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

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Hospital

VANDERBILT TULLAHOMA-HARTON HOSPITAL

Tullahoma, TN · CCN 440144 · Rates published

16,103 distinct procedures filed
32 distinct payers
2,274,408 rate rows
2025-10-01 last MRF observed
Data quality

2,153,346 of 2,274,408 rate rows are consumer-grade (94.7%)

121,062 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 112,503
per-diem day rate — not a per-procedure price 4,088
exceeds 10× this hospital's gross charge — excluded from medians 3,751
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 612
template filing: same amount across many unrelated codes — excluded 108
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://finance.vumc.org/assets/pub/pt/853420386_vanderbilt-tullahoma-harton-hospital_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2e87b42ee0bb300c… · 1,323,550,788 bytes · first seen 2026-05-14

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 15 $873,125.22 $4,958,432.16 $2,645,569.41 nat. median
$3,325,455
0.8× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 17 $581,477.74 $2,410,257.31 $1,071,185.51 nat. median
$675,122
1.6× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 17 $528,573.61 $2,185,747.20 $972,533.64 nat. median
$634,511
1.5× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 17 $422,824.41 $4,687,893.65 $933,149.08 nat. median
$2,469,189
outlier · 0.4×
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 17 $514,444.17 $2,005,290.00 $918,644.16 nat. median
$620,080
1.5× 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
$4,769
outlier · 73.1×
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $319,253.42 $319,253.42 $319,253.42 nat. median
$2,164
outlier · 147.5×
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
$146,562
1.8× median
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
$218,232
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $25,178.05 $493,718.91 $259,448.48 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $48,183.14 $956,481.22 $250,952.76 nat. median
$202,986
1.2× median
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $231,493.72 $231,493.72 $231,493.72 nat. median
$5,302
outlier · 43.7×
81200001
CDM 		Hc Organ For Transplant-dble Lung 20 $138,381.80 $553,527.20 $228,329.97 nat. median
$102,196
outlier · 2.2×
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
$53
outlier · 3897.7×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 17 $119,376.28 $397,920.92 $191,002.04 nat. median
$2,677
outlier · 71.3×
81200000
CDM 		Hc Organ For Transplant-lung 20 $107,474.80 $429,899.20 $177,333.42 nat. median
$41,850
outlier · 4.2×
81200005
CDM 		Hc Organ For Transplant-heart 20 $103,328.80 $413,315.20 $170,492.52 nat. median
$98,622
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $31,063.02 $296,095.69 $163,579.36 nat. median
$133,176
1.2× median
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
$150,232
1.1× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 17 $100,319.34 $334,397.80 $160,510.94 nat. median
$8,223
outlier · 19.5×
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $139,537.53 $139,537.53 $139,537.53 nat. median
$104,489
1.3× 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
$0
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $31,118.49 $232,451.17 $131,784.83 nat. median
$102,358
1.3× median
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 17 $59,934.96 $292,916.96 $128,633.29 nat. median
$66,682
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $30,265.32 $235,595.66 $127,673.06 nat. median
$98,905
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 16 $34,674.78 $220,498.98 $127,586.88 nat. median
$99,019
1.3× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $126,666.73 $126,666.73 $126,666.73 nat. median
$82,426
1.5× median
81100001
CDM 		Hc Organ Acq Liver Living Donor 20 $76,701.00 $306,804.00 $126,556.65 nat. median
$67,930
1.9× median
81200004
CDM 		Hc Organ For Transplant-liver 20 $76,701.00 $306,804.00 $126,556.65 nat. median
$121,379
1.0× 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
$414
outlier · 301.6×
359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $122,682.02 $122,682.02 $122,682.02 nat. median
$2,225
outlier · 55.1×
81200003
CDM 		Hc Organ For Transplant-pancreas 20 $73,753.80 $295,015.20 $121,693.77 nat. median
$150,283
0.8× median
007
OTHER 		Lung Transplant 1 $121,587.54 $121,587.54 $121,587.54 nat. median
$141,082
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $28,410.17 $209,122.90 $118,766.54 nat. median
$93,672
1.3× median
212
OTHER 		Testes Procedures Age 0-17 1 $117,607.99 $117,607.99 $117,607.99 nat. median
$90,581
1.3× median
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $113,612.27 $113,612.27 $113,612.27 nat. median
$8,778
outlier · 12.9×
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $111,628.49 $111,628.49 $111,628.49 nat. median
$90,130
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $26,614.84 $191,718.06 $109,166.45 nat. median
$83,442
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $24,097.49 $192,594.52 $108,346.01 nat. median
$82,712
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $35,721.82 $179,636.03 $107,678.93 nat. median
$81,118
1.3× median
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 20 $64,289.40 $257,157.60 $106,077.51 nat. median
$56,338
1.9× median
81100000
CDM 		Hc Organ Acq Kidney Living Donor 20 $64,289.40 $257,157.60 $106,077.51 nat. median
$37,200
outlier · 2.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $57,076.80 $152,204.16 $104,640.48 nat. median
$71,240
1.5× median
447
OTHER 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $104,216.35 $104,216.35 $104,216.35 nat. median
$54,322
1.9× median
215
OTHER 		Other Heart Assist System Implant 1 $103,159.14 $103,159.14 $103,159.14 nat. median
$92,359
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $31,432.83 $704,969.87 $99,504.19 nat. median
$74,915
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $17,547.72 $180,202.51 $98,875.12 nat. median
$79,312
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $22,267.78 $168,208.10 $97,781.93 nat. median
$77,576
1.3× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $97,355.67 $97,355.67 $97,355.67 nat. median
$62,467
1.6× median
365
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $94,026.48 $94,026.48 $94,026.48 nat. median
$91
outlier · 1037.9×

Other procedures at this hospital

Browse this hospital's 16,103 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 277 15 — $2,598,462.35 $873,125.22 $4,958,432.16 $2,645,569.41 2025-10-01
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 38 17 $3,443,224.73 $998,535.17 71% off $581,477.74 $2,410,257.31 $1,071,185.51 2025-10-01
Q2041 HCPCS Yescarta Intravenous Suspension 38 17 $3,122,496.00 $905,523.84 71% off $528,573.61 $2,185,747.20 $972,533.64 2025-10-01
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 40 17 — $1,942,127.37 $422,824.41 $4,687,893.65 $933,149.08 2025-10-01
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 38 17 $2,864,700.00 $830,763.00 71% off $514,444.17 $2,005,290.00 $918,644.16 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
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $319,253.42 $319,253.42 $319,253.42 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 16 — — $25,178.05 $493,718.91 $259,448.48 2025-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 16 — — $48,183.14 $956,481.22 $250,952.76 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
81200001 CDM Hc Organ For Transplant-dble Lung 30 20 $691,909.00 $200,653.61 71% off $138,381.80 $553,527.20 $228,329.97 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
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 40 17 $397,920.92 $115,397.07 71% off $119,376.28 $397,920.92 $191,002.04 2025-10-01
81200000 CDM Hc Organ For Transplant-lung 30 20 $537,374.00 $155,838.46 71% off $107,474.80 $429,899.20 $177,333.42 2025-10-01
81200005 CDM Hc Organ For Transplant-heart 30 20 $516,644.00 $149,826.76 71% off $103,328.80 $413,315.20 $170,492.52 2025-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 16 — — $31,063.02 $296,095.69 $163,579.36 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
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 40 17 $334,397.80 $96,975.36 71% off $100,319.34 $334,397.80 $160,510.94 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 16 — — $31,118.49 $232,451.17 $131,784.83 2025-10-01
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 40 17 $418,452.80 $121,351.31 71% off $59,934.96 $292,916.96 $128,633.29 2025-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 16 — — $30,265.32 $235,595.66 $127,673.06 2025-10-01
215 MS_DRG Other Heart Assist System Implant 36 16 — — $34,674.78 $220,498.98 $127,586.88 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
81200004 CDM Hc Organ For Transplant-liver 30 20 $383,505.00 $111,216.45 71% off $76,701.00 $306,804.00 $126,556.65 2025-10-01
81100001 CDM Hc Organ Acq Liver Living Donor 30 20 $383,505.00 $111,216.45 71% off $76,701.00 $306,804.00 $126,556.65 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
81200003 CDM Hc Organ For Transplant-pancreas 30 20 $368,769.00 $106,943.01 71% off $73,753.80 $295,015.20 $121,693.77 2025-10-01
007 OTHER Lung Transplant 1 1 — — $121,587.54 $121,587.54 $121,587.54 2025-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $28,410.17 $209,122.90 $118,766.54 2025-10-01
212 OTHER Testes Procedures Age 0-17 1 1 — — $117,607.99 $117,607.99 $117,607.99 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
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
850 MS_DRG Acute Leukemia With Other Procedures 35 16 — — $26,614.84 $191,718.06 $109,166.45 2025-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 16 — — $24,097.49 $192,594.52 $108,346.01 2025-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 16 — — $35,721.82 $179,636.03 $107,678.93 2025-10-01
81100000 CDM Hc Organ Acq Kidney Living Donor 30 20 $321,447.00 $93,219.63 71% off $64,289.40 $257,157.60 $106,077.51 2025-10-01
81200002 CDM Hc Organ Acq Kidney Cadaver Rela 30 20 $321,447.00 $93,219.63 71% off $64,289.40 $257,157.60 $106,077.51 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 14 — — $57,076.80 $152,204.16 $104,640.48 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
215 OTHER Other Heart Assist System Implant 1 1 — — $103,159.14 $103,159.14 $103,159.14 2025-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $31,432.83 $704,969.87 $99,504.19 2025-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 16 — — $17,547.72 $180,202.51 $98,875.12 2025-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 16 — — $22,267.78 $168,208.10 $97,781.93 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 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
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $93,290.23 $93,290.23 $93,290.23 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 16 — — $18,418.81 $162,887.47 $90,653.14 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 16 — — $15,071.41 $163,428.30 $89,249.85 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 16 — — $20,327.69 $152,423.63 $86,375.66 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 16 — — $21,668.56 $147,750.71 $84,709.63 2025-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 16 — — $20,520.98 $154,309.05 $84,557.43 2025-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 16 — — $11,578.68 $153,327.86 $82,453.27 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 16 — — $15,896.00 $143,887.96 $81,302.57 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 16 — — $19,371.09 $142,829.82 $81,100.46 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 16 — — $18,146.07 $147,026.04 $80,850.76 2025-10-01
A9513 HCPCS Lutathera 8 Mci/ml (297 Mbq/ml) Intravenous Solution 40 17 $167,679.42 $48,627.03 71% off $50,303.83 $167,679.42 $80,486.12 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 16 — — $17,873.62 $142,934.56 $80,404.09 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $18,214.55 $140,557.49 $79,386.02 2025-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $16,558.76 $140,557.49 $78,558.12 2025-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 16 — — $25,979.51 $131,004.29 $78,491.90 2025-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 16 — — $17,301.85 $137,551.94 $77,426.90 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 16 — — $13,166.57 $140,046.59 $76,606.58 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 16 — — $22,390.86 $127,470.74 $74,930.80 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 16 — — $17,942.39 $128,917.85 $73,430.12 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 16 — — $14,848.94 $131,621.33 $73,235.13 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 16 — — $20,833.88 $122,494.27 $71,664.07 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 16 — — $13,196.33 $129,597.71 $71,397.02 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 35 16 — — $15,805.26 $124,828.79 $71,209.50 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 16 — — $13,837.15 $125,450.65 $69,643.90 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 15 — — $13,679.98 $112,789.30 $69,558.15 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 16 — — $11,078.56 $127,717.00 $69,397.78 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 16 — — $12,992.64 $125,369.42 $69,181.03 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
28 MS_DRG Spinal Procedures With Mcc 36 16 — — $8,949.52 $128,436.96 $68,693.24 2025-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 15 — — $19,506.88 $101,769.67 $68,625.23 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 16 — — $19,363.57 $615,083.12 $68,493.86 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
006 OTHER Liver Transplant Without Mcc 1 1 — — $67,883.98 $67,883.98 $67,883.98 2025-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 16 — — $12,230.77 $121,835.87 $67,033.32 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 36 16 — — $16,379.63 $117,355.34 $66,867.49 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 16 — — $12,886.90 $118,986.37 $65,936.63 2025-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 15 — — $9,209.84 $127,051.76 $65,716.43 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 16 — — $15,902.34 $120,179.18 $65,714.59 2025-10-01
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 40 17 $136,763.64 $39,661.46 71% off $41,029.09 $136,763.64 $65,646.55 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $16,388.01 $113,997.07 $65,192.54 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
653 MS_DRG Major Bladder Procedures With Mcc 36 16 — — $13,206.44 $116,018.58 $64,612.51 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 35 16 — — $14,879.57 $113,928.67 $64,404.12 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 16 — — $11,984.90 $443,912.76 $64,287.47 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 16 — — $10,217.01 $116,773.89 $63,495.45 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 16 — — $21,156.89 $105,758.54 $63,457.71 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
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 54 17 $128,170.60 $37,169.47 71% off $38,451.18 $131,113.60 $62,934.53 2025-10-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $62,845.12 $62,845.12 $62,845.12 2025-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 16 — — $8,725.61 $116,940.63 $62,833.12 2025-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 16 — — $21,067.03 $104,460.89 $62,763.96 2025-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 16 — — $15,136.99 $138,295.20 $62,729.96 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 16 — — $20,205.77 $105,209.16 $62,707.46 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 16 — — $15,896.00 $122,004.51 $62,462.77 2025-10-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 16 — — $17,326.22 $116,698.16 $61,838.20 2025-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 2025-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 16 — — $19,409.80 $104,209.85 $61,809.82 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 16 — — $10,230.01 $111,273.70 $60,751.86 2025-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 36 16 — — $17,558.12 $103,221.14 $60,389.63 2025-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 16 — — $14,059.62 $106,613.60 $60,336.61 2025-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 16 — — $20,216.17 $100,241.89 $60,229.03 2025-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $12,450.34 $107,742.28 $60,096.31 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 16 — — $7,155.34 $112,286.98 $59,721.16 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
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 22 11 $121,267.40 $35,167.55 71% off $36,380.22 $109,140.66 $59,421.02 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
A9607 HCPCS Pluvicto 27 Mci/ml (1,000 Mbq/ml) Intravenous Solution 40 17 $121,595.00 $35,262.55 71% off $36,478.50 $123,754.31 $58,855.24 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
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
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
245 MS_DRG Aicd Generator Procedures 36 16 — — $13,118.32 $101,704.08 $57,411.20 2025-10-01
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 40 17 $119,539.80 $34,666.54 71% off $35,861.94 $119,539.80 $57,379.10 2025-10-01
ERX30205 LOCAL Gliadel Wafer 7.7 Mg Implant 25 11 $116,459.89 $33,773.37 71% off $34,937.97 $104,813.90 $57,065.35 2025-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 16 — — $16,116.13 $98,007.39 $57,061.76 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
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 40 17 $115,804.63 $33,583.34 71% off $34,741.39 $115,804.63 $56,744.27 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 16 — — $13,817.21 $98,727.78 $56,272.50 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 16 — — $18,773.89 $93,090.35 $55,932.12 2025-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 16 — — $5,466.87 $100,294.68 $55,900.28 2025-10-01
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $55,693.64 $55,693.64 $55,693.64 2025-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 16 — — $7,948.00 $97,192.94 $55,472.86 2025-10-01
799 MS_DRG Splenic Procedures With Mcc 36 16 — — $11,416.02 $98,956.90 $55,186.46 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
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
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 16 — — $10,501.88 $98,257.49 $54,379.68 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 16 — — $11,424.97 $97,235.69 $54,330.33 2025-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 16 — — $15,299.07 $93,335.58 $54,317.32 2025-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 16 — — $11,961.21 $215,705.86 $53,890.38 2025-10-01
163 MS_DRG Major Chest Procedures With Mcc 36 16 — — $11,727.18 $95,926.67 $53,826.93 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 16 — — $11,847.66 $95,401.58 $53,624.62 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
245 OTHER Aicd Generator Procedures 1 1 — — $52,756.41 $52,756.41 $52,756.41 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
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $52,107.69 $52,107.69 $52,107.69 2025-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 16 — — $9,552.21 $93,903.08 $51,727.64 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
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $51,440.49 $51,440.49 $51,440.49 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 16 — — $12,421.45 $90,078.81 $51,359.35 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 35 16 — — $6,358.40 $90,653.84 $51,225.90 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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 36 16 — — $8,243.99 $92,207.57 $50,225.78 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 16 — — $10,082.66 $89,815.88 $49,949.27 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 16 — — $9,381.75 $90,123.70 $49,752.72 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 36 16 — — $16,695.99 $82,787.09 $49,741.54 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 16 — — $9,250.87 $89,542.26 $49,396.57 2025-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 16 — — $10,256.30 $88,189.12 $49,222.71 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 36 16 — — $7,692.73 $90,051.44 $48,872.08 2025-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 16 — — $8,772.13 $88,776.97 $48,774.55 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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 16 — — $11,303.05 $85,944.58 $48,623.82 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 16 — — $11,279.65 $90,277.61 $48,474.32 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 16 — — $16,203.97 $80,347.37 $48,275.67 2025-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 16 — — $12,914.92 $83,623.08 $48,269.00 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
140 MS_DRG Major Head And Neck Procedures With Mcc 36 16 — — $11,500.67 $91,177.57 $48,254.71 2025-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 38 16 — — $16,147.05 $80,065.15 $48,106.10 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
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 16 — — $13,411.00 $82,539.29 $47,975.14 2025-10-01
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $47,536.50 $47,536.50 $47,536.50 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
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $47,423.68 $47,423.68 $47,423.68 2025-10-01
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 40 17 $98,750.00 $28,637.50 71% off $29,625.00 $98,750.00 $47,400.00 2025-10-01
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $47,393.99 $47,393.99 $47,393.99 2025-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 36 16 — — $15,852.06 $78,602.46 $47,227.26 2025-10-01
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $46,995.73 $46,995.73 $46,995.73 2025-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 16 — — $15,682.47 $77,878.50 $46,780.49 2025-10-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $46,690.34 $46,690.34 $46,690.34 2025-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 36 16 — — $8,072.37 $85,166.47 $46,619.42 2025-10-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $46,120.40 $46,120.40 $46,120.40 2025-10-01
793 MS_DRG Full Term Neonate With Major Problems 23 15 — — $1,799.38 $89,131.83 $46,102.67 2025-10-01
677 OTHER Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $45,988.33 $45,988.33 $45,988.33 2025-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $45,864.61 $45,864.61 $45,864.61 2025-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 16 — — $7,831.99 $82,908.76 $45,370.38 2025-10-01
361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $45,273.27 $45,273.27 $45,273.27 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 16 — — $10,075.44 $80,132.44 $45,103.94 2025-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 16 — — $7,349.50 $82,742.36 $45,045.93 2025-10-01
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $45,013.59 $45,013.59 $45,013.59 2025-10-01
791 MS_DRG Prematurity With Major Problems 22 15 — — $6,499.50 $86,767.57 $44,879.78 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 37 16 — — $7,116.63 $82,618.38 $44,867.50 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 16 — — $9,086.18 $80,438.38 $44,762.28 2025-10-01
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $44,759.79 $44,759.79 $44,759.79 2025-10-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 16 — — $11,974.21 $77,505.10 $44,739.65 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 16 — — $6,819.04 $81,949.33 $44,384.18 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 16 — — $8,848.98 $79,890.73 $44,369.86 2025-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 36 16 — — $8,562.95 $101,734.40 $44,326.24 2025-10-01
037 OTHER Extracranial Procedures With Mcc 1 1 — — $44,322.07 $44,322.07 $44,322.07 2025-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 16 — — $11,489.11 $76,333.66 $43,911.39 2025-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 16 — — $11,780.05 $75,936.74 $43,858.39 2025-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 16 — — $9,068.56 $78,486.28 $43,777.42 2025-10-01
252 MS_DRG Other Vascular Procedures With Mcc 36 16 — — $12,765.26 $74,567.96 $43,666.61 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 16 — — $4,309.79 $82,850.49 $43,580.14 2025-10-01
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $43,445.77 $43,445.77 $43,445.77 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 36 16 — — $6,188.62 $80,357.21 $43,272.92 2025-10-01
028 OTHER Spinal Procedures With Mcc 1 1 — — $43,235.69 $43,235.69 $43,235.69 2025-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 36 16 — — $14,501.37 $71,905.06 $43,203.21 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 16 — — $9,247.11 $77,092.53 $43,169.82 2025-10-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 16 — — $12,275.84 $73,847.56 $43,061.70 2025-10-01
332 MS_DRG Rectal Resection With Mcc 36 16 — — $8,602.24 $77,398.22 $43,000.23 2025-10-01
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $42,976.98 $42,976.98 $42,976.98 2025-10-01
471 OTHER Cervical Spinal Fusion With Mcc 1 1 — — $42,844.70 $42,844.70 $42,844.70 2025-10-01
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $42,606.42 $42,606.42 $42,606.42 2025-10-01
SUP143147 LOCAL Valve 42mm Mitral Inte Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143146 LOCAL Valve 48mm Mitral Inte Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143150 LOCAL Trial Valve Mitral Intrep 50mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016115 LOCAL Valve 29f 48mm Intrepid Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016116 LOCAL Valve 29f 42mm Intrepid Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1000358 LOCAL Intrepid Valve Vl48m Study Ide#g160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143151 LOCAL Trial Valve Mitral Intrep 46mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143152 LOCAL Trial Valve Mitral Intrep 43mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $42,438.16 $42,438.16 $42,438.16 2025-10-01
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $42,226.13 $42,226.13 $42,226.13 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 16 — — $8,838.58 $75,386.68 $42,112.63 2025-10-01
034 OTHER Carotid Artery Stent Procedures With Mcc 1 1 — — $41,982.01 $41,982.01 $41,982.01 2025-10-01
396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $41,978.12 $41,978.12 $41,978.12 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 36 16 — — $6,261.43 $77,564.95 $41,913.19 2025-10-01
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $41,869.19 $41,869.19 $41,869.19 2025-10-01
265 MS_DRG Aicd Lead Procedures 36 16 — — $6,383.35 $77,344.77 $41,864.06 2025-10-01
800 OTHER Splenic Procedures Age >17 With Cc 1 1 — — $41,856.55 $41,856.55 $41,856.55 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 36 16 — — $6,422.36 $77,207.96 $41,815.16 2025-10-01
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 1 1 — — $41,553.10 $41,553.10 $41,553.10 2025-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 16 — — $10,112.42 $69,051.32 $41,488.58 2025-10-01
480 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Mcc 1 1 — — $41,168.93 $41,168.93 $41,168.93 2025-10-01
81200009 CDM Hc Bioengineer Lung For Transplant 30 20 $124,485.00 $36,100.65 71% off $24,897.00 $99,588.00 $41,080.05 2025-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 16 — — $9,031.29 $72,740.02 $40,885.65 2025-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 36 16 — — $8,804.49 $158,591.85 $40,866.43 2025-10-01
266 OTHER Acute Leukemia Age 0-17 1 1 — — $40,853.80 $40,853.80 $40,853.80 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 16 — — $13,566.72 $68,125.05 $40,845.89 2025-10-01
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $40,543.55 $40,543.55 $40,543.55 2025-10-01
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 40 17 $84,277.86 $24,440.58 71% off $25,283.36 $84,277.86 $40,453.37 2025-10-01
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $40,397.66 $40,397.66 $40,397.66 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 16 — — $9,079.54 $76,021.56 $40,290.35 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 16 — — $9,860.19 $70,613.29 $40,236.74 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 16 — — $12,357.60 $68,058.78 $40,208.19 2025-10-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 16 — — $7,120.67 $73,287.50 $40,204.08 2025-10-01
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $39,910.39 $39,910.39 $39,910.39 2025-10-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 36 16 — — $12,882.36 $65,994.15 $39,438.25 2025-10-01
901 OTHER Wound Debridements For Injuries With Mcc 1 1 — — $39,360.87 $39,360.87 $39,360.87 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 36 16 — — $4,472.74 $74,206.69 $39,339.71 2025-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 35 16 — — $8,916.01 $69,054.93 $38,985.47 2025-10-01
163 OTHER Major Chest Procedures With Mcc 1 1 — — $38,821.08 $38,821.08 $38,821.08 2025-10-01
665 MS_DRG Prostatectomy With Mcc 36 16 — — $6,180.82 $71,460.08 $38,820.45 2025-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 16 — — $4,154.06 $73,455.95 $38,805.00 2025-10-01
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $38,775.37 $38,775.37 $38,775.37 2025-10-01
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $38,700.48 $38,700.48 $38,700.48 2025-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 36 16 — — $6,990.95 $70,365.32 $38,678.14 2025-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 16 — — $9,180.95 $68,028.18 $38,604.57 2025-10-01
265 OTHER Aicd Lead Procedures 1 1 — — $38,510.83 $38,510.83 $38,510.83 2025-10-01
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $38,500.13 $38,500.13 $38,500.13 2025-10-01
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $38,489.43 $38,489.43 $38,489.43 2025-10-01
J9118 HCPCS Asparlas 750 Unit/ml Intravenous Solution 40 17 $80,149.36 $23,243.31 71% off $24,044.81 $60,715.50 $38,471.69 2025-10-01
37 MS_DRG Extracranial Procedures With Mcc 36 16 — — $6,526.37 $70,373.87 $38,450.12 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 36 16 — — $7,517.36 $69,228.08 $38,372.72 2025-10-01
500 MS_DRG Soft Tissue Procedures With Mcc 36 16 — — $8,766.93 $67,652.63 $38,209.78 2025-10-01
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