Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NAZARETH HOSPITAL

Philadelphia, PA · CCN 390204 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC

This hospital’s price: $17,682 across 24 payers · range $12,156-$39,673

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/nazarethhospital · 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.

14,233 distinct procedures filed
33 distinct payers
785,260 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

470,309 of 785,260 rate rows are consumer-grade (59.9%)

314,951 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 248,908
template filing: same amount across many unrelated codes — excluded 47,942
exceeds 10× this hospital's gross charge — excluded from medians 16,174
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,536
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 229
percent-of-charges filed in the dollar field — excluded from medians 147
per-diem day rate — not a per-procedure price 11
placeholder amount (≤ $0.02) — excluded from medians 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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/nazarethhospital
Found on page https://www.trinityhealthma.org/patients-visitors/billing-insurance/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint d2963de4d1fd268c… · 19,500,747 bytes · first seen 2026-05-08

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 $544,069.53 $516,130.20 nat. median
$221,551
outlier · 2.3×
'583-3
OTHER 		Neonate With Ecmo 3 $347,859.41 $456,636.54 $433,187.11 nat. median
$195,630
outlier · 2.2×
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $321,042.37 $421,433.71 $399,792.03 nat. median
$202,324
2.0× median
'002-4
OTHER 		Heart And/or Lung Transplant 3 $303,766.99 $398,756.24 $378,279.10 nat. median
$205,014
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $238,005.68 $639,172.66 $332,369.78 nat. median
$370,165
0.9× median
'161-4
OTHER 		Implantable Heart Assist Systems 3 $255,103.34 $334,875.26 $317,678.57 nat. median
$182,608
1.7× median
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 3 $237,828.84 $312,198.95 $296,166.75 nat. median
$138,284
outlier · 2.1×
'583-2
OTHER 		Neonate With Ecmo 3 $225,734.12 $296,322.16 $281,105.27 nat. median
$119,004
outlier · 2.4×
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $216,613.85 $284,349.93 $269,747.85 nat. median
$131,074
outlier · 2.1×
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $214,483.92 $281,553.97 $267,095.47 nat. median
$127,072
outlier · 2.1×
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $213,668.68 $280,483.79 $266,080.25 nat. median
$119,104
outlier · 2.2×
'007-4
OTHER 		Allogeneic Bone Marrow Transplant 3 $206,288.00 $270,795.15 $256,889.14 nat. median
$131,941
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $175,058.31 $470,325.20 $244,569.10 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $170,278.52 $457,504.08 $240,189.64 nat. median
$205,166
1.2× median
'009-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 3 $189,379.88 $248,599.78 $235,833.56 nat. median
$89,522
outlier · 2.6×
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $187,701.48 $246,396.55 $233,743.47 nat. median
$112,354
outlier · 2.1×
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $187,659.79 $246,341.82 $233,691.55 nat. median
$130,670
1.8× median
'593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $182,126.06 $239,077.67 $226,800.43 nat. median
$115,906
2.0× median
'001-4
OTHER 		Liver Transplant And/or Intestinal Transplant 3 $181,914.04 $238,799.35 $226,536.41 nat. median
$107,546
outlier · 2.1×
'583-1
OTHER 		Neonate With Ecmo 3 $178,356.77 $234,129.71 $222,106.56 nat. median
$105,798
outlier · 2.1×
'161-3
OTHER 		Implantable Heart Assist Systems 3 $170,328.52 $223,590.98 $212,109.02 nat. median
$114,612
1.9× median
'004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $168,131.17 $220,706.52 $209,372.68 nat. median
$101,809
outlier · 2.1×
'588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $164,139.22 $215,466.27 $204,401.53 nat. median
$110,776
1.8× median
'588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $164,139.22 $215,466.27 $204,401.53 nat. median
$98,245
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $137,730.20 $370,197.82 $194,353.86 nat. median
$199,832
1.0× median
'002-3
OTHER 		Heart And/or Lung Transplant 3 $152,144.74 $199,721.06 $189,464.88 nat. median
$89,928
outlier · 2.1×
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 13 $211.00 $281,638.28 $184,501.81 nat. median
$75,807
outlier · 2.4×
'603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $141,589.14 $185,864.68 $176,320.06 nat. median
$102,933
1.7× median
'602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $140,306.39 $184,180.81 $174,722.66 nat. median
$66,108
outlier · 2.6×
'006-4
OTHER 		Pancreas Transplant 3 $138,776.14 $182,172.05 $172,817.05 nat. median
$56,683
outlier · 3.0×
'591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $136,548.64 $179,247.99 $170,043.15 nat. median
$84,666
outlier · 2.0×
'589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $133,890.89 $175,759.14 $166,733.47 nat. median
$78,851
outlier · 2.1×
'160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 3 $130,715.07 $171,590.23 $162,778.64 nat. median
$82,416
2.0× median
'002-2
OTHER 		Heart And/or Lung Transplant 3 $129,171.51 $169,564.00 $160,856.47 nat. median
$76,713
outlier · 2.1×
'589-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $129,153.77 $169,540.71 $160,834.37 nat. median
$77,835
outlier · 2.1×
27800000002-52209
CDM 		Device Impella 5.5 Smartassist 13 $211.00 $242,550.00 $158,895.00 nat. median
$148,252
1.1× median
'161-2
OTHER 		Implantable Heart Assist Systems 3 $124,796.34 $163,820.69 $155,408.09 nat. median
$86,952
1.8× median
'589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $122,958.26 $161,407.85 $153,119.15 nat. median
$46,281
outlier · 3.3×
'593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $122,410.92 $160,689.35 $152,437.55 nat. median
$82,229
1.9× median
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 $136,747.00 $161,900.00 $149,323.50 nat. median
$58,534
outlier · 2.6×
'161-1
OTHER 		Implantable Heart Assist Systems 3 $118,528.09 $155,592.33 $147,602.28 nat. median
$70,718
outlier · 2.1×
'008-4
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $117,165.50 $153,803.66 $145,905.46 nat. median
$56,082
outlier · 2.6×
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $116,100.98 $152,406.26 $144,579.82 nat. median
$80,075
1.8× median
'004-3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $114,792.51 $150,688.62 $142,950.38 nat. median
$62,886
outlier · 2.3×
'591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $112,675.00 $147,908.96 $140,313.47 nat. median
$68,201
outlier · 2.1×
'005-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $110,302.90 $144,795.09 $137,359.50 nat. median
$61,783
outlier · 2.2×
'593-2
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $110,242.57 $144,715.90 $137,284.38 nat. median
$55,163
outlier · 2.5×
'607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $109,406.93 $143,618.94 $136,243.75 nat. median
$64,930
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $94,962.74 $255,480.10 $134,127.05 nat. median
$132,706
1.0× median
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 $122,759.00 $145,335.00 $134,047.00 nat. median
$51,048
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 14,233 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 $544,069.53 $516,130.20 2025-01-01
'583-3 OTHER Neonate With Ecmo 3 3 — — $347,859.41 $456,636.54 $433,187.11 2025-01-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $321,042.37 $421,433.71 $399,792.03 2025-01-01
'002-4 OTHER Heart And/or Lung Transplant 3 3 — — $303,766.99 $398,756.24 $378,279.10 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 23 — — $238,005.68 $639,172.66 $332,369.78 2025-01-01
'161-4 OTHER Implantable Heart Assist Systems 3 3 — — $255,103.34 $334,875.26 $317,678.57 2025-01-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $237,828.84 $312,198.95 $296,166.75 2025-01-01
'583-2 OTHER Neonate With Ecmo 3 3 — — $225,734.12 $296,322.16 $281,105.27 2025-01-01
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $216,613.85 $284,349.93 $269,747.85 2025-01-01
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $214,483.92 $281,553.97 $267,095.47 2025-01-01
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $213,668.68 $280,483.79 $266,080.25 2025-01-01
'007-4 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $206,288.00 $270,795.15 $256,889.14 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 23 — — $175,058.31 $470,325.20 $244,569.10 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 24 — — $170,278.52 $457,504.08 $240,189.64 2025-01-01
'009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $189,379.88 $248,599.78 $235,833.56 2025-01-01
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $187,701.48 $246,396.55 $233,743.47 2025-01-01
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $187,659.79 $246,341.82 $233,691.55 2025-01-01
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $182,126.06 $239,077.67 $226,800.43 2025-01-01
'001-4 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $181,914.04 $238,799.35 $226,536.41 2025-01-01
'583-1 OTHER Neonate With Ecmo 3 3 — — $178,356.77 $234,129.71 $222,106.56 2025-01-01
'161-3 OTHER Implantable Heart Assist Systems 3 3 — — $170,328.52 $223,590.98 $212,109.02 2025-01-01
'004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $168,131.17 $220,706.52 $209,372.68 2025-01-01
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $164,139.22 $215,466.27 $204,401.53 2025-01-01
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $164,139.22 $215,466.27 $204,401.53 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 24 — — $137,730.20 $370,197.82 $194,353.86 2025-01-01
'002-3 OTHER Heart And/or Lung Transplant 3 3 — — $152,144.74 $199,721.06 $189,464.88 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 17 13 $287,386.00 $198,296.34 31% off $211.00 $281,638.28 $184,501.81 2025-01-01
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $141,589.14 $185,864.68 $176,320.06 2025-01-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $140,306.39 $184,180.81 $174,722.66 2025-01-01
'006-4 OTHER Pancreas Transplant 3 3 — — $138,776.14 $182,172.05 $172,817.05 2025-01-01
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $136,548.64 $179,247.99 $170,043.15 2025-01-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $133,890.89 $175,759.14 $166,733.47 2025-01-01
'160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $130,715.07 $171,590.23 $162,778.64 2025-01-01
'002-2 OTHER Heart And/or Lung Transplant 3 3 — — $129,171.51 $169,564.00 $160,856.47 2025-01-01
'589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $129,153.77 $169,540.71 $160,834.37 2025-01-01
27800000002-52209 CDM Device Impella 5.5 Smartassist 17 13 $247,500.00 $146,767.50 41% off $211.00 $242,550.00 $158,895.00 2025-01-01
'161-2 OTHER Implantable Heart Assist Systems 3 3 — — $124,796.34 $163,820.69 $155,408.09 2025-01-01
'589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $122,958.26 $161,407.85 $153,119.15 2025-01-01
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $122,410.92 $160,689.35 $152,437.55 2025-01-01
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 2 1 — — $136,747.00 $161,900.00 $149,323.50 2025-01-01
'161-1 OTHER Implantable Heart Assist Systems 3 3 — — $118,528.09 $155,592.33 $147,602.28 2025-01-01
'008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $117,165.50 $153,803.66 $145,905.46 2025-01-01
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $116,100.98 $152,406.26 $144,579.82 2025-01-01
'004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $114,792.51 $150,688.62 $142,950.38 2025-01-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $112,675.00 $147,908.96 $140,313.47 2025-01-01
'005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $110,302.90 $144,795.09 $137,359.50 2025-01-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $110,242.57 $144,715.90 $137,284.38 2025-01-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $109,406.93 $143,618.94 $136,243.75 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 24 — — $94,962.74 $255,480.10 $134,127.05 2025-01-01
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 2 1 — — $122,759.00 $145,335.00 $134,047.00 2025-01-01
'007-3 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $106,392.56 $139,661.97 $132,489.98 2025-01-01
'002-1 OTHER Heart And/or Lung Transplant 3 3 — — $105,322.72 $138,257.59 $131,157.71 2025-01-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $104,823.28 $137,601.97 $130,535.77 2025-01-01
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $100,852.62 $132,389.67 $125,591.13 2025-01-01
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $100,338.10 $131,714.26 $124,950.40 2025-01-01
'162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $99,841.33 $131,062.14 $124,331.77 2025-01-01
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $97,612.93 $128,136.92 $121,556.76 2025-01-01
27800000002-52400 CDM Valve Sapien Thv Edwards Resilia 23mm 17 13 $187,000.00 $110,891.00 41% off $211.00 $183,260.00 $120,054.00 2025-01-01
27800000002-52403 CDM Valve Sapien Thv Edwards Resilia 26mm 17 13 $187,000.00 $110,891.00 41% off $211.00 $183,260.00 $120,054.00 2025-01-01
27800000002-52401 CDM Valve Sapien Thv Edwards Resilia 29mm 17 13 $187,000.00 $110,891.00 41% off $211.00 $183,260.00 $120,054.00 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 2 1 — — $107,718.00 $127,528.00 $117,623.00 2025-01-01
'608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $93,767.35 $123,088.81 $116,767.89 2025-01-01
27200000002-17907 CDM Introducer Lotus 23 Edge 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53134 CDM Valve Thv Sapien 3 26mm W/certitudesystem 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53333 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53128 CDM Valve Sapien 3 Thv 29mm W/command System 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53127 CDM Valve Sapien 3 Thv 26mm W/command System 17 13 $178,750.00 $123,337.50 31% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53326 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53329 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27200000002-17908 CDM Introducer Lotus 25 Edge 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53126 CDM Valve Sapien 3 Thv 23mm W/command System 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
27800000002-53133 CDM Valve Thv Sapien 3 23mm W/certitudesystem 17 13 $178,750.00 $105,998.75 41% off $211.00 $175,175.00 $114,757.50 2025-01-01
'440-4 OTHER Kidney Transplant 3 3 — — $91,930.17 $120,677.13 $114,480.06 2025-01-01
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $90,257.98 $118,482.05 $112,397.70 2025-01-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $90,184.36 $118,385.39 $112,306.01 2025-01-01
'009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $89,456.05 $117,429.34 $111,399.05 2025-01-01
7 MS_DRG Lung Transplant 25 23 — — $79,241.56 $213,310.26 $110,921.34 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 23 — — $79,097.50 $212,923.84 $110,720.40 2025-01-01
'006-3 OTHER Pancreas Transplant 3 3 — — $88,419.03 $116,068.04 $110,107.65 2025-01-01
'007-2 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $87,564.75 $114,946.63 $109,043.83 2025-01-01
'167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $87,255.15 $114,540.22 $108,658.29 2025-01-01
'163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $85,983.05 $112,870.32 $107,074.15 2025-01-01
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 2 1 — — $97,661.00 $115,621.00 $106,641.00 2025-01-01
'625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $85,317.72 $111,996.95 $106,245.62 2025-01-01
27800000002-52374 CDM Valve Aortic 29mm Evolut Fx 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53456 CDM Kit Mitraclip 3 Mbr0103 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52839 CDM Kit Mitraclip 2 Mbr0102 17 13 $165,000.00 $105,847.50 36% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53070 CDM Valve Aort 29mm Pro Perc 17 13 $165,000.00 $113,850.00 31% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52377 CDM Valve Aortic 23mm Evolut Fx 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52837 CDM Kit Mitraclip 1 Mbr0201 17 13 $165,000.00 $113,850.00 31% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52838 CDM Kit Mitraclip 1 Mbr0301 17 13 $165,000.00 $105,847.50 36% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52372 CDM Valve Aortic 26mm Evolut Fx 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53517 CDM Kit Mitraclip 2 Mbr0202 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52840 CDM Kit Mitraclip 2 Mbr0302 17 13 $165,000.00 $105,847.50 36% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52368 CDM Valve Aort 23mm Evolutr 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53071 CDM Valve Aort 34mm Evolutr 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52376 CDM Valve Aortic 34mm Evolut Fx 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53067 CDM Valve Aort 26mm Evolutr 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-52836 CDM Kit Mitraclip 1 Mbr0101 17 13 $165,000.00 $105,847.50 36% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53472 CDM Kit Mitraclip G4 Delivery Sys Ntw 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53068 CDM Valve Aort 26mm Pro Perc 17 13 $165,000.00 $113,850.00 31% off $211.00 $161,700.00 $105,930.00 2025-01-01
27800000002-53339 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 17 13 $165,000.00 $97,845.00 41% off $211.00 $161,700.00 $105,930.00 2025-01-01
'001-3 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $84,291.35 $110,649.62 $104,967.48 2025-01-01
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $84,138.77 $110,449.33 $104,777.48 2025-01-01
'178-4 OTHER External Heart Assist Systems 3 3 — — $83,669.49 $109,833.31 $104,193.09 2025-01-01
'004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $83,607.40 $109,751.79 $104,115.76 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 23 — — $74,037.99 $199,352.42 $103,663.26 2025-01-01
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $81,821.66 $107,407.65 $101,892.00 2025-01-01
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $81,786.18 $107,361.07 $101,847.81 2025-01-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $81,355.05 $106,795.13 $101,310.93 2025-01-01
'591-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $81,238.84 $106,642.58 $101,166.21 2025-01-01
'863-4 OTHER Neonatal Aftercare 3 3 — — $81,170.53 $106,552.91 $101,081.15 2025-01-01
'006-2 OTHER Pancreas Transplant 3 3 — — $80,798.84 $106,064.98 $100,618.28 2025-01-01
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 2 1 — — $92,126.00 $109,071.00 $100,598.50 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 27 24 — — $69,579.26 $187,392.50 $97,444.10 2025-01-01
'005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $77,559.15 $101,812.23 $96,583.92 2025-01-01
'165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $77,552.94 $101,804.08 $96,576.18 2025-01-01
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $77,515.68 $101,755.17 $96,529.79 2025-01-01
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 3 3 — — $76,346.48 $100,220.36 $95,073.79 2025-01-01
'690-4 OTHER Acute Leukemia 3 3 — — $75,526.80 $99,144.36 $94,053.05 2025-01-01
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $75,270.43 $98,807.82 $93,733.79 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 23 — — $66,861.52 $180,102.54 $93,653.32 2025-01-01
215 MS_DRG Other Heart Assist System Implant 29 24 — — $65,988.12 $267,041.00 $93,323.88 2025-01-01
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $74,828.65 $98,227.90 $93,183.65 2025-01-01
'607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $74,611.31 $97,942.60 $92,913.00 2025-01-01
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $74,191.72 $97,391.79 $92,390.47 2025-01-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $74,098.57 $97,269.52 $92,274.48 2025-01-01
'910-4 OTHER Craniotomy For Multiple Significant Trauma 3 3 — — $72,823.81 $95,596.13 $90,687.03 2025-01-01
'004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $72,798.97 $95,563.52 $90,656.10 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 2 1 — — $82,981.00 $98,245.00 $90,613.00 2025-01-01
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $72,425.50 $95,073.27 $90,191.02 2025-01-01
'183-4 OTHER Percutaneous Structural Cardiac Procedures 3 3 — — $72,170.02 $94,737.89 $89,872.86 2025-01-01
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $71,594.29 $93,982.13 $89,155.91 2025-01-01
'621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $71,300.66 $93,596.68 $88,790.26 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 24 — — $62,696.72 $180,237.00 $88,688.81 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 32 13 $143,000.00 $84,799.00 41% off $211.00 $140,140.00 $88,400.00 2025-01-01
27800000002-52890 CDM Set Pump Impella Cp 17 13 $137,500.00 $81,537.50 41% off $211.00 $134,750.00 $88,275.00 2025-01-01
27800000002-52891 CDM Set Pump Impella Cp 17 13 $137,500.00 $81,537.50 41% off $211.00 $134,750.00 $88,275.00 2025-01-01
27800000002-52893 CDM Set Pump Impella Cp 17 13 $137,500.00 $81,537.50 41% off $211.00 $134,750.00 $88,275.00 2025-01-01
27800000002-52892 CDM Set Pump Impella Cp 17 13 $137,500.00 $81,537.50 41% off $211.00 $134,750.00 $88,275.00 2025-01-01
27800000002-52896 CDM Set Pump Impella Rp 17 13 $137,500.00 $88,206.25 36% off $211.00 $134,750.00 $88,275.00 2025-01-01
'021-4 OTHER Open Craniotomy Except Trauma 3 3 — — $69,577.91 $91,335.22 $86,644.93 2025-01-01
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $69,528.23 $91,270.01 $86,583.07 2025-01-01
'695-4 OTHER Chemotherapy For Acute Leukemia 3 3 — — $69,481.22 $91,208.29 $86,524.52 2025-01-01
'633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $69,262.99 $90,921.83 $86,252.76 2025-01-01
'001-2 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $68,509.84 $89,933.17 $85,314.87 2025-01-01
'001-1 OTHER Liver Transplant And/or Intestinal Transplant 3 3 — — $68,509.84 $89,933.17 $85,314.87 2025-01-01
'260-4 OTHER Major Pancreas, Liver And Shunt Procedures 3 3 — — $68,453.07 $89,858.64 $85,244.17 2025-01-01
27800000002-52402 CDM Valve Sapien Thv Edwards Resilia 29mm 17 13 $132,600.00 $91,494.00 31% off $211.00 $129,948.00 $85,129.20 2025-01-01
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $67,459.51 $88,554.40 $84,006.91 2025-01-01
'166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $67,421.37 $88,504.32 $83,959.40 2025-01-01
'007-1 OTHER Allogeneic Bone Marrow Transplant 3 3 — — $67,217.34 $88,236.49 $83,705.32 2025-01-01
'401-4 OTHER Adrenal Procedures 3 3 — — $66,350.64 $87,098.77 $82,626.03 2025-01-01
'179-4 OTHER Defibrillator Implants 3 3 — — $66,122.65 $86,799.50 $82,342.12 2025-01-01
'614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $65,594.83 $86,106.62 $81,684.83 2025-01-01
27800000002-53331 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53330 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53130 CDM Valve Sapien 3 Thv 29mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53336 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53332 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53327 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53328 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53129 CDM Valve Sapien 3 Thv 29mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53335 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
27800000002-53334 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 17 13 $126,750.00 $75,162.75 41% off $211.00 $124,215.00 $81,373.50 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 29 24 — — $57,245.09 $200,615.00 $81,011.61 2025-01-01
'631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $64,915.31 $85,214.61 $80,838.63 2025-01-01
'169-4 OTHER Major Abdominal Vascular Procedures 3 3 — — $64,670.47 $84,893.21 $80,533.73 2025-01-01
'162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $64,323.62 $84,437.89 $80,101.79 2025-01-01
'027-4 OTHER Other Open Craniotomy 3 3 — — $63,892.49 $83,871.94 $79,564.91 2025-01-01
'091-4 OTHER Other Major Head And Neck Procedures 3 3 — — $63,563.37 $83,439.91 $79,155.06 2025-01-01
'232-4 OTHER Gastric Fundoplication 3 3 — — $63,182.81 $82,940.34 $78,681.15 2025-01-01
'759-4 OTHER Eating Disorders 3 3 — — $63,106.51 $82,840.20 $78,586.14 2025-01-01
'005-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,515.71 $82,064.64 $77,850.41 2025-01-01
'441-4 OTHER Major Bladder Procedures 3 3 — — $62,497.08 $82,040.18 $77,827.21 2025-01-01
'023-4 OTHER Spinal Procedures 3 3 — — $62,266.43 $81,737.41 $77,539.99 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 24 — — $54,602.93 $172,332.00 $77,290.82 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 24 — — $54,454.35 $180,260.00 $77,081.58 2025-01-01
'220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $61,624.17 $80,894.32 $76,740.19 2025-01-01
'950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $61,422.80 $80,629.98 $76,489.42 2025-01-01
'630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $61,336.75 $80,517.02 $76,382.27 2025-01-01
'008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $61,284.41 $80,448.31 $76,317.09 2025-01-01
'022-4 OTHER Ventricular Shunt Procedures 3 3 — — $61,012.96 $80,091.98 $75,979.05 2025-01-01
'020-4 OTHER Open Craniotomy For Trauma 3 3 — — $60,983.68 $80,053.55 $75,942.60 2025-01-01
27800000002-53340 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 17 13 $117,000.00 $69,381.00 41% off $211.00 $114,660.00 $75,114.00 2025-01-01
27800000002-52375 CDM Valve Aortic 29mm Evolut Fx 17 13 $117,000.00 $69,381.00 41% off $211.00 $114,660.00 $75,114.00 2025-01-01
27800000002-52373 CDM Valve Aortic 26mm Evolut Fx 17 13 $117,000.00 $80,730.00 31% off $211.00 $114,660.00 $75,114.00 2025-01-01
27800000002-52378 CDM Valve Aortic 23mm Evolut Fx 17 13 $117,000.00 $80,730.00 31% off $211.00 $114,660.00 $75,114.00 2025-01-01
27800000002-53341 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 17 13 $117,000.00 $69,381.00 41% off $211.00 $114,660.00 $75,114.00 2025-01-01
'607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $60,044.25 $78,820.34 $74,772.72 2025-01-01
'089-4 OTHER Major Cranial Or Facial Bone Procedures 3 3 — — $59,347.87 $77,906.21 $73,905.53 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 24 — — $52,424.60 $142,570.00 $73,869.77 2025-01-01
'608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $59,170.45 $77,673.31 $73,684.59 2025-01-01
'160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $59,071.98 $77,544.05 $73,561.97 2025-01-01
'178-3 OTHER External Heart Assist Systems 3 3 — — $58,616.01 $76,945.50 $72,994.15 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 23 — — $51,638.41 $139,268.70 $72,419.72 2025-01-01
'440-3 OTHER Kidney Transplant 3 3 — — $58,115.69 $76,288.72 $72,371.10 2025-01-01
'120-4 OTHER Major Respiratory And Chest Procedures 3 3 — — $57,621.58 $75,640.09 $71,755.78 2025-01-01
'181-4 OTHER Lower Extremity Arterial Procedures 3 3 — — $57,086.65 $74,937.90 $71,089.65 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 24 — — $50,385.81 $136,879.00 $71,012.33 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 24 — — $49,814.74 $148,425.00 $70,547.90 2025-01-01
'261-4 OTHER Major Biliary Tract Procedures 3 3 — — $56,274.96 $73,872.38 $70,078.85 2025-01-01
'622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,248.34 $73,837.45 $70,045.71 2025-01-01
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $56,211.09 $73,788.54 $69,999.31 2025-01-01
'404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $55,894.39 $73,372.81 $69,604.93 2025-01-01
'006-1 OTHER Pancreas Transplant 3 3 — — $55,874.88 $73,347.19 $69,580.63 2025-01-01
C1822 HCPCS Sable 10x22mm 6-12mm 8deg 62 13 $104,000.00 $61,672.00 41% off $211.00 $140,140.00 $69,579.90 2025-01-01
'009-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,856.25 $73,322.74 $69,557.43 2025-01-01
'009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,856.25 $73,322.74 $69,557.43 2025-01-01
'609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $55,793.26 $73,240.06 $69,479.00 2025-01-01
'609-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $55,793.26 $73,240.06 $69,479.00 2025-01-01
'130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $54,616.08 $71,694.77 $68,013.06 2025-01-01
'178-2 OTHER External Heart Assist Systems 3 3 — — $54,482.13 $71,518.93 $67,846.25 2025-01-01
'163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $54,181.40 $71,124.16 $67,471.76 2025-01-01
'758-4 OTHER Behavioral Disorders 3 3 — — $53,875.35 $70,722.41 $67,090.64 2025-01-01
'165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $53,816.80 $70,645.55 $67,017.73 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 38 31 $55,035.00 $32,635.76 41% off $211.00 $163,691.45 $66,949.80 2025-01-01
'623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $53,580.84 $70,335.80 $66,723.88 2025-01-01
'230-4 OTHER Major Small Bowel Procedures 3 3 — — $53,185.19 $69,816.43 $66,231.18 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 24 — — $46,722.31 $126,081.96 $66,193.03 2025-01-01
'841-2 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $53,147.93 $69,767.52 $66,184.78 2025-01-01
'841-1 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $53,147.93 $69,767.52 $66,184.78 2025-01-01
'030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $52,997.12 $69,569.55 $65,996.98 2025-01-01
'611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $52,929.70 $69,481.05 $65,913.03 2025-01-01
'026-4 OTHER Other Nervous System And Related Procedures 3 3 — — $52,872.93 $69,406.52 $65,842.32 2025-01-01
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $52,581.07 $69,023.40 $65,478.88 2025-01-01
'092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $52,552.69 $68,986.14 $65,443.53 2025-01-01
'321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $52,081.64 $68,367.79 $64,856.93 2025-01-01
27800000002-53528 CDM Stent Graft Confrm Thor 45x45x20 24f 17 13 $100,595.00 $59,652.84 41% off $211.00 $98,583.10 $64,581.99 2025-01-01
'303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $51,853.65 $68,068.51 $64,573.02 2025-01-01
'176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $51,569.78 $67,695.87 $64,219.52 2025-01-01
27800000002-52894 CDM Set Pump Impella Cp 17 13 $100,000.00 $59,300.00 41% off $211.00 $98,000.00 $64,200.00 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 24 — — $45,451.62 $122,673.50 $64,096.90 2025-01-01
'405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $51,371.96 $67,436.19 $63,973.17 2025-01-01
'740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 3 3 — — $51,317.84 $67,365.16 $63,905.79 2025-01-01
'711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $51,230.91 $67,251.03 $63,797.52 2025-01-01
'710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $51,206.07 $67,218.43 $63,766.59 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 24 — — $44,993.60 $121,444.94 $63,758.59 2025-01-01
'612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $51,181.23 $67,185.82 $63,735.66 2025-01-01
'603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $51,065.91 $67,034.44 $63,592.05 2025-01-01
27800000002-53501 CDM Stent Valiant Navion Vnmf4040c183tu Freeflo 175mm 17 13 $98,975.25 $58,692.32 41% off $211.00 $96,995.75 $63,542.11 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 24 — — $44,281.70 $119,535.38 $63,353.75 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 24 — — $44,701.61 $120,661.70 $63,347.39 2025-01-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 1 — — $57,921.00 $68,574.00 $63,247.50 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 24 — — $44,626.03 $120,458.96 $63,240.95 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 24 — — $44,397.34 $119,845.56 $62,918.92 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 17 13 $97,800.00 $57,995.40 41% off $211.00 $95,844.00 $62,787.60 2025-01-01
27800000002-52897 CDM Set Pump Impella Rp 17 13 $97,500.00 $62,546.25 36% off $211.00 $95,550.00 $62,595.00 2025-01-01
27800000002-52895 CDM Set Pump Impella Cp 17 13 $97,500.00 $62,546.25 36% off $211.00 $95,550.00 $62,595.00 2025-01-01
'304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $50,153.97 $65,837.33 $62,456.42 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 24 — — $44,047.85 $118,908.10 $62,426.75 2025-01-01
'182-4 OTHER Other Peripheral Vascular And Related Procedures 3 3 — — $49,344.93 $64,775.31 $61,448.93 2025-01-01
'440-2 OTHER Kidney Transplant 3 3 — — $49,218.96 $64,609.95 $61,292.07 2025-01-01
'183-3 OTHER Percutaneous Structural Cardiac Procedures 3 3 — — $49,189.69 $64,571.52 $61,255.61 2025-01-01
'162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $49,089.45 $64,439.93 $61,130.78 2025-01-01
'179-3 OTHER Defibrillator Implants 3 3 — — $48,890.74 $64,179.08 $60,883.33 2025-01-01
'008-2 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $48,771.87 $64,023.04 $60,735.30 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 29 24 — — $42,844.99 $123,813.00 $60,732.83 2025-01-01
'121-4 OTHER Other Respiratory And Chest Procedures 3 3 — — $48,708.88 $63,940.36 $60,656.86 2025-01-01
'029-4 OTHER Other Percutaneous Intracranial Procedures 3 3 — — $48,691.14 $63,917.07 $60,634.77 2025-01-01
'511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $48,555.41 $63,738.90 $60,465.75 2025-01-01
'613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $48,469.36 $63,625.95 $60,358.59 2025-01-01
27800000002-52188 CDM Device Clsur Watchman Flx Laa 20mm 17 13 $93,500.00 $55,445.50 41% off $211.00 $91,630.00 $60,027.00 2025-01-01
C2624 HCPCS System Cardiomems Pa Sensor And Delivery 17 13 $93,500.00 $55,445.50 41% off $211.00 $91,630.00 $60,027.00 2025-01-01
'167-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $48,157.11 $63,216.04 $59,969.74 2025-01-01
'634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $47,411.05 $62,236.70 $59,040.69 2025-01-01
27800000002-53374 CDM Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm 17 13 $91,550.25 $58,729.49 36% off $211.00 $89,719.25 $58,775.26 2025-01-01
27800000002-53375 CDM Stent Graft Prox 28x28x150mm Valiant Captivia Free Flo Str 17 13 $91,550.25 $63,169.67 31% off $211.00 $89,719.25 $58,775.26 2025-01-01
27800000002-53431 CDM Stent Valiant 42x38x150 17 13 $91,550.25 $54,289.30 41% off $211.00 $89,719.25 $58,775.26 2025-01-01
'170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $47,066.86 $61,784.87 $58,612.06 2025-01-01
'447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 3 3 — — $46,939.12 $61,617.18 $58,452.99 2025-01-01
'863-3 OTHER Neonatal Aftercare 3 3 — — $46,876.13 $61,534.50 $58,374.55 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 24 — — $41,120.16 $120,223.00 $58,303.85 2025-01-01
'231-4 OTHER Major Large Bowel Procedures 3 3 — — $46,608.23 $61,182.83 $58,040.93 2025-01-01
'073-4 OTHER Orbit And Eye Procedures 3 3 — — $46,509.76 $61,053.57 $57,918.31 2025-01-01
'514-4 OTHER Female Reproductive System Reconstructive Procedures 3 3 — — $46,386.45 $60,891.70 $57,764.76 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 24 — — $40,350.12 $124,161.00 $57,764.40 2025-01-01
'951-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $46,163.79 $60,599.41 $57,487.48 2025-01-01
'222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $46,119.44 $60,541.19 $57,432.24 2025-01-01
'690-3 OTHER Acute Leukemia 3 3 — — $45,896.77 $60,248.90 $57,154.96 2025-01-01
'178-1 OTHER External Heart Assist Systems 3 3 — — $45,825.81 $60,155.74 $57,066.59 2025-01-01
'403-4 OTHER Procedures For Obesity 3 3 — — $45,744.19 $60,048.60 $56,964.96 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 24 — — $40,169.24 $108,504.26 $56,964.74 2025-01-01
'309-4 OTHER Other Significant Hip And Femur Surgery 3 3 — — $45,645.73 $59,919.34 $56,842.33 2025-01-01
'614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $45,477.18 $59,698.09 $56,632.44 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 28 24 — — $40,118.20 $108,367.36 $56,621.94 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 24 — — $39,673.75 $125,724.00 $56,266.97 2025-01-01
'325-4 OTHER Non-elective Or Complex Knee Joint Replacement 3 3 — — $45,137.42 $59,252.08 $56,209.34 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 23 — — $39,903.73 $107,792.08 $56,051.88 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 23 — — $39,903.73 $107,792.08 $56,051.88 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 29 24 — — $39,511.60 $147,648.00 $56,038.64 2025-01-01
27800000002-52422 CDM Generator Implantable Proclaim 5 17 13 $87,270.30 $51,751.29 41% off $211.00 $85,524.89 $56,027.53 2025-01-01
'650-4 OTHER Splenectomy 3 3 — — $44,928.06 $58,977.26 $55,948.63 2025-01-01
'315-4 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $44,912.09 $58,956.30 $55,928.75 2025-01-01
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 2 1 — — $51,190.00 $60,606.00 $55,898.00 2025-01-01
'264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $44,817.17 $58,831.70 $55,810.54 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 24 — — $39,343.00 $106,287.98 $55,801.19 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 24 — — $39,246.74 $121,503.00 $55,665.65 2025-01-01
'440-1 OTHER Kidney Transplant 3 3 — — $44,542.17 $58,470.70 $55,468.09 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 24 — — $39,061.98 $108,358.00 $55,405.47 2025-01-01
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