Price Transparencybeta Hospital negotiated rates

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

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Hospital

VANDERBILT WILSON COUNTY HOSPITAL

Lebanon, TN · CCN 440193 · Rates published

16,140 distinct procedures filed
33 distinct payers
2,304,073 rate rows
2025-10-01 last MRF observed · ⚠ 12 mo old
Data quality

2,169,510 of 2,304,073 rate rows are consumer-grade (94.2%)

134,563 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,171
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 775
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 193
template filing: same amount across many unrelated codes — excluded 90
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://finance.vumc.org/assets/pub/pt/352528741_vanderbilt-wilson-county-hospital_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-16
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
$599,737
1.8× 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
$2,455,111
outlier · 0.4×
Q2041
HCPCS 		Yescarta Intravenous Suspension 17 $539,560.68 $2,185,747.20 $982,364.18 nat. median
$562,501
1.7× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 17 $525,137.54 $2,005,290.00 $928,664.29 nat. median
$513,770
1.8× 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
$1,441
outlier · 241.8×
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $319,253.42 $319,253.42 $319,253.42 nat. median
$6,246
outlier · 51.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $119,841.64 $512,021.28 $314,568.08 nat. median
$145,435
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $62,623.12 $497,637.45 $291,339.64 nat. median
$131,925
outlier · 2.2×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $269,585.61 $269,585.61 $269,585.61 nat. median
$2
outlier · 167444.5×
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
$119,739
outlier · 2.2×
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $231,493.72 $231,493.72 $231,493.72 nat. median
$5,475
outlier · 42.3×
81200001
CDM 		Hc Organ For Transplant-dble Lung 20 $200,653.61 $553,527.20 $228,329.97 nat. median
$31,253
outlier · 7.3×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 17 $119,376.28 $393,986.55 $219,910.08 nat. median
$1,667
outlier · 131.9×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $204,709.51 $204,709.51 $204,709.51 nat. median
$6,011
outlier · 34.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $77,260.28 $330,094.81 $197,742.59 nat. median
$97,418
outlier · 2.0×
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 17 $100,319.34 $325,819.48 $186,380.20 nat. median
$6,067
outlier · 30.7×
81200000
CDM 		Hc Organ For Transplant-lung 20 $155,838.46 $429,899.20 $177,333.42 nat. median
$25,445
outlier · 7.0×
81200005
CDM 		Hc Organ For Transplant-heart 20 $149,826.76 $413,315.20 $170,492.52 nat. median
$66,633
outlier · 2.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $50,961.54 $256,882.13 $163,339.70 nat. median
$2,736
outlier · 59.7×
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
$106,489
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $28,703.92 $254,371.62 $155,401.76 nat. median
$74,509
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 15 $31,984.26 $283,441.79 $142,146.14 nat. median
$73,023
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $26,205.74 $232,233.05 $139,659.25 nat. median
$69,822
outlier · 2.0×
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $139,537.53 $139,537.53 $139,537.53 nat. median
$55,107
outlier · 2.5×
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
$220,794
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $40,549.08 $209,995.76 $133,526.77 nat. median
$2,596
outlier · 51.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $42,816.91 $217,557.44 $128,338.12 nat. median
$2,633
outlier · 48.7×
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $126,666.73 $126,666.73 $126,666.73 nat. median
$57,468
outlier · 2.2×
81200004
CDM 		Hc Organ For Transplant-liver 20 $111,216.45 $306,804.00 $126,556.65 nat. median
$23,803
outlier · 5.3×
81100001
CDM 		Hc Organ Acq Liver Living Donor 20 $111,216.45 $306,804.00 $126,556.65 nat. median
$35,122
outlier · 3.6×
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
$55,344
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $50,739.73 $292,000.59 $124,542.59 nat. median
$59,651
outlier · 2.1×
359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $122,682.02 $122,682.02 $122,682.02 nat. median
$13,185
outlier · 9.3×
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 17 $61,180.78 $292,916.96 $122,298.92 nat. median
$63,499
1.9× median
81200003
CDM 		Hc Organ For Transplant-pancreas 20 $106,943.01 $295,015.20 $121,693.77 nat. median
$31,612
outlier · 3.8×
007
OTHER 		Lung Transplant 1 $121,587.54 $121,587.54 $121,587.54 nat. median
$67,163
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $16,186.14 $196,484.11 $120,345.25 nat. median
$60,505
2.0× median
212
OTHER 		Testes Procedures Age 0-17 1 $117,607.99 $117,607.99 $117,607.99 nat. median
$106
outlier · 1111.3×
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $113,612.27 $113,612.27 $113,612.27 nat. median
$127
outlier · 894.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $35,823.53 $183,405.99 $112,334.99 nat. median
$56,428
2.0× 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
$283
outlier · 394.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $28,993.87 $205,552.92 $109,615.42 nat. median
$55,923
2.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $13,901.97 $178,194.32 $108,927.41 nat. median
$55,935
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $45,811.47 $177,604.63 $108,781.69 nat. median
$52,327
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $34,513.88 $168,251.13 $106,983.26 nat. median
$9,905
outlier · 10.8×
81100000
CDM 		Hc Organ Acq Kidney Living Donor 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$25,445
outlier · 4.2×
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$30,361
outlier · 3.5×
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
$2,726
outlier · 38.2×
215
OTHER 		Other Heart Assist System Implant 1 $103,159.14 $103,159.14 $103,159.14 nat. median
$229
outlier · 451.0×

Other procedures at this hospital

Browse this hospital's 16,140 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1413 HCPCS Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 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
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $319,253.42 $319,253.42 $319,253.42 2025-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 15 — — $119,841.64 $512,021.28 $314,568.08 2025-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 15 — — $62,623.12 $497,637.45 $291,339.64 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… 34 15 — — $77,260.28 $330,094.81 $197,742.59 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 15 — — $50,961.54 $256,882.13 $163,339.70 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 15 — — $28,703.92 $254,371.62 $155,401.76 2025-10-01
215 MS_DRG Other Heart Assist System Implant 34 15 — — $31,984.26 $283,441.79 $142,146.14 2025-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 15 — — $26,205.74 $232,233.05 $139,659.25 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 15 — — $40,549.08 $209,995.76 $133,526.77 2025-10-01
850 MS_DRG Acute Leukemia With Other Procedures 32 15 — — $42,816.91 $217,557.44 $128,338.12 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 15 — — $50,739.73 $292,000.59 $124,542.59 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 34 15 — — $16,186.14 $196,484.11 $120,345.25 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 34 15 — — $35,823.53 $183,405.99 $112,334.99 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… 34 15 — — $28,993.87 $205,552.92 $109,615.42 2025-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 15 — — $13,901.97 $178,194.32 $108,927.41 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 15 — — $45,811.47 $177,604.63 $108,781.69 2025-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 15 — — $34,513.88 $168,251.13 $106,983.26 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
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
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 15 — — $28,798.61 $167,181.29 $102,397.46 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 15 — — $18,750.41 $166,195.36 $101,900.55 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 15 — — $16,486.76 $155,848.94 $99,097.27 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 15 — — $32,595.82 $158,344.90 $99,024.65 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 15 — — $30,748.75 $177,125.14 $98,672.85 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 15 — — $16,738.07 $160,310.09 $98,188.90 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 15 — — $45,049.75 $192,473.83 $96,093.18 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 13 — — $54,222.96 $152,204.16 $94,056.36 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… 34 15 — — $15,273.91 $153,257.09 $93,868.98 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 15 — — $16,801.23 $153,257.09 $93,868.98 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 15 — — $21,181.87 $152,700.03 $93,527.79 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 34 15 — — $27,834.55 $149,979.99 $91,861.78 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 15 — — $36,005.20 $183,029.39 $88,376.12 2025-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 15 — — $23,963.68 $212,364.06 $87,489.04 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 15 — — $36,932.45 $157,794.62 $87,387.68 2025-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 15 — — $12,172.39 $141,307.08 $86,549.68 2025-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 15 — — $16,550.18 $146,666.29 $85,840.32 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 15 — — $25,426.88 $134,419.57 $85,471.31 2025-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 15 — — $12,763.48 $136,785.33 $83,780.13 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 15 — — $20,902.06 $138,067.34 $83,725.89 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 15 — — $25,583.06 $131,037.58 $83,320.85 2025-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 15 — — $11,886.97 $129,736.99 $82,493.86 2025-10-01
28 MS_DRG Spinal Procedures With Mcc 34 15 — — $14,397.64 $140,041.46 $81,986.65 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 15 — — $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 … 34 15 — — $19,676.38 $132,843.95 $81,366.06 2025-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 15 — — $25,037.84 $124,222.32 $78,987.33 2025-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 15 — — $17,822.76 $128,730.08 $78,846.35 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 34 15 — — $26,350.91 $174,059.65 $78,373.81 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 15 — — $19,280.83 $127,124.16 $77,862.73 2025-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 15 — — $19,449.65 $127,324.61 $77,067.77 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 15 — — $15,116.41 $124,296.90 $76,131.05 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 15 — — $31,151.36 $158,283.50 $75,574.29 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 15 — — $14,037.42 $127,506.41 $74,648.06 2025-10-01
653 MS_DRG Major Bladder Procedures With Mcc 34 15 — — $21,246.01 $121,117.69 $74,183.80 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 15 — — $16,457.64 $121,327.46 $74,051.19 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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 15 — — $11,484.28 $117,476.98 $71,953.89 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 34 15 — — $22,618.56 $116,246.32 $71,200.12 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 15 — — $19,515.26 $224,824.39 $70,629.08 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 33 15 — — $24,351.80 $123,734.19 $70,429.37 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 15 — — $22,704.08 $165,167.85 $70,262.18 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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 34 15 — — $24,282.77 $143,525.23 $68,934.52 2025-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 15 — — $29,008.36 $206,259.07 $68,586.18 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 34 15 — — $18,510.20 $109,356.47 $66,980.13 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 15 — — $11,511.24 $114,237.17 $66,879.65 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 15 — — $24,382.93 $214,829.68 $66,780.27 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 15 — — $12,745.10 $112,945.94 $66,002.98 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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 15 — — $20,567.23 $171,258.68 $65,452.60 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 15 — — $16,895.02 $107,135.22 $65,199.06 2025-10-01
245 MS_DRG Aicd Generator Procedures 34 15 — — $12,100.43 $107,232.99 $65,132.82 2025-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 15 — — $21,366.06 $112,419.28 $64,976.89 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 15 — — $18,380.05 $106,021.10 $64,937.24 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
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
799 MS_DRG Splenic Procedures With Mcc 34 15 — — $18,365.64 $105,559.60 $64,654.57 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
163 MS_DRG Major Chest Procedures With Mcc 34 15 — — $18,866.23 $104,461.79 $63,982.18 2025-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 15 — — $21,268.82 $137,767.41 $63,963.62 2025-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 15 — — $10,928.37 $104,021.27 $63,712.36 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 15 — — $18,980.11 $98,844.57 $62,850.77 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 34 15 — — $15,367.22 $102,387.38 $62,711.61 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 15 — — $11,033.10 $100,863.04 $61,842.87 2025-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 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 34 15 — — $18,839.76 $125,059.10 $61,285.44 2025-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 15 — — $25,753.88 $99,415.61 $60,891.42 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 15 — — $10,404.43 $98,434.35 $60,290.40 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 15 — — $15,092.99 $98,266.53 $60,187.62 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 15 — — $30,894.77 $101,536.57 $60,157.63 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 15 — — $16,220.59 $97,930.89 $59,982.04 2025-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 34 15 — — $13,262.60 $97,814.35 $59,687.67 2025-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 15 — — $18,183.91 $93,709.81 $59,585.82 2025-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 15 — — $22,821.74 $153,463.27 $59,568.04 2025-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 15 — — $28,598.80 $261,468.53 $59,480.09 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 15 — — $8,533.06 $97,632.55 $59,416.04 2025-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 15 — — $14,112.26 $96,798.12 $59,288.22 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 15 — — $9,460.48 $96,157.15 $58,895.64 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
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 34 15 — — $12,986.51 $92,861.40 $56,877.01 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 15 — — $19,528.22 $105,570.35 $55,846.29 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 34 15 — — $19,133.44 $90,766.01 $55,593.60 2025-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 15 — — $19,158.22 $109,625.39 $55,122.49 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 15 — — $9,804.00 $90,083.09 $55,117.34 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 15 — — $11,823.58 $90,218.28 $54,903.94 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
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 34 15 — — $21,297.87 $87,325.75 $53,486.46 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 15 — — $8,529.60 $84,057.97 $53,448.65 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 15 — — $16,208.97 $87,118.31 $53,359.40 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 15 — — $22,009.28 $87,108.99 $53,353.69 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 15 — — $17,937.38 $136,477.92 $53,203.79 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 15 — — $12,599.80 $89,486.40 $52,690.33 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 34 15 — — $14,589.14 $85,577.65 $52,415.76 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… 34 15 — — $16,689.30 $97,880.66 $51,760.49 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 34 15 — — $13,838.96 $84,391.28 $51,689.11 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
265 MS_DRG Aicd Lead Procedures 34 15 — — $5,888.05 $84,333.01 $51,322.36 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 15 — — $10,332.04 $84,183.83 $51,231.57 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 15 — — $9,956.02 $85,612.61 $51,203.85 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 15 — — $10,073.15 $84,573.08 $51,186.82 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 15 — — $18,483.24 $93,915.36 $50,978.17 2025-10-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 15 — — $17,326.22 $192,381.72 $50,902.50 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
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 15 — — $16,610.54 $129,579.39 $50,859.68 2025-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 15 — — $18,356.48 $128,193.08 $50,811.14 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 15 — — $8,375.03 $82,890.24 $50,769.74 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 15 — — $10,970.21 $83,314.45 $50,702.50 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 15 — — $14,219.16 $82,197.99 $50,345.74 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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 15 — — $17,429.30 $96,293.59 $50,242.96 2025-10-01
252 MS_DRG Other Vascular Procedures With Mcc 34 15 — — $11,774.77 $104,346.99 $49,798.98 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 15 — — $14,617.50 $81,284.32 $49,786.12 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 34 15 — — $15,827.27 $100,346.27 $49,317.87 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 34 15 — — $11,455.46 $79,909.15 $48,943.84 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 15 — — $6,933.42 $83,507.90 $48,889.33 2025-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 15 — — $14,164.32 $79,517.57 $48,704.01 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
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
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 15 — — $14,343.73 $75,294.16 $47,876.15 2025-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 15 — — $14,529.18 $77,862.70 $47,690.40 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
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $47,393.99 $47,393.99 $47,393.99 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 15 — — $7,195.57 $80,911.39 $47,369.21 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 15 — — $15,862.69 $80,600.10 $47,157.91 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
37 MS_DRG Extracranial Procedures With Mcc 34 15 — — $10,499.37 $76,732.27 $46,998.02 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 15 — — $6,448.50 $76,722.94 $46,992.31 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 15 — — $6,682.89 $79,412.69 $46,491.81 2025-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 15 — — $14,894.15 $131,990.69 $46,436.97 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 15 — — $12,093.63 $75,482.96 $46,232.82 2025-10-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 15 — — $10,285.56 $75,399.05 $46,181.43 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 34 15 — — $11,739.92 $75,217.25 $46,070.08 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 33 15 — — $7,047.06 $74,828.00 $45,879.83 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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 15 — — $13,376.17 $118,538.45 $45,580.41 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 15 — — $15,334.75 $110,898.35 $45,496.18 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 15 — — $15,853.04 $101,014.63 $45,451.93 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 15 — — $19,185.14 $132,455.94 $45,360.56 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 34 15 — — $14,103.89 $93,161.98 $45,180.68 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… 34 15 — — $10,387.82 $73,653.28 $45,112.16 2025-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 15 — — $7,911.32 $73,443.51 $45,030.94 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 34 15 — — $12,845.30 $113,833.94 $44,962.26 2025-10-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 15 — — $6,109.78 $73,236.07 $44,856.62 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 34 15 — — $9,943.47 $72,748.93 $44,558.25 2025-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 15 — — $13,059.95 $72,597.43 $44,465.46 2025-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 15 — — $14,808.68 $75,515.36 $44,386.94 2025-10-01
037 OTHER Extracranial Procedures With Mcc 1 1 — — $44,322.07 $44,322.07 $44,322.07 2025-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 15 — — $14,292.60 $72,622.28 $44,111.74 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
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 15 — — $8,704.40 $75,070.41 $43,949.64 2025-10-01
263 MS_DRG Vein Ligation And Stripping 34 15 — — $10,282.77 $71,261.88 $43,647.44 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
662 MS_DRG Minor Bladder Procedures With Mcc 34 15 — — $9,470.30 $71,357.44 $43,425.85 2025-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 15 — — $14,769.95 $75,047.74 $43,301.96 2025-10-01
028 OTHER Spinal Procedures With Mcc 1 1 — — $43,235.69 $43,235.69 $43,235.69 2025-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 15 — — $14,221.84 $77,107.14 $43,114.95 2025-10-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 15 — — $10,862.38 $70,315.57 $43,067.83 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
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
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
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
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
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
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
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
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 34 15 — — $14,787.77 $86,969.60 $42,058.53 2025-10-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 34 15 — — $20,660.47 $68,621.08 $42,029.97 2025-10-01
570 MS_DRG Skin Debridement With Mcc 34 15 — — $11,693.44 $68,551.16 $41,987.15 2025-10-01
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