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

Hackensack University Medical Center

Hackensack, NJ · CCN 319802 · Rates published

79,904 distinct procedures filed
25 distinct payers
5,132,721 rate rows
2026-08-01 last MRF observed
Data quality

4,391,724 of 5,132,721 rate rows are consumer-grade (85.6%)

740,997 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 719,847
exceeds 10× this hospital's gross charge — excluded from medians 8,072
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,638
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,446
percent-of-charges filed in the dollar field — excluded from medians 1,424
template filing: same amount across many unrelated codes — excluded 1,140
per-diem day rate — not a per-procedure price 1,034
placeholder amount (≤ $0.02) — excluded from medians 376
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/files/cdm/20260520/221487576-1457456279_hmh-hospitals-corporation_standardcharges.csv
Found on page https://www.hackensackmeridianhealth.org/en/pay-bill/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-15
Content fingerprint 94eadf5d55bc3167… · 2,295,205,053 bytes · first seen 2026-07-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $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
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $2,948,213.34 $3,869,530.00 $3,685,266.67 nat. median
$3,685,267
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
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,356,592.00 $3,098,221.00 $2,950,686.67 nat. median
$2,968,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $1,865,600.00 $2,448,600.00 $2,332,000.00 nat. median
$2,332,000
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
$2,455,111
0.6× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 23 $424,201.77 $2,121,008.85 $1,178,338.25 nat. median
$621,313
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 23 $363,339.43 $1,816,697.16 $1,009,276.20 nat. median
$574,037
1.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel (breyanzi) Cd8 Infusion 23 $355,370.73 $1,776,853.67 $987,140.93 nat. median
$579,571
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 23 $336,798.00 $1,683,990.00 $935,550.00 nat. median
$562,501
1.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 23 $336,798.00 $1,683,990.00 $935,550.00 nat. median
$513,770
1.8× median
014-UR
OTHER 		Allogeneic Bone Marrow/ Peripheral Stem Cell (Unrelated) 6 $222,521.00 $969,351.00 $813,629.00 —
014-M
OTHER 		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
$813,967
0.9× median
014-MINI
OTHER 		Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 2 $618,456.00 $916,662.00 $767,559.00 —
014-CB
OTHER 		Allogeneic Cord Blood (Inpatient) 5 $215,588.00 $916,662.00 $752,145.00 —
014-HAP
OTHER 		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
$599,737
0.9× median
014-R
OTHER 		Allogeneic Bone Marrow/ Peripheral Stem Cell (Related) 6 $139,017.00 $590,774.00 $485,003.00 —
017-IP
OTHER 		Autologous Bone Marrow Transplant (inpatient) 3 $139,017.00 $590,774.00 $484,675.50 —
016-IP
OTHER 		Autologous Bone Marrow Transplant (inpatient) 3 $139,017.00 $590,774.00 $484,675.50 —
016-III
OTHER 		Autologous Level Iii - Bone Marrow Transplant 1 $468,900.00 $468,900.00 $468,900.00 —
017-III
OTHER 		Autologous Level Iii - Bone Marrow Transplant 1 $468,900.00 $468,900.00 $468,900.00 —
014-BMTALLOU
OTHER 		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
$186,516
outlier · 2.0×
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
$168,055
outlier · 2.2×
014-VI
OTHER 		Allogeneic Level Vi - Bone Marrow/Stem Cell Transplant 1 $372,084.00 $372,084.00 $372,084.00 —
014-V
OTHER 		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
$131,925
outlier · 2.4×
017-OP
OTHER 		Autologous Bone Marrow Transplant (outpatient) 6 $83,411.00 $380,065.00 $309,750.00 —
016-OP
OTHER 		Autologous Bone Marrow Transplant (outpatient) 6 $83,411.00 $380,065.00 $309,750.00 —
014-BMTALLOR
OTHER 		Allogeneic Related - Inpatient 1 $303,687.00 $313,227.00 $308,457.00 —
018-OP
OTHER 		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
$145,435
2.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $222,600.00 $283,893.75 $270,375.00 nat. median
$286,598
0.9× median
016-II
OTHER 		Autologous Level Ii - Phepheral Blood Stem Cell Transplant 1 $253,004.00 $253,004.00 $253,004.00 —
017-II
OTHER 		Autologous Level Ii - Phepheral Blood Stem Cell Transplant 1 $253,004.00 $253,004.00 $253,004.00 —
014-IV
OTHER 		Allogeneic Level IV - Bone Marrow Transplant 1 $232,254.00 $232,254.00 $232,254.00 —
016-I
OTHER 		Autologous Level I - Phepheral Blood Stem Cell Transplant 1 $227,703.00 $227,703.00 $227,703.00 —
017-I
OTHER 		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
$264,195
0.8× median
017-BMTAUTO
OTHER 		Autologous, Inpatient 1 $199,056.00 $208,208.00 $203,632.00 —
016-BMTAUTO
OTHER 		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
$97,418
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $75,249.00 $581,826.21 $180,997.29 nat. median
$69,822
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $68,046.00 $510,574.19 $172,478.80 nat. median
$59,651
outlier · 2.9×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $164,512.00 $164,512.00 $164,512.00 nat. median
$207,733
0.8× median
652-SOTK
OTHER 		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 79,904 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 16 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 14 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 18 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 18 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 18 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 18 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 16 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 88 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 90 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 90 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 90 23 $1,974,281.85 $541,635.66 73% off $355,370.73 $1,776,853.67 $987,140.93 2025-12-31
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 90 23 $1,871,100.00 $489,720.00 74% off $336,798.00 $1,683,990.00 $935,550.00 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 90 23 $1,871,100.00 $533,076.48 72% off $336,798.00 $1,683,990.00 $935,550.00 2025-12-31
014-UR OTHER Allogeneic Bone Marrow/ Peripheral Stem Cell (Unrelated) 26 6 — — $222,521.00 $969,351.00 $813,629.00 2025-12-31
014-M OTHER Mini Allogeneic (non-myeloablative/sub-myeloablative) Bone Marrow/ Stem Cell 14 2 — — $215,588.00 $807,187.00 $788,278.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 22 7 — $770,620.00 $616,496.00 $809,151.00 $770,620.00 2025-12-31
014-MINI OTHER Mini - Non-myeloablative/sub Myeloablative Bone Marrow/Stem Cell 4 2 — — $618,456.00 $916,662.00 $767,559.00 2025-12-31
014-CB OTHER Allogeneic Cord Blood (Inpatient) 22 5 — — $215,588.00 $916,662.00 $752,145.00 2025-12-31
014-HAP OTHER Haploidentical ? Level Vi 4 1 — — $609,820.00 $677,577.00 $643,698.50 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 26 8 — $553,378.83 $452,695.16 $674,570.57 $553,378.83 2025-12-31
014-R OTHER Allogeneic Bone Marrow/ Peripheral Stem Cell (Related) 26 6 — — $139,017.00 $590,774.00 $485,003.00 2025-12-31
016-IP OTHER Autologous Bone Marrow Transplant (inpatient) 8 3 — — $139,017.00 $590,774.00 $484,675.50 2025-12-31
017-IP OTHER Autologous Bone Marrow Transplant (inpatient) 8 3 — — $139,017.00 $590,774.00 $484,675.50 2025-12-31
016-III OTHER Autologous Level Iii - Bone Marrow Transplant 6 1 — — $468,900.00 $468,900.00 $468,900.00 2025-12-31
017-III OTHER Autologous Level Iii - Bone Marrow Transplant 6 1 — — $468,900.00 $468,900.00 $468,900.00 2025-12-31
014-BMTALLOU OTHER Allogeneic Unrelated - Inpatient 4 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 70 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 46 13 — — $8,479.00 $2,273,553.86 $375,077.83 2025-12-31
014-VI OTHER Allogeneic Level Vi - Bone Marrow/Stem Cell Transplant 6 1 — — $372,084.00 $372,084.00 $372,084.00 2025-12-31
014-V OTHER Allogeneic Level V - Cord Blood Donor (Full Match Donor) 6 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 70 17 — — $11,497.00 $1,430,152.72 $316,903.24 2025-12-31
017-OP OTHER Autologous Bone Marrow Transplant (outpatient) 26 6 — — $83,411.00 $380,065.00 $309,750.00 2025-12-31
016-OP OTHER Autologous Bone Marrow Transplant (outpatient) 26 6 — — $83,411.00 $380,065.00 $309,750.00 2025-12-31
014-BMTALLOR OTHER Allogeneic Related - Inpatient 4 1 — — $303,687.00 $313,227.00 $308,457.00 2025-12-31
018-OP OTHER Outpatient Car-t Adult & Pedi 6 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… 70 17 — — $11,497.00 $1,292,025.44 $286,625.46 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 6 — $270,375.00 $222,600.00 $283,893.75 $270,375.00 2025-12-31
017-II OTHER Autologous Level Ii - Phepheral Blood Stem Cell Transplant 6 1 — — $253,004.00 $253,004.00 $253,004.00 2025-12-31
016-II OTHER Autologous Level Ii - Phepheral Blood Stem Cell Transplant 6 1 — — $253,004.00 $253,004.00 $253,004.00 2025-12-31
014-IV OTHER Allogeneic Level IV - Bone Marrow Transplant 6 1 — — $232,254.00 $232,254.00 $232,254.00 2025-12-31
016-I OTHER Autologous Level I - Phepheral Blood Stem Cell Transplant 6 1 — — $227,703.00 $227,703.00 $227,703.00 2025-12-31
017-I OTHER Autologous Level I - Phepheral Blood Stem Cell Transplant 6 1 — — $227,703.00 $227,703.00 $227,703.00 2025-12-31
J3403 HCPCS Revakinagene, Per Implant 2 1 — — $206,000.00 $206,000.00 $206,000.00 2025-12-31
016-BMTAUTO OTHER Autologous, Inpatient 4 1 — — $199,056.00 $208,208.00 $203,632.00 2025-12-31
017-BMTAUTO OTHER Autologous, Inpatient 4 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… 70 17 — — $11,497.00 $851,841.18 $190,136.15 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 17 — — $75,249.00 $581,826.21 $180,997.29 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 17 — — $68,046.00 $510,574.19 $172,478.80 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $164,512.00 $164,512.00 $164,512.00 2025-12-31
651-SOTK OTHER Kidney (living Donor And Deceased Donor) 4 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
652-SOTK OTHER Kidney (living Donor And Deceased Donor) 4 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
650-SOTK OTHER Kidney (living Donor And Deceased Donor) 4 1 — — $154,000.00 $154,000.00 $154,000.00 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 68 17 — — $61,530.00 $510,857.54 $152,973.63 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 68 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 70 17 — — $11,497.00 $705,672.00 $149,034.11 2025-12-31
7 MS_DRG Lung Transplant 66 15 — — $11,497.00 $787,865.68 $146,527.09 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 17 — — $58,747.00 $466,462.93 $145,097.85 2025-12-31
BMTAUTO OTHER Autologous, Outpatient 2 1 — — $144,144.00 $144,144.00 $144,144.00 2025-12-31
215 MS_DRG Other Heart Assist System Implant 70 17 — — $11,497.00 $677,461.00 $143,419.13 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 68 17 — — $58,213.00 $471,219.49 $143,166.93 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 44 12 — — $8,479.00 $789,855.11 $137,858.36 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $132,999.99 $132,999.99 $132,999.99 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 17 — — $50,823.00 $401,962.93 $122,425.24 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 17 — — $49,841.00 $389,320.96 $120,757.70 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 66 15 — — $11,497.00 $642,009.73 $119,670.61 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 72 17 — — $8,479.00 $419,379.56 $119,421.08 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 70 15 — — $11,497.00 $328,022.15 $116,436.00 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 44 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… 44 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 70 17 — — $11,497.00 $548,089.00 $109,936.75 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 72 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… 72 17 — — $8,479.00 $301,864.06 $109,673.39 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 17 — — $40,473.00 $358,659.50 $107,923.84 2025-12-31
10 MS_DRG Pancreas Transplant 72 16 — — $11,497.00 $480,660.28 $106,921.08 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 72 17 — — $8,479.00 $333,218.81 $106,569.76 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 68 16 — — $8,479.00 $251,422.76 $105,027.96 2025-12-31
791 MS_DRG Prematurity With Major Problems 68 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 70 17 — — $11,497.00 $449,986.76 $102,048.83 2025-12-31
652 MS_DRG Kidney Transplant 72 16 — — $11,497.00 $253,004.00 $101,324.50 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 44 14 — — $11,497.00 $555,348.60 $97,131.27 2025-12-31
Sx00000069838-74617 CDM Jts Implant Set 74 18 $172,360.00 — $31,024.80 $168,085.47 $94,798.00 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 70 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 70 17 — — $11,497.00 $402,644.17 $91,671.23 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 14 — — $11,497.00 $502,821.41 $88,008.80 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 70 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 70 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 70 17 — — $11,497.00 $369,957.10 $84,506.16 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 70 17 — — $11,497.00 $368,269.09 $84,136.14 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 70 17 — — $11,497.00 $366,508.74 $83,750.27 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 52 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 70 17 — — $11,497.00 $378,079.00 $82,578.12 2025-12-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 1 — — $82,401.50 $82,401.50 $82,401.50 2025-12-31
0187001050 NDC Sod Benz-sod Phenylacet 10-10 % IV Soln 68 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 70 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 70 17 — — $11,497.00 $351,003.18 $80,351.42 2025-12-31
8010000021-108430 CDM Cadaver Donor Kidney Acquisit 66 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… 70 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… 70 17 — — $11,497.00 $343,937.66 $78,802.65 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 70 17 — — $11,497.00 $336,070.34 $77,078.11 2025-12-31
Sx00000075430-72639 CDM Ligasure Kit 62 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 70 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… 4 1 — — $75,477.65 $75,477.65 $75,477.65 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 70 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… 44 14 — — $11,497.00 $428,193.37 $75,048.04 2025-12-31
C1827 HCPCS Generator Neurostimulator Vagal Nerve Stimulator Permanent Pulse 74 18 $136,290.00 — $24,532.20 $132,910.01 $74,959.50 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 14 — — $57,074.48 $426,041.16 $74,910.26 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $74,831.36 $74,831.36 $74,831.36 2025-12-31
8010000020-108431 CDM Live Donor Kidney Acquisition 66 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 … 70 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 70 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 70 17 — — $11,497.00 $325,261.06 $74,708.69 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 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… 70 17 — — $11,497.00 $319,316.86 $73,405.71 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 70 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… 42 14 — — $54,201.84 $404,199.54 $71,139.92 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 70 17 — — $11,497.00 $307,133.06 $70,735.00 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 70 17 — — $11,497.00 $306,192.59 $70,528.85 2025-12-31
Sx00000076504-72445 CDM Ligasure Kit Lf1744/gen 62 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 70 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 70 17 — — $11,497.00 $301,508.37 $69,502.06 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 70 17 — — $11,497.00 $345,731.00 $69,264.19 2025-12-31
8010000023-108428 CDM Cadaver Kidney/pancreas Acquis 66 17 $80,453.00 — $14,481.54 $80,453.00 $68,385.05 2025-12-31
245 MS_DRG Aicd Generator Procedures 70 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 72 17 — — $8,479.00 $219,965.53 $67,839.02 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 70 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. … 70 17 — — $11,497.00 $287,895.79 $66,518.15 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 70 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 70 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… 4 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 70 17 — — $11,497.00 $307,452.00 $65,582.54 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 44 14 — — $11,497.00 $373,435.60 $65,538.18 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 14 — — $11,497.00 $372,953.31 $65,454.41 2025-12-31
C1605 HCPCS System Leadless Pacemaker Aveir Dr 74 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 68 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 72 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 70 17 — — $11,497.00 $282,108.34 $65,249.53 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 70 17 — — $11,497.00 $277,870.23 $64,320.53 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 46 13 — — $8,479.00 $398,794.00 $64,179.92 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 46 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… 70 17 — — $11,497.00 $276,869.48 $64,101.16 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 17 — — $11,497.00 $276,827.28 $64,091.91 2025-12-31
Sx00000046460-81040 CDM Kit Starter Stapler Endowrist 45 62 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 72 17 — — $8,479.00 $216,101.20 $63,499.69 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 7 — $63,431.05 $50,673.82 $66,602.60 $63,431.05 2025-12-31
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 86 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 70 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 70 17 — — $11,497.00 $270,364.62 $62,675.28 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 70 17 — — $11,497.00 $269,617.08 $62,511.42 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 70 17 — — $11,497.00 $267,097.12 $61,959.04 2025-12-31
Sx00000102245-62968 CDM Custom Pelvis IMPLaNT 74 18 $112,294.40 — $20,212.99 $109,509.50 $61,761.92 2025-12-31
792 MS_DRG Prematurity Without Major Problems 68 16 — — $8,479.00 $147,682.61 $61,690.90 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 72 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… 70 17 — — $11,497.00 $269,237.00 $60,472.37 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $60,336.58 $60,336.58 $60,336.58 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 70 17 — — $11,497.00 $257,161.99 $59,781.24 2025-12-31
545 MS_DRG Connective Tissue Disorders With Mcc 74 18 — — $8,479.00 $157,935.47 $59,588.85 2025-12-31
Sx00000065138-76213 CDM Carticel Cs1000 74 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 4 1 — — $59,261.03 $59,261.03 $59,261.03 2025-12-31
E0194NU OTHER Air Fluidized Bed 2 1 — — $59,056.79 $59,056.79 $59,056.79 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 70 17 — — $11,497.00 $252,634.51 $58,788.81 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 70 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 70 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… 44 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 44 14 — — $11,497.00 $329,794.56 $57,958.98 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 70 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 70 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 70 17 — — $11,497.00 $247,395.66 $57,640.44 2025-12-31
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3x5cm 81073 148 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 70 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 84 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 70 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… 70 17 — — $11,497.00 $239,992.54 $56,017.66 2025-12-31
C1826 HCPCS Generator Neurostimulator Pain Management Closed Loop Evoke 3042 148 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… 4 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 70 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 70 17 — — $11,497.00 $237,382.15 $55,445.46 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 66 15 — — $11,497.00 $292,338.87 $55,285.64 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 70 17 — — $11,497.00 $235,736.35 $55,084.69 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 70 17 — — $11,497.00 $234,434.17 $54,799.25 2025-12-31
Sx00000040413-82058 CDM Cath Intra-aortic Balloon 4.0 Impella Cp 62 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 4 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 … 44 14 — — $11,497.00 $310,478.93 $54,604.40 2025-12-31
Sx00000201156-24778 CDM Repiphysis Total Femur 74 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… 70 17 — — $11,497.00 $233,005.39 $54,486.06 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 70 17 — — $11,497.00 $232,770.27 $54,434.52 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 70 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 70 17 — — $11,497.00 $230,437.21 $53,923.11 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 72 17 — — $8,479.00 $164,671.21 $53,849.47 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 72 17 — — $8,479.00 $180,026.05 $53,821.05 2025-12-31
6745784450 NDC Sod Benz-sod Phenylacet 10-10 % IV Soln 68 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… 70 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 70 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 … 44 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… 70 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… 72 17 — — $8,479.00 $162,977.17 $52,333.31 2025-12-31
0571T OTHER Insj/rplcmt Icds W/substernal Electrode 82 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 72 17 — — $8,479.00 $163,778.98 $51,752.29 2025-12-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 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 62 15 $58,260.16 — $10,486.83 $58,260.16 $51,385.46 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 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 70 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… 70 17 — — $11,497.00 $216,065.02 $50,772.70 2025-12-31
265 MS_DRG Aicd Lead Procedures 70 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… 4 1 — — $50,432.56 $50,432.56 $50,432.56 2025-12-31
A9543 HCPCS Y-90 Yttrium Ibrit To 40 Mci Tx 152 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 70 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/… 70 17 — — $11,497.00 $271,145.00 $50,064.38 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 70 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… 70 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 70 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 70 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… 70 17 — — $11,497.00 $212,737.00 $49,679.83 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 70 17 — — $11,497.00 $210,705.60 $49,597.90 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 14 — — $11,497.00 $280,444.44 $49,388.27 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 16 — — $11,497.00 $277,755.69 $49,312.91 2025-12-31
332 MS_DRG Rectal Resection With Mcc 70 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 70 17 — — $11,497.00 $208,884.96 $49,198.81 2025-12-31
Sx00000066257-75863 CDM Controller Impella Packaged 74 18 $89,280.00 — $16,070.40 $87,065.86 $49,104.00 2025-12-31
0795T OTHER Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 82 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 70 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… 72 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 70 17 — — $11,497.00 $207,323.55 $48,856.55 2025-12-31
665 MS_DRG Prostatectomy With Mcc 70 17 — — $11,497.00 $206,998.01 $48,785.19 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 70 17 — — $11,497.00 $206,805.09 $48,742.90 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 70 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 72 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 62 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 70 17 — — $11,497.00 $205,346.17 $48,423.10 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 70 17 — — $11,497.00 $204,490.11 $48,235.45 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 70 17 — — $11,497.00 $202,362.02 $47,768.97 2025-12-31
Sx00000021859-89972 CDM Implant Orthopedic Repiphysis Proximal Tibial Lf 74 18 $86,800.00 — $15,624.00 $84,647.36 $47,740.00 2025-12-31
C1825 HCPCS Neo System Barostim 74 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 72 17 — — $8,479.00 $129,271.27 $47,693.12 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 72 17 — — $8,479.00 $161,795.57 $47,580.05 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 70 17 — — $11,497.00 $200,203.78 $47,295.88 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $47,072.36 $47,072.36 $47,072.36 2025-12-31
Sx00000294250-6580 CDM Kit Tkr Osteotomy Femoral Distal My3d C240548 74 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… 70 17 — — $11,497.00 $197,056.85 $46,606.07 2025-12-31
38240 HCPCS Marrow/bld-drv Prph Stem Cell Trnsplj Allogeneic 142 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 70 17 — — $11,497.00 $196,496.19 $46,483.17 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 70 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 72 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 70 17 — — $11,497.00 $194,078.72 $45,953.25 2025-12-31
K0606NU OTHER Aed Garment W Elec Analysis 2 1 — — $45,699.60 $45,699.60 $45,699.60 2025-12-31
J9226 HCPCS Supprelin La Implant 30 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 70 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 68 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 70 17 — — $11,497.00 $191,347.76 $45,354.62 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 70 17 — — $11,497.00 $191,028.25 $45,284.58 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 14 — — $11,497.00 $256,782.19 $45,278.81 2025-12-31
8010000022-108429 CDM Cadaver Pancreas Acquisition 66 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 50 15 — — $11,497.00 $264,824.34 $44,838.74 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 70 17 — — $11,497.00 $188,152.61 $44,654.24 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 70 17 — — $11,497.00 $188,068.21 $44,635.74 2025-12-31
0802T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 82 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0803T OTHER Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 82 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0823T OTHER Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 82 21 $56,333.00 $22,459.34 60% off $2,030.00 $56,333.00 $44,503.07 2025-12-31
0801T OTHER Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 82 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 70 17 — — $11,497.00 $244,380.00 $44,459.98 2025-12-31
Sx00000033383-82807 CDM Tavr Vavle Transapical 26mm 74 18 $80,600.00 — $14,508.00 $78,601.12 $44,330.00 2025-12-31
E0194UE OTHER Air Fluidized Bed 2 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 70 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 72 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… 70 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… 72 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 72 17 — — $8,479.00 $128,764.87 $43,922.01 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 48 15 — — $11,497.00 $254,961.55 $43,882.18 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 70 17 — — $11,497.00 $184,390.76 $43,829.63 2025-12-31
Sx00000070513-74284 CDM Platform Energy For Valleylab Ft10 Valleylab Vlft10gen 62 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 44 14 — — $11,497.00 $246,177.88 $43,437.14 2025-12-31
Sx00000312039-4296 CDM Probe Transducer Ultrasound Rectal/vaginal Hydros Hu1000 62 15 $49,104.00 — $8,838.72 $49,104.00 $43,309.73 2025-12-31
570 MS_DRG Skin Debridement With Mcc 70 17 — — $11,497.00 $181,472.92 $43,190.04 2025-12-31
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 4 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 72 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 … 70 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 70 17 — — $11,497.00 $177,301.13 $42,275.57 2025-12-31
77371 HCPCS Radiation Delivery Stereotactic Cranial Cobalt 84 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 70 17 — — $11,497.00 $176,818.84 $42,169.85 2025-12-31
Sx00000298397-6077 CDM Bundle Mandible Reconstruction Titanium Guides Accuplan Zbkt010 62 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 84 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 70 17 — — $11,497.00 $175,812.06 $41,949.16 2025-12-31
800 MS_DRG Splenic Procedures With Cc 70 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 70 17 — — $11,497.00 $175,564.89 $41,894.98 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 70 17 — — $11,497.00 $174,660.60 $41,696.76 2025-12-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 72 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 44 14 — — $11,497.00 $235,850.89 $41,643.64 2025-12-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 72 17 — — $8,479.00 $136,608.08 $41,526.21 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 70 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 70 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 70 17 — — $11,497.00 $172,303.42 $41,180.06 2025-12-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 72 17 — — $1,346.91 $150,962.17 $40,848.58 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 70 17 — — $11,497.00 $170,133.12 $40,704.33 2025-12-31
C1735 HCPCS Catheter Rnd Multi Electrode Rx Symplicity Spyral 4fr 74 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 84 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 70 17 — — $11,497.00 $169,307.20 $40,523.29 2025-12-31
374 MS_DRG Digestive Malignancy With Mcc 72 17 — — $8,479.00 $127,287.86 $40,490.06 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 70 17 — — $11,497.00 $169,132.37 $40,484.96 2025-12-31
849 MS_DRG Radiotherapy 72 17 — — $8,479.00 $161,029.93 $39,793.94 2025-12-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 72 17 — — $8,479.00 $138,302.11 $39,738.12 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 70 17 — — $11,497.00 $210,192.00 $39,571.82 2025-12-31
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