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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 - HAZLETON

Hazleton, PA · CCN 390185 · Rates published

21,602 distinct procedures filed
19 distinct payers
838,032 rate rows
2025-08-01 last MRF observed
Data quality

784,483 of 838,032 rate rows are consumer-grade (93.6%)

53,549 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 46,294
template filing: same amount across many unrelated codes — excluded 4,147
placeholder amount (≤ $0.02) — excluded from medians 2,162
exceeds 10× this hospital's gross charge — excluded from medians 681
per-diem day rate — not a per-procedure price 137
percent-of-charges filed in the dollar field — excluded from medians 128
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lvhn.pt.panaceainc.com/MRFDownload/lvhn/hazleton
Found on page https://www.lvhn.org/get-price-quote
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 59bc23b6c4b70e13… · 412,319,224 bytes · first seen 2026-05-05

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 14 $3,570,000.00 $4,683,875.00 $3,895,500.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,570,000.00 $4,652,649.17 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,264,000.00 $4,194,622.54 $3,488,596.97 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 14 $3,162,000.00 $4,148,575.00 $3,450,300.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 14 $2,856,000.00 $3,722,119.33 $3,095,624.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,368,485.25 $4,846,262.46 $2,556,403.45 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 14 $2,244,000.00 $4,664,000.00 $2,460,260.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 15 $770,620.00 $4,438,595.90 $899,098.24 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $565,623.84 $3,375,103.79 $636,648.23 nat. median
$754,974
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $417,151.84 $793,701.15 $620,048.59 nat. median
$370,174
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $551,318.34 $3,225,806.77 $608,486.23 nat. median
$675,122
0.9× median
5957251501
NDC 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 19 $481,424.70 $3,076,830.38 $580,384.71 nat. median
$606,766
1.0× median
7315390001
NDC 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 19 $484,193.05 $3,011,633.21 $568,086.52 nat. median
$593,909
1.0× median
7128711901
NDC 		Axicabtagene Ciloleucel Intravenous Suspension 19 $458,887.28 $2,932,315.72 $553,124.80 nat. median
$578,267
1.0× median
7128722001
NDC 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 19 $420,997.50 $2,853,931.20 $538,339.08 nat. median
$637,006
0.8× median
7128721901
NDC 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 19 $420,997.50 $2,853,931.20 $538,339.08 nat. median
$562,809
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $335,983.43 $335,983.43 $335,983.43 nat. median
$57,174
outlier · 5.9×
C9301
HCPCS 		Obecabtagene Car Pos T 15 $278,250.00 $1,622,614.88 $328,682.82 nat. median
$459,112
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $205,104.67 $481,368.08 $253,867.30 nat. median
$265,286
1.0× median
5831
APR_DRG 		8 $141,506.98 $499,958.53 $251,119.46 nat. median
$145,122
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $172,796.80 $453,284.74 $226,057.44 nat. median
$206,368
1.1× median
0-D
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 2 $145,141.00 $291,282.00 $218,211.50 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $22,511.00 $377,753.38 $193,268.21 nat. median
$202,986
1.0× median
1-D
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 2 $145,141.00 $238,389.00 $191,765.00 —
0-L
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Living Donor 2 $122,004.00 $243,226.00 $182,615.00 —
2-D
MS_DRG 		Kidney Transplant - Deceased Donor 2 $145,141.00 $201,892.00 $173,516.50 —
5881
APR_DRG 		8 $124,900.26 $326,165.98 $170,016.21 nat. median
$124,573
1.4× median
1-L
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Living Donor 2 $122,004.00 $199,061.00 $160,532.50 —
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $61,878.30 $232,043.63 $146,960.97 nat. median
$76,377
1.9× median
2-L
MS_DRG 		Kidney Transplant - Living Donor 2 $122,004.00 $171,483.00 $146,743.50 —
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $95,081.03 $543,593.19 $145,926.08 nat. median
$96,983
1.5× median
1611
APR_DRG 		8 $100,280.52 $247,543.19 $132,785.23 nat. median
$76,806
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $80,476.47 $285,815.22 $131,685.42 nat. median
$108,660
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $22,511.00 $249,055.38 $127,587.64 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 15 $95,368.40 $259,010.61 $127,086.02 nat. median
$122,708
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 14 $101,999.91 $583,149.48 $126,249.89 nat. median
$111,989
1.1× median
0021
APR_DRG 		8 $84,974.85 $288,849.81 $122,499.17 nat. median
$128,074
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 16 $79,562.21 $232,270.69 $122,076.36 nat. median
$102,358
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $76,520.75 $225,896.24 $121,953.56 nat. median
$98,905
1.2× median
5911
APR_DRG 		8 $54,880.49 $207,201.38 $118,509.21 nat. median
$40,550
outlier · 2.9×
0111
APR_DRG 		17 $35,223.87 $620,274.70 $108,670.51 nat. median
$85,731
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $77,785.30 $228,712.56 $108,242.33 nat. median
$100,136
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $67,338.21 $198,649.56 $107,244.02 nat. median
$83,442
1.3× median
5931
APR_DRG 		8 $18,489.11 $192,128.31 $106,724.01 nat. median
$29,713
outlier · 3.6×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 14 $68,801.71 $393,350.19 $105,593.76 nat. median
$70,825
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $70,530.11 $170,110.29 $103,910.42 nat. median
$93,672
1.1× median
5891
APR_DRG 		8 $14,791.42 $127,413.47 $103,254.71 nat. median
$93,260
1.1× median
0071
APR_DRG 		18 $57,323.70 $230,932.33 $97,951.56 nat. median
$75,827
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $61,006.00 $179,860.45 $97,100.43 nat. median
$82,712
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $58,002.32 $338,268.00 $94,731.24 nat. median
$71,240
1.3× median

Other procedures at this hospital

Browse this hospital's 21,602 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 16 14 — — $3,570,000.00 $4,683,875.00 $3,895,500.00 2025-08-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 14 — — $3,570,000.00 $4,652,649.17 $3,869,530.00 2025-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 14 — — $3,264,000.00 $4,194,622.54 $3,488,596.97 2025-08-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 14 — — $3,162,000.00 $4,148,575.00 $3,450,300.00 2025-08-01
J3393 HCPCS Inj, Betibeglogene Autotemce 16 14 — — $2,856,000.00 $3,722,119.33 $3,095,624.00 2025-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 14 — — $2,368,485.25 $4,846,262.46 $2,556,403.45 2025-08-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 14 — — $2,244,000.00 $4,664,000.00 $2,460,260.00 2025-08-01
Q2057 HCPCS Afamitresgene Autoleucel 28 15 — — $770,620.00 $4,438,595.90 $899,098.24 2025-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 36 16 — — $565,623.84 $3,375,103.79 $636,648.23 2025-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 8 — — $417,151.84 $793,701.15 $620,048.59 2025-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 36 16 — — $551,318.34 $3,225,806.77 $608,486.23 2025-08-01
5957251501 NDC Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 41 19 $3,962,343.23 $1,981,171.62 50% off $481,424.70 $3,076,830.38 $580,384.71 2025-08-01
7315390001 NDC Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 41 19 $3,985,128.00 $1,992,564.00 50% off $484,193.05 $3,011,633.21 $568,086.52 2025-08-01
7128711901 NDC Axicabtagene Ciloleucel Intravenous Suspension 41 19 $3,776,850.00 $1,888,425.00 50% off $458,887.28 $2,932,315.72 $553,124.80 2025-08-01
7128722001 NDC Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 41 19 $3,465,000.00 $1,732,500.00 50% off $420,997.50 $2,853,931.20 $538,339.08 2025-08-01
7128721901 NDC Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 41 19 $3,465,000.00 $1,732,500.00 50% off $420,997.50 $2,853,931.20 $538,339.08 2025-08-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $335,983.43 $335,983.43 $335,983.43 2025-08-01
C9301 HCPCS Obecabtagene Car Pos T 28 15 — — $278,250.00 $1,622,614.88 $328,682.82 2025-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 16 — — $205,104.67 $481,368.08 $253,867.30 2025-08-01
5831 APR_DRG — 36 8 — — $141,506.98 $499,958.53 $251,119.46 2025-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 14 — — $172,796.80 $453,284.74 $226,057.44 2025-08-01
0-D MS_DRG Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 2 2 — — $145,141.00 $291,282.00 $218,211.50 2025-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 16 — — $22,511.00 $377,753.38 $193,268.21 2025-08-01
1-D MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 2 2 — — $145,141.00 $238,389.00 $191,765.00 2025-08-01
0-L MS_DRG Kidney Transplant With Hemodialysis With Mcc - Living Donor 2 2 — — $122,004.00 $243,226.00 $182,615.00 2025-08-01
2-D MS_DRG Kidney Transplant - Deceased Donor 2 2 — — $145,141.00 $201,892.00 $173,516.50 2025-08-01
5881 APR_DRG — 36 8 — — $124,900.26 $326,165.98 $170,016.21 2025-08-01
1-L MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Living Donor 2 2 — — $122,004.00 $199,061.00 $160,532.50 2025-08-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $61,878.30 $232,043.63 $146,960.97 2025-08-01
2-L MS_DRG Kidney Transplant - Living Donor 2 2 — — $122,004.00 $171,483.00 $146,743.50 2025-08-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 26 14 — — $95,081.03 $543,593.19 $145,926.08 2025-08-01
1611 APR_DRG — 36 8 — — $100,280.52 $247,543.19 $132,785.23 2025-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 16 — — $80,476.47 $285,815.22 $131,685.42 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 16 — — $22,511.00 $249,055.38 $127,587.64 2025-08-01
7 MS_DRG Lung Transplant 28 15 — — $95,368.40 $259,010.61 $127,086.02 2025-08-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 27 14 — — $101,999.91 $583,149.48 $126,249.89 2025-08-01
0021 APR_DRG — 36 8 — — $84,974.85 $288,849.81 $122,499.17 2025-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 31 16 — — $79,562.21 $232,270.69 $122,076.36 2025-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $76,520.75 $225,896.24 $121,953.56 2025-08-01
5911 APR_DRG — 36 8 — — $54,880.49 $207,201.38 $118,509.21 2025-08-01
0111 APR_DRG — 52 17 — — $35,223.87 $620,274.70 $108,670.51 2025-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 15 — — $77,785.30 $228,712.56 $108,242.33 2025-08-01
850 MS_DRG Acute Leukemia With Other Procedures 30 15 — — $67,338.21 $198,649.56 $107,244.02 2025-08-01
5931 APR_DRG — 36 8 — — $18,489.11 $192,128.31 $106,724.01 2025-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 26 14 — — $68,801.71 $393,350.19 $105,593.76 2025-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 16 — — $70,530.11 $170,110.29 $103,910.42 2025-08-01
5891 APR_DRG — 36 8 — — $14,791.42 $127,413.47 $103,254.71 2025-08-01
0071 APR_DRG — 66 18 — — $57,323.70 $230,932.33 $97,951.56 2025-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 15 — — $61,006.00 $179,860.45 $97,100.43 2025-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 16 — — $58,002.32 $338,268.00 $94,731.24 2025-08-01
270006206-10806601-20758 CDM Hb Kit Protek Duo Dl31 41 19 $247,005.00 $123,502.50 50% off $30,011.11 $149,438.03 $89,724.57 2025-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 13 8 — — $61,077.85 $275,556.00 $89,658.45 2025-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 16 — — $22,511.00 $164,687.70 $86,556.23 2025-08-01
215 MS_DRG Other Heart Assist System Implant 31 16 — — $63,299.27 $186,743.94 $86,404.03 2025-08-01
270006205-10806601-20759 CDM Hb Kit Protek Duo Dl29 41 19 $233,020.00 $116,510.00 50% off $28,311.93 $140,977.10 $84,644.51 2025-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 16 — — $51,750.06 $135,101.28 $84,450.65 2025-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $52,009.50 $153,165.82 $82,688.93 2025-08-01
6021 APR_DRG — 36 8 — — $18,804.79 $142,670.23 $80,077.71 2025-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 15 — — $49,117.02 $144,583.17 $78,055.45 2025-08-01
6301 APR_DRG — 36 8 — — $24,284.20 $237,926.58 $76,976.10 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 16 — — $61,974.76 $149,360.96 $76,708.96 2025-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 16 — — $22,511.00 $149,278.12 $76,666.68 2025-08-01
0041 APR_DRG — 36 8 — — $46,694.22 $173,709.45 $76,243.84 2025-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 16 — — $22,511.00 $144,503.38 $75,575.39 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 31 16 — — $45,408.39 $111,401.95 $74,023.08 2025-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 16 — — $22,511.00 $139,543.56 $73,333.57 2025-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 16 — — $54,107.56 $136,381.18 $73,155.63 2025-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 16 — — $55,070.93 $137,771.87 $73,021.00 2025-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 15 — — $45,350.25 $133,406.31 $72,021.45 2025-08-01
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 7 — — $63,119.61 $82,812.05 $71,523.71 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 16 — — $44,785.57 $107,671.95 $70,857.07 2025-08-01
0061 APR_DRG — 67 19 — — $41,902.30 $171,123.00 $69,975.27 2025-08-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 38 17 — — $56,912.05 $368,758.46 $69,559.17 2025-08-01
810000001-10806601-16112 CDM Hb Organ Processing 41 19 $191,370.00 $95,685.00 50% off $23,251.46 $115,778.85 $69,515.15 2025-08-01
810000002-10806601-16111 CDM Hb Organ Processing - Lrd 41 19 $191,370.00 $95,685.00 50% off $23,251.46 $115,778.85 $69,515.15 2025-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 16 — — $43,928.73 $107,246.00 $68,343.97 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 16 — — $47,323.39 $113,826.95 $67,700.37 2025-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 16 — — $22,511.00 $131,563.99 $67,626.33 2025-08-01
810000003-10806601-16110 CDM Hb Pancreas Organ Processing 41 19 $184,995.00 $92,497.50 50% off $22,476.89 $111,921.98 $67,199.43 2025-08-01
A9543 HCPCS Y90 Ibritumomab, Rx 32 15 — — $41,945.39 $331,372.36 $67,124.00 2025-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 16 — — $22,511.00 $151,813.73 $66,051.24 2025-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 16 — — $22,511.00 $124,103.41 $65,226.02 2025-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 16 — — $22,511.00 $123,693.69 $65,010.68 2025-08-01
0011 APR_DRG — 36 8 — — $44,740.62 $174,907.81 $64,891.93 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 16 — — $14,754.00 $122,852.67 $64,568.66 2025-08-01
560000237-10806601-18127 CDM Hb Trnsplj Allogeneic Hematopoietic Cells Per Donor 35 16 $180,430.00 $90,215.00 50% off $130.04 $340,646.37 $64,256.37 2025-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $40,391.61 $118,692.89 $64,078.18 2025-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 15 — — $40,147.42 $117,968.32 $63,687.01 2025-08-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $63,600.00 $63,600.00 $63,600.00 2025-08-01
481000370-10806601-18682 CDM Hb 0915t Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 41 19 $161,270.00 $80,635.00 50% off $19,594.31 $184,667.39 $63,334.44 2025-08-01
481000211-10806601-18807 CDM Hb 33270 Insert Subq Defib W/eltrd 41 19 $157,220.00 $78,610.00 50% off $19,102.23 $184,667.39 $63,334.44 2025-08-01
8411 APR_DRG — 27 8 — — $39,888.43 $234,667.40 $63,268.98 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 16 — — $14,754.00 $122,615.27 $63,059.39 2025-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 16 — — $22,511.00 $118,690.73 $62,381.24 2025-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 16 — — $22,511.00 $118,582.91 $62,324.57 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 15 — — $43,594.41 $134,454.35 $61,999.00 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 31 16 — — $22,511.00 $117,439.99 $61,723.87 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 16 — — $43,627.12 $107,246.00 $61,172.45 2025-08-01
3023789006 NDC Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 39 17 $73,946.00 $36,973.00 50% off $8,984.44 $332,495.22 $61,008.30 2025-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 15 — — $37,818.90 $111,059.07 $59,956.95 2025-08-01
L7181 HCPCS Electronic Elbo Simultaneous 27 14 — — $48,001.22 $275,312.52 $59,604.23 2025-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 16 — — $36,606.67 $104,587.58 $59,550.44 2025-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 26 14 — — $38,584.77 $220,595.21 $59,218.18 2025-08-01
0091 APR_DRG — 36 8 — — $37,839.64 $195,690.14 $58,450.15 2025-08-01
270006137-10806601-20827 CDM Hb Set Usa Hls Advanced 7.0 41 19 $160,030.00 $80,015.00 50% off $19,443.65 $96,818.15 $58,130.90 2025-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 16 — — $39,055.11 $93,773.85 $58,046.40 2025-08-01
6071 APR_DRG — 36 8 — — $24,260.92 $109,339.25 $57,576.94 2025-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 16 — — $42,229.74 $103,714.91 $57,096.33 2025-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 16 — — $38,884.32 $107,246.00 $56,774.53 2025-08-01
0051 APR_DRG — 36 8 — — $31,411.15 $113,306.08 $56,474.81 2025-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 16 — — $34,581.94 $107,246.00 $56,221.17 2025-08-01
481000292-10806601-18752 CDM Hb Tcat Impl Wrls P-art Prs Snr 41 19 $138,070.00 $69,035.00 50% off $16,775.51 $163,740.71 $56,157.32 2025-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 16 — — $22,511.00 $106,291.17 $55,864.30 2025-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 16 — — $34,198.21 $107,246.00 $55,590.21 2025-08-01
270006273-10806601-20691 CDM Hb Protek Duo Cannula Veno-venous 31fr 41 19 $152,290.00 $76,145.00 50% off $18,503.24 $92,135.45 $55,319.35 2025-08-01
270006272-10806601-20692 CDM Hb Protek Duo Cannula Veno-venous 29fr 41 19 $152,290.00 $76,145.00 50% off $18,503.24 $92,135.45 $55,319.35 2025-08-01
28 MS_DRG Spinal Procedures With Mcc 31 16 — — $22,511.00 $107,157.27 $55,170.45 2025-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 16 — — $22,511.00 $104,566.02 $54,957.60 2025-08-01
245 MS_DRG Aicd Generator Procedures 31 16 — — $35,905.36 $103,315.28 $54,300.24 2025-08-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 26 14 — — $34,970.13 $199,929.71 $53,670.58 2025-08-01
6091 APR_DRG — 36 8 — — $32,855.30 $214,455.38 $53,431.14 2025-08-01
L7180 HCPCS Electronic Elbow Sequential 27 14 — — $42,745.35 $244,381.90 $52,907.85 2025-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 16 — — $22,511.00 $102,623.86 $52,856.85 2025-08-01
6031 APR_DRG — 36 8 — — $15,795.28 $177,713.02 $52,609.84 2025-08-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 28 15 — — $45,000.50 $259,192.62 $52,503.01 2025-08-01
3031 APR_DRG — 36 8 — — $30,914.02 $103,729.71 $52,469.82 2025-08-01
A1904 OTHER Guillain-barr? M <38.50 28 7 — — $49,086.47 $71,656.96 $52,468.07 2025-08-01
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 7 — — $46,170.59 $60,574.36 $52,316.93 2025-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 16 — — $22,511.00 $100,558.09 $51,802.58 2025-08-01
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 7 — — $45,991.68 $67,404.52 $51,649.36 2025-08-01
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 7 — — $45,500.63 $59,694.88 $51,558.19 2025-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 15 — — $33,874.08 $97,902.60 $51,455.45 2025-08-01
9101 APR_DRG — 67 19 — — $19,882.59 $123,499.61 $50,995.98 2025-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 16 — — $31,345.70 $89,276.82 $50,899.83 2025-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 15 — — $26,770.44 $114,135.72 $50,848.33 2025-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 16 — — $36,752.03 $96,177.45 $50,548.75 2025-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 16 — — $22,511.00 $95,686.27 $49,316.27 2025-08-01
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $35,632.10 $103,595.62 $49,275.52 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 16 — — $22,511.00 $95,198.03 $49,067.10 2025-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 16 — — $22,511.00 $95,108.13 $49,021.22 2025-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 16 — — $21,439.00 $93,244.68 $49,007.35 2025-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 16 — — $22,511.00 $92,985.91 $48,871.35 2025-08-01
6797900201 NDC Histrelin 50 Mg (65 Mcg/day) Implant Kit 40 18 $48,781.77 $24,390.89 50% off $9,790.50 $263,654.01 $48,579.32 2025-08-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 30 15 — — $21,089.53 $259,192.62 $48,521.12 2025-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 15 — — $35,690.14 $106,388.77 $48,485.93 2025-08-01
1781 APR_DRG — 36 8 — — $37,012.46 $78,705.02 $48,096.59 2025-08-01
1621 APR_DRG — 36 8 — — $31,547.42 $98,596.01 $48,079.60 2025-08-01
481000031-10806601-18971 CDM Hb Icd Insert Generator, Leads Single/dual 33249 35 16 $266,370.00 $133,185.00 50% off $892.40 $184,667.39 $47,946.60 2025-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 15 — — $30,067.34 $88,058.43 $47,539.70 2025-08-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 28 15 — — $30,700.74 $175,520.92 $47,118.10 2025-08-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 28 15 — — $30,700.74 $175,520.92 $47,118.10 2025-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 16 — — $28,808.59 $80,929.00 $46,728.09 2025-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 16 — — $22,511.00 $90,474.26 $46,656.33 2025-08-01
A0106 OTHER Stroke M <41.50 And A <84.50 28 7 — — $41,779.64 $56,929.12 $46,546.40 2025-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 16 — — $22,511.00 $89,522.45 $46,170.58 2025-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 15 — — $28,028.49 $106,388.77 $46,060.06 2025-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 16 — — $22,511.00 $87,594.80 $46,037.90 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 16 — — $34,012.73 $89,797.42 $45,986.60 2025-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 16 — — $22,511.00 $88,780.40 $45,791.89 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 16 — — $22,511.00 $102,193.93 $45,677.68 2025-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 16 — — $33,718.06 $107,246.00 $45,588.19 2025-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 15 — — $28,822.41 $84,364.44 $45,545.44 2025-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 16 — — $14,754.00 $88,256.91 $45,524.71 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 16 — — $22,511.00 $88,152.91 $45,471.65 2025-08-01
L6700 HCPCS Ue Add Ext Power Myoel 26 14 — — $29,510.19 $168,714.39 $45,290.91 2025-08-01
6311 APR_DRG — 36 8 — — $6,325.78 $210,541.91 $45,273.96 2025-08-01
4401 APR_DRG — 65 18 — — $22,711.86 $92,139.75 $45,025.90 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 16 — — $22,511.00 $85,093.32 $44,723.17 2025-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 16 — — $22,511.00 $84,769.85 $44,553.17 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 16 — — $30,275.19 $73,021.00 $44,530.85 2025-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 31 16 — — $22,511.00 $84,597.34 $44,462.50 2025-08-01
481000371-10806601-18681 CDM Hb 0916t Insertion Perm Ccm-d System Pulse Generator Only 41 19 $112,905.00 $56,452.50 50% off $13,717.96 $129,284.94 $44,340.20 2025-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 16 — — $22,511.00 $85,614.77 $44,176.31 2025-08-01
5063321011 NDC Glucarpidase 1000 Unit Intravenous Solution 14 8 $160,331.12 $80,165.56 50% off $1,574.93 $89,785.43 $44,147.18 2025-08-01
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 7 — — $38,882.80 $59,081.79 $44,043.35 2025-08-01
799 MS_DRG Splenic Procedures With Mcc 31 16 — — $22,511.00 $83,808.10 $43,254.29 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 16 — — $22,511.00 $82,480.87 $42,576.94 2025-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 16 — — $22,511.00 $80,413.83 $42,263.74 2025-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 16 — — $22,511.00 $92,123.33 $42,188.28 2025-08-01
6081 APR_DRG — 36 8 — — $13,876.59 $69,081.41 $42,128.66 2025-08-01
163 MS_DRG Major Chest Procedures With Mcc 31 16 — — $22,511.00 $81,241.76 $41,944.57 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 16 — — $22,511.00 $80,936.83 $41,788.94 2025-08-01
332 MS_DRG Rectal Resection With Mcc 31 16 — — $22,511.00 $83,152.52 $41,450.97 2025-08-01
1601 APR_DRG — 36 8 — — $22,522.32 $144,424.90 $41,188.85 2025-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 16 — — $22,511.00 $79,521.46 $41,066.61 2025-08-01
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 7 — — $36,183.90 $47,472.28 $41,001.56 2025-08-01
A0105 OTHER Stroke M <41.50 And A >=84.50 28 7 — — $36,733.96 $50,051.95 $40,922.99 2025-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 16 — — $22,511.00 $79,047.32 $40,824.64 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 16 — — $22,511.00 $77,524.20 $40,745.01 2025-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 16 — — $22,511.00 $78,828.76 $40,713.10 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 16 — — $22,511.00 $77,286.99 $40,620.34 2025-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 16 — — $22,511.00 $76,877.26 $40,405.00 2025-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 16 — — $22,511.00 $78,091.99 $40,337.09 2025-08-01
1631 APR_DRG — 36 8 — — $27,030.76 $82,129.52 $40,192.53 2025-08-01
1651 APR_DRG — 36 8 — — $27,999.01 $76,701.05 $40,159.47 2025-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 15 — — $25,626.87 $76,338.15 $40,121.65 2025-08-01
A0205 OTHER Traumatic Brain Injury M <35.50 28 7 — — $35,369.28 $51,681.64 $40,011.36 2025-08-01
265 MS_DRG Aicd Lead Procedures 31 16 — — $26,315.10 $74,203.27 $39,990.00 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 16 — — $25,041.83 $59,787.39 $39,990.00 2025-08-01
0081 APR_DRG — 36 8 — — $23,009.87 $97,480.75 $39,863.69 2025-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 16 — — $22,511.00 $75,410.88 $39,634.30 2025-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 15 — — $31,836.26 $73,942.39 $39,405.18 2025-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 16 — — $22,511.00 $75,187.23 $38,854.65 2025-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 16 — — $23,678.44 $69,027.80 $38,292.58 2025-08-01
6121 APR_DRG — 36 8 — — $19,579.93 $78,101.46 $38,270.03 2025-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 16 — — $22,511.00 $72,650.63 $38,183.57 2025-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 16 — — $23,610.85 $64,822.74 $38,181.45 2025-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 16 — — $22,511.00 $72,542.81 $38,126.90 2025-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 16 — — $22,511.00 $73,336.50 $37,910.14 2025-08-01
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 7 — — $32,592.35 $51,358.44 $37,881.43 2025-08-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 15 — — $11,506.22 $201,594.90 $37,738.76 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 16 — — $22,511.00 $72,439.33 $37,628.22 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 16 — — $14,754.00 $71,270.51 $37,458.21 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 16 — — $22,511.00 $71,205.81 $37,424.21 2025-08-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 30 15 — — $23,533.24 $184,667.39 $37,406.90 2025-08-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 30 15 — — $16,520.92 $184,667.39 $37,406.90 2025-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 16 — — $23,072.33 $80,929.00 $37,295.95 2025-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 16 — — $22,511.00 $70,731.40 $37,174.86 2025-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 16 — — $22,965.49 $80,929.00 $37,120.29 2025-08-01
6111 APR_DRG — 36 8 — — $12,242.76 $88,618.15 $36,940.22 2025-08-01
1791 APR_DRG — 36 8 — — $25,884.47 $63,785.02 $36,883.04 2025-08-01
1831 APR_DRG — 36 8 — — $28,233.20 $68,589.82 $36,868.85 2025-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 31 16 — — $22,511.00 $69,890.38 $36,732.85 2025-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 16 — — $22,511.00 $69,739.43 $36,653.51 2025-08-01
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 7 — — $32,384.89 $47,462.49 $36,368.04 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 16 — — $22,511.00 $70,216.70 $36,317.96 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 16 — — $22,511.00 $68,682.77 $36,098.15 2025-08-01
A1903 OTHER Guillain-barr? M >=38.50 And M <51.50 28 7 — — $33,696.27 $49,192.06 $36,018.06 2025-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 15 — — $22,817.96 $66,547.89 $35,926.90 2025-08-01
L5856 HCPCS Elec Knee-shin Swing/stance 27 14 — — $28,800.44 $164,947.01 $35,710.47 2025-08-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 30 15 — — $21,089.53 $175,520.92 $35,554.16 2025-08-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 30 15 — — $21,089.53 $175,520.92 $35,554.16 2025-08-01
L6880 HCPCS Elec Hand Ind Art Digits 27 14 — — $28,630.16 $164,168.15 $35,541.85 2025-08-01
761001931-10806601-16134 CDM Hb C9797 Vasc Emb/occ W/prs Cath 41 19 $90,325.00 $45,162.50 50% off $10,974.49 $103,426.61 $35,471.70 2025-08-01
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 7 — — $31,437.04 $46,706.41 $35,317.33 2025-08-01
6131 APR_DRG — 36 8 — — $16,192.44 $89,033.64 $35,310.63 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 16 — — $22,511.00 $68,055.75 $35,215.13 2025-08-01
481000353-10806601-18698 CDM Hb 0825t Tcat Rmv&rpl 1chmb Ldls Pm Ra 41 19 $79,665.00 $39,832.50 50% off $9,679.30 $109,845.52 $35,194.27 2025-08-01
481000262-10806601-18780 CDM Hb Transcath Insert Or Replace Leadless Pacemaker Ventr 33274 41 19 $76,875.00 $38,437.50 50% off $9,340.31 $109,845.52 $35,194.27 2025-08-01
481000351-10806601-18700 CDM Hb 0823t Tcat Ins 1chmbr Ldls Pm Ra 41 19 $79,665.00 $39,832.50 50% off $9,679.30 $109,845.52 $35,194.27 2025-08-01
A1004 OTHER Amputation Lower Extremity M <47.50 28 7 — — $29,644.11 $45,072.80 $35,136.44 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 16 — — $22,511.00 $67,865.39 $35,117.98 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 16 — — $22,511.00 $68,124.49 $35,030.12 2025-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 16 — — $22,511.00 $69,546.91 $35,014.79 2025-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 16 — — $22,511.00 $73,863.52 $34,892.20 2025-08-01
481000034-10806601-18968 CDM Hb Icd Removal/rplcmnt Pace With Mult Lead 33264 35 16 $157,220.00 $78,610.00 50% off $892.40 $184,667.39 $34,833.94 2025-08-01
481000024-10806601-18978 CDM Hb Icd Gen Insertion With Multiple Lead 33231 35 16 $144,090.00 $72,045.00 50% off $892.40 $184,667.39 $34,833.94 2025-08-01
665 MS_DRG Prostatectomy With Mcc 31 16 — — $22,511.00 $66,224.43 $34,806.10 2025-08-01
A0604 OTHER Neurological M <43.50 28 7 — — $29,878.22 $48,780.72 $34,790.65 2025-08-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 28 15 — — $22,613.50 $129,284.94 $34,706.18 2025-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 16 — — $22,511.00 $67,008.76 $34,680.80 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 16 — — $22,511.00 $73,845.89 $34,616.37 2025-08-01
A1504 OTHER Pulmonary M <45.50 28 7 — — $30,909.82 $44,549.82 $34,570.51 2025-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 16 — — $22,511.00 $66,487.03 $34,414.54 2025-08-01
3041 APR_DRG — 36 8 — — $20,288.65 $72,727.22 $34,288.97 2025-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 16 — — $21,190.76 $57,016.41 $34,202.10 2025-08-01
A2102 OTHER Burns M <52.50 21 7 — — $28,625.84 $45,395.99 $34,170.12 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 31 16 — — $22,511.00 $64,758.04 $34,035.40 2025-08-01
1661 APR_DRG — 36 8 — — $23,251.59 $67,168.41 $34,024.92 2025-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 31 16 — — $21,079.56 $56,369.00 $34,019.26 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 31 16 — — $22,511.00 $64,693.35 $34,001.40 2025-08-01
1671 APR_DRG — 36 8 — — $23,244.74 $82,687.59 $33,970.21 2025-08-01
A0704 OTHER Fracture Of Lower Extremity M <41.50 28 7 — — $29,988.61 $45,586.00 $33,834.94 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 16 — — $22,511.00 $64,003.29 $33,638.72 2025-08-01
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 7 — — $29,927.71 $41,948.60 $33,404.39 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 16 — — $24,145.75 $57,614.11 $33,313.85 2025-08-01
560000345-10806601-18021 CDM Hb Nmdp Unreltd Donr Marrow Fee & Cryo 41 19 $91,695.00 $45,847.50 50% off $11,140.94 $55,475.48 $33,308.21 2025-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 16 — — $14,754.00 $64,311.99 $33,304.51 2025-08-01
69930 HCPCS Implant Cochlear Device 37 18 — — $892.40 $183,205.79 $33,301.57 2025-08-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 28 15 — — $21,604.23 $123,514.79 $33,157.20 2025-08-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 28 15 — — $21,604.23 $123,514.79 $33,157.20 2025-08-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 28 15 — — $21,604.23 $123,514.79 $33,157.20 2025-08-01
481000210-10806601-18808 CDM Hb 0238t Trluml Perip Athrc Iliac Art 41 19 $74,560.00 $37,280.00 50% off $9,059.04 $103,426.61 $33,137.66 2025-08-01
481000286-10806601-18757 CDM Hb Revasc Lithotrip-stent-ather 41 19 $74,375.00 $37,187.50 50% off $9,036.56 $103,426.61 $33,137.66 2025-08-01
481000296-10806601-18748 CDM Hb Revasc Lith-sten-ath Tib/per 41 19 $71,155.00 $35,577.50 50% off $8,645.33 $103,426.61 $33,137.66 2025-08-01
481000253-10806601-18784 CDM Hb Perq Transcath Cls Aortic 93591 41 19 $74,560.00 $37,280.00 50% off $9,059.04 $103,426.61 $33,137.66 2025-08-01
481000294-10806601-18750 CDM Hb Revasc Lithotr-stent Tib/per 41 19 $71,155.00 $35,577.50 50% off $8,645.33 $103,426.61 $33,137.66 2025-08-01
481000295-10806601-18749 CDM Hb Revasc Lithotr-ather Tib/per 41 19 $71,155.00 $35,577.50 50% off $8,645.33 $103,426.61 $33,137.66 2025-08-01
481000252-10806601-18785 CDM Hb Perq Transcath Cls Mitral 93590 41 19 $76,875.00 $38,437.50 50% off $9,340.31 $103,426.61 $33,137.66 2025-08-01
A2005 OTHER Miscellaneous M <46.50 And A <77.50 28 7 — — $28,713.39 $43,507.76 $33,116.46 2025-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 16 — — $22,511.00 $63,866.05 $33,076.93 2025-08-01
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 7 — — $29,141.64 $38,232.85 $33,021.33 2025-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 16 — — $21,227.10 $62,321.26 $32,754.68 2025-08-01
A0104 OTHER Stroke M >=41.50 And M <50.50 28 7 — — $29,375.74 $40,027.06 $32,726.24 2025-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 16 — — $20,277.23 $71,292.07 $32,699.98 2025-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 16 — — $22,511.00 $61,976.23 $32,573.34 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 16 — — $23,993.65 $60,372.58 $32,440.40 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 16 — — $22,511.00 $62,593.45 $32,427.46 2025-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 16 — — $20,779.42 $61,544.94 $32,346.67 2025-08-01
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 7 — — $27,773.16 $43,764.36 $32,279.69 2025-08-01
A1604 OTHER Pain Syndrome M <43.50 28 7 — — $27,767.45 $45,981.67 $32,028.05 2025-08-01
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 7 — — $28,505.93 $42,350.14 $32,024.04 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 16 — — $22,511.00 $61,738.59 $31,991.19 2025-08-01
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 7 — — $28,660.10 $40,172.01 $31,989.42 2025-08-01
1301 APR_DRG — 36 8 — — $23,142.03 $52,307.90 $31,983.07 2025-08-01
A0904 OTHER Other Orthopedic M <44.5 28 7 — — $27,841.67 $41,948.60 $31,982.03 2025-08-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 37 18 — — $892.40 $175,520.92 $31,904.69 2025-08-01
761001320-10806601-16531 CDM Hb 63685 Insj/rplcmt Spi Npg Rcvr With Pocket 41 19 $136,325.00 $68,162.50 50% off $346.15 $175,520.92 $31,904.69 2025-08-01
61886 HCPCS Implant Neurostim Arrays 39 18 — — $892.40 $175,520.92 $31,904.69 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 16 — — $22,511.00 $63,171.58 $31,873.42 2025-08-01
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