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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

BERGEN NEW BRIDGE MEDICAL CENTER

Paramus, NJ · CCN 310058 · Rates published

21,272 distinct procedures filed
19 distinct payers
423,824 rate rows
2025-12-29 last MRF observed
Data quality

374,145 of 423,824 rate rows are consumer-grade (88.3%)

49,679 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 48,698
percent-of-charges filed in the dollar field — excluded from medians 491
placeholder amount (≤ $0.02) — excluded from medians 227
exceeds 10× this hospital's gross charge — excluded from medians 141
template filing: same amount across many unrelated codes — excluded 73
per-diem day rate — not a per-procedure price 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bergen.pt.panaceainc.com/MRFDownload/bergen/bergen
Found on page https://www.newbridgehealth.org/patients-visitors/patient-financial-services/estimate-costs/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint c982dcf463a4e668… · 4,957,870 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,324,571.90 $4,853,874.97 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,261,355.00 $4,761,578.30 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,950,686.67 $4,780,112.41 $2,950,686.67 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,452,115.60 $3,972,427.27 $2,452,115.60 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,777,840.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,248,404.40 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $578,324.58 $936,885.82 $578,324.58 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $553,378.83 $896,473.70 $553,378.83 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $541,635.66 $877,449.77 $541,635.66 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $541,260.45 $876,841.93 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,076.48 $863,583.90 $533,076.48 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,720.00 $793,346.40 $489,720.00 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $302,000.71 $480,838.20 $402,329.75 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $225,569.21 $382,429.31 $305,133.80 nat. median
$265,286
1.2× median
0100T
HCPCS 		Prosth Retina Receive&gen 2 $222,650.73 $280,600.92 $280,600.92 nat. median
$11,210
outlier · 25.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $270,375.00 $438,007.50 $270,375.00 nat. median
$324,450
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $189,970.05 $302,465.70 $254,814.49 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $171,622.32 $273,252.90 $236,530.95 nat. median
$202,976
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $113,151.77 $180,157.50 $159,034.42 nat. median
$133,161
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $104,918.04 $175,009.16 $147,461.94 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 12 $104,653.77 $166,627.20 $147,090.52 nat. median
$122,708
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $133,561.35 $133,561.35 $133,561.35 nat. median
$98,894
1.4× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $120,130.82 $146,518.11 $133,324.46 nat. median
$87,428
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $88,244.77 $229,333.34 $130,501.88 nat. median
$108,660
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $85,279.44 $156,835.41 $126,730.95 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 12 $84,842.20 $193,832.72 $126,174.93 nat. median
$99,019
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $87,237.37 $138,897.23 $122,611.82 nat. median
$102,358
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $117,451.73 $117,451.73 $117,451.73 nat. median
$83,470
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $77,285.14 $142,853.87 $116,564.81 nat. median
$93,672
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $104,660.30 $127,649.42 $116,154.86 nat. median
$63,570
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $106,342.65 $106,342.65 $106,342.65 nat. median
$82,711
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $67,820.59 $138,436.04 $104,528.99 nat. median
$81,118
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $90,543.95 $110,432.35 $100,488.15 nat. median
$54,196
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $64,552.56 $150,400.45 $100,373.12 nat. median
$77,570
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $67,858.23 $122,035.75 $100,057.63 nat. median
$79,312
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $61,961.20 $114,388.39 $93,787.53 nat. median
$74,915
1.3× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $83,824.93 $102,237.47 $93,031.20 nat. median
$49,935
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 12 $62,593.03 $110,463.94 $90,569.85 nat. median
$73,807
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $90,559.43 $90,559.43 $90,559.43 nat. median
$68,090
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $59,772.64 $109,859.25 $90,074.07 nat. median
$72,135
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $63,481.10 $101,073.08 $89,222.47 nat. median
$71,271
1.3× median
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 2 $80,125.03 $97,724.87 $88,924.95 nat. median
$62,372
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $79,454.12 $96,906.58 $88,180.35 nat. median
$44,728
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $85,484.93 $85,484.93 $85,484.93 nat. median
$63,724
1.3× median
10
MS_DRG 		Pancreas Transplant 12 $53,794.08 $101,655.75 $85,253.77 nat. median
$68,884
1.2× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $74,462.95 $90,819.08 $82,641.01 nat. median
$65,393
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $53,393.54 $98,132.50 $80,459.26 nat. median
$65,950
1.2× median

Other procedures at this hospital

Browse this hospital's 21,272 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 7 6 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2025-12-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 6 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-12-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-12-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,324,571.90 $4,853,874.97 $3,324,571.90 2025-12-29
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 7 — — $3,261,355.00 $4,761,578.30 $3,261,355.00 2025-12-29
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $2,950,686.67 $4,780,112.41 $2,950,686.67 2025-12-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,452,115.60 $3,972,427.27 $2,452,115.60 2025-12-29
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,332,000.00 $3,777,840.00 $2,332,000.00 2025-12-29
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $770,620.00 $1,248,404.40 $770,620.00 2025-12-29
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 9 — — $578,324.58 $936,885.82 $578,324.58 2025-12-29
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $553,378.83 $896,473.70 $553,378.83 2025-12-29
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $541,635.66 $877,449.77 $541,635.66 2025-12-29
Q2055 HCPCS Idecabtagene Vicleucel Car 11 9 — — $541,260.45 $876,841.93 $541,260.45 2025-12-29
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 9 — — $533,076.48 $863,583.90 $533,076.48 2025-12-29
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $489,720.00 $793,346.40 $489,720.00 2025-12-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 21 10 — — $302,000.71 $480,838.20 $402,329.75 2025-12-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 12 — — $225,569.21 $382,429.31 $305,133.80 2025-12-29
0100T HCPCS Prosth Retina Receive&gen 3 2 — — $222,650.73 $280,600.92 $280,600.92 2025-12-29
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 8 — — $270,375.00 $438,007.50 $270,375.00 2025-12-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 12 — — $189,970.05 $302,465.70 $254,814.49 2025-12-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 12 — — $171,622.32 $273,252.90 $236,530.95 2025-12-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 12 — — $113,151.77 $180,157.50 $159,034.42 2025-12-29
14 MS_DRG Allogeneic Bone Marrow Transplant 23 12 — — $104,918.04 $175,009.16 $147,461.94 2025-12-29
7 MS_DRG Lung Transplant 23 12 — — $104,653.77 $166,627.20 $147,090.52 2025-12-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $133,561.35 $133,561.35 $133,561.35 2025-12-29
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 2 — — $120,130.82 $146,518.11 $133,324.46 2025-12-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 12 — — $88,244.77 $229,333.34 $130,501.88 2025-12-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 12 — — $85,279.44 $156,835.41 $126,730.95 2025-12-29
215 MS_DRG Other Heart Assist System Implant 23 12 — — $84,842.20 $193,832.72 $126,174.93 2025-12-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 10 — — $87,237.37 $138,897.23 $122,611.82 2025-12-29
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $117,451.73 $117,451.73 $117,451.73 2025-12-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 12 — — $77,285.14 $142,853.87 $116,564.81 2025-12-29
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $104,660.30 $127,649.42 $116,154.86 2025-12-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $106,342.65 $106,342.65 $106,342.65 2025-12-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $67,820.59 $138,436.04 $104,528.99 2025-12-29
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $90,543.95 $110,432.35 $100,488.15 2025-12-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 12 — — $64,552.56 $150,400.45 $100,373.12 2025-12-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 12 — — $67,858.23 $122,035.75 $100,057.63 2025-12-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 12 — — $61,961.20 $114,388.39 $93,787.53 2025-12-29
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $83,824.93 $102,237.47 $93,031.20 2025-12-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 23 12 — — $62,593.03 $110,463.94 $90,569.85 2025-12-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $90,559.43 $90,559.43 $90,559.43 2025-12-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 12 — — $59,772.64 $109,859.25 $90,074.07 2025-12-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 10 — — $63,481.10 $101,073.08 $89,222.47 2025-12-29
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 2 — — $80,125.03 $97,724.87 $88,924.95 2025-12-29
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $79,454.12 $96,906.58 $88,180.35 2025-12-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $85,484.93 $85,484.93 $85,484.93 2025-12-29
10 MS_DRG Pancreas Transplant 23 12 — — $53,794.08 $101,655.75 $85,253.77 2025-12-29
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $74,462.95 $90,819.08 $82,641.01 2025-12-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 12 — — $53,393.54 $98,132.50 $80,459.26 2025-12-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 10 — — $56,591.90 $90,249.75 $79,539.72 2025-12-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $78,876.60 $78,876.60 $78,876.60 2025-12-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 12 — — $55,707.03 $91,616.31 $78,296.03 2025-12-29
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $69,826.98 $85,164.80 $77,495.89 2025-12-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 12 — — $51,714.28 $94,441.20 $77,432.74 2025-12-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 12 — — $54,680.41 $90,437.02 $76,853.13 2025-12-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 12 — — $48,334.94 $96,897.56 $76,841.84 2025-12-29
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 23 12 — — $47,973.79 $116,599.57 $76,267.68 2025-12-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 12 — — $53,484.03 $86,297.55 $75,171.62 2025-12-29
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $66,656.17 $81,297.50 $73,976.83 2025-12-29
7404 APR_DRG — 2 2 — — $73,440.48 $73,440.48 $73,440.48 2025-12-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $45,960.60 $102,377.36 $73,067.15 2025-12-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 12 — — $51,788.76 $84,141.72 $72,788.92 2025-12-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 12 — — $48,917.92 $87,840.77 $72,021.02 2025-12-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 11 — — $47,605.42 $81,408.81 $71,295.66 2025-12-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 12 — — $47,120.14 $86,918.69 $71,265.01 2025-12-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 12 — — $50,644.43 $82,686.50 $71,180.57 2025-12-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 12 — — $44,262.12 $113,358.02 $70,366.95 2025-12-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $70,177.28 $70,177.28 $70,177.28 2025-12-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 12 — — $47,641.46 $85,513.77 $70,113.11 2025-12-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $69,748.88 $69,748.88 $69,748.88 2025-12-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 10 — — $49,604.20 $81,363.67 $69,718.53 2025-12-29
38240 HCPCS Transplt Allo Hct/donor 14 11 — — $163.07 $112,832.28 $69,649.56 2025-12-29
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 2 2 — — $62,633.14 $76,390.80 $69,511.97 2025-12-29
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 23 12 — — $49,142.14 $80,776.09 $69,069.11 2025-12-29
28 MS_DRG Spinal Procedures With Mcc 23 12 — — $48,684.09 $83,610.96 $68,552.98 2025-12-29
653 MS_DRG Major Bladder Procedures With Mcc 23 12 — — $44,640.90 $83,128.11 $68,157.09 2025-12-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 12 — — $48,334.94 $79,749.60 $67,934.60 2025-12-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 12 — — $45,685.93 $82,699.41 $67,805.60 2025-12-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 23 12 — — $44,262.12 $82,609.16 $67,731.60 2025-12-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 12 — — $46,624.45 $81,458.45 $66,788.13 2025-12-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 12 — — $49,314.31 $80,995.03 $65,848.46 2025-12-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $65,663.78 $65,663.78 $65,663.78 2025-12-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 12 — — $43,472.54 $79,492.46 $65,176.21 2025-12-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 12 — — $40,097.21 $85,721.35 $63,745.66 2025-12-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 12 — — $39,905.82 $99,191.46 $63,441.40 2025-12-29
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 8 — — $63,431.05 $102,758.30 $63,431.05 2025-12-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 12 — — $42,415.50 $77,302.34 $63,380.52 2025-12-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 12 — — $40,049.96 $77,141.39 $63,248.56 2025-12-29
8 MS_DRG Simultaneous Pancreas/kidney Transplant 23 12 — — $43,571.84 $76,092.97 $62,388.95 2025-12-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 23 12 — — $42,603.68 $76,065.89 $62,366.75 2025-12-29
245 MS_DRG Aicd Generator Procedures 23 12 — — $39,133.05 $82,021.02 $62,212.87 2025-12-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 12 — — $40,797.10 $75,844.77 $62,185.45 2025-12-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 12 — — $43,250.72 $75,447.66 $61,859.86 2025-12-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 12 — — $41,104.60 $74,316.51 $60,932.42 2025-12-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 12 — — $38,241.77 $78,340.24 $60,795.94 2025-12-29
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 23 12 — — $43,209.88 $73,987.09 $60,731.34 2025-12-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 12 — — $43,205.08 $73,226.08 $60,724.59 2025-12-29
471 MS_DRG Cervical Spinal Fusion With Mcc 23 12 — — $38,896.82 $73,996.11 $60,669.73 2025-12-29
799 MS_DRG Splenic Procedures With Mcc 23 12 — — $38,076.01 $73,343.29 $60,134.47 2025-12-29
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 23 12 — — $37,674.81 $91,835.92 $59,894.59 2025-12-29
163 MS_DRG Major Chest Procedures With Mcc 23 12 — — $36,910.06 $74,468.43 $58,678.80 2025-12-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 12 — — $36,771.52 $73,899.84 $58,458.56 2025-12-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 12 — — $40,335.04 $69,883.63 $57,297.88 2025-12-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 12 — — $40,672.17 $70,005.05 $57,164.60 2025-12-29
A9543 HCPCS Y90 Ibritumomab, Rx 11 9 — — $56,824.55 $110,020.68 $56,824.55 2025-12-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 12 — — $36,777.13 $68,955.54 $56,536.94 2025-12-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — — $40,065.98 $69,234.16 $56,312.59 2025-12-29
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 10 — — $55,945.97 $96,455.71 $55,945.97 2025-12-29
6 MS_DRG Liver Transplant Without Mcc 23 12 — — $38,831.96 $67,670.95 $55,483.70 2025-12-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $34,578.16 $80,718.38 $54,971.59 2025-12-29
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $49,520.69 $60,398.14 $54,959.42 2025-12-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 12 — — $36,128.49 $66,935.40 $54,880.62 2025-12-29
7524 APR_DRG — 2 2 — — $53,585.50 $53,585.50 $53,585.50 2025-12-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 12 — — $38,068.80 $66,694.41 $53,505.57 2025-12-29
7594 APR_DRG — 2 2 — — $53,284.10 $53,284.10 $53,284.10 2025-12-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 12 — — $37,473.01 $65,936.76 $53,158.93 2025-12-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 12 — — $35,813.78 $64,776.87 $53,110.83 2025-12-29
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 8 — — $52,995.29 $85,852.37 $52,995.29 2025-12-29
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 10 — — $45,907.37 $85,852.37 $52,995.29 2025-12-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 10 — — $37,252.00 $65,655.70 $52,357.55 2025-12-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 12 — — $32,910.91 $64,053.35 $52,321.04 2025-12-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $52,064.63 $52,064.63 $52,064.63 2025-12-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 10 — — $36,894.84 $65,201.52 $51,855.58 2025-12-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 12 — — $33,318.51 $62,504.02 $51,247.31 2025-12-29
901 MS_DRG Wound Debridements For Injuries With Mcc 23 12 — — $35,479.05 $63,401.08 $51,226.35 2025-12-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 12 — — $31,901.11 $62,747.70 $50,715.69 2025-12-29
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 3 — — $43,892.68 $55,316.80 $50,612.09 2025-12-29
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 3 — — $43,892.68 $55,316.80 $50,612.09 2025-12-29
0312T HCPCS Laps Impltj Nstim Vagus 4 3 — — $43,892.68 $55,316.80 $50,612.09 2025-12-29
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 3 — — $43,892.68 $55,316.80 $50,612.09 2025-12-29
0316T HCPCS Replc Vagus Nerve Pls Gen 4 3 — — $43,892.68 $55,316.80 $50,612.09 2025-12-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 12 — — $35,913.07 $63,953.03 $50,475.70 2025-12-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 12 — — $33,557.95 $61,255.54 $50,223.68 2025-12-29
793 MS_DRG Full Term Neonate With Major Problems 22 11 — — $33,396.99 $60,753.39 $50,016.57 2025-12-29
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $49,880.55 $49,880.55 $49,880.55 2025-12-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 10 — — $35,177.15 $63,017.17 $49,441.36 2025-12-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 12 — — $31,140.36 $60,037.13 $49,224.70 2025-12-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 12 — — $30,950.57 $60,825.34 $49,204.54 2025-12-29
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 12 — — $34,649.43 $62,346.08 $48,699.65 2025-12-29
791 MS_DRG Prematurity With Major Problems 22 11 — — $32,511.31 $59,627.10 $48,690.15 2025-12-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 12 — — $31,531.95 $59,051.88 $48,416.89 2025-12-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 12 — — $30,609.44 $58,763.08 $48,180.10 2025-12-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 12 — — $34,159.34 $61,722.85 $48,010.84 2025-12-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 10 — — $34,108.89 $61,658.70 $47,939.93 2025-12-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 12 — — $32,929.33 $60,158.67 $47,896.44 2025-12-29
140 MS_DRG Major Head And Neck Procedures With Mcc 21 10 — — $33,867.05 $61,351.15 $47,600.03 2025-12-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 12 — — $30,443.67 $57,634.93 $47,255.12 2025-12-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 12 — — $33,549.94 $60,947.89 $47,154.33 2025-12-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 12 — — $30,206.64 $57,293.47 $46,975.16 2025-12-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 12 — — $32,571.37 $59,703.47 $46,684.10 2025-12-29
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 23 12 — — $32,862.06 $60,073.13 $46,187.51 2025-12-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 12 — — $29,015.86 $61,580.44 $46,128.78 2025-12-29
J9226 HCPCS Supprelin La Implant 13 10 — — $45,370.25 $79,933.88 $45,560.39 2025-12-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 12 — — $28,271.13 $85,963.53 $44,944.82 2025-12-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 12 — — $28,263.92 $61,043.44 $44,933.36 2025-12-29
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 23 12 — — $31,878.69 $58,822.60 $44,805.39 2025-12-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 12 — — $28,038.10 $59,349.72 $44,574.35 2025-12-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 12 — — $29,965.60 $56,389.78 $44,546.80 2025-12-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 12 — — $31,596.81 $58,464.15 $44,409.21 2025-12-29
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 12 — — $31,467.88 $58,300.19 $44,228.00 2025-12-29
332 MS_DRG Rectal Resection With Mcc 23 12 — — $27,777.04 $57,481.50 $44,159.33 2025-12-29
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 23 12 — — $31,313.33 $58,103.65 $44,142.27 2025-12-29
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $39,592.63 $48,289.33 $43,940.98 2025-12-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 12 — — $30,832.86 $57,492.65 $43,752.55 2025-12-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 12 — — $28,058.12 $53,964.08 $43,740.22 2025-12-29
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 12 — — $30,919.34 $57,602.63 $43,457.03 2025-12-29
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 12 — — $27,276.54 $53,954.15 $43,363.65 2025-12-29
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 12 — — $27,162.83 $55,736.63 $43,182.87 2025-12-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 12 — — $27,428.69 $53,163.66 $42,888.01 2025-12-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 12 — — $29,218.46 $55,439.66 $42,115.96 2025-12-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 12 — — $28,705.15 $54,786.90 $41,975.37 2025-12-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 12 — — $27,582.45 $53,359.18 $41,726.24 2025-12-29
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 2 — — $37,589.75 $45,846.51 $41,718.13 2025-12-29
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 10 — — $25,045.62 $66,774.28 $41,218.69 2025-12-29
265 MS_DRG Aicd Lead Procedures 23 12 — — $28,565.82 $54,609.71 $41,152.75 2025-12-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 12 — — $28,437.69 $54,446.78 $40,711.23 2025-12-29
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 12 — — $25,417.11 $52,359.70 $40,407.56 2025-12-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 12 — — $26,880.15 $52,466.09 $40,375.78 2025-12-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 12 — — $28,706.76 $54,788.94 $40,347.25 2025-12-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 12 — — $28,700.35 $54,780.79 $40,338.24 2025-12-29
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 12 — — $26,089.77 $51,460.99 $40,131.58 2025-12-29
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 12 — — $25,779.86 $51,066.89 $40,121.72 2025-12-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 12 — — $28,049.31 $53,952.88 $39,912.05 2025-12-29
252 MS_DRG Other Vascular Procedures With Mcc 23 12 — — $27,470.33 $53,216.61 $39,878.76 2025-12-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 12 — — $27,539.20 $53,304.19 $39,875.06 2025-12-29
264 MS_DRG Other Circulatory System O.r. Procedures 23 12 — — $27,988.45 $53,875.48 $39,682.66 2025-12-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 12 — — $28,192.65 $54,135.16 $39,624.67 2025-12-29
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 12 — — $24,874.97 $68,920.94 $39,545.68 2025-12-29
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 23 12 — — $26,175.46 $51,569.95 $39,479.17 2025-12-29
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $39,346.50 $39,346.50 $39,346.50 2025-12-29
652 MS_DRG Kidney Transplant 23 12 — — $24,595.49 $49,919.89 $39,101.38 2025-12-29
37 MS_DRG Extracranial Procedures With Mcc 23 12 — — $26,593.47 $52,101.53 $39,084.51 2025-12-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 10 — — $27,807.47 $53,645.34 $39,083.30 2025-12-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 12 — — $27,746.61 $53,567.94 $38,997.76 2025-12-29
665 MS_DRG Prostatectomy With Mcc 23 12 — — $27,495.96 $53,249.20 $38,645.48 2025-12-29
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 12 — — $24,694.79 $49,687.03 $38,588.72 2025-12-29
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 12 — — $25,537.22 $50,758.33 $37,968.37 2025-12-29
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 2 — — $34,090.88 $41,579.10 $37,834.99 2025-12-29
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $37,757.64 $61,167.38 $37,757.64 2025-12-29
33270 HCPCS Ins/rep Subq Defibrillator 12 10 — — $37,757.64 $61,726.54 $37,757.64 2025-12-29
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 10 — — $37,757.64 $61,726.54 $37,757.64 2025-12-29
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 10 — — $35,922.25 $61,167.38 $37,757.64 2025-12-29
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 10 — — $37,757.64 $61,726.54 $37,757.64 2025-12-29
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 11 — — $1,293.74 $61,726.54 $37,757.64 2025-12-29
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 10 — — $37,757.64 $61,726.54 $37,757.64 2025-12-29
662 MS_DRG Minor Bladder Procedures With Mcc 23 12 — — $24,981.48 $50,051.60 $37,568.78 2025-12-29
69930 HCPCS Implant Cochlear Device 14 11 — — $1,524.81 $64,772.80 $37,458.80 2025-12-29
61958180101 NDC Ledipasvir-sofosbuvir *nfd* 90-400 Mg 26 13 $91,480.00 $31,560.60 66% off $32,018.00 $77,758.00 $37,442.76 2025-12-29
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 12 — — $23,551.26 $48,232.83 $37,246.89 2025-12-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 10 — — $26,441.32 $51,908.04 $37,163.18 2025-12-29
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 12 — — $23,487.20 $48,151.37 $37,119.86 2025-12-29
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 12 — — $24,492.99 $49,430.41 $36,987.90 2025-12-29
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 12 — — $26,100.98 $51,475.24 $36,684.84 2025-12-29
500 MS_DRG Soft Tissue Procedures With Mcc 23 12 — — $25,374.66 $50,551.61 $36,478.55 2025-12-29
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 23 12 — — $22,933.05 $49,098.59 $36,458.47 2025-12-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — — $25,660.55 $50,915.15 $36,065.81 2025-12-29
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 12 — — $24,763.66 $49,774.61 $36,007.43 2025-12-29
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 10 — — $25,586.07 $50,820.45 $35,961.14 2025-12-29
7403 APR_DRG — 2 2 — — $35,956.89 $35,956.89 $35,956.89 2025-12-29
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 9 — — $35,887.53 $58,137.80 $35,887.53 2025-12-29
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 12 10 — — $35,887.53 $58,137.80 $35,887.53 2025-12-29
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 14 11 — — $622.24 $58,137.80 $35,887.53 2025-12-29
61886 HCPCS Implant Neurostim Arrays 14 11 — — $1,010.95 $58,137.80 $35,887.53 2025-12-29
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 8 — — $35,887.53 $58,137.80 $35,887.53 2025-12-29
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 12 10 — — $35,887.53 $58,137.80 $35,887.53 2025-12-29
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 9 8 — — $35,887.53 $58,137.80 $35,887.53 2025-12-29
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 23 12 — — $25,468.36 $50,670.75 $35,795.69 2025-12-29
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 12 — — $22,466.19 $46,852.98 $35,716.26 2025-12-29
7504 APR_DRG — 2 2 — — $35,210.18 $35,210.18 $35,210.18 2025-12-29
96566 CDM Matrix Stem Custom Device 0001 26 13 $85,996.00 $29,668.62 66% off $30,098.60 $73,096.60 $35,198.16 2025-12-29
131 MS_DRG Cranial/facial Procedures W Cc/mcc 2 2 — — $31,711.84 $38,677.49 $35,194.67 2025-12-29
472 MS_DRG Cervical Spinal Fusion With Cc 23 12 — — $23,200.52 $47,786.80 $35,193.45 2025-12-29
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 23 12 — — $24,992.69 $50,065.85 $35,127.14 2025-12-29
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 12 — — $23,612.12 $48,310.23 $35,066.42 2025-12-29
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 12 — — $21,912.84 $49,622.05 $34,836.56 2025-12-29
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 10 — — $24,573.07 $49,532.24 $34,537.37 2025-12-29
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 12 — — $22,489.41 $46,882.51 $34,457.17 2025-12-29
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 12 — — $21,648.58 $45,813.25 $34,416.44 2025-12-29
974 MS_DRG HIV With Major Related Condition With Mcc 23 12 — — $23,913.22 $48,693.13 $34,206.81 2025-12-29
654 MS_DRG Major Bladder Procedures With Cc 23 12 — — $22,599.12 $47,022.02 $34,177.21 2025-12-29
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 2 — — $30,686.97 $37,427.50 $34,057.24 2025-12-29
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 12 — — $21,577.31 $45,722.61 $33,935.48 2025-12-29
570 MS_DRG Skin Debridement With Mcc 23 12 — — $24,105.41 $48,937.53 $33,880.07 2025-12-29
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 10 — — $33,478.91 $54,235.83 $33,478.91 2025-12-29
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 12 — — $21,873.61 $46,099.40 $33,402.70 2025-12-29
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 12 — — $21,007.15 $44,997.55 $33,396.71 2025-12-29
61958150101 NDC Sofosbuvir *nfd 26 13 $81,316.00 $28,054.02 65% off $28,460.60 $69,118.60 $33,282.64 2025-12-29
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 12 — — $21,172.11 $45,207.33 $33,228.80 2025-12-29
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 12 — — $22,959.48 $47,480.28 $33,153.57 2025-12-29
800 MS_DRG Splenic Procedures With Cc 23 12 — — $23,333.45 $47,955.84 $33,122.74 2025-12-29
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 12 — — $21,755.09 $45,948.69 $33,101.77 2025-12-29
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 12 — — $20,694.84 $51,336.84 $32,900.21 2025-12-29
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 12 — — $23,320.64 $47,939.55 $32,893.34 2025-12-29
668 MS_DRG Transurethral Procedures With Mcc 23 12 — — $23,353.47 $47,981.30 $32,823.22 2025-12-29
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 10 — — $23,340.66 $47,965.01 $32,805.21 2025-12-29
C9760 HCPCS Non-blind Interatrial Shunt 11 9 — — $32,386.24 $52,465.71 $32,386.24 2025-12-29
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 10 — — $22,919.44 $47,429.36 $32,213.19 2025-12-29
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 23 12 — — $22,887.41 $47,388.63 $32,168.17 2025-12-29
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 21 10 — — $22,796.92 $47,273.55 $32,040.99 2025-12-29
164 MS_DRG Major Chest Procedures With Cc 23 12 — — $20,155.91 $43,915.05 $31,801.87 2025-12-29
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 23 12 — — $20,729.28 $44,644.19 $31,782.14 2025-12-29
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 12 — — $21,247.39 $45,303.05 $31,693.34 2025-12-29
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 2 2 — — $28,261.07 $34,468.74 $31,364.90 2025-12-29
253 MS_DRG Other Vascular Procedures With Cc 23 12 — — $20,444.19 $44,281.65 $31,262.92 2025-12-29
792 MS_DRG Prematurity Without Major Problems 21 11 — — $19,616.98 $43,229.70 $31,186.64 2025-12-29
C1820 HCPCS Ans Genesis Pulse Generator 53 15 $32,472.00 $11,202.84 66% off $1.00 $77,379.00 $31,044.45 2025-12-29
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 12 — — $20,952.70 $44,928.30 $31,023.66 2025-12-29
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 13 — — $19,404.50 $46,887.42 $30,687.00 2025-12-29
503 MS_DRG Foot Procedures With Mcc 23 12 — — $21,193.73 $45,234.83 $30,678.34 2025-12-29
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 12 — — $19,605.77 $43,215.45 $30,630.24 2025-12-29
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 12 — — $19,368.73 $42,914.02 $30,345.35 2025-12-29
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 23 12 — — $20,037.39 $43,764.34 $30,262.72 2025-12-29
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 12 — — $21,491.63 $45,613.65 $30,206.41 2025-12-29
263 MS_DRG Vein Ligation And Stripping 23 12 — — $21,478.02 $45,596.34 $30,187.28 2025-12-29
347 MS_DRG Anal And Stomal Procedures With Mcc 23 12 — — $18,953.12 $42,385.50 $30,131.26 2025-12-29
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 12 — — $21,323.46 $45,399.80 $30,115.95 2025-12-29
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 12 — — $18,928.30 $42,353.93 $30,091.79 2025-12-29
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 12 — — $20,219.17 $43,995.50 $29,935.89 2025-12-29
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 23 12 — — $20,405.76 $44,232.77 $29,924.79 2025-12-29
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 23 12 — — $21,220.96 $45,269.45 $29,825.99 2025-12-29
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 12 — — $19,030.80 $42,484.28 $29,491.90 2025-12-29
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 23 12 — — $18,519.09 $41,833.55 $29,441.25 2025-12-29
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 23 12 — — $20,450.60 $44,289.80 $29,316.77 2025-12-29
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 12 — — $18,897.87 $42,315.23 $29,165.08 2025-12-29
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 23 12 — — $19,761.92 $43,414.02 $29,161.38 2025-12-29
545 MS_DRG Connective Tissue Disorders With Mcc 23 12 — — $20,235.19 $44,015.87 $29,136.71 2025-12-29
7574 APR_DRG — 2 2 — — $29,124.49 $29,124.49 $29,124.49 2025-12-29
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 12 — — $19,196.56 $42,695.07 $29,002.28 2025-12-29
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 2 — — $26,094.16 $31,825.86 $28,960.01 2025-12-29
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 23 12 — — $18,250.03 $41,491.39 $28,959.12 2025-12-29
93653 HCPCS Compre Ep Eval Tx Svt 12 10 — — $28,890.71 $46,802.95 $28,890.71 2025-12-29
93654 HCPCS Compre Ep Eval Tx Vt 12 10 — — $28,890.71 $46,802.95 $28,890.71 2025-12-29
93656 HCPCS Compre Ep Eval Abltj Atr Fib 12 10 — — $28,890.71 $46,802.95 $28,890.71 2025-12-29
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 23 12 — — $18,083.46 $41,279.57 $28,748.22 2025-12-29
C1767 HCPCS Interstim X Ssmri 28 15 $66,778.00 $23,038.41 65% off $1.00 $66,778.00 $28,691.17 2025-12-29
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 23 12 — — $18,040.22 $41,224.58 $28,679.95 2025-12-29
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 23 12 — — $18,485.46 $41,790.78 $28,570.63 2025-12-29
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 23 12 — — $18,010.59 $41,186.90 $28,563.23 2025-12-29
849 MS_DRG Radiotherapy 23 12 — — $21,389.93 $45,484.32 $28,561.56 2025-12-29
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