Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

RADY CHILDREN'S HOSPITAL - SAN DIEGO

San Diego, CA · CCN 053303 · Rates published

13,929 distinct procedures filed
30 distinct payers
106,300 rate rows
2026-04-01 last MRF observed
Data quality

71,050 of 106,300 rate rows are consumer-grade (66.8%)

35,250 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 35,224
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rchsd.org/wp-content/uploads/2026/03/95-1691313_rady-childrens-hospital-san-diego_standardcharges.csv
Found on page https://www.rchsd.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 69b09a53d778d6c2… · 33,103,452 bytes · first seen 2026-05-13

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
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 — — $796,316.53 nat. median
$47,340
outlier · 16.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 — — $794,062.10 nat. median
$145,435
outlier · 5.5×
834
MS_DRG 		Acute Leukemia With Mcc 15 — — $688,933.05 nat. median
$37,487
outlier · 18.4×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 — — $595,083.25 nat. median
$24,316
outlier · 24.5×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 15 — — $566,294.25 nat. median
$26,952
outlier · 21.0×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 15 — — $561,218.48 nat. median
$38,932
outlier · 14.4×
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 — — $535,262.00 nat. median
$13,828
outlier · 38.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 — — $517,636.75 nat. median
$49,569
outlier · 10.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 — — $505,789.94 nat. median
$47,121
outlier · 10.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 — — $490,691.36 nat. median
$69,922
outlier · 7.0×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 15 — — $465,456.75 nat. median
$11,281
outlier · 41.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 — — $420,239.47 nat. median
$40,726
outlier · 10.3×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 — — $369,041.67 nat. median
$31,991
outlier · 11.5×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 — — $355,990.48 nat. median
$24,748
outlier · 14.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 — — $321,370.58 nat. median
$72,715
outlier · 4.4×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 — — $320,550.26 nat. median
$18,590
outlier · 17.2×
9489
OTHER 		Inj, Nusinersen, 0.1mg 16 — — $318,929.11 nat. median
$1,294
outlier · 246.6×
54
MS_DRG 		Nervous System Neoplasms With Mcc 15 — — $317,668.84 nat. median
$10,939
outlier · 29.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 — — $316,865.79 nat. median
$97,418
outlier · 3.3×
163
MS_DRG 		Major Chest Procedures With Mcc 15 — — $316,805.05 nat. median
$31,995
outlier · 9.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 15 — — $280,506.47 nat. median
$33,435
outlier · 8.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 — — $275,997.95 nat. median
$55,923
outlier · 4.9×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $239,565.53 $259,005.52 $249,285.52 nat. median
$66,211
outlier · 3.8×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 15 — — $248,025.55 nat. median
$35,725
outlier · 6.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 — — $246,181.92 nat. median
$40,301
outlier · 6.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 — — $244,788.68 nat. median
$52,327
outlier · 4.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $221,900.19 $239,906.69 $230,903.44 nat. median
$65,477
outlier · 3.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 — — $229,681.74 nat. median
$48,611
outlier · 4.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 15 — — $223,004.33 nat. median
$35,986
outlier · 6.2×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $208,629.77 $225,559.42 $217,094.60 nat. median
$92,809
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 — — $216,074.46 nat. median
$9,905
outlier · 21.8×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $207,623.52 $224,471.52 $216,047.52 nat. median
$77,438
outlier · 2.8×
186
MS_DRG 		Pleural Effusion With Mcc 15 — — $213,511.01 nat. median
$11,243
outlier · 19.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 — — $205,270.93 nat. median
$34,733
outlier · 5.9×
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 15 — — $199,208.44 nat. median
$11,130
outlier · 17.9×
865
MS_DRG 		Viral Illness With Mcc 15 — — $197,777.50 nat. median
$10,538
outlier · 18.8×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 — — $192,011.44 nat. median
$30,768
outlier · 6.2×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 — — $172,524.89 nat. median
$24,752
outlier · 7.0×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 15 — — $170,385.00 nat. median
$20,717
outlier · 8.2×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 — — $164,709.42 nat. median
$33,546
outlier · 4.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 — — $163,351.22 nat. median
$186,516
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 15 — — $162,755.16 nat. median
$37,725
outlier · 4.3×
303
MS_DRG 		Atherosclerosis Without Mcc 15 — — $159,724.52 nat. median
$5,236
outlier · 30.5×
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 15 — — $158,948.06 nat. median
$7,755
outlier · 20.5×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 15 — — $144,536.17 nat. median
$32,531
outlier · 4.4×
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 15 — — $139,642.49 nat. median
$14,947
outlier · 9.3×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 15 — — $138,921.54 nat. median
$30,700
outlier · 4.5×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $123,775.63 $133,819.64 $128,797.63 nat. median
$63,499
outlier · 2.0×
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 15 — — $127,054.00 nat. median
$11,732
outlier · 10.8×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 15 — — $126,404.70 nat. median
$38,859
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 13,929 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
             
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 15 — — — — $796,316.53 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 15 — — — — $794,062.10 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 15 — — — — $688,933.05 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 — — — — $595,083.25 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 15 — — — — $566,294.25 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — — — $561,218.48 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 15 — — — — $535,262.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 15 — — — — $517,636.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 15 — — — — $505,789.94 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 15 — — — — $490,691.36 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 23 15 — — — — $465,456.75 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 16 — — — — $420,239.47 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 15 — — — — $369,041.67 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 15 — — — — $355,990.48 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 15 — — — — $321,370.58 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 15 — — — — $320,550.26 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 25 16 — — — — $318,929.11 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 25 15 — — — — $317,668.84 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 15 — — — — $316,865.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 15 — — — — $316,805.05 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 15 — — — — $280,506.47 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 15 — — — — $275,997.95 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 1 — — $239,565.53 $259,005.52 $249,285.52 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 15 — — — — $248,025.55 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 15 — — — — $246,181.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 15 — — — — $244,788.68 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $221,900.19 $239,906.69 $230,903.44 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 15 — — — — $229,681.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 15 — — — — $223,004.33 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $208,629.77 $225,559.42 $217,094.60 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — — — $216,074.46 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $207,623.52 $224,471.52 $216,047.52 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 24 15 — — — — $213,511.01 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 15 — — — — $205,270.93 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 25 15 — — — — $199,208.44 2026-04-01
865 MS_DRG Viral Illness With Mcc 27 15 — — — — $197,777.50 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 15 — — — — $192,011.44 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 15 — — — — $172,524.89 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 15 — — — — $170,385.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 15 — — — — $164,709.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — — — $163,351.22 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 15 — — — — $162,755.16 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 23 15 — — — — $159,724.52 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 26 15 — — — — $158,948.06 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 15 — — — — $144,536.17 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 25 15 — — — — $139,642.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 15 — — — — $138,921.54 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $123,775.63 $133,819.64 $128,797.63 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 24 15 — — — — $127,054.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 15 — — — — $126,404.70 2026-04-01
652 MS_DRG Kidney Transplant 23 15 — — — — $121,975.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — — — $120,215.53 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 15 — — — — $115,069.78 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 25 15 — — — — $114,889.07 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 25 15 — — — — $114,038.69 2026-04-01
849 MS_DRG Radiotherapy 24 15 — — — — $113,984.60 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 24 15 — — — — $112,728.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 15 — — — — $111,529.05 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 26 15 — — — — $110,798.67 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 33 15 — — — — $109,268.23 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 15 — — — — $108,437.42 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 15 — — — — $104,286.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 15 — — — — $104,205.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 15 — — — — $104,063.00 2026-04-01
200 MS_DRG Pneumothorax With Cc 25 15 — — — — $103,854.99 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 15 — — — — $103,079.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 15 — — — — $99,802.81 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 15 — — — — $99,498.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 15 — — — — $99,234.24 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 — — — — $98,019.45 2026-04-01
572 MS_DRG Skin Debridement Without Cc/Mcc 25 15 — — — — $97,375.81 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 15 — — — — $96,624.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 26 15 — — — — $88,514.62 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 1 — — $84,649.84 $91,518.91 $88,084.38 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 15 — — — — $87,675.71 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 25 15 — — — — $87,265.12 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 24 15 — — — — $86,730.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 15 — — — — $85,755.48 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 15 — — — — $85,342.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 15 — — — — $84,144.34 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 15 — — — — $83,364.00 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 23 15 — — — — $81,488.41 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 30 15 — — — — $81,329.20 2026-04-01
791 MS_DRG Prematurity With Major Problems 40 15 — — — — $80,799.79 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 34 15 — — — — $77,146.60 2026-04-01
304 MS_DRG Hypertension With Mcc 24 15 — — — — $76,349.00 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 2 1 — — $72,868.02 $78,781.03 $75,824.52 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 15 — — — — $75,663.15 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 28 15 — — — — $75,594.78 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 27 15 — — — — $74,248.57 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 15 — — — — $74,116.76 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 15 — — — — $74,085.75 2026-04-01
5625 OTHER Level 5 Radiation Therapy 34 16 — — — — $71,986.54 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 15 — — — — $70,621.53 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 23 15 — — — — $69,470.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 30 15 — — — — $69,333.86 2026-04-01
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc 27 15 — — — — $68,295.14 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 15 — — — — $67,682.27 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 33 15 — — — — $67,230.43 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 23 15 — — — — $65,460.35 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 15 — — — — $65,244.82 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 33 15 — — — — $64,298.42 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 28 15 — — — — $64,083.52 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 15 — — — — $63,894.57 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 28 15 — — — — $63,833.10 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 15 — — — — $63,745.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 27 15 — — — — $62,226.19 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 15 — — — — $61,949.39 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 25 16 — — — — $61,073.39 2026-04-01
J9226 HCPCS Supprelin La Implant 4 1 $210,993.49 $158,245.12 25% off $58,227.75 $62,952.75 $60,590.25 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 15 — — — — $60,498.54 2026-04-01
1142 OTHER Supprelin La Implant 32 16 — — — — $60,482.11 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 26 15 — — — — $60,024.61 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 25 15 — — — — $59,926.47 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 25 15 — — — — $59,238.30 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 24 15 — — — — $58,005.41 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 28 15 — — — — $57,991.55 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 25 15 — — — — $57,762.50 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 25 15 — — — — $57,278.58 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 23 15 — — — — $57,268.81 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 15 — — — — $56,861.60 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 24 15 — — — — $56,842.92 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 15 — — — — $56,441.25 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 26 15 — — — — $55,791.86 2026-04-01
682 MS_DRG Renal Failure With Mcc 25 15 — — — — $55,576.00 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 27 15 — — — — $54,527.48 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 25 15 — — — — $54,462.78 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 27 15 — — — — $54,426.56 2026-04-01
792 MS_DRG Prematurity Without Major Problems 36 15 — — — — $54,196.95 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 31 15 — — — — $51,939.42 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 15 — — — — $51,690.36 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 25 15 — — — — $51,370.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 15 — — — — $51,321.49 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 15 — — — — $48,637.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 15 — — — — $47,305.68 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 2 1 — — $45,230.54 $48,900.86 $47,065.70 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 27 15 — — — — $46,333.81 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 28 15 — — — — $45,384.56 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 26 15 — — — — $45,095.49 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 25 15 — — — — $44,688.00 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 25 15 — — — — $44,448.56 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 15 — — — — $43,892.33 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 15 — — — — $43,679.43 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 15 — — — — $43,109.46 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 29 15 — — — — $43,022.89 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 15 — — — — $42,807.14 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 15 — — — — $42,547.10 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — — — $42,513.68 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 25 15 — — — — $42,392.00 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 29 15 — — — — $42,244.65 2026-04-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 23 15 — — — — $41,810.35 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 28 15 — — — — $41,694.06 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 15 — — — — $41,611.00 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 24 15 — — — — $41,559.94 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 23 15 — — — — $41,520.36 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 15 — — — — $41,397.50 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 29 16 — — — — $40,401.87 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 15 — — — — $39,808.52 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 24 15 — — — — $39,104.00 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 24 15 — — — — $38,795.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 24 15 — — — — $38,704.55 2026-04-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 29 15 — — — — $38,599.32 2026-04-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 24 15 — — — — $38,465.41 2026-04-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 24 16 — — — — $38,407.36 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 15 — — — — $38,178.82 2026-04-01
9419 OTHER Inj Fensolvi 0.25 Mg 24 16 — — — — $38,142.96 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 28 15 — — — — $38,109.97 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 30 15 — — — — $38,004.00 2026-04-01
90 MS_DRG Concussion Without Cc/Mcc 30 15 — — — — $37,892.85 2026-04-01
A9572 HCPCS Rch Nm - In111 Octreoscan 3Mci 4 1 $6,325.00 $4,743.75 25% off $35,965.01 $38,883.46 $37,424.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 15 — — — — $36,927.89 2026-04-01
5166 OTHER Cochlear Implant Procedure 28 16 — — — — $36,376.34 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 28 15 — — — — $36,218.53 2026-04-01
683 MS_DRG Renal Failure With Cc 29 15 — — — — $35,823.84 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 28 15 — — — — $35,670.82 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 31 15 — — — — $35,393.32 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 31 16 — — — — $35,038.23 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 27 15 — — — — $35,016.10 2026-04-01
540 MS_DRG Osteomyelitis With Cc 26 15 — — — — $34,972.15 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 25 15 — — — — $34,914.45 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 24 15 — — — — $34,846.00 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 23 15 — — — — $34,822.60 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 29 16 — — — — $34,806.95 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 26 15 — — — — $34,598.60 2026-04-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 23 15 — — — — $34,340.71 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 34 15 — — — — $34,231.67 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 15 — — — — $34,077.00 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 27 15 — — — — $34,041.97 2026-04-01
137 MS_DRG Mouth Procedures With Cc/Mcc 24 15 — — — — $33,922.70 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 28 15 — — — — $33,726.20 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 27 15 — — — — $33,566.07 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 28 15 — — — — $33,524.42 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 15 — — — — $33,345.60 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 3 2 — — $20,374.93 $41,031.23 $33,120.25 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 28 15 — — — — $32,986.35 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 33 15 — — — — $32,529.79 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 3 2 — — $19,867.26 $40,008.63 $32,294.85 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 23 15 — — — — $32,259.00 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 30 15 — — — — $32,223.15 2026-04-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 24 15 — — — — $32,200.00 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 25 15 — — — — $32,125.26 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 23 15 — — — — $32,103.38 2026-04-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 26 15 — — — — $31,951.08 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 32 15 — — — — $31,924.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 15 — — — — $31,873.96 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 24 15 — — — — $31,254.19 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 15 — — — — $31,150.02 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 31 16 — — — — $31,115.48 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 16 — — — — $31,013.52 2026-04-01
89 MS_DRG Concussion With Cc 26 15 — — — — $30,543.44 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 15 — — — — $30,523.67 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 26 15 — — — — $30,447.17 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 35 15 — — — — $30,353.99 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 23 15 — — — — $30,336.96 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 27 15 — — — — $30,252.89 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 31 15 — — — — $29,712.00 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 32 15 — — — — $29,640.90 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 30 15 — — — — $29,568.96 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 15 — — — — $29,473.50 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 28 16 — — — — $29,252.80 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 25 15 — — — — $29,203.82 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 15 — — — — $28,905.39 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 31 15 — — — — $28,846.64 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 24 15 — — — — $28,791.62 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 44 17 — — — — $28,781.56 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 31 15 — — — — $28,761.58 2026-04-01
0267U OTHER Rare Do Id Opt Gen Mapg&seq 3 2 — — $17,658.56 $35,561.08 $28,704.75 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 24 15 — — — — $28,336.91 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 15 — — — — $28,267.88 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 42 16 — — — — $28,141.57 2026-04-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/Mcc 31 15 — — — — $28,055.31 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 23 15 — — — — $28,052.45 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 23 15 — — — — $27,998.15 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 33 15 — — — — $27,980.82 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 31 16 — — — — $27,968.85 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 33 15 — — — — $27,959.32 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 30 15 — — — — $27,931.94 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 29 15 — — — — $27,889.56 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 25 15 — — — — $27,823.81 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 24 15 — — — — $27,675.97 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 31 15 — — — — $27,508.33 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 25 15 — — — — $27,462.65 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 25 15 — — — — $27,079.19 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 15 — — — — $26,984.00 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 30 15 — — — — $26,827.07 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 36 15 — — — — $26,797.59 2026-04-01
398 MS_DRG Appendix Procedures With Cc 34 16 — — — — $25,633.64 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 15 — — — — $25,549.79 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 25 15 — — — — $25,326.70 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 30 16 — — — — $25,272.88 2026-04-01
0800 RC Leuprolide Acetate 28 17 — — — — $25,165.94 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 28 15 — — — — $24,999.84 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 29 15 — — — — $24,928.78 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 30 15 — — — — $24,749.00 2026-04-01
637 MS_DRG Diabetes With Mcc 28 15 — — — — $24,594.48 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 33 16 — — — — $24,557.23 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 27 15 — — — — $24,531.50 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 24 15 — — — — $24,211.67 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 2 1 — — $23,058.71 $24,929.85 $23,994.28 2026-04-01
149 MS_DRG Dysequilibrium 25 15 — — — — $23,889.35 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 3 2 — — $22,466.00 $26,118.00 $23,887.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 26 15 — — — — $23,808.97 2026-04-01
571 MS_DRG Skin Debridement With Cc 25 15 — — — — $23,769.00 2026-04-01
305 MS_DRG Hypertension Without Mcc 25 15 — — — — $23,688.31 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 15 — — — — $23,615.03 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 24 15 — — — — $23,527.42 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 31 15 — — — — $23,496.82 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 3 2 — — $22,153.93 $25,039.52 $23,451.81 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 25 15 — — — — $23,404.53 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 2 1 — — $22,464.12 $24,287.01 $23,375.56 2026-04-01
0265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 3 2 — — $14,348.06 $28,893.88 $23,323.09 2026-04-01
0212U OTHER Rare Ds Gen DNA Alys Proband 3 2 — — $14,346.36 $28,890.71 $23,320.49 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 25 15 — — — — $23,318.81 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 28 15 — — — — $23,102.80 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 30 15 — — — — $23,080.83 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 15 — — — — $23,039.75 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 2 1 — — $22,013.37 $23,797.80 $22,905.58 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 15 — — — — $22,834.24 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 29 15 — — — — $22,821.26 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 28 15 — — — — $22,810.25 2026-04-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 25 15 — — — — $22,777.92 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 29 15 — — — — $22,739.40 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 25 15 — — — — $22,718.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 15 — — — — $22,674.38 2026-04-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 25 15 — — — — $22,653.33 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 15 — — — — $22,455.77 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 30 15 — — — — $22,259.26 2026-04-01
0214U OTHER Rare Ds Xom DNA Alys Proband 3 2 — — $13,689.51 $27,568.37 $22,253.03 2026-04-01
0335U OTHER Rare Ds Whl Gen Seq Fetal 3 2 — — $13,689.51 $27,568.37 $22,253.03 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 15 — — — — $22,207.01 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 33 15 — — — — $22,205.18 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 16 — — — — $22,166.60 2026-04-01
81416 HCPCS Rch Lab-exome Seq Ea Comparator 5 2 $1,011.63 $758.72 25% off $16,644.50 $31,442.15 $22,026.79 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 17 — — — — $21,879.90 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 32 15 — — — — $21,866.85 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 15 — — — — $21,796.61 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 27 15 — — — — $21,719.33 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 30 15 — — — — $21,631.65 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 6 4 — — $19,829.00 $24,096.87 $21,619.98 2026-04-01
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc 23 15 — — — — $21,509.12 2026-04-01
See an error in this hospital's data? Submit a correction