Price Transparencybeta Hospital negotiated rates

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

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Hospital

FLAGLER HOSPITAL

Saint Augustine, FL · CCN 100090 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,556 across 8 payers · range $4,228-$10,722

Source: https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-stjohns · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

25,119 distinct procedures filed
13 distinct payers
375,238 rate rows
2026-03-31 last MRF observed
Data quality

277,377 of 375,238 rate rows are consumer-grade (73.9%)

97,861 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 82,586
template filing: same amount across many unrelated codes — excluded 12,452
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,517
placeholder amount (≤ $0.02) — excluded from medians 471
exceeds 10× this hospital's gross charge — excluded from medians 431
per-diem day rate — not a per-procedure price 275
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 95
percent-of-charges filed in the dollar field — excluded from medians 34
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-stjohns
Found on page https://ufhealth.org/billing-insurance-and-costs/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint aa6aebf89a62b003… · 5,367,213 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 5 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Zynteglo IV Susp 6 $2,939,968.88 $4,889,505.60 $3,971,146.66 nat. median
$2,997,086
1.3× median
J1411
HCPCS 		Hemgenix 19 X 10 Ml IV Supk 5 $3,685,266.66 $4,970,035.52 $3,777,398.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 5 $3,316,462.59 $4,641,753.60 $3,405,072.72 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $4,403,282.40 $3,335,820.00 nat. median
$3,335,820
1.0× median
J3399
HCPCS 		Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 8 $16,140.83 $4,825,022.42 $3,262,116.34 nat. median
$2,460,273
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,293,310.65 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,180,000.00 $4,197,600.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,078,240.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,017,218.40 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Carvykti 100000000 Cells IV Susp 9 $38,738.61 $1,886,391.05 $758,067.95 nat. median
$631,793
1.2× median
Q2042
HCPCS 		Kymriah 250000000 Cells IV Susp 9 $38,738.61 $1,976,699.20 $730,825.38 nat. median
$691,418
1.1× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp 9 $38,738.61 $1,569,419.21 $674,387.76 nat. median
$588,565
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $38,738.61 $742,105.64 $562,201.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $38,738.61 $736,667.87 $558,081.72 nat. median
$610,161
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $38,738.61 $646,074.26 $489,450.20 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate With Ecmo 3 $488,372.19 $512,790.80 $488,372.19 nat. median
$311,018
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $270,780.34 $686,770.61 $354,928.07 nat. median
$370,165
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $299,118.62 $314,074.55 $299,118.62 nat. median
$254,667
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $279,625.64 $293,606.92 $279,625.64 nat. median
$119,243
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 3 $279,441.09 $293,413.14 $279,441.09 nat. median
$243,231
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $367,290.00 $278,250.00 nat. median
$302,242
0.9× median
5833
APR_DRG 		Neonate With Ecmo 3 $278,144.20 $292,051.41 $278,144.20 nat. median
$250,089
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $257,500.00 $349,800.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $175,725.55 $445,686.50 $230,334.04 nat. median
$261,939
0.9× median
5832
APR_DRG 		Neonate With Ecmo 3 $213,563.34 $224,241.51 $213,563.34 nat. median
$169,230
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $208,531.67 $218,958.25 $208,531.67 nat. median
$209,486
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $208,403.58 $218,823.76 $208,403.58 nat. median
$168,174
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $208,101.06 $218,506.11 $208,101.06 nat. median
$67,603
outlier · 3.1×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $201,669.02 $266,203.11 $205,640.00 nat. median
$209,736
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $204,428.64 $214,650.07 $204,428.64 nat. median
$165,599
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $200,446.95 $210,469.30 $200,446.95 nat. median
$147,677
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $199,212.42 $209,173.04 $199,212.42 nat. median
$180,995
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $196,147.57 $205,954.95 $196,147.57 nat. median
$168,361
1.2× median
5831
APR_DRG 		Neonate With Ecmo 3 $191,699.04 $201,283.99 $191,699.04 nat. median
$154,685
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $185,494.35 $194,769.07 $185,494.35 nat. median
$165,646
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $181,784.85 $190,874.09 $181,784.85 nat. median
$160,171
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $133,879.59 $339,554.08 $175,484.03 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $133,093.89 $337,561.34 $174,454.16 nat. median
$199,832
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $172,451.27 $181,073.83 $172,451.27 nat. median
$156,285
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $170,703.54 $179,238.72 $170,703.54 nat. median
$147,847
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $165,437.60 $173,709.48 $165,437.60 nat. median
$63,564
outlier · 2.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $164,524.13 $172,750.34 $164,524.13 nat. median
$175,480
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $163,285.39 $171,449.66 $163,285.39 nat. median
$127,938
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $157,105.98 $164,961.28 $157,105.98 nat. median
$127,600
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $155,542.80 $163,319.94 $155,542.80 nat. median
$137,901
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $152,216.72 $159,827.56 $152,216.72 nat. median
$116,111
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $147,929.14 $155,325.60 $147,929.14 nat. median
$108,751
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $146,317.92 $153,633.82 $146,317.92 nat. median
$120,928
1.2× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $139,430.66 $146,402.19 $139,430.66 nat. median
$89,188
1.6× median

Other procedures at this hospital

Browse this hospital's 25,119 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-03-31
J3393 HCPCS Zynteglo IV Susp 14 6 — — $2,939,968.88 $4,889,505.60 $3,971,146.66 2026-03-31
J1411 HCPCS Hemgenix 19 X 10 Ml IV Supk 8 5 — — $3,685,266.66 $4,970,035.52 $3,777,398.33 2026-03-31
J1413 HCPCS Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 8 5 — — $3,316,462.59 $4,641,753.60 $3,405,072.72 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 4 — — $3,335,820.00 $4,403,282.40 $3,335,820.00 2026-03-31
J3399 HCPCS Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 17 8 — — $16,140.83 $4,825,022.42 $3,262,116.34 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 5 — — $3,248,445.72 $4,293,310.65 $3,252,508.07 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 5 4 — — $3,180,000.00 $4,197,600.00 $3,180,000.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 7 5 — — $2,332,000.00 $3,078,240.00 $2,332,000.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 7 5 — — $770,620.00 $1,017,218.40 $770,620.00 2026-03-31
Q2056 HCPCS Carvykti 100000000 Cells IV Susp 18 9 $2,245,703.63 $1,235,137.00 45% off $38,738.61 $1,886,391.05 $758,067.95 2026-03-31
Q2042 HCPCS Kymriah 250000000 Cells IV Susp 18 9 $2,353,213.33 $1,294,267.33 45% off $38,738.61 $1,976,699.20 $730,825.38 2026-03-31
Q2041 HCPCS Yescarta 200000000 Cells IV Susp 18 9 $1,868,356.20 $1,027,595.91 45% off $38,738.61 $1,569,419.21 $674,387.76 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 7 — — $38,738.61 $742,105.64 $562,201.24 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 10 7 — — $38,738.61 $736,667.87 $558,081.72 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 10 7 — — $38,738.61 $646,074.26 $489,450.20 2026-03-31
5834 APR_DRG Neonate With Ecmo 3 3 — — $488,372.19 $512,790.80 $488,372.19 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 8 — — $270,780.34 $686,770.61 $354,928.07 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $299,118.62 $314,074.55 $299,118.62 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $279,625.64 $293,606.92 $279,625.64 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $279,441.09 $293,413.14 $279,441.09 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 5 — — $278,250.00 $367,290.00 $278,250.00 2026-03-31
5833 APR_DRG Neonate With Ecmo 3 3 — — $278,144.20 $292,051.41 $278,144.20 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 7 5 — — $257,500.00 $349,800.00 $265,000.00 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 8 — — $175,725.55 $445,686.50 $230,334.04 2026-03-31
5832 APR_DRG Neonate With Ecmo 3 3 — — $213,563.34 $224,241.51 $213,563.34 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $208,531.67 $218,958.25 $208,531.67 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $208,403.58 $218,823.76 $208,403.58 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $208,101.06 $218,506.11 $208,101.06 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 7 5 — — $201,669.02 $266,203.11 $205,640.00 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $204,428.64 $214,650.07 $204,428.64 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $200,446.95 $210,469.30 $200,446.95 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $199,212.42 $209,173.04 $199,212.42 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $196,147.57 $205,954.95 $196,147.57 2026-03-31
5831 APR_DRG Neonate With Ecmo 3 3 — — $191,699.04 $201,283.99 $191,699.04 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $185,494.35 $194,769.07 $185,494.35 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $181,784.85 $190,874.09 $181,784.85 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 8 — — $133,879.59 $339,554.08 $175,484.03 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 8 — — $133,093.89 $337,561.34 $174,454.16 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $172,451.27 $181,073.83 $172,451.27 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $170,703.54 $179,238.72 $170,703.54 2026-03-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $165,437.60 $173,709.48 $165,437.60 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $164,524.13 $172,750.34 $164,524.13 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $163,285.39 $171,449.66 $163,285.39 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $157,105.98 $164,961.28 $157,105.98 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $155,542.80 $163,319.94 $155,542.80 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $152,216.72 $159,827.56 $152,216.72 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $147,929.14 $155,325.60 $147,929.14 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $146,317.92 $153,633.82 $146,317.92 2026-03-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $139,430.66 $146,402.19 $139,430.66 2026-03-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $139,430.66 $146,402.19 $139,430.66 2026-03-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $139,430.66 $146,402.19 $139,430.66 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $137,388.83 $144,258.27 $137,388.83 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $129,913.38 $136,409.05 $129,913.38 2026-03-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $126,880.55 $133,224.58 $126,880.55 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $126,153.32 $132,460.99 $126,153.32 2026-03-31
J7504 HCPCS Atgam 50 Mg/ml IV Soln 15 7 $339,795.85 $186,887.72 45% off $5,135.09 $285,428.51 $123,345.89 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $120,145.81 $126,153.10 $120,145.81 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $120,145.81 $126,153.10 $120,145.81 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $119,708.46 $125,693.88 $119,708.46 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $115,264.14 $121,027.35 $115,264.14 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 8 — — $86,856.03 $220,289.90 $113,847.43 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $109,316.28 $111,502.61 $111,502.61 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $109,445.40 $114,917.67 $109,445.40 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $108,336.43 $113,753.25 $108,336.43 2026-03-31
7 MS_DRG Lung Transplant 15 8 — — $81,205.01 $205,957.39 $106,440.28 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $104,638.72 $109,870.66 $104,638.72 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $103,849.97 $109,042.47 $103,849.97 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $101,874.72 $106,968.46 $101,874.72 2026-03-31
64 APR_DRG Pancreas Transplant 3 3 — — $101,600.00 $106,680.00 $101,600.00 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $101,468.54 $106,541.97 $101,468.54 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $100,423.61 $105,444.79 $100,423.61 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $100,203.67 $105,213.85 $100,203.67 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 15 8 — — $75,358.96 $191,130.28 $98,777.52 2026-03-31
8513 APR_DRG Gender Related Procedures 3 3 — — $95,828.45 $100,619.87 $95,828.45 2026-03-31
8514 APR_DRG Gender Related Procedures 3 3 — — $95,828.45 $100,619.87 $95,828.45 2026-03-31
152180 CDM Uf Hb Ad Bilateral Lung Transplant Import W/xvivo 11 4 $241,300.00 $132,715.00 45% off $43,434.00 $202,692.00 $95,554.80 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 3 — — $93,216.70 $95,081.03 $95,081.03 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $95,019.48 $99,770.45 $95,019.48 2026-03-31
152176 CDM Uf Hb Ad Bilateral Lung Transplant Local 11 4 $238,400.00 $131,120.00 45% off $42,912.00 $200,256.00 $94,406.40 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 8 — — $71,056.73 $180,218.68 $93,138.33 2026-03-31
179472 CDM Uf Hb Ad Bilat Lung Transplant Import 11 4 $229,600.00 $126,280.00 45% off $41,328.00 $192,864.00 $90,921.60 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $69,109.10 $175,278.96 $90,585.45 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $90,201.00 $94,711.05 $90,201.00 2026-03-31
179471 CDM Uf Hb Ad Single Lung Transplant Import 11 4 $227,500.00 $125,125.00 45% off $40,950.00 $191,100.00 $90,090.00 2026-03-31
142406 CDM Uf Hb Ad Bilat Lung Transplant Local 11 4 $226,700.00 $124,685.00 45% off $40,806.00 $190,428.00 $89,773.20 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 8 — — $68,186.70 $172,939.51 $89,376.40 2026-03-31
142404 CDM Uf Hb Ad Single Lung Transplant Local 11 4 $224,600.00 $123,530.00 45% off $40,428.00 $188,664.00 $88,941.60 2026-03-31
J9029 HCPCS Adstiladrin 300000000000 Vp/ml Is Susp 16 7 $224,775.00 $123,626.25 45% off $63,342.28 $188,811.00 $86,926.81 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 7 5 — — $85,403.78 $148,630.56 $85,403.78 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 8 — — $64,652.61 $163,976.13 $84,744.06 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $83,523.57 $87,699.75 $83,523.57 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $82,755.88 $86,893.67 $82,755.88 2026-03-31
215 MS_DRG Other Heart Assist System Implant 15 8 — — $62,435.97 $158,354.14 $81,838.57 2026-03-31
8634 APR_DRG Neonatal Aftercare 3 3 — — $81,689.04 $85,773.49 $81,689.04 2026-03-31
179467 CDM Uf Ad Liver Transplant-dd Import 11 4 $205,900.00 $113,245.00 45% off $37,062.00 $172,956.00 $81,536.40 2026-03-31
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $81,478.37 $85,552.29 $81,478.37 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $80,753.66 $84,791.34 $80,753.66 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $80,448.61 $84,471.04 $80,448.61 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $61,343.63 $155,583.69 $80,406.79 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $80,060.13 $84,063.14 $80,060.13 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $79,428.12 $83,399.53 $79,428.12 2026-03-31
4404 APR_DRG Kidney Transplant 3 3 — — $78,775.04 $82,713.79 $78,775.04 2026-03-31
63 APR_DRG Pancreas Transplant 3 3 — — $78,298.92 $82,213.87 $78,298.92 2026-03-31
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $77,221.13 $81,082.19 $77,221.13 2026-03-31
142390 CDM Uf Ad Liver Transplant - Dd 11 4 $190,100.00 $104,555.00 45% off $34,218.00 $159,684.00 $75,279.60 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $56,495.24 $143,286.88 $74,051.70 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $73,687.75 $77,372.14 $73,687.75 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $73,175.39 $76,834.16 $73,175.39 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $72,293.10 $75,907.76 $72,293.10 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $72,075.69 $75,679.47 $72,075.69 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 15 8 — — $54,299.91 $137,718.96 $71,174.16 2026-03-31
152174 CDM Uf Hb Ad Single Lung Transplant Local With 11 4 $178,374.00 $98,105.70 45% off $32,107.32 $149,834.16 $70,636.10 2026-03-31
179463 CDM Uf Hb Ped Double Lung Transplant-dd Impo 11 4 $178,054.00 $97,929.70 45% off $32,049.72 $149,565.36 $70,509.38 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $70,395.38 $73,915.15 $70,395.38 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $52,860.19 $134,067.44 $69,287.03 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $69,230.79 $72,692.33 $69,230.79 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $52,694.02 $133,645.99 $69,069.23 2026-03-31
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $68,975.45 $72,424.22 $68,975.45 2026-03-31
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $68,955.23 $72,402.99 $68,955.23 2026-03-31
C9293 HCPCS Voraxaze 1000 Units IV Solr 16 8 $333,043.51 $183,173.93 45% off $448.69 $279,756.55 $68,921.33 2026-03-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $68,852.42 $72,295.04 $68,852.42 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 3 — — $67,452.66 $68,801.71 $68,801.71 2026-03-31
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 3 3 — — $68,622.96 $72,054.11 $68,622.96 2026-03-31
62 APR_DRG Pancreas Transplant 3 3 — — $67,503.28 $70,878.44 $67,503.28 2026-03-31
152178 CDM Uf Hb Ad Single Lung Transplant Import W 11 4 $170,314.00 $93,672.70 45% off $30,656.52 $143,063.76 $67,444.34 2026-03-31
1784 APR_DRG External Heart Assist Devices 3 3 — — $66,940.37 $70,287.39 $66,940.37 2026-03-31
5474 APR_DRG Antepartum With O.r. Procedure 3 3 — — $66,808.92 $70,149.37 $66,808.92 2026-03-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $65,794.32 $69,084.04 $65,794.32 2026-03-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $65,621.57 $68,902.65 $65,621.57 2026-03-31
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $65,046.86 $68,299.20 $65,046.86 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 8 — — $49,341.78 $125,143.82 $64,675.24 2026-03-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $64,523.55 $67,749.73 $64,523.55 2026-03-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $63,243.51 $66,405.69 $63,243.51 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $48,147.24 $122,114.15 $63,109.48 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 15 8 — — $47,939.69 $121,587.73 $62,837.43 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 8 — — $47,781.04 $121,185.37 $62,629.48 2026-03-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $62,407.57 $65,527.95 $62,407.57 2026-03-31
J9347 HCPCS Imjudo 300 Mg/15ml IV Soln 16 7 $164,115.93 $90,263.76 45% off $140.90 $137,857.38 $62,282.00 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $61,966.84 $65,065.18 $61,966.84 2026-03-31
179470 CDM Uf Hb Ad Heart Transplant Import 11 4 $154,700.00 $85,085.00 45% off $27,846.00 $129,948.00 $61,261.20 2026-03-31
179460 CDM Uf Hb Ped Heart Transplant-dd Import 11 4 $153,700.00 $84,535.00 45% off $27,666.00 $129,108.00 $60,865.20 2026-03-31
142400 CDM Uf Hb Ped Heart Transplant-dd Local 11 4 $153,700.00 $84,535.00 45% off $27,666.00 $129,108.00 $60,865.20 2026-03-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $60,325.29 $63,341.55 $60,325.29 2026-03-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $60,247.76 $63,260.15 $60,247.76 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $60,069.96 $63,073.46 $60,069.96 2026-03-31
5394 APR_DRG Cesarean Section With Sterilization 3 3 — — $59,421.33 $62,392.40 $59,421.33 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $45,264.66 $114,803.17 $59,331.12 2026-03-31
10 MS_DRG Pancreas Transplant 15 8 — — $44,995.66 $114,120.90 $58,978.51 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 8 — — $44,976.85 $114,073.19 $58,953.86 2026-03-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $58,914.64 $61,860.37 $58,914.64 2026-03-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $58,848.06 $61,790.46 $58,848.06 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 8 — — $44,737.94 $113,467.25 $58,640.70 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 8 — — $44,711.60 $113,400.46 $58,606.18 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $58,388.80 $61,308.24 $58,388.80 2026-03-31
A9543 HCPCS Uf Hb Zevalin Y90 Ibritumomab 18 9 $146,051.00 $80,328.05 45% off $32,931.04 $122,682.84 $57,836.20 2026-03-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $57,278.14 $60,142.05 $57,278.14 2026-03-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $57,194.72 $60,054.46 $57,194.72 2026-03-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $57,135.73 $59,992.52 $57,135.73 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 8 — — $43,340.86 $109,923.88 $56,809.47 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 8 — — $43,128.28 $109,384.75 $56,530.84 2026-03-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $56,461.58 $59,284.66 $56,461.58 2026-03-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $56,380.68 $59,199.71 $56,380.68 2026-03-31
179464 CDM Uf Hb Pancreas Transplant-dd Import 11 4 $141,010.00 $77,555.50 45% off $25,381.80 $118,448.40 $55,839.96 2026-03-31
142388 CDM Uf Hb Pancreas Transplant-dd Local 11 4 $141,010.00 $77,555.50 45% off $25,381.80 $118,448.40 $55,839.96 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 18 9 $197,243.43 $108,483.89 45% off $23,203.67 $165,684.48 $55,709.08 2026-03-31
1794 APR_DRG Defibrillator Implants 3 3 — — $55,645.86 $58,428.15 $55,645.86 2026-03-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $55,561.59 $58,339.67 $55,561.59 2026-03-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $55,484.91 $58,259.16 $55,484.91 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 8 — — $42,207.77 $107,050.07 $55,324.26 2026-03-31
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $55,321.43 $58,087.50 $55,321.43 2026-03-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $55,217.78 $57,978.67 $55,217.78 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 8 — — $41,928.10 $106,340.76 $54,957.68 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $41,897.37 $106,262.83 $54,917.41 2026-03-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $54,826.77 $57,568.11 $54,826.77 2026-03-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $54,471.16 $57,194.72 $54,471.16 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $23,203.67 $71,813.41 $54,404.10 2026-03-31
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $54,394.47 $57,114.19 $54,394.47 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $41,230.81 $104,572.26 $54,043.71 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $41,230.81 $104,572.26 $54,043.71 2026-03-31
1783 APR_DRG External Heart Assist Devices 3 3 — — $54,013.58 $56,714.26 $54,013.58 2026-03-31
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $53,936.05 $56,632.85 $53,936.05 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 8 — — $41,080.95 $104,192.16 $53,847.27 2026-03-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $53,805.44 $56,495.71 $53,805.44 2026-03-31
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $53,691.67 $56,376.25 $53,691.67 2026-03-31
4403 APR_DRG Kidney Transplant 3 3 — — $53,557.69 $56,235.57 $53,557.69 2026-03-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $53,123.71 $55,779.90 $53,123.71 2026-03-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $52,961.91 $55,610.01 $52,961.91 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 8 — — $40,349.17 $102,336.18 $52,888.09 2026-03-31
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $52,620.62 $55,251.65 $52,620.62 2026-03-31
6904 APR_DRG Acute Leukemia 3 3 — — $52,191.70 $54,801.29 $52,191.70 2026-03-31
5424 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 3 3 — — $51,623.54 $54,204.72 $51,623.54 2026-03-31
5404 APR_DRG Cesarean Section Without Sterilization 3 3 — — $51,613.58 $54,194.26 $51,613.58 2026-03-31
83 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $51,504.06 $54,079.26 $51,504.06 2026-03-31
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $51,425.69 $53,996.97 $51,425.69 2026-03-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $50,751.55 $53,289.13 $50,751.55 2026-03-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $50,607.45 $53,137.82 $50,607.45 2026-03-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $50,494.53 $53,019.26 $50,494.53 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 15 8 — — $38,428.50 $97,464.85 $50,370.55 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 8 — — $38,383.98 $97,351.93 $50,312.19 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $50,267.85 $52,781.24 $50,267.85 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 8 — — $38,015.90 $96,418.38 $49,829.72 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $48,632.79 $49,605.45 $49,605.45 2026-03-31
234 APR_DRG Spinal Procedures 3 3 — — $49,596.23 $52,076.04 $49,596.23 2026-03-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $49,461.40 $51,934.47 $49,461.40 2026-03-31
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $49,442.86 $51,915.00 $49,442.86 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 15 8 — — $37,675.41 $95,554.80 $49,383.42 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 8 — — $37,664.75 $95,527.77 $49,369.45 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $37,391.98 $94,835.95 $49,011.91 2026-03-31
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $48,928.82 $51,375.26 $48,928.82 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 8 — — $37,269.07 $94,524.24 $48,850.82 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $48,848.76 $51,291.20 $48,848.76 2026-03-31
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $48,756.91 $51,194.76 $48,756.91 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 8 — — $37,182.54 $94,304.76 $48,737.39 2026-03-31
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $48,353.27 $50,770.93 $48,353.27 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 8 — — $36,799.41 $93,333.04 $48,235.20 2026-03-31
J2329 HCPCS Briumvi 150 Mg/6ml IV Soln 16 7 $127,080.57 $69,894.31 45% off $70.18 $106,747.68 $48,227.08 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 8 — — $36,775.58 $93,272.61 $48,203.96 2026-03-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $48,194.00 $50,603.70 $48,194.00 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $48,036.42 $50,438.24 $48,036.42 2026-03-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $47,897.37 $50,292.24 $47,897.37 2026-03-31
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $47,519.85 $49,895.84 $47,519.85 2026-03-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $47,491.20 $49,865.76 $47,491.20 2026-03-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $47,438.11 $49,810.02 $47,438.11 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $36,162.95 $91,718.80 $47,400.95 2026-03-31
4284 APR_DRG Genetic Disorders 3 3 — — $47,381.65 $49,750.73 $47,381.65 2026-03-31
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $47,190.36 $49,549.88 $47,190.36 2026-03-31
5434 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 3 3 — — $47,185.01 $49,544.26 $47,185.01 2026-03-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $47,183.62 $49,542.80 $47,183.62 2026-03-31
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $47,171.82 $49,530.41 $47,171.82 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 8 — — $35,932.19 $91,133.55 $47,098.48 2026-03-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $46,997.39 $49,347.26 $46,997.39 2026-03-31
61 APR_DRG Pancreas Transplant 3 3 — — $46,886.15 $49,230.46 $46,886.15 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 8 — — $35,739.06 $90,643.71 $46,845.33 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $35,253.09 $89,411.16 $46,208.34 2026-03-31
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $46,092.34 $48,396.96 $46,092.34 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 15 8 — — $35,143.98 $89,134.44 $46,065.33 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 4 — — $45,996.81 $60,715.79 $45,996.81 2026-03-31
274 APR_DRG Other Open Craniotomy 3 3 — — $45,779.71 $48,068.70 $45,779.71 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 8 — — $34,903.19 $88,523.73 $45,749.71 2026-03-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $45,667.63 $47,951.01 $45,667.63 2026-03-31
4402 APR_DRG Kidney Transplant 3 3 — — $45,642.35 $47,924.47 $45,642.35 2026-03-31
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $45,562.29 $47,840.40 $45,562.29 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 15 8 — — $34,632.30 $87,836.69 $45,394.64 2026-03-31
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $45,271.57 $47,535.15 $45,271.57 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 8 — — $34,424.75 $87,310.27 $45,122.59 2026-03-31
58980078021 NDC Gattex 5 Mg Sc Kit 11 4 $113,808.63 $62,594.75 45% off $20,485.55 $95,599.25 $45,068.22 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 8 — — $34,303.10 $87,001.74 $44,963.13 2026-03-31
4014 APR_DRG Adrenal Procedures 3 3 — — $44,901.63 $47,146.71 $44,901.63 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 15 8 — — $34,254.19 $86,877.69 $44,899.02 2026-03-31
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 15 8 — — $34,200.26 $86,740.92 $44,828.34 2026-03-31
5204 APR_DRG Other GYN Procedures For Malignancy 3 3 — — $44,736.46 $46,973.28 $44,736.46 2026-03-31
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $44,719.61 $46,955.59 $44,719.61 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 8 — — $34,063.56 $86,394.21 $44,649.16 2026-03-31
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $44,543.49 $46,770.66 $44,543.49 2026-03-31
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $44,489.55 $46,714.03 $44,489.55 2026-03-31
4414 APR_DRG Major Bladder Procedures 3 3 — — $44,284.78 $46,499.02 $44,284.78 2026-03-31
1782 APR_DRG External Heart Assist Devices 3 3 — — $43,978.89 $46,177.83 $43,978.89 2026-03-31
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $43,901.36 $46,096.43 $43,901.36 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $33,439.64 $84,811.78 $43,831.35 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $33,419.58 $84,760.89 $43,805.05 2026-03-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $43,779.17 $45,968.13 $43,779.17 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 8 — — $33,195.09 $84,191.54 $43,510.80 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 8 — — $33,085.36 $83,913.22 $43,366.96 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 5 — — $43,307.47 $74,939.02 $43,307.47 2026-03-31
6404 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 3 3 — — $43,073.05 $45,226.70 $43,073.05 2026-03-31
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $42,853.06 $44,995.71 $42,853.06 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 8 — — $32,640.77 $82,785.64 $42,784.22 2026-03-31
4401 APR_DRG Kidney Transplant 3 3 — — $42,713.17 $44,848.83 $42,713.17 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 15 8 — — $32,584.34 $82,642.51 $42,710.25 2026-03-31
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $42,666.83 $44,800.17 $42,666.83 2026-03-31
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $42,532.84 $44,659.48 $42,532.84 2026-03-31
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $42,505.03 $44,630.28 $42,505.03 2026-03-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $42,378.63 $44,497.56 $42,378.63 2026-03-31
1793 APR_DRG Defibrillator Implants 3 3 — — $42,376.94 $44,495.79 $42,376.94 2026-03-31
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $41,948.02 $44,045.42 $41,948.02 2026-03-31
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $41,940.43 $44,037.45 $41,940.43 2026-03-31
J1300 HCPCS Soliris 300 Mg/30ml IV Soln 13 6 $105,544.25 $58,049.34 45% off $18,997.97 $88,657.17 $41,795.52 2026-03-31
8633 APR_DRG Neonatal Aftercare 3 3 — — $41,788.75 $43,878.19 $41,788.75 2026-03-31
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $41,623.58 $43,704.76 $41,623.58 2026-03-31
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $41,569.65 $43,648.13 $41,569.65 2026-03-31
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $41,493.81 $43,568.50 $41,493.81 2026-03-31
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $41,461.79 $43,534.88 $41,461.79 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $31,604.88 $80,158.33 $41,426.41 2026-03-31
1814 APR_DRG Lower Extremity Vascular Procedures 3 3 — — $41,369.93 $43,438.43 $41,369.93 2026-03-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $41,364.04 $43,432.24 $41,364.04 2026-03-31
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $41,012.64 $43,063.27 $41,012.64 2026-03-31
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $40,996.63 $43,046.46 $40,996.63 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 8 — — $31,273.79 $79,318.61 $40,992.44 2026-03-31
179468 CDM Uf Hb Kidney Transplant-dd Import 11 4 $103,304.00 $56,817.20 45% off $18,594.72 $86,775.36 $40,908.38 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 15 8 $112,624.75 $61,943.61 45% off $149.40 $94,604.79 $40,882.78 2026-03-31
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $40,766.57 $42,804.90 $40,766.57 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 8 — — $31,022.97 $78,682.46 $40,663.67 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 8 — — $30,967.79 $78,542.51 $40,591.34 2026-03-31
0424T OTHER Uf Hb Insert/rplc Nstim Sleep Apnea Sys, Complete 13 6 $111,765.00 $61,470.75 45% off $18,498.40 $93,882.60 $40,570.70 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 8 — — $30,861.82 $78,273.73 $40,452.44 2026-03-31
82 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $40,425.28 $42,446.54 $40,425.28 2026-03-31
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $40,409.27 $42,429.73 $40,409.27 2026-03-31
5414 APR_DRG Vaginal Delivery With Sterilization And/or D&c 3 3 — — $40,366.92 $42,385.27 $40,366.92 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $40,309.84 $42,325.33 $40,309.84 2026-03-31
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