Price Transparencybeta Hospital negotiated rates

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

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Hospital

NORTHRIDGE HOSPITAL MEDICAL CENTER

Northridge, CA · CCN 050116 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $697 across 43 payers · range $100-$7,589

Source: https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/815009488_northridge-hospital-medical-center_standardcharges.json?target=%22_blank%22 · observed 2026-02-28

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.

17,336 distinct procedures filed
51 distinct payers
1,866,291 rate rows
2026-02-28 last MRF observed
Data quality

1,727,300 of 1,866,291 rate rows are consumer-grade (92.6%)

138,991 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 79,213
per-diem day rate — not a per-procedure price 32,169
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24,264
template filing: same amount across many unrelated codes — excluded 1,839
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 586
exceeds 10× this hospital's gross charge — excluded from medians 530
placeholder amount (≤ $0.02) — excluded from medians 368
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/752663904-1578547345_memorial-medical-center-san-augustine_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 67b9fcf31870816b… · 99,967,127 bytes · first seen 2026-07-07

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
5834
APR_DRG 		Neonate With Ecmo 9 $272,497.00 $780,357.20 $414,951.10 nat. median
$307,273
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $8,743.00 $624,850.00 $379,805.38 nat. median
$359,358
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $223,521.00 $582,045.80 $309,501.14 nat. median
$247,214
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $13,188.00 $437,982.88 $283,843.79 nat. median
$249,124
1.1× median
5833
APR_DRG 		Neonate With Ecmo 9 $215,822.00 $471,937.20 $269,778.00 nat. median
$244,017
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $13,188.00 $369,104.68 $239,148.18 nat. median
$198,433
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 26 $10,521.00 $333,605.02 $216,112.17 nat. median
$190,557
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $213,038.00 $353,643.08 $213,038.00 nat. median
$202,993
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $156,990.00 $395,614.80 $210,366.60 nat. median
$154,011
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $206,239.00 $342,602.42 $206,387.00 nat. median
$241,915
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $145,778.00 $382,631.20 $203,462.92 nat. median
$151,838
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $140,773.00 $378,814.80 $201,432.82 nat. median
$162,514
1.2× median
5832
APR_DRG 		Neonate With Ecmo 9 $159,148.00 $296,153.20 $198,935.00 nat. median
$159,249
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $134,285.00 $372,145.20 $197,887.18 nat. median
$133,164
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $139,876.00 $367,890.60 $195,623.92 nat. median
$165,000
1.2× median
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 8 $180.37 $252,373.70 $184,084.35 nat. median
$30,181
outlier · 6.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $144,001.00 $259,242.20 $180,001.00 nat. median
$175,429
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $141,004.00 $252,347.20 $176,255.00 nat. median
$145,061
1.2× median
5831
APR_DRG 		Neonate With Ecmo 9 $137,045.00 $239,829.80 $171,307.00 nat. median
$146,591
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,433.00 $267,978.78 $161,433.00 nat. median
$120,517
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $150,711.00 $253,993.28 $153,008.00 nat. median
$156,153
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 $113,900.00 $287,029.40 $152,626.00 nat. median
$107,657
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $104,494.00 $276,099.60 $146,815.76 nat. median
$118,589
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 $10,521.00 $220,474.66 $142,700.98 nat. median
$126,722
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $131,114.00 $228,271.58 $137,513.00 nat. median
$163,587
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $133,923.00 $224,048.54 $134,969.00 nat. median
$122,016
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $133,615.00 $221,800.90 $133,615.00 nat. median
$170,172
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $8,743.00 $204,543.82 $132,363.33 nat. median
$110,192
1.2× median
7
MS_DRG 		Lung Transplant 26 $10,521.00 $204,032.52 $132,031.54 nat. median
$117,894
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $127,535.00 $216,834.18 $130,623.00 nat. median
$111,046
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $129,535.00 $215,028.10 $129,535.00 nat. median
$136,728
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $129,460.00 $214,903.60 $129,460.00 nat. median
$84,808
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $123,135.00 $204,404.10 $123,135.00 nat. median
$76,852
1.6× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 8 $39,517.66 $159,952.42 $120,434.76 nat. median
$92
outlier · 1307.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $93,745.00 $178,976.00 $117,181.00 nat. median
$108,798
1.1× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $92,815.00 $167,839.00 $116,019.00 nat. median
$120,505
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $80,260.00 $214,627.00 $114,127.80 nat. median
$96,883
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $13,188.00 $173,628.00 $111,429.63 nat. median
$103,967
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 26 $2,904.00 $180,291.00 $110,164.82 nat. median
$97,414
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $10,521.00 $166,546.56 $107,706.59 nat. median
$94,964
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 26 $13,188.00 $200,895.00 $107,157.64 nat. median
$93,917
1.1× median
612
MS_DRG 		No Active Code Description 1 $106,007.00 $106,007.00 $106,007.00 nat. median
$53,038
2.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $25,064.00 $175,452.00 $105,957.17 nat. median
$93,270
1.1× median
64
APR_DRG 		Pancreas Transplant 9 $103,209.00 $171,326.94 $103,209.00 nat. median
$91,239
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $82,471.00 $172,229.40 $103,089.00 nat. median
$101,541
1.0× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $82,397.00 $144,842.60 $102,996.00 nat. median
$88,157
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $78,391.00 $148,822.80 $97,988.00 nat. median
$75,282
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 $19,187.00 $164,600.00 $97,669.56 nat. median
$90,581
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $90,431.00 $161,250.74 $97,139.00 nat. median
$98,624
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant 9 $94,014.00 $156,063.24 $94,014.00 nat. median
$92,229
1.0× median

Other procedures at this hospital

Browse this hospital's 17,336 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
             
5834 APR_DRG Neonate With Ecmo 30 9 — — $272,497.00 $780,357.20 $414,951.10 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 77 26 — — $8,743.00 $624,850.00 $379,805.38 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $223,521.00 $582,045.80 $309,501.14 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 66 26 — — $13,188.00 $437,982.88 $283,843.79 2026-02-28
5833 APR_DRG Neonate With Ecmo 30 9 — — $215,822.00 $471,937.20 $269,778.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 76 26 — — $13,188.00 $369,104.68 $239,148.18 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 82 26 — — $10,521.00 $333,605.02 $216,112.17 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 30 9 — — $213,038.00 $353,643.08 $213,038.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $156,990.00 $395,614.80 $210,366.60 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 30 9 — — $206,239.00 $342,602.42 $206,387.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $145,778.00 $382,631.20 $203,462.92 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $140,773.00 $378,814.80 $201,432.82 2026-02-28
5832 APR_DRG Neonate With Ecmo 30 9 — — $159,148.00 $296,153.20 $198,935.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 9 — — $134,285.00 $372,145.20 $197,887.18 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $139,876.00 $367,890.60 $195,623.92 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 16 8 $296,910.23 $125,593.03 58% off $180.37 $252,373.70 $184,084.35 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $144,001.00 $259,242.20 $180,001.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $141,004.00 $252,347.20 $176,255.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 30 9 — — $137,045.00 $239,829.80 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 30 9 — — $161,433.00 $267,978.78 $161,433.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 30 9 — — $150,711.00 $253,993.28 $153,008.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 9 — — $113,900.00 $287,029.40 $152,626.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $104,494.00 $276,099.60 $146,815.76 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 82 26 — — $10,521.00 $220,474.66 $142,700.98 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $131,114.00 $228,271.58 $137,513.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $133,923.00 $224,048.54 $134,969.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $133,615.00 $221,800.90 $133,615.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 80 26 — — $8,743.00 $204,543.82 $132,363.33 2026-02-28
7 MS_DRG Lung Transplant 80 26 — — $10,521.00 $204,032.52 $132,031.54 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 30 9 — — $127,535.00 $216,834.18 $130,623.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $129,535.00 $215,028.10 $129,535.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 30 9 — — $129,460.00 $214,903.60 $129,460.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 30 9 — — $123,135.00 $204,404.10 $123,135.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 15 8 $188,179.31 $79,599.85 58% off $39,517.66 $159,952.42 $120,434.76 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $93,745.00 $178,976.00 $117,181.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $92,815.00 $167,839.00 $116,019.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $80,260.00 $214,627.00 $114,127.80 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 74 26 — — $13,188.00 $173,628.00 $111,429.63 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 76 26 — — $2,904.00 $180,291.00 $110,164.82 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 80 26 — — $10,521.00 $166,546.56 $107,706.59 2026-02-28
215 MS_DRG Other Heart Assist System Implant 80 26 — — $13,188.00 $200,895.00 $107,157.64 2026-02-28
612 MS_DRG No Active Code Description 1 1 — — $106,007.00 $106,007.00 $106,007.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 25 — — $25,064.00 $175,452.00 $105,957.17 2026-02-28
64 APR_DRG Pancreas Transplant 30 9 — — $103,209.00 $171,326.94 $103,209.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $82,471.00 $172,229.40 $103,089.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $82,397.00 $144,842.60 $102,996.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $78,391.00 $148,822.80 $97,988.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 26 — — $19,187.00 $164,600.00 $97,669.56 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $90,431.00 $161,250.74 $97,139.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 30 9 — — $94,014.00 $156,063.24 $94,014.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 74 25 — — $13,188.00 $154,188.00 $93,253.79 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $74,302.00 $139,158.60 $92,877.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $88,258.00 $153,833.86 $92,671.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 30 9 — — $59,794.00 $170,963.80 $90,909.62 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $89,206.00 $148,081.96 $89,206.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 30 9 — — $60,992.00 $162,782.20 $86,558.64 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 80 26 — — $19,187.00 $132,839.54 $85,833.84 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 80 26 — — $14,667.00 $206,961.00 $85,786.59 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 74 25 — — $25,064.00 $139,603.00 $84,493.63 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $81,483.00 $140,070.80 $84,380.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 30 9 — — $76,165.00 $138,638.22 $83,517.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $58,323.00 $156,466.80 $83,200.60 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $83,072.00 $137,899.52 $83,072.00 2026-02-28
63 APR_DRG Pancreas Transplant 30 9 — — $81,709.00 $135,636.94 $81,709.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 26 — — $13,188.00 $129,012.00 $81,683.50 2026-02-28
10 MS_DRG Pancreas Transplant 80 26 — — $10,521.00 $125,078.64 $80,797.73 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 75 26 — — $13,188.00 $124,370.56 $80,338.26 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $63,675.00 $111,431.60 $79,594.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 78 26 — — $18,156.00 $122,652.30 $79,223.26 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $62,870.00 $112,366.80 $78,588.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 26 — — $13,188.00 $182,112.00 $78,429.99 2026-02-28
4404 APR_DRG Kidney Transplant 30 9 — — $77,462.00 $129,982.98 $78,303.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $62,438.00 $112,161.00 $78,048.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 30 9 — — $77,288.00 $128,298.08 $77,288.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $76,592.00 $127,142.72 $76,592.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 26 — — $10,521.00 $117,195.34 $75,682.19 2026-02-28
633 MS_DRG No Active Code Description 1 1 — — $73,884.00 $73,884.00 $73,884.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $73,704.00 $122,348.64 $73,704.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 25 — — $24,706.00 $118,825.00 $72,047.63 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 78 26 — — $13,188.00 $117,772.00 $71,688.70 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 26 — — $8,743.00 $125,541.00 $70,577.72 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 30 9 — — $52,627.00 $132,620.60 $70,520.18 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 9 — — $70,285.00 $116,673.10 $70,285.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 26 — — $10,521.00 $107,342.76 $69,288.78 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 9 — — $54,999.00 $96,248.60 $68,749.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 74 25 — — $23,333.00 $112,222.00 $68,046.09 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 76 26 — — $11,879.00 $105,027.96 $67,786.69 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 80 26 — — $13,188.00 $105,133.00 $67,673.08 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 30 9 — — $47,849.00 $127,142.40 $67,607.02 2026-02-28
1784 APR_DRG External Heart Assist Systems 30 9 — — $67,533.00 $112,104.78 $67,533.00 2026-02-28
62 APR_DRG Pancreas Transplant 30 9 — — $67,118.00 $111,415.88 $67,118.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 26 — — $8,743.00 $101,747.90 $65,658.23 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $64,992.00 $108,934.18 $65,623.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 26 — — $13,188.00 $105,529.00 $65,564.73 2026-02-28
631 MS_DRG No Active Code Description 1 1 — — $65,243.00 $65,243.00 $65,243.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 9 — — $65,103.00 $108,070.98 $65,103.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 9 — — $64,981.00 $107,868.46 $64,981.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 9 — — $64,857.00 $107,662.62 $64,857.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 26 — — $10,521.00 $99,533.82 $64,221.50 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 30 9 — — $43,490.00 $119,646.80 $63,621.86 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 78 26 — — $13,188.00 $103,953.00 $62,915.47 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 75 25 — — $13,188.00 $103,547.00 $62,835.04 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 82 26 — — $13,027.00 $96,960.28 $62,551.51 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 84 26 — — $10,521.00 $96,627.16 $62,335.35 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $46,514.00 $117,215.00 $62,328.76 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $60,429.00 $103,371.52 $62,272.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 80 26 — — $13,188.00 $96,193.34 $62,053.83 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 84 26 — — $10,521.00 $95,740.92 $61,760.25 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $61,493.00 $102,078.38 $61,493.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 74 26 — — $8,743.00 $95,065.38 $61,321.89 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 74 26 — — $8,743.00 $95,065.38 $61,321.89 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 9 — — $61,288.00 $101,738.08 $61,288.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 80 26 — — $13,188.00 $150,517.00 $60,868.45 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 9 — — $48,431.00 $84,753.20 $60,538.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 26 — — $13,188.00 $95,936.00 $60,451.20 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 74 26 — — $3,789.00 $93,653.88 $60,405.96 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $60,375.00 $100,222.50 $60,375.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $60,331.00 $100,149.46 $60,331.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 80 26 — — $13,188.00 $92,714.96 $59,796.68 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 26 — — $10,521.00 $91,755.88 $59,174.33 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 30 9 — — $44,075.00 $111,067.60 $59,060.50 2026-02-28
C1824 HCPCS Gener Ccm 23772x-26149 68 14 $146,435.00 $40,855.37 72% off $23,813.00 $146,435.00 $58,574.00 2026-02-28
J8499 HCPCS Nintedanib 150 Mg Capsule 15 8 $91,485.29 $38,698.28 58% off $19,211.92 $77,762.50 $58,550.59 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 84 26 — — $10,521.00 $129,726.00 $58,340.84 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $46,628.00 $81,599.00 $58,285.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $43,885.00 $101,806.60 $58,175.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $58,078.00 $96,409.48 $58,078.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 26 — — $10,521.00 $120,705.00 $57,995.99 2026-02-28
1794 APR_DRG Defibrillator Implants 30 9 — — $57,855.00 $96,039.30 $57,855.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 30 9 — — $57,769.00 $95,896.54 $57,769.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $57,690.00 $95,765.40 $57,690.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 9 — — $57,308.00 $95,131.28 $57,308.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $45,477.00 $79,584.40 $56,846.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 84 26 — — $10,521.00 $87,918.04 $56,683.92 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 9 — — $56,540.00 $93,856.40 $56,540.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $56,265.00 $93,399.90 $56,265.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 78 26 — — $8,743.00 $94,898.00 $56,208.36 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 26 — — $13,188.00 $112,186.00 $56,208.36 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 25 — — $19,160.00 $92,152.00 $55,975.11 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 30 9 — — $55,263.00 $92,777.40 $55,890.00 2026-02-28
61 APR_DRG Pancreas Transplant 30 9 — — $55,755.00 $92,553.30 $55,755.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 74 25 — — $19,038.00 $91,564.00 $55,637.29 2026-02-28
38240 CPT Transplt Allo Hct/donor 114 26 — — $0.65 $111,215.96 $55,617.71 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 80 26 — — $10,521.00 $85,849.60 $55,341.70 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 84 26 — — $10,511.00 $85,657.48 $55,217.03 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 9 — — $43,670.00 $96,171.60 $54,955.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 26 — — $10,521.00 $85,228.30 $54,938.53 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 26 — — $10,521.00 $85,149.28 $54,887.25 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 26 — — $8,620.00 $85,139.98 $54,881.22 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $54,809.00 $90,982.94 $54,809.00 2026-02-28
5500985 CDM Inst/supp Ste12199x-13419 16 6 $75,147.00 $20,966.02 72% off $17,283.81 $75,147.00 $54,481.57 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 80 26 — — $12,308.00 $83,976.38 $54,126.15 2026-02-28
636 MS_DRG No Active Code Description 1 1 — — $53,972.00 $53,972.00 $53,972.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 30 9 — — $53,079.00 $89,571.94 $53,959.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 26 — — $13,188.00 $94,947.00 $53,889.88 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 132 14 $121,022.00 $33,765.14 72% off $23,813.00 $133,124.00 $53,249.68 2026-02-28
33276 CPT Inst Phrnc Nrv Stim Sys 5 3 $81,705.00 $34,561.22 58% off $5,079.00 $57,193.50 $53,108.25 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 74 25 — — $17,923.00 $86,201.00 $52,415.95 2026-02-28
681 MS_DRG No Active Code Description 1 1 — — $52,415.00 $52,415.00 $52,415.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 77 26 — — $13,188.00 $81,075.92 $52,244.02 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $41,490.00 $72,608.20 $51,863.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 84 26 — — $10,521.00 $80,480.96 $51,857.94 2026-02-28
1783 APR_DRG External Heart Assist Systems 30 9 — — $51,748.00 $85,901.68 $51,748.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 84 26 — — $10,521.00 $81,457.00 $51,701.10 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 30 9 — — $51,543.00 $85,561.38 $51,543.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 30 9 — — $51,481.00 $85,458.46 $51,481.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 30 9 — — $51,367.00 $85,269.22 $51,367.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 84 26 — — $10,521.00 $117,066.00 $51,277.82 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 78 26 — — $8,743.00 $112,454.00 $50,979.21 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 76 26 — — $13,188.00 $79,066.36 $50,940.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 84 26 — — $10,521.00 $87,699.00 $50,919.89 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 80 26 — — $13,188.00 $122,576.00 $50,738.92 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 30 9 — — $50,296.00 $83,491.36 $50,296.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 30 9 — — $50,285.00 $83,473.10 $50,285.00 2026-02-28
234 APR_DRG Spinal Procedures 30 9 — — $50,013.00 $83,021.58 $50,013.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 78 26 — — $13,188.00 $77,261.32 $49,768.70 2026-02-28
5556748 CDM Inst/supp Ste11090x-12199 16 6 $68,315.00 $19,059.89 72% off $15,712.45 $68,315.00 $49,528.38 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 84 26 — — $10,521.00 $101,726.00 $49,472.10 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 80 26 — — $10,521.00 $76,678.76 $49,390.66 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 30 9 — — $47,952.00 $81,876.18 $49,323.00 2026-02-28
4403 APR_DRG Kidney Transplant 30 9 — — $48,930.00 $81,223.80 $48,930.00 2026-02-28
J9321 HCPCS Epcoritamab-bysp 0.16 Mg/ml Subcutaneous Solution 60 8 $84,564.51 $35,770.79 58% off $2,021.91 $243,043.51 $48,848.37 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $39,049.00 $68,335.40 $48,811.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 26 — — $10,521.00 $117,126.00 $48,649.67 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 15 8 $75,781.15 $32,055.43 58% off $15,914.05 $64,413.98 $48,499.94 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 9 — — $48,451.00 $80,428.66 $48,451.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 30 9 — — $38,756.00 $67,823.00 $48,445.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 84 26 — — $10,521.00 $75,216.12 $48,441.55 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 30 9 — — $48,436.00 $80,403.76 $48,436.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 26 — — $10,521.00 $75,202.18 $48,432.50 2026-02-28
6904 APR_DRG Acute Leukemia 30 9 — — $47,709.00 $79,814.46 $48,081.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 30 9 — — $48,072.00 $79,799.52 $48,072.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 26 — — $13,188.00 $113,017.00 $47,937.84 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 26 — — $10,521.00 $93,372.00 $47,684.48 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $47,582.00 $78,986.12 $47,582.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 30 9 — — $47,418.00 $78,713.88 $47,418.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 78 26 — — $13,188.00 $80,053.00 $47,406.98 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 30 9 — — $47,272.00 $78,471.52 $47,272.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 30 9 — — $47,240.00 $78,418.40 $47,240.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 30 9 — — $47,233.00 $78,406.78 $47,233.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 84 26 — — $10,521.00 $72,960.22 $46,977.67 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 78 26 — — $7,735.00 $75,545.00 $46,958.57 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 26 — — $13,188.00 $72,703.02 $46,810.77 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 26 — — $10,521.00 $72,692.16 $46,803.73 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 9 — — $46,725.00 $77,563.50 $46,725.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 30 9 — — $46,651.00 $77,440.66 $46,651.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 30 9 — — $37,314.00 $66,078.60 $46,642.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $34,773.00 $87,628.80 $46,595.82 2026-02-28
4414 APR_DRG Major Bladder Procedures 30 9 — — $46,515.00 $77,214.90 $46,515.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 9 — — $46,300.00 $76,858.00 $46,300.00 2026-02-28
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 30 8 $77,455.90 $32,763.85 58% off $11,947.95 $83,314.30 $46,234.15 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 30 9 — — $45,507.00 $76,366.64 $46,004.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 26 — — $10,521.00 $71,448.00 $45,996.39 2026-02-28
1782 APR_DRG External Heart Assist Systems 30 9 — — $45,929.00 $76,242.14 $45,929.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $45,882.00 $76,164.12 $45,882.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 26 — — $10,521.00 $88,638.00 $45,725.93 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 78 26 — — $13,188.00 $79,679.00 $45,601.26 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 9 — — $36,254.00 $70,040.60 $45,318.00 2026-02-28
2306421 CDM Trauma Lvl 2 Activate 4/5 84 14 $74,868.00 $20,888.18 72% off $18,717.00 $74,868.00 $45,295.14 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 84 26 — — $9,931.00 $70,191.44 $45,181.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 30 9 — — $36,131.00 $63,229.60 $45,164.00 2026-02-28
5556772 CDM Inst/supp Ste10082x-11090 16 6 $62,104.00 $17,327.02 72% off $14,283.92 $62,104.00 $45,025.40 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 77 26 — — $13,188.00 $69,607.32 $44,801.96 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 30 9 — — $31,932.00 $84,233.80 $44,790.84 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 30 9 — — $33,280.00 $83,865.60 $44,595.20 2026-02-28
274 APR_DRG Other Open Craniotomy 30 9 — — $44,581.00 $74,004.46 $44,581.00 2026-02-28
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 15 8 $69,448.08 $29,376.54 58% off $14,584.10 $59,030.87 $44,446.78 2026-02-28
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 60 8 $77,562.71 $32,809.03 58% off $9,339.25 $112,805.97 $44,296.38 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 76 26 — — $8,743.00 $68,586.28 $44,139.39 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 84 26 — — $10,521.00 $108,770.00 $44,049.91 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $43,961.00 $72,975.26 $43,961.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 30 9 — — $43,736.00 $72,601.76 $43,736.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $43,531.00 $72,261.46 $43,531.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 84 26 — — $10,521.00 $67,638.06 $43,524.08 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 77 26 — — $13,188.00 $69,299.00 $43,460.74 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 30 9 — — $43,343.00 $71,949.38 $43,343.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 30 9 — — $43,256.00 $71,804.96 $43,256.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 78 26 — — $3,513.00 $67,072.52 $43,157.10 2026-02-28
4402 APR_DRG Kidney Transplant 30 9 — — $43,020.00 $71,413.20 $43,020.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 30 9 — — $42,892.00 $71,200.72 $42,892.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 84 26 — — $10,521.00 $122,056.00 $42,769.01 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 84 26 — — $10,521.00 $66,458.96 $42,758.96 2026-02-28
4014 APR_DRG Adrenal Procedures 30 9 — — $42,748.00 $70,961.68 $42,748.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 30 9 — — $34,178.00 $59,810.80 $42,722.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 74 26 — — $2,168.00 $66,163.04 $42,566.93 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 79 26 — — $13,188.00 $66,011.20 $42,468.40 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 30 9 — — $42,073.00 $69,841.18 $42,073.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $42,037.00 $69,781.42 $42,037.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 30 9 — — $41,989.00 $69,701.74 $41,989.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 80 26 — — $11,144.00 $65,258.18 $41,979.77 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 84 26 — — $10,521.00 $71,966.00 $41,956.64 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 84 26 — — $10,521.00 $65,128.04 $41,895.31 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $41,863.00 $69,492.58 $41,863.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 74 25 — — $14,211.00 $68,349.00 $41,692.22 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 84 26 — — $10,521.00 $64,565.60 $41,530.35 2026-02-28
791 MS_DRG Prematurity With Major Problems 74 26 — — $1,994.00 $64,449.40 $41,454.94 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $33,100.00 $63,316.40 $41,375.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 30 9 — — $41,356.00 $68,650.96 $41,356.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 9 — — $30,797.00 $77,607.60 $41,267.98 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 30 9 — — $41,146.00 $68,302.36 $41,146.00 2026-02-28
5500984 CDM Inst/supp Ster7755x-10082 16 6 $56,460.00 $15,752.34 72% off $12,985.80 $56,460.00 $40,933.50 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $32,702.00 $57,229.20 $40,878.00 2026-02-28
646 MS_DRG No Active Code Description 1 1 — — $40,813.00 $40,813.00 $40,813.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 30 9 — — $40,755.00 $67,653.30 $40,755.00 2026-02-28
0408T CPT Ins/rpl Crd Mod Sy Pg Tve 86 27 $80,042.00 $22,331.72 72% off $0.65 $80,042.00 $40,737.44 2026-02-28
0571T CPT Ins/rpl Icd Sbstrnl Elecs 66 19 $113,800.00 $31,750.20 72% off $653.00 $113,800.00 $40,737.44 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 84 26 — — $9,435.00 $63,268.76 $40,688.82 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 84 26 — — $5,192.00 $63,225.38 $40,660.66 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 30 9 — — $40,495.00 $67,221.70 $40,495.00 2026-02-28
2301430 CDM Trauma Fac Activat Tier 1 32 9 $74,868.00 $20,888.18 72% off $18,717.00 $74,868.00 $40,428.72 2026-02-28
1793 APR_DRG Defibrillator Implants 30 9 — — $40,380.00 $67,030.80 $40,380.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 30 9 — — $40,004.00 $66,962.74 $40,339.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $40,327.00 $66,942.82 $40,327.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 84 26 — — $10,521.00 $96,731.00 $40,306.76 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 84 26 — — $8,214.00 $62,554.50 $40,225.32 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 30 9 — — $40,213.00 $66,753.58 $40,213.00 2026-02-28
635 MS_DRG No Active Code Description 1 1 — — $40,188.00 $40,188.00 $40,188.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 76 26 — — $8,573.00 $62,430.54 $40,144.89 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 74 25 — — $13,675.00 $65,771.00 $39,969.95 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 82 26 — — $12,355.00 $62,131.52 $39,950.84 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 9 — — $39,876.00 $66,194.16 $39,876.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 84 26 — — $8,853.00 $61,796.84 $39,733.67 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 30 9 — — $39,207.00 $65,626.44 $39,534.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 84 26 — — $10,521.00 $61,429.64 $39,495.39 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 84 26 — — $7,455.00 $61,369.22 $39,456.18 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 84 26 — — $10,521.00 $61,201.88 $39,347.60 2026-02-28
2324 APR_DRG Gastric Fundoplication 30 9 — — $36,418.00 $65,276.18 $39,323.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 9 — — $39,311.00 $65,256.26 $39,311.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $31,445.00 $57,433.60 $39,307.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 84 26 — — $10,521.00 $142,554.00 $39,067.09 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 9 — — $38,970.00 $64,690.20 $38,970.00 2026-02-28
226 MS_DRG No Active Code Description 7 3 — — $27,494.00 $82,488.00 $38,911.00 2026-02-28
225 MS_DRG No Active Code Description 7 3 — — $23,213.00 $65,179.00 $38,911.00 2026-02-28
223 MS_DRG No Active Code Description 7 3 — — $24,586.00 $67,253.00 $38,911.00 2026-02-28
227 MS_DRG No Active Code Description 7 3 — — $27,494.00 $64,702.00 $38,911.00 2026-02-28
224 MS_DRG No Active Code Description 7 3 — — $27,494.00 $91,359.00 $38,911.00 2026-02-28
222 MS_DRG No Active Code Description 7 3 — — $27,494.00 $98,671.00 $38,911.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 9 — — $38,868.00 $64,520.88 $38,868.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 9 — — $38,865.00 $64,515.90 $38,865.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 26 — — $10,521.00 $74,825.00 $38,858.97 2026-02-28
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