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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

ADENA REGIONAL MEDICAL CENTER

Chillicothe, OH · CCN 360159 · Rates published

15,668 distinct procedures filed
26 distinct payers
479,676 rate rows
2025-10-03 last MRF observed
Data quality

477,717 of 479,676 rate rows are consumer-grade (99.6%)

1,959 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
template filing: same amount across many unrelated codes — excluded 1,385
placeholder amount (≤ $0.02) — excluded from medians 495
exceeds 10× this hospital's gross charge — excluded from medians 55
per-diem day rate — not a per-procedure price 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10272/314379443_adena-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/machineReadable/AdenaRegionalMedicalCenter/10272
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 1d276b5745c9b671… · 535,045,074 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,377,500.00 $4,465,050.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 9 $3,710,000.00 $3,784,200.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,685,266.67 $3,758,972.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,324,571.90 $3,391,063.34 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,261,355.00 $3,326,582.10 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,950,686.67 $4,868,633.00 $2,950,686.67 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,452,115.60 $4,413,808.07 $2,452,115.60 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $2,332,000.00 $4,197,600.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $2,119,205.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $578,324.58 $1,590,392.59 $578,324.58 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $553,378.83 $1,521,791.78 $553,378.83 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $541,635.66 $1,489,498.06 $541,635.66 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $541,260.45 $1,488,466.23 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $533,076.48 $1,465,960.31 $533,076.48 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $489,720.00 $1,346,730.00 $489,720.00 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $288,059.01 $793,364.17 $384,558.78 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $215,408.26 $592,576.53 $287,570.03 nat. median
$265,286
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $271,677.38 $279,667.89 $279,667.89 nat. median
$246,434
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $262,807.95 $270,537.59 $270,537.59 nat. median
$309,665
0.9× median
5833
APR_DRG 		Neonate With Ecmo 4 $262,807.95 $270,537.59 $270,537.59 nat. median
$244,017
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $270,375.00 $743,531.25 $270,375.00 nat. median
$324,450
0.8× median
5832
APR_DRG 		Neonate With Ecmo 4 $249,983.77 $257,336.24 $257,336.24 nat. median
$156,126
1.6× median
5831
APR_DRG 		Neonate With Ecmo 4 $249,983.77 $257,336.24 $257,336.24 nat. median
$144,745
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $249,015.28 $256,339.26 $256,339.26 nat. median
$207,730
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 $181,570.08 $499,317.72 $242,396.05 nat. median
$206,474
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $219,006.01 $225,447.36 $225,447.36 nat. median
$234,729
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 14 $164,129.94 $451,357.34 $219,113.47 nat. median
$202,976
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $192,719.87 $198,388.10 $198,388.10 nat. median
$85,444
outlier · 2.3×
1611
APR_DRG 		Implantable Heart Assist Systems 4 $192,719.87 $198,388.10 $198,388.10 nat. median
$76,806
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 4 $192,719.87 $198,388.10 $198,388.10 nat. median
$119,796
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $187,209.15 $192,715.30 $192,715.30 nat. median
$187,061
1.0× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $174,260.35 $179,385.65 $179,385.65 nat. median
$34,381
outlier · 5.2×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $174,260.35 $179,385.65 $179,385.65 nat. median
$35,675
outlier · 5.0×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $174,260.35 $179,385.65 $179,385.65 nat. median
$66,693
outlier · 2.7×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $174,260.35 $179,385.65 $179,385.65 nat. median
$160,267
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $174,247.37 $179,372.29 $179,372.29 nat. median
$162,982
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $169,105.72 $174,079.42 $174,079.42 nat. median
$150,721
1.2× median
C9150
HCPCS 		Drugs 3 $132,600.00 $157,560.00 $156,000.00 nat. median
$775
outlier · 201.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $149,266.36 $153,656.55 $153,656.55 nat. median
$122,924
1.3× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $108,551.68 $298,517.12 $144,916.49 nat. median
$133,161
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 5 $111,453.52 $170,198.13 $143,236.05 nat. median
$76,329
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $137,238.69 $141,275.13 $141,275.13 nat. median
$182,665
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $100,725.25 $276,994.44 $134,468.21 nat. median
$117,357
1.1× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $130,541.90 $134,381.36 $134,381.36 nat. median
$124,573
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $130,541.90 $134,381.36 $134,381.36 nat. median
$145,336
0.9× median
7
MS_DRG 		Lung Transplant 14 $100,474.05 $276,303.64 $134,132.85 nat. median
$122,708
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $126,510.18 $130,231.07 $130,231.07 nat. median
$151,838
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 13 $129,537.50 $356,228.13 $129,537.50 nat. median
$111,989
1.2× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 26 $55,945.97 $165,999.30 $122,647.27 nat. median
$66,682
1.8× median
90288
CPT 		Botulism Ig IV 3 $121,762.50 $122,980.13 $121,762.50 nat. median
$55,037
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 15,668 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 9 — — $4,377,500.00 $4,465,050.00 $4,377,500.00 2025-10-03
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 9 — — $3,710,000.00 $3,784,200.00 $3,710,000.00 2025-10-03
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,685,266.67 $3,758,972.00 $3,685,266.67 2025-10-03
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,324,571.90 $3,391,063.34 $3,324,571.90 2025-10-03
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,261,355.00 $3,326,582.10 $3,261,355.00 2025-10-03
J3393 HCPCS Inj, Betibeglogene Autotemce 10 10 — — $2,950,686.67 $4,868,633.00 $2,950,686.67 2025-10-03
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 11 — — $2,452,115.60 $4,413,808.07 $2,452,115.60 2025-10-03
J3392 HCPCS Inj, Exagamglogene Autotem 11 11 — — $2,332,000.00 $4,197,600.00 $2,332,000.00 2025-10-03
Q2057 HCPCS Afamitresgene Autoleucel 12 12 — — $770,620.00 $2,119,205.00 $770,620.00 2025-10-03
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 12 — — $578,324.58 $1,590,392.59 $578,324.58 2025-10-03
Q2056 HCPCS Ciltacabtagene Car-pos T 12 12 — — $553,378.83 $1,521,791.78 $553,378.83 2025-10-03
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 12 — — $541,635.66 $1,489,498.06 $541,635.66 2025-10-03
Q2055 HCPCS Idecabtagene Vicleucel Car 12 12 — — $541,260.45 $1,488,466.23 $541,260.45 2025-10-03
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 12 — — $533,076.48 $1,465,960.31 $533,076.48 2025-10-03
Q2053 HCPCS Brexucabtagene Car Pos T 12 12 — — $489,720.00 $1,346,730.00 $489,720.00 2025-10-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 14 — — $288,059.01 $793,364.17 $384,558.78 2025-10-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 14 — — $215,408.26 $592,576.53 $287,570.03 2025-10-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $271,677.38 $279,667.89 $279,667.89 2025-10-03
5833 APR_DRG Neonate With Ecmo 5 4 — — $262,807.95 $270,537.59 $270,537.59 2025-10-03
5834 APR_DRG Neonate With Ecmo 5 4 — — $262,807.95 $270,537.59 $270,537.59 2025-10-03
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 12 — — $270,375.00 $743,531.25 $270,375.00 2025-10-03
5831 APR_DRG Neonate With Ecmo 5 4 — — $249,983.77 $257,336.24 $257,336.24 2025-10-03
5832 APR_DRG Neonate With Ecmo 5 4 — — $249,983.77 $257,336.24 $257,336.24 2025-10-03
1614 APR_DRG Implantable Heart Assist Systems 5 4 — — $249,015.28 $256,339.26 $256,339.26 2025-10-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 18 14 — — $181,570.08 $499,317.72 $242,396.05 2025-10-03
24 APR_DRG Heart And/or Lung Transplant 5 4 — — $219,006.01 $225,447.36 $225,447.36 2025-10-03
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 18 14 — — $164,129.94 $451,357.34 $219,113.47 2025-10-03
1611 APR_DRG Implantable Heart Assist Systems 5 4 — — $192,719.87 $198,388.10 $198,388.10 2025-10-03
1612 APR_DRG Implantable Heart Assist Systems 5 4 — — $192,719.87 $198,388.10 $198,388.10 2025-10-03
1613 APR_DRG Implantable Heart Assist Systems 5 4 — — $192,719.87 $198,388.10 $198,388.10 2025-10-03
74 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $187,209.15 $192,715.30 $192,715.30 2025-10-03
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $174,260.35 $179,385.65 $179,385.65 2025-10-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $174,260.35 $179,385.65 $179,385.65 2025-10-03
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $174,260.35 $179,385.65 $179,385.65 2025-10-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $174,260.35 $179,385.65 $179,385.65 2025-10-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $174,247.37 $179,372.29 $179,372.29 2025-10-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $169,105.72 $174,079.42 $174,079.42 2025-10-03
C9150 HCPCS Drugs 3 3 — — $132,600.00 $157,560.00 $156,000.00 2025-10-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 4 — — $149,266.36 $153,656.55 $153,656.55 2025-10-03
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 14 — — $108,551.68 $298,517.12 $144,916.49 2025-10-03
J7330 HCPCS Cultured Chondrocytes Implnt 7 5 — — $111,453.52 $170,198.13 $143,236.05 2025-10-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $137,238.69 $141,275.13 $141,275.13 2025-10-03
14 MS_DRG Allogeneic Bone Marrow Transplant 18 14 — — $100,725.25 $276,994.44 $134,468.21 2025-10-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $130,541.90 $134,381.36 $134,381.36 2025-10-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $130,541.90 $134,381.36 $134,381.36 2025-10-03
7 MS_DRG Lung Transplant 18 14 — — $100,474.05 $276,303.64 $134,132.85 2025-10-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $126,510.18 $130,231.07 $130,231.07 2025-10-03
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 13 — — $129,537.50 $356,228.13 $129,537.50 2025-10-03
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 59 26 $174,736.10 $87,368.05 50% off $55,945.97 $165,999.30 $122,647.27 2025-10-03
90288 CPT Botulism Ig IV 3 3 — — $121,762.50 $122,980.13 $121,762.50 2025-10-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $117,445.05 $120,899.32 $120,899.32 2025-10-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 14 — — $84,876.73 $233,411.01 $113,310.43 2025-10-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 14 — — $83,919.18 $230,777.75 $112,032.10 2025-10-03
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 12 — — $111,860.00 $307,615.00 $111,860.00 2025-10-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $108,034.85 $111,212.35 $111,212.35 2025-10-03
0624 RC Hc Cch Watchman Closure Delivery 44 26 $157,657.50 $78,828.75 50% off $56,441.39 $149,774.63 $110,659.80 2025-10-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 14 — — $82,058.08 $225,659.72 $109,547.54 2025-10-03
215 MS_DRG Other Heart Assist System Implant 18 14 — — $81,642.48 $224,516.82 $108,992.71 2025-10-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $80,733.64 $222,017.51 $107,779.41 2025-10-03
21 APR_DRG Heart And/or Lung Transplant 5 4 — — $97,075.17 $99,930.33 $99,930.33 2025-10-03
22 APR_DRG Heart And/or Lung Transplant 5 4 — — $97,075.17 $99,930.33 $99,930.33 2025-10-03
23 APR_DRG Heart And/or Lung Transplant 5 4 — — $97,075.17 $99,930.33 $99,930.33 2025-10-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 4 — — $96,918.86 $99,769.41 $99,769.41 2025-10-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $74,459.24 $204,762.91 $99,403.08 2025-10-03
850 MS_DRG Acute Leukemia With Other Procedures 18 14 — — $71,116.14 $195,569.39 $94,940.05 2025-10-03
73 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $91,368.42 $94,055.72 $94,055.72 2025-10-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $88,014.91 $90,603.59 $90,603.59 2025-10-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $86,589.00 $89,135.74 $89,135.74 2025-10-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $85,635.82 $88,154.52 $88,154.52 2025-10-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 14 — — $65,498.64 $180,121.26 $87,440.68 2025-10-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 14 — — $65,462.86 $180,022.87 $87,392.92 2025-10-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 14 — — $64,483.99 $177,330.97 $86,086.12 2025-10-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 4 — — $82,921.72 $85,360.59 $85,360.59 2025-10-03
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 59 26 $118,949.78 $59,474.89 50% off $117.19 $113,002.29 $83,490.85 2025-10-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 14 — — $62,356.50 $171,480.38 $83,245.93 2025-10-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $80,407.16 $82,772.08 $82,772.08 2025-10-03
8514 APR_DRG Gender Related Procedures 5 4 — — $80,247.93 $82,608.16 $82,608.16 2025-10-03
10 MS_DRG Pancreas Transplant 18 14 — — $61,685.89 $169,636.20 $82,350.67 2025-10-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 14 — — $61,338.03 $168,679.58 $81,886.27 2025-10-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $79,160.17 $81,488.41 $81,488.41 2025-10-03
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 13 13 — — $80,943.19 $222,593.77 $80,943.19 2025-10-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 14 — — $60,493.88 $166,358.17 $80,759.33 2025-10-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $59,893.31 $164,706.60 $79,957.57 2025-10-03
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 4 — — $77,248.48 $79,520.49 $79,520.49 2025-10-03
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 59 26 $113,254.62 $56,627.31 50% off $141.17 $107,591.89 $79,493.42 2025-10-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 14 — — $57,813.01 $158,985.78 $77,180.37 2025-10-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $74,695.82 $76,892.76 $76,892.76 2025-10-03
03060 EAPG Ventricular Assist Device Procedures 5 4 — — $74,489.43 $76,682.87 $76,682.87 2025-10-03
84 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $73,323.25 $75,479.82 $75,479.82 2025-10-03
72 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $73,141.35 $75,292.57 $75,292.57 2025-10-03
71 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $73,141.35 $75,292.57 $75,292.57 2025-10-03
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 4 — — $72,828.44 $74,970.45 $74,970.45 2025-10-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 4 — — $72,759.66 $74,899.65 $74,899.65 2025-10-03
C1822 HCPCS Hc Cch Nevro Spinal Cord Stim Ipg Pt Remote/charger Omnia 170 26 $115,592.40 $57,796.20 50% off $25,671.11 $128,460.55 $74,696.91 2025-10-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $55,061.35 $151,418.71 $73,495.96 2025-10-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 14 — — $54,789.62 $150,671.46 $73,129.11 2025-10-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $70,818.20 $72,901.09 $72,901.09 2025-10-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $70,003.80 $72,062.74 $72,062.74 2025-10-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 18 14 — — $53,948.50 $148,358.38 $71,993.60 2025-10-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 14 — — $52,972.69 $145,674.90 $70,676.22 2025-10-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 14 — — $52,031.85 $143,087.59 $69,406.10 2025-10-03
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $67,362.51 $69,343.76 $69,343.76 2025-10-03
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $67,362.51 $69,343.76 $69,343.76 2025-10-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 14 — — $51,835.47 $142,547.54 $69,140.98 2025-10-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 4 — — $67,132.54 $69,107.03 $69,107.03 2025-10-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 14 — — $51,749.48 $142,311.07 $69,024.87 2025-10-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $66,821.39 $68,786.73 $68,786.73 2025-10-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $66,692.40 $68,653.95 $68,653.95 2025-10-03
8634 APR_DRG Neonatal Aftercare 5 4 — — $66,595.15 $68,553.83 $68,553.83 2025-10-03
1784 APR_DRG External Heart Assist Systems 5 4 — — $66,572.93 $68,530.96 $68,530.96 2025-10-03
6904 APR_DRG Acute Leukemia 5 4 — — $66,312.61 $68,262.98 $68,262.98 2025-10-03
92941 CPT Hc Revascularize Acute Occl During Ami With Or Without Des Atherectomy Angioplasty Asp… 48 26 $96,868.23 $48,434.12 50% off $21,971.00 $92,024.82 $67,991.81 2025-10-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 4 — — $65,919.83 $67,858.64 $67,858.64 2025-10-03
0620T CPT Hc Cch Endovascular Venous Arterialization Tibl/prnl Vn 56 26 $96,251.75 $48,125.88 50% off $33,351.98 $91,717.94 $67,559.10 2025-10-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $65,057.82 $66,971.29 $66,971.29 2025-10-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 18 14 — — $50,224.06 $138,116.17 $66,965.54 2025-10-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $50,153.27 $137,921.49 $66,869.99 2025-10-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 14 — — $49,136.33 $135,124.91 $65,497.10 2025-10-03
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 15 — — $63,431.05 $181,800.00 $64,699.67 2025-10-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $62,755.18 $64,600.92 $64,600.92 2025-10-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 14 — — $48,147.56 $132,405.79 $64,162.25 2025-10-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 14 — — $48,086.67 $132,238.34 $64,080.04 2025-10-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 4 — — $62,135.13 $63,962.63 $63,962.63 2025-10-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 14 — — $47,872.02 $131,648.06 $63,790.26 2025-10-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 14 — — $47,708.36 $131,197.99 $63,569.32 2025-10-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 14 — — $47,495.24 $130,611.91 $63,281.60 2025-10-03
28 MS_DRG Spinal Procedures With Mcc 18 14 — — $47,272.97 $130,000.67 $62,981.54 2025-10-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 14 — — $46,941.10 $129,088.03 $62,533.50 2025-10-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 14 — — $46,941.10 $129,088.03 $62,533.50 2025-10-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $60,308.51 $62,082.29 $62,082.29 2025-10-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 14 — — $46,597.81 $128,143.98 $62,070.06 2025-10-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $60,178.62 $61,948.58 $61,948.58 2025-10-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $46,281.92 $127,275.28 $61,643.60 2025-10-03
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $59,354.03 $61,099.74 $61,099.74 2025-10-03
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $59,354.03 $61,099.74 $61,099.74 2025-10-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 14 — — $45,786.39 $125,912.57 $60,974.63 2025-10-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 14 — — $45,315.20 $124,616.80 $60,338.54 2025-10-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 4 — — $58,380.93 $60,098.02 $60,098.02 2025-10-03
6954 APR_DRG Chemotherapy For Acute Leukemia 5 4 — — $58,048.43 $59,755.74 $59,755.74 2025-10-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 14 — — $44,684.21 $122,881.58 $59,486.67 2025-10-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 4 — — $57,572.72 $59,266.03 $59,266.03 2025-10-03
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 59 26 $84,403.56 $42,201.78 50% off $197.65 $80,183.38 $59,242.86 2025-10-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 14 — — $44,423.12 $122,163.58 $59,134.20 2025-10-03
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 59 26 $83,798.66 $41,899.33 50% off $3,194.98 $79,608.73 $58,818.28 2025-10-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 4 — — $56,923.23 $58,597.44 $58,597.44 2025-10-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 4 — — $56,649.66 $58,315.82 $58,315.82 2025-10-03
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $56,457.74 $58,118.27 $58,118.27 2025-10-03
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $56,457.74 $58,118.27 $58,118.27 2025-10-03
653 MS_DRG Major Bladder Procedures With Mcc 18 14 — — $43,429.77 $119,431.87 $57,793.18 2025-10-03
L7181 HCPCS Electronic Elbo Simultaneous 12 12 — — $57,614.51 $158,439.90 $57,614.51 2025-10-03
92937 CPT Hc Revascularize Cabg With Or Without Des Atherectomy Angioplasty Distal Protect Sgl V… 56 26 $81,889.00 $40,944.50 50% off $10,806.43 $77,794.55 $57,477.89 2025-10-03
92943 CPT Hc Revascularize Chronic Total Occl With Or Without Non-des Atherectomy Angioplasty Sg… 72 26 $81,889.00 $40,944.50 50% off $10,806.43 $77,794.55 $57,322.30 2025-10-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 14 — — $43,069.74 $118,441.79 $57,307.12 2025-10-03
834 MS_DRG Acute Leukemia With Mcc 18 14 — — $43,069.74 $118,441.79 $57,307.12 2025-10-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $42,893.14 $117,956.14 $57,068.71 2025-10-03
224 APR_DRG Ventricular Shunt Procedures 5 4 — — $55,358.23 $56,986.41 $56,986.41 2025-10-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 14 — — $42,637.39 $117,252.82 $56,723.44 2025-10-03
83 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $55,076.26 $56,696.15 $56,696.15 2025-10-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 14 — — $42,413.61 $116,637.43 $56,421.33 2025-10-03
38240 CPT Transplt Allo Hct/donor 16 14 — — $48,993.00 $154,981.00 $56,356.73 2025-10-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 14 — — $42,319.20 $116,377.80 $56,293.90 2025-10-03
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $54,553.60 $56,158.12 $56,158.12 2025-10-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $54,553.60 $56,158.12 $56,158.12 2025-10-03
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $54,553.60 $56,158.12 $56,158.12 2025-10-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $54,553.60 $56,158.12 $56,158.12 2025-10-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 14 — — $42,108.38 $115,798.05 $56,009.27 2025-10-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 14 — — $42,069.55 $115,691.26 $55,956.86 2025-10-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 14 — — $42,064.99 $115,678.72 $55,950.70 2025-10-03
0585T CPT Laps Islet Cell Transplant 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33268 CPT Excl Laa Opn Oth Px Any Meth 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33269 CPT Excl Laa Thrscp Any Method 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33267 CPT Excl Laa Open Any Method 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
50380 CPT Rnl Autotrnsplj Rimpltj Kdn 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0586T CPT Open Islet Cell Transplant 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
50360 CPT Rnl Altrnsplj Without Rcp Nfrct 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0100T CPT Prosth Retina Receive&gen 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
G0343 HCPCS Laparotomy Islet Cell Transp 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
48554 CPT Transpl Allograft Pancreas 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
32853 CPT Lung Transplant Double 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
32854 CPT Lung Transplant With Bypass 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
32852 CPT Lung Transplant With Bypass 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
32851 CPT Lung Transplant Single 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33929 CPT Rmvl Rplcmt Hrt Sys F/trnspl 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33935 CPT Transplantation Heart/lung 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33945 CPT Transplantation Of Heart 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0426T CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33927 CPT Impltj Tot Rplcmt Hrt Sys 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33737 CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33928 CPT Rmvl & Rplcmt Tot Hrt Sys 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0431T CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0424T CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0427T CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
47135 CPT Transplantation Of Liver 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33736 CPT Revision Of Heart Chamber 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33422 CPT Revision Of Mitral Valve 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
G0342 HCPCS Laparoscopy Islet Cell Trans 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
C9746 HCPCS Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
33391 CPT Valvuloplasty Aortic Valve 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
0584T CPT Perq Islet Cell Transplant 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
93583 CPT Perq Transcath Septal Reduxn 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
50365 CPT Rnl Altrnsplj W/rcp Nfrct 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
54438 CPT Op Surgery 4 2 — — $48,993.00 $67,022.00 $55,796.00 2025-10-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 14 — — $41,493.34 $114,106.69 $55,178.96 2025-10-03
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 4 — — $53,579.30 $55,155.17 $55,155.17 2025-10-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $41,314.46 $113,614.77 $54,937.47 2025-10-03
37184 CPT Hc Primary Percutaneous Arterial Thrombectomy With Fluoro Initial Vessel 56 26 $78,022.52 $39,011.26 50% off $7,114.00 $74,121.39 $54,764.00 2025-10-03
C1882 HCPCS Dtma1d4-defibrillator Cardiac W51xh73mm D13mm 35cucm 80gm Is1 Df4 Pfz Radiopaque… 338 26 $81,046.63 $40,523.32 50% off $16,043.41 $109,826.52 $54,480.90 2025-10-03
C1767 HCPCS 3028-generator IV Pulse 296 26 $84,199.50 $42,099.75 50% off $50.62 $98,752.50 $54,433.71 2025-10-03
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 59 26 $77,501.58 $38,750.79 50% off $216.74 $73,626.50 $54,398.36 2025-10-03
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $52,068.45 $53,599.88 $53,599.88 2025-10-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 14 — — $40,198.56 $110,546.04 $53,431.00 2025-10-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 14 — — $40,068.41 $110,188.13 $53,255.29 2025-10-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 14 — — $39,776.11 $109,384.30 $52,860.68 2025-10-03
93580 CPT Hc Transcath Closure Asd With Implant 56 26 $75,276.04 $37,638.02 50% off $17,110.96 $71,512.24 $52,836.25 2025-10-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $51,218.16 $52,724.57 $52,724.57 2025-10-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 14 — — $39,657.37 $109,057.77 $52,700.38 2025-10-03
L7180 HCPCS Electronic Elbow Sequential 12 12 — — $52,277.90 $143,764.23 $52,277.90 2025-10-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 14 — — $39,336.91 $108,176.50 $52,267.76 2025-10-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 14 — — $39,110.84 $107,554.81 $51,962.57 2025-10-03
C2616 HCPCS Hc Yttrim 90 Bt Source 57 26 $74,023.12 $37,011.56 50% off $17,485.10 $70,321.96 $51,956.82 2025-10-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 14 — — $39,081.16 $107,473.19 $51,922.49 2025-10-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 14 — — $39,065.94 $107,431.34 $51,901.94 2025-10-03
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 4 — — $50,400.42 $51,882.79 $51,882.79 2025-10-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 4 — — $50,400.42 $51,882.79 $51,882.79 2025-10-03
8633 APR_DRG Neonatal Aftercare 5 4 — — $50,312.95 $51,792.74 $51,792.74 2025-10-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 14 — — $38,928.93 $107,054.56 $51,716.98 2025-10-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $50,078.88 $51,551.79 $51,551.79 2025-10-03
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $50,078.88 $51,551.79 $51,551.79 2025-10-03
245 MS_DRG Aicd Generator Procedures 18 14 — — $38,194.38 $105,034.55 $50,725.33 2025-10-03
914 APR_DRG Other Major Head And Neck Procedures 5 4 — — $49,174.36 $50,620.67 $50,620.67 2025-10-03
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $49,080.72 $50,524.27 $50,524.27 2025-10-03
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $49,080.72 $50,524.27 $50,524.27 2025-10-03
471 MS_DRG Cervical Spinal Fusion With Mcc 18 14 — — $37,969.82 $104,417.01 $50,422.18 2025-10-03
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $48,943.69 $50,383.21 $50,383.21 2025-10-03
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $48,943.69 $50,383.21 $50,383.21 2025-10-03
6 MS_DRG Liver Transplant Without Mcc 18 14 — — $37,908.19 $104,247.52 $50,338.96 2025-10-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 14 — — $37,347.20 $102,704.80 $49,581.61 2025-10-03
2004 APR_DRG Cardiac Structural And Valvular Disorders 5 4 — — $47,974.96 $49,385.98 $49,385.98 2025-10-03
799 MS_DRG Splenic Procedures With Mcc 18 14 — — $37,189.61 $102,271.43 $49,368.89 2025-10-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 — — $37,182.78 $102,252.65 $49,359.65 2025-10-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 4 — — $47,635.04 $49,036.07 $49,036.07 2025-10-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 14 — — $36,808.28 $101,222.77 $48,854.07 2025-10-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $47,343.57 $48,736.02 $48,736.02 2025-10-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 14 — — $36,616.47 $100,695.29 $48,595.12 2025-10-03
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $46,995.23 $48,377.44 $48,377.44 2025-10-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 14 — — $36,406.38 $100,117.55 $48,311.51 2025-10-03
J7310 HCPCS Other Drugs 3 3 — — $42,400.00 $48,480.00 $48,000.00 2025-10-03
33229 CPT Hc Replacement Pm Multi Lead Generator Only 56 26 $68,227.67 $34,113.84 50% off $18,172.91 $67,022.00 $47,889.00 2025-10-03
163 MS_DRG Major Chest Procedures With Mcc 18 14 — — $36,081.35 $99,223.71 $47,872.71 2025-10-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 14 — — $36,066.89 $99,183.95 $47,853.19 2025-10-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $35,954.99 $98,876.22 $47,702.13 2025-10-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 14 — — $35,949.68 $98,861.62 $47,694.94 2025-10-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 14 — — $46,247.66 $127,181.07 $47,172.61 2025-10-03
1794 APR_DRG Defibrillator Implants 5 4 — — $45,722.87 $47,067.66 $47,067.66 2025-10-03
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 59 26 $66,851.92 $33,425.96 50% off $222.68 $63,509.32 $46,923.36 2025-10-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 14 — — $35,338.44 $97,180.71 $46,869.77 2025-10-03
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 — — $45,422.98 $46,758.95 $46,758.95 2025-10-03
214 APR_DRG Open Craniotomy Except Trauma 5 4 — — $45,341.16 $46,674.73 $46,674.73 2025-10-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 14 — — $35,133.68 $96,617.62 $46,593.35 2025-10-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 14 — — $35,039.30 $96,358.08 $46,465.93 2025-10-03
1204 APR_DRG Major Respiratory And Chest Procedures 5 4 — — $45,084.22 $46,410.23 $46,410.23 2025-10-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 4 — — $44,968.40 $46,291.00 $46,291.00 2025-10-03
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 4 — — $44,952.93 $46,275.08 $46,275.08 2025-10-03
901 MS_DRG Wound Debridements For Injuries With Mcc 18 14 — — $34,721.12 $95,483.08 $46,036.39 2025-10-03
J9226 HCPCS Supprelin La Implant 20 18 — — $43,324.60 $125,291.08 $46,015.99 2025-10-03
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 59 26 $65,099.16 $32,549.58 50% off $24,228.42 $66,628.16 $45,693.10 2025-10-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 14 — — $34,434.16 $94,693.94 $45,648.99 2025-10-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $44,289.65 $45,592.29 $45,592.29 2025-10-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 18 14 — — $33,932.53 $93,314.46 $44,971.79 2025-10-03
36223 CPT Hc Place Cath Common Carotid/innominate With Angio Ipsilateral Intracranial Caroti… 56 26 $63,993.45 $31,996.73 50% off $5,151.09 $60,793.78 $44,917.00 2025-10-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 14 — — $33,864.79 $93,128.17 $44,880.33 2025-10-03
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 59 26 $63,940.81 $31,970.41 50% off $2,698.05 $60,743.77 $44,880.06 2025-10-03
37221 CPT Hc Insertion Stent Iliac Artery Initial Vessel 56 26 $63,746.30 $31,873.15 50% off $10,806.43 $60,558.99 $44,743.53 2025-10-03
247 MS_DRG Perc Cv With Drug-eluting Stent Without Mcc 4 2 — — $41,088.00 $53,710.00 $44,713.50 2025-10-03
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 4 — — $43,419.96 $44,697.02 $44,697.02 2025-10-03
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit (non-oncology) Ade 58 26 $63,009.76 $31,504.88 50% off $28,593.83 $187,164.19 $44,576.26 2025-10-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 14 — — $33,466.70 $92,033.43 $44,342.90 2025-10-03
37227 CPT Hc Atherectomy & Stent Insertion Fem/pop Artery Each Vessel 56 26 $63,127.68 $31,563.84 50% off $17,110.96 $67,022.00 $44,309.32 2025-10-03
37230 CPT Hc Insertion Stent Tibial/peroneal Artery Initial Vessel 56 26 $63,127.68 $31,563.84 50% off $17,110.96 $67,022.00 $44,309.32 2025-10-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 14 — — $33,418.75 $91,901.56 $44,278.17 2025-10-03
36906 CPT Hc Percutaneous Thrombectomy Any Method Dialysis Circuit Transcath Plcmt IV Sten… 56 26 $62,848.52 $31,424.26 50% off $17,110.96 $67,022.00 $44,113.38 2025-10-03
140 MS_DRG Major Head And Neck Procedures With Mcc 18 14 — — $33,188.88 $91,269.42 $43,967.84 2025-10-03
C1820 HCPCS 3550-05-interstim Extension Kit 212 26 $70,686.00 $35,343.00 50% off $305.98 $96,110.32 $43,825.32 2025-10-03
0266T CPT Apc 16 14 — — $42,880.98 $117,922.69 $43,738.60 2025-10-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $42,407.75 $43,655.04 $43,655.04 2025-10-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $42,407.75 $43,655.04 $43,655.04 2025-10-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 14 — — $32,895.05 $90,461.39 $43,571.17 2025-10-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 14 — — $32,887.44 $90,440.46 $43,560.90 2025-10-03
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 4 — — $42,281.60 $43,525.18 $43,525.18 2025-10-03
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 4 — — $42,278.26 $43,521.73 $43,521.73 2025-10-03
1832 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $42,196.67 $43,437.74 $43,437.74 2025-10-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $42,053.95 $43,290.83 $43,290.83 2025-10-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 14 — — $32,667.46 $89,835.52 $43,263.92 2025-10-03
6903 APR_DRG Acute Leukemia 5 4 — — $42,016.35 $43,252.13 $43,252.13 2025-10-03
37231 CPT Hc Atherectomy & Stent Insertion Tibial/peroneal Artery Initial Vessel 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $67,022.00 $43,096.21 2025-10-03
37229 CPT Hc Atherectomy Tibial/peroneal Artery Initial Vessel 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $67,022.00 $43,096.21 2025-10-03
37225 CPT Hc Atherectomy Fem/pop Artery Each Vessel 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $58,329.40 $43,096.21 2025-10-03
C9775 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy & Art… 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $67,022.00 $43,096.21 2025-10-03
C9774 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy & Art… 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $67,022.00 $43,096.21 2025-10-03
C9773 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy W Ste… 56 26 $61,399.37 $30,699.69 50% off $17,110.96 $67,022.00 $43,096.21 2025-10-03
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