Hospital

OCEAN MEDICAL CENTER

Brick, NJ · CCN 310052 · Rates published

99,344 distinct procedures filed

40 distinct payers

4,063,221 rate rows

2026-07-30 last MRF observed

Data quality

3,197,735 of 4,063,221 rate rows are consumer-grade (78.7%)

865,486 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	851,321
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	3,600
exceeds 10× this hospital's gross charge — excluded from medians	3,482
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,312
placeholder amount (≤ $0.02) — excluded from medians	1,458
per-diem day rate — not a per-procedure price	1,173
percent-of-charges filed in the dollar field — excluded from medians	1,086
template filing: same amount across many unrelated codes — excluded	1,052
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.hackensackmeridianhealth.org/-/media/Project/HMH/HMH/shared/Files/CDM/202202/OMC-Chargemaster-2022-02.xlsx
Found on page	https://www.hackensackmeridianhealth.org/en/Pay-Bill/Price-Estimates/Charge-Description-Master
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-16
Content fingerprint	1f6df78d5ea4eff2… · 3,178,661 bytes · first seen 2026-07-30

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	5	$4,377,500.00	$4,771,475.00	$4,377,500.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	11	$3,685,266.67	$4,422,320.00	$3,710,000.00	nat. median $3,685,267 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	6	$3,710,000.00	$4,452,000.00	$3,710,000.00	nat. median $3,508,750 1.1× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	11	$3,324,571.90	$3,989,486.28	$3,327,159.88	nat. median $3,325,455 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	11	$3,261,355.00	$3,913,626.00	$3,286,000.00	nat. median $3,248,446 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	11	$2,950,686.67	$3,540,824.00	$2,968,000.00	nat. median $2,968,000 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	11	$2,354,513.02	$2,942,538.72	$2,452,115.60	nat. median $2,455,111 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,332,000.00	$2,798,400.00	$2,332,000.00	nat. median $2,332,000 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$655,027.00	$924,744.00	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	16	$491,575.89	$922,082.02	$578,324.58	nat. median $621,313 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	13	$470,372.01	$664,054.60	$553,378.83	nat. median $599,737 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	16	$460,390.31	$933,986.41	$541,635.66	nat. median $579,571 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	16	$460,071.38	$954,928.83	$541,260.45	nat. median $574,037 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	15	$453,115.01	$884,589.61	$533,076.48	nat. median $562,501 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	15	$416,262.00	$878,671.10	$489,720.00	nat. median $513,770 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$9,963.00	$1,266,961.52	$353,576.67	nat. median $168,055 outlier · 2.1×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$15,110.00	$1,078,874.06	$282,363.13	nat. median $186,516 1.5× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	6	$270,375.00	$324,450.00	$270,375.00	nat. median $286,598 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$15,110.00	$933,045.26	$265,008.34	nat. median $131,925 outlier · 2.0×
'583-4 OTHER	Neonate W Ecmo	1	$263,700.81	$263,700.81	$263,700.81	—
'588-4 OTHER	Neonate Bwt <1500g W Major Procedure	1	$252,297.48	$252,297.48	$252,297.48	—
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$15,110.00	$820,851.71	$218,739.53	nat. median $145,435 1.5× median
'002-4 OTHER	Heart &/or Lung Transplant	1	$217,484.20	$217,484.20	$217,484.20	—
'591-4 OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	$211,881.29	$211,881.29	$211,881.29	—
'161-4 OTHER	Cardiac Defibrillator & Heart Assist Implant	1	$206,769.43	$206,769.43	$206,769.43	—
'841-4 OTHER	Extensive 3rd Degree Burns W Skin Graft	1	$200,628.89	$200,628.89	$200,628.89	—
'003-4 OTHER	Bone Marrow Transplant	1	$193,574.88	$193,574.88	$193,574.88	—
Q0480 HCPCS	Driver Pneumatic Vad, Rep	3	$130,249.99	$270,421.41	$189,497.10	nat. median $108,243 1.8× median
'588-3 OTHER	Neonate Bwt <1500g W Major Procedure	1	$188,495.69	$188,495.69	$188,495.69	—
'583-3 OTHER	Neonate W Ecmo	1	$176,349.22	$176,349.22	$176,349.22	—
'593-4 OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	$174,064.66	$174,064.66	$174,064.66	—
'001-4 OTHER	Liver Transplant &/or Intestinal Transplant	1	$162,740.13	$162,740.13	$162,740.13	—
'591-3 OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	$150,089.36	$150,089.36	$150,089.36	—
'006-4 OTHER	Pancreas Transplant	1	$149,325.21	$149,325.21	$149,325.21	—
'004-4 OTHER	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…	29	$15,110.00	$541,193.13	$147,792.67	nat. median $97,418 1.5× median
'609-4 OTHER	Neonate Bwt 1500-2499g W Major Procedure	1	$146,310.46	$146,310.46	$146,310.46	—
'589-1 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	1	$145,878.54	$145,878.54	$145,878.54	—
'002-3 OTHER	Heart &/or Lung Transplant	1	$137,941.74	$137,941.74	$137,941.74	—
'603-4 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	1	$137,867.36	$137,867.36	$137,867.36	—
'602-4 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	$134,052.13	$134,052.13	$134,052.13	—
14 MS_DRG	Allogeneic Bone Marrow Transplant	27	$9,963.00	$440,154.97	$131,334.34	nat. median $72,715 1.8× median
7 MS_DRG	Lung Transplant	27	$15,110.00	$439,046.34	$129,812.60	nat. median $70,649 1.8× median
'593-3 OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	$121,880.62	$121,880.62	$121,880.62	—
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	$15,110.00	$456,412.07	$121,271.08	nat. median $65,418 1.9× median
'591-2 OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	$120,867.52	$120,867.52	$120,867.52	—
'160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	$120,599.67	$120,599.67	$120,599.67	—
'003-3 OTHER	Bone Marrow Transplant	1	$117,474.67	$117,474.67	$117,474.67	—
'002-2 OTHER	Heart &/or Lung Transplant	1	$114,790.35	$114,790.35	$114,790.35	—
'630-4 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	$112,312.06	$112,312.06	$112,312.06	—

Other procedures at this hospital

Browse this hospital's 99,344 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	6	5	—	$4,377,500.00	$4,377,500.00	$4,771,475.00	$4,377,500.00	2025-12-31
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	14	11	—	$3,685,266.67	$3,685,266.67	$4,422,320.00	$3,710,000.00	2025-12-31
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	7	6	—	$3,710,000.00	$3,710,000.00	$4,452,000.00	$3,710,000.00	2025-12-31
J1413	HCPCS	Inj Delandistrogene Mox Rokl	14	11	—	$3,324,571.90	$3,324,571.90	$3,989,486.28	$3,327,159.88	2025-12-31
J3394	HCPCS	Inj, Lovotibeglogene Autotem	14	11	—	$3,261,355.00	$3,261,355.00	$3,913,626.00	$3,286,000.00	2025-12-31
J3393	HCPCS	Inj, Betibeglogene Autotemce	14	11	—	$2,950,686.67	$2,950,686.67	$3,540,824.00	$2,968,000.00	2025-12-31
J3399	HCPCS	Inj Onase Abepar-xioi Treat	14	11	—	$2,452,115.60	$2,354,513.02	$2,942,538.72	$2,452,115.60	2025-12-31
J3392	HCPCS	Inj, Exagamglogene Autotem	7	6	—	$2,332,000.00	$2,332,000.00	$2,798,400.00	$2,332,000.00	2025-12-31
Q2057	HCPCS	Afamitresgene Autoleucel	8	7	—	$770,620.00	$655,027.00	$924,744.00	$770,620.00	2025-12-31
Q2042	HCPCS	Tisagenlecleucel Car-pos T	21	16	—	$578,324.58	$491,575.89	$922,082.02	$578,324.58	2025-12-31
Q2056	HCPCS	Ciltacabtagene Car-pos T	16	13	—	$553,378.83	$470,372.01	$664,054.60	$553,378.83	2025-12-31
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	21	16	—	$541,635.66	$460,390.31	$933,986.41	$541,635.66	2025-12-31
Q2055	HCPCS	Idecabtagene Vicleucel Car	21	16	—	$541,260.45	$460,071.38	$954,928.83	$541,260.45	2025-12-31
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	20	15	—	$533,076.48	$453,115.01	$884,589.61	$533,076.48	2025-12-31
Q2053	HCPCS	Brexucabtagene Car Pos T	20	15	—	$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	39	24	—	$304,088.96	$9,963.00	$1,266,961.52	$353,576.67	2025-12-31
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	53	28	—	$223,663.99	$15,110.00	$1,078,874.06	$282,363.13	2025-12-31
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	7	6	—	$270,375.00	$270,375.00	$324,450.00	$270,375.00	2025-12-31
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	55	29	—	$195,801.11	$15,110.00	$933,045.26	$265,008.34	2025-12-31
'583-4	OTHER	Neonate W Ecmo	1	1	—	—	$263,700.81	$263,700.81	$263,700.81	2024-12-31
'588-4	OTHER	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$252,297.48	$252,297.48	$252,297.48	2024-12-31
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	55	29	—	$175,971.57	$15,110.00	$820,851.71	$218,739.53	2025-12-31
'002-4	OTHER	Heart &/or Lung Transplant	1	1	—	—	$217,484.20	$217,484.20	$217,484.20	2024-12-31
'591-4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$211,881.29	$211,881.29	$211,881.29	2024-12-31
'161-4	OTHER	Cardiac Defibrillator & Heart Assist Implant	1	1	—	—	$206,769.43	$206,769.43	$206,769.43	2024-12-31
'841-4	OTHER	Extensive 3rd Degree Burns W Skin Graft	1	1	—	—	$200,628.89	$200,628.89	$200,628.89	2024-12-31
'003-4	OTHER	Bone Marrow Transplant	1	1	—	—	$193,574.88	$193,574.88	$193,574.88	2024-12-31
Q0480	HCPCS	Driver Pneumatic Vad, Rep	3	3	—	—	$130,249.99	$270,421.41	$189,497.10	2025-12-31
'588-3	OTHER	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$188,495.69	$188,495.69	$188,495.69	2024-12-31
'583-3	OTHER	Neonate W Ecmo	1	1	—	—	$176,349.22	$176,349.22	$176,349.22	2024-12-31
'593-4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$174,064.66	$174,064.66	$174,064.66	2024-12-31
'001-4	OTHER	Liver Transplant &/or Intestinal Transplant	1	1	—	—	$162,740.13	$162,740.13	$162,740.13	2024-12-31
'591-3	OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$150,089.36	$150,089.36	$150,089.36	2024-12-31
'006-4	OTHER	Pancreas Transplant	1	1	—	—	$149,325.21	$149,325.21	$149,325.21	2024-12-31
'004-4	OTHER	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…	55	29	—	$121,329.54	$15,110.00	$541,193.13	$147,792.67	2025-12-31
'609-4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$146,310.46	$146,310.46	$146,310.46	2024-12-31
'589-1	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$145,878.54	$145,878.54	$145,878.54	2024-12-31
'002-3	OTHER	Heart &/or Lung Transplant	1	1	—	—	$137,941.74	$137,941.74	$137,941.74	2024-12-31
'603-4	OTHER	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	OTHER	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
14	MS_DRG	Allogeneic Bone Marrow Transplant	51	27	—	$94,594.94	$9,963.00	$440,154.97	$131,334.34	2025-12-31
7	MS_DRG	Lung Transplant	51	27	—	$101,243.31	$15,110.00	$439,046.34	$129,812.60	2025-12-31
'593-3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$121,880.62	$121,880.62	$121,880.62	2024-12-31
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	53	28	—	$101,059.25	$15,110.00	$456,412.07	$121,271.08	2025-12-31
'591-2	OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$120,867.52	$120,867.52	$120,867.52	2024-12-31
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$120,599.67	$120,599.67	$120,599.67	2024-12-31
'003-3	OTHER	Bone Marrow Transplant	1	1	—	—	$117,474.67	$117,474.67	$117,474.67	2024-12-31
'002-2	OTHER	Heart &/or Lung Transplant	1	1	—	—	$114,790.35	$114,790.35	$114,790.35	2024-12-31
'630-4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	1	—	—	$112,312.06	$112,312.06	$112,312.06	2024-12-31
'303-4	OTHER	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	36	24	—	$89,915.09	$15,110.00	$417,247.26	$108,287.78	2025-12-31
'607-4	OTHER	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
215	MS_DRG	Other Heart Assist System Implant	57	29	—	$87,446.41	$15,110.00	$438,166.06	$106,203.81	2025-12-31
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	51	27	—	$85,425.90	$15,110.00	$357,766.59	$105,780.66	2025-12-31
'842-4	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	1	1	—	—	$105,141.01	$105,141.01	$105,141.01	2024-12-31
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	13	—	$86,460.91	$15,110.00	$401,218.29	$105,006.92	2025-12-31
B0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	7	5	—	—	$87,546.54	$113,723.64	$103,385.13	2025-12-31
'004-3	OTHER	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	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	1	1	—	—	$102,733.00	$102,733.00	$102,733.00	2024-12-31
'589-2	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$102,326.58	$102,326.58	$102,326.58	2024-12-31
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	1	1	—	—	$100,740.12	$100,740.12	$100,740.12	2024-12-31
'608-4	OTHER	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	OTHER	Neonate Birthwt >2499g W Other Major Procedure	1	1	—	—	$99,707.29	$99,707.29	$99,707.29	2024-12-31
'005-4	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	1	1	—	—	$99,581.27	$99,581.27	$99,581.27	2024-12-31
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	56	29	—	$79,881.05	$54,906.00	$369,646.78	$98,039.67	2025-12-31
B1904	HCPCS	Guillain-barr? M <38.50	7	5	—	—	$75,753.70	$107,655.71	$97,868.83	2025-12-31
'602-3	OTHER	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	OTHER	Neonatal Aftercare	1	1	—	—	$95,498.84	$95,498.84	$95,498.84	2024-12-31
C1841	HCPCS	Retinal Prosth Int/ext Comp	1	1	—	—	$94,381.74	$94,381.74	$94,381.74	2024-12-31
C1842	HCPCS	Retinal Prosth, Add-on	1	1	—	—	$94,381.74	$94,381.74	$94,381.74	2024-12-31
'006-3	OTHER	Pancreas Transplant	1	1	—	—	$94,371.46	$94,371.46	$94,371.46	2024-12-31
'583-2	OTHER	Neonate W Ecmo	1	1	—	—	$94,063.12	$94,063.12	$94,063.12	2024-12-31
'440-4	OTHER	Kidney Transplant	1	1	—	—	$93,448.69	$93,448.69	$93,448.69	2024-12-31
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	16	7	—	—	$54,906.00	$256,191.60	$93,042.00	2025-12-31
850	MS_DRG	Acute Leukemia With Other Procedures	19	13	—	$76,032.35	$15,110.00	$352,824.98	$92,341.41	2025-12-31
'588-2	OTHER	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$92,313.61	$92,313.61	$92,313.61	2024-12-31
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	50	27	—	$49,066.66	$9,963.00	$227,691.78	$92,066.74	2025-12-31
'001-3	OTHER	Liver Transplant &/or Intestinal Transplant	1	1	—	—	$91,727.50	$91,727.50	$91,727.50	2024-12-31
'593-2	OTHER	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	29	16	—	$73,139.43	$69,809.30	$313,675.83	$89,091.83	2025-12-31
'002-1	OTHER	Heart &/or Lung Transplant	1	1	—	—	$89,049.08	$89,049.08	$89,049.08	2024-12-31
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	16	7	—	—	$47,170.03	$200,118.60	$87,155.00	2025-12-31
'591-1	OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$87,118.91	$87,118.91	$87,118.91	2024-12-31
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	1	1	—	—	$87,115.71	$87,115.71	$87,115.71	2024-12-31
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	55	29	—	$69,763.66	$15,110.00	$354,491.48	$86,469.00	2025-12-31
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	55	29	—	$69,902.32	$15,110.00	$324,378.82	$86,440.05	2025-12-31
'611-4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	1	1	—	—	$86,306.97	$86,306.97	$86,306.97	2024-12-31
Sx00000069838-74794	CDM	Jts Implant Set	31	14	$172,360.00	—	$31,024.80	$146,506.00	$86,180.00	2025-12-31
'161-3	OTHER	Cardiac Defibrillator & Heart Assist Implant	1	1	—	—	$86,171.67	$86,171.67	$86,171.67	2024-12-31
231	MS_DRG	Coronary Bypass With Ptca With Mcc	56	29	—	$68,460.81	$54,906.00	$324,558.84	$85,715.81	2025-12-31
Sx00000069838	CDM	Jts Implant Set	32	16	$172,360.00	—	$310.25	$146,506.00	$84,887.30	2024-12-31
'304-4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	1	1	—	—	$84,775.16	$84,775.16	$84,775.16	2024-12-31
'583-1	OTHER	Neonate W Ecmo	1	1	—	—	$84,656.77	$84,656.77	$84,656.77	2024-12-31
'006-2	OTHER	Pancreas Transplant	1	1	—	—	$84,402.89	$84,402.89	$84,402.89	2024-12-31
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	1	1	—	—	$84,333.89	$84,333.89	$84,333.89	2024-12-31
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	13	—	$68,840.89	$15,110.00	$319,453.32	$83,607.38	2025-12-31
'588-1	OTHER	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$83,082.22	$83,082.22	$83,082.22	2024-12-31
'612-4	OTHER	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	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	7	5	—	—	$71,258.14	$91,057.02	$82,779.11	2025-12-31
'303-3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	1	1	—	—	$81,846.38	$81,846.38	$81,846.38	2024-12-31
C0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	7	5	—	—	$77,853.43	$89,596.45	$81,451.32	2025-12-31
'167-4	OTHER	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	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	1	1	—	—	$79,182.43	$79,182.43	$79,182.43	2024-12-31
D0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	7	5	—	—	$75,575.62	$87,020.18	$79,109.25	2025-12-31
'609-3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$78,903.37	$78,903.37	$78,903.37	2024-12-31
'690-4	OTHER	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	57	29	—	$64,514.30	$15,110.00	$299,375.93	$78,416.57	2025-12-31
'165-4	OTHER	Coronary Bypass W Ami Or Complex Pdx	1	1	—	—	$78,201.62	$78,201.62	$78,201.62	2024-12-31
'001-2	OTHER	Liver Transplant &/or Intestinal Transplant	1	1	—	—	$78,039.67	$78,039.67	$78,039.67	2024-12-31
10	MS_DRG	Pancreas Transplant	50	27	—	$39,730.06	$15,110.00	$267,852.94	$77,742.79	2025-12-31
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	42	26	—	$65,976.03	$15,110.00	$303,623.51	$77,727.51	2025-12-31
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	57	29	—	$63,863.08	$15,110.00	$296,353.98	$77,561.81	2025-12-31
'841-3	OTHER	Extensive 3rd Degree Burns W Skin Graft	1	1	—	—	$77,546.57	$77,546.57	$77,546.57	2024-12-31
B0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	7	5	—	—	$64,037.48	$84,740.59	$77,036.90	2025-12-31
'607-3	OTHER	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
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	55	29	—	$61,607.34	$15,110.00	$285,886.32	$76,182.62	2025-12-31
'090-4	OTHER	Major Larynx & Trachea Procedures	1	1	—	—	$75,795.15	$75,795.15	$75,795.15	2024-12-31
B0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	7	5	—	—	$63,107.72	$82,620.74	$75,109.76	2025-12-31
'021-4	OTHER	Craniotomy Except For Trauma	1	1	—	—	$74,949.77	$74,949.77	$74,949.77	2024-12-31
'911-4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	1	1	—	—	$73,781.77	$73,781.77	$73,781.77	2024-12-31
A0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	7	5	—	—	$68,671.79	$81,106.93	$73,733.57	2025-12-31
'613-4	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	1	1	—	—	$73,712.19	$73,712.19	$73,712.19	2024-12-31
'001-1	OTHER	Liver Transplant &/or Intestinal Transplant	1	1	—	—	$73,702.97	$73,702.97	$73,702.97	2024-12-31
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	56	29	—	$57,416.93	$9,963.00	$266,440.90	$73,536.58	2025-12-31
'912-4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	1	1	—	—	$73,375.09	$73,375.09	$73,375.09	2024-12-31
'589-3	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$73,197.70	$73,197.70	$73,197.70	2024-12-31
'680-4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	1	1	—	—	$73,073.87	$73,073.87	$73,073.87	2024-12-31
8010000021-108083	CDM	Cadaver Donor Kidney Acquisit	28	13	$93,500.00	—	$13,277.00	$90,994.20	$73,056.23	2025-12-31
'602-2	OTHER	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	OTHER	Pituitary & Adrenal Procedures	1	1	—	—	$72,817.49	$72,817.49	$72,817.49	2024-12-31
'023-4	OTHER	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	OTHER	Bone Marrow Transplant	1	1	—	—	$71,432.12	$71,432.12	$71,432.12	2024-12-31
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	13	—	$58,623.63	$15,110.00	$272,040.51	$71,198.49	2025-12-31
'621-4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	1	1	—	—	$71,101.74	$71,101.74	$71,101.74	2024-12-31
'004-2	OTHER	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	36	24	—	$58,328.97	$15,110.00	$270,673.16	$70,737.38	2025-12-31
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	56	29	—	$53,378.39	$9,963.00	$247,700.22	$70,087.05	2025-12-31
C1904	HCPCS	Guillain-barr? M <38.50	7	5	—	—	$58,239.42	$76,879.91	$69,890.83	2025-12-31
955	MS_DRG	Craniotomy For Multiple Significant Trauma	55	29	—	$56,358.81	$15,110.00	$261,530.71	$69,692.37	2025-12-31
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	55	29	—	$55,125.70	$15,110.00	$255,808.54	$69,570.13	2025-12-31
B0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	7	5	—	—	$62,459.58	$76,400.66	$69,455.15	2025-12-31
C1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	7	5	—	—	$56,845.82	$76,177.52	$69,252.29	2025-12-31
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	55	29	—	$52,198.94	$15,110.00	$243,276.29	$69,096.59	2025-12-31
'681-4	OTHER	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	56	29	—	$55,032.44	$15,110.00	$255,375.74	$68,916.62	2025-12-31
8010000020-108084	CDM	Live Donor Kidney Acquisition	28	13	$88,000.00	—	$12,496.00	$85,641.60	$68,758.80	2025-12-31
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	55	29	—	$50,650.54	$15,110.00	$241,361.26	$68,552.67	2025-12-31
'321-4	OTHER	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	OTHER	Coronary Bypass Without Ami Or Complex Pdx	1	1	—	—	$68,426.46	$68,426.46	$68,426.46	2024-12-31
'005-3	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	1	1	—	—	$68,179.05	$68,179.05	$68,179.05	2024-12-31
C1827	HCPCS	Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse	63	30	$136,290.00	—	$245.32	$115,846.50	$68,145.00	2025-12-31
'608-3	OTHER	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
Sx00000075430-72847	CDM	Ligasure Kit	24	11	$87,094.62	—	$12,367.44	$84,760.48	$68,051.38	2025-12-31
D1904	HCPCS	Guillain-barr? M <38.50	7	5	—	—	$54,344.37	$74,438.03	$67,670.94	2025-12-31
'260-4	OTHER	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
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	13	—	$55,338.65	$15,110.00	$256,796.71	$67,208.88	2025-12-31
'020-4	OTHER	Craniotomy For Trauma	1	1	—	—	$67,081.58	$67,081.58	$67,081.58	2024-12-31
B0106	HCPCS	Stroke M <41.50 And A <84.50	7	5	—	—	$60,183.84	$73,591.11	$66,901.01	2025-12-31
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	29	16	—	$54,741.08	$51,116.24	$234,770.15	$66,680.63	2025-12-31
'169-4	OTHER	Major Abdominal Vascular Procedures	1	1	—	—	$66,523.20	$66,523.20	$66,523.20	2024-12-31
'950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	1	1	—	—	$65,683.46	$65,683.46	$65,683.46	2024-12-31
'022-4	OTHER	Ventricular Shunt Procedures	1	1	—	—	$65,639.90	$65,639.90	$65,639.90	2024-12-31
'089-4	OTHER	Major Cranial/facial Bone Procedures	1	1	—	—	$65,617.60	$65,617.60	$65,617.60	2024-12-31
A9543	HCPCS	Y-90 Yttrium Ibrit To 40 Mci Tx	101	37	$129,984.00	$56,824.55 56% off	$10,098.00	$129,984.00	$65,476.58	2025-12-31
'695-4	OTHER	Chemotherapy For Acute Leukemia	1	1	—	—	$65,438.74	$65,438.74	$65,438.74	2024-12-31
L7181	HCPCS	Electronic Elbo Simultaneous	5	5	—	—	$37,355.19	$120,305.46	$65,394.88	2025-12-31
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	1	1	—	—	$65,389.67	$65,389.67	$65,389.67	2024-12-31
'162-3	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	1	1	—	—	$65,316.51	$65,316.51	$65,316.51	2024-12-31
A1904	HCPCS	Guillain-barr? M <38.50	7	5	—	—	$53,404.26	$71,473.80	$64,976.18	2025-12-31
793	MS_DRG	Full Term Neonate With Major Problems	50	27	—	$34,422.10	$9,963.00	$159,734.32	$64,827.90	2025-12-31
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	57	29	—	$53,301.63	$15,110.00	$247,344.02	$64,734.92	2025-12-31
'220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	1	1	—	—	$64,483.36	$64,483.36	$64,483.36	2024-12-31
D1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	7	5	—	—	$53,967.50	$70,287.09	$63,897.35	2025-12-31
'024-4	OTHER	Extracranial Vascular Procedures	1	1	—	—	$63,665.98	$63,665.98	$63,665.98	2024-12-31
J9029	HCPCS	Instill Adstiladrin, Tx Dose	15	12	—	$63,431.05	$53,916.39	$76,117.26	$63,499.33	2025-12-31
791	MS_DRG	Prematurity With Major Problems	50	27	—	$33,509.24	$9,963.00	$155,498.22	$63,131.40	2025-12-31
B0205	HCPCS	Traumatic Brain Injury M <35.50	7	5	—	—	$54,636.34	$69,290.56	$62,991.42	2025-12-31
8010000023-108081	CDM	Cadaver Kidney/pancreas Acquis	28	13	$80,453.00	—	$11,424.33	$78,296.86	$62,861.95	2025-12-31
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	55	29	—	$50,828.00	$15,110.00	$235,865.21	$62,853.06	2025-12-31
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	55	29	—	$49,446.33	$15,110.00	$244,532.57	$62,797.80	2025-12-31
'441-4	OTHER	Major Bladder Procedures	1	1	—	—	$62,422.19	$62,422.19	$62,422.19	2024-12-31
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	36	24	—	$51,126.78	$15,110.00	$237,251.71	$62,265.21	2025-12-31
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	51	27	—	$50,983.17	$9,963.00	$222,359.22	$62,103.07	2025-12-31
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	51	27	—	$50,983.17	$9,963.00	$202,776.06	$62,103.07	2025-12-31
Sx00000076504	CDM	Ligasure Kit Lf1744/gen	27	14	$79,401.17	—	$11,274.97	$74,637.10	$62,075.83	2024-12-31
28	MS_DRG	Spinal Procedures With Mcc	55	29	—	$49,737.68	$15,110.00	$232,850.92	$62,049.81	2025-12-31
Sx00000076504-72657	CDM	Ligasure Kit Lf1744/gen	24	11	$79,401.17	—	$11,274.97	$77,273.22	$62,040.10	2025-12-31
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	13	—	$51,060.75	$15,110.00	$236,945.30	$62,013.37	2025-12-31
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	55	29	—	$50,689.33	$15,110.00	$268,814.12	$61,745.16	2025-12-31
'403-4	OTHER	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	29	16	—	$50,482.17	$46,304.40	$216,504.78	$61,492.81	2025-12-31
B0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	7	5	—	—	$50,186.33	$67,482.60	$61,347.82	2025-12-31
C1605	HCPCS	System Leadless Pacemaker Aveir Dr	31	14	$118,965.00	—	$21,413.70	$101,120.25	$61,266.98	2025-12-31
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	57	29	—	$50,419.44	$15,110.00	$233,969.31	$61,234.49	2025-12-31
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	55	29	—	$47,371.34	$15,110.00	$222,536.03	$61,080.59	2025-12-31
'483-4	OTHER	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	55	29	—	$48,055.58	$15,110.00	$222,999.91	$60,793.05	2025-12-31
C0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	7	5	—	—	$56,947.29	$66,762.46	$60,693.15	2025-12-31
'181-4	OTHER	Lower Extremity Arterial Procedures	1	1	—	—	$60,202.85	$60,202.85	$60,202.85	2024-12-31
'006-1	OTHER	Pancreas Transplant	1	1	—	—	$60,029.49	$60,029.49	$60,029.49	2024-12-31
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	57	29	—	$49,103.80	$15,110.00	$227,864.13	$59,636.64	2025-12-31
B1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	7	5	—	—	$54,294.67	$65,540.26	$59,582.05	2025-12-31
C0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	7	5	—	—	$56,121.06	$65,093.97	$59,176.34	2025-12-31
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	57	29	—	$48,566.48	$15,110.00	$225,370.74	$59,123.10	2025-12-31
'440-3	OTHER	Kidney Transplant	1	1	—	—	$59,027.41	$59,027.41	$59,027.41	2024-12-31
D0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	7	5	—	—	$55,280.34	$64,842.94	$58,948.13	2025-12-31
'091-4	OTHER	Other Major Head & Neck Procedures	1	1	—	—	$58,781.28	$58,781.28	$58,781.28	2024-12-31
B0105	HCPCS	Stroke M <41.50 And A >=84.50	7	5	—	—	$52,913.49	$64,406.80	$58,551.64	2025-12-31
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	22	17	—	$54,788.17	$47,554.07	$112,575.34	$58,515.85	2025-12-31
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	56	29	—	$45,620.73	$9,963.00	$211,701.11	$58,428.62	2025-12-31
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	55	29	—	$46,788.63	$15,110.00	$218,511.03	$58,228.54	2025-12-31
131	MS_DRG	Cranial/facial Procedures W Cc/mcc	7	3	—	—	$21,490.00	$82,752.54	$58,138.00	2024-12-31
A1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	7	5	—	—	$50,037.24	$63,618.19	$57,834.72	2025-12-31
'003-1	OTHER	Bone Marrow Transplant	1	1	—	—	$57,800.22	$57,800.22	$57,800.22	2024-12-31
'361-4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	1	1	—	—	$57,798.17	$57,798.17	$57,798.17	2024-12-31
B1903	HCPCS	Guillain-barr? M >=38.50 And M <51.50	7	5	—	—	$52,004.44	$63,453.38	$57,684.89	2025-12-31
224	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc	14	6	—	—	$54,906.00	$233,759.25	$57,502.51	2025-12-31
D0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	7	5	—	—	$54,478.97	$63,220.09	$57,472.81	2025-12-31
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	OTHER	Major Small & Large Bowel Procedures	1	1	—	—	$57,372.14	$57,372.14	$57,372.14	2024-12-31
C0106	HCPCS	Stroke M <41.50 And A <84.50	7	5	—	—	$52,194.95	$62,925.95	$57,205.41	2025-12-31
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	55	29	—	$44,531.24	$15,110.00	$206,645.38	$57,137.44	2025-12-31
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	55	29	—	$44,578.29	$15,110.00	$206,863.70	$56,942.40	2025-12-31
653	MS_DRG	Major Bladder Procedures With Mcc	55	29	—	$46,011.13	$15,110.00	$213,512.75	$56,896.60	2025-12-31
B0604	HCPCS	Neurological M <43.50	7	5	—	—	$51,569.59	$62,431.49	$56,755.90	2025-12-31
B2102	HCPCS	Burns M <52.50	7	5	—	—	$47,991.36	$62,256.52	$56,596.84	2025-12-31
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	OTHER	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
Sx00000046460-81141	CDM	Kit Starter Stapler Endowrist 45	24	11	$72,354.00	—	$10,274.27	$70,414.91	$56,533.79	2025-12-31
B1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	7	5	—	—	$50,175.98	$61,939.56	$56,308.69	2025-12-31
Sx00000102245-63191	CDM	Custom Pelvis IMPLaNT	31	14	$112,294.40	—	$20,212.99	$95,450.24	$56,147.20	2025-12-31
'303-2	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	1	1	—	—	$55,863.97	$55,863.97	$55,863.97	2024-12-31
'070-4	OTHER	Orbital Procedures	1	1	—	—	$55,816.05	$55,816.05	$55,816.05	2024-12-31
'120-4	OTHER	Major Respiratory & Chest Procedures	1	1	—	—	$55,710.28	$55,710.28	$55,710.28	2024-12-31
'005-2	OTHER	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	55	29	—	$44,806.92	$15,110.00	$207,924.63	$55,407.49	2025-12-31
Sx00000102245	CDM	Custom Pelvis IMPLaNT	32	16	$112,294.40	—	$202.13	$95,450.24	$55,305.00	2024-12-31
'613-3	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	1	1	—	—	$55,287.20	$55,287.20	$55,287.20	2024-12-31
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	13	—	$45,429.25	$15,110.00	$210,812.53	$55,173.89	2025-12-31
'622-4	OTHER	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	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	7	5	—	—	$49,376.68	$60,623.53	$55,112.30	2025-12-31
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	55	29	—	$42,558.60	$15,110.00	$206,668.36	$55,072.72	2025-12-31
C0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	7	5	—	—	$48,591.87	$60,567.75	$55,061.59	2025-12-31
A0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	7	5	—	—	$50,231.89	$60,438.42	$54,944.02	2025-12-31
'611-3	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	1	1	—	—	$54,935.75	$54,935.75	$54,935.75	2024-12-31
'182-4	OTHER	Other Peripheral Vascular Procedures	1	1	—	—	$54,930.37	$54,930.37	$54,930.37	2024-12-31
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	57	29	—	$43,911.39	$15,110.00	$203,768.98	$54,906.00	2025-12-31
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	57	29	—	$43,717.43	$15,110.00	$202,868.90	$54,906.00	2025-12-31
33231	HCPCS	Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads	73	37	$75,878.00	$34,655.87 54% off	$781.25	$133,120.00	$54,844.62	2025-12-31
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	13	—	$45,151.92	$15,110.00	$209,525.62	$54,837.08	2025-12-31
E0194NU	OTHER	Air Fluidized Bed	2	2	—	—	$51,609.55	$57,835.69	$54,722.62	2025-12-31
'651-4	OTHER	Other Procedures Of Blood & Blood-forming Organs	1	1	—	—	$54,682.96	$54,682.96	$54,682.96	2024-12-31
'264-4	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	1	1	—	—	$54,620.31	$54,620.31	$54,620.31	2024-12-31
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	57	29	—	$41,130.71	$15,110.00	$223,610.53	$54,494.53	2025-12-31
'623-4	OTHER	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	1	1	—	—	$54,396.08	$54,396.08	$54,396.08	2024-12-31
'740-4	OTHER	Mental Illness Diagnosis W O.r. Procedure	1	1	—	—	$54,374.62	$54,374.62	$54,374.62	2024-12-31
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	50	27	—	$43,428.55	$15,110.00	$182,793.75	$54,294.45	2025-12-31
A5104	HCPCS	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	7	5	—	—	$49,353.90	$59,713.21	$54,284.74	2025-12-31
'711-4	OTHER	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
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	14	6	—	—	$50,205.05	$214,664.20	$54,173.00	2025-12-31
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$54,152.64	$54,152.64	$54,152.64	2024-12-31
'405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	1	1	—	—	$54,121.00	$54,121.00	$54,121.00	2024-12-31
'710-4	OTHER	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	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	1	1	—	—	$54,066.86	$54,066.86	$54,066.86	2024-12-31
'612-3	OTHER	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
Sx00000065138-76374	CDM	Carticel Cs1000	31	14	$108,087.82	—	$19,455.81	$91,874.65	$54,043.91	2025-12-31
'634-4	OTHER	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	HCPCS	Amputation Lower Extremity M <47.50	7	5	—	—	$47,649.68	$59,236.51	$53,851.37	2025-12-31
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
'161-2	OTHER	Cardiac Defibrillator & Heart Assist Implant	1	1	—	—	$53,580.62	$53,580.62	$53,580.62	2024-12-31
A0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	7	5	—	—	$49,502.99	$58,927.15	$53,570.14	2025-12-31
'603-2	OTHER	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	OTHER	Other Nervous System & Related Procedures	1	1	—	—	$53,013.60	$53,013.60	$53,013.60	2024-12-31
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	56	29	—	$41,327.98	$9,963.00	$191,780.76	$52,930.68	2025-12-31
D0106	HCPCS	Stroke M <41.50 And A <84.50	7	5	—	—	$47,697.31	$58,054.86	$52,777.15	2025-12-31
'130-4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	1	1	—	—	$52,723.65	$52,723.65	$52,723.65	2024-12-31
B0704	HCPCS	Fracture Of Lower Extremity M <41.50	7	5	—	—	$48,192.22	$57,826.66	$52,569.69	2025-12-31
'165-3	OTHER	Coronary Bypass W Ami Or Complex Pdx	1	1	—	—	$52,532.23	$52,532.23	$52,532.23	2024-12-31
'309-4	OTHER	Other Significant Hip & Femur Surgery	1	1	—	—	$52,525.18	$52,525.18	$52,525.18	2024-12-31
'440-2	OTHER	Kidney Transplant	1	1	—	—	$52,201.02	$52,201.02	$52,201.02	2024-12-31
'004-1	OTHER	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	55	29	—	$42,049.35	$15,110.00	$195,128.27	$52,145.68	2025-12-31
B1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	7	5	—	—	$46,266.43	$57,213.01	$52,011.83	2025-12-31
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	56	29	—	$42,366.29	$15,110.00	$196,599.03	$51,921.69	2025-12-31
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	55	29	—	$41,920.59	$15,110.00	$194,530.77	$51,838.32	2025-12-31
'222-4	OTHER	Other Stomach, Esophageal & Duodenal Procedures	1	1	—	—	$51,822.21	$51,822.21	$51,822.21	2024-12-31
'092-4	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	1	1	—	—	$51,793.13	$51,793.13	$51,793.13	2024-12-31
D0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	7	5	—	—	$45,906.12	$56,956.91	$51,779.01	2025-12-31
'261-4	OTHER	Major Biliary Tract Procedures	1	1	—	—	$51,734.64	$51,734.64	$51,734.64	2024-12-31
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	19	13	—	$42,507.43	$15,110.00	$197,253.98	$51,625.34	2025-12-31
B2005	HCPCS	Miscellaneous M <46.50 And A <77.50	7	5	—	—	$45,995.17	$56,784.49	$51,622.26	2025-12-31
'229-4	OTHER	Other Digestive System & Abdominal Procedures	1	1	—	—	$51,611.19	$51,611.19	$51,611.19	2024-12-31
'511-4	OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	1	1	—	—	$51,572.49	$51,572.49	$51,572.49	2024-12-31

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