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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

ARNOT OGDEN MEDICAL CENTER

Elmira, NY · CCN 330090 · Rates published

57,832 distinct procedures filed
13 distinct payers
588,989 rate rows
2026-03-27 last MRF observed
Data quality

361,036 of 588,989 rate rows are consumer-grade (61.3%)

227,953 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 225,881
template filing: same amount across many unrelated codes — excluded 1,765
placeholder amount (≤ $0.02) — excluded from medians 168
per-diem day rate — not a per-procedure price 103
exceeds 10× this hospital's gross charge — excluded from medians 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://CayugaHealth.pt.panaceainc.com/MRFDownload/CayugaHealth/aomc
Found on page https://centralushealth.org/billing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f073e681420c18e1… · 322,281,756 bytes · first seen 2026-05-13

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 $4,505,000.00 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J339100
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 —
J141100
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J141400
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 —
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.66 $4,053,793.33 $3,685,266.67 nat. median
$3,710,000
1.0× median
J141300
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,392,000.00 $3,392,000.00 $3,392,000.00 —
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $3,669,402.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J338900
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 —
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,327,859.72 $3,660,645.69 $3,327,859.73 nat. median
$3,325,455
1.0× median
J339400
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,286,000.00 $3,286,000.00 $3,286,000.00 —
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,252,508.07 $3,577,758.88 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,180,000.00 $3,498,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J338700
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 —
J339300
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 —
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,939,968.88 $3,233,965.77 $2,939,968.89 nat. median
$3,004,655
1.0× median
J339900
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,661,968.43 $2,661,968.43 $2,661,968.43 —
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,588,981.22 $2,847,879.34 $2,588,981.23 nat. median
$2,468,984
1.0× median
J339200
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 —
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,565,200.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q205700
HCPCS 		Afamitresgene Autoleucel 1 $1,032,630.80 $1,032,630.80 $1,032,630.80 —
Q205600
HCPCS 		Ciltacabtagene Car-pos T 1 $787,450.42 $787,450.42 $787,450.42 —
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,024,924.60 $778,326.20 nat. median
$824,563
0.9× median
Q204200
HCPCS 		Tisagenlecleucel Car-pos T 1 $759,151.94 $759,151.94 $759,151.94 —
Q205400
HCPCS 		Lisocabtagene Mara Car Pos T 1 $753,349.66 $753,349.66 $753,349.66 —
Q205500
HCPCS 		Idecabtagene Vicleucel Car 1 $747,829.52 $747,829.52 $747,829.52 —
Q204100
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $713,137.60 $713,137.60 $713,137.60 —
Q205300
HCPCS 		Brexucabtagene Car Pos T 1 $655,863.27 $655,863.27 $655,863.27 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $587,649.57 $781,573.93 $593,526.06 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $566,531.30 $753,486.63 $572,196.61 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,201.24 $747,727.65 $567,823.25 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $558,081.72 $742,248.70 $563,662.54 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $532,192.24 $707,815.68 $537,514.16 nat. median
$634,303
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $6,929.00 $1,137,653.58 $505,691.24 nat. median
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,450.20 $650,968.77 $494,344.70 nat. median
$619,808
0.8× median
Q205800
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $351,750.00 $351,750.00 $351,750.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $6,929.00 $738,827.85 $328,411.72 nat. median
$265,286
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $306,075.00 $281,032.50 nat. median
$324,450
0.9× median
J340300
HCPCS 		Revakinagene, Per Implant 1 $280,900.00 $280,900.00 $280,900.00 —
J3403
HCPCS 		Revakinagene, Per Implant 5 $265,000.00 $352,450.00 $265,000.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $6,929.00 $563,252.87 $250,367.99 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $6,929.00 $559,956.25 $248,902.63 nat. median
$202,976
1.2× median
J340200
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $213,769.16 $213,769.16 $213,769.16 —
0024
APR_DRG 		7 $206,011.26 $474,471.72 $206,011.26 nat. median
$372,987
0.6× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $201,669.02 $268,219.80 $201,669.02 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $6,929.00 $365,953.97 $162,667.90 nat. median
$133,161
1.2× median
7
MS_DRG 		Lung Transplant 7 $6,929.00 $342,243.69 $152,128.59 nat. median
$122,708
1.2× median
5834
APR_DRG 		7 $151,759.86 $349,267.72 $151,759.86 nat. median
$309,665
outlier · 0.5×
5883
APR_DRG 		7 $149,099.64 $343,128.34 $149,099.64 nat. median
$182,665
0.8× median
5884
APR_DRG 		7 $149,099.64 $343,128.34 $149,099.64 nat. median
$246,434
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $6,929.00 $317,715.19 $141,225.58 nat. median
$117,357
1.2× median

Other procedures at this hospital

Browse this hospital's 57,832 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
             
J339100 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-27
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $4,955,500.00 $4,505,000.00 2026-03-27
J141100 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J141400 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.66 $4,053,793.33 $3,685,266.67 2026-03-27
J141300 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,392,000.00 $3,392,000.00 $3,392,000.00 2026-03-27
J338900 HCPCS Topi Adm Prad Zami Per Treat 2 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $3,335,820.00 $3,669,402.00 $3,335,820.00 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,327,859.72 $3,660,645.69 $3,327,859.73 2026-03-27
J339400 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,252,508.07 $3,577,758.88 $3,252,508.08 2026-03-27
J338700 HCPCS Inj Elivaldogene Autotemecel 2 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 5 5 — — $3,180,000.00 $3,498,000.00 $3,180,000.00 2026-03-27
J339300 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,939,968.88 $3,233,965.77 $2,939,968.89 2026-03-27
J339900 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,661,968.43 $2,661,968.43 $2,661,968.43 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,588,981.22 $2,847,879.34 $2,588,981.23 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,565,200.00 $2,332,000.00 2026-03-27
J339200 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-27
Q205700 HCPCS Afamitresgene Autoleucel 2 1 — — $1,032,630.80 $1,032,630.80 $1,032,630.80 2026-03-27
Q205600 HCPCS Ciltacabtagene Car-pos T 2 1 — — $787,450.42 $787,450.42 $787,450.42 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 6 4 — — $770,620.00 $1,024,924.60 $778,326.20 2026-03-27
Q204200 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $759,151.94 $759,151.94 $759,151.94 2026-03-27
Q205400 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $753,349.66 $753,349.66 $753,349.66 2026-03-27
Q205500 HCPCS Idecabtagene Vicleucel Car 2 1 — — $747,829.52 $747,829.52 $747,829.52 2026-03-27
Q204100 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $713,137.60 $713,137.60 $713,137.60 2026-03-27
Q205300 HCPCS Brexucabtagene Car Pos T 2 1 — — $655,863.27 $655,863.27 $655,863.27 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $587,649.57 $781,573.93 $593,526.06 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $566,531.30 $753,486.63 $572,196.61 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $562,201.24 $747,727.65 $567,823.25 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $558,081.72 $742,248.70 $563,662.54 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $532,192.24 $707,815.68 $537,514.16 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 — — $6,929.00 $1,137,653.58 $505,691.24 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $489,450.20 $650,968.77 $494,344.70 2026-03-27
Q205800 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $351,750.00 $351,750.00 $351,750.00 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 7 — — $6,929.00 $738,827.85 $328,411.72 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $278,250.00 $306,075.00 $281,032.50 2026-03-27
J340300 HCPCS Revakinagene, Per Implant 2 1 — — $280,900.00 $280,900.00 $280,900.00 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 7 5 — — $265,000.00 $352,450.00 $265,000.00 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 7 — — $6,929.00 $563,252.87 $250,367.99 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 7 — — $6,929.00 $559,956.25 $248,902.63 2026-03-27
J340200 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $213,769.16 $213,769.16 $213,769.16 2026-03-27
0024 APR_DRG — 9 7 — — $206,011.26 $474,471.72 $206,011.26 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 7 5 — — $201,669.02 $268,219.80 $201,669.02 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 7 — — $6,929.00 $365,953.97 $162,667.90 2026-03-27
7 MS_DRG Lung Transplant 9 7 — — $6,929.00 $342,243.69 $152,128.59 2026-03-27
5834 APR_DRG — 9 7 — — $151,759.86 $349,267.72 $151,759.86 2026-03-27
5884 APR_DRG — 9 7 — — $149,099.64 $343,128.34 $149,099.64 2026-03-27
5883 APR_DRG — 9 7 — — $149,099.64 $343,128.34 $149,099.64 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 9 7 — — $6,929.00 $317,715.19 $141,225.58 2026-03-27
1614 APR_DRG — 9 7 — — $136,411.90 $313,846.94 $136,411.90 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $6,929.00 $299,664.11 $133,201.81 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $6,929.00 $299,322.09 $133,049.78 2026-03-27
0034 APR_DRG — 9 7 — — $132,461.34 $304,729.65 $132,461.34 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $6,929.00 $291,492.32 $129,569.42 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 7 — — $6,929.00 $287,622.19 $127,849.13 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 7 — — $6,929.00 $272,794.06 $121,257.97 2026-03-27
215 MS_DRG Other Heart Assist System Implant 9 7 — — $6,929.00 $263,493.57 $117,123.87 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $6,929.00 $258,910.44 $115,086.65 2026-03-27
5914 APR_DRG — 9 7 — — $114,574.52 $263,449.60 $114,574.52 2026-03-27
5882 APR_DRG — 9 7 — — $114,162.09 $262,497.76 $114,162.09 2026-03-27
5881 APR_DRG — 9 7 — — $114,162.09 $262,497.76 $114,162.09 2026-03-27
8414 APR_DRG — 9 7 — — $110,826.65 $254,800.07 $110,826.65 2026-03-27
0044 APR_DRG — 9 7 — — $106,900.84 $245,739.89 $106,900.84 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $6,929.00 $238,567.79 $106,044.27 2026-03-27
0014 APR_DRG — 9 7 — — $103,561.86 $238,034.05 $103,561.86 2026-03-27
5934 APR_DRG — 9 7 — — $103,152.37 $237,089.00 $103,152.37 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 9 7 — — $6,929.00 $229,356.78 $101,949.94 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 7 — — $6,929.00 $223,316.07 $99,264.82 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $6,929.00 $222,618.86 $98,954.91 2026-03-27
6094 APR_DRG — 9 7 — — $94,481.17 $217,077.20 $94,481.17 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 7 — — $6,929.00 $208,553.71 $92,702.90 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $6,929.00 $203,541.72 $90,475.05 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 7 — — $6,929.00 $202,670.86 $90,087.95 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 7 — — $6,929.00 $202,005.24 $89,792.08 2026-03-27
6024 APR_DRG — 9 7 — — $89,516.61 $205,619.73 $89,516.61 2026-03-27
0023 APR_DRG — 9 7 — — $89,205.51 $204,901.77 $89,205.51 2026-03-27
8413 APR_DRG — 9 7 — — $86,696.13 $199,110.49 $86,696.13 2026-03-27
5833 APR_DRG — 9 7 — — $86,398.58 $198,423.80 $86,398.58 2026-03-27
J902900 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $86,128.22 $86,128.22 $86,128.22 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $6,929.00 $191,447.15 $85,098.97 2026-03-27
5831 APR_DRG — 9 7 — — $84,790.67 $194,712.98 $84,790.67 2026-03-27
5832 APR_DRG — 9 7 — — $84,790.67 $194,712.98 $84,790.67 2026-03-27
10 MS_DRG Pancreas Transplant 9 7 — — $6,929.00 $190,318.48 $84,597.27 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 7 — — $6,929.00 $190,239.54 $84,562.18 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 7 — — $6,929.00 $189,237.14 $84,116.61 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 7 — — $6,929.00 $189,126.65 $84,067.50 2026-03-27
E076600 HCPCS Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
E0766NU HCPCS Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
6034 APR_DRG — 9 7 — — $82,494.57 $189,413.93 $82,494.57 2026-03-27
9028800 HCPCS Botulism Ig IV 2 1 — — $81,774.00 $81,774.00 $81,774.00 2026-03-27
0054 APR_DRG — 9 7 — — $81,667.93 $187,506.17 $81,667.93 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 7 — — $6,929.00 $183,375.34 $81,511.02 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 7 — — $6,929.00 $182,483.45 $81,114.57 2026-03-27
5933 APR_DRG — 9 7 — — $80,657.46 $185,174.15 $80,657.46 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $6,929.00 $178,621.19 $79,397.78 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 7 — — $6,929.00 $177,447.79 $78,876.20 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 — — $6,929.00 $177,318.86 $78,818.89 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $6,929.00 $174,522.14 $77,575.74 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $6,929.00 $174,522.14 $77,575.74 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $6,929.00 $173,893.35 $77,296.24 2026-03-27
0022 APR_DRG — 9 7 — — $76,107.68 $174,673.97 $76,107.68 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 7 — — $6,929.00 $170,823.01 $75,931.46 2026-03-27
J733000 HCPCS Cultured Chondrocytes Implnt 2 1 — — $73,958.32 $73,958.32 $73,958.32 2026-03-27
6074 APR_DRG — 9 7 — — $73,160.53 $167,872.38 $73,160.53 2026-03-27
Q204300 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $72,901.51 $72,901.51 $72,901.51 2026-03-27
6304 APR_DRG — 9 7 — — $72,476.47 $166,293.68 $72,476.47 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 7 — — $6,929.00 $162,764.36 $72,349.36 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $6,929.00 $162,577.56 $72,266.33 2026-03-27
5891 APR_DRG — 9 7 — — $71,942.66 $165,061.72 $71,942.66 2026-03-27
5892 APR_DRG — 9 7 — — $71,942.66 $165,061.72 $71,942.66 2026-03-27
A954300 HCPCS Y90 Ibritumomab, Rx 2 1 — — $71,875.11 $71,875.11 $71,875.11 2026-03-27
0021 APR_DRG — 9 7 — — $71,714.05 $164,534.13 $71,714.05 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 7 — — $6,929.00 $161,033.17 $71,579.84 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 9 7 — — $6,929.00 $159,604.56 $70,944.82 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 7 — — $6,929.00 $159,559.84 $70,924.94 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $6,929.00 $158,415.37 $70,416.22 2026-03-27
Q048000 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $70,358.18 $70,358.18 $70,358.18 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 6 — — $44,100.77 $157,899.69 $70,187.00 2026-03-27
0033 APR_DRG — 9 7 — — $70,081.98 $160,767.55 $70,081.98 2026-03-27
5913 APR_DRG — 9 7 — — $70,033.07 $160,654.69 $70,033.07 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 7 — — $6,929.00 $157,536.61 $70,025.61 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 7 — — $6,929.00 $155,929.09 $69,311.06 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 7 — — $6,929.00 $155,829.12 $69,266.62 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $6,929.00 $153,258.68 $68,124.05 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 7 — — $6,929.00 $152,290.47 $67,693.68 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $6,929.00 $151,674.82 $67,420.02 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $6,929.00 $151,480.13 $67,333.48 2026-03-27
0904 APR_DRG — 9 7 — — $66,589.81 $152,708.17 $66,589.81 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $6,929.00 $149,441.14 $66,427.14 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $6,929.00 $148,983.35 $66,223.65 2026-03-27
6023 APR_DRG — 9 7 — — $66,187.39 $151,779.44 $66,187.39 2026-03-27
5932 APR_DRG — 9 7 — — $66,069.55 $151,507.49 $66,069.55 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $6,929.00 $147,973.05 $65,774.57 2026-03-27
5912 APR_DRG — 9 7 — — $65,361.34 $149,873.04 $65,361.34 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 7 — — $6,929.00 $146,836.48 $65,269.36 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 9 7 — — $6,929.00 $145,965.62 $64,882.26 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 7 — — $6,929.00 $145,455.21 $64,655.38 2026-03-27
3034 APR_DRG — 9 7 — — $64,610.70 $148,140.68 $64,610.70 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 7 — — $6,929.00 $145,249.99 $64,564.16 2026-03-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 7 — — $6,929.00 $145,023.74 $64,463.59 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 5 — — $64,274.79 $85,485.47 $64,274.79 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 7 — — $6,929.00 $144,450.18 $64,208.64 2026-03-27
5931 APR_DRG — 9 7 — — $64,070.41 $146,893.77 $64,070.41 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $6,929.00 $141,832.38 $63,045.02 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 7 — — $6,929.00 $141,748.18 $63,007.59 2026-03-27
E0766UE HCPCS Elec Stim Cancer Treatment 2 1 — — $62,991.19 $62,991.19 $62,991.19 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 7 — — $6,929.00 $140,806.29 $62,588.92 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 7 — — $6,929.00 $140,345.87 $62,384.26 2026-03-27
6314 APR_DRG — 9 7 — — $62,365.28 $142,958.58 $62,365.28 2026-03-27
K100700 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $61,802.67 $61,802.67 $61,802.67 2026-03-27
4404 APR_DRG — 9 7 — — $61,603.45 $141,200.39 $61,603.45 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 7 — — $6,929.00 $138,480.53 $61,555.11 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 9 7 — — $6,929.00 $138,243.73 $61,449.85 2026-03-27
0043 APR_DRG — 9 7 — — $59,756.32 $136,937.50 $59,756.32 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $6,929.00 $134,134.16 $59,623.13 2026-03-27
1604 APR_DRG — 9 7 — — $59,009.81 $135,214.66 $59,009.81 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $6,929.00 $132,745.01 $59,005.65 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 7 — — $6,929.00 $131,692.62 $58,537.86 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 7 — — $6,929.00 $131,461.11 $58,434.95 2026-03-27
1613 APR_DRG — 9 7 — — $58,395.27 $133,796.42 $58,395.27 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 7 — — $6,929.00 $131,016.48 $58,237.31 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $6,929.00 $130,477.11 $57,997.56 2026-03-27
J922600 HCPCS Supprelin La Implant 2 1 — — $57,868.36 $57,868.36 $57,868.36 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.54 $62,506.99 $57,392.79 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $6,929.00 $128,569.66 $57,149.69 2026-03-27
3614 APR_DRG — 9 7 — — $56,986.51 $130,545.19 $56,986.51 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 7 — — $6,929.00 $127,927.71 $56,864.34 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 7 — — $6,929.00 $126,783.24 $56,355.62 2026-03-27
6022 APR_DRG — 9 7 — — $56,300.09 $128,961.06 $56,300.09 2026-03-27
1624 APR_DRG — 9 7 — — $55,715.02 $127,610.80 $55,715.02 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $6,929.00 $125,220.44 $55,660.95 2026-03-27
27000000S1-178 CDM Icd Maximo Ii D284trk Sc Pm C1882 Defib 9 7 $77,175.00 $15,435.00 80% off $15,435.00 $77,175.00 $55,566.00 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $6,929.00 $124,967.87 $55,548.68 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 7 — — $6,929.00 $124,599.54 $55,384.96 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $54,404.10 $72,357.46 $54,948.15 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 9 7 — — $6,929.00 $123,526.10 $54,907.81 2026-03-27
0053 APR_DRG — 9 7 — — $54,819.44 $125,543.94 $54,819.44 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 7 — — $6,929.00 $123,039.38 $54,691.46 2026-03-27
3044 APR_DRG — 9 7 — — $54,521.90 $124,857.26 $54,521.90 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 7 — — $6,929.00 $122,460.55 $54,434.17 2026-03-27
6073 APR_DRG — 9 7 — — $54,326.88 $124,407.17 $54,326.88 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 7 — — $6,929.00 $122,152.75 $54,297.35 2026-03-27
245 MS_DRG Aicd Generator Procedures 9 7 — — $6,929.00 $121,563.39 $54,035.38 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 7 — — $6,929.00 $121,202.95 $53,875.16 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 7 — — $6,929.00 $121,150.35 $53,851.78 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 9 7 — — $6,929.00 $120,682.03 $53,643.61 2026-03-27
3124 APR_DRG — 9 7 — — $53,461.94 $122,411.02 $53,461.94 2026-03-27
6033 APR_DRG — 9 7 — — $53,321.71 $122,087.39 $53,321.71 2026-03-27
6814 APR_DRG — 9 7 — — $53,278.70 $121,988.13 $53,278.70 2026-03-27
6804 APR_DRG — 9 7 — — $53,131.99 $121,649.55 $53,131.99 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 9 7 — — $6,929.00 $119,442.85 $53,092.79 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 7 — — $6,929.00 $119,408.63 $53,077.58 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 7 — — $6,929.00 $118,945.60 $52,871.76 2026-03-27
5911 APR_DRG — 9 7 — — $52,796.73 $120,875.83 $52,796.73 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 7 — — $6,929.00 $117,101.27 $52,051.95 2026-03-27
6904 APR_DRG — 9 7 — — $51,993.66 $119,022.46 $51,993.66 2026-03-27
8424 APR_DRG — 9 7 — — $51,313.73 $117,453.28 $51,313.73 2026-03-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 7 — — $6,929.00 $115,380.63 $51,287.12 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 7 — — $6,929.00 $114,472.95 $50,883.65 2026-03-27
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $6,929.00 $113,746.79 $50,560.87 2026-03-27
6124 APR_DRG — 9 7 — — $50,346.86 $115,221.89 $50,346.86 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 7 — — $6,929.00 $113,102.21 $50,274.35 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 7 — — $6,929.00 $112,639.15 $50,068.52 2026-03-27
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 7 — — $6,929.00 $112,449.72 $49,984.32 2026-03-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 7 — — $6,929.00 $112,394.47 $49,959.76 2026-03-27
4054 APR_DRG — 9 7 — — $49,843.09 $114,059.28 $49,843.09 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $6,929.00 $112,070.88 $49,815.92 2026-03-27
901 MS_DRG Wound Debridements For Injuries With Mcc 9 7 — — $6,929.00 $111,939.31 $49,757.44 2026-03-27
0013 APR_DRG — 9 7 — — $49,715.83 $113,765.57 $49,715.83 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 7 — — $6,929.00 $111,734.12 $49,666.23 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $6,929.00 $111,307.89 $49,476.77 2026-03-27
793 MS_DRG Full Term Neonate With Major Problems 8 6 — — $30,938.43 $111,228.97 $49,441.69 2026-03-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 7 — — $6,929.00 $110,792.21 $49,247.55 2026-03-27
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 7 — — $6,929.00 $110,068.71 $48,925.95 2026-03-27
6114 APR_DRG — 9 7 — — $48,815.54 $111,687.83 $48,815.54 2026-03-27
9504 APR_DRG — 9 7 — — $48,229.88 $110,336.22 $48,229.88 2026-03-27
791 MS_DRG Prematurity With Major Problems 8 6 — — $30,117.78 $108,319.12 $48,148.25 2026-03-27
27800000S1-15059 CDM Icd Hv Generator Cd3369-40q C1722 9 7 $74,040.00 $14,808.00 80% off $14,808.00 $66,636.00 $48,088.98 2026-03-27
0234 APR_DRG — 9 7 — — $48,040.15 $109,898.37 $48,040.15 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 7 — — $6,929.00 $107,306.19 $47,698.00 2026-03-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 7 — — $6,929.00 $106,348.52 $47,272.31 2026-03-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 7 — — $6,929.00 $104,448.96 $46,427.95 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 7 — — $6,929.00 $103,983.27 $46,220.95 2026-03-27
0032 APR_DRG — 9 7 — — $46,145.89 $105,526.69 $46,145.89 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 7 — — $6,929.00 $103,365.01 $45,946.13 2026-03-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 7 — — $6,929.00 $103,212.41 $45,878.30 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 7 — — $6,929.00 $103,115.07 $45,835.03 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 7 — — $6,929.00 $102,538.87 $45,578.91 2026-03-27
0064 APR_DRG — 9 7 — — $45,428.84 $103,871.85 $45,428.84 2026-03-27
4474 APR_DRG — 9 7 — — $45,379.93 $103,758.99 $45,379.93 2026-03-27
8504 APR_DRG — 8 7 — — $45,356.96 $79,374.68 $45,356.96 2026-03-27
9124 APR_DRG — 9 7 — — $45,061.77 $103,024.71 $45,061.77 2026-03-27
L870200 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $44,721.11 $44,721.11 $44,721.11 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 7 — — $6,929.00 $100,531.44 $44,686.60 2026-03-27
5124 APR_DRG — 9 7 — — $44,630.48 $102,029.35 $44,630.48 2026-03-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 7 — — $6,929.00 $100,099.97 $44,494.81 2026-03-27
6072 APR_DRG — 9 7 — — $44,483.18 $101,689.41 $44,483.18 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 7 — — $6,929.00 $99,865.80 $44,390.72 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 7 — — $6,929.00 $99,855.30 $44,386.05 2026-03-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 7 — — $6,929.00 $99,579.03 $44,263.25 2026-03-27
2604 APR_DRG — 9 7 — — $44,177.39 $100,983.69 $44,177.39 2026-03-27
27800000S1-14046 CDM Icd Generator Cd3357-40q C1882 9 7 $67,800.00 $13,560.00 80% off $13,560.00 $61,020.00 $44,036.10 2026-03-27
27800000S1-14175 CDM Icd Generator Cd3357-40c C1882 9 7 $67,800.00 $13,560.00 80% off $13,560.00 $61,020.00 $44,036.10 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 7 — — $6,929.00 $99,026.53 $44,017.66 2026-03-27
27800000S1-6378 CDM Generator Crt-d G150 C1882 9 7 $67,704.75 $13,540.95 80% off $13,540.95 $60,934.28 $43,974.24 2026-03-27
6954 APR_DRG — 9 7 — — $43,943.48 $100,443.85 $43,943.48 2026-03-27
0924 APR_DRG — 9 7 — — $43,746.68 $99,989.69 $43,746.68 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 7 — — $6,929.00 $98,166.20 $43,635.24 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 7 — — $6,929.00 $98,126.74 $43,617.70 2026-03-27
0063 APR_DRG — 9 7 — — $43,515.72 $99,456.66 $43,515.72 2026-03-27
6093 APR_DRG — 9 7 — — $43,332.48 $99,033.77 $43,332.48 2026-03-27
J9226 HCPCS Supprelin La Implant 7 5 — — $43,185.33 $57,436.50 $43,185.34 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 7 — — $6,929.00 $96,992.80 $43,113.66 2026-03-27
0214 APR_DRG — 9 7 — — $43,086.78 $98,466.74 $43,086.78 2026-03-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 7 — — $6,929.00 $96,919.12 $43,080.91 2026-03-27
332 MS_DRG Rectal Resection With Mcc 9 7 — — $6,929.00 $96,787.58 $43,022.44 2026-03-27
265 MS_DRG Aicd Lead Procedures 9 7 — — $6,929.00 $96,721.80 $42,993.20 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 7 — — $6,929.00 $96,553.43 $42,918.36 2026-03-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $6,929.00 $96,411.34 $42,855.20 2026-03-27
0042 APR_DRG — 9 7 — — $42,775.69 $97,748.78 $42,775.69 2026-03-27
0041 APR_DRG — 9 7 — — $42,775.69 $97,748.78 $42,775.69 2026-03-27
1694 APR_DRG — 9 7 — — $42,742.10 $97,671.27 $42,742.10 2026-03-27
9104 APR_DRG — 9 7 — — $42,739.75 $97,665.83 $42,739.75 2026-03-27
6084 APR_DRG — 9 7 — — $42,739.16 $97,664.47 $42,739.16 2026-03-27
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 7 — — $6,929.00 $95,790.45 $42,579.21 2026-03-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 7 — — $6,929.00 $95,572.07 $42,482.14 2026-03-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 7 — — $6,929.00 $95,477.36 $42,440.04 2026-03-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 7 — — $6,929.00 $95,337.92 $42,378.06 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 7 — — $6,929.00 $95,258.98 $42,342.97 2026-03-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 7 — — $6,929.00 $95,169.53 $42,303.21 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 7 — — $6,929.00 $95,093.24 $42,269.30 2026-03-27
2204 APR_DRG — 9 7 — — $42,181.19 $96,376.77 $42,181.19 2026-03-27
8412 APR_DRG — 9 7 — — $42,147.02 $96,297.90 $42,147.02 2026-03-27
1654 APR_DRG — 9 7 — — $42,115.79 $96,225.83 $42,115.79 2026-03-27
3214 APR_DRG — 9 7 — — $42,042.73 $96,057.22 $42,042.73 2026-03-27
1634 APR_DRG — 9 7 — — $41,941.39 $95,823.34 $41,941.39 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 7 — — $6,929.00 $94,311.83 $41,921.96 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $6,929.00 $94,122.41 $41,837.76 2026-03-27
27800000S1-11789 CDM Generator Neurostimulation Lead L60cm Proclaim Plus 5 9 7 $64,329.00 $12,865.80 80% off $12,865.80 $57,896.10 $41,781.69 2026-03-27
27800000S1-6385 CDM Icd Generator Cd2357-40q Fortify Assura C1721 9 7 $64,230.00 $12,846.00 80% off $12,846.00 $57,807.00 $41,717.39 2026-03-27
3033 APR_DRG — 9 7 — — $41,593.76 $95,021.07 $41,593.76 2026-03-27
4014 APR_DRG — 9 7 — — $41,591.99 $95,016.99 $41,591.99 2026-03-27
252 MS_DRG Other Vascular Procedures With Mcc 9 7 — — $6,929.00 $93,304.17 $41,474.05 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 7 — — $6,929.00 $93,280.50 $41,463.53 2026-03-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 7 — — $6,929.00 $92,859.54 $41,276.41 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 7 — — $6,929.00 $92,417.54 $41,079.94 2026-03-27
6032 APR_DRG — 9 7 — — $41,066.43 $93,804.07 $41,066.43 2026-03-27
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 7 — — $6,929.00 $91,996.58 $40,892.82 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $6,929.00 $91,728.23 $40,773.54 2026-03-27
3104 APR_DRG — 9 7 — — $40,734.71 $93,038.52 $40,734.71 2026-03-27
6083 APR_DRG — 9 7 — — $40,625.12 $92,785.60 $40,625.12 2026-03-27
0894 APR_DRG — 9 7 — — $40,595.66 $92,717.61 $40,595.66 2026-03-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 7 — — $6,929.00 $91,286.23 $40,577.07 2026-03-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 7 — — $6,929.00 $91,167.83 $40,524.44 2026-03-27
0244 APR_DRG — 9 7 — — $40,448.36 $92,377.67 $40,448.36 2026-03-27
6214 APR_DRG — 9 7 — — $40,439.53 $92,357.27 $40,439.53 2026-03-27
4414 APR_DRG — 9 7 — — $40,269.84 $91,965.66 $40,269.84 2026-03-27
27800000S1-13370 CDM Stimulator 2 Lead Lumbar Scs 9 7 $61,726.98 $12,345.40 80% off $12,345.40 $55,554.28 $40,091.67 2026-03-27
27800000S1-11787 CDM Eterna Implantable Pulse Generator 32400 9 7 $61,726.98 $12,345.40 80% off $12,345.40 $55,554.28 $40,091.67 2026-03-27
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