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

AKRON CHILDREN'S HOSPITAL

Akron, OH · CCN 363303 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $10,949 across 9 payers · range $10,740-$11,262

Source: https://akronchildrens.pt.panaceainc.com/MRFDownload/akronchildrens/akronchildrenshospital · observed 2025-11-11

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.

23,760 distinct procedures filed
44 distinct payers
1,393,063 rate rows
2025-11-11 last MRF observed
Data quality

748,530 of 1,393,063 rate rows are consumer-grade (53.7%)

644,533 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
professional (physician) fee — not the facility price 542,901
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 93,940
template filing: same amount across many unrelated codes — excluded 2,516
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,313
percent-of-charges filed in the dollar field — excluded from medians 1,070
exceeds 10× this hospital's gross charge — excluded from medians 820
placeholder amount (≤ $0.02) — excluded from medians 495
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 410
per-diem day rate — not a per-procedure price 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://akronchildrens.pt.panaceainc.com/MRFDownload/akronchildrens/akronchildrenshospital
Found on page https://www.akronchildrens.org/pages/Price-Transparency.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 2c3bb3768f8a0996… · 953,319,684 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
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 14 X 10 Ml IV Kit 37 $880,299.81 $3,361,050.00 $2,432,380.00 nat. median
$3,324,572
0.7× median
J3490
HCPCS 		Pr Drugs Unclassified Injection 43 $71.11 $2,571,146.82 $2,183,784.96 nat. median
$47
outlier · 46042.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $523,452.56 $523,452.56 $523,452.56 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $507,687.00 $507,687.00 $507,687.00 nat. median
$631,793
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $503,454.53 $503,454.53 $503,454.53 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $496,390.21 $496,390.21 $496,390.21 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $489,136.91 $489,136.91 $489,136.91 nat. median
$588,565
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $454,612.94 $476,261.17 $454,612.94 nat. median
$254,667
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate With Ecmo 9 $439,771.03 $460,712.51 $439,771.03 nat. median
$311,018
1.4× median
5833
APR_DRG 		Neonate With Ecmo 9 $439,771.03 $460,712.51 $439,771.03 nat. median
$250,089
1.8× median
5831
APR_DRG 		Neonate With Ecmo 9 $418,312.30 $438,231.94 $418,312.30 nat. median
$154,685
outlier · 2.7×
5832
APR_DRG 		Neonate With Ecmo 9 $418,312.30 $438,231.94 $418,312.30 nat. median
$169,230
outlier · 2.5×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $416,691.61 $436,534.07 $416,691.61 nat. median
$209,486
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $3,656.00 $812,339.00 $407,997.50 nat. median
$199,832
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $403,099.00 $403,099.00 $403,099.00 nat. median
$74,472
outlier · 5.4×
24
APR_DRG 		Heart And/or Lung Transplant 9 $366,474.82 $383,926.00 $366,474.82 nat. median
$243,231
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$82,164
outlier · 3.9×
1612
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$93,192
outlier · 3.5×
1613
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$127,938
outlier · 2.5×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $317,527.00 $317,527.00 $317,527.00 nat. median
$50,808
outlier · 6.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $313,267.31 $328,184.80 $313,267.31 nat. median
$175,480
1.8× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $292,022.00 $292,022.00 $292,022.00 nat. median
$16,167
outlier · 18.1×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$64,013
outlier · 4.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$165,646
1.8× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$31,876
outlier · 9.1×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$33,878
outlier · 8.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $291,577.78 $305,462.43 $291,577.78 nat. median
$168,174
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $283,513.00 $283,513.00 $283,513.00 nat. median
$62,218
outlier · 4.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $282,974.18 $296,449.14 $282,974.18 nat. median
$160,171
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $249,775.95 $261,670.05 $249,775.95 nat. median
$147,677
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $229,648.79 $240,584.44 $229,648.79 nat. median
$180,995
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $218,442.89 $228,844.94 $218,442.89 nat. median
$120,928
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $218,442.89 $228,844.94 $218,442.89 nat. median
$147,847
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $211,697.02 $221,777.83 $211,697.02 nat. median
$156,285
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $196,527.49 $205,885.94 $196,527.49 nat. median
$168,361
1.2× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $183,562.00 $183,562.00 $183,562.00 nat. median
$44,841
outlier · 4.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $180,780.93 $189,389.54 $180,780.93 nat. median
$101,315
1.8× median
630
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 1 $170,263.00 $170,263.00 $170,263.00 nat. median
$15,130
outlier · 11.3×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 $168,027.00 $168,027.00 $168,027.00 nat. median
$41,285
outlier · 4.1×
22
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$94,014
1.7× median
21
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$74,854
outlier · 2.2×
23
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$116,111
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $162,180.13 $169,903.00 $162,180.13 nat. median
$165,599
1.0× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $159,512.00 $159,512.00 $159,512.00 nat. median
$32,689
outlier · 4.9×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $152,891.53 $160,172.08 $152,891.53 nat. median
$89,814
1.7× median
253
MS_DRG 		Other Vascular Procedures With Cc 1 $148,505.00 $148,505.00 $148,505.00 nat. median
$25,891
outlier · 5.7×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $147,279.90 $154,293.23 $147,279.90 nat. median
$127,600
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $144,894.77 $151,794.52 $144,894.77 nat. median
$123,690
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $143,298.90 $150,122.65 $143,298.90 nat. median
$99,613
1.4× median

Other procedures at this hospital

Browse this hospital's 23,760 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
             
J1413 HCPCS Delandistrogene Moxeparvo-rokl 14 X 10 Ml IV Kit 176 37 $2,599,744.00 $1,949,808.00 25% off $880,299.81 $3,361,050.00 $2,432,380.00 2025-11-11
J3490 HCPCS Pr Drugs Unclassified Injection 53 43 $2,599,744.00 $1,949,808.00 25% off $71.11 $2,571,146.82 $2,183,784.96 2025-11-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $523,452.56 $523,452.56 $523,452.56 2025-11-11
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $507,687.00 $507,687.00 $507,687.00 2025-11-11
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $503,454.53 $503,454.53 $503,454.53 2025-11-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $496,390.21 $496,390.21 $496,390.21 2025-11-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $489,136.91 $489,136.91 $489,136.91 2025-11-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $454,612.94 $476,261.17 $454,612.94 2025-11-11
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $449,440.00 $449,440.00 $449,440.00 2025-11-11
5833 APR_DRG Neonate With Ecmo 9 9 — — $439,771.03 $460,712.51 $439,771.03 2025-11-11
5834 APR_DRG Neonate With Ecmo 9 9 — — $439,771.03 $460,712.51 $439,771.03 2025-11-11
5832 APR_DRG Neonate With Ecmo 9 9 — — $418,312.30 $438,231.94 $418,312.30 2025-11-11
5831 APR_DRG Neonate With Ecmo 9 9 — — $418,312.30 $438,231.94 $418,312.30 2025-11-11
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $416,691.61 $436,534.07 $416,691.61 2025-11-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $3,656.00 $812,339.00 $407,997.50 2025-11-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $403,099.00 $403,099.00 $403,099.00 2025-11-11
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $366,474.82 $383,926.00 $366,474.82 2025-11-11
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $317,527.00 $317,527.00 $317,527.00 2025-11-11
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $313,267.31 $328,184.80 $313,267.31 2025-11-11
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 — — $292,022.00 $292,022.00 $292,022.00 2025-11-11
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $291,577.78 $305,462.43 $291,577.78 2025-11-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $283,513.00 $283,513.00 $283,513.00 2025-11-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $282,974.18 $296,449.14 $282,974.18 2025-11-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $249,775.95 $261,670.05 $249,775.95 2025-11-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $229,648.79 $240,584.44 $229,648.79 2025-11-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $218,442.89 $228,844.94 $218,442.89 2025-11-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $218,442.89 $228,844.94 $218,442.89 2025-11-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $211,697.02 $221,777.83 $211,697.02 2025-11-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $196,527.49 $205,885.94 $196,527.49 2025-11-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $183,562.00 $183,562.00 $183,562.00 2025-11-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $180,780.93 $189,389.54 $180,780.93 2025-11-11
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 1 1 — — $170,263.00 $170,263.00 $170,263.00 2025-11-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $168,027.00 $168,027.00 $168,027.00 2025-11-11
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $162,180.13 $169,903.00 $162,180.13 2025-11-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $159,512.00 $159,512.00 $159,512.00 2025-11-11
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $152,891.53 $160,172.08 $152,891.53 2025-11-11
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $148,505.00 $148,505.00 $148,505.00 2025-11-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $147,279.90 $154,293.23 $147,279.90 2025-11-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $144,894.77 $151,794.52 $144,894.77 2025-11-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $143,298.90 $150,122.65 $143,298.90 2025-11-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 9 9 — — $138,756.98 $145,364.45 $138,756.98 2025-11-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $137,150.00 $137,150.00 $137,150.00 2025-11-11
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 53 43 $165,925.40 $124,444.05 25% off $24,636.76 $164,100.22 $136,058.83 2025-11-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $134,550.11 $140,957.26 $134,550.11 2025-11-11
8514 APR_DRG Gender Related Procedures 9 9 — — $134,283.30 $140,677.75 $134,283.30 2025-11-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $132,462.81 $138,770.57 $132,462.81 2025-11-11
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $129,263.61 $135,419.02 $129,263.61 2025-11-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $124,992.21 $130,944.22 $124,992.21 2025-11-11
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $122,696.44 $128,539.13 $122,696.44 2025-11-11
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $122,391.16 $128,219.31 $122,391.16 2025-11-11
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $122,391.16 $128,219.31 $122,391.16 2025-11-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $121,867.47 $127,670.69 $121,867.47 2025-11-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $121,753.31 $127,551.08 $121,753.31 2025-11-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $119,791.00 $119,791.00 $119,791.00 2025-11-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $118,504.46 $124,147.53 $118,504.46 2025-11-11
J9021 HCPCS Asparaginase Erwinia Chry-rywn 10 Mg/0.5ml IM Soln 89 37 $123,739.70 $92,804.78 25% off $157.61 $290,874.09 $117,552.72 2025-11-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $117,140.65 $122,718.77 $117,140.65 2025-11-11
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $112,721.57 $118,089.27 $112,721.57 2025-11-11
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $112,721.57 $118,089.27 $112,721.57 2025-11-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $112,336.88 $117,686.25 $112,336.88 2025-11-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $111,815.68 $117,140.23 $111,815.68 2025-11-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $111,599.74 $116,914.02 $111,599.74 2025-11-11
8634 APR_DRG Neonatal Aftercare 9 9 — — $111,437.18 $116,743.72 $111,437.18 2025-11-11
1784 APR_DRG External Heart Assist Devices 9 9 — — $111,399.95 $116,704.71 $111,399.95 2025-11-11
6904 APR_DRG Acute Leukemia 9 9 — — $110,964.38 $116,248.40 $110,964.38 2025-11-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $110,307.91 $115,560.67 $110,307.91 2025-11-11
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $4,100.00 $215,714.00 $109,907.00 2025-11-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $108,864.66 $114,048.69 $108,864.66 2025-11-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $47,433.00 $125,483.00 $108,254.00 2025-11-11
303 MS_DRG Atherosclerosis Without Mcc 1 1 — — $107,933.00 $107,933.00 $107,933.00 2025-11-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $105,011.48 $110,012.02 $105,011.48 2025-11-11
12700041-29-20041 CDM Hb Promote Rf Icd 45 37 $120,612.00 $90,459.00 25% off $41,008.08 $126,642.60 $104,088.16 2025-11-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $103,974.03 $108,925.18 $103,974.03 2025-11-11
791 MS_DRG Prematurity With Major Problems 3 3 — — $20,999.00 $116,239.00 $101,009.00 2025-11-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $100,917.55 $105,723.15 $100,917.55 2025-11-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,700.38 $105,495.63 $100,700.38 2025-11-11
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $99,320.42 $104,049.97 $99,320.42 2025-11-11
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $99,320.42 $104,049.97 $99,320.42 2025-11-11
12705145-29-18370 CDM Hb Atlas+ Hf Icd 45 37 $113,532.00 $85,149.00 25% off $38,600.88 $119,208.60 $97,978.12 2025-11-11
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 9 — — $97,692.28 $102,344.30 $97,692.28 2025-11-11
6954 APR_DRG Chemotherapy For Acute Leukemia 9 9 — — $97,135.09 $101,760.57 $97,135.09 2025-11-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $72,269.00 $121,612.00 $96,940.50 2025-11-11
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $96,765.28 $101,373.15 $96,765.28 2025-11-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $96,521.00 $96,521.00 $96,521.00 2025-11-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $21,251.00 $103,172.00 $96,431.00 2025-11-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $96,339.63 $100,927.23 $96,339.63 2025-11-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $95,252.55 $99,788.38 $95,252.55 2025-11-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $94,794.63 $99,308.66 $94,794.63 2025-11-11
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 9 9 — — $92,928.87 $97,439.98 $94,733.31 2025-11-11
0454T OTHER Insj/rplcmt Subq Electrode 9 9 — — $92,928.87 $97,439.98 $94,733.31 2025-11-11
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $94,474.46 $98,973.25 $94,474.46 2025-11-11
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $94,474.46 $98,973.25 $94,474.46 2025-11-11
224 APR_DRG Ventricular Shunt Procedures 9 9 — — $92,634.12 $97,045.27 $92,634.12 2025-11-11
83 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $92,162.55 $96,551.25 $92,162.55 2025-11-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $91,137.00 $91,137.00 $91,137.00 2025-11-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $89,657.05 $93,926.44 $89,657.05 2025-11-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $87,129.21 $91,278.22 $87,129.21 2025-11-11
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 53 43 $105,403.65 $79,052.74 25% off $19,434.44 $104,244.21 $86,430.99 2025-11-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $85,705.83 $89,787.06 $85,705.83 2025-11-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $84,338.29 $88,354.40 $84,338.29 2025-11-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $84,338.29 $88,354.40 $84,338.29 2025-11-11
8633 APR_DRG Neonatal Aftercare 9 9 — — $84,191.86 $88,200.99 $84,191.86 2025-11-11
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $83,858.03 $87,851.27 $83,858.03 2025-11-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $83,799.70 $87,790.16 $83,799.70 2025-11-11
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $83,799.70 $87,790.16 $83,799.70 2025-11-11
10278100-29-26655 CDM Hb Cochlear Implant Device 45 37 $97,040.00 $72,780.00 25% off $32,993.60 $101,892.00 $83,745.52 2025-11-11
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $82,285.73 $86,204.10 $82,285.73 2025-11-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $82,129.37 $86,040.30 $82,129.37 2025-11-11
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $82,129.37 $86,040.30 $82,129.37 2025-11-11
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $81,899.79 $85,799.78 $81,899.79 2025-11-11
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $81,899.79 $85,799.78 $81,899.79 2025-11-11
12705830-29-17740 CDM Hb Current Dr Rf Icd 45 37 $93,967.00 $70,475.25 25% off $31,948.78 $98,665.35 $81,093.52 2025-11-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 2 2 — — $25,683.00 $135,602.00 $80,642.50 2025-11-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 9 9 — — $80,279.09 $84,101.91 $80,279.09 2025-11-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $79,710.74 $83,506.49 $79,710.74 2025-11-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $79,223.04 $82,995.56 $79,223.04 2025-11-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $78,639.78 $82,384.53 $78,639.78 2025-11-11
12705146-29-18369 CDM Hb Atlas+ Ii Dr Icd 45 37 $89,490.00 $67,117.50 25% off $30,426.60 $93,964.50 $77,229.87 2025-11-11
1794 APR_DRG Defibrillator Implants 9 9 — — $76,510.30 $80,153.65 $76,510.30 2025-11-11
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $76,008.94 $79,628.42 $76,008.94 2025-11-11
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $75,872.44 $79,485.42 $75,872.44 2025-11-11
1204 APR_DRG Major Respiratory And Chest Procedures 9 9 — — $75,441.83 $79,034.30 $75,441.83 2025-11-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $75,248.24 $78,831.49 $75,248.24 2025-11-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 9 9 — — $75,222.18 $78,804.19 $75,222.18 2025-11-11
792 MS_DRG Prematurity Without Major Problems 3 3 — — $55,621.00 $137,510.00 $74,590.00 2025-11-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $74,112.76 $77,641.94 $74,112.76 2025-11-11
12705831-29-17739 CDM Hb Current Vr Rf Icd 45 37 $85,706.00 $64,279.50 25% off $29,140.04 $89,991.30 $73,964.28 2025-11-11
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 9 9 — — $72,657.10 $76,116.96 $72,657.10 2025-11-11
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $71,554.00 $71,554.00 $71,554.00 2025-11-11
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $71,182.00 $71,182.00 $71,182.00 2025-11-11
12705144-29-18371 CDM Hb Atlas Ii Vr Icd 45 37 $82,368.00 $61,776.00 25% off $28,005.12 $86,486.40 $71,083.58 2025-11-11
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,963.19 $74,342.39 $70,963.19 2025-11-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,963.19 $74,342.39 $70,963.19 2025-11-11
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $70,752.22 $74,121.38 $70,752.22 2025-11-11
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 9 9 — — $70,746.02 $74,114.88 $70,746.02 2025-11-11
1832 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $70,609.52 $73,971.88 $70,609.52 2025-11-11
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $70,371.25 $73,722.26 $70,371.25 2025-11-11
6903 APR_DRG Acute Leukemia 9 9 — — $70,307.97 $73,655.97 $70,307.97 2025-11-11
12013571-29-23779 CDM Hbi V.n.s. Generator Model #103 45 37 $81,255.00 $60,941.25 25% off $27,626.70 $85,317.75 $70,123.07 2025-11-11
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $69,913.34 $73,242.54 $69,913.34 2025-11-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $69,447.98 $72,755.02 $69,447.98 2025-11-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $69,047.15 $72,335.11 $69,047.15 2025-11-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $68,984.00 $68,984.00 $68,984.00 2025-11-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $68,926.77 $72,208.99 $68,926.77 2025-11-11
1831 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $68,625.22 $71,893.09 $68,625.22 2025-11-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $68,070.51 $71,311.97 $68,070.51 2025-11-11
264 APR_DRG Other Nervous System And Related Procedures 9 9 — — $67,606.39 $70,825.74 $67,606.39 2025-11-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $66,998.00 $66,998.00 $66,998.00 2025-11-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
234 APR_DRG Spinal Procedures 9 9 — — $66,217.75 $69,370.97 $66,217.75 2025-11-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $66,164.39 $69,315.07 $66,164.39 2025-11-11
1783 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
1782 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
1781 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $65,792.00 $65,792.00 $65,792.00 2025-11-11
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $65,700.00 $65,700.00 $65,700.00 2025-11-11
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $65,573.69 $68,696.24 $65,573.69 2025-11-11
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $65,414.85 $68,529.85 $65,414.85 2025-11-11
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 9 — — $65,195.19 $68,299.73 $65,195.19 2025-11-11
2304 APR_DRG Major Small Bowel Procedures 9 9 — — $64,192.50 $67,249.28 $64,192.50 2025-11-11
101 MS_DRG Seizures Without Mcc 2 2 — — $28,664.00 $99,659.00 $64,161.50 2025-11-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 — — $64,143.00 $64,143.00 $64,143.00 2025-11-11
204 APR_DRG Open Craniotomy For Trauma 9 9 — — $64,015.05 $67,063.38 $64,015.05 2025-11-11
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $64,008.00 $64,008.00 $64,008.00 2025-11-11
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $63,979.05 $67,025.67 $63,979.05 2025-11-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $63,564.57 $66,591.46 $63,564.57 2025-11-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $63,519.90 $66,544.65 $63,519.90 2025-11-11
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 9 9 — — $63,270.47 $66,283.35 $63,270.47 2025-11-11
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 9 — — $62,695.90 $65,681.42 $62,695.90 2025-11-11
274 APR_DRG Other Open Craniotomy 9 9 — — $62,625.16 $65,607.31 $62,625.16 2025-11-11
1694 APR_DRG Major Abdominal Vascular Procedures 9 9 — — $62,519.69 $65,496.82 $62,519.69 2025-11-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $61,407.78 $64,331.96 $61,407.78 2025-11-11
J1322 HCPCS Elosulfase Alfa 5 Mg/5ml IV Soln 53 43 $74,756.88 $56,067.66 25% off $874.38 $73,934.55 $61,300.64 2025-11-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $61,222.00 $61,222.00 $61,222.00 2025-11-11
294 APR_DRG Other Percutaneous Intracranial Procedures 9 9 — — $60,939.94 $63,841.84 $60,939.94 2025-11-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 9 9 — — $60,921.33 $63,822.34 $60,921.33 2025-11-11
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $60,719.04 $63,610.43 $60,719.04 2025-11-11
1814 APR_DRG Lower Extremity Vascular Procedures 9 9 — — $60,653.27 $63,541.52 $60,653.27 2025-11-11
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 9 9 — — $60,235.07 $63,103.40 $60,235.07 2025-11-11
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 9 9 — — $59,824.32 $62,673.09 $59,824.32 2025-11-11
1824 APR_DRG Other Peripheral Vascular And Related Procedures 9 9 — — $59,555.02 $62,390.98 $59,555.02 2025-11-11
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $59,078.49 $61,891.75 $59,078.49 2025-11-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $58,270.63 $61,045.42 $58,270.63 2025-11-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $58,270.63 $61,045.42 $58,270.63 2025-11-11
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 9 9 — — $58,242.08 $61,015.52 $58,242.08 2025-11-11
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $57,885.00 $57,885.00 $57,885.00 2025-11-11
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $57,851.18 $60,606.00 $57,851.18 2025-11-11
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $57,797.82 $60,550.09 $57,797.82 2025-11-11
2294 APR_DRG Other Digestive System And Abdominal Procedures 9 9 — — $57,761.83 $60,512.40 $57,761.83 2025-11-11
4474 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures 9 9 — — $57,671.24 $60,417.49 $57,671.24 2025-11-11
4284 APR_DRG Genetic Disorders 9 9 — — $57,604.23 $60,347.29 $57,604.23 2025-11-11
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 3 3 — — $23,525.00 $73,155.00 $57,495.00 2025-11-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $57,332.46 $60,062.57 $57,332.46 2025-11-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $57,101.65 $59,820.77 $57,101.65 2025-11-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 9 — — $57,096.68 $59,815.57 $57,096.68 2025-11-11
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 9 9 — — $56,618.91 $59,315.05 $56,618.91 2025-11-11
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 9 — — $56,355.82 $59,039.43 $56,355.82 2025-11-11
1793 APR_DRG Defibrillator Implants 9 9 — — $56,245.38 $58,923.73 $56,245.38 2025-11-11
935 MS_DRG Non-extensive Burns 1 1 — — $56,157.00 $56,157.00 $56,157.00 2025-11-11
81 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $55,968.64 $58,633.82 $55,968.64 2025-11-11
82 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $55,968.64 $58,633.82 $55,968.64 2025-11-11
38211 HCPCS Hb Stem Cell Purging 53 43 $66,338.00 $49,753.50 25% off $2,154.22 $65,608.28 $55,723.92 2025-11-11
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 9 9 — — $55,698.11 $58,350.40 $55,698.11 2025-11-11
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $55,681.98 $58,333.51 $55,681.98 2025-11-11
1214 APR_DRG Other Respiratory And Chest Procedures 9 9 — — $54,956.01 $57,572.97 $54,956.01 2025-11-11
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $30,347.00 $79,554.00 $54,950.50 2025-11-11
00008010001 NDC Inotuzumab Ozogamicin 0.9 Mg IV Solr 45 37 $63,530.18 $47,647.64 25% off $21,600.26 $66,706.69 $54,826.55 2025-11-11
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 9 9 — — $54,795.93 $57,405.26 $54,795.93 2025-11-11
4484 APR_DRG Other Kidney Urinary Tract And Related Percutaneous Procedures 9 9 — — $54,653.22 $57,255.76 $54,653.22 2025-11-11
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $54,620.96 $57,221.96 $54,620.96 2025-11-11
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 9 9 — — $54,516.71 $57,112.75 $54,516.71 2025-11-11
5204 APR_DRG Other GYN Procedures For Malignancy 9 9 — — $54,388.90 $56,978.85 $54,388.90 2025-11-11
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 9 — — $53,644.32 $56,198.81 $53,644.32 2025-11-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $53,643.08 $56,197.52 $53,643.08 2025-11-11
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $53,631.91 $56,185.81 $53,631.91 2025-11-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $53,607.09 $56,159.81 $53,607.09 2025-11-11
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 1 1 — — $53,100.00 $53,100.00 $53,100.00 2025-11-11
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $51,933.00 $53,874.00 $52,903.50 2025-11-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $52,851.34 $55,368.07 $52,851.34 2025-11-11
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $52,851.34 $55,368.07 $52,851.34 2025-11-11
4414 APR_DRG Major Bladder Procedures 9 9 — — $52,843.90 $55,360.27 $52,843.90 2025-11-11
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 44 36 $61,159.81 $45,869.86 25% off $674.37 $60,487.05 $52,689.18 2025-11-11
93453 HCPCS Pr R & L Hrt Cath W/njx L Ventriculog Img S&i 53 43 $62,618.00 $46,963.50 25% off $2,654.15 $61,929.20 $52,599.12 2025-11-11
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $52,300.35 $54,790.85 $52,300.35 2025-11-11
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 9 9 — — $51,664.99 $54,125.23 $51,664.99 2025-11-11
100 MS_DRG Seizures With Mcc 2 2 — — $31,072.00 $71,908.00 $51,490.00 2025-11-11
33741 HCPCS Pr Tas Congenital Cardiac Anomalies Any Method 53 43 $60,890.00 $45,667.50 25% off $19,473.42 $60,220.21 $51,147.60 2025-11-11
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 5 1 — — $20,892.31 $53,693.22 $51,127.65 2025-11-11
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $51,112.76 $53,546.70 $51,112.76 2025-11-11
2244 APR_DRG Peritoneal Adhesiolysis 9 9 — — $51,085.45 $53,518.09 $51,085.45 2025-11-11
12780004-29-16575 CDM Hb Melody Transcatheter Pulmonic Valve - 18mm Bvj 45 37 $59,102.00 $44,326.50 25% off $20,094.68 $62,057.10 $51,005.03 2025-11-11
12780003-29-16576 CDM Hb Melody Transcatheter Pulmonic Valve - 16mm Bvj 45 37 $59,102.00 $44,326.50 25% off $20,094.68 $62,057.10 $51,005.03 2025-11-11
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $50,993.00 $50,993.00 $50,993.00 2025-11-11
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $50,442.64 $52,844.67 $50,442.64 2025-11-11
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $50,189.48 $52,579.45 $50,189.48 2025-11-11
8624 APR_DRG Other Aftercare And Convalescence 9 9 — — $50,108.81 $52,494.95 $50,108.81 2025-11-11
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $50,024.00 $50,024.00 $50,024.00 2025-11-11
6964 APR_DRG Other Chemotherapy 9 9 — — $49,962.38 $52,341.54 $49,962.38 2025-11-11
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $49,945.01 $52,323.35 $49,945.01 2025-11-11
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $49,385.33 $51,737.02 $49,385.33 2025-11-11
1792 APR_DRG Defibrillator Implants 9 9 — — $49,191.74 $51,534.21 $49,191.74 2025-11-11
734 APR_DRG Orbit And Eye Procedures 9 9 — — $49,087.51 $51,425.01 $49,087.51 2025-11-11
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 9 9 — — $49,044.07 $51,379.50 $49,044.07 2025-11-11
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 9 9 — — $48,980.78 $51,313.20 $48,980.78 2025-11-11
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $48,581.19 $50,894.58 $48,581.19 2025-11-11
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $48,581.19 $50,894.58 $48,581.19 2025-11-11
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $48,433.52 $50,739.88 $48,433.52 2025-11-11
123 MS_DRG Neurological Eye Disorders 1 1 — — $48,247.00 $48,247.00 $48,247.00 2025-11-11
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $48,227.52 $50,524.07 $48,227.52 2025-11-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 3 3 — — $27,841.00 $59,828.00 $48,050.00 2025-11-11
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $48,035.17 $50,322.56 $48,035.17 2025-11-11
213 APR_DRG Open Craniotomy Except Trauma 9 9 — — $47,863.91 $50,143.15 $47,863.91 2025-11-11
4404 APR_DRG Kidney Transplant 9 9 — — $47,429.58 $49,688.13 $47,429.58 2025-11-11
4403 APR_DRG Kidney Transplant 9 9 — — $47,429.58 $49,688.13 $47,429.58 2025-11-11
2234 APR_DRG Other Small And Large Bowel Procedures 9 9 — — $47,228.55 $49,477.53 $47,228.55 2025-11-11
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 9 9 — — $47,165.25 $49,411.22 $47,165.25 2025-11-11
4854 APR_DRG Prostatectomy Procedures 9 9 — — $47,080.87 $49,322.81 $47,080.87 2025-11-11
1791 APR_DRG Defibrillator Implants 9 9 — — $47,029.99 $49,269.52 $47,029.99 2025-11-11
8632 APR_DRG Neonatal Aftercare 9 9 — — $46,919.54 $49,153.81 $46,919.54 2025-11-11
50633021011 NDC Glucarpidase 1000 Units IV Solr 45 37 $54,159.25 $40,619.44 25% off $18,414.15 $56,867.21 $46,739.43 2025-11-11
2614 APR_DRG Major Biliary Tract Procedures 9 9 — — $46,550.97 $48,767.69 $46,550.97 2025-11-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 2 — — $7,754.00 $84,459.00 $46,106.50 2025-11-11
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 9 9 — — $45,988.82 $48,178.77 $45,988.82 2025-11-11
3094 APR_DRG Other Significant Hip And Femur Surgery 9 9 — — $45,982.62 $48,172.27 $45,982.62 2025-11-11
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $45,970.21 $48,159.27 $45,970.21 2025-11-11
0094U OTHER Genome Rapid Sequence Alys 5 1 — — $18,735.62 $48,150.53 $45,849.80 2025-11-11
244 APR_DRG Open Extracranial Vascular Procedures 9 9 — — $45,733.18 $47,910.95 $45,733.18 2025-11-11
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 9 9 — — $45,687.26 $47,862.85 $45,687.26 2025-11-11
2613 APR_DRG Major Biliary Tract Procedures 9 9 — — $45,419.22 $47,582.04 $45,419.22 2025-11-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $45,271.55 $47,427.34 $45,271.55 2025-11-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $45,271.55 $47,427.34 $45,271.55 2025-11-11
2314 APR_DRG Major Large Bowel Procedures 9 9 — — $45,236.80 $47,390.94 $45,236.80 2025-11-11
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 9 9 — — $45,123.88 $47,272.63 $45,123.88 2025-11-11
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $45,097.82 $47,245.33 $45,097.82 2025-11-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $45,097.82 $47,245.33 $45,097.82 2025-11-11
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 3 — — $14,496.00 $45,447.00 $45,071.00 2025-11-11
6614 APR_DRG Coagulation And Platelet Disorders 9 9 — — $45,043.20 $47,188.12 $45,043.20 2025-11-11
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $45,039.49 $47,184.23 $45,039.49 2025-11-11
8154 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 9 9 — — $45,003.49 $47,146.52 $45,003.49 2025-11-11
893 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $44,966.27 $47,107.52 $44,966.27 2025-11-11
4034 APR_DRG Procedures For Obesity 9 9 — — $44,734.21 $46,864.41 $44,734.21 2025-11-11
33463 HCPCS Pr Valvuloplasty Tricuspid Valve Without Ring Insertion 45 37 $51,811.00 $38,858.25 25% off $17,615.74 $54,401.55 $44,712.89 2025-11-11
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $44,659.76 $46,786.41 $44,659.76 2025-11-11
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $44,623.00 $44,623.00 $44,623.00 2025-11-11
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