Price Transparency 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

KUAKINI MEDICAL CENTER

Honolulu, HI · CCN 120007 · Rates published

20,671 distinct procedures filed
12 distinct payers
283,468 rate rows
2026-01-25 last MRF observed
Data quality

239,869 of 283,468 rate rows are consumer-grade (84.6%)

43,599 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 39,023
per-diem day rate — not a per-procedure price 3,623
template filing: same amount across many unrelated codes — excluded 821
placeholder amount (≤ $0.02) — excluded from medians 87
exceeds 10× this hospital's gross charge — excluded from medians 26
percent-of-charges filed in the dollar field — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://kuakini.pt.panaceainc.com/MRFDownload/kuakini/kuakini
Found on page https://www.kuakini.org/wps/portal/public/Patient-Information/Financial-Information/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 1fe95e21939569a1… · 194,344,456 bytes · first seen 2026-05-17

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 7 $3,720,875.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,153,500.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,132,476.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,818,993.20 $3,490,800.50 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $2,761,178.86 $3,424,422.75 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,503,879.00 $3,098,221.00 $2,950,686.67 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,084,298.26 $2,574,721.38 $2,452,115.60 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $1,982,200.00 $2,448,600.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $655,027.00 $809,151.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $491,575.89 $825,810.81 $592,782.70 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $470,372.01 $804,924.78 $581,047.77 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $460,071.38 $771,336.15 $554,791.96 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $460,390.31 $754,069.52 $549,932.07 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $453,115.01 $714,695.04 $543,822.40 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $415,908.92 $712,555.20 $514,206.00 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $373,592.42 $392,272.04 $373,592.42 nat. median
$370,174
1.0× median
5834
APR_DRG 		5 $282,958.48 $282,958.48 $282,958.48 nat. median
$309,665
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $241,093.80 $293,031.45 $279,077.57 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $229,818.75 $283,893.75 $270,375.00 nat. median
$324,450
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $235,055.80 $379,456.00 $246,808.59 nat. median
$206,368
1.2× median
5914
APR_DRG 		5 $238,501.08 $238,501.08 $238,501.08 nat. median
$164,279
1.5× median
5884
APR_DRG 		5 $237,534.22 $237,534.22 $237,534.22 nat. median
$246,434
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $212,367.09 $463,076.00 $222,985.44 nat. median
$202,986
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $218,875.00 $218,875.00 $218,875.00 nat. median
$265,000
0.8× median
1614
APR_DRG 		5 $218,734.53 $218,734.53 $218,734.53 nat. median
$207,730
1.1× median
5934
APR_DRG 		5 $205,585.21 $205,585.21 $205,585.21 nat. median
$151,838
1.4× median
0024
APR_DRG 		5 $198,734.48 $198,734.48 $198,734.48 nat. median
$372,987
0.5× median
0074
APR_DRG 		5 $194,381.78 $194,381.78 $194,381.78 nat. median
$178,275
1.1× median
6094
APR_DRG 		5 $188,122.11 $188,122.11 $188,122.11 nat. median
$162,982
1.2× median
5913
APR_DRG 		5 $188,005.35 $188,005.35 $188,005.35 nat. median
$102,636
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $174,794.00 $197,880.00 $178,092.00 nat. median
$209,753
0.8× median
1613
APR_DRG 		5 $174,733.20 $174,733.20 $174,733.20 nat. median
$119,796
1.5× median
5833
APR_DRG 		5 $172,390.84 $172,390.84 $172,390.84 nat. median
$244,017
0.7× median
6024
APR_DRG 		5 $166,404.81 $166,404.81 $166,404.81 nat. median
$118,620
1.4× median
5912
APR_DRG 		5 $165,084.04 $165,084.04 $165,084.04 nat. median
$81,294
outlier · 2.0×
5832
APR_DRG 		5 $163,743.81 $163,743.81 $163,743.81 nat. median
$156,126
1.0× median
5891
APR_DRG 		5 $155,809.47 $155,809.47 $155,809.47 nat. median
$93,260
1.7× median
6304
APR_DRG 		5 $154,116.55 $154,116.55 $154,116.55 nat. median
$150,721
1.0× median
0014
APR_DRG 		5 $154,080.06 $154,080.06 $154,080.06 nat. median
$190,591
0.8× median
8414
APR_DRG 		5 $153,692.10 $153,692.10 $153,692.10 nat. median
$160,267
1.0× median
5883
APR_DRG 		5 $152,365.25 $152,365.25 $152,365.25 nat. median
$182,736
0.8× median
5933
APR_DRG 		5 $150,738.00 $150,738.00 $150,738.00 nat. median
$108,996
1.4× median
5892
APR_DRG 		5 $148,389.56 $148,389.56 $148,389.56 nat. median
$89,790
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $140,062.66 $401,358.00 $147,065.79 nat. median
$133,176
1.1× median
5893
APR_DRG 		5 $141,323.57 $141,323.57 $141,323.57 nat. median
$69,788
outlier · 2.0×
0023
APR_DRG 		5 $139,617.27 $139,617.27 $139,617.27 nat. median
$167,082
0.8× median
0064
APR_DRG 		5 $139,056.61 $139,056.61 $139,056.61 nat. median
$98,565
1.4× median
6034
APR_DRG 		5 $138,080.02 $138,080.02 $138,080.02 nat. median
$109,499
1.3× median
0094
APR_DRG 		5 $136,891.81 $136,891.81 $136,891.81 nat. median
$166,008
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $129,880.87 $227,138.00 $136,374.91 nat. median
$117,303
1.2× median

Other procedures at this hospital

Browse this hospital's 20,671 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
             
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $218,875.00 $218,875.00 $218,875.00 2026-01-25
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $40,180.86 $44,645.40 $42,413.13 2026-01-25
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 2 — — $174,794.00 $197,880.00 $178,092.00 2026-01-25
5834 APR_DRG — 5 5 — — $282,958.48 $282,958.48 $282,958.48 2026-01-25
5914 APR_DRG — 5 5 — — $238,501.08 $238,501.08 $238,501.08 2026-01-25
5884 APR_DRG — 5 5 — — $237,534.22 $237,534.22 $237,534.22 2026-01-25
1614 APR_DRG — 5 5 — — $218,734.53 $218,734.53 $218,734.53 2026-01-25
5934 APR_DRG — 5 5 — — $205,585.21 $205,585.21 $205,585.21 2026-01-25
0024 APR_DRG — 5 5 — — $198,734.48 $198,734.48 $198,734.48 2026-01-25
0074 APR_DRG — 5 5 — — $194,381.78 $194,381.78 $194,381.78 2026-01-25
6094 APR_DRG — 5 5 — — $188,122.11 $188,122.11 $188,122.11 2026-01-25
5913 APR_DRG — 5 5 — — $188,005.35 $188,005.35 $188,005.35 2026-01-25
1613 APR_DRG — 5 5 — — $174,733.20 $174,733.20 $174,733.20 2026-01-25
5833 APR_DRG — 5 5 — — $172,390.84 $172,390.84 $172,390.84 2026-01-25
6024 APR_DRG — 5 5 — — $166,404.81 $166,404.81 $166,404.81 2026-01-25
5912 APR_DRG — 5 5 — — $165,084.04 $165,084.04 $165,084.04 2026-01-25
5832 APR_DRG — 5 5 — — $163,743.81 $163,743.81 $163,743.81 2026-01-25
5891 APR_DRG — 5 5 — — $155,809.47 $155,809.47 $155,809.47 2026-01-25
6304 APR_DRG — 5 5 — — $154,116.55 $154,116.55 $154,116.55 2026-01-25
0014 APR_DRG — 5 5 — — $154,080.06 $154,080.06 $154,080.06 2026-01-25
8414 APR_DRG — 5 5 — — $153,692.10 $153,692.10 $153,692.10 2026-01-25
5883 APR_DRG — 5 5 — — $152,365.25 $152,365.25 $152,365.25 2026-01-25
5933 APR_DRG — 5 5 — — $150,738.00 $150,738.00 $150,738.00 2026-01-25
5892 APR_DRG — 5 5 — — $148,389.56 $148,389.56 $148,389.56 2026-01-25
5893 APR_DRG — 5 5 — — $141,323.57 $141,323.57 $141,323.57 2026-01-25
0023 APR_DRG — 5 5 — — $139,617.27 $139,617.27 $139,617.27 2026-01-25
0064 APR_DRG — 5 5 — — $139,056.61 $139,056.61 $139,056.61 2026-01-25
6034 APR_DRG — 5 5 — — $138,080.02 $138,080.02 $138,080.02 2026-01-25
0094 APR_DRG — 5 5 — — $136,891.81 $136,891.81 $136,891.81 2026-01-25
0044 APR_DRG — 5 5 — — $134,559.18 $134,559.18 $134,559.18 2026-01-25
6314 APR_DRG — 5 5 — — $133,903.66 $133,903.66 $133,903.66 2026-01-25
5932 APR_DRG — 5 5 — — $129,974.19 $129,974.19 $129,974.19 2026-01-25
6074 APR_DRG — 5 5 — — $129,544.88 $129,544.88 $129,544.88 2026-01-25
0073 APR_DRG — 5 5 — — $126,932.53 $126,932.53 $126,932.53 2026-01-25
1612 APR_DRG — 5 5 — — $124,669.22 $124,669.22 $124,669.22 2026-01-25
6084 APR_DRG — 5 5 — — $120,946.50 $120,946.50 $120,946.50 2026-01-25
6023 APR_DRG — 5 5 — — $119,445.73 $119,445.73 $119,445.73 2026-01-25
6033 APR_DRG — 5 5 — — $107,375.16 $107,375.16 $107,375.16 2026-01-25
5831 APR_DRG — 5 5 — — $103,696.22 $103,696.22 $103,696.22 2026-01-25
6114 APR_DRG — 5 5 — — $102,634.50 $102,634.50 $102,634.50 2026-01-25
5882 APR_DRG — 5 5 — — $100,007.56 $100,007.56 $100,007.56 2026-01-25
1604 APR_DRG — 5 5 — — $99,868.91 $99,868.91 $99,868.91 2026-01-25
0022 APR_DRG — 5 5 — — $99,864.05 $99,864.05 $99,864.05 2026-01-25
1611 APR_DRG — 5 5 — — $99,382.44 $99,382.44 $99,382.44 2026-01-25
0063 APR_DRG — 5 5 — — $97,201.83 $97,201.83 $97,201.83 2026-01-25
0043 APR_DRG — 5 5 — — $94,129.77 $94,129.77 $94,129.77 2026-01-25
0084 APR_DRG — 5 5 — — $93,860.99 $93,860.99 $93,860.99 2026-01-25
3034 APR_DRG — 5 5 — — $93,694.37 $93,694.37 $93,694.37 2026-01-25
6022 APR_DRG — 5 5 — — $93,307.63 $93,307.63 $93,307.63 2026-01-25
0013 APR_DRG — 5 5 — — $93,074.12 $93,074.12 $93,074.12 2026-01-25
1624 APR_DRG — 5 5 — — $92,276.31 $92,276.31 $92,276.31 2026-01-25
4404 APR_DRG — 5 5 — — $89,336.81 $89,336.81 $89,336.81 2026-01-25
6303 APR_DRG — 5 5 — — $88,677.64 $88,677.64 $88,677.64 2026-01-25
0072 APR_DRG — 5 5 — — $87,631.72 $87,631.72 $87,631.72 2026-01-25
6093 APR_DRG — 5 5 — — $87,279.03 $87,279.03 $87,279.03 2026-01-25
6124 APR_DRG — 5 5 — — $87,142.82 $87,142.82 $87,142.82 2026-01-25
6073 APR_DRG — 5 5 — — $87,122.15 $87,122.15 $87,122.15 2026-01-25
0054 APR_DRG — 5 5 — — $86,048.26 $86,048.26 $86,048.26 2026-01-25
6214 APR_DRG — 5 5 — — $85,081.40 $85,081.40 $85,081.40 2026-01-25
0062 APR_DRG — 5 5 — — $82,042.17 $82,042.17 $82,042.17 2026-01-25
6144 APR_DRG — 5 5 — — $81,891.36 $81,891.36 $81,891.36 2026-01-25
8634 APR_DRG — 5 5 — — $81,870.69 $81,870.69 $81,870.69 2026-01-25
0021 APR_DRG — 5 5 — — $81,779.47 $81,779.47 $81,779.47 2026-01-25
8424 APR_DRG — 5 5 — — $79,314.28 $79,314.28 $79,314.28 2026-01-25
0071 APR_DRG — 5 5 — — $78,814.43 $78,814.43 $78,814.43 2026-01-25
1634 APR_DRG — 5 5 — — $78,225.80 $78,225.80 $78,225.80 2026-01-25
0012 APR_DRG — 5 5 — — $76,804.09 $76,804.09 $76,804.09 2026-01-25
1784 APR_DRG — 5 5 — — $76,787.06 $76,787.06 $76,787.06 2026-01-25
0011 APR_DRG — 5 5 — — $76,281.13 $76,281.13 $76,281.13 2026-01-25
8413 APR_DRG — 5 5 — — $74,438.62 $74,438.62 $74,438.62 2026-01-25
1834 APR_DRG — 5 5 — — $72,582.73 $72,582.73 $72,582.73 2026-01-25
3033 APR_DRG — 5 5 — — $71,747.22 $71,747.22 $71,747.22 2026-01-25
0042 APR_DRG — 5 5 — — $71,612.22 $71,612.22 $71,612.22 2026-01-25
1654 APR_DRG — 5 5 — — $71,547.77 $71,547.77 $71,547.77 2026-01-25
0093 APR_DRG — 5 5 — — $71,500.34 $71,500.34 $71,500.34 2026-01-25
6083 APR_DRG — 5 5 — — $70,821.71 $70,821.71 $70,821.71 2026-01-25
1674 APR_DRG — 5 5 — — $70,239.16 $70,239.16 $70,239.16 2026-01-25
5881 APR_DRG — 5 5 — — $69,127.57 $69,127.57 $69,127.57 2026-01-25
6032 APR_DRG — 5 5 — — $68,884.34 $68,884.34 $68,884.34 2026-01-25
6134 APR_DRG — 5 5 — — $68,239.76 $68,239.76 $68,239.76 2026-01-25
3044 APR_DRG — 5 5 — — $67,170.74 $67,170.74 $67,170.74 2026-01-25
6072 APR_DRG — 5 5 — — $67,000.48 $67,000.48 $67,000.48 2026-01-25
9104 APR_DRG — 5 5 — — $66,739.00 $66,739.00 $66,739.00 2026-01-25
1794 APR_DRG — 5 5 — — $66,631.97 $66,631.97 $66,631.97 2026-01-25
0053 APR_DRG — 5 5 — — $66,240.36 $66,240.36 $66,240.36 2026-01-25
1623 APR_DRG — 5 5 — — $65,052.16 $65,052.16 $65,052.16 2026-01-25
0041 APR_DRG — 5 5 — — $64,317.59 $64,317.59 $64,317.59 2026-01-25
1664 APR_DRG — 5 5 — — $64,035.43 $64,035.43 $64,035.43 2026-01-25
6334 APR_DRG — 5 5 — — $63,975.84 $63,975.84 $63,975.84 2026-01-25
0914 APR_DRG — 5 5 — — $63,392.07 $63,392.07 $63,392.07 2026-01-25
6313 APR_DRG — 5 5 — — $62,574.80 $62,574.80 $62,574.80 2026-01-25
0083 APR_DRG — 5 5 — — $62,102.93 $62,102.93 $62,102.93 2026-01-25
6113 APR_DRG — 5 5 — — $61,725.91 $61,725.91 $61,725.91 2026-01-25
1694 APR_DRG — 5 5 — — $61,139.71 $61,139.71 $61,139.71 2026-01-25
6804 APR_DRG — 5 5 — — $60,957.29 $60,957.29 $60,957.29 2026-01-25
4403 APR_DRG — 5 5 — — $60,697.02 $60,697.02 $60,697.02 2026-01-25
6123 APR_DRG — 5 5 — — $60,380.82 $60,380.82 $60,380.82 2026-01-25
2604 APR_DRG — 5 5 — — $59,649.89 $59,649.89 $59,649.89 2026-01-25
1783 APR_DRG — 5 5 — — $58,956.67 $58,956.67 $58,956.67 2026-01-25
6224 APR_DRG — 5 5 — — $58,901.94 $58,901.94 $58,901.94 2026-01-25
6133 APR_DRG — 5 5 — — $58,801.00 $58,801.00 $58,801.00 2026-01-25
4414 APR_DRG — 5 5 — — $58,515.20 $58,515.20 $58,515.20 2026-01-25
0894 APR_DRG — 5 5 — — $58,315.75 $58,315.75 $58,315.75 2026-01-25
9114 APR_DRG — 5 5 — — $57,820.76 $57,820.76 $57,820.76 2026-01-25
1204 APR_DRG — 5 5 — — $57,483.88 $57,483.88 $57,483.88 2026-01-25
1603 APR_DRG — 5 5 — — $57,367.13 $57,367.13 $57,367.13 2026-01-25
0061 APR_DRG — 5 5 — — $56,239.73 $56,239.73 $56,239.73 2026-01-25
0234 APR_DRG — 5 5 — — $56,032.98 $56,032.98 $56,032.98 2026-01-25
9124 APR_DRG — 5 5 — — $55,989.20 $55,989.20 $55,989.20 2026-01-25
0924 APR_DRG — 5 5 — — $55,760.56 $55,760.56 $55,760.56 2026-01-25
0214 APR_DRG — 5 5 — — $55,098.95 $55,098.95 $55,098.95 2026-01-25
8504 APR_DRG — 5 5 — — $54,354.65 $54,354.65 $54,354.65 2026-01-25
7404 APR_DRG — 5 5 — — $54,333.98 $54,333.98 $54,333.98 2026-01-25
2204 APR_DRG — 5 5 — — $54,192.90 $54,192.90 $54,192.90 2026-01-25
3032 APR_DRG — 5 5 — — $53,099.56 $53,099.56 $53,099.56 2026-01-25
6092 APR_DRG — 5 5 — — $53,001.05 $53,001.05 $53,001.05 2026-01-25
6814 APR_DRG — 5 5 — — $52,951.18 $52,951.18 $52,951.18 2026-01-25
1653 APR_DRG — 5 5 — — $52,835.65 $52,835.65 $52,835.65 2026-01-25
6302 APR_DRG — 5 5 — — $52,525.52 $52,525.52 $52,525.52 2026-01-25
1633 APR_DRG — 5 5 — — $52,524.30 $52,524.30 $52,524.30 2026-01-25
6954 APR_DRG — 5 5 — — $51,995.27 $51,995.27 $51,995.27 2026-01-25
1833 APR_DRG — 5 5 — — $51,840.81 $51,840.81 $51,840.81 2026-01-25
6344 APR_DRG — 5 5 — — $51,797.03 $51,797.03 $51,797.03 2026-01-25
6514 APR_DRG — 5 5 — — $51,486.90 $51,486.90 $51,486.90 2026-01-25
0052 APR_DRG — 5 5 — — $51,401.77 $51,401.77 $51,401.77 2026-01-25
0204 APR_DRG — 5 5 — — $50,821.66 $50,821.66 $50,821.66 2026-01-25
0274 APR_DRG — 5 5 — — $50,815.57 $50,815.57 $50,815.57 2026-01-25
1622 APR_DRG — 5 5 — — $50,753.55 $50,753.55 $50,753.55 2026-01-25
4402 APR_DRG — 5 5 — — $50,712.20 $50,712.20 $50,712.20 2026-01-25
6143 APR_DRG — 5 5 — — $50,484.77 $50,484.77 $50,484.77 2026-01-25
1304 APR_DRG — 5 5 — — $50,152.76 $50,152.76 $50,152.76 2026-01-25
3124 APR_DRG — 5 5 — — $50,010.46 $50,010.46 $50,010.46 2026-01-25
1782 APR_DRG — 5 5 — — $49,931.41 $49,931.41 $49,931.41 2026-01-25
2304 APR_DRG — 5 5 — — $49,650.48 $49,650.48 $49,650.48 2026-01-25
0092 APR_DRG — 5 5 — — $49,277.11 $49,277.11 $49,277.11 2026-01-25
6071 APR_DRG — 5 5 — — $49,240.62 $49,240.62 $49,240.62 2026-01-25
6082 APR_DRG — 5 5 — — $49,190.76 $49,190.76 $49,190.76 2026-01-25
1814 APR_DRG — 5 5 — — $49,084.95 $49,084.95 $49,084.95 2026-01-25
1764 APR_DRG — 5 5 — — $48,795.50 $48,795.50 $48,795.50 2026-01-25
6904 APR_DRG — 5 5 — — $48,619.16 $48,619.16 $48,619.16 2026-01-25
7924 APR_DRG — 5 5 — — $48,592.40 $48,592.40 $48,592.40 2026-01-25
0051 APR_DRG — 5 5 — — $48,137.55 $48,137.55 $48,137.55 2026-01-25
4034 APR_DRG — 5 5 — — $47,938.10 $47,938.10 $47,938.10 2026-01-25
1793 APR_DRG — 5 5 — — $47,759.32 $47,759.32 $47,759.32 2026-01-25
2614 APR_DRG — 5 5 — — $47,738.64 $47,738.64 $47,738.64 2026-01-25
0082 APR_DRG — 5 5 — — $47,505.14 $47,505.14 $47,505.14 2026-01-25
9504 APR_DRG — 5 5 — — $47,137.85 $47,137.85 $47,137.85 2026-01-25
2644 APR_DRG — 5 5 — — $46,915.29 $46,915.29 $46,915.29 2026-01-25
5114 APR_DRG — 5 5 — — $46,841.10 $46,841.10 $46,841.10 2026-01-25
3214 APR_DRG — 5 5 — — $46,515.17 $46,515.17 $46,515.17 2026-01-25
0304 APR_DRG — 5 5 — — $46,466.52 $46,466.52 $46,466.52 2026-01-25
3043 APR_DRG — 5 5 — — $46,419.09 $46,419.09 $46,419.09 2026-01-25
4401 APR_DRG — 5 5 — — $45,651.68 $45,651.68 $45,651.68 2026-01-25
6213 APR_DRG — 5 5 — — $45,342.77 $45,342.77 $45,342.77 2026-01-25
3031 APR_DRG — 5 5 — — $45,337.91 $45,337.91 $45,337.91 2026-01-25
1621 APR_DRG — 5 5 — — $45,091.02 $45,091.02 $45,091.02 2026-01-25
0224 APR_DRG — 5 5 — — $44,644.69 $44,644.69 $44,644.69 2026-01-25
1832 APR_DRG — 5 5 — — $44,565.63 $44,565.63 $44,565.63 2026-01-25
4054 APR_DRG — 5 5 — — $44,388.07 $44,388.07 $44,388.07 2026-01-25
6122 APR_DRG — 5 5 — — $44,373.48 $44,373.48 $44,373.48 2026-01-25
2314 APR_DRG — 5 5 — — $44,356.45 $44,356.45 $44,356.45 2026-01-25
2324 APR_DRG — 5 5 — — $44,226.32 $44,226.32 $44,226.32 2026-01-25
1602 APR_DRG — 5 5 — — $43,857.82 $43,857.82 $43,857.82 2026-01-25
1824 APR_DRG — 5 5 — — $43,665.66 $43,665.66 $43,665.66 2026-01-25
7104 APR_DRG — 5 5 — — $43,406.62 $43,406.62 $43,406.62 2026-01-25
1652 APR_DRG — 5 5 — — $43,319.05 $43,319.05 $43,319.05 2026-01-25
1663 APR_DRG — 5 5 — — $43,171.89 $43,171.89 $43,171.89 2026-01-25
4044 APR_DRG — 5 5 — — $42,672.04 $42,672.04 $42,672.04 2026-01-25
4474 APR_DRG — 5 5 — — $42,605.15 $42,605.15 $42,605.15 2026-01-25
1781 APR_DRG — 5 5 — — $42,582.05 $42,582.05 $42,582.05 2026-01-25
1632 APR_DRG — 5 5 — — $42,354.62 $42,354.62 $42,354.62 2026-01-25
1214 APR_DRG — 5 5 — — $42,147.87 $42,147.87 $42,147.87 2026-01-25
6021 APR_DRG — 5 5 — — $42,039.63 $42,039.63 $42,039.63 2026-01-25
1831 APR_DRG — 5 5 — — $41,649.24 $41,649.24 $41,649.24 2026-01-25
7114 APR_DRG — 5 5 — — $41,643.16 $41,643.16 $41,643.16 2026-01-25
4014 APR_DRG — 5 5 — — $41,632.21 $41,632.21 $41,632.21 2026-01-25
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 7 — — $3,720,875.00 $4,596,375.00 $4,377,500.00 2026-01-25
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 7 — — $3,153,500.00 $3,895,500.00 $3,710,000.00 2026-01-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,132,476.67 $3,869,530.00 $3,685,266.67 2026-01-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $2,818,993.20 $3,490,800.50 $3,324,571.90 2026-01-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 7 — — $2,761,178.86 $3,424,422.75 $3,261,355.00 2026-01-25
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $2,503,879.00 $3,098,221.00 $2,950,686.67 2026-01-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 7 — — $2,084,298.26 $2,574,721.38 $2,452,115.60 2026-01-25
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $1,982,200.00 $2,448,600.00 $2,332,000.00 2026-01-25
Q2057 HCPCS Afamitresgene Autoleucel 12 7 — — $655,027.00 $809,151.00 $770,620.00 2026-01-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 7 — — $491,575.89 $825,810.81 $592,782.70 2026-01-25
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $460,071.38 $771,336.15 $554,791.96 2026-01-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $373,592.42 $392,272.04 $373,592.42 2026-01-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 — — $241,093.80 $293,031.45 $279,077.57 2026-01-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 7 — — $229,818.75 $283,893.75 $270,375.00 2026-01-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 7 — — $235,055.80 $379,456.00 $246,808.59 2026-01-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 7 — — $212,367.09 $463,076.00 $222,985.44 2026-01-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 7 — — $140,062.66 $401,358.00 $147,065.79 2026-01-25
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $129,880.87 $227,138.00 $136,374.91 2026-01-25
7 MS_DRG Lung Transplant 7 7 — — $129,554.08 $136,031.78 $129,554.08 2026-01-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 7 — — $109,262.78 $267,882.00 $114,725.92 2026-01-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 7 — — $108,017.04 $126,518.00 $113,417.89 2026-01-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 — — $105,595.86 $355,748.00 $110,875.65 2026-01-25
215 MS_DRG Other Heart Assist System Implant 10 7 — — $105,055.19 $169,263.00 $110,307.95 2026-01-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $103,209.30 $114,677.00 $103,872.82 2026-01-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $95,710.15 $191,830.00 $100,495.66 2026-01-25
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $91,360.95 $138,591.00 $95,929.00 2026-01-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 7 — — $84,052.88 $139,380.00 $88,255.52 2026-01-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $84,006.33 $136,188.00 $88,206.65 2026-01-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 — — $82,732.87 $114,677.00 $86,869.51 2026-01-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 7 — — $79,965.11 $243,325.00 $83,963.37 2026-01-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 7 — — $77,541.95 $126,315.00 $81,419.05 2026-01-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $76,760.64 $126,518.00 $80,598.67 2026-01-25
10 MS_DRG Pancreas Transplant 7 7 — — $79,092.69 $83,047.32 $79,092.69 2026-01-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $78,640.14 $82,572.15 $78,640.14 2026-01-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 — — $74,054.28 $151,542.00 $77,756.99 2026-01-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $70,474.51 $114,677.00 $73,998.24 2026-01-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 7 — — $70,120.98 $158,762.00 $73,627.03 2026-01-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 7 — — $69,026.75 $181,229.00 $72,478.09 2026-01-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $67,757.25 $223,065.00 $71,145.11 2026-01-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 7 — — $66,533.29 $83,580.00 $69,859.95 2026-01-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 7 — — $66,165.91 $110,399.00 $69,474.21 2026-01-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 — — $64,181.44 $183,759.00 $67,390.51 2026-01-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $64,089.34 $191,830.00 $67,293.81 2026-01-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 7 — — $66,277.81 $69,591.70 $66,277.81 2026-01-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 7 — — $62,766.36 $98,293.00 $65,904.68 2026-01-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 7 — — $61,480.02 $102,185.00 $64,554.02 2026-01-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 7 — — $60,631.38 $139,380.00 $63,662.95 2026-01-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 7 — — $53,840.94 $78,935.54 $63,499.33 2026-01-25
28 MS_DRG Spinal Procedures With Mcc 10 7 — — $60,342.22 $85,354.00 $63,359.33 2026-01-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 — — $59,910.47 $227,138.00 $62,905.99 2026-01-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $59,910.47 $227,138.00 $62,905.99 2026-01-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 7 — — $59,463.87 $91,641.00 $62,437.06 2026-01-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $59,052.91 $191,830.00 $62,005.56 2026-01-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 7 — — $59,008.35 $269,810.00 $61,958.77 2026-01-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 7 — — $61,400.80 $64,470.84 $61,400.80 2026-01-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 7 — — $58,408.25 $96,428.00 $61,328.66 2026-01-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $54,357.30 $64,177.63 $61,121.55 2026-01-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 7 — — $59,205.60 $65,784.00 $60,908.65 2026-01-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 7 — — $57,795.29 $75,904.00 $60,685.05 2026-01-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $56,974.37 $136,188.00 $59,823.09 2026-01-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $56,634.71 $104,032.00 $59,466.45 2026-01-25
834 MS_DRG Acute Leukemia With Mcc 10 7 — — $54,874.04 $138,591.00 $57,617.74 2026-01-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 7 — — $54,874.04 $243,325.00 $57,617.74 2026-01-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $54,644.30 $114,677.00 $57,376.52 2026-01-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 — — $54,311.57 $114,677.00 $57,027.15 2026-01-25
A9543 HCPCS Y90 Ibritumomab, Rx 9 7 — — $48,300.87 $59,665.78 $56,824.55 2026-01-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 7 — — $54,020.44 $691,295.00 $56,721.46 2026-01-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 7 — — $53,897.64 $92,677.00 $56,592.52 2026-01-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 — — $53,623.34 $100,320.00 $56,304.51 2026-01-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 7 — — $53,572.84 $82,460.00 $56,251.48 2026-01-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 7 — — $52,823.22 $110,870.00 $55,464.38 2026-01-25
653 MS_DRG Major Bladder Procedures With Mcc 10 7 — — $40,892.40 $58,109.55 $55,342.43 2026-01-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $52,590.51 $126,518.00 $55,220.04 2026-01-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $53,473.50 $59,415.00 $53,566.90 2026-01-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 7 — — $50,969.46 $110,399.00 $53,517.93 2026-01-25
0266T HCPCS Implt/rpl Crtd Sns Dev Total 9 7 — — $45,342.05 $56,010.77 $53,343.59 2026-01-25
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 7 — — $562.72 $56,010.77 $53,343.59 2026-01-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 7 — — $50,434.72 $125,627.00 $52,956.46 2026-01-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 7 — — $50,017.83 $80,159.00 $52,518.72 2026-01-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $49,685.10 $71,336.00 $52,169.36 2026-01-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 7 — — $49,665.30 $152,815.00 $52,148.57 2026-01-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 7 — — $49,487.05 $111,775.00 $51,961.40 2026-01-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 — — $49,723.72 $57,510.00 $51,759.00 2026-01-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 7 — — $51,138.80 $53,695.74 $51,138.80 2026-01-25
245 MS_DRG Aicd Generator Procedures 10 7 — — $48,531.45 $76,692.00 $50,958.02 2026-01-25
471 MS_DRG Cervical Spinal Fusion With Mcc 10 7 — — $48,239.33 $61,421.00 $50,651.30 2026-01-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 7 — — $50,509.80 $56,122.00 $50,589.20 2026-01-25
6 MS_DRG Liver Transplant Without Mcc 10 7 — — $48,159.12 $355,748.00 $50,567.08 2026-01-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $47,429.30 $72,858.00 $49,800.77 2026-01-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $47,215.41 $75,894.00 $49,576.18 2026-01-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 7 — — $46,728.20 $79,809.00 $49,064.61 2026-01-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 — — $46,478.66 $91,789.00 $48,802.59 2026-01-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 7 — — $46,205.35 $102,185.00 $48,515.62 2026-01-25
163 MS_DRG Major Chest Procedures With Mcc 10 7 — — $45,782.51 $62,941.00 $48,071.64 2026-01-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 — — $45,763.69 $153,497.00 $48,051.87 2026-01-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $45,618.13 $126,518.00 $47,899.04 2026-01-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 7 — — $45,611.19 $79,923.00 $47,891.75 2026-01-25
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $39,039.30 $49,585.54 $47,224.32 2026-01-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 7 — — $44,426.85 $88,386.00 $46,648.19 2026-01-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 — — $43,639.60 $131,112.00 $45,821.58 2026-01-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 7 — — $42,987.02 $61,124.00 $45,136.37 2026-01-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $42,898.89 $136,188.00 $45,043.83 2026-01-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 — — $33,838.20 $47,056.82 $44,816.02 2026-01-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 7 — — $36,334.80 $46,777.12 $44,549.64 2026-01-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 7 — — $42,380.98 $62,522.00 $44,500.03 2026-01-25
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 — — $42,019.54 $60,863.00 $44,120.52 2026-01-25
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $25,075.80 $46,213.57 $44,012.92 2026-01-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 7 — — $41,637.30 $53,390.00 $43,719.17 2026-01-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 7 — — $41,627.40 $54,550.00 $43,708.77 2026-01-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 7 — — $41,341.22 $95,273.00 $43,408.28 2026-01-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 7 — — $40,859.95 $89,654.00 $42,902.95 2026-01-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 — — $40,837.18 $151,542.00 $42,879.04 2026-01-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 7 — — $40,776.77 $82,460.00 $42,815.61 2026-01-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $40,576.74 $78,647.00 $42,605.58 2026-01-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 — — $40,417.31 $96,042.00 $42,438.18 2026-01-25
791 MS_DRG Prematurity With Major Problems 10 7 — — $40,343.04 $61,079.00 $42,360.19 2026-01-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 7 — — $36,141.30 $44,434.53 $42,318.60 2026-01-25
Q2056 HCPCS Ciltacabtagene Car-pos T 13 8 — — $470,372.01 $804,924.78 $581,047.77 2026-01-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 8 — — $460,390.31 $754,069.52 $549,932.07 2026-01-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 8 — — $453,115.01 $714,695.04 $543,822.40 2026-01-25
Q2053 HCPCS Brexucabtagene Car Pos T 13 8 — — $415,908.92 $712,555.20 $514,206.00 2026-01-25
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $99.22 $73,612.68 $70,107.32 2026-01-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 8 — — $46,981.47 $81,083.29 $58,743.27 2026-01-25
J9226 HCPCS Supprelin La Implant 14 8 — — $38,267.55 $56,350.94 $46,699.40 2026-01-25
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