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

BAYSHORE MEDICAL CENTER

Holmdel, NJ · CCN 310112 · Rates published

70,072 distinct procedures filed
37 distinct payers
2,304,918 rate rows
2026-07-31 last MRF observed
Data quality

1,899,789 of 2,304,918 rate rows are consumer-grade (82.4%)

405,129 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 392,523
template filing: same amount across many unrelated codes — excluded 3,160
placeholder amount (≤ $0.02) — excluded from medians 2,705
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,765
exceeds 10× this hospital's gross charge — excluded from medians 1,639
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
per-diem day rate — not a per-procedure price 1,048
percent-of-charges filed in the dollar field — excluded from medians 633
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 114
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20250101/bmc/221487576-1831197508_hackensack-meridian-health_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint dde3248117a23429… · 1,572,556,083 bytes · first seen 2026-05-06

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 5 $4,377,500.00 $4,771,475.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,452,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,672,900.00 $4,422,320.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,605,000.00 $3,785,250.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,324,571.90 $3,989,486.28 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,261,355.00 $3,913,626.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,950,686.67 $3,540,824.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,388,614.23 $2,942,538.72 $2,452,115.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $655,027.00 $924,744.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $468,441.50 $922,082.02 $578,324.58 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $470,372.01 $664,054.60 $553,378.83 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $434,918.00 $933,986.41 $541,635.66 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $444,670.00 $954,928.83 $541,260.45 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $449,245.86 $884,589.61 $533,076.48 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $416,262.00 $878,671.10 $491,673.82 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $5,778.00 $1,143,829.22 $305,641.55 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $270,375.00 $324,450.00 $270,375.00 nat. median
$302,242
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $6,542.00 $1,118,674.00 $248,619.46 nat. median
$261,939
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $189,497.10 $270,421.41 $229,959.26 nat. median
$111,503
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $6,542.00 $917,177.32 $228,648.30 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $6,542.00 $809,857.30 $190,864.05 nat. median
$199,832
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $6,542.00 $533,944.44 $129,196.12 nat. median
$132,706
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $6,542.00 $568,545.00 $116,881.76 nat. median
$108,240
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $5,778.00 $506,179.00 $114,597.51 nat. median
$114,305
1.0× median
7
MS_DRG 		Lung Transplant 26 $6,542.00 $451,144.00 $113,789.28 nat. median
$122,690
0.9× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 $103,385.13 $113,723.64 $103,385.13 nat. median
$83,710
1.2× median
A9543
HCPCS 		Y-90 Yttrium Ibrit To 40 Mci Tx 16 $21,317.38 $129,984.00 $100,997.57 nat. median
$63,643
1.6× median
B1904
HCPCS 		Guillain-barr? M <38.50 3 $97,868.83 $107,655.71 $97,868.83 nat. median
$73,807
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 23 $6,542.00 $411,658.69 $94,689.01 nat. median
$100,978
0.9× median
C1842
HCPCS 		Retinal Prosth, Add-on 1 $94,381.74 $94,381.74 $94,381.74 nat. median
$35
outlier · 2700.5×
C1841
HCPCS 		Retinal Prosth Int/ext Comp 1 $94,381.74 $94,381.74 $94,381.74 nat. median
$79
outlier · 1187.5×
215
MS_DRG 		Other Heart Assist System Implant 28 $6,542.00 $545,817.00 $94,354.42 nat. median
$98,002
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $6,542.00 $434,350.00 $92,723.71 nat. median
$99,646
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,542.00 $395,844.42 $90,792.21 nat. median
$96,835
0.9× median
Sx00000069838-74769
CDM 		Jts Implant Set 13 $310.25 $148,781.15 $88,765.40 nat. median
$88,765
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $6,542.00 $415,984.00 $85,565.61 nat. median
$92,900
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 $82,779.11 $91,057.02 $82,779.11 nat. median
$66,709
1.2× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 $81,451.32 $89,596.45 $81,451.32 nat. median
$70,140
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $6,542.00 $348,099.28 $79,841.22 nat. median
$81,364
1.0× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 $79,109.25 $87,020.18 $79,109.25 nat. median
$68,033
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 15 $65,104.62 $355,858.00 $77,637.59 nat. median
$83,623
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 $77,036.90 $84,740.59 $77,036.90 nat. median
$60,723
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 $6,542.00 $441,584.00 $76,917.83 nat. median
$77,385
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $6,542.00 $386,516.00 $75,424.41 nat. median
$80,459
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 $75,109.76 $82,620.74 $75,109.76 nat. median
$59,953
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $6,542.00 $355,752.00 $74,118.65 nat. median
$79,040
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 $73,733.57 $81,106.93 $73,733.57 nat. median
$62,354
1.2× median
8010000021-108055
CDM 		Cadaver Donor Kidney Acquisit 12 $15,334.00 $90,994.20 $73,210.50 nat. median
$73,210
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $6,542.00 $315,174.59 $72,289.51 nat. median
$81,124
0.9× median

Other procedures at this hospital

Browse this hospital's 70,072 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 5 — $4,377,500.00 $4,377,500.00 $4,771,475.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 14 6 — $3,710,000.00 $3,710,000.00 $4,452,000.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 9 — $3,685,266.67 $3,672,900.00 $4,422,320.00 $3,685,266.67 2025-12-31
C9172 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,605,000.00 $3,785,250.00 $3,605,000.00 2024-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 9 — $3,324,571.90 $3,324,571.90 $3,989,486.28 $3,325,454.76 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 9 — $3,261,355.00 $3,261,355.00 $3,913,626.00 $3,286,000.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 17 9 — $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 17 9 — $2,452,115.60 $2,388,614.23 $2,942,538.72 $2,452,115.60 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 14 6 — $2,332,000.00 $2,332,000.00 $2,798,400.00 $2,332,000.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 16 7 — $770,620.00 $655,027.00 $924,744.00 $770,620.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 15 — $578,324.58 $468,441.50 $922,082.02 $578,324.58 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 22 13 — $553,378.83 $470,372.01 $664,054.60 $553,378.83 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 15 — $541,635.66 $434,918.00 $933,986.41 $541,635.66 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 30 15 — $541,260.45 $444,670.00 $954,928.83 $541,260.45 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 15 — $533,076.48 $449,245.86 $884,589.61 $533,076.48 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 28 15 — $489,720.00 $416,262.00 $878,671.10 $491,673.82 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 23 — $319,935.78 $5,778.00 $1,143,829.22 $305,641.55 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 6 — $270,375.00 $270,375.00 $324,450.00 $270,375.00 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 82 27 — $238,965.21 $6,542.00 $1,118,674.00 $248,619.46 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $189,497.10 $270,421.41 $229,959.26 2024-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 84 28 — $201,251.90 $6,542.00 $917,177.32 $228,648.30 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 84 28 — $181,814.55 $6,542.00 $809,857.30 $190,864.05 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 84 28 — $119,871.57 $6,542.00 $533,944.44 $129,196.12 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 82 27 — $93,485.40 $6,542.00 $568,545.00 $116,881.76 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 76 26 — $111,148.86 $5,778.00 $506,179.00 $114,597.51 2025-12-31
7 MS_DRG Lung Transplant 78 26 — $110,868.90 $6,542.00 $451,144.00 $113,789.28 2025-12-31
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $103,385.13 $113,723.64 $103,385.13 2024-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 35 16 $129,984.00 $56,824.55 56% off $21,317.38 $129,984.00 $100,997.57 2025-12-31
B1904 HCPCS Guillain-barr? M <38.50 4 3 — — $97,868.83 $107,655.71 $97,868.83 2024-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 56 23 — $92,418.18 $6,542.00 $411,658.69 $94,689.01 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
215 MS_DRG Other Heart Assist System Implant 87 28 — $89,880.77 $6,542.00 $545,817.00 $94,354.42 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 78 26 — $90,343.97 $6,542.00 $434,350.00 $92,723.71 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 13 — $88,867.85 $6,542.00 $395,844.42 $90,792.21 2025-12-31
Sx00000069838-74769 CDM Jts Implant Set 31 13 $172,360.00 — $310.25 $148,781.15 $88,765.40 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 28 — $81,874.91 $6,542.00 $415,984.00 $85,565.61 2025-12-31
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $82,779.11 $91,057.02 $82,779.11 2024-12-31
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $81,451.32 $89,596.45 $81,451.32 2024-12-31
850 MS_DRG Acute Leukemia With Other Procedures 38 13 — $78,148.97 $6,542.00 $348,099.28 $79,841.22 2025-12-31
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $79,109.25 $87,020.18 $79,109.25 2024-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 30 15 — $75,175.51 $65,104.62 $355,858.00 $77,637.59 2025-12-31
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $77,036.90 $84,740.59 $77,036.90 2024-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 28 — $68,386.18 $6,542.00 $441,584.00 $76,917.83 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 28 — $71,848.29 $6,542.00 $386,516.00 $75,424.41 2025-12-31
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $75,109.76 $82,620.74 $75,109.76 2024-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 87 28 — $71,888.16 $6,542.00 $355,752.00 $74,118.65 2025-12-31
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 3 — — $73,733.57 $81,106.93 $73,733.57 2024-12-31
8010000021-108055 CDM Cadaver Donor Kidney Acquisit 29 12 $93,500.00 — $15,334.00 $90,994.20 $73,210.50 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 13 — $70,757.31 $6,542.00 $315,174.59 $72,289.51 2025-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 31 13 $136,290.00 — $245.32 $117,645.53 $70,189.35 2025-12-31
C1904 HCPCS Guillain-barr? M <38.50 4 3 — — $69,890.83 $76,879.91 $69,890.83 2024-12-31
Sx00000075430-72824 CDM Ligasure Kit 27 11 $87,094.62 — $14,283.52 $84,760.48 $69,675.70 2025-12-31
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $69,455.15 $76,400.66 $69,455.15 2024-12-31
10 MS_DRG Pancreas Transplant 76 26 — $67,638.79 $6,542.00 $241,821.09 $69,420.44 2025-12-31
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $69,252.29 $76,177.52 $69,252.29 2024-12-31
8010000020-108056 CDM Live Donor Kidney Acquisition 29 12 $88,000.00 — $14,432.00 $85,641.60 $68,904.00 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 87 28 — $66,310.27 $6,542.00 $323,510.00 $68,764.24 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 87 28 — $65,640.93 $6,542.00 $325,793.00 $67,984.87 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 64 25 — $67,251.09 $6,542.00 $299,556.81 $67,778.83 2025-12-31
D1904 HCPCS Guillain-barr? M <38.50 4 3 — — $67,670.94 $74,438.03 $67,670.94 2024-12-31
B0106 HCPCS Stroke M <41.50 And A <84.50 4 3 — — $66,901.01 $73,591.11 $66,901.01 2024-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 28 — $63,322.39 $6,542.00 $321,850.00 $66,474.15 2025-12-31
A1904 HCPCS Guillain-barr? M <38.50 4 3 — — $64,976.18 $71,473.80 $64,976.18 2024-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 76 26 — $50,432.59 $5,778.00 $232,383.00 $64,702.97 2025-12-31
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $63,897.35 $70,287.09 $63,897.35 2024-12-31
Sx00000076504-72635 CDM Ligasure Kit Lf1744/gen 27 11 $79,401.17 — $13,021.79 $77,273.22 $63,520.94 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 10 — $63,431.05 $53,916.39 $76,117.26 $63,431.05 2025-12-31
8010000023-108053 CDM Cadaver Kidney/pancreas Acquis 29 12 $80,453.00 — $13,194.29 $78,296.86 $62,994.70 2025-12-31
B0205 HCPCS Traumatic Brain Injury M <35.50 4 3 — — $62,991.42 $69,290.56 $62,991.42 2024-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 28 — $59,015.33 $5,778.00 $266,650.00 $61,952.71 2025-12-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 7 — — $54,906.00 $304,909.00 $61,783.51 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 23 — $59,952.75 $6,542.00 $267,047.80 $61,727.92 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 13 — $60,255.61 $6,542.00 $268,396.83 $61,560.40 2025-12-31
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 3 — — $61,347.82 $67,482.60 $61,347.82 2024-12-31
C1605 HCPCS System Leadless Pacemaker Aveir Dr 31 13 $118,965.00 — $214.14 $102,690.59 $61,266.98 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 84 28 — $56,660.31 $6,542.00 $252,382.27 $60,816.21 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 28 — $57,927.75 $6,542.00 $258,246.00 $60,810.99 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 28 — $54,864.36 $5,778.00 $244,382.55 $60,713.39 2025-12-31
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $60,693.15 $66,762.46 $60,693.15 2024-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 28 — $53,652.07 $6,542.00 $239,138.98 $60,279.31 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 86 28 — $56,564.45 $6,542.00 $283,949.00 $60,056.25 2025-12-31
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 3 — — $59,582.05 $65,540.26 $59,582.05 2024-12-31
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $59,176.34 $65,093.97 $59,176.34 2024-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 84 28 — $52,060.57 $6,542.00 $237,256.52 $59,147.29 2025-12-31
33231 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 35 16 $75,878.00 $35,487.68 53% off $12,443.99 $135,176.00 $58,957.21 2025-12-31
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $58,948.13 $64,842.94 $58,948.13 2024-12-31
B0105 HCPCS Stroke M <41.50 And A >=84.50 4 3 — — $58,551.64 $64,406.80 $58,551.64 2024-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 13 — $56,879.19 $6,542.00 $253,357.20 $58,110.86 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 30 15 — $56,264.98 $48,727.44 $239,245.00 $58,107.73 2025-12-31
Sx00000046460-81115 CDM Kit Starter Stapler Endowrist 45 27 11 $72,354.00 — $11,866.06 $70,414.91 $57,883.20 2025-12-31
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 3 — — $57,834.72 $63,618.19 $57,834.72 2024-12-31
Sx00000102245-63187 CDM Custom Pelvis IMPLaNT 31 13 $112,294.40 — $202.13 $96,932.53 $57,831.62 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 31 16 — $55,945.97 $47,554.07 $112,575.34 $57,765.99 2025-12-31
B1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 4 3 — — $57,684.89 $63,453.38 $57,684.89 2024-12-31
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $57,472.81 $63,220.09 $57,472.81 2024-12-31
C0106 HCPCS Stroke M <41.50 And A <84.50 4 3 — — $57,205.41 $62,925.95 $57,205.41 2024-12-31
B0604 HCPCS Neurological M <43.50 4 3 — — $56,755.90 $62,431.49 $56,755.90 2024-12-31
B2102 HCPCS Burns M <52.50 4 3 — — $56,596.84 $62,256.52 $56,596.84 2024-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 28 — $54,785.47 $6,542.00 $269,509.00 $56,485.31 2025-12-31
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 3 — — $56,308.69 $61,939.56 $56,308.69 2024-12-31
Sx00000065138-76348 CDM Carticel Cs1000 31 13 $108,087.82 — $194.56 $93,301.41 $55,665.23 2025-12-31
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3x5cm 81073 62 14 $139,304.08 — $117.94 $125,373.67 $55,475.96 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 84 28 — $46,890.74 $6,542.00 $334,857.00 $55,257.47 2025-12-31
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 4 3 — — $55,112.30 $60,623.53 $55,112.30 2024-12-31
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $55,061.59 $60,567.75 $55,061.59 2024-12-31
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 3 — — $54,944.02 $60,438.42 $54,944.02 2024-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 87 28 — $49,918.49 $6,542.00 $246,090.00 $54,906.00 2025-12-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 7 — — $45,576.62 $238,173.00 $54,906.00 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 87 28 — $51,823.03 $6,542.00 $260,936.00 $54,906.00 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 28 — $50,470.77 $6,542.00 $250,131.00 $54,906.00 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 84 28 — $50,822.83 $6,542.00 $304,610.00 $54,896.05 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 28 — $52,242.97 $6,542.00 $232,706.06 $54,843.26 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 56 23 — $52,550.07 $6,542.00 $234,073.99 $54,295.07 2025-12-31
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 4 3 — — $54,284.74 $59,713.21 $54,284.74 2024-12-31
28 MS_DRG Spinal Procedures With Mcc 84 28 — $51,575.32 $6,542.00 $229,732.15 $54,142.38 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 15 6 — — $54,014.62 $278,211.00 $54,014.62 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 76 26 — $51,205.44 $5,778.00 $276,989.00 $53,936.40 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 76 26 — $51,205.44 $5,778.00 $185,570.00 $53,936.40 2025-12-31
B1004 HCPCS Amputation Lower Extremity M <47.50 4 3 — — $53,851.37 $59,236.51 $53,851.37 2024-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 13 — $52,482.20 $6,542.00 $233,771.68 $53,618.66 2025-12-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 30 15 — $51,887.51 $44,740.24 $237,446.00 $53,586.89 2025-12-31
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $53,570.14 $58,927.15 $53,570.14 2024-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 28 — $48,690.09 $6,542.00 $277,210.00 $53,394.91 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 28 — $49,393.37 $6,542.00 $230,579.00 $53,143.55 2025-12-31
D0106 HCPCS Stroke M <41.50 And A <84.50 4 3 — — $52,777.15 $58,054.86 $52,777.15 2024-12-31
B0704 HCPCS Fracture Of Lower Extremity M <41.50 4 3 — — $52,569.69 $57,826.66 $52,569.69 2024-12-31
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 4 3 — — $52,011.83 $57,213.01 $52,011.83 2024-12-31
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $51,779.01 $56,956.91 $51,779.01 2024-12-31
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 4 3 — — $51,622.26 $56,784.49 $51,622.26 2024-12-31
E0194NU OTHER Air Fluidized Bed 1 1 — — $51,609.55 $51,609.55 $51,609.55 2024-12-31
B1504 HCPCS Pulmonary M <45.50 4 3 — — $51,511.61 $56,662.77 $51,511.61 2024-12-31
Sx00000201156-24772 CDM Repiphysis Total Femur 31 13 $99,200.00 — $178.56 $85,629.44 $51,088.00 2025-12-31
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 4 3 — — $50,863.85 $55,950.24 $50,863.85 2024-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 62 13 $101,640.00 — $176.72 $87,735.65 $50,838.52 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 28 — $48,399.10 $6,542.00 $231,273.00 $50,808.07 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 87 28 — $45,133.81 $6,542.00 $218,020.00 $50,764.56 2025-12-31
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 4 3 — — $50,743.98 $55,818.38 $50,743.98 2024-12-31
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 4 3 — — $50,607.98 $55,668.78 $50,607.98 2024-12-31
B0904 HCPCS Other Orthopedic M <44.5 4 3 — — $50,605.67 $55,666.24 $50,605.67 2024-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 87 28 — $44,934.45 $6,542.00 $220,481.00 $50,540.33 2025-12-31
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 4 3 — — $50,524.99 $55,577.49 $50,524.99 2024-12-31
C0205 HCPCS Traumatic Brain Injury M <35.50 4 3 — — $50,091.61 $55,100.77 $50,091.61 2024-12-31
C0105 HCPCS Stroke M <41.50 And A >=84.50 4 3 — — $50,063.95 $55,070.35 $50,063.95 2024-12-31
A0106 HCPCS Stroke M <41.50 And A <84.50 4 3 — — $49,955.61 $54,951.17 $49,955.61 2024-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 28 — $45,770.92 $6,542.00 $206,732.00 $49,947.93 2025-12-31
131 MS_DRG Cranial/facial Procedures W Cc/mcc 6 3 — — $45,303.00 $98,489.00 $49,805.50 2024-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 28 — $45,819.28 $6,542.00 $217,372.00 $49,777.42 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 84 28 — $47,292.01 $6,542.00 $232,498.00 $49,645.88 2025-12-31
Sx00000040413-82121 CDM Cath Intra-aortic Balloon 4.0 Impella Cp 27 11 $62,000.00 — $10,168.00 $60,338.40 $49,600.00 2025-12-31
0571T OTHER Insj/rplcmt Icds W/substernal Electrode 35 16 $66,076.00 $35,487.68 46% off $10,836.46 $64,305.16 $49,557.00 2025-12-31
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 4 3 — — $49,360.87 $54,296.96 $49,360.87 2024-12-31
B1604 HCPCS Pain Syndrome M <43.50 4 3 — — $49,358.57 $54,294.43 $49,358.57 2024-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 84 28 — $46,890.74 $5,778.00 $233,294.00 $49,293.78 2025-12-31
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 4 3 — — $49,282.50 $54,210.75 $49,282.50 2024-12-31
B1404 HCPCS Cardiac M <45.50 4 3 — — $48,941.33 $53,835.46 $48,941.33 2024-12-31
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 4 3 — — $48,911.36 $53,802.50 $48,911.36 2024-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 15 6 — — $48,509.12 $255,485.00 $48,509.12 2025-12-31
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 4 3 — — $48,501.04 $53,351.14 $48,501.04 2024-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 84 28 — $46,054.27 $6,542.00 $227,843.00 $48,441.24 2025-12-31
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 3 — — $48,332.76 $53,166.04 $48,332.76 2024-12-31
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 4 3 — — $48,141.43 $52,955.57 $48,141.43 2024-12-31
B0104 HCPCS Stroke M >=41.50 And M <50.50 4 3 — — $48,079.19 $52,887.11 $48,079.19 2024-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 28 — $45,776.01 $6,542.00 $208,075.00 $48,054.43 2025-12-31
Q0483 HCPCS Monitor Elec Vad, Rep 2 2 — — $39,432.33 $56,295.96 $47,864.15 2024-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 87 28 — $42,275.73 $6,542.00 $278,548.00 $47,752.00 2025-12-31
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 4 3 — — $47,747.24 $52,521.96 $47,747.24 2024-12-31
J9226 HCPCS Supprelin La Implant 26 13 — $45,560.39 $38,726.33 $93,292.40 $47,728.07 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 13 — $46,693.92 $6,542.00 $207,988.93 $47,705.04 2025-12-31
C2102 HCPCS Burns M <52.50 4 3 — — $47,694.22 $52,463.64 $47,694.22 2024-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 76 26 — $46,159.46 $6,542.00 $222,332.00 $47,591.67 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 13 — $46,408.88 $6,542.00 $206,719.25 $47,413.82 2025-12-31
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $47,295.43 $52,024.97 $47,295.43 2024-12-31
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 4 3 — — $47,120.23 $51,832.25 $47,120.23 2024-12-31
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 3 — — $47,106.40 $51,817.04 $47,106.40 2024-12-31
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 3 — — $46,942.74 $51,637.01 $46,942.74 2024-12-31
Sx00000295724-6449 CDM Probe Laser Diffusing Tip Neuroblate Nb3 Fullfire 1.6mm Ffd016 27 11 $58,260.16 — $9,554.67 $56,698.79 $46,608.13 2025-12-31
0795T OTHER Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 35 16 $62,030.00 $21,109.10 66% off $10,172.92 $60,367.60 $46,522.50 2025-12-31
D0105 HCPCS Stroke M <41.50 And A >=84.50 4 3 — — $46,191.25 $50,810.38 $46,191.25 2024-12-31
C1103 HCPCS Amputation Non-lower Extremity M <52.50 4 3 — — $46,188.94 $50,807.83 $46,188.94 2024-12-31
B1103 HCPCS Amputation Non-lower Extremity M <52.50 4 3 — — $46,188.94 $50,807.83 $46,188.94 2024-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 28 — $42,428.43 $6,542.00 $214,204.00 $46,130.95 2025-12-31
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 6 3 — — $41,901.00 $91,092.00 $46,065.00 2024-12-31
Sx00000066257-76005 CDM Controller Impella Packaged 31 13 $89,280.00 — $160.70 $77,066.50 $45,979.20 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 76 26 — $35,380.35 $5,778.00 $163,028.00 $45,891.78 2025-12-31
D0205 HCPCS Traumatic Brain Injury M <35.50 4 3 — — $45,619.56 $50,181.52 $45,619.56 2024-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 84 28 — $43,219.94 $6,542.00 $216,580.00 $45,584.26 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 84 28 — $42,478.48 $5,778.00 $227,631.00 $45,508.00 2025-12-31
B0603 HCPCS Neurological M >=43.50 And M <52.50 4 3 — — $45,442.06 $49,986.27 $45,442.06 2024-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 86 28 — $43,545.70 $6,542.00 $214,398.00 $45,304.96 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 84 28 — $43,087.59 $6,542.00 $222,624.00 $45,232.20 2025-12-31
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 3 — — $45,213.85 $49,735.24 $45,213.85 2024-12-31
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 4 3 — — $45,156.22 $49,671.84 $45,156.22 2024-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 84 28 — $42,730.44 $6,542.00 $199,472.00 $44,857.27 2025-12-31
791 MS_DRG Prematurity With Major Problems 76 26 — $34,442.08 $5,778.00 $158,712.00 $44,719.20 2025-12-31
Sx00000021859-89933 CDM Implant Orthopedic Repiphysis Proximal Tibial Lf 31 13 $86,800.00 — $156.24 $74,925.76 $44,702.00 2025-12-31
C1825 HCPCS Neo System Barostim 31 13 $86,800.00 — $156.24 $74,925.76 $44,702.00 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 13 — $43,690.77 $6,542.00 $194,611.98 $44,636.86 2025-12-31
C1004 HCPCS Amputation Lower Extremity M <47.50 4 3 — — $44,582.23 $49,040.45 $44,582.23 2024-12-31
33240 HCPCS Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 35 16 $57,037.00 $24,844.79 56% off $9,354.07 $135,176.00 $44,317.75 2025-12-31
Sx00000329827-2261 CDM Kit Orthognathic Surgical Planning 3d Printed Plates Hybrid Guid 27 11 $54,944.40 — $9,010.88 $53,471.89 $43,955.52 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 87 28 — $38,961.23 $6,542.00 $195,156.00 $43,821.91 2025-12-31
Sx00000294250-6581 CDM Kit Tkr Osteotomy Femoral Distal My3d C240548 31 13 $85,014.40 — $153.03 $73,384.43 $43,782.42 2025-12-31
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 3 — — $43,752.36 $48,127.60 $43,752.36 2024-12-31
A0105 HCPCS Stroke M <41.50 And A >=84.50 4 3 — — $43,720.09 $48,092.10 $43,720.09 2024-12-31
799 MS_DRG Splenic Procedures With Mcc 84 28 — $40,337.25 $6,542.00 $199,146.00 $43,545.25 2025-12-31
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 3 — — $43,464.21 $47,810.63 $43,464.21 2024-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 23 — $42,445.40 $6,542.00 $189,064.70 $43,364.52 2025-12-31
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 4 3 — — $43,360.48 $47,696.53 $43,360.48 2024-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 84 28 — $41,206.81 $6,542.00 $212,238.00 $43,312.78 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 84 28 — $39,912.23 $6,542.00 $247,708.00 $43,113.00 2025-12-31
C0604 HCPCS Neurological M <43.50 4 3 — — $43,030.84 $47,333.92 $43,030.84 2024-12-31
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 3 — — $42,816.46 $47,098.11 $42,816.46 2024-12-31
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 4 3 — — $42,807.24 $47,087.96 $42,807.24 2024-12-31
245 MS_DRG Aicd Generator Procedures 87 28 — $41,457.07 $6,542.00 $212,298.00 $42,743.36 2025-12-31
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 4 3 — — $42,735.78 $47,009.36 $42,735.78 2024-12-31
A0205 HCPCS Traumatic Brain Injury M <35.50 4 3 — — $42,590.55 $46,849.61 $42,590.55 2024-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 28 — $40,512.86 $6,542.00 $209,578.00 $42,529.31 2025-12-31
D2102 HCPCS Burns M <52.50 4 3 — — $42,472.99 $46,720.29 $42,472.99 2024-12-31
6 MS_DRG Liver Transplant Without Mcc 78 26 — $41,138.09 $6,542.00 $206,088.00 $42,414.49 2025-12-31
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 4 3 — — $42,360.03 $46,596.03 $42,360.03 2024-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 28 — $40,329.62 $6,542.00 $185,121.00 $42,336.94 2025-12-31
0801T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 35 16 $56,333.00 $21,109.10 63% off $9,238.61 $54,823.28 $42,249.75 2025-12-31
0823T OTHER Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 35 16 $56,333.00 $21,109.10 63% off $9,238.61 $54,823.28 $42,249.75 2025-12-31
0802T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 35 16 $56,333.00 $21,109.10 63% off $9,238.61 $54,823.28 $42,249.75 2025-12-31
0803T OTHER Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 35 16 $56,333.00 $21,109.10 63% off $9,238.61 $54,823.28 $42,249.75 2025-12-31
33230 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 35 16 $54,185.00 $24,844.79 54% off $8,886.34 $135,176.00 $42,101.75 2025-12-31
38240 HCPCS Marrow/bld-drv Prph Stem Cell Trnsplj Allogeneic 64 16 $71,666.00 $65,462.28 $5,853.00 $78,554.74 $41,933.79 2025-12-31
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 4 3 — — $41,859.81 $46,045.79 $41,859.81 2024-12-31
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 4 3 — — $41,772.21 $45,949.43 $41,772.21 2024-12-31
C0704 HCPCS Fracture Of Lower Extremity M <41.50 4 3 — — $41,760.68 $45,936.75 $41,760.68 2024-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 28 — $39,698.44 $6,542.00 $191,648.00 $41,674.36 2025-12-31
C1504 HCPCS Pulmonary M <45.50 4 3 — — $41,548.61 $45,703.47 $41,548.61 2024-12-31
Sx00000033383-82861 CDM Tavr Vavle Transapical 26mm 31 13 $80,600.00 — $145.08 $69,573.92 $41,509.00 2025-12-31
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 4 3 — — $41,502.50 $45,652.75 $41,502.50 2024-12-31
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 2 — — $34,182.85 $48,805.50 $41,494.18 2024-12-31
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 4 3 — — $41,442.57 $45,586.83 $41,442.57 2024-12-31
163 MS_DRG Major Chest Procedures With Mcc 84 28 — $39,102.06 $6,542.00 $208,367.00 $41,427.13 2025-12-31
8010000022-108054 CDM Cadaver Pancreas Acquisition 29 12 $52,859.00 — $8,668.88 $51,442.38 $41,388.60 2025-12-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 15 6 — — $41,282.42 $214,312.00 $41,282.42 2025-12-31
B1902 HCPCS Guillain-barr? M >=51.50 And M <66.50 4 3 — — $41,228.19 $45,351.01 $41,228.19 2024-12-31
C1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 4 3 — — $41,195.91 $45,315.50 $41,195.91 2024-12-31
C0104 HCPCS Stroke M >=41.50 And M <50.50 4 3 — — $41,110.62 $45,221.68 $41,110.62 2024-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 23 — $39,464.30 $6,542.00 $175,786.00 $41,058.66 2025-12-31
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 4 3 — — $41,018.42 $45,120.26 $41,018.42 2024-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 28 — $38,955.29 $6,542.00 $211,476.00 $40,894.21 2025-12-31
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 4 3 — — $40,827.09 $44,909.80 $40,827.09 2024-12-31
D1004 HCPCS Amputation Lower Extremity M <47.50 4 3 — — $40,755.62 $44,831.18 $40,755.62 2024-12-31
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 4 3 — — $40,619.62 $44,681.58 $40,619.62 2024-12-31
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 4 3 — — $40,419.07 $44,460.98 $40,419.07 2024-12-31
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 4 3 — — $40,409.85 $44,450.83 $40,409.85 2024-12-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 30 15 — $39,071.52 $33,837.30 $187,355.00 $40,351.16 2025-12-31
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 4 3 — — $40,276.15 $44,303.76 $40,276.15 2024-12-31
D0604 HCPCS Neurological M <43.50 4 3 — — $40,276.15 $44,303.76 $40,276.15 2024-12-31
33264 HCPCS Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 35 16 $51,396.00 $35,487.68 31% off $8,428.94 $135,176.00 $40,243.07 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 28 — $38,274.07 $6,542.00 $190,111.00 $40,179.09 2025-12-31
D1504 HCPCS Pulmonary M <45.50 4 3 — — $40,077.90 $44,085.69 $40,077.90 2024-12-31
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 4 3 — — $39,953.42 $43,948.76 $39,953.42 2024-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 28 — $38,045.86 $6,542.00 $169,467.84 $39,939.52 2025-12-31
K0606NU OTHER Aed Garment W Elec Analysis 1 1 — — $39,936.81 $39,936.81 $39,936.81 2024-12-31
33263 HCPCS Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 35 16 $51,396.00 $24,844.79 52% off $8,428.94 $135,176.00 $39,934.69 2025-12-31
D1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 4 3 — — $39,886.57 $43,875.23 $39,886.57 2024-12-31
D0704 HCPCS Fracture Of Lower Extremity M <41.50 4 3 — — $39,870.43 $43,857.47 $39,870.43 2024-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 84 28 — $37,940.67 $6,542.00 $181,182.00 $39,829.09 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 28 — $36,631.67 $6,542.00 $216,919.00 $39,822.29 2025-12-31
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 6 3 — — $36,171.00 $78,637.00 $39,766.00 2024-12-31
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 4 3 — — $39,752.87 $43,728.16 $39,752.87 2024-12-31
Sx00000070513-74436 CDM Platform Energy For Valleylab Ft10 Valleylab Vlft10gen 27 11 $49,600.00 — $8,134.40 $48,270.72 $39,680.00 2025-12-31
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 4 3 — — $39,639.92 $43,603.91 $39,639.92 2024-12-31
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 4 3 — — $39,619.17 $43,581.09 $39,619.17 2024-12-31
C1404 HCPCS Cardiac M <45.50 4 3 — — $39,561.54 $43,517.69 $39,561.54 2024-12-31
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 4 3 — — $39,469.33 $43,416.26 $39,469.33 2024-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 84 28 — $37,586.06 $6,542.00 $189,120.00 $39,456.83 2025-12-31
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 4 3 — — $39,420.92 $43,363.01 $39,420.92 2024-12-31
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 3 — — $39,340.24 $43,274.26 $39,340.24 2024-12-31
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 4 3 — — $39,284.92 $43,213.41 $39,284.92 2024-12-31
Sx00000312039-4297 CDM Probe Transducer Ultrasound Rectal/vaginal Hydros Hu1000 27 11 $49,104.00 — $8,053.06 $47,788.01 $39,283.20 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 87 28 — $34,884.92 $6,542.00 $166,306.00 $39,237.05 2025-12-31
B1403 HCPCS Cardiac M >=45.50 And M <55.50 4 3 — — $39,220.37 $43,142.41 $39,220.37 2024-12-31
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 4 3 — — $39,190.41 $43,109.45 $39,190.41 2024-12-31
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 4 3 — — $39,130.47 $43,043.52 $39,130.47 2024-12-31
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 3 — — $39,052.09 $42,957.30 $39,052.09 2024-12-31
C0904 HCPCS Other Orthopedic M <44.5 4 3 — — $38,996.77 $42,896.45 $38,996.77 2024-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 25 — $39,085.94 $6,542.00 $174,100.65 $38,935.49 2025-12-31
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 4 3 — — $38,860.76 $42,746.84 $38,860.76 2024-12-31
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 4 3 — — $38,810.05 $42,691.06 $38,810.05 2024-12-31
0620T OTHER Endovascular Venous Arterialization Tibl/prnl Vn 35 16 $103,031.00 $38,740.65 62% off $2,379.00 $100,269.77 $38,740.65 2025-12-31
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 4 3 — — $38,722.45 $42,594.69 $38,722.45 2024-12-31
E0194UE OTHER Air Fluidized Bed 1 1 — — $38,707.17 $38,707.17 $38,707.17 2024-12-31
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 4 3 — — $38,646.38 $42,511.02 $38,646.38 2024-12-31
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 4 3 — — $38,641.77 $42,505.95 $38,641.77 2024-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 15 6 — — $38,531.88 $199,222.00 $38,531.88 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 86 28 — $35,297.22 $6,542.00 $175,820.00 $38,377.43 2025-12-31
A1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 4 3 — — $38,295.99 $42,125.59 $38,295.99 2024-12-31
B0602 HCPCS Neurological M >=52.50 And M <64.50 4 3 — — $38,270.64 $42,097.70 $38,270.64 2024-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 84 28 — $36,707.17 $5,778.00 $163,504.90 $38,190.14 2025-12-31
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 4 3 — — $38,113.89 $41,925.28 $38,113.89 2024-12-31
Sx00000298397-6078 CDM Bundle Mandible Reconstruction Titanium Guides Accuplan Zbkt010 27 11 $47,616.00 — $7,809.02 $46,339.89 $38,092.80 2025-12-31
C1735 HCPCS Catheter Rnd Multi Electrode Rx Symplicity Spyral 4fr 31 13 $73,920.00 — $133.06 $63,807.74 $38,068.80 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 84 28 — $36,187.98 $6,542.00 $168,399.00 $37,989.17 2025-12-31
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