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 →

Export CSV
Hospital

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Milwaukee, WI · CCN 520177 · Rates published

Your selected procedure

You selected 93350 (CPT)

STRESS TTE ONLY

This hospital’s price: $557 across 15 payers · range $557-$574

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7864/396105970_froedtert-memorial-lutheran-hospital-inc_standardcharges.csv · observed 2025-12-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,570 distinct procedures filed
34 distinct payers
771,152 rate rows
2025-12-31 last MRF observed
Data quality

769,556 of 771,152 rate rows are consumer-grade (99.8%)

1,596 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 477
exceeds 10× this hospital's gross charge — excluded from medians 273
per-diem day rate — not a per-procedure price 266
percent-of-charges filed in the dollar field — excluded from medians 262
placeholder amount (≤ $0.02) — excluded from medians 150
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 88
template filing: same amount across many unrelated codes — excluded 53
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7864/396105970_froedtert-memorial-lutheran-hospital-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/FroedtertHospital/7864
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint c98934176d9ee288… · 936,972,135 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 15 $4,505,000.00 $4,640,150.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $3,185,406.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 17 $3,185,406.00 $3,932,600.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $2,852,081.60 $3,521,088.40 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $2,741,509.80 $3,384,580.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 17 $2,548,324.80 $3,146,080.00 $2,945,740.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $2,455,110.61 $2,528,763.92 $2,455,110.61 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $2,002,255.20 $2,471,920.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
Q2042
HCPCS 		Tisagenlecleucel-t Suspension 1 Each Flex Cont 34 $485,644.63 $3,903,690.92 $1,797,349.89 nat. median
$739,258
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells Suspension 1 Each Bag 34 $473,361.93 $3,735,307.10 $1,582,929.75 nat. median
$646,415
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Suspension 1 Each Package 34 $420,299.42 $3,598,266.24 $1,526,910.00 nat. median
$608,239
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells Suspension 1 Each Bag 34 $453,609.05 $3,653,508.04 $1,511,227.77 nat. median
$622,450
outlier · 2.4×
Q2054
HCPCS 		Lisocabtagene Maraleucel Cd8 Suspension 1 Each Vial 34 $443,454.86 $3,656,040.71 $1,478,085.24 nat. median
$640,950
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells Suspension 1 Each Flex Cont 34 $419,041.03 $3,305,610.00 $1,401,320.00 nat. median
$591,721
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $394,460.02 $1,606,616.07 $864,454.89 nat. median
$359,454
outlier · 2.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 16 $770,620.00 $3,853,100.00 $770,620.00 nat. median
$813,967
0.9× median
5834
APR_DRG 		Neonate With Ecmo 14 $450,460.34 $472,983.36 $450,460.34 nat. median
$307,206
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $196,092.69 $794,345.35 $427,404.98 nat. median
$198,418
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 23 $194,954.24 $789,683.57 $424,896.67 nat. median
$190,559
outlier · 2.2×
J2326
HCPCS 		Nusinersen 12 Mg/5ml Solution 5 Ml Vial 34 $1,280.25 $518,862.24 $391,995.92 nat. median
$2,480
outlier · 158.0×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5ml Solution Prefilled Syringe 0.5 Ml Syringe 34 $4,222.39 $420,982.53 $318,048.65 nat. median
$8,223
outlier · 38.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $293,873.93 $308,567.63 $293,873.93 nat. median
$247,214
1.2× median
5833
APR_DRG 		Neonate With Ecmo 14 $291,822.17 $306,413.28 $291,822.17 nat. median
$244,017
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 15 $278,250.00 $286,597.50 $278,250.00 nat. median
$319,951
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 23 $127,956.21 $515,341.34 $277,284.25 nat. median
$126,695
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $256,726.92 $1,042,629.20 $264,428.73 nat. median
$249,036
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $260,252.21 $273,264.82 $260,252.21 nat. median
$241,437
1.1× median
7
MS_DRG 		Lung Transplant 23 $119,767.95 $481,812.19 $259,243.58 nat. median
$117,974
outlier · 2.2×
J3403
HCPCS 		Revakinagene, Per Implant 15 $257,500.00 $265,225.00 $257,500.00 nat. median
$265,000
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $228,840.29 $240,282.30 $228,840.29 nat. median
$123,836
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 23 $104,945.11 $421,115.95 $226,585.40 nat. median
$92,678
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 14 $224,066.02 $235,269.32 $224,066.02 nat. median
$159,249
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $223,034.56 $234,186.29 $223,034.56 nat. median
$202,993
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $102,241.14 $410,043.75 $220,627.89 nat. median
$93,276
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 23 $100,904.58 $404,570.89 $217,683.17 nat. median
$97,323
outlier · 2.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $214,370.62 $225,089.15 $214,370.62 nat. median
$154,011
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $211,434.26 $222,005.97 $211,434.26 nat. median
$155,939
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 15 $205,640.00 $211,809.20 $205,640.00 nat. median
$209,753
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 23 $92,571.86 $370,450.19 $199,324.21 nat. median
$93,901
outlier · 2.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $90,989.08 $363,969.07 $195,836.98 nat. median
$90,551
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $193,223.50 $202,884.68 $193,223.50 nat. median
$165,000
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $191,127.94 $200,684.34 $191,127.94 nat. median
$175,204
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 $189,697.12 $199,181.98 $189,697.12 nat. median
$133,164
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $186,687.76 $196,022.15 $186,687.76 nat. median
$162,342
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $83,963.82 $335,202.17 $180,358.68 nat. median
$78,049
outlier · 2.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $177,203.63 $186,063.81 $177,203.63 nat. median
$170,082
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $176,315.60 $185,131.38 $176,315.60 nat. median
$163,587
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 23 $80,782.83 $322,176.70 $173,350.20 nat. median
$78,268
outlier · 2.2×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $173,106.98 $181,762.33 $173,106.98 nat. median
$151,838
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $78,696.69 $313,634.43 $168,753.95 nat. median
$77,028
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 16,570 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 15 15 — — $4,505,000.00 $4,640,150.00 $4,505,000.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 4 — — $3,185,406.00 $3,932,600.00 $3,932,600.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 21 17 — — $3,185,406.00 $3,932,600.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 17 — — $2,852,081.60 $3,521,088.40 $3,316,462.59 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 21 17 — — $2,741,509.80 $3,384,580.00 $3,248,445.72 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 21 17 — — $2,548,324.80 $3,146,080.00 $2,945,740.00 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 15 — — $2,455,110.61 $2,528,763.92 $2,455,110.61 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 21 17 — — $2,002,255.20 $2,471,920.00 $2,332,000.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel-t Suspension 1 Each Flex Cont 83 34 $2,719,137.50 $1,495,525.63 45% off $485,644.63 $3,903,690.92 $1,797,349.89 2025-12-31
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells Suspension 1 Each Bag 83 34 $2,394,750.00 $1,317,112.50 45% off $473,361.93 $3,735,307.10 $1,582,929.75 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Suspension 1 Each Package 83 34 $2,310,000.00 $1,270,500.00 45% off $420,299.42 $3,598,266.24 $1,526,910.00 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells Suspension 1 Each Bag 83 34 $2,286,275.00 $1,257,451.25 45% off $453,609.05 $3,653,508.04 $1,511,227.77 2025-12-31
Q2054 HCPCS Lisocabtagene Maraleucel Cd8 Suspension 1 Each Vial 84 34 $2,236,135.00 $1,229,874.25 45% off $443,454.86 $3,656,040.71 $1,478,085.24 2025-12-31
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells Suspension 1 Each Flex Cont 83 34 $2,120,000.00 $1,166,000.00 45% off $419,041.03 $3,305,610.00 $1,401,320.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 23 — — $394,460.02 $1,606,616.07 $864,454.89 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 16 16 — — $770,620.00 $3,853,100.00 $770,620.00 2025-12-31
5834 APR_DRG Neonate With Ecmo 14 14 — — $450,460.34 $472,983.36 $450,460.34 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 30 23 — — $196,092.69 $794,345.35 $427,404.98 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 30 23 — — $194,954.24 $789,683.57 $424,896.67 2025-12-31
J2326 HCPCS Nusinersen 12 Mg/5ml Solution 5 Ml Vial 85 34 $599,840.74 $329,912.41 45% off $1,280.25 $518,862.24 $391,995.92 2025-12-31
J0225 HCPCS Vutrisiran 25 Mg/0.5ml Solution Prefilled Syringe 0.5 Ml Syringe 85 34 $486,685.00 $267,676.75 45% off $4,222.39 $420,982.53 $318,048.65 2025-12-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $293,873.93 $308,567.63 $293,873.93 2025-12-31
5833 APR_DRG Neonate With Ecmo 14 14 — — $291,822.17 $306,413.28 $291,822.17 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 15 — — $278,250.00 $286,597.50 $278,250.00 2025-12-31
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 30 23 — — $127,956.21 $515,341.34 $277,284.25 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 20 — — $256,726.92 $1,042,629.20 $264,428.73 2025-12-31
24 APR_DRG Heart And/or Lung Transplant 14 14 — — $260,252.21 $273,264.82 $260,252.21 2025-12-31
7 MS_DRG Lung Transplant 30 23 — — $119,767.95 $481,812.19 $259,243.58 2025-12-31
J3403 HCPCS Revakinagene, Per Implant 15 15 — — $257,500.00 $265,225.00 $257,500.00 2025-12-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $228,840.29 $240,282.30 $228,840.29 2025-12-31
209 MS_DRG Complex Aortic Arch Procedures 30 23 — — $104,945.11 $421,115.95 $226,585.40 2025-12-31
5832 APR_DRG Neonate With Ecmo 14 14 — — $224,066.02 $235,269.32 $224,066.02 2025-12-31
1614 APR_DRG Implantable Heart Assist Systems 14 14 — — $223,034.56 $234,186.29 $223,034.56 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 23 — — $102,241.14 $410,043.75 $220,627.89 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 23 — — $100,904.58 $404,570.89 $217,683.17 2025-12-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 14 — — $214,370.62 $225,089.15 $214,370.62 2025-12-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $211,434.26 $222,005.97 $211,434.26 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 15 — — $205,640.00 $211,809.20 $205,640.00 2025-12-31
215 MS_DRG Other Heart Assist System Implant 30 23 — — $92,571.86 $370,450.19 $199,324.21 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 23 — — $90,989.08 $363,969.07 $195,836.98 2025-12-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $193,223.50 $202,884.68 $193,223.50 2025-12-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $191,127.94 $200,684.34 $191,127.94 2025-12-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 14 — — $189,697.12 $199,181.98 $189,697.12 2025-12-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $186,687.76 $196,022.15 $186,687.76 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 23 — — $83,963.82 $335,202.17 $180,358.68 2025-12-31
74 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $177,203.63 $186,063.81 $177,203.63 2025-12-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $176,315.60 $185,131.38 $176,315.60 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 30 23 — — $80,782.83 $322,176.70 $173,350.20 2025-12-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $173,106.98 $181,762.33 $173,106.98 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 23 — — $78,696.69 $313,634.43 $168,753.95 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 23 — — $78,455.92 $312,648.50 $168,223.46 2025-12-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $167,710.92 $176,096.47 $167,710.92 2025-12-31
5831 APR_DRG Neonate With Ecmo 14 14 — — $162,866.22 $171,009.53 $162,866.22 2025-12-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 14 — — $160,117.95 $168,123.85 $160,117.95 2025-12-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $157,591.25 $165,470.81 $157,591.25 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 23 — — $73,598.57 $292,758.70 $157,521.58 2025-12-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $156,510.84 $164,336.38 $156,510.84 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 23 — — $71,867.69 $285,671.15 $153,708.04 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 23 — — $71,566.94 $284,439.67 $153,045.44 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 23 — — $71,337.07 $283,498.38 $152,538.97 2025-12-31
1613 APR_DRG Implantable Heart Assist Systems 14 14 — — $150,911.23 $158,456.79 $150,911.23 2025-12-31
23 APR_DRG Heart And/or Lung Transplant 14 14 — — $146,130.09 $153,436.59 $146,130.09 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 23 — — $67,690.88 $268,568.01 $144,505.54 2025-12-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $143,751.97 $150,939.57 $143,751.97 2025-12-31
10 MS_DRG Pancreas Transplant 30 23 — — $67,301.09 $266,971.92 $143,646.75 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 23 — — $67,273.83 $266,860.30 $143,586.70 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 23 — — $66,927.66 $265,442.79 $142,823.99 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 23 — — $66,889.49 $265,286.53 $142,739.91 2025-12-31
0812 RC Hc Heart Acquisition, Dcd Heart Trial- Ide G180272 253 34 $229,000.00 $125,950.00 45% off $39,900.00 $233,550.00 $141,980.00 2025-12-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $138,566.32 $145,494.64 $138,566.32 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 30 23 — — $64,903.31 $257,153.52 $138,363.87 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 23 — — $64,595.29 $255,892.27 $137,685.24 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 23 — — $63,261.49 $250,430.58 $134,746.52 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 23 — — $62,856.23 $248,771.23 $133,853.70 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 23 — — $62,811.72 $248,588.93 $133,755.60 2025-12-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $133,459.68 $140,132.66 $133,459.68 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 23 — — $61,845.89 $244,634.04 $131,627.64 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 23 — — $61,845.89 $244,634.04 $131,627.64 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 23 — — $61,628.73 $243,744.84 $131,149.20 2025-12-31
0811 RC Hc Kidney Acquisition Live 71 34 $173,000.00 $95,150.00 45% off $51,900.00 $149,645.00 $131,047.50 2025-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 14 — — $130,125.68 $136,631.96 $130,125.68 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 30 23 — — $60,568.38 $239,403.01 $128,813.04 2025-12-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $128,545.42 $134,972.69 $128,545.42 2025-12-31
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml Solution 10 Ml Vial 85 34 $196,357.90 $107,996.85 45% off $415.90 $169,849.58 $128,319.88 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 23 — — $57,785.37 $228,007.12 $122,681.38 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 23 — — $57,720.86 $227,742.97 $122,539.24 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 23 — — $57,187.53 $225,559.03 $121,364.16 2025-12-31
1612 APR_DRG Implantable Heart Assist Systems 14 14 — — $121,138.82 $127,195.76 $121,138.82 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 30 23 — — $56,694.16 $223,538.80 $120,277.15 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 23 — — $56,678.70 $223,475.55 $120,243.12 2025-12-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $120,055.83 $126,058.62 $120,055.83 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 23 — — $56,283.47 $221,857.14 $119,372.32 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 23 — — $55,424.84 $218,341.26 $117,480.57 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 23 — — $55,390.32 $218,199.88 $117,404.49 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 23 — — $54,502.61 $214,564.96 $115,448.69 2025-12-31
1611 APR_DRG Implantable Heart Assist Systems 14 14 — — $115,416.39 $121,187.21 $115,416.39 2025-12-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $114,798.89 $120,538.83 $114,798.89 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 23 — — $54,168.25 $213,195.81 $114,712.01 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 27 20 — — $111,297.11 $447,125.97 $114,636.02 2025-12-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $114,592.77 $120,322.41 $114,592.77 2025-12-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 23 — — $53,955.64 $212,325.21 $114,243.57 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 23 — — $53,888.39 $212,049.90 $114,095.44 2025-12-31
64 APR_DRG Pancreas Transplant 14 14 — — $113,366.35 $119,034.67 $113,366.35 2025-12-31
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-unit/23 Ml Solution 23 Ml Vial 85 34 $173,394.06 $95,366.74 45% off $47.23 $149,985.86 $113,313.01 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 23 — — $53,184.25 $209,166.51 $112,544.01 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 23 — — $52,677.25 $207,090.47 $111,426.98 2025-12-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $111,412.50 $116,983.13 $111,412.50 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 23 — — $52,284.74 $205,483.22 $110,562.17 2025-12-31
8514 APR_DRG Gender Related Procedures 14 14 — — $109,922.42 $115,418.54 $109,922.42 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 30 23 — — $51,983.99 $204,251.73 $109,899.57 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 23 — — $51,807.74 $203,529.95 $109,511.21 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 23 — — $51,736.85 $203,239.75 $109,355.06 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 23 — — $51,658.72 $202,919.79 $109,182.90 2025-12-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $109,038.68 $114,490.61 $109,038.68 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 15 — — $108,727.22 $111,989.04 $108,727.22 2025-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 14 — — $108,282.90 $113,697.05 $108,282.90 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 20 — — $105,063.23 $421,599.62 $108,215.13 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 23 — — $50,556.58 $198,406.82 $106,754.66 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 23 — — $50,527.50 $198,287.77 $106,690.60 2025-12-31
22 APR_DRG Heart And/or Lung Transplant 14 14 — — $106,346.23 $111,663.54 $106,346.23 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 23 — — $50,202.23 $196,955.83 $105,973.93 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 23 — — $50,043.24 $196,304.74 $105,623.61 2025-12-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $105,077.73 $110,331.62 $105,077.73 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 23 — — $49,399.04 $193,666.91 $104,204.30 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 30 23 — — $49,317.26 $193,332.06 $104,024.14 2025-12-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 14 — — $102,362.09 $107,480.19 $102,362.09 2025-12-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 14 — — $102,088.12 $107,192.53 $102,088.12 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 23 — — $47,898.03 $187,520.64 $100,897.24 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 23 — — $47,418.31 $185,556.22 $99,840.26 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 23 — — $47,054.86 $184,068.02 $99,039.52 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 23 — — $46,974.90 $183,740.61 $98,863.37 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 20 — — $95,783.75 $383,602.15 $98,657.26 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 23 — — $46,821.34 $183,111.85 $98,525.05 2025-12-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $98,514.50 $103,440.23 $98,514.50 2025-12-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $98,331.57 $103,248.15 $98,331.57 2025-12-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $98,142.63 $103,049.76 $98,142.63 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 23 — — $46,635.07 $182,349.15 $98,114.67 2025-12-31
21 APR_DRG Heart And/or Lung Transplant 14 14 — — $97,800.81 $102,690.85 $97,800.81 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 30 23 — — $45,976.36 $179,651.78 $96,663.33 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 23 — — $45,754.67 $178,743.98 $96,174.88 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 23 — — $45,359.43 $177,125.56 $95,304.08 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 23 — — $44,819.71 $174,915.59 $94,114.98 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 23 — — $44,732.49 $174,558.42 $93,922.80 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 23 — — $44,605.28 $174,037.55 $93,642.54 2025-12-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 14 — — $93,459.39 $98,132.36 $93,459.39 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 15 15 — — $93,216.70 $96,013.20 $93,216.70 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 23 — — $44,066.49 $171,831.29 $92,455.45 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 23 — — $43,866.61 $171,012.78 $92,015.04 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 23 — — $43,760.29 $170,577.48 $91,780.82 2025-12-31
245 MS_DRG Aicd Generator Procedures 30 23 — — $43,556.77 $169,744.09 $91,332.40 2025-12-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $91,181.76 $95,740.85 $91,181.76 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 23 — — $43,432.31 $169,234.38 $91,058.15 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 23 — — $43,414.13 $169,159.97 $91,018.12 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 30 23 — — $43,252.39 $168,497.72 $90,661.79 2025-12-31
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml Solution 1 Ml Vial 85 34 $138,417.27 $76,129.50 45% off $290.97 $119,730.94 $90,455.68 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 30 23 — — $42,824.44 $166,745.37 $89,718.92 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 23 — — $42,812.61 $166,697.00 $89,692.89 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 23 — — $42,652.72 $166,042.19 $89,340.57 2025-12-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 14 — — $88,834.56 $93,276.29 $88,834.56 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 23 — — $42,015.77 $163,434.12 $87,937.27 2025-12-31
84 APR_DRG Autologous Bone Marrow Transplant 14 14 — — $87,829.72 $92,221.21 $87,829.72 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 23 — — $41,421.55 $161,000.92 $86,628.05 2025-12-31
73 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $86,605.88 $90,936.17 $86,605.88 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 23 — — $41,108.10 $159,717.34 $85,937.42 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 30 23 — — $40,857.33 $158,690.49 $85,384.91 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 23 — — $40,634.72 $157,778.96 $84,894.45 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 23 — — $40,474.81 $157,124.16 $84,542.13 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 23 — — $40,409.38 $156,856.28 $84,397.99 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 23 — — $40,390.32 $156,778.15 $84,355.96 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 23 — — $40,278.56 $156,320.53 $84,109.73 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 30 23 — — $40,233.13 $156,134.50 $84,009.64 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 23 — — $40,162.25 $155,844.30 $83,853.49 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 23 — — $40,015.05 $155,241.58 $83,529.20 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 23 — — $39,836.97 $154,512.37 $83,136.83 2025-12-31
4404 APR_DRG Kidney Transplant 14 14 — — $83,017.66 $87,168.54 $83,017.66 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 23 — — $39,587.10 $153,489.23 $82,586.32 2025-12-31
J2507 HCPCS Pegloticase 8 Mg/ml Solution 1 Ml Vial 84 34 $126,104.29 $69,357.36 45% off $3,048.08 $109,080.21 $82,409.15 2025-12-31
8634 APR_DRG Neonatal Aftercare 14 14 — — $82,048.04 $86,150.44 $82,048.04 2025-12-31
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml Solution 1.2 Ml Vial 85 34 $123,698.91 $68,034.41 45% off $2,072.11 $106,999.56 $80,837.24 2025-12-31
63 APR_DRG Pancreas Transplant 14 14 — — $80,537.35 $84,564.22 $80,537.35 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 23 — — $38,633.09 $149,582.70 $80,484.38 2025-12-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 14 — — $80,219.58 $84,230.56 $80,219.58 2025-12-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 14 — — $79,844.27 $83,836.48 $79,844.27 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 23 — — $38,302.37 $148,228.44 $79,755.71 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 23 — — $37,646.36 $145,542.24 $78,310.37 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 30 23 — — $37,485.53 $144,883.71 $77,956.04 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 23 — — $37,272.02 $144,009.39 $77,485.61 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 23 — — $37,219.31 $143,793.60 $77,369.50 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 23 — — $37,185.68 $143,655.95 $77,295.43 2025-12-31
J7330 HCPCS Cultured Chondrocytes Implnt 6 4 — — $62,504.36 $77,165.88 $77,165.88 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 23 — — $36,986.71 $142,841.16 $76,857.03 2025-12-31
J1747 HCPCS Spesolimab-sbzo 450 Mg/7.5ml Solution 7.5 Ml Vial 85 34 $117,203.77 $64,462.08 45% off $52.75 $101,381.26 $76,592.66 2025-12-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $75,986.37 $79,785.69 $75,986.37 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 23 — — $36,293.46 $140,002.42 $75,329.61 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 23 — — $36,144.44 $139,392.25 $75,001.31 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 23 — — $36,063.57 $139,061.13 $74,823.15 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 23 — — $36,059.94 $139,046.25 $74,815.14 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 23 — — $35,964.54 $138,655.59 $74,604.95 2025-12-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 14 — — $74,501.45 $78,226.52 $74,501.45 2025-12-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Recon Soln 1 Each Vial 85 34 $113,857.24 $62,621.49 45% off $182.13 $98,486.51 $74,405.71 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 23 — — $35,773.74 $137,874.29 $74,184.56 2025-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 14 — — $73,998.17 $77,698.08 $73,998.17 2025-12-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $73,721.62 $77,407.70 $73,721.62 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 23 — — $35,476.62 $136,657.69 $73,529.96 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 23 — — $35,462.99 $136,601.88 $73,499.92 2025-12-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $72,918.61 $76,564.54 $72,918.61 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 23 — — $35,071.40 $134,998.34 $72,637.13 2025-12-31
77371 CPT Hc Srs Multisource 86 34 $97,750.00 $53,762.50 45% off $1,338.53 $85,455.00 $72,629.31 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 23 — — $35,045.96 $134,894.17 $72,581.08 2025-12-31
332 MS_DRG Rectal Resection With Mcc 30 23 — — $35,000.52 $134,708.14 $72,480.98 2025-12-31
265 MS_DRG Aicd Lead Procedures 30 23 — — $34,977.79 $134,615.13 $72,430.93 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 23 — — $34,919.65 $134,377.02 $72,302.82 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 23 — — $34,870.58 $134,176.11 $72,194.72 2025-12-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $72,145.66 $75,752.94 $72,145.66 2025-12-31
J9266 HCPCS Pegaspargase 750 Unit/ml Solution 5 Ml Vial 85 34 $109,957.12 $60,476.42 45% off $8,642.10 $191,862.41 $71,856.98 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 23 — — $34,656.17 $133,298.07 $71,722.29 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 23 — — $34,580.75 $132,989.27 $71,556.12 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 23 — — $34,548.04 $132,855.33 $71,484.06 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 23 — — $34,499.89 $132,658.15 $71,377.96 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 23 — — $34,472.63 $132,546.53 $71,317.91 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 23 — — $34,441.72 $132,420.04 $71,249.85 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 23 — — $34,415.39 $132,312.14 $71,191.79 2025-12-31
1784 APR_DRG External Heart Assist Systems 14 14 — — $70,913.23 $74,458.89 $70,913.23 2025-12-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 14 — — $70,726.00 $74,262.30 $70,726.00 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 23 — — $34,145.52 $131,207.15 $70,597.24 2025-12-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 14 — — $70,519.02 $74,044.97 $70,519.02 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 23 — — $34,080.11 $130,939.28 $70,453.11 2025-12-31
33289 CPT Hc Transcath Impl Wireless Pulm Art Press Sensor For L-t Hemodynam Monitor 85 34 $92,989.00 $51,143.95 45% off $19,979.00 $80,435.49 $70,439.17 2025-12-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $70,368.73 $73,887.17 $70,368.73 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 30 23 — — $33,797.53 $129,782.20 $69,830.53 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 23 — — $33,789.36 $129,748.72 $69,812.51 2025-12-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 14 — — $69,725.46 $73,211.73 $69,725.46 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 23 — — $33,643.99 $129,153.44 $69,492.22 2025-12-31
72 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $69,448.06 $72,920.46 $69,448.06 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 23 — — $33,491.36 $128,528.39 $69,155.91 2025-12-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 14 — — $69,107.10 $72,562.46 $69,107.10 2025-12-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 23 — — $33,345.97 $127,933.11 $68,835.62 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 23 — — $33,253.28 $127,553.62 $68,631.43 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 23 — — $33,100.65 $126,928.58 $68,295.11 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 23 — — $33,059.76 $126,761.16 $68,205.03 2025-12-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $68,195.87 $71,605.66 $68,195.87 2025-12-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $67,663.39 $71,046.56 $67,663.39 2025-12-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 14 — — $67,590.39 $70,969.91 $67,590.39 2025-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 14 — — $67,532.85 $70,909.49 $67,532.85 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 15 — — $67,452.66 $69,476.24 $67,452.66 2025-12-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 14 — — $66,909.34 $70,254.81 $66,909.34 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 30 23 — — $32,455.53 $124,287.02 $66,873.80 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 23 — — $32,116.65 $122,899.28 $66,127.11 2025-12-31
71 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $65,975.78 $69,274.57 $65,975.78 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 30 23 — — $32,014.87 $122,482.58 $65,902.90 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 23 — — $32,011.24 $122,467.70 $65,894.90 2025-12-31
J9281 HCPCS mitoMYcin 80 (2 X 40) Mg Recon Soln 1 Each Box 85 34 $100,383.00 $55,210.65 45% off $267.34 $86,831.30 $65,600.29 2025-12-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 14 — — $65,527.47 $68,803.84 $65,527.47 2025-12-31
33270 CPT Hc Insert Replc Perm Subq Implant Defibrillator Sys 85 34 $86,072.00 $47,339.60 45% off $19,979.00 $74,452.28 $65,199.54 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 23 — — $31,657.79 $121,020.42 $65,116.18 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 23 — — $31,527.89 $120,488.39 $64,829.91 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 23 — — $31,495.14 $120,354.45 $64,757.85 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 23 — — $31,454.27 $120,187.03 $64,667.76 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 23 — — $31,424.29 $120,064.26 $64,601.70 2025-12-31
62 APR_DRG Pancreas Transplant 14 14 — — $64,485.70 $67,709.99 $64,485.70 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 23 — — $31,367.03 $119,829.86 $64,475.58 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 23 — — $31,272.55 $119,442.93 $64,267.39 2025-12-31
J9600 HCPCS Porfimer Recon Soln 1 Each Vial 85 34 $97,966.60 $53,881.63 45% off $20,802.53 $84,741.11 $64,021.18 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 23 — — $31,112.63 $118,788.12 $63,915.07 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 23 — — $31,059.03 $118,568.61 $63,796.96 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 23 — — $31,030.87 $118,453.28 $63,734.90 2025-12-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 14 — — $63,689.56 $66,874.04 $63,689.56 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 23 — — $30,972.72 $118,215.17 $63,606.78 2025-12-31
63685 CPT Hc Insert/replc Spinal Nrstim Pls Gen/recvr, W Pkt Creation & Conn 85 34 $83,887.00 $46,137.85 45% off $2,223.99 $72,562.26 $63,544.40 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 30 23 — — $30,858.24 $117,746.38 $63,354.54 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 23 18 — — $54,436.99 $428,159.59 $63,342.28 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 23 — — $30,814.63 $117,567.80 $63,258.46 2025-12-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $63,164.81 $66,323.05 $63,164.81 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 23 — — $30,732.84 $117,232.96 $63,078.29 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 23 — — $30,719.20 $117,177.15 $63,048.26 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 23 — — $30,651.98 $116,901.83 $62,900.13 2025-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 14 — — $62,556.76 $65,684.60 $62,556.76 2025-12-31
665 MS_DRG Prostatectomy With Mcc 30 23 — — $30,462.09 $116,124.25 $62,481.74 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 23 — — $30,403.02 $115,882.41 $62,351.62 2025-12-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 14 — — $62,242.42 $65,354.54 $62,242.42 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 23 — — $30,353.05 $115,677.79 $62,241.52 2025-12-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 14 — — $61,799.26 $64,889.22 $61,799.26 2025-12-31
0571T CPT Hc Insert/rplcmt Icds With Substernal Electrode Incld Img Guid And Eps Eval 85 34 $81,452.50 $44,798.88 45% off $19,979.00 $70,456.41 $61,700.27 2025-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 14 — — $61,535.60 $64,612.38 $61,535.60 2025-12-31
J9229 HCPCS Inotuzumab Ozogamicin 0.25 Mg/ml Recon Soln 1 Each Vial 85 34 $93,937.80 $51,665.79 45% off $2,282.27 $81,256.20 $61,388.36 2025-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 14 14 — — $61,365.55 $64,433.83 $61,365.55 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 30 23 — — $29,919.66 $113,903.11 $61,286.64 2025-12-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 14 14 — — $61,283.96 $64,348.16 $61,283.96 2025-12-31
263 MS_DRG Vein Ligation And Stripping 30 23 — — $29,882.39 $113,750.57 $61,204.56 2025-12-31
6904 APR_DRG Acute Leukemia 14 14 — — $60,957.60 $64,005.48 $60,957.60 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 23 — — $29,662.51 $112,850.21 $60,720.12 2025-12-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $60,560.82 $63,588.86 $60,560.82 2025-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 14 — — $60,517.88 $63,543.77 $60,517.88 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 23 — — $29,547.13 $112,377.70 $60,465.88 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 23 — — $29,543.50 $112,362.82 $60,457.87 2025-12-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 23 — — $29,513.51 $112,240.04 $60,391.81 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 23 — — $29,146.43 $110,736.96 $59,583.07 2025-12-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 14 — — $59,456.36 $62,429.18 $59,456.36 2025-12-31
914 APR_DRG Other Major Head And Neck Procedures 14 14 — — $59,278.58 $62,242.51 $59,278.58 2025-12-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $59,222.75 $62,183.89 $59,222.75 2025-12-31
See an error in this hospital's data? Submit a correction