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

NORTHSIDE HOSPITAL

Atlanta, GA · CCN 110161 · Rates published

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You selected 93306 (CPT)

ECHO COMPLETE

This hospital’s price: $2,463 across 58 payers · range $122-$4,442

Source: https://assets.northside.com/price-transparency/581954432-1457396079_northside-hospital-inc_standardcharges.json · observed 2026-02-14

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.

15,721 distinct procedures filed
66 distinct payers
1,757,059 rate rows
2026-02-14 last MRF observed
Data quality

1,619,227 of 1,757,059 rate rows are consumer-grade (92.2%)

137,832 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 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 2,758
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 viaCMS 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
$319,951
outlier · 6.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 55 $562,201.24 $3,506,913.00 $1,960,364.37 nat. median
$640,950
outlier · 3.1×
Q2055
HCPCS 		Idecabtagene Vicleucel Car T 55 $557,317.93 $3,486,862.50 $1,949,156.14 nat. median
$622,450
outlier · 3.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 55 $557,116.68 $3,445,566.50 $1,926,071.67 nat. median
$646,415
outlier · 3.0×
Q2053
HCPCS 		Brexucabtagene Tecartus T-cell 55 $489,304.61 $3,049,200.00 $1,704,502.80 nat. median
$591,721
outlier · 2.9×
Q2042
HCPCS 		Kymriah T-cell Susp For Infusion 55 $487,629.13 $3,015,811.00 $1,685,838.35 nat. median
$739,258
outlier · 2.3×
Q2041
HCPCS 		Yescarta T-cell Susp For Infusion 55 $398,050.61 $2,461,800.00 $1,376,146.20 nat. median
$608,239
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $297,174.15 $2,860,061.00 $511,709.64 nat. median
$359,454
1.4× median
J2326
HCPCS 		Spinraza(nusinersen)12mg/5ml Soln 55 $6,149.45 $816,348.50 $354,131.98 nat. median
$2,480
outlier · 142.8×
7
MS_DRG 		Lung Transplant 28 $102,981.20 $2,162,847.20 $349,739.62 nat. median
$117,974
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $211,709.76 $846,592.03 $221,964.18 nat. median
$249,036
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $219,660.27 $226,250.07 $219,660.27 nat. median
$202,993
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $10,000.00 $465,667.50 $170,540.34 nat. median
$198,418
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $162,285.62 $645,099.41 $168,879.47 nat. median
$190,559
0.9× median
Q2043
HCPCS 		Provenge(sipuleucel-t) Auto Cd54 55 $48,124.12 $311,483.00 $167,836.68 nat. median
$65,720
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $111,343.38 $949,211.27 $149,844.19 nat. median
$126,695
1.2× 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
$154,011
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $86,834.44 $752,886.92 $113,116.50 nat. median
$104,013
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 28 $49,835.04 $740,885.64 $103,602.91 nat. median
$58,251
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $38,882.04 $226,879.83 $99,165.86 nat. median
$110,307
0.9× median
J9266
HCPCS 		Oncaspar 3750u/5ml Sd Vial 55 $23,117.68 $390,830.85 $97,258.85 nat. median
$33,233
outlier · 2.9×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 28 $85,843.14 $148,868.05 $90,083.05 nat. median
$97,323
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $82,939.59 $473,562.45 $86,257.18 nat. median
$95,038
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 28 $80,369.76 $335,128.60 $83,584.55 nat. median
$93,901
0.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $83,572.12 $86,079.29 $83,572.12 nat. median
$307,206
outlier · 0.3×
5833
APR_DRG 		Neonate With Ecmo 3 $83,572.12 $86,079.29 $83,572.12 nat. median
$244,017
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
$247,214
outlier · 0.3×
24
APR_DRG 		Heart And/or Lung Transplant 3 $83,193.97 $85,689.79 $83,193.97 nat. median
$241,437
outlier · 0.3×
5832
APR_DRG 		Neonate With Ecmo 3 $82,815.81 $85,300.29 $82,815.81 nat. median
$159,249
0.5× median
5831
APR_DRG 		Neonate With Ecmo 3 $82,815.81 $85,300.29 $82,815.81 nat. median
$146,500
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 $26,794.00 $303,808.65 $81,872.02 nat. median
$90,551
0.9× median
6
MS_DRG 		Liver Transplant Without Mcc 28 $38,211.34 $613,006.45 $79,905.22 nat. median
$44,153
1.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 28 $42,875.48 $591,940.40 $77,743.78 nat. median
$50,831
1.5× median
J9600
HCPCS 		Photofrin 75mg Vial 46 $17,610.37 $908,565.75 $77,508.44 nat. median
$30,131
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $76,137.46 $78,421.58 $76,137.46 nat. median
$98,624
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 29 $72,405.14 $273,655.62 $76,025.40 nat. median
$70,732
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $75,630.88 $77,899.81 $75,630.88 nat. median
$170,082
outlier · 0.4×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $75,630.88 $77,899.81 $75,630.88 nat. median
$120,517
0.6× median
J9269
HCPCS 		Elzonris 1000mcg/1ml Soln 55 $356.93 $188,362.50 $75,345.00 nat. median
$512
outlier · 147.0×
C9293
HCPCS 		Voraxaze 1000units/ml Soln 30 $691.73 $117,450.00 $73,993.50 nat. median
$30,297
outlier · 2.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $50,961.07 $557,980.25 $73,210.33 nat. median
$59,371
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 30 $66,773.72 $312,560.30 $72,731.70 nat. median
$77,028
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
$133,164
0.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 $66,736.69 $325,502.69 $72,184.04 nat. median
$77,632
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $71,849.34 $74,004.82 $71,849.34 nat. median
$155,939
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 $52,540.21 $540,754.16 $71,290.36 nat. median
$63,873
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
$66,077
1.1× median
9504
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 $70,696.42 $72,817.31 $70,696.42 nat. median
$52,178
1.4× 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
$38,346
1.8× median
570
MS_DRG 		Skin Debridement With Mcc 28 $23,720.16 $561,768.89 $68,152.56 nat. median
$28,022
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 15,721 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
             
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 30 28 — — $297,174.15 $2,860,061.00 $511,709.64 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
7 MS_DRG Lung Transplant 31 28 — — $102,981.20 $2,162,847.20 $349,739.62 2026-02-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 28 — — $211,709.76 $846,592.03 $221,964.18 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 32 29 — — $10,000.00 $465,667.50 $170,540.34 2026-02-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 28 — — $162,285.62 $645,099.41 $168,879.47 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… 31 28 — — $111,343.38 $949,211.27 $149,844.19 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 31 28 — — $86,834.44 $752,886.92 $113,116.50 2026-02-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 28 — — $49,835.04 $740,885.64 $103,602.91 2026-02-14
14 MS_DRG Allogeneic Bone Marrow Transplant 31 28 — — $38,882.04 $226,879.83 $99,165.86 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 30 28 — — $85,843.14 $148,868.05 $90,083.05 2026-02-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 28 — — $82,939.59 $473,562.45 $86,257.18 2026-02-14
215 MS_DRG Other Heart Assist System Implant 31 28 — — $80,369.76 $335,128.60 $83,584.55 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
5833 APR_DRG Neonate With Ecmo 3 3 — — $83,572.12 $86,079.29 $83,572.12 2026-02-14
5834 APR_DRG Neonate With Ecmo 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
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 30 — — $26,794.00 $303,808.65 $81,872.02 2026-02-14
6 MS_DRG Liver Transplant Without Mcc 31 28 — — $38,211.34 $613,006.45 $79,905.22 2026-02-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 28 — — $42,875.48 $591,940.40 $77,743.78 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 32 29 — — $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
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 31 28 — — $50,961.07 $557,980.25 $73,210.33 2026-02-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 30 — — $66,773.72 $312,560.30 $72,731.70 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 29 — — $66,736.69 $325,502.69 $72,184.04 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 36 29 — — $52,540.21 $540,754.16 $71,290.36 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 31 28 — — $23,720.16 $561,768.89 $68,152.56 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 28 — — $63,520.89 $387,183.73 $67,796.87 2026-02-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 30 — — $60,970.95 $302,432.06 $66,994.66 2026-02-14
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $66,878.40 $68,884.75 $66,878.40 2026-02-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 28 — — $58,817.36 $179,465.74 $65,915.07 2026-02-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 30 — — $21,737.00 $215,419.13 $65,788.53 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 31 28 — — $60,150.70 $363,908.35 $62,826.66 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 28 — — $16,368.90 $82,544.49 $61,946.74 2026-02-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 28 — — $52,629.25 $111,124.31 $61,932.76 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 28 — — $22,328.00 $149,021.59 $61,017.82 2026-02-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 28 — — $54,816.72 $205,349.01 $60,561.54 2026-02-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 28 — — $53,806.51 $203,377.17 $59,195.36 2026-02-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 32 29 — — $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… 46 30 — — $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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 30 — — $26,794.00 $114,991.56 $57,459.57 2026-02-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 28 — — $48,526.18 $76,790.65 $57,280.62 2026-02-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 28 — — $39,456.38 $468,312.38 $55,746.15 2026-02-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 32 29 — — $52,449.24 $165,559.11 $55,071.70 2026-02-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 30 — — $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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 29 — — $47,207.07 $187,383.61 $54,376.01 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
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
163 MS_DRG Major Chest Procedures With Mcc 31 28 — — $36,320.17 $460,004.33 $53,881.62 2026-02-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 28 — — $47,562.46 $176,947.00 $53,647.37 2026-02-14
28 MS_DRG Spinal Procedures With Mcc 32 29 — — $47,906.02 $111,429.89 $53,472.36 2026-02-14
276 MS_DRG Non-maligant Breast Disorders 38 28 — — $22,328.00 $71,415.70 $53,459.57 2026-02-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 30 — — $21,737.00 $120,412.94 $53,180.97 2026-02-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 29 — — $45,226.06 $142,619.85 $53,132.27 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 28 — — $5,125.05 $105,855.09 $52,728.81 2026-02-14
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $52,563.46 $54,140.37 $52,563.46 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 28 — — $45,879.31 $159,643.33 $52,139.55 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 28 — — $44,955.77 $286,913.55 $51,132.44 2026-02-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 28 — — $42,559.48 $126,655.08 $50,901.82 2026-02-14
653 MS_DRG Major Bladder Procedures With Mcc 31 28 — — $43,927.45 $432,627.77 $50,785.41 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 30 — — $48,136.14 $373,981.41 $50,061.58 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 30 — — $21,737.00 $151,346.44 $49,933.00 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
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 28 — — $39,815.60 $108,884.06 $49,332.39 2026-02-14
278 MS_DRG Cellulitis Age >17 Without Cc 30 28 — — $14,430.94 $67,070.71 $49,282.05 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… 38 30 — — $41,737.61 $111,085.61 $49,091.13 2026-02-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 28 — — $42,519.30 $225,144.85 $49,064.33 2026-02-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 28 — — $18,898.13 $85,899.38 $48,901.10 2026-02-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 28 — — $43,554.73 $369,444.80 $48,328.74 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 29 — — $40,447.67 $97,783.91 $47,733.00 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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $47,359.37 $48,780.16 $47,359.37 2026-02-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 28 — — $40,145.08 $106,360.95 $47,202.13 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
4403 APR_DRG Kidney Transplant 3 3 — — $46,423.64 $47,816.35 $46,423.64 2026-02-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 30 — — $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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 30 — — $36,189.36 $129,859.38 $45,965.17 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 29 — — $10,000.00 $381,082.36 $45,569.80 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
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
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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 28 — — $39,409.88 $107,506.88 $45,204.40 2026-02-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 28 — — $39,690.40 $195,923.00 $45,077.86 2026-02-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 28 — — $12,730.44 $85,527.73 $44,924.36 2026-02-14
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $44,836.92 $46,182.03 $44,836.92 2026-02-14
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $44,617.69 $45,956.22 $44,617.69 2026-02-14
471 MS_DRG Cervical Spinal Fusion With Mcc 32 29 — — $38,275.18 $389,336.94 $44,596.94 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 29 — — $37,072.69 $166,713.80 $43,948.45 2026-02-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 32 29 — — $41,466.98 $146,158.35 $43,540.33 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 28 — — $37,460.40 $103,170.93 $43,356.43 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 28 — — $36,305.19 $236,647.50 $43,270.36 2026-02-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 28 — — $37,630.60 $149,954.58 $43,251.60 2026-02-14
245 MS_DRG Aicd Generator Procedures 32 29 — — $38,507.63 $97,360.51 $43,004.82 2026-02-14
277 MS_DRG Cellulitis Age >17 W Cc 38 28 — — $22,328.00 $232,912.00 $42,807.57 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 61 29 — — $10,000.00 $157,405.59 $42,777.77 2026-02-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 28 — — $36,183.84 $162,067.99 $42,642.85 2026-02-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 28 — — $36,874.12 $170,430.30 $42,555.24 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 31 28 — — $35,551.08 $99,472.98 $42,284.95 2026-02-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 28 — — $35,241.40 $91,615.14 $42,269.96 2026-02-14
799 MS_DRG Splenectomy With Mcc 31 28 — — $37,467.48 $103,507.48 $42,150.92 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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 28 — — $34,614.94 $124,093.30 $41,440.34 2026-02-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 28 — — $33,021.63 $123,249.83 $41,368.69 2026-02-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 28 — — $33,613.41 $330,339.55 $41,117.59 2026-02-14
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 30 28 — — $33,563.77 $54,848.79 $40,430.68 2026-02-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 28 — — $35,339.11 $74,212.95 $40,369.56 2026-02-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 30 — — $21,737.00 $99,681.47 $40,166.65 2026-02-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 29 — — $32,786.02 $209,018.27 $40,041.10 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
140 MS_DRG Major Head And Neck Procedures With Mcc 30 28 — — $33,325.79 $184,620.42 $39,967.95 2026-02-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 28 — — $32,336.86 $170,114.57 $39,793.76 2026-02-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 28 — — $32,384.93 $79,703.09 $39,778.04 2026-02-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 28 — — $33,013.74 $174,696.12 $39,685.94 2026-02-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 29 — — $34,025.52 $108,681.72 $39,660.40 2026-02-14
901 MS_DRG Wound Debridements For Injuries With Mcc 31 28 — — $34,912.02 $89,423.75 $39,648.50 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 28 — — $32,050.81 $129,419.50 $39,322.04 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
793 MS_DRG Full Term Neonate With Major Problems 31 28 — — $8,538.20 $74,264.57 $39,063.36 2026-02-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 29 — — $30,812.88 $117,267.40 $38,736.36 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
791 MS_DRG Prematurity With Major Problems 31 28 — — $8,398.75 $72,296.87 $38,243.27 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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $37,815.44 $38,949.90 $37,815.44 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
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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 28 — — $34,095.66 $138,107.65 $37,747.16 2026-02-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 28 — — $28,247.97 $230,149.08 $37,687.87 2026-02-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 28 — — $29,957.12 $85,954.55 $37,446.40 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 29 — — $30,642.68 $94,876.96 $37,208.26 2026-02-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 28 — — $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 31 28 — — $29,723.88 $208,935.75 $37,137.11 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 28 — — $31,391.27 $78,197.90 $36,973.13 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
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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 28 — — $30,120.24 $103,543.21 $36,401.83 2026-02-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 32 29 — — $34,577.52 $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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 28 — — $30,340.09 $75,590.13 $36,212.38 2026-02-14
C9760 HCPCS Non-blind Interatrial Shunt 118 57 — — $6,858.00 $72,037.56 $36,154.32 2026-02-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 28 — — $31,091.83 $68,002.21 $36,130.75 2026-02-14
274 APR_DRG Other Open Craniotomy 3 3 — — $36,071.34 $37,153.48 $36,071.34 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
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 29 — — $28,241.66 $97,896.30 $35,857.83 2026-02-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 28 — — $26,018.73 $121,135.93 $35,750.69 2026-02-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 28 — — $30,425.20 $128,193.20 $35,728.67 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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 28 — — $27,363.05 $219,147.25 $35,449.64 2026-02-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 28 — — $27,983.20 $67,420.69 $35,370.67 2026-02-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 28 — — $31,369.20 $104,791.20 $35,290.36 2026-02-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 28 — — $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
265 MS_DRG Aicd Lead Procedures 31 28 — — $28,109.28 $97,365.40 $35,136.60 2026-02-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 28 — — $25,010.89 $138,795.87 $35,051.07 2026-02-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 28 — — $27,742.07 $127,136.41 $35,030.32 2026-02-14
332 MS_DRG Rectal Resection With Mcc 31 28 — — $27,333.10 $98,833.25 $34,993.25 2026-02-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 28 — — $31,028.01 $137,231.03 $34,990.39 2026-02-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 28 — — $28,552.12 $91,601.21 $34,963.42 2026-02-14
213 APR_DRG Open Craniotomy Except Trauma 3 3 — — $34,899.60 $35,946.59 $34,899.60 2026-02-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 28 — — $29,486.69 $78,557.16 $34,875.83 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
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 28 — — $27,819.30 $357,603.65 $34,774.12 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
0D16079 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
0D1687A 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
0D160JL 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
0D160KA 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
0D16879 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
0D760ZZ 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
0D164KA 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
0D1687B 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
0D1607B 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
0D1687L 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
0D160KB 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
0D168JL 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
0D763DZ 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
0D160ZL 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
0D160ZA 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
0D164J9 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
0D160K9 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
0D168K9 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
0D168ZB 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
0D164KL 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
0D1607A 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
0D168KA 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
0D160J9 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
0D1607L 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
0D160KL 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
0D168JA OTHER Bariatric Surgery 1 1 — — $34,622.00 $34,622.00 $34,622.00 2026-02-14
0D763ZZ OTHER Bariatric Surgery 1 1 — — $34,622.00 $34,622.00 $34,622.00 2026-02-14
0D764DZ OTHER Bariatric Surgery 1 1 — — $34,622.00 $34,622.00 $34,622.00 2026-02-14
0D764ZZ OTHER Bariatric Surgery 1 1 — — $34,622.00 $34,622.00 $34,622.00 2026-02-14
0D767DZ OTHER Bariatric Surgery 1 1 — — $34,622.00 $34,622.00 $34,622.00 2026-02-14
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