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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

Hackensack University Medical Center

Hackensack, NJ · CCN 319802 · Rates published

51,274 distinct procedures filed
24 distinct payers
2,552,042 rate rows
2025-12-31 last MRF observed
Data quality

2,198,096 of 2,552,042 rate rows are consumer-grade (86.1%)

353,946 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 347,923
exceeds 10× this hospital's gross charge — excluded from medians 4,036
percent-of-charges filed in the dollar field — excluded from medians 712
template filing: same amount across many unrelated codes — excluded 570
per-diem day rate — not a per-procedure price 517
placeholder amount (≤ $0.02) — excluded from medians 188
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260101/221487576-1609862036_hackensack-meridian-health_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint cb1688aa49bce464… · 2,295,204,940 bytes · first seen 2026-05-09

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 $3,604,000.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $2,948,213.34 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,653,170.07 $3,490,800.50 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $2,598,756.58 $3,424,422.75 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,356,592.00 $3,098,221.00 $2,950,686.67 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $1,865,600.00 $2,448,600.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 22 $382,500.00 $2,574,721.38 $1,381,250.00 nat. median
$2,469,189
0.6× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 23 $424,201.77 $2,121,008.85 $1,178,338.25 nat. median
$754,974
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 23 $363,339.43 $1,816,697.16 $1,009,276.20 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel (breyanzi) Cd8 Infusion 23 $355,370.73 $1,776,853.67 $987,140.93 nat. median
$674,188
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 23 $336,798.00 $1,683,990.00 $935,550.00 nat. median
$634,511
1.5× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 23 $336,798.00 $1,683,990.00 $935,550.00 nat. median
$620,080
1.5× median
014-UR
MS_DRG 		Allogeneic Bone Marrow/ Peripheral Stem Cell (Unrelated) 6 $222,521.00 $969,351.00 $813,629.00 —
014-M
MS_DRG 		Mini Allogeneic (non-myeloablative/sub-myeloablative) Bone Marrow/ Stem Cell 2 $215,588.00 $807,187.00 $788,278.00 —
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $616,496.00 $809,151.00 $770,620.00 nat. median
$824,563
0.9× median
014-MINI
MS_DRG 		Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 2 $618,456.00 $916,662.00 $767,559.00 —
014-CB
MS_DRG 		Allogeneic Cord Blood (Inpatient) 5 $215,588.00 $916,662.00 $752,145.00 —
014-HAP
MS_DRG 		Haploidentical ? Level Vi 1 $609,820.00 $677,577.00 $643,698.50 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $452,695.16 $674,570.57 $553,378.83 nat. median
$675,122
0.8× median
014-R
MS_DRG 		Allogeneic Bone Marrow/ Peripheral Stem Cell (Related) 6 $139,017.00 $590,774.00 $485,003.00 —
016-IP
MS_DRG 		Autologous Bone Marrow Transplant (inpatient) 3 $139,017.00 $590,774.00 $484,675.50 —
017-IP
MS_DRG 		Autologous Bone Marrow Transplant (inpatient) 3 $139,017.00 $590,774.00 $484,675.50 —
016-III
MS_DRG 		Autologous Level Iii - Bone Marrow Transplant 1 $468,900.00 $468,900.00 $468,900.00 —
017-III
MS_DRG 		Autologous Level Iii - Bone Marrow Transplant 1 $468,900.00 $468,900.00 $468,900.00 —
014-BMTALLOU
MS_DRG 		Allogeneic Unrelated - Inpatient 1 $382,367.00 $410,467.00 $396,417.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $11,497.00 $1,698,154.13 $375,649.71 nat. median
$265,286
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $8,479.00 $2,273,553.86 $375,077.83 nat. median
$370,174
1.0× median
014-VI
MS_DRG 		Allogeneic Level Vi - Bone Marrow/Stem Cell Transplant 1 $372,084.00 $372,084.00 $372,084.00 —
014-V
MS_DRG 		Allogeneic Level V - Cord Blood Donor (Full Match Donor) 1 $337,335.00 $337,335.00 $337,335.00 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $11,497.00 $1,430,152.72 $316,903.24 nat. median
$206,368
1.5× median
017-OP
MS_DRG 		Autologous Bone Marrow Transplant (outpatient) 6 $83,411.00 $380,065.00 $309,750.00 —
016-OP
MS_DRG 		Autologous Bone Marrow Transplant (outpatient) 6 $83,411.00 $380,065.00 $309,750.00 —
014-BMTALLOR
MS_DRG 		Allogeneic Related - Inpatient 1 $303,687.00 $313,227.00 $308,457.00 —
018-OP
MS_DRG 		Outpatient Car-t Adult & Pedi 1 $190,861.00 $301,083.00 $301,083.00 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $11,497.00 $1,292,025.44 $286,625.46 nat. median
$202,986
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $222,600.00 $283,893.75 $270,375.00 nat. median
$324,450
0.8× median
016-II
MS_DRG 		Autologous Level Ii - Phepheral Blood Stem Cell Transplant 1 $253,004.00 $253,004.00 $253,004.00 —
017-II
MS_DRG 		Autologous Level Ii - Phepheral Blood Stem Cell Transplant 1 $253,004.00 $253,004.00 $253,004.00 —
014-IV
MS_DRG 		Allogeneic Level IV - Bone Marrow Transplant 1 $232,254.00 $232,254.00 $232,254.00 —
016-I
MS_DRG 		Autologous Level I - Phepheral Blood Stem Cell Transplant 1 $227,703.00 $227,703.00 $227,703.00 —
017-I
MS_DRG 		Autologous Level I - Phepheral Blood Stem Cell Transplant 1 $227,703.00 $227,703.00 $227,703.00 —
J3403
HCPCS 		Revakinagene, Per Implant 1 $206,000.00 $206,000.00 $206,000.00 nat. median
$265,000
0.8× median
017-BMTAUTO
MS_DRG 		Autologous, Inpatient 1 $199,056.00 $208,208.00 $203,632.00 —
016-BMTAUTO
MS_DRG 		Autologous, Inpatient 1 $199,056.00 $208,208.00 $203,632.00 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $11,497.00 $851,841.18 $190,136.15 nat. median
$133,176
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $164,512.00 $164,512.00 $164,512.00 nat. median
$209,753
0.8× median
650-SOTK
MS_DRG 		Kidney (living Donor And Deceased Donor) 1 $154,000.00 $154,000.00 $154,000.00 —
651-SOTK
MS_DRG 		Kidney (living Donor And Deceased Donor) 1 $154,000.00 $154,000.00 $154,000.00 —
652-SOTK
MS_DRG 		Kidney (living Donor And Deceased Donor) 1 $154,000.00 $154,000.00 $154,000.00 —

Other procedures at this hospital

Browse this hospital's 51,274 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 8 6 — $4,377,500.00 $3,604,000.00 $4,596,375.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 6 — $3,710,000.00 $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — $3,685,266.67 $2,948,213.34 $3,869,530.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — $3,324,571.90 $2,653,170.07 $3,490,800.50 $3,324,571.90 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 7 — $3,261,355.00 $2,598,756.58 $3,424,422.75 $3,261,355.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — $2,950,686.67 $2,356,592.00 $3,098,221.00 $2,950,686.67 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — $2,332,000.00 $1,865,600.00 $2,448,600.00 $2,332,000.00 2025-12-31
J3399 HCPCS Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 44 22 $2,125,000.00 $2,452,115.60 $382,500.00 $2,574,721.38 $1,381,250.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 45 23 $2,356,676.50 $578,324.58 75% off $424,201.77 $2,121,008.85 $1,178,338.25 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 45 23 $2,018,552.40 $541,260.45 73% off $363,339.43 $1,816,697.16 $1,009,276.20 2025-12-31
Q2054 HCPCS Lisocabtagene Maraleucel (breyanzi) Cd8 Infusion 45 23 $1,974,281.85 $541,635.66 73% off $355,370.73 $1,776,853.67 $987,140.93 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 45 23 $1,871,100.00 $533,076.48 72% off $336,798.00 $1,683,990.00 $935,550.00 2025-12-31
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 45 23 $1,871,100.00 $489,720.00 74% off $336,798.00 $1,683,990.00 $935,550.00 2025-12-31
014-UR MS_DRG Allogeneic Bone Marrow/ Peripheral Stem Cell (Unrelated) 13 6 — — $222,521.00 $969,351.00 $813,629.00 2025-12-31
014-M MS_DRG Mini Allogeneic (non-myeloablative/sub-myeloablative) Bone Marrow/ Stem Cell 7 2 — — $215,588.00 $807,187.00 $788,278.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 11 7 — $770,620.00 $616,496.00 $809,151.00 $770,620.00 2025-12-31
014-MINI MS_DRG Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 2 2 — — $618,456.00 $916,662.00 $767,559.00 2025-12-31
014-CB MS_DRG Allogeneic Cord Blood (Inpatient) 11 5 — — $215,588.00 $916,662.00 $752,145.00 2025-12-31
014-HAP MS_DRG Haploidentical ? Level Vi 2 1 — — $609,820.00 $677,577.00 $643,698.50 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 13 8 — $553,378.83 $452,695.16 $674,570.57 $553,378.83 2025-12-31
014-R MS_DRG Allogeneic Bone Marrow/ Peripheral Stem Cell (Related) 13 6 — — $139,017.00 $590,774.00 $485,003.00 2025-12-31
017-IP MS_DRG Autologous Bone Marrow Transplant (inpatient) 4 3 — — $139,017.00 $590,774.00 $484,675.50 2025-12-31
016-IP MS_DRG Autologous Bone Marrow Transplant (inpatient) 4 3 — — $139,017.00 $590,774.00 $484,675.50 2025-12-31
017-III MS_DRG Autologous Level Iii - Bone Marrow Transplant 3 1 — — $468,900.00 $468,900.00 $468,900.00 2025-12-31
016-III MS_DRG Autologous Level Iii - Bone Marrow Transplant 3 1 — — $468,900.00 $468,900.00 $468,900.00 2025-12-31
014-BMTALLOU MS_DRG Allogeneic Unrelated - Inpatient 2 1 — — $382,367.00 $410,467.00 $396,417.00 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 17 — — $11,497.00 $1,698,154.13 $375,649.71 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 13 — — $8,479.00 $2,273,553.86 $375,077.83 2025-12-31
014-VI MS_DRG Allogeneic Level Vi - Bone Marrow/Stem Cell Transplant 3 1 — — $372,084.00 $372,084.00 $372,084.00 2025-12-31
014-V MS_DRG Allogeneic Level V - Cord Blood Donor (Full Match Donor) 3 1 — — $337,335.00 $337,335.00 $337,335.00 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 17 — — $11,497.00 $1,430,152.72 $316,903.24 2025-12-31
016-OP MS_DRG Autologous Bone Marrow Transplant (outpatient) 13 6 — — $83,411.00 $380,065.00 $309,750.00 2025-12-31
017-OP MS_DRG Autologous Bone Marrow Transplant (outpatient) 13 6 — — $83,411.00 $380,065.00 $309,750.00 2025-12-31
014-BMTALLOR MS_DRG Allogeneic Related - Inpatient 2 1 — — $303,687.00 $313,227.00 $308,457.00 2025-12-31
018-OP MS_DRG Outpatient Car-t Adult & Pedi 3 1 — — $190,861.00 $301,083.00 $301,083.00 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 17 — — $11,497.00 $1,292,025.44 $286,625.46 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 6 — $270,375.00 $222,600.00 $283,893.75 $270,375.00 2025-12-31
016-II MS_DRG Autologous Level Ii - Phepheral Blood Stem Cell Transplant 3 1 — — $253,004.00 $253,004.00 $253,004.00 2025-12-31
017-II MS_DRG Autologous Level Ii - Phepheral Blood Stem Cell Transplant 3 1 — — $253,004.00 $253,004.00 $253,004.00 2025-12-31
014-IV MS_DRG Allogeneic Level IV - Bone Marrow Transplant 3 1 — — $232,254.00 $232,254.00 $232,254.00 2025-12-31
016-I MS_DRG Autologous Level I - Phepheral Blood Stem Cell Transplant 3 1 — — $227,703.00 $227,703.00 $227,703.00 2025-12-31
017-I MS_DRG Autologous Level I - Phepheral Blood Stem Cell Transplant 3 1 — — $227,703.00 $227,703.00 $227,703.00 2025-12-31
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $206,000.00 $206,000.00 $206,000.00 2025-12-31
016-BMTAUTO MS_DRG Autologous, Inpatient 2 1 — — $199,056.00 $208,208.00 $203,632.00 2025-12-31
017-BMTAUTO MS_DRG Autologous, Inpatient 2 1 — — $199,056.00 $208,208.00 $203,632.00 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 17 — — $11,497.00 $851,841.18 $190,136.15 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $164,512.00 $164,512.00 $164,512.00 2025-12-31
652-SOTK MS_DRG Kidney (living Donor And Deceased Donor) 2 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
650-SOTK MS_DRG Kidney (living Donor And Deceased Donor) 2 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
651-SOTK MS_DRG Kidney (living Donor And Deceased Donor) 2 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 16 — — $8,479.00 $358,388.21 $149,704.64 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 17 — — $11,497.00 $705,672.00 $149,034.11 2025-12-31
7 MS_DRG Lung Transplant 33 15 — — $11,497.00 $787,865.68 $146,527.09 2025-12-31
BMTAUTO CPT Autologous, Outpatient 1 1 — — $144,144.00 $144,144.00 $144,144.00 2025-12-31
215 MS_DRG Other Heart Assist System Implant 35 17 — — $11,497.00 $677,461.00 $143,419.13 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 22 12 — — $8,479.00 $789,855.11 $137,858.36 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $132,999.99 $132,999.99 $132,999.99 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 17 — — $11,497.00 $581,826.21 $130,948.31 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 15 — — $11,497.00 $642,009.73 $119,670.61 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 17 — — $8,479.00 $419,379.56 $119,421.08 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 35 15 — — $11,497.00 $328,022.15 $116,436.00 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 17 — — $11,497.00 $510,857.54 $115,391.83 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 17 — — $11,497.00 $510,574.19 $115,329.72 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 22 14 — — $11,497.00 $656,749.66 $114,741.74 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $11,497.00 $631,519.96 $110,360.06 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 17 — — $11,497.00 $548,089.00 $109,936.75 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 17 — — $8,479.00 $389,881.62 $109,738.24 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 17 — — $8,479.00 $301,864.06 $109,673.39 2025-12-31
10 MS_DRG Pancreas Transplant 36 16 — — $11,497.00 $480,660.28 $106,921.08 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 17 — — $11,497.00 $471,219.49 $106,703.09 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 36 17 — — $8,479.00 $333,218.81 $106,569.76 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 17 — — $11,497.00 $466,462.93 $105,660.44 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 34 16 — — $8,479.00 $251,422.76 $105,027.96 2025-12-31
791 MS_DRG Prematurity With Major Problems 34 16 — — $8,479.00 $244,755.13 $102,242.83 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 17 — — $11,497.00 $449,986.76 $102,048.83 2025-12-31
652 MS_DRG Kidney Transplant 36 16 — — $11,497.00 $253,004.00 $101,324.50 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 22 14 — — $11,497.00 $555,348.60 $97,131.27 2025-12-31
Sx00000069838-74617 CDM Jts Implant Set 37 18 $172,360.00 — $31,024.80 $168,085.47 $94,798.00 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 17 — — $11,497.00 $411,650.89 $93,645.53 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 17 — — $11,497.00 $402,644.17 $91,671.23 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 17 — — $11,497.00 $401,962.93 $91,521.91 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 17 — — $11,497.00 $389,320.96 $88,750.76 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 14 — — $11,497.00 $502,821.41 $88,008.80 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 17 — — $11,497.00 $381,266.75 $86,985.26 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 17 — — $11,497.00 $371,253.25 $84,790.28 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 17 — — $11,497.00 $369,957.10 $84,506.16 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 17 — — $11,497.00 $368,269.09 $84,136.14 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 35 17 — — $11,497.00 $366,508.74 $83,750.27 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 15 — — $11,497.00 $477,905.21 $83,681.56 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 17 — — $11,497.00 $378,079.00 $82,578.12 2025-12-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 1 — — $82,401.50 $82,401.50 $82,401.50 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 17 — — $11,497.00 $358,659.50 $82,029.70 2025-12-31
0187001050 NDC Sod Benz-sod Phenylacet 10-10 % IV Soln 34 17 $96,480.00 — $17,366.40 $96,480.00 $82,008.00 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 17 — — $11,497.00 $354,734.88 $81,169.42 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 17 — — $11,497.00 $351,003.18 $80,351.42 2025-12-31
8010000021-108430 CDM Cadaver Donor Kidney Acquisit 33 17 $93,500.00 — $16,830.00 $93,500.00 $79,475.00 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 17 — — $11,497.00 $346,005.47 $79,255.91 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 17 — — $11,497.00 $343,937.66 $78,802.65 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 35 17 — — $11,497.00 $336,070.34 $77,078.11 2025-12-31
Sx00000075430-72639 CDM Ligasure Kit 31 15 $87,094.62 — $15,677.03 $87,094.62 $76,817.45 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 17 — — $11,497.00 $415,621.00 $76,453.05 2025-12-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $75,477.65 $75,477.65 $75,477.65 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 17 — — $11,497.00 $327,274.61 $75,150.07 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $11,497.00 $428,193.37 $75,048.04 2025-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 37 18 $136,290.00 — $24,532.20 $132,910.01 $74,959.50 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $74,831.36 $74,831.36 $74,831.36 2025-12-31
8010000020-108431 CDM Live Donor Kidney Acquisition 33 17 $88,000.00 — $15,840.00 $88,000.00 $74,800.00 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 17 — — $11,497.00 $325,604.69 $74,784.02 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 17 — — $11,497.00 $325,297.23 $74,716.62 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 17 — — $11,497.00 $325,261.06 $74,708.69 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 14 — — $11,497.00 $426,041.16 $74,674.26 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 17 — — $11,497.00 $320,733.58 $73,716.26 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 17 — — $11,497.00 $319,316.86 $73,405.71 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 17 — — $11,497.00 $309,448.04 $71,242.45 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 14 — — $11,497.00 $404,199.54 $70,881.00 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 17 — — $11,497.00 $307,133.06 $70,735.00 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 17 — — $11,497.00 $306,192.59 $70,528.85 2025-12-31
Sx00000076504-72445 CDM Ligasure Kit Lf1744/gen 31 15 $79,401.17 — $14,292.21 $79,401.17 $70,031.83 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 17 — — $11,497.00 $303,654.55 $69,972.50 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 17 — — $11,497.00 $301,508.37 $69,502.06 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 17 — — $11,497.00 $345,731.00 $69,264.19 2025-12-31
8010000023-108428 CDM Cadaver Kidney/pancreas Acquis 33 17 $80,453.00 — $14,481.54 $80,453.00 $68,385.05 2025-12-31
245 MS_DRG Aicd Generator Procedures 35 17 — — $11,497.00 $294,605.62 $67,988.96 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 17 — — $8,479.00 $219,965.53 $67,839.02 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 35 17 — — $11,497.00 $292,827.19 $67,599.12 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 17 — — $11,497.00 $287,895.79 $66,518.15 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 35 17 — — $11,497.00 $286,647.87 $66,244.60 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 17 — — $11,497.00 $286,593.62 $66,232.71 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $65,986.81 $65,986.81 $65,986.81 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 17 — — $11,497.00 $307,452.00 $65,582.54 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 22 14 — — $11,497.00 $373,435.60 $65,538.18 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 14 — — $11,497.00 $372,953.31 $65,454.41 2025-12-31
C1605 HCPCS System Leadless Pacemaker Aveir Dr 37 18 $118,965.00 — $21,413.70 $116,014.67 $65,430.75 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 17 — — $1,551.35 $236,899.87 $65,315.40 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 36 17 — — $8,479.00 $260,851.49 $65,308.85 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 17 — — $11,497.00 $282,108.34 $65,249.53 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 35 17 — — $11,497.00 $277,870.23 $64,320.53 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 13 — — $8,479.00 $398,794.00 $64,179.92 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 13 — — $8,479.00 $398,794.00 $64,179.92 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 17 — — $11,497.00 $276,869.48 $64,101.16 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 17 — — $11,497.00 $276,827.28 $64,091.91 2025-12-31
Sx00000046460-81040 CDM Kit Starter Stapler Endowrist 45 31 15 $72,354.00 — $13,023.72 $72,354.00 $63,816.23 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 36 17 — — $8,479.00 $216,101.20 $63,499.69 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 7 — $63,431.05 $50,673.82 $66,602.60 $63,431.05 2025-12-31
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 43 23 $121,255.99 $55,945.97 54% off $21,826.08 $109,130.39 $63,053.11 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 17 — — $11,497.00 $271,986.32 $63,030.76 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 17 — — $11,497.00 $270,364.62 $62,675.28 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 17 — — $11,497.00 $269,617.08 $62,511.42 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 35 17 — — $11,497.00 $267,097.12 $61,959.04 2025-12-31
Sx00000102245-62968 CDM Custom Pelvis IMPLaNT 37 18 $112,294.40 — $20,212.99 $109,509.50 $61,761.92 2025-12-31
792 MS_DRG Prematurity Without Major Problems 34 16 — — $8,479.00 $147,682.61 $61,690.90 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 17 — — $8,479.00 $192,252.05 $61,164.10 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 17 — — $11,497.00 $269,237.00 $60,472.37 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $60,336.58 $60,336.58 $60,336.58 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 17 — — $11,497.00 $257,161.99 $59,781.24 2025-12-31
545 MS_DRG Connective Tissue Disorders With Mcc 37 18 — — $8,479.00 $157,935.47 $59,588.85 2025-12-31
Sx00000065138-76213 CDM Carticel Cs1000 37 18 $108,087.82 — $19,455.81 $105,407.24 $59,448.30 2025-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $59,261.03 $59,261.03 $59,261.03 2025-12-31
E0194NU HCPCS Air Fluidized Bed 1 1 — — $59,056.79 $59,056.79 $59,056.79 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 17 — — $11,497.00 $252,634.51 $58,788.81 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 17 — — $11,497.00 $252,574.23 $58,775.59 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 17 — — $11,497.00 $250,831.96 $58,393.68 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 14 — — $11,497.00 $331,820.17 $58,310.76 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 14 — — $11,497.00 $329,794.56 $57,958.98 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 17 — — $11,497.00 $247,902.06 $57,751.44 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 17 — — $11,497.00 $247,763.40 $57,721.05 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 17 — — $11,497.00 $247,395.66 $57,640.44 2025-12-31
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3x5cm 81073 74 19 $139,304.08 — $11,794.33 $125,373.67 $57,503.93 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 17 — — $11,497.00 $245,207.28 $57,160.74 2025-12-31
33231 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 42 22 $75,878.00 $37,757.64 50% off $837.72 $120,307.00 $56,908.50 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 17 — — $11,497.00 $240,161.34 $56,054.66 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 17 — — $11,497.00 $239,992.54 $56,017.66 2025-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 74 18 $101,640.00 — $17,672.33 $99,119.33 $55,902.00 2025-12-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $55,678.56 $55,678.56 $55,678.56 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 17 — — $11,497.00 $237,870.47 $55,552.50 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 17 — — $11,497.00 $237,382.15 $55,445.46 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 33 15 — — $11,497.00 $292,338.87 $55,285.64 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 17 — — $11,497.00 $235,736.35 $55,084.69 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 17 — — $11,497.00 $234,434.17 $54,799.25 2025-12-31
Sx00000040413-82058 CDM Cath Intra-aortic Balloon 4.0 Impella Cp 31 15 $62,000.00 — $11,160.00 $62,000.00 $54,684.00 2025-12-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $54,656.78 $54,656.78 $54,656.78 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 14 — — $11,497.00 $310,478.93 $54,604.40 2025-12-31
Sx00000201156-24778 CDM Repiphysis Total Femur 37 18 $99,200.00 — $17,856.00 $96,739.84 $54,560.00 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 17 — — $11,497.00 $233,005.39 $54,486.06 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 17 — — $11,497.00 $232,770.27 $54,434.52 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 17 — — $11,497.00 $232,119.19 $54,291.80 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 17 — — $11,497.00 $230,437.21 $53,923.11 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 36 17 — — $8,479.00 $164,671.21 $53,849.47 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 36 17 — — $8,479.00 $180,026.05 $53,821.05 2025-12-31
6745784450 NDC Sod Benz-sod Phenylacet 10-10 % IV Soln 34 17 $63,248.00 — $11,384.64 $63,248.00 $53,760.80 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 17 — — $11,497.00 $229,189.29 $53,649.56 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 17 — — $11,497.00 $227,404.82 $53,258.40 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 14 — — $11,497.00 $301,628.94 $53,067.41 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 17 — — $11,497.00 $225,590.21 $52,860.64 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 17 — — $8,479.00 $162,977.17 $52,333.31 2025-12-31
0571T HCPCS Insj/rplcmt Icds W/substernal Electrode 41 21 $66,076.00 $37,757.64 43% off $2,030.00 $66,076.00 $52,200.04 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 36 17 — — $8,479.00 $163,778.98 $51,752.29 2025-12-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $51,723.74 $51,723.74 $51,723.74 2025-12-31
Sx00000295724-6448 CDM Probe Laser Diffusing Tip Neuroblate Nb3 Fullfire 1.6mm Ffd016 31 15 $58,260.16 — $10,486.83 $58,260.16 $51,385.46 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 17 — — $11,497.00 $218,440.29 $51,293.36 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 17 — — $11,497.00 $216,113.25 $50,783.27 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 17 — — $11,497.00 $216,065.02 $50,772.70 2025-12-31
265 MS_DRG Aicd Lead Procedures 35 17 — — $11,497.00 $215,052.22 $50,550.69 2025-12-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $50,432.56 $50,432.56 $50,432.56 2025-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 76 23 $129,984.00 $56,824.55 56% off $10,098.00 $126,760.40 $50,386.21 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 17 — — $11,497.00 $214,087.64 $50,339.25 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 17 — — $11,497.00 $271,145.00 $50,064.38 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 35 17 — — $11,497.00 $212,779.44 $50,052.49 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 17 — — $11,497.00 $212,242.89 $49,934.88 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 17 — — $11,497.00 $211,230.09 $49,712.87 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 17 — — $11,497.00 $211,163.77 $49,698.33 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 17 — — $11,497.00 $212,737.00 $49,679.83 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 35 17 — — $11,497.00 $210,705.60 $49,597.90 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 14 — — $11,497.00 $280,444.44 $49,388.27 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 16 — — $11,497.00 $277,755.69 $49,312.91 2025-12-31
332 MS_DRG Rectal Resection With Mcc 35 17 — — $11,497.00 $209,114.05 $49,249.03 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 17 — — $11,497.00 $208,884.96 $49,198.81 2025-12-31
Sx00000066257-75863 CDM Controller Impella Packaged 37 18 $89,280.00 — $16,070.40 $87,065.86 $49,104.00 2025-12-31
0795T HCPCS Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 41 21 $62,030.00 $22,459.34 64% off $2,030.00 $62,030.00 $49,003.70 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 17 — — $11,497.00 $207,649.10 $48,927.91 2025-12-31
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 36 17 — — $8,479.00 $123,683.00 $48,926.62 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 17 — — $11,497.00 $207,323.55 $48,856.55 2025-12-31
665 MS_DRG Prostatectomy With Mcc 35 17 — — $11,497.00 $206,998.01 $48,785.19 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 35 17 — — $11,497.00 $206,805.09 $48,742.90 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 17 — — $11,497.00 $206,491.61 $48,674.19 2025-12-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 36 17 — — $8,479.00 $153,958.39 $48,628.93 2025-12-31
Sx00000329827-2260 CDM Kit Orthognathic Surgical Planning 3d Printed Plates Hybrid Guid 31 15 $54,944.40 — $9,889.99 $54,944.40 $48,460.96 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 17 — — $11,497.00 $205,346.17 $48,423.10 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 17 — — $11,497.00 $204,490.11 $48,235.45 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 17 — — $11,497.00 $202,362.02 $47,768.97 2025-12-31
Sx00000021859-89972 CDM Implant Orthopedic Repiphysis Proximal Tibial Lf 37 18 $86,800.00 — $15,624.00 $84,647.36 $47,740.00 2025-12-31
C1825 HCPCS Neo System Barostim 37 18 $86,800.00 — $15,624.00 $84,647.36 $47,740.00 2025-12-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 36 17 — — $8,479.00 $129,271.27 $47,693.12 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 17 — — $8,479.00 $161,795.57 $47,580.05 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 35 17 — — $11,497.00 $200,203.78 $47,295.88 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $47,072.36 $47,072.36 $47,072.36 2025-12-31
Sx00000294250-6580 CDM Kit Tkr Osteotomy Femoral Distal My3d C240548 37 18 $85,014.40 — $15,302.59 $82,906.04 $46,757.92 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 17 — — $11,497.00 $197,056.85 $46,606.07 2025-12-31
38240 HCPCS Marrow/bld-drv Prph Stem Cell Trnsplj Allogeneic 71 22 $71,666.00 $69,649.56 $510.90 $73,132.03 $46,491.76 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 17 — — $11,497.00 $196,496.19 $46,483.17 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 17 — — $11,497.00 $196,411.79 $46,464.67 2025-12-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 17 — — $8,479.00 $144,517.60 $45,963.45 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 17 — — $11,497.00 $194,078.72 $45,953.25 2025-12-31
K0606NU HCPCS Aed Garment W Elec Analysis 1 1 — — $45,699.60 $45,699.60 $45,699.60 2025-12-31
J9226 HCPCS Supprelin La Implant 15 10 — $45,560.39 $36,016.52 $99,048.54 $45,560.39 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 17 — — $11,497.00 $191,733.59 $45,439.20 2025-12-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 34 16 — — $8,479.00 $108,671.54 $45,398.00 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 17 — — $11,497.00 $191,347.76 $45,354.62 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 35 17 — — $11,497.00 $191,028.25 $45,284.58 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 14 — — $11,497.00 $256,782.19 $45,278.81 2025-12-31
8010000022-108429 CDM Cadaver Pancreas Acquisition 33 17 $52,859.00 — $9,514.62 $52,859.00 $44,930.15 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 15 — — $11,497.00 $264,824.34 $44,838.74 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 17 — — $11,497.00 $188,152.61 $44,654.24 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 35 17 — — $11,497.00 $188,068.21 $44,635.74 2025-12-31
0823T HCPCS Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 41 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0801T HCPCS Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 41 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0803T HCPCS Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 41 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0802T HCPCS Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 41 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 17 — — $11,497.00 $244,380.00 $44,459.98 2025-12-31
Sx00000033383-82807 CDM Tavr Vavle Transapical 26mm 37 18 $80,600.00 — $14,508.00 $78,601.12 $44,330.00 2025-12-31
E0194UE HCPCS Air Fluidized Bed 1 1 — — $44,292.59 $44,292.59 $44,292.59 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 17 — — $11,497.00 $186,428.43 $44,276.29 2025-12-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 36 17 — — $8,479.00 $144,517.60 $44,221.60 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 17 — — $11,497.00 $185,909.97 $44,162.65 2025-12-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 36 17 — — $8,479.00 $138,073.03 $44,114.60 2025-12-31
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 36 17 — — $8,479.00 $128,764.87 $43,922.01 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 24 15 — — $11,497.00 $254,961.55 $43,882.18 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 17 — — $11,497.00 $184,390.76 $43,829.63 2025-12-31
Sx00000070513-74284 CDM Platform Energy For Valleylab Ft10 Valleylab Vlft10gen 31 15 $49,600.00 — $8,928.00 $49,600.00 $43,747.20 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 14 — — $11,497.00 $246,177.88 $43,437.14 2025-12-31
Sx00000312039-4296 CDM Probe Transducer Ultrasound Rectal/vaginal Hydros Hu1000 31 15 $49,104.00 — $8,838.72 $49,104.00 $43,309.73 2025-12-31
570 MS_DRG Skin Debridement With Mcc 35 17 — — $11,497.00 $181,472.92 $43,190.04 2025-12-31
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 2 1 — — $42,941.35 $42,941.35 $42,941.35 2025-12-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 36 17 — — $8,479.00 $133,431.00 $42,908.85 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 17 — — $11,497.00 $177,759.30 $42,376.00 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 17 — — $11,497.00 $177,301.13 $42,275.57 2025-12-31
77371 HCPCS Radiation Delivery Stereotactic Cranial Cobalt 42 22 $56,478.00 $9,002.61 84% off $767.03 $59,207.00 $42,194.71 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 17 — — $11,497.00 $176,818.84 $42,169.85 2025-12-31
Sx00000298397-6077 CDM Bundle Mandible Reconstruction Titanium Guides Accuplan Zbkt010 31 15 $47,616.00 — $8,570.88 $47,616.00 $41,997.31 2025-12-31
33240 HCPCS Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 42 22 $55,935.00 $26,433.98 53% off $769.83 $120,307.00 $41,951.25 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 35 17 — — $11,497.00 $175,812.06 $41,949.16 2025-12-31
800 MS_DRG Splenic Procedures With Cc 35 17 — — $11,497.00 $175,661.35 $41,916.13 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 17 — — $11,497.00 $175,564.89 $41,894.98 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 35 17 — — $11,497.00 $174,660.60 $41,696.76 2025-12-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 36 17 — — $8,479.00 $139,875.58 $41,656.07 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 14 — — $11,497.00 $235,850.89 $41,643.64 2025-12-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 36 17 — — $8,479.00 $136,608.08 $41,526.21 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 17 — — $11,497.00 $172,845.99 $41,299.00 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 35 17 — — $11,497.00 $172,647.05 $41,255.39 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 35 17 — — $11,497.00 $172,303.42 $41,180.06 2025-12-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 36 17 — — $1,346.91 $150,962.17 $40,848.58 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 35 17 — — $11,497.00 $170,133.12 $40,704.33 2025-12-31
C1735 HCPCS Catheter Rnd Multi Electrode Rx Symplicity Spyral 4fr 37 18 $73,920.00 — $13,305.60 $72,086.78 $40,656.00 2025-12-31
33230 HCPCS Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 42 22 $54,185.00 $26,433.98 51% off $780.17 $120,307.00 $40,638.75 2025-12-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 35 17 — — $11,497.00 $169,307.20 $40,523.29 2025-12-31
374 MS_DRG Digestive Malignancy With Mcc 36 17 — — $8,479.00 $127,287.86 $40,490.06 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 17 — — $11,497.00 $169,132.37 $40,484.96 2025-12-31
849 MS_DRG Radiotherapy 36 17 — — $8,479.00 $161,029.93 $39,793.94 2025-12-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 36 17 — — $8,479.00 $138,302.11 $39,738.12 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 17 — — $11,497.00 $210,192.00 $39,571.82 2025-12-31
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