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

ST JOSEPH'S HOSPITAL HEALTH CENTER

Syracuse, NY · CCN 330140 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $3,625 across 10 payers · range $1,254-$27,596

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stjosephshospitalhealthcenter · observed 2025-01-01

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.

16,671 distinct procedures filed
29 distinct payers
1,150,778 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

876,802 of 1,150,778 rate rows are consumer-grade (76.2%)

273,976 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 219,244
template filing: same amount across many unrelated codes — excluded 22,084
exceeds 10× this hospital's gross charge — excluded from medians 14,462
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,700
placeholder amount (≤ $0.02) — excluded from medians 6,740
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 342
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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 · 2026-08-14
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
OTHER 		Heart &/or Lung Transplant 9 $257,052.98 $586,245.71 $463,629.09 nat. median
$205,014
outlier · 2.3×
'583-4
OTHER 		Neonate W Ecmo 9 $189,359.72 $432,117.12 $341,737.37 nat. median
$221,551
1.5× median
'588-3
OTHER 		Neonate Bwt <1500g W Major Procedure 9 $186,040.38 $424,559.42 $335,760.40 nat. median
$131,074
outlier · 2.6×
'588-4
OTHER 		Neonate Bwt <1500g W Major Procedure 9 $186,040.38 $424,559.42 $335,760.40 nat. median
$202,324
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $323,620.49 $669,247.65 $328,474.80 nat. median
$370,165
0.9× median
'161-4
OTHER 		Cardiac Defibrillator & Heart Assist Implant 9 $170,208.99 $388,513.45 $307,253.65 nat. median
$182,608
1.7× median
'003-4
OTHER 		Bone Marrow Transplant 9 $165,279.60 $377,289.88 $298,377.56 nat. median
$193,377
1.5× median
'591-4
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 9 $142,960.98 $326,473.33 $258,189.58 nat. median
$119,104
outlier · 2.2×
'588-1
OTHER 		Neonate Bwt <1500g W Major Procedure 9 $142,446.35 $325,301.59 $257,262.92 nat. median
$98,245
outlier · 2.6×
'588-2
OTHER 		Neonate Bwt <1500g W Major Procedure 9 $142,446.35 $325,301.59 $257,262.92 nat. median
$110,776
outlier · 2.3×
'841-4
OTHER 		Extensive 3rd Degree Burns W Skin Graft 9 $138,284.49 $315,825.59 $249,768.87 nat. median
$138,284
1.8× median
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
$261,939
0.9× median
'004-4
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $133,385.98 $304,672.33 $240,948.38 nat. median
$101,809
outlier · 2.4×
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
$205,166
1.1× median
'001-4
OTHER 		Liver Transplant &/or Intestinal Transplant 9 $129,219.71 $295,186.28 $233,446.40 nat. median
$107,546
outlier · 2.2×
'593-4
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 9 $128,708.76 $294,022.91 $232,526.35 nat. median
$115,906
outlier · 2.0×
J2326
HCPCS 		Inj Nusinersen 0.1mg 23 $121.13 $413,702.43 $225,467.83 nat. median
$2,353
outlier · 95.8×
'609-4
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 9 $117,889.10 $269,387.98 $213,043.96 nat. median
$130,670
1.6× median
'602-4
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $111,694.47 $255,283.62 $201,889.60 nat. median
$66,108
outlier · 3.1×
'002-3
OTHER 		Heart &/or Lung Transplant 9 $111,306.29 $254,399.80 $201,190.64 nat. median
$89,928
outlier · 2.2×
'841-3
OTHER 		Extensive 3rd Degree Burns W Skin Graft 9 $108,175.15 $247,270.61 $195,552.56 nat. median
$108,175
1.8× median
'583-3
OTHER 		Neonate W Ecmo 9 $107,803.89 $246,425.29 $194,884.04 nat. median
$195,630
1.0× median
'583-2
OTHER 		Neonate W Ecmo 9 $105,797.58 $241,857.19 $191,271.39 nat. median
$119,004
1.6× median
'583-1
OTHER 		Neonate W Ecmo 9 $105,797.58 $241,857.19 $191,271.39 nat. median
$105,798
1.8× median
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
$199,832
1.0× median
'603-4
OTHER 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 $102,932.58 $235,333.96 $186,112.53 nat. median
$102,933
1.8× median
'005-4
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $101,901.12 $232,985.47 $184,255.24 nat. median
$61,783
outlier · 3.0×
'593-3
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 9 $100,640.28 $230,114.71 $181,984.92 nat. median
$82,229
outlier · 2.2×
'002-2
OTHER 		Heart &/or Lung Transplant 9 $94,963.22 $217,188.78 $171,762.52 nat. median
$76,713
outlier · 2.2×
'607-4
OTHER 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $91,285.84 $208,815.89 $165,140.86 nat. median
$64,930
outlier · 2.5×
'630-4
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $90,432.30 $206,872.48 $163,603.93 nat. median
$127,072
1.3× median
'589-2
OTHER 		Neonate Bwt <500g Or Ga <24 Weeks 9 $89,766.22 $205,355.91 $162,404.56 nat. median
$77,835
outlier · 2.1×
'589-1
OTHER 		Neonate Bwt <500g Or Ga <24 Weeks 9 $89,766.22 $205,355.91 $162,404.56 nat. median
$78,851
outlier · 2.1×
'002-1
OTHER 		Heart &/or Lung Transplant 9 $89,480.97 $204,706.44 $161,890.93 nat. median
$74,149
outlier · 2.2×
'003-3
OTHER 		Bone Marrow Transplant 9 $87,444.52 $200,069.71 $158,223.99 nat. median
$114,955
1.4× median
'591-3
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 9 $87,383.50 $199,930.77 $158,114.12 nat. median
$84,666
1.9× median
'090-4
OTHER 		Major Larynx & Trachea Procedures 9 $83,087.10 $190,148.44 $150,377.82 nat. median
$83,087
1.8× median
'602-3
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $82,584.97 $189,005.16 $149,473.66 nat. median
$53,573
outlier · 2.8×
'593-2
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 9 $82,437.94 $188,670.38 $149,208.90 nat. median
$55,163
outlier · 2.7×
'591-2
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 9 $81,554.25 $186,658.34 $147,617.69 nat. median
$68,201
outlier · 2.2×
'303-4
OTHER 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 $80,617.63 $184,525.78 $145,931.17 nat. median
$65,112
outlier · 2.2×
'593-1
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 9 $79,943.47 $182,990.81 $144,717.24 nat. median
$35,335
outlier · 4.1×
'631-4
OTHER 		Neonate Birthwt >2499g W Other Major Procedure 9 $77,815.85 $178,146.51 $140,886.16 nat. median
$112,354
1.3× median
'440-4
OTHER 		Kidney Transplant 9 $76,865.27 $175,982.14 $139,174.48 nat. median
$63,941
outlier · 2.2×
'004-3
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $74,560.47 $170,734.44 $135,024.36 nat. median
$62,886
outlier · 2.1×
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 9 $73,629.00 $168,613.59 $133,347.11 nat. median
$82,416
1.6× median
'161-3
OTHER 		Cardiac Defibrillator & Heart Assist Implant 9 $72,862.20 $166,867.71 $131,966.38 nat. median
$114,612
1.2× median
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
$132,706
1.0× median
'361-4
OTHER 		Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 $71,104.39 $162,865.39 $128,801.17 nat. median
$41,418
outlier · 3.1×
'602-2
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $70,247.90 $160,915.28 $127,258.94 nat. median
$39,612
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 16,671 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 OTHER Heart &/or Lung Transplant 42 9 — — $257,052.98 $586,245.71 $463,629.09 2025-01-01
'583-4 OTHER Neonate W Ecmo 42 9 — — $189,359.72 $432,117.12 $341,737.37 2025-01-01
'588-3 OTHER Neonate Bwt <1500g W Major Procedure 42 9 — — $186,040.38 $424,559.42 $335,760.40 2025-01-01
'588-4 OTHER 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 OTHER Cardiac Defibrillator & Heart Assist Implant 42 9 — — $170,208.99 $388,513.45 $307,253.65 2025-01-01
'003-4 OTHER Bone Marrow Transplant 42 9 — — $165,279.60 $377,289.88 $298,377.56 2025-01-01
'591-4 OTHER Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $142,960.98 $326,473.33 $258,189.58 2025-01-01
'588-2 OTHER Neonate Bwt <1500g W Major Procedure 42 9 — — $142,446.35 $325,301.59 $257,262.92 2025-01-01
'588-1 OTHER Neonate Bwt <1500g W Major Procedure 42 9 — — $142,446.35 $325,301.59 $257,262.92 2025-01-01
'841-4 OTHER 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 OTHER 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 OTHER Liver Transplant &/or Intestinal Transplant 42 9 — — $129,219.71 $295,186.28 $233,446.40 2025-01-01
'593-4 OTHER 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 OTHER Neonate Bwt 1500-2499g W Major Procedure 42 9 — — $117,889.10 $269,387.98 $213,043.96 2025-01-01
'602-4 OTHER 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 OTHER Heart &/or Lung Transplant 42 9 — — $111,306.29 $254,399.80 $201,190.64 2025-01-01
'841-3 OTHER Extensive 3rd Degree Burns W Skin Graft 42 9 — — $108,175.15 $247,270.61 $195,552.56 2025-01-01
'583-3 OTHER Neonate W Ecmo 42 9 — — $107,803.89 $246,425.29 $194,884.04 2025-01-01
'583-1 OTHER Neonate W Ecmo 42 9 — — $105,797.58 $241,857.19 $191,271.39 2025-01-01
'583-2 OTHER 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 OTHER 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 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $101,901.12 $232,985.47 $184,255.24 2025-01-01
'593-3 OTHER Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $100,640.28 $230,114.71 $181,984.92 2025-01-01
'002-2 OTHER Heart &/or Lung Transplant 42 9 — — $94,963.22 $217,188.78 $171,762.52 2025-01-01
'607-4 OTHER 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 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 42 9 — — $90,432.30 $206,872.48 $163,603.93 2025-01-01
'589-2 OTHER Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $89,766.22 $205,355.91 $162,404.56 2025-01-01
'589-1 OTHER Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $89,766.22 $205,355.91 $162,404.56 2025-01-01
'002-1 OTHER Heart &/or Lung Transplant 42 9 — — $89,480.97 $204,706.44 $161,890.93 2025-01-01
'003-3 OTHER Bone Marrow Transplant 42 9 — — $87,444.52 $200,069.71 $158,223.99 2025-01-01
'591-3 OTHER Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $87,383.50 $199,930.77 $158,114.12 2025-01-01
'090-4 OTHER Major Larynx & Trachea Procedures 42 9 — — $83,087.10 $190,148.44 $150,377.82 2025-01-01
'602-3 OTHER 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 OTHER Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $82,437.94 $188,670.38 $149,208.90 2025-01-01
'591-2 OTHER Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $81,554.25 $186,658.34 $147,617.69 2025-01-01
'303-4 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $80,617.63 $184,525.78 $145,931.17 2025-01-01
'593-1 OTHER Neonate Birthwt 750-999g Without Major Procedure 42 9 — — $79,943.47 $182,990.81 $144,717.24 2025-01-01
'631-4 OTHER Neonate Birthwt >2499g W Other Major Procedure 42 9 — — $77,815.85 $178,146.51 $140,886.16 2025-01-01
'440-4 OTHER Kidney Transplant 42 9 — — $76,865.27 $175,982.14 $139,174.48 2025-01-01
'004-3 OTHER 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 OTHER Major Cardiothoracic Repair Of Heart Anomaly 42 9 — — $73,629.00 $168,613.59 $133,347.11 2025-01-01
'161-3 OTHER 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 OTHER Skin Graft For Skin & Subcutaneous Tissue Diagnoses 42 9 — — $71,104.39 $162,865.39 $128,801.17 2025-01-01
'602-2 OTHER 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 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 42 9 — — $69,517.87 $159,253.09 $125,944.41 2025-01-01
'005-3 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $68,400.39 $156,708.75 $123,932.23 2025-01-01
'304-4 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Neonate Birthwt 500-749g Without Major Procedure 42 9 — — $65,876.51 $150,962.22 $119,387.61 2025-01-01
'690-4 OTHER Acute Leukemia 42 9 — — $64,874.46 $148,680.68 $117,583.27 2025-01-01
'842-4 OTHER 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 OTHER 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 OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 42 9 — — $62,191.05 $142,570.91 $112,751.40 2025-01-01
'001-3 OTHER Liver Transplant &/or Intestinal Transplant 42 9 — — $62,032.25 $142,209.34 $112,465.45 2025-01-01
'611-4 OTHER 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 OTHER Extensive Procedure Unrelated To Principal Diagnosis 42 9 — — $60,178.13 $137,987.74 $109,126.83 2025-01-01
'023-4 OTHER Spinal Procedures 42 9 — — $59,941.40 $137,448.74 $108,700.56 2025-01-01
'003-2 OTHER 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 OTHER Pancreas Transplant 42 9 — — $56,683.08 $130,029.97 $102,833.47 2025-01-01
'447-4 OTHER Other Kidney, Urinary Tract & Related Procedures 42 9 — — $56,622.06 $129,891.04 $102,723.60 2025-01-01
'850-4 OTHER 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 OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 42 9 — — $56,225.06 $128,987.13 $102,008.74 2025-01-01
'512-4 OTHER 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 OTHER 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 OTHER Major Pancreas, Liver & Shunt Procedures 42 9 — — $55,121.55 $126,474.59 $100,021.72 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia # 42 9 — — $54,829.69 $125,810.05 $99,496.17 2025-01-01
'092-4 OTHER 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 OTHER Pancreas Transplant 42 9 — — $54,295.94 $124,594.79 $98,535.09 2025-01-01
'609-3 OTHER Neonate Bwt 1500-2499g W Major Procedure 42 9 — — $54,067.30 $124,074.20 $98,123.38 2025-01-01
'021-4 OTHER Craniotomy Except For Trauma 42 9 — — $53,760.73 $123,376.18 $97,571.36 2025-01-01
'004-2 OTHER 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 OTHER 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 OTHER Major Abdominal Vascular Procedures 42 9 — — $53,330.65 $122,396.95 $96,796.93 2025-01-01
'910-4 OTHER Craniotomy For Multiple Significant Trauma 42 9 — — $53,327.71 $122,390.25 $96,791.64 2025-01-01
'608-4 OTHER 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 OTHER Major Stomach, Esophageal & Duodenal Procedures 42 9 — — $52,630.76 $120,803.38 $95,536.67 2025-01-01
'841-2 OTHER Extensive 3rd Degree Burns W Skin Graft 42 9 — — $52,588.12 $120,706.30 $95,459.89 2025-01-01
'165-4 OTHER Coronary Bypass W Ami Or Complex Pdx 42 9 — — $52,549.15 $120,617.58 $95,389.73 2025-01-01
'321-4 OTHER 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 OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 42 9 — — $52,331.54 $120,122.10 $94,997.89 2025-01-01
'303-3 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $51,897.78 $119,134.49 $94,216.84 2025-01-01
'401-4 OTHER Pituitary & Adrenal Procedures 42 9 — — $51,895.58 $119,129.47 $94,212.87 2025-01-01
'603-2 OTHER 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 OTHER Intervertebral Disc Excision & Decompression 42 9 — — $50,825.89 $116,693.93 $92,286.74 2025-01-01
'608-3 OTHER 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 OTHER Major Cranial/facial Bone Procedures 42 9 — — $50,652.39 $116,298.89 $91,974.32 2025-01-01
'024-4 OTHER Extracranial Vascular Procedures 42 9 — — $50,468.59 $115,880.41 $91,643.37 2025-01-01
'621-4 OTHER 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 OTHER Major Bladder Procedures 42 9 — — $50,245.83 $115,373.22 $91,242.26 2025-01-01
'020-4 OTHER Craniotomy For Trauma 42 9 — — $49,706.94 $114,146.24 $90,271.91 2025-01-01
'167-4 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 42 9 — — $49,274.66 $113,161.98 $89,493.52 2025-01-01
'003-1 OTHER Bone Marrow Transplant 42 9 — — $49,233.49 $113,068.25 $89,419.39 2025-01-01
'181-4 OTHER Lower Extremity Arterial Procedures # 42 9 — — $49,166.59 $112,915.92 $89,298.92 2025-01-01
'791-4 OTHER O.r. Procedure For Other Complications Of Treatment 42 9 — — $49,123.95 $112,818.83 $89,222.14 2025-01-01
'221-4 OTHER Major Small & Large Bowel Procedures 42 9 — — $49,106.30 $112,778.66 $89,190.37 2025-01-01
'403-4 OTHER Procedures For Obesity 42 9 — — $48,873.98 $112,249.70 $88,772.05 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
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
'602-1 OTHER 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 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 42 9 — — $48,238.79 $110,803.45 $87,628.28 2025-01-01
'313-4 OTHER 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 OTHER Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 42 9 — — $47,643.29 $109,447.58 $86,556.00 2025-01-01
'442-4 OTHER Kidney & Urinary Tract Procedures For Malignancy 42 9 — — $47,397.74 $108,888.49 $86,113.85 2025-01-01
'612-3 OTHER 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 OTHER Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 42 9 — — $47,094.11 $108,197.17 $85,567.12 2025-01-01
'691-4 OTHER Lymphoma, Myeloma & Non-acute Leukemia 42 9 — — $47,080.88 $108,167.04 $85,543.29 2025-01-01
'710-4 OTHER 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 OTHER 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 OTHER Amputation Of Lower Limb Except Toes 42 9 — — $46,852.97 $107,648.13 $85,132.91 2025-01-01
'026-4 OTHER Other Nervous System & Related Procedures 42 9 — — $46,662.56 $107,214.58 $84,790.05 2025-01-01
'951-4 OTHER Moderately Extensive Procedure Unrelated To Principal Diagnosis 42 9 — — $46,656.68 $107,201.19 $84,779.46 2025-01-01
'182-4 OTHER Other Peripheral Vascular Procedures # 42 9 — — $46,633.89 $107,149.30 $84,738.42 2025-01-01
'611-3 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 42 9 — — $46,588.31 $107,045.52 $84,656.35 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Pdx 42 9 — — $46,333.93 $106,466.35 $84,198.31 2025-01-01
'511-4 OTHER 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 OTHER Renal Dialysis Access Device Procedure Only 42 9 — — $46,000.90 $105,708.06 $83,598.63 2025-01-01
'001-1 OTHER Liver Transplant &/or Intestinal Transplant 42 9 — — $45,834.75 $105,329.76 $83,299.45 2025-01-01
'001-2 OTHER Liver Transplant &/or Intestinal Transplant 42 9 — — $45,834.75 $105,329.76 $83,299.45 2025-01-01
'264-4 OTHER Other Hepatobiliary, Pancreas & Abdominal Procedures 42 9 — — $45,770.78 $105,184.13 $83,184.28 2025-01-01
'261-4 OTHER Major Biliary Tract Procedures 42 9 — — $45,667.86 $104,949.78 $82,998.95 2025-01-01
'161-2 OTHER Cardiac Defibrillator & Heart Assist Implant 42 9 — — $45,572.29 $104,732.18 $82,826.85 2025-01-01
'120-4 OTHER Major Respiratory & Chest Procedures 42 9 — — $45,301.74 $104,116.18 $82,339.69 2025-01-01
'130-4 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 42 9 — — $45,169.41 $103,814.87 $82,101.41 2025-01-01
'690-3 OTHER Acute Leukemia 42 9 — — $45,096.62 $103,649.16 $81,970.35 2025-01-01
'121-4 OTHER Other Respiratory & Chest Procedures 42 9 — — $45,053.98 $103,552.07 $81,893.57 2025-01-01
'262-4 OTHER Cholecystectomy Except Laparoscopic 42 9 — — $45,028.25 $103,493.48 $81,847.24 2025-01-01
'519-4 OTHER Uterine & Adnexa Procedures For Leiomyoma 42 9 — — $44,992.96 $103,413.13 $81,783.70 2025-01-01
'607-1 OTHER 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 OTHER 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 OTHER Other Female Reproductive System & Related Procedures 42 9 — — $44,471.72 $102,226.33 $80,845.12 2025-01-01
'049-4 OTHER Bacterial & Tuberculous Infections Of Nervous System 42 9 — — $44,395.26 $102,052.25 $80,707.44 2025-01-01
'171-4 OTHER 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 OTHER Nonextensive Procedure Unrelated To Principal Diagnosis 42 9 — — $44,131.33 $101,451.31 $80,232.20 2025-01-01
'630-3 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 42 9 — — $44,086.49 $101,349.20 $80,151.45 2025-01-01
'043-4 OTHER Multiple Sclerosis & Other Demyelinating Diseases 42 9 — — $44,029.14 $101,218.64 $80,048.19 2025-01-01
'381-4 OTHER 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 OTHER 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 OTHER Other Digestive System & Abdominal Procedures 42 9 — — $43,066.79 $99,027.49 $78,315.33 2025-01-01
'308-4 OTHER Hip And Femur Fracture Repair 42 9 — — $42,934.46 $98,726.19 $78,077.05 2025-01-01
'309-4 OTHER Other Significant Hip And Femur Surgery 42 9 — — $42,760.22 $98,329.47 $77,763.31 2025-01-01
'162-3 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 42 9 — — $42,698.46 $98,188.86 $77,652.11 2025-01-01
'650-4 OTHER Splenectomy 42 9 — — $42,450.71 $97,624.75 $77,205.99 2025-01-01
'005-1 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 42 9 — — $42,399.98 $97,509.25 $77,114.65 2025-01-01
'608-2 OTHER 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 OTHER Kidney Transplant 42 9 — — $42,225.74 $97,112.54 $76,800.90 2025-01-01
'223-4 OTHER 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 OTHER 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 OTHER Other Stomach, Esophageal & Duodenal Procedures 42 9 — — $41,208.25 $94,795.85 $74,968.76 2025-01-01
'423-4 OTHER Inborn Errors Of Metabolism 42 9 — — $40,504.68 $93,193.92 $73,701.88 2025-01-01
'022-4 OTHER Ventricular Shunt Procedures 42 9 — — $40,131.21 $92,343.57 $73,029.39 2025-01-01
'841-1 OTHER Extensive 3rd Degree Burns W Skin Graft 42 9 — — $39,979.03 $91,997.07 $72,755.37 2025-01-01
'633-4 OTHER 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 OTHER 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 OTHER 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 OTHER Other Skin, Subcutaneous Tissue & Related Procedures 42 9 — — $39,556.30 $91,034.57 $71,994.18 2025-01-01
'863-4 OTHER Neonatal Aftercare 42 9 — — $39,480.58 $90,862.16 $71,857.83 2025-01-01
'303-2 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $39,402.65 $90,684.72 $71,717.50 2025-01-01
'227-4 OTHER 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 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 42 9 — — $38,591.74 $88,838.40 $70,257.35 2025-01-01
'603-1 OTHER 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 OTHER 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 OTHER Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 42 9 — — $38,263.12 $88,090.16 $69,665.61 2025-01-01
'844-4 OTHER 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 OTHER Kidney & Urinary Tract Procedures For Nonmalignancy 42 9 — — $37,780.84 $86,992.08 $68,797.20 2025-01-01
'006-1 OTHER Pancreas Transplant 42 9 — — $37,689.68 $86,784.51 $68,633.05 2025-01-01
'006-2 OTHER Pancreas Transplant 42 9 — — $37,689.68 $86,784.51 $68,633.05 2025-01-01
'613-3 OTHER Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 42 9 — — $37,633.07 $86,655.62 $68,531.11 2025-01-01
'614-4 OTHER Neonate Bwt 1500-1999g W Or Without Other Significant Condition 42 9 — — $37,547.79 $86,461.45 $68,377.55 2025-01-01
'614-3 OTHER 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 OTHER Other Musculoskeletal System & Connective Tissue Procedures 42 9 — — $37,308.85 $85,917.43 $67,947.32 2025-01-01
'660-4 OTHER Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 42 9 — — $37,120.65 $85,488.91 $67,608.42 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
27800000002-9397 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
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
27800000002-9395 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
'175-4 OTHER Percutaneous Coronary Intervention Without Ami 42 9 — — $36,625.87 $84,362.37 $66,717.50 2025-01-01
'631-3 OTHER Neonate Birthwt >2499g W Other Major Procedure 42 9 — — $36,370.76 $83,781.52 $66,258.15 2025-01-01
'346-4 OTHER Connective Tissue Disorders 42 9 — — $36,359.73 $83,756.41 $66,238.29 2025-01-01
'165-3 OTHER Coronary Bypass W Ami Or Complex Pdx 42 9 — — $36,263.42 $83,537.13 $66,064.87 2025-01-01
'180-4 OTHER Other Circulatory System Procedures 42 9 — — $35,952.44 $82,829.07 $65,504.90 2025-01-01
'170-4 OTHER 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 OTHER Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 42 9 — — $35,823.79 $82,536.13 $65,273.24 2025-01-01
'160-3 OTHER 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
27800000002-9680 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
27800000002-9617 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
27800000002-9613 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
27800000002-9618 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
27800000002-9684 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
27800000002-9681 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
27800000002-9612 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
27800000002-9682 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
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
27800000002-9611 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
27800000002-9615 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
27800000002-9614 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
27800000002-9774 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
27800000002-9683 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
'440-2 OTHER 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 OTHER Coagulation & Platelet Disorders 42 9 — — $34,092.43 $78,594.07 $62,155.68 2025-01-01
'612-2 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Acute & Subacute Endocarditis 42 9 — — $33,343.29 $76,888.36 $60,806.73 2025-01-01
'228-4 OTHER Inguinal, Femoral & Umbilical Hernia Procedures 42 9 — — $33,281.53 $76,747.75 $60,695.53 2025-01-01
'303-1 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 42 9 — — $33,016.86 $76,145.14 $60,218.96 2025-01-01
'589-3 OTHER Neonate Bwt <500g Or Ga <24 Weeks 42 9 — — $32,870.56 $75,812.04 $59,955.52 2025-01-01
'696-4 OTHER Other Chemotherapy # 42 9 — — $32,830.13 $75,719.97 $59,882.72 2025-01-01
'842-3 OTHER 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 OTHER Craniotomy Except For Trauma 42 9 — — $32,370.64 $74,673.78 $59,055.34 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
27800000002-9390 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
27800000002-9581 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
27800000002-9692 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
27800000002-9633 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
27800000002-9719 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
27800000002-9388 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
27800000002-9691 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
27800000002-9384 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
27800000002-9728 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
27800000002-9386 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
27800000002-9582 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
27800000002-9482 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
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
27800000002-9738 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
'546-4 OTHER 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 OTHER Spinal Procedures 42 9 — — $32,109.65 $74,079.54 $58,585.39 2025-01-01
'130-3 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 42 9 — — $31,984.67 $73,794.97 $58,360.34 2025-01-01
'483-4 OTHER Testes & Scrotal Procedures 42 9 — — $31,974.38 $73,771.54 $58,341.81 2025-01-01
'608-1 OTHER 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 OTHER Other Ear, Nose, Mouth & Throat Procedures 42 9 — — $31,117.89 $71,821.44 $56,799.58 2025-01-01
'863-3 OTHER Neonatal Aftercare 42 9 — — $31,044.37 $71,654.04 $56,667.20 2025-01-01
'091-4 OTHER Other Major Head & Neck Procedures 42 9 — — $30,979.68 $71,506.74 $56,550.71 2025-01-01
'192-4 OTHER 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 OTHER Lower Extremity Arterial Procedures # 42 9 — — $30,594.44 $70,629.61 $55,857.03 2025-01-01
'090-3 OTHER 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 14 — — $54,460.25 $112,205.21 $55,549.46 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
'225-4 OTHER 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 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 42 9 — — $30,187.15 $69,702.27 $55,123.65 2025-01-01
'634-4 OTHER 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 OTHER 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 OTHER Nephritis & Nephrosis 42 9 — — $30,063.64 $69,421.05 $54,901.25 2025-01-01
'166-3 OTHER Coronary Bypass Without Ami Or Complex Pdx 42 9 — — $30,046.73 $69,382.55 $54,870.80 2025-01-01
'161-1 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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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