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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

LEHIGH VALLEY HOSPITAL

Allentown, PA · CCN 390133 · Rates published

21,892 distinct procedures filed
26 distinct payers
1,281,624 rate rows
2025-08-01 last MRF observed
Data quality

1,220,424 of 1,281,624 rate rows are consumer-grade (95.2%)

61,200 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 56,035
placeholder amount (≤ $0.02) — excluded from medians 3,456
exceeds 10× this hospital's gross charge — excluded from medians 1,076
per-diem day rate — not a per-procedure price 372
percent-of-charges filed in the dollar field — excluded from medians 261
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lvhn.pt.panaceainc.com/MRFDownload/lvhn/lehigh
Found on page https://www.lvhn.org/get-price-quote
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 8e2ddcacdc4665e5… · 614,710,210 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 17 $2,440,200.00 $4,683,875.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 17 $2,440,200.00 $4,652,649.17 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $2,231,040.00 $4,194,622.54 $3,422,147.50 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $2,161,320.00 $4,148,575.00 $3,384,580.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 17 $1,952,160.00 $3,722,119.33 $3,036,659.73 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $2,368,485.25 $4,846,262.46 $2,544,287.79 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $1,533,840.00 $4,664,000.00 $2,425,280.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $770,620.00 $4,687,736.12 $868,173.71 nat. median
$824,563
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $600,991.18 $1,101,565.30 $711,920.38 nat. median
$370,174
1.9× median
5957251501
NDC 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 26 $335,600.00 $3,076,830.38 $614,680.17 nat. median
$606,766
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $312,500.00 $3,375,103.79 $613,497.39 nat. median
$754,974
0.8× median
7315390001
NDC 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 26 $328,240.00 $3,011,633.21 $601,655.27 nat. median
$593,909
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $310,000.00 $3,225,806.77 $586,359.46 nat. median
$675,122
0.9× median
7128711901
NDC 		Axicabtagene Ciloleucel Intravenous Suspension 26 $245,394.70 $2,932,315.72 $585,809.45 nat. median
$578,267
1.0× median
7128722001
NDC 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 26 $370,642.90 $2,853,931.20 $568,199.04 nat. median
$637,006
0.9× median
7128721901
NDC 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 26 $370,642.90 $2,853,931.20 $568,199.04 nat. median
$562,809
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $359,356.19 $409,023.30 $384,189.74 nat. median
$57,174
outlier · 6.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $225,407.39 $628,885.47 $302,381.74 nat. median
$265,286
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 18 $278,250.00 $1,622,614.88 $300,510.00 nat. median
$459,112
0.7× median
5831
APR_DRG 		9 $112,026.59 $774,246.01 $285,331.25 nat. median
$145,122
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $120,475.21 $629,106.74 $217,042.40 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $22,511.00 $478,481.90 $209,416.97 nat. median
$202,986
1.0× median
5881
APR_DRG 		9 $98,879.58 $505,107.31 $206,494.30 nat. median
$124,573
1.7× median
1611
APR_DRG 		9 $79,388.92 $383,350.45 $154,651.09 nat. median
$76,806
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $93,923.76 $396,678.44 $153,984.01 nat. median
$108,660
1.4× median
0021
APR_DRG 		9 $67,271.90 $447,318.72 $152,969.85 nat. median
$128,074
1.2× median
0-D
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 3 $115,000.00 $291,282.00 $145,141.00 —
2-D
MS_DRG 		Kidney Transplant - Deceased Donor 3 $115,000.00 $201,892.00 $145,141.00 —
1-D
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 3 $115,000.00 $238,389.00 $145,141.00 —
215
MS_DRG 		Other Heart Assist System Implant 19 $75,935.30 $327,148.00 $134,228.89 nat. median
$99,019
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $58,570.11 $338,268.00 $132,231.33 nat. median
$71,240
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $22,511.00 $315,466.38 $131,491.45 nat. median
$133,176
1.0× median
5911
APR_DRG 		9 $43,447.15 $320,876.29 $130,853.23 nat. median
$40,550
outlier · 3.2×
0111
APR_DRG 		22 $27,885.62 $810,720.09 $130,462.24 nat. median
$85,731
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 19 $63,468.30 $322,364.83 $127,980.19 nat. median
$102,358
1.3× median
5891
APR_DRG 		9 $11,709.90 $197,315.10 $124,907.01 nat. median
$93,260
1.3× median
7
MS_DRG 		Lung Transplant 18 $81,029.64 $359,476.74 $122,852.93 nat. median
$122,708
1.0× median
5931
APR_DRG 		9 $14,637.24 $297,533.83 $122,452.11 nat. median
$29,713
outlier · 4.1×
0-L
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Living Donor 3 $100,000.00 $243,226.00 $122,004.00 —
2-L
MS_DRG 		Kidney Transplant - Living Donor 3 $100,000.00 $171,483.00 $122,004.00 —
1-L
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Living Donor 3 $100,000.00 $199,061.00 $122,004.00 —
0071
APR_DRG 		22 $45,381.36 $304,576.39 $114,915.99 nat. median
$75,827
1.5× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 8 $71,188.68 $275,556.00 $112,707.05 nat. median
$53,171
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $85,830.10 $317,426.55 $110,020.57 nat. median
$100,136
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 18 $99,999.91 $583,149.48 $107,999.90 nat. median
$111,989
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $80,620.73 $215,470.46 $107,246.00 nat. median
$93,672
1.1× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 18 $93,216.70 $543,593.19 $101,606.20 nat. median
$96,983
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $40,682.00 $313,517.83 $101,154.85 nat. median
$98,905
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $22,511.00 $228,567.47 $100,989.19 nat. median
$77,576
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $22,511.00 $199,908.40 $92,962.86 nat. median
$81,118
1.1× median

Other procedures at this hospital

Browse this hospital's 21,892 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 26 17 — — $2,440,200.00 $4,683,875.00 $3,821,300.00 2025-08-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 26 17 — — $2,440,200.00 $4,652,649.17 $3,795,824.67 2025-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 26 17 — — $2,231,040.00 $4,194,622.54 $3,422,147.50 2025-08-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 26 17 — — $2,161,320.00 $4,148,575.00 $3,384,580.00 2025-08-01
J3393 HCPCS Inj, Betibeglogene Autotemce 26 17 — — $1,952,160.00 $3,722,119.33 $3,036,659.73 2025-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 17 — — $2,368,485.25 $4,846,262.46 $2,544,287.79 2025-08-01
J3392 HCPCS Inj, Exagamglogene Autotem 29 17 — — $1,533,840.00 $4,664,000.00 $2,425,280.00 2025-08-01
Q2057 HCPCS Afamitresgene Autoleucel 33 18 — — $770,620.00 $4,687,736.12 $868,173.71 2025-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 6 — — $600,991.18 $1,101,565.30 $711,920.38 2025-08-01
5957251501 NDC Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 66 26 $3,962,343.23 $1,981,171.62 50% off $335,600.00 $3,076,830.38 $614,680.17 2025-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 50 20 — — $312,500.00 $3,375,103.79 $613,497.39 2025-08-01
7315390001 NDC Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 66 26 $3,985,128.00 $1,992,564.00 50% off $328,240.00 $3,011,633.21 $601,655.27 2025-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 50 20 — — $310,000.00 $3,225,806.77 $586,359.46 2025-08-01
7128711901 NDC Axicabtagene Ciloleucel Intravenous Suspension 66 26 $3,776,850.00 $1,888,425.00 50% off $245,394.70 $2,932,315.72 $585,809.45 2025-08-01
7128722001 NDC Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 66 26 $3,465,000.00 $1,732,500.00 50% off $370,642.90 $2,853,931.20 $568,199.04 2025-08-01
7128721901 NDC Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 66 26 $3,465,000.00 $1,732,500.00 50% off $370,642.90 $2,853,931.20 $568,199.04 2025-08-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $359,356.19 $409,023.30 $384,189.74 2025-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 19 — — $225,407.39 $628,885.47 $302,381.74 2025-08-01
C9301 HCPCS Obecabtagene Car Pos T 33 18 — — $278,250.00 $1,622,614.88 $300,510.00 2025-08-01
5831 APR_DRG — 72 9 — — $112,026.59 $774,246.01 $285,331.25 2025-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 18 — — $120,475.21 $629,106.74 $217,042.40 2025-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 19 — — $22,511.00 $478,481.90 $209,416.97 2025-08-01
5881 APR_DRG — 72 9 — — $98,879.58 $505,107.31 $206,494.30 2025-08-01
1611 APR_DRG — 72 9 — — $79,388.92 $383,350.45 $154,651.09 2025-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 19 — — $93,923.76 $396,678.44 $153,984.01 2025-08-01
0021 APR_DRG — 72 9 — — $67,271.90 $447,318.72 $152,969.85 2025-08-01
2-D MS_DRG Kidney Transplant - Deceased Donor 4 3 — — $115,000.00 $201,892.00 $145,141.00 2025-08-01
0-D MS_DRG Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 4 3 — — $115,000.00 $291,282.00 $145,141.00 2025-08-01
1-D MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 4 3 — — $115,000.00 $238,389.00 $145,141.00 2025-08-01
215 MS_DRG Other Heart Assist System Implant 49 19 — — $75,935.30 $327,148.00 $134,228.89 2025-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 20 — — $58,570.11 $338,268.00 $132,231.33 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 19 — — $22,511.00 $315,466.38 $131,491.45 2025-08-01
5911 APR_DRG — 72 9 — — $43,447.15 $320,876.29 $130,853.23 2025-08-01
0111 APR_DRG — 100 22 — — $27,885.62 $810,720.09 $130,462.24 2025-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 47 19 — — $63,468.30 $322,364.83 $127,980.19 2025-08-01
5891 APR_DRG — 72 9 — — $11,709.90 $197,315.10 $124,907.01 2025-08-01
7 MS_DRG Lung Transplant 40 18 — — $81,029.64 $359,476.74 $122,852.93 2025-08-01
5931 APR_DRG — 72 9 — — $14,637.24 $297,533.83 $122,452.11 2025-08-01
1-L MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Living Donor 4 3 — — $100,000.00 $199,061.00 $122,004.00 2025-08-01
2-L MS_DRG Kidney Transplant - Living Donor 4 3 — — $100,000.00 $171,483.00 $122,004.00 2025-08-01
0-L MS_DRG Kidney Transplant With Hemodialysis With Mcc - Living Donor 4 3 — — $100,000.00 $243,226.00 $122,004.00 2025-08-01
0071 APR_DRG — 114 22 — — $45,381.36 $304,576.39 $114,915.99 2025-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 14 8 — — $71,188.68 $275,556.00 $112,707.05 2025-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 18 — — $85,830.10 $317,426.55 $110,020.57 2025-08-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 33 18 — — $99,999.91 $583,149.48 $107,999.90 2025-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 19 — — $80,620.73 $215,470.46 $107,246.00 2025-08-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 32 18 — — $93,216.70 $543,593.19 $101,606.20 2025-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 18 — — $40,682.00 $313,517.83 $101,154.85 2025-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 19 — — $22,511.00 $228,567.47 $100,989.19 2025-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 19 — — $22,511.00 $199,908.40 $92,962.86 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 19 — — $67,534.69 $198,069.86 $91,287.21 2025-08-01
0041 APR_DRG — 72 9 — — $36,966.34 $269,010.01 $90,852.07 2025-08-01
6021 APR_DRG — 72 9 — — $14,887.15 $220,942.03 $90,805.63 2025-08-01
850 MS_DRG Acute Leukemia With Other Procedures 46 18 — — $33,662.00 $275,702.59 $88,946.19 2025-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 18 — — $36,451.10 $185,152.52 $88,926.74 2025-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 19 — — $64,590.37 $172,747.43 $86,805.88 2025-08-01
270006206-10806601-36710 CDM Hb Kit Protek Duo Dl31 26 11 $247,005.00 $123,502.50 50% off $5,000.00 $154,872.14 $86,451.75 2025-08-01
6301 APR_DRG — 72 9 — — $19,225.03 $368,457.97 $84,276.52 2025-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 19 — — $62,735.86 $174,508.95 $84,238.66 2025-08-01
0061 APR_DRG — 116 24 — — $32,485.67 $194,853.79 $82,072.32 2025-08-01
270006205-10806601-36711 CDM Hb Kit Protek Duo Dl29 26 11 $233,020.00 $116,510.00 50% off $5,000.00 $146,103.54 $81,557.00 2025-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 19 — — $42,378.70 $168,374.91 $81,096.40 2025-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 18 — — $40,682.00 $249,625.48 $80,551.00 2025-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 19 — — $22,511.00 $171,433.08 $80,463.00 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 47 19 — — $36,593.90 $243,599.00 $79,579.17 2025-08-01
8411 APR_DRG — 54 9 — — $31,578.41 $363,410.73 $78,810.67 2025-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 19 — — $42,667.08 $145,155.46 $78,379.42 2025-08-01
0011 APR_DRG — 72 9 — — $35,419.73 $270,865.82 $77,172.15 2025-08-01
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 7 — — $68,075.46 $89,314.06 $77,139.40 2025-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 19 — — $41,459.60 $187,504.93 $76,204.92 2025-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 19 — — $22,511.00 $171,672.51 $76,115.35 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 19 — — $53,050.29 $144,179.08 $74,654.36 2025-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 32 18 — — $67,452.66 $393,350.19 $73,523.40 2025-08-01
0091 APR_DRG — 72 9 — — $29,956.45 $303,049.76 $73,448.33 2025-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 19 — — $34,463.10 $132,627.94 $72,559.54 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 19 — — $14,754.00 $155,310.82 $72,357.55 2025-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 19 — — $22,511.00 $164,729.00 $71,923.26 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 19 — — $49,464.05 $138,391.51 $69,396.51 2025-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 19 — — $22,511.00 $147,822.42 $68,741.46 2025-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 18 — — $40,682.00 $212,576.42 $68,606.55 2025-08-01
245 MS_DRG Aicd Generator Procedures 49 19 — — $29,535.80 $143,389.65 $68,032.66 2025-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 19 — — $48,443.89 $131,370.65 $67,750.04 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 19 — — $47,643.53 $132,824.07 $67,538.14 2025-08-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 56 21 — — $48,149.67 $368,758.46 $67,345.93 2025-08-01
810000001-10806601-32058 CDM Hb Organ Processing 26 11 $191,370.00 $95,685.00 50% off $5,000.00 $119,988.99 $66,979.50 2025-08-01
810000002-10806601-32057 CDM Hb Organ Processing - Lrd 26 11 $191,370.00 $95,685.00 50% off $5,000.00 $119,988.99 $66,979.50 2025-08-01
481000211-10806601-34759 CDM Hb 33270 Insert Subq Defib W/eltrd 68 26 $157,220.00 $78,610.00 50% off $17,567.84 $195,032.88 $66,285.76 2025-08-01
A9543 HCPCS Y90 Ibritumomab, Rx 48 18 — — $44,863.33 $331,372.36 $66,156.06 2025-08-01
28 MS_DRG Spinal Procedures With Mcc 41 19 — — $22,511.00 $135,730.92 $65,618.70 2025-08-01
6091 APR_DRG — 72 9 — — $26,010.50 $332,109.99 $65,332.00 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 19 — — $14,754.00 $170,505.29 $65,167.66 2025-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 18 — — $51,268.79 $139,958.05 $65,117.81 2025-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 18 — — $39,504.50 $200,664.70 $64,789.42 2025-08-01
560000237-10806601-34073 CDM Hb Trnsplj Allogeneic Hematopoietic Cells Per Donor 52 19 $180,430.00 $90,215.00 50% off $139.09 $359,766.99 $64,778.42 2025-08-01
810000003-10806601-32056 CDM Hb Pancreas Organ Processing 26 11 $184,995.00 $92,497.50 50% off $5,000.00 $115,991.87 $64,748.25 2025-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 19 — — $22,511.00 $200,553.96 $64,686.43 2025-08-01
6071 APR_DRG — 72 9 — — $19,206.60 $169,325.00 $64,138.24 2025-08-01
0051 APR_DRG — 72 9 — — $24,867.21 $175,468.11 $63,163.26 2025-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 19 — — $22,511.00 $135,967.27 $62,861.47 2025-08-01
J7330 HCPCS Cultured Chondrocytes Implnt 13 4 — — $42,295.64 $259,888.86 $61,878.30 2025-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 19 — — $22,511.00 $128,634.67 $61,605.05 2025-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 47 19 — — $28,181.30 $243,599.00 $61,282.96 2025-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 19 — — $43,392.93 $118,254.12 $61,077.81 2025-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 39 18 — — $42,948.36 $149,113.12 $60,488.76 2025-08-01
3023789006 NDC Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 55 21 $73,946.00 $36,973.00 50% off $10,041.87 $332,495.22 $60,251.86 2025-08-01
1781 APR_DRG — 72 9 — — $29,301.59 $121,884.20 $60,226.04 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 41 19 — — $22,511.00 $162,993.12 $60,206.06 2025-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 19 — — $41,708.44 $118,778.79 $60,083.29 2025-08-01
3031 APR_DRG — 72 9 — — $24,473.65 $160,637.95 $60,005.40 2025-08-01
1621 APR_DRG — 72 9 — — $24,975.09 $152,687.80 $59,407.42 2025-08-01
481000292-10806601-34704 CDM Hb Tcat Impl Wrls P-art Prs Snr 68 26 $138,070.00 $69,035.00 50% off $17,567.84 $172,931.56 $58,774.19 2025-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 19 — — $22,511.00 $129,233.25 $58,641.98 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 19 — — $22,511.00 $120,582.73 $58,345.04 2025-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 19 — — $22,511.00 $193,670.30 $58,133.43 2025-08-01
6031 APR_DRG — 72 9 — — $12,504.62 $275,210.02 $57,562.15 2025-08-01
A1904 OTHER Guillain-barr? M <38.50 28 7 — — $52,940.51 $77,283.13 $56,587.62 2025-08-01
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 7 — — $49,795.69 $65,330.37 $56,424.60 2025-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 41 19 — — $22,511.00 $127,856.52 $56,260.45 2025-08-01
270006137-10806601-36779 CDM Hb Set Usa Hls Advanced 7.0 26 11 $160,030.00 $80,015.00 50% off $5,000.00 $100,338.81 $56,010.50 2025-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 19 — — $14,754.00 $123,877.45 $56,003.79 2025-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 19 — — $22,511.00 $172,241.16 $55,802.08 2025-08-01
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 7 — — $49,602.73 $72,696.80 $55,704.63 2025-08-01
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 7 — — $49,073.11 $64,381.83 $55,606.29 2025-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 19 — — $22,511.00 $114,599.36 $55,472.02 2025-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 18 — — $34,391.60 $134,757.50 $54,701.29 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 19 — — $37,488.00 $113,742.04 $54,567.33 2025-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 19 — — $22,511.00 $112,453.83 $54,441.80 2025-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 19 — — $22,511.00 $129,053.68 $54,192.64 2025-08-01
4401 APR_DRG — 113 23 — — $26,432.63 $142,689.50 $54,136.50 2025-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 19 — — $38,873.62 $107,246.00 $54,094.57 2025-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 19 — — $26,283.60 $133,483.16 $54,081.60 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 19 — — $22,511.00 $111,659.02 $54,060.16 2025-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 19 — — $22,511.00 $113,393.75 $54,037.65 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 19 — — $44,336.76 $186,607.07 $53,881.33 2025-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 19 — — $22,511.00 $164,579.35 $53,860.61 2025-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 18 — — $32,439.40 $164,731.99 $53,229.24 2025-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 18 — — $32,232.90 $163,726.38 $52,898.11 2025-08-01
9101 APR_DRG — 121 23 — — $15,740.42 $171,403.15 $52,856.94 2025-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 19 — — $22,511.00 $145,125.53 $52,669.60 2025-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 41 19 — — $22,511.00 $108,444.08 $52,516.44 2025-08-01
799 MS_DRG Splenic Procedures With Mcc 41 19 — — $22,511.00 $106,155.66 $51,417.62 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 19 — — $22,511.00 $118,099.68 $51,209.70 2025-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 37 19 — — $22,511.00 $210,699.88 $51,069.24 2025-08-01
L7181 HCPCS Electronic Elbo Simultaneous 33 18 — — $47,211.27 $275,312.52 $50,988.17 2025-08-01
270006248-10806601-36668 CDM Hb Centrimag Blood Pump 65 26 $154,070.00 $77,035.00 50% off $5,000.00 $96,601.89 $50,800.94 2025-08-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 33 18 — — $45,000.50 $273,741.22 $50,697.17 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 19 — — $22,511.00 $104,474.52 $50,610.39 2025-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 18 — — $30,344.30 $154,137.14 $50,285.34 2025-08-01
270006273-10806601-36643 CDM Hb Protek Duo Cannula Veno-venous 31fr 64 26 $152,290.00 $76,145.00 50% off $5,000.00 $95,485.83 $50,242.92 2025-08-01
270006272-10806601-36644 CDM Hb Protek Duo Cannula Veno-venous 29fr 64 26 $152,290.00 $76,145.00 50% off $5,000.00 $95,485.83 $50,242.92 2025-08-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 35 18 — — $22,556.63 $273,741.22 $50,227.75 2025-08-01
A0106 OTHER Stroke M <41.50 And A <84.50 28 7 — — $45,059.99 $61,398.92 $50,201.00 2025-08-01
163 MS_DRG Major Chest Procedures With Mcc 41 19 — — $22,511.00 $107,338.60 $49,915.37 2025-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 19 — — $22,511.00 $123,456.96 $49,864.23 2025-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 41 19 — — $26,593.00 $196,644.28 $49,836.39 2025-08-01
6311 APR_DRG — 72 9 — — $5,007.92 $326,049.51 $49,725.29 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 19 — — $22,511.00 $106,710.91 $49,671.30 2025-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 41 19 — — $26,728.98 $99,563.26 $49,502.00 2025-08-01
1631 APR_DRG — 72 9 — — $21,399.40 $127,187.46 $49,433.17 2025-08-01
6 MS_DRG Liver Transplant Without Mcc 38 18 — — $40,524.06 $143,778.72 $48,948.51 2025-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 19 — — $22,511.00 $100,725.98 $48,810.46 2025-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 19 — — $22,511.00 $99,848.57 $48,389.16 2025-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 41 19 — — $22,511.00 $99,603.58 $47,941.05 2025-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 41 19 — — $21,439.00 $129,412.82 $47,536.90 2025-08-01
1651 APR_DRG — 72 9 — — $22,165.93 $118,780.81 $47,535.34 2025-08-01
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 7 — — $41,935.70 $63,720.61 $47,501.43 2025-08-01
6797900201 NDC Histrelin 50 Mg (65 Mcg/day) Implant Kit 59 22 $48,781.77 $24,390.89 50% off $6,624.56 $263,654.01 $47,472.64 2025-08-01
0081 APR_DRG — 72 9 — — $18,216.19 $150,960.69 $47,239.91 2025-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 47 19 — — $21,620.73 $174,595.00 $46,857.72 2025-08-01
481000371-10806601-34633 CDM Hb 0916t Insertion Perm Ccm-d System Pulse Generator Only 68 26 $112,905.00 $56,452.50 50% off $7,021.59 $136,541.77 $46,406.41 2025-08-01
1601 APR_DRG — 72 9 — — $17,830.21 $223,659.36 $46,262.86 2025-08-01
6081 APR_DRG — 72 9 — — $10,985.66 $106,980.89 $46,222.81 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 19 — — $32,582.71 $91,806.74 $46,147.91 2025-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 19 — — $24,396.40 $123,905.89 $46,106.83 2025-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 19 — — $22,511.00 $100,125.41 $45,900.75 2025-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 19 — — $30,529.98 $106,636.88 $45,862.89 2025-08-01
L7180 HCPCS Electronic Elbow Sequential 33 18 — — $41,907.21 $244,381.90 $45,259.79 2025-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 19 — — $22,511.00 $95,236.02 $45,224.66 2025-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 19 — — $22,511.00 $92,891.79 $45,048.74 2025-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 18 — — $24,060.40 $122,214.91 $44,892.57 2025-08-01
1671 APR_DRG — 72 9 — — $18,402.13 $128,051.69 $44,534.40 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 41 19 — — $22,511.00 $99,364.15 $44,503.07 2025-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 18 — — $23,152.50 $117,088.08 $44,460.00 2025-08-01
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 7 — — $39,024.89 $51,199.57 $44,220.80 2025-08-01
A0105 OTHER Stroke M <41.50 And A >=84.50 28 7 — — $39,618.14 $53,981.79 $44,136.07 2025-08-01
6121 APR_DRG — 72 9 — — $15,500.81 $120,949.52 $44,115.36 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 19 — — $22,511.00 $107,265.39 $44,048.54 2025-08-01
A0205 OTHER Traumatic Brain Injury M <35.50 28 7 — — $38,146.31 $55,739.42 $43,152.87 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 19 — — $22,511.00 $90,612.97 $43,151.27 2025-08-01
1831 APR_DRG — 72 9 — — $22,351.33 $106,219.60 $43,129.74 2025-08-01
1791 APR_DRG — 72 9 — — $20,491.92 $98,778.79 $43,128.57 2025-08-01
481000031-10806601-34923 CDM Hb Icd Insert Generator, Leads Single/dual 33249 57 22 $266,370.00 $133,185.00 50% off $954.48 $195,032.88 $43,022.00 2025-08-01
265 MS_DRG Aicd Lead Procedures 49 19 — — $18,365.90 $102,985.55 $42,770.84 2025-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 19 — — $22,511.00 $121,571.44 $42,657.06 2025-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 19 — — $22,511.00 $104,661.57 $42,135.26 2025-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 19 — — $22,511.00 $117,650.74 $42,132.83 2025-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 45 19 — — $21,200.20 $111,605.09 $42,078.26 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 19 — — $22,511.00 $85,961.80 $41,721.18 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 19 — — $22,511.00 $87,809.07 $41,566.45 2025-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 19 — — $22,511.00 $88,091.70 $41,548.27 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 19 — — $22,511.00 $141,833.34 $41,422.08 2025-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 41 19 — — $22,511.00 $93,559.34 $41,402.80 2025-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 19 — — $22,511.00 $88,912.37 $41,346.68 2025-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 32 18 — — $37,828.21 $220,595.21 $41,232.75 2025-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 19 — — $22,511.00 $91,043.90 $41,200.17 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 19 — — $22,511.00 $93,537.01 $41,075.51 2025-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 41 19 — — $22,511.00 $98,166.99 $40,988.13 2025-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 19 — — $22,511.00 $84,215.90 $40,882.86 2025-08-01
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 7 — — $35,151.35 $55,390.85 $40,855.70 2025-08-01
1661 APR_DRG — 72 9 — — $18,407.55 $104,018.38 $40,695.60 2025-08-01
6111 APR_DRG — 72 9 — — $9,692.21 $137,235.88 $40,433.64 2025-08-01
332 MS_DRG Rectal Resection With Mcc 41 19 — — $22,511.00 $115,406.07 $40,252.04 2025-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 43 19 — — $19,963.59 $117,411.31 $40,202.25 2025-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 18 — — $18,183.20 $92,360.77 $40,111.55 2025-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 18 — — $26,554.75 $96,602.37 $40,060.89 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 41 19 — — $29,154.93 $80,568.76 $39,990.00 2025-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 19 — — $18,860.10 $121,605.00 $39,990.00 2025-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 19 — — $22,511.00 $100,830.67 $39,863.01 2025-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 19 — — $14,754.00 $81,460.88 $39,559.98 2025-08-01
481000262-10806601-34732 CDM Hb Transcath Insert Or Replace Leadless Pacemaker Ventr 33274 68 26 $76,875.00 $38,437.50 50% off $10,439.63 $116,011.22 $39,428.69 2025-08-01
481000351-10806601-34652 CDM Hb 0823t Tcat Ins 1chmbr Ldls Pm Ra 68 26 $79,665.00 $39,832.50 50% off $7,021.59 $116,011.22 $39,428.69 2025-08-01
481000353-10806601-34650 CDM Hb 0825t Tcat Rmv&rpl 1chmb Ldls Pm Ra 68 26 $79,665.00 $39,832.50 50% off $7,021.59 $116,011.22 $39,428.69 2025-08-01
3041 APR_DRG — 72 9 — — $16,061.88 $112,626.86 $39,381.12 2025-08-01
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 7 — — $34,927.60 $51,189.01 $39,223.49 2025-08-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 35 18 — — $12,306.65 $212,910.51 $39,066.15 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 41 19 — — $14,754.00 $98,915.21 $38,872.82 2025-08-01
A1903 OTHER Guillain-barr? M >=38.50 And M <51.50 28 7 — — $36,341.94 $53,054.38 $38,846.03 2025-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 41 19 — — $22,511.00 $106,696.74 $38,663.34 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 41 19 — — $22,511.00 $88,859.08 $38,627.68 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 19 — — $22,511.00 $79,284.09 $38,514.76 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 49 19 — — $18,614.40 $78,031.60 $38,233.19 2025-08-01
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 7 — — $33,905.32 $50,373.56 $38,090.28 2025-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 47 19 — — $17,464.68 $121,605.00 $38,040.44 2025-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 19 — — $22,473.50 $100,681.02 $38,014.02 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 19 — — $22,511.00 $88,829.15 $38,006.63 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 19 — — $22,511.00 $78,201.28 $37,994.84 2025-08-01
A1004 OTHER Amputation Lower Extremity M <47.50 28 7 — — $31,971.63 $48,611.71 $37,895.18 2025-08-01
6131 APR_DRG — 72 9 — — $12,819.04 $137,879.32 $37,848.54 2025-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 41 19 — — $21,765.10 $160,936.20 $37,671.08 2025-08-01
793 MS_DRG Full Term Neonate With Major Problems 33 19 — — $8,743.00 $93,110.58 $37,553.65 2025-08-01
A0604 OTHER Neurological M <43.50 28 7 — — $32,224.12 $52,610.75 $37,522.24 2025-08-01
1301 APR_DRG — 72 9 — — $18,320.81 $81,005.08 $37,494.56 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 41 19 — — $29,175.58 $76,471.02 $37,488.00 2025-08-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 32 18 — — $34,284.44 $199,929.71 $37,370.04 2025-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 19 — — $22,511.00 $86,015.83 $37,369.85 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 19 — — $22,511.00 $76,779.11 $37,311.95 2025-08-01
A1504 OTHER Pulmonary M <45.50 28 7 — — $33,336.71 $48,047.66 $37,284.83 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 41 19 — — $22,511.00 $89,786.88 $37,219.76 2025-08-01
481000253-10806601-34736 CDM Hb Perq Transcath Cls Aortic 93591 68 26 $74,560.00 $37,280.00 50% off $7,021.59 $109,231.98 $37,124.64 2025-08-01
481000252-10806601-34737 CDM Hb Perq Transcath Cls Mitral 93590 68 26 $76,875.00 $38,437.50 50% off $7,021.59 $109,231.98 $37,124.64 2025-08-01
665 MS_DRG Prostatectomy With Mcc 41 19 — — $22,511.00 $91,911.84 $37,111.53 2025-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 41 19 — — $22,511.00 $81,496.56 $36,960.33 2025-08-01
791 MS_DRG Prematurity With Major Problems 33 19 — — $30,481.89 $90,641.33 $36,915.83 2025-08-01
A2102 OTHER Burns M <52.50 21 7 — — $30,873.41 $48,960.28 $36,852.99 2025-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 47 19 — — $16,938.60 $121,605.00 $36,837.18 2025-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 41 19 — — $23,504.00 $67,695.29 $36,529.75 2025-08-01
A0704 OTHER Fracture Of Lower Extremity M <41.50 28 7 — — $32,343.17 $49,165.20 $36,491.50 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 19 — — $22,511.00 $83,543.89 $36,475.53 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 19 — — $22,511.00 $74,941.68 $36,429.68 2025-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 47 19 — — $18,050.20 $81,197.27 $36,398.91 2025-08-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 35 18 — — $25,170.34 $195,032.88 $36,120.30 2025-08-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 35 18 — — $17,670.20 $195,032.88 $36,120.30 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 41 19 — — $22,511.00 $79,760.68 $36,045.89 2025-08-01
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 7 — — $32,277.49 $45,242.20 $36,027.14 2025-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 47 19 — — $16,515.03 $73,718.22 $35,842.21 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 19 — — $22,511.00 $107,594.61 $35,790.22 2025-08-01
481000034-10806601-34920 CDM Hb Icd Removal/rplcmnt Pace With Mult Lead 33264 52 19 $157,220.00 $78,610.00 50% off $954.48 $195,032.88 $35,785.85 2025-08-01
481000024-10806601-34930 CDM Hb Icd Gen Insertion With Multiple Lead 33231 52 19 $144,090.00 $72,045.00 50% off $954.48 $195,032.88 $35,785.85 2025-08-01
A2005 OTHER Miscellaneous M <46.50 And A <77.50 28 7 — — $30,967.84 $46,923.78 $35,716.61 2025-08-01
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 7 — — $31,429.70 $41,234.71 $35,614.01 2025-08-01
481000370-10806601-34634 CDM Hb 0915t Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 52 19 $161,270.00 $80,635.00 50% off $7,021.59 $195,032.88 $35,546.04 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 43 19 — — $18,706.10 $72,977.00 $35,486.30 2025-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 41 19 — — $22,511.00 $72,738.11 $35,371.59 2025-08-01
A0104 OTHER Stroke M >=41.50 And M <50.50 28 7 — — $31,682.19 $43,169.79 $35,295.75 2025-08-01
1691 APR_DRG — 72 9 — — $16,770.41 $91,668.49 $35,258.02 2025-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 19 — — $22,511.00 $96,790.26 $35,168.61 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 41 19 — — $22,511.00 $95,323.74 $35,164.04 2025-08-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 33 18 — — $31,788.22 $185,373.00 $34,967.04 2025-08-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 33 18 — — $31,788.22 $185,373.00 $34,967.04 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 41 19 — — $22,511.00 $98,825.43 $34,956.72 2025-08-01
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 7 — — $29,953.77 $47,200.53 $34,814.15 2025-08-01
481000197-10806601-34772 CDM Hb C9607 Perc Revas Chrn Occl W D Stnt Sgl 67 26 $76,875.00 $38,437.50 50% off $8,225.63 $61,389.00 $34,807.32 2025-08-01
481000192-10806601-34776 CDM Hb C9602 Perc Arther W Drug Elud Stent Sgl 67 26 $76,875.00 $38,437.50 50% off $8,225.63 $61,389.00 $34,807.32 2025-08-01
481000221-10806601-34758 CDM Hb C9606 Perc Revas Acut Occl S D Stnt Sgl 67 26 $73,830.00 $36,915.00 50% off $7,899.81 $61,389.00 $34,644.40 2025-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 19 — — $22,511.00 $96,999.76 $34,631.90 2025-08-01
A1604 OTHER Pain Syndrome M <43.50 28 7 — — $29,947.61 $49,591.93 $34,542.73 2025-08-01
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 7 — — $30,744.08 $45,675.27 $34,538.40 2025-08-01
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 7 — — $30,910.35 $43,326.12 $34,501.07 2025-08-01
A0904 OTHER Other Orthopedic M <44.5 28 7 — — $30,027.67 $45,242.20 $34,493.10 2025-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 41 19 — — $22,511.00 $70,744.40 $34,414.27 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 41 19 — — $22,511.00 $80,016.38 $34,375.06 2025-08-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 35 18 — — $22,556.63 $185,373.00 $34,331.28 2025-08-01
A0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 28 7 — — $30,179.58 $45,856.95 $34,184.18 2025-08-01
69930 HCPCS Implant Cochlear Device 54 22 — — $853.60 $193,489.23 $34,175.41 2025-08-01
481000194-10806601-34774 CDM Hb C9604 Perc Revas Byps Grft W D Stnt Sgl 67 26 $64,970.00 $32,485.00 50% off $6,951.79 $61,389.00 $34,170.39 2025-08-01
A1404 OTHER Cardiac M <45.50 28 7 — — $29,686.92 $45,330.93 $33,951.29 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 41 19 — — $22,511.00 $89,876.67 $33,887.91 2025-08-01
A2004 OTHER Miscellaneous M <46.50 And A >=77.50 28 7 — — $29,379.00 $44,517.59 $33,884.78 2025-08-01
A1103 OTHER Amputation Non-lower Extremity M <52.50 21 7 — — $32,425.29 $42,369.14 $33,737.10 2025-08-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 39 18 — — $3,218.11 $185,373.00 $33,695.51 2025-08-01
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