Hospital

NORTHSIDE HOSPITAL

Atlanta, GA · CCN 110161 · Rates published

15,724 distinct procedures filed

66 distinct payers

1,757,059 rate rows

2026-02-14 last MRF observed

Data quality

1,619,273 of 1,757,059 rate rows are consumer-grade (92.2%)

137,786 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	78,607
per-diem day rate — not a per-procedure price	41,706
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	13,045
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	2,712
exceeds 10× this hospital's gross charge — excluded from medians	1,098
placeholder amount (≤ $0.02) — excluded from medians	618

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://assets.northside.com/price-transparency/581954432-1457396079_northside-hospital-inc_standardcharges.json
Found on page	https://www.northside.com/patients-visitors/billing-and-insurance/price-transparency-information
Discovered via	CMS hospital list
Last fetch	success · 2026-08-11
Content fingerprint	b418ce5ebc1d6fda… · 949,714,522 bytes · first seen 2026-05-05

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
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	47	$278,250.00	$3,465,000.00	$2,182,950.00	nat. median $302,242 outlier · 7.2×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	55	$562,201.24	$3,506,913.00	$1,960,364.37	nat. median $624,417 outlier · 3.1×
Q2055 HCPCS	Idecabtagene Vicleucel Car T	55	$557,317.93	$3,486,862.50	$1,949,156.14	nat. median $610,161 outlier · 3.2×
Q2056 HCPCS	Ciltacabtagene Car-pos T	55	$557,116.68	$3,445,566.50	$1,926,071.67	nat. median $631,793 outlier · 3.0×
Q2053 HCPCS	Brexucabtagene Tecartus T-cell	55	$489,304.61	$3,049,200.00	$1,704,502.80	nat. median $577,541 outlier · 3.0×
Q2042 HCPCS	Kymriah T-cell Susp For Infusion	55	$487,629.13	$3,015,811.00	$1,685,838.35	nat. median $691,418 outlier · 2.4×
Q2041 HCPCS	Yescarta T-cell Susp For Infusion	55	$398,050.61	$2,461,800.00	$1,376,146.20	nat. median $588,565 outlier · 2.3×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	$297,174.15	$2,860,061.00	$519,271.85	nat. median $370,165 1.4× median
7 MS_DRG	Lung Transplant	33	$102,981.20	$2,162,847.20	$354,933.78	nat. median $122,690 outlier · 2.9×
J2326 HCPCS	Spinraza(nusinersen)12mg/5ml Soln	55	$6,149.45	$816,348.50	$354,131.98	nat. median $2,353 outlier · 150.5×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	33	$211,709.76	$846,592.03	$222,295.25	nat. median $261,939 0.8× median
1614 APR_DRG	Implantable Heart Assist Systems	3	$219,660.27	$226,250.07	$219,660.27	nat. median $209,486 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	$10,000.00	$465,667.50	$171,356.32	nat. median $205,166 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	33	$162,285.62	$645,099.41	$170,399.90	nat. median $199,832 0.9× median
Q2043 HCPCS	Provenge(sipuleucel-t) Auto Cd54	55	$48,124.12	$311,483.00	$167,836.68	nat. median $65,655 outlier · 2.6×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	33	$111,343.38	$949,211.27	$151,313.25	nat. median $132,706 1.1× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$134,792.63	$138,836.41	$134,792.63	nat. median $160,171 0.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	33	$86,834.44	$752,886.92	$114,225.49	nat. median $108,240 1.1× median
969 MS_DRG	HIV With Extensive O.r. Procedures With Mcc	33	$49,835.04	$740,885.64	$104,618.63	nat. median $60,294 1.7× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	33	$15,552.82	$226,879.83	$98,212.34	nat. median $114,305 0.9× median
J9266 HCPCS	Oncaspar 3750u/5ml Sd Vial	55	$23,117.68	$390,830.85	$97,258.85	nat. median $32,688 outlier · 3.0×
212 MS_DRG	Hip & Femur Procedures Except Major Joint Age 0-17	33	$59,547.22	$148,868.05	$91,388.61	nat. median $100,978 0.9× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	33	$82,939.59	$473,562.45	$87,086.57	nat. median $99,646 0.9× median
215 MS_DRG	Other Heart Assist System Implant	33	$80,369.76	$335,128.60	$84,388.25	nat. median $98,002 0.9× median
5834 APR_DRG	Neonate With Ecmo	3	$83,572.12	$86,079.29	$83,572.12	nat. median $311,018 outlier · 0.3×
5833 APR_DRG	Neonate With Ecmo	3	$83,572.12	$86,079.29	$83,572.12	nat. median $250,089 outlier · 0.3×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$83,572.12	$86,079.29	$83,572.12	nat. median $254,667 outlier · 0.3×
24 APR_DRG	Heart And/or Lung Transplant	3	$83,193.97	$85,689.79	$83,193.97	nat. median $243,231 outlier · 0.3×
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	$26,794.00	$303,808.65	$83,058.57	nat. median $92,900 0.9× median
5831 APR_DRG	Neonate With Ecmo	3	$82,815.81	$85,300.29	$82,815.81	nat. median $154,685 0.5× median
5832 APR_DRG	Neonate With Ecmo	3	$82,815.81	$85,300.29	$82,815.81	nat. median $169,230 outlier · 0.5×
6 MS_DRG	Liver Transplant Without Mcc	33	$38,211.34	$613,006.45	$80,688.61	nat. median $46,106 1.8× median
8 MS_DRG	Simultaneous Pancreas And Kidney Transplant	33	$42,875.48	$591,940.40	$78,505.97	nat. median $53,073 1.5× median
J9600 HCPCS	Photofrin 75mg Vial	46	$17,610.37	$908,565.75	$77,508.44	nat. median $29,477 outlier · 2.6×
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	$76,137.46	$78,421.58	$76,137.46	nat. median $101,315 0.8× median
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	34	$72,405.14	$273,655.62	$76,025.40	nat. median $83,623 0.9× median
1613 APR_DRG	Implantable Heart Assist Systems	3	$75,630.88	$77,899.81	$75,630.88	nat. median $127,938 0.6× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	3	$75,630.88	$77,899.81	$75,630.88	nat. median $175,480 outlier · 0.4×
J9269 HCPCS	Elzonris 1000mcg/1ml Soln	55	$356.93	$188,362.50	$75,345.00	nat. median $498 outlier · 151.4×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	35	$66,773.72	$312,560.30	$75,120.43	nat. median $79,040 1.0× median
C9293 HCPCS	Voraxaze 1000units/ml Soln	30	$691.73	$117,450.00	$73,993.50	nat. median $24,377 outlier · 3.0×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	33	$50,961.07	$557,980.25	$73,928.08	nat. median $62,218 1.2× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	$66,736.69	$325,502.69	$72,529.42	nat. median $80,459 0.9× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	$72,316.76	$74,486.26	$72,316.76	nat. median $147,677 outlier · 0.5×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	3	$71,849.34	$74,004.82	$71,849.34	nat. median $165,646 outlier · 0.4×
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	34	$52,540.21	$540,754.16	$71,638.12	nat. median $65,792 1.1× median
1634 APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	$71,158.20	$73,292.94	$71,158.20	nat. median $68,121 1.0× median
9504 APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	$70,696.42	$72,817.31	$70,696.42	nat. median $53,396 1.3× median
6344 APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	3	$70,148.05	$72,252.49	$70,148.05	nat. median $39,994 1.8× median
570 MS_DRG	Skin Debridement With Mcc	33	$23,720.16	$561,768.89	$69,164.73	nat. median $29,069 outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 15,724 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	104	47	$3,465,000.00	$2,598,750.00 25% off	$278,250.00	$3,465,000.00	$2,182,950.00	2026-02-14
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	112	55	$3,506,913.00	$2,630,184.75 25% off	$562,201.24	$3,506,913.00	$1,960,364.37	2026-02-14
Q2055	HCPCS	Idecabtagene Vicleucel Car T	112	55	$3,486,862.50	$2,615,146.88 25% off	$557,317.93	$3,486,862.50	$1,949,156.14	2026-02-14
Q2056	HCPCS	Ciltacabtagene Car-pos T	112	55	$3,445,566.50	$2,584,174.88 25% off	$557,116.68	$3,445,566.50	$1,926,071.67	2026-02-14
Q2053	HCPCS	Brexucabtagene Tecartus T-cell	112	55	$3,049,200.00	$2,286,900.00 25% off	$489,304.61	$3,049,200.00	$1,704,502.80	2026-02-14
Q2042	HCPCS	Kymriah T-cell Susp For Infusion	112	55	$3,015,811.00	$2,261,858.25 25% off	$487,629.13	$3,015,811.00	$1,685,838.35	2026-02-14
Q2041	HCPCS	Yescarta T-cell Susp For Infusion	112	55	$2,461,800.00	$1,846,350.00 25% off	$398,050.61	$2,461,800.00	$1,376,146.20	2026-02-14
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	35	33	—	—	$297,174.15	$2,860,061.00	$519,271.85	2026-02-14
7	MS_DRG	Lung Transplant	36	33	—	—	$102,981.20	$2,162,847.20	$354,933.78	2026-02-14
J2326	HCPCS	Spinraza(nusinersen)12mg/5ml Soln	127	55	$816,348.50	$612,261.38 25% off	$6,149.45	$816,348.50	$354,131.98	2026-02-14
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	36	33	—	—	$211,709.76	$846,592.03	$222,295.25	2026-02-14
1614	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$219,660.27	$226,250.07	$219,660.27	2026-02-14
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	37	34	—	—	$10,000.00	$465,667.50	$171,356.32	2026-02-14
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	37	33	—	—	$162,285.62	$645,099.41	$170,399.90	2026-02-14
Q2043	HCPCS	Provenge(sipuleucel-t) Auto Cd54	146	55	$311,483.00	$233,612.25 25% off	$48,124.12	$311,483.00	$167,836.68	2026-02-14
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	36	33	—	—	$111,343.38	$949,211.27	$151,313.25	2026-02-14
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$134,792.63	$138,836.41	$134,792.63	2026-02-14
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	36	33	—	—	$86,834.44	$752,886.92	$114,225.49	2026-02-14
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	36	33	—	—	$49,835.04	$740,885.64	$104,618.63	2026-02-14
14	MS_DRG	Allogeneic Bone Marrow Transplant	36	33	—	—	$15,552.82	$226,879.83	$98,212.34	2026-02-14
J9266	HCPCS	Oncaspar 3750u/5ml Sd Vial	183	55	$149,629.00	$112,221.75 25% off	$23,117.68	$390,830.85	$97,258.85	2026-02-14
212	MS_DRG	Hip & Femur Procedures Except Major Joint Age 0-17	35	33	—	—	$59,547.22	$148,868.05	$91,388.61	2026-02-14
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	36	33	—	—	$82,939.59	$473,562.45	$87,086.57	2026-02-14
215	MS_DRG	Other Heart Assist System Implant	36	33	—	—	$80,369.76	$335,128.60	$84,388.25	2026-02-14
5834	APR_DRG	Neonate With Ecmo	3	3	—	—	$83,572.12	$86,079.29	$83,572.12	2026-02-14
5833	APR_DRG	Neonate With Ecmo	3	3	—	—	$83,572.12	$86,079.29	$83,572.12	2026-02-14
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$83,572.12	$86,079.29	$83,572.12	2026-02-14
24	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$83,193.97	$85,689.79	$83,193.97	2026-02-14
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	51	35	—	—	$26,794.00	$303,808.65	$83,058.57	2026-02-14
5831	APR_DRG	Neonate With Ecmo	3	3	—	—	$82,815.81	$85,300.29	$82,815.81	2026-02-14
5832	APR_DRG	Neonate With Ecmo	3	3	—	—	$82,815.81	$85,300.29	$82,815.81	2026-02-14
6	MS_DRG	Liver Transplant Without Mcc	36	33	—	—	$38,211.34	$613,006.45	$80,688.61	2026-02-14
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	36	33	—	—	$42,875.48	$591,940.40	$78,505.97	2026-02-14
J9600	HCPCS	Photofrin 75mg Vial	113	46	$113,983.00	$85,487.25 25% off	$17,610.37	$908,565.75	$77,508.44	2026-02-14
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$76,137.46	$78,421.58	$76,137.46	2026-02-14
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	37	34	—	—	$72,405.14	$273,655.62	$76,025.40	2026-02-14
1613	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$75,630.88	$77,899.81	$75,630.88	2026-02-14
74	APR_DRG	Allogeneic Bone Marrow Transplant	3	3	—	—	$75,630.88	$77,899.81	$75,630.88	2026-02-14
J9269	HCPCS	Elzonris 1000mcg/1ml Soln	130	55	$188,362.50	$141,271.88 25% off	$356.93	$188,362.50	$75,345.00	2026-02-14
231	MS_DRG	Coronary Bypass With Ptca With Mcc	43	35	—	—	$66,773.72	$312,560.30	$75,120.43	2026-02-14
C9293	HCPCS	Voraxaze 1000units/ml Soln	90	30	$117,450.00	$88,087.50 25% off	$691.73	$117,450.00	$73,993.50	2026-02-14
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	37	33	—	—	$50,961.07	$557,980.25	$73,928.08	2026-02-14
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	34	—	—	$66,736.69	$325,502.69	$72,529.42	2026-02-14
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$72,316.76	$74,486.26	$72,316.76	2026-02-14
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$71,849.34	$74,004.82	$71,849.34	2026-02-14
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	41	34	—	—	$52,540.21	$540,754.16	$71,638.12	2026-02-14
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$71,158.20	$73,292.94	$71,158.20	2026-02-14
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$70,696.42	$72,817.31	$70,696.42	2026-02-14
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	3	3	—	—	$70,148.05	$72,252.49	$70,148.05	2026-02-14
570	MS_DRG	Skin Debridement With Mcc	36	33	—	—	$23,720.16	$561,768.89	$69,164.73	2026-02-14
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	43	35	—	—	$60,970.95	$302,432.06	$68,592.31	2026-02-14
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	36	33	—	—	$63,520.89	$387,183.73	$68,448.76	2026-02-14
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	3	—	—	$67,946.40	$69,984.80	$67,946.40	2026-02-14
1612	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$66,878.40	$68,884.75	$66,878.40	2026-02-14
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	51	35	—	—	$21,737.00	$215,419.13	$66,741.99	2026-02-14
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	36	33	—	—	$58,817.36	$179,465.74	$66,548.87	2026-02-14
C1605	HCPCS	05932602_aveir Dr	116	52	$129,938.00	$97,453.50 25% off	$21,009.79	$129,938.00	$64,969.00	2026-02-14
10	MS_DRG	Pancreas Transplant	36	33	—	—	$60,150.70	$363,908.35	$63,158.24	2026-02-14
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$62,395.48	$64,267.34	$62,395.48	2026-02-14
J7330	HCPCS	Cultured Chondrocytes 69866103005	91	35	$123,857.00	$92,892.75 25% off	$20,026.55	$123,857.00	$61,928.50	2026-02-14
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	35	33	—	—	$6,547.56	$82,544.49	$61,647.48	2026-02-14
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	43	33	—	—	$22,328.00	$149,021.59	$61,616.04	2026-02-14
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	36	33	—	—	$23,322.42	$111,124.31	$61,331.47	2026-02-14
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	36	33	—	—	$54,816.72	$205,349.01	$61,143.86	2026-02-14
955	MS_DRG	Craniotomy For Multiple Significant Trauma	36	33	—	—	$53,806.51	$203,377.17	$59,764.54	2026-02-14
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	37	34	—	—	$56,200.37	$176,973.88	$59,010.39	2026-02-14
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	3	3	—	—	$58,935.23	$60,703.29	$58,935.23	2026-02-14
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	51	35	—	—	$26,794.00	$162,028.05	$58,575.29	2026-02-14
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	3	3	—	—	$57,795.61	$59,529.48	$57,795.61	2026-02-14
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	36	33	—	—	$23,868.21	$76,790.65	$57,624.83	2026-02-14
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	51	35	—	—	$20,990.36	$114,991.56	$56,901.71	2026-02-14
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	36	33	—	—	$39,456.38	$468,312.38	$56,292.68	2026-02-14
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	37	34	—	—	$47,207.07	$187,383.61	$55,164.07	2026-02-14
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	37	34	—	—	$35,838.64	$165,559.11	$55,071.70	2026-02-14
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	43	35	—	—	$36,648.00	$194,247.61	$54,661.81	2026-02-14
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	3	3	—	—	$54,421.45	$56,054.09	$54,421.45	2026-02-14
163	MS_DRG	Major Chest Procedures With Mcc	36	33	—	—	$36,320.17	$460,004.33	$54,409.87	2026-02-14
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$54,234.99	$55,862.04	$54,234.99	2026-02-14
276	MS_DRG	Non-maligant Breast Disorders	43	33	—	—	$22,328.00	$71,415.70	$54,234.35	2026-02-14
C1721	HCPCS	Cardiovert Defib Dual Chamber	92	36	$108,296.00	$81,222.00 25% off	$17,510.48	$108,296.00	$54,148.00	2026-02-14
28	MS_DRG	Spinal Procedures With Mcc	38	34	—	—	$30,773.79	$111,429.89	$54,070.80	2026-02-14
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	34	—	—	$29,523.14	$142,619.85	$53,705.94	2026-02-14
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	40	33	—	—	$47,562.46	$176,947.00	$53,647.37	2026-02-14
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	51	35	—	—	$21,737.00	$120,412.94	$53,180.97	2026-02-14
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	36	33	—	—	$45,879.31	$159,643.33	$53,151.96	2026-02-14
23	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$52,941.62	$54,529.86	$52,941.62	2026-02-14
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$52,563.46	$54,140.37	$52,563.46	2026-02-14
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	38	33	—	—	$2,050.02	$131,004.72	$52,458.52	2026-02-14
22	APR_DRG	Heart And/or Lung Transplant	3	3	—	—	$52,185.31	$53,750.87	$52,185.31	2026-02-14
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	33	—	—	$44,955.77	$286,913.55	$52,125.30	2026-02-14
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$52,101.37	$53,664.41	$52,101.37	2026-02-14
1784	APR_DRG	External Heart Assist Systems	3	3	—	—	$51,900.46	$53,457.47	$51,900.46	2026-02-14
653	MS_DRG	Major Bladder Procedures With Mcc	36	33	—	—	$43,927.45	$432,627.77	$51,771.53	2026-02-14
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	36	33	—	—	$42,559.48	$126,655.08	$50,901.82	2026-02-14
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	38	35	—	—	$48,136.14	$373,981.41	$50,542.95	2026-02-14
J3357	HCPCS	Stelara 45mg Syrg	245	39	$81,333.00	$60,999.75 25% off	$163.31	$162,665.50	$50,426.46	2026-02-14
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$50,267.04	$51,775.06	$50,267.04	2026-02-14
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	51	35	—	—	$21,737.00	$151,346.44	$50,082.69	2026-02-14
C1822	HCPCS	Gen Neurostimulator High Freq	92	36	$100,065.00	$75,048.75 25% off	$16,179.60	$100,065.00	$50,032.50	2026-02-14
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	36	33	—	—	$42,519.30	$225,144.85	$50,017.03	2026-02-14
73	APR_DRG	Allogeneic Bone Marrow Transplant	3	3	—	—	$49,916.38	$51,413.87	$49,916.38	2026-02-14
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$49,916.38	$51,413.87	$49,916.38	2026-02-14
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$49,825.78	$51,320.56	$49,825.78	2026-02-14
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$49,524.65	$51,010.39	$49,524.65	2026-02-14
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$49,160.07	$50,634.87	$49,160.07	2026-02-14
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	43	35	—	—	$41,737.61	$111,085.61	$49,091.13	2026-02-14
278	MS_DRG	Cellulitis Age >17 Without Cc	35	33	—	—	$5,772.38	$67,070.71	$48,934.69	2026-02-14
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	36	33	—	—	$15,926.24	$108,884.06	$48,926.26	2026-02-14
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	36	33	—	—	$43,554.73	$369,444.80	$48,793.44	2026-02-14
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	36	33	—	—	$7,559.25	$85,899.38	$48,663.71	2026-02-14
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	36	34	—	—	$39,113.56	$97,783.91	$47,882.31	2026-02-14
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$47,816.92	$49,251.43	$47,816.92	2026-02-14
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	66	34	—	—	$10,000.00	$157,405.59	$47,754.49	2026-02-14
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$47,709.59	$49,140.88	$47,709.59	2026-02-14
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$47,709.59	$49,140.88	$47,709.59	2026-02-14
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	36	33	—	—	$28,283.34	$106,360.95	$47,666.34	2026-02-14
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$47,359.37	$48,780.16	$47,359.37	2026-02-14
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$47,150.21	$48,564.72	$47,150.21	2026-02-14
8634	APR_DRG	Neonatal Aftercare	3	3	—	—	$46,861.23	$48,267.07	$46,861.23	2026-02-14
1794	APR_DRG	Defibrillator Implants	3	3	—	—	$46,507.58	$47,902.80	$46,507.58	2026-02-14
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	37	34	—	—	$10,000.00	$381,082.36	$46,454.65	2026-02-14
4403	APR_DRG	Kidney Transplant	3	3	—	—	$46,423.64	$47,816.35	$46,423.64	2026-02-14
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	43	35	—	—	$36,189.36	$129,859.38	$46,411.43	2026-02-14
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	43	35	—	—	$39,268.05	$150,959.34	$46,149.34	2026-02-14
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	3	3	—	—	$46,138.10	$47,522.24	$46,138.10	2026-02-14
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	37	33	—	—	$33,846.06	$107,506.88	$46,082.16	2026-02-14
C1722	HCPCS	Cardiovert Defib Single Chamber	92	36	$92,020.00	$69,015.00 25% off	$14,878.79	$92,020.00	$46,010.00	2026-02-14
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	36	33	—	—	$39,690.40	$195,923.00	$45,953.16	2026-02-14
C1882	HCPCS	Aicd Other Than Sing/dual	92	36	$91,645.00	$68,733.75 25% off	$14,818.16	$91,645.00	$45,822.50	2026-02-14
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$45,756.68	$47,129.38	$45,756.68	2026-02-14
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$45,747.16	$47,119.58	$45,747.16	2026-02-14
914	APR_DRG	Other Major Head And Neck Procedures	3	3	—	—	$45,569.77	$46,936.87	$45,569.77	2026-02-14
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
72	APR_DRG	Allogeneic Bone Marrow Transplant	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$45,378.53	$46,739.88	$45,378.53	2026-02-14
471	MS_DRG	Cervical Spinal Fusion With Mcc	37	34	—	—	$38,275.18	$389,336.94	$45,243.28	2026-02-14
214	APR_DRG	Open Craniotomy Except Trauma	3	3	—	—	$44,836.92	$46,182.03	$44,836.92	2026-02-14
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	36	33	—	—	$5,092.18	$85,527.73	$44,706.28	2026-02-14
1611	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$44,617.69	$45,956.22	$44,617.69	2026-02-14
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	37	34	—	—	$37,072.69	$166,713.80	$44,299.03	2026-02-14
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	3	3	—	—	$44,274.19	$45,602.42	$44,274.19	2026-02-14
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	36	33	—	—	$37,630.60	$149,954.58	$44,091.43	2026-02-14
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	36	33	—	—	$35,333.96	$103,170.93	$43,987.84	2026-02-14
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	37	34	—	—	$41,466.98	$146,158.35	$43,540.33	2026-02-14
277	MS_DRG	Cellulitis Age >17 W Cc	43	33	—	—	$22,328.00	$232,912.00	$43,529.76	2026-02-14
71	APR_DRG	Allogeneic Bone Marrow Transplant	3	3	—	—	$43,493.95	$44,798.77	$43,493.95	2026-02-14
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	3	3	—	—	$43,487.76	$44,792.39	$43,487.76	2026-02-14
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	3	3	—	—	$43,467.12	$44,771.13	$43,467.12	2026-02-14
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	35	33	—	—	$36,305.19	$236,647.50	$43,428.31	2026-02-14
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	36	33	—	—	$36,874.12	$170,430.30	$43,381.56	2026-02-14
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$43,346.02	$44,646.40	$43,346.02	2026-02-14
245	MS_DRG	Aicd Generator Procedures	37	34	—	—	$38,507.63	$97,360.51	$43,210.58	2026-02-14
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	36	33	—	—	$36,183.84	$162,067.99	$43,012.58	2026-02-14
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$42,788.56	$44,072.21	$42,788.56	2026-02-14
799	MS_DRG	Splenectomy With Mcc	36	33	—	—	$37,467.48	$103,507.48	$42,750.32	2026-02-14
6904	APR_DRG	Acute Leukemia	3	3	—	—	$42,528.62	$43,804.48	$42,528.62	2026-02-14
1783	APR_DRG	External Heart Assist Systems	3	3	—	—	$42,371.06	$43,642.19	$42,371.06	2026-02-14
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	36	33	—	—	$26,631.55	$99,472.98	$42,284.95	2026-02-14
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	36	33	—	—	$35,241.40	$91,615.14	$42,269.96	2026-02-14
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	3	—	—	$42,118.89	$43,382.46	$42,118.89	2026-02-14
L8614	HCPCS	Cochlear Implant Dev/sys Lvl 1	183	36	$60,486.00	$45,364.50 25% off	$9,780.03	$105,246.00	$42,098.40	2026-02-14
31	MS_DRG	Ventricular Shunt Procedures With Mcc	36	33	—	—	$33,021.63	$123,249.83	$41,774.27	2026-02-14
1653	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$41,652.75	$42,902.33	$41,652.75	2026-02-14
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	35	33	—	—	$34,614.94	$124,093.30	$41,642.48	2026-02-14
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$41,596.98	$42,844.89	$41,596.98	2026-02-14
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$41,596.98	$42,844.89	$41,596.98	2026-02-14
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	36	33	—	—	$33,613.41	$330,339.55	$41,317.19	2026-02-14
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	36	33	—	—	$26,958.36	$74,212.95	$40,957.46	2026-02-14
323	MS_DRG	Urinary Stones W Cc, &/or Esw Lithotripsy	35	33	—	—	$21,264.56	$54,848.79	$40,627.90	2026-02-14
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	41	34	—	—	$32,786.02	$209,018.27	$40,621.41	2026-02-14
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	51	35	—	—	$21,737.00	$99,681.47	$40,358.83	2026-02-14
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	34	—	—	$34,025.52	$108,681.72	$40,235.18	2026-02-14
901	MS_DRG	Wound Debridements For Injuries With Mcc	36	33	—	—	$34,912.02	$89,423.75	$40,225.91	2026-02-14
140	MS_DRG	Major Head And Neck Procedures With Mcc	35	33	—	—	$33,325.79	$184,620.42	$40,162.91	2026-02-14
C1736	HCPCS	Cath Renal Denerv Ultrasnd	116	52	$80,000.00	$60,000.00 25% off	$12,935.27	$80,000.00	$40,000.00	2026-02-14
C1735	HCPCS	Cath Renal Denerv Radiofreq	116	52	$80,000.00	$60,000.00 25% off	$12,935.27	$80,000.00	$40,000.00	2026-02-14
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	36	33	—	—	$32,336.86	$170,114.57	$39,986.93	2026-02-14
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	36	33	—	—	$33,013.74	$174,696.12	$39,878.59	2026-02-14
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	36	33	—	—	$29,256.10	$79,703.09	$39,778.04	2026-02-14
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	36	33	—	—	$32,050.81	$129,419.50	$39,512.93	2026-02-14
C1823	HCPCS	Gen Neuro Trans Sen/stim	92	36	$78,750.00	$59,062.50 25% off	$12,733.16	$78,750.00	$39,375.00	2026-02-14
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$39,280.37	$40,458.78	$39,280.37	2026-02-14
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	36	34	—	—	$30,812.88	$117,267.40	$39,116.13	2026-02-14
793	MS_DRG	Full Term Neonate With Major Problems	38	33	—	—	$1,811.64	$74,264.57	$38,852.74	2026-02-14
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$38,637.74	$39,796.87	$38,637.74	2026-02-14
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$38,612.97	$39,771.36	$38,612.97	2026-02-14
C1825	HCPCS	Gen Neuro Carot Sinus Baro	92	36	$77,175.00	$57,881.25 25% off	$12,478.49	$77,175.00	$38,587.50	2026-02-14
J1744	HCPCS	Firazyr 30mg/3ml Syr	93	39	$59,093.00	$44,319.75 25% off	$224.02	$59,093.00	$38,410.45	2026-02-14
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	36	33	—	—	$34,095.66	$138,107.65	$38,110.11	2026-02-14
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	36	33	—	—	$28,247.97	$230,149.08	$38,057.36	2026-02-14
791	MS_DRG	Prematurity With Major Problems	37	33	—	—	$3,359.50	$72,296.87	$37,990.17	2026-02-14
894	APR_DRG	Major Cranial Or Facial Bone Procedures	3	3	—	—	$37,815.44	$38,949.90	$37,815.44	2026-02-14
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$37,815.44	$38,949.90	$37,815.44	2026-02-14
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$37,815.44	$38,949.90	$37,815.44	2026-02-14
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$37,815.44	$38,949.90	$37,815.44	2026-02-14
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	37	34	—	—	$30,642.68	$94,876.96	$37,569.50	2026-02-14
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	33	—	—	$29,957.12	$85,954.55	$37,481.57	2026-02-14
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$37,437.29	$38,560.40	$37,437.29	2026-02-14
6903	APR_DRG	Acute Leukemia	3	3	—	—	$37,437.29	$38,560.40	$37,437.29	2026-02-14
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	36	33	—	—	$30,422.44	$78,197.90	$37,277.14	2026-02-14
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	36	33	—	—	$30,964.97	$86,300.43	$37,164.82	2026-02-14
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	36	33	—	—	$29,723.88	$208,935.75	$37,145.98	2026-02-14
1782	APR_DRG	External Heart Assist Systems	3	3	—	—	$37,059.13	$38,170.91	$37,059.13	2026-02-14
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$37,059.13	$38,170.91	$37,059.13	2026-02-14
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$36,680.98	$37,781.41	$36,680.98	2026-02-14
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	36	33	—	—	$21,926.36	$68,002.21	$36,656.93	2026-02-14
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	36	33	—	—	$30,120.24	$103,543.21	$36,578.54	2026-02-14
0266T	CPT	Implt/rpl Crtd Sns Dev Total	110	48	$94,500.00	$70,875.00 25% off	$5,305.00	$96,184.51	$36,477.00	2026-02-14
1694	APR_DRG	Major Abdominal Vascular Procedures	3	3	—	—	$36,448.39	$37,541.84	$36,448.39	2026-02-14
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	37	34	—	—	$31,891.56	$82,585.47	$36,306.40	2026-02-14
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$36,302.82	$37,391.91	$36,302.82	2026-02-14
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	35	33	—	—	$26,018.73	$121,135.93	$36,279.03	2026-02-14
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	36	33	—	—	$29,941.66	$75,590.13	$36,212.38	2026-02-14
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	37	34	—	—	$28,241.66	$97,896.30	$36,209.38	2026-02-14
C9760	HCPCS	Non-blind Interatrial Shunt	118	57	—	—	$6,858.00	$72,037.56	$36,154.32	2026-02-14
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	36	33	—	—	$30,425.20	$128,193.20	$36,129.91	2026-02-14
274	APR_DRG	Other Open Craniotomy	3	3	—	—	$36,071.34	$37,153.48	$36,071.34	2026-02-14
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	35	33	—	—	$27,363.05	$219,147.25	$35,973.52	2026-02-14
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$35,924.67	$37,002.41	$35,924.67	2026-02-14
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$35,924.67	$37,002.41	$35,924.67	2026-02-14
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	36	33	—	—	$31,369.20	$104,791.20	$35,733.16	2026-02-14
C2616	HCPCS	Nm Ns Yttrium-90 Per Source	120	56	$71,433.00	$53,574.75 25% off	$11,550.06	$71,433.00	$35,716.50	2026-02-14
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	36	33	—	—	$31,028.01	$137,231.03	$35,669.81	2026-02-14
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	36	33	—	—	$26,968.28	$67,420.69	$35,544.06	2026-02-14
2614	APR_DRG	Major Biliary Tract Procedures	3	3	—	—	$35,512.65	$36,578.03	$35,512.65	2026-02-14
2314	APR_DRG	Major Large Bowel Procedures	3	3	—	—	$35,454.17	$36,517.79	$35,454.17	2026-02-14
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	36	33	—	—	$25,010.89	$138,795.87	$35,394.71	2026-02-14
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	36	33	—	—	$27,742.07	$127,136.41	$35,373.76	2026-02-14
332	MS_DRG	Rectal Resection With Mcc	36	33	—	—	$27,333.10	$98,833.25	$35,336.32	2026-02-14
265	MS_DRG	Aicd Lead Procedures	36	33	—	—	$28,109.28	$97,365.40	$35,317.59	2026-02-14
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	36	33	—	—	$28,246.39	$72,623.85	$35,269.68	2026-02-14
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$35,168.36	$36,223.41	$35,168.36	2026-02-14
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	36	33	—	—	$28,552.12	$91,601.21	$35,133.15	2026-02-14
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	36	33	—	—	$27,819.30	$357,603.65	$35,079.51	2026-02-14
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	36	33	—	—	$20,449.64	$78,557.16	$35,015.44	2026-02-14
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	36	33	—	—	$30,455.92	$128,738.60	$35,004.96	2026-02-14
213	APR_DRG	Open Craniotomy Except Trauma	3	3	—	—	$34,899.60	$35,946.59	$34,899.60	2026-02-14
204	APR_DRG	Open Craniotomy For Trauma	3	3	—	—	$34,863.14	$35,909.03	$34,863.14	2026-02-14
C2624	HCPCS	Wireless Pressure Sensor	92	36	$69,670.00	$52,252.50 25% off	$11,265.00	$69,670.00	$34,835.00	2026-02-14
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$34,790.20	$35,833.91	$34,790.20	2026-02-14
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$34,790.20	$35,833.91	$34,790.20	2026-02-14
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	36	33	—	—	$20,555.70	$80,456.72	$34,754.21	2026-02-14
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	36	33	—	—	$28,751.49	$104,786.07	$34,745.65	2026-02-14
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	36	33	—	—	$24,792.98	$73,391.18	$34,731.87	2026-02-14
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	3	—	—	$34,728.97	$35,770.84	$34,728.97	2026-02-14
1781	APR_DRG	External Heart Assist Systems	3	3	—	—	$34,708.33	$35,749.58	$34,708.33	2026-02-14
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	36	34	—	—	$27,141.63	$129,608.65	$34,684.90	2026-02-14
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	38	35	—	—	$25,721.48	$70,678.11	$34,631.73	2026-02-14
0D1607A	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160KB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D16879	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168J9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1647B	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160KA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164JA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1647L	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164ZL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168JA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168JB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168KA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168ZB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164Z9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164KA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164ZB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160ZB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164J9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160J9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160KL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1687A	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168Z9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168ZL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164JB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164JL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164K9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160JA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160ZL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1647A	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160ZA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164KB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168JL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168K9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D16079	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160Z9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1607L	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160K9	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160JB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1687B	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1687L	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D16479	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D160JL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D1607B	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164KL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D164ZA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168KB	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168KL	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D168ZA	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14
0D760DZ	OTHER	Bariatric Surgery	1	1	—	—	$34,622.00	$34,622.00	$34,622.00	2026-02-14

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