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

STRAUB CLINIC AND HOSPITAL

Honolulu, HI · CCN 120022 · Rates published

28,599 distinct procedures filed
30 distinct payers
621,927 rate rows
2026-02-12 last MRF observed
Data quality

570,786 of 621,927 rate rows are consumer-grade (91.8%)

51,141 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 41,616
per-diem day rate — not a per-procedure price 7,424
template filing: same amount across many unrelated codes — excluded 878
exceeds 10× this hospital's gross charge — excluded from medians 752
placeholder amount (≤ $0.02) — excluded from medians 286
percent-of-charges filed in the dollar field — excluded from medians 185
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hph.pt.panaceainc.com/MRFDownload/hph/straub/912151670_Straub-Benioff-Medical-Center_standardcharges.csv
Found on page https://www.hawaiipacifichealth.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a3833461a02663c4… · 318,278,509 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $3,378,750.00 $4,596,375.00 $4,485,025.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $2,763,950.00 $4,422,320.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 6 $3,635,800.00 $4,452,000.00 $3,672,900.00 nat. median
$3,746,358
1.0× median
0773
OTHER 		Inj, Beqvez, Per Tx Dose 6 $3,635,800.00 $4,452,000.00 $3,672,900.00 nat. median
$3,635,800
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,487,346.94 $3,979,755.11 $3,324,571.90 nat. median
$3,325,455
1.0× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 6 $3,255,345.87 $3,986,137.81 $3,288,563.69 nat. median
$3,316,463
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $2,436,334.29 $3,898,134.86 $3,261,355.00 nat. median
$3,286,000
1.0× median
0748
OTHER 		Inj, Lovotibeglogene Autotem 6 $3,129,140.00 $3,831,600.00 $3,161,070.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,209,305.00 $3,534,888.00 $2,950,686.67 nat. median
$3,004,655
1.0× median
0746
OTHER 		Inj, Betibeglogene Autotemce 6 $2,908,640.00 $3,561,600.00 $2,938,320.00 nat. median
$2,945,740
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $1,841,332.96 $2,946,132.73 $2,455,110.61 nat. median
$2,468,984
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 6 $2,355,389.57 $2,884,150.50 $2,379,424.16 nat. median
$2,588,981
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $1,749,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $577,965.00 $924,744.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisageniecleucel,</=600mill T-cell Per Therdose 17 $443,794.65 $1,487,500.00 $599,483.51 nat. median
$753,246
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel</=200millcar+,per Therdose 17 $399,922.63 $1,724,650.00 $595,105.70 nat. median
$634,303
0.9× median
Q2054
HCPCS 		Inj,lisocabtagene Mara Car-pos T Pertheradose 17 $421,903.64 $1,724,650.00 $595,105.70 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Inj,idecabtagene Vicleucel Car Per Thera Dose 17 $417,988.45 $1,724,650.00 $595,105.70 nat. median
$625,184
1.0× median
Q2053
HCPCS 		Brexucabtragn Autoleucl</=200millcar+,per Therdose 17 $366,978.46 $1,724,650.00 $591,135.61 nat. median
$619,808
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $424,401.71 $804,924.78 $565,868.95 nat. median
$674,867
0.8× median
9194
OTHER 		Tisagenlecleucel Car-pos T 6 $554,311.36 $678,748.60 $559,967.60 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 6 $540,291.97 $661,582.00 $545,805.16 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Car 6 $517,746.18 $633,974.91 $523,029.31 nat. median
$558,082
0.9× median
9413
OTHER 		Lisocabtagene Car Pos T 6 $506,156.25 $619,783.16 $511,321.11 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 6 $479,726.81 $587,420.58 $484,621.98 nat. median
$532,192
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 6 $478,290.48 $585,661.81 $483,170.99 nat. median
$489,450
1.0× median
5834
APR_DRG 		Neonate W Ecmo 6 $430,276.57 $430,277.00 $430,276.79 nat. median
$309,665
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $365,818.77 $1,043,347.20 $408,992.10 nat. median
$370,174
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $362,673.00 $362,673.09 $362,673.05 nat. median
$164,289
outlier · 2.2×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $361,202.85 $361,203.00 $361,202.92 nat. median
$246,434
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $312,620.00 $312,620.08 $312,620.04 nat. median
$151,838
outlier · 2.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $286,065.00 $286,065.07 $286,065.04 nat. median
$162,982
1.8× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $285,887.53 $285,888.00 $285,887.77 nat. median
$102,919
outlier · 2.8×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $208,687.50 $333,900.00 $278,250.00 nat. median
$324,450
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $265,577.49 $677,493.59 $273,325.44 nat. median
$265,286
1.0× median
5833
APR_DRG 		Neonate W Ecmo 6 $262,143.55 $262,144.00 $262,143.77 nat. median
$244,017
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $193,125.00 $309,000.00 $257,500.00 nat. median
$265,000
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $253,040.99 $253,041.00 $253,040.99 nat. median
$118,620
outlier · 2.1×
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $251,032.58 $251,033.00 $251,032.79 nat. median
$81,294
outlier · 3.1×
5832
APR_DRG 		Neonate W Ecmo 6 $248,994.58 $248,995.00 $248,994.79 nat. median
$156,126
1.6× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 $236,929.00 $236,929.33 $236,929.16 nat. median
$93,370
outlier · 2.5×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $234,355.00 $234,355.02 $234,355.01 nat. median
$150,721
1.6× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $231,691.94 $231,692.00 $231,691.97 nat. median
$182,665
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $68,309.43 $516,433.92 $230,245.22 nat. median
$206,474
1.1× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $229,217.00 $229,218.00 $229,217.49 nat. median
$108,996
outlier · 2.1×
5892
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 $225,646.00 $225,646.37 $225,646.18 nat. median
$89,796
outlier · 2.5×
5893
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 $214,901.57 $214,902.00 $214,901.79 nat. median
$69,788
outlier · 3.1×
1614
APR_DRG 		Implantable Heart Assist Systems 6 $6,855.93 $246,779.16 $214,591.00 nat. median
$207,730
1.0× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 $209,969.00 $209,969.31 $209,969.15 nat. median
$109,499
1.9× median

Other procedures at this hospital

Browse this hospital's 28,599 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 8 — — $3,378,750.00 $4,596,375.00 $4,485,025.00 2026-02-12
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 5 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2026-02-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 8 — — $2,763,950.00 $4,422,320.00 $3,685,266.67 2026-02-12
0773 OTHER Inj, Beqvez, Per Tx Dose 8 6 — — $3,635,800.00 $4,452,000.00 $3,672,900.00 2026-02-12
9138 OTHER Inj, Hemgenix, Per Tx Dose 8 6 — — $3,635,800.00 $4,452,000.00 $3,672,900.00 2026-02-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 8 — — $2,487,346.94 $3,979,755.11 $3,324,571.90 2026-02-12
0714 OTHER Inj Delandistrogene Mox Rokl 8 6 — — $3,255,345.87 $3,986,137.81 $3,288,563.69 2026-02-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 13 8 — — $2,436,334.29 $3,898,134.86 $3,261,355.00 2026-02-12
0748 OTHER Inj, Lovotibeglogene Autotem 8 6 — — $3,129,140.00 $3,831,600.00 $3,161,070.00 2026-02-12
J3393 HCPCS Inj, Betibeglogene Autotemce 13 8 — — $2,209,305.00 $3,534,888.00 $2,950,686.67 2026-02-12
0746 OTHER Inj, Betibeglogene Autotemce 8 6 — — $2,908,640.00 $3,561,600.00 $2,938,320.00 2026-02-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 8 — — $1,841,332.96 $2,946,132.73 $2,455,110.61 2026-02-12
9141 OTHER Inj Onase Abepar-xioi Treat 8 6 — — $2,355,389.57 $2,884,150.50 $2,379,424.16 2026-02-12
J3392 HCPCS Inj, Exagamglogene Autotem 13 8 — — $1,749,000.00 $2,798,400.00 $2,332,000.00 2026-02-12
Q2057 HCPCS Afamitresgene Autoleucel 18 9 — — $577,965.00 $924,744.00 $770,620.00 2026-02-12
Q2042 HCPCS Tisageniecleucel,</=600mill T-cell Per Therdose 30 17 $1,750,000.00 $1,050,000.00 40% off $443,794.65 $1,487,500.00 $599,483.51 2026-02-12
Q2055 HCPCS Inj,idecabtagene Vicleucel Car Per Thera Dose 30 17 $2,029,000.00 $1,217,400.00 40% off $417,988.45 $1,724,650.00 $595,105.70 2026-02-12
Q2041 HCPCS Axicabtagene Ciloleucel</=200millcar+,per Therdose 30 17 $2,029,000.00 $1,217,400.00 40% off $399,922.63 $1,724,650.00 $595,105.70 2026-02-12
Q2054 HCPCS Inj,lisocabtagene Mara Car-pos T Pertheradose 30 17 $2,029,000.00 $1,217,400.00 40% off $421,903.64 $1,724,650.00 $595,105.70 2026-02-12
Q2053 HCPCS Brexucabtragn Autoleucl</=200millcar+,per Therdose 30 17 $2,029,000.00 $1,217,400.00 40% off $366,978.46 $1,724,650.00 $591,135.61 2026-02-12
Q2056 HCPCS Ciltacabtagene Car-pos T 18 9 — — $424,401.71 $804,924.78 $565,868.95 2026-02-12
9194 OTHER Tisagenlecleucel Car-pos T 8 6 — — $554,311.36 $678,748.60 $559,967.60 2026-02-12
9498 OTHER Ciltacabtagene Car-pos T 8 6 — — $540,291.97 $661,582.00 $545,805.16 2026-02-12
9422 OTHER Idecabtagene Vicleucel Car 8 6 — — $517,746.18 $633,974.91 $523,029.31 2026-02-12
9413 OTHER Lisocabtagene Car Pos T 8 6 — — $506,156.25 $619,783.16 $511,321.11 2026-02-12
9035 OTHER Axicabtagene Ciloleucel Car+ 8 6 — — $479,726.81 $587,420.58 $484,621.98 2026-02-12
9391 OTHER Brexucabtagene Car Pos T 8 6 — — $478,290.48 $585,661.81 $483,170.99 2026-02-12
5834 APR_DRG Neonate W Ecmo 10 6 — — $430,276.57 $430,277.00 $430,276.79 2026-02-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $365,818.77 $1,043,347.20 $408,992.10 2026-02-12
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $362,673.00 $362,673.09 $362,673.05 2026-02-12
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $361,202.85 $361,203.00 $361,202.92 2026-02-12
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $312,620.00 $312,620.08 $312,620.04 2026-02-12
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $286,065.00 $286,065.07 $286,065.04 2026-02-12
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $285,887.53 $285,888.00 $285,887.77 2026-02-12
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 8 — — $208,687.50 $333,900.00 $278,250.00 2026-02-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $265,577.49 $677,493.59 $273,325.44 2026-02-12
5833 APR_DRG Neonate W Ecmo 10 6 — — $262,143.55 $262,144.00 $262,143.77 2026-02-12
J3403 HCPCS Revakinagene, Per Implant 7 5 — — $193,125.00 $309,000.00 $257,500.00 2026-02-12
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $253,040.99 $253,041.00 $253,040.99 2026-02-12
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 10 6 — — $251,032.58 $251,033.00 $251,032.79 2026-02-12
5832 APR_DRG Neonate W Ecmo 10 6 — — $248,994.58 $248,995.00 $248,994.79 2026-02-12
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 10 6 — — $236,929.00 $236,929.33 $236,929.16 2026-02-12
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $234,355.00 $234,355.02 $234,355.01 2026-02-12
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $231,691.94 $231,692.00 $231,691.97 2026-02-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $68,309.43 $516,433.92 $230,245.22 2026-02-12
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $229,217.00 $229,218.00 $229,217.49 2026-02-12
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 10 6 — — $225,646.00 $225,646.37 $225,646.18 2026-02-12
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 10 6 — — $214,901.57 $214,902.00 $214,901.79 2026-02-12
1614 APR_DRG Implantable Heart Assist Systems 22 6 — — $6,855.93 $246,779.16 $214,591.00 2026-02-12
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $209,969.00 $209,969.31 $209,969.15 2026-02-12
24 APR_DRG Heart &/or Lung Transplant 14 4 — — $194,969.00 $224,215.00 $209,592.14 2026-02-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $201,256.66 $542,937.00 $208,041.78 2026-02-12
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 8 — — $154,230.00 $246,768.00 $205,640.00 2026-02-12
74 APR_DRG Allogeneic Bone Marrow Transplant 14 4 — — $190,699.00 $219,304.07 $205,001.60 2026-02-12
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $203,618.60 $203,619.00 $203,618.80 2026-02-12
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 10 6 — — $197,643.00 $197,643.31 $197,643.15 2026-02-12
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $196,990.00 $196,991.00 $196,990.48 2026-02-12
0024 APR_DRG — 8 2 — — $6,564.63 $224,215.00 $194,969.43 2026-02-12
0074 APR_DRG — 8 2 — — $4,404.14 $219,304.07 $190,699.19 2026-02-12
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $183,915.00 $183,916.00 $183,915.48 2026-02-12
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $181,633.00 $181,633.37 $181,633.18 2026-02-12
1613 OTHER Trastuzumab Injection 22 7 — — $75.51 $197,136.28 $171,422.93 2026-02-12
1613 APR_DRG Implantable Heart Assist Systems 30 9 — — $75.51 $197,136.28 $171,422.86 2026-02-12
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $163,278.00 $163,278.44 $163,278.22 2026-02-12
14 APR_DRG Liver Transplant &/or Intestinal Transplant 14 4 — — $151,160.99 $173,835.14 $162,498.00 2026-02-12
5831 APR_DRG Neonate W Ecmo 10 6 — — $157,684.00 $157,684.11 $157,684.05 2026-02-12
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $156,069.62 $156,070.00 $156,069.81 2026-02-12
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 10 6 — — $152,075.00 $152,075.00 $152,075.00 2026-02-12
0014 APR_DRG — 8 2 — — $6,405.13 $173,835.14 $151,160.99 2026-02-12
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 8 6 — — $149,450.49 $183,000.60 $150,975.49 2026-02-12
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 8 6 — — $149,450.49 $183,000.60 $150,975.49 2026-02-12
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 6 — — $5,093.93 $173,397.44 $150,780.38 2026-02-12
23 APR_DRG Heart &/or Lung Transplant 14 4 — — $136,972.00 $157,518.03 $147,245.10 2026-02-12
64 APR_DRG Pancreas Transplant 14 4 — — $136,422.00 $156,885.49 $146,653.58 2026-02-12
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 4 — — $134,298.00 $154,443.14 $144,370.69 2026-02-12
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 14 4 — — $132,009.94 $151,811.43 $141,910.50 2026-02-12
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $141,886.85 $141,887.00 $141,886.92 2026-02-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 12 — — $131,494.96 $470,575.00 $137,283.83 2026-02-12
0023 APR_DRG — 8 2 — — $7,209.07 $157,518.03 $136,972.20 2026-02-12
0064 APR_DRG — 8 2 — — $8,218.21 $156,886.00 $136,422.16 2026-02-12
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 8 6 — — $134,750.49 $165,000.60 $136,125.49 2026-02-12
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 8 6 — — $134,750.49 $165,000.60 $136,125.49 2026-02-12
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $134,846.00 $134,846.33 $134,846.16 2026-02-12
0094 APR_DRG — 8 2 — — $10,022.27 $154,443.14 $134,298.38 2026-02-12
73 APR_DRG Allogeneic Bone Marrow Transplant 14 4 — — $124,527.77 $143,207.00 $133,867.47 2026-02-12
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $132,719.56 $132,720.00 $132,719.78 2026-02-12
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $132,512.00 $132,512.43 $132,512.21 2026-02-12
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $132,480.99 $132,481.00 $132,480.99 2026-02-12
0044 APR_DRG — 8 2 — — $4,286.04 $151,811.43 $132,009.94 2026-02-12
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 10 6 — — $129,377.76 $129,378.00 $129,377.88 2026-02-12
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $114,148.67 $291,195.58 $127,319.80 2026-02-12
7 MS_DRG Lung Transplant 15 12 — — $122,968.93 $313,696.25 $127,000.01 2026-02-12
0073 APR_DRG — 8 2 — — $4,069.54 $143,207.00 $124,527.77 2026-02-12
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 6 — — $124,526.88 $124,527.00 $124,526.94 2026-02-12
1612 APR_DRG Implantable Heart Assist Systems 22 6 — — $8,927.55 $140,653.45 $122,307.35 2026-02-12
209 MS_DRG Complex Aortic Arch Procedures 8 6 — — $107,534.66 $274,323.10 $108,631.95 2026-02-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $107,142.70 $314,081.00 $108,471.60 2026-02-12
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $107,693.97 $107,694.00 $107,693.99 2026-02-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $94,651.00 $263,590.46 $105,923.60 2026-02-12
22 APR_DRG Heart &/or Lung Transplant 14 4 — — $97,972.00 $112,668.00 $105,320.02 2026-02-12
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 18 9 — — $15,697.71 $105,118.00 $105,117.81 2026-02-12
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 6 — — $104,747.94 $104,748.00 $104,747.97 2026-02-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $101,868.02 $267,140.65 $104,719.14 2026-02-12
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 6 — — $103,767.78 $103,768.00 $103,767.89 2026-02-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $97,995.38 $417,099.00 $103,554.21 2026-02-12
215 MS_DRG Other Heart Assist System Implant 18 12 — — $93,002.94 $241,456.64 $103,025.10 2026-02-12
63 APR_DRG Pancreas Transplant 14 4 — — $95,360.00 $109,664.38 $102,512.17 2026-02-12
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $101,883.00 $101,883.28 $101,883.14 2026-02-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 2 — — $101,007.50 $101,007.50 $101,007.50 2026-02-12
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 14 4 — — $92,346.00 $106,198.44 $99,272.24 2026-02-12
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 4 — — $92,082.78 $105,895.20 $98,989.00 2026-02-12
13 APR_DRG Liver Transplant &/or Intestinal Transplant 14 4 — — $91,310.82 $105,007.45 $98,159.00 2026-02-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 6 — — $6,047.96 $112,673.42 $97,977.00 2026-02-12
0022 APR_DRG — 8 2 — — $7,366.33 $112,668.00 $97,972.11 2026-02-12
1611 APR_DRG Implantable Heart Assist Systems 22 6 — — $9,112.12 $112,125.00 $97,500.00 2026-02-12
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 10 6 — — $97,283.91 $97,284.00 $97,283.96 2026-02-12
0063 APR_DRG — 8 2 — — $11,088.41 $109,664.38 $95,360.33 2026-02-12
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $95,153.00 $95,153.44 $95,153.22 2026-02-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $62,657.57 $237,252.40 $94,390.45 2026-02-12
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 8 6 — — $93,100.49 $114,000.60 $94,050.49 2026-02-12
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 8 6 — — $93,100.49 $114,000.60 $94,050.49 2026-02-12
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $93,862.59 $93,863.00 $93,862.79 2026-02-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 2 — — $93,216.70 $93,216.70 $93,216.70 2026-02-12
72 APR_DRG Allogeneic Bone Marrow Transplant 14 4 — — $85,971.53 $98,867.26 $92,419.50 2026-02-12
0043 APR_DRG — 8 2 — — $4,068.13 $106,198.44 $92,346.47 2026-02-12
0084 APR_DRG — 8 2 — — $3,582.99 $105,895.20 $92,082.78 2026-02-12
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 22 6 — — $7,789.78 $105,707.22 $91,919.32 2026-02-12
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $91,817.00 $91,817.19 $91,817.10 2026-02-12
0013 APR_DRG — 8 2 — — $8,454.71 $105,007.45 $91,310.82 2026-02-12
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 14 4 — — $84,418.00 $97,081.00 $90,749.43 2026-02-12
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 22 6 — — $5,356.70 $104,107.34 $90,528.12 2026-02-12
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $47,173.16 $210,142.03 $89,623.76 2026-02-12
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $89,568.00 $89,568.36 $89,568.18 2026-02-12
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 6 — — $89,414.87 $89,415.00 $89,414.93 2026-02-12
4404 APR_DRG Kidney Transplant 22 6 — — $7,011.55 $100,791.00 $87,644.31 2026-02-12
62 APR_DRG Pancreas Transplant 14 4 — — $80,487.87 $92,561.05 $86,524.50 2026-02-12
21 APR_DRG Heart &/or Lung Transplant 14 4 — — $80,230.00 $92,265.00 $86,247.41 2026-02-12
0072 APR_DRG — 8 2 — — $4,113.47 $98,867.26 $85,971.53 2026-02-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $81,180.22 $218,591.54 $85,687.88 2026-02-12
0054 APR_DRG — 8 2 — — $3,445.64 $97,081.00 $84,418.07 2026-02-12
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 8 6 — — $83,300.49 $102,000.60 $84,150.49 2026-02-12
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 8 6 — — $83,300.49 $102,000.60 $84,150.49 2026-02-12
71 APR_DRG Allogeneic Bone Marrow Transplant 14 4 — — $77,321.00 $88,919.48 $83,120.14 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $57,807.04 $204,600.73 $82,471.99 2026-02-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $79,952.78 $203,961.16 $82,426.45 2026-02-12
12 APR_DRG Liver Transplant &/or Intestinal Transplant 14 4 — — $75,349.00 $86,651.38 $81,000.01 2026-02-12
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 10 6 — — $80,595.00 $80,595.25 $80,595.12 2026-02-12
0062 APR_DRG — 8 2 — — $11,336.32 $92,561.05 $80,487.87 2026-02-12
11 APR_DRG Liver Transplant &/or Intestinal Transplant 14 4 — — $74,835.98 $86,061.38 $80,448.50 2026-02-12
8634 APR_DRG Neonatal Aftercare 22 6 — — $2,362.34 $92,368.00 $80,320.00 2026-02-12
0021 APR_DRG — 8 2 — — $7,789.34 $92,265.00 $80,230.15 2026-02-12
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 6 — — $79,872.00 $79,872.15 $79,872.07 2026-02-12
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $78,764.00 $78,764.38 $78,764.19 2026-02-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $74,895.06 $285,289.00 $78,471.65 2026-02-12
8424 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 22 6 — — $3,705.32 $89,483.41 $77,812.00 2026-02-12
10 MS_DRG Pancreas Transplant 15 12 — — $68,337.81 $174,331.14 $77,617.90 2026-02-12
0071 APR_DRG — 8 2 — — $6,040.73 $88,920.00 $77,321.28 2026-02-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 12 — — $67,948.97 $173,339.21 $77,175.03 2026-02-12
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 10 6 — — $76,768.92 $76,769.00 $76,768.96 2026-02-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 22 6 — — $5,727.15 $88,255.38 $76,744.00 2026-02-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 12 — — $52,131.54 $185,662.33 $76,100.33 2026-02-12
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 14 4 — — $70,255.52 $80,794.00 $75,524.93 2026-02-12
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 4 — — $70,145.75 $80,668.00 $75,406.81 2026-02-12
0012 APR_DRG — 8 2 — — $9,188.91 $86,651.38 $75,349.03 2026-02-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $50,902.59 $186,461.18 $75,335.73 2026-02-12
1784 APR_DRG External Heart Assist Systems 22 6 — — $12,555.39 $86,632.17 $75,332.32 2026-02-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma 23 9 — — $931.26 $75,296.00 $75,295.81 2026-02-12
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $74,877.00 $74,877.02 $74,877.01 2026-02-12
0011 APR_DRG — 8 2 — — $10,112.97 $86,061.38 $74,835.98 2026-02-12
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 6 — — $74,801.00 $74,801.20 $74,801.10 2026-02-12
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 8 6 — — $73,500.49 $90,000.60 $74,250.49 2026-02-12
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 8 6 — — $73,500.49 $90,000.60 $74,250.49 2026-02-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $40,316.95 $185,051.72 $73,353.97 2026-02-12
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 6 — — $3,461.06 $83,983.00 $73,028.38 2026-02-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures 22 6 — — $7,495.54 $81,889.00 $71,208.00 2026-02-12
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 22 6 — — $10,055.43 $80,946.16 $70,388.00 2026-02-12
0042 APR_DRG — 8 2 — — $3,946.94 $80,794.00 $70,255.52 2026-02-12
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 22 6 — — $4,978.18 $80,721.13 $70,192.29 2026-02-12
0093 APR_DRG — 8 2 — — $12,753.78 $80,668.00 $70,145.75 2026-02-12
38240 HCPCS Transplt Allo Hct/donor 17 8 — — $263.86 $84,128.78 $70,107.32 2026-02-12
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 14 4 — — $64,985.00 $74,733.25 $69,859.21 2026-02-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $68,743.68 $175,366.52 $69,665.32 2026-02-12
5244 OTHER Level 4 Blood Product Exchange And Related Services 8 6 — — $68,705.17 $84,128.78 $69,406.24 2026-02-12
J7330 HCPCS Implant,autologous Cultured Chondrocytes 41 16 $121,329.00 $72,797.40 40% off $22,747.46 $103,129.65 $69,231.40 2026-02-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $57,277.24 $186,141.00 $69,066.61 2026-02-12
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 10 6 — — $68,949.81 $68,950.00 $68,949.90 2026-02-12
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 22 6 — — $5,889.61 $79,245.00 $68,908.47 2026-02-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 12 — — $30,921.48 $174,258.74 $68,309.43 2026-02-12
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 14 4 — — $63,099.00 $72,564.00 $67,831.51 2026-02-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $18,827.79 $212,483.00 $67,767.25 2026-02-12
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $67,475.87 $67,476.00 $67,475.93 2026-02-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 2 — — $67,452.66 $67,452.66 $67,452.66 2026-02-12
914 APR_DRG Other Major Head & Neck Procedures 14 4 — — $62,191.00 $71,520.00 $66,855.44 2026-02-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $36,051.10 $261,534.00 $66,524.90 2026-02-12
Q2043 HCPCS Sipuleucel-t IV Susp 50 000 000 Cells 31 18 $135,972.63 $81,583.58 40% off $41,454.24 $115,576.74 $66,326.78 2026-02-12
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 22 6 — — $5,730.28 $75,783.00 $65,898.18 2026-02-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $40,404.93 $167,143.87 $65,893.68 2026-02-12
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 4 — — $60,926.00 $70,065.34 $65,495.69 2026-02-12
1794 APR_DRG Defibrillator Implants 22 6 — — $5,942.69 $75,175.07 $65,370.00 2026-02-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $63,663.25 $162,406.25 $65,327.12 2026-02-12
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 23 9 — — $21.69 $65,234.14 $65,234.00 2026-02-12
0053 APR_DRG — 8 2 — — $3,298.75 $74,733.25 $64,985.43 2026-02-12
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 8 6 — — $63,700.49 $78,000.60 $64,350.49 2026-02-12
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 8 6 — — $63,700.49 $78,000.60 $64,350.49 2026-02-12
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 6 — — $63,926.94 $63,927.00 $63,926.97 2026-02-12
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 22 6 — — $5,501.70 $73,393.00 $63,820.00 2026-02-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 12 — — $23,206.23 $162,524.51 $63,709.61 2026-02-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $61,327.39 $215,449.00 $63,655.82 2026-02-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $62,657.57 $224,913.00 $63,435.88 2026-02-12
J9029 HCPCS Nadofaragene Firadenov-vncg Intraves Susp 300000000000 Vp/ml 34 19 $33,211.68 $19,927.01 40% off $19,481.97 $78,935.54 $63,342.28 2026-02-12
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 15 6 — — $5,353.20 $63,168.00 $63,167.75 2026-02-12
0041 APR_DRG — 8 2 — — $4,507.08 $72,564.00 $63,099.08 2026-02-12
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 10 6 — — $62,913.00 $62,914.00 $62,913.49 2026-02-12
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 30 9 — — $2,150.73 $72,246.00 $62,822.28 2026-02-12
1664 OTHER Florbetapir F18 22 7 — — $2,150.73 $72,246.00 $62,822.00 2026-02-12
0717 OTHER Instill Adstiladrin, Tx Dose 8 6 — — $62,134.00 $76,082.45 $62,768.02 2026-02-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $58,006.73 $224,913.00 $62,657.57 2026-02-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $33,292.34 $159,263.93 $62,431.46 2026-02-12
0914 APR_DRG — 8 2 — — $3,838.96 $71,520.00 $62,191.11 2026-02-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $25,402.07 $148,883.65 $61,640.76 2026-02-12
894 APR_DRG Major Cranial/facial Bone Procedures 14 4 — — $57,210.95 $65,793.00 $61,501.79 2026-02-12
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 15 6 — — $2,961.37 $61,300.31 $61,300.31 2026-02-12
0083 APR_DRG — 8 2 — — $3,108.49 $70,065.34 $60,926.38 2026-02-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $44,144.77 $146,115.41 $60,381.94 2026-02-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $57,807.04 $163,417.00 $60,146.96 2026-02-12
1694 APR_DRG Major Abdominal Vascular Procedures 30 9 — — $9.58 $68,979.00 $59,981.42 2026-02-12
1694 OTHER Ziconotide Injection 22 7 — — $9.58 $68,979.00 $59,981.00 2026-02-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $52,702.02 $134,443.93 $59,822.78 2026-02-12
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 22 6 — — $3,397.87 $68,773.00 $59,802.44 2026-02-12
4403 APR_DRG Kidney Transplant 22 6 — — $9,022.29 $68,479.18 $59,547.11 2026-02-12
00187001050 NDC Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10% 18 12 $99,175.06 $59,505.04 40% off $22,810.26 $84,298.80 $59,505.04 2026-02-12
61 APR_DRG Pancreas Transplant 14 4 — — $55,174.00 $63,450.40 $59,312.13 2026-02-12
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $57,293.33 $146,156.44 $59,268.47 2026-02-12
234 APR_DRG Spinal Procedures 14 4 — — $54,971.00 $63,217.14 $59,094.21 2026-02-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 — — $45,491.04 $149,055.00 $59,003.32 2026-02-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 12 — — $51,843.93 $266,310.00 $58,845.95 2026-02-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 12 — — $56,549.71 $266,310.00 $58,845.95 2026-02-12
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 14 4 — — $54,704.00 $62,910.00 $58,806.98 2026-02-12
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 22 6 — — $3,612.34 $67,298.00 $58,520.00 2026-02-12
214 APR_DRG Open Craniotomy Except Trauma 14 4 — — $54,055.00 $62,163.37 $58,109.05 2026-02-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 12 — — $38,851.48 $316,340.00 $57,963.13 2026-02-12
1783 APR_DRG External Heart Assist Systems 22 6 — — $11,804.03 $66,516.00 $57,840.00 2026-02-12
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 10 6 — — $57,711.00 $57,711.23 $57,711.12 2026-02-12
4414 APR_DRG Major Bladder Procedures 22 6 — — $3,458.23 $66,018.00 $57,407.00 2026-02-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $40,079.48 $142,784.84 $57,375.87 2026-02-12
204 APR_DRG Open Craniotomy For Trauma 7 4 — — $57,337.66 $57,338.00 $57,338.00 2026-02-12
0204 APR_DRG — 8 2 — — $5,513.24 $57,338.00 $57,337.66 2026-02-12
0894 APR_DRG — 8 2 — — $4,469.61 $65,793.00 $57,210.95 2026-02-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $55,972.65 $159,674.00 $56,978.90 2026-02-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $21,629.12 $142,693.13 $56,926.63 2026-02-12
A9543 HCPCS Y90 Ibritumomab, Rx 13 8 — — $42,618.41 $68,189.46 $56,824.55 2026-02-12
1204 APR_DRG Major Respiratory & Chest Procedures 22 6 — — $3,971.47 $64,854.07 $56,395.00 2026-02-12
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 10 6 — — $56,381.54 $56,382.00 $56,381.77 2026-02-12
C9293 HCPCS Glucarpidase For IV Inj 1000 Unit 17 12 $93,902.08 $56,341.25 40% off $21,597.48 $79,816.77 $56,341.25 2026-02-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 6 — — $6,948.19 $64,722.35 $56,280.30 2026-02-12
1643 OTHER Y90 Ibritumomab, Rx 8 6 — — $55,688.06 $68,189.46 $56,256.31 2026-02-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $54,663.24 $139,447.03 $55,709.53 2026-02-12
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 10 6 — — $55,590.00 $55,590.01 $55,590.01 2026-02-12
0061 APR_DRG — 8 2 — — $8,620.98 $63,450.40 $55,174.26 2026-02-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $53,366.80 $140,335.18 $55,011.39 2026-02-12
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 6 — — $54,441.85 $138,882.28 $54,997.38 2026-02-12
9273 OTHER Sipuleucel-t Auto Cd54+ 8 6 — — $54,425.77 $66,643.80 $54,981.13 2026-02-12
0234 APR_DRG — 8 2 — — $4,164.50 $63,217.14 $54,971.43 2026-02-12
0924 APR_DRG — 8 2 — — $4,175.89 $62,910.00 $54,704.17 2026-02-12
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 10 6 — — $54,567.00 $54,567.31 $54,567.15 2026-02-12
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 8 6 — — $53,900.49 $66,000.60 $54,450.49 2026-02-12
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 8 6 — — $53,900.49 $66,000.60 $54,450.49 2026-02-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $52,693.30 $138,703.69 $54,371.84 2026-02-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $53,638.64 $136,833.26 $54,212.86 2026-02-12
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 14 4 — — $50,427.96 $57,992.16 $54,210.00 2026-02-12
0214 APR_DRG — 8 2 — — $4,542.45 $62,163.37 $54,055.10 2026-02-12
834 MS_DRG Acute Leukemia With Mcc 18 12 — — $20,183.52 $162,493.00 $53,917.24 2026-02-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $50,533.62 $285,289.00 $53,917.24 2026-02-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $53,081.90 $810,514.00 $53,808.78 2026-02-12
274 APR_DRG Other Open Craniotomy 14 4 — — $49,852.87 $57,331.00 $53,591.90 2026-02-12
0266T HCPCS Implt/rpl Crtd Sns Dev Total 10 5 — — $53,343.59 $64,012.31 $53,343.59 2026-02-12
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 6 — — $562.72 $64,012.31 $53,343.59 2026-02-12
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 22 6 — — $3,808.92 $61,324.00 $53,325.00 2026-02-12
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $26,933.77 $126,561.58 $53,272.00 2026-02-12
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 22 6 — — $3,497.78 $61,141.14 $53,166.21 2026-02-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $52,205.33 $133,176.87 $53,116.24 2026-02-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $34,569.54 $135,486.55 $53,110.73 2026-02-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 — — $51,910.29 $132,988.62 $53,071.97 2026-02-12
6364 APR_DRG Neonate Birthwt >2499g W Congenital/perinatal Infection 10 6 — — $53,006.00 $53,006.45 $53,006.22 2026-02-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 — — $52,050.18 $132,781.06 $52,878.15 2026-02-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $25,527.90 $119,437.05 $52,638.06 2026-02-12
6233 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 10 6 — — $52,366.57 $52,367.00 $52,366.79 2026-02-12
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 6 — — $52,327.74 $52,328.00 $52,327.87 2026-02-12
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 22 6 — — $11,083.74 $59,908.00 $52,094.00 2026-02-12
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 4 — — $48,343.55 $55,595.08 $51,969.50 2026-02-12
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 22 6 — — $3,129.40 $59,740.22 $51,948.02 2026-02-12
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 22 6 — — $4,936.64 $59,610.00 $51,835.00 2026-02-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $48,134.37 $146,273.00 $51,811.98 2026-02-12
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 22 6 — — $6,062.26 $59,259.00 $51,529.23 2026-02-12
6954 APR_DRG Chemotherapy For Acute Leukemia 22 6 — — $2,757.31 $58,662.00 $51,010.21 2026-02-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 12 — — $50,261.89 $129,776.31 $50,872.31 2026-02-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures 22 6 — — $11,558.80 $58,488.00 $50,859.00 2026-02-12
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 14 4 — — $47,225.58 $54,309.42 $50,767.50 2026-02-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $34,095.56 $129,438.00 $50,733.07 2026-02-12
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 22 6 — — $3,345.13 $58,088.20 $50,511.48 2026-02-12
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