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Hospital

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH

Fort Worth, TX · CCN 450677 · Rates published

15,271 distinct procedures filed
11 distinct payers
402,204 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

395,561 of 402,204 rate rows are consumer-grade (98.3%)

6,643 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,396
per-diem day rate — not a per-procedure price 1,922
template filing: same amount across many unrelated codes — excluded 1,621
exceeds 10× this hospital's gross charge — excluded from medians 704

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://hospitalpricedisclosure.com/download.aspx?pi=2VSkC7fOUM8I3j2TiNK4ZA*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-17

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
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 11 $503,455.00 $1,376,216.00 $880,729.00 nat. median
$625,184
1.4× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 11 $496,390.00 $1,346,044.00 $861,420.00 nat. median
$674,188
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $248,134.00 $1,979,545.00 $664,801.00 nat. median
$370,174
1.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 11 $421,729.00 $1,179,185.00 $609,495.00 nat. median
$754,974
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $185,705.00 $1,478,554.00 $496,551.00 nat. median
$265,286
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $156,628.00 $1,245,210.00 $418,186.00 nat. median
$206,368
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $141,642.00 $1,124,945.00 $377,796.00 nat. median
$202,986
1.9× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 9 $10.00 $646,303.00 $352,529.00 nat. median
$1,033
outlier · 341.1×
5834
APR_DRG 		Neonate With Ecmo 3 $267,255.00 $293,981.00 $277,945.50 nat. median
$309,665
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $259,986.00 $285,985.00 $270,385.50 nat. median
$187,294
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $93,884.00 $741,684.00 $249,084.00 nat. median
$133,176
1.9× median
5833
APR_DRG 		Neonate With Ecmo 3 $226,302.00 $248,932.00 $235,354.00 nat. median
$244,017
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 9 $70,761.00 $434,133.00 $231,179.00 nat. median
$99,019
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $87,159.00 $687,713.00 $230,959.00 nat. median
$117,303
2.0× median
7
MS_DRG 		Lung Transplant 9 $86,943.00 $685,981.00 $230,377.00 nat. median
$122,708
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $217,696.00 $239,466.00 $226,404.00 nat. median
$234,738
1.0× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 9 $615.00 $398,576.00 $217,405.00 nat. median
$897
outlier · 242.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $64,589.00 $395,463.00 $210,587.00 nat. median
$93,672
outlier · 2.2×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 9 $82.00 $386,002.00 $210,547.00 nat. median
$737
outlier · 285.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $73,540.00 $578,424.00 $194,255.00 nat. median
$108,660
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $72,718.00 $571,821.00 $192,038.00 nat. median
$102,358
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $71,118.00 $558,987.00 $187,728.00 nat. median
$100,136
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $56,889.00 $347,227.00 $184,900.00 nat. median
$79,312
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $56,858.00 $337,955.00 $184,798.00 nat. median
$81,118
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $69,980.00 $549,854.00 $184,660.00 nat. median
$98,905
1.9× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 9 $59.00 $324,400.00 $176,945.00 nat. median
$4,934
outlier · 35.9×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,168.00 $186,085.00 $175,935.00 nat. median
$246,434
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $164,274.00 $180,701.00 $170,845.00 nat. median
$207,730
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $52,588.00 $320,285.00 $170,554.00 nat. median
$73,807
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $52,072.00 $317,052.00 $168,832.00 nat. median
$74,915
outlier · 2.3×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 11 $64,097.00 $305,129.00 $166,329.50 nat. median
$11,688
outlier · 14.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $61,716.00 $483,533.00 $162,387.00 nat. median
$83,442
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $153,899.00 $169,289.00 $160,055.00 nat. median
$164,834
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $54,189.00 $275,029.00 $151,307.00 nat. median
$77,576
2.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $56,017.00 $437,798.00 $147,028.00 nat. median
$82,712
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $45,074.00 $273,212.00 $145,487.00 nat. median
$65,950
outlier · 2.2×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 9 $56.00 $266,252.00 $145,228.00 nat. median
$2,081
outlier · 69.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $43,703.00 $264,619.00 $140,911.00 nat. median
$64,510
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 9 $53,613.00 $418,503.00 $140,548.00 nat. median
$68,882
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $53,314.00 $416,104.00 $139,742.00 nat. median
$71,240
2.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 $41,602.00 $369,393.00 $133,897.00 nat. median
$55,736
outlier · 2.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $41,419.00 $250,310.00 $133,292.00 nat. median
$59,899
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $50,285.00 $391,796.00 $131,579.00 nat. median
$72,138
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $125,872.00 $138,460.00 $130,907.00 nat. median
$150,721
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $40,648.00 $245,479.00 $130,719.00 nat. median
$60,726
outlier · 2.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $40,376.00 $243,779.00 $129,814.00 nat. median
$61,920
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $124,757.00 $137,233.00 $129,747.00 nat. median
$162,982
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $39,950.00 $241,111.00 $128,393.00 nat. median
$57,424
outlier · 2.2×
C1827
HCPCS 		Generator Imp Vivistim Vns Ipg 1001 11 $13,005.00 $180,026.00 $126,375.50 nat. median
$28,413
outlier · 4.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $39,003.00 $229,025.00 $125,234.00 nat. median
$58,024
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 15,271 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
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 18 11 $1,624,811.86 $812,405.93 50% off $503,455.00 $1,376,216.00 $880,729.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 18 11 $1,589,189.84 $794,594.92 50% off $496,390.00 $1,346,044.00 $861,420.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 $0.01 — $248,134.00 $1,979,545.00 $664,801.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 18 11 $1,392,190.32 $696,095.16 50% off $421,729.00 $1,179,185.00 $609,495.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 9 $0.01 — $185,705.00 $1,478,554.00 $496,551.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 9 $0.01 — $156,628.00 $1,245,210.00 $418,186.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 9 $0.01 — $141,642.00 $1,124,945.00 $377,796.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 15 9 $763,049.00 $381,524.50 50% off $10.00 $646,303.00 $352,529.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 4 3 $0.01 — $267,255.00 $293,981.00 $277,945.50 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $259,986.00 $285,985.00 $270,385.50 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 9 $0.01 — $93,884.00 $741,684.00 $249,084.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 4 3 $0.01 — $226,302.00 $248,932.00 $235,354.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 15 9 $0.01 — $70,761.00 $434,133.00 $231,179.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 15 9 $0.01 — $87,159.00 $687,713.00 $230,959.00 2024-12-15
7 MS_DRG Lung Transplant 15 9 $0.01 — $86,943.00 $685,981.00 $230,377.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $217,696.00 $239,466.00 $226,404.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 15 9 $470,574.06 $235,287.03 50% off $615.00 $398,576.00 $217,405.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 $0.01 — $64,589.00 $395,463.00 $210,587.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 15 9 $455,729.00 $227,864.50 50% off $82.00 $386,002.00 $210,547.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 9 $0.01 — $73,540.00 $578,424.00 $194,255.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 9 $0.01 — $72,718.00 $571,821.00 $192,038.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 9 $0.01 — $71,118.00 $558,987.00 $187,728.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 $0.01 — $56,889.00 $347,227.00 $184,900.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 $0.01 — $56,858.00 $337,955.00 $184,798.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 $0.01 — $69,980.00 $549,854.00 $184,660.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 15 9 $382,998.47 $191,499.24 50% off $59.00 $324,400.00 $176,945.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $169,168.00 $186,085.00 $175,935.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $164,274.00 $180,701.00 $170,845.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 9 $0.01 — $52,588.00 $320,285.00 $170,554.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 $0.01 — $52,072.00 $317,052.00 $168,832.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 54 11 $302,750.00 $151,375.00 50% off $64,097.00 $305,129.00 $166,329.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 15 9 $0.01 — $61,716.00 $483,533.00 $162,387.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $153,899.00 $169,289.00 $160,055.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 9 $0.01 — $54,189.00 $275,029.00 $151,307.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 $0.01 — $56,017.00 $437,798.00 $147,028.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 $0.01 — $45,074.00 $273,212.00 $145,487.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 15 9 $314,347.24 $157,173.62 50% off $56.00 $266,252.00 $145,228.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 $0.01 — $43,703.00 $264,619.00 $140,911.00 2024-12-15
10 MS_DRG Pancreas Transplant 15 9 $0.01 — $53,613.00 $418,503.00 $140,548.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 9 $0.01 — $53,314.00 $416,104.00 $139,742.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 9 $0.01 — $41,602.00 $369,393.00 $133,897.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 9 $0.01 — $41,419.00 $250,310.00 $133,292.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 9 $0.01 — $50,285.00 $391,796.00 $131,579.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $125,872.00 $138,460.00 $130,907.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 9 $0.01 — $40,648.00 $245,479.00 $130,719.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 $0.01 — $40,376.00 $243,779.00 $129,814.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 $0.01 — $124,757.00 $137,233.00 $129,747.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 9 $0.01 — $39,950.00 $241,111.00 $128,393.00 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 27 11 $255,175.00 $127,587.50 50% off $13,005.00 $180,026.00 $126,375.50 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 $0.01 — $39,003.00 $229,025.00 $125,234.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 $0.01 — $47,920.00 $372,821.00 $125,206.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 9 $0.01 — $47,687.00 $370,947.00 $124,577.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 9 $0.01 — $46,964.00 $365,147.00 $122,629.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 9 $0.01 — $46,126.00 $358,417.00 $120,369.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 $0.01 — $45,317.00 $351,930.00 $118,190.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 9 $0.01 — $36,790.00 $325,108.00 $117,844.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 9 $0.01 — $45,148.00 $350,575.00 $117,736.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 4 3 $0.01 — $112,761.00 $124,037.00 $117,271.50 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 9 $0.01 — $36,261.00 $218,001.00 $116,087.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 $0.01 — $36,108.00 $217,038.00 $115,574.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 9 $0.01 — $43,764.00 $339,463.00 $114,004.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 9 $0.01 — $35,037.00 $210,330.00 $112,002.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 9 $0.01 — $42,829.00 $331,963.00 $111,485.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 27 11 $224,900.00 $112,450.00 50% off $52,018.00 $158,667.00 $111,382.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $107,074.00 $117,781.00 $111,357.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 9 $0.01 — $34,786.00 $306,664.00 $111,159.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 27 11 $196,560.00 $98,280.00 50% off $56,020.00 $170,872.00 $109,975.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 9 $0.01 — $34,408.00 $206,392.00 $109,905.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 9 $0.01 — $41,979.00 $325,144.00 $109,195.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 $0.01 — $41,927.00 $324,724.00 $109,054.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 9 $0.01 — $34,058.00 $204,196.00 $108,736.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 9 $0.01 — $41,743.00 $323,244.00 $108,557.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 15 9 $0.01 — $41,228.00 $319,113.00 $107,169.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 15 9 $0.01 — $33,427.00 $200,242.00 $106,630.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 9 $0.01 — $40,943.00 $316,824.00 $106,401.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 9 $0.01 — $40,943.00 $316,824.00 $106,401.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 15 9 $0.01 — $33,234.00 $193,826.00 $105,986.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 36 11 $184,785.62 $92,392.81 50% off $50,538.00 $158,667.00 $104,617.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 9 $0.01 — $37,616.00 $188,580.00 $103,747.00 2024-12-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 4 3 $0.01 — $99,501.00 $109,451.00 $103,481.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 4 3 $0.01 — $99,288.00 $109,217.00 $103,259.50 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 9 $0.01 — $32,236.00 $192,780.00 $102,657.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 9 $0.01 — $39,546.00 $305,613.00 $102,636.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 $0.01 — $38,779.00 $299,461.00 $100,570.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 $0.01 — $31,502.00 $188,186.00 $100,211.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 15 9 $0.01 — $37,925.00 $292,611.00 $98,269.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 9 $0.01 — $30,797.00 $269,952.00 $97,852.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 15 9 $0.01 — $37,616.00 $290,128.00 $97,435.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 $0.01 — $37,464.00 $288,910.00 $97,026.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 $0.01 — $37,244.00 $287,147.00 $96,434.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 9 $0.01 — $37,052.00 $285,603.00 $95,916.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 9 $0.01 — $36,971.00 $284,952.00 $95,697.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $91,739.00 $100,913.00 $95,408.50 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 9 $0.01 — $36,757.00 $283,231.00 $95,119.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 9 $0.01 — $36,753.00 $283,199.00 $95,108.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,770.00 $99,847.00 $94,401.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 $0.01 — $29,706.00 $172,305.00 $94,219.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,355.00 $99,391.00 $93,969.50 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $90,122.00 $99,134.00 $93,726.50 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 $0.01 — $89,734.00 $98,708.00 $93,323.50 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 $0.01 — $88,838.00 $97,722.00 $92,391.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 9 $0.01 — $28,677.00 $170,489.00 $90,786.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 $0.01 — $35,149.00 $270,329.00 $90,786.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 3 $0.01 — $86,498.00 $95,147.00 $89,957.50 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 9 $0.01 — $28,360.00 $168,497.00 $89,726.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 9 $0.01 — $34,684.00 $266,597.00 $89,533.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $85,723.00 $94,295.00 $89,152.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $85,622.00 $94,184.00 $89,047.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 27 11 $179,010.00 $89,505.00 50% off $18,006.00 $126,292.00 $88,655.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $85,169.00 $93,686.00 $88,576.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 9 $0.01 — $34,214.00 $262,828.00 $88,267.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 $0.01 — $34,189.00 $262,623.00 $88,198.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 9 $0.01 — $34,176.00 $262,518.00 $88,163.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 36 11 $166,512.50 $83,256.25 50% off $4,931.00 $125,103.00 $87,820.50 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 18 11 $150,524.45 $75,262.23 50% off $47,265.00 $127,494.00 $87,379.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 15 9 $0.01 — $33,181.00 $254,535.00 $85,482.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 9 $0.01 — $27,040.00 $160,228.00 $85,323.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 9 $0.01 — $32,699.00 $250,666.00 $84,183.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 15 9 $0.01 — $32,563.00 $249,579.00 $83,818.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 $0.01 — $32,557.00 $249,532.00 $83,802.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 9 $0.01 — $32,071.00 $245,627.00 $82,490.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 $0.01 — $31,890.00 $244,178.00 $82,004.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 243 11 $142,725.00 $71,362.50 50% off $25,281.00 $238,885.00 $81,334.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 15 9 $0.01 — $31,611.00 $241,937.00 $81,251.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 9 $0.01 — $31,599.00 $241,837.00 $81,217.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 $0.01 — $77,982.00 $85,781.00 $81,101.50 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 9 $0.01 — $31,498.00 $241,029.00 $80,946.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 $0.01 — $77,670.00 $85,437.00 $80,777.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 9 $0.01 — $30,973.00 $236,814.00 $79,530.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $76,290.00 $83,919.00 $79,341.50 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 $0.01 — $76,247.00 $83,872.00 $79,297.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 9 $0.01 — $30,716.00 $234,751.00 $78,838.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $75,610.00 $83,171.00 $78,634.50 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 9 $0.01 — $24,905.00 $143,016.00 $78,203.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 15 9 $0.01 — $30,442.00 $232,557.00 $78,101.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 15 9 $0.01 — $24,795.00 $146,170.00 $77,836.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 9 $0.01 — $24,691.00 $213,761.00 $77,484.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 9 $0.01 — $30,196.00 $230,578.00 $77,436.00 2024-12-15
2464 APR_DRG Gastrointestinal Vascular Insufficiency 4 3 $0.01 — $73,939.00 $81,333.00 $76,896.50 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 9 $0.01 — $24,491.00 $211,919.00 $76,816.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 $0.01 — $73,557.00 $80,913.00 $76,499.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 9 $0.01 — $29,764.00 $227,119.00 $76,275.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 15 9 $0.01 — $24,324.00 $143,215.00 $76,263.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 18 11 $130,545.57 $65,272.79 50% off $40,991.00 $110,572.00 $75,781.50 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 18 11 $130,545.57 $65,272.79 50% off $40,991.00 $110,572.00 $75,781.50 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 9 $0.01 — $29,364.00 $223,907.00 $75,196.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 9 $0.01 — $23,992.00 $141,138.00 $75,157.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 9 $0.01 — $29,323.00 $223,576.00 $75,085.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 9 $0.01 — $23,957.00 $207,007.00 $75,036.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 15 9 $0.01 — $23,901.00 $140,564.00 $74,851.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 9 $0.01 — $23,867.00 $206,176.00 $74,734.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 15 9 $0.01 — $29,125.00 $221,991.00 $74,552.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 9 $0.01 — $23,742.00 $139,572.00 $74,323.00 2024-12-15
64 APR_DRG Pancreas Transplant 4 3 $0.01 — $71,385.00 $78,524.00 $74,240.50 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $71,380.00 $78,517.00 $74,235.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 9 $0.01 — $23,650.00 $138,991.00 $74,013.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $71,166.00 $78,283.00 $74,012.50 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 $0.01 — $28,873.00 $219,965.00 $73,872.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 9 $0.01 — $28,866.00 $219,912.00 $73,854.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 9 $0.01 — $26,898.00 $132,675.00 $72,991.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 $0.01 — $28,344.00 $215,723.00 $72,448.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 9 $0.01 — $28,305.00 $215,403.00 $72,340.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 9 $0.01 — $28,172.00 $214,343.00 $71,984.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $69,181.00 $76,099.00 $71,948.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 9 $0.01 — $28,067.00 $213,498.00 $71,700.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 9 $0.01 — $22,843.00 $196,756.00 $71,320.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 9 $0.01 — $26,136.00 $128,697.00 $70,802.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 18 11 $121,890.62 $60,945.31 50% off $38,274.00 $103,241.00 $70,757.50 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 18 11 $121,890.62 $60,945.31 50% off $38,274.00 $103,241.00 $70,757.50 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 9 $0.01 — $22,520.00 $193,783.00 $70,242.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 9 $0.01 — $27,520.00 $209,104.00 $70,225.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 9 $0.01 — $27,501.00 $208,957.00 $70,175.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 9 $0.01 — $27,271.00 $207,110.00 $69,555.00 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 18 11 $177,055.20 $88,527.60 50% off $13,172.00 $149,966.00 $69,421.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 9 $0.01 — $27,218.00 $206,685.00 $69,412.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 18 11 $140,049.00 $70,024.50 50% off $39,914.00 $98,805.00 $69,359.50 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 $0.01 — $27,166.00 $206,265.00 $69,271.00 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 $0.01 — $66,513.00 $73,164.00 $69,173.50 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 15 9 $0.01 — $22,189.00 $190,737.00 $69,138.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 9 $0.01 — $27,052.00 $205,351.00 $68,964.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 9 $0.01 — $26,743.00 $202,874.00 $68,132.00 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 9 $0.01 — $21,877.00 $127,886.00 $68,100.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 9 $0.01 — $26,718.00 $202,669.00 $68,063.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 18 11 $117,243.60 $58,621.80 50% off $36,814.00 $99,305.00 $68,059.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 18 11 $117,243.60 $58,621.80 50% off $36,814.00 $99,305.00 $68,059.50 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $65,422.00 $71,964.00 $68,038.50 2024-12-15
C2616 HCPCS Microsphere Gl Therasphere Y-90 3 Gbq 27 11 $128,781.90 $64,390.95 50% off $17,177.00 $90,856.00 $67,925.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 9 $0.01 — $26,647.00 $202,102.00 $67,873.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 9 $0.01 — $21,781.00 $127,284.00 $67,779.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $64,891.00 $71,380.00 $67,486.50 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 9 $0.01 — $21,690.00 $186,144.00 $67,473.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 9 $0.01 — $26,465.00 $200,638.00 $67,381.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 $0.01 — $26,329.00 $199,551.00 $67,016.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 9 $0.01 — $24,555.00 $120,450.00 $66,266.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 9 $0.01 — $25,939.00 $196,418.00 $65,964.00 2024-12-15
C1882 HCPCS System Defib Crdc Viva Quad Xt Crt-d 549 11 $112,811.40 $56,405.70 50% off $9.00 $161,411.00 $65,011.00 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 3 $0.01 — $62,125.00 $68,338.00 $64,610.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 9 $0.01 — $25,329.00 $191,520.00 $64,319.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 9 $0.01 — $20,700.00 $177,031.00 $64,170.00 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $61,638.00 $67,802.00 $64,104.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $61,549.00 $67,704.00 $64,011.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 9 $0.01 — $25,163.00 $190,192.00 $63,873.00 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 9 $0.01 — $20,511.00 $119,330.00 $63,544.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $60,845.00 $66,929.00 $63,279.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 15 9 $0.01 — $20,413.00 $115,610.00 $63,217.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 9 $0.01 — $24,911.00 $188,166.00 $63,193.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 9 $0.01 — $24,909.00 $188,156.00 $63,189.00 2024-12-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 9 $0.01 — $19,813.00 $114,958.00 $62,675.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 9 $0.01 — $20,195.00 $172,384.00 $62,485.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 9 $0.01 — $20,157.00 $172,040.00 $62,361.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 15 9 $0.01 — $23,184.00 $113,302.00 $62,333.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 4 3 $0.01 — $59,901.00 $65,891.00 $62,297.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 9 $0.01 — $24,549.00 $185,263.00 $62,218.00 2024-12-15
C1820 HCPCS Stimulator Neurostim Gastric Enterra Ii 171 11 $107,581.50 $53,790.75 50% off $2,330.00 $155,951.00 $62,030.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 9 $0.01 — $24,381.00 $183,914.00 $61,765.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 $0.01 — $24,374.00 $183,857.00 $61,746.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 9 $0.01 — $24,364.00 $183,783.00 $61,721.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $59,326.00 $65,259.00 $61,699.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 18 11 $105,554.39 $52,777.20 50% off $33,144.00 $89,405.00 $61,274.50 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 18 11 $105,554.39 $52,777.20 50% off $33,144.00 $89,405.00 $61,274.50 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 9 $0.01 — $24,176.00 $182,272.00 $61,213.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 15 9 $0.01 — $24,151.00 $182,072.00 $61,146.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 9 $0.01 — $24,126.00 $181,873.00 $61,079.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $58,373.00 $64,211.00 $60,708.00 2024-12-15
4404 APR_DRG Kidney Transplant 4 3 $0.01 — $58,229.00 $64,052.00 $60,558.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 15 9 $0.01 — $23,922.00 $180,230.00 $60,528.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 $0.01 — $57,963.00 $63,759.00 $60,281.50 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $57,943.00 $63,738.00 $60,261.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 9 $0.01 — $23,419.00 $176,193.00 $59,172.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 $0.01 — $56,288.00 $61,917.00 $58,539.50 2024-12-15
263 MS_DRG Vein Ligation And Stripping 15 9 $0.01 — $19,006.00 $109,902.00 $58,523.00 2024-12-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 9 $0.01 — $18,577.00 $107,214.00 $58,453.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 9 $0.01 — $23,060.00 $173,317.00 $58,206.00 2024-12-15
503 MS_DRG Foot Procedures With Mcc 15 9 $0.01 — $18,774.00 $159,309.00 $57,746.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 9 $0.01 — $22,782.00 $171,086.00 $57,457.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 9 $0.01 — $22,773.00 $171,012.00 $57,432.00 2024-12-15
4414 APR_DRG Major Bladder Procedures 4 3 $0.01 — $55,106.00 $60,616.00 $57,310.00 2024-12-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 9 $0.01 — $18,622.00 $157,907.00 $57,238.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 $0.01 — $22,422.00 $168,199.00 $56,487.00 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 9 $0.01 — $22,362.00 $167,711.00 $56,323.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 9 $0.01 — $22,322.00 $167,391.00 $56,216.00 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 9 $0.01 — $22,265.00 $166,939.00 $56,064.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 9 $0.01 — $22,224.00 $166,603.00 $55,951.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $53,618.00 $58,980.00 $55,763.00 2024-12-15
253 MS_DRG Other Vascular Procedures With Cc 15 9 $0.01 — $18,162.00 $104,612.00 $55,706.00 2024-12-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 9 $0.01 — $18,130.00 $153,386.00 $55,599.00 2024-12-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 9 $0.01 — $17,978.00 $151,984.00 $55,091.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 15 9 $0.01 — $21,868.00 $163,748.00 $54,992.00 2024-12-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 $0.01 — $52,499.00 $57,749.00 $54,599.00 2024-12-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 9 $0.01 — $17,830.00 $102,530.00 $54,598.00 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 9 $0.01 — $21,648.00 $161,984.00 $54,400.00 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 9 $0.01 — $21,634.00 $161,869.00 $54,361.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 18 11 $93,484.99 $46,742.49 50% off $29,354.00 $79,182.00 $54,268.00 2024-12-15
652 MS_DRG Kidney Transplant 15 9 $0.01 — $21,553.00 $161,218.00 $54,143.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 9 $0.01 — $21,469.00 $160,546.00 $53,917.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 4 3 $0.01 — $51,613.00 $56,774.00 $53,677.50 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 18 11 $92,097.04 $46,048.52 50% off $28,918.00 $78,006.00 $53,462.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 18 11 $91,654.60 $45,827.30 50% off $28,780.00 $77,631.00 $53,205.50 2024-12-15
570 MS_DRG Skin Debridement With Mcc 15 9 $0.01 — $21,152.00 $158,005.00 $53,064.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $50,828.00 $55,911.00 $52,861.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 $0.01 — $50,770.00 $55,847.00 $52,800.50 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 15 9 $0.01 — $20,995.00 $156,746.00 $52,641.00 2024-12-15
C1721 HCPCS Defibrillator Crdc Evera MRI Xt Dr 2chb Is4 Df1 457 11 $92,186.64 $46,093.32 50% off $16.00 $102,108.00 $52,592.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 3 $0.01 — $50,545.00 $55,600.00 $52,567.00 2024-12-15
6904 APR_DRG Acute Leukemia 4 3 $0.01 — $50,091.00 $55,100.00 $52,095.00 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 9 $0.01 — $20,749.00 $154,772.00 $51,978.00 2024-12-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 3 $0.01 — $49,784.00 $54,763.00 $51,775.50 2024-12-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $49,728.00 $54,701.00 $51,717.50 2024-12-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 $0.01 — $20,647.00 $153,953.00 $51,703.00 2024-12-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 9 $0.01 — $16,948.00 $94,469.00 $51,657.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 7 $0.01 — $40,347.00 $312,043.00 $51,609.50 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 15 9 $0.01 — $20,538.00 $153,077.00 $51,409.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 9 $0.01 — $20,528.00 $152,993.00 $51,380.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 15 9 $0.01 — $20,522.00 $152,945.00 $51,364.00 2024-12-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 9 $0.01 — $16,759.00 $140,770.00 $51,026.00 2024-12-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 9 $0.01 — $20,216.00 $150,494.00 $50,541.00 2024-12-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 9 $0.01 — $16,589.00 $94,761.00 $50,461.00 2024-12-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 9 $0.01 — $20,184.00 $150,232.00 $50,453.00 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 9 $0.01 — $20,083.00 $149,429.00 $50,183.00 2024-12-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $48,227.00 $53,049.00 $50,156.00 2024-12-15
L8614 HCPCS Processor Sound Nuc 7 Cp100 Wht 119 11 $94,111.88 $47,055.94 50% off $485.00 $104,005.00 $50,014.00 2024-12-15
654 MS_DRG Major Bladder Procedures With Cc 15 9 $0.01 — $19,922.00 $148,132.00 $49,748.00 2024-12-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 9 $0.01 — $19,832.00 $147,413.00 $49,506.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 27 11 $99,475.00 $49,737.50 50% off $24,406.00 $70,180.00 $49,265.00 2024-12-15
C1722 HCPCS System Defib Cell Fortify Assura 40 1chmbr 441 11 $89,154.00 $44,577.00 50% off $9,784.00 $110,443.00 $49,202.00 2024-12-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 9 $0.01 — $16,198.00 $92,311.00 $49,156.00 2024-12-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 3 $0.01 — $47,213.00 $51,934.00 $49,101.50 2024-12-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 $0.01 — $46,925.00 $51,618.00 $48,802.00 2024-12-15
30 MS_DRG Spinal Procedures Without Cc/mcc 15 9 $0.01 — $16,019.00 $88,802.00 $48,558.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $46,607.00 $51,268.00 $48,471.50 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 9 $0.01 — $19,361.00 $143,634.00 $48,237.00 2024-12-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 9 $0.01 — $19,329.00 $143,376.00 $48,151.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $46,151.00 $50,766.00 $47,997.00 2024-12-15
63 APR_DRG Pancreas Transplant 4 3 $0.01 — $46,132.00 $50,745.00 $47,977.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 9 $0.01 — $19,233.00 $142,600.00 $47,890.00 2024-12-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 9 $0.01 — $19,146.00 $141,901.00 $47,656.00 2024-12-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 9 $0.01 — $19,087.00 $141,434.00 $47,499.00 2024-12-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 9 $0.01 — $19,017.00 $140,873.00 $47,310.00 2024-12-15
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