Hospital

UNITY HOSPITAL

Rochester, NY · CCN 330226 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

Hip And Femur Procedures Except Major Joint Without Cc/McC

This hospital’s price: $12,696 across 16 payers · range $6,823-$22,431

Source: https://msc.rochesterregional.org/practitionerPortal/docs/237221763_the-unity-hospital-of-rochester_standardcharges.csv · observed 2024-12-30

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.

23,184 distinct procedures filed

31 distinct payers

1,344,606 rate rows

2024-12-30 last MRF observed · ⚠ 23 mo old

Data quality

401,553 of 1,344,606 rate rows are consumer-grade (29.9%)

943,053 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	936,185
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	3,519
per-diem day rate — not a per-procedure price	918
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	909
exceeds 10× this hospital's gross charge — excluded from medians	740
exceeds 3× this hospital's gross charge for a DRG stay — excluded	591
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	149
placeholder amount (≤ $0.02) — excluded from medians	42

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 23 months old.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://msc.rochesterregional.org/practitionerPortal/docs/237221763_the-unity-hospital-of-rochester_standardcharges.csv
Found on page	https://www.rochesterregional.org/billing-and-insurance/transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-01
Content fingerprint	9a90881e1915c9ca… · 1,676,028,821 bytes · first seen 2026-06-16

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
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$94,924.07	$262,732.19	$207,830.51	nat. median $122,016 1.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	20	$36,721.45	$301,085.28	$168,903.36	nat. median $190,359 0.9× median
54 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	$75,671.54	$200,471.75	$158,580.28	nat. median $81,052 2.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	20	$29,097.33	$207,593.40	$117,495.55	nat. median $126,461 0.9× median
43 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$52,896.03	$146,406.38	$115,812.65	nat. median $74,628 1.6× median
53 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	$50,665.55	$134,224.99	$106,176.74	nat. median $50,423 outlier · 2.1×
3034 APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	9	$55,652.27	$158,384.24	$91,210.17	nat. median $82,449 1.1× median
41 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$37,758.27	$104,507.87	$82,669.44	nat. median $42,700 1.9× median
42 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$37,758.27	$104,507.87	$82,669.44	nat. median $52,481 1.6× median
3044 APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	9	$46,905.34	$133,490.82	$76,874.57	nat. median $59,911 1.3× median
264 APR_DRG	Other Nervous System & Related Procedures	1	$76,741.71	$76,741.71	$76,741.71	nat. median $42,711 1.8× median
6804 APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	9	$45,700.29	$130,061.31	$74,899.58	nat. median $64,228 1.2× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	$15,662.53	$119,039.99	$67,351.26	nat. median $77,487 0.9× median
52 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	$32,067.46	$84,954.26	$67,201.84	nat. median $42,265 1.6× median
51 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	$31,258.03	$82,809.90	$65,505.58	nat. median $33,988 1.9× median
504 APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	1	$65,376.95	$65,376.95	$65,376.95	nat. median $35,059 1.9× median
1694 APR_DRG	Major Abdominal Vascular Procedures	9	$36,692.34	$104,425.00	$60,136.17	nat. median $50,980 1.2× median
3214 APR_DRG	Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp	9	$36,085.98	$102,699.34	$59,142.40	nat. median $40,495 1.5× median
3033 APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	9	$35,696.73	$101,591.54	$58,504.44	nat. median $54,969 1.1× median
904 APR_DRG	Major Larynx & Trachea Procedures	2	$57,368.14	$58,987.90	$58,178.02	nat. median $117,387 outlier · 0.5×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	20	$17,522.46	$97,554.78	$55,214.91	nat. median $59,324 0.9× median
4034 APR_DRG	Procedures For Obesity	9	$33,595.69	$95,612.06	$55,060.99	nat. median $36,575 1.5× median
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With McC	19	$15,287.06	$96,802.07	$54,788.89	nat. median $63,829 0.9× median
6904 APR_DRG	Acute Leukemia	9	$44,713.37	$127,252.57	$53,317.41	nat. median $58,029 0.9× median
3174 APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	9	$32,274.18	$91,851.08	$52,895.11	nat. median $31,213 1.7× median
3614 APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	7	$49,042.14	$102,274.13	$52,683.90	nat. median $47,197 1.1× median
1824 APR_DRG	Other Peripheral Vascular Procedures #	9	$32,039.19	$91,182.34	$52,510.00	nat. median $43,299 1.2× median
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	20	$5,536.88	$98,358.32	$51,947.60	nat. median $62,577 0.8× median
2614 APR_DRG	Major Biliary Tract Procedures	9	$31,367.97	$89,272.04	$51,409.90	nat. median $43,736 1.2× median
94 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With McC	7	$49,708.78	$50,675.06	$50,675.06	nat. median $33,350 1.5× median
494 APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	9	$30,483.72	$86,755.52	$49,960.68	nat. median $30,303 1.6× median
9504 APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	9	$41,450.20	$117,965.69	$49,426.31	nat. median $52,122 0.9× median
3124 APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	7	$45,986.36	$54,835.35	$49,401.20	nat. median $50,614 1.0× median
6814 APR_DRG	Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	7	$45,827.49	$54,645.91	$49,230.54	nat. median $67,951 0.7× median
457 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	$22,577.62	$85,795.39	$48,559.23	nat. median $55,110 0.9× median
2294 APR_DRG	Other Digestive System & Abdominal Procedures	9	$29,560.65	$84,128.50	$48,447.84	nat. median $34,929 1.4× median
234 APR_DRG	Spinal Procedures	8	$41,285.71	$99,790.90	$47,012.61	nat. median $49,833 0.9× median
28 MS_DRG	Spinal Procedures With McC	20	$8,382.70	$85,100.58	$46,741.64	nat. median $54,377 0.9× median
4474 APR_DRG	Other Kidney, Urinary Tract & Related Procedures	9	$38,979.32	$110,933.66	$46,479.97	nat. median $46,121 1.0× median
8504 APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	9	$38,959.40	$110,876.96	$46,456.21	nat. median $66,663 0.7× median
820 MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With McC	20	$7,069.87	$85,391.50	$46,230.68	nat. median $53,768 0.9× median
9124 APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	9	$38,703.47	$110,148.61	$46,151.04	nat. median $53,270 0.9× median
4054 APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	7	$42,848.85	$51,094.10	$46,030.71	nat. median $40,528 1.1× median
23 MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	20	$9,675.61	$80,054.79	$44,865.20	nat. median $53,419 0.8× median
3043 APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	9	$27,214.93	$77,452.65	$44,603.36	nat. median $39,460 1.1× median
3032 APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	9	$27,014.68	$76,882.76	$44,275.18	nat. median $40,197 1.1× median
2274 APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	9	$26,939.59	$76,669.05	$44,152.11	nat. median $35,790 1.2× median
214 APR_DRG	Craniotomy Except For Trauma	9	$36,991.17	$105,275.47	$44,109.25	nat. median $52,729 0.8× median
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With McC	20	$15,662.53	$70,828.23	$43,245.38	nat. median $70,795 0.6× median
2204 APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	9	$36,206.03	$103,040.98	$43,173.02	nat. median $51,688 0.8× median

Other procedures at this hospital

Browse this hospital's 23,184 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	8	5	$513,650.42	$410,920.34	$94,924.07	$262,732.19	$207,830.51	2024-12-30
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	39	20	$513,650.42	$410,920.34	$36,721.45	$301,085.28	$168,903.36	2024-12-30
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	10	7	$488,761.46	$391,009.17	$75,671.54	$200,471.75	$158,580.28	2024-12-30
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	39	20	$488,761.46	$391,009.17	$29,097.33	$207,593.40	$117,495.55	2024-12-30
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	8	5	$513,650.42	$410,920.34	$52,896.03	$146,406.38	$115,812.65	2024-12-30
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	10	7	$488,761.46	$391,009.17	$50,665.55	$134,224.99	$106,176.74	2024-12-30
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	16	9	$62,482.82	$49,986.26	$55,652.27	$158,384.24	$91,210.17	2024-12-30
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	8	5	$513,650.42	$410,920.34	$37,758.27	$104,507.87	$82,669.44	2024-12-30
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	8	5	$513,650.42	$410,920.34	$37,758.27	$104,507.87	$82,669.44	2024-12-30
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	16	9	$87,046.15	$69,636.92	$46,905.34	$133,490.82	$76,874.57	2024-12-30
264	APR_DRG	Other Nervous System & Related Procedures	1	1	$73,724.89	$58,979.91 20% off	$76,741.71	$76,741.71	$76,741.71	2024-12-30
6804	APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	16	9	$53,061.91	$42,449.53	$45,700.29	$130,061.31	$74,899.58	2024-12-30
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	39	20	$111,708.87	$89,367.10	$15,662.53	$119,039.99	$67,351.26	2024-12-30
52	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	10	7	$488,761.46	$391,009.17	$32,067.46	$84,954.26	$67,201.84	2024-12-30
51	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	10	7	$488,761.46	$391,009.17	$31,258.03	$82,809.90	$65,505.58	2024-12-30
504	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	1	1	$55,302.30	$44,241.84 20% off	$65,376.95	$65,376.95	$65,376.95	2024-12-30
1694	APR_DRG	Major Abdominal Vascular Procedures	16	9	$96,568.58	$77,254.86 20% off	$36,692.34	$104,425.00	$60,136.17	2024-12-30
3214	APR_DRG	Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp	16	9	$48,753.54	$39,002.83 20% off	$36,085.98	$102,699.34	$59,142.40	2024-12-30
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	16	9	$62,482.82	$49,986.26	$35,696.73	$101,591.54	$58,504.44	2024-12-30
904	APR_DRG	Major Larynx & Trachea Procedures	2	2	$20,204.22	$16,163.38	$57,368.14	$58,987.90	$58,178.02	2024-12-30
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	39	20	$139,103.85	$111,283.08 20% off	$17,522.46	$97,554.78	$55,214.91	2024-12-30
4034	APR_DRG	Procedures For Obesity	16	9	$37,049.92	$29,639.94	$33,595.69	$95,612.06	$55,060.99	2024-12-30
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With McC	31	19	$78,214.14	$62,571.31 20% off	$15,287.06	$96,802.07	$54,788.89	2024-12-30
6904	APR_DRG	Acute Leukemia	17	9	$48,125.60	$38,500.48	$44,713.37	$127,252.57	$53,317.41	2024-12-30
3174	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	16	9	$57,961.41	$46,369.13	$32,274.18	$91,851.08	$52,895.11	2024-12-30
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	10	7	$34,132.60	$27,306.08	$49,042.14	$102,274.13	$52,683.90	2024-12-30
1824	APR_DRG	Other Peripheral Vascular Procedures #	16	9	$56,279.79	$45,023.83 20% off	$32,039.19	$91,182.34	$52,510.00	2024-12-30
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	39	20	$123,065.41	$98,452.33	$5,536.88	$98,358.32	$51,947.60	2024-12-30
2614	APR_DRG	Major Biliary Tract Procedures	16	9	$52,617.13	$42,093.70 20% off	$31,367.97	$89,272.04	$51,409.90	2024-12-30
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With McC	9	7	$54,474.54	$43,579.63 20% off	$49,708.78	$50,675.06	$50,675.06	2024-12-30
494	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	16	9	$88,623.35	$70,898.68 20% off	$30,483.72	$86,755.52	$49,960.68	2024-12-30
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	17	9	$47,382.18	$37,905.74 20% off	$41,450.20	$117,965.69	$49,426.31	2024-12-30
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	9	7	$31,571.74	$25,257.39 20% off	$45,986.36	$54,835.35	$49,401.20	2024-12-30
6814	APR_DRG	Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	9	7	$31,709.85	$25,367.88	$45,827.49	$54,645.91	$49,230.54	2024-12-30
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	39	20	$62,482.82	$49,986.26	$22,577.62	$85,795.39	$48,559.23	2024-12-30
2294	APR_DRG	Other Digestive System & Abdominal Procedures	16	9	$48,840.37	$39,072.30	$29,560.65	$84,128.50	$48,447.84	2024-12-30
234	APR_DRG	Spinal Procedures	15	8	$35,423.48	$28,338.78 20% off	$41,285.71	$99,790.90	$47,012.61	2024-12-30
28	MS_DRG	Spinal Procedures With McC	39	20	$38,930.88	$31,144.70 20% off	$8,382.70	$85,100.58	$46,741.64	2024-12-30
4474	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	17	9	$96,332.78	$77,066.22 20% off	$38,979.32	$110,933.66	$46,479.97	2024-12-30
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	17	9	$42,161.52	$33,729.22	$38,959.40	$110,876.96	$46,456.21	2024-12-30
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With McC	39	20	$67,089.23	$53,671.38 20% off	$7,069.87	$85,391.50	$46,230.68	2024-12-30
9124	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	17	9	$42,780.67	$34,224.54	$38,703.47	$110,148.61	$46,151.04	2024-12-30
4054	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	9	7	$28,350.46	$22,680.37	$42,848.85	$51,094.10	$46,030.71	2024-12-30
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	39	20	$38,977.25	$31,181.80 20% off	$9,675.61	$80,054.79	$44,865.20	2024-12-30
3043	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	16	9	$87,046.15	$69,636.92	$27,214.93	$77,452.65	$44,603.36	2024-12-30
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	16	9	$62,482.82	$49,986.26	$27,014.68	$76,882.76	$44,275.18	2024-12-30
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	16	9	$29,194.35	$23,355.48 20% off	$26,939.59	$76,669.05	$44,152.11	2024-12-30
214	APR_DRG	Craniotomy Except For Trauma	17	9	$45,615.17	$36,492.14	$36,991.17	$105,275.47	$44,109.25	2024-12-30
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With McC	39	20	$102,379.32	$81,903.46	$15,662.53	$70,828.23	$43,245.38	2024-12-30
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	17	9	$39,326.65	$31,461.32 20% off	$36,206.03	$103,040.98	$43,173.02	2024-12-30
834	MS_DRG	Acute Leukemia With McC	39	20	$48,125.60	$38,500.48	$6,828.25	$79,069.08	$42,948.67	2024-12-30
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	39	20	$58,929.02	$47,143.22	$4,596.44	$79,982.77	$42,289.61	2024-12-30
3104	APR_DRG	Intervertebral Disc Excision & Decompression	17	9	$33,980.86	$27,184.69	$34,952.01	$99,471.90	$41,677.62	2024-12-30
4014	APR_DRG	Pituitary & Adrenal Procedures	14	7	$31,774.65	$25,419.72 20% off	$35,695.20	$86,278.18	$41,605.26	2024-12-30
584	APR_DRG	Other Disorders Of Nervous System	1	1	$48,252.10	$38,601.68 20% off	$41,432.13	$41,432.13	$41,432.13	2024-12-30
466	MS_DRG	Revision Of Hip Or Knee Replacement With McC	39	20	$91,853.87	$73,483.10	$9,426.84	$73,245.17	$41,336.00	2024-12-30
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	11	8	$30,527.18	$24,421.74 20% off	$37,936.72	$90,811.24	$40,753.81	2024-12-30
204	APR_DRG	Craniotomy For Trauma	17	9	$81,282.23	$65,025.78 20% off	$34,174.46	$97,259.22	$40,750.53	2024-12-30
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With McC	30	19	$39,326.65	$31,461.32 20% off	$12,342.57	$71,725.64	$40,595.91	2024-12-30
270	MS_DRG	Other Major Cardiovascular Procedures With McC	32	19	$108,933.06	$87,146.45	$9,139.33	$71,413.54	$40,419.27	2024-12-30
1674	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	17	9	$44,584.30	$35,667.44 20% off	$33,874.09	$96,404.39	$40,392.36	2024-12-30
1814	APR_DRG	Lower Extremity Arterial Procedures #	17	9	$74,357.01	$59,485.61	$33,799.00	$96,190.68	$40,302.82	2024-12-30
2214	APR_DRG	Major Small & Large Bowel Procedures	17	9	$47,147.07	$37,717.66	$33,757.11	$96,071.47	$40,252.87	2024-12-30
5134	APR_DRG	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	16	9	$40,458.81	$32,367.05	$24,527.92	$69,805.66	$40,199.62	2024-12-30
3134	APR_DRG	Knee & Lower Leg Procedures Except Foot	17	9	$37,915.78	$30,332.62 20% off	$33,057.28	$94,079.76	$39,418.37	2024-12-30
7914	APR_DRG	O.r. Procedure For Other Complications Of Treatment	16	9	$31,905.78	$25,524.62 20% off	$33,769.37	$95,104.17	$39,360.57	2024-12-30
471	MS_DRG	Cervical Spinal Fusion With McC	38	20	$75,840.30	$60,672.24 20% off	$8,954.15	$69,466.12	$38,900.66	2024-12-30
4424	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	17	9	$34,949.76	$27,959.81	$32,569.95	$92,692.83	$38,837.26	2024-12-30
7104	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	17	9	$62,391.30	$49,913.04 20% off	$32,286.44	$91,885.98	$38,499.20	2024-12-30
3054	APR_DRG	Amputation Of Lower Limb Except Toes	17	9	$59,360.35	$47,488.28 20% off	$32,191.42	$91,615.57	$38,385.90	2024-12-30
9514	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	17	9	$63,436.64	$50,749.31 20% off	$32,055.03	$91,227.40	$38,223.27	2024-12-30
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With McC	39	20	$75,556.49	$60,445.19 20% off	$5,536.88	$70,600.11	$38,068.50	2024-12-30
894	APR_DRG	Major Cranial/Facial Bone Procedures	9	7	$17,852.86	$14,282.29	$34,831.39	$41,533.87	$37,417.89	2024-12-30
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC	39	20	$60,762.52	$48,610.02	$6,953.40	$67,881.63	$37,417.51	2024-12-30
2284	APR_DRG	Inguinal, Femoral & Umbilical Hernia Procedures	16	9	$25,651.87	$20,521.50	$22,761.52	$64,778.38	$37,304.56	2024-12-30
244	APR_DRG	Extracranial Vascular Procedures	9	7	$17,871.63	$14,297.30 20% off	$34,703.68	$41,381.58	$37,280.70	2024-12-30
1204	APR_DRG	Major Respiratory & Chest Procedures	17	9	$50,251.47	$40,201.18	$31,113.57	$88,548.05	$37,100.65	2024-12-30
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	16	9	$62,482.82	$49,986.26	$22,577.62	$64,255.05	$37,003.14	2024-12-30
1304	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	17	9	$139,103.85	$111,283.08 20% off	$31,021.62	$88,286.37	$36,991.00	2024-12-30
6903	APR_DRG	Acute Leukemia	17	9	$48,125.60	$38,500.48	$30,971.05	$88,142.44	$36,930.70	2024-12-30
1214	APR_DRG	Other Respiratory & Chest Procedures	17	9	$60,905.09	$48,724.07 20% off	$30,941.42	$88,058.12	$36,895.37	2024-12-30
3014	APR_DRG	Hip Joint Replacement	17	9	$38,182.71	$30,546.17	$30,924.06	$88,008.69	$36,874.66	2024-12-30
7114	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	17	9	$47,693.61	$38,154.89	$30,833.13	$87,749.91	$36,766.24	2024-12-30
163	MS_DRG	Major Chest Procedures With McC	39	20	$78,828.53	$63,062.82 20% off	$6,174.39	$66,565.46	$36,369.93	2024-12-30
1714	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	17	9	$40,525.57	$32,420.46	$30,464.82	$86,701.72	$36,327.06	2024-12-30
9524	APR_DRG	Nonextensive Procedure Unrelated To Principal Diagnosis	17	9	$38,718.00	$30,974.40	$30,300.33	$86,233.60	$36,130.92	2024-12-30
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	39	20	$84,129.39	$67,303.51 20% off	$4,705.25	$66,943.93	$35,824.59	2024-12-30
2644	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	15	8	$28,654.32	$22,923.46	$31,439.48	$75,991.77	$35,800.57	2024-12-30
329	MS_DRG	Major Small And Large Bowel Procedures With McC	37	20	$68,442.96	$54,754.37	$8,157.90	$63,786.25	$35,690.11	2024-12-30
245	MS_DRG	Aicd Generator Procedures	39	20	$104,334.67	$83,467.74	$7,319.67	$63,992.43	$35,656.05	2024-12-30
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	39	20	$327,169.23	$261,735.38 20% off	$12,391.18	$62,989.77	$35,651.51	2024-12-30
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With McC	39	20	$58,717.41	$46,973.93	$9,675.61	$62,362.75	$35,296.62	2024-12-30
2624	APR_DRG	Cholecystectomy Except Laparoscopic	15	8	$28,645.58	$22,916.46 20% off	$30,923.54	$74,744.71	$35,213.06	2024-12-30
3084	APR_DRG	Hip And Femur Fracture Repair	17	9	$41,679.10	$33,343.28 20% off	$29,468.70	$83,866.81	$35,139.26	2024-12-30
5184	APR_DRG	Other Female Reproductive System & Related Procedures	15	8	$26,136.09	$20,908.87 20% off	$30,536.85	$73,810.03	$34,772.73	2024-12-30
6914	APR_DRG	Lymphoma, Myeloma & Non-acute Leukemia	9	7	$19,274.01	$15,419.21	$32,349.78	$38,574.73	$34,752.00	2024-12-30
2234	APR_DRG	Other Small & Large Bowel Procedures	15	8	$26,925.14	$21,540.11 20% off	$28,496.60	$80,254.53	$33,980.09	2024-12-30
2244	APR_DRG	Peritoneal Adhesiolysis	17	9	$31,264.52	$25,011.62	$28,446.02	$80,956.31	$33,919.79	2024-12-30
2224	APR_DRG	Other Stomach, Esophageal & Duodenal Procedures	17	9	$36,622.18	$29,297.74 20% off	$28,269.28	$80,453.29	$33,709.03	2024-12-30
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC	39	20	$61,654.81	$49,323.85	$7,664.48	$58,727.75	$33,196.11	2024-12-30
5194	APR_DRG	Uterine & Adnexa Procedures For Leiomyoma	9	7	$16,030.22	$12,824.18	$30,899.02	$36,844.81	$33,193.52	2024-12-30
3024	APR_DRG	Knee Joint Replacement	17	9	$35,071.05	$28,056.84 20% off	$27,803.40	$79,127.43	$33,153.51	2024-12-30
2004	APR_DRG	Cardiac Structural & Valvular Disorders	16	9	$25,572.58	$20,458.06 20% off	$20,124.15	$57,272.49	$32,982.04	2024-12-30
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With McC	39	20	$52,792.19	$42,233.75 20% off	$3,288.72	$62,537.86	$32,913.29	2024-12-30
356	MS_DRG	Other Digestive System O.r. Procedures With McC	39	20	$71,779.62	$57,423.70	$5,217.10	$60,423.80	$32,820.45	2024-12-30
224	APR_DRG	Ventricular Shunt Procedures	17	9	$42,170.21	$33,736.17	$27,520.91	$78,323.48	$32,816.66	2024-12-30
263	APR_DRG	Other Nervous System & Related Procedures	1	1	$73,724.89	$58,979.91 20% off	$32,629.20	$32,629.20	$32,629.20	2024-12-30
434	APR_DRG	Multiple Sclerosis & Other Demyelinating Diseases	9	7	$19,617.32	$15,693.86	$30,229.33	$36,046.25	$32,474.15	2024-12-30
166	MS_DRG	Other Respiratory System O.r. Procedures With McC	29	19	$75,313.77	$60,251.02	$6,957.73	$57,304.25	$32,433.57	2024-12-30
6803	APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	16	9	$53,061.91	$42,449.53	$19,762.44	$56,243.16	$32,389.26	2024-12-30
3644	APR_DRG	Other Skin, Subcutaneous Tissue & Related Procedures	17	9	$27,251.38	$21,801.10 20% off	$27,121.44	$77,186.60	$32,340.27	2024-12-30
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	39	20	$87,046.15	$69,636.92	$15,662.53	$48,886.94	$32,274.74	2024-12-30
1744	APR_DRG	Percutaneous Coronary Intervention W Ami	16	9	$58,799.71	$47,039.77	$19,558.62	$55,663.09	$32,055.22	2024-12-30
3094	APR_DRG	Other Significant Hip And Femur Surgery	10	7	$22,138.64	$17,710.91 20% off	$29,347.64	$61,202.55	$31,526.93	2024-12-30
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC	39	20	$28,755.63	$23,004.50 20% off	$5,955.24	$56,692.77	$31,324.01	2024-12-30
3154	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	17	9	$42,911.89	$34,329.51 20% off	$26,222.84	$74,629.37	$31,268.87	2024-12-30
3042	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	16	9	$87,046.15	$69,636.92	$19,078.44	$54,296.52	$31,268.23	2024-12-30
1693	APR_DRG	Major Abdominal Vascular Procedures	16	9	$96,568.58	$77,254.86 20% off	$18,979.34	$54,014.49	$31,105.82	2024-12-30
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With McC	37	20	$28,654.32	$22,923.46	$7,319.94	$55,229.73	$31,021.84	2024-12-30
3213	APR_DRG	Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp	16	9	$48,753.54	$39,002.83 20% off	$18,913.95	$53,828.40	$30,998.65	2024-12-30
4434	APR_DRG	Kidney & Urinary Tract Procedures For Nonmalignancy	17	9	$29,748.15	$23,798.52 20% off	$25,887.79	$73,675.68	$30,869.29	2024-12-30
2634	APR_DRG	Laparoscopic Cholecystectomy	16	9	$30,187.85	$24,150.28 20% off	$18,745.89	$53,350.06	$30,723.20	2024-12-30
9304	APR_DRG	Multiple Significant Trauma Without O.r. Procedure	16	9	$18,471.01	$14,776.81	$18,665.69	$53,121.85	$30,591.76	2024-12-30
3204	APR_DRG	Other Musculoskeletal System & Connective Tissue Procedures	17	9	$27,718.07	$22,174.46	$25,559.84	$72,742.34	$30,478.23	2024-12-30
459	MS_DRG	Spinal Fusion Except Cervical With McC	39	20	$129,140.48	$103,312.38 20% off	$15,662.53	$44,574.96	$30,118.74	2024-12-30
460	MS_DRG	Spinal Fusion Except Cervical Without McC	39	20	$68,161.69	$54,529.35 20% off	$15,662.53	$44,574.96	$30,118.74	2024-12-30
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/McC	39	20	$81,708.36	$65,366.69	$15,662.53	$44,574.96	$30,118.74	2024-12-30
1754	APR_DRG	Percutaneous Coronary Intervention Without Ami	17	9	$54,416.75	$43,533.40 20% off	$25,085.28	$71,391.76	$29,912.35	2024-12-30
3494	APR_DRG	Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure	16	9	$26,913.20	$21,530.56 20% off	$18,243.75	$51,921.01	$29,900.26	2024-12-30
4234	APR_DRG	Inborn Errors Of Metabolism	7	5	$10,735.04	$8,588.03 20% off	$27,780.36	$31,633.94	$29,843.27	2024-12-30
1804	APR_DRG	Other Circulatory System Procedures	17	9	$28,079.68	$22,463.74 20% off	$24,617.36	$70,060.08	$29,354.39	2024-12-30
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With McC	39	20	$75,058.36	$60,046.69	$4,072.84	$54,376.76	$29,224.80	2024-12-30
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…	30	19	$62,153.63	$49,722.90 20% off	$9,181.82	$51,570.72	$29,188.45	2024-12-30
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With McC	9	7	$58,489.20	$46,791.36	$28,545.81	$29,100.70	$29,100.70	2024-12-30
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	39	20	$78,614.72	$62,891.78	$3,930.83	$54,025.12	$28,977.97	2024-12-30
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	30	19	$73,956.04	$59,164.83 20% off	$9,585.57	$50,573.71	$28,624.15	2024-12-30
3224	APR_DRG	Shoulder & Elbow Joint Replacement #	16	9	$41,277.09	$33,021.67 20% off	$17,462.18	$49,696.70	$28,619.29	2024-12-30
907	MS_DRG	Other O.r. Procedures For Injuries With McC	39	20	$52,916.13	$42,332.90 20% off	$4,705.25	$52,526.78	$28,616.01	2024-12-30
335	MS_DRG	Peritoneal Adhesiolysis With McC	39	20	$77,497.82	$61,998.26	$5,309.56	$50,486.15	$27,897.85	2024-12-30
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	39	20	$65,944.21	$52,755.37	$9,426.84	$49,233.53	$27,865.63	2024-12-30
6624	APR_DRG	Sickle Cell Anemia Crisis	16	9	$22,946.81	$18,357.45	$16,920.16	$48,154.18	$27,731.01	2024-12-30
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	39	20	$78,924.99	$63,139.99 20% off	$9,109.61	$48,808.46	$27,625.04	2024-12-30
242	MS_DRG	Permanent Cardiac Pacemaker Implant With McC	39	20	$100,721.36	$80,577.09	$7,536.77	$48,792.92	$27,616.25	2024-12-30
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC	39	20	$65,028.40	$52,022.72 20% off	$3,833.77	$51,360.30	$27,597.03	2024-12-30
3123	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	17	9	$31,571.74	$25,257.39 20% off	$23,128.80	$65,823.70	$27,579.40	2024-12-30
52	MS_DRG	Spinal Disorders And Injuries With Cc/McC	9	7	$54,610.92	$43,688.74	$27,030.29	$27,555.73	$27,555.73	2024-12-30
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC	37	20	$43,165.92	$34,532.74	$6,564.84	$48,891.78	$27,501.42	2024-12-30
673	MS_DRG	Other Kidney And Urinary Tract Procedures With McC	39	20	$52,514.65	$42,011.72 20% off	$2,689.51	$52,223.16	$27,456.33	2024-12-30
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	39	20	$89,409.43	$71,527.54 20% off	$8,382.70	$48,413.04	$27,401.24	2024-12-30
6604	APR_DRG	Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul	9	7	$10,730.20	$8,584.16 20% off	$25,429.07	$30,322.34	$27,317.37	2024-12-30
1823	APR_DRG	Other Peripheral Vascular Procedures #	16	9	$56,279.79	$45,023.83 20% off	$16,469.13	$46,870.51	$26,991.74	2024-12-30
503	APR_DRG	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	1	1	$55,302.30	$44,241.84 20% off	$26,957.83	$26,957.83	$26,957.83	2024-12-30
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With McC	39	20	$74,662.98	$59,730.38 20% off	$8,335.20	$47,577.02	$26,928.06	2024-12-30
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution	68	18	$87,825.60	$70,260.48 20% off	$24,731.35	$29,096.76	$26,914.06	2024-12-30
252	MS_DRG	Other Vascular Procedures With McC	39	20	$48,536.90	$38,829.52 20% off	$7,664.48	$47,362.36	$26,806.57	2024-12-30
493	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	16	9	$88,623.35	$70,898.68 20% off	$16,349.08	$46,528.87	$26,795.01	2024-12-30
3464	APR_DRG	Connective Tissue Disorders	9	7	$13,021.32	$10,417.06	$24,900.31	$29,691.85	$26,749.35	2024-12-30
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With McC	39	20	$132,391.64	$105,913.31 20% off	$6,775.13	$47,198.55	$26,713.85	2024-12-30
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…	39	20	$85,848.92	$68,679.14	$9,426.84	$47,023.44	$26,614.74	2024-12-30
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With McC	31	19	$76,204.66	$60,963.73	$7,294.11	$46,964.12	$26,581.17	2024-12-30
6614	APR_DRG	Coagulation & Platelet Disorders	15	8	$18,846.45	$15,077.16 20% off	$23,324.96	$56,378.32	$26,560.46	2024-12-30
213	APR_DRG	Craniotomy Except For Trauma	17	9	$45,615.17	$36,492.14	$22,128.60	$62,977.16	$26,386.73	2024-12-30
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	39	20	$65,275.81	$52,220.65	$4,705.25	$47,685.76	$26,195.51	2024-12-30
233	APR_DRG	Spinal Procedures	17	9	$35,423.48	$28,338.78 20% off	$21,947.26	$62,461.06	$26,170.49	2024-12-30
1303	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	17	9	$139,103.85	$111,283.08 20% off	$21,860.42	$62,213.92	$26,066.94	2024-12-30
264	MS_DRG	Other Circulatory System O.r. Procedures	39	20	$69,214.19	$55,371.35 20% off	$5,818.34	$46,122.45	$25,970.40	2024-12-30
4013	APR_DRG	Pituitary & Adrenal Procedures	16	9	$31,774.65	$25,419.72 20% off	$15,830.08	$45,051.81	$25,944.40	2024-12-30
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without McC	39	20	$80,219.11	$64,175.29	$7,536.77	$45,766.58	$25,903.37	2024-12-30
2613	APR_DRG	Major Biliary Tract Procedures	16	9	$52,617.13	$42,093.70 20% off	$15,775.93	$44,897.71	$25,855.65	2024-12-30
3041	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	16	9	$87,046.15	$69,636.92	$15,662.53	$44,574.96	$25,669.78	2024-12-30
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC	39	20	$50,575.52	$40,460.42	$5,931.24	$45,406.47	$25,668.85	2024-12-30
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	39	20	$63,976.15	$51,180.92 20% off	$7,330.40	$45,198.87	$25,582.06	2024-12-30
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	55	18	$76,314.31	$61,051.45	$6,593.40	$28,177.60	$25,359.84	2024-12-30
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC	31	19	$92,814.44	$74,251.55 20% off	$5,610.66	$44,646.70	$25,269.54	2024-12-30
904	MS_DRG	Skin Grafts For Injuries With Cc/McC	39	20	$24,814.14	$19,851.31 20% off	$4,331.83	$45,984.06	$25,157.94	2024-12-30
1924	APR_DRG	Cardiac Catheterization For Other Non-coronary Conditions	17	9	$28,065.27	$22,452.22	$21,032.36	$59,857.31	$25,079.50	2024-12-30
1813	APR_DRG	Lower Extremity Arterial Procedures #	17	9	$74,357.01	$59,485.61	$20,894.44	$59,464.78	$24,915.08	2024-12-30
903	APR_DRG	Major Larynx & Trachea Procedures	17	9	$20,204.22	$16,163.38	$20,875.54	$59,410.99	$24,892.54	2024-12-30
2254	APR_DRG	Appendectomy	17	9	$22,983.72	$18,386.98	$20,750.90	$59,056.26	$24,743.92	2024-12-30
840	MS_DRG	Lymphoma And Non-acute Leukemia With McC	39	20	$91,023.97	$72,819.18	$5,224.25	$44,134.07	$24,679.16	2024-12-30
3223	APR_DRG	Shoulder & Elbow Joint Replacement #	16	9	$41,277.09	$33,021.67 20% off	$14,934.60	$42,503.30	$24,476.76	2024-12-30
4624	APR_DRG	Nephritis & Nephrosis	17	9	$21,266.56	$17,013.25	$20,525.62	$58,415.14	$24,475.29	2024-12-30
9503	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	17	9	$47,382.18	$37,905.74 20% off	$20,404.55	$58,070.59	$24,330.93	2024-12-30
3624	APR_DRG	Mastectomy Procedures	16	9	$66,940.67	$53,552.54	$14,832.94	$42,213.99	$24,310.15	2024-12-30
411	MS_DRG	Cholecystectomy With C.d.e. With McC	39	20	$94,782.07	$75,825.66	$6,710.76	$42,936.53	$24,301.60	2024-12-30
6964	APR_DRG	Other Chemotherapy #	9	6	$16,106.61	$12,885.29	$22,447.87	$46,813.59	$24,114.80	2024-12-30
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	39	20	$43,884.20	$35,107.36	$6,111.05	$42,385.77	$23,989.87	2024-12-30
9123	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	17	9	$42,780.67	$34,224.54	$20,103.68	$57,214.30	$23,972.15	2024-12-30
662	MS_DRG	Minor Bladder Procedures With McC	31	19	$56,089.01	$44,871.21	$8,750.37	$42,319.40	$23,952.31	2024-12-30
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With McC	39	20	$53,863.88	$43,091.10 20% off	$9,426.84	$42,284.09	$23,932.32	2024-12-30
472	MS_DRG	Cervical Spinal Fusion With Cc	39	20	$44,252.67	$35,402.14	$8,335.20	$41,736.16	$23,622.20	2024-12-30
480	MS_DRG	Hip And Femur Procedures Except Major Joint With McC	39	20	$55,706.17	$44,564.94	$6,822.63	$41,644.37	$23,570.25	2024-12-30
3434	APR_DRG	Musculoskeletal Malignancy & Pathol Fracture D/t Muscskel Malig	17	9	$63,572.51	$50,858.01	$19,676.11	$55,997.47	$23,462.32	2024-12-30
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	49	18	$73,349.32	$58,679.46	$21,637.08	$25,267.50	$23,452.29	2024-12-30
3144	APR_DRG	Foot & Toe Procedures	17	9	$39,006.33	$31,205.06 20% off	$19,641.38	$55,898.61	$23,420.89	2024-12-30
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With McC	31	19	$65,364.84	$52,291.87 20% off	$7,120.47	$41,253.19	$23,348.84	2024-12-30
974	MS_DRG	HIV With Major Related Condition With McC	39	20	$167,432.35	$133,945.88 20% off	$5,688.08	$41,186.81	$23,311.28	2024-12-30
6813	APR_DRG	Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	17	9	$31,709.85	$25,367.88	$19,510.09	$55,524.98	$23,264.35	2024-12-30
3623	APR_DRG	Mastectomy Procedures	16	9	$66,940.67	$53,552.54	$14,192.36	$40,390.93	$23,260.29	2024-12-30
8904	APR_DRG	HIV W Multiple Major HIV Related Conditions	17	9	$167,432.35	$133,945.88 20% off	$19,342.54	$55,048.14	$23,064.56	2024-12-30
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A…	39	20	$73,171.95	$58,537.56 20% off	$9,016.13	$40,596.51	$22,977.17	2024-12-30
984	APR_DRG	Other Ear, Nose, Mouth & Throat Procedures	8	6	$10,747.92	$8,598.34	$21,258.19	$25,348.82	$22,836.73	2024-12-30
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC	39	20	$54,331.36	$43,465.09	$9,057.51	$40,195.45	$22,750.18	2024-12-30
2794	APR_DRG	Hepatic Coma & Other Major Acute Liver Disorders	17	9	$21,085.35	$16,868.28 20% off	$18,926.25	$53,863.25	$22,568.16	2024-12-30
7234	APR_DRG	Viral Illness	16	9	$19,952.59	$15,962.07 20% off	$13,729.55	$39,073.76	$22,501.78	2024-12-30
L8614	HCPCS	Hc Cochlear Divice, W All Internal & External Components	50	18	$10,800.00	$8,640.00 20% off	$22,461.03	$22,461.03	$22,461.03	2024-12-30
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	39	20	$39,980.07	$31,984.06	$6,953.40	$39,671.52	$22,453.64	2024-12-30
1673	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	17	9	$44,584.30	$35,667.44 20% off	$18,804.64	$53,517.29	$22,423.15	2024-12-30
4044	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	16	9	$65,364.84	$52,291.87 20% off	$13,622.28	$38,768.48	$22,325.97	2024-12-30
2233	APR_DRG	Other Small & Large Bowel Procedures	16	9	$26,925.14	$21,540.11 20% off	$13,589.58	$38,675.44	$22,272.38	2024-12-30
970	MS_DRG	HIV With Extensive O.r. Procedures Without McC	39	20	$82,995.68	$66,396.54 20% off	$5,536.88	$39,253.51	$22,217.05	2024-12-30
893	APR_DRG	Major Cranial/Facial Bone Procedures	15	8	$17,852.86	$14,282.29	$19,462.58	$47,042.64	$22,162.31	2024-12-30
56	MS_DRG	Degenerative Nervous System Disorders With McC	11	8	$68,967.77	$55,174.22	$6,584.78	$22,147.47	$22,147.47	2024-12-30
7244	APR_DRG	Other Infectious & Parasitic Diseases	17	9	$20,045.66	$16,036.53	$18,495.11	$52,636.28	$22,054.02	2024-12-30
243	APR_DRG	Extracranial Vascular Procedures	16	9	$17,871.63	$14,297.30 20% off	$18,851.12	$53,090.13	$21,972.31	2024-12-30
262	APR_DRG	Other Nervous System & Related Procedures	1	1	$73,724.89	$58,979.91 20% off	$21,961.49	$21,961.49	$21,961.49	2024-12-30
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With McC	39	20	$46,258.38	$37,006.70 20% off	$5,818.34	$38,798.78	$21,959.68	2024-12-30
344	MS_DRG	Minor Small And Large Bowel Procedures With McC	39	20	$38,376.63	$30,701.30 20% off	$6,011.95	$38,699.93	$21,903.73	2024-12-30
8134	APR_DRG	Other Complications Of Treatment	16	9	$14,551.83	$11,641.46 20% off	$13,351.00	$37,996.54	$21,881.42	2024-12-30
2544	APR_DRG	Other Digestive System Diagnoses	16	9	$14,346.50	$11,477.20	$13,322.93	$37,916.58	$21,835.36	2024-12-30
3173	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	16	9	$57,961.41	$46,369.13	$13,321.40	$37,912.20	$21,832.84	2024-12-30
2293	APR_DRG	Other Digestive System & Abdominal Procedures	16	9	$48,840.37	$39,072.30	$13,310.67	$37,881.67	$21,815.26	2024-12-30
974	APR_DRG	Tonsil & Adenoid Procedures	6	4	$7,545.37	$6,036.30	$20,301.33	$21,808.94	$21,808.94	2024-12-30
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	39	20	$73,392.54	$58,714.03 20% off	$8,851.13	$38,183.06	$21,611.19	2024-12-30
203	APR_DRG	Craniotomy For Trauma	17	9	$81,282.23	$65,025.78 20% off	$18,095.61	$51,499.41	$21,577.68	2024-12-30
7754	APR_DRG	Alcohol Abuse & Dependence	9	7	$11,229.11	$8,983.29	$20,020.88	$23,873.48	$21,507.63	2024-12-30
503	MS_DRG	Foot Procedures With McC	39	20	$25,804.73	$20,643.78 20% off	$5,406.61	$37,873.79	$21,436.14	2024-12-30
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/McC	39	20	$42,847.39	$34,277.91 20% off	$9,426.84	$37,700.09	$21,337.83	2024-12-30
1743	APR_DRG	Percutaneous Coronary Intervention W Ami	16	9	$58,799.71	$47,039.77	$12,803.42	$36,438.04	$20,983.90	2024-12-30
3444	APR_DRG	Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections	17	9	$21,203.76	$16,963.01	$17,535.74	$49,906.08	$20,910.08	2024-12-30
1301	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	17	9	$139,103.85	$111,283.08 20% off	$17,522.46	$49,868.25	$20,894.24	2024-12-30
1302	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	17	9	$139,103.85	$111,283.08 20% off	$17,522.46	$49,868.25	$20,894.24	2024-12-30
492	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	16	9	$88,623.35	$70,898.68 20% off	$12,715.04	$36,186.54	$20,839.07	2024-12-30
454	APR_DRG	Cva & Precerebral Occlusion W Infarct	17	9	$20,640.09	$16,512.07 20% off	$17,471.37	$49,722.87	$20,833.33	2024-12-30
619	MS_DRG	O.r. Procedures For Obesity With McC	39	20	$84,090.83	$67,272.66 20% off	$5,823.45	$36,752.51	$20,801.51	2024-12-30
2804	APR_DRG	Alcoholic Liver Disease	17	9	$22,178.12	$17,742.50	$17,431.02	$49,607.98	$20,785.24	2024-12-30
484	APR_DRG	Peripheral, Cranial & Autonomic Nerve Disorders	14	7	$15,648.09	$12,518.47 20% off	$17,798.81	$43,021.17	$20,745.76	2024-12-30
2064	APR_DRG	Malfunction,Reaction,Complication Of Cardiac/Vasc Device Or Procedure	17	9	$36,210.34	$28,968.27 20% off	$17,391.17	$49,494.62	$20,737.66	2024-12-30
2203	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	17	9	$39,326.65	$31,461.32 20% off	$17,382.49	$49,469.91	$20,727.34	2024-12-30
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With McC	30	19	$38,139.58	$30,511.66 20% off	$5,293.48	$36,560.45	$20,692.80	2024-12-30
1144	APR_DRG	Dental & Oral Diseases & Injuries	16	9	$11,963.34	$9,570.67 20% off	$12,605.22	$35,873.97	$20,659.08	2024-12-30
554	APR_DRG	Head Trauma W Coma >1 Hr Or Hemorrhage	17	9	$19,121.05	$15,296.84	$17,282.40	$49,184.96	$20,607.95	2024-12-30
3053	APR_DRG	Amputation Of Lower Limb Except Toes	17	9	$59,360.35	$47,488.28 20% off	$17,275.73	$49,166.06	$20,600.03	2024-12-30
1994	APR_DRG	Hypertension	16	9	$14,618.88	$11,695.10 20% off	$12,547.49	$35,709.71	$20,564.47	2024-12-30
1203	APR_DRG	Major Respiratory & Chest Procedures	17	9	$50,251.47	$40,201.18	$17,185.82	$48,910.19	$20,492.83	2024-12-30
53	MS_DRG	Spinal Disorders And Injuries Without Cc/McC	9	7	$14,055.09	$11,244.07 20% off	$20,074.18	$20,464.40	$20,464.40	2024-12-30
253	MS_DRG	Other Vascular Procedures With Cc	39	20	$53,930.00	$43,144.00 20% off	$7,330.40	$36,026.63	$20,390.67	2024-12-30
164	MS_DRG	Major Chest Procedures With Cc	39	20	$64,652.63	$51,722.10 20% off	$6,959.53	$36,016.75	$20,385.08	2024-12-30
3613	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	17	9	$34,132.60	$27,306.08	$17,060.67	$48,554.01	$20,343.59	2024-12-30
2824	APR_DRG	Disorders Of Pancreas Except Malignancy	15	8	$14,650.72	$11,720.58	$17,658.37	$42,681.66	$20,107.79	2024-12-30
949	MS_DRG	Aftercare With Cc/McC	11	8	$49,358.91	$39,487.13	$6,261.96	$20,060.46	$20,060.46	2024-12-30
4464	APR_DRG	Urethral & Transurethral Procedures	17	9	$23,752.15	$19,001.72 20% off	$16,800.62	$47,814.03	$20,033.55	2024-12-30
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	39	20	$37,389.92	$29,911.94	$5,918.46	$35,268.28	$19,961.45	2024-12-30
2264	APR_DRG	Anal Procedures	9	7	$12,192.21	$9,753.77	$18,537.47	$22,104.57	$19,914.02	2024-12-30
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	39	20	$47,683.33	$38,146.66 20% off	$6,959.53	$35,107.29	$19,870.34	2024-12-30
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	39	20	$41,402.34	$33,121.87 20% off	$8,072.63	$35,081.87	$19,855.95	2024-12-30
8114	APR_DRG	Allergic Reactions	16	9	$12,584.88	$10,067.90 20% off	$12,061.69	$34,327.10	$19,768.30	2024-12-30
113	MS_DRG	Orbital Procedures With Cc/McC	39	20	$21,830.78	$17,464.62 20% off	$4,108.09	$35,408.09	$19,758.09	2024-12-30
6634	APR_DRG	Other Anemia & Disorders Of Blood & Blood-forming Organs	16	9	$22,554.00	$18,043.20	$12,032.09	$34,242.83	$19,719.69	2024-12-30
8503	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	17	9	$42,161.52	$33,729.22	$16,537.07	$47,063.87	$19,719.24	2024-12-30
2034	APR_DRG	Chest Pain	16	9	$13,944.26	$11,155.41	$12,031.02	$34,239.87	$19,718.04	2024-12-30
473	MS_DRG	Cervical Spinal Fusion Without Cc/McC	39	20	$41,978.35	$33,582.68	$8,335.20	$34,748.59	$19,667.32	2024-12-30
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	51	18	$64,071.74	$51,257.39 20% off	$59.50	$21,357.00	$19,546.50	2024-12-30
4214	APR_DRG	Malnutrition, Failure To Thrive & Other Nutritional Disorders	17	9	$17,367.13	$13,893.70 20% off	$16,353.17	$46,540.50	$19,499.95	2024-12-30
7204	APR_DRG	Septicemia & Disseminated Infections	17	9	$22,069.67	$17,655.74	$16,348.06	$46,525.96	$19,493.86	2024-12-30
4614	APR_DRG	Kidney & Urinary Tract Malignancy	16	9	$52,437.01	$41,949.61	$11,892.61	$33,845.89	$19,491.16	2024-12-30
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/McC	39	20	$45,615.17	$36,492.14	$9,675.61	$34,357.41	$19,445.91	2024-12-30
2273	APR_DRG	Hernia Procedures Except Inguinal, Femoral & Umbilical	16	9	$29,194.35	$23,355.48 20% off	$11,843.06	$33,704.90	$19,409.95	2024-12-30
2484	APR_DRG	Major Gastrointestinal & Peritoneal Infections	16	9	$15,546.51	$12,437.21	$16,532.95	$46,561.62	$19,270.36	2024-12-30
3474	APR_DRG	Other Back & Neck Disorders, Fractures & Injuries	17	9	$15,928.09	$12,742.47 20% off	$16,118.19	$45,871.78	$19,219.75	2024-12-30
2424	APR_DRG	Major Esophageal Disorders	17	9	$19,139.67	$15,311.74	$16,117.68	$45,870.33	$19,219.14	2024-12-30
4694	APR_DRG	Acute Kidney Injury #	15	8	$14,057.30	$11,245.84	$16,863.96	$40,761.61	$19,203.30	2024-12-30
1364	APR_DRG	Respiratory Malignancy	16	9	$25,683.79	$20,547.03 20% off	$11,716.40	$33,344.36	$19,202.34	2024-12-30
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	39	20	$35,787.12	$28,629.70	$6,111.05	$33,916.81	$19,196.53	2024-12-30
350	MS_DRG	Inguinal And Femoral Hernia Procedures With McC	31	19	$38,375.29	$30,700.23 20% off	$7,427.27	$33,892.80	$19,182.95	2024-12-30
1692	APR_DRG	Major Abdominal Vascular Procedures	16	9	$96,568.58	$77,254.86 20% off	$11,689.81	$33,268.76	$19,158.78	2024-12-30
2603	APR_DRG	Major Pancreas, Liver & Shunt Procedures	17	9	$30,527.18	$24,421.74 20% off	$16,066.59	$45,724.92	$19,158.23	2024-12-30
2414	APR_DRG	Peptic Ulcer & Gastritis	17	9	$19,603.34	$15,682.67 20% off	$15,987.42	$45,499.58	$19,063.85	2024-12-30
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	39	20	$37,961.87	$30,369.50	$5,950.14	$33,669.67	$19,056.66	2024-12-30
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	39	20	$45,329.31	$36,263.45	$7,593.98	$33,498.80	$18,959.94	2024-12-30
478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	39	20	$70,920.20	$56,736.16	$4,238.35	$33,662.61	$18,950.48	2024-12-30
2213	APR_DRG	Major Small & Large Bowel Procedures	17	9	$47,147.07	$37,717.66	$15,842.85	$45,088.15	$18,891.43	2024-12-30
250	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC	39	20	$48,105.47	$38,484.38	$7,536.77	$33,198.00	$18,789.70	2024-12-30
3514	APR_DRG	Other Musculoskeletal System & Connective Tissue Diagnoses	17	9	$18,013.87	$14,411.10	$15,736.09	$44,784.28	$18,764.13	2024-12-30
4043	APR_DRG	Thyroid, Parathyroid & Thyroglossal Procedures	16	9	$65,364.84	$52,291.87 20% off	$11,388.93	$32,412.47	$18,665.67	2024-12-30
A9604	HCPCS	Hc Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose Up To 150 Millicu…	2	1	—	—	$17,585.51	$19,539.46	$18,562.49	2024-12-30
6944	APR_DRG	Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior	10	7	$12,711.11	$10,168.89	$17,273.17	$36,022.05	$18,555.84	2024-12-30
30	MS_DRG	Spinal Procedures Without Cc/McC	39	20	$30,317.28	$24,253.82 20% off	$8,382.70	$32,748.92	$18,535.52	2024-12-30
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With McC	39	20	$28,733.45	$22,986.76 20% off	$4,518.79	$32,731.97	$18,525.93	2024-12-30
3093	APR_DRG	Other Significant Hip And Femur Surgery	17	9	$22,138.64	$17,710.91 20% off	$15,436.74	$43,932.38	$18,407.18	2024-12-30
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	49	18	$34,736.00	$27,788.80 20% off	$16,831.80	$19,899.00	$18,365.40	2024-12-30
6802	APR_DRG	Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms	16	9	$53,061.91	$42,449.53	$11,144.76	$31,717.55	$18,265.47	2024-12-30
243	MS_DRG	Permanent Cardiac Pacemaker Implant With Cc	39	20	$58,146.23	$46,516.98 20% off	$8,887.40	$32,164.27	$18,204.62	2024-12-30
1713	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	17	9	$40,525.57	$32,420.46	$15,263.06	$43,438.09	$18,200.08	2024-12-30
674	MS_DRG	Other Kidney And Urinary Tract Procedures With Cc	39	20	$48,322.58	$38,658.06 20% off	$2,689.51	$33,641.43	$18,165.47	2024-12-30
7103	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	17	9	$62,391.30	$49,913.04 20% off	$15,200.23	$43,259.27	$18,125.15	2024-12-30
2404	APR_DRG	Digestive Malignancy	17	9	$25,571.22	$20,456.98	$15,191.54	$43,234.56	$18,114.77	2024-12-30
2844	APR_DRG	Disorders Of Gallbladder & Biliary Tract	17	9	$17,525.68	$14,020.54 20% off	$15,141.99	$43,093.54	$18,055.71	2024-12-30
2454	APR_DRG	Inflammatory Bowel Disease	16	9	$14,192.01	$11,353.61	$11,010.41	$31,335.21	$18,045.29	2024-12-30
629	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	39	20	$35,581.53	$28,465.22 20% off	$4,107.58	$31,955.26	$18,031.42	2024-12-30

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