Price Transparency 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

SIERRA VIEW MEDICAL CENTER

Porterville, CA · CCN 050261 · Rates published

18,041 distinct procedures filed
13 distinct payers
229,260 rate rows
2026-04-01 last MRF observed
Data quality

187,662 of 229,260 rate rows are consumer-grade (81.9%)

41,598 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 31,632
placeholder amount (≤ $0.02) — excluded from medians 9,770
percent-of-charges filed in the dollar field — excluded from medians 91
per-diem day rate — not a per-procedure price 88
exceeds 10× this hospital's gross charge — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sierra-view.com/documents/charge-master/941397461_Sierra-View-Medical-Center_standardcharges_010122.csv
Found on page https://www.sierra-view.com/patients-visitors/price-transparency-and-charge-master/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18

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 4 $4,054,500.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,316,739.99 $4,422,319.99 $3,685,266.66 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,002,238.00 $4,002,984.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $2,995,073.75 $3,993,431.66 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $2,927,257.26 $3,903,009.68 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $2,862,000.00 $4,897,200.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,645,971.99 $4,527,552.08 $2,939,968.88 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,330,083.10 $3,987,031.08 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,098,800.00 $3,591,280.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $96,327.50 $1,186,754.80 $770,620.00 nat. median
$824,563
0.9× median
5834
APR_DRG 		4 $756,651.89 $759,678.50 $756,651.89 nat. median
$309,665
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $94,311.49 $904,980.34 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $98,621.03 $872,458.20 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $93,756.37 $865,789.91 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $92,886.32 $859,445.85 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $88,871.70 $819,576.05 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $97,860.92 $753,753.31 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $484,606.65 $746,294.24 $484,606.65 nat. median
$370,174
1.3× median
5884
APR_DRG 		4 $478,232.31 $480,145.24 $478,232.31 nat. median
$246,434
1.9× median
5833
APR_DRG 		4 $356,911.82 $358,339.47 $356,911.82 nat. median
$244,017
1.5× median
6094
APR_DRG 		4 $336,295.95 $337,641.13 $336,295.95 nat. median
$162,982
outlier · 2.1×
5914
APR_DRG 		4 $329,053.34 $330,369.55 $329,053.34 nat. median
$164,279
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $314,634.50 $484,537.13 $314,634.50 nat. median
$265,286
1.2× median
5934
APR_DRG 		4 $290,458.92 $291,620.76 $290,458.92 nat. median
$151,838
1.9× median
6314
APR_DRG 		4 $287,025.89 $288,173.99 $287,025.89 nat. median
$122,924
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $43,750.00 $428,505.00 $278,250.00 nat. median
$324,450
0.9× median
0114
APR_DRG 		4 $267,832.14 $268,903.47 $267,832.14 nat. median
$197,700
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $83,333.33 $408,100.00 $265,000.00 nat. median
$265,000
1.0× median
6304
APR_DRG 		4 $243,895.93 $244,871.51 $243,895.93 nat. median
$150,721
1.6× median
0024
APR_DRG 		4 $243,231.46 $244,204.39 $243,231.46 nat. median
$372,987
0.7× median
5883
APR_DRG 		4 $241,856.51 $242,823.94 $241,856.51 nat. median
$182,736
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $239,807.68 $369,303.83 $239,807.68 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $238,402.73 $367,140.20 $238,402.73 nat. median
$202,986
1.2× median
5882
APR_DRG 		4 $233,256.45 $234,189.48 $233,256.45 nat. median
$145,336
1.6× median
5832
APR_DRG 		4 $223,969.98 $224,865.86 $223,969.98 nat. median
$156,126
1.4× median
6024
APR_DRG 		4 $212,147.21 $212,995.80 $212,147.21 nat. median
$118,620
1.8× median
0113
APR_DRG 		4 $209,043.24 $209,879.41 $209,043.24 nat. median
$128,705
1.6× median
1614
APR_DRG 		4 $202,241.64 $203,050.61 $202,241.64 nat. median
$207,730
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $68,546.67 $310,570.29 $201,669.02 nat. median
$209,753
1.0× median
5892
APR_DRG 		4 $198,433.49 $199,227.22 $198,433.49 nat. median
$89,790
outlier · 2.2×
5893
APR_DRG 		4 $198,433.49 $199,227.22 $198,433.49 nat. median
$69,788
outlier · 2.8×
5891
APR_DRG 		4 $198,433.49 $199,227.22 $198,433.49 nat. median
$93,260
outlier · 2.1×
5913
APR_DRG 		4 $195,328.73 $196,110.04 $195,328.73 nat. median
$102,636
1.9× median
0094
APR_DRG 		4 $194,638.60 $195,417.15 $194,638.60 nat. median
$166,008
1.2× median
5831
APR_DRG 		4 $188,974.75 $189,730.65 $188,974.75 nat. median
$145,122
1.3× median
0112
APR_DRG 		4 $176,648.70 $177,355.29 $176,648.70 nat. median
$93,442
1.9× median
8414
APR_DRG 		4 $173,017.86 $173,709.93 $173,017.86 nat. median
$160,267
1.1× median
1613
APR_DRG 		4 $162,739.13 $163,390.09 $162,739.13 nat. median
$119,796
1.4× median
5933
APR_DRG 		4 $162,107.84 $162,756.27 $162,107.84 nat. median
$108,996
1.5× median
5912
APR_DRG 		4 $158,604.21 $159,238.63 $158,604.21 nat. median
$81,294
2.0× median

Other procedures at this hospital

Browse this hospital's 18,041 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 5 4 — — $4,054,500.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 4 — — $3,316,739.99 $4,422,319.99 $3,685,266.66 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 4 — — $3,002,238.00 $4,002,984.00 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 4 — — $2,995,073.75 $3,993,431.66 $3,327,859.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 4 — — $2,927,257.26 $3,903,009.68 $3,252,508.07 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 7 4 — — $2,862,000.00 $4,897,200.00 $3,180,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 4 — — $2,645,971.99 $4,527,552.08 $2,939,968.88 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 4 — — $2,330,083.10 $3,987,031.08 $2,588,981.22 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 4 — — $2,098,800.00 $3,591,280.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 5 — — $96,327.50 $1,186,754.80 $770,620.00 2026-04-01
5834 APR_DRG — 4 4 — — $756,651.89 $759,678.50 $756,651.89 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 5 — — $94,311.49 $904,980.34 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 5 — — $98,621.03 $872,458.20 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 5 — — $93,756.37 $865,789.91 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 5 — — $92,886.32 $859,445.85 $558,081.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 5 — — $88,871.70 $819,576.05 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 5 — — $97,860.92 $753,753.31 $489,450.20 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $484,606.65 $746,294.24 $484,606.65 2026-04-01
5884 APR_DRG — 4 4 — — $478,232.31 $480,145.24 $478,232.31 2026-04-01
5833 APR_DRG — 4 4 — — $356,911.82 $358,339.47 $356,911.82 2026-04-01
6094 APR_DRG — 4 4 — — $336,295.95 $337,641.13 $336,295.95 2026-04-01
5914 APR_DRG — 4 4 — — $329,053.34 $330,369.55 $329,053.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 4 — — $314,634.50 $484,537.13 $314,634.50 2026-04-01
5934 APR_DRG — 4 4 — — $290,458.92 $291,620.76 $290,458.92 2026-04-01
6314 APR_DRG — 4 4 — — $287,025.89 $288,173.99 $287,025.89 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 5 — — $43,750.00 $428,505.00 $278,250.00 2026-04-01
0114 APR_DRG — 4 4 — — $267,832.14 $268,903.47 $267,832.14 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 10 5 — — $83,333.33 $408,100.00 $265,000.00 2026-04-01
6304 APR_DRG — 4 4 — — $243,895.93 $244,871.51 $243,895.93 2026-04-01
0024 APR_DRG — 4 4 — — $243,231.46 $244,204.39 $243,231.46 2026-04-01
5883 APR_DRG — 4 4 — — $241,856.51 $242,823.94 $241,856.51 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $239,807.68 $369,303.83 $239,807.68 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 4 — — $238,402.73 $367,140.20 $238,402.73 2026-04-01
5882 APR_DRG — 4 4 — — $233,256.45 $234,189.48 $233,256.45 2026-04-01
5832 APR_DRG — 4 4 — — $223,969.98 $224,865.86 $223,969.98 2026-04-01
6024 APR_DRG — 4 4 — — $212,147.21 $212,995.80 $212,147.21 2026-04-01
0113 APR_DRG — 4 4 — — $209,043.24 $209,879.41 $209,043.24 2026-04-01
1614 APR_DRG — 4 4 — — $202,241.64 $203,050.61 $202,241.64 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 5 — — $68,546.67 $310,570.29 $201,669.02 2026-04-01
5891 APR_DRG — 4 4 — — $198,433.49 $199,227.22 $198,433.49 2026-04-01
5893 APR_DRG — 4 4 — — $198,433.49 $199,227.22 $198,433.49 2026-04-01
5892 APR_DRG — 4 4 — — $198,433.49 $199,227.22 $198,433.49 2026-04-01
5913 APR_DRG — 4 4 — — $195,328.73 $196,110.04 $195,328.73 2026-04-01
0094 APR_DRG — 4 4 — — $194,638.60 $195,417.15 $194,638.60 2026-04-01
5831 APR_DRG — 4 4 — — $188,974.75 $189,730.65 $188,974.75 2026-04-01
0112 APR_DRG — 4 4 — — $176,648.70 $177,355.29 $176,648.70 2026-04-01
8414 APR_DRG — 4 4 — — $173,017.86 $173,709.93 $173,017.86 2026-04-01
1613 APR_DRG — 4 4 — — $162,739.13 $163,390.09 $162,739.13 2026-04-01
5933 APR_DRG — 4 4 — — $162,107.84 $162,756.27 $162,107.84 2026-04-01
5912 APR_DRG — 4 4 — — $158,604.21 $159,238.63 $158,604.21 2026-04-01
6074 APR_DRG — 4 4 — — $157,914.19 $158,545.85 $157,914.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 4 — — $155,722.55 $239,812.73 $155,722.55 2026-04-01
5881 APR_DRG — 4 4 — — $155,141.66 $155,762.23 $155,141.66 2026-04-01
6034 APR_DRG — 4 4 — — $153,438.03 $154,051.78 $153,438.03 2026-04-01
0074 APR_DRG — 4 4 — — $149,835.59 $150,434.93 $149,835.59 2026-04-01
0044 APR_DRG — 4 4 — — $148,693.87 $149,288.65 $148,693.87 2026-04-01
7 MS_DRG Lung Transplant 6 4 — — $145,617.66 $224,251.20 $145,617.66 2026-04-01
0014 APR_DRG — 4 4 — — $137,900.99 $138,452.59 $137,900.99 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 4 — — $135,164.07 $208,152.67 $135,164.07 2026-04-01
6114 APR_DRG — 4 4 — — $133,072.23 $133,604.52 $133,072.23 2026-04-01
0023 APR_DRG — 4 4 — — $131,530.85 $132,056.97 $131,530.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 4 — — $127,471.04 $196,305.40 $127,471.04 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $127,325.27 $196,080.92 $127,325.27 2026-04-01
8634 APR_DRG — 4 4 — — $126,964.36 $127,472.22 $126,964.36 2026-04-01
5932 APR_DRG — 4 4 — — $126,041.91 $126,546.08 $126,041.91 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $123,988.37 $190,942.09 $123,988.37 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $122,338.98 $188,402.03 $122,338.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 4 — — $116,019.51 $178,670.05 $116,019.51 2026-04-01
6023 APR_DRG — 4 4 — — $115,531.02 $115,993.14 $115,531.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $112,055.82 $172,565.96 $112,055.82 2026-04-01
0093 APR_DRG — 4 4 — — $110,110.47 $110,550.91 $110,110.47 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $110,102.57 $169,557.96 $110,102.57 2026-04-01
1611 APR_DRG — 4 4 — — $109,991.74 $110,431.71 $109,991.74 2026-04-01
1612 APR_DRG — 4 4 — — $109,991.74 $110,431.71 $109,991.74 2026-04-01
L8614 HCPCS Impl Cochlear 11 8 $143,297.50 $100,308.25 30% off $1,000.00 $128,967.75 $107,473.13 2026-04-01
1604 APR_DRG — 4 4 — — $106,925.93 $107,353.63 $106,925.93 2026-04-01
0054 APR_DRG — 4 4 — — $105,772.54 $106,195.63 $105,772.54 2026-04-01
6303 APR_DRG — 4 4 — — $103,484.31 $103,898.25 $103,484.31 2026-04-01
0022 APR_DRG — 4 4 — — $101,523.66 $101,929.75 $101,523.66 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $101,432.91 $156,206.68 $101,432.91 2026-04-01
0043 APR_DRG — 4 4 — — $98,565.98 $98,960.24 $98,565.98 2026-04-01
6124 APR_DRG — 4 4 — — $97,520.72 $97,910.80 $97,520.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $97,507.34 $150,161.30 $97,507.34 2026-04-01
6334 APR_DRG — 4 4 — — $95,464.97 $95,846.83 $95,464.97 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $94,932.91 $146,196.68 $94,932.91 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $94,635.77 $145,739.09 $94,635.77 2026-04-01
C1882 HCPCS Implant Biventricular Aicd 19 8 $153,533.40 $107,473.38 30% off $1,000.00 $138,180.06 $93,088.43 2026-04-01
0064 APR_DRG — 4 4 — — $92,994.09 $93,366.07 $92,994.09 2026-04-01
8424 APR_DRG — 4 4 — — $92,524.47 $92,894.57 $92,524.47 2026-04-01
6214 APR_DRG — 4 4 — — $91,110.93 $91,475.37 $91,110.93 2026-04-01
0073 APR_DRG — 4 4 — — $89,273.14 $89,630.23 $89,273.14 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 4 — — $88,641.47 $136,507.86 $88,641.47 2026-04-01
6073 APR_DRG — 4 4 — — $86,639.32 $86,985.88 $86,639.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $86,505.45 $133,218.39 $86,505.45 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 5 4 — — $86,134.31 $132,646.84 $86,134.31 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $85,850.62 $132,209.95 $85,850.62 2026-04-01
6134 APR_DRG — 4 4 — — $84,935.21 $85,274.95 $84,935.21 2026-04-01
6022 APR_DRG — 4 4 — — $84,459.49 $84,797.33 $84,459.49 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $81,350.97 $125,280.49 $81,350.97 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 5 — — $104.24 $124,588.07 $80,901.35 2026-04-01
10 MS_DRG Pancreas Transplant 6 4 — — $80,869.94 $124,539.71 $80,869.94 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $80,836.31 $124,487.92 $80,836.31 2026-04-01
1624 APR_DRG — 4 4 — — $80,771.14 $81,094.22 $80,771.14 2026-04-01
6093 APR_DRG — 4 4 — — $80,681.56 $81,004.29 $80,681.56 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 4 — — $80,409.10 $123,830.01 $80,409.10 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $80,362.01 $123,757.50 $80,362.01 2026-04-01
0063 APR_DRG — 4 4 — — $79,144.95 $79,461.53 $79,144.95 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $77,910.91 $119,982.80 $77,910.91 2026-04-01
0021 APR_DRG — 4 4 — — $77,825.12 $78,136.42 $77,825.12 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $77,530.80 $119,397.43 $77,530.80 2026-04-01
6084 APR_DRG — 4 4 — — $77,329.63 $77,638.95 $77,329.63 2026-04-01
4404 APR_DRG — 4 4 — — $76,896.47 $77,204.06 $76,896.47 2026-04-01
0013 APR_DRG — 4 4 — — $76,155.46 $76,460.08 $76,155.46 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $75,884.78 $116,862.56 $75,884.78 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $75,384.69 $116,092.42 $75,384.69 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $75,329.75 $116,007.82 $75,329.75 2026-04-01
C1722 HCPCS Impl Aicd System Single 43 8 $99,996.30 $69,997.41 30% off $1,000.00 $110,721.24 $74,997.23 2026-04-01
0111 APR_DRG — 4 4 — — $74,625.74 $74,924.24 $74,625.74 2026-04-01
0053 APR_DRG — 4 4 — — $74,623.62 $74,922.11 $74,623.62 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $74,137.84 $114,172.27 $74,137.84 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $74,137.84 $114,172.27 $74,137.84 2026-04-01
3034 APR_DRG — 4 4 — — $74,045.86 $74,342.04 $74,045.86 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $73,869.86 $113,759.58 $73,869.86 2026-04-01
C1721 HCPCS Impl Aicd System Dual Chmb 35 8 $101,237.50 $70,866.25 30% off $1,000.00 $100,260.27 $73,714.55 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $72,561.34 $111,744.46 $72,561.34 2026-04-01
1634 APR_DRG — 4 4 — — $71,005.50 $71,289.52 $71,005.50 2026-04-01
8514 APR_DRG — 4 4 — — $69,605.11 $69,883.53 $69,605.11 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 5 4 — — $69,126.89 $106,455.41 $69,126.89 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $69,047.28 $106,332.81 $69,047.28 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $68,389.09 $105,319.20 $68,389.09 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 4 — — $67,780.24 $104,381.57 $67,780.24 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $67,761.18 $104,352.22 $67,761.18 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $67,273.43 $103,601.08 $67,273.43 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $67,053.66 $103,262.64 $67,053.66 2026-04-01
2994 APR_DRG — 4 4 — — $66,991.96 $67,259.93 $66,991.96 2026-04-01
0062 APR_DRG — 4 4 — — $66,925.17 $67,192.87 $66,925.17 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 4 — — $66,898.92 $103,024.34 $66,898.92 2026-04-01
0072 APR_DRG — 4 4 — — $66,446.01 $66,711.79 $66,446.01 2026-04-01
1784 APR_DRG — 4 4 — — $66,228.69 $66,493.60 $66,228.69 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $66,213.83 $101,969.30 $66,213.83 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $66,171.22 $101,903.68 $66,171.22 2026-04-01
0084 APR_DRG — 4 4 — — $65,108.16 $65,368.59 $65,108.16 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $65,075.74 $100,216.64 $65,075.74 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 4 — — $64,663.11 $99,581.19 $64,663.11 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $64,400.74 $99,177.14 $64,400.74 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $64,317.76 $99,049.35 $64,317.76 2026-04-01
6144 APR_DRG — 4 4 — — $64,292.94 $64,550.11 $64,292.94 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 5 — — $57,847.31 $98,983.18 $64,274.79 2026-04-01
1654 APR_DRG — 4 4 — — $63,659.01 $63,913.65 $63,659.01 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $63,448.78 $97,711.12 $63,448.78 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 4 — — $63,253.68 $97,410.67 $63,253.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $62,823.11 $96,747.59 $62,823.11 2026-04-01
5931 APR_DRG — 4 4 — — $62,482.29 $62,732.22 $62,482.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 5 4 — — $62,338.72 $96,001.63 $62,338.72 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 5 — — $51,142.09 $87,509.79 $62,315.62 2026-04-01
6313 APR_DRG — 4 4 — — $62,014.52 $62,262.58 $62,014.52 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $61,967.58 $95,430.07 $61,967.58 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $61,750.05 $95,095.08 $61,750.05 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 5 4 — — $61,662.59 $94,960.39 $61,662.59 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 4 — — $61,566.17 $94,811.90 $61,566.17 2026-04-01
0042 APR_DRG — 4 4 — — $61,468.84 $61,714.72 $61,468.84 2026-04-01
0012 APR_DRG — 4 4 — — $61,446.58 $61,692.37 $61,446.58 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 4 — — $61,321.73 $94,435.46 $61,321.73 2026-04-01
0092 APR_DRG — 4 4 — — $60,423.58 $60,665.27 $60,423.58 2026-04-01
6083 APR_DRG — 4 4 — — $60,413.77 $60,655.43 $60,413.77 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $60,206.07 $92,717.35 $60,206.07 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $60,170.18 $92,662.08 $60,170.18 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 4 — — $59,768.77 $92,043.91 $59,768.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $59,572.55 $91,741.73 $59,572.55 2026-04-01
6072 APR_DRG — 4 4 — — $59,013.12 $59,249.17 $59,013.12 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $58,777.57 $90,517.46 $58,777.57 2026-04-01
1834 APR_DRG — 4 4 — — $58,768.76 $59,003.84 $58,768.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $58,676.65 $90,362.04 $58,676.65 2026-04-01
1623 APR_DRG — 4 4 — — $57,853.90 $58,085.32 $57,853.90 2026-04-01
9104 APR_DRG — 4 4 — — $56,988.86 $57,216.82 $56,988.86 2026-04-01
6224 APR_DRG — 4 4 — — $56,955.36 $57,183.18 $56,955.36 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $56,925.23 $87,664.85 $56,925.23 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 7 4 — — $50,986.02 $87,242.74 $56,651.13 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 4 — — $50,986.02 $87,242.74 $56,651.13 2026-04-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 10 5 — — $549.89 $87,242.74 $56,651.13 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 4 — — $50,986.02 $87,242.74 $56,651.13 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $56,333.20 $86,753.13 $56,333.20 2026-04-01
C2621 HCPCS Impl Pacemaker Resync 11 8 $74,806.70 $52,364.69 30% off $1,000.00 $67,326.03 $56,105.03 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $55,884.69 $86,062.42 $55,884.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $55,786.02 $85,910.47 $55,786.02 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $55,596.53 $85,618.66 $55,596.53 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $55,366.66 $85,264.66 $55,366.66 2026-04-01
0071 APR_DRG — 4 4 — — $55,309.66 $55,530.90 $55,309.66 2026-04-01
1664 APR_DRG — 4 4 — — $55,046.75 $55,266.94 $55,046.75 2026-04-01
1794 APR_DRG — 4 4 — — $54,992.69 $55,212.66 $54,992.69 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 5 — — $48,963.69 $83,782.31 $54,838.21 2026-04-01
6234 APR_DRG — 4 4 — — $54,746.96 $54,965.95 $54,746.96 2026-04-01
9114 APR_DRG — 4 4 — — $54,718.12 $54,936.99 $54,718.12 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $54,553.74 $84,012.76 $54,553.74 2026-04-01
3044 APR_DRG — 4 4 — — $54,426.59 $54,644.30 $54,426.59 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $54,280.15 $83,591.43 $54,280.15 2026-04-01
6344 APR_DRG — 4 4 — — $54,075.28 $54,291.58 $54,075.28 2026-04-01
1674 APR_DRG — 4 4 — — $54,029.06 $54,245.18 $54,029.06 2026-04-01
0061 APR_DRG — 4 4 — — $54,005.73 $54,221.75 $54,005.73 2026-04-01
0914 APR_DRG — 4 4 — — $53,845.66 $54,061.04 $53,845.66 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 5 4 — — $53,792.40 $82,840.30 $53,792.40 2026-04-01
1783 APR_DRG — 4 4 — — $53,704.67 $53,919.49 $53,704.67 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $53,259.12 $82,019.04 $53,259.12 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $53,126.37 $81,814.61 $53,126.37 2026-04-01
6804 APR_DRG — 4 4 — — $52,992.28 $53,204.25 $52,992.28 2026-04-01
41000836 CDM Ccl Revasc Endo Level 4 11 8 $70,641.00 $49,448.70 30% off $1,000.00 $63,576.90 $52,980.75 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $52,861.75 $81,407.10 $52,861.75 2026-04-01
6123 APR_DRG — 4 4 — — $52,716.12 $52,926.98 $52,716.12 2026-04-01
2993 APR_DRG — 4 4 — — $52,521.59 $52,731.68 $52,521.59 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 4 — — $52,404.27 $80,702.58 $52,404.27 2026-04-01
8413 APR_DRG — 4 4 — — $52,320.18 $52,529.46 $52,320.18 2026-04-01
9124 APR_DRG — 4 4 — — $52,238.55 $52,447.50 $52,238.55 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $52,196.84 $80,383.13 $52,196.84 2026-04-01
6254 APR_DRG — 4 4 — — $52,004.27 $52,212.29 $52,004.27 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $51,950.16 $80,003.25 $51,950.16 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $51,818.97 $79,801.21 $51,818.97 2026-04-01
6092 APR_DRG — 4 4 — — $51,663.97 $51,870.63 $51,663.97 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 4 — — $51,567.80 $79,414.41 $51,567.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $51,414.19 $79,177.85 $51,414.19 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 4 — — $51,391.76 $79,143.31 $51,391.76 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $51,192.18 $78,835.96 $51,192.18 2026-04-01
4403 APR_DRG — 4 4 — — $51,187.99 $51,392.74 $51,187.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $50,664.06 $78,022.65 $50,664.06 2026-04-01
3004 APR_DRG — 4 4 — — $50,655.82 $50,858.44 $50,655.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 4 — — $50,649.48 $78,000.20 $50,649.48 2026-04-01
0011 APR_DRG — 4 4 — — $50,490.44 $50,692.40 $50,490.44 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $50,452.14 $77,696.30 $50,452.14 2026-04-01
0052 APR_DRG — 4 4 — — $49,972.05 $50,171.94 $49,972.05 2026-04-01
1694 APR_DRG — 4 4 — — $49,701.73 $49,900.54 $49,701.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $49,666.13 $76,485.84 $49,666.13 2026-04-01
0214 APR_DRG — 4 4 — — $49,641.30 $49,839.87 $49,641.30 2026-04-01
6021 APR_DRG — 4 4 — — $49,525.22 $49,723.32 $49,525.22 2026-04-01
3033 APR_DRG — 4 4 — — $49,432.46 $49,630.19 $49,432.46 2026-04-01
41000770 CDM Percutaneous Trans Placement 11 8 $65,727.00 $46,008.90 30% off $1,000.00 $59,154.30 $49,295.25 2026-04-01
41000649 CDM Percutaneous Translum Init Ves 11 8 $65,727.00 $46,008.90 30% off $1,000.00 $59,154.30 $49,295.25 2026-04-01
6033 APR_DRG — 4 4 — — $49,060.10 $49,256.34 $49,060.10 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $48,932.82 $75,356.54 $48,932.82 2026-04-01
6133 APR_DRG — 4 4 — — $48,931.57 $49,127.30 $48,931.57 2026-04-01
0091 APR_DRG — 4 4 — — $48,887.57 $49,083.12 $48,887.57 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $48,545.98 $74,760.81 $48,545.98 2026-04-01
1633 APR_DRG — 4 4 — — $48,537.74 $48,731.89 $48,537.74 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $48,236.51 $74,284.23 $48,236.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $47,961.80 $73,861.17 $47,961.80 2026-04-01
1304 APR_DRG — 4 4 — — $47,938.78 $48,130.54 $47,938.78 2026-04-01
0234 APR_DRG — 4 4 — — $47,896.38 $48,087.97 $47,896.38 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $47,764.46 $73,557.27 $47,764.46 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 4 — — $47,683.72 $73,432.93 $47,683.72 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $47,660.18 $73,396.68 $47,660.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $47,522.26 $73,184.28 $47,522.26 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $47,466.20 $73,097.95 $47,466.20 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $47,378.74 $72,963.26 $47,378.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $47,197.09 $72,683.52 $47,197.09 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $47,163.46 $72,631.73 $47,163.46 2026-04-01
8504 APR_DRG — 4 4 — — $47,159.61 $47,348.25 $47,159.61 2026-04-01
1603 APR_DRG — 4 4 — — $46,998.47 $47,186.46 $46,998.47 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $46,977.32 $72,345.07 $46,977.32 2026-04-01
2604 APR_DRG — 4 4 — — $46,961.37 $47,149.22 $46,961.37 2026-04-01
1653 APR_DRG — 4 4 — — $46,931.69 $47,119.42 $46,931.69 2026-04-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 5 4 — — $46,668.98 $71,870.23 $46,668.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 5 4 — — $45,923.33 $70,721.93 $45,923.33 2026-04-01
8633 APR_DRG — 4 4 — — $45,916.91 $46,100.58 $45,916.91 2026-04-01
0894 APR_DRG — 4 4 — — $45,836.60 $46,019.95 $45,836.60 2026-04-01
2204 APR_DRG — 4 4 — — $45,647.91 $45,830.50 $45,647.91 2026-04-01
7404 APR_DRG — 4 4 — — $45,534.48 $45,716.62 $45,534.48 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $45,491.64 $70,057.13 $45,491.64 2026-04-01
4014 APR_DRG — 4 4 — — $45,294.89 $45,476.07 $45,294.89 2026-04-01
6113 APR_DRG — 4 4 — — $45,194.71 $45,375.49 $45,194.71 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 — — $45,083.50 $69,428.59 $45,083.50 2026-04-01
6904 APR_DRG — 4 4 — — $45,078.63 $45,258.94 $45,078.63 2026-04-01
1204 APR_DRG — 4 4 — — $44,991.70 $45,171.67 $44,991.70 2026-04-01
9504 APR_DRG — 4 4 — — $44,744.70 $44,923.68 $44,744.70 2026-04-01
1622 APR_DRG — 4 4 — — $44,276.14 $44,453.24 $44,276.14 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 4 — — $44,273.94 $68,181.87 $44,273.94 2026-04-01
4402 APR_DRG — 4 4 — — $44,182.85 $44,359.58 $44,182.85 2026-04-01
J9226 HCPCS Supprelin La Implant 10 5 — — $38,866.80 $66,505.41 $44,102.99 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $44,075.48 $67,876.24 $44,075.48 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 7 4 — — $39,655.92 $67,855.68 $44,062.13 2026-04-01
0204 APR_DRG — 4 4 — — $43,983.55 $44,159.48 $43,983.55 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 4 — — $43,811.98 $67,470.45 $43,811.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $43,746.95 $67,370.30 $43,746.95 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 4 — — $43,705.46 $67,306.41 $43,705.46 2026-04-01
0041 APR_DRG — 4 4 — — $43,549.97 $43,724.17 $43,549.97 2026-04-01
3124 APR_DRG — 4 4 — — $43,474.70 $43,648.60 $43,474.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $43,459.90 $66,928.25 $43,459.90 2026-04-01
4414 APR_DRG — 4 4 — — $43,454.56 $43,628.38 $43,454.56 2026-04-01
1782 APR_DRG — 4 4 — — $43,293.42 $43,466.59 $43,293.42 2026-04-01
5204 APR_DRG — 4 4 — — $42,979.63 $43,151.55 $42,979.63 2026-04-01
6814 APR_DRG — 4 4 — — $42,835.46 $43,006.80 $42,835.46 2026-04-01
0083 APR_DRG — 4 4 — — $42,705.07 $42,875.89 $42,705.07 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $42,604.37 $65,610.73 $42,604.37 2026-04-01
41000420 CDM Ccl Prq D-e Cor Revas Chro Sgl 11 8 $56,642.80 $39,649.96 30% off $1,000.00 $50,978.52 $42,482.10 2026-04-01
41000188 CDM Ccl Prq D-e Cor Revas Chro Sng 11 8 $56,642.80 $39,649.96 30% off $1,000.00 $50,978.52 $42,482.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $42,420.48 $65,327.54 $42,420.48 2026-04-01
69930 HCPCS Implant Cochlear Device 10 5 — — $1,127.32 $65,307.79 $42,407.66 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 — — $42,320.69 $65,173.86 $42,320.69 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $42,316.21 $65,166.96 $42,316.21 2026-04-01
6032 APR_DRG — 4 4 — — $42,209.21 $42,378.05 $42,209.21 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $42,198.47 $64,985.64 $42,198.47 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 — — $41,963.01 $64,623.04 $41,963.01 2026-04-01
6143 APR_DRG — 4 4 — — $41,632.78 $41,799.31 $41,632.78 2026-04-01
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