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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

SHANDS JACKSONVILLE

Jacksonville, FL · CCN 100001 · Rates published

24,360 distinct procedures filed
47 distinct payers
2,937,738 rate rows
2026-03-31 last MRF observed
Data quality

2,690,246 of 2,937,738 rate rows are consumer-grade (91.6%)

247,492 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 195,266
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 27,192
template filing: same amount across many unrelated codes — excluded 16,430
placeholder amount (≤ $0.02) — excluded from medians 6,428
exceeds 10× this hospital's gross charge — excluded from medians 1,582
percent-of-charges filed in the dollar field — excluded from medians 312
per-diem day rate — not a per-procedure price 238
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-jax
Found on page https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/procedure-cost#standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint 71c51314cae65f94… · 22,995,138 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 12 $4,279,750.00 $4,955,500.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $3,965,500.00 $4,686,500.00 $4,326,000.00 nat. median
$3,508,750
1.2× median
J1411
HCPCS 		Hemgenix 19 X 10 Ml IV Supk 15 $3,501,003.33 $4,774,770.00 $3,795,824.66 nat. median
$3,685,267
1.0× median
J3393
HCPCS 		Zynteglo IV Susp 21 $2,792,970.44 $4,926,880.00 $3,489,949.96 nat. median
$2,968,000
1.2× median
J1413
HCPCS 		Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 15 $3,161,466.73 $4,884,710.40 $3,444,334.81 nat. median
$3,325,455
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 14 $3,169,029.00 $4,169,775.00 $3,369,178.20 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,089,882.67 $4,271,800.00 $3,350,083.31 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 14 $3,021,000.00 $3,975,000.00 $3,211,800.00 nat. median
$3,180,000
1.0× median
J3399
HCPCS 		Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 27 $11,639.52 $4,968,845.20 $2,891,859.95 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $2,215,400.00 $4,197,600.00 $2,401,960.00 nat. median
$2,332,000
1.0× median
Q2042
HCPCS 		Kymriah 250000000 Cells IV Susp 44 $27,071.07 $2,235,552.66 $946,916.24 nat. median
$621,313
1.5× median
Q2056
HCPCS 		Carvykti 100000000 Cells IV Susp 44 $27,071.07 $2,133,418.45 $918,492.78 nat. median
$599,737
1.5× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp 44 $27,071.07 $1,774,938.39 $796,155.96 nat. median
$562,501
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $732,089.00 $963,275.00 $778,326.20 nat. median
$813,967
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $27,071.07 $930,106.94 $562,201.24 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $27,071.07 $947,857.66 $558,081.72 nat. median
$574,037
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $27,071.07 $828,954.72 $489,450.20 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 22 $184,865.57 $686,606.52 $485,587.74 nat. median
$168,055
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $119,970.32 $471,809.53 $316,846.43 nat. median
$186,516
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 14 $264,337.50 $347,812.50 $281,032.50 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 14 $251,750.00 $331,250.00 $267,650.00 nat. median
$264,195
1.0× median
5834
APR_DRG 		Neonate With Ecmo 8 $229,087.21 $532,798.81 $249,913.32 nat. median
$390,362
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $91,401.49 $398,243.56 $242,561.47 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $90,865.08 $360,327.83 $241,166.70 nat. median
$145,435
1.7× median
J1823
HCPCS 		Uplizna 100 Mg/10ml IV Soln 44 $470.76 $526,719.51 $221,776.64 nat. median
$562
outlier · 394.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 14 $191,585.57 $252,086.28 $203,685.71 nat. median
$207,733
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $59,297.84 $239,497.93 $158,164.84 nat. median
$97,418
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $140,311.53 $347,591.04 $153,067.13 nat. median
$286,698
0.5× median
J7504
HCPCS 		Atgam 50 Mg/ml IV Soln 39 $4,365.30 $322,806.06 $149,510.17 nat. median
$6,050
outlier · 24.7×
7
MS_DRG 		Lung Transplant 22 $55,439.81 $221,936.74 $147,874.32 nat. median
$70,649
outlier · 2.1×
C9293
HCPCS 		Voraxaze 1000 Units IV Solr 44 $426.26 $316,391.33 $143,974.71 nat. median
$57,284
outlier · 2.5×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $131,167.70 $270,669.66 $143,092.03 nat. median
$135,803
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $131,081.13 $307,823.02 $142,997.59 nat. median
$225,531
0.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $130,472.78 $345,163.70 $142,333.94 nat. median
$268,208
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $51,448.63 $222,482.84 $137,228.67 nat. median
$72,715
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $48,511.44 $188,027.39 $129,394.31 nat. median
$65,418
2.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $47,181.76 $179,020.09 $125,847.67 nat. median
$2,736
outlier · 46.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $46,552.02 $185,945.60 $124,167.98 nat. median
$74,509
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $113,044.46 $139,223.18 $122,564.00 nat. median
$2,110
outlier · 58.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $44,139.25 $181,899.51 $117,732.40 nat. median
$69,922
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 22 $42,625.92 $180,995.98 $113,695.90 nat. median
$73,023
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $105,927.48 $139,378.26 $112,617.64 nat. median
$108,243
1.0× median
5832
APR_DRG 		Neonate With Ecmo 8 $100,178.98 $174,387.31 $109,286.16 nat. median
$201,678
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $28,318.00 $165,379.23 $108,105.83 nat. median
$69,822
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $97,818.71 $263,803.18 $106,711.32 nat. median
$202,242
0.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $97,758.63 $228,542.06 $106,645.78 nat. median
$198,578
0.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $97,616.72 $157,854.43 $106,490.96 nat. median
$68,335
1.6× median
J9029
HCPCS 		Adstiladrin 300000000000 Vp/ml Is Susp 42 $61,061.05 $213,536.25 $105,168.92 nat. median
$66,211
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $95,894.05 $208,544.46 $104,611.69 nat. median
$152,792
0.7× median
J1303
HCPCS 		Ultomiris 300 Mg/3ml IV Soln 44 $213.56 $246,055.66 $103,602.38 nat. median
$504
outlier · 205.7×

Other procedures at this hospital

Browse this hospital's 24,360 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 34 12 — — $4,279,750.00 $4,955,500.00 $4,550,050.00 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 2 — — $3,965,500.00 $4,686,500.00 $4,326,000.00 2026-03-31
J1411 HCPCS Hemgenix 19 X 10 Ml IV Supk 50 15 — — $3,501,003.33 $4,774,770.00 $3,795,824.66 2026-03-31
J3393 HCPCS Zynteglo IV Susp 84 21 — — $2,792,970.44 $4,926,880.00 $3,489,949.96 2026-03-31
J1413 HCPCS Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 52 15 — — $3,161,466.73 $4,884,710.40 $3,444,334.81 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 38 14 — — $3,169,029.00 $4,169,775.00 $3,369,178.20 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 42 15 — — $3,089,882.67 $4,271,800.00 $3,350,083.31 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 38 14 — — $3,021,000.00 $3,975,000.00 $3,211,800.00 2026-03-31
J3399 HCPCS Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 124 27 — — $11,639.52 $4,968,845.20 $2,891,859.95 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 48 17 — — $2,215,400.00 $4,197,600.00 $2,401,960.00 2026-03-31
Q2042 HCPCS Kymriah 250000000 Cells IV Susp 180 44 $2,353,213.33 $1,294,267.33 45% off $27,071.07 $2,235,552.66 $946,916.24 2026-03-31
Q2056 HCPCS Carvykti 100000000 Cells IV Susp 180 44 $2,245,703.63 $1,235,137.00 45% off $27,071.07 $2,133,418.45 $918,492.78 2026-03-31
Q2041 HCPCS Yescarta 200000000 Cells IV Susp 180 44 $1,868,356.20 $1,027,595.91 45% off $27,071.07 $1,774,938.39 $796,155.96 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 38 14 — — $732,089.00 $963,275.00 $778,326.20 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 70 23 — — $27,071.07 $930,106.94 $562,201.24 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 70 23 — — $27,071.07 $947,857.66 $558,081.72 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 70 23 — — $27,071.07 $828,954.72 $489,450.20 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 90 22 — — $184,865.57 $686,606.52 $485,587.74 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 88 22 — — $119,970.32 $471,809.53 $316,846.43 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 38 14 — — $264,337.50 $347,812.50 $281,032.50 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 38 14 — — $251,750.00 $331,250.00 $267,650.00 2026-03-31
5834 APR_DRG Neonate With Ecmo 22 8 — — $229,087.21 $532,798.81 $249,913.32 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 90 22 — — $91,401.49 $398,243.56 $242,561.47 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 90 22 — — $90,865.08 $360,327.83 $241,166.70 2026-03-31
J1823 HCPCS Uplizna 100 Mg/10ml IV Soln 180 44 $554,441.59 $304,942.87 45% off $470.76 $526,719.51 $221,776.64 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 38 14 — — $191,585.57 $252,086.28 $203,685.71 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 90 22 — — $59,297.84 $239,497.93 $158,164.84 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $140,311.53 $347,591.04 $153,067.13 2026-03-31
J7504 HCPCS Atgam 50 Mg/ml IV Soln 158 39 $339,795.85 $186,887.72 45% off $4,365.30 $322,806.06 $149,510.17 2026-03-31
7 MS_DRG Lung Transplant 88 22 — — $55,439.81 $221,936.74 $147,874.32 2026-03-31
C9293 HCPCS Voraxaze 1000 Units IV Solr 180 44 $333,043.51 $183,173.93 45% off $426.26 $316,391.33 $143,974.71 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $131,167.70 $270,669.66 $143,092.03 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 22 8 — — $131,081.13 $307,823.02 $142,997.59 2026-03-31
5833 APR_DRG Neonate With Ecmo 22 8 — — $130,472.78 $345,163.70 $142,333.94 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 88 22 — — $51,448.63 $222,482.84 $137,228.67 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 88 22 — — $48,511.44 $188,027.39 $129,394.31 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 22 — — $47,181.76 $179,020.09 $125,847.67 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 90 22 — — $46,552.02 $185,945.60 $124,167.98 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 36 13 — — $113,044.46 $139,223.18 $122,564.00 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 88 22 — — $44,139.25 $181,899.51 $117,732.40 2026-03-31
215 MS_DRG Other Heart Assist System Implant 90 22 — — $42,625.92 $180,995.98 $113,695.90 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 34 12 — — $105,927.48 $139,378.26 $112,617.64 2026-03-31
5832 APR_DRG Neonate With Ecmo 22 8 — — $100,178.98 $174,387.31 $109,286.16 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 22 — — $28,318.00 $165,379.23 $108,105.83 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 22 8 — — $97,818.71 $263,803.18 $106,711.32 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 8 — — $97,758.63 $228,542.06 $106,645.78 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $97,616.72 $157,854.43 $106,490.96 2026-03-31
J9029 HCPCS Adstiladrin 300000000000 Vp/ml Is Susp 170 42 $224,775.00 $123,626.25 45% off $61,061.05 $213,536.25 $105,168.92 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 8 — — $95,894.05 $208,544.46 $104,611.69 2026-03-31
J1303 HCPCS Ultomiris 300 Mg/3ml IV Soln 180 44 $259,005.96 $142,453.28 45% off $213.56 $246,055.66 $103,602.38 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 90 22 — — $38,570.10 $143,692.54 $102,877.83 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 22 8 — — $94,026.31 $224,371.96 $102,574.15 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $93,447.20 $226,063.91 $101,942.40 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 8 — — $92,009.53 $220,811.66 $100,374.04 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 90 22 — — $37,071.32 $158,111.17 $98,880.15 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 22 — — $35,974.96 $145,820.66 $98,440.80 2026-03-31
A9513 HCPCS Lutathera 370 Mbq/ml IV Soln 180 44 $241,894.65 $133,042.06 45% off $304.72 $229,799.92 $96,757.86 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 34 12 — — $90,326.98 $118,851.29 $96,031.84 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 22 8 — — $87,012.29 $250,082.16 $94,922.50 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 96 22 — — $28,318.00 $145,898.43 $93,799.00 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 8 — — $85,272.22 $253,555.76 $93,024.24 2026-03-31
5831 APR_DRG Neonate With Ecmo 22 8 — — $76,442.96 $98,097.60 $91,557.76 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 90 22 — — $33,686.33 $139,067.25 $89,851.39 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 8 — — $80,894.00 $204,749.00 $88,248.00 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $80,074.17 $130,527.07 $87,353.64 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 90 22 — — $32,729.10 $135,017.86 $87,298.17 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 90 22 — — $32,620.79 $129,189.50 $87,009.28 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 22 — — $28,318.00 $133,712.19 $85,850.89 2026-03-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $77,604.01 $89,185.91 $84,658.92 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 22 8 — — $77,175.52 $209,594.71 $84,191.47 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 22 8 — — $76,594.44 $178,495.74 $83,557.57 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 22 — — $30,902.83 $123,207.24 $82,426.96 2026-03-31
10 MS_DRG Pancreas Transplant 88 22 — — $30,719.17 $137,609.34 $81,937.09 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 90 22 — — $30,706.33 $116,194.02 $81,902.84 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 88 22 — — $30,543.22 $136,853.07 $81,467.79 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 22 — — $30,525.24 $122,616.46 $81,419.83 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 8 — — $73,695.78 $185,120.09 $80,395.39 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 180 44 $197,243.43 $108,483.89 45% off $16,732.68 $187,381.26 $80,263.88 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 22 8 — — $72,962.52 $186,396.53 $79,595.47 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 90 22 — — $29,589.42 $120,787.87 $78,923.70 2026-03-31
A9607 HCPCS Pluvicto 1000 Mbq/ml IV Soln 180 44 $196,986.10 $108,342.36 45% off $246.34 $187,136.80 $78,794.44 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 90 22 — — $29,444.29 $116,007.04 $78,536.61 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 22 8 — — $71,402.31 $172,840.93 $77,893.43 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 90 22 — — $28,815.84 $118,666.36 $76,860.34 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 90 22 — — $28,624.91 $108,043.94 $76,351.07 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 90 22 — — $28,603.93 $116,620.98 $76,295.12 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 8 — — $69,391.08 $163,894.87 $75,699.36 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 22 — — $28,148.86 $104,547.27 $75,081.31 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 90 22 — — $28,046.54 $107,577.28 $74,808.41 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 22 — — $28,148.86 $112,536.83 $74,186.74 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $67,471.81 $74,874.85 $73,605.61 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 90 22 — — $27,546.95 $112,690.73 $73,475.84 2026-03-31
J9347 HCPCS Imjudo 300 Mg/15ml IV Soln 170 42 $164,115.93 $90,263.76 45% off $135.86 $155,910.13 $72,211.01 2026-03-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 8 — — $65,404.58 $86,710.75 $71,350.45 2026-03-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 8 — — $65,404.58 $128,969.56 $71,350.45 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 22 — — $25,528.03 $107,783.50 $70,574.48 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 8 — — $64,446.80 $89,875.13 $70,305.60 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 90 22 — — $26,235.68 $104,807.07 $69,978.30 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 90 22 — — $26,205.29 $110,325.96 $69,897.23 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 34 12 — — $65,361.62 $86,002.14 $69,489.73 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 22 — — $25,953.99 $106,758.12 $68,764.98 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 90 22 — — $25,721.53 $106,274.91 $68,606.92 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 90 22 — — $25,714.25 $108,176.32 $68,587.50 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 78 21 — — $25,444.12 $104,045.85 $67,828.50 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 88 22 — — $25,385.05 $105,553.41 $67,709.41 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 90 22 — — $25,123.48 $103,043.01 $67,011.72 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 90 22 — — $25,107.21 $102,018.65 $66,968.33 2026-03-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 22 8 — — $53,882.24 $71,350.45 $66,593.76 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 8 — — $60,940.19 $152,042.18 $66,480.20 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 22 — — $24,688.96 $96,196.93 $65,852.73 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 70 23 — — $2,950.31 $106,858.60 $65,686.31 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 22 — — $24,531.41 $100,079.19 $65,432.52 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 22 — — $24,399.56 $95,046.82 $65,080.82 2026-03-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 8 — — $59,517.54 $81,780.13 $64,928.22 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 8 — — $59,176.40 $142,001.03 $64,556.08 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 22 — — $24,067.78 $96,752.95 $64,195.88 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 13 — — $59,094.08 $72,779.02 $64,070.42 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 88 22 — — $23,993.29 $95,710.40 $63,997.19 2026-03-31
J2350 HCPCS Ocrevus 300 Mg/10ml IV Soln 180 44 $159,478.13 $87,712.97 45% off $56.35 $151,504.22 $63,791.25 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 90 22 — — $23,828.90 $88,502.58 $63,558.71 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 90 22 — — $23,643.96 $107,221.48 $63,065.42 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 90 22 — — $23,502.26 $97,136.88 $62,687.47 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 90 22 — — $23,419.21 $95,505.21 $62,465.94 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 90 22 — — $23,385.82 $93,709.71 $62,376.88 2026-03-31
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 90 22 — — $23,349.00 $94,962.41 $62,278.68 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 88 22 — — $23,255.68 $105,553.41 $62,029.75 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 22 8 — — $56,358.39 $94,280.44 $61,481.88 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 8 — — $56,153.23 $153,911.51 $61,258.07 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 90 22 — — $22,816.02 $90,894.81 $60,857.05 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 22 — — $22,829.72 $93,320.82 $60,824.44 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 90 22 — — $22,662.76 $97,136.88 $60,448.26 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 90 22 — — $22,587.84 $90,611.83 $60,248.43 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 90 22 — — $22,245.79 $97,919.62 $59,336.08 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 22 8 — — $54,172.07 $61,481.88 $59,096.81 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 22 8 — — $54,068.48 $82,767.58 $58,983.79 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 90 22 — — $22,284.32 $89,976.38 $58,843.21 2026-03-31
191641 CDM Jx Hb Graft Endovascular 21x8x10mm 20fr Gore Tag Thoracic Branch 154 41 $112,000.00 $61,600.00 45% off $17,360.00 $106,400.00 $58,240.00 2026-03-31
191637 CDM Jx Hb Graft Endovascular 21x8x10mm 20fr Gore Tag Thoracic Branch 154 41 $112,000.00 $61,600.00 45% off $17,360.00 $106,400.00 $58,240.00 2026-03-31
J0567 HCPCS Brineura 2 X 150 Mg/5ml Ve Kit 180 44 $134,523.55 $73,987.95 45% off $115.13 $127,797.37 $58,154.53 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 22 — — $21,577.10 $81,669.08 $57,552.48 2026-03-31
C1825 HCPCS Jx Hb Barostim Cardiac Stimulator 154 41 $110,250.00 $60,637.50 45% off $17,088.75 $104,737.50 $57,330.00 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 90 22 — — $21,351.06 $89,718.22 $56,949.57 2026-03-31
58980078021 NDC Gattex 5 Mg Sc Kit 154 41 $113,808.63 $62,594.75 45% off $17,640.34 $108,118.20 $56,904.32 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 70 23 — — $16,252.21 $71,030.68 $56,824.54 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 90 22 — — $20,671.66 $86,049.44 $56,673.75 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 96 22 — — $21,179.82 $88,134.55 $56,492.83 2026-03-31
142521 CDM Jx Hb Tavr Valve Assy/deliv System 154 41 $108,500.00 $59,675.00 45% off $16,817.50 $103,075.00 $56,420.00 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 90 22 — — $21,142.15 $88,432.42 $56,392.34 2026-03-31
J9228 HCPCS Yervoy 50 Mg/10ml IV Soln 180 44 $140,809.82 $77,445.40 45% off $177.56 $133,769.33 $56,323.93 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 90 22 — — $21,069.80 $89,021.53 $56,199.37 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 8 — — $51,339.00 $120,748.91 $56,006.18 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 90 22 — — $20,982.04 $94,952.48 $55,965.28 2026-03-31
J2329 HCPCS Briumvi 150 Mg/6ml IV Soln 170 42 $127,080.57 $69,894.31 45% off $66.67 $120,726.54 $55,915.45 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 8 — — $50,818.80 $116,081.57 $55,438.69 2026-03-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 3 — — $50,515.89 $55,108.25 $55,108.25 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 90 22 — — $20,567.21 $88,530.04 $54,858.81 2026-03-31
134041 CDM Jx Hb Kit Mitral Clip 154 41 $105,000.00 $57,750.00 45% off $16,275.00 $99,750.00 $54,600.00 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 70 23 — — $16,732.68 $99,027.41 $54,404.10 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 90 22 — — $20,380.98 $83,524.15 $54,362.10 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 90 22 — — $19,464.42 $79,678.31 $53,811.10 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 88 22 — — $20,126.69 $81,912.33 $53,683.83 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 22 8 — — $49,084.27 $102,436.28 $53,546.47 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 90 22 — — $20,025.66 $84,695.77 $53,414.35 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 22 8 — — $48,714.28 $128,075.75 $53,142.85 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 90 22 — — $20,085.60 $84,338.34 $52,950.54 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 88 22 — — $19,851.00 $85,915.39 $52,948.47 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 90 22 — — $19,771.80 $82,650.40 $52,737.22 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 90 22 — — $19,677.62 $81,657.49 $52,496.57 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 90 22 — — $19,627.53 $83,107.14 $52,374.61 2026-03-31
245 MS_DRG Aicd Generator Procedures 90 22 — — $19,531.63 $86,537.63 $52,141.13 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 90 22 — — $19,472.98 $80,328.65 $51,998.34 2026-03-31
64 APR_DRG Pancreas Transplant 22 8 — — $47,658.85 $134,089.27 $51,991.48 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 8 — — $47,597.19 $76,530.20 $51,924.20 2026-03-31
J9210 HCPCS Gamifant 10 Mg/2ml IV Soln 400 44 $129,766.17 $71,371.39 45% off $364.92 $389,240.70 $51,906.47 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 90 22 — — $19,388.22 $84,353.23 $51,791.96 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 8 — — $47,107.04 $116,521.99 $51,389.50 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 90 22 — — $19,186.59 $81,943.78 $51,301.03 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 90 22 — — $19,181.02 $75,016.61 $51,287.48 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 8 — — $47,003.86 $121,072.75 $51,276.94 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 90 22 — — $19,105.67 $78,362.71 $51,104.04 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 164 43 $112,624.75 $61,943.61 45% off $175.90 $106,993.51 $50,681.14 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 90 22 — — $18,805.58 $76,259.40 $50,373.38 2026-03-31
J9359 HCPCS Zynlonta 10 Mg IV Solr 180 44 $125,702.57 $69,136.41 45% off $210.16 $119,417.44 $50,281.03 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 34 12 — — $47,125.18 $62,006.81 $50,101.50 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 22 8 — — $45,903.97 $52,132.06 $50,077.06 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 90 22 — — $18,525.60 $76,155.14 $49,691.70 2026-03-31
J1299 HCPCS Soliris 300 Mg/30ml IV Soln 170 42 $105,544.25 $58,049.34 45% off $42.77 $100,267.04 $49,605.80 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 22 — — $17,862.90 $107,783.50 $49,383.56 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 90 22 — — $18,377.90 $79,883.50 $49,332.11 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 90 22 — — $18,259.75 $75,655.38 $49,044.43 2026-03-31
8514 APR_DRG Gender Related Procedures 22 8 — — $44,951.52 $130,014.83 $49,038.02 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 78 21 — — $17,850.06 $74,683.98 $48,979.89 2026-03-31
J9298 HCPCS Opdualag 240-80 Mg/20ml IV Soln 180 44 $122,315.39 $67,273.46 45% off $191.57 $116,199.62 $48,926.16 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 90 22 — — $18,154.86 $73,244.28 $48,789.06 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 8 — — $44,572.04 $189,385.86 $48,624.05 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 90 22 — — $18,079.52 $74,521.82 $48,605.61 2026-03-31
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 90 22 — — $18,048.70 $73,578.55 $48,530.56 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 90 22 — — $18,039.71 $73,679.50 $48,508.67 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 90 22 — — $17,987.05 $75,000.06 $48,380.47 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 90 22 — — $17,965.64 $78,986.58 $48,328.35 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 90 22 — — $17,932.25 $73,717.56 $48,247.05 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 90 22 — — $17,778.99 $72,977.85 $47,873.91 2026-03-31
791 MS_DRG Prematurity With Major Problems 78 21 — — $17,376.58 $72,853.73 $47,804.69 2026-03-31
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 90 22 — — $17,661.27 $70,378.09 $47,587.27 2026-03-31
J1300 HCPCS Soliris 300 Mg/30ml IV Soln 164 43 $105,544.25 $58,049.34 45% off $247.09 $100,267.04 $47,494.91 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 48 17 — — $43,696.97 $81,307.08 $47,376.72 2026-03-31
J9229 HCPCS Besponsa 0.9 Mg IV Solr 180 44 $116,649.83 $64,157.41 45% off $2,675.92 $110,817.34 $46,659.93 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 90 22 — — $17,211.76 $70,409.53 $46,492.84 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 38 14 — — $43,696.97 $57,496.01 $46,456.78 2026-03-31
J2507 HCPCS Krystexxa 8 Mg/ml IV Soln 180 44 $115,814.39 $63,697.91 45% off $3,580.36 $110,023.67 $46,325.76 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 8 — — $42,311.78 $107,848.96 $46,158.30 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 90 22 — — $17,055.93 $64,991.59 $46,113.44 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 70 23 — — $7,699.90 $63,239.04 $45,996.81 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 70 23 — — $13,339.61 $57,496.01 $45,996.81 2026-03-31
8513 APR_DRG Gender Related Procedures 22 8 — — $34,702.11 $49,038.02 $45,768.82 2026-03-31
J9042 HCPCS Adcetris 50 Mg IV Solr 180 44 $113,991.36 $62,695.25 45% off $255.03 $108,291.79 $45,596.54 2026-03-31
A9606 HCPCS Xofigo 30 Mcci/ml IV Soln 180 44 $113,853.50 $62,619.43 45% off $163.31 $108,160.83 $45,541.40 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 22 — — $16,746.84 $68,580.94 $45,360.89 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 90 22 — — $16,671.07 $77,272.15 $45,176.40 2026-03-31
4804 APR_DRG Major Male Pelvic Procedures 8 3 — — $41,217.43 $44,964.47 $44,964.47 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 90 22 — — $16,570.47 $70,020.64 $44,931.45 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 90 22 — — $16,545.64 $70,697.47 $44,871.00 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 90 22 — — $16,529.80 $68,091.11 $44,832.44 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 90 22 — — $16,436.04 $71,592.75 $44,604.17 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 90 22 — — $16,109.40 $68,923.48 $43,808.89 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 90 22 — — $16,039.19 $60,310.04 $43,637.95 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 90 22 — — $16,001.09 $69,385.19 $43,545.18 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 90 22 — — $15,999.38 $64,978.34 $43,541.01 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 90 22 — — $15,954.43 $70,963.90 $43,431.57 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 88 22 — — $15,864.53 $63,133.20 $43,212.68 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 90 22 — — $15,724.54 $69,563.91 $42,871.84 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 90 22 — — $15,718.12 $64,435.56 $42,856.21 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 8 — — $39,179.50 $94,438.84 $42,741.28 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 90 22 — — $15,533.61 $58,193.49 $42,406.97 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 90 22 — — $15,521.62 $63,929.17 $42,377.79 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 8 — — $38,819.40 $94,882.25 $42,348.43 2026-03-31
332 MS_DRG Rectal Resection With Mcc 90 22 — — $15,500.22 $63,070.31 $42,325.68 2026-03-31
265 MS_DRG Aicd Lead Procedures 90 22 — — $15,489.51 $64,700.33 $42,299.62 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 90 22 — — $15,462.12 $64,988.27 $42,232.90 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 90 22 — — $15,439.00 $58,696.57 $42,176.63 2026-03-31
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 90 22 — — $15,337.97 $71,546.42 $41,930.64 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 90 22 — — $15,302.43 $70,829.86 $41,844.12 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 90 22 — — $15,287.02 $65,630.36 $41,806.60 2026-03-31
8634 APR_DRG Neonatal Aftercare 22 8 — — $38,318.96 $97,045.54 $41,802.50 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 90 22 — — $15,264.33 $63,609.79 $41,751.36 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 90 22 — — $15,097.37 $62,350.46 $41,746.27 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 90 22 — — $15,251.49 $63,651.16 $41,720.09 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 90 22 — — $15,236.94 $67,592.99 $41,684.66 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 90 22 — — $15,224.52 $62,668.19 $41,654.43 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 22 8 — — $37,880.18 $87,197.69 $41,323.84 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 90 22 — — $15,066.55 $66,049.03 $41,269.81 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 8 — — $37,737.10 $105,071.88 $41,167.74 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 22 8 — — $37,554.87 $110,543.34 $40,968.95 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 90 22 — — $14,933.41 $62,436.50 $40,945.65 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 90 22 — — $14,929.56 $69,628.45 $40,936.27 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 90 22 — — $14,861.06 $63,007.42 $40,769.50 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 8 — — $37,258.40 $83,409.22 $40,645.52 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 90 22 — — $14,789.14 $62,578.83 $40,594.39 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 13 — — $37,287.61 $45,922.64 $40,427.62 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 34 12 — — $37,992.96 $49,990.74 $40,392.52 2026-03-31
4404 APR_DRG Kidney Transplant 22 8 — — $36,952.05 $98,192.44 $40,311.32 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 90 22 — — $14,605.06 $61,216.88 $40,146.20 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 90 22 — — $14,585.80 $64,076.45 $40,099.29 2026-03-31
63 APR_DRG Pancreas Transplant 22 8 — — $36,728.71 $95,257.91 $40,067.69 2026-03-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 34 12 — — $37,409.52 $49,223.05 $39,772.22 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 90 22 — — $14,301.11 $63,507.18 $39,406.15 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 90 22 — — $14,141.43 $52,522.47 $39,017.37 2026-03-31
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $24,526.33 $41,694.70 $38,915.05 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 90 22 — — $14,093.48 $60,624.46 $38,900.63 2026-03-31
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 90 22 — — $14,091.77 $57,316.43 $38,896.47 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 90 22 — — $14,676.98 $63,632.96 $38,887.00 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 90 22 — — $13,925.24 $62,036.04 $38,491.01 2026-03-31
J9063 HCPCS Elahere 100 Mg/20ml IV Soln 170 42 $87,207.25 $47,963.99 45% off $67.60 $82,846.89 $38,371.19 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 90 22 — — $13,864.02 $59,606.73 $38,328.30 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 90 22 — — $13,848.61 $58,441.73 $38,285.69 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 90 22 — — $13,829.34 $56,737.24 $38,232.43 2026-03-31
652 MS_DRG Kidney Transplant 88 22 — — $13,825.49 $56,495.63 $38,221.78 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 90 22 — — $13,815.22 $58,943.13 $38,193.37 2026-03-31
J9021 HCPCS Rylaze 10 Mg/0.5ml IM Soln 180 44 $95,458.51 $52,502.18 45% off $53.36 $90,685.58 $38,183.40 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 90 22 — — $13,788.24 $58,299.40 $38,118.81 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 90 22 — — $13,743.72 $53,032.04 $37,995.73 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 90 22 — — $13,668.38 $61,801.05 $37,787.43 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 90 22 — — $13,643.12 $56,843.15 $37,717.60 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 90 22 — — $13,310.49 $57,498.10 $37,712.58 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 22 8 — — $34,565.69 $54,050.63 $37,708.02 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 90 22 — — $13,629.85 $59,583.56 $37,680.91 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 90 22 — — $13,602.45 $64,091.36 $37,605.16 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 90 22 — — $13,548.51 $58,105.79 $37,456.04 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 22 8 — — $34,325.35 $103,884.12 $37,445.83 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 90 22 — — $13,527.96 $56,700.82 $37,399.23 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 90 22 — — $13,489.43 $58,542.67 $37,292.72 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 90 22 — — $13,451.33 $52,095.40 $37,187.38 2026-03-31
J9273 HCPCS Tivdak 40 Mg IV Solr 180 44 $92,925.65 $51,109.11 45% off $186.26 $88,279.37 $37,170.26 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 8 — — $33,911.48 $85,332.35 $36,994.34 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 96 22 — — $13,483.01 $57,073.17 $36,981.38 2026-03-31
J0221 HCPCS Lumizyme 50 Mg IV Solr 180 44 $92,422.45 $50,832.35 45% off $197.01 $87,801.33 $36,968.98 2026-03-31
665 MS_DRG Prostatectomy With Mcc 90 22 — — $13,361.86 $62,489.46 $36,940.03 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 8 — — $33,809.50 $56,751.32 $36,883.09 2026-03-31
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 8 — — $9,987.76 $39,516.14 $36,881.73 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 22 — — $13,334.03 $54,463.49 $36,863.10 2026-03-31
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