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

MEDINA HOSPITAL

Medina, OH · CCN 360091 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST

This hospital’s price: $1,150 across 39 payers · range $280-$2,839

Source: https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/medina · observed 2025-06-28

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.

23,599 distinct procedures filed
39 distinct payers
1,387,406 rate rows
2025-06-28 last MRF observed · ⚠ 16 mo old
Data quality

910,595 of 1,387,406 rate rows are consumer-grade (65.6%)

476,811 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 413,576
per-diem day rate — not a per-procedure price 42,703
placeholder amount (≤ $0.02) — excluded from medians 9,785
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,239
percent-of-charges filed in the dollar field — excluded from medians 878
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 334
exceeds 10× this hospital's gross charge — excluded from medians 293
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old.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://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/medina
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 3149dfb773cc04be… · 25,290,798 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $3,672,900.00 $4,040,190.00 $3,672,900.00 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 16 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $3,325,454.76 $3,658,000.24 $3,325,454.76 nat. median
$3,324,572
1.0× median
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 $4,704,000.00 $2,968,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 26 $500,000.00 $4,948,785.00 $2,627,475.65 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 19 $500,000.00 $4,276,800.00 $2,338,160.00 nat. median
$2,401,960
1.0× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 34 $500,000.00 $2,848,960.04 $1,408,109.50 nat. median
$738,272
1.9× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 34 $500,000.00 $2,505,866.40 $1,235,392.14 nat. median
$646,415
1.9× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 34 $489,455.96 $2,417,184.00 $1,191,671.71 nat. median
$608,101
2.0× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 34 $500,000.00 $2,339,891.68 $1,153,566.60 nat. median
$640,950
1.8× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 34 $460,530.40 $2,217,600.00 $1,093,276.80 nat. median
$591,650
1.8× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $785,835.12 $785,835.12 $785,835.12 nat. median
$809,217
1.0× median
005-I
OTHER 		Intestinal - Adult 2 $563,700.00 $563,700.00 $563,700.00 nat. median
$563,700
1.0× median
005-LA
OTHER 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 nat. median
$561,500
1.0× median
006-LA
OTHER 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 nat. median
$561,500
1.0× median
005-LP
OTHER 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 nat. median
$560,500
1.0× median
006-LP
OTHER 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 nat. median
$560,500
1.0× median
005-DA
OTHER 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 nat. median
$486,600
1.0× median
006-DA
OTHER 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 nat. median
$486,600
1.0× median
014-U
OTHER 		Allogeneic Unrelated Bmt ? Adult & Pediatric 2 $481,200.00 $481,200.00 $481,200.00 nat. median
$288,536
1.7× median
005-DP
OTHER 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 nat. median
$471,700
1.0× median
006-DP
OTHER 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 nat. median
$471,700
1.0× median
003-P
OTHER 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 nat. median
$444,900
1.0× median
002-P
OTHER 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 nat. median
$357,576
1.2× median
007-D
OTHER 		Lung (Double) - Adult 2 $433,900.00 $433,900.00 $433,900.00 nat. median
$433,900
1.0× median
007-S
OTHER 		Lung (Single) - Adult 2 $428,300.00 $428,300.00 $428,300.00 nat. median
$428,300
1.0× median
014-R
OTHER 		Allogeneic Related Bmt ? Adult & Pediatric 2 $428,000.00 $428,000.00 $428,000.00 nat. median
$403,789
1.1× median
002-A
OTHER 		Heart - Adult 2 $361,500.00 $361,500.00 $361,500.00 nat. median
$333,282
1.1× median
001-A
OTHER 		Heart - Adult 3 $36,400.00 $361,500.00 $361,500.00 nat. median
$333,282
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $283,743.77 $283,743.77 $283,743.77 nat. median
$459,112
0.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 $244,544.98 $584,548.40 $251,881.33 nat. median
$359,358
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $184,812.76 $197,372.85 $191,989.95 nat. median
$247,214
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $182,654.60 $436,608.65 $188,134.24 nat. median
$249,124
0.8× median
5834
APR_DRG 		Neonate With Ecmo 8 $178,779.19 $190,929.23 $185,722.07 nat. median
$307,273
0.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $178,779.19 $190,929.23 $185,722.07 nat. median
$244,017
0.8× median
651-C
OTHER 		Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 nat. median
$185,100
1.0× median
652-C
OTHER 		Kidney Transplant - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 nat. median
$185,100
1.0× median
650-C
OTHER 		Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 nat. median
$185,100
1.0× median
5831
APR_DRG 		Neonate With Ecmo 8 $170,055.35 $181,612.51 $176,659.44 nat. median
$146,591
1.2× median
5832
APR_DRG 		Neonate With Ecmo 8 $170,055.35 $181,612.51 $176,659.44 nat. median
$159,249
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $169,396.52 $180,908.90 $175,975.02 nat. median
$202,993
0.9× median
651-D
OTHER 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 nat. median
$175,300
1.0× median
650-D
OTHER 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 nat. median
$175,300
1.0× median
652-D
OTHER 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 nat. median
$175,300
1.0× median
651-LD
OTHER 		Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 nat. median
$170,100
1.0× median
652-LD
OTHER 		Kidney Transplant - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 nat. median
$170,100
1.0× median
650-LD
OTHER 		Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 nat. median
$170,100
1.0× median
650-L
OTHER 		Kidney ( Live Donor) - Adult & Pediatric 2 $161,100.00 $161,100.00 $161,100.00 nat. median
$161,100
1.0× median
651-L
OTHER 		Kidney ( Live Donor) - Adult & Pediatric 2 $161,100.00 $161,100.00 $161,100.00 nat. median
$161,100
1.0× median

Other procedures at this hospital

Browse this hospital's 23,599 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 19 16 — — $3,672,900.00 $4,040,190.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 19 16 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 16 — — $3,325,454.76 $3,658,000.24 $3,325,454.76 2025-06-28
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 23 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 24 18 — — $500,000.00 $4,704,000.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 43 26 — $4,972,500.00 $500,000.00 $4,948,785.00 $2,627,475.65 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 30 19 — — $500,000.00 $4,276,800.00 $2,338,160.00 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 94 34 $2,848,960.04 $1,851,824.03 35% off $500,000.00 $2,848,960.04 $1,408,109.50 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 58 34 $2,505,866.40 $1,628,813.16 35% off $500,000.00 $2,505,866.40 $1,235,392.14 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 58 34 $2,417,184.00 $1,571,169.60 35% off $489,455.96 $2,417,184.00 $1,191,671.71 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 58 34 $2,339,891.68 $1,520,929.59 35% off $500,000.00 $2,339,891.68 $1,153,566.60 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 58 34 $2,217,600.00 $1,441,440.00 35% off $460,530.40 $2,217,600.00 $1,093,276.80 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $785,835.12 $785,835.12 $785,835.12 2025-06-28
005-I OTHER Intestinal - Adult 2 2 — — $563,700.00 $563,700.00 $563,700.00 2025-06-28
005-LA OTHER Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
006-LA OTHER Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
005-LP OTHER Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
006-LP OTHER Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
005-DA OTHER Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
006-DA OTHER Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
014-U OTHER Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $481,200.00 $481,200.00 $481,200.00 2025-06-28
006-DP OTHER Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
005-DP OTHER Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
003-P OTHER Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
002-P OTHER Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
007-D OTHER Lung (Double) - Adult 2 2 — — $433,900.00 $433,900.00 $433,900.00 2025-06-28
007-S OTHER Lung (Single) - Adult 2 2 — — $428,300.00 $428,300.00 $428,300.00 2025-06-28
014-R OTHER Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $428,000.00 $428,000.00 $428,000.00 2025-06-28
002-A OTHER Heart - Adult 2 2 — — $361,500.00 $361,500.00 $361,500.00 2025-06-28
001-A OTHER Heart - Adult 3 3 — — $36,400.00 $361,500.00 $361,500.00 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $283,743.77 $283,743.77 $283,743.77 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 27 16 — — $244,544.98 $584,548.40 $251,881.33 2025-06-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $184,812.76 $197,372.85 $191,989.95 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 16 — — $182,654.60 $436,608.65 $188,134.24 2025-06-28
5834 APR_DRG Neonate With Ecmo 8 8 — — $178,779.19 $190,929.23 $185,722.07 2025-06-28
5833 APR_DRG Neonate With Ecmo 8 8 — — $178,779.19 $190,929.23 $185,722.07 2025-06-28
650-C OTHER Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
652-C OTHER Kidney Transplant - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
651-C OTHER Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
5831 APR_DRG Neonate With Ecmo 8 8 — — $170,055.35 $181,612.51 $176,659.44 2025-06-28
5832 APR_DRG Neonate With Ecmo 8 8 — — $170,055.35 $181,612.51 $176,659.44 2025-06-28
1614 APR_DRG Implantable Heart Assist Systems 8 8 — — $169,396.52 $180,908.90 $175,975.02 2025-06-28
651-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
650-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
652-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
650-LD OTHER Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
652-LD OTHER Kidney Transplant - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
651-LD OTHER Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
652-L OTHER Kidney (Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
650-L OTHER Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
651-L OTHER Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 16 — — $153,828.19 $367,703.40 $158,443.04 2025-06-28
24 APR_DRG Heart And/or Lung Transplant 8 8 — — $148,982.24 $159,107.25 $154,767.96 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 17 — — $41,100.00 $332,189.80 $143,140.25 2025-06-28
1613 APR_DRG Implantable Heart Assist Systems 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
1611 APR_DRG Implantable Heart Assist Systems 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
1612 APR_DRG Implantable Heart Assist Systems 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
74 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $127,351.93 $136,006.92 $132,297.64 2025-06-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $118,534.48 $126,590.22 $123,137.76 2025-06-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $115,036.80 $122,854.83 $119,504.24 2025-06-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $101,540.76 $108,441.59 $105,484.09 2025-06-28
C9150 HCPCS Xe129 Xenon, Diagnostic 5 2 — — $2,708.16 $109,824.00 $98,748.00 2025-06-28
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $97,225.26 $97,225.26 $97,225.26 2025-06-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $93,358.75 $99,703.52 $96,984.33 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 17 — — $28,700.00 $219,015.00 $94,373.35 2025-06-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $88,803.15 $94,838.32 $92,251.82 2025-06-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $88,803.15 $94,838.32 $92,251.82 2025-06-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $86,060.52 $91,909.29 $89,402.67 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 30 18 — — $12,900.00 $4,334,979.46 $88,355.64 2025-06-28
7 MS_DRG Lung Transplant 29 17 — — $26,000.00 $4,868,232.55 $87,285.66 2025-06-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $79,893.82 $85,323.50 $82,996.50 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 69 39 $175,562.52 $114,115.64 35% off $14,326.17 $175,562.52 $78,453.65 2025-06-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $73,492.38 $78,487.01 $76,346.46 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 50 33 $148,226.40 $96,347.16 35% off $722.95 $148,226.40 $74,854.33 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 16 — — $71,456.17 $4,055,315.72 $74,314.42 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 17 — — $27,200.00 $165,065.70 $71,126.64 2025-06-28
215 MS_DRG Other Heart Assist System Implant 27 16 — — $68,700.95 $164,219.40 $70,761.98 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 16 — — $13,965.00 $168,855.45 $70,640.43 2025-06-28
27879075_IP CDM Tavr Device Kit 1 1 $105,000.00 $68,250.00 35% off $70,245.00 $70,245.00 $70,245.00 2025-06-28
001-C OTHER Deep Brain Stimulation Bilateral 1 1 — — $69,100.00 $69,100.00 $69,100.00 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $17,771.00 $162,368.70 $68,945.61 2025-06-28
22 APR_DRG Heart And/or Lung Transplant 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
23 APR_DRG Heart And/or Lung Transplant 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
21 APR_DRG Heart And/or Lung Transplant 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $65,930.56 $70,411.28 $68,490.97 2025-06-28
27879075_OP CDM Tavr Device Kit 1 1 $105,000.00 $68,250.00 35% off $66,675.00 $66,675.00 $66,675.00 2025-06-28
27882225_IP CDM Sapien 3 Transcatheter Heart Valve 1 1 $97,500.00 $63,375.00 35% off $65,227.50 $65,227.50 $65,227.50 2025-06-28
73 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $62,154.78 $66,378.90 $64,568.56 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $17,771.00 $283,600.00 $62,581.61 2025-06-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $59,873.51 $63,942.58 $62,198.69 2025-06-28
27882225_OP CDM Sapien 3 Transcatheter Heart Valve 1 1 $97,500.00 $63,375.00 35% off $61,912.50 $61,912.50 $61,912.50 2025-06-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $58,903.52 $62,906.67 $61,191.03 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 26 16 — — $46,072.00 $142,784.45 $60,629.68 2025-06-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $58,255.09 $62,214.17 $60,517.42 2025-06-28
27881015_IP CDM Mitraclip System 1 1 $90,000.00 $58,500.00 35% off $60,210.00 $60,210.00 $60,210.00 2025-06-28
0454T OTHER Insj/rplcmt Subq Electrode 8 8 — — $54,037.74 $62,570.01 $59,725.92 2025-06-28
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 8 8 — — $54,037.74 $62,570.01 $59,725.92 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 68 39 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $59,596.04 2025-06-28
27879075 CDM Tavr Device Kit 41 27 $105,000.00 $68,250.00 35% off $17,503.50 $105,000.00 $58,695.00 2025-06-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 8 8 — — $56,408.78 $60,242.39 $58,599.42 2025-06-28
27881015_OP CDM Mitraclip System 1 1 $90,000.00 $58,500.00 35% off $57,150.00 $57,150.00 $57,150.00 2025-06-28
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 68 39 $131,220.00 $85,293.00 35% off $1,370.32 $131,220.00 $57,020.40 2025-06-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $54,698.21 $58,415.57 $56,822.41 2025-06-28
8514 APR_DRG Gender Related Procedures 8 8 — — $54,589.90 $58,299.89 $56,709.89 2025-06-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $53,849.93 $57,509.64 $55,941.19 2025-06-28
10 MS_DRG Pancreas Transplant 32 20 — — $10,700.00 $1,615,106.56 $55,060.65 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 16 — — $15,517.00 $131,345.45 $54,948.18 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 17 — — $13,965.00 $212,600.00 $54,917.70 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 16 — — $17,771.00 $129,279.30 $54,895.07 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 18 — — $51,403.80 $1,784,276.68 $54,745.04 2025-06-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $52,549.48 $56,120.80 $54,590.23 2025-06-28
27882225 CDM Sapien 3 Transcatheter Heart Valve 41 27 $97,500.00 $63,375.00 35% off $16,253.25 $97,500.00 $54,502.50 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 69 39 $72,000.00 $46,800.00 35% off $14,326.17 $144,556.65 $54,000.00 2025-06-28
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 61 34 $153,417.60 $99,721.44 35% off $112.14 $153,417.60 $53,696.16 2025-06-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $50,812.99 $54,266.30 $52,786.31 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 17 — — $13,965.00 $289,300.00 $52,271.41 2025-06-28
84 APR_DRG Autologous Bone Marrow Transplant 8 8 — — $49,879.27 $53,269.13 $51,816.33 2025-06-28
71 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $49,755.54 $53,136.99 $51,687.79 2025-06-28
72 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $49,755.54 $53,136.99 $51,687.79 2025-06-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 8 — — $49,542.67 $52,909.65 $51,466.66 2025-06-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $49,495.89 $52,859.69 $51,418.06 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 28 17 — — $13,965.00 $217,200.00 $50,684.68 2025-06-28
27881015 CDM Mitraclip System 41 27 $90,000.00 $58,500.00 35% off $15,003.00 $90,000.00 $50,310.00 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $13,965.00 $193,600.00 $50,173.06 2025-06-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $48,175.18 $51,449.22 $50,046.06 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 16 — — $48,400.87 $115,695.10 $49,852.90 2025-06-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $47,621.17 $50,857.57 $49,470.54 2025-06-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $45,824.39 $48,938.67 $47,603.98 2025-06-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $45,824.39 $48,938.67 $47,603.98 2025-06-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $45,667.95 $48,771.60 $47,441.47 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 17 — — $17,771.00 $269,394.00 $47,438.46 2025-06-28
J3357 HCPCS Stelara 45 Mg/0.5 Ml Subcutaneous Solution 102 39 $104,945.34 $68,214.47 35% off $155.40 $104,945.34 $47,225.38 2025-06-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $45,456.29 $48,545.55 $47,221.58 2025-06-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $45,368.54 $48,451.84 $47,130.43 2025-06-28
8634 APR_DRG Neonatal Aftercare 8 8 — — $45,302.38 $48,381.18 $47,061.69 2025-06-28
1784 APR_DRG External Heart Assist Devices 8 8 — — $45,287.27 $48,365.04 $47,046.00 2025-06-28
6904 APR_DRG Acute Leukemia 8 8 — — $45,110.18 $48,175.92 $46,862.03 2025-06-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 — — $44,842.98 $47,890.56 $46,584.45 2025-06-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $44,256.60 $47,264.33 $45,975.30 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 16 — — $13,965.00 $109,538.50 $45,825.27 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 17 — — $11,985.00 $194,500.00 $45,785.37 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 16 — — $44,277.44 $105,838.65 $45,605.76 2025-06-28
001-B OTHER Deep Brain Stimulation Unilateral 1 1 — — $45,300.00 $45,300.00 $45,300.00 2025-06-28
J2778 HCPCS Darvocet-n 50 50 Mg-325 Mg Tab 102 39 $140,400.00 $91,260.00 35% off $92.20 $140,400.00 $44,647.20 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 16 — — $43,308.67 $103,522.95 $44,607.93 2025-06-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $42,690.18 $45,591.46 $44,348.05 2025-06-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $42,268.39 $45,141.00 $43,909.88 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 68 39 $111,950.40 $72,767.76 35% off $14,326.17 $111,950.40 $43,856.57 2025-06-28
471A OTHER Bilateral Total Hip Replacement Proc. Of Lower Extremitv 1 1 — — $43,800.00 $43,800.00 $43,800.00 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 17 — — $41,935.92 $148,400.00 $43,613.36 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 16 — — $15,763.00 $103,922.85 $43,475.97 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 16 — — $13,965.00 $159,178.00 $43,235.40 2025-06-28
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 135 39 $109,584.00 $71,229.60 35% off $40.33 $109,584.00 $42,684.77 2025-06-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $41,025.80 $43,813.96 $42,619.03 2025-06-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $40,937.44 $43,719.60 $42,527.25 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 16 — — $41,009.30 $98,026.65 $42,239.58 2025-06-28
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 8 — — $40,376.49 $43,120.53 $41,944.51 2025-06-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 8 — — $40,376.49 $43,120.53 $41,944.51 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $13,965.00 $223,200.00 $41,875.62 2025-06-28
0266T OTHER Implt/rpl Crtd Sns Dev Total 27 21 — — $15,193.44 $45,888.99 $41,717.26 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 27 21 — — $15,193.44 $45,888.99 $41,717.26 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 18 — — $39,139.20 $1,120,812.31 $41,683.25 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 18 — — $39,139.20 $1,120,812.31 $41,683.25 2025-06-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 8 — — $39,714.53 $42,413.58 $41,256.85 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 16 — — $39,932.24 $95,452.10 $41,130.21 2025-06-28
6954 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $39,488.35 $42,172.02 $41,021.87 2025-06-28
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $39,337.61 $42,011.04 $40,865.28 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 16 — — $17,771.00 $95,889.20 $40,716.82 2025-06-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $39,164.73 $41,826.41 $40,685.69 2025-06-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $38,722.91 $41,354.57 $40,226.71 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 16 — — $13,965.00 $96,013.20 $40,166.98 2025-06-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $38,536.81 $41,155.82 $40,033.39 2025-06-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 8 — — $38,406.26 $41,016.39 $39,897.76 2025-06-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 8 — — $38,406.26 $41,016.39 $39,897.76 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 28 17 — — $13,965.00 $116,800.00 $39,792.83 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 16 — — $13,965.00 $94,684.85 $39,611.27 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 28 17 — — $13,965.00 $108,100.00 $39,421.92 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 17 — — $37,754.13 $207,900.00 $39,264.29 2025-06-28
224 APR_DRG Ventricular Shunt Procedures 8 8 — — $37,658.29 $40,217.60 $39,120.75 2025-06-28
83 APR_DRG Autologous Bone Marrow Transplant 8 8 — — $37,466.48 $40,012.74 $38,921.49 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 29 18 — — $13,965.00 $173,600.00 $38,846.76 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 16 — — $13,965.00 $92,214.15 $38,577.65 2025-06-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 16 — — $5,351.00 $92,144.40 $38,548.47 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 17 — — $13,965.00 $168,400.00 $38,155.52 2025-06-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 8 — — $36,448.16 $38,925.22 $37,863.62 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 28 17 — — $36,147.95 $144,700.00 $37,593.87 2025-06-28
8 MS_DRG Simultaneous Pancreas/kidney Transplant 32 20 — — $26,000.00 $1,224,682.79 $37,575.62 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 17 — — $35,841.23 $152,300.00 $37,274.88 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 17 — — $13,965.00 $158,200.00 $37,216.58 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 17 — — $13,965.00 $139,200.00 $36,994.16 2025-06-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $35,420.37 $37,827.58 $36,795.92 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 17 — — $17,771.00 $203,786.00 $36,761.52 2025-06-28
471B OTHER Bilateral Total Knee Replacement Proc. Of Low Extr 1 1 — — $36,700.00 $36,700.00 $36,700.00 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 17 — — $35,201.87 $128,400.00 $36,609.94 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 17 — — $17,771.00 $228,300.00 $36,537.11 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 17 — — $35,022.25 $188,200.00 $36,423.14 2025-06-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $34,841.94 $37,209.84 $36,195.03 2025-06-28
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 27 16 — — $34,989.18 $83,636.45 $36,038.86 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 16 — — $34,985.29 $83,627.15 $36,034.85 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 17 — — $13,965.00 $160,500.00 $35,841.23 2025-06-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $34,285.67 $36,615.77 $35,617.15 2025-06-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $34,285.67 $36,615.77 $35,617.15 2025-06-28
8633 APR_DRG Neonatal Aftercare 8 8 — — $34,226.16 $36,552.21 $35,555.33 2025-06-28
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $34,090.62 $36,407.46 $35,414.53 2025-06-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $34,066.93 $36,382.16 $35,389.92 2025-06-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $34,066.93 $36,382.16 $35,389.92 2025-06-28
C9766 HCPCS Revasc Endov W/ivl W/atherectomy Incl Angioplasty 60 34 $90,220.00 $58,643.00 35% off $7,310.00 $90,220.00 $35,343.68 2025-06-28
914 APR_DRG Other Major Head And Neck Procedures 8 8 — — $33,451.62 $35,725.03 $34,750.71 2025-06-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $33,387.92 $35,657.01 $34,684.54 2025-06-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $33,387.92 $35,657.01 $34,684.54 2025-06-28
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $33,294.71 $35,557.46 $34,587.71 2025-06-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $33,294.71 $35,557.46 $34,587.71 2025-06-28
0620T OTHER Endovascular Venous Arterialization Tibl/prnl Vn 70 39 $82,502.00 $53,626.30 35% off $6,684.04 $82,502.00 $34,555.91 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 28 17 — — $13,965.00 $158,100.00 $34,498.31 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $13,965.00 $146,600.00 $34,345.93 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 17 — — $32,934.28 $144,100.00 $34,251.65 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 17 — — $32,661.28 $159,900.00 $33,967.73 2025-06-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 8 8 — — $32,635.70 $34,853.67 $33,903.11 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 17 — — $32,468.70 $171,600.00 $33,767.45 2025-06-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $32,404.47 $34,606.72 $33,662.90 2025-06-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $32,206.19 $34,394.97 $33,456.92 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 16 — — $15,763.00 $95,704.00 $33,395.32 2025-06-28
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 69 39 $180,000.00 $117,000.00 35% off $773.80 $180,000.00 $33,336.00 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 16 — — $14,364.00 $120,149.00 $33,284.43 2025-06-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $31,969.22 $34,141.89 $33,210.75 2025-06-28
27818685_IP CDM Watchman Device Cap Ea Add 1 1 $49,500.00 $32,175.00 35% off $33,115.50 $33,115.50 $33,115.50 2025-06-28
27818680_IP CDM Watchman Device Cap 1-3 Units 1 1 $49,500.00 $32,175.00 35% off $33,115.50 $33,115.50 $33,115.50 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 17 — — $13,965.00 $120,500.00 $33,035.43 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 17 — — $11,985.00 $124,000.00 $32,916.89 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 28 16 — — $31,444.16 $1,609,905.30 $32,701.93 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 16 — — $13,965.00 $77,551.15 $32,443.41 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 17 — — $13,965.00 $185,200.00 $32,313.72 2025-06-28
1794 APR_DRG Defibrillator Implants 8 8 — — $31,103.69 $33,217.54 $32,311.60 2025-06-28
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 8 — — $30,899.68 $32,999.66 $32,099.67 2025-06-28
214 APR_DRG Open Craniotomy Except Trauma 8 8 — — $30,844.03 $32,940.23 $32,041.86 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 16 — — $30,966.26 $74,020.25 $31,895.25 2025-06-28
1204 APR_DRG Major Respiratory And Chest Procedures 8 8 — — $30,669.24 $32,753.56 $31,860.28 2025-06-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $30,590.45 $32,669.42 $31,778.43 2025-06-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 8 8 — — $30,579.93 $32,658.18 $31,767.50 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 27 16 — — $30,832.03 $73,699.40 $31,756.99 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 16 — — $30,826.20 $73,685.45 $31,750.99 2025-06-28
245 MS_DRG Aicd Generator Procedures 28 17 — — $13,965.00 $120,547.00 $31,687.97 2025-06-28
33902 HCPCS Perq P-art Revsc St 1st Abnor Connj Unilateral 69 39 $90,220.00 $58,643.00 35% off $4,651.63 $90,220.00 $31,577.00 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 17 — — $30,343.76 $112,000.00 $31,557.51 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 17 — — $13,965.00 $125,500.00 $31,496.68 2025-06-28
27818685_OP CDM Watchman Device Cap Ea Add 1 1 $49,500.00 $32,175.00 35% off $31,432.50 $31,432.50 $31,432.50 2025-06-28
27818680_OP CDM Watchman Device Cap 1-3 Units 1 1 $49,500.00 $32,175.00 35% off $31,432.50 $31,432.50 $31,432.50 2025-06-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $30,128.73 $32,176.31 $31,298.77 2025-06-28
27881005_IP CDM Watchman Device Nct 02699957 1 1 $46,750.00 $30,387.50 35% off $31,275.75 $31,275.75 $31,275.75 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 28 17 — — $29,887.90 $119,500.00 $31,083.42 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 16 — — $29,875.58 $622,206.65 $31,070.60 2025-06-28
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 137 33 $52,000.00 $33,800.00 35% off $159.22 $63,250.00 $30,774.00 2025-06-28
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 8 — — $29,537.09 $31,544.47 $30,684.17 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 28 17 — — $13,965.00 $159,600.00 $30,507.16 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 17 — — $29,255.03 $103,500.00 $30,425.23 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 17 — — $11,985.00 $117,800.00 $30,222.36 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 16 — — $13,965.00 $117,356.00 $30,164.79 2025-06-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $28,848.53 $30,809.11 $29,968.86 2025-06-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $28,848.53 $30,809.11 $29,968.86 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 16 — — $29,080.60 $69,512.85 $29,953.02 2025-06-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 8 — — $28,762.71 $30,717.46 $29,879.71 2025-06-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 8 8 — — $28,760.43 $30,715.03 $29,877.34 2025-06-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $28,704.93 $30,655.75 $29,819.68 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $13,965.00 $127,500.00 $29,780.26 2025-06-28
0571T OTHER Insj/rplcmt Icds Ss Eltrd 27 21 — — $17,299.38 $32,694.60 $29,722.37 2025-06-28
33231 HCPCS Insrt Pulse Gen W/mult Leads 27 21 — — $17,299.38 $32,694.60 $29,722.37 2025-06-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $28,607.85 $30,552.07 $29,718.83 2025-06-28
6903 APR_DRG Acute Leukemia 8 8 — — $28,582.27 $30,524.76 $29,692.26 2025-06-28
27881005_OP CDM Watchman Device Nct 02699957 1 1 $46,750.00 $30,387.50 35% off $29,686.25 $29,686.25 $29,686.25 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 27 16 — — $28,729.14 $68,672.75 $29,591.01 2025-06-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $28,421.67 $30,353.24 $29,525.42 2025-06-28
Q5128 HCPCS Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution 69 39 $97,920.00 $63,648.00 35% off $149.66 $97,920.00 $29,503.30 2025-06-28
69930 HCPCS Implant Cochlear Device 27 21 — — $7,751.22 $32,435.83 $29,487.12 2025-06-28
36836 HCPCS Perq Av Fistula Creation Uxtr Single Access 68 39 $90,220.00 $58,643.00 35% off $2,498.63 $90,220.00 $29,380.15 2025-06-28
36837 HCPCS Perq Av Fistula Creation Uxtr Sep Access Sites 68 39 $90,220.00 $58,643.00 35% off $2,498.63 $90,220.00 $29,380.15 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 16 — — $17,771.00 $68,088.40 $29,339.22 2025-06-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $28,232.53 $30,151.24 $29,328.94 2025-06-28
33264 HCPCS Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 68 39 $48,692.00 $31,649.80 35% off $5,124.00 $48,692.00 $29,215.20 2025-06-28
33249 HCPCS Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 68 39 $48,692.00 $31,649.80 35% off $7,286.00 $48,692.00 $29,215.20 2025-06-28
33270 HCPCS Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 68 39 $48,692.00 $31,649.80 35% off $5,124.00 $48,692.00 $29,215.20 2025-06-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $28,069.64 $29,977.29 $29,159.73 2025-06-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $28,020.47 $29,924.77 $29,108.64 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 17 — — $13,965.00 $135,700.00 $29,000.19 2025-06-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $27,898.04 $29,794.03 $28,981.46 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 16 — — $28,057.36 $67,066.95 $28,899.08 2025-06-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 8 — — $27,672.50 $29,553.15 $28,747.16 2025-06-28
93585 HCPCS Venography Chd Azygos/hemiazygos Venous System 50 33 $55,131.00 $35,835.15 35% off $2,266.76 $55,131.00 $28,695.68 2025-06-28
93584 HCPCS Venography Chd Anomalous/persistent Svc Nt DRG 50 33 $55,131.00 $35,835.15 35% off $2,266.76 $55,131.00 $28,695.68 2025-06-28
93587 HCPCS Venography Chd Venovenous Coltrl At/above Hrt 50 33 $55,131.00 $35,835.15 35% off $2,266.76 $55,131.00 $28,695.68 2025-06-28
93586 HCPCS Venography Chd Coronary Sinus 50 33 $55,131.00 $35,835.15 35% off $2,266.76 $55,131.00 $28,695.68 2025-06-28
93588 HCPCS Venography Chd Venovenous Collateral Below Heart 50 33 $55,131.00 $35,835.15 35% off $2,266.76 $55,131.00 $28,695.68 2025-06-28
264 APR_DRG Other Nervous System And Related Procedures 8 8 — — $27,483.96 $29,351.81 $28,551.30 2025-06-28
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