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

HUNTINGTON HOSPITAL

Pasadena, CA · CCN 050438 · Rates published

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You selected 93350 (CPT)

HB TTE/2D ECHO STRESS W/O CONT

This hospital’s price: $683 across 18 payers · range $25-$2,107

Source: https://media.huntingtonhealth.org/951644036_HUNTINGTON-HOSPITAL_standardcharges.csv · observed 2025-11-26

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.

71,172 distinct procedures filed
45 distinct payers
3,641,648 rate rows
2026-03-31 last MRF observed
Data quality

3,560,952 of 3,641,648 rate rows are consumer-grade (97.8%)

80,696 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 69,689
placeholder amount (≤ $0.02) — excluded from medians 8,173
per-diem day rate — not a per-procedure price 1,596
exceeds 10× this hospital's gross charge — excluded from medians 1,042
template filing: same amount across many unrelated codes — excluded 188
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Huntington_Hospital_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-09
Content fingerprint a43f695c5c090f94… · 30,817,994 bytes · first seen 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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,905,698.71 $4,905,698.71 $4,905,698.71 nat. median
$3,758,972
1.3× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,414,759.55 $4,972,276.37 $4,693,517.96 nat. median
$3,316,463
1.4× median
J3399
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $3,712,488.53 $3,712,488.53 $3,712,488.53 nat. median
$2,466,282
1.5× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $3,268,157.77 $3,680,876.26 $3,474,517.01 nat. median
$2,588,981
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $787,685.32 $1,362,489.89 $1,362,489.89 nat. median
$577,003
outlier · 2.4×
9498
OTHER 		Ciltacabtagene Car-pos T 1 $753,265.04 $1,302,951.79 $1,302,951.79 nat. median
$587,650
outlier · 2.2×
9413
OTHER 		Lisocabtagene Car Pos T 1 $748,831.25 $1,295,282.49 $1,295,282.49 nat. median
$562,201
outlier · 2.3×
9422
OTHER 		Idecabtagene Vicleucel Car 1 $741,882.23 $1,283,262.50 $1,283,262.50 nat. median
$562,826
outlier · 2.3×
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $709,817.44 $1,227,798.80 $1,227,798.80 nat. median
$533,230
outlier · 2.3×
9391
OTHER 		Brexucabtagene Car Pos T 1 $651,345.26 $1,126,657.20 $1,126,657.20 nat. median
$492,768
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $323,481.54 $1,332,054.00 $1,031,596.00 nat. median
$359,358
outlier · 2.9×
Q2056
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $819,278.25 $819,278.25 $819,278.25 nat. median
$646,415
1.3× median
Q2055
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $818,445.43 $818,445.43 $818,445.43 nat. median
$622,245
1.3× median
Q2054
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $803,118.23 $803,118.23 $803,118.23 nat. median
$640,950
1.3× median
Q2041
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $760,733.82 $760,733.82 $760,733.82 nat. median
$608,101
1.3× median
Q2053
HCPCS 		Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 1 $715,776.46 $715,776.46 $715,776.46 nat. median
$591,650
1.2× median
5Al522F
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
3E0F7SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al522G
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al5223
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
3E0F3SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
3E0F8SD
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
5Al522H
OTHER 		Ecmo Nitric Oxide 1 $530,267.99 $530,267.99 $530,267.99 nat. median
$530,268
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $241,633.76 $994,933.00 $414,646.53 nat. median
$249,124
1.7× median
64401664
CDM 		Antithymocy Glo Eq 50mg/ml Inj 15 $162,041.40 $810,207.00 $384,848.32 nat. median
$384,848
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $203,511.87 $837,913.00 $364,026.00 nat. median
$198,433
1.8× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $351,142.78 $351,142.78 nat. median
$155,833
outlier · 2.3×
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $351,142.78 $351,142.78 nat. median
$155,877
outlier · 2.3×
589
APR_DRG 		Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 11 $277,806.63 $361,148.62 $347,258.29 nat. median
$114,872
outlier · 3.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $183,863.94 $928,215.00 $327,400.01 nat. median
$190,557
1.7× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $316,604.26 $316,604.26 nat. median
$140,545
outlier · 2.3×
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $316,604.26 $316,604.26 nat. median
$140,530
outlier · 2.3×
24
APR_DRG 		Heart &/or Lung Transplant 18 $8,862.44 $734,524.44 $293,809.77 nat. median
$241,915
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $93,499.08 $384,783.00 $283,285.00 nat. median
$97,414
outlier · 2.9×
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $282,065.74 $282,065.74 nat. median
$120,722
outlier · 2.3×
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $282,065.74 $282,065.74 nat. median
$120,722
outlier · 2.3×
588
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 11 $217,197.53 $282,356.79 $271,496.91 nat. median
$259,357
1.0× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $247,527.22 $247,527.22 nat. median
$105,940
outlier · 2.3×
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $247,527.22 $247,527.22 nat. median
$105,940
outlier · 2.3×
64304785
CDM 		Pomalidomide 1mg Cap 15 $103,224.39 $516,121.97 $245,157.93 nat. median
$245,158
1.0× median
5834
APR_DRG 		Neonate W Ecmo 7 $212,010.82 $541,277.22 $232,411.70 nat. median
$307,273
0.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,297.70 $531,801.34 $228,342.86 nat. median
$175,429
1.3× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,297.70 $531,801.34 $228,342.86 nat. median
$247,214
0.9× median
64323983
CDM 		Teplizum Mzwv 1mg/ml2ml Inj 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
64323991
CDM 		Teplizum Mzwv 1mg/ml2ml Inj Jw 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $218,745.12 $218,745.12 nat. median
$96,908
outlier · 2.3×
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $218,745.12 $218,745.12 nat. median
$97,104
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $121,249.89 $612,048.00 $215,906.67 nat. median
$126,722
1.7× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $190,588.20 $486,606.70 $204,172.10 nat. median
$202,993
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $112,432.67 $462,769.00 $201,047.00 nat. median
$110,192
1.8× median

Other procedures at this hospital

Browse this hospital's 71,172 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
             
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,905,698.71 $4,905,698.71 $4,905,698.71 2025-11-26
0714 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $4,414,759.55 $4,972,276.37 $4,693,517.96 2025-11-26
J3399 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $3,712,488.53 $3,712,488.53 $3,712,488.53 2025-11-26
9141 OTHER Inj Onase Abepar-xioi Treat 2 1 — — $3,268,157.77 $3,680,876.26 $3,474,517.01 2025-11-26
9194 OTHER Tisagenlecleucel Car-pos T 6 1 — — $787,685.32 $1,362,489.89 $1,362,489.89 2025-11-26
9498 OTHER Ciltacabtagene Car-pos T 6 1 — — $753,265.04 $1,302,951.79 $1,302,951.79 2025-11-26
9413 OTHER Lisocabtagene Car Pos T 6 1 — — $748,831.25 $1,295,282.49 $1,295,282.49 2025-11-26
9422 OTHER Idecabtagene Vicleucel Car 6 1 — — $741,882.23 $1,283,262.50 $1,283,262.50 2025-11-26
9035 OTHER Axicabtagene Ciloleucel Car+ 6 1 — — $709,817.44 $1,227,798.80 $1,227,798.80 2025-11-26
9391 OTHER Brexucabtagene Car Pos T 6 1 — — $651,345.26 $1,126,657.20 $1,126,657.20 2025-11-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 15 — $1,460,631.00 $323,481.54 $1,332,054.00 $1,031,596.00 2026-03-31
Q2056 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $819,278.25 $819,278.25 $819,278.25 2025-11-26
Q2055 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $818,445.43 $818,445.43 $818,445.43 2025-11-26
Q2054 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $803,118.23 $803,118.23 $803,118.23 2025-11-26
Q2041 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $760,733.82 $760,733.82 $760,733.82 2025-11-26
Q2053 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 4 1 — — $715,776.46 $715,776.46 $715,776.46 2025-11-26
5Al522H OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al5223 OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
3E0F8SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al522F OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
3E0F7SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
3E0F3SD OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
5Al522G OTHER Ecmo Nitric Oxide 4 1 — — $530,267.99 $530,267.99 $530,267.99 2025-11-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 93 32 — $1,059,255.00 $241,633.76 $994,933.00 $414,646.53 2026-03-31
64401664 CDM Antithymocy Glo Eq 50mg/ml Inj 68 15 — $421,909.22 $162,041.40 $810,207.00 $384,848.32 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 87 32 — $892,120.00 $203,511.87 $837,913.00 $364,026.00 2026-03-31
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $351,142.78 $351,142.78 2025-11-26
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $351,142.78 $351,142.78 2025-11-26
589 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 11 11 — — $277,806.63 $361,148.62 $347,258.29 2025-11-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 87 32 — $1,017,604.00 $183,863.94 $928,215.00 $327,400.01 2026-03-31
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $316,604.26 $316,604.26 2025-11-26
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $316,604.26 $316,604.26 2025-11-26
24 APR_DRG Heart &/or Lung Transplant 35 18 — $1,971,100.00 $8,862.44 $734,524.44 $293,809.77 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 16 — $409,798.00 $93,499.08 $384,783.00 $283,285.00 2026-03-31
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $282,065.74 $282,065.74 2025-11-26
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $282,065.74 $282,065.74 2025-11-26
588 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 11 11 — — $217,197.53 $282,356.79 $271,496.91 2025-11-26
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $247,527.22 $247,527.22 2025-11-26
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $247,527.22 $247,527.22 2025-11-26
64304785 CDM Pomalidomide 1mg Cap 68 15 — $268,766.64 $103,224.39 $516,121.97 $245,157.93 2026-03-31
5834 APR_DRG Neonate W Ecmo 24 7 — $1,776,012.00 $212,010.82 $541,277.22 $232,411.70 2026-03-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,784,497.00 $208,297.70 $531,801.34 $228,342.86 2026-03-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,667,808.00 $208,297.70 $531,801.34 $228,342.86 2026-03-31
64323991 CDM Teplizum Mzwv 1mg/ml2ml Inj Jw 68 15 — $243,317.21 $93,450.10 $467,250.52 $221,944.00 2026-03-31
64323983 CDM Teplizum Mzwv 1mg/ml2ml Inj 68 15 — $243,317.21 $93,450.10 $467,250.52 $221,944.00 2026-03-31
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $218,745.12 $218,745.12 2025-11-26
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $218,745.12 $218,745.12 2025-11-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 87 32 — $670,990.00 $121,249.89 $612,048.00 $215,906.67 2026-03-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $113,783.00 $190,588.20 $486,606.70 $204,172.10 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 87 32 — $507,584.00 $112,432.67 $462,769.00 $201,047.00 2026-03-31
7 MS_DRG Lung Transplant 87 32 — $491,566.00 $112,149.69 $461,603.00 $200,541.00 2026-03-31
34 APR_DRG Bone Marrow Transplant 24 7 — $795,388.00 $185,074.03 $492,877.35 $196,475.88 2026-03-31
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $195,719.44 $195,719.44 2025-11-26
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $195,719.44 $195,719.44 2025-11-26
64300452 CDM Isoproterenol 0.2mg/ml 1ml Inj 68 15 — $201,178.19 $77,265.90 $386,329.50 $183,506.51 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 93 32 — $414,527.00 $94,577.86 $389,227.00 $178,870.59 2026-03-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,066,070.00 $160,107.71 $408,820.49 $175,536.27 2026-03-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,223,568.00 $159,532.03 $407,351.35 $174,905.45 2026-03-31
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $172,693.77 $172,693.77 2025-11-26
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $172,693.77 $172,693.77 2025-11-26
215 MS_DRG Other Heart Assist System Implant 93 32 — $398,553.00 $90,934.18 $374,219.00 $172,001.26 2026-03-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 7 — $1,455,120.00 $154,876.45 $395,470.29 $164,432.85 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 87 32 — $400,605.00 $91,402.39 $376,147.00 $163,415.00 2026-03-31
64496193 CDM Sipuleucel T 250ml Inj 68 15 — $174,243.36 $66,921.12 $334,605.60 $158,937.66 2026-03-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,416,264.00 $144,164.73 $368,133.99 $158,065.95 2026-03-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $1,020,198.00 $144,736.29 $406,133.53 $153,673.02 2026-03-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 35 18 — $954,580.00 $5,924.90 $381,486.28 $152,594.52 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 33 — $397,146.00 $41,812.00 $362,260.00 $152,306.10 2026-03-31
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $149,668.08 $149,668.08 2025-11-26
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $149,668.08 $149,668.08 2025-11-26
0717 OTHER Instill Adstiladrin, Tx Dose 6 1 — — $84,319.04 $145,849.92 $145,849.92 2025-11-26
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $1,648,397.00 $132,061.51 $337,246.59 $144,803.24 2026-03-31
161 APR_DRG Implantable Heart Assist Systems 11 11 — — $109,991.74 $142,989.26 $137,489.68 2025-11-26
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $677,508.00 $125,132.00 $319,562.46 $137,209.89 2026-03-31
5244 OTHER Level 4 Blood Product Exchange And Related Services 6 1 — — $78,729.09 $136,180.77 $136,180.77 2025-11-26
5833 APR_DRG Neonate W Ecmo 24 7 — $1,740,359.00 $120,779.87 $308,455.84 $132,440.83 2026-03-31
1643 OTHER Y90 Ibritumomab, Rx 6 1 — — $75,642.86 $130,842.39 $130,842.39 2025-11-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 16 — $188,332.00 $40,017.56 $176,722.00 $130,105.50 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 33 — $318,637.00 $72,706.33 $299,141.00 $129,467.87 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 96 33 — $318,814.00 $41,812.00 $299,307.00 $127,501.46 2026-03-31
23 APR_DRG Heart &/or Lung Transplant 35 18 — $1,450,340.00 $13,206.73 $321,970.15 $127,381.73 2026-03-31
9273 OTHER Sipuleucel-t Auto Cd54+ 6 1 — — $73,576.60 $127,268.30 $127,268.30 2025-11-26
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $126,642.40 $126,642.40 2025-11-26
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $126,642.40 $126,642.40 2025-11-26
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 7 — $1,212,463.00 $115,330.67 $294,549.48 $126,469.60 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 15 — $173,443.00 $39,589.04 $162,734.00 $126,028.00 2026-03-31
81529 CPT Outpatient Clinical Laboratory Services 4 1 — — $123,702.34 $123,702.34 $123,702.34 2025-11-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 87 32 — $303,294.00 $69,206.72 $307,936.00 $123,698.00 2026-03-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,330,301.00 $112,766.44 $288,005.56 $123,659.71 2026-03-31
64304793 CDM Pomalidomide 2mg Cap 68 15 — $122,578.97 $51,612.20 $258,060.98 $122,578.97 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 33 — $313,399.00 $41,812.00 $285,870.00 $117,514.90 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 33 — $291,128.00 $41,812.00 $273,296.00 $117,484.14 2026-03-31
429 MS_DRG Combined Anterior/posterior Spinal Fusion With Cc 44 18 — — $77,714.00 $225,929.52 $116,908.26 2025-11-26
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 35 18 — $919,079.00 $4,932.65 $291,604.92 $116,641.97 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 15 — $160,364.00 $36,605.67 $150,446.00 $116,512.00 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 87 32 — $280,853.00 $64,088.07 $263,643.00 $114,538.00 2026-03-31
10 MS_DRG Pancreas Transplant 41 17 — — $78,554.39 $216,024.57 $111,940.00 2025-11-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 98 34 — $265,920.00 $15,892.90 $303,131.00 $110,938.79 2026-03-31
593 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 11 11 — — $87,475.21 $113,717.77 $109,344.01 2025-11-26
22 APR_DRG Heart &/or Lung Transplant 35 18 — $1,026,264.00 $11,404.56 $271,798.96 $108,719.58 2026-03-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $1,353,314.00 $102,302.26 $261,300.98 $108,645.75 2026-03-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 7 — $1,028,782.00 $101,347.46 $258,864.33 $107,632.60 2026-03-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $208,616.00 $100,602.37 $256,962.85 $106,841.98 2026-03-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $1,340,299.00 $100,602.37 $256,962.85 $106,841.98 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 87 32 — $269,611.00 $59,734.35 $245,711.00 $106,747.00 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 87 32 — $256,945.00 $58,634.99 $241,182.00 $104,780.00 2026-03-31
33 APR_DRG Bone Marrow Transplant 24 7 — $656,659.00 $98,005.24 $250,334.98 $104,086.13 2026-03-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $1,783,133.00 $97,936.98 $250,160.78 $104,013.70 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 33 — $243,020.00 $41,812.00 $228,099.00 $103,718.59 2026-03-31
1142 OTHER Supprelin La Implant 6 1 — — $59,929.92 $103,663.11 $103,663.11 2025-11-26
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $103,616.71 $103,616.71 2025-11-26
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $103,616.71 $103,616.71 2025-11-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 87 32 — $251,328.00 $57,353.82 $235,905.00 $102,488.00 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 86 32 — $250,663.00 $55,538.41 $239,811.00 $101,552.97 2026-03-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $1,025,038.00 $92,569.20 $236,462.20 $101,527.57 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 33 — $250,904.00 $25,754.56 $235,506.00 $100,301.89 2026-03-31
J9029 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $90,076.06 $101,437.18 $98,468.75 2025-11-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 33 — $229,891.00 $41,812.00 $215,765.00 $98,148.36 2026-03-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $836,273.00 $92,404.72 $236,042.44 $98,143.35 2026-03-31
904 APR_DRG Major Larynx & Trachea Procedures 24 7 — $1,007,799.00 $70,360.70 $237,895.64 $97,982.60 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 93 32 — $225,458.00 $22,656.00 $282,223.00 $97,568.61 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 98 34 — $233,113.00 $15,892.90 $231,823.00 $97,284.20 2026-03-31
2 APR_DRG Heart And/or Lung Transplant 11 11 — — $77,825.12 $101,172.66 $97,281.40 2025-11-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 87 32 — $237,997.00 $54,312.99 $223,381.00 $97,046.00 2026-03-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,234,416.00 $91,416.19 $233,519.74 $96,180.26 2026-03-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 7 — $957,481.00 $90,368.46 $230,845.92 $95,982.65 2026-03-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 7 — $1,366,874.00 $87,234.31 $222,847.56 $95,681.60 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 15 — $130,779.00 $29,857.70 $122,652.00 $94,987.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 87 32 — $231,752.00 $52,888.62 $217,514.00 $94,498.00 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 90 33 — $230,944.00 $52,704.25 $216,754.00 $93,851.27 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 87 32 — $228,793.00 $52,213.73 $214,734.00 $93,290.00 2026-03-31
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 11 — — $74,625.74 $97,013.46 $93,282.18 2025-11-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 87 32 — $233,962.00 $51,839.84 $213,194.00 $92,621.00 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 87 32 — $233,962.00 $51,839.84 $213,194.00 $92,621.00 2026-03-31
4404 APR_DRG Kidney Transplant 24 7 — $424,813.00 $86,170.95 $220,133.87 $91,528.63 2026-03-31
64320856 CDM Givosiran 189mg/ml Inj 68 15 — $99,863.83 $38,354.40 $191,772.00 $91,091.70 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 33 — $223,898.00 $41,812.00 $210,135.00 $90,989.73 2026-03-31
64486210 CDM Foscarnet 2.4mg/0.1ml Oph Inj 68 15 — $99,708.23 $38,294.64 $191,473.20 $90,949.77 2026-03-31
0335U CPT Outpatient Clinical Laboratory Services 4 1 — — $89,850.58 $89,850.58 $89,850.58 2025-11-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 87 32 — $219,123.00 $50,008.14 $205,649.00 $89,343.00 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 33 — $216,006.00 $49,297.24 $237,368.00 $87,784.61 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 7 — $545,763.00 $82,550.76 $210,895.14 $87,687.20 2026-03-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $193,605.00 $81,693.00 $208,706.13 $87,567.11 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 87 32 — $214,717.00 $49,003.11 $203,842.00 $87,545.00 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 15 — $120,350.00 $27,478.89 $112,854.00 $87,399.00 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 96 33 — $221,450.00 $38,423.84 $207,836.00 $87,132.01 2026-03-31
602 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 11 11 — — $69,334.78 $90,135.21 $86,668.48 2025-11-26
0242U CPT Outpatient Clinical Laboratory Services 4 1 — — $85,988.00 $85,988.00 $85,988.00 2025-11-26
653 MS_DRG Major Bladder Procedures With Mcc 87 32 — $209,811.00 $47,884.02 $196,900.00 $85,542.00 2026-03-31
Q2043 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $78,655.34 $88,575.99 $85,507.06 2025-11-26
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 35 18 — $408,777.00 $7,610.46 $213,554.27 $85,421.70 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 33 — $199,362.00 $41,812.00 $187,085.00 $85,195.83 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 87 32 — $214,266.00 $47,478.40 $276,615.00 $84,816.00 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 87 32 — $208,032.00 $47,478.40 $232,327.00 $84,816.00 2026-03-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 7 — $266,563.00 $79,726.65 $203,688.01 $84,690.50 2026-03-31
273011 CDM Membrane Maci Final Assembled 56 14 — $70,818.76 $49,690.75 $198,763.00 $84,474.27 2026-03-31
274868 CDM Membrane Maci Autologous Cultured Chondrocytes On Porcine Co 56 14 — $70,818.76 $49,690.75 $198,763.00 $84,474.27 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 46 15 — $115,594.00 $26,394.10 $108,386.00 $83,938.00 2026-03-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $858,634.00 $78,768.55 $201,242.96 $83,673.86 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 16 — $120,699.00 $27,558.63 $113,183.00 $83,327.50 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 87 32 — $204,325.00 $46,632.87 $191,747.00 $83,303.00 2026-03-31
280356 CDM Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm 56 14 — $69,495.83 $48,762.50 $195,050.00 $82,896.25 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 87 32 — $203,284.00 $46,395.33 $190,769.00 $82,878.00 2026-03-31
64477458 CDM Carmustine 7.7mg Wafer Impl 68 15 — $90,809.86 $34,877.07 $174,385.35 $82,833.04 2026-03-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 7 — $649,169.00 $77,951.91 $199,158.90 $82,807.30 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 87 32 — $203,092.00 $46,351.60 $190,589.00 $82,800.00 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 83 32 — $282,431.00 $5,416.00 $314,386.00 $82,637.92 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 87 32 — $203,069.00 $46,346.45 $190,567.00 $82,530.31 2026-03-31
0036U CPT Outpatient Clinical Laboratory Services 4 1 — — $82,204.53 $82,204.53 $82,204.53 2025-11-26
283735 CDM Device Vent Assist Impella 5.5 56 14 — $68,658.53 $48,175.00 $192,700.00 $81,897.50 2026-03-31
222700 CDM Imp Stimulator Neuro 56 14 — $68,574.80 $48,116.25 $192,465.00 $81,797.62 2026-03-31
64304801 CDM Pomalidomide 3mg Cap 68 15 — $81,719.31 $34,408.13 $172,040.65 $81,719.31 2026-03-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 7 — $270,747.00 $76,286.56 $194,908.91 $81,040.18 2026-03-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $920,571.00 $76,014.35 $194,214.22 $80,751.33 2026-03-31
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $80,591.04 $80,591.04 2025-11-26
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $80,591.04 $80,591.04 2025-11-26
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 7 — $626,238.00 $74,807.07 $207,343.68 $79,470.27 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $180,581.00 $74,551.30 $190,480.54 $79,198.88 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $481,501.00 $74,346.53 $189,957.95 $78,981.58 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 33 — $200,246.00 $41,812.00 $187,915.00 $78,842.77 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 46 15 — $107,830.00 $24,623.29 $101,092.00 $78,290.00 2026-03-31
285856 CDM Generator Dual Sentive Dual Pin Receptacle 10cc 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
243124 CDM Stim Sentiva Vagus Nerve 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
241796 CDM Generator Sentiva 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 91 33 — $191,764.00 $33,464.08 $179,946.00 $77,938.71 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 87 32 — $191,178.00 $43,634.06 $179,395.00 $77,937.00 2026-03-31
294738 CDM Sys Del Triclip G4 Nt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294744 CDM Sys Del Triclip G4 Xtw 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294740 CDM Sys Del Triclip G4 Ntw 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294742 CDM Sys Del Triclip G4 Xt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
453 MS_DRG Combined Anterior/posterior 3 1 — — $77,714.00 $77,714.00 $77,714.00 2025-11-26
288239 CDM Sys Proclaim DRG 3 Lead Perm 56 14 — $64,924.17 $45,554.75 $182,219.00 $77,443.08 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 33 — $193,208.00 $25,754.56 $209,781.00 $77,308.26 2026-03-31
6904 APR_DRG Acute Leukemia 24 7 — $200,888.00 $72,757.66 $185,903.15 $77,295.62 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 87 32 — $189,595.00 $43,273.03 $177,908.00 $77,291.00 2026-03-31
430 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 41 17 — — $54,034.51 $148,594.91 $76,999.18 2025-11-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 87 32 — $194,126.00 $43,018.35 $201,692.00 $76,835.00 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 93 32 — $177,105.00 $22,656.00 $230,261.00 $76,776.29 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 87 32 — $196,522.00 $42,967.75 $183,812.00 $76,745.00 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 17 — — $53,746.45 $147,802.73 $76,588.69 2025-11-26
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 7 — $515,755.00 $71,808.61 $183,481.19 $76,288.57 2026-03-31
266565 CDM Vlv Tric Evoque G190289/s013 44mm For Study Only 56 14 — $58,045.00 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266567 CDM Vlv Tric Evoque G190289/s013 52mm For Study Only 56 14 — $58,045.00 $44,650.00 $178,600.00 $75,905.00 2026-03-31
291719 CDM Vlv Evoque G190289/s013 56mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266566 CDM Vlv Tric Evoque G190289/s013 48mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 7 — $685,524.00 $70,459.06 $180,037.12 $74,856.55 2026-03-31
64490121 CDM Treprostinil 0.6 Mg/ml Inh Sol 68 15 — $81,650.41 $31,359.23 $156,796.13 $74,478.16 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 87 32 — $182,538.00 $41,663.43 $171,279.00 $74,411.00 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 90 33 — $182,843.00 $39,798.72 $171,565.00 $74,315.20 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 7 — $119,700.00 $69,755.91 $178,242.69 $74,110.42 2026-03-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $637,883.00 $69,578.27 $204,343.23 $73,921.93 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 96 33 — $187,580.00 $12,922.38 $176,015.00 $73,891.28 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 6 1 — — $42,679.74 $73,824.80 $73,824.80 2025-11-26
245 MS_DRG Aicd Generator Procedures 92 34 — $183,952.00 $15,892.90 $246,829.00 $73,619.33 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 87 32 — $179,767.00 $41,031.43 $172,598.00 $73,280.00 2026-03-31
5166 OTHER Cochlear Implant Procedure 6 1 — — $42,341.94 $73,240.50 $73,240.50 2025-11-26
799 MS_DRG Splenic Procedures With Mcc 87 32 — $178,989.00 $40,853.91 $167,944.00 $72,962.00 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 87 32 — $178,955.00 $40,846.20 $167,913.00 $72,949.00 2026-03-31
609 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 11 11 — — $58,218.57 $75,684.14 $72,773.21 2025-11-26
288240 CDM Sys Proclaim DRG 4 Lead Perm 56 14 — $60,905.14 $42,734.75 $170,939.00 $72,649.08 2026-03-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 7 — $175,280.00 $68,321.65 $174,582.45 $72,588.51 2026-03-31
64316110 CDM Tagraxofusp-erzs 100mcg Inj 68 15 — $79,103.47 $30,381.03 $151,905.15 $72,154.95 2026-03-31
223 MS_DRG Cardiac Defib Implant 5 2 — — $22,565.00 $72,127.12 $72,127.12 2025-11-26
222 MS_DRG Cardiac Defib Implant 5 2 — — $22,565.00 $72,127.12 $72,127.12 2025-11-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 87 32 — $176,158.00 $40,208.19 $165,285.00 $71,807.00 2026-03-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 7 — $242,073.00 $67,504.19 $172,496.29 $71,721.10 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 87 32 — $173,515.00 $39,605.34 $162,802.00 $70,728.00 2026-03-31
J9226 HCPCS Outpatient Drugs/ Radiopharmaceuticals/ Vaccines 6 1 — — $63,230.50 $71,205.64 $70,485.29 2025-11-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 87 32 — $198,126.00 $39,456.99 $180,722.00 $70,463.00 2026-03-31
242603 CDM Neurostimulator Rns-320m-k 56 14 — $59,029.59 $41,418.75 $165,675.00 $70,411.88 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 33 — $172,891.00 $39,462.99 $162,215.00 $70,273.31 2026-03-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 1 — — $40,565.83 $70,168.29 $70,168.29 2025-11-26
254963 CDM Kit Impella 5.5 Aic Pump 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284858 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284577 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
282727 CDM Sys Imp Pascal Prec G180266 Study Only 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
295289 CDM Stent Graft Thoraflex Hybrid Ante Flo 32x40x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279002 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279059 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x10mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279026 CDM Stent Graft Thoraflex Hybrid Dvc 30x36x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
293969 CDM Thoraflex Hybrid Anteflo 150 30x40 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278928 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x100mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278207 CDM Sys Imp Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
293968 CDM Thoraflex Hybrid Anteflo 150 30x38mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278209 CDM Sys Imp Pascal Ace G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
255502 CDM Sys Imp Mitrl Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279092 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
298890 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x100mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 33 — $162,567.00 $37,108.19 $207,140.00 $69,584.21 2026-03-31
215352 CDM Generator Aspire Sr Model 106 56 14 — $58,264.30 $40,881.78 $163,527.10 $69,499.02 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 87 32 — $169,845.00 $38,768.39 $159,354.00 $69,231.00 2026-03-31
7 APR_DRG Allogeneic Bone Marrow Transplant 11 11 — — $55,309.66 $71,902.56 $69,137.08 2025-11-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 98 34 — $204,477.00 $15,892.90 $210,947.00 $69,020.62 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 87 32 — $168,834.00 $38,537.70 $158,404.00 $68,818.00 2026-03-31
234 APR_DRG Spinal Procedures 35 18 — $477,510.00 $7,065.57 $171,820.49 $68,728.19 2026-03-31
32 APR_DRG Bone Marrow Transplant 24 7 — $424,672.00 $64,595.37 $180,583.62 $68,634.52 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 87 32 — $180,136.00 $38,431.37 $164,313.00 $68,627.00 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 87 32 — $166,796.00 $38,072.91 $156,490.00 $67,986.00 2026-03-31
284711 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 26mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284710 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 23mm 56 14 — $51,935.00 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284712 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 29mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284709 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 20mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
6 APR_DRG Pancreas Transplant 11 11 — — $54,005.73 $70,207.45 $67,507.16 2025-11-26
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 7 — $88,668.00 $63,526.25 $162,344.60 $67,500.07 2026-03-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 7 — $315,251.00 $63,494.18 $162,262.76 $67,466.03 2026-03-31
0340U CPT Outpatient Clinical Laboratory Services 4 1 — — $67,414.59 $67,414.59 $67,414.59 2025-11-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 93 32 — $165,379.00 $37,749.63 $155,158.00 $67,222.42 2026-03-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 7 — $281,886.00 $63,082.16 $161,211.27 $67,028.83 2026-03-31
81541 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81523 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81522 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
81521 CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
0047U CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
0045U CPT Outpatient Clinical Laboratory Services 4 1 — — $66,606.30 $66,606.30 $66,606.30 2025-11-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 87 32 — $167,782.00 $37,184.51 $152,830.00 $66,396.00 2026-03-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 7 — $136,778.00 $62,480.16 $159,674.99 $66,390.05 2026-03-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $708,421.00 $62,274.56 $159,150.30 $66,171.88 2026-03-31
245438 CDM Vlv Aort Evolut Pro 29mm Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
223644 CDM Vlv Aortic Evolut R 26 C F/ Study Ide G160022 56 14 — $50,407.50 $38,775.00 $155,100.00 $65,917.50 2026-03-31
297326 CDM Vlv Evolut Fx Plus 23mm G210285 For Study Only 56 14 — $50,407.50 $38,775.00 $155,100.00 $65,917.50 2026-03-31
297327 CDM Vlv Evolut Fx Plus 26mm G210285 For Study Only 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
236537 CDM Vlv Aortic Tavr 2.0 29 C F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
284565 CDM Vlv Aortic Harmony 25 56 14 — $50,407.50 $38,775.00 $155,100.00 $65,917.50 2026-03-31
223643 CDM Vlv Aortic Evolut R 23 C F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
297329 CDM Vlv Evolut Fx Plus 34mm G210285 For Study Only 56 14 — $50,407.50 $38,775.00 $155,100.00 $65,917.50 2026-03-31
284564 CDM Vlv Aortic Harmony 22 56 14 — $50,407.50 $38,775.00 $155,100.00 $65,917.50 2026-03-31
297328 CDM Vlv Evolut Fx Plus 29mm G210285 For Study Only 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
236536 CDM Vlv Aortic Tavr 2.0 26 C F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
245437 CDM Vlv Aort Evolut Pro 26mm Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
223645 CDM Vlv Aortic Evolut R 29 C F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
245436 CDM Vlv Aort Evolut Pro 23mm Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
236411 CDM Vlv Aorticevolut R 34 F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
236538 CDM Vlv Aortic Tavr 2.0 23 C F/ Study Ide G160022 56 14 — $55,261.74 $38,775.00 $155,100.00 $65,917.50 2026-03-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 7 — $253,388.00 $61,847.74 $158,061.04 $65,718.98 2026-03-31
64498363 CDM Ledipasvir/sofosb 90/400mg Tab 68 15 — $71,969.87 $27,641.25 $138,206.25 $65,647.97 2026-03-31
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 1 — — $37,843.22 $65,458.89 $65,458.89 2025-11-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 87 32 — $160,600.00 $36,659.70 $150,669.00 $65,457.00 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 7 — $309,196.00 $61,521.25 $157,227.83 $65,372.54 2026-03-31
275455 CDM Vlv Aortic For Study Only G210285 D-evolutproplus 2329 Dcs 56 14 — $49,643.75 $38,187.50 $152,750.00 $64,918.75 2026-03-31
275456 CDM Vlv Aortic For Study Only G210285 Evolutproplus US 34 Dcs 56 14 — $54,424.44 $38,187.50 $152,750.00 $64,918.75 2026-03-31
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