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

VANDERBILT UNIVERSITY MEDICAL CENTER

Nashville, TN · CCN 440039 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC ECHO 2D W/SPEC/COLOR COMPL

This hospital’s price: $530 across 29 payers · range $267-$3,440

Source: https://finance.vumc.org/assets/pub/pt/352528741_vanderbilt-university-medical-center_standardcharges.json · observed 2025-10-01

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.

16,540 distinct procedures filed
41 distinct payers
2,848,200 rate rows
2025-10-01 last MRF observed · ⚠ 12 mo old
Data quality

2,654,363 of 2,848,200 rate rows are consumer-grade (93.2%)

193,837 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
placeholder amount (≤ $0.02) — excluded from medians 173,277
exceeds 10× this hospital's gross charge — excluded from medians 6,402
per-diem day rate — not a per-procedure price 5,886
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,104
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,316
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 797
template filing: same amount across many unrelated codes — excluded 53
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://finance.vumc.org/assets/pub/pt/352528741_vanderbilt-university-medical-center_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-26
Content fingerprint 7e380a2c43559070… · 1,867,943,250 bytes · first seen 2026-08-01

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
J1413
HCPCS 		Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 16 $902,084.73 $4,933,234.80 $2,688,064.50 nat. median
$3,324,572
0.8× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 18 $600,763.98 $2,410,257.31 $1,075,051.34 nat. median
$646,415
1.7× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 18 $436,848.50 $4,687,893.65 $1,015,338.66 nat. median
$2,467,386
outlier · 0.4×
Q2041
HCPCS 		Yescarta Intravenous Suspension 18 $546,105.15 $2,185,747.20 $977,240.80 nat. median
$608,239
1.6× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 18 $531,507.07 $2,005,290.00 $928,738.68 nat. median
$591,721
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $96,256.28 $649,365.35 $373,892.51 nat. median
$190,559
2.0× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $348,392.33 $348,392.33 $348,392.33 nat. median
$6,194
outlier · 56.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $62,623.12 $599,522.04 $343,509.55 nat. median
$198,418
1.7× median
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $319,253.42 $319,253.42 $319,253.42 nat. median
$1,883
outlier · 169.5×
81200001
CDM 		Hc Organ For Transplant-dble Lung 21 $200,653.61 $553,527.20 $276,763.60 nat. median
$107,770
outlier · 2.6×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $269,585.61 $269,585.61 $269,585.61 nat. median
$2
outlier · 159518.1×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $264,692.95 $264,692.95 $264,692.95 nat. median
$165,355
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $62,816.10 $418,639.10 $243,999.34 nat. median
$126,695
1.9× median
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $231,493.72 $231,493.72 $231,493.72 nat. median
$5,376
outlier · 43.1×
81200000
CDM 		Hc Organ For Transplant-lung 21 $155,838.46 $429,899.20 $214,949.60 nat. median
$37,200
outlier · 5.8×
81200005
CDM 		Hc Organ For Transplant-heart 21 $149,826.76 $413,315.20 $206,657.60 nat. median
$108,299
1.9× median
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 18 $119,376.28 $398,766.50 $205,616.66 nat. median
$2,480
outlier · 82.9×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $204,709.51 $204,709.51 $204,709.51 nat. median
$76
outlier · 2675.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $3,444.00 $294,714.00 $196,851.00 nat. median
$110,307
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $50,961.54 $313,759.18 $196,656.78 nat. median
$93,276
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $28,703.92 $322,604.01 $194,032.01 nat. median
$97,323
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 16 $31,984.26 $359,471.92 $175,397.54 nat. median
$93,901
1.9× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 18 $100,319.34 $329,771.34 $174,359.93 nat. median
$8,223
outlier · 21.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $26,205.74 $294,527.00 $172,328.91 nat. median
$90,551
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $42,816.91 $275,914.83 $161,500.98 nat. median
$78,268
outlier · 2.1×
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $161,345.54 $161,345.54 $161,345.54 nat. median
$118,265
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $40,549.08 $252,989.57 $159,516.41 nat. median
$78,049
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $3,280.00 $352,560.00 $154,448.50 nat. median
$95,038
1.6× median
81100001
CDM 		Hc Organ Acq Liver Living Donor 21 $111,216.45 $306,804.00 $153,402.00 nat. median
$69,165
outlier · 2.2×
81200004
CDM 		Hc Organ For Transplant-liver 21 $111,216.45 $306,804.00 $153,402.00 nat. median
$123,586
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $38,109.42 $370,326.53 $152,469.97 nat. median
$77,632
2.0× median
81200003
CDM 		Hc Organ For Transplant-pancreas 21 $106,943.01 $295,015.20 $147,507.60 nat. median
$155,978
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $16,186.14 $236,711.59 $145,679.83 nat. median
$77,028
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $3,280.00 $424,074.00 $140,109.10 nat. median
$104,013
1.3× median
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $139,537.53 $139,537.53 $139,537.53 nat. median
$78,835
1.8× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $139,433.10 $139,433.10 $139,433.10 nat. median
$1
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $35,685.01 $230,849.05 $138,612.85 nat. median
$74,370
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $28,993.87 $260,690.23 $135,414.50 nat. median
$72,398
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $45,811.47 $213,966.79 $133,889.27 nat. median
$67,976
2.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $34,513.88 $212,740.07 $129,413.15 nat. median
$63,648
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $13,901.97 $214,677.22 $128,883.35 nat. median
$71,748
1.8× median
81100000
CDM 		Hc Organ Acq Kidney Living Donor 21 $93,219.63 $257,157.60 $128,578.80 nat. median
$37,200
outlier · 3.5×
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 21 $93,219.63 $257,157.60 $128,578.80 nat. median
$59,411
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $18,750.41 $210,736.28 $126,814.55 nat. median
$66,649
1.9× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $126,666.73 $126,666.73 $126,666.73 nat. median
$71,035
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $47,872.41 $200,339.57 $125,533.29 nat. median
$66,715
1.9× median
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $124,874.91 $124,874.91 $124,874.91 nat. median
$190
outlier · 656.3×
359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $122,682.02 $122,682.02 $122,682.02 nat. median
$1,751
outlier · 70.1×
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 18 $61,922.86 $292,916.96 $122,298.92 nat. median
$65,720
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 $28,798.61 $201,409.42 $121,948.46 nat. median
$61,308
2.0× median

Other procedures at this hospital

Browse this hospital's 16,540 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
             
J1413 HCPCS Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 280 16 — $4,838,516.10 $902,084.73 $4,933,234.80 $2,688,064.50 2025-10-01
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 39 18 $3,443,224.73 $1,859,341.35 46% off $600,763.98 $2,410,257.31 $1,075,051.34 2025-10-01
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 42 18 — $3,616,375.10 $436,848.50 $4,687,893.65 $1,015,338.66 2025-10-01
Q2041 HCPCS Yescarta Intravenous Suspension 39 18 $3,122,496.00 $1,686,147.84 46% off $546,105.15 $2,185,747.20 $977,240.80 2025-10-01
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 39 18 $2,864,700.00 $1,546,938.00 46% off $531,507.07 $2,005,290.00 $928,738.68 2025-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 16 — — $96,256.28 $649,365.35 $373,892.51 2025-10-01
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $348,392.33 $348,392.33 $348,392.33 2025-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 16 — — $62,623.12 $599,522.04 $343,509.55 2025-10-01
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $319,253.42 $319,253.42 $319,253.42 2025-10-01
81200001 CDM Hc Organ For Transplant-dble Lung 41 21 $691,909.00 $373,630.86 46% off $200,653.61 $553,527.20 $276,763.60 2025-10-01
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $269,585.61 $269,585.61 $269,585.61 2025-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $264,692.95 $264,692.95 $264,692.95 2025-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 16 — — $62,816.10 $418,639.10 $243,999.34 2025-10-01
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $231,493.72 $231,493.72 $231,493.72 2025-10-01
81200000 CDM Hc Organ For Transplant-lung 41 21 $537,374.00 $290,181.96 46% off $155,838.46 $429,899.20 $214,949.60 2025-10-01
81200005 CDM Hc Organ For Transplant-heart 41 21 $516,644.00 $278,987.76 46% off $149,826.76 $413,315.20 $206,657.60 2025-10-01
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 42 18 $397,920.92 $214,877.30 46% off $119,376.28 $398,766.50 $205,616.66 2025-10-01
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $204,709.51 $204,709.51 $204,709.51 2025-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 71 10 — — $3,444.00 $294,714.00 $196,851.00 2025-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $50,961.54 $313,759.18 $196,656.78 2025-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 16 — — $28,703.92 $322,604.01 $194,032.01 2025-10-01
215 MS_DRG Other Heart Assist System Implant 54 16 — — $31,984.26 $359,471.92 $175,397.54 2025-10-01
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 42 18 $334,397.80 $180,574.81 46% off $100,319.34 $329,771.34 $174,359.93 2025-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 16 — — $26,205.74 $294,527.00 $172,328.91 2025-10-01
850 MS_DRG Acute Leukemia With Other Procedures 50 16 — — $42,816.91 $275,914.83 $161,500.98 2025-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $161,345.54 $161,345.54 $161,345.54 2025-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 50 16 — — $40,549.08 $252,989.57 $159,516.41 2025-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 10 — — $3,280.00 $352,560.00 $154,448.50 2025-10-01
81200004 CDM Hc Organ For Transplant-liver 41 21 $383,505.00 $207,092.70 46% off $111,216.45 $306,804.00 $153,402.00 2025-10-01
81100001 CDM Hc Organ Acq Liver Living Donor 41 21 $383,505.00 $207,092.70 46% off $111,216.45 $306,804.00 $153,402.00 2025-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 16 — — $38,109.42 $370,326.53 $152,469.97 2025-10-01
81200003 CDM Hc Organ For Transplant-pancreas 41 21 $368,769.00 $199,135.26 46% off $106,943.01 $295,015.20 $147,507.60 2025-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 16 — — $16,186.14 $236,711.59 $145,679.83 2025-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 10 — — $3,280.00 $424,074.00 $140,109.10 2025-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $139,537.53 $139,537.53 $139,537.53 2025-10-01
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $139,433.10 $139,433.10 $139,433.10 2025-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 16 — — $35,685.01 $230,849.05 $138,612.85 2025-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 16 — — $28,993.87 $260,690.23 $135,414.50 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 16 — — $45,811.47 $213,966.79 $133,889.27 2025-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $34,513.88 $212,740.07 $129,413.15 2025-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 16 — — $13,901.97 $214,677.22 $128,883.35 2025-10-01
81200002 CDM Hc Organ Acq Kidney Cadaver Rela 41 21 $321,447.00 $173,581.38 46% off $93,219.63 $257,157.60 $128,578.80 2025-10-01
81100000 CDM Hc Organ Acq Kidney Living Donor 41 21 $321,447.00 $173,581.38 46% off $93,219.63 $257,157.60 $128,578.80 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 16 — — $18,750.41 $210,736.28 $126,814.55 2025-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $126,666.73 $126,666.73 $126,666.73 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 15 — — $47,872.41 $200,339.57 $125,533.29 2025-10-01
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $124,874.91 $124,874.91 $124,874.91 2025-10-01
359 OTHER Concomitant Aortic And Mitral Valve Procedures 1 1 — — $122,682.02 $122,682.02 $122,682.02 2025-10-01
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 42 18 $418,452.80 $225,964.51 46% off $61,922.86 $292,916.96 $122,298.92 2025-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 16 — — $28,798.61 $201,409.42 $121,948.46 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 16 — — $30,748.75 $224,637.00 $121,754.81 2025-10-01
007 OTHER Lung Transplant 1 1 — — $121,587.54 $121,587.54 $121,587.54 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 16 — — $32,595.82 $200,819.17 $120,965.55 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 16 — — $16,738.07 $193,131.43 $120,851.58 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 16 — — $45,049.75 $244,102.81 $118,571.69 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 16 — — $16,486.76 $187,756.92 $118,350.99 2025-10-01
212 OTHER Testes Procedures Age 0-17 1 1 — — $117,607.99 $117,607.99 $117,607.99 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 16 — — $16,801.23 $188,829.39 $115,827.20 2025-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 16 — — $15,273.91 $184,634.42 $114,226.56 2025-10-01
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $113,612.27 $113,612.27 $113,612.27 2025-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 16 — — $27,834.55 $180,686.38 $113,218.55 2025-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $111,628.49 $111,628.49 $111,628.49 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 16 — — $21,181.87 $183,963.31 $109,530.01 2025-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 16 — — $23,963.68 $269,328.38 $107,954.83 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 16 — — $36,932.45 $200,121.29 $107,829.76 2025-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 16 — — $12,172.39 $170,237.81 $106,525.95 2025-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 51 16 — — $16,550.18 $186,007.91 $105,932.40 2025-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 16 — — $27,042.66 $232,125.00 $105,042.99 2025-10-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $104,216.35 $104,216.35 $104,216.35 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 16 — — $20,902.06 $175,102.39 $103,311.39 2025-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $103,159.14 $103,159.14 $103,159.14 2025-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 16 — — $12,763.48 $164,790.29 $103,117.17 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 16 — — $25,426.88 $163,852.42 $102,905.25 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 16 — — $25,986.91 $215,983.87 $100,942.10 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $25,583.06 $164,858.80 $100,539.71 2025-10-01
7 MS_DRG Lung Transplant 33 10 — — $3,280.00 $291,200.00 $100,454.62 2025-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 16 — — $19,676.38 $160,041.96 $98,854.48 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 2025-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 16 — — $17,822.76 $155,085.84 $96,981.99 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 54 16 — — $24,896.70 $220,749.24 $96,707.33 2025-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 16 — — $11,886.97 $156,298.90 $96,063.36 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 16 — — $19,280.83 $153,151.13 $95,833.99 2025-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 50 16 — — $25,037.84 $154,255.80 $95,098.72 2025-10-01
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $94,026.48 $94,026.48 $94,026.48 2025-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 16 — — $15,116.41 $149,745.02 $93,939.94 2025-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 16 — — $14,663.42 $142,905.51 $93,859.75 2025-10-01
28 MS_DRG Spinal Procedures With Mcc 54 16 — — $14,397.64 $168,713.06 $93,831.20 2025-10-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $93,290.23 $93,290.23 $93,290.23 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 16 — — $24,007.38 $200,741.30 $93,252.93 2025-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 16 — — $12,618.51 $148,158.50 $92,859.07 2025-10-01
653 MS_DRG Major Bladder Procedures With Mcc 54 16 — — $21,246.01 $145,914.91 $91,537.18 2025-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $90,085.74 $90,085.74 $90,085.74 2025-10-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $90,043.71 $90,043.71 $90,043.71 2025-10-01
834 OTHER Acute Leukemia Age >17 With Mcc 1 1 — — $88,570.23 $88,570.23 $88,570.23 2025-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 16 — — $11,484.28 $141,528.82 $88,177.92 2025-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 16 — — $22,617.86 $140,046.19 $87,633.61 2025-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 16 — — $16,457.64 $146,167.63 $87,481.11 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 16 — — $19,515.26 $285,131.06 $87,150.93 2025-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 16 — — $22,396.55 $156,924.52 $86,995.91 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 16 — — $22,319.91 $209,472.31 $86,698.21 2025-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 16 — — $14,037.42 $153,611.64 $86,122.51 2025-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 16 — — $19,449.65 $153,392.62 $85,500.59 2025-10-01
A9513 HCPCS Lutathera 8 Mci/ml (297 Mbq/ml) Intravenous Solution 42 18 $167,679.42 $90,546.89 46% off $50,303.83 $157,687.93 $85,266.69 2025-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 54 16 — — $21,898.15 $182,024.29 $85,059.96 2025-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 16 — — $21,787.50 $261,585.79 $84,630.15 2025-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 16 — — $17,993.28 $202,226.92 $83,863.88 2025-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 16 — — $18,510.20 $131,745.74 $82,648.40 2025-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 16 — — $12,745.10 $143,242.44 $82,410.20 2025-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 16 — — $21,213.82 $272,455.37 $82,401.79 2025-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 16 — — $20,567.23 $217,196.93 $80,763.54 2025-10-01
245 MS_DRG Aicd Generator Procedures 54 16 — — $12,100.43 $135,997.06 $80,368.96 2025-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 53 16 — — $20,619.28 $142,574.52 $80,185.60 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 16 — — $18,380.05 $127,727.50 $80,127.62 2025-10-01
799 MS_DRG Splenic Procedures With Mcc 54 16 — — $18,365.64 $127,171.51 $79,778.84 2025-10-01
163 MS_DRG Major Chest Procedures With Mcc 54 16 — — $18,866.23 $125,848.94 $78,949.15 2025-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 16 — — $20,319.07 $174,722.00 $78,726.86 2025-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 16 — — $10,928.37 $125,318.23 $78,616.21 2025-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 16 — — $15,367.22 $123,349.82 $77,134.15 2025-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 16 — — $11,033.10 $124,001.28 $76,695.93 2025-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $76,324.30 $76,324.30 $76,324.30 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 16 — — $11,511.24 $137,625.70 $75,789.43 2025-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 50 16 — — $18,980.11 $122,308.99 $75,670.71 2025-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 16 — — $18,839.76 $158,604.83 $75,621.58 2025-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 54 16 — — $19,343.14 $119,769.62 $75,135.39 2025-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 16 — — $16,895.02 $129,069.72 $74,771.79 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 16 — — $10,404.43 $118,587.46 $74,393.78 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 16 — — $30,894.77 $128,772.63 $74,229.96 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 16 — — $15,092.99 $118,385.28 $74,079.33 2025-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $74,078.58 $74,078.58 $74,078.58 2025-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $73,984.24 $73,984.24 $73,984.24 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 16 — — $16,220.59 $117,980.93 $73,826.32 2025-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 16 — — $18,922.74 $194,628.10 $73,502.43 2025-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 16 — — $9,460.48 $115,844.04 $72,489.16 2025-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 16 — — $14,112.26 $116,616.24 $72,289.32 2025-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 54 16 — — $13,262.60 $117,840.53 $71,853.05 2025-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 50 16 — — $18,183.91 $117,178.21 $71,739.79 2025-10-01
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $71,561.51 $71,561.51 $71,561.51 2025-10-01
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $69,646.93 $69,646.93 $69,646.93 2025-10-01
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $69,605.62 $69,605.62 $69,605.62 2025-10-01
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $69,501.56 $69,501.56 $69,501.56 2025-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $69,111.55 $69,111.55 $69,111.55 2025-10-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $68,986.08 $68,986.08 $68,986.08 2025-10-01
A9607 HCPCS Pluvicto 27 Mci/ml (1,000 Mbq/ml) Intravenous Solution 42 18 $121,595.00 $65,661.30 46% off $36,478.50 $127,861.00 $68,861.15 2025-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 16 — — $12,986.51 $111,873.53 $68,828.16 2025-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 16 — — $17,740.47 $133,888.44 $68,810.82 2025-10-01
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 52 18 $128,170.60 $69,212.12 46% off $38,451.18 $128,922.58 $68,765.42 2025-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 16 — — $19,133.44 $109,349.14 $68,598.28 2025-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 16 — — $27,846.20 $331,604.58 $68,546.12 2025-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $68,276.09 $68,276.09 $68,276.09 2025-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 16 — — $17,510.54 $139,031.19 $68,016.96 2025-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $67,883.98 $67,883.98 $67,883.98 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 51 15 — — $9,546.00 $108,526.39 $67,817.40 2025-10-01
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 42 18 $136,763.64 $73,852.37 46% off $41,029.09 $120,328.38 $67,311.79 2025-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 16 — — $8,533.06 $117,621.50 $66,954.45 2025-10-01
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $66,785.10 $66,785.10 $66,785.10 2025-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $66,482.63 $66,482.63 $66,482.63 2025-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $66,250.18 $66,250.18 $66,250.18 2025-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $65,948.67 $65,948.67 $65,948.67 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 16 — — $16,208.97 $104,954.62 $65,841.46 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 16 — — $16,901.04 $173,086.62 $65,649.45 2025-10-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $65,406.94 $65,406.94 $65,406.94 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 16 — — $16,948.66 $104,943.38 $65,215.44 2025-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $64,867.15 $64,867.15 $64,867.15 2025-10-01
646 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $64,851.53 $64,851.53 $64,851.53 2025-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 16 — — $14,589.14 $103,098.53 $64,513.68 2025-10-01
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $64,455.74 $64,455.74 $64,455.74 2025-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 16 — — $11,823.58 $108,689.26 $64,395.46 2025-10-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $64,227.18 $64,227.18 $64,227.18 2025-10-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $64,091.99 $64,091.99 $64,091.99 2025-10-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 16 — — $16,442.55 $124,136.06 $63,749.73 2025-10-01
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 24 12 $121,267.40 $65,484.40 46% off $34,168.96 $109,140.66 $63,739.18 2025-10-01
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $63,335.31 $63,335.31 $63,335.31 2025-10-01
332 MS_DRG Rectal Resection With Mcc 54 16 — — $13,838.96 $101,669.26 $63,149.27 2025-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 16 — — $16,194.03 $119,107.12 $62,903.19 2025-10-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $62,845.12 $62,845.12 $62,845.12 2025-10-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 16 — — $16,170.00 $243,986.00 $62,809.82 2025-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 16 — — $16,156.39 $164,337.64 $62,756.98 2025-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 16 — — $16,140.97 $162,579.46 $62,697.09 2025-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 16 — — $16,990.83 $105,204.53 $62,613.64 2025-10-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $62,601.00 $62,601.00 $62,601.00 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 16 — — $8,375.03 $99,860.90 $62,487.75 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 16 — — $10,970.21 $100,371.96 $62,353.76 2025-10-01
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 42 18 $119,539.80 $64,551.49 46% off $35,861.94 $117,172.23 $62,117.00 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 16 — — $14,219.16 $99,026.93 $62,014.76 2025-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 16 — — $15,960.48 $122,123.29 $61,995.99 2025-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 2025-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 16 — — $12,599.80 $107,807.54 $61,816.23 2025-10-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $61,753.87 $61,753.87 $61,753.87 2025-10-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $61,560.33 $61,560.33 $61,560.33 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 16 — — $8,529.60 $101,267.71 $61,524.48 2025-10-01
252 MS_DRG Other Vascular Procedures With Mcc 53 15 — — $11,774.77 $132,336.92 $61,519.66 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 16 — — $14,617.50 $97,926.19 $61,432.29 2025-10-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 16 — — $15,666.61 $127,263.05 $60,854.51 2025-10-01
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 42 18 $115,804.63 $62,534.50 46% off $34,741.39 $110,645.55 $60,580.79 2025-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 16 — — $14,164.32 $95,797.73 $60,097.04 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 16 — — $9,956.02 $103,140.65 $59,534.45 2025-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $59,427.43 $59,427.43 $59,427.43 2025-10-01
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $59,285.43 $59,285.43 $59,285.43 2025-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 54 16 — — $14,529.18 $93,804.05 $58,846.34 2025-10-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $58,816.64 $58,816.64 $58,816.64 2025-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 10 — — $3,444.00 $142,687.00 $58,436.31 2025-10-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $58,246.70 $58,246.70 $58,246.70 2025-10-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 16 — — $11,455.46 $96,269.47 $58,206.46 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 16 — — $10,332.04 $101,419.34 $57,919.96 2025-10-01
791 MS_DRG Prematurity With Major Problems 41 16 — — $10,348.16 $97,857.60 $57,885.40 2025-10-01
265 MS_DRG Aicd Lead Procedures 54 16 — — $5,888.05 $101,599.06 $57,791.93 2025-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 50 16 — — $14,343.73 $92,431.87 $57,641.64 2025-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $57,619.38 $57,619.38 $57,619.38 2025-10-01
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $57,463.76 $57,463.76 $57,463.76 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 54 16 — — $10,073.15 $101,888.28 $57,315.10 2025-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 16 — — $14,894.15 $167,395.74 $57,299.70 2025-10-01
ERX30205 LOCAL Gliadel Wafer 7.7 Mg Implant 26 12 $116,459.89 $62,888.34 46% off $34,937.97 $104,813.90 $57,065.35 2025-10-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 16 — — $10,285.56 $90,835.99 $56,984.38 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 16 — — $12,093.63 $90,937.08 $56,903.68 2025-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 16 — — $6,448.50 $92,430.94 $56,810.28 2025-10-01
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $56,802.40 $56,802.40 $56,802.40 2025-10-01
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $56,725.56 $56,725.56 $56,725.56 2025-10-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 16 — — $11,739.92 $90,616.97 $56,703.37 2025-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 16 — — $13,376.17 $150,335.08 $56,242.77 2025-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 52 16 — — $7,911.32 $88,915.51 $56,224.87 2025-10-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $56,103.10 $56,103.10 $56,103.10 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 16 — — $14,438.53 $128,110.69 $56,084.23 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 54 16 — — $14,452.59 $140,645.61 $56,015.25 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 16 — — $14,409.51 $167,985.79 $55,971.49 2025-10-01
500 MS_DRG Soft Tissue Procedures With Mcc 54 16 — — $14,103.89 $118,151.65 $55,749.54 2025-10-01
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $55,693.64 $55,693.64 $55,693.64 2025-10-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 16 — — $10,387.82 $88,732.80 $55,664.98 2025-10-01
37 MS_DRG Extracranial Procedures With Mcc 54 16 — — $10,499.37 $92,442.17 $55,557.46 2025-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 16 — — $12,845.30 $144,368.64 $55,480.01 2025-10-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $55,020.61 $55,020.61 $55,020.61 2025-10-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 52 16 — — $7,047.06 $90,148.03 $54,952.32 2025-10-01
367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $54,835.81 $54,835.81 $54,835.81 2025-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 16 — — $14,100.22 $95,771.52 $54,770.11 2025-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 16 — — $13,059.95 $87,460.78 $54,728.40 2025-10-01
665 MS_DRG Prostatectomy With Mcc 54 16 — — $9,943.47 $87,643.30 $54,535.04 2025-10-01
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $54,443.86 $54,443.86 $54,443.86 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 16 — — $6,933.42 $100,605.02 $53,836.94 2025-10-01
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $53,797.75 $53,797.75 $53,797.75 2025-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 16 — — $13,755.56 $95,178.47 $53,431.33 2025-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 52 16 — — $14,292.60 $92,102.40 $53,109.40 2025-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 54 16 — — $13,696.15 $97,790.28 $53,066.18 2025-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $52,952.87 $52,952.87 $52,952.87 2025-10-01
793 MS_DRG Full Term Neonate With Major Problems 41 16 — — $2,864.88 $100,253.86 $52,941.41 2025-10-01
SUP143151 LOCAL Trial Valve Mitral Intrep 46mm 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP143146 LOCAL Valve 48mm Mitral Inte Ide G160020 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP143152 LOCAL Trial Valve Mitral Intrep 43mm 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP1000358 LOCAL Intrepid Valve Vl48m Study Ide#g160020 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP143150 LOCAL Trial Valve Mitral Intrep 50mm 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP143147 LOCAL Valve 42mm Mitral Inte Ide G160020 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP1016115 LOCAL Valve 29f 48mm Intrepid Ide G160020 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
SUP1016116 LOCAL Valve 29f 42mm Intrepid Ide G160020 38 19 $128,700.00 $69,498.00 46% off $42,471.00 $128,700.00 $52,895.70 2025-10-01
245 OTHER Aicd Generator Procedures 1 1 — — $52,756.41 $52,756.41 $52,756.41 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 16 — — $14,980.47 $102,220.19 $52,538.88 2025-10-01
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 42 18 $98,750.00 $53,325.00 46% off $29,625.00 $100,692.69 $52,503.18 2025-10-01
403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $52,453.93 $52,453.93 $52,453.93 2025-10-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 16 — — $6,109.78 $88,230.17 $52,315.56 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 16 — — $7,195.57 $97,476.91 $52,151.51 2025-10-01
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $52,107.69 $52,107.69 $52,107.69 2025-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 54 16 — — $13,360.56 $110,298.24 $51,897.02 2025-10-01
570 MS_DRG Skin Debridement With Mcc 54 16 — — $11,693.44 $82,586.09 $51,808.94 2025-10-01
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $51,714.76 $51,714.76 $51,714.76 2025-10-01
662 MS_DRG Minor Bladder Procedures With Mcc 54 16 — — $9,470.30 $85,966.92 $51,528.31 2025-10-01
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $51,440.49 $51,440.49 $51,440.49 2025-10-01
799 OTHER Splenic Procedures Age >17 With Mcc 1 1 — — $51,331.56 $51,331.56 $51,331.56 2025-10-01
668 MS_DRG Transurethral Procedures With Mcc 54 16 — — $11,078.97 $81,993.60 $51,307.32 2025-10-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 16 — — $12,789.44 $107,141.30 $51,301.62 2025-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 16 — — $6,682.89 $95,671.37 $51,196.79 2025-10-01
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $51,178.86 $51,178.86 $51,178.86 2025-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,081.60 $51,081.60 $51,081.60 2025-10-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 16 — — $10,833.56 $81,488.16 $50,991.04 2025-10-01
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $50,978.51 $50,978.51 $50,978.51 2025-10-01
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $50,867.63 $50,867.63 $50,867.63 2025-10-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 54 16 — — $10,054.09 $81,437.62 $50,853.90 2025-10-01
974 MS_DRG HIV With Major Related Condition With Mcc 54 16 — — $15,465.71 $83,802.70 $50,838.33 2025-10-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 54 16 — — $20,660.47 $86,115.00 $50,762.88 2025-10-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 16 — — $11,791.81 $80,920.94 $50,636.10 2025-10-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 54 16 — — $8,704.40 $90,440.06 $50,580.45 2025-10-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 16 — — $13,016.36 $91,754.96 $50,560.01 2025-10-01
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $50,285.05 $50,285.05 $50,285.05 2025-10-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 54 16 — — $12,927.02 $89,805.08 $50,212.99 2025-10-01
263 MS_DRG Vein Ligation And Stripping 54 16 — — $10,282.77 $85,851.79 $50,014.46 2025-10-01
81200009 CDM Hc Bioengineer Lung For Transplant 41 21 $124,485.00 $67,221.90 46% off $36,100.65 $99,588.00 $49,794.00 2025-10-01
800 MS_DRG Splenic Procedures With Cc 54 16 — — $12,740.63 $82,718.44 $49,488.99 2025-10-01
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $49,484.60 $49,484.60 $49,484.60 2025-10-01
654 MS_DRG Major Bladder Procedures With Cc 54 16 — — $11,459.18 $78,604.34 $49,311.07 2025-10-01
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $49,171.27 $49,171.27 $49,171.27 2025-10-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 16 — — $11,250.48 $77,834.95 $48,705.06 2025-10-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 16 — — $20,230.12 $142,110.26 $48,686.00 2025-10-01
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $48,662.76 $48,662.76 $48,662.76 2025-10-01
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $48,661.79 $48,661.79 $48,661.79 2025-10-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 16 — — $11,871.46 $77,419.37 $48,567.69 2025-10-01
648 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $48,549.84 $48,549.84 $48,549.84 2025-10-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 52 16 — — $7,661.08 $86,103.01 $48,548.60 2025-10-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 54 16 — — $10,862.38 $84,711.74 $48,478.08 2025-10-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 16 — — $11,930.02 $77,183.50 $48,297.41 2025-10-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 16 — — $12,462.18 $82,550.71 $48,285.11 2025-10-01
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $48,258.16 $48,258.16 $48,258.16 2025-10-01
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $47,992.64 $47,992.64 $47,992.64 2025-10-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 16 — — $10,167.96 $75,990.10 $47,550.64 2025-10-01
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $47,536.50 $47,536.50 $47,536.50 2025-10-01
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