Price Transparency 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

ST JOSEPH'S HOSPITAL HEALTH CENTER

Syracuse, NY · CCN 330140 · Rates published

16,672 distinct procedures filed
29 distinct payers
1,150,778 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

877,098 of 1,150,778 rate rows are consumer-grade (76.2%)

273,680 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 229,944
template filing: same amount across many unrelated codes — excluded 22,130
exceeds 10× this hospital's gross charge — excluded from medians 14,462
placeholder amount (≤ $0.02) — excluded from medians 6,740
percent-of-charges filed in the dollar field — excluded from medians 336
per-diem day rate — not a per-procedure price 68

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stjosephshospitalhealthcenter
Found on page https://www.sjhsyr.org/for-patients/billing-and-insurance/price-estimates-lists
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 22d5e831c60381dc… · 8,316,756 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
'002-4
APR_DRG 		Heart &/or Lung Transplant 9 $257,052.98 $586,245.71 $463,629.09 —
'583-4
APR_DRG 		Neonate W Ecmo 9 $189,359.72 $432,117.12 $341,737.37 —
'588-3
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $186,040.38 $424,559.42 $335,760.40 —
'588-4
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $186,040.38 $424,559.42 $335,760.40 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $323,620.49 $669,247.65 $328,474.80 nat. median
$370,174
0.9× median
'161-4
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 9 $170,208.99 $388,513.45 $307,253.65 —
'003-4
APR_DRG 		Bone Marrow Transplant 9 $165,279.60 $377,289.88 $298,377.56 —
'591-4
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $142,960.98 $326,473.33 $258,189.58 —
'588-2
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $142,446.35 $325,301.59 $257,262.92 —
'588-1
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $142,446.35 $325,301.59 $257,262.92 —
'841-4
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $138,284.49 $315,825.59 $249,768.87 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $238,094.17 $492,246.07 $241,665.58 nat. median
$265,286
0.9× median
'004-4
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $133,385.98 $304,672.33 $240,948.38 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $231,599.89 $478,805.79 $235,073.89 nat. median
$206,474
1.1× median
'001-4
APR_DRG 		Liver Transplant &/or Intestinal Transplant 9 $129,219.71 $295,186.28 $233,446.40 —
'593-4
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $128,708.76 $294,022.91 $232,526.35 —
J2326
HCPCS 		Inj Nusinersen 0.1mg 23 $121.13 $413,702.43 $225,467.83 nat. median
$2,675
outlier · 84.3×
'609-4
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $117,889.10 $269,387.98 $213,043.96 —
'602-4
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $111,694.47 $255,283.62 $201,889.60 —
'002-3
APR_DRG 		Heart &/or Lung Transplant 9 $111,306.29 $254,399.80 $201,190.64 —
'841-3
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $108,175.15 $247,270.61 $195,552.56 —
'583-3
APR_DRG 		Neonate W Ecmo 9 $107,803.89 $246,425.29 $194,884.04 —
'583-1
APR_DRG 		Neonate W Ecmo 9 $105,797.58 $241,857.19 $191,271.39 —
'583-2
APR_DRG 		Neonate W Ecmo 9 $105,797.58 $241,857.19 $191,271.39 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $187,376.64 $387,283.25 $190,187.29 nat. median
$202,976
0.9× median
'603-4
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 $102,932.58 $235,333.96 $186,112.53 —
'005-4
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $101,901.12 $232,985.47 $184,255.24 —
'593-3
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $100,640.28 $230,114.71 $181,984.92 —
'002-2
APR_DRG 		Heart &/or Lung Transplant 9 $94,963.22 $217,188.78 $171,762.52 —
'607-4
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $91,285.84 $208,815.89 $165,140.86 —
'630-4
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $90,432.30 $206,872.48 $163,603.93 —
'589-1
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 9 $89,766.22 $205,355.91 $162,404.56 —
'589-2
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 9 $89,766.22 $205,355.91 $162,404.56 —
'002-1
APR_DRG 		Heart &/or Lung Transplant 9 $89,480.97 $204,706.44 $161,890.93 —
'003-3
APR_DRG 		Bone Marrow Transplant 9 $87,444.52 $200,069.71 $158,223.99 —
'591-3
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $87,383.50 $199,930.77 $158,114.12 —
'090-4
APR_DRG 		Major Larynx & Trachea Procedures 9 $83,087.10 $190,148.44 $150,377.82 —
'602-3
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $82,584.97 $189,005.16 $149,473.66 —
'593-2
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $82,437.94 $188,670.38 $149,208.90 —
'591-2
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $81,554.25 $186,658.34 $147,617.69 —
'303-4
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 $80,617.63 $184,525.78 $145,931.17 —
'593-1
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $79,943.47 $182,990.81 $144,717.24 —
'631-4
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 9 $77,815.85 $178,146.51 $140,886.16 —
'440-4
APR_DRG 		Kidney Transplant 9 $76,865.27 $175,982.14 $139,174.48 —
'004-3
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $74,560.47 $170,734.44 $135,024.36 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $73,629.00 $168,613.59 $133,347.11 —
'161-3
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 9 $72,862.20 $166,867.71 $131,966.38 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $129,268.67 $267,025.50 $131,207.70 nat. median
$133,161
1.0× median
'361-4
APR_DRG 		Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 $71,104.39 $162,865.39 $128,801.17 —
'602-2
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $70,247.90 $160,915.28 $127,258.94 —

Other procedures at this hospital

Browse this hospital's 16,672 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
             
'002-4 APR_DRG Heart &/or Lung Transplant 42 9 — — $257,052.98 $586,245.71 $463,629.09 2025-01-01
'583-4 APR_DRG Neonate W Ecmo 42 9 — — $189,359.72 $432,117.12 $341,737.37 2025-01-01
'588-4 APR_DRG Neonate Bwt <1500g W Major Procedure 42 9 — — $186,040.38 $424,559.42 $335,760.40 2025-01-01
'588-3 APR_DRG Neonate Bwt <1500g W Major Procedure 42 9 — — $186,040.38 $424,559.42 $335,760.40 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 15 — — $323,620.49 $669,247.65 $328,474.80 2025-01-01
'161-4 APR_DRG Cardiac Defibrillator & Heart Assist Implant 42 9 — — $170,208.99 $388,513.45 $307,253.65 2025-01-01
'003-4 APR_DRG Bone Marrow Transplant 42 9 — — $165,279.60 $377,289.88 $298,377.56 2025-01-01
'591-4 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $142,960.98 $326,473.33 $258,189.58 2025-01-01
'588-1 APR_DRG Neonate Bwt <1500g W Major Procedure 42 9 — — $142,446.35 $325,301.59 $257,262.92 2025-01-01
'588-2 APR_DRG Neonate Bwt <1500g W Major Procedure 42 9 — — $142,446.35 $325,301.59 $257,262.92 2025-01-01
'841-4 APR_DRG Extensive 3rd Degree Burns W Skin Graft 42 9 — — $138,284.49 $315,825.59 $249,768.87 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 36 15 — — $238,094.17 $492,246.07 $241,665.58 2025-01-01
'004-4 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 42 9 — — $133,385.98 $304,672.33 $240,948.38 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 15 — — $231,599.89 $478,805.79 $235,073.89 2025-01-01
'001-4 APR_DRG Liver Transplant &/or Intestinal Transplant 42 9 — — $129,219.71 $295,186.28 $233,446.40 2025-01-01
'593-4 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $128,708.76 $294,022.91 $232,526.35 2025-01-01
J2326 HCPCS Inj Nusinersen 0.1mg 76 23 $413,702.43 $268,906.58 35% off $121.13 $413,702.43 $225,467.83 2025-01-01
'609-4 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 42 9 — — $117,889.10 $269,387.98 $213,043.96 2025-01-01
'602-4 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $111,694.47 $255,283.62 $201,889.60 2025-01-01
'002-3 APR_DRG Heart &/or Lung Transplant 42 9 — — $111,306.29 $254,399.80 $201,190.64 2025-01-01
'841-3 APR_DRG Extensive 3rd Degree Burns W Skin Graft 42 9 — — $108,175.15 $247,270.61 $195,552.56 2025-01-01
'583-3 APR_DRG Neonate W Ecmo 42 9 — — $107,803.89 $246,425.29 $194,884.04 2025-01-01
'583-1 APR_DRG Neonate W Ecmo 42 9 — — $105,797.58 $241,857.19 $191,271.39 2025-01-01
'583-2 APR_DRG Neonate W Ecmo 42 9 — — $105,797.58 $241,857.19 $191,271.39 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 15 — — $187,376.64 $387,283.25 $190,187.29 2025-01-01
'603-4 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 42 9 — — $102,932.58 $235,333.96 $186,112.53 2025-01-01
'005-4 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $101,901.12 $232,985.47 $184,255.24 2025-01-01
'593-3 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $100,640.28 $230,114.71 $181,984.92 2025-01-01
'002-2 APR_DRG Heart &/or Lung Transplant 42 9 — — $94,963.22 $217,188.78 $171,762.52 2025-01-01
'607-4 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $91,285.84 $208,815.89 $165,140.86 2025-01-01
'630-4 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 42 9 — — $90,432.30 $206,872.48 $163,603.93 2025-01-01
'589-2 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $89,766.22 $205,355.91 $162,404.56 2025-01-01
'589-1 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $89,766.22 $205,355.91 $162,404.56 2025-01-01
'002-1 APR_DRG Heart &/or Lung Transplant 42 9 — — $89,480.97 $204,706.44 $161,890.93 2025-01-01
'003-3 APR_DRG Bone Marrow Transplant 42 9 — — $87,444.52 $200,069.71 $158,223.99 2025-01-01
'591-3 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $87,383.50 $199,930.77 $158,114.12 2025-01-01
'090-4 APR_DRG Major Larynx & Trachea Procedures 42 9 — — $83,087.10 $190,148.44 $150,377.82 2025-01-01
'602-3 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $82,584.97 $189,005.16 $149,473.66 2025-01-01
'593-2 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $82,437.94 $188,670.38 $149,208.90 2025-01-01
'591-2 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $81,554.25 $186,658.34 $147,617.69 2025-01-01
'303-4 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $80,617.63 $184,525.78 $145,931.17 2025-01-01
'593-1 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $79,943.47 $182,990.81 $144,717.24 2025-01-01
'631-4 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 42 9 — — $77,815.85 $178,146.51 $140,886.16 2025-01-01
'440-4 APR_DRG Kidney Transplant 42 9 — — $76,865.27 $175,982.14 $139,174.48 2025-01-01
'004-3 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 42 9 — — $74,560.47 $170,734.44 $135,024.36 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 42 9 — — $73,629.00 $168,613.59 $133,347.11 2025-01-01
'161-3 APR_DRG Cardiac Defibrillator & Heart Assist Implant 42 9 — — $72,862.20 $166,867.71 $131,966.38 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 15 — — $129,268.67 $267,025.50 $131,207.70 2025-01-01
'361-4 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 42 9 — — $71,104.39 $162,865.39 $128,801.17 2025-01-01
'602-2 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $70,247.90 $160,915.28 $127,258.94 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 42 9 — — $69,517.87 $159,253.09 $125,944.41 2025-01-01
'005-3 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $68,400.39 $156,708.75 $123,932.23 2025-01-01
'304-4 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 42 9 — — $68,029.12 $155,863.42 $123,263.71 2025-01-01
'607-3 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $67,785.78 $155,309.36 $122,825.53 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 42 9 — — $66,706.53 $152,852.06 $120,882.19 2025-01-01
'603-3 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 42 9 — — $66,531.56 $152,453.67 $120,567.12 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 42 9 — — $66,477.89 $152,331.47 $120,470.49 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 42 9 — — $66,294.83 $151,914.67 $120,140.86 2025-01-01
'591-1 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $65,876.51 $150,962.22 $119,387.61 2025-01-01
'690-4 APR_DRG Acute Leukemia 42 9 — — $64,874.46 $148,680.68 $117,583.27 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 42 9 — — $64,026.06 $146,748.98 $116,055.61 2025-01-01
'612-4 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 42 9 — — $62,819.63 $144,002.10 $113,883.25 2025-01-01
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 42 9 — — $62,191.05 $142,570.91 $112,751.40 2025-01-01
'001-3 APR_DRG Liver Transplant &/or Intestinal Transplant 42 9 — — $62,032.25 $142,209.34 $112,465.45 2025-01-01
'611-4 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 42 9 — — $60,908.90 $139,651.61 $110,442.68 2025-01-01
7 MS_DRG Lung Transplant 34 14 — — $107,908.38 $222,819.16 $110,066.55 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 15 — — $107,712.65 $222,414.08 $109,328.34 2025-01-01
'950-4 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 42 9 — — $60,178.13 $137,987.74 $109,126.83 2025-01-01
'023-4 APR_DRG Spinal Procedures 42 9 — — $59,941.40 $137,448.74 $108,700.56 2025-01-01
'003-2 APR_DRG Bone Marrow Transplant 42 9 — — $57,577.79 $132,067.12 $104,444.54 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 34 14 — — $100,838.31 $208,187.25 $102,855.08 2025-01-01
'006-4 APR_DRG Pancreas Transplant 42 9 — — $56,683.08 $130,029.97 $102,833.47 2025-01-01
'447-4 APR_DRG Other Kidney, Urinary Tract & Related Procedures 42 9 — — $56,622.06 $129,891.04 $102,723.60 2025-01-01
'850-4 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 42 9 — — $56,593.38 $129,825.76 $102,671.97 2025-01-01
'912-4 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 42 9 — — $56,225.06 $128,987.13 $102,008.74 2025-01-01
'512-4 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 42 9 — — $55,686.91 $127,761.83 $101,039.72 2025-01-01
'607-2 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $55,503.11 $127,343.35 $100,708.77 2025-01-01
'260-4 APR_DRG Major Pancreas, Liver & Shunt Procedures 42 9 — — $55,121.55 $126,474.59 $100,021.72 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia # 42 9 — — $54,829.69 $125,810.05 $99,496.17 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 42 9 — — $54,584.13 $125,250.96 $99,054.02 2025-01-01
'006-3 APR_DRG Pancreas Transplant 42 9 — — $54,295.94 $124,594.79 $98,535.09 2025-01-01
'609-3 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 42 9 — — $54,067.30 $124,074.20 $98,123.38 2025-01-01
'021-4 APR_DRG Craniotomy Except For Trauma 42 9 — — $53,760.73 $123,376.18 $97,571.36 2025-01-01
'004-2 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 42 9 — — $53,372.56 $122,492.36 $96,872.39 2025-01-01
'004-1 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 42 9 — — $53,372.56 $122,492.36 $96,872.39 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 42 9 — — $53,330.65 $122,396.95 $96,796.93 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 42 9 — — $53,327.71 $122,390.25 $96,791.64 2025-01-01
'608-4 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 42 9 — — $53,326.98 $122,388.58 $96,790.31 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 36 15 — — $94,780.26 $195,649.77 $96,201.96 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 42 9 — — $52,630.76 $120,803.38 $95,536.67 2025-01-01
'841-2 APR_DRG Extensive 3rd Degree Burns W Skin Graft 42 9 — — $52,588.12 $120,706.30 $95,459.89 2025-01-01
'165-4 APR_DRG Coronary Bypass W Ami Or Complex Pdx 42 9 — — $52,549.15 $120,617.58 $95,389.73 2025-01-01
'321-4 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 42 9 — — $52,457.99 $120,410.01 $95,225.58 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 42 9 — — $52,331.54 $120,122.10 $94,997.89 2025-01-01
'303-3 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $51,897.78 $119,134.49 $94,216.84 2025-01-01
'401-4 APR_DRG Pituitary & Adrenal Procedures 42 9 — — $51,895.58 $119,129.47 $94,212.87 2025-01-01
'603-2 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 42 9 — — $51,239.80 $117,636.35 $93,032.04 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 14 — — $91,087.67 $188,007.75 $92,909.42 2025-01-01
'310-4 APR_DRG Intervertebral Disc Excision & Decompression 42 9 — — $50,825.89 $116,693.93 $92,286.74 2025-01-01
'608-3 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 42 9 — — $50,689.15 $116,382.59 $92,040.51 2025-01-01
'089-4 APR_DRG Major Cranial/facial Bone Procedures 42 9 — — $50,652.39 $116,298.89 $91,974.32 2025-01-01
'024-4 APR_DRG Extracranial Vascular Procedures 42 9 — — $50,468.59 $115,880.41 $91,643.37 2025-01-01
'621-4 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 42 9 — — $50,457.56 $115,855.31 $91,623.52 2025-01-01
215 MS_DRG Other Heart Assist System Implant 36 15 — — $89,900.99 $185,551.84 $91,249.51 2025-01-01
'441-4 APR_DRG Major Bladder Procedures 42 9 — — $50,245.83 $115,373.22 $91,242.26 2025-01-01
'020-4 APR_DRG Craniotomy For Trauma 42 9 — — $49,706.94 $114,146.24 $90,271.91 2025-01-01
'167-4 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 42 9 — — $49,274.66 $113,161.98 $89,493.52 2025-01-01
'003-1 APR_DRG Bone Marrow Transplant 42 9 — — $49,233.49 $113,068.25 $89,419.39 2025-01-01
'181-4 APR_DRG Lower Extremity Arterial Procedures # 42 9 — — $49,166.59 $112,915.92 $89,298.92 2025-01-01
'791-4 APR_DRG O.r. Procedure For Other Complications Of Treatment 42 9 — — $49,123.95 $112,818.83 $89,222.14 2025-01-01
'221-4 APR_DRG Major Small & Large Bowel Procedures 42 9 — — $49,106.30 $112,778.66 $89,190.37 2025-01-01
'403-4 APR_DRG Procedures For Obesity 42 9 — — $48,873.98 $112,249.70 $88,772.05 2025-01-01
27800000002-9353 CDM Device Impella 5.5 Smartassist 50 16 $123,750.00 $80,437.50 35% off $57,234.38 $123,750.00 $88,481.25 2025-01-01
27800000002-9354 CDM Device Impella 5.5 Smartassist 50 16 $123,750.00 $80,437.50 35% off $57,234.38 $123,750.00 $88,481.25 2025-01-01
'602-1 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $48,256.43 $110,843.62 $87,660.05 2025-01-01
'911-4 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 42 9 — — $48,238.79 $110,803.45 $87,628.28 2025-01-01
'313-4 APR_DRG Knee & Lower Leg Procedures Except Foot 42 9 — — $48,099.10 $110,485.40 $87,376.76 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 15 — — $85,428.99 $176,296.77 $86,710.43 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 42 9 — — $47,643.29 $109,447.58 $86,556.00 2025-01-01
'442-4 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 42 9 — — $47,397.74 $108,888.49 $86,113.85 2025-01-01
'612-3 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 42 9 — — $47,155.87 $108,337.78 $85,678.32 2025-01-01
'177-4 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 42 9 — — $47,094.11 $108,197.17 $85,567.12 2025-01-01
'691-4 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 42 9 — — $47,080.88 $108,167.04 $85,543.29 2025-01-01
'710-4 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 42 9 — — $46,989.71 $107,959.47 $85,379.14 2025-01-01
'317-4 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 42 9 — — $46,972.07 $107,919.30 $85,347.37 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 76 23 $156,466.98 $101,703.54 35% off $6.14 $156,466.98 $85,274.51 2025-01-01
'305-4 APR_DRG Amputation Of Lower Limb Except Toes 42 9 — — $46,852.97 $107,648.13 $85,132.91 2025-01-01
'026-4 APR_DRG Other Nervous System & Related Procedures 42 9 — — $46,662.56 $107,214.58 $84,790.05 2025-01-01
'951-4 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 42 9 — — $46,656.68 $107,201.19 $84,779.46 2025-01-01
'182-4 APR_DRG Other Peripheral Vascular Procedures # 42 9 — — $46,633.89 $107,149.30 $84,738.42 2025-01-01
'611-3 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 42 9 — — $46,588.31 $107,045.52 $84,656.35 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 42 9 — — $46,333.93 $106,466.35 $84,198.31 2025-01-01
'511-4 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 42 9 — — $46,298.64 $106,386.00 $84,134.77 2025-01-01
0310453530 NDC Injection Tremelimumab-actl 1 Mg 50 16 $117,000.00 $76,050.00 35% off $54,112.50 $117,000.00 $83,655.00 2025-01-01
'444-4 APR_DRG Renal Dialysis Access Device Procedure Only 42 9 — — $46,000.90 $105,708.06 $83,598.63 2025-01-01
'001-1 APR_DRG Liver Transplant &/or Intestinal Transplant 42 9 — — $45,834.75 $105,329.76 $83,299.45 2025-01-01
'001-2 APR_DRG Liver Transplant &/or Intestinal Transplant 42 9 — — $45,834.75 $105,329.76 $83,299.45 2025-01-01
'264-4 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 42 9 — — $45,770.78 $105,184.13 $83,184.28 2025-01-01
'261-4 APR_DRG Major Biliary Tract Procedures 42 9 — — $45,667.86 $104,949.78 $82,998.95 2025-01-01
'161-2 APR_DRG Cardiac Defibrillator & Heart Assist Implant 42 9 — — $45,572.29 $104,732.18 $82,826.85 2025-01-01
'120-4 APR_DRG Major Respiratory & Chest Procedures 42 9 — — $45,301.74 $104,116.18 $82,339.69 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 42 9 — — $45,169.41 $103,814.87 $82,101.41 2025-01-01
'690-3 APR_DRG Acute Leukemia 42 9 — — $45,096.62 $103,649.16 $81,970.35 2025-01-01
'121-4 APR_DRG Other Respiratory & Chest Procedures 42 9 — — $45,053.98 $103,552.07 $81,893.57 2025-01-01
'262-4 APR_DRG Cholecystectomy Except Laparoscopic 42 9 — — $45,028.25 $103,493.48 $81,847.24 2025-01-01
'519-4 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 42 9 — — $44,992.96 $103,413.13 $81,783.70 2025-01-01
'607-1 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 42 9 — — $44,937.09 $103,285.92 $81,683.09 2025-01-01
'711-4 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 42 9 — — $44,898.12 $103,197.20 $81,612.92 2025-01-01
'518-4 APR_DRG Other Female Reproductive System & Related Procedures 42 9 — — $44,471.72 $102,226.33 $80,845.12 2025-01-01
'049-4 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 42 9 — — $44,395.26 $102,052.25 $80,707.44 2025-01-01
'171-4 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 42 9 — — $44,368.06 $101,990.31 $80,658.46 2025-01-01
'952-4 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 42 9 — — $44,131.33 $101,451.31 $80,232.20 2025-01-01
'630-3 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 42 9 — — $44,086.49 $101,349.20 $80,151.45 2025-01-01
'043-4 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 42 9 — — $44,029.14 $101,218.64 $80,048.19 2025-01-01
'381-4 APR_DRG Major Skin Disorders 42 9 — — $43,919.60 $100,969.23 $79,850.94 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 36 15 — — $78,021.87 $160,967.33 $79,192.20 2025-01-01
'005-2 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $43,484.37 $99,978.27 $79,067.25 2025-01-01
27800000002-9352 CDM Device Impella 5.5 Smartassist 50 16 $110,000.00 $71,500.00 35% off $50,875.00 $110,000.00 $78,650.00 2025-01-01
'229-4 APR_DRG Other Digestive System & Abdominal Procedures 42 9 — — $43,066.79 $99,027.49 $78,315.33 2025-01-01
'308-4 APR_DRG Hip And Femur Fracture Repair 42 9 — — $42,934.46 $98,726.19 $78,077.05 2025-01-01
'309-4 APR_DRG Other Significant Hip And Femur Surgery 42 9 — — $42,760.22 $98,329.47 $77,763.31 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 42 9 — — $42,698.46 $98,188.86 $77,652.11 2025-01-01
'650-4 APR_DRG Splenectomy 42 9 — — $42,450.71 $97,624.75 $77,205.99 2025-01-01
'005-1 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $42,399.98 $97,509.25 $77,114.65 2025-01-01
'608-2 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 42 9 — — $42,325.73 $97,340.19 $76,980.94 2025-01-01
'440-3 APR_DRG Kidney Transplant 42 9 — — $42,225.74 $97,112.54 $76,800.90 2025-01-01
'223-4 APR_DRG Other Small & Large Bowel Procedures 42 9 — — $41,535.41 $95,540.74 $75,557.85 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 15 — — $74,431.98 $153,537.85 $75,548.46 2025-01-01
'224-4 APR_DRG Peritoneal Adhesiolysis 42 9 — — $41,462.62 $95,375.02 $75,426.80 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 15 — — $74,230.11 $153,120.05 $75,343.56 2025-01-01
'222-4 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 42 9 — — $41,208.25 $94,795.85 $74,968.76 2025-01-01
'423-4 APR_DRG Inborn Errors Of Metabolism 42 9 — — $40,504.68 $93,193.92 $73,701.88 2025-01-01
'022-4 APR_DRG Ventricular Shunt Procedures 42 9 — — $40,131.21 $92,343.57 $73,029.39 2025-01-01
'841-1 APR_DRG Extensive 3rd Degree Burns W Skin Graft 42 9 — — $39,979.03 $91,997.07 $72,755.37 2025-01-01
'633-4 APR_DRG Neonate Birthwt >2499g W Major Anomaly 42 9 — — $39,884.19 $91,781.14 $72,584.60 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 15 — — $71,472.30 $147,412.61 $72,544.39 2025-01-01
'050-4 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 42 9 — — $39,829.79 $91,657.27 $72,486.63 2025-01-01
'304-3 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 42 9 — — $39,690.84 $91,340.90 $72,236.44 2025-01-01
'364-4 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 42 9 — — $39,556.30 $91,034.57 $71,994.18 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 42 9 — — $39,480.58 $90,862.16 $71,857.83 2025-01-01
'303-2 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $39,402.65 $90,684.72 $71,717.50 2025-01-01
'227-4 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 42 9 — — $39,294.58 $90,438.66 $71,522.91 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 15 — — $70,404.11 $145,201.93 $71,460.17 2025-01-01
'613-4 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 42 9 — — $38,591.74 $88,838.40 $70,257.35 2025-01-01
'603-1 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 42 9 — — $38,563.07 $88,773.12 $70,205.72 2025-01-01
'622-4 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 42 9 — — $38,524.84 $88,686.08 $70,136.89 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 50 16 $97,800.00 $63,570.00 35% off $45,232.50 $97,800.00 $69,927.00 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 15 — — $68,702.20 $141,679.73 $69,732.73 2025-01-01
'315-4 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 42 9 — — $38,263.12 $88,090.16 $69,665.61 2025-01-01
'844-4 APR_DRG Partial Thickness Burns Without Skin Graft 42 9 — — $37,868.32 $87,191.27 $68,954.73 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 15 — — $67,926.29 $140,073.95 $68,945.18 2025-01-01
'443-4 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 42 9 — — $37,780.84 $86,992.08 $68,797.20 2025-01-01
'006-1 APR_DRG Pancreas Transplant 42 9 — — $37,689.68 $86,784.51 $68,633.05 2025-01-01
'006-2 APR_DRG Pancreas Transplant 42 9 — — $37,689.68 $86,784.51 $68,633.05 2025-01-01
'613-3 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 42 9 — — $37,633.07 $86,655.62 $68,531.11 2025-01-01
'614-3 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 42 9 — — $37,547.79 $86,461.45 $68,377.55 2025-01-01
'614-4 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 42 9 — — $37,547.79 $86,461.45 $68,377.55 2025-01-01
'320-4 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 42 9 — — $37,308.85 $85,917.43 $67,947.32 2025-01-01
'660-4 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 42 9 — — $37,120.65 $85,488.91 $67,608.42 2025-01-01
27800000002-9395 CDM Valve Sapien Thv Edwards Resilia 29mm 50 16 $93,500.00 $60,775.00 35% off $43,243.75 $93,500.00 $66,852.50 2025-01-01
27800000002-9396 CDM Valve Sapien Thv Edwards Resilia 26mm 50 16 $93,500.00 $60,775.00 35% off $43,243.75 $93,500.00 $66,852.50 2025-01-01
27800000002-9394 CDM Valve Sapien Thv Edwards Resilia 23mm 50 16 $93,500.00 $60,775.00 35% off $43,243.75 $93,500.00 $66,852.50 2025-01-01
27800000002-9397 CDM Valve Sapien Thv Edwards Resilia 20mm 50 16 $93,500.00 $60,775.00 35% off $43,243.75 $93,500.00 $66,852.50 2025-01-01
'175-4 APR_DRG Percutaneous Coronary Intervention Without Ami 42 9 — — $36,625.87 $84,362.37 $66,717.50 2025-01-01
'631-3 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 42 9 — — $36,370.76 $83,781.52 $66,258.15 2025-01-01
'346-4 APR_DRG Connective Tissue Disorders 42 9 — — $36,359.73 $83,756.41 $66,238.29 2025-01-01
'165-3 APR_DRG Coronary Bypass W Ami Or Complex Pdx 42 9 — — $36,263.42 $83,537.13 $66,064.87 2025-01-01
'180-4 APR_DRG Other Circulatory System Procedures 42 9 — — $35,952.44 $82,829.07 $65,504.90 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 42 9 — — $35,903.92 $82,718.59 $65,417.53 2025-01-01
'513-4 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 42 9 — — $35,823.79 $82,536.13 $65,273.24 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 42 9 — — $35,665.72 $82,176.24 $64,988.62 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 15 — — $63,724.63 $131,378.36 $64,680.50 2025-01-01
27800000002-9774 CDM Valve Transcath Sapien 3 26mm W/certitude 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9613 CDM Valve Sapien 3 Thv 26mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9612 CDM Valve Sapien 3 Thv 23mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9680 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9681 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9617 CDM Valve Thv Sapien 3 26mm W/certitudesystem 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9611 CDM Valve Sapien 3 Thv 20mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9616 CDM Valve Thv Sapien 3 23mm W/certitudesystem 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9683 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9618 CDM Valve Thv Sapien 3 29mm W/certitudesystem 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9614 CDM Valve Sapien 3 Thv 29mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9684 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9615 CDM Valve Sapien 3 Thv 29mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
27800000002-9682 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 50 16 $89,375.00 $58,093.75 35% off $41,335.94 $89,375.00 $63,903.13 2025-01-01
'440-2 APR_DRG Kidney Transplant 42 9 — — $34,675.43 $79,921.48 $63,205.46 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 14 — — $61,998.14 $127,805.31 $62,618.12 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 15 — — $61,375.84 $126,517.41 $62,296.48 2025-01-01
'661-4 APR_DRG Coagulation & Platelet Disorders 42 9 — — $34,092.43 $78,594.07 $62,155.68 2025-01-01
'612-2 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 42 9 — — $33,974.81 $78,326.25 $61,943.87 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 15 — — $60,979.10 $125,696.35 $61,893.79 2025-01-01
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 42 9 — — $33,941.72 $78,250.92 $61,884.30 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 15 — — $60,876.41 $125,483.82 $61,789.56 2025-01-01
'312-3 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 42 9 — — $33,810.13 $77,951.29 $61,647.34 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 15 — — $60,565.70 $124,840.78 $61,474.18 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 15 — — $60,408.58 $124,515.63 $61,314.71 2025-01-01
'162-2 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 42 9 — — $33,474.88 $77,187.99 $61,043.69 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 15 — — $60,090.85 $123,858.05 $60,992.21 2025-01-01
'193-4 APR_DRG Acute & Subacute Endocarditis 42 9 — — $33,343.29 $76,888.36 $60,806.73 2025-01-01
'228-4 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 42 9 — — $33,281.53 $76,747.75 $60,695.53 2025-01-01
'303-1 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $33,016.86 $76,145.14 $60,218.96 2025-01-01
'589-3 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $32,870.56 $75,812.04 $59,955.52 2025-01-01
'696-4 APR_DRG Other Chemotherapy # 42 9 — — $32,830.13 $75,719.97 $59,882.72 2025-01-01
'842-3 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 42 9 — — $32,602.96 $75,202.73 $59,473.66 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 36 15 — — $58,456.53 $120,475.73 $59,333.38 2025-01-01
'021-3 APR_DRG Craniotomy Except For Trauma 42 9 — — $32,370.64 $74,673.78 $59,055.34 2025-01-01
27800000002-9384 CDM Valve Aort 23mm Evolutr 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9388 CDM Valve Aortic 29mm Evolut Fx 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9633 CDM Valve Aortic Evolut Tm Pro 29mm 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9738 CDM Kit Mitraclip 2 Mbr0202 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9581 CDM Valve Aort 26mm Evolutr 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9387 CDM Valve Aortic 26mm Evolut Fx 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9481 CDM Kit Mitraclip 2 Mbr0102 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9389 CDM Valve Aortic 34mm Evolut Fx 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9728 CDM Kit Mitraclip G4 Delivery Sys Ntw 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9480 CDM Kit Mitraclip 1 Mbr0201 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9390 CDM Valve Aortic 23mm Evolut Fx 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9582 CDM Valve Aort 29mm Evolutr 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9691 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9386 CDM Valve Aortic 26mm Evolut Fx 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9719 CDM Kit Mitraclip 3 Mbr0103 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9692 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9479 CDM Kit Mitraclip 1 Mbr0101 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
27800000002-9482 CDM Kit Mitraclip 3 Mbr0203 50 16 $82,500.00 $53,625.00 35% off $38,156.25 $82,500.00 $58,987.50 2025-01-01
'546-4 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 42 9 — — $32,192.73 $74,268.69 $58,734.98 2025-01-01
'023-3 APR_DRG Spinal Procedures 42 9 — — $32,109.65 $74,079.54 $58,585.39 2025-01-01
'130-3 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 42 9 — — $31,984.67 $73,794.97 $58,360.34 2025-01-01
'483-4 APR_DRG Testes & Scrotal Procedures 42 9 — — $31,974.38 $73,771.54 $58,341.81 2025-01-01
'608-1 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 42 9 — — $31,727.36 $73,209.11 $57,897.01 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 76 23 $105,199.95 $68,379.97 35% off $2,351.72 $105,199.95 $57,333.97 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 15 — — $56,113.00 $115,625.67 $56,954.69 2025-01-01
'098-4 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 42 9 — — $31,117.89 $71,821.44 $56,799.58 2025-01-01
'863-3 APR_DRG Neonatal Aftercare 42 9 — — $31,044.37 $71,654.04 $56,667.20 2025-01-01
'091-4 APR_DRG Other Major Head & Neck Procedures 42 9 — — $30,979.68 $71,506.74 $56,550.71 2025-01-01
'192-4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 42 9 — — $30,792.94 $71,081.57 $56,214.46 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 15 — — $55,066.76 $113,460.41 $55,892.76 2025-01-01
'181-3 APR_DRG Lower Extremity Arterial Procedures # 42 9 — — $30,594.44 $70,629.61 $55,857.03 2025-01-01
'090-3 APR_DRG Major Larynx & Trachea Procedures 42 9 — — $30,567.24 $70,567.68 $55,808.05 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 15 — — $54,820.99 $112,951.79 $55,643.31 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 14 — — $54,460.25 $112,205.21 $55,549.46 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 14 — — $54,460.25 $112,205.21 $55,549.46 2025-01-01
'225-4 APR_DRG Appendectomy 42 9 — — $30,387.86 $70,159.24 $55,485.04 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 34 14 — — $54,751.65 $112,808.28 $55,299.17 2025-01-01
'611-2 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 42 9 — — $30,187.15 $69,702.27 $55,123.65 2025-01-01
'634-4 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 42 9 — — $30,176.86 $69,678.83 $55,105.11 2025-01-01
'613-2 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 42 9 — — $30,133.48 $69,580.07 $55,027.01 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 15 — — $54,147.78 $111,558.53 $54,960.00 2025-01-01
'462-4 APR_DRG Nephritis & Nephrosis 42 9 — — $30,063.64 $69,421.05 $54,901.25 2025-01-01
'166-3 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 42 9 — — $30,046.73 $69,382.55 $54,870.80 2025-01-01
'161-1 APR_DRG Cardiac Defibrillator & Heart Assist Implant 42 9 — — $30,035.71 $69,357.44 $54,850.94 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 36 15 — — $53,927.47 $111,102.59 $54,736.38 2025-01-01
'950-3 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 42 9 — — $29,889.40 $69,024.33 $54,587.51 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 15 — — $53,698.38 $110,628.48 $54,503.85 2025-01-01
'621-3 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 42 9 — — $29,771.04 $68,754.83 $54,374.37 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 15 — — $53,567.60 $110,357.82 $54,371.11 2025-01-01
'097-4 APR_DRG Tonsil & Adenoid Procedures 42 9 — — $29,740.90 $68,686.20 $54,320.10 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 15 — — $53,316.57 $109,838.31 $54,116.32 2025-01-01
'165-2 APR_DRG Coronary Bypass W Ami Or Complex Pdx 42 9 — — $29,540.93 $68,230.90 $53,960.02 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 36 15 — — $53,135.76 $109,464.11 $53,932.80 2025-01-01
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