 2025-12-31
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 6 2 — — $55,688.50 $55,688.50 $55,688.50 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 65 16 — $51,372.30 $11,842.00 $223,019.00 $55,598.36 2025-12-31
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 6 2 — — $55,352.93 $55,352.93 $55,352.93 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 2 — — $26,348.70 $55,311.18 $55,311.18 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 18 — $50,108.12 $11,842.00 $251,221.00 $55,282.43 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 65 16 — $50,831.88 $5,095.00 $219,972.32 $55,021.58 2025-12-31
A1904 HCPCS Guillain-barr? M <38.50 6 2 — — $54,775.23 $54,775.23 $54,775.23 2025-12-31
B0105 HCPCS Stroke M <41.50 And A >=84.50 6 2 — — $54,271.86 $54,271.86 $54,271.86 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $54,225.32 $54,225.32 $54,225.32 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 65 16 — $47,809.93 $5,095.00 $303,464.00 $54,079.76 2025-12-31
Sx00000065138-76399 CDM Carticel Cs1000 56 14 $108,087.82 — $19,455.81 $91,874.65 $54,043.91 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 65 16 — $49,347.86 $5,095.00 $215,544.38 $53,929.50 2025-12-31
C0106 HCPCS Stroke M <41.50 And A <84.50 6 2 — — $53,534.87 $53,534.87 $53,534.87 2025-12-31
B1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 6 2 — — $53,339.47 $53,339.47 $53,339.47 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 67 16 — $48,256.37 $4,529.00 $211,422.00 $53,268.43 2025-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $53,258.71 $53,258.71 $53,258.71 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 64 16 — $48,669.32 $11,842.00 $210,701.00 $53,215.54 2025-12-31
B0604 HCPCS Neurological M <43.50 6 2 — — $52,893.46 $52,893.46 $52,893.46 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 60 15 — $47,064.32 $5,095.00 $201,488.00 $51,959.74 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 64 16 — $47,395.54 $11,842.00 $206,482.00 $51,843.10 2025-12-31
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 6 2 — — $51,521.42 $51,521.42 $51,521.42 2025-12-31
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 6 2 — — $51,474.69 $51,474.69 $51,474.69 2025-12-31
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 6 2 — — $51,464.08 $51,464.08 $51,464.08 2025-12-31
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 6 2 — — $51,321.77 $51,321.77 $51,321.77 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 65 16 — $46,448.27 $11,842.00 $201,002.48 $51,301.92 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 14 — $48,053.82 $5,095.00 $207,950.40 $51,273.82 2025-12-31
0187433001 NDC Isoproterenol Hcl 0.2 Mg/ml Ij Soln 27 13 $65,582.32 — $8,722.45 $63,352.52 $51,114.86 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 65 16 — $47,153.70 $5,095.00 $204,055.18 $51,095.90 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 16 — $46,243.10 $11,842.00 $200,114.62 $51,078.77 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 65 16 — $46,673.35 $5,095.00 $203,862.50 $51,048.38 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 65 16 — $47,103.94 $5,095.00 $203,839.83 $51,042.79 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 14 — $47,760.47 $5,095.00 $206,680.96 $50,966.15 2025-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 112 14 $101,640.00 — $17,672.33 $86,394.00 $50,820.00 2025-12-31
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 6 2 — — $50,773.81 $50,773.81 $50,773.81 2025-12-31
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 6 2 — — $50,644.25 $50,644.25 $50,644.25 2025-12-31
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 6 2 — — $50,620.89 $50,620.89 $50,620.89 2025-12-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $50,039.09 $50,039.09 $50,039.09 2025-12-31
B1604 HCPCS Pain Syndrome M <43.50 6 2 — — $49,858.41 $49,858.41 $49,858.41 2025-12-31
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 6 2 — — $49,839.30 $49,839.30 $49,839.30 2025-12-31
Sx00000201156-24771 CDM Repiphysis Total Femur 56 14 $99,200.00 — $17,856.00 $84,320.00 $49,600.00 2025-12-31
B0704 HCPCS Fracture Of Lower Extremity M <41.50 6 2 — — $49,429.38 $49,429.38 $49,429.38 2025-12-31
B2102 HCPCS Burns M <52.50 6 2 — — $49,223.37 $49,223.37 $49,223.37 2025-12-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $49,120.81 $49,120.81 $49,120.81 2025-12-31
D0106 HCPCS Stroke M <41.50 And A <84.50 6 2 — — $48,921.77 $48,921.77 $48,921.77 2025-12-31
B1004 HCPCS Amputation Lower Extremity M <47.50 6 2 — — $48,872.92 $48,872.92 $48,872.92 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 16 — $43,506.95 $5,095.00 $252,434.00 $48,859.63 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 53 14 — $44,963.21 $11,842.00 $194,575.93 $48,758.01 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 65 16 — $44,813.91 $11,842.00 $194,298.00 $48,598.67 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 64 16 — $44,342.46 $11,842.00 $201,753.00 $48,553.56 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 16 — $43,715.61 $4,529.00 $206,290.00 $48,329.83 2025-12-31
B1504 HCPCS Pulmonary M <45.50 6 2 — — $48,305.84 $48,305.84 $48,305.84 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 65 16 — $43,974.91 $5,095.00 $190,299.12 $47,703.21 2025-12-31
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 6 2 — — $47,454.16 $47,454.16 $47,454.16 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 16 — $43,664.10 $5,095.00 $194,122.00 $47,371.50 2025-12-31
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 6 2 — — $47,175.93 $47,175.93 $47,175.93 2025-12-31
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 6 2 — — $47,084.61 $47,084.61 $47,084.61 2025-12-31
C0105 HCPCS Stroke M <41.50 And A >=84.50 6 2 — — $47,067.61 $47,067.61 $47,067.61 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 67 18 — $42,406.90 $11,842.00 $192,341.00 $46,906.46 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 69 18 — $44,067.17 $5,095.00 $196,275.00 $46,807.17 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 14 — $43,681.56 $5,095.00 $189,029.68 $46,687.98 2025-12-31
A0106 HCPCS Stroke M <41.50 And A <84.50 6 2 — — $46,621.60 $46,621.60 $46,621.60 2025-12-31
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 6 2 — — $46,379.47 $46,379.47 $46,379.47 2025-12-31
33231 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 80 22 $75,878.00 $32,061.58 58% off $104.00 $75,043.34 $46,209.70 2025-12-31
C0205 HCPCS Traumatic Brain Injury M <35.50 6 2 — — $46,154.34 $46,154.34 $46,154.34 2025-12-31
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 6 2 — — $46,103.37 $46,103.37 $46,103.37 2025-12-31
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 6 2 — — $45,920.71 $45,920.71 $45,920.71 2025-12-31
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3x5cm 81073 144 19 $139,304.08 — $11,794.33 $118,408.47 $45,866.86 2025-12-31
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 6 2 — — $45,776.29 $45,776.29 $45,776.29 2025-12-31
K0606NU OTHER Aed Garment W Elec Analysis 2 1 — — $45,699.60 $45,699.60 $45,699.60 2025-12-31
J9226 HCPCS Supprelin La Implant 28 11 — $45,560.39 $38,726.33 $93,292.40 $45,654.58 2025-12-31
B1404 HCPCS Cardiac M <45.50 6 2 — — $45,574.52 $45,574.52 $45,574.52 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 64 16 — $41,512.02 $11,842.00 $180,476.00 $45,503.89 2025-12-31
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 6 2 — — $45,485.31 $45,485.31 $45,485.31 2025-12-31
B0904 HCPCS Other Orthopedic M <44.5 6 2 — — $45,485.31 $45,485.31 $45,485.31 2025-12-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $45,324.44 $45,324.44 $45,324.44 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 64 16 — $41,074.62 $11,842.00 $224,485.00 $45,286.62 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 65 16 — $41,692.74 $5,095.00 $189,930.00 $45,267.48 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 65 16 — $41,504.16 $5,095.00 $179,607.10 $45,066.22 2025-12-31
0266T OTHER Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 42 13 $84,284.00 $45,000.50 47% off $1,967.00 $71,641.40 $45,000.50 2025-12-31
33276 HCPCS Insertion Phrenic Nerve Stimulator System 44 14 $150,200.00 $45,000.50 70% off $1,202.82 $127,670.00 $45,000.50 2025-12-31
245 MS_DRG Aicd Generator Procedures 67 17 — $42,664.45 $5,095.00 $192,394.00 $44,937.78 2025-12-31
38240 HCPCS Marrow/bld-drv Prph Stem Cell Trnsplj Allogeneic 72 15 $71,666.00 $59,142.33 $510.90 $64,262.90 $44,863.05 2025-12-31
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 6 2 — — $44,756.82 $44,756.82 $44,756.82 2025-12-31
Sx00000066257-76056 CDM Controller Impella Packaged 56 14 $89,280.00 — $16,070.40 $75,888.00 $44,640.00 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 63 15 — $41,944.51 $5,095.00 $186,767.00 $44,599.54 2025-12-31
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 6 2 — — $44,436.11 $44,436.11 $44,436.11 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 16 — $40,095.92 $11,842.00 $176,860.00 $44,393.01 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 65 16 — $40,854.61 $5,095.00 $176,796.19 $44,372.96 2025-12-31
E0194UE OTHER Air Fluidized Bed 2 1 — — $44,292.59 $44,292.59 $44,292.59 2025-12-31
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 6 2 — — $44,227.97 $44,227.97 $44,227.97 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 53 14 — $40,613.65 $11,842.00 $175,753.43 $44,115.78 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 16 — $40,089.81 $11,842.00 $191,650.00 $43,971.52 2025-12-31
Sx00000075430-72870 CDM Ligasure Kit 38 13 $87,094.62 — $17,941.49 $87,094.62 $43,808.59 2025-12-31
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 6 2 — — $43,779.83 $43,779.83 $43,779.83 2025-12-31
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 6 2 — — $43,747.97 $43,747.97 $43,747.97 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 65 16 — $40,240.85 $5,095.00 $188,832.00 $43,717.91 2025-12-31
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 6 2 — — $43,558.94 $43,558.94 $43,558.94 2025-12-31
B0104 HCPCS Stroke M >=41.50 And M <50.50 6 2 — — $43,401.77 $43,401.77 $43,401.77 2025-12-31
Sx00000021859-89968 CDM Implant Orthopedic Repiphysis Proximal Tibial Lf 56 14 $86,800.00 — $15,624.00 $73,780.00 $43,400.00 2025-12-31
C1825 HCPCS Neo System Barostim 56 14 $86,800.00 — $15,624.00 $73,780.00 $43,400.00 2025-12-31
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 6 2 — — $43,389.03 $43,389.03 $43,389.03 2025-12-31
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 6 2 — — $43,287.08 $43,287.08 $43,287.08 2025-12-31
D0105 HCPCS Stroke M <41.50 And A >=84.50 6 2 — — $43,010.98 $43,010.98 $43,010.98 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 65 16 — $39,388.75 $5,095.00 $172,288.00 $42,808.47 2025-12-31
B1103 HCPCS Amputation Non-lower Extremity M <52.50 6 2 — — $42,596.82 $42,596.82 $42,596.82 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 65 16 — $39,153.90 $5,095.00 $169,436.45 $42,557.81 2025-12-31
Sx00000294250-6580 CDM Kit Tkr Osteotomy Femoral Distal My3d C240548 56 14 $85,014.40 — $15,302.59 $72,262.24 $42,507.20 2025-12-31
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 6 2 — — $42,448.14 $42,448.14 $42,448.14 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 65 16 — $38,684.41 $5,095.00 $168,967.97 $42,442.27 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 15 — $40,224.26 $5,095.00 $174,068.40 $42,423.38 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $42,304.58 $42,304.58 $42,304.58 2025-12-31
8010000022-108077 CDM Cadaver Pancreas Acquisition 26 7 $52,859.00 — $10,888.95 $50,882.07 $42,287.20 2025-12-31
B0603 HCPCS Neurological M >=43.50 And M <52.50 6 2 — — $42,176.29 $42,176.29 $42,176.29 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 18 — $37,524.13 $11,842.00 $196,582.00 $42,130.54 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 65 16 — $38,680.70 $5,095.00 $171,390.00 $42,052.77 2025-12-31
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 6 2 — — $41,925.67 $41,925.67 $41,925.67 2025-12-31
D0205 HCPCS Traumatic Brain Injury M <35.50 6 2 — — $41,921.42 $41,921.42 $41,921.42 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 16 — $37,776.22 $4,529.00 $163,474.61 $41,870.05 2025-12-31
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 6 2 — — $41,456.29 $41,456.29 $41,456.29 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 65 15 — $36,410.76 $4,529.00 $157,565.66 $41,060.16 2025-12-31
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 6 2 — — $41,054.87 $41,054.87 $41,054.87 2025-12-31
C1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 6 2 — — $41,006.02 $41,006.02 $41,006.02 2025-12-31
A0105 HCPCS Stroke M <41.50 And A >=84.50 6 2 — — $40,991.15 $40,991.15 $40,991.15 2025-12-31
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 6 2 — — $40,517.52 $40,517.52 $40,517.52 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 65 16 — $37,241.91 $5,095.00 $161,162.41 $40,517.17 2025-12-31
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 6 2 — — $40,462.30 $40,462.30 $40,462.30 2025-12-31
C1004 HCPCS Amputation Lower Extremity M <47.50 6 2 — — $40,419.83 $40,419.83 $40,419.83 2025-12-31
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 6 2 — — $40,377.35 $40,377.35 $40,377.35 2025-12-31
Sx00000033383-82905 CDM Tavr Vavle Transapical 26mm 56 14 $80,600.00 — $14,508.00 $68,510.00 $40,300.00 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 65 16 — $36,325.20 $11,842.00 $159,336.00 $40,291.90 2025-12-31
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 6 2 — — $40,241.42 $40,241.42 $40,241.42 2025-12-31
0571T OTHER Insj/rplcmt Icds W/substernal Electrode 78 21 $66,076.00 $32,061.58 51% off $104.00 $65,349.16 $40,240.28 2025-12-31
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 6 2 — — $40,088.50 $40,088.50 $40,088.50 2025-12-31
791 MS_DRG Prematurity With Major Problems 65 15 — $35,445.16 $4,529.00 $153,387.08 $39,998.86 2025-12-31
Sx00000076504-72681 CDM Ligasure Kit Lf1744/gen 38 13 $79,401.17 — $16,356.64 $79,401.17 $39,938.79 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 14 — $37,186.90 $5,095.00 $160,924.39 $39,876.06 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 65 16 — $35,900.89 $11,842.00 $155,359.25 $39,830.42 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 65 16 — $36,247.77 $5,095.00 $160,565.00 $39,817.39 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 65 16 — $36,577.51 $5,095.00 $158,287.28 $39,808.07 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 59 15 — $38,351.56 $5,095.00 $165,964.38 $39,722.42 2025-12-31
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 6 2 — — $39,606.37 $39,606.37 $39,606.37 2025-12-31
C0604 HCPCS Neurological M <43.50 6 2 — — $39,600.00 $39,600.00 $39,600.00 2025-12-31
A0205 HCPCS Traumatic Brain Injury M <35.50 6 2 — — $39,468.32 $39,468.32 $39,468.32 2025-12-31
C1604 HCPCS System Detour Cap Price Per Procedure 104 15 $115,500.00 — $0.18 $98,175.00 $39,306.10 2025-12-31
C1504 HCPCS Pulmonary M <45.50 6 2 — — $39,207.08 $39,207.08 $39,207.08 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 65 16 — $35,880.81 $5,095.00 $160,446.00 $39,064.49 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 64 16 — $35,510.64 $11,842.00 $153,670.44 $39,037.69 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 56 15 — $36,923.24 $5,095.00 $159,783.41 $39,021.97 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 65 16 — $35,496.10 $5,095.00 $155,041.89 $39,007.66 2025-12-31
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 6 2 — — $39,007.44 $39,007.44 $39,007.44 2025-12-31
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 6 2 — — $38,975.58 $38,975.58 $38,975.58 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 53 14 — $35,651.20 $11,842.00 $154,278.71 $38,819.43 2025-12-31
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 6 2 — — $38,816.29 $38,816.29 $38,816.29 2025-12-31
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 6 2 — — $38,784.43 $38,784.43 $38,784.43 2025-12-31
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 2 1 — — $38,723.82 $38,723.82 $38,723.82 2025-12-31
0316T OTHER Replc Vagus Nerve Pls Gen 2 1 — — $38,723.82 $38,723.82 $38,723.82 2025-12-31
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $38,723.82 $38,723.82 $38,723.82 2025-12-31
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $38,723.82 $38,723.82 $38,723.82 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 16 5 — — $14,634.04 $74,831.36 $38,713.24 2025-12-31
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 2 1 — — $38,591.98 $38,591.98 $38,591.98 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 62 16 — $34,307.57 $1,270.18 $148,464.22 $38,423.01 2025-12-31
D1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 6 2 — — $38,264.07 $38,264.07 $38,264.07 2025-12-31
C0704 HCPCS Fracture Of Lower Extremity M <41.50 6 2 — — $38,236.46 $38,236.46 $38,236.46 2025-12-31
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 6 2 — — $38,174.87 $38,174.87 $38,174.87 2025-12-31
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 6 2 — — $37,960.36 $37,960.36 $37,960.36 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 65 16 — $34,779.89 $5,095.00 $161,839.00 $37,889.49 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 65 16 — $34,755.45 $5,095.00 $150,402.38 $37,863.40 2025-12-31
0795T OTHER Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 78 21 $62,030.00 $19,071.16 69% off $104.00 $61,347.67 $37,776.27 2025-12-31
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 6 2 — — $37,682.13 $37,682.13 $37,682.13 2025-12-31
C0104 HCPCS Stroke M >=41.50 And M <50.50 6 2 — — $37,639.65 $37,639.65 $37,639.65 2025-12-31
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 6 2 — — $37,607.79 $37,607.79 $37,607.79 2025-12-31
A1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 6 2 — — $37,601.42 $37,601.42 $37,601.42 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 64 16 — $34,139.07 $11,842.00 $147,735.04 $37,559.89 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 65 16 — $34,448.13 $5,095.00 $149,072.49 $37,535.41 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 65 16 — $34,377.41 $5,095.00 $154,719.00 $37,459.94 2025-12-31
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 6 2 — — $37,433.63 $37,433.63 $37,433.63 2025-12-31
D2102 HCPCS Burns M <52.50 6 2 — — $37,403.90 $37,403.90 $37,403.90 2025-12-31
C2102 HCPCS Burns M <52.50 6 2 — — $37,403.90 $37,403.90 $37,403.90 2025-12-31
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 6 2 — — $37,219.12 $37,219.12 $37,219.12 2025-12-31
B1403 HCPCS Cardiac M >=45.50 And M <55.50 6 2 — — $37,193.63 $37,193.63 $37,193.63 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 65 16 — $33,636.40 $5,095.00 $146,918.97 $37,004.28 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 64 16 — $33,615.24 $11,842.00 $145,468.18 $36,995.49 2025-12-31
D0604 HCPCS Neurological M <43.50 8 3 — — $79.27 $36,968.50 $36,968.50 2025-12-31
C1735 HCPCS Catheter Rnd Multi Electrode Rx Symplicity Spyral 4fr 56 14 $73,920.00 — $13,305.60 $62,832.00 $36,960.00 2025-12-31
D1004 HCPCS Amputation Lower Extremity M <47.50 6 2 — — $36,921.77 $36,921.77 $36,921.77 2025-12-31
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 6 2 — — $36,885.67 $36,885.67 $36,885.67 2025-12-31
D1504 HCPCS Pulmonary M <45.50 6 2 — — $36,872.92 $36,872.92 $36,872.92 2025-12-31
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 6 2 — — $36,866.55 $36,866.55 $36,866.55 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 65 16 — $33,743.58 $5,095.00 $158,734.00 $36,783.44 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 65 16 — $33,709.53 $5,095.00 $145,876.22 $36,747.10 2025-12-31
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 6 2 — — $36,739.12 $36,739.12 $36,739.12 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 14 — $34,155.66 $5,095.00 $147,806.83 $36,696.74 2025-12-31
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 6 2 — — $36,503.36 $36,503.36 $36,503.36 2025-12-31
C0904 HCPCS Other Orthopedic M <44.5 6 2 — — $36,431.15 $36,431.15 $36,431.15 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $36,412.77 $36,412.77 $36,412.77 2025-12-31
Sx00000046460-81161 CDM Kit Starter Stapler Endowrist 45 38 13 $72,354.00 — $14,904.92 $72,354.00 $36,394.06 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 65 16 — $33,371.65 $5,095.00 $145,245.00 $36,386.50 2025-12-31
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 6 2 — — $36,369.56 $36,369.56 $36,369.56 2025-12-31
D0704 HCPCS Fracture Of Lower Extremity M <41.50 6 2 — — $36,220.89 $36,220.89 $36,220.89 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 65 16 — $32,883.87 $5,095.00 $150,450.00 $36,193.62 2025-12-31
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 6 2 — — $36,138.05 $36,138.05 $36,138.05 2025-12-31
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 6 2 — — $36,033.98 $36,033.98 $36,033.98 2025-12-31
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 6 2 — — $36,016.99 $36,016.99 $36,016.99 2025-12-31
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 6 2 — — $36,014.87 $36,014.87 $36,014.87 2025-12-31
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