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

JERSEY SHORE UNIVERSITY MEDICAL CENTER

Neptune, NJ · CCN 310073 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

ARTHROSCOPY HIP W/LABRAL REPAIR

This hospital’s price: $10,126 across 41 payers · range $1,827-$23,535

Source: https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260101/221487576-1679680243_hackensack-meridian-health_standardcharges.csv · observed 2025-12-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

192,700 distinct procedures filed
45 distinct payers
5,941,810 rate rows
2026-07-17 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260520/221487576-1790297547_hmh-hospitals-corporation_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-07
Content fingerprint 047b813532c0e357… · 2,273,715,782 bytes · first seen 2026-07-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,377,500.00 $4,771,475.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $2,968,000.00 $4,422,320.00 $3,710,000.00 nat. median
$3,691,450
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,710,000.00 $4,452,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $2,661,727.90 $3,989,486.28 $3,327,159.88 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 13 $2,628,800.00 $3,913,626.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $2,374,400.00 $3,540,824.00 $2,968,000.00 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $1,883,610.42 $2,942,538.72 $2,452,115.60 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 42 $418,762.05 $2,356,676.50 $1,178,338.25 nat. median
$739,658
1.6× median
014-UR
OTHER 		Allogeneic Bone Marrow/peripheral Stem Cell (unrelated) 2 $592,137.00 $878,403.00 $859,999.00 nat. median
$825,688
1.0× median
BMT-ALLO/SCU
OTHER 		Allogeneic Bone Marrow / Stem Cell (Unrelated) Level Vi 1 $793,953.00 $882,030.00 $837,991.50 nat. median
$837,992
1.0× median
014-MINI
OTHER 		Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 1 $573,688.00 $851,034.00 $829,445.00 nat. median
$829,445
1.0× median
014-CB
OTHER 		Allogeneic Cord Blood (inpatient) 2 $573,555.00 $851,034.00 $791,175.00 nat. median
$770,212
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $655,027.00 $924,744.00 $770,620.00 nat. median
$813,967
0.9× median
BMT-MINI
OTHER 		Mini - Non-myeloablative/sub Myeloablative Bone Marrow/stem Cell 3 $215,588.00 $744,431.00 $716,246.00 nat. median
$716,246
1.0× median
014-ALLU
OTHER 		Allogeneic Bone Marrow/peripheral Stem Cell (unrelated) 4 $222,521.00 $768,372.00 $666,817.50 nat. median
$666,818
1.0× median
014-ACB
OTHER 		Allogeneic Cord Blood (inpatient) 4 $215,588.00 $744,431.00 $645,973.00 nat. median
$645,973
1.0× median
014-HAP
OTHER 		Haploidentical ? Level Vi 1 $609,820.00 $609,820.00 $609,820.00 nat. median
$609,820
1.0× median
BMTALLOCBI
OTHER 		Allogeneic Cord Blood (Inpatient) ? Level Vi 1 $554,886.00 $616,540.00 $585,713.00 nat. median
$585,713
1.0× median
BMTH
OTHER 		Haploidentical ? Level Vi 1 $554,886.00 $616,540.00 $585,713.00 nat. median
$585,713
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $406,149.60 $664,054.60 $553,378.83 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 18 $397,112.17 $963,343.37 $541,635.66 nat. median
$637,620
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 18 $402,763.62 $984,944.05 $541,260.45 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 18 $391,309.53 $912,393.94 $533,076.48 nat. median
$607,251
0.9× median
BMT-AUTO-ALLOU
OTHER 		Autologous/Allogeneic Unrelated 1 $491,920.00 $543,400.00 $517,660.00 nat. median
$517,660
1.0× median
014-R
OTHER 		Allogeneic Bone Marrow/peripheral Stem Cell (related) 2 $369,927.00 $548,768.00 $510,170.00 nat. median
$403,789
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 18 $359,552.00 $906,289.40 $489,720.00 nat. median
$589,091
0.8× median
016-IP
OTHER 		Autologous Bone Marrow Transplant (inpatient) 1 $459,094.00 $459,094.00 $459,094.00 nat. median
$459,094
1.0× median
017-IP
OTHER 		Autologous Bone Marrow Transplant (inpatient) 1 $459,094.00 $459,094.00 $459,094.00 nat. median
$459,094
1.0× median
BMT-ALLO/SCR
OTHER 		Allogeneic Bone Marrow / Stem Cell (Related) ? Level IV 1 $434,095.00 $481,908.00 $458,001.50 nat. median
$458,002
1.0× median
BMT-AUTO-ALLOR
OTHER 		Autologous/Allogeneic Related 1 $433,576.00 $469,040.00 $451,308.00 nat. median
$451,308
1.0× median
BMTDC
OTHER 		Double Cord 1 $448,448.00 $451,880.00 $450,164.00 nat. median
$450,164
1.0× median
BMT-AUTO/SCI
OTHER 		Autologous Bone Marrow / Stem Cell (Inpatient) ? Level Iii 1 $417,738.00 $464,292.00 $441,015.00 nat. median
$441,015
1.0× median
017-AUTO
OTHER 		Autologous Bone Marrow Transplant (inpatient) 4 $139,017.00 $480,028.00 $416,583.50 nat. median
$416,584
1.0× median
016-AUTO
OTHER 		Autologous Bone Marrow Transplant (inpatient) 4 $139,017.00 $480,028.00 $416,583.50 nat. median
$416,584
1.0× median
014-ALLR
OTHER 		Allogeneic Bone Marrow/peripheral Stem Cell (related) 4 $139,017.00 $480,028.00 $416,583.50 nat. median
$416,584
1.0× median
014-BMTALLOU
OTHER 		Allogeneic Unrelated - Inpatient 2 $410,467.00 $410,467.00 $410,467.00 nat. median
$410,467
1.0× median
BMT-AUTO-AUTO
OTHER 		Autologous/Autologous 1 $337,480.00 $366,080.00 $351,780.00 nat. median
$351,780
1.0× median
017-OP
OTHER 		Autologous Bone Marrow Transplant (outpatient) 2 $269,933.00 $399,466.00 $332,478.00 nat. median
$312,864
1.1× median
016-OP
OTHER 		Autologous Bone Marrow Transplant (outpatient) 2 $269,933.00 $399,466.00 $332,478.00 nat. median
$312,864
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 $11,423.00 $1,608,790.34 $331,878.88 nat. median
$360,195
0.9× median
5834
APR_DRG 		Neonate W Ecmo 1 $316,441.14 $316,441.14 $316,441.14 nat. median
$309,665
1.0× median
'583-4
OTHER 		Neonate W Ecmo 4 $253,152.91 $316,441.14 $316,441.14 nat. median
$221,551
1.4× median
014-BMTALLOR
OTHER 		Allogeneic Related - Inpatient 2 $313,227.00 $313,227.00 $313,227.00 nat. median
$313,227
1.0× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $302,757.14 $302,757.14 $302,757.14 nat. median
$249,123
1.2× median
'588-4
OTHER 		Neonate Bwt <1500g W Major Procedure 4 $242,205.71 $302,757.14 $302,757.14 nat. median
$202,324
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $16,183.00 $1,517,844.00 $271,557.94 nat. median
$247,805
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $324,450.00 $270,375.00 nat. median
$319,951
0.8× median
BMT-AUTO/SCO
OTHER 		Autologous Bone Marrow / Stem Cell (Outpatient) ? Level I 1 $254,166.00 $281,847.00 $268,006.50 nat. median
$268,006
1.0× median

Other procedures at this hospital

Browse this hospital's 192,700 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 14 6 — $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 25 13 — $3,685,266.67 $2,968,000.00 $4,422,320.00 $3,710,000.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 16 7 — $3,710,000.00 $3,710,000.00 $4,452,000.00 $3,710,000.00 2025-12-31
C9172 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2024-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 13 — $3,324,571.90 $2,661,727.90 $3,989,486.28 $3,327,159.88 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 25 13 — $3,261,355.00 $2,628,800.00 $3,913,626.00 $3,286,000.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 25 13 — $2,950,686.67 $2,374,400.00 $3,540,824.00 $2,968,000.00 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 25 13 — $2,452,115.60 $1,883,610.42 $2,942,538.72 $2,452,115.60 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 16 7 — $2,332,000.00 $2,332,000.00 $2,798,400.00 $2,332,000.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 129 42 $2,356,676.50 $578,324.58 75% off $418,762.05 $2,356,676.50 $1,178,338.25 2025-12-31
014-UR OTHER Allogeneic Bone Marrow/peripheral Stem Cell (unrelated) 14 2 — — $592,137.00 $878,403.00 $859,999.00 2025-12-31
BMT-ALLO/SCU OTHER Allogeneic Bone Marrow / Stem Cell (Unrelated) Level Vi 4 1 — — $793,953.00 $882,030.00 $837,991.50 2024-12-31
014-MINI OTHER Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 10 1 — — $573,688.00 $851,034.00 $829,445.00 2025-12-31
014-CB OTHER Allogeneic Cord Blood (inpatient) 14 2 — — $573,555.00 $851,034.00 $791,175.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 18 8 — $770,620.00 $655,027.00 $924,744.00 $770,620.00 2025-12-31
BMT-MINI OTHER Mini - Non-myeloablative/sub Myeloablative Bone Marrow/stem Cell 6 3 — — $215,588.00 $744,431.00 $716,246.00 2024-12-31
014-ALLU OTHER Allogeneic Bone Marrow/peripheral Stem Cell (unrelated) 8 4 — — $222,521.00 $768,372.00 $666,817.50 2025-12-31
014-ACB OTHER Allogeneic Cord Blood (inpatient) 8 4 — — $215,588.00 $744,431.00 $645,973.00 2025-12-31
014-HAP OTHER Haploidentical ? Level Vi 4 1 — — $609,820.00 $609,820.00 $609,820.00 2025-12-31
BMTALLOCBI OTHER Allogeneic Cord Blood (Inpatient) ? Level Vi 4 1 — — $554,886.00 $616,540.00 $585,713.00 2024-12-31
BMTH OTHER Haploidentical ? Level Vi 4 1 — — $554,886.00 $616,540.00 $585,713.00 2024-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 30 16 — $553,378.83 $406,149.60 $664,054.60 $553,378.83 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 36 18 — $541,635.66 $397,112.17 $963,343.37 $541,635.66 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 36 18 — $541,260.45 $402,763.62 $984,944.05 $541,260.45 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 36 18 — $533,076.48 $391,309.53 $912,393.94 $533,076.48 2025-12-31
BMT-AUTO-ALLOU OTHER Autologous/Allogeneic Unrelated 2 1 — — $491,920.00 $543,400.00 $517,660.00 2024-12-31
014-R OTHER Allogeneic Bone Marrow/peripheral Stem Cell (related) 14 2 — — $369,927.00 $548,768.00 $510,170.00 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 36 18 — $489,720.00 $359,552.00 $906,289.40 $489,720.00 2025-12-31
016-IP OTHER Autologous Bone Marrow Transplant (inpatient) 4 1 — — $459,094.00 $459,094.00 $459,094.00 2025-12-31
017-IP OTHER Autologous Bone Marrow Transplant (inpatient) 4 1 — — $459,094.00 $459,094.00 $459,094.00 2025-12-31
BMT-ALLO/SCR OTHER Allogeneic Bone Marrow / Stem Cell (Related) ? Level IV 4 1 — — $434,095.00 $481,908.00 $458,001.50 2024-12-31
BMT-AUTO-ALLOR OTHER Autologous/Allogeneic Related 2 1 — — $433,576.00 $469,040.00 $451,308.00 2024-12-31
BMTDC OTHER Double Cord 2 1 — — $448,448.00 $451,880.00 $450,164.00 2024-12-31
BMT-AUTO/SCI OTHER Autologous Bone Marrow / Stem Cell (Inpatient) ? Level Iii 4 1 — — $417,738.00 $464,292.00 $441,015.00 2024-12-31
017-AUTO OTHER Autologous Bone Marrow Transplant (inpatient) 8 4 — — $139,017.00 $480,028.00 $416,583.50 2025-12-31
016-AUTO OTHER Autologous Bone Marrow Transplant (inpatient) 8 4 — — $139,017.00 $480,028.00 $416,583.50 2025-12-31
014-ALLR OTHER Allogeneic Bone Marrow/peripheral Stem Cell (related) 8 4 — — $139,017.00 $480,028.00 $416,583.50 2025-12-31
014-BMTALLOU OTHER Allogeneic Unrelated - Inpatient 3 2 — — $410,467.00 $410,467.00 $410,467.00 2025-12-31
BMT-AUTO-AUTO OTHER Autologous/Autologous 2 1 — — $337,480.00 $366,080.00 $351,780.00 2024-12-31
017-OP OTHER Autologous Bone Marrow Transplant (outpatient) 14 2 — — $269,933.00 $399,466.00 $332,478.00 2025-12-31
016-OP OTHER Autologous Bone Marrow Transplant (outpatient) 14 2 — — $269,933.00 $399,466.00 $332,478.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 66 27 — $319,935.78 $11,423.00 $1,608,790.34 $331,878.88 2025-12-31
5834 APR_DRG Neonate W Ecmo 2 1 — — $316,441.14 $316,441.14 $316,441.14 2025-12-31
'583-4 OTHER Neonate W Ecmo 4 4 — — $253,152.91 $316,441.14 $316,441.14 2024-12-31
014-BMTALLOR OTHER Allogeneic Related - Inpatient 3 2 — — $313,227.00 $313,227.00 $313,227.00 2025-12-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $302,757.14 $302,757.14 $302,757.14 2025-12-31
'588-4 OTHER Neonate Bwt <1500g W Major Procedure 4 4 — — $242,205.71 $302,757.14 $302,757.14 2024-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 88 31 — $238,965.21 $16,183.00 $1,517,844.00 $271,557.94 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 7 — $270,375.00 $270,375.00 $324,450.00 $270,375.00 2025-12-31
BMT-AUTO/SCO OTHER Autologous Bone Marrow / Stem Cell (Outpatient) ? Level I 4 1 — — $254,166.00 $281,847.00 $268,006.50 2024-12-31
'002-4 OTHER Heart &/or Lung Transplant 4 4 — — $208,784.94 $260,981.18 $260,981.18 2024-12-31
24 APR_DRG Heart &/or Lung Transplant 2 1 — — $260,981.18 $260,981.18 $260,981.18 2025-12-31
'591-4 OTHER Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $203,406.14 $254,257.68 $254,257.68 2024-12-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $254,257.68 $254,257.68 $254,257.68 2025-12-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 1 — — $248,123.44 $248,123.44 $248,123.44 2025-12-31
'161-4 OTHER Cardiac Defibrillator & Heart Assist Implant 4 4 — — $198,498.75 $248,123.44 $248,123.44 2024-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 90 32 — $201,251.90 $16,183.00 $1,056,576.00 $246,740.21 2025-12-31
'841-4 OTHER Extensive 3rd Degree Burns W Skin Graft 4 4 — — $192,603.84 $240,754.80 $240,754.80 2024-12-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $240,754.80 $240,754.80 $240,754.80 2025-12-31
34 APR_DRG Bone Marrow Transplant 2 1 — — $232,289.98 $232,289.98 $232,289.98 2025-12-31
'003-4 OTHER Bone Marrow Transplant 4 4 — — $185,831.98 $232,289.98 $232,289.98 2024-12-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $226,194.95 $226,194.95 $226,194.95 2025-12-31
'588-3 OTHER Neonate Bwt <1500g W Major Procedure 4 4 — — $180,955.96 $226,194.95 $226,194.95 2024-12-31
'583-3 OTHER Neonate W Ecmo 4 4 — — $169,295.34 $211,619.18 $211,619.18 2024-12-31
5833 APR_DRG Neonate W Ecmo 2 1 — — $211,619.18 $211,619.18 $211,619.18 2025-12-31
'593-4 OTHER Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $167,102.16 $208,877.70 $208,877.70 2024-12-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $208,877.70 $208,877.70 $208,877.70 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 90 32 — $181,814.55 $16,183.00 $1,051,570.00 $207,672.74 2025-12-31
017-BMTAUTO OTHER Autologous, Inpatient 6 2 — — $199,056.00 $208,208.00 $203,632.00 2025-12-31
016-BMTAUTO OTHER Autologous, Inpatient 6 2 — — $199,056.00 $208,208.00 $203,632.00 2025-12-31
'001-4 OTHER Liver Transplant &/or Intestinal Transplant 4 4 — — $156,230.61 $195,288.26 $195,288.26 2024-12-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $195,288.26 $195,288.26 $195,288.26 2025-12-31
'591-3 OTHER Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $144,085.86 $180,107.32 $180,107.32 2024-12-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $180,107.32 $180,107.32 $180,107.32 2025-12-31
'006-4 OTHER Pancreas Transplant 4 4 — — $143,352.28 $179,190.35 $179,190.35 2024-12-31
64 APR_DRG Pancreas Transplant 2 1 — — $179,190.35 $179,190.35 $179,190.35 2025-12-31
'004-4 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $142,294.28 $177,867.85 $177,867.85 2024-12-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $177,867.85 $177,867.85 $177,867.85 2025-12-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $175,572.64 $175,572.64 $175,572.64 2025-12-31
'609-4 OTHER Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $140,458.11 $175,572.64 $175,572.64 2024-12-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $175,054.34 $175,054.34 $175,054.34 2025-12-31
'589-1 OTHER Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $140,043.47 $175,054.34 $175,054.34 2024-12-31
'002-3 OTHER Heart &/or Lung Transplant 4 4 — — $132,424.14 $165,530.17 $165,530.17 2024-12-31
23 APR_DRG Heart &/or Lung Transplant 2 1 — — $165,530.17 $165,530.17 $165,530.17 2025-12-31
'603-4 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $132,352.74 $165,440.92 $165,440.92 2024-12-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $165,440.92 $165,440.92 $165,440.92 2025-12-31
'602-4 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $128,690.12 $160,862.65 $160,862.65 2024-12-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $160,862.65 $160,862.65 $160,862.65 2025-12-31
Sx00000083551_IP CDM Kit Implant Controller Heartmate 3lvad 1 Hm3 2 1 — — $160,583.47 $160,583.47 $160,583.47 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 3 — — $130,249.99 $270,421.41 $159,873.55 2025-12-31
650-SOTK OTHER Kidney (living Donor And Deceased Donor) 6 2 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
652-SOTK OTHER Kidney (living Donor And Deceased Donor) 6 2 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
651-SOTK OTHER Kidney (living Donor And Deceased Donor) 6 2 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
256100_IP CDM Kit Implant Controller Heartma 2 1 — — $148,388.40 $148,388.40 $148,388.40 2025-12-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $146,256.82 $146,256.82 $146,256.82 2025-12-31
'593-3 OTHER Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $117,005.46 $146,256.82 $146,256.82 2024-12-31
'591-2 OTHER Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $116,032.88 $145,041.10 $145,041.10 2024-12-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $145,041.10 $145,041.10 $145,041.10 2025-12-31
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $115,775.75 $144,719.69 $144,719.69 2024-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $144,719.69 $144,719.69 $144,719.69 2025-12-31
33 APR_DRG Bone Marrow Transplant 2 1 — — $140,969.67 $140,969.67 $140,969.67 2025-12-31
'003-3 OTHER Bone Marrow Transplant 4 4 — — $112,775.74 $140,969.67 $140,969.67 2024-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 90 32 — $119,871.57 $16,183.00 $656,273.00 $139,625.46 2025-12-31
22 APR_DRG Heart &/or Lung Transplant 2 1 — — $137,748.49 $137,748.49 $137,748.49 2025-12-31
'002-2 OTHER Heart &/or Lung Transplant 4 4 — — $110,198.79 $137,748.49 $137,748.49 2024-12-31
'630-4 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $107,819.63 $134,774.54 $134,774.54 2024-12-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $134,774.54 $134,774.54 $134,774.54 2025-12-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $133,418.45 $133,418.45 $133,418.45 2025-12-31
'303-4 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $106,734.76 $133,418.45 $133,418.45 2024-12-31
Sx00000018475_IP CDM Device Ventricular Assist Heartmate Ii Lvas 2 1 — — $130,200.00 $130,200.00 $130,200.00 2025-12-31
111557_IP CDM Dev Vntrc Ast Hrtmt 2 Lvas 2 1 — — $129,937.80 $129,937.80 $129,937.80 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 88 31 — $93,485.40 $16,183.00 $771,416.00 $129,496.41 2025-12-31
'607-4 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $102,767.53 $128,459.41 $128,459.41 2024-12-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $128,459.41 $128,459.41 $128,459.41 2025-12-31
'842-4 OTHER Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $100,935.42 $126,169.28 $126,169.28 2024-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 2 1 — — $126,169.28 $126,169.28 $126,169.28 2025-12-31
'004-3 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $98,900.98 $123,626.22 $123,626.22 2024-12-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $123,626.22 $123,626.22 $123,626.22 2025-12-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $123,279.66 $123,279.66 $123,279.66 2025-12-31
'162-4 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $98,623.73 $123,279.66 $123,279.66 2024-12-31
7 MS_DRG Lung Transplant 84 30 — $110,868.90 $16,183.00 $612,124.00 $122,968.40 2025-12-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $122,791.96 $122,791.96 $122,791.96 2025-12-31
'589-2 OTHER Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $98,233.57 $122,791.96 $122,791.96 2024-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $120,888.20 $120,888.20 $120,888.20 2025-12-31
'910-4 OTHER Craniotomy For Multiple Significant Trauma 4 4 — — $96,710.56 $120,888.20 $120,888.20 2024-12-31
'608-4 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $95,877.66 $119,847.07 $119,847.07 2024-12-31
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $119,847.07 $119,847.07 $119,847.07 2025-12-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $119,648.81 $119,648.81 $119,648.81 2025-12-31
'631-4 OTHER Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $95,719.05 $119,648.81 $119,648.81 2024-12-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $119,497.59 $119,497.59 $119,497.59 2025-12-31
'005-4 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $95,598.07 $119,497.59 $119,497.59 2024-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 65 28 — $97,228.32 $11,423.00 $558,909.69 $116,673.91 2025-12-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $116,197.23 $116,197.23 $116,197.23 2025-12-31
'602-3 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $92,957.78 $116,197.23 $116,197.23 2024-12-31
8634 APR_DRG Neonatal Aftercare 2 1 — — $114,598.67 $114,598.67 $114,598.67 2025-12-31
'863-4 OTHER Neonatal Aftercare 4 4 — — $91,678.94 $114,598.67 $114,598.67 2024-12-31
BMTAUTO OTHER Autologous Bone Marrow Transplant (outpatient) 6 4 — — $83,411.00 $144,144.00 $113,777.50 2025-12-31
63 APR_DRG Pancreas Transplant 2 1 — — $113,245.80 $113,245.80 $113,245.80 2025-12-31
'006-3 OTHER Pancreas Transplant 4 4 — — $90,596.64 $113,245.80 $113,245.80 2024-12-31
'583-2 OTHER Neonate W Ecmo 4 4 — — $90,300.64 $112,875.80 $112,875.80 2024-12-31
5832 APR_DRG Neonate W Ecmo 2 1 — — $112,875.80 $112,875.80 $112,875.80 2025-12-31
4404 APR_DRG Kidney Transplant 2 1 — — $112,138.48 $112,138.48 $112,138.48 2025-12-31
'440-4 OTHER Kidney Transplant 4 4 — — $89,710.78 $112,138.48 $112,138.48 2024-12-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $110,776.39 $110,776.39 $110,776.39 2025-12-31
'588-2 OTHER Neonate Bwt <1500g W Major Procedure 4 4 — — $88,621.11 $110,776.39 $110,776.39 2024-12-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $110,073.06 $110,073.06 $110,073.06 2025-12-31
'001-3 OTHER Liver Transplant &/or Intestinal Transplant 4 4 — — $88,058.45 $110,073.06 $110,073.06 2024-12-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $109,816.21 $109,816.21 $109,816.21 2025-12-31
'593-2 OTHER Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $87,852.97 $109,816.21 $109,816.21 2024-12-31
'002-1 OTHER Heart &/or Lung Transplant 4 4 — — $85,487.16 $106,858.95 $106,858.95 2024-12-31
21 APR_DRG Heart &/or Lung Transplant 2 1 — — $106,858.95 $106,858.95 $106,858.95 2025-12-31
215 MS_DRG Other Heart Assist System Implant 99 34 — $89,880.77 $16,183.00 $740,577.00 $104,782.06 2025-12-31
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $104,542.75 $104,542.75 $104,542.75 2025-12-31
'591-1 OTHER Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $83,634.20 $104,542.75 $104,542.75 2024-12-31
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $83,631.13 $104,538.91 $104,538.91 2024-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 2 1 — — $104,538.91 $104,538.91 $104,538.91 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 62 27 — $92,418.18 $16,183.00 $464,722.88 $104,299.95 2025-12-31
Sx00000253884_IP CDM Nail Intramedullary Extendable Femoral Distal Jts C23676 2 1 — — $104,160.00 $104,160.00 $104,160.00 2025-12-31
Sx00000221841_IP CDM Implant Knee Distal Femoral Cemented Custom Latex Free Sterile My3d 2 1 — — $104,160.00 $104,160.00 $104,160.00 2025-12-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $103,568.42 $103,568.42 $103,568.42 2025-12-31
'611-4 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $82,854.74 $103,568.42 $103,568.42 2024-12-31
Sx00000069838_IP CDM Jts Implant Set 2 1 — — $103,416.00 $103,416.00 $103,416.00 2025-12-31
'161-3 OTHER Cardiac Defibrillator & Heart Assist Implant 4 4 — — $82,724.85 $103,406.06 $103,406.06 2024-12-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 1 — — $103,406.06 $103,406.06 $103,406.06 2025-12-31
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 2 — — $103,385.13 $103,385.13 $103,385.13 2024-12-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $101,730.24 $101,730.24 $101,730.24 2025-12-31
'304-4 OTHER Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $81,384.19 $101,730.24 $101,730.24 2024-12-31
5831 APR_DRG Neonate W Ecmo 2 1 — — $101,588.17 $101,588.17 $101,588.17 2025-12-31
'583-1 OTHER Neonate W Ecmo 4 4 — — $81,270.54 $101,588.17 $101,588.17 2024-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 84 30 — $90,343.97 $16,183.00 $589,336.00 $101,370.90 2025-12-31
'006-2 OTHER Pancreas Transplant 4 4 — — $81,026.81 $101,283.51 $101,283.51 2024-12-31
62 APR_DRG Pancreas Transplant 2 1 — — $101,283.51 $101,283.51 $101,283.51 2025-12-31
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $80,960.58 $101,200.72 $101,200.72 2024-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 2 1 — — $101,200.72 $101,200.72 $101,200.72 2025-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 118 41 $129,984.00 $56,824.55 56% off $21,577.34 $132,443.38 $100,997.57 2025-12-31
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $99,698.72 $99,698.72 $99,698.72 2025-12-31
'588-1 OTHER Neonate Bwt <1500g W Major Procedure 4 4 — — $79,758.98 $99,698.72 $99,698.72 2024-12-31
'612-4 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $79,612.60 $99,515.75 $99,515.75 2024-12-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $99,515.75 $99,515.75 $99,515.75 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 15 — $88,867.85 $16,183.00 $446,870.09 $98,981.51 2025-12-31
'303-3 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $78,572.56 $98,215.70 $98,215.70 2024-12-31
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $98,215.70 $98,215.70 $98,215.70 2025-12-31
B1904 HCPCS Guillain-barr? M <38.50 3 2 — — $97,868.83 $97,868.83 $97,868.83 2024-12-31
Sx00000066257_IP CDM Controller Impella Packaged 2 1 — — $96,720.00 $96,720.00 $96,720.00 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 97 34 — $81,874.91 $54,906.00 $564,417.00 $95,493.23 2025-12-31
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 2 1 — — $95,318.24 $95,318.24 $95,318.24 2025-12-31
'167-4 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $76,254.59 $95,318.24 $95,318.24 2024-12-31
'603-3 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $76,015.18 $95,018.97 $95,018.97 2024-12-31
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $95,018.97 $95,018.97 $95,018.97 2025-12-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $94,684.09 $94,684.09 $94,684.09 2025-12-31
'609-3 OTHER Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $75,747.27 $94,684.09 $94,684.09 2024-12-31
'690-4 OTHER Acute Leukemia 4 4 — — $75,670.15 $94,587.69 $94,587.69 2024-12-31
6904 APR_DRG Acute Leukemia 2 1 — — $94,587.69 $94,587.69 $94,587.69 2025-12-31
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
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 2 1 — — $93,842.00 $93,842.00 $93,842.00 2025-12-31
'165-4 OTHER Coronary Bypass W Ami Or Complex Pdx 4 4 — — $75,073.60 $93,842.00 $93,842.00 2024-12-31
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $93,647.65 $93,647.65 $93,647.65 2025-12-31
'001-2 OTHER Liver Transplant &/or Intestinal Transplant 4 4 — — $74,918.12 $93,647.65 $93,647.65 2024-12-31
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $93,055.94 $93,055.94 $93,055.94 2025-12-31
'841-3 OTHER Extensive 3rd Degree Burns W Skin Graft 4 4 — — $74,444.75 $93,055.94 $93,055.94 2024-12-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $91,885.89 $91,885.89 $91,885.89 2025-12-31
'607-3 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $73,508.71 $91,885.89 $91,885.89 2024-12-31
'090-4 OTHER Major Larynx & Trachea Procedures 4 4 — — $72,763.38 $90,954.23 $90,954.23 2024-12-31
904 APR_DRG Major Larynx & Trachea Procedures 2 1 — — $90,954.23 $90,954.23 $90,954.23 2025-12-31
Sx00000221055_IP CDM Implant Knee Femoral Component Distal Latex Free Sterile Extendable Jts My3d 2 1 — — $90,768.00 $90,768.00 $90,768.00 2025-12-31
214 APR_DRG Craniotomy Except For Trauma 2 1 — — $89,939.77 $89,939.77 $89,939.77 2025-12-31
'021-4 OTHER Craniotomy Except For Trauma 4 4 — — $71,951.82 $89,939.77 $89,939.77 2024-12-31
Sx00000258887_IP CDM Stem Humeral Shoulder Extended Patient Specific C23752 2 1 — — $89,927.28 $89,927.28 $89,927.28 2025-12-31
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 2 1 — — $88,538.17 $88,538.17 $88,538.17 2025-12-31
'911-4 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 4 — — $70,830.54 $88,538.17 $88,538.17 2024-12-31
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 2 1 — — $88,454.68 $88,454.68 $88,454.68 2025-12-31
'613-4 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $70,763.74 $88,454.68 $88,454.68 2024-12-31
'001-1 OTHER Liver Transplant &/or Intestinal Transplant 4 4 — — $70,754.89 $88,443.61 $88,443.61 2024-12-31
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $88,443.61 $88,443.61 $88,443.61 2025-12-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 2 1 — — $88,050.16 $88,050.16 $88,050.16 2025-12-31
'912-4 OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $70,440.13 $88,050.16 $88,050.16 2024-12-31
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $87,837.29 $87,837.29 $87,837.29 2025-12-31
'589-3 OTHER Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $70,269.83 $87,837.29 $87,837.29 2024-12-31
'680-4 OTHER Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $70,150.95 $87,688.69 $87,688.69 2024-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $87,688.69 $87,688.69 $87,688.69 2025-12-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $87,529.78 $87,529.78 $87,529.78 2025-12-31
'602-2 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $70,023.82 $87,529.78 $87,529.78 2024-12-31
4014 APR_DRG Pituitary & Adrenal Procedures 2 1 — — $87,381.03 $87,381.03 $87,381.03 2025-12-31
'401-4 OTHER Pituitary & Adrenal Procedures 4 4 — — $69,904.82 $87,381.03 $87,381.03 2024-12-31
850 MS_DRG Acute Leukemia With Other Procedures 44 15 — $78,148.97 $16,183.00 $392,970.44 $87,100.09 2025-12-31
Sx00000069838-74836 CDM Jts Implant Set 68 16 $172,360.00 — $31,024.80 $146,506.00 $86,180.00 2025-12-31
'023-4 OTHER Spinal Procedures 4 4 — — $68,849.53 $86,061.91 $86,061.91 2024-12-31
234 APR_DRG Spinal Procedures 2 1 — — $86,061.91 $86,061.91 $86,061.91 2025-12-31
32 APR_DRG Bone Marrow Transplant 2 1 — — $85,718.59 $85,718.59 $85,718.59 2025-12-31
'003-2 OTHER Bone Marrow Transplant 4 4 — — $68,574.87 $85,718.59 $85,718.59 2024-12-31
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 1 — — $85,322.14 $85,322.14 $85,322.14 2025-12-31
'621-4 OTHER Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $68,257.71 $85,322.14 $85,322.14 2024-12-31
Sx00000069838 CDM Jts Implant Set 37 17 $172,360.00 — $31,024.80 $167,189.20 $85,318.20 2024-12-31
'004-2 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $68,177.76 $85,222.20 $85,222.20 2024-12-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 1 — — $85,222.20 $85,222.20 $85,222.20 2025-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 32 18 — $75,175.51 $74,730.91 $479,356.00 $85,043.06 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 34 — $71,848.29 $16,183.00 $524,434.00 $84,836.26 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 90 32 — $68,386.18 $16,183.00 $599,152.00 $83,887.76 2025-12-31
Sx00000055865_IP CDM Tibial Replacement Extendibile 50mm Ps 2 1 — — $83,863.68 $83,863.68 $83,863.68 2025-12-31
Sx00000094377_IP CDM Graft Cartilage Membrane Collagen Maci 3x5cm 81073 2 1 — — $83,582.45 $83,582.45 $83,582.45 2025-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $82,886.47 $82,886.47 $82,886.47 2025-12-31
'681-4 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $66,309.18 $82,886.47 $82,886.47 2024-12-31
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 2 — — $82,779.11 $82,779.11 $82,779.11 2024-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 99 34 — $71,888.16 $16,183.00 $482,693.00 $82,614.12 2025-12-31
'321-4 OTHER Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 4 4 — — $65,711.76 $82,139.70 $82,139.70 2024-12-31
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 2 1 — — $82,139.70 $82,139.70 $82,139.70 2025-12-31
'166-4 OTHER Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $65,689.43 $82,111.79 $82,111.79 2024-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 2 1 — — $82,111.79 $82,111.79 $82,111.79 2025-12-31
'005-3 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $65,451.92 $81,814.90 $81,814.90 2024-12-31
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $81,814.90 $81,814.90 $81,814.90 2025-12-31
Sx00000249509_IP CDM Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse Vivistim Titani… 2 1 — — $81,774.00 $81,774.00 $81,774.00 2025-12-31
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $81,751.40 $81,751.40 $81,751.40 2025-12-31
'608-3 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $65,401.12 $81,751.40 $81,751.40 2024-12-31
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 2 — — $81,451.32 $81,451.32 $81,451.32 2024-12-31
'260-4 OTHER Major Pancreas, Liver & Shunt Procedures 4 4 — — $64,900.32 $81,125.40 $81,125.40 2024-12-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 2 1 — — $81,125.40 $81,125.40 $81,125.40 2025-12-31
Sx00000287717_IP CDM System Replacement Pulse Generator Spine 2 Lead Accessories Prospera 478618 2 1 — — $81,110.88 $81,110.88 $81,110.88 2025-12-31
131 MS_DRG Cranial/facial Procedures W Cc/mcc 6 3 — — $73,735.00 $132,668.00 $80,820.50 2024-12-31
'020-4 OTHER Craniotomy For Trauma 4 4 — — $64,398.35 $80,497.94 $80,497.94 2024-12-31
204 APR_DRG Craniotomy For Trauma 2 1 — — $80,497.94 $80,497.94 $80,497.94 2025-12-31
'169-4 OTHER Major Abdominal Vascular Procedures 4 4 — — $63,862.30 $79,827.88 $79,827.88 2024-12-31
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $79,827.88 $79,827.88 $79,827.88 2025-12-31
Sx00000066257 CDM Controller Impella Packaged 37 17 $161,200.00 — $29,016.00 $156,364.00 $79,794.00 2024-12-31
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 2 — — $79,109.25 $79,109.25 $79,109.25 2024-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 15 — $70,757.31 $16,183.00 $355,801.66 $78,906.76 2025-12-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $78,820.19 $78,820.19 $78,820.19 2025-12-31
'950-4 OTHER Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $63,056.15 $78,820.19 $78,820.19 2024-12-31
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $78,767.92 $78,767.92 $78,767.92 2025-12-31
'022-4 OTHER Ventricular Shunt Procedures 4 4 — — $63,014.34 $78,767.92 $78,767.92 2024-12-31
'089-4 OTHER Major Cranial/facial Bone Procedures 4 4 — — $62,992.94 $78,741.17 $78,741.17 2024-12-31
894 APR_DRG Major Cranial/facial Bone Procedures 2 1 — — $78,741.17 $78,741.17 $78,741.17 2025-12-31
6954 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $78,526.53 $78,526.53 $78,526.53 2025-12-31
'695-4 OTHER Chemotherapy For Acute Leukemia 4 4 — — $62,821.22 $78,526.53 $78,526.53 2024-12-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 2 1 — — $78,467.64 $78,467.64 $78,467.64 2025-12-31
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 4 4 — — $62,774.11 $78,467.64 $78,467.64 2024-12-31
'162-3 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $62,703.88 $78,379.85 $78,379.85 2024-12-31
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $78,379.85 $78,379.85 $78,379.85 2025-12-31
128784 CDM Cadaver Donor Kidney Acquisit 31 16 $93,500.00 — $15,521.00 $87,890.00 $77,605.00 2024-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 99 34 — $66,310.27 $16,183.00 $438,946.00 $77,434.29 2025-12-31
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 2 1 — — $77,380.08 $77,380.08 $77,380.08 2025-12-31
'220-4 OTHER Major Stomach, Esophageal & Duodenal Procedures 4 4 — — $61,904.06 $77,380.08 $77,380.08 2024-12-31
8010000021-108131 CDM Cadaver Donor Kidney Acquisit 64 15 $93,500.00 — $15,521.00 $93,500.00 $77,123.48 2025-12-31
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 2 — — $77,036.90 $77,036.90 $77,036.90 2024-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 34 — $65,640.93 $16,183.00 $442,044.00 $76,657.68 2025-12-31
244 APR_DRG Extracranial Vascular Procedures 2 1 — — $76,399.22 $76,399.22 $76,399.22 2025-12-31
'024-4 OTHER Extracranial Vascular Procedures 4 4 — — $61,119.38 $76,399.22 $76,399.22 2024-12-31
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 2 — — $75,109.76 $75,109.76 $75,109.76 2024-12-31
'441-4 OTHER Major Bladder Procedures 4 4 — — $59,925.34 $74,906.67 $74,906.67 2024-12-31
4414 APR_DRG Major Bladder Procedures 2 1 — — $74,906.67 $74,906.67 $74,906.67 2025-12-31
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 6 3 — — $68,197.00 $122,705.00 $74,750.50 2024-12-31
10 MS_DRG Pancreas Transplant 82 30 — $67,638.79 $16,183.00 $340,120.21 $74,039.72 2025-12-31
'403-4 OTHER Procedures For Obesity 4 4 — — $59,210.02 $74,012.52 $74,012.52 2024-12-31
4034 APR_DRG Procedures For Obesity 2 1 — — $74,012.52 $74,012.52 $74,012.52 2025-12-31
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 2 — — $73,733.57 $73,733.57 $73,733.57 2024-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 70 29 — $67,251.09 $16,183.00 $338,170.69 $73,618.01 2025-12-31
4834 APR_DRG Testes & Scrotal Procedures 2 1 — — $73,279.05 $73,279.05 $73,279.05 2025-12-31
'483-4 OTHER Testes & Scrotal Procedures 4 4 — — $58,623.24 $73,279.05 $73,279.05 2024-12-31
128782 CDM Live Donor Kidney Acquisition 31 16 $88,000.00 — $14,608.00 $82,720.00 $73,040.00 2024-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 90 32 — $63,322.39 $21,669.00 $436,693.00 $72,646.74 2025-12-31
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