Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MOUNT CARMEL EAST & WEST

Columbus, OH · CCN 360035 · Rates published

40,443 distinct procedures filed
116 distinct payers
6,265,620 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

5,405,311 of 6,265,620 rate rows are consumer-grade (86.3%)

860,309 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 808,372
template filing: same amount across many unrelated codes — excluded 48,111
exceeds 10× this hospital's gross charge — excluded from medians 2,321
percent-of-charges filed in the dollar field — excluded from medians 1,045
placeholder amount (≤ $0.02) — excluded from medians 266
per-diem day rate — not a per-procedure price 194

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/mountcarmel-east
Found on page https://www.mountcarmelhealth.com/for-patients/billing-and-insurance/pricing-information/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d7af2061ff51c1a8… · 193,063,417 bytes · first seen 2026-05-04

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 21 $234,161.82 $797,902.35 $280,996.79 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $184,022.09 $586,874.38 $206,900.48 nat. median
$265,286
0.8× median
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $189,675.69 $206,746.50 $202,952.99 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $131,925.09 $570,850.37 $201,274.12 nat. median
$206,368
1.0× median
'583-3
APR_DRG 		Neonate With Ecmo 10 $183,525.91 $200,043.24 $196,372.72 —
'583-4
APR_DRG 		Neonate With Ecmo 10 $183,525.91 $200,043.24 $196,372.72 —
J2326
HCPCS 		Inj Nusinersen 0.1mg 114 $187.00 $413,702.43 $193,199.03 nat. median
$2,677
outlier · 72.2×
'583-1
APR_DRG 		Neonate With Ecmo 10 $174,634.46 $190,351.56 $186,858.87 —
'583-2
APR_DRG 		Neonate With Ecmo 10 $174,634.46 $190,351.56 $186,858.87 —
'161-4
APR_DRG 		Implantable Heart Assist Systems 10 $173,962.92 $189,619.58 $186,140.32 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 10 $153,155.50 $166,939.50 $163,876.39 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $97,079.83 $461,733.74 $162,961.00 nat. median
$202,986
0.8× median
'161-3
APR_DRG 		Implantable Heart Assist Systems 10 $134,929.86 $147,073.55 $144,374.95 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 10 $134,929.86 $147,073.55 $144,374.95 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 10 $134,929.86 $147,073.55 $144,374.95 —
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $131,108.88 $142,908.68 $140,286.50 —
'841-3
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $122,131.03 $133,122.82 $130,680.20 —
'841-1
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $122,131.03 $133,122.82 $130,680.20 —
'841-2
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $122,131.03 $133,122.82 $130,680.20 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $122,131.03 $133,122.82 $130,680.20 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $122,121.78 $133,112.74 $130,670.30 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $118,556.86 $129,226.98 $126,855.84 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $63,636.83 $318,357.90 $112,618.76 nat. median
$133,176
0.8× median
'631-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $104,801.12 $114,233.22 $112,137.20 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $96,461.39 $105,142.92 $103,213.69 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $91,818.21 $100,081.85 $98,245.48 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $91,818.21 $100,081.85 $98,245.48 —
7
MS_DRG 		Lung Transplant 20 $89,631.55 $265,653.42 $96,137.12 nat. median
$122,708
0.8× median
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $89,023.04 $97,035.11 $95,254.65 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $89,470.05 $265,170.47 $93,943.55 nat. median
$108,660
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $75,752.75 $224,149.95 $90,967.54 nat. median
$100,136
0.9× median
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $82,737.52 $90,183.90 $88,529.15 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $83,798.02 $248,208.71 $87,987.92 nat. median
$117,303
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $78,799.51 $233,261.05 $82,739.49 nat. median
$102,358
0.8× median
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 10 $76,212.90 $83,072.06 $81,547.80 —
215
MS_DRG 		Other Heart Assist System Implant 21 $51,613.48 $221,221.92 $78,512.30 nat. median
$99,019
0.8× median
27100000002-816
CDM 		Glove Vinyl Powder Free Lg 97 $187.00 $166,479.51 $77,745.93 nat. median
$81,142
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $70,044.23 $210,187.68 $74,637.95 nat. median
$93,672
0.8× median
'002-2
APR_DRG 		Heart And/or Lung Transplant 10 $68,613.62 $74,788.85 $73,416.57 —
'002-3
APR_DRG 		Heart And/or Lung Transplant 10 $68,613.62 $74,788.85 $73,416.57 —
'002-1
APR_DRG 		Heart And/or Lung Transplant 10 $68,613.62 $74,788.85 $73,416.57 —
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $68,505.64 $74,671.15 $73,301.03 —
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 108 $53.95 $156,466.98 $73,070.08 nat. median
$94
outlier · 779.2×
'007-3
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $64,656.89 $70,476.01 $69,182.87 —
27800000002-88967
CDM 		Device Impella 5.5 Smartassist 97 $187.00 $146,250.00 $68,298.75 nat. median
$71,282
1.0× median
27800000002-88968
CDM 		Device Impella 5.5 Smartassist 97 $187.00 $146,250.00 $68,298.75 nat. median
$71,282
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 21 $40,574.72 $191,911.34 $68,220.75 nat. median
$87,411
0.8× median
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $62,331.70 $67,941.55 $66,694.92 —
'602-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $61,343.41 $66,864.32 $65,637.45 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $53,497.38 $183,053.63 $65,110.62 nat. median
$77,576
0.8× median

Other procedures at this hospital

Browse this hospital's 40,443 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 27 21 — — $234,161.82 $797,902.35 $280,996.79 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 20 — — $184,022.09 $586,874.38 $206,900.48 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 — — $189,675.69 $206,746.50 $202,952.99 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 21 — — $131,925.09 $570,850.37 $201,274.12 2025-01-01
'583-4 APR_DRG Neonate With Ecmo 11 10 — — $183,525.91 $200,043.24 $196,372.72 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 11 10 — — $183,525.91 $200,043.24 $196,372.72 2025-01-01
J2326 HCPCS Inj Nusinersen 0.1mg 143 114 $413,702.43 $268,906.58 35% off $187.00 $413,702.43 $193,199.03 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 11 10 — — $174,634.46 $190,351.56 $186,858.87 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 11 10 — — $174,634.46 $190,351.56 $186,858.87 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 11 10 — — $173,962.92 $189,619.58 $186,140.32 2025-01-01
'002-4 APR_DRG Heart And/or Lung Transplant 11 10 — — $153,155.50 $166,939.50 $163,876.39 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 21 — — $97,079.83 $461,733.74 $162,961.00 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 11 10 — — $134,929.86 $147,073.55 $144,374.95 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 11 10 — — $134,929.86 $147,073.55 $144,374.95 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 11 10 — — $134,929.86 $147,073.55 $144,374.95 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 11 10 — — $131,108.88 $142,908.68 $140,286.50 2025-01-01
'841-2 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 — — $122,131.03 $133,122.82 $130,680.20 2025-01-01
'841-1 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 — — $122,131.03 $133,122.82 $130,680.20 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 — — $122,131.03 $133,122.82 $130,680.20 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 — — $122,131.03 $133,122.82 $130,680.20 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 — — $122,121.78 $133,112.74 $130,670.30 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 — — $118,556.86 $129,226.98 $126,855.84 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 21 — — $63,636.83 $318,357.90 $112,618.76 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 10 — — $104,801.12 $114,233.22 $112,137.20 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 — — $96,461.39 $105,142.92 $103,213.69 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 — — $91,818.21 $100,081.85 $98,245.48 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 — — $91,818.21 $100,081.85 $98,245.48 2025-01-01
7 MS_DRG Lung Transplant 26 20 — — $89,631.55 $265,653.42 $96,137.12 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 — — $89,023.04 $97,035.11 $95,254.65 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 20 — — $89,470.05 $265,170.47 $93,943.55 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 20 — — $75,752.75 $224,149.95 $90,967.54 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 — — $82,737.52 $90,183.90 $88,529.15 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 19 — — $83,798.02 $248,208.71 $87,987.92 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 20 — — $78,799.51 $233,261.05 $82,739.49 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 10 — — $76,212.90 $83,072.06 $81,547.80 2025-01-01
215 MS_DRG Other Heart Assist System Implant 27 21 — — $51,613.48 $221,221.92 $78,512.30 2025-01-01
27100000002-816 CDM Glove Vinyl Powder Free Lg 117 97 $166,479.51 $108,211.68 35% off $187.00 $166,479.51 $77,745.93 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $70,044.23 $210,187.68 $74,637.95 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 11 10 — — $68,613.62 $74,788.85 $73,416.57 2025-01-01
'002-3 APR_DRG Heart And/or Lung Transplant 11 10 — — $68,613.62 $74,788.85 $73,416.57 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 11 10 — — $68,613.62 $74,788.85 $73,416.57 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 — — $68,505.64 $74,671.15 $73,301.03 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 133 108 $156,466.98 $101,703.54 35% off $53.95 $156,466.98 $73,070.08 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 11 10 — — $64,656.89 $70,476.01 $69,182.87 2025-01-01
27800000002-88968 CDM Device Impella 5.5 Smartassist 117 97 $146,250.00 $95,062.50 35% off $187.00 $146,250.00 $68,298.75 2025-01-01
27800000002-88967 CDM Device Impella 5.5 Smartassist 117 97 $146,250.00 $95,062.50 35% off $187.00 $146,250.00 $68,298.75 2025-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 27 21 — — $40,574.72 $191,911.34 $68,220.75 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 10 — — $62,331.70 $67,941.55 $66,694.92 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $61,343.41 $66,864.32 $65,637.45 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 21 — — $53,497.38 $183,053.63 $65,110.62 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $45,376.04 $182,555.52 $64,935.72 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $60,682.16 $66,143.55 $64,929.91 2025-01-01
27200000002-30479 CDM Stylet Steerable 30cm 117 97 $138,979.55 $90,336.71 35% off $187.00 $138,979.55 $64,903.45 2025-01-01
27800000002-91547 CDM Graft Bn Canc Crsh Frzdr 30ml 117 97 $138,385.00 $89,950.25 35% off $187.00 $138,385.00 $64,625.80 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 10 — — $58,800.20 $64,092.22 $62,916.21 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 21 — — $39,893.67 $175,750.89 $62,546.47 2025-01-01
33983 HCPCS Replace Vad Intra W/bp 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
0459T HCPCS Relocaj Rplcmt Aortic Ventr 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
0454T HCPCS Insj/rplcmt Subq Electrode 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33995 HCPCS Insj Perq Vad R Hrt Venous 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33981 HCPCS Replace Vad Pump Ext 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
0451T HCPCS Insj/rplcmt Aortic Ventr Sys 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
0452T HCPCS Insj/rplcmt Dev Vasc Seal 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33976 HCPCS Implant Ventricular Device 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33982 HCPCS Replace Vad Intra Without Bp 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33975 HCPCS Implant Ventricular Device 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
33979 HCPCS Insert Intracorporeal Device 10 10 — — $58,404.29 $63,660.68 $62,492.59 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 21 — — $41,789.48 $173,115.23 $61,621.05 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 10 — — $57,057.08 $62,192.22 $61,051.08 2025-01-01
'851-4 APR_DRG Gender Related Procedures 11 10 — — $56,946.53 $62,071.72 $60,932.79 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 27 21 — — $33,933.41 $168,915.94 $60,146.58 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 — — $56,192.21 $61,249.51 $60,125.66 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $36,789.37 $167,001.46 $59,474.37 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 11 10 — — $54,866.61 $59,804.60 $58,707.27 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 — — $53,096.75 $57,875.46 $56,813.52 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 21 — — $37,121.75 $156,634.25 $55,834.22 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant 11 10 — — $52,145.49 $56,838.58 $55,795.67 2025-01-01
'007-1 APR_DRG Allogeneic Bone Marrow Transplant 11 10 — — $52,019.00 $56,700.71 $55,660.33 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 11 10 — — $52,019.00 $56,700.71 $55,660.33 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 10 — — $51,802.01 $56,464.19 $55,428.15 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 11 10 — — $51,754.70 $56,412.62 $55,377.53 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 20 — — $51,750.93 $152,374.32 $54,338.48 2025-01-01
2433805008 NDC Carmustine In Polifeprosan 7.7 Mg Wafer 8 Each Box 117 97 $116,256.79 $75,566.91 35% off $187.00 $116,256.79 $54,291.92 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 — — $50,408.54 $54,945.31 $53,937.14 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 21 — — $39,357.47 $150,838.84 $53,799.33 2025-01-01
7907 MS_DRG Level 3: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $53,352.52 $54,084.81 $53,718.66 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 26 20 — — $38,902.69 $113,952.64 $53,706.17 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 21 — — $20,373.59 $149,859.94 $53,455.63 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 21 — — $34,410.66 $149,606.56 $53,366.66 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 128 105 $114,240.00 $74,256.00 35% off $187.00 $114,240.00 $53,350.08 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $49,843.44 $54,329.35 $53,332.48 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 21 — — $36,303.97 $148,839.90 $53,097.47 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 21 — — $32,732.46 $148,452.24 $52,961.35 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 27 21 — — $38,105.71 $147,668.25 $52,686.08 2025-01-01
27800000002-89096 CDM Valve Sapien Thv Edwards Resilia 23mm 117 97 $110,500.00 $71,825.00 35% off $187.00 $110,500.00 $51,603.50 2025-01-01
27800000002-89099 CDM Valve Sapien Thv Edwards Resilia 20mm 117 97 $110,500.00 $71,825.00 35% off $187.00 $110,500.00 $51,603.50 2025-01-01
27800000002-89098 CDM Valve Sapien Thv Edwards Resilia 26mm 117 97 $110,500.00 $71,825.00 35% off $187.00 $110,500.00 $51,603.50 2025-01-01
27800000002-89097 CDM Valve Sapien Thv Edwards Resilia 29mm 117 97 $110,500.00 $71,825.00 35% off $187.00 $110,500.00 $51,603.50 2025-01-01
'609-2 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 — — $48,012.39 $52,333.51 $51,373.26 2025-01-01
'609-1 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 — — $48,012.39 $52,333.51 $51,373.26 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 27 21 — — $29,667.67 $143,635.72 $51,270.18 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 10 — — $47,852.99 $52,159.76 $51,202.70 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 11 10 — — $47,637.03 $51,924.36 $50,971.62 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $50,551.75 $51,245.60 $50,898.68 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 10 — — $47,547.56 $51,826.84 $50,875.89 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 11 10 — — $47,480.20 $51,753.42 $50,803.81 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 11 10 — — $47,464.78 $51,736.61 $50,787.31 2025-01-01
'690-4 APR_DRG Acute Leukemia 11 10 — — $47,284.29 $51,539.88 $50,594.19 2025-01-01
'621-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 10 — — $47,012.28 $51,243.39 $50,303.14 2025-01-01
27800000002-90555 CDM Valve Aort 26mm Evolutr 117 97 $107,250.00 $69,712.50 35% off $187.00 $107,250.00 $50,085.75 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 — — $46,414.28 $50,591.57 $49,663.28 2025-01-01
27800000002-88988 CDM Valve Hrt Sapien 3 Ultra 26mm 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-90655 CDM Valve Sapien 3 Thv 23mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-91231 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-90653 CDM Valve Sapien 3 Thv 20mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-90659 CDM Valve Sapien 3 Thv 29mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-91233 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-88987 CDM Valve Hrt Sapien 3 Ultra 23mm 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-91237 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-91236 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-90657 CDM Valve Sapien 3 Thv 26mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
27800000002-91234 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 117 97 $105,625.00 $68,656.25 35% off $187.00 $105,625.00 $49,326.88 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $36,204.88 $137,853.30 $49,239.84 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 27 21 — — $38,878.96 $135,271.79 $48,333.42 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $34,734.89 $134,665.39 $48,120.50 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 20 — — $45,771.84 $134,494.30 $48,060.43 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $44,817.70 $48,851.29 $47,954.94 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 19 — — $24,745.32 $133,775.29 $47,807.97 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 19 — — $40,567.83 $133,775.29 $47,807.97 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 21 — — $42,130.01 $133,004.30 $47,537.26 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 10 — — $44,387.83 $48,382.73 $47,494.98 2025-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 27 21 — — $27,254.47 $132,460.71 $47,346.39 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 26 20 — — $35,826.24 $104,752.74 $47,328.43 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 21 — — $34,874.74 $131,895.46 $47,147.92 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $33,524.52 $131,572.77 $47,034.62 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $46,663.54 $47,304.02 $46,983.78 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 21 — — $35,676.21 $130,953.38 $46,817.14 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 27 21 — — $23,216.37 $130,507.25 $46,660.49 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 10 — — $43,121.37 $47,002.29 $46,139.87 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 21 — — $38,879.60 $128,828.83 $46,071.17 2025-01-01
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $43,031.39 $46,904.22 $46,043.59 2025-01-01
27800000002-89078 CDM Valve Aortic 34mm Evolut Fx 117 97 $97,987.50 $63,691.88 35% off $187.00 $97,987.50 $45,760.16 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 128 105 $97,800.00 $63,570.00 35% off $178.64 $97,800.00 $45,672.60 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 21 — — $28,050.93 $127,356.15 $45,554.08 2025-01-01
27800000002-91556 CDM Kit Mitraclip 2 Mbr0202 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-91517 CDM Kit Mitraclip G4 Delivery Sys Nt 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90155 CDM Kit Mitraclip 3 Mbr0203 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90157 CDM Kit Mitraclp 2 Sgc0301 Cds0501 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-89080 CDM Valve Aortic 23mm Evolut Fx 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90559 CDM Valve Aort 34mm Evolutr 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90558 CDM Valve Aort 29mm Pro Perc 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-89076 CDM Valve Aortic 29mm Evolut Fx 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-91247 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90156 CDM Kit Mitraclp 1 Sgc0301 Cds0501 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90152 CDM Kit Mitraclip 1 Mbr0201 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-89075 CDM Valve Aortic 26mm Evolut Fx 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90153 CDM Kit Mitraclip 1 Mbr0301 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90158 CDM Kit Mitraclp 3 Sgc0301 Cds0501 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-91435 CDM Kit Mitraclip 1 Mbr0303 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-91511 CDM Kit Mitraclip G4 Delivery Sys Xtw 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90151 CDM Kit Mitraclip 1 Mbr0101 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90154 CDM Kit Mitraclip 1 Mbr0301 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-91555 CDM Kit Mitraclip 2 Mbr0202 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90556 CDM Valve Aort 26mm Pro Perc 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
27800000002-90837 CDM Valve Aortic Evolut Tm Pro 29mm 117 97 $97,500.00 $63,375.00 35% off $187.00 $97,500.00 $45,532.50 2025-01-01
'589-4 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 — — $42,459.60 $46,280.96 $45,431.77 2025-01-01
'589-3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 — — $42,459.60 $46,280.96 $45,431.77 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 19 — — $24,114.43 $109,801.83 $45,201.65 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 10 — — $41,784.98 $45,545.63 $44,709.93 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 11 10 — — $41,554.10 $45,293.97 $44,462.89 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $32,885.48 $123,373.43 $44,155.66 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 10 — — $41,224.51 $44,934.72 $44,110.23 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $31,741.59 $123,078.90 $44,052.25 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 21 — — $33,676.29 $122,769.20 $43,943.51 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 21 — — $21,012.64 $122,658.75 $43,904.72 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 10 — — $40,774.07 $44,443.74 $43,628.25 2025-01-01
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 10 — — $40,584.33 $44,236.92 $43,425.23 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 27 21 — — $39,064.59 $121,257.54 $43,412.73 2025-01-01
'589-1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 — — $40,451.67 $44,092.32 $43,283.29 2025-01-01
'589-2 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 — — $40,451.67 $44,092.32 $43,283.29 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 21 — — $25,663.44 $119,226.12 $42,699.45 2025-01-01
'022-4 APR_DRG Ventricular Shunt Procedures 11 10 — — $39,689.12 $43,261.14 $42,467.36 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant 11 10 — — $39,493.73 $43,048.17 $42,258.29 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 27 21 — — $21,088.52 $117,242.34 $42,002.91 2025-01-01
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $39,131.22 $42,653.03 $41,870.41 2025-01-01
'011-2 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $39,131.22 $42,653.03 $41,870.41 2025-01-01
'011-1 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $39,131.22 $42,653.03 $41,870.41 2025-01-01
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $39,131.22 $42,653.03 $41,870.41 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 11 10 — — $38,455.57 $41,916.57 $41,147.46 2025-01-01
27200000002-21552 CDM Hemostat D Stat Flowable 0330 117 97 $87,500.00 $56,875.00 35% off $187.00 $87,500.00 $40,862.50 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $29,660.77 $113,582.30 $40,717.79 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 27 21 — — $29,872.12 $112,570.92 $40,362.67 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 21 — — $21,741.99 $112,326.20 $40,276.75 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 27 21 — — $22,128.31 $111,669.99 $40,046.34 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 10 — — $37,408.15 $40,774.88 $40,026.72 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 144 115 $85,076.88 $55,299.97 35% off $145.12 $85,076.88 $39,730.90 2025-01-01
27800000002-91577 CDM Implant Gammatile Therapy Device 4pk 117 97 $84,500.00 $54,925.00 35% off $187.00 $84,500.00 $39,461.50 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 127 104 $84,500.00 $54,925.00 35% off $187.00 $84,500.00 $39,461.50 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 21 — — $21,028.94 $109,995.90 $39,458.53 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $36,818.37 $40,132.02 $39,395.66 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 21 — — $29,773.02 $109,517.28 $39,290.48 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 21 — — $33,147.62 $109,123.13 $39,152.09 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 21 — — $23,050.18 $108,269.84 $38,852.48 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 10 — — $36,251.73 $39,514.39 $38,789.35 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 10 — — $36,251.73 $39,514.39 $38,789.35 2025-01-01
'863-3 APR_DRG Neonatal Aftercare 11 10 — — $36,191.05 $39,448.24 $38,724.42 2025-01-01
'593-1 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 — — $36,028.56 $39,271.13 $38,550.56 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 — — $36,028.56 $39,271.13 $38,550.56 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 27 21 — — $21,016.41 $107,301.77 $38,512.57 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 21 — — $25,581.92 $106,530.78 $38,241.86 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 27 21 — — $32,690.44 $105,690.49 $37,946.81 2025-01-01
27800000002-90267 CDM Set Pump Impella Cp 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90658 CDM Valve Sapien 3 Thv 29mm W/command System 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90268 CDM Set Pump Impella Cp 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90269 CDM Set Pump Impella Cp 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-91235 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90271 CDM Set Pump Impella Cp 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90656 CDM Valve Sapien 3 Thv 26mm W/command System 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-91990 CDM Set Pump Aic Impella 5.0 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-91991 CDM Set Pump Aic Impella 5.0 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90270 CDM Set Pump Impella Cp 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-90654 CDM Valve Sapien 3 Thv 23mm W/command System 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
27800000002-91232 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 117 97 $81,250.00 $52,812.50 35% off $187.00 $81,250.00 $37,943.75 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 11 10 — — $35,401.25 $38,587.36 $37,879.34 2025-01-01
'591-1 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 — — $35,336.46 $38,516.74 $37,810.01 2025-01-01
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 — — $35,336.46 $38,516.74 $37,810.01 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $37,490.50 $38,005.07 $37,747.79 2025-01-01
'630-1 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 — — $35,241.33 $38,413.05 $37,708.22 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 — — $35,241.33 $38,413.05 $37,708.22 2025-01-01
10 MS_DRG Pancreas Transplant 25 19 — — $22,693.35 $104,248.14 $37,440.38 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 21 — — $28,195.80 $104,100.87 $37,388.66 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 20 — — $35,431.54 $103,572.44 $37,203.12 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 21 — — $19,283.02 $104,906.51 $37,006.94 2025-01-01
'200-4 APR_DRG Cardiac Structural And Valvular Disorders 11 10 — — $34,569.79 $37,681.07 $36,989.68 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 21 — — $26,008.99 $102,662.84 $36,883.74 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 143 114 $78,900.03 $51,285.02 35% off $179.84 $78,900.03 $36,846.31 2025-01-01
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 10 — — $34,334.29 $37,424.38 $36,737.69 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 27 21 — — $25,560.59 $102,082.44 $36,679.94 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $34,132.21 $37,204.11 $36,521.46 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 11 10 — — $33,890.54 $36,940.69 $36,262.88 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $25,326.05 $100,674.73 $36,185.68 2025-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 27 21 — — $22,280.07 $112,620.00 $35,858.70 2025-01-01
'179-4 APR_DRG Defibrillator Implants 11 10 — — $33,008.18 $35,978.92 $35,318.75 2025-01-01
245 MS_DRG Aicd Generator Procedures 27 21 — — $28,196.42 $98,136.53 $35,294.46 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $32,953.83 $98,127.87 $35,291.41 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 21 — — $21,162.52 $97,820.34 $35,183.44 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 10 — — $32,800.45 $35,752.49 $35,096.48 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 21 — — $33,368.26 $97,402.36 $35,080.50 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 21 — — $26,129.40 $97,497.65 $35,070.14 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 11 10 — — $32,743.89 $35,690.84 $35,035.96 2025-01-01
27800000002-89079 CDM Valve Aortic 23mm Evolut Fx 117 97 $75,000.00 $48,750.00 35% off $187.00 $75,000.00 $35,025.00 2025-01-01
27800000002-90836 CDM Valve Aortic Evolut Tm Pro 26mm 117 97 $75,000.00 $48,750.00 35% off $187.00 $75,000.00 $35,025.00 2025-01-01
27800000002-90838 CDM Valve Aortic Evolut Tm Pro 34mm 117 97 $75,000.00 $48,750.00 35% off $187.00 $75,000.00 $35,025.00 2025-01-01
27800000002-89077 CDM Valve Aortic 34mm Evolut Fx 117 97 $75,000.00 $48,750.00 35% off $187.00 $75,000.00 $35,025.00 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 11 10 — — $32,565.46 $35,496.35 $34,845.04 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 10 — — $32,485.25 $35,408.92 $34,759.22 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 20 — — $33,099.58 $96,598.88 $34,754.56 2025-01-01
'660-4 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 11 10 — — $32,474.45 $35,397.15 $34,747.66 2025-01-01
27200000002-21145 CDM Glv Surg Orth Ltx Maxxus 8.5 117 97 $74,258.59 $48,268.08 35% off $187.00 $74,258.59 $34,678.76 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 21 — — $16,004.37 $95,905.86 $34,511.22 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 21 — — $23,627.15 $95,637.31 $34,416.93 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 10 — — $32,014.76 $34,896.09 $34,255.79 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 21 — — $31,595.47 $100,222.10 $34,210.10 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 21 — — $27,072.61 $94,465.67 $34,005.54 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 21 — — $26,736.46 $93,727.16 $33,746.24 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 11 10 — — $31,411.61 $34,238.65 $33,610.42 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 21 — — $15,473.20 $93,185.74 $33,556.13 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 21 — — $20,039.34 $92,663.81 $33,372.87 2025-01-01
27200000002-28034 CDM Clip Lig Ti Horizon Sm 6/cq 117 97 $71,250.00 $46,312.50 35% off $187.00 $71,250.00 $33,273.75 2025-01-01
'608-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 10 — — $30,709.73 $33,473.61 $32,859.41 2025-01-01
'608-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 10 — — $30,709.73 $33,473.61 $32,859.41 2025-01-01
'634-4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 11 10 — — $30,622.32 $33,378.33 $32,765.88 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 11 10 — — $30,619.75 $33,375.53 $32,763.13 2025-01-01
'183-2 APR_DRG Percutaneous Structural Cardiac Procedures 11 10 — — $30,563.19 $33,313.88 $32,702.61 2025-01-01
C1822 HCPCS Kit Ipg Omnia 591 104 $65,000.00 $42,250.00 35% off $187.00 $84,500.00 $32,690.00 2025-01-01
'607-2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $30,464.46 $33,206.26 $32,596.97 2025-01-01
'690-3 APR_DRG Acute Leukemia 11 10 — — $30,438.24 $33,177.68 $32,568.92 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 21 — — $18,622.65 $90,062.80 $32,459.61 2025-01-01
'622-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 10 — — $30,274.72 $32,999.44 $32,393.95 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 20 — — $30,779.21 $89,659.98 $32,318.17 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 10 — — $30,081.90 $32,789.27 $32,187.63 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 21 — — $14,840.42 $89,153.21 $32,140.23 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 10 — — $29,915.81 $32,608.23 $32,009.92 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 10 — — $29,865.94 $32,553.87 $31,956.56 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 20 19 — — $3,331.94 $77,030.19 $31,953.64 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $31,643.13 $32,077.45 $31,860.29 2025-01-01
'183-1 APR_DRG Percutaneous Structural Cardiac Procedures 11 10 — — $29,740.99 $32,417.68 $31,822.86 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 21 — — $19,496.24 $87,879.77 $31,693.10 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 21 — — $20,449.48 $87,598.23 $31,594.25 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 10 — — $29,511.14 $32,167.14 $31,576.92 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 21 — — $23,183.76 $87,520.27 $31,566.87 2025-01-01
'026-4 APR_DRG Other Nervous System And Related Procedures 11 10 — — $29,318.83 $31,957.52 $31,371.15 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 21 — — $13,140.89 $86,942.03 $31,363.84 2025-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 27 21 — — $16,364.35 $86,734.12 $31,290.84 2025-01-01
791 MS_DRG Prematurity With Major Problems 20 19 — — $5,960.25 $74,987.91 $31,128.03 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 21 — — $13,035.54 $85,711.91 $30,931.92 2025-01-01
'009-1 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 — — $28,862.23 $31,459.83 $30,882.59 2025-01-01
'009-2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 — — $28,862.23 $31,459.83 $30,882.59 2025-01-01
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