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 →

Export CSV
Hospital

MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD

Darby, PA · CCN 390156 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,872 across 1 payer · range $12,828-$12,916

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/mercyfitzgeraldhospital · observed 2025-01-01

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.

14,360 distinct procedures filed
29 distinct payers
688,371 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

416,240 of 688,371 rate rows are consumer-grade (60.5%)

272,131 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 218,623
template filing: same amount across many unrelated codes — excluded 36,873
exceeds 10× this hospital's gross charge — excluded from medians 15,553
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 772
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 183
percent-of-charges filed in the dollar field — excluded from medians 118
placeholder amount (≤ $0.02) — excluded from medians 6
per-diem day rate — not a per-procedure price 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/mercyfitzgeraldhospital
Found on page https://www.trinityhealthma.org/patients-visitors/billing-insurance/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint b4be1dfff6e78643… · 17,404,065 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
'583-4
OTHER 		Neonate With Ecmo 3 $414,464.65 $626,579.35 $542,571.87 nat. median
$221,551
outlier · 2.4×
'583-3
OTHER 		Neonate With Ecmo 3 $347,859.41 $525,886.88 $455,379.56 nat. median
$195,630
outlier · 2.3×
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $321,042.37 $485,345.43 $420,273.63 nat. median
$202,324
outlier · 2.1×
'002-4
OTHER 		Heart And/or Lung Transplant 3 $303,766.99 $459,228.84 $397,658.58 nat. median
$205,014
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $286,163.15 $822,090.67 $376,334.84 nat. median
$370,165
1.0× median
'161-4
OTHER 		Implantable Heart Assist Systems 3 $255,103.34 $385,660.12 $333,953.45 nat. median
$182,608
1.8× median
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 3 $237,828.84 $359,544.88 $311,339.56 nat. median
$138,284
outlier · 2.3×
'583-2
OTHER 		Neonate With Ecmo 3 $225,734.12 $341,260.32 $295,506.47 nat. median
$119,004
outlier · 2.5×
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $216,613.85 $327,472.48 $283,567.20 nat. median
$131,074
outlier · 2.2×
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $214,483.92 $324,252.49 $280,778.94 nat. median
$127,072
outlier · 2.2×
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $213,668.68 $323,020.02 $279,711.71 nat. median
$119,104
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $210,479.16 $605,442.24 $277,158.00 nat. median
$261,939
1.1× median
'007-4
OTHER 		Allogeneic Bone Marrow Transplant 3 $206,288.00 $311,862.07 $270,049.74 nat. median
$131,941
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $204,732.24 $588,991.46 $269,627.20 nat. median
$205,166
1.3× median
'009-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 3 $189,379.88 $286,300.71 $247,915.46 nat. median
$89,522
outlier · 2.8×
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $187,701.48 $283,763.34 $245,718.29 nat. median
$112,354
outlier · 2.2×
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $187,659.79 $283,700.31 $245,663.71 nat. median
$130,670
1.9× median
'593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $182,126.06 $275,334.53 $238,419.56 nat. median
$115,906
outlier · 2.1×
'001-4
OTHER 		Liver Transplant And/or Intestinal Transplant 3 $181,914.04 $275,014.01 $238,142.01 nat. median
$107,546
outlier · 2.2×
'583-1
OTHER 		Neonate With Ecmo 3 $178,356.77 $269,636.20 $233,485.22 nat. median
$105,798
outlier · 2.2×
'161-3
OTHER 		Implantable Heart Assist Systems 3 $170,328.52 $257,499.24 $222,975.50 nat. median
$114,612
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $165,598.18 $476,968.66 $222,585.37 nat. median
$199,832
1.1× median
'004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $168,131.17 $254,177.34 $220,098.98 nat. median
$101,809
outlier · 2.2×
'588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $164,139.22 $248,142.39 $214,873.15 nat. median
$98,245
outlier · 2.2×
'588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $164,139.22 $248,142.39 $214,873.15 nat. median
$110,776
1.9× median
'002-3
OTHER 		Heart And/or Lung Transplant 3 $152,144.74 $230,009.37 $199,171.29 nat. median
$89,928
outlier · 2.2×
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 12 $211.00 $281,638.28 $187,663.06 nat. median
$75,807
outlier · 2.5×
'603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $141,589.14 $214,051.62 $185,353.05 nat. median
$102,933
1.8× median
'602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $140,306.39 $212,112.39 $183,673.81 nat. median
$66,108
outlier · 2.8×
'006-4
OTHER 		Pancreas Transplant 3 $138,776.14 $209,799.00 $181,670.58 nat. median
$56,683
outlier · 3.2×
'591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $136,548.64 $206,431.49 $178,754.57 nat. median
$84,666
outlier · 2.1×
'589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $133,890.89 $202,413.56 $175,275.33 nat. median
$78,851
outlier · 2.2×
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 3 $130,715.07 $197,612.42 $171,117.90 nat. median
$82,416
outlier · 2.1×
'002-2
OTHER 		Heart And/or Lung Transplant 3 $129,171.51 $195,278.91 $169,097.25 nat. median
$76,713
outlier · 2.2×
'589-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $129,153.77 $195,252.09 $169,074.02 nat. median
$77,835
outlier · 2.2×
'161-2
OTHER 		Implantable Heart Assist Systems 3 $124,796.34 $188,664.60 $163,369.74 nat. median
$86,952
1.9× median
27800000002-52209
CDM 		Device Impella 5.5 Smartassist 12 $211.00 $242,550.00 $161,617.50 nat. median
$148,252
1.1× median
'589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $122,958.26 $185,885.84 $160,963.54 nat. median
$46,281
outlier · 3.5×
'593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $122,410.92 $185,058.38 $160,247.02 nat. median
$82,229
1.9× median
'161-1
OTHER 		Implantable Heart Assist Systems 3 $118,528.09 $179,188.39 $155,164.03 nat. median
$70,718
outlier · 2.2×
'008-4
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $117,165.50 $177,128.46 $153,380.29 nat. median
$56,082
outlier · 2.7×
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $116,100.98 $175,519.14 $151,986.73 nat. median
$80,075
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $114,177.25 $329,774.18 $150,963.29 nat. median
$132,706
1.1× median
'004-3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $114,792.51 $173,541.02 $150,273.82 nat. median
$62,886
outlier · 2.4×
'591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $112,675.00 $170,339.81 $147,501.81 nat. median
$68,201
outlier · 2.2×
'005-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $110,302.90 $166,753.71 $144,396.51 nat. median
$61,783
outlier · 2.3×
'593-2
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $110,242.57 $166,662.52 $144,317.54 nat. median
$55,163
outlier · 2.6×
'607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $109,406.93 $165,399.20 $143,223.60 nat. median
$64,930
outlier · 2.2×
'007-3
OTHER 		Allogeneic Bone Marrow Transplant 3 $106,392.56 $160,842.14 $139,277.53 nat. median
$65,342
outlier · 2.1×
'002-1
OTHER 		Heart And/or Lung Transplant 3 $105,322.72 $159,224.77 $137,877.00 nat. median
$74,149
1.9× median

Other procedures at this hospital

Browse this hospital's 14,360 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
'583-4 OTHER Neonate With Ecmo 3 3 — — $414,464.65 $626,579.35 $542,571.87 2025-01-01
'583-3 OTHER Neonate With Ecmo 3 3 — — $347,859.41 $525,886.88 $455,379.56 2025-01-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $321,042.37 $485,345.43 $420,273.63 2025-01-01
'002-4 OTHER Heart And/or Lung Transplant 3 3 — — $303,766.99 $459,228.84 $397,658.58 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 20 — — $286,163.15 $822,090.67 $376,334.84 2025-01-01
'161-4 OTHER Implantable Heart Assist Systems 3 3 — — $255,103.34 $385,660.12 $333,953.45 2025-01-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $237,828.84 $359,544.88 $311,339.56 2025-01-01
'583-2 OTHER Neonate With Ecmo 3 3 — — $225,734.12 $341,260.32 $295,506.47 2025-01-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $216,613.85 $327,472.48 $283,567.20 2025-01-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $214,483.92 $324,252.49 $280,778.94 2025-01-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $213,668.68 $323,020.02 $279,711.71 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 20 — — $210,479.16 $605,442.24 $277,158.00 2025-01-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $206,288.00 $311,862.07 $270,049.74 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 21 — — $204,732.24 $588,991.46 $269,627.20 2025-01-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $189,379.88 $286,300.71 $247,915.46 2025-01-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $187,701.48 $283,763.34 $245,718.29 2025-01-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $187,659.79 $283,700.31 $245,663.71 2025-01-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $182,126.06 $275,334.53 $238,419.56 2025-01-01
'001-4 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $181,914.04 $275,014.01 $238,142.01 2025-01-01
'583-1 OTHER Neonate With Ecmo 3 3 — — $178,356.77 $269,636.20 $233,485.22 2025-01-01
'161-3 OTHER Implantable Heart Assist Systems 3 3 — — $170,328.52 $257,499.24 $222,975.50 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 21 — — $165,598.18 $476,968.66 $222,585.37 2025-01-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $168,131.17 $254,177.34 $220,098.98 2025-01-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $164,139.22 $248,142.39 $214,873.15 2025-01-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $164,139.22 $248,142.39 $214,873.15 2025-01-01
'002-3 OTHER Heart And/or Lung Transplant 3 3 — — $152,144.74 $230,009.37 $199,171.29 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 15 12 $287,386.00 $162,947.86 43% off $211.00 $281,638.28 $187,663.06 2025-01-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $141,589.14 $214,051.62 $185,353.05 2025-01-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $140,306.39 $212,112.39 $183,673.81 2025-01-01
'006-4 OTHER Pancreas Transplant 3 3 — — $138,776.14 $209,799.00 $181,670.58 2025-01-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $136,548.64 $206,431.49 $178,754.57 2025-01-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $133,890.89 $202,413.56 $175,275.33 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $130,715.07 $197,612.42 $171,117.90 2025-01-01
'002-2 OTHER Heart And/or Lung Transplant 3 3 — — $129,171.51 $195,278.91 $169,097.25 2025-01-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $129,153.77 $195,252.09 $169,074.02 2025-01-01
'161-2 OTHER Implantable Heart Assist Systems 3 3 — — $124,796.34 $188,664.60 $163,369.74 2025-01-01
27800000002-52209 CDM Device Impella 5.5 Smartassist 15 12 $247,500.00 $140,332.50 43% off $211.00 $242,550.00 $161,617.50 2025-01-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $122,958.26 $185,885.84 $160,963.54 2025-01-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $122,410.92 $185,058.38 $160,247.02 2025-01-01
'161-1 OTHER Implantable Heart Assist Systems 3 3 — — $118,528.09 $179,188.39 $155,164.03 2025-01-01
'008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $117,165.50 $177,128.46 $153,380.29 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $116,100.98 $175,519.14 $151,986.73 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 21 — — $114,177.25 $329,774.18 $150,963.29 2025-01-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $114,792.51 $173,541.02 $150,273.82 2025-01-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $112,675.00 $170,339.81 $147,501.81 2025-01-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $110,302.90 $166,753.71 $144,396.51 2025-01-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $110,242.57 $166,662.52 $144,317.54 2025-01-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $109,406.93 $165,399.20 $143,223.60 2025-01-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $106,392.56 $160,842.14 $139,277.53 2025-01-01
'002-1 OTHER Heart And/or Lung Transplant 3 3 — — $105,322.72 $159,224.77 $137,877.00 2025-01-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $104,823.28 $158,469.74 $137,223.20 2025-01-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $100,852.62 $152,466.97 $132,025.24 2025-01-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $100,338.10 $151,689.13 $131,351.69 2025-01-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $99,841.33 $150,938.12 $130,701.37 2025-01-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $97,612.93 $147,569.27 $127,784.19 2025-01-01
7 MS_DRG Lung Transplant 22 19 — — $95,275.09 $275,666.00 $126,806.36 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 20 — — $95,101.88 $275,170.19 $125,966.80 2025-01-01
'608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $93,767.35 $141,755.61 $122,749.98 2025-01-01
27800000002-52403 CDM Valve Sapien Thv Edwards Resilia 26mm 15 12 $187,000.00 $106,029.00 43% off $211.00 $183,260.00 $122,111.00 2025-01-01
27800000002-52400 CDM Valve Sapien Thv Edwards Resilia 23mm 15 12 $187,000.00 $122,111.00 35% off $211.00 $183,260.00 $122,111.00 2025-01-01
27800000002-52401 CDM Valve Sapien Thv Edwards Resilia 29mm 15 12 $187,000.00 $122,111.00 35% off $211.00 $183,260.00 $122,111.00 2025-01-01
'440-4 OTHER Kidney Transplant 3 3 — — $91,930.17 $138,978.19 $120,344.94 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 19 — — $89,018.64 $257,756.67 $118,568.07 2025-01-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $90,257.98 $136,450.21 $118,155.90 2025-01-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $90,184.36 $136,338.90 $118,059.51 2025-01-01
'009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $89,456.05 $135,237.86 $117,106.09 2025-01-01
27800000002-53326 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53127 CDM Valve Sapien 3 Thv 26mm W/command System 15 12 $178,750.00 $116,723.75 35% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53128 CDM Valve Sapien 3 Thv 29mm W/command System 15 12 $178,750.00 $116,723.75 35% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53134 CDM Valve Thv Sapien 3 26mm W/certitudesystem 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53133 CDM Valve Thv Sapien 3 23mm W/certitudesystem 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53126 CDM Valve Sapien 3 Thv 23mm W/command System 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27200000002-17908 CDM Introducer Lotus 25 Edge 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27200000002-17907 CDM Introducer Lotus 23 Edge 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53329 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
27800000002-53333 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 12 $178,750.00 $101,351.25 43% off $211.00 $175,175.00 $116,723.75 2025-01-01
'006-3 OTHER Pancreas Transplant 3 3 — — $88,419.03 $133,670.11 $115,748.54 2025-01-01
'007-2 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $87,564.75 $132,378.63 $114,630.21 2025-01-01
'167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $87,255.15 $131,910.59 $114,224.92 2025-01-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $85,983.05 $129,987.45 $112,559.62 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 25 21 — — $83,657.75 $242,410.88 $112,047.70 2025-01-01
'625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $85,317.72 $128,981.63 $111,688.65 2025-01-01
'001-3 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $84,291.35 $127,429.98 $110,345.04 2025-01-01
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $84,138.77 $127,199.31 $110,145.29 2025-01-01
'178-4 OTHER External Heart Assist Systems 3 3 — — $83,669.49 $126,489.86 $109,530.97 2025-01-01
'004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $83,607.40 $126,395.99 $109,449.68 2025-01-01
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 2 1 — — $108,767.00 $108,767.00 $108,767.00 2025-01-01
27800000002-52838 CDM Kit Mitraclip 1 Mbr0301 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52377 CDM Valve Aortic 23mm Evolut Fx 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52839 CDM Kit Mitraclip 2 Mbr0102 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53517 CDM Kit Mitraclip 2 Mbr0202 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52837 CDM Kit Mitraclip 1 Mbr0201 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53071 CDM Valve Aort 34mm Evolutr 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52376 CDM Valve Aortic 34mm Evolut Fx 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53472 CDM Kit Mitraclip G4 Delivery Sys Ntw 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52836 CDM Kit Mitraclip 1 Mbr0101 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52372 CDM Valve Aortic 26mm Evolut Fx 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52374 CDM Valve Aortic 29mm Evolut Fx 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53070 CDM Valve Aort 29mm Pro Perc 15 12 $165,000.00 $93,555.00 43% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52840 CDM Kit Mitraclip 2 Mbr0302 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53339 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 15 12 $165,000.00 $93,555.00 43% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53067 CDM Valve Aort 26mm Evolutr 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-52368 CDM Valve Aort 23mm Evolutr 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53456 CDM Kit Mitraclip 3 Mbr0103 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
27800000002-53068 CDM Valve Aort 26mm Pro Perc 15 12 $165,000.00 $107,745.00 35% off $211.00 $161,700.00 $107,745.00 2025-01-01
215 MS_DRG Other Heart Assist System Implant 27 21 — — $79,339.99 $230,051.12 $107,357.19 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 19 — — $80,390.11 $233,057.14 $107,206.29 2025-01-01
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $81,821.66 $123,696.35 $107,111.99 2025-01-01
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $81,786.18 $123,642.71 $107,065.54 2025-01-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $81,355.05 $122,990.93 $106,501.15 2025-01-01
'591-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $81,238.84 $122,815.25 $106,349.02 2025-01-01
'863-4 OTHER Neonatal Aftercare 3 3 — — $81,170.53 $122,711.99 $106,259.60 2025-01-01
'006-2 OTHER Pancreas Transplant 3 3 — — $80,798.84 $122,150.07 $105,773.02 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $75,382.62 $218,723.00 $102,070.73 2025-01-01
'005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $77,559.15 $117,252.37 $101,531.97 2025-01-01
'165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $77,552.94 $117,242.98 $101,523.84 2025-01-01
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $77,515.68 $117,186.65 $101,475.07 2025-01-01
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 3 3 — — $76,346.48 $115,419.08 $99,944.48 2025-01-01
'690-4 OTHER Acute Leukemia 3 3 — — $75,526.80 $114,179.91 $98,871.45 2025-01-01
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $75,270.43 $113,792.33 $98,535.83 2025-01-01
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $74,828.65 $113,124.46 $97,957.51 2025-01-01
'607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $74,611.31 $112,795.89 $97,672.99 2025-01-01
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 2 1 — — $97,639.00 $97,639.00 $97,639.00 2025-01-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $74,191.72 $112,161.55 $97,123.70 2025-01-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $74,098.57 $112,020.74 $97,001.76 2025-01-01
'910-4 OTHER Craniotomy For Multiple Significant Trauma 3 3 — — $72,823.81 $110,093.58 $95,332.98 2025-01-01
'004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $72,798.97 $110,056.03 $95,300.47 2025-01-01
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $72,425.50 $109,491.42 $94,811.56 2025-01-01
'183-4 OTHER Percutaneous Structural Cardiac Procedures 3 3 — — $72,170.02 $109,105.19 $94,477.11 2025-01-01
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $71,594.29 $108,234.81 $93,723.43 2025-01-01
'621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $71,300.66 $107,790.91 $93,339.04 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 21 — — $68,827.91 $199,959.89 $93,314.61 2025-01-01
'021-4 OTHER Open Craniotomy Except Trauma 3 3 — — $69,577.91 $105,186.49 $91,083.80 2025-01-01
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $69,528.23 $105,111.39 $91,018.77 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia 3 3 — — $69,481.22 $105,040.31 $90,957.22 2025-01-01
'633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $69,262.99 $104,710.40 $90,671.55 2025-01-01
27800000002-52896 CDM Set Pump Impella Rp 15 12 $137,500.00 $89,787.50 35% off $211.00 $134,750.00 $89,787.50 2025-01-01
27800000002-52890 CDM Set Pump Impella Cp 15 12 $137,500.00 $89,787.50 35% off $211.00 $134,750.00 $89,787.50 2025-01-01
27800000002-52893 CDM Set Pump Impella Cp 15 12 $137,500.00 $89,787.50 35% off $211.00 $134,750.00 $89,787.50 2025-01-01
27800000002-52891 CDM Set Pump Impella Cp 15 12 $137,500.00 $89,787.50 35% off $211.00 $134,750.00 $89,787.50 2025-01-01
27800000002-52892 CDM Set Pump Impella Cp 15 12 $137,500.00 $89,787.50 35% off $211.00 $134,750.00 $89,787.50 2025-01-01
'001-2 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $68,509.84 $103,571.81 $89,685.61 2025-01-01
'001-1 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $68,509.84 $103,571.81 $89,685.61 2025-01-01
'260-4 OTHER Major Pancreas, Liver And Shunt Procedures 3 3 — — $68,453.07 $103,485.98 $89,611.28 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 21 — — $65,651.14 $190,866.26 $89,070.92 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $65,472.50 $190,354.88 $88,832.28 2025-01-01
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $67,459.51 $101,983.94 $88,310.63 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $67,421.37 $101,926.28 $88,260.70 2025-01-01
'007-1 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $67,217.34 $101,617.82 $87,993.60 2025-01-01
'401-4 OTHER Adrenal Procedures 3 3 — — $66,350.64 $100,307.57 $86,859.02 2025-01-01
27800000002-52402 CDM Valve Sapien Thv Edwards Resilia 29mm 15 12 $132,600.00 $86,587.80 35% off $211.00 $129,948.00 $86,587.80 2025-01-01
'179-4 OTHER Defibrillator Implants 3 3 — — $66,122.65 $99,962.91 $86,560.56 2025-01-01
'614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $65,594.83 $99,164.95 $85,869.59 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 2 1 — — $85,677.00 $85,677.00 $85,677.00 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 21 — — $63,032.06 $183,369.02 $85,572.21 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 15 12 $130,400.00 $85,151.20 35% off $211.00 $127,792.00 $85,151.20 2025-01-01
'631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $64,915.31 $98,137.67 $84,980.04 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 28 12 $143,000.00 $81,081.00 43% off $211.00 $140,140.00 $84,740.50 2025-01-01
'169-4 OTHER Major Abdominal Vascular Procedures 3 3 — — $64,670.47 $97,767.53 $84,659.52 2025-01-01
'162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $64,323.62 $97,243.16 $84,205.46 2025-01-01
'027-4 OTHER Other Open Craniotomy 3 3 — — $63,892.49 $96,591.38 $83,641.07 2025-01-01
'091-4 OTHER Other Major Head And Neck Procedures 3 3 — — $63,563.37 $96,093.83 $83,210.23 2025-01-01
27800000002-53327 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53328 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53332 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53334 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53336 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53130 CDM Valve Sapien 3 Thv 29mm W/command System 15 12 $126,750.00 $82,767.75 35% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53129 CDM Valve Sapien 3 Thv 29mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53330 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53335 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
27800000002-53331 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 12 $126,750.00 $71,867.25 43% off $211.00 $124,215.00 $82,767.75 2025-01-01
'232-4 OTHER Gastric Fundoplication 3 3 — — $63,182.81 $95,518.50 $82,712.03 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 20 — — $62,086.79 $180,663.17 $82,703.58 2025-01-01
'759-4 OTHER Eating Disorders 3 3 — — $63,106.51 $95,403.17 $82,612.16 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 21 — — $60,580.74 $176,352.03 $82,297.61 2025-01-01
'005-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,515.71 $94,509.99 $81,838.74 2025-01-01
'441-4 OTHER Major Bladder Procedures 3 3 — — $62,497.08 $94,481.83 $81,814.35 2025-01-01
'023-4 OTHER Spinal Procedures 3 3 — — $62,266.43 $94,133.15 $81,512.42 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $59,894.12 $174,386.57 $81,380.40 2025-01-01
'220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $61,624.17 $93,162.19 $80,671.64 2025-01-01
'950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $61,422.80 $92,857.76 $80,408.02 2025-01-01
'630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $61,336.75 $92,727.67 $80,295.38 2025-01-01
'008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $61,284.41 $92,648.55 $80,226.86 2025-01-01
'022-4 OTHER Ventricular Shunt Procedures 3 3 — — $61,012.96 $92,238.17 $79,871.51 2025-01-01
'020-4 OTHER Open Craniotomy For Trauma 3 3 — — $60,983.68 $92,193.91 $79,833.18 2025-01-01
'607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $60,044.25 $90,773.69 $78,603.37 2025-01-01
'089-4 OTHER Major Cranial Or Facial Bone Procedures 3 3 — — $59,347.87 $89,720.93 $77,691.76 2025-01-01
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 2 1 — — $77,677.00 $77,677.00 $77,677.00 2025-01-01
'608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $59,170.45 $89,452.71 $77,459.50 2025-01-01
'160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $59,071.98 $89,303.84 $77,330.59 2025-01-01
'178-3 OTHER External Heart Assist Systems 3 3 — — $58,616.01 $88,614.52 $76,733.69 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 21 — — $56,175.98 $163,743.23 $76,413.51 2025-01-01
27800000002-52375 CDM Valve Aortic 29mm Evolut Fx 15 12 $117,000.00 $76,401.00 35% off $211.00 $114,660.00 $76,401.00 2025-01-01
27800000002-52373 CDM Valve Aortic 26mm Evolut Fx 15 12 $117,000.00 $76,401.00 35% off $211.00 $114,660.00 $76,401.00 2025-01-01
27800000002-52378 CDM Valve Aortic 23mm Evolut Fx 15 12 $117,000.00 $66,339.00 43% off $211.00 $114,660.00 $76,401.00 2025-01-01
27800000002-53340 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 15 12 $117,000.00 $66,339.00 43% off $211.00 $114,660.00 $76,401.00 2025-01-01
27800000002-53341 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 15 12 $117,000.00 $76,401.00 35% off $211.00 $114,660.00 $76,401.00 2025-01-01
'440-3 OTHER Kidney Transplant 3 3 — — $58,115.69 $87,858.14 $76,078.72 2025-01-01
'120-4 OTHER Major Respiratory And Chest Procedures 3 3 — — $57,621.58 $87,111.15 $75,431.88 2025-01-01
'181-4 OTHER Lower Extremity Arterial Procedures 3 3 — — $57,086.65 $86,302.46 $74,731.62 2025-01-01
'261-4 OTHER Major Biliary Tract Procedures 3 3 — — $56,274.96 $85,075.36 $73,669.03 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 21 — — $54,648.18 $159,369.84 $73,664.28 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 21 — — $54,097.49 $157,793.47 $73,636.95 2025-01-01
'622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,248.34 $85,035.12 $73,634.19 2025-01-01
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $56,211.09 $84,978.80 $73,585.42 2025-01-01
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 2 1 — — $73,276.00 $73,276.00 $73,276.00 2025-01-01
'404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $55,894.39 $84,500.02 $73,170.84 2025-01-01
'006-1 OTHER Pancreas Transplant 3 3 — — $55,874.88 $84,470.52 $73,145.29 2025-01-01
'009-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,856.25 $84,442.36 $73,120.90 2025-01-01
'009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,856.25 $84,442.36 $73,120.90 2025-01-01
'609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $55,793.26 $84,347.14 $73,038.45 2025-01-01
'609-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $55,793.26 $84,347.14 $73,038.45 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 21 — — $53,746.42 $156,788.51 $71,774.29 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 21 — — $53,655.54 $156,528.36 $71,655.20 2025-01-01
'130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $54,616.08 $82,567.50 $71,497.41 2025-01-01
'178-2 OTHER External Heart Assist Systems 3 3 — — $54,482.13 $82,364.99 $71,322.06 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 21 — — $53,380.58 $155,741.29 $71,294.90 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 21 — — $53,241.55 $155,343.31 $71,112.71 2025-01-01
'163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $54,181.40 $81,910.36 $70,928.38 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 21 — — $52,960.38 $154,538.44 $70,744.26 2025-01-01
'758-4 OTHER Behavioral Disorders 3 3 — — $53,875.35 $81,447.68 $70,527.73 2025-01-01
'165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $53,816.80 $81,359.17 $70,451.09 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 27 21 — — $51,514.14 $150,398.51 $70,185.97 2025-01-01
'623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $53,580.84 $81,002.44 $70,142.18 2025-01-01
'230-4 OTHER Major Small Bowel Procedures 3 3 — — $53,185.19 $80,404.30 $69,624.24 2025-01-01
'841-2 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $53,147.93 $80,347.98 $69,575.47 2025-01-01
'841-1 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $53,147.93 $80,347.98 $69,575.47 2025-01-01
'030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $52,997.12 $80,119.99 $69,378.05 2025-01-01
'611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $52,929.70 $80,018.07 $69,289.79 2025-01-01
'026-4 OTHER Other Nervous System And Related Procedures 3 3 — — $52,872.93 $79,932.24 $69,215.47 2025-01-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $52,581.07 $79,491.02 $68,833.40 2025-01-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $52,552.69 $79,448.10 $68,796.24 2025-01-01
'321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $52,081.64 $78,735.98 $68,179.59 2025-01-01
'303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $51,853.65 $78,391.31 $67,881.14 2025-01-01
'176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $51,569.78 $77,962.16 $67,509.53 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 34 27 $73,380.00 $47,917.14 35% off $211.00 $147,322.31 $67,440.88 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $49,440.30 $144,462.08 $67,415.64 2025-01-01
'405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $51,371.96 $77,663.10 $67,250.56 2025-01-01
'740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 3 3 — — $51,317.84 $77,581.29 $67,179.72 2025-01-01
'711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $51,230.91 $77,449.86 $67,065.91 2025-01-01
'710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $51,206.07 $77,412.31 $67,033.40 2025-01-01
'612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $51,181.23 $77,374.76 $67,000.88 2025-01-01
'603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $51,065.91 $77,200.42 $66,849.91 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 21 — — $48,514.46 $141,811.81 $66,178.84 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 2 1 — — $66,000.00 $66,000.00 $66,000.00 2025-01-01
27800000002-53528 CDM Stent Graft Confrm Thor 45x45x20 24f 15 12 $100,595.00 $65,688.54 35% off $211.00 $98,583.10 $65,688.54 2025-01-01
'304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $50,153.97 $75,821.77 $65,656.10 2025-01-01
C1822 HCPCS Sable 10x22mm 6-12mm 8deg 54 12 $104,000.00 $58,968.00 43% off $211.00 $140,140.00 $65,467.03 2025-01-01
27800000002-52894 CDM Set Pump Impella Cp 15 12 $100,000.00 $65,300.00 35% off $211.00 $98,000.00 $65,300.00 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 25 21 — — $48,235.62 $141,013.62 $65,179.63 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 21 — — $47,701.24 $139,483.94 $65,092.50 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 27 21 — — $47,506.28 $138,925.87 $64,832.07 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $45,331.00 $141,189.28 $64,633.31 2025-01-01
27800000002-53501 CDM Stent Valiant Navion Vnmf4040c183tu Freeflo 175mm 15 12 $98,975.25 $64,630.84 35% off $211.00 $96,995.75 $64,630.84 2025-01-01
'182-4 OTHER Other Peripheral Vascular And Related Procedures 3 3 — — $49,344.93 $74,598.68 $64,597.00 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 21 — — $47,303.56 $138,345.57 $64,561.27 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 19 — — $47,977.75 $140,275.46 $64,526.71 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 19 — — $47,977.75 $140,275.46 $64,526.71 2025-01-01
'440-2 OTHER Kidney Transplant 3 3 — — $49,218.96 $74,408.25 $64,432.10 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $47,187.83 $138,014.28 $64,406.66 2025-01-01
'183-3 OTHER Percutaneous Structural Cardiac Procedures 3 3 — — $49,189.69 $74,363.99 $64,393.77 2025-01-01
'162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $49,089.45 $74,212.45 $64,262.55 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 21 — — $46,965.69 $137,378.39 $64,109.91 2025-01-01
'179-3 OTHER Defibrillator Implants 3 3 — — $48,890.74 $73,912.04 $64,002.42 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 27 21 — — $46,805.68 $136,920.38 $63,896.18 2025-01-01
'008-2 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $48,771.87 $73,732.33 $63,846.80 2025-01-01
'121-4 OTHER Other Respiratory And Chest Procedures 3 3 — — $48,708.88 $73,637.11 $63,764.35 2025-01-01
'029-4 OTHER Other Percutaneous Intracranial Procedures 3 3 — — $48,691.14 $73,610.29 $63,741.13 2025-01-01
27800000002-52895 CDM Set Pump Impella Cp 15 12 $97,500.00 $63,667.50 35% off $211.00 $95,550.00 $63,667.50 2025-01-01
27800000002-52897 CDM Set Pump Impella Rp 15 12 $97,500.00 $63,667.50 35% off $211.00 $95,550.00 $63,667.50 2025-01-01
'511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $48,555.41 $73,405.10 $63,563.45 2025-01-01
'613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $48,469.36 $73,275.02 $63,450.80 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 21 — — $46,203.73 $135,197.26 $63,092.05 2025-01-01
'167-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $48,157.11 $72,802.95 $63,042.03 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 21 — — $46,603.74 $136,342.31 $62,414.48 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 21 — — $45,675.56 $133,685.35 $62,386.50 2025-01-01
'634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $47,411.05 $71,675.08 $62,065.38 2025-01-01
'170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $47,066.86 $71,154.74 $61,614.80 2025-01-01
'447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 3 3 — — $46,939.12 $70,961.62 $61,447.57 2025-01-01
'863-3 OTHER Neonatal Aftercare 3 3 — — $46,876.13 $70,866.40 $61,365.12 2025-01-01
27800000002-52188 CDM Device Clsur Watchman Flx Laa 20mm 15 12 $93,500.00 $61,055.50 35% off $211.00 $91,630.00 $61,055.50 2025-01-01
C2624 HCPCS System Cardiomems Pa Sensor And Delivery 15 12 $93,500.00 $61,055.50 35% off $211.00 $91,630.00 $61,055.50 2025-01-01
'231-4 OTHER Major Large Bowel Procedures 3 3 — — $46,608.23 $70,461.39 $61,014.41 2025-01-01
'073-4 OTHER Orbit And Eye Procedures 3 3 — — $46,509.76 $70,312.53 $60,885.50 2025-01-01
'514-4 OTHER Female Reproductive System Reconstructive Procedures 3 3 — — $46,386.45 $70,126.11 $60,724.08 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $44,247.18 $129,596.56 $60,478.39 2025-01-01
'951-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $46,163.79 $69,789.50 $60,432.60 2025-01-01
'222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $46,119.44 $69,722.44 $60,374.53 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 21 — — $44,030.48 $128,976.23 $60,188.91 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 21 — — $43,990.86 $128,862.86 $60,136.00 2025-01-01
'690-3 OTHER Acute Leukemia 3 3 — — $45,896.77 $69,385.83 $60,083.05 2025-01-01
'178-1 OTHER External Heart Assist Systems 3 3 — — $45,825.81 $69,278.54 $59,990.15 2025-01-01
'403-4 OTHER Procedures For Obesity 3 3 — — $45,744.19 $69,155.16 $59,883.31 2025-01-01
27800000002-53375 CDM Stent Graft Prox 28x28x150mm Valiant Captivia Free Flo Str 15 12 $91,550.25 $51,908.99 43% off $211.00 $89,719.25 $59,782.31 2025-01-01
27800000002-53374 CDM Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm 15 12 $91,550.25 $51,908.99 43% off $211.00 $89,719.25 $59,782.31 2025-01-01
27800000002-53431 CDM Stent Valiant 42x38x150 15 12 $91,550.25 $59,782.31 35% off $211.00 $89,719.25 $59,782.31 2025-01-01
'309-4 OTHER Other Significant Hip And Femur Surgery 3 3 — — $45,645.73 $69,006.30 $59,754.40 2025-01-01
'614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $45,477.18 $68,751.49 $59,533.76 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 27 21 — — $43,488.33 $127,424.32 $59,464.68 2025-01-01
See an error in this hospital's data? Submit a correction