Price Transparencybeta Hospital negotiated rates

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

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Hospital

LUTHERAN HOSPITAL

Cleveland, OH · CCN 360087 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $18,356 across 30 payers · range $8,746-$37,746

Source: https://www.lutheranhospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/351963748_lutheran-hospital_standardcharges.csv · observed 2026-07-17

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.

10,475 distinct procedures filed
98 distinct payers
1,109,171 rate rows
2026-07-17 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/lutheran
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-08
Content fingerprint caa09a77a2133048… · 27,096,470 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
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 18 $500,000.00 $4,483,344.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 18 $500,000.00 $4,986,240.00 $2,968,000.00 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 26 $500,000.00 $4,948,785.00 $2,732,812.83 nat. median
$2,467,989
1.1× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 37 $489,455.96 $2,417,184.00 $1,208,592.00 nat. median
$607,251
2.0× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 37 $500,000.00 $2,339,891.68 $1,169,945.84 nat. median
$637,620
1.8× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 37 $460,530.40 $2,217,600.00 $1,108,800.00 nat. median
$589,091
1.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $647,979.12 $649,332.07 $647,979.12 nat. median
$122,909
outlier · 5.3×
5833
APR_DRG 		Neonate With Ecmo 7 $588,944.20 $592,145.21 $588,944.20 nat. median
$244,017
outlier · 2.4×
5834
APR_DRG 		Neonate With Ecmo 7 $588,944.20 $592,145.21 $588,944.20 nat. median
$309,665
1.9× median
5832
APR_DRG 		Neonate With Ecmo 7 $558,502.30 $560,252.31 $558,502.30 nat. median
$159,829
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo 7 $558,502.30 $560,252.31 $558,502.30 nat. median
$148,245
outlier · 3.8×
24
APR_DRG 		Heart And/or Lung Transplant 7 $537,458.68 $539,796.93 $537,458.68 nat. median
$243,231
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $249,380.67 $1,028,177.21 $509,879.60 nat. median
$360,195
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $503,124.62 $509,085.45 $503,124.62 nat. median
$249,123
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $469,930.95 $472,122.14 $469,930.95 nat. median
$202,660
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $469,136.53 $474,391.48 $469,136.53 nat. median
$138,094
outlier · 3.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $396,403.43 $401,452.49 $396,403.43 nat. median
$177,531
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $393,435.20 $396,332.28 $393,435.20 nat. median
$122,016
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $378,177.99 $378,790.74 $378,177.99 nat. median
$67,440
outlier · 5.6×
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 37 $4,926.00 $859,327.20 $346,308.86 nat. median
$8,221
outlier · 42.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $333,375.47 $335,782.35 $333,375.47 nat. median
$171,358
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $332,614.53 $336,688.09 $332,614.53 nat. median
$165,334
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $191,075.02 $667,859.76 $331,044.88 nat. median
$247,805
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $328,688.97 $330,017.41 $328,688.97 nat. median
$137,215
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $317,330.38 $322,305.91 $317,330.38 nat. median
$152,569
outlier · 2.1×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $304,837.81 $305,450.56 $304,837.81 nat. median
$67,645
outlier · 4.5×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $303,870.59 $305,145.11 $303,870.59 nat. median
$121,888
outlier · 2.5×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $303,851.24 $305,111.05 $303,851.24 nat. median
$85,665
outlier · 3.5×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $302,838.59 $303,328.79 $302,838.59 nat. median
$77,137
outlier · 3.9×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $281,669.58 $322,044.45 $301,857.02 nat. median
$1
23
APR_DRG 		Heart And/or Lung Transplant 6 $295,712.02 $297,128.69 $295,712.02 nat. median
$111,079
outlier · 2.7×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 7 $294,207.35 $297,065.22 $294,207.35 nat. median
$122,978
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $294,207.35 $297,065.22 $294,207.35 nat. median
$145,336
outlier · 2.0×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $265,688.59 $298,243.74 $281,966.17 nat. median
$380,401
0.7× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $260,026.76 $300,137.85 $280,082.30 nat. median
$39,358
outlier · 7.1×
J9999
HCPCS 		Ziihera 300 Mg Intravenous Solution 30 $3,719.95 $2,520,000.00 $258,532.00 nat. median
$2,491
outlier · 103.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $250,369.68 $253,712.84 $250,369.68 nat. median
$165,846
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $245,243.37 $249,042.42 $245,243.37 nat. median
$119,800
outlier · 2.0×
22
APR_DRG 		Heart And/or Lung Transplant 6 $243,586.70 $244,635.73 $243,586.70 nat. median
$93,125
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $242,358.25 $243,868.07 $242,358.25 nat. median
$99,544
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $122,575.53 $506,259.03 $241,797.48 nat. median
$190,274
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 $123,299.14 $509,237.32 $236,435.44 nat. median
$197,664
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $235,523.02 $236,719.11 $235,523.02 nat. median
$154,211
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $228,748.68 $230,890.85 $228,748.68 nat. median
$82,146
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $227,390.60 $228,405.32 $227,390.60 nat. median
$165,169
1.4× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $220,943.88 $222,791.93 $220,943.88 nat. median
$89,273
outlier · 2.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $219,132.78 $222,613.20 $219,132.78 nat. median
$96,980
outlier · 2.3×
21
APR_DRG 		Heart And/or Lung Transplant 6 $217,018.03 $217,802.35 $217,018.03 nat. median
$73,922
outlier · 2.9×
7
MS_DRG 		Lung Transplant 27 $74,787.40 $655,326.02 $214,107.89 nat. median
$117,943
1.8× median
63052
CPT 		Lam Facetc/frmt Arthrd Lum 1 23 $203.23 $417,810.46 $211,690.63 nat. median
$2,359
outlier · 89.7×

Other procedures at this hospital

Browse this hospital's 10,475 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 21 18 — — $500,000.00 $4,483,344.00 $3,286,000.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 22 18 — — $500,000.00 $4,986,240.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 44 26 — $4,972,500.00 $500,000.00 $4,948,785.00 $2,732,812.83 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 62 37 $2,417,184.00 $1,571,169.60 35% off $489,455.96 $2,417,184.00 $1,208,592.00 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 62 37 $2,339,891.68 $1,520,929.59 35% off $500,000.00 $2,339,891.68 $1,169,945.84 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 62 37 $2,217,600.00 $1,441,440.00 35% off $460,530.40 $2,217,600.00 $1,108,800.00 2025-06-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 7 — — $647,979.12 $649,332.07 $647,979.12 2026-07-17
5833 APR_DRG Neonate With Ecmo 11 7 — — $588,944.20 $592,145.21 $588,944.20 2026-07-17
5834 APR_DRG Neonate With Ecmo 11 7 — — $588,944.20 $592,145.21 $588,944.20 2026-07-17
5832 APR_DRG Neonate With Ecmo 11 7 — — $558,502.30 $560,252.31 $558,502.30 2026-07-17
5831 APR_DRG Neonate With Ecmo 11 7 — — $558,502.30 $560,252.31 $558,502.30 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 11 7 — — $537,458.68 $539,796.93 $537,458.68 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 30 — — $249,380.67 $1,028,177.21 $509,879.60 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 7 — — $503,124.62 $509,085.45 $503,124.62 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 11 7 — — $469,930.95 $472,122.14 $469,930.95 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 7 — — $469,136.53 $474,391.48 $469,136.53 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 7 — — $396,403.43 $401,452.49 $396,403.43 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 7 — — $393,435.20 $396,332.28 $393,435.20 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 7 — — $378,177.99 $378,790.74 $378,177.99 2026-07-17
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 63 37 $859,327.20 $558,562.68 35% off $4,926.00 $859,327.20 $346,308.86 2025-06-28
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 — — $333,375.47 $335,782.35 $333,375.47 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 7 — — $332,614.53 $336,688.09 $332,614.53 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 28 — — $191,075.02 $667,859.76 $331,044.88 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 — — $328,688.97 $330,017.41 $328,688.97 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 7 — — $317,330.38 $322,305.91 $317,330.38 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 7 — — $304,837.81 $305,450.56 $304,837.81 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 11 7 — — $303,870.59 $305,145.11 $303,870.59 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 11 7 — — $303,851.24 $305,111.05 $303,851.24 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 11 7 — — $302,838.59 $303,328.79 $302,838.59 2026-07-17
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $281,669.58 $322,044.45 $301,857.02 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 9 6 — — $295,712.02 $297,128.69 $295,712.02 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 11 7 — — $294,207.35 $297,065.22 $294,207.35 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 7 — — $294,207.35 $297,065.22 $294,207.35 2026-07-17
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $265,688.59 $298,243.74 $281,966.17 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $260,026.76 $300,137.85 $280,082.30 2026-07-17
J9999 HCPCS Ziihera 300 Mg Intravenous Solution 88 30 $17,064.00 $11,091.60 35% off $3,719.95 $2,520,000.00 $258,532.00 2025-06-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 7 — — $250,369.68 $253,712.84 $250,369.68 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $245,243.37 $249,042.42 $245,243.37 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 9 6 — — $243,586.70 $244,635.73 $243,586.70 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 7 — — $242,358.25 $243,868.07 $242,358.25 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 30 — — $122,575.53 $506,259.03 $241,797.48 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 30 — — $123,299.14 $509,237.32 $236,435.44 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 7 — — $235,523.02 $236,719.11 $235,523.02 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $228,748.68 $230,890.85 $228,748.68 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 7 — — $227,390.60 $228,405.32 $227,390.60 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 — — $220,943.88 $222,791.93 $220,943.88 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $219,132.78 $222,613.20 $219,132.78 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 9 6 — — $217,018.03 $217,802.35 $217,018.03 2026-07-17
7 MS_DRG Lung Transplant 39 27 — — $74,787.40 $655,326.02 $214,107.89 2026-07-17
63052 CPT Lam Facetc/frmt Arthrd Lum 1 42 23 $464,233.84 $139,270.15 70% off $203.23 $417,810.46 $211,690.63 2026-07-17
63053 CPT Lam Factc/frmt Arthrd Lum Ea 42 23 $464,233.84 $139,270.15 70% off $180.98 $417,810.46 $211,690.63 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 7 — — $199,957.70 $201,830.26 $199,957.70 2026-07-17
61783 CPT Scan Proc Spinal 43 24 $437,340.15 $131,202.05 70% off $181.91 $393,606.14 $199,427.11 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 9 6 — — $198,437.33 $199,653.02 $198,437.33 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 7 — — $191,842.30 $194,670.76 $191,842.30 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 7 — — $186,758.52 $188,479.12 $186,758.52 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 7 — — $181,159.91 $182,581.49 $181,159.91 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 — — $180,772.13 $181,247.62 $180,772.13 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 7 — — $180,120.92 $181,047.40 $180,120.92 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $172,990.93 $176,108.60 $172,990.93 2026-07-17
63 APR_DRG Pancreas Transplant 9 6 — — $171,455.28 $171,935.68 $171,455.28 2026-07-17
64 APR_DRG Pancreas Transplant 9 6 — — $171,455.28 $171,935.68 $171,455.28 2026-07-17
62 APR_DRG Pancreas Transplant 9 6 — — $171,455.28 $171,935.68 $171,455.28 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 7 — — $169,641.18 $171,371.59 $169,641.18 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 7 — — $167,555.65 $169,746.85 $167,555.65 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $166,227.07 $167,879.04 $166,227.07 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 6 — — $166,222.61 $167,536.35 $166,222.61 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 6 — — $166,061.36 $167,252.55 $166,061.36 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 30 — — $79,991.84 $330,988.51 $163,847.07 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 7 — — $157,422.04 $160,088.73 $157,422.04 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $153,859.46 $156,741.83 $153,859.46 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 7 — — $152,229.56 $154,406.05 $152,229.56 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 7 — — $151,921.76 $153,475.70 $151,921.76 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 7 — — $150,780.11 $151,466.39 $150,780.11 2026-07-17
8634 APR_DRG Neonatal Aftercare 11 7 — — $150,117.29 $151,597.70 $150,117.29 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 7 — — $149,016.91 $150,801.24 $149,016.91 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 7 — — $147,993.49 $150,459.19 $147,993.49 2026-07-17
0812 RC — 85 23 $308,605.00 $104,151.96 66% off $71,459.82 $308,605.00 $144,655.50 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 11 7 — — $143,859.47 $145,060.46 $143,859.47 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 7 — — $142,378.87 $142,805.34 $142,378.87 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 7 — — $141,031.91 $142,051.52 $141,031.91 2026-07-17
0811 RC — 42 23 $289,311.00 $104,151.96 64% off $71,459.82 $289,311.00 $140,315.83 2026-07-17
4404 APR_DRG Kidney Transplant 11 7 — — $140,057.84 $141,185.30 $140,057.84 2026-07-17
4403 APR_DRG Kidney Transplant 11 7 — — $138,967.79 $139,266.81 $138,967.79 2026-07-17
4402 APR_DRG Kidney Transplant 11 7 — — $138,883.94 $139,119.24 $138,883.94 2026-07-17
4401 APR_DRG Kidney Transplant 11 7 — — $138,825.89 $139,017.07 $138,825.89 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 11 7 — — $138,009.22 $139,136.68 $138,009.22 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $135,568.66 $138,127.50 $135,568.66 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 27 — — $81,588.96 $271,099.20 $135,549.60 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $134,562.75 $136,876.49 $134,562.75 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 7 — — $134,367.74 $136,122.66 $134,367.74 2026-07-17
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 7 — — $134,367.74 $136,122.66 $134,367.74 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 7 — — $133,236.70 $133,947.49 $133,236.70 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 11 7 — — $132,125.87 $132,919.99 $132,125.87 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 7 — — $131,273.94 $132,156.30 $131,273.94 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 7 — — $131,271.86 $132,026.77 $131,271.86 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 7 — — $127,924.41 $129,679.32 $127,924.41 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 7 — — $127,924.41 $129,679.32 $127,924.41 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 7 — — $127,441.76 $128,250.59 $127,441.76 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 7 — — $125,385.71 $126,361.21 $125,385.71 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 11 7 — — $124,923.91 $126,257.25 $124,923.91 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 44 30 — — $52,103.82 $260,220.02 $123,877.74 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 27 — — $59,543.14 $246,823.61 $123,411.81 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 9 6 — — $122,893.92 $124,045.89 $122,893.92 2026-07-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 7 — — $122,184.42 $122,797.17 $122,184.42 2026-07-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 — — $120,077.11 $120,469.27 $120,077.11 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 7 — — $119,929.30 $120,355.77 $119,929.30 2026-07-17
1784 APR_DRG External Heart Assist Systems 11 7 — — $118,390.37 $118,802.14 $118,390.37 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 7 — — $116,133.18 $117,113.58 $116,133.18 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 7 — — $115,963.34 $118,870.23 $115,963.34 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 7 — — $115,169.99 $117,473.93 $115,169.99 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 7 — — $114,623.02 $115,539.69 $114,623.02 2026-07-17
8633 APR_DRG Neonatal Aftercare 11 7 — — $113,807.97 $115,224.65 $113,807.97 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 11 7 — — $113,743.82 $114,327.16 $113,743.82 2026-07-17
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 7 — — $112,777.42 $113,806.84 $112,777.42 2026-07-17
49327 CPT Lap Ins Device For Rt 54 30 $283,139.80 $84,941.94 70% off $104.73 $254,825.82 $112,519.76 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 7 — — $112,195.05 $114,469.57 $112,195.05 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 11 7 — — $111,911.47 $113,151.68 $111,911.47 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 11 7 — — $111,739.26 $112,499.07 $111,739.26 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 42 30 — — $60,792.67 $273,655.62 $111,365.63 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 11 7 — — $111,363.86 $112,363.87 $111,363.86 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 7 — — $111,276.39 $112,099.92 $111,276.39 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 7 — — $111,053.89 $111,715.66 $111,053.89 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 11 7 — — $110,819.19 $111,500.57 $110,819.19 2026-07-17
215 MS_DRG Other Heart Assist System Implant 45 30 — — $57,501.67 $238,421.09 $110,263.82 2026-07-17
58575 CPT Laps Tot Hyst Resj Mal 43 24 $241,714.42 $72,514.33 70% off $1,622.59 $217,542.98 $110,221.78 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $109,899.76 $111,997.81 $109,899.76 2026-07-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 7 — — $109,627.95 $109,951.48 $109,627.95 2026-07-17
J2350 HCPCS 50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Soln 58 31 $273,646.24 $82,093.87 70% off $59.32 $246,281.62 $108,747.02 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 30 — — $56,495.67 $234,280.54 $108,334.73 2026-07-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 11 7 — — $107,954.58 $108,876.15 $107,954.58 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $104,674.53 $106,561.80 $104,674.53 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 11 7 — — $104,651.81 $105,161.61 $104,651.81 2026-07-17
1814 APR_DRG Lower Extremity Arterial Procedures 11 7 — — $103,777.96 $104,537.77 $103,777.96 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 7 — — $102,054.57 $102,927.13 $102,054.57 2026-07-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 11 7 — — $101,277.72 $102,101.25 $101,277.72 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 7 — — $101,038.94 $101,205.61 $101,038.94 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 11 7 — — $100,576.91 $101,478.88 $100,576.91 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $98,064.99 $99,795.40 $98,064.99 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 30 — — $48,529.64 $201,493.03 $98,027.31 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 7 — — $97,549.52 $98,152.47 $97,549.52 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 7 — — $97,374.00 $99,668.13 $97,374.00 2026-07-17
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $90,646.31 $104,039.81 $97,343.06 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 11 7 — — $97,069.40 $97,858.63 $97,069.40 2026-07-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 11 7 — — $97,040.10 $97,731.28 $97,040.10 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 7 — — $96,948.30 $98,918.90 $96,948.30 2026-07-17
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 11 7 — — $96,872.40 $97,436.13 $96,872.40 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 7 — — $96,758.04 $97,267.84 $96,758.04 2026-07-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 7 — — $96,758.04 $97,267.84 $96,758.04 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 7 — — $96,758.04 $97,267.84 $96,758.04 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 40 28 — — $31,105.63 $287,407.35 $96,376.71 2026-07-17
6904 APR_DRG Acute Leukemia 11 7 — — $95,802.54 $96,660.39 $95,802.54 2026-07-17
6903 APR_DRG Acute Leukemia 11 7 — — $95,802.54 $96,660.39 $95,802.54 2026-07-17
58548 CPT Lap Radical Hyst 43 24 $209,497.41 $62,849.22 70% off $1,578.79 $188,547.67 $95,530.82 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 7 — — $94,985.80 $96,760.32 $94,985.80 2026-07-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 7 — — $94,520.97 $94,947.45 $94,520.97 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 30 — — $48,682.67 $202,122.91 $93,768.09 2026-07-17
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $93,687.08 $95,177.29 $93,687.08 2026-07-17
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 11 7 — — $93,332.37 $94,121.59 $93,332.37 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 30 — — $45,442.32 $188,785.92 $93,268.30 2026-07-17
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 7 — — $93,047.62 $93,802.53 $93,047.62 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $92,323.37 $93,342.99 $92,323.37 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 11 7 — — $92,232.30 $92,972.50 $92,232.30 2026-07-17
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 7 — — $90,448.37 $90,575.83 $90,448.37 2026-07-17
1783 APR_DRG External Heart Assist Systems 11 7 — — $90,339.64 $90,633.76 $90,339.64 2026-07-17
234 APR_DRG Spinal Procedures 11 7 — — $90,204.57 $90,939.87 $90,204.57 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 30 — — $44,342.18 $184,257.86 $89,912.89 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 7 — — $89,298.56 $89,842.68 $89,298.56 2026-07-17
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $82,581.98 $95,178.45 $88,880.21 2026-07-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 7 — — $88,620.13 $88,767.19 $88,620.13 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 7 — — $88,491.13 $88,540.15 $88,491.13 2026-07-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 7 — — $87,793.50 $88,352.33 $87,793.50 2026-07-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 11 7 — — $87,568.42 $88,137.05 $87,568.42 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 30 — — $44,004.93 $182,869.80 $86,805.90 2026-07-17
10 MS_DRG Pancreas Transplant 39 27 — — $41,439.67 $172,311.37 $86,155.68 2026-07-17
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 11 7 — — $85,912.30 $86,520.15 $85,912.30 2026-07-17
1794 APR_DRG Defibrillator Implants 11 7 — — $85,673.79 $86,139.48 $85,673.79 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 11 7 — — $85,568.88 $86,367.91 $85,568.88 2026-07-17
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 63 37 $175,562.52 $114,115.64 35% off $38,974.88 $175,562.52 $85,323.38 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 30 — — $44,151.03 $183,471.09 $84,662.94 2026-07-17
274 APR_DRG Other Open Craniotomy 11 7 — — $84,403.30 $85,266.05 $84,403.30 2026-07-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 11 7 — — $83,239.52 $83,778.74 $83,239.52 2026-07-17
294 APR_DRG Other Percutaneous Intracranial Procedures 11 7 — — $81,963.38 $82,674.17 $81,963.38 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 30 — — $39,719.87 $165,232.84 $81,578.31 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 30 — — $41,178.06 $171,234.63 $81,229.51 2026-07-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 11 7 — — $80,814.58 $81,780.27 $80,814.58 2026-07-17
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 6 — — $80,603.23 $81,377.74 $80,603.23 2026-07-17
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 6 — — $80,551.63 $81,286.93 $80,551.63 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 7 — — $79,950.34 $81,156.23 $79,950.34 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 43 30 — — $45,637.42 $176,973.88 $79,697.55 2026-07-17
6902 APR_DRG Acute Leukemia 11 7 — — $79,314.45 $79,883.08 $79,314.45 2026-07-17
4414 APR_DRG Major Bladder Procedures 11 7 — — $79,252.26 $79,963.05 $79,252.26 2026-07-17
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 63 37 $196,608.00 $127,795.20 35% off $214.76 $196,608.00 $79,233.02 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 30 — — $39,915.64 $166,038.63 $78,739.23 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 7 — — $78,591.47 $81,532.67 $78,591.47 2026-07-17
1214 APR_DRG Other Respiratory And Chest Procedures 11 7 — — $78,448.14 $79,129.52 $78,448.14 2026-07-17
213 APR_DRG Open Craniotomy Except Trauma 11 7 — — $78,298.23 $78,881.57 $78,298.23 2026-07-17
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 7 — — $78,058.12 $78,499.30 $78,058.12 2026-07-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 11 7 — — $77,900.70 $78,827.18 $77,900.70 2026-07-17
49618 CPT Rpr Aa Hrn Rcr > 10 Ncr/strn 53 29 $154,981.53 $46,494.46 70% off $1,019.09 $139,483.38 $77,490.76 2026-07-17
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 11 7 — — $77,121.40 $77,768.46 $77,121.40 2026-07-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 7 — — $76,940.27 $78,626.56 $76,940.27 2026-07-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 7 — — $76,935.52 $77,322.78 $76,935.52 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 30 — — $38,872.10 $161,743.51 $76,680.69 2026-07-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 11 7 — — $76,544.35 $77,255.14 $76,544.35 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 30 — — $37,160.39 $167,394.08 $76,349.73 2026-07-17
215 OTHER Other Heart Assist System Implant 2 2 — — $71,161.93 $81,520.27 $76,341.10 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 11 7 — — $76,239.22 $77,057.85 $76,239.22 2026-07-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $71,395.74 $80,974.58 $76,185.16 2026-07-17
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $75,527.18 $76,870.33 $75,527.18 2026-07-17
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 11 7 — — $75,266.96 $75,806.18 $75,266.96 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 30 — — $35,350.51 $222,265.69 $74,698.58 2026-07-17
3084 APR_DRG Hip And Femur Fracture Repair 11 7 — — $74,569.02 $75,093.53 $74,569.02 2026-07-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 11 7 — — $74,455.37 $74,680.86 $74,455.37 2026-07-17
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 62 37 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $74,124.43 2025-06-28
1782 APR_DRG External Heart Assist Systems 11 7 — — $73,715.50 $73,891.97 $73,715.50 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 42 30 — — $35,838.64 $147,130.17 $73,565.09 2026-07-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 7 — — $72,944.62 $73,385.80 $72,944.62 2026-07-17
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 63 37 $180,000.00 $117,000.00 35% off $773.80 $180,000.00 $72,900.00 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 30 — — $37,972.36 $158,040.24 $72,814.87 2026-07-17
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 11 7 — — $71,827.10 $72,282.98 $71,827.10 2026-07-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 7 — — $71,420.76 $72,891.36 $71,420.76 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 28 — — $34,244.02 $142,694.78 $71,347.39 2026-07-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 11 7 — — $70,758.66 $71,459.64 $70,758.66 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 70 42 $215,087.42 $64,526.23 70% off $19,308.00 $193,578.68 $70,634.70 2026-07-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 11 7 — — $70,195.10 $70,690.20 $70,195.10 2026-07-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 7 — — $70,070.79 $71,311.00 $70,070.79 2026-07-17
22846 CPT Insert Spine Fixation Device 54 30 $176,170.21 $52,851.06 70% off $594.62 $158,553.19 $70,010.04 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 30 — — $35,391.51 $147,417.72 $69,814.73 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $65,024.29 $74,421.33 $69,722.81 2026-07-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 11 7 — — $69,722.43 $70,242.04 $69,722.43 2026-07-17
22853 CPT Insj Biomechanical Device 43 24 $152,662.87 $45,798.86 70% off $202.60 $137,396.58 $69,614.27 2026-07-17
20930 CPT Spinal Bone Allograft 41 22 $151,680.44 $45,504.13 70% off $397.89 $136,512.40 $69,166.28 2026-07-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $69,137.09 $70,529.25 $69,137.09 2026-07-17
6953 APR_DRG Chemotherapy For Acute Leukemia 11 7 — — $69,037.41 $69,557.03 $69,037.41 2026-07-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 7 — — $68,755.81 $70,540.14 $68,755.81 2026-07-17
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 11 7 — — $68,672.66 $69,265.80 $68,672.66 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 44 30 — — $34,697.93 $144,563.01 $68,446.55 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 44 30 — — $34,688.11 $144,522.59 $68,417.19 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 30 — — $33,092.48 $137,955.12 $68,039.68 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 30 — — $35,011.51 $145,853.73 $67,986.66 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 30 — — $34,436.90 $143,488.67 $67,931.63 2026-07-17
1793 APR_DRG Defibrillator Implants 11 7 — — $67,549.46 $67,922.01 $67,549.46 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 37 26 — — $40,353.12 $177,582.12 $67,483.67 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 30 — — $33,869.22 $141,152.16 $66,811.80 2026-07-17
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 7 — — $66,705.33 $67,979.85 $66,705.33 2026-07-17
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 7 — — $66,541.14 $66,889.18 $66,541.14 2026-07-17
43845 CPT Gastroplasty Duodenal Switch 43 24 $145,689.67 $43,706.90 70% off $1,646.59 $131,120.70 $66,434.49 2026-07-17
233 APR_DRG Spinal Procedures 11 7 — — $66,407.89 $66,814.76 $66,407.89 2026-07-17
2244 APR_DRG Peritoneal Adhesiolysis 11 7 — — $66,397.62 $67,074.09 $66,397.62 2026-07-17
734 APR_DRG Orbit And Eye Procedures 11 7 — — $66,312.82 $67,106.95 $66,312.82 2026-07-17
293 APR_DRG Other Percutaneous Intracranial Procedures 11 7 — — $66,238.49 $66,493.40 $66,238.49 2026-07-17
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 11 7 — — $66,086.72 $66,611.23 $66,086.72 2026-07-17
1804 APR_DRG Other Circulatory System Procedures 11 7 — — $65,886.11 $66,518.47 $65,886.11 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 30 — — $31,895.32 $133,027.69 $65,594.08 2026-07-17
264 APR_DRG Other Nervous System And Related Procedures 11 7 — — $65,432.59 $66,050.24 $65,432.59 2026-07-17
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 63 37 $162,031.92 $105,320.75 35% off $339.03 $162,031.92 $65,298.86 2025-06-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 7 — — $65,226.10 $65,662.38 $65,226.10 2026-07-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 11 7 — — $65,179.74 $65,689.55 $65,179.74 2026-07-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 11 7 — — $65,173.95 $65,860.23 $65,173.95 2026-07-17
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 11 7 — — $65,116.56 $65,498.92 $65,116.56 2026-07-17
2804 APR_DRG Alcoholic Liver Disease 11 7 — — $65,080.29 $65,658.73 $65,080.29 2026-07-17
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $60,429.72 $69,569.56 $64,999.64 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 30 — — $33,891.17 $141,242.42 $64,988.88 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 30 — — $32,914.61 $137,223.06 $64,928.70 2026-07-17
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 7 — — $64,851.31 $65,694.46 $64,851.31 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 30 — — $31,497.43 $131,390.04 $64,781.26 2026-07-17
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 7 — — $64,275.23 $65,446.81 $64,275.23 2026-07-17
2234 APR_DRG Other Small And Large Bowel Procedures 11 7 — — $64,136.78 $64,823.06 $64,136.78 2026-07-17
G0269 HCPCS Occlusive Device In Vein Art 40 21 $137,224.73 $41,167.42 70% off $2,161.00 $123,502.26 $63,946.73 2026-07-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 11 7 — — $63,841.42 $64,228.68 $63,841.42 2026-07-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 11 7 — — $63,777.03 $64,585.86 $63,777.03 2026-07-17
8632 APR_DRG Neonatal Aftercare 11 7 — — $63,739.24 $64,768.66 $63,739.24 2026-07-17
C2624 HCPCS 4067274 Wireless Press SENS[Omnicell Cath Lab] 94 26 $147,692.00 $44,307.60 70% off $13,933.20 $132,922.80 $63,535.39 2026-07-17
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 11 7 — — $63,495.98 $63,961.67 $63,495.98 2026-07-17
1781 APR_DRG External Heart Assist Systems 11 7 — — $63,427.05 $63,510.38 $63,427.05 2026-07-17
913 APR_DRG Other Major Head And Neck Procedures 11 7 — — $63,111.68 $63,582.27 $63,111.68 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 30 — — $30,571.70 $127,579.80 $62,890.15 2026-07-17
2614 APR_DRG Major Biliary Tract Procedures 11 7 — — $62,708.61 $63,326.26 $62,708.61 2026-07-17
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 7 — — $62,661.22 $63,072.99 $62,661.22 2026-07-17
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 11 7 — — $62,534.12 $62,926.28 $62,534.12 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 30 — — $31,592.14 $131,779.89 $62,319.94 2026-07-17
403 APR_DRG Spinal Disorders And Injuries 11 7 — — $62,277.48 $63,287.29 $62,277.48 2026-07-17
404 APR_DRG Spinal Disorders And Injuries 11 7 — — $62,277.48 $63,287.29 $62,277.48 2026-07-17
58578 CPT Laparo Proc, Uterus 81 48 $171,152.15 $51,345.65 70% off $7,143.85 $154,036.93 $62,128.23 2026-07-17
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 11 7 — — $61,869.17 $62,472.11 $61,869.17 2026-07-17
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 63 37 $153,417.60 $99,721.44 35% off $112.14 $153,417.60 $61,827.29 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 44 30 — — $30,009.21 $129,788.33 $61,741.10 2026-07-17
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 7 — — $61,660.06 $62,684.57 $61,660.06 2026-07-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 11 7 — — $61,559.03 $62,220.80 $61,559.03 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 11 7 — — $61,349.82 $62,403.75 $61,349.82 2026-07-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 — — $60,936.37 $61,500.10 $60,936.37 2026-07-17
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 7 — — $60,877.12 $61,068.30 $60,877.12 2026-07-17
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 7 — — $60,862.60 $61,480.25 $60,862.60 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 45 30 — — $31,547.09 $131,594.48 $60,493.94 2026-07-17
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 70 42 $186,599.71 $55,979.91 70% off $12,945.00 $167,939.74 $60,448.98 2026-07-17
2314 APR_DRG Major Large Bowel Procedures 11 7 — — $60,388.22 $61,000.97 $60,388.22 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 30 — — $30,470.63 $127,163.89 $60,227.91 2026-07-17
4034 APR_DRG Procedures For Obesity 11 7 — — $60,156.30 $60,671.01 $60,156.30 2026-07-17
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 11 7 — — $60,046.08 $60,761.78 $60,046.08 2026-07-17
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