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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

CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS

Colorado Springs, CO · CCN 063303 · Rates published

10,804 distinct procedures filed
39 distinct payers
911,115 rate rows
2026-04-17 last MRF observed
Data quality

895,608 of 911,115 rate rows are consumer-grade (98.3%)

15,507 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
professional (physician) fee — not the facility price 11,767
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,005
percent-of-charges filed in the dollar field — excluded from medians 750
per-diem day rate — not a per-procedure price 506
placeholder amount (≤ $0.02) — excluded from medians 439
exceeds 10× this hospital's gross charge — excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8525/840166760-1336637438_childrens-hospital-colorado_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ChildrensHospitalCOSouthernCO/8525
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b85607af312298d2… · 837,867,427 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 39 $800,000.00 $4,906,666.66 $3,200,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Hb=lovotibeglogene Autotemcel Per Tx 39 $775,000.00 $4,753,333.34 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Hb=betibeglogene Autotemcel Per Tx 39 $700,000.00 $4,293,333.34 $2,800,000.00 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 39 $610,937.56 $3,747,083.69 $2,322,044.00 nat. median
$2,468,984
0.9× median
C9399
HCPCS 		Unclassified Drugs Or Biolog 1 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,475
outlier · 888.8×
J3392
HCPCS 		Hb=exagamglogene Autotemcel Per Tx 39 $550,000.00 $3,373,333.34 $2,200,000.00 nat. median
$2,448,600
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $155,469.73 $1,559,935.47 $1,045,705.47 nat. median
$370,174
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $550,792.50 $550,792.50 $550,792.50 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $525,843.25 $525,843.25 $525,843.25 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $522,662.71 $522,662.71 $522,662.71 nat. median
$673,137
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $516,856.00 $516,856.00 $516,856.00 nat. median
$619,808
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $516,856.00 $516,856.00 $516,856.00 nat. median
$634,303
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $97,803.17 $635,130.52 $492,841.17 nat. median
$206,474
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $88,351.36 $614,320.96 $451,084.53 nat. median
$202,976
outlier · 2.2×
Q2042
HCPCS 		Hb=car-t Agent (pall) 39 $62,730.45 $807,968.84 $430,331.23 nat. median
$753,246
0.6× median
5834
APR_DRG 		Neonate W Ecmo 4 $306,122.98 $331,812.81 $313,776.05 nat. median
$309,665
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $58,250.75 $400,901.07 $295,928.57 nat. median
$133,161
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 2 $133,527.88 $327,600.03 $283,456.71 nat. median
$98,047
outlier · 2.9×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $251,104.39 $272,177.07 $257,382.00 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate W Ecmo 4 $242,455.54 $262,802.41 $248,516.93 nat. median
$244,017
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $240,085.63 $260,233.60 $246,087.77 nat. median
$207,730
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $44,909.53 $314,729.08 $230,170.66 nat. median
$102,358
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $43,213.02 $318,986.59 $227,248.66 nat. median
$98,894
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 5 $43,677.24 $288,185.45 $220,094.51 nat. median
$99,019
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $39,786.19 $283,143.58 $205,456.73 nat. median
$93,672
outlier · 2.2×
J3402
HCPCS 		Hb=remestemcel-l-rknd Per Tx Dose 39 $48,500.00 $297,466.66 $194,000.00 nat. median
$209,753
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $37,975.89 $250,631.91 $191,364.76 nat. median
$83,470
outlier · 2.3×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $183,930.56 $199,366.01 $188,528.83 nat. median
$119,796
1.6× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $182,261.15 $197,556.50 $186,817.68 nat. median
$150,721
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $34,383.74 $260,764.85 $183,303.34 nat. median
$82,711
outlier · 2.2×
5832
APR_DRG 		Neonate W Ecmo 4 $178,787.33 $193,791.16 $183,257.02 nat. median
$156,126
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv &gt;96 Hours 5 $28,679.91 $249,681.86 $179,155.64 nat. median
$66,526
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $34,933.71 $243,986.60 $178,745.33 nat. median
$79,312
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $34,913.92 $243,219.61 $178,419.27 nat. median
$81,118
outlier · 2.2×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $169,309.21 $183,517.63 $173,541.94 nat. median
$160,267
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $33,231.43 $227,746.68 $168,479.74 nat. median
$77,570
outlier · 2.2×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $163,767.24 $177,510.58 $167,861.42 nat. median
$151,838
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 5 $26,664.71 $232,447.10 $166,678.85 nat. median
$62,134
outlier · 2.7×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $161,770.46 $175,346.23 $165,814.72 nat. median
$182,665
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $32,222.59 $221,275.02 $163,523.17 nat. median
$73,807
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $31,897.72 $222,233.04 $163,014.65 nat. median
$74,915
outlier · 2.2×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $158,405.25 $171,698.61 $162,365.38 nat. median
$145,336
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $158,144.60 $171,416.09 $162,098.21 nat. median
$164,289
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $157,941.35 $171,195.79 $161,889.89 nat. median
$117,173
1.4× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $157,136.12 $170,322.98 $161,064.52 nat. median
$162,982
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $30,770.97 $220,542.77 $159,458.68 nat. median
$72,135
outlier · 2.2×
5831
APR_DRG 		Neonate W Ecmo 4 $154,504.78 $167,470.81 $158,367.40 nat. median
$144,745
1.1× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $150,857.19 $163,517.13 $154,628.62 nat. median
$122,924
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $150,449.92 $163,075.68 $154,211.17 nat. median
$105,658
1.5× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $147,680.49 $160,073.84 $151,372.50 nat. median
$85,444
1.8× median

Other procedures at this hospital

Browse this hospital's 10,804 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1413 HCPCS Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 67 39 — $3,466,666.67 $800,000.00 $4,906,666.66 $3,200,000.00 2026-04-17
J3394 HCPCS Hb=lovotibeglogene Autotemcel Per Tx 68 39 — $3,358,333.34 $775,000.00 $4,753,333.34 $3,100,000.00 2026-04-17
J3393 HCPCS Hb=betibeglogene Autotemcel Per Tx 68 39 $4,666,666.67 $3,033,333.34 35% off $700,000.00 $4,293,333.34 $2,800,000.00 2026-04-17
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 63 39 $4,072,917.05 $2,647,396.09 35% off $610,937.56 $3,747,083.69 $2,322,044.00 2026-04-17
J3392 HCPCS Hb=exagamglogene Autotemcel Per Tx 68 39 $3,666,666.67 $2,383,333.34 35% off $550,000.00 $3,373,333.34 $2,200,000.00 2026-04-17
C9399 HCPCS Unclassified Drugs Or Biolog 1 1 — — $2,200,000.00 $2,200,000.00 $2,200,000.00 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $155,469.73 $1,559,935.47 $1,045,705.47 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $550,792.50 $550,792.50 $550,792.50 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $525,843.25 $525,843.25 $525,843.25 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $522,662.71 $522,662.71 $522,662.71 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $516,856.00 $516,856.00 $516,856.00 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $516,856.00 $516,856.00 $516,856.00 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 5 — — $97,803.17 $635,130.52 $492,841.17 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 5 — — $88,351.36 $614,320.96 $451,084.53 2026-04-17
Q2042 HCPCS Hb=car-t Agent (pall) 119 39 $878,227.00 $570,847.55 35% off $62,730.45 $807,968.84 $430,331.23 2026-04-17
5834 APR_DRG Neonate W Ecmo 4 4 — — $306,122.98 $331,812.81 $313,776.05 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 5 — — $58,250.75 $400,901.07 $295,928.57 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 5 2 — — $133,527.88 $327,600.03 $283,456.71 2026-04-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $251,104.39 $272,177.07 $257,382.00 2026-04-17
5833 APR_DRG Neonate W Ecmo 4 4 — — $242,455.54 $262,802.41 $248,516.93 2026-04-17
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $240,085.63 $260,233.60 $246,087.77 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $44,909.53 $314,729.08 $230,170.66 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $43,213.02 $318,986.59 $227,248.66 2026-04-17
215 MS_DRG Other Heart Assist System Implant 10 5 — — $43,677.24 $288,185.45 $220,094.51 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $39,786.19 $283,143.58 $205,456.73 2026-04-17
J3402 HCPCS Hb=remestemcel-l-rknd Per Tx Dose 67 39 $323,333.33 $210,166.67 35% off $48,500.00 $297,466.66 $194,000.00 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $37,975.89 $250,631.91 $191,364.76 2026-04-17
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $183,930.56 $199,366.01 $188,528.83 2026-04-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $182,261.15 $197,556.50 $186,817.68 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 5 — — $34,383.74 $260,764.85 $183,303.34 2026-04-17
5832 APR_DRG Neonate W Ecmo 4 4 — — $178,787.33 $193,791.16 $183,257.02 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 5 — — $28,679.91 $249,681.86 $179,155.64 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $34,933.71 $243,986.60 $178,745.33 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $34,913.92 $243,219.61 $178,419.27 2026-04-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $169,309.21 $183,517.63 $173,541.94 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $33,231.43 $227,746.68 $168,479.74 2026-04-17
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $163,767.24 $177,510.58 $167,861.42 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 10 5 — — $26,664.71 $232,447.10 $166,678.85 2026-04-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $161,770.46 $175,346.23 $165,814.72 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $32,222.59 $221,275.02 $163,523.17 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $31,897.72 $222,233.04 $163,014.65 2026-04-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $158,405.25 $171,698.61 $162,365.38 2026-04-17
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $158,144.60 $171,416.09 $162,098.21 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $157,941.35 $171,195.79 $161,889.89 2026-04-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $157,136.12 $170,322.98 $161,064.52 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $30,770.97 $220,542.77 $159,458.68 2026-04-17
5831 APR_DRG Neonate W Ecmo 4 4 — — $154,504.78 $167,470.81 $158,367.40 2026-04-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $150,857.19 $163,517.13 $154,628.62 2026-04-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $150,449.92 $163,075.68 $154,211.17 2026-04-17
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $147,680.49 $160,073.84 $151,372.50 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $29,266.17 $208,927.94 $151,364.04 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $147,294.17 $159,655.09 $150,976.53 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $29,133.41 $206,375.17 $150,103.58 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 5 — — $27,533.79 $207,599.46 $146,350.90 2026-04-17
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 68 39 $240,876.76 $156,569.90 35% off $36,131.51 $221,606.62 $144,526.06 2026-04-17
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $140,295.34 $152,068.93 $143,802.72 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $28,149.72 $194,818.23 $143,394.74 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $27,487.20 $199,067.06 $143,178.27 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 2 — — $67,324.30 $165,174.81 $142,917.90 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $22,786.03 $198,317.15 $142,318.76 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 5 — — $27,639.74 $193,385.55 $141,546.55 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $26,622.25 $190,308.91 $137,781.12 2026-04-17
J2326 HCPCS Nusinersen 12 Mg/5ml It Solution 67 39 $228,174.95 $148,313.72 35% off $34,226.24 $209,920.95 $136,904.97 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 4 — — $24,509.75 $187,570.92 $136,776.62 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $25,503.33 $193,527.37 $136,000.70 2026-04-17
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $131,641.07 $142,688.38 $134,932.10 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $25,387.07 $189,617.17 $134,298.12 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $24,526.65 $190,308.91 $132,291.48 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $26,071.86 $177,168.79 $131,641.33 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $25,536.31 $173,849.02 $129,051.49 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $25,182.99 $175,469.83 $128,705.43 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $24,696.92 $177,374.28 $128,113.01 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $25,062.61 $173,898.23 $127,828.17 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 5 — — $25,300.08 $164,297.87 $127,489.95 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $20,641.78 $175,483.33 $126,722.39 2026-04-17
C9293 HCPCS Glucarpidase 1000 Units IV Recon Soln 68 39 $207,528.40 $134,893.46 35% off $274.28 $190,926.13 $124,517.04 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 5 — — $24,257.44 $169,854.89 $124,273.32 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $23,660.46 $172,590.00 $123,687.36 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $24,002.24 $169,744.91 $123,565.47 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $23,519.05 $165,852.07 $120,907.90 2026-04-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $117,388.97 $127,240.25 $120,323.70 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 5 — — $22,551.85 $166,917.18 $118,755.03 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $22,696.56 $162,717.55 $117,632.62 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $22,265.74 $164,960.63 $117,305.99 2026-04-17
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $113,749.92 $123,295.81 $116,593.67 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $22,981.03 $150,399.41 $115,804.01 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 — — $22,379.94 $158,332.68 $115,235.46 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $22,787.68 $153,218.45 $114,829.66 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $22,244.71 $157,858.02 $114,711.51 2026-04-17
J0801 HCPCS Corticotropin 80 Unit/ml Inj Gel 119 39 $163,373.20 $106,192.58 35% off $24,505.98 $200,071.66 $114,361.24 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 5 — — $21,932.62 $158,106.93 $113,982.94 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $110,138.02 $119,380.80 $112,891.47 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $21,835.32 $154,347.23 $112,383.86 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $22,241.82 $144,437.66 $112,079.05 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $20,625.71 $161,102.53 $111,630.36 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 5 — — $21,230.93 $154,254.61 $110,767.46 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $21,161.25 $152,711.95 $110,033.39 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 5 — — $21,002.53 $150,659.89 $108,883.92 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 10 5 — — $17,837.90 $151,646.51 $107,964.14 2026-04-17
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $105,313.63 $114,151.54 $107,946.47 2026-04-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $104,267.92 $113,018.08 $106,874.62 2026-04-17
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 4 — — $104,052.26 $112,784.32 $106,653.57 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $20,938.21 $144,350.32 $106,459.57 2026-04-17
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $103,409.94 $112,088.09 $105,995.19 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $18,930.43 $133,036.50 $105,641.24 2026-04-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $102,956.90 $111,597.04 $105,530.82 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $20,764.23 $142,448.76 $105,323.95 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 5 — — $20,619.93 $142,937.90 $105,120.83 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $20,543.25 $143,192.60 $105,011.01 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $101,590.80 $110,116.30 $104,130.57 2026-04-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $101,096.65 $109,580.67 $103,624.07 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 10 5 — — $20,024.20 $139,757.06 $102,422.99 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $18,932.90 $145,878.51 $101,752.83 2026-04-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $99,149.51 $107,470.13 $101,628.25 2026-04-17
245 MS_DRG Aicd Generator Procedures 10 5 — — $20,145.82 $132,049.54 $101,517.04 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 5 — — $19,395.07 $137,791.83 $100,072.28 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $19,686.96 $135,389.57 $99,978.04 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $19,600.79 $135,794.77 $99,897.18 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $19,601.61 $131,079.95 $98,774.74 2026-04-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $95,747.07 $103,782.16 $98,140.74 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 — — $19,179.86 $133,673.25 $98,036.00 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $19,291.17 $132,697.87 $97,978.87 2026-04-17
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $94,009.38 $101,898.65 $96,359.62 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 10 5 — — $19,001.34 $129,716.74 $96,153.79 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 8 4 — — $17,194.34 $131,588.41 $95,952.99 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $18,598.96 $131,653.02 $95,791.99 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 5 — — $18,436.94 $131,595.14 $95,346.85 2026-04-17
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $92,648.72 $100,423.80 $94,964.94 2026-04-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $92,564.16 $100,332.14 $94,878.26 2026-04-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $91,537.07 $99,218.85 $93,825.49 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $18,109.18 $129,169.71 $93,621.09 2026-04-17
791 MS_DRG Prematurity With Major Problems 8 4 — — $16,738.78 $128,097.98 $93,410.72 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 5 — — $18,488.06 $124,249.40 $93,163.41 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 5 — — $14,779.23 $130,472.66 $92,974.38 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $15,041.44 $127,872.77 $92,583.24 2026-04-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $90,164.76 $97,731.39 $92,418.88 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $18,264.61 $121,462.19 $92,037.40 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $17,275.56 $129,679.11 $91,619.45 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $17,585.18 $127,140.81 $91,523.01 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $17,559.62 $125,247.94 $90,779.29 2026-04-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $88,064.03 $95,454.36 $90,265.63 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $17,435.11 $123,450.58 $89,810.52 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $17,800.80 $120,767.56 $89,809.23 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $17,274.32 $121,606.91 $88,730.15 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $17,152.29 $122,232.08 $88,633.99 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $16,942.44 $121,962.91 $87,988.04 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 5 — — $16,834.01 $122,741.47 $87,982.36 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $16,917.29 $122,023.69 $87,943.89 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 5 — — $16,951.92 $121,236.44 $87,753.14 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $85,564.56 $92,745.13 $87,703.67 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $16,767.64 $120,200.28 $86,899.93 2026-04-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 2 — — $40,565.16 $99,523.40 $86,112.86 2026-04-17
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $83,470.81 $90,475.68 $85,557.58 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $16,119.95 $119,404.35 $84,918.68 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $16,199.11 $116,365.33 $84,039.49 2026-04-17
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Solution 67 39 $139,403.44 $90,612.24 35% off $20,910.52 $128,251.16 $83,642.06 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $81,474.80 $88,312.16 $83,511.67 2026-04-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $13,149.10 $116,857.53 $82,999.49 2026-04-17
1784 APR_DRG External Heart Assist Devices 4 4 — — $80,931.00 $87,722.73 $82,954.27 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $16,422.97 $111,120.86 $82,757.21 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $16,411.43 $106,575.28 $82,699.04 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $16,199.93 $111,861.80 $82,431.51 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $16,031.31 $112,029.67 $82,049.80 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 5 — — $16,269.61 $107,864.77 $81,984.39 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $16,232.50 $105,413.33 $81,797.41 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $15,672.22 $113,222.12 $81,535.46 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 5 — — $15,550.19 $111,754.71 $80,691.14 2026-04-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $15,934.02 $103,474.97 $80,293.30 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $15,876.71 $108,180.25 $80,268.52 2026-04-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $78,285.69 $84,855.42 $80,242.83 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $15,757.98 $108,912.51 $80,219.29 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 5 — — $15,917.53 $106,310.53 $80,210.20 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $14,778.41 $115,311.81 $79,941.14 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $77,742.66 $84,266.82 $79,686.23 2026-04-17
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 68 39 $131,736.72 $85,628.87 35% off $159.63 $121,197.78 $79,042.03 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $15,435.58 $103,013.93 $77,781.60 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $14,775.11 $108,168.67 $77,378.62 2026-04-17
J9266 HCPCS Pegaspargase 750 Unit/ml Inj Solution 68 39 $128,742.72 $83,682.77 35% off $19,311.41 $118,443.30 $77,245.63 2026-04-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $74,507.00 $80,759.63 $76,369.68 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $14,639.89 $106,267.12 $76,344.51 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $14,940.43 $103,352.56 $76,089.80 2026-04-17
265 MS_DRG Aicd Lead Procedures 10 5 — — $14,705.44 $104,721.56 $75,963.65 2026-04-17
974 MS_DRG HIV With Major Related Condition With Mcc 10 5 — — $12,310.53 $104,656.31 $75,846.67 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 5 — — $14,513.32 $104,938.64 $75,537.99 2026-04-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $73,287.52 $79,437.81 $75,119.71 2026-04-17
J9348 HCPCS Naxitamab-gqgk 40 Mg/10ml IV Solution 68 39 $125,131.32 $81,335.36 35% off $666.60 $115,120.81 $75,078.79 2026-04-17
332 MS_DRG Rectal Resection With Mcc 10 5 — — $14,299.76 $104,793.92 $74,926.80 2026-04-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $73,012.13 $79,139.31 $74,837.43 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $14,434.16 $103,199.16 $74,708.71 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 — — $14,444.47 $103,112.33 $74,704.67 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $13,612.08 $108,437.84 $74,428.18 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $14,200.40 $102,929.99 $74,000.11 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 — — $14,120.01 $102,070.38 $73,482.17 2026-04-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $14,550.01 $98,611.70 $73,372.03 2026-04-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $14,554.96 $94,519.40 $73,344.06 2026-04-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $14,284.09 $100,472.73 $73,340.80 2026-04-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $14,441.99 $99,228.18 $73,309.49 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 10 5 — — $14,141.86 $100,961.87 $73,143.09 2026-04-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $14,177.31 $99,986.49 $72,887.24 2026-04-17
J3401 HCPCS Beremagene Geperpavec-svdt (vyjuvek) (5x10^9 Pfu/2.5 Ml) Topical Solution 67 39 $121,114.00 $78,724.10 35% off $18,167.10 $111,424.88 $72,668.40 2026-04-17
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $14,408.60 $96,686.99 $72,606.55 2026-04-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $70,783.40 $76,723.54 $72,552.99 2026-04-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $70,629.80 $76,557.05 $72,395.54 2026-04-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $70,258.99 $76,155.12 $72,015.46 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $13,210.12 $104,380.04 $71,924.39 2026-04-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $70,143.41 $76,029.84 $71,896.99 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $13,084.78 $105,019.68 $71,824.76 2026-04-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 5 — — $13,838.01 $98,741.94 $71,553.43 2026-04-17
665 MS_DRG Prostatectomy With Mcc 10 5 — — $14,155.05 $91,922.42 $71,328.89 2026-04-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $69,308.70 $75,125.08 $71,041.42 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $69,062.01 $74,857.69 $70,788.56 2026-04-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $14,045.38 $94,145.79 $70,776.27 2026-04-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 — — $11,144.62 $99,597.48 $70,546.84 2026-04-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $13,984.37 $92,409.21 $70,468.80 2026-04-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 5 — — $11,199.86 $98,755.79 $70,414.46 2026-04-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 5 — — $11,260.47 $97,758.77 $70,242.64 2026-04-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $68,518.21 $74,268.25 $70,231.17 2026-04-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support &lt;=96 Hours 10 5 — — $11,065.87 $99,294.04 $70,192.88 2026-04-17
37 MS_DRG Extracranial Procedures With Mcc 10 5 — — $13,690.42 $95,283.25 $69,930.21 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $67,886.75 $73,583.80 $69,583.92 2026-04-17
849 MS_DRG Radiotherapy 10 5 — — $11,011.45 $97,877.98 $69,512.76 2026-04-17
0320 RC Hb=ir Purchased Services 68 39 $115,226.00 $74,896.90 35% off $17,283.90 $106,007.92 $69,135.60 2026-04-17
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Recon Soln 68 39 $114,826.56 $74,637.27 35% off $2,908.98 $105,640.44 $68,895.94 2026-04-17
8634 APR_DRG Neonatal Aftercare 4 4 — — $67,173.05 $72,810.22 $68,852.38 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $67,161.42 $72,797.60 $68,840.46 2026-04-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $13,436.45 $93,731.91 $68,710.28 2026-04-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 — — $13,290.10 $93,401.96 $68,208.91 2026-04-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 5 — — $13,430.68 $92,148.72 $68,129.12 2026-04-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 — — $13,475.21 $87,789.91 $67,903.09 2026-04-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $12,866.28 $95,271.67 $67,767.15 2026-04-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 5 — — $13,111.17 $93,219.61 $67,675.00 2026-04-17
1794 APR_DRG Defibrillator Implants 4 4 — — $65,936.51 $71,469.90 $67,584.92 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $65,663.44 $71,173.92 $67,305.02 2026-04-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $65,578.89 $71,082.26 $67,218.36 2026-04-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $65,520.71 $71,019.20 $67,158.73 2026-04-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $13,172.19 $91,199.39 $67,112.55 2026-04-17
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $13,062.93 $91,598.81 $66,969.15 2026-04-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 5 — — $12,721.98 $93,497.47 $66,754.82 2026-04-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 5 — — $10,527.85 $93,651.47 $66,485.93 2026-04-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 — — $12,748.37 $92,238.45 $66,373.80 2026-04-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $12,805.67 $91,155.98 $66,136.90 2026-04-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $12,712.91 $91,459.88 $66,002.56 2026-04-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $64,284.16 $69,678.88 $65,891.26 2026-04-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $64,060.74 $69,436.72 $65,662.26 2026-04-17
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 — — $12,860.51 $88,608.99 $65,369.92 2026-04-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $12,609.02 $89,989.58 $65,204.72 2026-04-17
545 MS_DRG Connective Tissue Disorders With Mcc 10 5 — — $10,416.95 $89,648.93 $64,696.76 2026-04-17
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $62,860.66 $68,135.92 $64,432.18 2026-04-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 10 5 — — $9,882.23 $93,171.02 $64,308.56 2026-04-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 5 — — $9,882.23 $93,171.02 $64,308.56 2026-04-17
J3316 HCPCS Triptorelin Pamoate ER (cpp) 22.5 Mg IM Rec Susp ER 68 39 $107,043.80 $69,578.47 35% off $3,591.17 $98,480.30 $64,226.28 2026-04-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $11,799.31 $92,918.61 $64,130.82 2026-04-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $12,156.34 $90,148.76 $64,075.79 2026-04-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $62,409.17 $67,646.54 $63,969.40 2026-04-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $12,650.25 $86,145.95 $63,938.51 2026-04-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $11,281.49 $95,607.41 $63,735.67 2026-04-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $62,134.55 $67,348.88 $63,687.92 2026-04-17
914 APR_DRG Other Major Head & Neck Procedures 4 4 — — $62,081.80 $67,291.70 $63,633.85 2026-04-17
570 MS_DRG Skin Debridement With Mcc 10 5 — — $12,411.13 $85,124.26 $62,946.82 2026-04-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 5 — — $11,565.96 $90,941.80 $62,812.77 2026-04-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 5 — — $10,323.37 $87,762.70 $62,482.31 2026-04-17
0811 RC Qor=living Donor 68 39 $103,857.00 $67,507.05 35% off $15,578.55 $95,548.44 $62,314.20 2026-04-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 5 — — $11,819.51 $87,410.75 $62,214.51 2026-04-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 5 — — $11,782.82 $87,422.33 $62,122.54 2026-04-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 5 — — $12,125.01 $84,290.70 $61,899.28 2026-04-17
472 MS_DRG Cervical Spinal Fusion With Cc 10 5 — — $11,943.61 $85,268.97 $61,773.85 2026-04-17
668 MS_DRG Transurethral Procedures With Mcc 10 5 — — $12,022.35 $84,513.56 $61,710.04 2026-04-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 5 — — $12,091.20 $83,992.59 $61,704.14 2026-04-17
J0638 HCPCS Canakinumab 150 Mg/ml Sc Solution 68 39 $102,654.88 $66,725.68 35% off $139.74 $94,442.49 $61,592.93 2026-04-17
1783 APR_DRG External Heart Assist Devices 4 4 — — $59,872.46 $64,896.96 $61,369.27 2026-04-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $12,016.17 $83,072.20 $61,178.51 2026-04-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 4 — — $59,628.88 $64,632.93 $61,119.60 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $61,021.81 $61,021.81 $61,021.81 2026-04-17
234 APR_DRG Spinal Procedures 4 4 — — $59,476.83 $64,468.12 $60,963.75 2026-04-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 5 — — $12,005.45 $82,502.02 $60,946.57 2026-04-17
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 2 — — $28,574.69 $70,105.73 $60,659.15 2026-04-17
263 MS_DRG Vein Ligation And Stripping 10 5 — — $11,056.80 $88,490.33 $60,602.49 2026-04-17
800 MS_DRG Splenic Procedures With Cc 10 5 — — $12,012.04 $81,312.46 $60,538.55 2026-04-17
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Solution 68 39 $100,782.00 $65,508.30 35% off $234.40 $92,719.44 $60,469.20 2026-04-17
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 2 — — $28,481.50 $69,877.08 $60,461.31 2026-04-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 5 — — $11,577.51 $83,940.49 $60,339.83 2026-04-17
214 APR_DRG Craniotomy Except For Trauma 4 4 — — $58,661.51 $63,584.39 $60,128.05 2026-04-17
4414 APR_DRG Major Bladder Procedures 4 4 — — $58,651.43 $63,573.46 $60,117.71 2026-04-17
82 MS_DRG Traumatic Stupor And Coma &gt;1 Hour With Mcc 10 5 — — $9,565.19 $82,565.01 $59,495.67 2026-04-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $11,805.91 $76,988.38 $59,491.29 2026-04-17
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Solution 68 39 $99,091.60 $64,409.54 35% off $70.63 $91,164.27 $59,454.96 2026-04-17
654 MS_DRG Major Bladder Procedures With Cc 10 5 — — $11,633.99 $81,020.14 $59,443.68 2026-04-17
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $57,933.08 $62,794.83 $59,381.40 2026-04-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $57,915.24 $62,775.49 $59,363.12 2026-04-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 5 — — $11,240.27 $83,570.02 $59,323.93 2026-04-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 5 — — $11,736.23 $78,748.11 $59,140.19 2026-04-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 5 — — $10,899.31 $85,211.09 $59,017.50 2026-04-17
85 MS_DRG Traumatic Stupor And Coma &lt;1 Hour With Mcc 10 5 — — $9,341.74 $82,070.12 $58,623.44 2026-04-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 4 4 — — $57,173.62 $61,971.63 $58,602.96 2026-04-17
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $57,089.07 $61,879.98 $58,516.29 2026-04-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 5 — — $10,408.71 $87,315.24 $58,484.60 2026-04-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 5 — — $10,924.46 $83,407.94 $58,438.71 2026-04-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 5 — — $9,442.75 $80,276.23 $58,102.33 2026-04-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 5 — — $8,942.66 $82,900.97 $57,684.68 2026-04-17
503 MS_DRG Foot Procedures With Mcc 10 5 — — $10,910.86 $80,782.81 $57,464.51 2026-04-17
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