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

ARNOT OGDEN MEDICAL CENTER

Elmira, NY · CCN 330090 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $3,804 across 6 payers · range $3,804-$14,428

Source: https://CayugaHealth.pt.panaceainc.com/MRFDownload/CayugaHealth/aomc · observed 2026-03-27

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

360,992 of 588,989 rate rows are consumer-grade (61.3%)

227,997 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 225,111
template filing: same amount across many unrelated codes — excluded 1,765
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 770
placeholder amount (≤ $0.02) — excluded from medians 168
per-diem day rate — not a per-procedure price 103
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 36
exceeds 10× this hospital's gross charge — excluded from medians 36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
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 · 2026-08-14
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
OTHER 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J141100
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J141400
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
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
OTHER 		Inj Delandistrogene Mox Rokl 1 $3,392,000.00 $3,392,000.00 $3,392,000.00 nat. median
$3,392,000
1.0× median
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
OTHER 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,327,859.72 $3,660,645.69 $3,327,859.73 nat. median
$3,324,572
1.0× median
J339400
OTHER 		Inj, Lovotibeglogene Autotem 1 $3,286,000.00 $3,286,000.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
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
OTHER 		Inj Elivaldogene Autotemecel 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J339300
OTHER 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,968,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,939,968.88 $3,233,965.77 $2,939,968.89 nat. median
$2,997,086
1.0× median
J339900
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,661,968.43 $2,661,968.43 $2,661,968.43 nat. median
$2,661,968
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,588,981.22 $2,847,879.34 $2,588,981.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,565,200.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
J339200
OTHER 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q205700
OTHER 		Afamitresgene Autoleucel 1 $1,032,630.80 $1,032,630.80 $1,032,630.80 nat. median
$1,371,704
0.8× median
Q205600
OTHER 		Ciltacabtagene Car-pos T 1 $787,450.42 $787,450.42 $787,450.42 nat. median
$1,046,016
0.8× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,024,924.60 $778,326.20 nat. median
$809,151
1.0× median
Q204200
OTHER 		Tisagenlecleucel Car-pos T 1 $759,151.94 $759,151.94 $759,151.94 nat. median
$1,008,426
0.8× median
Q205400
OTHER 		Lisocabtagene Mara Car Pos T 1 $753,349.66 $753,349.66 $753,349.66 nat. median
$1,000,718
0.8× median
Q205500
OTHER 		Idecabtagene Vicleucel Car 1 $747,829.52 $747,829.52 $747,829.52 nat. median
$993,385
0.8× median
Q204100
OTHER 		Axicabtagene Ciloleucel Car+ 1 $713,137.60 $713,137.60 $713,137.60 nat. median
$947,302
0.8× median
Q205300
OTHER 		Brexucabtagene Car Pos T 1 $655,863.27 $655,863.27 $655,863.27 nat. median
$871,221
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $587,649.57 $781,573.93 $593,526.06 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $566,531.30 $753,486.63 $572,196.61 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,201.24 $747,727.65 $567,823.25 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $558,081.72 $742,248.70 $563,662.54 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $532,192.24 $707,815.68 $537,514.16 nat. median
$588,565
0.9× 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
$370,165
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,450.20 $650,968.77 $494,344.70 nat. median
$577,541
0.9× median
Q205800
OTHER 		Obecbtge Autol Up To 400 Mil 1 $351,750.00 $351,750.00 $351,750.00 nat. median
$560,700
0.6× median
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
$261,939
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $306,075.00 $281,032.50 nat. median
$302,242
0.9× median
J340300
OTHER 		Revakinagene, Per Implant 1 $280,900.00 $280,900.00 $280,900.00 nat. median
$471,700
0.6× median
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
$205,166
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
$199,832
1.2× median
J340200
OTHER 		Inj. Remestemcel-l-rknd/ Td 1 $213,769.16 $213,769.16 $213,769.16 nat. median
$358,971
0.6× median
24
APR_DRG 		Heart &/or Lung Transplant 7 $206,011.26 $474,471.72 $206,011.26 nat. median
$243,231
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $201,669.02 $268,219.80 $201,669.02 nat. median
$209,736
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
$132,706
1.2× median
7
MS_DRG 		Lung Transplant 7 $6,929.00 $342,243.69 $152,128.59 nat. median
$122,690
1.2× median
5834
APR_DRG 		Neonate W Ecmo 7 $151,759.86 $349,267.72 $151,759.86 nat. median
$311,018
outlier · 0.5×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $149,099.64 $343,128.34 $149,099.64 nat. median
$254,667
0.6× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $149,099.64 $343,128.34 $149,099.64 nat. median
$180,995
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $6,929.00 $317,715.19 $141,225.58 nat. median
$114,305
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.

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 5 5 — — $4,505,000.00 $4,955,500.00 $4,505,000.00 2026-03-27
J339100 OTHER Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-27
J141100 OTHER Inj, Hemgenix, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-27
J141400 OTHER 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 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $3,392,000.00 $3,392,000.00 $3,392,000.00 2026-03-27
J338900 OTHER 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 OTHER 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
J3387 HCPCS Inj Elivaldogene Autotemecel 5 5 — — $3,180,000.00 $3,498,000.00 $3,180,000.00 2026-03-27
J338700 OTHER Inj Elivaldogene Autotemecel 2 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-27
J339300 OTHER 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 OTHER 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 OTHER Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-27
Q205700 OTHER Afamitresgene Autoleucel 2 1 — — $1,032,630.80 $1,032,630.80 $1,032,630.80 2026-03-27
Q205600 OTHER 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 OTHER Tisagenlecleucel Car-pos T 2 1 — — $759,151.94 $759,151.94 $759,151.94 2026-03-27
Q205400 OTHER Lisocabtagene Mara Car Pos T 2 1 — — $753,349.66 $753,349.66 $753,349.66 2026-03-27
Q205500 OTHER Idecabtagene Vicleucel Car 2 1 — — $747,829.52 $747,829.52 $747,829.52 2026-03-27
Q204100 OTHER Axicabtagene Ciloleucel Car+ 2 1 — — $713,137.60 $713,137.60 $713,137.60 2026-03-27
Q205300 OTHER 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 OTHER 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 OTHER 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 OTHER Inj. Remestemcel-l-rknd/ Td 2 1 — — $213,769.16 $213,769.16 $213,769.16 2026-03-27
24 APR_DRG Heart &/or Lung Transplant 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 Neonate W Ecmo 9 7 — — $151,759.86 $349,267.72 $151,759.86 2026-03-27
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 7 — — $149,099.64 $343,128.34 $149,099.64 2026-03-27
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 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 Cardiac Defibrillator & Heart Assist Implant 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
34 APR_DRG Bone Marrow Transplant 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 Neonate Birthwt 500-749g Without Major Procedure 9 7 — — $114,574.52 $263,449.60 $114,574.52 2026-03-27
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 7 — — $114,162.09 $262,497.76 $114,162.09 2026-03-27
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 7 — — $114,162.09 $262,497.76 $114,162.09 2026-03-27
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 7 — — $110,826.65 $254,800.07 $110,826.65 2026-03-27
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 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
14 APR_DRG Liver Transplant &/or Intestinal Transplant 9 7 — — $103,561.86 $238,034.05 $103,561.86 2026-03-27
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 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 Neonate Bwt 1500-2499g W Major Procedure 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 Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 7 — — $89,516.61 $205,619.73 $89,516.61 2026-03-27
23 APR_DRG Heart &/or Lung Transplant 9 7 — — $89,205.51 $204,901.77 $89,205.51 2026-03-27
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 7 — — $86,696.13 $199,110.49 $86,696.13 2026-03-27
5833 APR_DRG Neonate W Ecmo 9 7 — — $86,398.58 $198,423.80 $86,398.58 2026-03-27
J902900 OTHER 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 Neonate W Ecmo 9 7 — — $84,790.67 $194,712.98 $84,790.67 2026-03-27
5832 APR_DRG Neonate W Ecmo 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 OTHER Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
E0766NU OTHER Elec Stim Cancer Treatment 2 1 — — $83,988.32 $83,988.32 $83,988.32 2026-03-27
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 7 — — $82,494.57 $189,413.93 $82,494.57 2026-03-27
9028800 OTHER Botulism Ig IV 2 1 — — $81,774.00 $81,774.00 $81,774.00 2026-03-27
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 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 Neonate Birthwt 750-999g Without Major Procedure 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
22 APR_DRG Heart &/or Lung Transplant 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 OTHER Cultured Chondrocytes Implnt 2 1 — — $73,958.32 $73,958.32 $73,958.32 2026-03-27
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 7 — — $73,160.53 $167,872.38 $73,160.53 2026-03-27
Q204300 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $72,901.51 $72,901.51 $72,901.51 2026-03-27
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 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
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 7 — — $71,942.66 $165,061.72 $71,942.66 2026-03-27
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 7 — — $71,942.66 $165,061.72 $71,942.66 2026-03-27
A954300 OTHER Y90 Ibritumomab, Rx 2 1 — — $71,875.11 $71,875.11 $71,875.11 2026-03-27
21 APR_DRG Heart &/or Lung Transplant 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 OTHER 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
33 APR_DRG Bone Marrow Transplant 9 7 — — $70,081.98 $160,767.55 $70,081.98 2026-03-27
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 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
904 APR_DRG Major Larynx & Trachea Procedures 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 Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 7 — — $66,187.39 $151,779.44 $66,187.39 2026-03-27
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 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 Neonate Birthwt 500-749g Without Major Procedure 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 Dorsal & Lumbar Fusion Proc For Curvature Of Back 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 Neonate Birthwt 750-999g Without Major Procedure 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 OTHER 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 Neonate Birthwt >2499g W Other Major Procedure 9 7 — — $62,365.28 $142,958.58 $62,365.28 2026-03-27
K100700 OTHER Bil Hkaf Pc S/d Micro Sensor 2 1 — — $61,802.67 $61,802.67 $61,802.67 2026-03-27
4404 APR_DRG Kidney Transplant 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
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 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 Major Cardiothoracic Repair Of Heart Anomaly 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 Cardiac Defibrillator & Heart Assist Implant 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 OTHER 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 Skin Graft For Skin & Subcutaneous Tissue Diagnoses 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 Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 7 — — $56,300.09 $128,961.06 $56,300.09 2026-03-27
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 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
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 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 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 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 Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 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 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 7 — — $53,461.94 $122,411.02 $53,461.94 2026-03-27
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 7 — — $53,321.71 $122,087.39 $53,321.71 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 7 — — $53,278.70 $121,988.13 $53,278.70 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 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 Neonate Birthwt 500-749g Without Major Procedure 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 Acute Leukemia 9 7 — — $51,993.66 $119,022.46 $51,993.66 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 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 Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 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 Other Procedures For Endocrine, Nutritional & Metabolic Disorders 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
13 APR_DRG Liver Transplant &/or Intestinal Transplant 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 Neonate Birthwt 1500-1999g W Major Anomaly 9 7 — — $48,815.54 $111,687.83 $48,815.54 2026-03-27
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 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
234 APR_DRG Spinal Procedures 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
32 APR_DRG Bone Marrow Transplant 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
64 APR_DRG Pancreas Transplant 9 7 — — $45,428.84 $103,871.85 $45,428.84 2026-03-27
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 9 7 — — $45,379.93 $103,758.99 $45,379.93 2026-03-27
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 8 7 — — $45,356.96 $79,374.68 $45,356.96 2026-03-27
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 9 7 — — $45,061.77 $103,024.71 $45,061.77 2026-03-27
L870200 OTHER 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 Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 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 Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 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 Major Pancreas, Liver & Shunt Procedures 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 Chemotherapy For Acute Leukemia # 9 7 — — $43,943.48 $100,443.85 $43,943.48 2026-03-27
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 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
63 APR_DRG Pancreas Transplant 9 7 — — $43,515.72 $99,456.66 $43,515.72 2026-03-27
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 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
214 APR_DRG Craniotomy Except For Trauma 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
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 7 — — $42,775.69 $97,748.78 $42,775.69 2026-03-27
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 7 — — $42,775.69 $97,748.78 $42,775.69 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 9 7 — — $42,742.10 $97,671.27 $42,742.10 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $42,739.75 $97,665.83 $42,739.75 2026-03-27
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 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 Major Stomach, Esophageal & Duodenal Procedures 9 7 — — $42,181.19 $96,376.77 $42,181.19 2026-03-27
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 7 — — $42,147.02 $96,297.90 $42,147.02 2026-03-27
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 7 — — $42,115.79 $96,225.83 $42,115.79 2026-03-27
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 9 7 — — $42,042.73 $96,057.22 $42,042.73 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 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 Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 7 — — $41,593.76 $95,021.07 $41,593.76 2026-03-27
4014 APR_DRG Pituitary & Adrenal Procedures 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 Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 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 Intervertebral Disc Excision & Decompression 9 7 — — $40,734.71 $93,038.52 $40,734.71 2026-03-27
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 7 — — $40,625.12 $92,785.60 $40,625.12 2026-03-27
894 APR_DRG Major Cranial/facial Bone Procedures 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
244 APR_DRG Extracranial Vascular Procedures 9 7 — — $40,448.36 $92,377.67 $40,448.36 2026-03-27
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 9 7 — — $40,439.53 $92,357.27 $40,439.53 2026-03-27
4414 APR_DRG Major Bladder Procedures 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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