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

OCEAN MEDICAL CENTER

Brick, NJ · CCN 310052 · Rates published

46,988 distinct procedures filed
21 distinct payers
2,004,625 rate rows
2024-12-31 last MRF observed · ⚠ 18 mo old
Data quality

1,558,703 of 2,004,625 rate rows are consumer-grade (77.8%)

445,922 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 442,343
exceeds 10× this hospital's gross charge — excluded from medians 1,423
template filing: same amount across many unrelated codes — excluded 1,101
percent-of-charges filed in the dollar field — excluded from medians 517
per-diem day rate — not a per-procedure price 359
placeholder amount (≤ $0.02) — excluded from medians 179

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20250101/oumc/221487576-1962409987_hackensack-meridian-health_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 97fdc1e2cacd190f… · 1,559,137,517 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,710,000.00 $4,081,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,327,159.88 $3,659,875.87 $3,327,159.88 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,286,000.00 $3,614,600.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,968,000.00 $3,264,800.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,354,513.02 $2,589,964.32 $2,354,513.02 nat. median
$2,468,984
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $523,452.56 $851,535.77 $536,538.88 nat. median
$753,246
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $503,454.53 $881,869.54 $516,040.90 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $496,390.21 $862,529.38 $508,799.96 nat. median
$673,137
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $507,687.00 $558,455.70 $507,687.00 nat. median
$674,867
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,136.91 $816,911.81 $489,136.91 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $449,440.00 $811,446.11 $449,440.00 nat. median
$619,808
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $283,448.43 $1,164,929.33 $340,579.45 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $219,940.00 $856,830.63 $272,447.23 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $159,692.88 $933,045.26 $265,008.34 nat. median
$206,474
1.3× median
'583-4
APR_DRG 		Neonate W Ecmo 1 $263,700.81 $263,700.81 $263,700.81 —
'588-4
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $252,297.48 $252,297.48 $252,297.48 —
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $189,497.10 $270,421.41 $229,959.26 nat. median
$111,989
outlier · 2.1×
'002-4
APR_DRG 		Heart &/or Lung Transplant 1 $217,484.20 $217,484.20 $217,484.20 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $144,204.93 $754,695.97 $214,352.64 nat. median
$202,976
1.1× median
'591-4
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $211,881.29 $211,881.29 $211,881.29 —
'161-4
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 1 $206,769.43 $206,769.43 $206,769.43 —
'841-4
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $200,628.89 $200,628.89 $200,628.89 —
'003-4
APR_DRG 		Bone Marrow Transplant 1 $193,574.88 $193,574.88 $193,574.88 —
'588-3
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $188,495.69 $188,495.69 $188,495.69 —
'583-3
APR_DRG 		Neonate W Ecmo 1 $176,349.22 $176,349.22 $176,349.22 —
'593-4
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $174,064.66 $174,064.66 $174,064.66 —
'001-4
APR_DRG 		Liver Transplant &/or Intestinal Transplant 1 $162,740.13 $162,740.13 $162,740.13 —
'591-3
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $150,089.36 $150,089.36 $150,089.36 —
'006-4
APR_DRG 		Pancreas Transplant 1 $149,325.21 $149,325.21 $149,325.21 —
'004-4
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 $148,223.13 $148,223.13 $148,223.13 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $90,071.13 $520,350.60 $147,792.67 nat. median
$133,161
1.1× median
'609-4
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 1 $146,310.46 $146,310.46 $146,310.46 —
'589-1
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 1 $145,878.54 $145,878.54 $145,878.54 —
'002-3
APR_DRG 		Heart &/or Lung Transplant 1 $137,941.74 $137,941.74 $137,941.74 —
'603-4
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 $137,867.36 $137,867.36 $137,867.36 —
'602-4
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $134,052.13 $134,052.13 $134,052.13 —
7
MS_DRG 		Lung Transplant 14 $87,886.55 $387,851.30 $123,325.43 nat. median
$122,708
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $101,059.25 $422,600.28 $123,101.23 nat. median
$108,660
1.1× median
'593-3
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $121,880.62 $121,880.62 $121,880.62 —
'591-2
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $120,867.52 $120,867.52 $120,867.52 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $120,599.67 $120,599.67 $120,599.67 —
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 6 $54,906.00 $256,191.60 $119,831.50 nat. median
$63,570
1.9× median
223
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 6 $47,170.03 $200,118.60 $119,831.50 nat. median
$44,728
outlier · 2.7×
'003-3
APR_DRG 		Bone Marrow Transplant 1 $117,474.67 $117,474.67 $117,474.67 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $94,594.94 $376,243.24 $115,227.00 nat. median
$117,357
1.0× median
'002-2
APR_DRG 		Heart &/or Lung Transplant 1 $114,790.35 $114,790.35 $114,790.35 —
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 $49,523.09 $212,391.53 $112,853.00 nat. median
$52,303
outlier · 2.2×
'630-4
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $112,312.06 $112,312.06 $112,312.06 —
'303-4
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 $111,181.99 $111,181.99 $111,181.99 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $88,898.23 $381,261.23 $108,287.78 nat. median
$102,358
1.1× median

Other procedures at this hospital

Browse this hospital's 46,988 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,710,000.00 $4,081,000.00 $3,710,000.00 2024-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,327,159.88 $3,659,875.87 $3,327,159.88 2024-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,286,000.00 $3,614,600.00 $3,286,000.00 2024-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,968,000.00 $3,264,800.00 $2,968,000.00 2024-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,354,513.02 $2,589,964.32 $2,354,513.02 2024-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — $468,441.50 $523,452.56 $851,535.77 $536,538.88 2024-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — $444,670.00 $503,454.53 $881,869.54 $516,040.90 2024-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — $434,918.00 $496,390.21 $862,529.38 $508,799.96 2024-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 7 6 — $492,900.00 $507,687.00 $558,455.70 $507,687.00 2024-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — $449,245.86 $489,136.91 $816,911.81 $489,136.91 2024-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — $448,752.40 $449,440.00 $811,446.11 $449,440.00 2024-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 12 — $304,088.96 $283,448.43 $1,164,929.33 $340,579.45 2024-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 14 — $223,663.99 $219,940.00 $856,830.63 $272,447.23 2024-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 15 — $217,557.07 $159,692.88 $933,045.26 $265,008.34 2024-12-31
'583-4 APR_DRG Neonate W Ecmo 1 1 — — $263,700.81 $263,700.81 $263,700.81 2024-12-31
'588-4 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $252,297.48 $252,297.48 $252,297.48 2024-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $189,497.10 $270,421.41 $229,959.26 2024-12-31
'002-4 APR_DRG Heart &/or Lung Transplant 1 1 — — $217,484.20 $217,484.20 $217,484.20 2024-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 15 — $175,971.57 $144,204.93 $754,695.97 $214,352.64 2024-12-31
'591-4 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $211,881.29 $211,881.29 $211,881.29 2024-12-31
'161-4 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $206,769.43 $206,769.43 $206,769.43 2024-12-31
'841-4 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $200,628.89 $200,628.89 $200,628.89 2024-12-31
'003-4 APR_DRG Bone Marrow Transplant 1 1 — — $193,574.88 $193,574.88 $193,574.88 2024-12-31
'588-3 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $188,495.69 $188,495.69 $188,495.69 2024-12-31
'583-3 APR_DRG Neonate W Ecmo 1 1 — — $176,349.22 $176,349.22 $176,349.22 2024-12-31
'593-4 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $174,064.66 $174,064.66 $174,064.66 2024-12-31
'001-4 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $162,740.13 $162,740.13 $162,740.13 2024-12-31
'591-3 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $150,089.36 $150,089.36 $150,089.36 2024-12-31
'006-4 APR_DRG Pancreas Transplant 1 1 — — $149,325.21 $149,325.21 $149,325.21 2024-12-31
'004-4 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $148,223.13 $148,223.13 $148,223.13 2024-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 15 — $121,329.54 $90,071.13 $520,350.60 $147,792.67 2024-12-31
'609-4 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $146,310.46 $146,310.46 $146,310.46 2024-12-31
'589-1 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $145,878.54 $145,878.54 $145,878.54 2024-12-31
'002-3 APR_DRG Heart &/or Lung Transplant 1 1 — — $137,941.74 $137,941.74 $137,941.74 2024-12-31
'603-4 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $137,867.36 $137,867.36 $137,867.36 2024-12-31
'602-4 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $134,052.13 $134,052.13 $134,052.13 2024-12-31
7 MS_DRG Lung Transplant 25 14 — $101,243.31 $87,886.55 $387,851.30 $123,325.43 2024-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 14 — $101,059.25 $101,059.25 $422,600.28 $123,101.23 2024-12-31
'593-3 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $121,880.62 $121,880.62 $121,880.62 2024-12-31
'591-2 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $120,867.52 $120,867.52 $120,867.52 2024-12-31
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $120,599.67 $120,599.67 $120,599.67 2024-12-31
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 14 6 — — $54,906.00 $256,191.60 $119,831.50 2024-12-31
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 14 6 — — $47,170.03 $200,118.60 $119,831.50 2024-12-31
'003-3 APR_DRG Bone Marrow Transplant 1 1 — — $117,474.67 $117,474.67 $117,474.67 2024-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 25 14 — $94,594.94 $94,594.94 $376,243.24 $115,227.00 2024-12-31
'002-2 APR_DRG Heart &/or Lung Transplant 1 1 — — $114,790.35 $114,790.35 $114,790.35 2024-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 14 — $49,523.09 $49,523.09 $212,391.53 $112,853.00 2024-12-31
'630-4 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $112,312.06 $112,312.06 $112,312.06 2024-12-31
'303-4 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $111,181.99 $111,181.99 $111,181.99 2024-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — $88,898.23 $88,898.23 $381,261.23 $108,287.78 2024-12-31
'607-4 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $107,049.45 $107,049.45 $107,049.45 2024-12-31
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 12 5 — — $54,906.00 $233,759.25 $105,914.00 2024-12-31
'842-4 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 1 1 — — $105,141.01 $105,141.01 $105,141.01 2024-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 14 — $85,425.90 $77,628.07 $327,256.65 $104,058.10 2024-12-31
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $103,385.13 $113,723.64 $103,385.13 2024-12-31
'004-3 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $103,021.79 $103,021.79 $103,021.79 2024-12-31
'162-4 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $102,733.00 $102,733.00 $102,733.00 2024-12-31
215 MS_DRG Other Heart Assist System Implant 28 15 — $84,310.00 $54,906.00 $405,705.97 $102,698.80 2024-12-31
'589-2 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $102,326.58 $102,326.58 $102,326.58 2024-12-31
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $100,740.12 $100,740.12 $100,740.12 2024-12-31
'608-4 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $99,872.51 $99,872.51 $99,872.51 2024-12-31
'631-4 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $99,707.29 $99,707.29 $99,707.29 2024-12-31
'005-4 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $99,581.27 $99,581.27 $99,581.27 2024-12-31
B1904 OTHER Guillain-barr? M <38.50 4 3 — — $97,868.83 $107,655.71 $97,868.83 2024-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 12 5 — — $50,205.05 $214,664.20 $97,578.00 2024-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 15 — $80,104.73 $54,906.00 $343,548.20 $97,576.34 2024-12-31
'602-3 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $96,830.97 $96,830.97 $96,830.97 2024-12-31
'863-4 APR_DRG Neonatal Aftercare 1 1 — — $95,498.84 $95,498.84 $95,498.84 2024-12-31
C1842 HCPCS Retinal Prosth, Add-on 1 1 — — $94,381.74 $94,381.74 $94,381.74 2024-12-31
C1841 HCPCS Retinal Prosth Int/ext Comp 1 1 — — $94,381.74 $94,381.74 $94,381.74 2024-12-31
'006-3 APR_DRG Pancreas Transplant 1 1 — — $94,371.46 $94,371.46 $94,371.46 2024-12-31
'583-2 APR_DRG Neonate W Ecmo 1 1 — — $94,063.12 $94,063.12 $94,063.12 2024-12-31
'440-4 APR_DRG Kidney Transplant 1 1 — — $93,448.69 $93,448.69 $93,448.69 2024-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 35 19 $129,984.00 $65,476.58 50% off $18,457.73 $122,184.96 $93,016.55 2024-12-31
'588-2 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $92,313.61 $92,313.61 $92,313.61 2024-12-31
'001-3 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $91,727.50 $91,727.50 $91,727.50 2024-12-31
'593-2 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $91,513.46 $91,513.46 $91,513.46 2024-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 15 — $73,139.43 $69,809.30 $313,675.83 $89,091.83 2024-12-31
'002-1 APR_DRG Heart &/or Lung Transplant 1 1 — — $89,049.08 $89,049.08 $89,049.08 2024-12-31
'591-1 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $87,118.91 $87,118.91 $87,118.91 2024-12-31
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $87,115.71 $87,115.71 $87,115.71 2024-12-31
'611-4 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $86,306.97 $86,306.97 $86,306.97 2024-12-31
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 12 5 — — $42,725.70 $180,069.58 $86,277.00 2024-12-31
'161-3 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $86,171.67 $86,171.67 $86,171.67 2024-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 15 — $69,763.66 $69,763.66 $328,230.14 $84,979.77 2024-12-31
Sx00000069838 CDM Jts Implant Set 32 16 $172,360.00 — $310.25 $146,506.00 $84,887.30 2024-12-31
'304-4 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $84,775.16 $84,775.16 $84,775.16 2024-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 15 — $69,573.82 $65,287.52 $298,383.90 $84,748.53 2024-12-31
'583-1 APR_DRG Neonate W Ecmo 1 1 — — $84,656.77 $84,656.77 $84,656.77 2024-12-31
'006-2 APR_DRG Pancreas Transplant 1 1 — — $84,402.89 $84,402.89 $84,402.89 2024-12-31
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 1 1 — — $84,333.89 $84,333.89 $84,333.89 2024-12-31
'588-1 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $83,082.22 $83,082.22 $83,082.22 2024-12-31
'612-4 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $82,929.75 $82,929.75 $82,929.75 2024-12-31
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $82,779.11 $91,057.02 $82,779.11 2024-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 12 5 — — $39,878.99 $167,390.98 $82,135.50 2024-12-31
'303-3 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $81,846.38 $81,846.38 $81,846.38 2024-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 15 — $66,980.51 $54,906.00 $287,261.84 $81,589.59 2024-12-31
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $81,451.32 $89,596.45 $81,451.32 2024-12-31
'167-4 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $79,431.83 $79,431.83 $79,431.83 2024-12-31
Sx00000066257 CDM Controller Impella Packaged 32 16 $161,200.00 — $290.16 $137,020.00 $79,391.00 2024-12-31
'603-3 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $79,182.43 $79,182.43 $79,182.43 2024-12-31
793 MS_DRG Full Term Neonate With Major Problems 23 14 — $34,742.34 $34,742.34 $149,000.80 $79,172.00 2024-12-31
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $79,109.25 $87,020.18 $79,109.25 2024-12-31
'609-3 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $78,903.37 $78,903.37 $78,903.37 2024-12-31
'690-4 APR_DRG Acute Leukemia 1 1 — — $78,823.04 $78,823.04 $78,823.04 2024-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 15 — $64,375.64 $54,906.00 $276,090.24 $78,416.57 2024-12-31
'165-4 APR_DRG Coronary Bypass W Ami Or Complex Pdx 1 1 — — $78,201.62 $78,201.62 $78,201.62 2024-12-31
'001-2 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $78,039.67 $78,039.67 $78,039.67 2024-12-31
'841-3 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $77,546.57 $77,546.57 $77,546.57 2024-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 15 — $63,646.01 $54,906.00 $272,961.05 $77,527.80 2024-12-31
791 MS_DRG Prematurity With Major Problems 23 14 — $33,821.23 $33,821.23 $145,050.38 $77,076.00 2024-12-31
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $77,036.90 $84,740.59 $77,036.90 2024-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 13 — $65,976.03 $50,585.47 $282,953.91 $76,713.03 2024-12-31
'607-3 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $76,571.53 $76,571.53 $76,571.53 2024-12-31
'090-4 APR_DRG Major Larynx & Trachea Procedures 1 1 — — $75,795.15 $75,795.15 $75,795.15 2024-12-31
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $75,109.76 $82,620.74 $75,109.76 2024-12-31
'021-4 APR_DRG Craniotomy Except For Trauma 1 1 — — $74,949.77 $74,949.77 $74,949.77 2024-12-31
'911-4 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 1 1 — — $73,781.77 $73,781.77 $73,781.77 2024-12-31
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $73,733.57 $81,106.93 $73,733.57 2024-12-31
'613-4 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $73,712.19 $73,712.19 $73,712.19 2024-12-31
'001-1 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $73,702.97 $73,702.97 $73,702.97 2024-12-31
'912-4 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 1 1 — — $73,375.09 $73,375.09 $73,375.09 2024-12-31
'589-3 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $73,197.70 $73,197.70 $73,197.70 2024-12-31
'680-4 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $73,073.87 $73,073.87 $73,073.87 2024-12-31
'602-2 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $72,941.45 $72,941.45 $72,941.45 2024-12-31
'401-4 APR_DRG Pituitary & Adrenal Procedures 1 1 — — $72,817.49 $72,817.49 $72,817.49 2024-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 15 — $59,694.96 $56,347.99 $256,016.03 $72,714.99 2024-12-31
'023-4 APR_DRG Spinal Procedures 1 1 — — $71,718.22 $71,718.22 $71,718.22 2024-12-31
128784 CDM Cadaver Donor Kidney Acquisit 28 14 $93,500.00 — $13,277.00 $87,890.00 $71,611.65 2024-12-31
'003-2 APR_DRG Bone Marrow Transplant 1 1 — — $71,432.12 $71,432.12 $71,432.12 2024-12-31
'621-4 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $71,101.74 $71,101.74 $71,101.74 2024-12-31
'004-2 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $71,018.46 $71,018.46 $71,018.46 2024-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — $58,071.45 $58,071.45 $249,053.24 $70,737.38 2024-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 15 — $57,486.26 $48,785.11 $246,543.53 $70,024.56 2024-12-31
C1904 OTHER Guillain-barr? M <38.50 4 3 — — $69,890.83 $76,879.91 $69,890.83 2024-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 15 — $57,113.20 $49,501.16 $244,943.54 $69,570.13 2024-12-31
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $69,455.15 $76,400.66 $69,455.15 2024-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 15 — $57,016.63 $43,481.99 $244,529.38 $69,452.49 2024-12-31
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $69,252.29 $76,177.52 $69,252.29 2024-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 15 — $56,724.45 $43,945.18 $243,276.29 $69,096.59 2024-12-31
'681-4 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $69,072.03 $69,072.03 $69,072.03 2024-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 15 — $56,576.71 $52,808.02 $242,642.67 $68,916.62 2024-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 15 — $56,277.92 $46,138.11 $241,361.26 $68,552.67 2024-12-31
'321-4 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 1 1 — — $68,449.71 $68,449.71 $68,449.71 2024-12-31
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 1 1 — — $68,426.46 $68,426.46 $68,426.46 2024-12-31
'005-3 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $68,179.05 $68,179.05 $68,179.05 2024-12-31
'608-3 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $68,126.13 $68,126.13 $68,126.13 2024-12-31
Sx00000075430 CDM Ligasure Kit 27 14 $87,094.62 — $12,367.44 $81,868.94 $68,090.57 2024-12-31
D1904 OTHER Guillain-barr? M <38.50 4 3 — — $67,670.94 $74,438.03 $67,670.94 2024-12-31
'260-4 APR_DRG Major Pancreas, Liver & Shunt Procedures 1 1 — — $67,604.46 $67,604.46 $67,604.46 2024-12-31
128782 CDM Live Donor Kidney Acquisition 28 14 $88,000.00 — $12,496.00 $82,720.00 $67,399.20 2024-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 32 16 $136,290.00 — $245.32 $115,846.50 $67,122.83 2024-12-31
'020-4 APR_DRG Craniotomy For Trauma 1 1 — — $67,081.58 $67,081.58 $67,081.58 2024-12-31
B0106 OTHER Stroke M <41.50 And A <84.50 4 3 — — $66,901.01 $73,591.11 $66,901.01 2024-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 27 15 — $54,741.08 $51,116.24 $234,770.15 $66,680.63 2024-12-31
'169-4 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $66,523.20 $66,523.20 $66,523.20 2024-12-31
'950-4 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $65,683.46 $65,683.46 $65,683.46 2024-12-31
'022-4 APR_DRG Ventricular Shunt Procedures 1 1 — — $65,639.90 $65,639.90 $65,639.90 2024-12-31
'089-4 APR_DRG Major Cranial/facial Bone Procedures 1 1 — — $65,617.60 $65,617.60 $65,617.60 2024-12-31
'695-4 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $65,438.74 $65,438.74 $65,438.74 2024-12-31
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $37,355.19 $120,305.46 $65,394.88 2024-12-31
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 1 1 — — $65,389.67 $65,389.67 $65,389.67 2024-12-31
'162-3 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $65,316.51 $65,316.51 $65,316.51 2024-12-31
A1904 OTHER Guillain-barr? M <38.50 4 3 — — $64,976.18 $71,473.80 $64,976.18 2024-12-31
'220-4 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $64,483.36 $64,483.36 $64,483.36 2024-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 15 — $52,537.34 $49,301.45 $225,318.88 $63,996.23 2024-12-31
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $63,897.35 $70,287.09 $63,897.35 2024-12-31
'024-4 APR_DRG Extracranial Vascular Procedures 1 1 — — $63,665.98 $63,665.98 $63,665.98 2024-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 6 — — $63,499.33 $69,849.26 $63,499.33 2024-12-31
B0205 OTHER Traumatic Brain Injury M <35.50 4 3 — — $62,991.42 $69,290.56 $62,991.42 2024-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 15 — $51,553.50 $51,553.50 $226,417.18 $62,797.80 2024-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 15 — $51,322.39 $42,046.10 $220,108.30 $62,516.29 2024-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 17 12 — $51,257.19 $51,257.19 $219,828.65 $62,436.87 2024-12-31
'441-4 APR_DRG Major Bladder Procedures 1 1 — — $62,422.19 $62,422.19 $62,422.19 2024-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 14 — $50,983.17 $50,983.17 $205,886.46 $62,103.07 2024-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 14 — $50,983.17 $36,676.92 $195,310.56 $62,103.07 2024-12-31
Sx00000076504 CDM Ligasure Kit Lf1744/gen 27 14 $79,401.17 — $11,274.97 $74,637.10 $62,075.83 2024-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 15 — $50,689.33 $50,689.33 $248,899.91 $61,745.16 2024-12-31
'403-4 APR_DRG Procedures For Obesity 1 1 — — $61,677.07 $61,677.07 $61,677.07 2024-12-31
128788 CDM Cadaver Kidney/pancreas Acquis 28 14 $80,453.00 — $11,424.33 $75,625.82 $61,618.96 2024-12-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 27 15 — $50,482.17 $46,304.40 $216,504.78 $61,492.81 2024-12-31
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 3 — — $61,347.82 $67,482.60 $61,347.82 2024-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 15 — $50,266.74 $47,746.36 $215,580.89 $61,230.40 2024-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 15 — $50,143.76 $49,371.31 $215,053.46 $61,080.59 2024-12-31
'483-4 APR_DRG Testes & Scrotal Procedures 1 1 — — $61,065.84 $61,065.84 $61,065.84 2024-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 15 — $49,907.71 $43,185.09 $214,041.08 $60,793.05 2024-12-31
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $60,693.15 $66,762.46 $60,693.15 2024-12-31
28 MS_DRG Spinal Procedures With Mcc 27 15 — $49,737.68 $44,192.71 $213,311.88 $60,585.94 2024-12-31
'181-4 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $60,202.85 $60,202.85 $60,202.85 2024-12-31
'006-1 APR_DRG Pancreas Transplant 1 1 — — $60,029.49 $60,029.49 $60,029.49 2024-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 15 — $49,098.02 $44,787.27 $210,568.54 $59,806.76 2024-12-31
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 3 — — $59,582.05 $65,540.26 $59,582.05 2024-12-31
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $59,176.34 $65,093.97 $59,176.34 2024-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 15 — $48,536.77 $45,788.82 $208,161.47 $59,123.10 2024-12-31
'440-3 APR_DRG Kidney Transplant 1 1 — — $59,027.41 $59,027.41 $59,027.41 2024-12-31
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $58,948.13 $64,842.94 $58,948.13 2024-12-31
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 11 4 — — $21,251.99 $90,195.36 $58,929.00 2024-12-31
'091-4 APR_DRG Other Major Head & Neck Procedures 1 1 — — $58,781.28 $58,781.28 $58,781.28 2024-12-31
B0105 OTHER Stroke M <41.50 And A >=84.50 4 3 — — $58,551.64 $64,406.80 $58,551.64 2024-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 9 — $53,630.37 $55,512.78 $103,962.48 $58,288.42 2024-12-31
131 MS_DRG Cranial/facial Procedures W Cc/mcc 7 3 — — $21,490.00 $82,752.54 $58,138.00 2024-12-31
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $57,834.72 $63,618.19 $57,834.72 2024-12-31
'003-1 APR_DRG Bone Marrow Transplant 1 1 — — $57,800.22 $57,800.22 $57,800.22 2024-12-31
'361-4 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1 1 — — $57,798.17 $57,798.17 $57,798.17 2024-12-31
B1903 OTHER Guillain-barr? M >=38.50 And M <51.50 4 3 — — $57,684.89 $63,453.38 $57,684.89 2024-12-31
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $57,472.81 $63,220.09 $57,472.81 2024-12-31
Sx00000189430 CDM Implant Gamma Tile 9 Count 32 16 $116,560.00 — $209.81 $99,076.00 $57,405.80 2024-12-31
'221-4 APR_DRG Major Small & Large Bowel Procedures 1 1 — — $57,372.14 $57,372.14 $57,372.14 2024-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 15 — $47,018.91 $39,053.60 $201,651.78 $57,274.17 2024-12-31
C0106 OTHER Stroke M <41.50 And A <84.50 4 3 — — $57,205.41 $62,925.95 $57,205.41 2024-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 15 — $46,906.66 $38,352.75 $201,170.37 $57,137.44 2024-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 15 — $46,788.63 $42,995.26 $200,664.18 $56,993.67 2024-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 — $46,746.54 $40,740.82 $200,483.65 $56,942.40 2024-12-31
B0604 OTHER Neurological M <43.50 4 3 — — $56,755.90 $62,431.49 $56,755.90 2024-12-31
B2102 OTHER Burns M <52.50 4 3 — — $56,596.84 $62,256.52 $56,596.84 2024-12-31
Sx00000046460 CDM Kit Starter Stapler Endowrist 45 27 14 $72,354.00 — $10,274.27 $68,012.76 $56,566.36 2024-12-31
'607-2 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $56,539.19 $56,539.19 $56,539.19 2024-12-31
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 3 — — $56,308.69 $61,939.56 $56,308.69 2024-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 27 15 — $46,212.52 $45,939.92 $198,193.40 $56,291.91 2024-12-31
'303-2 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $55,863.97 $55,863.97 $55,863.97 2024-12-31
'070-4 APR_DRG Orbital Procedures 1 1 — — $55,816.05 $55,816.05 $55,816.05 2024-12-31
'120-4 APR_DRG Major Respiratory & Chest Procedures 1 1 — — $55,710.28 $55,710.28 $55,710.28 2024-12-31
'005-2 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $55,709.77 $55,709.77 $55,709.77 2024-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 15 — $45,438.32 $43,513.12 $194,873.06 $55,348.85 2024-12-31
Sx00000102245 CDM Custom Pelvis IMPLaNT 32 16 $112,294.40 — $202.13 $95,450.24 $55,305.00 2024-12-31
'613-3 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $55,287.20 $55,287.20 $55,287.20 2024-12-31
'622-4 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $55,135.69 $55,135.69 $55,135.69 2024-12-31
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 4 3 — — $55,112.30 $60,623.53 $55,112.30 2024-12-31
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $55,061.59 $60,567.75 $55,061.59 2024-12-31
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $54,944.02 $60,438.42 $54,944.02 2024-12-31
'611-3 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $54,935.75 $54,935.75 $54,935.75 2024-12-31
'182-4 APR_DRG Other Peripheral Vascular Procedures 1 1 — — $54,930.37 $54,930.37 $54,930.37 2024-12-31
'651-4 APR_DRG Other Procedures Of Blood & Blood-forming Organs 1 1 — — $54,682.96 $54,682.96 $54,682.96 2024-12-31
'264-4 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 1 1 — — $54,620.31 $54,620.31 $54,620.31 2024-12-31
653 MS_DRG Major Bladder Procedures With Mcc 27 15 — $44,682.28 $41,377.14 $191,630.61 $54,427.91 2024-12-31
'623-4 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 1 1 — — $54,396.08 $54,396.08 $54,396.08 2024-12-31
'740-4 APR_DRG Mental Illness Diagnosis W O.r. Procedure 1 1 — — $54,374.62 $54,374.62 $54,374.62 2024-12-31
33231 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 37 20 $75,878.00 $34,272.28 55% off $781.25 $127,026.00 $54,298.30 2024-12-31
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 4 3 — — $54,284.74 $59,713.21 $54,284.74 2024-12-31
'711-4 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 1 1 — — $54,186.53 $54,186.53 $54,186.53 2024-12-31
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $54,152.64 $54,152.64 $54,152.64 2024-12-31
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 1 1 — — $54,121.00 $54,121.00 $54,121.00 2024-12-31
'710-4 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 1 1 — — $54,099.41 $54,099.41 $54,099.41 2024-12-31
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $54,066.86 $54,066.86 $54,066.86 2024-12-31
'612-3 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $54,063.02 $54,063.02 $54,063.02 2024-12-31
'634-4 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $53,865.45 $53,865.45 $53,865.45 2024-12-31
B1004 OTHER Amputation Lower Extremity M <47.50 4 3 — — $53,851.37 $59,236.51 $53,851.37 2024-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 15 — $43,287.41 $41,002.79 $185,648.35 $53,817.40 2024-12-31
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 7 3 — — $18,293.00 $76,537.60 $53,771.00 2024-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 15 — $42,901.96 $40,376.35 $183,995.26 $53,582.64 2024-12-31
'161-2 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $53,580.62 $53,580.62 $53,580.62 2024-12-31
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $53,570.14 $58,927.15 $53,570.14 2024-12-31
'603-2 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $53,287.15 $53,287.15 $53,287.15 2024-12-31
Sx00000065138 CDM Carticel Cs1000 32 16 $108,087.82 — $194.56 $91,874.65 $53,233.25 2024-12-31
'026-4 APR_DRG Other Nervous System & Related Procedures 1 1 — — $53,013.60 $53,013.60 $53,013.60 2024-12-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 25 14 — $43,428.55 $41,207.05 $166,369.69 $52,900.72 2024-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 15 — $41,587.97 $41,587.97 $207,045.08 $52,782.35 2024-12-31
D0106 OTHER Stroke M <41.50 And A <84.50 4 3 — — $52,777.15 $58,054.86 $52,777.15 2024-12-31
'130-4 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $52,723.65 $52,723.65 $52,723.65 2024-12-31
B0704 OTHER Fracture Of Lower Extremity M <41.50 4 3 — — $52,569.69 $57,826.66 $52,569.69 2024-12-31
'165-3 APR_DRG Coronary Bypass W Ami Or Complex Pdx 1 1 — — $52,532.23 $52,532.23 $52,532.23 2024-12-31
'309-4 APR_DRG Other Significant Hip & Femur Surgery 1 1 — — $52,525.18 $52,525.18 $52,525.18 2024-12-31
'440-2 APR_DRG Kidney Transplant 1 1 — — $52,201.02 $52,201.02 $52,201.02 2024-12-31
'004-1 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $52,199.42 $52,199.42 $52,199.42 2024-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 15 — $42,808.69 $40,585.92 $183,595.26 $52,145.68 2024-12-31
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 4 3 — — $52,011.83 $57,213.01 $52,011.83 2024-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 15 — $42,558.60 $38,090.78 $182,522.70 $51,841.04 2024-12-31
'222-4 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 1 1 — — $51,822.21 $51,822.21 $51,822.21 2024-12-31
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 1 1 — — $51,793.13 $51,793.13 $51,793.13 2024-12-31
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $51,779.01 $56,956.91 $51,779.01 2024-12-31
'261-4 APR_DRG Major Biliary Tract Procedures 1 1 — — $51,734.64 $51,734.64 $51,734.64 2024-12-31
B2005 OTHER Miscellaneous M <46.50 And A <77.50 4 3 — — $51,622.26 $56,784.49 $51,622.26 2024-12-31
'229-4 APR_DRG Other Digestive System & Abdominal Procedures 1 1 — — $51,611.19 $51,611.19 $51,611.19 2024-12-31
E0194NU HCPCS Air Fluidized Bed 1 1 — — $51,609.55 $51,609.55 $51,609.55 2024-12-31
'511-4 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 1 1 — — $51,572.49 $51,572.49 $51,572.49 2024-12-31
B1504 OTHER Pulmonary M <45.50 4 3 — — $51,511.61 $56,662.77 $51,511.61 2024-12-31
'843-4 APR_DRG Extensive 3rd Degree Or Full Thickness Burns Without Skin Graft 1 1 — — $51,463.97 $51,463.97 $51,463.97 2024-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 15 — $41,920.59 $40,834.22 $179,786.44 $51,063.87 2024-12-31
'317-4 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 1 1 — — $51,007.01 $51,007.01 $51,007.01 2024-12-31
'633-4 APR_DRG Neonate Birthwt >2499g W Major Anomaly 1 1 — — $50,964.34 $50,964.34 $50,964.34 2024-12-31
'304-3 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $50,900.66 $50,900.66 $50,900.66 2024-12-31
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 4 3 — — $50,863.85 $55,950.24 $50,863.85 2024-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 15 — $41,738.19 $39,345.18 $179,004.14 $50,841.68 2024-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 15 — $38,368.20 $34,566.75 $164,551.14 $50,821.33 2024-12-31
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 4 3 — — $50,743.98 $55,818.38 $50,743.98 2024-12-31
'404-4 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 1 1 — — $50,631.08 $50,631.08 $50,631.08 2024-12-31
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 4 3 — — $50,607.98 $55,668.78 $50,607.98 2024-12-31
B0904 OTHER Other Orthopedic M <44.5 4 3 — — $50,605.67 $55,666.24 $50,605.67 2024-12-31
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 4 3 — — $50,524.99 $55,577.49 $50,524.99 2024-12-31
'650-4 APR_DRG Splenectomy 1 1 — — $50,515.77 $50,515.77 $50,515.77 2024-12-31
'175-4 APR_DRG Percutaneous Coronary Intervention Without Ami 1 1 — — $50,508.59 $50,508.59 $50,508.59 2024-12-31
'480-4 APR_DRG Major Male Pelvic Procedures 1 1 — — $50,470.03 $50,470.03 $50,470.03 2024-12-31
'791-4 APR_DRG O.r. Procedure For Other Complications Of Treatment 1 1 — — $50,463.69 $50,463.69 $50,463.69 2024-12-31
'223-4 APR_DRG Other Small & Large Bowel Procedures 1 1 — — $50,427.49 $50,427.49 $50,427.49 2024-12-31
'841-2 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $50,392.83 $50,392.83 $50,392.83 2024-12-31
'447-4 APR_DRG Other Kidney, Urinary Tract & Related Procedures 1 1 — — $50,353.69 $50,353.69 $50,353.69 2024-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 15 — $41,262.77 $37,545.58 $176,965.22 $50,262.57 2024-12-31
'305-4 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $50,143.05 $50,143.05 $50,143.05 2024-12-31
'005-1 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $50,138.76 $50,138.76 $50,138.76 2024-12-31
C0205 OTHER Traumatic Brain Injury M <35.50 4 3 — — $50,091.61 $55,100.77 $50,091.61 2024-12-31
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