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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 PIKE MEDICAL CENTER

Waverly, OH · CCN 361334 · Rates published

12,820 distinct procedures filed
28 distinct payers
448,302 rate rows
2025-10-03 last MRF observed
Data quality

447,368 of 448,302 rate rows are consumer-grade (99.8%)

934 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
placeholder amount (≤ $0.02) — excluded from medians 790
per-diem day rate — not a per-procedure price 132
exceeds 10× this hospital's gross charge — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10271/311072406_pike-health-services-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/machineReadable/AdenaPikeMedicalCenter/10271
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 227ddca7d819f009… · 484,236,181 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $367,674.45 $367,674.45 $367,674.45 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $361,063.43 $366,296.24 $366,296.24 nat. median
$246,434
1.5× median
5833
APR_DRG 		Neonate With Ecmo 4 $349,275.82 $354,337.79 $354,337.79 nat. median
$244,017
1.5× median
5834
APR_DRG 		Neonate With Ecmo 4 $349,275.82 $354,337.79 $354,337.79 nat. median
$309,665
1.1× median
5831
APR_DRG 		Neonate With Ecmo 4 $332,232.30 $337,047.26 $337,047.26 nat. median
$145,122
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 4 $332,232.30 $337,047.26 $337,047.26 nat. median
$156,126
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $330,945.15 $335,741.46 $335,741.46 nat. median
$207,730
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $291,062.36 $295,280.65 $295,280.65 nat. median
$234,738
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $274,622.40 $274,622.40 $274,622.40 nat. median
$265,286
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $256,127.68 $259,839.68 $259,839.68 nat. median
$119,796
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems 4 $256,127.68 $259,839.68 $259,839.68 nat. median
$85,406
outlier · 3.0×
1611
APR_DRG 		Implantable Heart Assist Systems 4 $256,127.68 $259,839.68 $259,839.68 nat. median
$76,806
outlier · 3.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $248,803.85 $252,409.70 $252,409.70 nat. median
$187,294
1.3× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $231,594.69 $234,951.14 $234,951.14 nat. median
$35,675
outlier · 6.6×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $231,594.69 $234,951.14 $234,951.14 nat. median
$34,396
outlier · 6.8×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $231,594.69 $234,951.14 $234,951.14 nat. median
$66,693
outlier · 3.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $231,594.69 $234,951.14 $234,951.14 nat. median
$160,267
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $231,577.44 $234,933.64 $234,933.64 nat. median
$162,982
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 1 $231,297.30 $231,297.30 $231,297.30 nat. median
$206,368
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $224,744.11 $228,001.27 $228,001.27 nat. median
$150,721
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 1 $208,944.45 $208,944.45 $208,944.45 nat. median
$202,986
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $198,377.30 $201,252.33 $201,252.33 nat. median
$122,924
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $182,392.34 $185,035.70 $185,035.70 nat. median
$182,736
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 2 $180,000.00 $180,000.00 $180,000.00 nat. median
$69,774
outlier · 2.6×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $173,492.19 $176,006.57 $176,006.57 nat. median
$145,336
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $173,492.19 $176,006.57 $176,006.57 nat. median
$124,573
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $168,133.99 $170,570.72 $170,570.72 nat. median
$151,838
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $156,086.29 $158,348.41 $158,348.41 nat. median
$164,279
1.0× median
C9150
HCPCS 		Drugs 2 $156,000.00 $156,000.00 $156,000.00 nat. median
$775
outlier · 201.3×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $143,579.98 $145,660.85 $145,660.85 nat. median
$97,957
1.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 1 $137,758.73 $137,758.73 $137,758.73 nat. median
$133,176
1.0× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 28 $41,936.66 $165,999.30 $137,757.57 nat. median
$66,682
outlier · 2.1×
23
APR_DRG 		Heart And/or Lung Transplant 4 $129,014.41 $130,884.18 $130,884.18 nat. median
$93,528
1.4× median
21
APR_DRG 		Heart And/or Lung Transplant 4 $129,014.41 $130,884.18 $130,884.18 nat. median
$65,130
outlier · 2.0×
22
APR_DRG 		Heart And/or Lung Transplant 4 $129,014.41 $130,884.18 $130,884.18 nat. median
$78,029
1.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $128,806.66 $130,673.42 $130,673.42 nat. median
$164,834
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $127,733.78 $127,733.78 $127,733.78 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 1 $127,412.03 $127,412.03 $127,412.03 nat. median
$122,708
1.0× median
0624
RC 		Hc Cch Watchman Closure Delivery 28 $37,837.80 $149,774.63 $124,982.99 nat. median
$835
outlier · 149.7×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $121,430.04 $123,189.90 $123,189.90 nat. median
$89,273
1.4× median
90288
CPT 		Botulism Ig IV 2 $121,762.50 $121,762.50 $121,762.50 nat. median
$55,037
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $116,973.17 $118,668.44 $118,668.44 nat. median
$105,658
1.1× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $115,078.13 $116,745.93 $116,745.93 nat. median
$118,620
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $113,811.33 $115,460.77 $115,460.77 nat. median
$95,507
1.2× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 $110,204.24 $111,801.41 $111,801.41 nat. median
$73,845
1.5× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $106,862.35 $108,411.08 $108,411.08 nat. median
$84,162
1.3× median
8514
APR_DRG 		Gender Related Procedures 4 $106,650.73 $108,196.39 $108,196.39 nat. median
$70,353
1.5× median
03060
EAPG 		Ventricular Assist Device Procedures 4 $106,038.11 $107,571.21 $107,571.21 nat. median
$76,683
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $107,442.08 $107,442.08 $107,442.08 nat. median
$108,660
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $105,205.08 $106,729.79 $106,729.79 nat. median
$108,996
1.0× median

Other procedures at this hospital

Browse this hospital's 12,820 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $367,674.45 $367,674.45 $367,674.45 2025-10-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $361,063.43 $366,296.24 $366,296.24 2025-10-03
5834 APR_DRG Neonate With Ecmo 5 4 — — $349,275.82 $354,337.79 $354,337.79 2025-10-03
5833 APR_DRG Neonate With Ecmo 5 4 — — $349,275.82 $354,337.79 $354,337.79 2025-10-03
5831 APR_DRG Neonate With Ecmo 5 4 — — $332,232.30 $337,047.26 $337,047.26 2025-10-03
5832 APR_DRG Neonate With Ecmo 5 4 — — $332,232.30 $337,047.26 $337,047.26 2025-10-03
1614 APR_DRG Implantable Heart Assist Systems 5 4 — — $330,945.15 $335,741.46 $335,741.46 2025-10-03
24 APR_DRG Heart And/or Lung Transplant 5 4 — — $291,062.36 $295,280.65 $295,280.65 2025-10-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $274,622.40 $274,622.40 $274,622.40 2025-10-03
1611 APR_DRG Implantable Heart Assist Systems 5 4 — — $256,127.68 $259,839.68 $259,839.68 2025-10-03
1612 APR_DRG Implantable Heart Assist Systems 5 4 — — $256,127.68 $259,839.68 $259,839.68 2025-10-03
1613 APR_DRG Implantable Heart Assist Systems 5 4 — — $256,127.68 $259,839.68 $259,839.68 2025-10-03
74 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $248,803.85 $252,409.70 $252,409.70 2025-10-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $231,594.69 $234,951.14 $234,951.14 2025-10-03
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $231,594.69 $234,951.14 $234,951.14 2025-10-03
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $231,594.69 $234,951.14 $234,951.14 2025-10-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 — — $231,594.69 $234,951.14 $234,951.14 2025-10-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $231,577.44 $234,933.64 $234,933.64 2025-10-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 1 1 — — $231,297.30 $231,297.30 $231,297.30 2025-10-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $224,744.11 $228,001.27 $228,001.27 2025-10-03
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $208,944.45 $208,944.45 $208,944.45 2025-10-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 4 — — $198,377.30 $201,252.33 $201,252.33 2025-10-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $182,392.34 $185,035.70 $185,035.70 2025-10-03
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 2 — — $180,000.00 $180,000.00 $180,000.00 2025-10-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $173,492.19 $176,006.57 $176,006.57 2025-10-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $173,492.19 $176,006.57 $176,006.57 2025-10-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $168,133.99 $170,570.72 $170,570.72 2025-10-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $156,086.29 $158,348.41 $158,348.41 2025-10-03
C9150 HCPCS Drugs 2 2 — — $156,000.00 $156,000.00 $156,000.00 2025-10-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $143,579.98 $145,660.85 $145,660.85 2025-10-03
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $137,758.73 $137,758.73 $137,758.73 2025-10-03
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 54 28 $174,736.10 $87,368.05 50% off $41,936.66 $165,999.30 $137,757.57 2025-10-03
21 APR_DRG Heart And/or Lung Transplant 5 4 — — $129,014.41 $130,884.18 $130,884.18 2025-10-03
23 APR_DRG Heart And/or Lung Transplant 5 4 — — $129,014.41 $130,884.18 $130,884.18 2025-10-03
22 APR_DRG Heart And/or Lung Transplant 5 4 — — $129,014.41 $130,884.18 $130,884.18 2025-10-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 4 — — $128,806.66 $130,673.42 $130,673.42 2025-10-03
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $127,733.78 $127,733.78 $127,733.78 2025-10-03
7 MS_DRG Lung Transplant 1 1 — — $127,412.03 $127,412.03 $127,412.03 2025-10-03
0624 RC Hc Cch Watchman Closure Delivery 51 28 $157,657.50 $78,828.75 50% off $37,837.80 $149,774.63 $124,982.99 2025-10-03
73 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $121,430.04 $123,189.90 $123,189.90 2025-10-03
90288 CPT Botulism Ig IV 2 2 — — $121,762.50 $121,762.50 $121,762.50 2025-10-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $116,973.17 $118,668.44 $118,668.44 2025-10-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $115,078.13 $116,745.93 $116,745.93 2025-10-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $113,811.33 $115,460.77 $115,460.77 2025-10-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 4 — — $110,204.24 $111,801.41 $111,801.41 2025-10-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $106,862.35 $108,411.08 $108,411.08 2025-10-03
8514 APR_DRG Gender Related Procedures 5 4 — — $106,650.73 $108,196.39 $108,196.39 2025-10-03
03060 EAPG Ventricular Assist Device Procedures 5 4 — — $106,038.11 $107,571.21 $107,571.21 2025-10-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $107,442.08 $107,442.08 $107,442.08 2025-10-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $105,205.08 $106,729.79 $106,729.79 2025-10-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $106,207.73 $106,207.73 $106,207.73 2025-10-03
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 4 — — $102,664.41 $104,152.30 $104,152.30 2025-10-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $103,823.85 $103,823.85 $103,823.85 2025-10-03
215 MS_DRG Other Heart Assist System Implant 1 1 — — $103,293.45 $103,293.45 $103,293.45 2025-10-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $102,195.60 $102,195.60 $102,195.60 2025-10-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $99,271.91 $100,710.63 $100,710.63 2025-10-03
84 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $97,447.73 $98,860.02 $98,860.02 2025-10-03
72 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $97,205.99 $98,614.77 $98,614.77 2025-10-03
71 APR_DRG Allogeneic Bone Marrow Transplant 5 4 — — $97,205.99 $98,614.77 $98,614.77 2025-10-03
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 4 — — $96,790.13 $98,192.88 $98,192.88 2025-10-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 4 — — $96,698.70 $98,100.14 $98,100.14 2025-10-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $94,118.49 $95,482.53 $95,482.53 2025-10-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $93,036.14 $94,384.49 $94,384.49 2025-10-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $94,091.40 $94,091.40 $94,091.40 2025-10-03
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 54 28 $118,949.78 $59,474.89 50% off $119.15 $113,002.29 $93,777.04 2025-10-03
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $89,525.81 $90,823.29 $90,823.29 2025-10-03
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 4 — — $89,525.81 $90,823.29 $90,823.29 2025-10-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 4 — — $89,220.19 $90,513.23 $90,513.23 2025-10-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $88,806.65 $90,093.71 $90,093.71 2025-10-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $88,635.24 $89,919.81 $89,919.81 2025-10-03
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $89,810.18 $89,810.18 $89,810.18 2025-10-03
8634 APR_DRG Neonatal Aftercare 5 4 — — $88,505.98 $89,788.67 $89,788.67 2025-10-03
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 53 28 $113,254.62 $56,627.31 50% off $340.78 $107,591.89 $89,782.60 2025-10-03
1784 APR_DRG External Heart Assist Systems 5 4 — — $88,476.46 $89,758.73 $89,758.73 2025-10-03
6904 APR_DRG Acute Leukemia 5 4 — — $88,130.48 $89,407.73 $89,407.73 2025-10-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 4 — — $87,608.47 $88,878.15 $88,878.15 2025-10-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $86,462.85 $87,715.94 $87,715.94 2025-10-03
81416 CPT Exome Sequence Analysis 2 2 — — $86,430.00 $86,430.00 $86,430.00 2025-10-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $83,402.61 $84,611.34 $84,611.34 2025-10-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 4 — — $82,578.54 $83,775.33 $83,775.33 2025-10-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $82,615.65 $82,615.65 $82,615.65 2025-10-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $82,568.85 $82,568.85 $82,568.85 2025-10-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $81,315.00 $81,315.00 $81,315.00 2025-10-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $80,150.94 $81,312.55 $81,312.55 2025-10-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $79,978.32 $81,137.43 $81,137.43 2025-10-03
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $78,882.42 $80,025.65 $80,025.65 2025-10-03
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $78,882.42 $80,025.65 $80,025.65 2025-10-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 4 — — $77,589.17 $78,713.65 $78,713.65 2025-10-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $78,589.88 $78,589.88 $78,589.88 2025-10-03
6954 APR_DRG Chemotherapy For Acute Leukemia 5 4 — — $77,147.26 $78,265.34 $78,265.34 2025-10-03
10 MS_DRG Pancreas Transplant 1 1 — — $77,732.85 $77,732.85 $77,732.85 2025-10-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 4 — — $76,515.02 $77,623.94 $77,623.94 2025-10-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $77,285.33 $77,285.33 $77,285.33 2025-10-03
92941 CPT Hc Revascularize Acute Occl During Ami With Or Without Des Atherectomy Angioplasty Asp… 52 28 $96,868.23 $48,434.12 50% off $1,480.00 $92,024.82 $76,792.29 2025-10-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 4 — — $75,651.86 $76,748.26 $76,748.26 2025-10-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 4 — — $75,288.27 $76,379.40 $76,379.40 2025-10-03
0620T CPT Hc Cch Endovascular Venous Arterialization Tibl/prnl Vn 51 28 $96,251.75 $48,125.88 50% off $6,905.00 $91,439.16 $76,303.57 2025-10-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $76,204.05 $76,204.05 $76,204.05 2025-10-03
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $75,033.22 $76,120.65 $76,120.65 2025-10-03
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 4 — — $75,033.22 $76,120.65 $76,120.65 2025-10-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $75,435.75 $75,435.75 $75,435.75 2025-10-03
224 APR_DRG Ventricular Shunt Procedures 5 4 — — $73,571.94 $74,638.20 $74,638.20 2025-10-03
83 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $73,197.20 $74,258.03 $74,258.03 2025-10-03
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $72,502.58 $73,553.34 $73,553.34 2025-10-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $72,502.58 $73,553.34 $73,553.34 2025-10-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $72,502.58 $73,553.34 $73,553.34 2025-10-03
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $72,502.58 $73,553.34 $73,553.34 2025-10-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $72,771.08 $72,771.08 $72,771.08 2025-10-03
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 4 — — $71,207.73 $72,239.73 $72,239.73 2025-10-03
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $69,199.78 $70,202.67 $70,202.67 2025-10-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $69,212.33 $69,212.33 $69,212.33 2025-10-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $68,069.72 $69,056.24 $69,056.24 2025-10-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $68,898.38 $68,898.38 $68,898.38 2025-10-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 4 — — $66,982.94 $67,953.71 $67,953.71 2025-10-03
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 4 — — $66,982.94 $67,953.71 $67,953.71 2025-10-03
8633 APR_DRG Neonatal Aftercare 5 4 — — $66,866.68 $67,835.76 $67,835.76 2025-10-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 1 1 — — $67,825.88 $67,825.88 $67,825.88 2025-10-03
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $66,555.61 $67,520.19 $67,520.19 2025-10-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 4 — — $66,555.61 $67,520.19 $67,520.19 2025-10-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $66,572.03 $66,572.03 $66,572.03 2025-10-03
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 54 28 $84,403.56 $42,201.78 50% off $195.71 $80,183.38 $66,541.65 2025-10-03
914 APR_DRG Other Major Head And Neck Procedures 5 4 — — $65,353.49 $66,300.64 $66,300.64 2025-10-03
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $65,229.03 $66,174.38 $66,174.38 2025-10-03
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 4 — — $65,229.03 $66,174.38 $66,174.38 2025-10-03
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 54 28 $83,798.66 $41,899.33 50% off $3,466.55 $79,608.73 $66,064.77 2025-10-03
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $65,046.92 $65,989.63 $65,989.63 2025-10-03
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 4 — — $65,046.92 $65,989.63 $65,989.63 2025-10-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $65,365.95 $65,365.95 $65,365.95 2025-10-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $65,115.38 $65,115.38 $65,115.38 2025-10-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $65,005.20 $65,005.20 $65,005.20 2025-10-03
92943 CPT Hc Revascularize Chronic Total Occl With Or Without Des Atherectomy Angioplasty Sgl Ve… 52 28 $81,889.00 $40,944.50 50% off $6,905.00 $77,794.55 $64,917.50 2025-10-03
92937 CPT Hc Revascularize Cabg With Or Without Non-des Atherectomy Angioplasty Distal Protect S… 52 28 $81,889.00 $40,944.50 50% off $6,905.00 $77,794.55 $64,917.50 2025-10-03
2004 APR_DRG Cardiac Structural And Valvular Disorders 5 4 — — $63,759.46 $64,683.51 $64,683.51 2025-10-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 4 — — $63,307.70 $64,225.20 $64,225.20 2025-10-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $62,920.34 $63,832.23 $63,832.23 2025-10-03
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $62,457.38 $63,362.55 $63,362.55 2025-10-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 1 1 — — $63,060.08 $63,060.08 $63,060.08 2025-10-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $62,959.65 $62,959.65 $62,959.65 2025-10-03
37184 CPT Hc Primary Percutaneous Arterial Thrombectomy With Fluoro Initial Vessel 51 28 $78,022.52 $39,011.26 50% off $7,285.00 $74,121.39 $61,852.35 2025-10-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $61,658.03 $61,658.03 $61,658.03 2025-10-03
1794 APR_DRG Defibrillator Implants 5 4 — — $60,766.40 $61,647.08 $61,647.08 2025-10-03
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 4 — — $60,367.83 $61,242.73 $61,242.73 2025-10-03
214 APR_DRG Open Craniotomy Except Trauma 5 4 — — $60,259.11 $61,132.43 $61,132.43 2025-10-03
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 54 28 $77,501.58 $38,750.79 50% off $205.04 $73,626.50 $61,100.31 2025-10-03
C1822 HCPCS Hc Cch Nevro Generatory Plse Ipg Kit Senza 249 28 $115,500.00 $57,750.00 50% off $17,209.68 $128,460.55 $60,859.96 2025-10-03
1204 APR_DRG Major Respiratory And Chest Procedures 5 4 — — $59,917.63 $60,786.00 $60,786.00 2025-10-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 4 — — $59,763.70 $60,629.85 $60,629.85 2025-10-03
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 4 — — $59,743.14 $60,608.98 $60,608.98 2025-10-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $60,391.50 $60,391.50 $60,391.50 2025-10-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $60,313.50 $60,313.50 $60,313.50 2025-10-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $60,038.55 $60,038.55 $60,038.55 2025-10-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $59,832.83 $59,832.83 $59,832.83 2025-10-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 4 — — $58,861.64 $59,714.71 $59,714.71 2025-10-03
93580 CPT Hc Transcath Closure Asd With Implant 51 28 $75,276.04 $37,638.02 50% off $7,200.00 $71,512.24 $59,675.08 2025-10-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $59,555.93 $59,555.93 $59,555.93 2025-10-03
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $59,271.23 $59,271.23 $59,271.23 2025-10-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $58,846.13 $58,846.13 $58,846.13 2025-10-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $58,846.13 $58,846.13 $58,846.13 2025-10-03
C2616 HCPCS Hc Yttrim 90 Bt Source 51 28 $74,023.12 $37,011.56 50% off $17,765.55 $70,321.96 $58,681.82 2025-10-03
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 4 — — $57,705.79 $58,542.11 $58,542.11 2025-10-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $58,406.40 $58,406.40 $58,406.40 2025-10-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $58,003.73 $58,003.73 $58,003.73 2025-10-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $57,963.75 $57,963.75 $57,963.75 2025-10-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $57,367.05 $57,367.05 $57,367.05 2025-10-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $56,360.56 $57,177.38 $57,177.38 2025-10-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 4 — — $56,360.56 $57,177.38 $57,177.38 2025-10-03
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 4 — — $56,192.90 $57,007.29 $57,007.29 2025-10-03
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 4 — — $56,188.45 $57,002.78 $57,002.78 2025-10-03
1832 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $56,080.02 $56,892.77 $56,892.77 2025-10-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $56,763.53 $56,763.53 $56,763.53 2025-10-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $55,890.34 $56,700.35 $56,700.35 2025-10-03
J7330 HCPCS Cultured Chondrocytes Implnt 6 5 — — $56,693.42 $168,513.00 $56,693.42 2025-10-03
6903 APR_DRG Acute Leukemia 5 4 — — $55,840.38 $56,649.66 $56,649.66 2025-10-03
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $55,526.61 $56,331.35 $56,331.35 2025-10-03
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 2 2 — — $56,006.64 $56,006.64 $56,006.64 2025-10-03
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $55,157.11 $55,956.48 $55,956.48 2025-10-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $55,955.25 $55,955.25 $55,955.25 2025-10-03
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 4 — — $54,838.87 $55,633.64 $55,633.64 2025-10-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $55,620.83 $55,620.83 $55,620.83 2025-10-03
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 4 — — $54,742.80 $55,536.17 $55,536.17 2025-10-03
1831 APR_DRG Percutaneous Structural Cardiac Procedures 5 4 — — $54,503.63 $55,293.54 $55,293.54 2025-10-03
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 4 — — $54,062.98 $54,846.50 $54,846.50 2025-10-03
264 APR_DRG Other Nervous System And Related Procedures 5 4 — — $53,694.64 $54,472.82 $54,472.82 2025-10-03
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $54,348.45 $54,348.45 $54,348.45 2025-10-03
33229 CPT Hc Replacement Pm Multi Lead Generator Only 51 28 $68,227.67 $34,113.84 50% off $6,905.00 $64,816.29 $54,087.49 2025-10-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $53,891.18 $53,891.18 $53,891.18 2025-10-03
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $53,887.28 $53,887.28 $53,887.28 2025-10-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $53,675.70 $53,675.70 $53,675.70 2025-10-03
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 4 — — $52,819.29 $53,584.79 $53,584.79 2025-10-03
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 4 — — $52,819.29 $53,584.79 $53,584.79 2025-10-03
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 4 — — $52,819.29 $53,584.79 $53,584.79 2025-10-03
234 APR_DRG Spinal Procedures 5 4 — — $52,592.06 $53,354.26 $53,354.26 2025-10-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $53,333.48 $53,333.48 $53,333.48 2025-10-03
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 4 — — $52,549.64 $53,311.23 $53,311.23 2025-10-03
1783 APR_DRG External Heart Assist Systems 5 4 — — $52,484.81 $53,245.46 $53,245.46 2025-10-03
1782 APR_DRG External Heart Assist Systems 5 4 — — $52,484.81 $53,245.46 $53,245.46 2025-10-03
1781 APR_DRG External Heart Assist Systems 5 4 — — $52,484.81 $53,245.46 $53,245.46 2025-10-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $53,047.80 $53,047.80 $53,047.80 2025-10-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $52,926.90 $52,926.90 $52,926.90 2025-10-03
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $51,953.77 $52,706.72 $52,706.72 2025-10-03
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 54 28 $66,851.92 $33,425.96 50% off $241.61 $63,509.32 $52,704.39 2025-10-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $52,656.83 $52,656.83 $52,656.83 2025-10-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $52,607.10 $52,607.10 $52,607.10 2025-10-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $52,600.28 $52,600.28 $52,600.28 2025-10-03
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 4 — — $51,779.32 $52,529.75 $52,529.75 2025-10-03
C1882 HCPCS Dtma1d4-defibrillator Cardiac W51xh73mm D13mm 35cucm 80gm Is1 Df4 Pfz Radiopaque… 513 28 $76,543.74 $38,271.87 50% off $10,755.36 $109,826.52 $51,878.53 2025-10-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $51,869.03 $51,869.03 $51,869.03 2025-10-03
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 2 2 — — $51,807.58 $51,807.58 $51,807.58 2025-10-03
2304 APR_DRG Major Small Bowel Procedures 5 4 — — $50,983.30 $51,722.19 $51,722.19 2025-10-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $51,638.93 $51,638.93 $51,638.93 2025-10-03
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 54 28 $65,099.16 $32,549.58 50% off $15,623.80 $65,925.00 $51,607.36 2025-10-03
204 APR_DRG Open Craniotomy For Trauma 5 4 — — $50,842.37 $51,579.21 $51,579.21 2025-10-03
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 4 — — $50,813.83 $51,550.26 $51,550.26 2025-10-03
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 4 — — $50,484.13 $51,215.79 $51,215.79 2025-10-03
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 4 — — $50,448.96 $51,180.11 $51,180.11 2025-10-03
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 4 — — $50,250.77 $50,979.04 $50,979.04 2025-10-03
36223 CPT Hc Place Cath Common Carotid/innominate With Angio Ipsilateral Intracranial Caroti… 51 28 $63,993.45 $31,996.73 50% off $7,285.00 $60,793.78 $50,730.81 2025-10-03
37221 CPT Hc Insertion Stent Iliac Artery Initial Vessel 51 28 $63,746.30 $31,873.15 50% off $6,905.00 $60,558.99 $50,534.88 2025-10-03
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 4 — — $49,794.25 $50,515.91 $50,515.91 2025-10-03
274 APR_DRG Other Open Craniotomy 5 4 — — $49,738.73 $50,459.58 $50,459.58 2025-10-03
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 54 28 $63,940.81 $31,970.41 50% off $2,688.22 $60,743.77 $50,409.34 2025-10-03
1694 APR_DRG Major Abdominal Vascular Procedures 5 4 — — $49,654.78 $50,374.41 $50,374.41 2025-10-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $50,209.58 $50,209.58 $50,209.58 2025-10-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $50,044.80 $50,044.80 $50,044.80 2025-10-03
37230 CPT Hc Insertion Stent Tibial/peroneal Artery Initial Vessel 51 28 $63,127.68 $31,563.84 50% off $6,905.00 $59,971.30 $50,044.47 2025-10-03
37227 CPT Hc Atherectomy & Stent Insertion Fem/pop Artery Each Vessel 51 28 $63,127.68 $31,563.84 50% off $8,400.00 $59,971.30 $50,044.47 2025-10-03
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit (non-oncology) Ade 54 28 $63,009.76 $31,504.88 50% off $15,122.34 $185,311.08 $49,950.99 2025-10-03
36906 CPT Hc Percutaneous Thrombectomy Any Method Dialysis Circuit Transcath Plcmt IV Sten… 51 28 $62,848.52 $31,424.26 50% off $8,400.00 $59,706.09 $49,823.16 2025-10-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $49,669.43 $49,669.43 $49,669.43 2025-10-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $49,517.33 $49,517.33 $49,517.33 2025-10-03
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 4 — — $48,771.82 $49,478.66 $49,478.66 2025-10-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $49,105.88 $49,105.88 $49,105.88 2025-10-03
294 APR_DRG Other Percutaneous Intracranial Procedures 5 4 — — $48,399.71 $49,101.15 $49,101.15 2025-10-03
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 4 — — $48,384.91 $49,086.15 $49,086.15 2025-10-03
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 4 — — $48,223.96 $48,922.86 $48,922.86 2025-10-03
1814 APR_DRG Lower Extremity Arterial Procedures 5 4 — — $48,172.37 $48,870.52 $48,870.52 2025-10-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $48,816.30 $48,816.30 $48,816.30 2025-10-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $48,778.28 $48,778.28 $48,778.28 2025-10-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $48,764.63 $48,764.63 $48,764.63 2025-10-03
C9766 HCPCS Hc Revasc Intravascular Lithotripsy And Arthectomy 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
C9765 HCPCS Hc Revasc Intravascular Lithotripsy W Stent 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
C9774 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy & Art… 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
C9773 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy W Ste… 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
37229 CPT Hc Atherectomy Tibial/peroneal Artery Initial Vessel 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
37231 CPT Hc Atherectomy & Stent Insertion Tibial/peroneal Artery Initial Vessel 51 28 $61,399.37 $30,699.69 50% off $8,400.00 $58,329.40 $48,674.35 2025-10-03
37225 CPT Hc Atherectomy Fem/pop Artery Each Vessel 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
C9775 HCPCS Hc Revasc Lower Extremity Artery Tibial/peroneal Intravascular Lithotripsy & Art… 51 28 $61,399.37 $30,699.69 50% off $6,905.00 $58,329.40 $48,674.35 2025-10-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $48,583.28 $48,583.28 $48,583.28 2025-10-03
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 4 — — $47,840.41 $48,533.75 $48,533.75 2025-10-03
C1767 HCPCS 3660contrlsys-controller 5 Ipg 447 28 $84,199.50 $42,099.75 50% off $33.94 $98,752.50 $48,279.00 2025-10-03
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 4 — — $47,513.59 $48,202.19 $48,202.19 2025-10-03
J7310 HCPCS Drugs 2 2 — — $48,000.00 $48,000.00 $48,000.00 2025-10-03
1824 APR_DRG Other Peripheral Vascular And Related Procedures 5 4 — — $47,300.19 $47,985.70 $47,985.70 2025-10-03
245 MS_DRG Aicd Generator Procedures 1 1 — — $47,643.38 $47,643.38 $47,643.38 2025-10-03
92928 CPT Hc Insertion Des With Or Without Angioplasty Single Major Artery/branch 52 28 $59,874.51 $29,937.26 50% off $6,905.00 $56,880.78 $47,465.51 2025-10-03
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $47,355.75 $47,355.75 $47,355.75 2025-10-03
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $47,276.78 $47,276.78 $47,276.78 2025-10-03
J9226 HCPCS Supprelin La Implant 6 5 — — $47,007.19 $111,737.75 $47,007.19 2025-10-03
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $46,279.91 $46,950.63 $46,950.63 2025-10-03
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 4 — — $46,279.91 $46,950.63 $46,950.63 2025-10-03
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 4 — — $46,257.13 $46,927.52 $46,927.52 2025-10-03
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 4 — — $45,946.96 $46,612.86 $46,612.86 2025-10-03
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 4 — — $45,904.73 $46,570.02 $46,570.02 2025-10-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $46,558.20 $46,558.20 $46,558.20 2025-10-03
2294 APR_DRG Other Digestive System And Abdominal Procedures 5 4 — — $45,876.04 $46,540.91 $46,540.91 2025-10-03
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 4 — — $45,803.52 $46,467.34 $46,467.34 2025-10-03
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $46,356.38 $46,356.38 $46,356.38 2025-10-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $46,354.43 $46,354.43 $46,354.43 2025-10-03
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $45,535.10 $46,195.03 $46,195.03 2025-10-03
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 4 — — $45,350.98 $46,008.24 $46,008.24 2025-10-03
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 4 — — $45,347.68 $46,004.89 $46,004.89 2025-10-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $45,867.90 $45,867.90 $45,867.90 2025-10-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $45,622.20 $45,622.20 $45,622.20 2025-10-03
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 5 4 — — $44,968.21 $45,619.93 $45,619.93 2025-10-03
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 54 28 $57,613.04 $28,806.52 50% off $64.72 $54,732.39 $45,420.68 2025-10-03
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 4 — — $44,758.98 $45,407.66 $45,407.66 2025-10-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $45,358.95 $45,358.95 $45,358.95 2025-10-03
1793 APR_DRG Defibrillator Implants 5 4 — — $44,670.87 $45,318.27 $45,318.27 2025-10-03
81 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $44,451.72 $45,095.95 $45,095.95 2025-10-03
82 APR_DRG Autologous Bone Marrow Transplant 5 4 — — $44,451.72 $45,095.95 $45,095.95 2025-10-03
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $44,936.78 $44,936.78 $44,936.78 2025-10-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $44,918.25 $44,918.25 $44,918.25 2025-10-03
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 4 — — $44,236.80 $44,877.91 $44,877.91 2025-10-03
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 4 — — $44,224.19 $44,865.12 $44,865.12 2025-10-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $44,774.93 $44,774.93 $44,774.93 2025-10-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $44,769.08 $44,769.08 $44,769.08 2025-10-03
1214 APR_DRG Other Respiratory And Chest Procedures 5 4 — — $43,647.07 $44,279.63 $44,279.63 2025-10-03
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 4 — — $43,520.05 $44,150.78 $44,150.78 2025-10-03
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 4 — — $43,380.69 $44,009.40 $44,009.40 2025-10-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $43,985.18 $43,985.18 $43,985.18 2025-10-03
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 4 — — $43,298.69 $43,926.20 $43,926.20 2025-10-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $43,722.90 $43,722.90 $43,722.90 2025-10-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $43,602.00 $43,602.00 $43,602.00 2025-10-03
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 4 — — $42,605.30 $43,222.77 $43,222.77 2025-10-03
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 4 — — $42,604.22 $43,221.68 $43,221.68 2025-10-03
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 4 — — $42,595.91 $43,213.24 $43,213.24 2025-10-03
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $43,194.45 $43,194.45 $43,194.45 2025-10-03
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 — — $42,575.98 $43,193.02 $43,193.02 2025-10-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $42,826.88 $42,826.88 $42,826.88 2025-10-03
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 4 — — $41,975.59 $42,583.94 $42,583.94 2025-10-03
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