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

ST MARY MEDICAL CENTER

Langhorne, PA · CCN 390258 · Rates published

14,664 distinct procedures filed
26 distinct payers
693,383 rate rows
2025-01-01 last MRF observed · ⚠ 18 mo old
Data quality

420,827 of 693,383 rate rows are consumer-grade (60.7%)

272,556 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 217,929
template filing: same amount across many unrelated codes — excluded 31,744
exceeds 10× this hospital's gross charge — excluded from medians 22,785
percent-of-charges filed in the dollar field — excluded from medians 84
placeholder amount (≤ $0.02) — excluded from medians 9
per-diem day rate — not a per-procedure price 5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/stmarycenter
Found on page https://www.trinityhealthma.org/patients-visitors/billing-insurance/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 95fedb7fa395d2a3… · 16,942,144 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
APR_DRG 		Neonate With Ecmo 3 $445,253.98 $516,130.20 $462,073.65 —
'583-3
APR_DRG 		Neonate With Ecmo 3 $373,700.84 $433,187.11 $387,817.55 —
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $344,891.65 $399,792.03 $357,920.08 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 3 $326,332.93 $378,279.10 $338,660.30 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $231,849.27 $636,546.56 $294,225.96 nat. median
$370,174
0.8× median
'161-4
APR_DRG 		Implantable Heart Assist Systems 3 $274,054.21 $317,678.57 $284,406.73 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $255,496.44 $296,166.75 $265,147.93 —
'583-2
APR_DRG 		Neonate With Ecmo 3 $242,503.23 $281,105.27 $251,663.90 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $232,705.44 $269,747.85 $241,495.99 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $230,417.29 $267,095.47 $239,121.40 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $229,541.48 $266,080.25 $238,212.51 —
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $221,612.52 $256,889.14 $229,984.03 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $165,873.98 $487,635.95 $216,665.04 nat. median
$206,474
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $170,530.13 $468,373.93 $216,492.84 nat. median
$265,286
0.8× median
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $203,448.34 $235,833.56 $211,133.69 —
'631-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $201,645.27 $233,743.47 $209,262.51 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $201,600.47 $233,691.55 $209,216.02 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $195,655.66 $226,800.43 $203,046.64 —
'001-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $195,427.89 $226,536.41 $202,810.27 —
'583-1
APR_DRG 		Neonate With Ecmo 3 $191,606.36 $222,106.56 $198,844.38 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 3 $182,981.71 $212,109.02 $189,893.93 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $180,621.13 $209,372.68 $187,444.18 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $176,332.63 $204,401.53 $182,993.68 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $176,332.63 $204,401.53 $182,993.68 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $134,167.58 $394,425.55 $175,312.00 nat. median
$202,976
0.9× median
'002-3
APR_DRG 		Heart And/or Lung Transplant 3 $163,447.12 $189,464.88 $169,621.41 —
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 $146,858.00 $181,568.00 $164,213.00 nat. median
$63,570
outlier · 2.6×
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $152,107.37 $176,320.06 $157,853.30 —
'602-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $150,729.33 $174,722.66 $156,423.20 —
'006-4
APR_DRG 		Pancreas Transplant 3 $149,085.41 $172,817.05 $154,717.18 —
'591-3
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $146,692.43 $170,043.15 $152,233.80 —
'589-1
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $143,837.24 $166,733.47 $149,270.75 —
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 $131,834.00 $162,990.00 $147,412.00 nat. median
$54,196
outlier · 2.7×
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $140,425.50 $162,778.64 $145,730.13 —
'002-2
APR_DRG 		Heart And/or Lung Transplant 3 $138,767.28 $160,856.47 $144,009.27 —
'589-2
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $138,748.22 $160,834.37 $143,989.49 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 3 $134,067.08 $155,408.09 $139,131.53 —
'589-3
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $132,092.47 $153,119.15 $137,082.32 —
'593-3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $131,504.47 $152,437.55 $136,472.11 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 3 $127,333.18 $147,602.28 $132,143.25 —
'008-4
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $125,869.38 $145,905.46 $130,624.15 —
'842-4
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $124,725.78 $144,579.82 $129,437.35 —
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 1 $115,683.00 $143,022.00 $129,352.50 nat. median
$49,935
outlier · 2.6×
'004-3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $123,320.10 $142,950.38 $127,978.57 —
'591-2
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $121,045.29 $140,313.47 $125,617.83 —
'005-4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $118,496.97 $137,359.50 $122,973.24 —
'593-2
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $118,432.16 $137,284.38 $122,905.99 —
'607-4
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $117,534.44 $136,243.75 $121,974.35 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $92,506.37 $271,950.00 $120,975.40 nat. median
$133,161
0.9× median
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 11 $223.00 $273,016.70 $118,690.42 nat. median
$76,329
1.6× median

Other procedures at this hospital

Browse this hospital's 14,664 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 APR_DRG Neonate With Ecmo 3 3 — — $445,253.98 $516,130.20 $462,073.65 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 3 3 — — $373,700.84 $433,187.11 $387,817.55 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $344,891.65 $399,792.03 $357,920.08 2025-01-01
'002-4 APR_DRG Heart And/or Lung Transplant 3 3 — — $326,332.93 $378,279.10 $338,660.30 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 19 — — $231,849.27 $636,546.56 $294,225.96 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 3 3 — — $274,054.21 $317,678.57 $284,406.73 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $255,496.44 $296,166.75 $265,147.93 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 3 3 — — $242,503.23 $281,105.27 $251,663.90 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $232,705.44 $269,747.85 $241,495.99 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $230,417.29 $267,095.47 $239,121.40 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $229,541.48 $266,080.25 $238,212.51 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $221,612.52 $256,889.14 $229,984.03 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 20 — $281,719.00 $165,873.98 $487,635.95 $216,665.04 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 19 — — $170,530.13 $468,373.93 $216,492.84 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $203,448.34 $235,833.56 $211,133.69 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $201,645.27 $233,743.47 $209,262.51 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $201,600.47 $233,691.55 $209,216.02 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $195,655.66 $226,800.43 $203,046.64 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $195,427.89 $226,536.41 $202,810.27 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 3 3 — — $191,606.36 $222,106.56 $198,844.38 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 3 3 — — $182,981.71 $212,109.02 $189,893.93 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $180,621.13 $209,372.68 $187,444.18 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $176,332.63 $204,401.53 $182,993.68 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $176,332.63 $204,401.53 $182,993.68 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 20 — $304,634.00 $134,167.58 $394,425.55 $175,312.00 2025-01-01
'002-3 APR_DRG Heart And/or Lung Transplant 3 3 — — $163,447.12 $189,464.88 $169,621.41 2025-01-01
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 2 1 — $146,858.00 $146,858.00 $181,568.00 $164,213.00 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $152,107.37 $176,320.06 $157,853.30 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $150,729.33 $174,722.66 $156,423.20 2025-01-01
'006-4 APR_DRG Pancreas Transplant 3 3 — — $149,085.41 $172,817.05 $154,717.18 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $146,692.43 $170,043.15 $152,233.80 2025-01-01
'589-1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $143,837.24 $166,733.47 $149,270.75 2025-01-01
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 2 1 — $131,834.00 $131,834.00 $162,990.00 $147,412.00 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $140,425.50 $162,778.64 $145,730.13 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 3 3 — — $138,767.28 $160,856.47 $144,009.27 2025-01-01
'589-2 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $138,748.22 $160,834.37 $143,989.49 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 3 3 — — $134,067.08 $155,408.09 $139,131.53 2025-01-01
'589-3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $132,092.47 $153,119.15 $137,082.32 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $131,504.47 $152,437.55 $136,472.11 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 3 3 — — $127,333.18 $147,602.28 $132,143.25 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $125,869.38 $145,905.46 $130,624.15 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $124,725.78 $144,579.82 $129,437.35 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 2 1 — $115,683.00 $115,683.00 $143,022.00 $129,352.50 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $123,320.10 $142,950.38 $127,978.57 2025-01-01
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $121,045.29 $140,313.47 $125,617.83 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $118,496.97 $137,359.50 $122,973.24 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $118,432.16 $137,284.38 $122,905.99 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $117,534.44 $136,243.75 $121,974.35 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 20 — $186,924.00 $92,506.37 $271,950.00 $120,975.40 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 15 11 $287,386.00 $181,627.95 37% off $223.00 $273,016.70 $118,690.42 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $114,296.14 $132,489.98 $118,613.73 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 3 3 — — $113,146.83 $131,157.71 $117,421.00 2025-01-01
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 2 1 — $104,880.00 $104,880.00 $129,668.00 $117,274.00 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $112,610.29 $130,535.77 $116,864.19 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $108,344.66 $125,591.13 $112,437.43 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $107,791.92 $124,950.40 $111,863.81 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $107,258.24 $124,331.77 $111,309.97 2025-01-01
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 2 1 — $98,938.00 $98,938.00 $122,321.00 $110,629.50 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $104,864.30 $121,556.76 $108,825.60 2025-01-01
'608-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $100,733.05 $116,767.89 $104,538.28 2025-01-01
'440-4 APR_DRG Kidney Transplant 3 3 — — $98,759.39 $114,480.06 $102,490.07 2025-01-01
27800000002-52209 CDM Device Impella 5.5 Smartassist 15 11 $247,500.00 $156,420.00 37% off $223.00 $235,125.00 $102,217.50 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $96,962.98 $112,397.70 $100,625.80 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $96,883.88 $112,306.01 $100,543.71 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $96,101.47 $111,399.05 $99,731.74 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 2 1 — $89,114.00 $89,114.00 $110,175.00 $99,644.50 2025-01-01
'006-3 APR_DRG Pancreas Transplant 3 3 — — $94,987.41 $110,107.65 $98,575.60 2025-01-01
7 MS_DRG Lung Transplant 21 19 — — $77,191.84 $212,386.23 $98,169.64 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 19 — — $77,051.51 $212,001.35 $97,991.73 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $94,069.67 $109,043.83 $97,623.20 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $93,737.08 $108,658.29 $97,278.04 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $92,370.47 $107,074.15 $95,859.81 2025-01-01
'625-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $91,655.72 $106,245.62 $95,118.06 2025-01-01
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $90,553.10 $104,967.48 $93,973.79 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $90,389.19 $104,777.48 $93,803.68 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 3 3 — — $89,885.05 $104,193.09 $93,280.50 2025-01-01
'004-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $89,818.34 $104,115.76 $93,211.27 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 19 — — $72,122.87 $198,484.16 $91,743.79 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $87,899.95 $101,892.00 $91,220.41 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $87,861.83 $101,847.81 $91,180.85 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $87,398.67 $101,310.93 $90,700.20 2025-01-01
'591-1 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $87,273.83 $101,166.21 $90,570.64 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 3 3 — — $87,200.45 $101,081.15 $90,494.48 2025-01-01
'006-2 APR_DRG Pancreas Transplant 3 3 — — $86,801.14 $100,618.28 $90,080.09 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 23 20 — — $67,779.48 $199,257.95 $87,066.96 2025-01-01
27200000002-17908 CDM Introducer Lotus 25 Edge 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $86,515.00 2025-01-01
27200000002-17907 CDM Introducer Lotus 23 Edge 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $86,515.00 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $83,320.79 $96,583.92 $86,468.27 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $83,314.11 $96,576.18 $86,461.34 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $83,274.09 $96,529.79 $86,419.80 2025-01-01
'651-4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $82,018.03 $95,073.79 $85,116.30 2025-01-01
'690-4 APR_DRG Acute Leukemia 3 3 — — $81,137.46 $94,053.05 $84,202.47 2025-01-01
215 MS_DRG Other Heart Assist System Implant 25 20 — $242,234.00 $64,281.23 $299,480.00 $84,162.79 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $80,862.05 $93,733.79 $83,916.65 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $80,387.45 $93,183.65 $83,424.12 2025-01-01
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $80,153.97 $92,913.00 $83,181.82 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 19 — — $65,132.03 $179,311.23 $82,881.64 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $79,703.20 $92,390.47 $82,714.02 2025-01-01
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $79,603.13 $92,274.48 $82,610.18 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $78,233.67 $90,687.03 $81,188.98 2025-01-01
'004-1 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $78,206.99 $90,656.10 $81,161.29 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $77,805.77 $90,191.02 $80,744.92 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $77,531.31 $89,872.86 $80,460.09 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 20 — $163,491.00 $61,074.97 $202,127.00 $79,981.03 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $76,912.81 $89,155.91 $79,818.23 2025-01-01
'621-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $76,597.37 $88,790.26 $79,490.87 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 3 3 — — $74,746.64 $86,644.93 $77,570.23 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $74,693.28 $86,583.07 $77,514.85 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $74,642.77 $86,524.52 $77,462.43 2025-01-01
27800000002-52400 CDM Valve Sapien Thv Edwards Resilia 23mm 15 11 $187,000.00 $118,184.00 37% off $223.00 $177,650.00 $77,231.00 2025-01-01
27800000002-52401 CDM Valve Sapien Thv Edwards Resilia 29mm 15 11 $187,000.00 $118,184.00 37% off $223.00 $177,650.00 $77,231.00 2025-01-01
27800000002-52403 CDM Valve Sapien Thv Edwards Resilia 26mm 15 11 $187,000.00 $118,184.00 37% off $223.00 $177,650.00 $77,231.00 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $74,408.33 $86,252.76 $77,219.14 2025-01-01
'001-2 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $73,599.23 $85,314.87 $76,379.48 2025-01-01
'001-1 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $73,599.23 $85,314.87 $76,379.48 2025-01-01
'260-4 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $73,538.24 $85,244.17 $76,316.18 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $72,470.88 $84,006.91 $75,208.50 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $72,429.90 $83,959.40 $75,165.97 2025-01-01
'007-1 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $72,210.71 $83,705.32 $74,938.50 2025-01-01
'401-4 APR_DRG Adrenal Procedures 3 3 — — $71,279.63 $82,626.03 $73,972.25 2025-01-01
27800000002-53134 CDM Valve Thv Sapien 3 26mm W/certitudesystem 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53126 CDM Valve Sapien 3 Thv 23mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53333 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53133 CDM Valve Thv Sapien 3 23mm W/certitudesystem 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53128 CDM Valve Sapien 3 Thv 29mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53329 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53127 CDM Valve Sapien 3 Thv 26mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
27800000002-53326 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 11 $178,750.00 $112,970.00 37% off $223.00 $169,812.50 $73,823.75 2025-01-01
'179-4 APR_DRG Defibrillator Implants 3 3 — — $71,034.71 $82,342.12 $73,718.08 2025-01-01
'614-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $70,467.67 $81,684.83 $73,129.62 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 25 20 — $181,976.00 $55,764.35 $224,982.00 $73,054.66 2025-01-01
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $69,737.68 $80,838.63 $72,372.05 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $69,474.65 $80,533.73 $72,099.08 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $69,102.03 $80,101.79 $71,712.39 2025-01-01
'027-4 APR_DRG Other Open Craniotomy 3 3 — — $68,638.87 $79,564.91 $71,231.73 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 3 3 — — $68,285.30 $79,155.06 $70,864.81 2025-01-01
'232-4 APR_DRG Gastric Fundoplication 3 3 — — $67,876.47 $78,681.15 $70,440.53 2025-01-01
'759-4 APR_DRG Eating Disorders 3 3 — — $67,794.51 $78,586.14 $70,355.48 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 20 — $156,323.00 $53,190.53 $193,266.00 $69,697.76 2025-01-01
'005-2 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $67,159.81 $77,850.41 $69,696.80 2025-01-01
'441-4 APR_DRG Major Bladder Procedures 3 3 — — $67,139.80 $77,827.21 $69,676.03 2025-01-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 1 — $62,203.00 $62,203.00 $76,903.00 $69,553.00 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 20 — $163,517.00 $53,045.79 $202,160.00 $69,508.99 2025-01-01
'023-4 APR_DRG Spinal Procedures 3 3 — — $66,892.02 $77,539.99 $69,418.89 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $66,202.05 $76,740.19 $68,702.86 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $65,985.72 $76,489.42 $68,478.36 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $65,893.27 $76,382.27 $68,382.42 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $65,837.05 $76,317.09 $68,324.07 2025-01-01
27800000002-53472 CDM Kit Mitraclip G4 Delivery Sys Ntw 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52374 CDM Valve Aortic 29mm Evolut Fx 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52839 CDM Kit Mitraclip 2 Mbr0102 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53456 CDM Kit Mitraclip 3 Mbr0103 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52368 CDM Valve Aort 23mm Evolutr 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53071 CDM Valve Aort 34mm Evolutr 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52840 CDM Kit Mitraclip 2 Mbr0302 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52377 CDM Valve Aortic 23mm Evolut Fx 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53067 CDM Valve Aort 26mm Evolutr 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52836 CDM Kit Mitraclip 1 Mbr0101 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52838 CDM Kit Mitraclip 1 Mbr0301 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52837 CDM Kit Mitraclip 1 Mbr0201 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52372 CDM Valve Aortic 26mm Evolut Fx 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53339 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-52376 CDM Valve Aortic 34mm Evolut Fx 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53070 CDM Valve Aort 29mm Pro Perc 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53068 CDM Valve Aort 26mm Pro Perc 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
27800000002-53517 CDM Kit Mitraclip 2 Mbr0202 15 11 $165,000.00 $104,280.00 37% off $223.00 $156,750.00 $68,145.00 2025-01-01
'022-4 APR_DRG Ventricular Shunt Procedures 3 3 — — $65,545.43 $75,979.05 $68,021.44 2025-01-01
'020-4 APR_DRG Open Craniotomy For Trauma 3 3 — — $65,513.98 $75,942.60 $67,988.80 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 32 25 $73,380.00 $46,376.16 37% off $223.00 $147,322.31 $67,440.88 2025-01-01
'607-2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $64,504.75 $74,772.72 $66,941.45 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 20 — $129,324.00 $51,068.55 $159,890.00 $66,930.17 2025-01-01
'089-4 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $63,756.65 $73,905.53 $66,165.08 2025-01-01
'608-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $63,566.05 $73,684.59 $65,967.28 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $63,460.27 $73,561.97 $65,857.51 2025-01-01
'178-3 APR_DRG External Heart Assist Systems 3 3 — — $62,970.42 $72,994.15 $65,349.16 2025-01-01
'440-3 APR_DRG Kidney Transplant 3 3 — — $62,432.93 $72,371.10 $64,791.36 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 20 — $124,163.00 $49,082.49 $153,508.00 $64,339.86 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $61,902.11 $71,755.78 $64,240.49 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 19 — — $50,302.70 $138,640.59 $64,082.76 2025-01-01
'181-4 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $61,327.45 $71,089.65 $63,644.12 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 20 — $134,637.00 $48,526.20 $166,456.00 $63,614.30 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 15 11 $130,400.00 $82,412.80 37% off $223.00 $123,880.00 $63,113.60 2025-01-01
'261-4 APR_DRG Major Biliary Tract Procedures 3 3 — — $60,455.46 $70,078.85 $62,739.19 2025-01-01
'622-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $60,426.87 $70,045.71 $62,709.52 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $60,386.84 $69,999.31 $62,667.98 2025-01-01
'404-4 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $60,046.62 $69,604.93 $62,314.91 2025-01-01
'006-1 APR_DRG Pancreas Transplant 3 3 — — $60,025.65 $69,580.63 $62,293.15 2025-01-01
'009-2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $60,005.64 $69,557.43 $62,272.38 2025-01-01
'009-1 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $60,005.64 $69,557.43 $62,272.38 2025-01-01
'609-2 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $59,937.98 $69,479.00 $62,202.16 2025-01-01
'609-1 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $59,937.98 $69,479.00 $62,202.16 2025-01-01
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 2 1 — $54,974.00 $54,974.00 $67,966.00 $61,470.00 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $58,673.35 $68,013.06 $60,889.76 2025-01-01
'178-2 APR_DRG External Heart Assist Systems 3 3 — — $58,529.44 $67,846.25 $60,740.42 2025-01-01
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents 2 1 — $54,214.00 $54,214.00 $67,028.00 $60,621.00 2025-01-01
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $58,206.38 $67,471.76 $60,405.15 2025-01-01
'758-4 APR_DRG Behavioral Disorders 3 3 — — $57,877.59 $67,090.64 $60,063.94 2025-01-01
'165-3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $57,814.69 $67,017.73 $59,998.67 2025-01-01
'623-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $57,561.20 $66,723.88 $59,735.60 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 20 — $110,237.00 $45,513.76 $136,287.00 $59,685.34 2025-01-01
'230-4 APR_DRG Major Small Bowel Procedures 3 3 — — $57,136.16 $66,231.18 $59,294.50 2025-01-01
'841-1 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $57,096.13 $66,184.78 $59,252.96 2025-01-01
'841-2 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $57,096.13 $66,184.78 $59,252.96 2025-01-01
'030-4 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $56,934.12 $65,996.98 $59,084.83 2025-01-01
'611-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $56,861.69 $65,913.03 $59,009.67 2025-01-01
'026-4 APR_DRG Other Nervous System And Related Procedures 3 3 — — $56,800.70 $65,842.32 $58,946.37 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $56,487.16 $65,478.88 $58,620.99 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $56,456.67 $65,443.53 $58,589.34 2025-01-01
'321-4 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $55,950.63 $64,856.93 $58,064.19 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $55,705.70 $64,573.02 $57,810.01 2025-01-01
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents 2 1 — $51,531.00 $51,531.00 $63,710.00 $57,620.50 2025-01-01
'176-4 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $55,400.74 $64,219.52 $57,493.53 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 20 — $100,302.00 $43,829.77 $128,850.65 $57,488.99 2025-01-01
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $55,188.23 $63,973.17 $57,272.99 2025-01-01
'740-4 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $55,130.09 $63,905.79 $57,212.66 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 20 — $82,302.00 $43,545.33 $128,014.45 $57,118.01 2025-01-01
'711-4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $55,036.70 $63,797.52 $57,115.73 2025-01-01
'710-4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $55,010.01 $63,766.59 $57,088.04 2025-01-01
'612-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $54,983.33 $63,735.66 $57,060.35 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 20 — $92,092.00 $43,471.70 $127,798.00 $57,021.98 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 20 — — $44,275.94 $130,162.30 $56,985.47 2025-01-01
'603-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $54,859.44 $63,592.05 $56,931.78 2025-01-01
27800000002-52892 CDM Set Pump Impella Cp 15 11 $137,500.00 $86,900.00 37% off $223.00 $130,625.00 $56,787.50 2025-01-01
27800000002-52893 CDM Set Pump Impella Cp 15 11 $137,500.00 $86,900.00 37% off $223.00 $130,625.00 $56,787.50 2025-01-01
27800000002-52896 CDM Set Pump Impella Rp 15 11 $137,500.00 $86,900.00 37% off $223.00 $130,625.00 $56,787.50 2025-01-01
27800000002-52890 CDM Set Pump Impella Cp 15 11 $137,500.00 $86,900.00 37% off $223.00 $130,625.00 $56,787.50 2025-01-01
27800000002-52891 CDM Set Pump Impella Cp 15 11 $137,500.00 $86,900.00 37% off $223.00 $130,625.00 $56,787.50 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 20 — $94,147.00 $43,248.93 $127,143.10 $56,731.43 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 20 — $87,884.00 $43,136.28 $126,811.95 $56,584.52 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 20 — $84,265.00 $42,908.48 $126,142.25 $56,287.40 2025-01-01
'304-3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $53,879.76 $62,456.42 $55,915.09 2025-01-01
'182-4 APR_DRG Other Peripheral Vascular And Related Procedures 3 3 — — $53,010.62 $61,448.93 $55,013.12 2025-01-01
'440-2 APR_DRG Kidney Transplant 3 3 — — $52,875.29 $61,292.07 $54,872.68 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $52,843.85 $61,255.61 $54,840.05 2025-01-01
27800000002-52402 CDM Valve Sapien Thv Edwards Resilia 29mm 15 11 $132,600.00 $83,803.20 37% off $223.00 $125,970.00 $54,763.80 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 25 20 — $112,309.00 $41,736.73 $138,852.00 $54,759.15 2025-01-01
'162-2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $52,736.16 $61,130.78 $54,728.29 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 28 11 $143,000.00 $90,376.00 37% off $223.00 $135,850.00 $54,697.50 2025-01-01
'179-3 APR_DRG Defibrillator Implants 3 3 — — $52,522.68 $60,883.33 $54,506.75 2025-01-01
'008-2 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $52,394.98 $60,735.30 $54,374.23 2025-01-01
'121-4 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $52,327.32 $60,656.86 $54,304.01 2025-01-01
'029-4 APR_DRG Other Percutaneous Intracranial Procedures 3 3 — — $52,308.26 $60,634.77 $54,284.23 2025-01-01
'511-4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $52,162.45 $60,465.75 $54,132.91 2025-01-01
'613-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $52,070.01 $60,358.59 $54,036.98 2025-01-01
'167-3 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $51,734.55 $59,969.74 $53,688.85 2025-01-01
'634-4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $50,933.08 $59,040.69 $52,857.10 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 20 — $109,054.00 $40,056.51 $134,829.00 $52,567.73 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $50,563.32 $58,612.06 $52,473.37 2025-01-01
27800000002-53328 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53130 CDM Valve Sapien 3 Thv 29mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53335 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53129 CDM Valve Sapien 3 Thv 29mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53330 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53336 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53331 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53332 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53327 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
27800000002-53334 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 15 11 $126,750.00 $80,106.00 37% off $223.00 $120,412.50 $52,347.75 2025-01-01
'447-4 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $50,426.08 $58,452.99 $52,330.95 2025-01-01
'863-3 APR_DRG Neonatal Aftercare 3 3 — — $50,358.42 $58,374.55 $52,260.73 2025-01-01
'231-4 APR_DRG Major Large Bowel Procedures 3 3 — — $50,070.62 $58,040.93 $51,962.06 2025-01-01
'073-4 APR_DRG Orbit And Eye Procedures 3 3 — — $49,964.83 $57,918.31 $51,852.28 2025-01-01
'514-4 APR_DRG Female Reproductive System Reconstructive Procedures 3 3 — — $49,832.37 $57,764.76 $51,714.81 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 20 — $112,628.00 $39,306.39 $139,243.00 $51,589.39 2025-01-01
'951-4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $49,593.16 $57,487.48 $51,466.57 2025-01-01
'222-4 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $49,545.51 $57,432.24 $51,417.12 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 20 — $61,207.00 $39,130.19 $115,034.85 $51,359.57 2025-01-01
'690-3 APR_DRG Acute Leukemia 3 3 — — $49,306.31 $57,154.96 $51,168.88 2025-01-01
'178-1 APR_DRG External Heart Assist Systems 3 3 — — $49,230.07 $57,066.59 $51,089.76 2025-01-01
'403-4 APR_DRG Procedures For Obesity 3 3 — — $49,142.39 $56,964.96 $50,998.77 2025-01-01
'309-4 APR_DRG Other Significant Hip And Femur Surgery 3 3 — — $49,036.61 $56,842.33 $50,888.99 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 20 — $114,043.00 $38,647.52 $140,998.00 $50,730.06 2025-01-01
'614-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $48,855.54 $56,632.44 $50,701.08 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 25 20 — $133,930.00 $38,489.57 $165,583.00 $50,524.04 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 23 20 — — $39,080.48 $114,888.70 $50,335.96 2025-01-01
'325-4 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $48,490.54 $56,209.34 $50,322.29 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 20 — $93,038.00 $38,325.32 $115,026.00 $50,309.83 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 20 — $110,215.00 $38,231.56 $136,262.00 $50,187.54 2025-01-01
'650-4 APR_DRG Splenectomy 3 3 — — $48,265.63 $55,948.63 $50,088.89 2025-01-01
'315-4 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $48,248.48 $55,928.75 $50,071.09 2025-01-01
'264-4 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $48,146.51 $55,810.54 $49,965.26 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 20 — $98,291.00 $38,051.58 $121,519.00 $49,952.80 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 25 20 — $96,230.00 $37,921.95 $118,972.00 $49,783.72 2025-01-01
'440-1 APR_DRG Kidney Transplant 3 3 — — $47,851.08 $55,468.09 $49,658.67 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 19 — — $38,871.55 $107,289.77 $49,591.71 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 19 — — $38,871.55 $107,289.77 $49,591.71 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 19 — $85,168.00 $46,327.41 $111,001.85 $49,570.33 2025-01-01
'050-4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $47,759.59 $55,362.04 $49,563.73 2025-01-01
'636-4 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 3 3 — — $47,571.85 $55,144.41 $49,368.90 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 20 — $98,160.00 $37,434.24 $121,357.00 $49,147.64 2025-01-01
'842-3 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $47,293.57 $54,821.84 $49,080.11 2025-01-01
'623-3 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $47,203.99 $54,718.00 $48,987.14 2025-01-01
'166-3 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $47,112.50 $54,611.94 $48,892.20 2025-01-01
'310-4 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 3 — — $46,994.33 $54,474.96 $48,769.56 2025-01-01
'229-4 APR_DRG Other Digestive System And Abdominal Procedures 3 3 — — $46,940.96 $54,413.10 $48,714.18 2025-01-01
'793-4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $46,903.80 $54,370.01 $48,675.61 2025-01-01
'024-4 APR_DRG Open Extracranial Vascular Procedures 3 3 — — $46,871.39 $54,332.46 $48,641.98 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 20 — $99,641.00 $37,006.32 $123,190.00 $48,589.52 2025-01-01
'444-4 APR_DRG Renal Dialysis Access Device Procedures 3 3 — — $46,763.71 $54,207.62 $48,530.23 2025-01-01
'305-4 APR_DRG Amputation Of Lower Limb Except Toes 3 3 — — $46,704.62 $54,139.13 $48,468.91 2025-01-01
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