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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 WILSON COUNTY HOSPITAL

Lebanon, TN · CCN 440193 · Rates published

16,147 distinct procedures filed
33 distinct payers
2,304,073 rate rows
2025-10-01 last MRF observed
Data quality

2,173,429 of 2,304,073 rate rows are consumer-grade (94.3%)

130,644 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 122,722
per-diem day rate — not a per-procedure price 4,046
exceeds 10× this hospital's gross charge — excluded from medians 3,565
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 201
template filing: same amount across many unrelated codes — excluded 110
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://finance.vumc.org/assets/pub/pt/352528741_vanderbilt-wilson-county-hospital_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint e1ef31ac6d5983bd… · 1,312,230,456 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 $891,274.23 $4,944,226.50 $2,688,064.50 nat. median
$3,325,455
0.8× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 17 $593,564.48 $2,410,257.31 $1,081,999.96 nat. median
$674,867
1.6× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 17 $431,613.35 $4,687,893.65 $1,003,170.94 nat. median
$2,468,984
outlier · 0.4×
Q2041
HCPCS 		Yescarta Intravenous Suspension 17 $539,560.68 $2,185,747.20 $982,364.18 nat. median
$634,303
1.5× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 17 $525,137.54 $2,005,290.00 $928,664.29 nat. median
$619,808
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×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $119,841.64 $956,481.22 $320,869.14 nat. median
$202,976
1.6× median
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
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $62,623.12 $497,637.45 $281,466.42 nat. median
$206,474
1.4× median
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
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 $200,653.61 $553,527.20 $228,329.97 nat. median
$102,196
outlier · 2.2×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 17 $119,376.28 $393,986.55 $219,910.08 nat. median
$2,675
outlier · 82.2×
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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $77,260.28 $330,094.81 $200,813.95 nat. median
$133,161
1.5× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 17 $100,319.34 $325,819.48 $186,380.20 nat. median
$8,223
outlier · 22.7×
81200000
CDM 		Hc Organ For Transplant-lung 20 $155,838.46 $429,899.20 $177,333.42 nat. median
$41,850
outlier · 4.2×
81200005
CDM 		Hc Organ For Transplant-heart 20 $149,826.76 $413,315.20 $170,492.52 nat. median
$98,622
1.7× 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
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $50,961.54 $256,882.13 $157,503.97 nat. median
$98,894
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $28,703.92 $254,371.62 $155,238.65 nat. median
$102,358
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 16 $31,984.26 $283,441.79 $142,295.49 nat. median
$99,019
1.4× median
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
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $26,205.74 $232,233.05 $139,512.51 nat. median
$93,672
1.5× 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
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $42,816.91 $217,557.44 $130,187.18 nat. median
$83,470
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $50,739.73 $292,000.59 $128,992.19 nat. median
$81,118
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $40,549.08 $209,995.76 $128,756.19 nat. median
$82,711
1.6× 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 $111,216.45 $306,804.00 $126,556.65 nat. median
$67,930
1.9× median
81200004
CDM 		Hc Organ For Transplant-liver 20 $111,216.45 $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×
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 17 $61,180.78 $292,916.96 $122,298.92 nat. median
$66,682
1.8× median
81200003
CDM 		Hc Organ For Transplant-pancreas 20 $106,943.01 $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
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $16,186.14 $196,484.11 $120,218.80 nat. median
$79,312
1.5× 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×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $35,823.53 $183,405.99 $112,216.96 nat. median
$77,570
1.4× median
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
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $28,993.87 $205,552.92 $109,730.59 nat. median
$74,915
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $45,811.47 $177,604.63 $108,895.99 nat. median
$72,135
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $13,901.97 $178,194.32 $108,826.62 nat. median
$73,807
1.5× median
81100000
CDM 		Hc Organ Acq Kidney Living Donor 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$37,200
outlier · 2.9×
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$56,338
1.9× 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
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $34,513.88 $168,251.13 $103,161.01 nat. median
$68,090
1.5× 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

Other procedures at this hospital

Browse this hospital's 16,147 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 268 15 — $2,598,462.35 $891,274.23 $4,944,226.50 $2,688,064.50 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 $593,564.48 $2,410,257.31 $1,081,999.96 2025-10-01
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 40 17 — $1,942,127.37 $431,613.35 $4,687,893.65 $1,003,170.94 2025-10-01
Q2041 HCPCS Yescarta Intravenous Suspension 38 17 $3,122,496.00 $905,523.84 71% off $539,560.68 $2,185,747.20 $982,364.18 2025-10-01
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 38 17 $2,864,700.00 $830,763.00 71% off $525,137.54 $2,005,290.00 $928,664.29 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 16 — — $119,841.64 $956,481.22 $320,869.14 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 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 16 — — $62,623.12 $497,637.45 $281,466.42 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
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 $200,653.61 $553,527.20 $228,329.97 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 $393,986.55 $219,910.08 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 16 — — $77,260.28 $330,094.81 $200,813.95 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 $325,819.48 $186,380.20 2025-10-01
81200000 CDM Hc Organ For Transplant-lung 30 20 $537,374.00 $155,838.46 71% off $155,838.46 $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 $149,826.76 $413,315.20 $170,492.52 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $50,961.54 $256,882.13 $157,503.97 2025-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 16 — — $28,703.92 $254,371.62 $155,238.65 2025-10-01
215 MS_DRG Other Heart Assist System Implant 35 16 — — $31,984.26 $283,441.79 $142,295.49 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $26,205.74 $232,233.05 $139,512.51 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
850 MS_DRG Acute Leukemia With Other Procedures 33 16 — — $42,816.91 $217,557.44 $130,187.18 2025-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $50,739.73 $292,000.59 $128,992.19 2025-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 16 — — $40,549.08 $209,995.76 $128,756.19 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
81100001 CDM Hc Organ Acq Liver Living Donor 30 20 $383,505.00 $111,216.45 71% off $111,216.45 $306,804.00 $126,556.65 2025-10-01
81200004 CDM Hc Organ For Transplant-liver 30 20 $383,505.00 $111,216.45 71% off $111,216.45 $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
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 40 17 $418,452.80 $121,351.31 71% off $61,180.78 $292,916.96 $122,298.92 2025-10-01
81200003 CDM Hc Organ For Transplant-pancreas 30 20 $368,769.00 $106,943.01 71% off $106,943.01 $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
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 16 — — $16,186.14 $196,484.11 $120,218.80 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 16 — — $35,823.53 $183,405.99 $112,216.96 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $28,993.87 $205,552.92 $109,730.59 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 16 — — $45,811.47 $177,604.63 $108,895.99 2025-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 16 — — $13,901.97 $178,194.32 $108,826.62 2025-10-01
81200002 CDM Hc Organ Acq Kidney Cadaver Rela 30 20 $321,447.00 $93,219.63 71% off $93,219.63 $257,157.60 $106,077.51 2025-10-01
81100000 CDM Hc Organ Acq Kidney Living Donor 30 20 $321,447.00 $93,219.63 71% off $93,219.63 $257,157.60 $106,077.51 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $34,513.88 $168,251.13 $103,161.01 2025-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $103,159.14 $103,159.14 $103,159.14 2025-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 16 — — $28,798.61 $167,181.29 $102,289.87 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 16 — — $18,750.41 $166,195.36 $101,793.59 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 16 — — $30,748.75 $177,125.14 $98,776.53 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 16 — — $16,738.07 $160,310.09 $98,085.73 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 14 — — $54,222.96 $152,204.16 $97,355.65 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 16 — — $45,049.75 $192,473.83 $96,194.15 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 16 — — $16,486.76 $155,848.94 $95,556.77 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 16 — — $32,595.82 $158,344.90 $95,486.75 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $15,273.91 $153,257.09 $93,770.35 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $16,801.23 $153,257.09 $93,770.35 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 16 — — $21,181.87 $152,700.03 $93,429.52 2025-10-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $93,290.23 $93,290.23 $93,290.23 2025-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 16 — — $27,834.55 $149,979.99 $91,765.26 2025-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $36,005.20 $183,029.39 $91,533.59 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 $155,797.56 $91,321.07 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 16 — — $23,963.68 $212,364.06 $87,580.96 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 16 — — $36,932.45 $157,794.62 $87,479.50 2025-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 16 — — $12,172.39 $141,307.08 $86,458.74 2025-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 16 — — $16,550.18 $146,666.29 $85,750.22 2025-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 16 — — $12,763.48 $136,785.33 $83,692.10 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 16 — — $20,902.06 $138,067.34 $83,637.91 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 16 — — $25,426.88 $134,419.57 $82,417.63 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $27,310.34 $170,302.19 $81,805.76 2025-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $19,676.38 $132,843.95 $81,280.57 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $25,583.06 $131,037.58 $80,344.00 2025-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 16 — — $11,886.97 $129,736.99 $79,546.56 2025-10-01
28 MS_DRG Spinal Procedures With Mcc 35 16 — — $14,397.64 $140,041.46 $79,208.20 2025-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 16 — — $17,822.76 $128,730.08 $78,763.50 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 35 16 — — $26,350.91 $174,059.65 $78,456.16 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 16 — — $19,280.83 $127,124.16 $77,780.92 2025-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 15 — — $14,663.42 $127,051.76 $76,909.27 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 16 — — $25,037.84 $124,222.32 $76,165.31 2025-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $15,116.41 $124,296.90 $76,051.06 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $31,151.36 $158,283.50 $75,653.70 2025-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 15 — — $12,618.51 $122,980.00 $75,324.46 2025-10-01
653 MS_DRG Major Bladder Procedures With Mcc 35 16 — — $21,246.01 $121,117.69 $74,105.86 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 16 — — $16,457.64 $121,327.46 $73,868.17 2025-10-01
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 49 17 $128,170.60 $37,169.47 71% off $38,451.18 $127,376.76 $72,681.21 2025-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 16 — — $14,037.42 $127,506.41 $72,118.31 2025-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 16 — — $9,424.24 $127,324.61 $72,015.48 2025-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $11,484.28 $117,476.98 $71,878.29 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 16 — — $22,618.56 $116,246.32 $71,125.31 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 16 — — $19,515.26 $224,824.39 $70,703.29 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 $118,886.38 $70,618.61 2025-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 16 — — $24,351.80 $123,734.19 $70,503.45 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 16 — — $22,704.08 $165,167.85 $70,336.01 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 $126,329.14 $70,125.57 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
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $24,282.77 $143,525.23 $69,006.95 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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 16 — — $29,008.36 $206,259.07 $68,658.25 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 15 — — $17,993.28 $159,454.90 $67,965.18 2025-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $67,883.98 $67,883.98 $67,883.98 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 $67,801.64 2025-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $18,510.20 $109,356.47 $66,909.76 2025-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 16 — — $24,382.93 $214,829.68 $66,850.44 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
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 40 17 $119,539.80 $34,666.54 71% off $35,861.94 $115,773.03 $66,448.43 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 16 — — $21,366.06 $112,419.28 $65,934.78 2025-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 16 — — $12,745.10 $112,945.94 $65,933.70 2025-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $20,567.23 $171,258.68 $65,521.38 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
245 MS_DRG Aicd Generator Procedures 35 16 — — $12,100.43 $107,232.99 $65,064.39 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 16 — — $18,380.05 $106,021.10 $64,869.01 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 16 — — $16,895.02 $107,135.22 $64,847.42 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 $109,317.64 $64,774.30 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 16 — — $11,511.24 $114,237.17 $64,613.16 2025-10-01
799 MS_DRG Splenic Procedures With Mcc 35 16 — — $18,365.64 $105,559.60 $64,586.64 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $21,268.82 $137,767.41 $64,030.83 2025-10-01
163 MS_DRG Major Chest Procedures With Mcc 35 16 — — $18,866.23 $104,461.79 $63,914.95 2025-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 35 16 — — $10,928.37 $104,021.27 $63,645.42 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
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $62,845.12 $62,845.12 $62,845.12 2025-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 16 — — $15,367.22 $102,387.38 $62,645.72 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
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 2025-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 16 — — $11,033.10 $100,863.04 $61,777.96 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 16 — — $18,839.76 $125,059.10 $61,349.83 2025-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 16 — — $28,598.80 $261,468.53 $61,198.13 2025-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 16 — — $25,753.88 $99,415.61 $60,827.44 2025-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 16 — — $18,980.11 $98,844.57 $60,605.27 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 16 — — $10,404.43 $98,434.35 $60,227.06 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 16 — — $30,894.77 $101,536.57 $60,220.84 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 16 — — $15,092.99 $98,266.53 $60,124.38 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 16 — — $16,220.59 $97,930.89 $59,919.02 2025-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $22,821.74 $153,463.27 $59,630.63 2025-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 35 16 — — $13,262.60 $97,814.35 $59,527.63 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 16 — — $14,112.26 $96,798.12 $59,225.93 2025-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 16 — — $8,533.06 $97,632.55 $59,095.59 2025-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 16 — — $9,460.48 $96,157.15 $58,833.76 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $19,528.22 $105,570.35 $57,976.32 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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 16 — — $18,183.91 $93,709.81 $57,456.97 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 16 — — $12,986.51 $92,861.40 $56,817.25 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
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
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $55,693.64 $55,693.64 $55,693.64 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 $99,482.11 $55,666.90 2025-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 16 — — $19,133.44 $90,766.01 $55,535.19 2025-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 16 — — $19,158.22 $109,625.39 $55,180.41 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 16 — — $11,823.58 $90,218.28 $54,607.84 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 16 — — $9,804.00 $90,083.09 $54,526.01 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
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $53,797.75 $53,797.75 $53,797.75 2025-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 16 — — $21,297.87 $87,325.75 $53,542.66 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 16 — — $22,009.28 $87,108.99 $53,409.75 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 16 — — $16,208.97 $87,118.31 $53,303.34 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 16 — — $17,937.38 $136,477.92 $53,259.70 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 16 — — $14,589.14 $85,577.65 $52,360.69 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
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 16 — — $16,689.30 $97,880.66 $51,814.88 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
332 MS_DRG Rectal Resection With Mcc 35 16 — — $13,838.96 $84,391.28 $51,634.80 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 16 — — $8,529.60 $84,057.97 $51,539.06 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 16 — — $12,599.80 $89,486.40 $51,215.83 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 16 — — $10,073.15 $84,573.08 $51,182.76 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
265 MS_DRG Aicd Lead Procedures 35 16 — — $5,888.05 $84,333.01 $51,045.57 2025-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 16 — — $18,483.24 $93,915.36 $51,031.73 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
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 16 — — $17,326.22 $192,381.72 $50,955.99 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 16 — — $10,332.04 $84,183.83 $50,955.27 2025-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 16 — — $16,610.54 $129,579.39 $50,913.12 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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 16 — — $18,356.48 $128,193.08 $50,864.53 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 16 — — $8,375.03 $82,890.24 $50,716.39 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 16 — — $9,956.02 $85,612.61 $50,587.61 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 16 — — $10,970.21 $83,314.45 $50,429.05 2025-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 16 — — $17,429.30 $96,293.59 $50,295.75 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 16 — — $14,219.16 $82,197.99 $50,292.84 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
252 MS_DRG Other Vascular Procedures With Mcc 35 16 — — $11,774.77 $104,346.99 $49,851.30 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 16 — — $14,617.50 $81,284.32 $49,733.81 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
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 16 — — $15,827.27 $100,346.27 $49,369.69 2025-10-01
791 MS_DRG Prematurity With Major Problems 26 15 — — $10,348.16 $86,767.57 $49,234.14 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
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $11,455.46 $79,909.15 $48,892.41 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 16 — — $14,164.32 $79,517.57 $48,652.83 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
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
264 MS_DRG Other Circulatory System O.r. Procedures 35 16 — — $14,529.18 $77,862.70 $47,640.30 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
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 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
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $47,393.99 $47,393.99 $47,393.99 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 16 — — $6,933.42 $83,507.90 $47,232.52 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 16 — — $15,862.69 $80,600.10 $47,207.46 2025-10-01
793 MS_DRG Full Term Neonate With Major Problems 26 15 — — $2,864.88 $89,131.83 $47,128.18 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
37 MS_DRG Extracranial Procedures With Mcc 35 16 — — $10,499.37 $76,732.27 $46,948.64 2025-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 16 — — $6,448.50 $76,722.94 $46,942.93 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
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 16 — — $14,894.15 $131,990.69 $46,485.76 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 16 — — $12,093.63 $75,482.96 $46,184.25 2025-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 16 — — $14,343.73 $75,294.16 $46,165.65 2025-10-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 16 — — $10,285.56 $75,399.05 $46,132.91 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
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 16 — — $11,739.92 $75,217.25 $46,021.67 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 16 — — $7,047.06 $74,828.00 $45,831.67 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 16 — — $7,195.57 $80,911.39 $45,763.92 2025-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 16 — — $13,376.17 $118,538.45 $45,628.30 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 16 — — $15,334.75 $110,898.35 $45,543.99 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 16 — — $15,853.04 $101,014.63 $45,499.69 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 16 — — $19,185.14 $132,455.94 $45,408.22 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
500 MS_DRG Soft Tissue Procedures With Mcc 35 16 — — $14,103.89 $93,161.98 $45,228.16 2025-10-01
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 40 17 $84,277.86 $24,440.58 71% off $25,283.36 $75,000.92 $45,121.86 2025-10-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 16 — — $10,387.82 $73,653.28 $45,064.76 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 16 — — $12,845.30 $113,833.94 $45,009.50 2025-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 16 — — $7,911.32 $73,443.51 $44,983.68 2025-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 35 16 — — $6,682.89 $79,412.69 $44,916.24 2025-10-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 16 — — $6,109.78 $73,236.07 $44,809.49 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
J9118 HCPCS Asparlas 750 Unit/ml Intravenous Solution 40 17 $80,149.36 $23,243.31 71% off $24,044.81 $62,805.30 $44,715.65 2025-10-01
665 MS_DRG Prostatectomy With Mcc 35 16 — — $9,943.47 $72,748.93 $44,511.43 2025-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 16 — — $14,808.68 $75,515.36 $44,433.58 2025-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $13,059.95 $72,597.43 $44,418.74 2025-10-01
037 OTHER Extracranial Procedures With Mcc 1 1 — — $44,322.07 $44,322.07 $44,322.07 2025-10-01
J1747 HCPCS Spevigo 60 Mg/ml Intravenous Solution 40 17 $78,344.18 $22,719.81 71% off $23,503.25 $72,694.42 $43,950.78 2025-10-01
263 MS_DRG Vein Ligation And Stripping 35 16 — — $10,282.77 $71,261.88 $43,601.58 2025-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 16 — — $14,292.60 $72,622.28 $43,457.44 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
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 16 — — $14,769.95 $75,047.74 $43,347.46 2025-10-01
028 OTHER Spinal Procedures With Mcc 1 1 — — $43,235.69 $43,235.69 $43,235.69 2025-10-01
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $9,470.30 $71,357.44 $43,191.64 2025-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 16 — — $14,221.84 $77,107.14 $43,160.25 2025-10-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 16 — — $10,862.38 $70,315.57 $43,022.58 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
SUP1016115 LOCAL Valve 29f 48mm Intrepid Ide G160020 25 18 $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 25 18 $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 25 18 $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 25 18 $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 25 18 $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 25 18 $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 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143147 LOCAL Valve 42mm Mitral Inte Ide G160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 16 — — $8,704.40 $75,070.41 $42,460.23 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
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 40 17 $74,613.97 $21,638.05 71% off $22,384.19 $74,326.78 $42,393.58 2025-10-01
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $42,226.13 $42,226.13 $42,226.13 2025-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 35 16 — — $14,787.77 $86,969.60 $42,102.72 2025-10-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 16 — — $20,660.47 $68,621.08 $42,074.13 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
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