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

ANMED HEALTH

Anderson, SC · CCN 420027 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $3,783 across 51 payers · range $3,783-$10,976

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12029/570359174_anmed-health_standardcharges.csv · observed 2026-03-06

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.

23,898 distinct procedures filed
109 distinct payers
3,132,285 rate rows
2026-03-06 last MRF observed
Data quality

954,475 of 3,132,285 rate rows are consumer-grade (30.5%)

2,177,810 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
professional (physician) fee — not the facility price 1,751,657
exceeds 10× this hospital's gross charge — excluded from medians 340,596
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 51,699
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 23,906
per-diem day rate — not a per-procedure price 5,562
placeholder amount (≤ $0.02) — excluded from medians 4,148
exceeds 3× this hospital's gross charge for a DRG stay — excluded 98
template filing: same amount across many unrelated codes — excluded 52
percent-of-charges filed in the dollar field — excluded from medians 48
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://anmed.org/sites/default/files/pricing/570359174_anmed-health_standardcharges.zip
Found on page https://anmed.org/patients-visitors/billing-financial-services/pricing-transparency-cost-estimates
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint e81375daa543a33d… · 122,601,275 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,672,900.00 $3,801,451.50 $3,746,358.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,605,000.00 $3,731,175.00 $3,677,100.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,325,454.76 $3,441,845.67 $3,391,963.85 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,286,000.00 $3,401,010.00 $3,351,720.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,968,000.00 $3,071,880.00 $3,027,360.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $45,882.45 $4,418,936.33 $2,436,386.51 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $529,192.86 $979,006.78 $547,714.60 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $527,123.43 $975,178.35 $540,301.52 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $526,587.59 $974,187.05 $539,752.28 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,726.08 $955,943.24 $529,644.23 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $489,455.96 $905,493.52 $501,692.36 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $460,530.40 $851,981.24 $472,043.66 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $355,038.22 $965,703.96 $363,914.17 nat. median
$370,165
1.0× median
5834
APR_DRG 		Neonate W Ecmo 3 $251,229.72 $259,640.50 $259,640.50 nat. median
$311,018
0.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $225,955.84 $233,520.49 $233,520.49 nat. median
$254,667
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 7 $223,435.34 $607,744.12 $230,138.40 nat. median
$205,166
1.1× median
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15ml IV Soln 53 $135.45 $289,709.81 $222,207.42 nat. median
$974
outlier · 228.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $123,524.36 $335,986.26 $216,167.63 nat. median
$114,305
1.9× median
7
MS_DRG 		Lung Transplant 7 $123,213.93 $335,141.89 $215,624.38 nat. median
$122,690
1.8× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $208,417.22 $215,394.70 $215,394.70 nat. median
$209,486
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $34.26 $692,862.20 $207,938.67 nat. median
$199,832
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $34.26 $312,010.41 $205,597.05 nat. median
$92,900
outlier · 2.2×
34
APR_DRG 		Bone Marrow Transplant 3 $189,978.57 $196,338.76 $196,338.76 nat. median
$241,408
0.8× median
5833
APR_DRG 		Neonate W Ecmo 3 $180,678.94 $186,727.79 $186,727.79 nat. median
$250,089
0.7× median
26140
CDM 		Impella 5.5 With Smartassist S2 Set 11 $83,664.00 $268,920.00 $176,292.00 nat. median
$5,805
outlier · 30.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $100,454.82 $273,237.11 $175,795.94 nat. median
$99,646
1.8× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $165,982.26 $171,539.08 $171,539.08 nat. median
$165,646
1.0× median
5832
APR_DRG 		Neonate W Ecmo 3 $164,253.11 $169,752.05 $169,752.05 nat. median
$169,230
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 44 $167,219.63 $721,490.39 $167,219.63 nat. median
$261,939
0.6× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 3 $160,324.47 $165,691.88 $165,691.88 nat. median
$137,901
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $34.26 $229,623.19 $162,911.21 nat. median
$66,640
outlier · 2.4×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $149,034.97 $154,024.43 $154,024.43 nat. median
$180,995
0.9× median
64
APR_DRG 		Pancreas Transplant 3 $145,738.33 $150,617.42 $150,617.42 nat. median
$92,994
1.6× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $137,962.39 $142,581.16 $142,581.16 nat. median
$168,361
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $34.26 $252,696.40 $142,523.48 nat. median
$73,475
1.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $99,999.92 $184,999.85 $142,499.89 nat. median
$111,503
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $102,754.79 $279,493.03 $140,740.54 nat. median
$100,978
1.4× median
29331
CDM 		Tavr Edwards Sapien 3 Resilia With Commander System 26mm S3urcm26a 11 $63,212.80 $203,184.00 $133,198.40 nat. median
$107,575
1.2× median
29511
CDM 		Tavr Edwards Sapien 3 Resilia With Commander System 29mm S3urcm29a 11 $63,212.80 $203,184.00 $133,198.40 nat. median
$117
outlier · 1138.4×
29142
CDM 		Tavr Edwards Sapien 3 Resilia With Commander System 20mm 9755rsl20a 11 $63,212.80 $203,184.00 $133,198.40 nat. median
$107,575
1.2× median
28989
CDM 		Tavr Edwards Sapien 3 Resilia With Commander System 23mm S3urcm23a 11 $63,212.80 $203,184.00 $133,198.40 nat. median
$107,575
1.2× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $127,708.50 $131,983.98 $131,983.98 nat. median
$156,285
0.8× median
29143
CDM 		Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 11 $63,212.80 $203,184.00 $131,804.00 nat. median
$106,180
1.2× median
23612
CDM 		Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 11 $60,424.00 $194,220.00 $131,804.00 nat. median
$3
outlier · 39940.6×
19471
CDM 		Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 11 $60,424.00 $194,220.00 $131,804.00 nat. median
$106,180
1.2× median
10
MS_DRG 		Pancreas Transplant 7 $75,278.12 $204,756.49 $131,736.71 nat. median
$67,750
1.9× median
23
APR_DRG 		Heart &/or Lung Transplant 3 $125,722.80 $129,931.80 $129,931.80 nat. median
$116,111
1.1× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 3 $124,246.04 $128,405.60 $128,405.60 nat. median
$168,174
0.8× median
13012
CDM 		Tavr Heart Valve W/commander Del 23mm Sapien 3 Tavr 9600cm23a(supply Chain Foll… 11 $60,424.00 $194,220.00 $127,322.00 nat. median
$53
outlier · 2394.8×
17939
CDM 		Tavr Heart Valve Certitude Kits 26mm Sapien 3 Valve (supply Chain Follow Tavr Pr… 11 $60,424.00 $194,220.00 $127,322.00 nat. median
$107,360
1.2× median

Other procedures at this hospital

Browse this hospital's 23,898 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,672,900.00 $3,801,451.50 $3,746,358.00 2024-11-21
C9172 HCPCS Inj, Beqvez, Per Tx Dose 6 6 — — $3,605,000.00 $3,731,175.00 $3,677,100.00 2024-11-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,325,454.76 $3,441,845.67 $3,391,963.85 2024-11-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,286,000.00 $3,401,010.00 $3,351,720.00 2024-11-21
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,968,000.00 $3,071,880.00 $3,027,360.00 2024-11-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $45,882.45 $4,418,936.33 $2,436,386.51 2024-11-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $529,192.86 $979,006.78 $547,714.60 2024-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $527,123.43 $975,178.35 $540,301.52 2024-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $526,587.59 $974,187.05 $539,752.28 2024-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $516,726.08 $955,943.24 $529,644.23 2024-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 7 — — $489,455.96 $905,493.52 $501,692.36 2024-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 8 7 — — $460,530.40 $851,981.24 $472,043.66 2024-11-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $355,038.22 $965,703.96 $363,914.17 2024-11-21
5834 APR_DRG Neonate W Ecmo 3 3 — — $251,229.72 $259,640.50 $259,640.50 2024-11-21
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $225,955.84 $233,520.49 $233,520.49 2024-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 13 7 — — $223,435.34 $607,744.12 $230,138.40 2024-11-21
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 124 53 $289,709.81 $144,854.90 50% off $135.45 $289,709.81 $222,207.42 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 13 7 — — $123,524.36 $335,986.26 $216,167.63 2024-11-21
7 MS_DRG Lung Transplant 13 7 — — $123,213.93 $335,141.89 $215,624.38 2024-11-21
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 3 3 — — $208,417.22 $215,394.70 $215,394.70 2024-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 14 $573,019.98 $286,509.99 50% off $34.26 $692,862.20 $207,938.67 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 20 $358,368.13 $179,184.06 50% off $34.26 $312,010.41 $205,597.05 2026-03-06
34 APR_DRG Bone Marrow Transplant 3 3 — — $189,978.57 $196,338.76 $196,338.76 2024-11-21
5833 APR_DRG Neonate W Ecmo 3 3 — — $180,678.94 $186,727.79 $186,727.79 2024-11-21
26140 CDM Impella 5.5 With Smartassist S2 Set 25 11 $298,800.00 $149,400.00 50% off $83,664.00 $268,920.00 $176,292.00 2024-11-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 7 — — $100,454.82 $273,237.11 $175,795.94 2024-11-21
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 3 3 — — $165,982.26 $171,539.08 $171,539.08 2024-11-21
5832 APR_DRG Neonate W Ecmo 3 3 — — $164,253.11 $169,752.05 $169,752.05 2024-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 87 44 $784,967.96 $392,483.98 50% off $167,219.63 $721,490.39 $167,219.63 2026-03-06
14 APR_DRG Liver Transplant &/or Intestinal Transplant 3 3 — — $160,324.47 $165,691.88 $165,691.88 2024-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 20 $469,805.69 $234,902.84 50% off $34.26 $229,623.19 $162,911.21 2026-03-06
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $149,034.97 $154,024.43 $154,024.43 2024-11-21
64 APR_DRG Pancreas Transplant 3 3 — — $145,738.33 $150,617.42 $150,617.42 2024-11-21
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $137,962.39 $142,581.16 $142,581.16 2024-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 20 $360,639.42 $180,319.71 50% off $34.26 $252,696.40 $142,523.48 2026-03-06
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $99,999.92 $184,999.85 $142,499.89 2024-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 7 — — $102,754.79 $279,493.03 $140,740.54 2024-11-21
28989 CDM Tavr Edwards Sapien 3 Resilia With Commander System 23mm S3urcm23a 25 11 $225,760.00 $112,880.00 50% off $63,212.80 $203,184.00 $133,198.40 2024-11-21
29331 CDM Tavr Edwards Sapien 3 Resilia With Commander System 26mm S3urcm26a 25 11 $225,760.00 $112,880.00 50% off $63,212.80 $203,184.00 $133,198.40 2024-11-21
29511 CDM Tavr Edwards Sapien 3 Resilia With Commander System 29mm S3urcm29a 25 11 $225,760.00 $112,880.00 50% off $63,212.80 $203,184.00 $133,198.40 2024-11-21
29142 CDM Tavr Edwards Sapien 3 Resilia With Commander System 20mm 9755rsl20a 25 11 $225,760.00 $112,880.00 50% off $63,212.80 $203,184.00 $133,198.40 2024-11-21
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $127,708.50 $131,983.98 $131,983.98 2024-11-21
23612 CDM Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $131,804.00 2024-11-21
29143 CDM Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 25 11 $225,760.00 $112,880.00 50% off $63,212.80 $203,184.00 $131,804.00 2024-11-21
19471 CDM Edwards Sapien 3 Ultra Transcather Heart Valve With Commander Delivery System 23 M… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $131,804.00 2024-11-21
10 MS_DRG Pancreas Transplant 13 7 — — $75,278.12 $204,756.49 $131,736.71 2024-11-21
23 APR_DRG Heart &/or Lung Transplant 3 3 — — $125,722.80 $129,931.80 $129,931.80 2024-11-21
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $124,246.04 $128,405.60 $128,405.60 2024-11-21
17939 CDM Tavr Heart Valve Certitude Kits 26mm Sapien 3 Valve (supply Chain Follow Tavr Pr… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
13811 CDM Tavr Heart Valve W/commander Del 20mm Sapien 3 Tavr 9600cm20a(supply Chain Foll… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
17938 CDM Tavr Heart Valve Certitude Kits 23mm Sapien 3 Valve (supply Chain Follow Tavr Pr… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
30664 CDM Tavr Edwards Sapien 3 Ultra With Commander System 23mm S3usta123a 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
19470 CDM Tavr Edwards Sapien 3 Ultra Thv With Commander System S3ucm226a 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
13012 CDM Tavr Heart Valve W/commander Del 23mm Sapien 3 Tavr 9600cm23a(supply Chain Foll… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
13013 CDM Tavr Heart Valve W/commander Del 26mm Sapien 3 Tavr 9600cm26a(supply Chain Fol… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
23132 CDM Tavr Edwards Sapien 3 Ultra Thv With Commander System 20mm S3ucm220a 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
13014 CDM Tavr Heart Valve W/commander Del 29mm Sapien 3 Tavr 9600cm29a(supply Chain Fol… 25 11 $215,800.00 $107,900.00 50% off $60,424.00 $194,220.00 $127,322.00 2024-11-21
5891 APR_DRG Neonate Bwt <500g 3 3 — — $120,421.69 $124,453.22 $124,453.22 2024-11-21
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 3 — — $116,879.97 $120,792.93 $120,792.93 2024-11-21
19146 CDM Tavr Evolutproplus 23mm 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
19147 CDM Tavr Evolutproplus 26mm 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
16807 CDM Tavr Evolutpro-29-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
18979 CDM Tavr Evolutproplus 26mm Evproplus-26us 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
16808 CDM Tavr Evolutpro-34-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
18046 CDM Tavr Evolutpro-23-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
17774 CDM Tavr Evolutfx-34 (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
17301 CDM Tavr Evolutr-29-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
17302 CDM Tavr Evolutr-26-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
18044 CDM Tavr (medtronic) Evolutfx-29 (supply Chain Follow Tavr Proc) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
16806 CDM Tavr Evolutproplus-26-US (medtronic) 25 11 $199,200.00 $99,600.00 50% off $55,776.00 $179,280.00 $117,528.00 2024-11-21
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 3 — — $110,280.43 $113,972.45 $113,972.45 2024-11-21
5892 APR_DRG Neonate Bwt <500g 3 3 — — $109,475.31 $113,140.37 $113,140.37 2024-11-21
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $109,226.05 $112,882.77 $112,882.77 2024-11-21
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 150 64 $186,998.00 $93,499.00 50% off $484.40 $186,998.00 $112,198.80 2026-03-06
33 APR_DRG Bone Marrow Transplant 3 3 — — $105,712.49 $109,251.58 $109,251.58 2024-11-21
J9247 HCPCS Hc Rx Rev Code 636 W/Hcpcs 10 8 $190,000.00 $95,000.00 50% off $863.55 $171,000.00 $108,775.00 2024-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 49 20 $352,000.46 $176,000.23 50% off $968.96 $171,996.75 $108,754.73 2026-03-06
5831 APR_DRG Neonate W Ecmo 3 3 — — $104,019.84 $107,502.27 $107,502.27 2024-11-21
653 MS_DRG Major Bladder Procedures With Mcc 48 20 $87,592.93 $43,796.46 50% off $34.26 $180,221.24 $107,080.50 2026-03-06
4404 APR_DRG Kidney Transplant 3 3 — — $103,426.43 $106,888.98 $106,888.98 2024-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 7 — — $76,106.86 $208,802.35 $105,760.03 2024-11-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $101,504.34 $104,902.55 $104,902.55 2024-11-21
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 3 3 — — $101,146.63 $104,532.86 $104,532.86 2024-11-21
22 APR_DRG Heart &/or Lung Transplant 3 3 — — $100,819.15 $104,194.42 $104,194.42 2024-11-21
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 3 — — $100,457.26 $103,820.42 $103,820.42 2024-11-21
5893 APR_DRG Neonate Bwt <500g 3 3 — — $99,523.86 $102,855.76 $102,855.76 2024-11-21
8424 APR_DRG Full Thickness Burns W Skin Graft 3 3 — — $99,131.72 $102,450.50 $102,450.50 2024-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 7 — — $57,055.96 $155,192.21 $99,847.93 2024-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 7 — — $57,055.96 $155,192.21 $99,847.93 2024-11-21
63 APR_DRG Pancreas Transplant 3 3 — — $94,887.08 $98,063.75 $98,063.75 2024-11-21
C9293 HCPCS Glucarpidase 1000 Units IV Solr 119 51 $109,388.00 $54,694.00 50% off $21,877.60 $109,388.00 $96,261.44 2026-03-06
13 APR_DRG Liver Transplant &/or Intestinal Transplant 3 3 — — $92,189.07 $95,275.42 $95,275.42 2024-11-21
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $92,070.18 $95,152.55 $95,152.55 2024-11-21
1634 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 3 3 — — $92,013.86 $95,094.34 $95,094.34 2024-11-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 8 7 — — $91,031.93 $168,409.07 $93,307.73 2024-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 13 7 — — $65,476.58 $121,131.68 $93,304.13 2024-11-21
J1640 HCPCS Hemin 350 Mg IV Solr 131 56 $120,347.15 $60,173.57 50% off $32.20 $120,347.15 $92,306.26 2026-03-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 7 — — $63,354.77 $120,025.21 $91,689.99 2024-11-21
62 APR_DRG Pancreas Transplant 3 3 — — $88,475.27 $91,437.28 $91,437.28 2024-11-21
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 3 3 — — $87,677.44 $90,612.75 $90,612.75 2024-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 7 — — $51,460.72 $139,973.16 $90,056.26 2024-11-21
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $86,352.95 $89,243.91 $89,243.91 2024-11-21
850 MS_DRG Acute Leukemia With Other Procedures 13 7 — — $44,915.07 $236,456.02 $88,671.01 2024-11-21
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 3 3 — — $85,166.12 $88,017.35 $88,017.35 2024-11-21
21 APR_DRG Heart &/or Lung Transplant 3 3 — — $85,103.54 $87,952.68 $87,952.68 2024-11-21
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 3 3 — — $83,794.69 $86,600.01 $86,600.01 2024-11-21
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $82,919.69 $85,695.71 $85,695.71 2024-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 7 — — $52,271.60 $181,568.90 $84,850.15 2024-11-21
4032 CDM Bifurcated 4 Piece Capped Case Medtronic Aaa4 25 11 $142,760.00 $71,380.00 50% off $39,972.80 $128,484.00 $84,228.40 2024-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 86 43 $56,482.33 $28,241.16 50% off $51,035.53 $138,816.64 $83,882.00 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 93 48 $426,150.77 $213,075.38 50% off $83,882.00 $456,808.77 $83,882.00 2026-03-06
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $80,921.47 $83,630.60 $83,630.60 2024-11-21
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 3 — — $80,876.63 $83,584.25 $83,584.25 2024-11-21
29898 CDM Tag Conform Thoracic Sg Tgmr404015 25 11 $138,623.28 $69,311.64 50% off $38,814.52 $124,760.95 $81,787.74 2024-11-21
29897 CDM Tag Conform Thoracic Sg Tgmr373720 25 11 $138,623.28 $69,311.64 50% off $38,814.52 $124,760.95 $81,787.74 2024-11-21
29189 CDM Ctag Cmds Thoracic 24fr Tgm454515 25 11 $138,623.28 $69,311.64 50% off $38,814.52 $124,760.95 $81,787.74 2024-11-21
61 APR_DRG Pancreas Transplant 3 3 — — $78,572.84 $81,203.34 $81,203.34 2024-11-21
12 APR_DRG Liver Transplant &/or Intestinal Transplant 3 3 — — $78,486.28 $81,113.88 $81,113.88 2024-11-21
11 APR_DRG Liver Transplant &/or Intestinal Transplant 3 3 — — $78,050.34 $80,663.35 $80,663.35 2024-11-21
6 MS_DRG Liver Transplant Without Mcc 13 7 — — $45,892.76 $124,828.31 $80,312.33 2024-11-21
24511 CDM Tag Conform Thoracic Sg Tgmr404020 25 11 $133,762.80 $66,881.40 50% off $37,453.58 $120,386.52 $78,920.05 2024-11-21
1674 APR_DRG Other Cardiothoracic Procedures 3 3 — — $75,718.39 $78,253.33 $78,253.33 2024-11-21
J9333 HCPCS Rozanolixizumab-noli 840 Mg/6ml Sc Soln 143 61 $130,246.12 $65,123.06 50% off $22.80 $130,246.12 $78,147.67 2026-03-06
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $75,208.41 $77,726.27 $77,726.27 2024-11-21
4014 APR_DRG Pituitary & Adrenal Procedures 3 3 — — $74,998.79 $77,509.63 $77,509.63 2024-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 7 — — $74,848.21 $203,587.13 $77,093.66 2024-11-21
904 APR_DRG Major Larynx & Trachea Procedures 3 3 — — $74,508.62 $77,003.05 $77,003.05 2024-11-21
C1820 HCPCS Stimulator Neuro Intellis 97715 123 11 $108,232.00 $54,116.00 50% off $400.40 $205,066.44 $76,824.80 2024-11-21
1664 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 3 3 — — $74,334.45 $76,823.05 $76,823.05 2024-11-21
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 3 3 — — $74,199.92 $76,684.02 $76,684.02 2024-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 7 — — $43,617.21 $118,638.81 $76,330.12 2024-11-21
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 3 — — $73,784.84 $76,255.04 $76,255.04 2024-11-21
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $73,039.16 $75,484.40 $75,484.40 2024-11-21
3808 CDM Bifurcated 3 Piece Capped Case Medtronic Aaa3 25 11 $127,156.00 $63,578.00 50% off $35,603.68 $114,440.40 $75,022.04 2024-11-21
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 3 3 — — $71,839.81 $74,244.90 $74,244.90 2024-11-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 48 20 $128,150.05 $64,075.02 50% off $34.26 $98,881.48 $73,984.52 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 7 — — $64,510.00 $175,467.20 $72,543.17 2024-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 7 — — $55,568.90 $157,771.34 $72,384.27 2024-11-21
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 3 — — $69,132.42 $71,446.86 $71,446.86 2024-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 20 $322,399.58 $161,199.79 50% off $34.26 $144,985.87 $71,238.43 2026-03-06
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 3 — — $68,451.40 $70,743.04 $70,743.04 2024-11-21
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 3 — — $68,401.34 $70,691.31 $70,691.31 2024-11-21
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 3 3 — — $68,238.64 $70,523.17 $70,523.17 2024-11-21
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 150 64 $116,225.40 $58,112.70 50% off $216.46 $116,225.40 $69,735.24 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $40,895.79 $133,934.56 $69,572.82 2024-11-21
234 APR_DRG Spinal Procedures 3 3 — — $67,014.27 $69,257.80 $69,257.80 2024-11-21
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 3 3 — — $66,816.11 $69,053.01 $69,053.01 2024-11-21
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 150 64 $114,871.61 $57,435.80 50% off $33.13 $114,871.61 $68,922.97 2026-03-06
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 3 3 — — $66,561.64 $68,790.02 $68,790.02 2024-11-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 20 $148,222.55 $74,111.27 50% off $34.26 $104,076.75 $68,783.64 2026-03-06
1694 APR_DRG Major Thoracic & Abdominal Vascular Procedures 3 3 — — $66,321.78 $68,542.13 $68,542.13 2024-11-21
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 3 3 — — $66,055.83 $68,267.28 $68,267.28 2024-11-21
914 APR_DRG Other Major Head & Neck Procedures 3 3 — — $65,952.59 $68,160.58 $68,160.58 2024-11-21
214 APR_DRG Craniotomy Except For Trauma 3 3 — — $65,682.47 $67,881.42 $67,881.42 2024-11-21
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $47,492.96 $87,861.98 $67,677.47 2024-11-21
32 APR_DRG Bone Marrow Transplant 3 3 — — $65,352.91 $67,540.83 $67,540.83 2024-11-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 7 — — $65,871.74 $121,862.72 $67,518.53 2024-11-21
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Soln 149 64 $111,951.00 $55,975.50 50% off $159.91 $111,951.00 $67,170.60 2026-03-06
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 16 8 $844,538.91 — $66,636.73 $67,701.68 $67,169.20 2026-03-06
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $64,969.12 $67,144.19 $67,144.19 2024-11-21
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $64,538.40 $66,699.04 $66,699.04 2024-11-21
4414 APR_DRG Major Bladder Procedures 3 3 — — $64,494.60 $66,653.78 $66,653.78 2024-11-21
29950 CDM 31 Mm Watchman Flx Pro Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
29949 CDM 27 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
20405 CDM 27 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
20404 CDM 20 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
29952 CDM 40 Mm Watchman Flx Pro Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
20409 CDM 35 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
29948 CDM 24 Mm Watchman Flx Pro Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
29951 CDM 35 Mm Watchman Flx Pro Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
20408 CDM 31 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
20407 CDM 24 Mm Watchman Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
29947 CDM 20 Mm Watchman Flx Pro Closure Device 25 11 $112,880.00 $56,440.00 50% off $31,606.40 $101,592.00 $66,599.20 2024-11-21
8634 APR_DRG Neonatal Aftercare 3 3 — — $64,081.60 $66,226.96 $66,226.96 2024-11-21
4034 APR_DRG Procedures For Obesity 3 3 — — $63,774.99 $65,910.08 $65,910.08 2024-11-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 49 20 $146,474.91 $73,237.45 50% off $34.26 $92,034.20 $65,818.87 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 87 44 $784,143.84 $392,071.92 50% off $65,417.87 $282,711.88 $65,417.87 2026-03-06
4403 APR_DRG Kidney Transplant 3 3 — — $63,159.67 $65,274.16 $65,274.16 2024-11-21
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 3 — — $63,016.79 $65,126.50 $65,126.50 2024-11-21
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 3 3 — — $62,670.55 $64,768.66 $64,768.66 2024-11-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 20 $160,842.19 $80,421.09 50% off $34.26 $110,733.29 $64,476.23 2026-03-06
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 3 3 — — $62,164.74 $64,245.91 $64,245.91 2024-11-21
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 3 3 — — $62,094.86 $64,173.70 $64,173.70 2024-11-21
28 MS_DRG Spinal Procedures With Mcc 62 27 $465,262.54 $232,631.27 50% off $34.26 $196,544.16 $63,810.80 2026-03-06
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 3 — — $61,707.94 $63,773.83 $63,773.83 2024-11-21
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $61,225.07 $63,274.79 $63,274.79 2024-11-21
215 MS_DRG Other Heart Assist System Implant 98 49 $414,659.07 $207,329.53 50% off $62,895.47 $342,519.29 $62,895.47 2026-03-06
26787 CDM Conduit Aortic Valved Konect Resilia 11060a 25 11 $106,240.00 $53,120.00 50% off $29,747.20 $95,616.00 $62,681.60 2024-11-21
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 3 3 — — $60,528.41 $62,554.81 $62,554.81 2024-11-21
5682 CDM Endoprosthesis Thoracic Tgu454510 25 11 $105,410.00 $52,705.00 50% off $29,514.80 $94,869.00 $62,191.90 2024-11-21
5354 CDM Thoracic Endoprosthesis Tgu313115 25 11 $105,410.00 $52,705.00 50% off $29,514.80 $94,869.00 $62,191.90 2024-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 115 54 $405,867.47 $202,933.73 50% off $62,186.66 $338,659.21 $62,186.66 2026-03-06
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 287 64 $213,189.48 $106,594.74 50% off $176.88 $213,189.48 $62,140.40 2026-03-06
1204 APR_DRG Major Respiratory & Chest Procedures 3 3 — — $59,867.21 $61,871.47 $61,871.47 2024-11-21
4572 CDM Thoracic Endoprosthesis Tgu343415 25 11 $105,410.00 $52,705.00 50% off $29,514.80 $94,869.00 $61,557.92 2024-11-21
C1767 HCPCS Neurostimulator 97800 (urology) 130 11 $97,774.00 $48,887.00 50% off $12,119.57 $182,855.44 $60,948.23 2024-11-21
4861 CDM Thoracic Endoprosthesis Tgu262610 25 11 $102,920.00 $51,460.00 50% off $28,817.60 $92,628.00 $60,722.80 2024-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 7 — — $39,827.02 $158,321.52 $60,486.94 2024-11-21
29190 CDM 6 X 100 Zilver Stent 25 11 $111,487.59 $55,743.80 50% off $31,216.53 $100,338.83 $60,465.83 2024-11-21
29191 CDM 6 X 100 Zilver Stent 25 11 $111,487.59 $55,743.80 50% off $31,216.53 $100,338.83 $60,465.83 2024-11-21
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 3 — — $58,060.89 $60,004.67 $60,004.67 2024-11-21
17999 CDM Stent Graft Thoracic System Valiant Navion Vnmf3434c97tu 25 11 $101,558.80 $50,779.40 50% off $28,436.46 $91,402.92 $59,919.69 2024-11-21
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 3 — — $57,800.16 $59,735.22 $59,735.22 2024-11-21
2214 APR_DRG Major Small & Large Bowel Procedures 3 3 — — $57,725.07 $59,657.61 $59,657.61 2024-11-21
15387 CDM Endoprosthesis Thoracic Tgu454515 25 11 $100,881.52 $50,440.76 50% off $28,246.83 $90,793.37 $59,520.10 2024-11-21
3139 CDM Thoracis Endoprosthesis Tgu343420 25 11 $100,881.52 $50,440.76 50% off $28,246.83 $90,793.37 $59,520.10 2024-11-21
14011 CDM Thoracic Endoprosthesis Tgu313110 25 11 $100,881.52 $50,440.76 50% off $28,246.83 $90,793.37 $59,520.10 2024-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 14 7 — — $40,979.52 $111,464.29 $59,508.58 2024-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 7 — — $47,379.05 $129,463.33 $59,456.61 2024-11-21
0266T CPT Pr Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst 13 7 — — $41,401.36 $76,592.52 $58,996.94 2024-11-21
3138 CDM Thoracic Endoprosthesis Tgu373715 25 11 $97,940.00 $48,970.00 50% off $27,423.20 $88,146.00 $57,784.60 2024-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 7 — — $32,942.23 $89,602.87 $57,648.90 2024-11-21
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 3 3 — — $55,538.09 $57,397.41 $57,397.41 2024-11-21
2983 CDM Bifurcated 2 Piece Capped Case Medtronic Aaa 2 25 11 $97,282.64 $48,641.32 50% off $27,239.14 $87,554.38 $57,396.76 2024-11-21
C1721 HCPCS Intica Neo 7 Hf-t Qp 32 11 $96,944.00 $48,472.00 50% off $19,893.44 $87,249.60 $57,196.96 2024-11-21
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 3 3 — — $55,287.79 $57,138.74 $57,138.74 2024-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 7 — — $55,015.23 $101,778.17 $56,940.76 2024-11-21
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 3 — — $54,944.67 $56,784.13 $56,784.13 2024-11-21
1734 APR_DRG Other Vascular Procedures 3 3 — — $54,796.58 $56,631.08 $56,631.08 2024-11-21
6904 APR_DRG Acute Leukemia 3 3 — — $54,755.90 $56,589.05 $56,589.05 2024-11-21
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 3 — — $54,691.24 $56,522.22 $56,522.22 2024-11-21
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 3 3 — — $54,561.92 $56,388.57 $56,388.57 2024-11-21
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 3 — — $54,491.00 $56,315.28 $56,315.28 2024-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 7 — — $33,486.90 $151,943.75 $56,197.04 2024-11-21
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 3 — — $54,140.59 $55,953.13 $55,953.13 2024-11-21
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 3 3 — — $54,127.03 $55,939.12 $55,939.12 2024-11-21
1633 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 3 3 — — $54,016.48 $55,824.87 $55,824.87 2024-11-21
332 MS_DRG Rectal Resection With Mcc 14 7 — — $32,906.52 $100,612.77 $55,071.28 2024-11-21
6504 APR_DRG Splenectomy 3 3 — — $53,005.90 $54,780.46 $54,780.46 2024-11-21
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 3 3 — — $52,981.91 $54,755.67 $54,755.67 2024-11-21
L7180 HCPCS Electronic Elbow Sequential 14 7 — — $38,289.48 $70,835.54 $54,562.51 2024-11-21
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 3 3 — — $52,744.13 $54,509.92 $54,509.92 2024-11-21
1214 APR_DRG Other Respiratory & Chest Procedures 3 3 — — $52,502.18 $54,259.87 $54,259.87 2024-11-21
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $52,396.84 $54,151.01 $54,151.01 2024-11-21
93656 CPT Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 144 61 $75,000.00 $37,500.00 50% off $439.78 $75,000.00 $54,000.00 2026-03-06
4402 APR_DRG Kidney Transplant 3 3 — — $52,225.80 $53,974.24 $53,974.24 2024-11-21
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $52,160.10 $53,906.34 $53,906.34 2024-11-21
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 3 3 — — $52,027.65 $53,769.46 $53,769.46 2024-11-21
93581 CPT Perc Closure,Cong Vsd W/Implant 128 55 $58,000.00 $29,000.00 50% off $1,310.87 $63,055.53 $53,650.00 2026-03-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 49 20 $99,898.90 $49,949.45 50% off $34.26 $110,119.04 $53,530.82 2026-03-06
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 3 3 — — $51,774.22 $53,507.54 $53,507.54 2024-11-21
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 3 3 — — $51,625.09 $53,353.42 $53,353.42 2024-11-21
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 3 3 — — $51,499.94 $53,224.08 $53,224.08 2024-11-21
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 3 3 — — $51,426.94 $53,148.63 $53,148.63 2024-11-21
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 3 3 — — $51,420.68 $53,142.16 $53,142.16 2024-11-21
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 3 3 — — $51,337.24 $53,055.94 $53,055.94 2024-11-21
2234 APR_DRG Other Small & Large Bowel Procedures 3 3 — — $51,211.05 $52,925.52 $52,925.52 2024-11-21
6934 APR_DRG Chemotherapy 3 3 — — $51,189.15 $52,902.88 $52,902.88 2024-11-21
51 APR_DRG Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure 3 3 — — $51,105.72 $52,816.66 $52,816.66 2024-11-21
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 3 3 — — $50,947.20 $52,652.83 $52,652.83 2024-11-21
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 3 3 — — $50,922.17 $52,626.96 $52,626.96 2024-11-21
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 3 3 — — $50,889.84 $52,593.55 $52,593.55 2024-11-21
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 3 3 — — $50,486.23 $52,176.43 $52,176.43 2024-11-21
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 150 64 $86,857.20 $43,428.60 50% off $59.80 $86,857.20 $52,114.32 2026-03-06
C1785 HCPCS Pacemaker Micra Av Mc1avr1 25 11 $87,980.00 $43,990.00 50% off $24,634.40 $79,182.00 $51,908.20 2024-11-21
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 3 3 — — $50,209.86 $51,890.81 $51,890.81 2024-11-21
8444 APR_DRG Partial Thickness Burns W Or Without Skin Graft 3 3 — — $50,080.54 $51,757.16 $51,757.16 2024-11-21
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 48 20 $41,676.36 $20,838.18 50% off $34.26 $69,323.07 $51,470.27 2026-03-06
5438 CDM Graft - Endologix Case-afx2 25 11 $86,997.28 $43,498.64 50% off $24,359.24 $78,297.55 $51,328.39 2024-11-21
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 282 64 $71,283.14 $35,641.57 50% off $16.12 $71,445.52 $51,323.86 2026-03-06
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 3 — — $49,522.58 $51,180.52 $51,180.52 2024-11-21
652 MS_DRG Kidney Transplant 13 7 — — $29,169.12 $79,340.01 $51,045.96 2024-11-21
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $49,227.44 $50,875.50 $50,875.50 2024-11-21
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 16 8 $730,168.33 — $50,301.92 $51,105.82 $50,703.87 2026-03-06
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 3 — — $49,057.44 $50,699.81 $50,699.81 2024-11-21
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $48,946.90 $50,585.56 $50,585.56 2024-11-21
C1772 HCPCS Pump Synchromed Ii 8637-20 25 11 $85,669.28 $42,834.64 50% off $23,987.40 $77,102.35 $50,544.88 2024-11-21
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 3 3 — — $48,886.41 $50,523.05 $50,523.05 2024-11-21
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 3 — — $48,811.32 $50,445.44 $50,445.44 2024-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 117 54 $358,961.05 $179,480.52 50% off $50,304.86 $273,952.71 $50,304.86 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 116 54 $471,972.71 $235,986.35 50% off $50,276.96 $273,800.77 $50,276.96 2026-03-06
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 3 3 — — $48,516.17 $50,140.42 $50,140.42 2024-11-21
2624 APR_DRG Cholecystectomy Except Laparoscopic 3 3 — — $48,351.39 $49,970.12 $49,970.12 2024-11-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 48 20 $74,554.58 $37,277.29 50% off $34.26 $69,743.35 $49,915.75 2026-03-06
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 148 63 $75,516.28 $37,758.14 50% off $236.40 $75,516.28 $49,840.74 2026-03-06
38240 CPT Trnsplj Allogeneic Hematopoietic Cells Per Donor 11 7 — — $47,901.92 $177,601.37 $49,578.48 2024-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 115 54 $680,542.86 $340,271.43 50% off $49,513.53 $269,643.26 $49,513.53 2026-03-06
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 3 3 — — $47,663.07 $49,258.76 $49,258.76 2024-11-21
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 143 61 $58,236.64 $29,118.32 50% off $74.47 $58,236.64 $49,143.60 2026-03-06
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 3 3 — — $47,359.59 $48,945.11 $48,945.11 2024-11-21
4804 APR_DRG Major Male Pelvic Procedures 3 3 — — $47,200.02 $48,780.20 $48,780.20 2024-11-21
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 3 3 — — $47,003.95 $48,577.57 $48,577.57 2024-11-21
19305 CDM Cylinder Set With Pump Es2820 25 11 $82,316.08 $41,158.04 50% off $23,048.50 $74,084.47 $48,566.49 2024-11-21
4401 APR_DRG Kidney Transplant 3 3 — — $46,583.66 $48,143.21 $48,143.21 2024-11-21
5184 APR_DRG Other Female Reproductive System & Related Procedures 3 3 — — $46,466.86 $48,022.49 $48,022.49 2024-11-21
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures 3 3 — — $46,453.30 $48,008.48 $48,008.48 2024-11-21
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 149 64 $87,612.00 $43,806.00 50% off $74.59 $87,612.00 $47,836.15 2026-03-06
L8701 HCPCS Ewh S/d Uprt Micro Sensor 14 7 — — $33,480.90 $61,939.67 $47,710.29 2024-11-21
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 3 3 — — $46,146.68 $47,691.60 $47,691.60 2024-11-21
4834 APR_DRG Testes & Scrotal Procedures 3 3 — — $46,141.47 $47,686.21 $47,686.21 2024-11-21
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 3 3 — — $46,115.39 $47,659.27 $47,659.27 2024-11-21
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $46,009.02 $47,549.33 $47,549.33 2024-11-21
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 3 3 — — $45,817.12 $47,351.01 $47,351.01 2024-11-21
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 3 3 — — $45,742.03 $47,273.40 $47,273.40 2024-11-21
J9226 HCPCS Supprelin La Implant 11 7 — — $45,350.22 $84,253.84 $46,937.47 2024-11-21
2154 CDM Endoprosthesis Thoracic Tgt3720 25 11 $79,447.60 $39,723.80 50% off $22,245.33 $71,502.84 $46,874.08 2024-11-21
2155 CDM Endoprosthesis Thoracic Tg4020 25 11 $79,447.60 $39,723.80 50% off $22,245.33 $71,502.84 $46,874.08 2024-11-21
3024 APR_DRG Knee Joint Replacement 3 3 — — $45,333.21 $46,850.90 $46,850.90 2024-11-21
93653 CPT Compre Ep Eval Abltj 3d Mapg Tx Svt 144 61 $65,000.00 $32,500.00 50% off $439.78 $65,000.00 $46,800.00 2026-03-06
93654 CPT Compre Ep Eval Abltj 3d Mapg Tx Vt 143 61 $65,000.00 $32,500.00 50% off $439.78 $65,000.00 $46,800.00 2026-03-06
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