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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

SOUTHERN OCEAN MEDICAL CENTER

Manahawkin, NJ · CCN 310113 · Rates published

72,914 distinct procedures filed
19 distinct payers
4,166,641 rate rows
2026-07-31 last MRF observed
Data quality

3,435,860 of 4,166,641 rate rows are consumer-grade (82.5%)

730,781 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 714,631
exceeds 10× this hospital's gross charge — excluded from medians 3,970
template filing: same amount across many unrelated codes — excluded 3,830
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,732
per-diem day rate — not a per-procedure price 1,814
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
percent-of-charges filed in the dollar field — excluded from medians 1,108
placeholder amount (≤ $0.02) — excluded from medians 1,036
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 118
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/Project/HMH/HMH/shared/Files/CDM/202202/SOMC-Chargemaster-2022-02.xlsx
Found on page https://www.hackensackmeridianhealth.org/en/Pay-Bill/Price-Estimates/Charge-Description-Master
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-15
Content fingerprint c421d85bdd7f15ce… · 3,102,870 bytes · first seen 2026-07-30

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,377,500.00 $4,771,475.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,452,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,422,320.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,324,571.90 $3,989,486.28 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,261,355.00 $3,913,626.00 $3,261,355.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $3,540,824.00 $2,950,686.67 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,452,115.60 $2,942,538.72 $2,452,115.60 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $655,027.00 $924,744.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $491,575.89 $922,082.02 $607,240.81 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $460,390.31 $933,986.41 $568,717.44 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $460,071.38 $954,928.83 $568,323.47 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $453,115.01 $884,589.61 $559,730.30 nat. median
$562,501
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $470,372.01 $664,054.60 $553,378.83 nat. median
$599,737
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $416,262.00 $878,671.10 $514,206.00 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $5,778.00 $1,258,966.40 $312,090.80 nat. median
$168,055
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $270,375.00 $324,450.00 $270,375.00 nat. median
$286,598
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $6,542.00 $1,073,296.73 $248,646.04 nat. median
$186,516
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $6,542.00 $903,909.85 $209,404.90 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $6,542.00 $816,608.25 $189,180.12 nat. median
$145,435
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $130,249.99 $130,249.99 $130,249.99 nat. median
$108,243
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $6,542.00 $538,395.39 $124,727.74 nat. median
$97,418
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $6,542.00 $456,412.07 $117,476.47 nat. median
$65,418
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $5,778.00 $437,377.39 $115,651.66 nat. median
$72,715
1.6× median
7
MS_DRG 		Lung Transplant 14 $6,542.00 $436,275.75 $113,300.35 nat. median
$70,649
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 13 $6,542.00 $415,090.27 $94,015.70 nat. median
$74,509
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 15 $6,542.00 $438,166.06 $92,686.96 nat. median
$73,023
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $6,542.00 $355,508.92 $92,325.29 nat. median
$69,922
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,542.00 $399,144.17 $90,403.98 nat. median
$2,736
outlier · 33.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,906.00 $367,735.86 $88,234.35 nat. median
$69,822
1.3× median
Sx00000069838-74783
CDM 		Jts Implant Set 13 $31,024.80 $172,360.00 $86,180.00 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $61,412.46 $322,701.93 $80,098.88 nat. median
$59,651
1.3× median
8010000021-108071
CDM 		Cadaver Donor Kidney Acquisit 12 $16,830.00 $91,966.60 $79,867.70 —
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $6,542.00 $351,001.03 $79,499.82 nat. median
$2,633
outlier · 30.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $54,906.00 $322,881.01 $77,471.89 nat. median
$60,505
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $6,542.00 $354,491.48 $76,302.69 nat. median
$56,428
1.4× median
Sx00000075430-72837
CDM 		Ligasure Kit 11 $15,677.03 $85,666.27 $75,197.49 —
8010000020-108072
CDM 		Live Donor Kidney Acquisition 12 $15,840.00 $86,556.80 $75,169.60 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $6,542.00 $317,801.88 $71,980.40 nat. median
$2,596
outlier · 27.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $54,906.00 $297,828.29 $71,460.76 nat. median
$55,935
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $54,906.00 $294,821.96 $70,739.42 nat. median
$55,923
1.3× median
10
MS_DRG 		Pancreas Transplant 14 $6,542.00 $266,162.66 $69,750.54 nat. median
$23,080
outlier · 3.0×
8010000023-108069
CDM 		Cadaver Kidney/pancreas Acquis 12 $14,481.54 $79,133.57 $68,722.96 —
Sx00000076504-72648
CDM 		Ligasure Kit Lf1744/gen 11 $14,292.21 $78,098.99 $68,554.97 —
C1827
HCPCS 		Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 13 $24,532.20 $136,290.00 $68,145.00 nat. median
$34
outlier · 1992.5×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $67,973.80 $67,973.80 $67,973.80 nat. median
$2,106
outlier · 32.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $6,542.00 $302,053.91 $66,851.62 nat. median
$45,605
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $6,542.00 $284,408.41 $65,887.67 nat. median
$52,327
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $5,778.00 $265,063.52 $63,599.20 nat. median
$48,611
1.3× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $53,916.39 $76,117.26 $63,431.05 nat. median
$66,211
1.0× median

Other procedures at this hospital

Browse this hospital's 72,914 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 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 14 6 — $3,685,266.67 $3,685,266.67 $4,422,320.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 6 — $3,324,571.90 $3,324,571.90 $3,989,486.28 $3,324,571.90 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 6 — $3,261,355.00 $3,261,355.00 $3,913,626.00 $3,261,355.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 14 6 — $2,950,686.67 $2,950,686.67 $3,540,824.00 $2,950,686.67 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 6 — $2,452,115.60 $2,452,115.60 $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 22 9 — $578,324.58 $491,575.89 $922,082.02 $607,240.81 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 9 — $541,635.66 $460,390.31 $933,986.41 $568,717.44 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 22 9 — $541,260.45 $460,071.38 $954,928.83 $568,323.47 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 9 — $533,076.48 $453,115.01 $884,589.61 $559,730.30 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 18 8 — $553,378.83 $470,372.01 $664,054.60 $553,378.83 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 22 9 — $489,720.00 $416,262.00 $878,671.10 $514,206.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 13 — $273,465.70 $5,778.00 $1,258,966.40 $312,090.80 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 58 15 — $204,255.95 $6,542.00 $1,073,296.73 $248,646.04 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 15 — $172,020.43 $6,542.00 $903,909.85 $209,404.90 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 15 — $155,406.32 $6,542.00 $816,608.25 $189,180.12 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $130,249.99 $130,249.99 $130,249.99 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 15 — $102,460.45 $6,542.00 $538,395.39 $124,727.74 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 15 — $79,906.82 $6,542.00 $456,412.07 $117,476.47 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 54 14 — $95,004.69 $5,778.00 $437,377.39 $115,651.66 2025-12-31
7 MS_DRG Lung Transplant 54 14 — $94,765.40 $6,542.00 $436,275.75 $113,300.35 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 40 13 — $78,994.61 $6,542.00 $415,090.27 $94,015.70 2025-12-31
215 MS_DRG Other Heart Assist System Implant 60 15 — $76,825.76 $6,542.00 $438,166.06 $92,686.96 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 14 — $77,221.67 $6,542.00 $355,508.92 $92,325.29 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — $75,959.95 $6,542.00 $399,144.17 $90,403.98 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — $69,982.73 $54,906.00 $367,735.86 $88,234.35 2025-12-31
Sx00000069838-74783 CDM Jts Implant Set 62 13 $172,360.00 — $31,024.80 $172,360.00 $86,180.00 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 15 — $61,412.46 $61,412.46 $322,701.93 $80,098.88 2025-12-31
8010000021-108071 CDM Cadaver Donor Kidney Acquisit 56 12 $93,500.00 — $16,830.00 $91,966.60 $79,867.70 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 40 13 — $66,797.97 $6,542.00 $351,001.03 $79,499.82 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 15 — $61,446.54 $54,906.00 $322,881.01 $77,471.89 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 15 — $58,453.21 $6,542.00 $354,491.48 $76,302.69 2025-12-31
Sx00000075430-72837 CDM Ligasure Kit 52 11 $87,094.62 — $15,677.03 $85,666.27 $75,197.49 2025-12-31
8010000020-108072 CDM Live Donor Kidney Acquisition 56 12 $88,000.00 — $15,840.00 $86,556.80 $75,169.60 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — $60,479.94 $6,542.00 $317,801.88 $71,980.40 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 15 — $56,678.83 $54,906.00 $297,828.29 $71,460.76 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — $56,106.70 $54,906.00 $294,821.96 $70,739.42 2025-12-31
10 MS_DRG Pancreas Transplant 52 14 — $57,814.38 $6,542.00 $266,162.66 $69,750.54 2025-12-31
8010000023-108069 CDM Cadaver Kidney/pancreas Acquis 56 12 $80,453.00 — $14,481.54 $79,133.57 $68,722.96 2025-12-31
Sx00000076504-72648 CDM Ligasure Kit Lf1744/gen 52 11 $79,401.17 — $14,292.21 $78,098.99 $68,554.97 2025-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 62 13 $136,290.00 — $24,532.20 $136,290.00 $68,145.00 2025-12-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 1 — — $67,973.80 $67,973.80 $67,973.80 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 14 — $57,482.99 $6,542.00 $302,053.91 $66,851.62 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 15 — $54,124.93 $6,542.00 $284,408.41 $65,887.67 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 60 15 — $50,443.46 $5,778.00 $265,063.52 $63,599.20 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 7 — $63,431.05 $53,916.39 $76,117.26 $63,431.05 2025-12-31
Sx00000046460-81129 CDM Kit Starter Stapler Endowrist 45 52 11 $72,354.00 — $13,023.72 $71,167.39 $62,470.44 2025-12-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $62,262.24 $62,262.24 $62,262.24 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 12 — $51,244.73 $51,244.73 $269,273.90 $61,824.54 2025-12-31
C1605 HCPCS System Leadless Pacemaker Aveir Dr 62 13 $118,965.00 — $21,413.70 $118,965.00 $61,397.84 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — $51,503.60 $6,542.00 $270,634.18 $61,297.17 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 15 — $48,348.57 $41,905.00 $254,055.56 $60,957.96 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 15 — $49,513.85 $6,542.00 $260,178.71 $60,274.48 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 14 — $43,107.35 $5,778.00 $226,514.71 $60,185.43 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 60 15 — $46,895.41 $5,778.00 $246,419.72 $59,125.82 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — $46,827.98 $46,827.98 $246,065.36 $59,040.79 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 58 15 — $48,430.51 $6,542.00 $254,486.13 $58,955.70 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 9 — $55,945.97 $47,554.07 $112,575.34 $58,743.27 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 12 — $48,617.59 $48,617.59 $255,469.18 $58,655.02 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 15 — $44,654.77 $37,880.00 $234,645.89 $58,242.22 2025-12-31
E0194NU OTHER Air Fluidized Bed 2 1 — — $57,835.69 $57,835.69 $57,835.69 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 15 — $43,440.91 $43,440.91 $244,532.57 $56,659.00 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 15 — $44,295.83 $42,664.00 $232,759.80 $56,340.03 2025-12-31
Sx00000102245-63188 CDM Custom Pelvis IMPLaNT 62 13 $112,294.40 — $20,212.99 $112,294.40 $56,147.20 2025-12-31
33231 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 72 17 $75,878.00 $35,039.46 54% off $814.82 $137,045.00 $55,850.00 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 15 — $45,859.21 $6,542.00 $240,974.80 $55,825.59 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 15 — $40,079.94 $6,542.00 $268,814.12 $55,685.64 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — $43,139.98 $38,026.76 $226,686.18 $55,586.26 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $37,355.19 $73,284.09 $55,319.64 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 15 — $42,667.92 $41,937.00 $224,205.67 $55,278.41 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $54,433.16 $54,433.16 $54,433.16 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 15 — $41,617.94 $41,617.94 $222,536.03 $54,281.34 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 36 12 — $44,917.27 $44,917.27 $236,025.22 $54,190.74 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 15 — $44,498.87 $6,542.00 $233,826.68 $54,169.62 2025-12-31
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3x5cm 81073 128 14 $139,304.08 — $11,794.33 $127,351.79 $54,057.37 2025-12-31
Sx00000065138-76362 CDM Carticel Cs1000 62 13 $108,087.82 — $19,455.81 $108,087.82 $54,043.91 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 58 15 — $44,084.10 $6,542.00 $231,647.19 $53,664.70 2025-12-31
Sx00000040413-82135 CDM Cath Intra-aortic Balloon 4.0 Impella Cp 52 11 $62,000.00 — $11,160.00 $60,983.20 $53,530.80 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 13 — $44,859.26 $6,542.00 $235,720.40 $53,389.38 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 14 — $43,767.94 $5,778.00 $201,496.45 $53,279.83 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 14 — $43,767.94 $5,778.00 $222,359.22 $53,279.83 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 54 15 — $40,422.93 $39,457.00 $212,408.98 $52,722.72 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 15 — $38,578.21 $37,103.00 $202,715.58 $52,611.34 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — $38,407.80 $37,813.00 $201,820.16 $52,500.21 2025-12-31
0187433001 NDC Isoproterenol Hcl 0.2 Mg/ml Ij Soln 54 12 $65,582.32 — $11,804.82 $64,506.77 $52,465.86 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 58 15 — $42,219.07 $6,542.00 $221,847.10 $51,394.36 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 15 — $39,364.97 $38,678.00 $206,849.76 $51,342.84 2025-12-31
0571T OTHER Insj/rplcmt Icds W/substernal Electrode 70 16 $66,076.00 $35,039.46 47% off $11,893.68 $64,992.35 $51,327.84 2025-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 132 18 $129,984.00 $56,824.55 56% off $10,098.00 $129,984.00 $50,888.31 2025-12-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $50,654.26 $50,654.26 $50,654.26 2025-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 124 13 $101,640.00 — $17,672.33 $101,640.00 $50,562.50 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 60 15 — $40,079.94 $5,778.00 $210,606.71 $50,532.86 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 15 — $41,369.22 $6,542.00 $217,381.43 $50,359.81 2025-12-31
Sx00000295724-6449 CDM Probe Laser Diffusing Tip Neuroblate Nb3 Fullfire 1.6mm Ffd016 52 11 $58,260.16 — $10,486.83 $57,304.69 $50,301.82 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $49,772.24 $49,772.24 $49,772.24 2025-12-31
Sx00000201156-24772 CDM Repiphysis Total Femur 62 13 $99,200.00 — $17,856.00 $99,200.00 $49,600.00 2025-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $48,885.00 $48,885.00 $48,885.00 2025-12-31
0795T OTHER Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 70 16 $62,030.00 $20,842.49 66% off $11,165.40 $61,012.71 $48,184.90 2025-12-31
J9226 HCPCS Supprelin La Implant 22 9 — $45,560.39 $38,726.33 $93,292.40 $47,838.41 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 15 — $39,164.11 $6,542.00 $205,794.30 $47,675.48 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 15 — $39,127.13 $6,542.00 $205,599.98 $47,630.45 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 58 15 — $39,122.78 $6,542.00 $205,577.12 $47,625.17 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 14 — $39,454.89 $6,542.00 $181,640.24 $47,600.60 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — $39,911.72 $6,542.00 $209,722.72 $47,501.06 2025-12-31
Sx00000329827-2261 CDM Kit Orthognathic Surgical Planning 3d Printed Plates Hybrid Guid 52 11 $54,944.40 — $9,889.99 $54,043.31 $47,438.99 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 13 — $39,668.07 $6,542.00 $208,442.46 $47,211.09 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 15 — $37,220.77 $36,419.00 $195,582.70 $46,928.01 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 60 15 — $36,135.25 $6,542.00 $223,610.53 $46,541.92 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 15 — $36,829.20 $8,719.00 $193,525.14 $46,434.32 2025-12-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $45,929.78 $45,929.78 $45,929.78 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 60 15 — $36,308.56 $5,778.00 $190,789.34 $45,777.89 2025-12-31
8010000022-108070 CDM Cadaver Pancreas Acquisition 56 12 $52,859.00 — $9,514.62 $51,992.11 $45,152.16 2025-12-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 4 1 — — $45,086.91 $45,086.91 $45,086.91 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 12 — $37,344.77 $37,344.77 $196,234.26 $45,054.85 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 15 — $36,942.32 $6,542.00 $194,119.54 $44,970.83 2025-12-31
K0606NU OTHER Aed Garment W Elec Analysis 2 1 — — $44,754.68 $44,754.68 $44,754.68 2025-12-31
Sx00000066257-76019 CDM Controller Impella Packaged 62 13 $89,280.00 — $16,070.40 $89,280.00 $44,640.00 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 58 15 — $36,523.92 $6,542.00 $191,921.00 $44,461.50 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 56 15 — $35,221.59 $8,719.00 $185,077.70 $44,407.44 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 15 — $36,265.78 $6,542.00 $190,564.53 $44,147.26 2025-12-31
38240 HCPCS Marrow/bld-drv Prph Stem Cell Trnsplj Allogeneic 122 17 $71,666.00 $64,635.47 $493.50 $77,562.56 $43,818.26 2025-12-31
0802T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 70 16 $56,333.00 $20,842.49 63% off $10,139.94 $55,409.14 $43,759.47 2025-12-31
0803T OTHER Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 70 16 $56,333.00 $20,842.49 63% off $10,139.94 $55,409.14 $43,759.47 2025-12-31
0801T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 70 16 $56,333.00 $20,842.49 63% off $10,139.94 $55,409.14 $43,759.47 2025-12-31
0823T OTHER Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 70 16 $56,333.00 $20,842.49 63% off $10,139.94 $55,409.14 $43,759.47 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 56 15 — $34,478.34 $8,719.00 $181,172.14 $43,470.34 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 15 — $33,302.18 $8,719.00 $174,991.84 $43,435.28 2025-12-31
Sx00000021859-89947 CDM Implant Orthopedic Repiphysis Proximal Tibial Lf 62 13 $86,800.00 — $15,624.00 $86,800.00 $43,400.00 2025-12-31
C1825 HCPCS Neo System Barostim 62 13 $86,800.00 — $15,624.00 $86,800.00 $43,400.00 2025-12-31
E0194UE OTHER Air Fluidized Bed 2 1 — — $43,376.77 $43,376.77 $43,376.77 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 13 — $36,280.28 $6,542.00 $190,640.74 $43,179.10 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 15 — $34,115.05 $8,719.00 $198,852.94 $43,012.32 2025-12-31
Sx00000070513-74450 CDM Platform Energy For Valleylab Ft10 Valleylab Vlft10gen 52 11 $49,600.00 — $8,928.00 $48,786.56 $42,824.64 2025-12-31
245 MS_DRG Aicd Generator Procedures 60 15 — $35,435.51 $6,542.00 $186,201.74 $42,751.40 2025-12-31
Sx00000294250-6581 CDM Kit Tkr Osteotomy Femoral Distal My3d C240548 62 13 $85,014.40 — $15,302.59 $85,014.40 $42,507.20 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 56 14 — $30,241.42 $5,778.00 $158,908.56 $42,472.44 2025-12-31
Sx00000312039-4297 CDM Probe Transducer Ultrasound Rectal/vaginal Hydros Hu1000 52 11 $49,104.00 — $8,838.72 $48,298.69 $42,396.39 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 15 — $34,628.44 $6,542.00 $181,960.88 $42,154.09 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 54 14 — $35,162.86 $6,542.00 $165,441.60 $42,040.28 2025-12-31
33240 HCPCS Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 72 17 $57,037.00 $24,530.99 57% off $748.82 $137,045.00 $41,982.08 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 15 — $33,297.11 $8,719.00 $174,965.17 $41,981.05 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 15 — $34,471.81 $6,542.00 $181,137.85 $41,963.42 2025-12-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $41,602.31 $41,602.31 $41,602.31 2025-12-31
791 MS_DRG Prematurity With Major Problems 56 14 — $29,439.43 $5,778.00 $154,694.37 $41,368.32 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 15 — $33,932.32 $6,542.00 $178,302.99 $41,306.69 2025-12-31
77371 HCPCS Radiation Delivery Stereotactic Cranial Cobalt 70 17 $56,977.00 $8,354.51 85% off $3,522.73 $54,487.11 $41,143.09 2025-12-31
Sx00000298397-6078 CDM Bundle Mandible Reconstruction Titanium Guides Accuplan Zbkt010 52 11 $47,616.00 — $8,570.88 $46,835.10 $41,111.65 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 58 15 — $33,422.55 $6,542.00 $175,624.35 $40,686.13 2025-12-31
33264 HCPCS Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 72 17 $51,396.00 $35,039.46 32% off $819.69 $137,045.00 $40,679.93 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 13 — $33,732.18 $8,719.00 $177,251.35 $40,329.78 2025-12-31
Sx00000033383-82875 CDM Tavr Vavle Transapical 26mm 62 13 $80,600.00 — $14,508.00 $80,600.00 $40,300.00 2025-12-31
33230 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 72 17 $54,185.00 $24,530.99 55% off $759.66 $137,045.00 $39,882.87 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 15 — $32,714.83 $6,542.00 $171,905.49 $39,824.60 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 58 15 — $32,519.77 $6,542.00 $170,880.52 $39,587.15 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 60 15 — $31,375.52 $5,778.00 $164,867.87 $39,558.31 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 15 — $32,429.85 $6,542.00 $170,408.05 $39,477.69 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 15 — $31,310.98 $8,719.00 $174,136.16 $39,476.93 2025-12-31
33263 HCPCS Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 72 17 $51,396.00 $24,530.99 52% off $786.03 $137,045.00 $39,395.04 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 58 15 — $30,170.36 $8,719.00 $158,535.15 $39,350.52 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 58 15 — $32,126.75 $6,542.00 $168,815.34 $39,108.72 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 15 — $29,817.95 $8,719.00 $156,683.35 $38,890.87 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 14 — $33,408.78 $6,542.00 $175,551.95 $38,853.76 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $38,830.45 $38,830.45 $38,830.45 2025-12-31
0409T OTHER Insj/rplc Cardiac Modulj Sys Pls Generator Only 70 16 $49,969.00 $24,530.99 51% off $8,994.42 $49,149.51 $38,815.92 2025-12-31
Sx00000126491-47566 CDM Stapler Internal Non Reloadable Synthetic Reinforcement Bio Abso 52 11 $44,627.60 — $8,032.97 $43,895.71 $38,531.47 2025-12-31
0620T OTHER Endovascular Venous Arterialization Tibl/prnl Vn 70 16 $103,031.00 $38,251.35 63% off $2,379.00 $101,341.29 $38,251.35 2025-12-31
0408T OTHER Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 70 16 $49,969.00 $35,039.46 30% off $8,994.42 $49,149.51 $38,193.01 2025-12-31
Sx00000025770-86443 CDM Bronchoscope Flexible Evis Exera 60cm Ultra Slim 52 11 $43,623.20 — $7,852.18 $42,907.78 $37,664.27 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 15 — $30,931.74 $6,542.00 $162,535.97 $37,654.01 2025-12-31
Sx00000026734-85604 CDM Drive Motor Electronic Non Headstage 52 11 $43,603.36 — $7,848.60 $42,888.26 $37,647.14 2025-12-31
33262 HCPCS Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 72 17 $48,525.00 $24,530.99 49% off $756.65 $137,045.00 $37,194.42 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 15 — $29,493.82 $8,719.00 $154,980.14 $37,185.85 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 15 — $30,387.17 $6,542.00 $159,674.43 $36,991.08 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 15 — $30,379.92 $6,542.00 $159,636.33 $36,982.25 2025-12-31
C1735 HCPCS Catheter Rnd Multi Electrode Rx Symplicity Spyral 4fr 62 13 $73,920.00 — $13,305.60 $73,920.00 $36,960.00 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 13 — $30,886.06 $6,542.00 $162,295.92 $36,759.14 2025-12-31
C1604 HCPCS System Detour Cap Price Per Procedure 110 13 $115,500.00 — $0.18 $115,500.00 $36,752.10 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 14 — $31,853.38 $6,542.00 $167,378.86 $36,352.44 2025-12-31
Sx00000070914-74310 CDM Colonoscope Silverscope/chan 52 11 $42,088.58 — $7,575.94 $41,398.33 $36,339.28 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 15 — $29,801.27 $6,542.00 $156,595.71 $36,277.85 2025-12-31
3303000032-121418 CDM Nmdp Cord Blood Unit 56 12 $42,435.00 — $7,638.30 $41,739.07 $36,247.97 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 15 — $29,757.04 $6,542.00 $156,363.28 $36,224.00 2025-12-31
38211 HCPCS Trnspl Prepj Hematop Progen Tum Cell Deplj 70 17 $46,393.00 $477.79 99% off $144.97 $45,632.15 $36,038.08 2025-12-31
33249 HCPCS Ins/rep Pac Perm Cvdfb Trnsven Leads 1/2 Chamber 72 17 $44,105.00 $35,039.46 21% off $1,845.17 $137,045.00 $36,037.71 2025-12-31
0614T OTHER Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 70 16 $46,259.00 $24,530.99 47% off $8,326.62 $45,500.35 $35,933.99 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 58 15 — $25,599.88 $6,542.00 $175,370.47 $35,929.94 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 15 — $28,354.64 $8,719.00 $148,994.16 $35,749.57 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 44 14 — $30,667.07 $6,542.00 $161,145.21 $35,665.22 2025-12-31
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 4 1 — — $35,422.74 $35,422.74 $35,422.74 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 13 — $29,610.56 $8,719.00 $155,593.60 $35,402.03 2025-12-31
Sx00000033274-82887 CDM Vessel Sealer And Stapler Vision Cart 52 11 $40,920.00 — $7,365.60 $40,248.91 $35,330.33 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 15 — $27,919.56 $8,719.00 $146,707.98 $35,201.04 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 15 — $28,886.88 $6,542.00 $151,790.92 $35,164.74 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 15 — $28,866.58 $6,542.00 $151,684.23 $35,140.03 2025-12-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 14 6 — $35,039.46 $35,039.46 $42,047.35 $35,039.46 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 58 15 — $28,611.34 $6,542.00 $150,343.01 $34,829.31 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 15 — $28,552.60 $6,542.00 $150,034.37 $34,757.81 2025-12-31
Sx00000026859-85491 CDM Pump Circulating Impella Cable 5 62 13 $69,440.00 — $12,499.20 $69,440.00 $34,720.00 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 58 15 — $28,494.59 $6,542.00 $149,729.55 $34,687.20 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 15 — $28,198.01 $6,542.00 $148,171.14 $34,326.16 2025-12-31
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $34,301.17 $34,301.17 $34,301.17 2025-12-31
Sx00000018960-92522 CDM Transducer Ultrasound T Probe Multi Frequency 52 11 $39,680.00 — $7,142.40 $39,029.25 $34,259.71 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 15 — $28,026.16 $6,542.00 $147,268.10 $34,116.96 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 58 15 — $27,997.88 $6,542.00 $147,119.49 $34,082.53 2025-12-31
Sx00000021857-89949 CDM Transducer Ultrasound Rectal Convex 52 11 $39,372.48 — $7,087.05 $38,726.77 $33,994.20 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 13 — $28,368.42 $6,542.00 $149,066.56 $33,762.76 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 58 15 — $27,717.25 $6,542.00 $145,644.91 $33,740.93 2025-12-31
0825T OTHER Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 70 16 $43,421.00 $20,842.49 52% off $7,815.78 $42,708.90 $33,729.43 2025-12-31
K0606UE OTHER Aed Garment W Elec Analysis 2 1 — — $33,566.01 $33,566.01 $33,566.01 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 15 — $27,567.15 $6,542.00 $144,856.18 $33,558.20 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 60 15 — $26,457.71 $5,778.00 $139,026.42 $33,357.93 2025-12-31
C9797 HCPCS Vasc Emb/occ W/prs Cath 60 16 $45,626.00 $19,624.54 57% off $6,368.00 $44,877.73 $33,327.51 2025-12-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 14 6 — $33,303.98 $33,303.98 $39,964.77 $33,303.98 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 58 15 — $27,352.52 $6,542.00 $143,728.33 $33,296.92 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 58 15 — $27,134.25 $6,542.00 $142,581.43 $33,031.22 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 60 15 — $25,992.90 $5,778.00 $136,584.01 $32,771.90 2025-12-31
61715 HCPCS Mrgfus Stereotactic Ablation Target Intracranial 60 16 $44,792.00 $13,628.55 70% off $6,368.00 $44,057.41 $32,718.32 2025-12-31
93656 HCPCS Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 72 17 $42,264.00 $26,810.86 37% off $1,523.86 $41,570.87 $32,632.87 2025-12-31
Sx00000255249-12224 CDM Kit Planning Orthognathic 3d Printed Plates Guides Single Jaw Ti 52 11 $37,795.20 — $6,803.14 $37,175.36 $32,632.38 2025-12-31
C1831 HCPCS Kit Spinal Level 1 Fusion Aprevo Aprevo1 62 13 $64,480.00 — $11,606.40 $64,480.00 $32,240.00 2025-12-31
Sx00000343890-63 CDM Catheter Valve Coronary Aortic Leaflet Splitting Transcatheter S 52 11 $37,200.00 — $6,696.00 $36,589.92 $32,118.48 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 15 — $26,274.25 $6,542.00 $138,120.19 $31,984.32 2025-12-31
93653 HCPCS Ephys Eval With Ablation Supravent Arrhythmia 72 17 $40,242.00 $26,810.86 33% off $1,343.86 $39,582.03 $31,841.26 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 15 — $25,994.35 $6,542.00 $136,591.63 $31,643.60 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 15 — $25,988.55 $6,542.00 $136,561.15 $31,636.53 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 60 15 — $24,976.27 $6,542.00 $131,241.97 $31,490.12 2025-12-31
0627T OTHER Perq Njx Algc Cell &/prdct Uni/bi Fluor Lmbr 1st 68 16 $40,912.00 $14,061.89 66% off $7,364.16 $40,241.04 $31,359.05 2025-12-31
0629T OTHER Perq Njx Algc Cell&/prdct Uni/bi CT Lmbr 1st 68 16 $40,912.00 $14,061.89 66% off $7,364.16 $40,241.04 $31,359.05 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 15 — $25,750.71 $6,542.00 $135,311.37 $31,347.00 2025-12-31
265 MS_DRG Aicd Lead Procedures 60 15 — $25,866.73 $6,542.00 $135,921.02 $31,207.08 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 15 — $25,593.36 $6,542.00 $134,484.54 $31,155.45 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 15 — $25,528.82 $6,542.00 $134,145.42 $31,076.89 2025-12-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 72 17 $39,215.00 $31,068.75 21% off $670.21 $38,571.87 $31,068.75 2025-12-31
Sx00000167730-35866 CDM Cannula/circuit Angiovac And Combo 52 11 $35,960.00 — $6,472.80 $35,370.26 $31,047.86 2025-12-31
Sx00000027428-85002 CDM Support Or Table Trimano Arm 52 11 $35,960.00 — $6,472.80 $35,370.26 $31,047.86 2025-12-31
Sx00000216865-19750 CDM Impella Rp Catheter With Smart Assist 62 13 $62,000.00 — $11,160.00 $62,000.00 $31,000.00 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 15 — $25,407.00 $6,542.00 $133,505.29 $30,928.59 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 15 — $25,399.02 $6,542.00 $133,463.38 $30,918.88 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 15 — $25,388.87 $6,542.00 $137,593.14 $30,906.52 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 58 15 — $25,343.91 $6,542.00 $133,173.80 $30,851.80 2025-12-31
332 MS_DRG Rectal Resection With Mcc 58 15 — $25,152.48 $6,542.00 $132,167.88 $30,755.16 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 58 15 — $25,124.93 $6,542.00 $132,023.08 $30,585.22 2025-12-31
0797T OTHER Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 70 16 $39,304.00 $20,842.49 47% off $7,074.72 $38,659.41 $30,531.35 2025-12-31
0796T OTHER Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 70 16 $39,304.00 $20,842.49 47% off $7,074.72 $38,659.41 $30,531.35 2025-12-31
0525T OTHER Insertion Replacement Complete Iims 70 16 $39,298.00 $20,842.49 47% off $7,073.64 $38,653.51 $30,526.69 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 58 15 — $24,937.12 $6,542.00 $131,036.22 $30,356.59 2025-12-31
Sx00000173668-34266 CDM Rondo 3 Two Processor Patient Kit 52 11 $35,154.00 — $6,327.72 $34,577.47 $30,351.96 2025-12-31
665 MS_DRG Prostatectomy With Mcc 58 15 — $24,897.96 $6,542.00 $130,830.46 $30,308.92 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 58 15 — $24,874.76 $6,542.00 $130,708.53 $30,280.68 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 15 — $24,837.05 $6,542.00 $130,510.40 $30,234.78 2025-12-31
Sx00000057943-78225 CDM Kit Neurologic Ablation Diffusing Tip With Accessories Visualase 52 11 $34,908.48 — $6,283.53 $34,335.98 $30,139.98 2025-12-31
C9760 HCPCS Non-blind Interatrial Shunt 14 6 — $30,054.75 $30,054.75 $36,065.70 $30,054.75 2025-12-31
J9266 HCPCS Pegaspargase Injection 22 9 — $28,424.06 $24,160.45 $46,302.35 $29,845.26 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 15 — $24,699.28 $6,542.00 $129,786.44 $29,798.61 2025-12-31
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $29,737.23 $29,737.23 $29,737.23 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 60 15 — $24,596.31 $6,542.00 $129,245.38 $29,674.38 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 15 — $24,340.34 $6,542.00 $127,900.34 $29,630.12 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 60 15 — $22,524.62 $6,542.00 $158,059.55 $29,485.68 2025-12-31
Sx00000168093-35747 CDM Synchrony2 Flex28 62 13 $58,900.00 — $10,602.00 $58,900.00 $29,450.00 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 58 15 — $24,080.74 $6,542.00 $126,536.25 $29,314.11 2025-12-31
33276 HCPCS Insertion Phrenic Nerve Stimulator System 72 17 $150,200.00 $49,180.15 67% off $1,171.56 $136,381.60 $29,289.00 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 44 14 — $25,180.04 $6,542.00 $132,312.67 $29,283.90 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 60 15 — $23,124.30 $5,778.00 $121,510.47 $29,155.15 2025-12-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $29,076.81 $29,076.81 $29,076.81 2025-12-31
Sx00000278469-8643 CDM Device Coagulation Guided Cannula Epi Sense 3cm Epist30 52 11 $33,480.00 — $6,026.40 $32,930.93 $28,906.63 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 58 15 — $23,702.23 $6,542.00 $124,547.28 $28,853.33 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 58 15 — $23,634.79 $6,542.00 $124,192.92 $28,771.23 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 58 15 — $23,624.64 $6,542.00 $124,139.57 $28,758.88 2025-12-31
33274 HCPCS Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 72 17 $37,400.00 $20,842.49 44% off $967.73 $36,786.64 $28,551.16 2025-12-31
C1824 HCPCS Optimizer Smart Ipg 234 13 $56,925.00 — $0.18 $64,350.00 $28,520.00 2025-12-31
Sx00000129002-45950 CDM Handle Power Signia Xl Adapter 52 11 $32,958.60 — $5,932.55 $32,418.08 $28,456.46 2025-12-31
Sx00000128897-46030 CDM Stapling System Ultra Powered 52 11 $32,958.60 — $5,932.55 $32,418.08 $28,456.46 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 15 — $23,344.01 $6,542.00 $122,664.99 $28,417.27 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 14 — $23,942.97 $8,719.00 $125,812.30 $28,365.68 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 58 15 — $23,061.94 $6,542.00 $121,182.78 $28,073.89 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 64 16 — $19,770.59 $6,542.00 $99,312.56 $28,056.87 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 58 15 — $23,015.53 $6,542.00 $120,938.92 $28,017.39 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 58 15 — $22,977.10 $6,542.00 $120,736.98 $27,970.61 2025-12-31
C2624 HCPCS System Cardiomems Pa Sensor And Del 248 13 $55,688.00 — $9,374.40 $60,638.00 $27,900.00 2025-12-31
Sx00000070005-74728 CDM Cannula /dialator 20 Angle 52 11 $32,240.00 — $5,803.20 $31,711.26 $27,836.02 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 58 15 — $19,842.38 $6,542.00 $135,947.39 $27,743.74 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 13 — $23,235.97 $6,542.00 $122,097.25 $27,654.36 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 13 — $23,168.53 $6,542.00 $121,742.90 $27,574.10 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 58 15 — $22,631.21 $6,542.00 $118,919.46 $27,549.56 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 58 15 — $22,621.06 $6,542.00 $118,866.12 $27,537.19 2025-12-31
K0864NU OTHER Pwc Gp3 Xhd Mult Pow Opt S/b 2 1 — — $27,489.91 $27,489.91 $27,489.91 2025-12-31
L7180 HCPCS Po-electronic Elbow Microprocessor Seq Control Of Elbow & Term D 62 14 $54,767.00 — $9,858.06 $66,496.06 $27,383.50 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 60 15 — $21,653.74 $5,778.00 $113,783.18 $27,301.08 2025-12-31
33208 HCPCS Ins New/rplcmt Prm Pm W/transv Eltrd Atrial&vent 72 17 $35,616.00 $11,437.35 68% off $1,047.82 $63,824.00 $27,299.67 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 15 — $22,423.83 $6,542.00 $117,829.72 $27,297.10 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 15 — $22,361.47 $6,542.00 $117,502.03 $27,221.19 2025-12-31
Sx00000251339-13000 CDM Handpiece Aspirator Tissue Resection Myriad 11gax10cm Nn8006 52 11 $31,453.84 — $5,661.69 $30,938.00 $27,157.24 2025-12-31
Sx00000196138-26369 CDM Fiber Laser Cooled Core Fiber Applicator System Visualase 0.4x10 52 11 $31,416.64 — $5,655.00 $30,901.41 $27,125.12 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 58 15 — $22,178.73 $6,542.00 $116,541.84 $26,998.74 2025-12-31
652 MS_DRG Kidney Transplant 52 14 — $22,271.55 $6,542.00 $112,706.34 $26,869.66 2025-12-31
93654 HCPCS Compre Ep Eval Abltj 3d Mapg Tx Vt 72 17 $30,395.00 $26,810.86 $1,618.93 $35,713.00 $26,810.86 2025-12-31
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