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

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You selected 807 (MS_DRG)

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

This hospital’s price: $6,758 across 6 payers · range $6,529-$21,339

Source: https://hph.pt.panaceainc.com/MRFDownload/hph/straub/912151670_Straub-Benioff-Medical-Center_standardcharges.csv · observed 2026-02-12

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.

8,245 distinct procedures filed
27 distinct payers
110,438 rate rows
2026-02-12 last MRF observed
Data quality

94,319 of 110,438 rate rows are consumer-grade (85.4%)

16,119 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 7,679
per-diem day rate — not a per-procedure price 7,322
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 772
placeholder amount (≤ $0.02) — excluded from medians 137
template filing: same amount across many unrelated codes — excluded 135
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 74
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 · 2026-08-18
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 7 $4,377,500.00 $4,596,375.00 $4,505,000.00 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 7 $3,685,266.67 $4,422,320.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,979,755.11 $3,324,571.90 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $3,898,134.86 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $3,534,888.00 $2,950,686.67 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,452,115.60 $2,946,132.73 $2,455,110.61 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $577,965.00 $924,744.00 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $424,401.71 $804,924.78 $565,868.95 nat. median
$631,793
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $365,818.77 $1,043,347.20 $369,476.96 nat. median
$370,165
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $333,900.00 $278,250.00 nat. median
$302,242
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $265,577.49 $677,493.59 $276,058.70 nat. median
$261,939
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $257,500.00 $309,000.00 $257,500.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $68,309.43 $516,433.91 $232,547.67 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $201,256.66 $542,937.00 $210,122.20 nat. median
$199,832
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $154,230.00 $246,768.00 $205,640.00 nat. median
$209,736
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $131,494.96 $470,575.00 $138,656.67 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $114,148.67 $291,195.58 $128,593.00 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 6 $122,968.93 $313,696.24 $127,000.01 nat. median
$122,690
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $107,142.70 $314,081.00 $108,471.60 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $94,651.00 $263,590.45 $106,982.84 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $97,995.38 $417,099.00 $104,589.75 nat. median
$99,646
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $101,868.02 $267,140.65 $104,312.26 nat. median
$96,835
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 6 $93,002.94 $241,456.63 $104,055.35 nat. median
$98,002
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $101,007.50 $101,007.50 $101,007.50 nat. median
$111,503
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $62,657.57 $237,252.39 $94,818.74 nat. median
$92,900
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $93,216.70 $93,216.70 $93,216.70 nat. median
$97,404
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $47,173.16 $210,142.02 $90,520.00 nat. median
$81,364
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $81,180.22 $218,591.54 $84,021.52 nat. median
$81,124
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $57,807.04 $204,600.72 $83,296.71 nat. median
$79,040
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $79,952.78 $203,961.16 $83,250.71 nat. median
$80,459
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $74,895.06 $285,289.00 $79,256.36 nat. median
$77,385
1.0× median
10
MS_DRG 		Pancreas Transplant 6 $68,337.81 $174,331.14 $77,617.90 nat. median
$67,750
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $67,948.97 $173,339.21 $77,175.03 nat. median
$69,153
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $52,131.54 $185,662.32 $76,861.33 nat. median
$73,475
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $50,902.59 $186,461.18 $76,089.08 nat. median
$74,472
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $40,316.95 $185,051.72 $73,414.12 nat. median
$71,485
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $68,743.68 $175,366.51 $69,875.88 nat. median
$66,640
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $57,277.24 $186,141.00 $69,526.46 nat. median
$68,581
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $18,827.79 $212,483.00 $68,444.93 nat. median
$65,958
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 2 $67,452.66 $67,452.66 $67,452.66 nat. median
$70,178
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $36,051.10 $261,534.00 $67,190.15 nat. median
$64,357
1.0× median
Q2043
HCPCS 		Sipuleucel-t IV Susp 50 000 000 Cells 18 $41,454.24 $115,576.74 $66,326.78 nat. median
$65,655
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $63,663.25 $162,406.25 $65,980.39 nat. median
$62,262
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $40,404.93 $167,143.86 $65,617.27 nat. median
$65,792
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $63,025.57 $215,449.00 $65,231.47 nat. median
$62,218
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $30,921.48 $174,258.74 $65,077.10 nat. median
$62,911
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $62,657.57 $224,913.00 $63,564.81 nat. median
$63,840
1.0× median
J9029
HCPCS 		Nadofaragene Firadenov-vncg Intraves Susp 300000000000 Vp/ml 15 $19,481.97 $78,935.54 $63,342.28 nat. median
$69,291
0.9× median

Other procedures at this hospital

Browse this hospital's 8,245 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 11 7 — — $4,377,500.00 $4,596,375.00 $4,505,000.00 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 12 7 — — $3,685,266.67 $4,422,320.00 $3,685,266.67 2026-02-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 7 — — $3,316,462.59 $3,979,755.11 $3,324,571.90 2026-02-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 7 — — $3,248,445.72 $3,898,134.86 $3,261,355.00 2026-02-12
J3393 HCPCS Inj, Betibeglogene Autotemce 12 7 — — $2,945,740.00 $3,534,888.00 $2,950,686.67 2026-02-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 7 — — $2,452,115.60 $2,946,132.73 $2,455,110.61 2026-02-12
J3392 HCPCS Inj, Exagamglogene Autotem 12 7 — — $2,332,000.00 $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
Q2056 HCPCS Ciltacabtagene Car-pos T 18 9 — — $424,401.71 $804,924.78 $565,868.95 2026-02-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 6 — — $365,818.77 $1,043,347.20 $369,476.96 2026-02-12
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 7 — — $270,375.00 $333,900.00 $278,250.00 2026-02-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 6 — — $265,577.49 $677,493.59 $276,058.70 2026-02-12
J3403 HCPCS Revakinagene, Per Implant 6 4 — — $257,500.00 $309,000.00 $257,500.00 2026-02-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 6 — — $68,309.43 $516,433.91 $232,547.67 2026-02-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 — — $201,256.66 $542,937.00 $210,122.20 2026-02-12
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 8 — — $154,230.00 $246,768.00 $205,640.00 2026-02-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 — — $131,494.96 $470,575.00 $138,656.67 2026-02-12
14 MS_DRG Allogeneic Bone Marrow Transplant 10 6 — — $114,148.67 $291,195.58 $128,593.00 2026-02-12
7 MS_DRG Lung Transplant 8 6 — — $122,968.93 $313,696.24 $127,000.01 2026-02-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 6 — — $107,142.70 $314,081.00 $108,471.60 2026-02-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 6 — — $94,651.00 $263,590.45 $106,982.84 2026-02-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 6 — — $97,995.38 $417,099.00 $104,589.75 2026-02-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $101,868.02 $267,140.65 $104,312.26 2026-02-12
215 MS_DRG Other Heart Assist System Implant 10 6 — — $93,002.94 $241,456.63 $104,055.35 2026-02-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 2 — — $101,007.50 $101,007.50 $101,007.50 2026-02-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $62,657.57 $237,252.39 $94,818.74 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
850 MS_DRG Acute Leukemia With Other Procedures 10 6 — — $47,173.16 $210,142.02 $90,520.00 2026-02-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 6 — — $81,180.22 $218,591.54 $84,021.52 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 6 — — $57,807.04 $204,600.72 $83,296.71 2026-02-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $79,952.78 $203,961.16 $83,250.71 2026-02-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 6 — — $74,895.06 $285,289.00 $79,256.36 2026-02-12
10 MS_DRG Pancreas Transplant 8 6 — — $68,337.81 $174,331.14 $77,617.90 2026-02-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 6 — — $67,948.97 $173,339.21 $77,175.03 2026-02-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 6 — — $52,131.54 $185,662.32 $76,861.33 2026-02-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $50,902.59 $186,461.18 $76,089.08 2026-02-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 6 — — $40,316.95 $185,051.72 $73,414.12 2026-02-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $68,743.68 $175,366.51 $69,875.88 2026-02-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 6 — — $57,277.24 $186,141.00 $69,526.46 2026-02-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 6 — — $18,827.79 $212,483.00 $68,444.93 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $36,051.10 $261,534.00 $67,190.15 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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 6 — — $63,663.25 $162,406.25 $65,980.39 2026-02-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 6 — — $40,404.93 $167,143.86 $65,617.27 2026-02-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 6 — — $63,025.57 $215,449.00 $65,231.47 2026-02-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 6 — — $30,921.48 $174,258.74 $65,077.10 2026-02-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $62,657.57 $224,913.00 $63,564.81 2026-02-12
J9029 HCPCS Nadofaragene Firadenov-vncg Intraves Susp 300000000000 Vp/ml 28 15 $33,211.68 $19,927.01 40% off $19,481.97 $78,935.54 $63,342.28 2026-02-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 6 — — $25,402.07 $148,883.64 $62,257.17 2026-02-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 6 — — $59,551.44 $163,417.00 $61,635.74 2026-02-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 6 — — $44,144.77 $146,115.41 $60,985.76 2026-02-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $33,292.34 $159,263.92 $60,631.44 2026-02-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 6 — — $52,702.02 $134,443.93 $60,421.01 2026-02-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 6 — — $23,206.23 $162,524.51 $60,304.41 2026-02-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $58,006.73 $224,913.00 $60,036.96 2026-02-12
28 MS_DRG Spinal Procedures With Mcc 10 6 — — $57,293.33 $146,156.44 $59,861.15 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 6 — — $51,843.93 $266,310.00 $59,434.41 2026-02-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 6 — — $56,549.71 $266,310.00 $59,434.41 2026-02-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 — — $45,491.04 $149,055.00 $58,992.99 2026-02-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 6 — — $38,851.48 $316,340.00 $58,542.76 2026-02-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $40,079.48 $142,784.84 $57,949.63 2026-02-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 6 — — $21,629.12 $142,693.13 $57,343.77 2026-02-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $55,972.65 $159,674.00 $56,978.90 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $54,663.24 $139,447.03 $56,196.65 2026-02-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 6 — — $53,366.80 $140,335.18 $54,722.76 2026-02-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 6 — — $20,183.52 $162,493.00 $54,456.41 2026-02-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 — — $50,533.62 $285,289.00 $54,456.41 2026-02-12
653 MS_DRG Major Bladder Procedures With Mcc 10 6 — — $26,933.77 $126,561.58 $54,375.61 2026-02-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $53,638.64 $136,833.25 $54,229.34 2026-02-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $52,693.30 $138,703.68 $54,059.50 2026-02-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 6 — — $53,081.90 $810,514.00 $53,808.78 2026-02-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 6 — — $51,910.29 $132,988.61 $53,727.15 2026-02-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 6 — — $52,205.33 $133,176.86 $53,491.35 2026-02-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 6 — — $52,050.18 $132,781.06 $53,170.31 2026-02-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $25,527.90 $119,437.05 $53,164.44 2026-02-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $48,134.37 $146,273.00 $52,199.38 2026-02-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 6 — — $34,095.56 $129,438.00 $50,597.14 2026-02-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 6 — — $50,261.89 $129,776.30 $50,567.10 2026-02-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 6 — — $49,697.29 $126,778.79 $50,221.29 2026-02-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 6 — — $15,609.25 $147,292.00 $50,068.61 2026-02-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 6 — — $27,418.16 $119,931.81 $49,656.55 2026-02-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 6 — — $20,198.66 $117,098.41 $49,365.85 2026-02-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 6 — — $34,569.54 $135,486.54 $49,327.68 2026-02-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 6 — — $19,353.81 $179,170.00 $49,308.11 2026-02-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 6 — — $30,246.92 $131,052.00 $49,131.93 2026-02-12
245 MS_DRG Aicd Generator Procedures 10 6 — — $21,098.37 $111,260.26 $48,187.43 2026-02-12
471 MS_DRG Cervical Spinal Fusion With Mcc 10 6 — — $46,133.42 $117,687.29 $47,898.68 2026-02-12
6 MS_DRG Liver Transplant Without Mcc 10 6 — — $44,319.79 $417,099.00 $47,819.40 2026-02-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 6 — — $45,945.63 $116,048.55 $47,553.73 2026-02-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 6 — — $22,315.97 $114,045.38 $47,098.06 2026-02-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 6 — — $45,433.96 $119,808.00 $47,024.15 2026-02-12
799 MS_DRG Splenic Procedures With Mcc 10 6 — — $27,029.32 $110,451.75 $46,895.45 2026-02-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $23,709.54 $114,383.27 $46,886.65 2026-02-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $44,859.30 $146,273.00 $46,429.38 2026-02-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 6 — — $21,884.56 $111,800.87 $46,158.43 2026-02-12
J9226 HCPCS Supprelin La Implant 22 11 — — $33,765.49 $56,350.94 $45,560.39 2026-02-12
163 MS_DRG Major Chest Procedures With Mcc 10 6 — — $35,811.74 $109,315.01 $45,470.36 2026-02-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 6 — — $35,509.94 $179,968.00 $45,451.77 2026-02-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 6 — — $16,371.78 $112,083.24 $45,301.04 2026-02-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 6 — — $41,064.35 $104,755.99 $44,251.81 2026-02-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 6 — — $43,465.49 $110,881.34 $44,130.43 2026-02-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 6 — — $20,710.48 $110,929.61 $44,078.18 2026-02-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 6 — — $26,191.10 $153,723.00 $43,352.32 2026-02-12
901 MS_DRG Wound Debridements For Injuries With Mcc 10 6 — — $18,562.89 $102,431.83 $43,288.43 2026-02-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 6 — — $21,364.22 $95,133.53 $42,707.32 2026-02-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $39,926.22 $159,674.00 $42,620.20 2026-02-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 6 — — $40,963.62 $109,283.63 $42,311.04 2026-02-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 6 — — $13,675.47 $107,167.03 $42,108.31 2026-02-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 6 — — $40,673.86 $111,704.00 $42,097.44 2026-02-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 6 — — $30,823.08 $105,588.63 $42,046.64 2026-02-12
140 MS_DRG Major Head And Neck Procedures With Mcc 10 6 — — $35,895.94 $104,089.87 $41,751.06 2026-02-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 6 — — $40,202.89 $105,116.00 $41,609.99 2026-02-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 6 — — $22,575.20 $102,552.50 $41,363.47 2026-02-12
793 MS_DRG Full Term Neonate With Major Problems 10 6 — — $14,413.41 $101,780.19 $40,768.83 2026-02-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 6 — — $39,925.74 $103,498.58 $40,647.85 2026-02-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 6 — — $40,121.49 $102,900.04 $40,630.37 2026-02-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 6 — — $28,303.68 $177,677.00 $40,582.42 2026-02-12
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 2 — — $40,524.14 $40,524.14 $40,524.14 2026-02-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 6 — — $39,740.79 $112,605.00 $40,167.42 2026-02-12
791 MS_DRG Prematurity With Major Problems 10 6 — — $23,621.56 $99,110.91 $40,094.01 2026-02-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 6 — — $19,326.38 $93,808.54 $39,348.18 2026-02-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 6 — — $17,570.46 $87,618.03 $39,320.79 2026-02-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 6 — — $21,063.37 $91,093.40 $38,976.26 2026-02-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 6 — — $19,945.11 $87,417.71 $38,896.98 2026-02-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 6 — — $9,534.50 $100,016.00 $38,818.68 2026-02-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $38,265.71 $134,455.00 $38,759.13 2026-02-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 6 — — $37,395.48 $249,174.00 $38,704.32 2026-02-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 6 — — $31,592.24 $100,715.86 $38,629.78 2026-02-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 6 — — $18,144.73 $85,315.59 $38,186.40 2026-02-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 6 — — $14,484.36 $89,797.38 $38,148.22 2026-02-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 6 — — $28,609.27 $91,356.47 $38,042.52 2026-02-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 6 — — $37,070.02 $94,566.37 $38,037.98 2026-02-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $37,194.89 $116,217.00 $37,699.29 2026-02-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 6 — — $36,908.04 $94,337.09 $37,313.17 2026-02-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 6 — — $17,421.93 $87,048.45 $36,982.51 2026-02-12
265 MS_DRG Aicd Lead Procedures 10 6 — — $34,922.41 $89,918.00 $36,144.69 2026-02-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 6 — — $34,620.63 $86,087.89 $36,069.32 2026-02-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 6 — — $14,972.54 $87,330.82 $35,821.70 2026-02-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 6 — — $18,036.88 $97,303.23 $35,443.89 2026-02-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 6 — — $18,773.87 $88,317.93 $35,441.93 2026-02-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 6 — — $19,373.68 $91,346.82 $35,436.06 2026-02-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 6 — — $34,767.35 $89,761.18 $35,324.54 2026-02-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 6 — — $34,470.82 $88,653.40 $34,956.18 2026-02-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 6 — — $30,510.88 $285,289.00 $34,911.45 2026-02-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 6 — — $32,684.01 $83,377.58 $34,902.63 2026-02-12
264 MS_DRG Other Circulatory System O.r. Procedures 10 6 — — $34,223.70 $188,120.00 $34,794.68 2026-02-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 6 — — $34,155.16 $87,130.51 $34,651.09 2026-02-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $15,999.97 $83,891.65 $34,640.32 2026-02-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 6 — — $34,183.54 $87,202.91 $34,626.63 2026-02-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 6 — — $31,003.78 $179,968.00 $34,344.74 2026-02-12
332 MS_DRG Rectal Resection With Mcc 10 6 — — $15,946.05 $88,532.73 $34,307.55 2026-02-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 2 — — $34,284.44 $34,284.44 $34,284.44 2026-02-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 6 — — $17,451.25 $84,929.43 $34,270.35 2026-02-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 6 — — $24,603.58 $111,704.00 $34,069.71 2026-02-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 6 — — $33,133.40 $84,523.97 $34,016.85 2026-02-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 6 — — $33,546.32 $86,261.66 $34,015.91 2026-02-12
252 MS_DRG Other Vascular Procedures With Mcc 10 6 — — $25,006.61 $85,337.31 $33,932.68 2026-02-12
J9266 HCPCS Pegaspargase Inj 750 Unit/ML 28 15 $58,385.49 $35,031.29 40% off $28,424.06 $49,627.67 $33,702.81 2026-02-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 6 — — $18,335.83 $79,653.62 $33,695.82 2026-02-12
665 MS_DRG Prostatectomy With Mcc 10 6 — — $16,999.98 $76,477.51 $33,627.72 2026-02-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 6 — — $20,610.20 $83,257.00 $33,556.83 2026-02-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 6 — — $32,726.59 $83,486.19 $33,211.32 2026-02-12
37 MS_DRG Extracranial Procedures With Mcc 10 6 — — $31,596.03 $80,602.10 $32,860.93 2026-02-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 6 — — $20,482.48 $117,224.00 $32,674.97 2026-02-12
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 6 — — $31,316.48 $77,196.72 $32,412.56 2026-02-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 6 — — $29,146.64 $74,353.66 $32,350.01 2026-02-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 6 — — $16,798.46 $79,308.49 $32,258.99 2026-02-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 6 — — $17,763.46 $77,988.33 $32,245.29 2026-02-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 6 — — $30,981.08 $79,033.36 $31,866.50 2026-02-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 6 — — $15,626.28 $88,187.60 $31,720.67 2026-02-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 6 — — $30,598.39 $80,592.45 $31,669.33 2026-02-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 6 — — $15,884.55 $95,704.00 $31,569.94 2026-02-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 6 — — $30,455.94 $131,052.00 $31,521.90 2026-02-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 6 — — $31,174.02 $78,881.31 $31,485.76 2026-02-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 6 — — $22,559.12 $88,720.98 $31,423.12 2026-02-12
500 MS_DRG Soft Tissue Procedures With Mcc 10 6 — — $30,391.67 $77,529.77 $31,371.24 2026-02-12
652 MS_DRG Kidney Transplant 10 6 — — $30,117.73 $179,968.00 $31,171.85 2026-02-12
662 MS_DRG Minor Bladder Procedures With Mcc 10 6 — — $14,832.52 $75,036.67 $30,890.68 2026-02-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 6 — — $20,110.67 $78,063.15 $30,624.45 2026-02-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $30,259.22 $79,113.00 $30,561.81 2026-02-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 6 — — $14,688.71 $77,413.93 $30,540.28 2026-02-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 6 — — $29,865.66 $103,629.00 $30,293.62 2026-02-12
L8614 HCPCS Cochlear Device 5 2 — — $30,250.00 $30,250.00 $30,250.00 2026-02-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 6 — — $15,234.60 $72,982.82 $30,090.60 2026-02-12
570 MS_DRG Skin Debridement With Mcc 10 6 — — $16,434.22 $72,130.87 $29,819.90 2026-02-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $28,927.71 $117,621.00 $29,711.97 2026-02-12
L7181NU OTHER Electronic Elbo Simultaneous 1 1 — — $29,611.50 $29,611.50 $29,611.50 2026-02-12
974 MS_DRG HIV With Major Related Condition With Mcc 10 6 — — $12,701.96 $70,801.05 $29,585.00 2026-02-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 6 — — $28,002.83 $71,435.79 $29,142.60 2026-02-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 6 — — $13,174.99 $71,187.21 $29,064.29 2026-02-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 6 — — $27,941.19 $66,814.02 $28,919.13 2026-02-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 6 — — $20,485.32 $70,419.73 $28,885.18 2026-02-12
800 MS_DRG Splenic Procedures With Cc 10 6 — — $18,509.91 $68,952.35 $28,876.38 2026-02-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 6 — — $13,547.75 $93,983.00 $28,860.72 2026-02-12
L5856 HCPCS Elec Knee-shin Swing/stance 5 2 — — $28,796.46 $28,796.46 $28,796.46 2026-02-12
472 MS_DRG Cervical Spinal Fusion With Cc 10 6 — — $28,322.61 $72,251.54 $28,713.90 2026-02-12
668 MS_DRG Transurethral Procedures With Mcc 10 6 — — $15,133.37 $71,621.63 $28,614.70 2026-02-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 6 — — $25,615.88 $77,128.00 $28,386.99 2026-02-12
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 6 — — $23,574.25 $78,630.31 $28,370.35 2026-02-12
L6880 HCPCS Elec Hand Ind Art Digits 7 4 — — $448.34 $28,151.96 $28,151.96 2026-02-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 6 — — $14,635.73 $74,037.50 $28,137.91 2026-02-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 6 — — $20,122.97 $74,047.15 $28,050.70 2026-02-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 6 — — $27,569.07 $71,143.76 $28,004.40 2026-02-12
654 MS_DRG Major Bladder Procedures With Cc 10 6 — — $20,474.91 $68,708.59 $27,978.85 2026-02-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 6 — — $26,871.33 $80,872.41 $27,811.83 2026-02-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 6 — — $19,580.87 $76,981.92 $27,540.96 2026-02-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 6 — — $26,361.60 $81,653.00 $27,284.26 2026-02-12
263 MS_DRG Vein Ligation And Stripping 10 6 — — $26,345.13 $74,937.72 $27,267.21 2026-02-12
61379010001 NDC Carmustine In Polifeprosan Intracranial Implant Wafer 7.7 Mg 18 12 $45,222.53 $27,133.52 40% off $10,401.18 $38,439.15 $27,133.52 2026-02-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 6 — — $16,598.84 $66,461.66 $27,092.09 2026-02-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 6 — — $15,590.32 $70,834.84 $27,043.15 2026-02-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 6 — — $26,066.03 $115,244.00 $26,978.34 2026-02-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 6 — — $14,949.83 $67,127.77 $26,947.24 2026-02-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 6 — — $26,034.05 $96,681.00 $26,945.24 2026-02-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 6 — — $26,534.52 $67,690.11 $26,817.06 2026-02-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 6 — — $11,672.63 $63,483.45 $26,729.94 2026-02-12
503 MS_DRG Foot Procedures With Mcc 10 6 — — $26,001.10 $68,510.68 $26,688.65 2026-02-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 6 — — $15,648.03 $69,661.00 $26,419.67 2026-02-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 6 — — $25,974.94 $177,677.00 $26,404.26 2026-02-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 6 — — $25,775.31 $67,470.48 $26,369.62 2026-02-12
849 MS_DRG Radiotherapy 10 6 — — $20,198.00 $82,375.67 $26,238.53 2026-02-12
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 6 — — $16,513.69 $66,249.27 $25,966.50 2026-02-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 6 — — $25,047.53 $68,047.30 $25,924.19 2026-02-12
L7180NU OTHER Electronic Elbow Sequential 1 1 — — $25,820.60 $25,820.60 $25,820.60 2026-02-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 10 6 — — $14,412.46 $63,116.60 $25,693.43 2026-02-12
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 6 — — $24,821.74 $73,957.86 $25,690.50 2026-02-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 6 — — $12,954.56 $62,472.21 $25,651.35 2026-02-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 6 — — $24,601.76 $111,704.00 $25,462.82 2026-02-12
253 MS_DRG Other Vascular Procedures With Cc 10 6 — — $17,306.50 $78,561.00 $25,344.99 2026-02-12
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 6 — — $12,826.84 $63,717.56 $25,101.80 2026-02-12
545 MS_DRG Connective Tissue Disorders With Mcc 10 6 — — $11,362.31 $61,043.44 $25,089.53 2026-02-12
164 MS_DRG Major Chest Procedures With Cc 10 6 — — $17,511.80 $73,520.00 $24,992.63 2026-02-12
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 10 6 — — $11,417.19 $56,214.12 $24,920.59 2026-02-12
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 6 — — $22,428.56 $57,215.70 $24,866.37 2026-02-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 6 — — $23,883.68 $104,251.00 $24,719.60 2026-02-12
397 MS_DRG Appendix Procedures With Mcc 10 6 — — $23,107.84 $58,948.56 $24,608.97 2026-02-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 6 — — $24,268.40 $89,150.00 $24,536.29 2026-02-12
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 6 — — $16,666.01 $60,483.52 $24,320.22 2026-02-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 6 — — $23,621.06 $63,694.00 $24,268.59 2026-02-12
J9600 HCPCS Porfimer Sodium Injection 16 9 — — $18,171.32 $29,074.10 $24,228.42 2026-02-12
792 MS_DRG Prematurity Without Major Problems 10 6 — — $14,324.00 $60,259.07 $24,093.00 2026-02-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 6 — — $23,259.59 $75,859.00 $24,073.67 2026-02-12
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 6 — — $11,498.55 $61,289.62 $24,030.51 2026-02-12
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 10 6 — — $8,834.40 $53,520.70 $23,956.12 2026-02-12
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 10 6 — — $13,339.61 $63,396.57 $23,820.07 2026-02-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 6 — — $22,161.76 $63,396.57 $23,820.07 2026-02-12
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 10 6 — — $23,295.45 $60,068.41 $23,654.09 2026-02-12
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 6 — — $23,027.42 $58,743.42 $23,617.47 2026-02-12
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 6 — — $23,016.35 $60,500.42 $23,596.42 2026-02-12
347 MS_DRG Anal And Stomal Procedures With Mcc 10 6 — — $8,686.81 $56,552.00 $23,522.53 2026-02-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 6 — — $16,569.51 $85,422.00 $23,455.00 2026-02-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 6 — — $21,944.17 $56,310.65 $23,066.42 2026-02-12
50242000701 NDC Satralizumab-mwge Subcutaneous Soln Pref Syringe 120 Mg/ml 18 12 $38,425.92 $23,055.55 40% off $8,837.96 $32,662.03 $23,055.55 2026-02-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 6 — — $17,129.59 $153,723.00 $23,013.56 2026-02-12
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 6 — — $14,589.38 $55,832.00 $22,992.03 2026-02-12
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 6 — — $22,177.14 $67,498.00 $22,953.34 2026-02-12
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 6 — — $15,979.16 $63,957.00 $22,950.92 2026-02-12
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 10 6 — — $7,560.98 $52,251.22 $22,810.97 2026-02-12
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 6 — — $12,426.65 $54,435.40 $22,773.78 2026-02-12
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 10 6 — — $21,149.46 $112,605.00 $22,705.26 2026-02-12
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 10 6 — — $13,688.71 $66,353.00 $22,663.18 2026-02-12
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 6 — — $22,398.08 $58,842.37 $22,622.06 2026-02-12
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 6 — — $13,239.33 $67,745.00 $22,535.94 2026-02-12
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 10 6 — — $14,367.05 $55,144.95 $22,460.57 2026-02-12
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 10 6 — — $21,251.64 $67,556.00 $22,459.59 2026-02-12
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 6 — — $17,550.59 $62,249.00 $22,406.74 2026-02-12
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 10 6 — — $14,258.25 $53,733.08 $22,370.52 2026-02-12
709 MS_DRG Penis Procedures With Cc/mcc 10 6 — — $13,706.69 $57,312.24 $22,350.94 2026-02-12
906 MS_DRG Hand Procedures For Injuries 10 6 — — $21,503.63 $48,556.22 $22,256.26 2026-02-12
113 MS_DRG Orbital Procedures With Cc/mcc 10 6 — — $17,556.27 $57,891.47 $22,221.71 2026-02-12
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 10 6 — — $11,841.03 $88,994.00 $22,207.07 2026-02-12
30 MS_DRG Spinal Procedures Without Cc/mcc 10 6 — — $21,218.53 $54,884.00 $22,138.56 2026-02-12
Q0483 HCPCS Monitor Elec Vad, Rep 5 2 — — $22,092.08 $22,092.08 $22,092.08 2026-02-12
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 6 — — $10,574.23 $54,553.66 $22,020.12 2026-02-12
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 6 — — $21,222.60 $63,709.61 $21,965.39 2026-02-12
L5858 HCPCS Stance Phase Only 5 2 — — $21,898.50 $21,898.50 $21,898.50 2026-02-12
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 10 6 — — $13,216.62 $107,619.00 $21,884.08 2026-02-12
935 MS_DRG Non-extensive Burns 8 6 — — $21,638.33 $50,865.89 $21,854.72 2026-02-12
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 10 6 — — $21,259.42 $56,071.72 $21,832.36 2026-02-12
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 10 6 — — $13,628.16 $52,832.86 $21,683.43 2026-02-12
333 MS_DRG Rectal Resection With Cc 10 6 — — $20,949.32 $82,831.00 $21,682.55 2026-02-12
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 6 — — $8,989.56 $56,535.11 $21,589.47 2026-02-12
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 6 — — $20,823.34 $62,124.00 $21,552.16 2026-02-12
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 10 6 — — $21,051.07 $54,717.77 $21,460.73 2026-02-12
141 MS_DRG Major Head And Neck Procedures With Cc 10 6 — — $16,844.82 $58,619.00 $21,385.88 2026-02-12
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 10 6 — — $10,205.26 $66,516.00 $21,344.78 2026-02-12
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 10 6 — — $11,987.67 $162,493.00 $21,262.56 2026-02-12
32 MS_DRG Ventricular Shunt Procedures With Cc 10 6 — — $20,611.15 $62,598.00 $21,259.62 2026-02-12
412 MS_DRG Cholecystectomy With C.d.e. With Cc 10 6 — — $20,341.51 $51,891.61 $21,220.47 2026-02-12
655 MS_DRG Major Bladder Procedures Without Cc/mcc 10 6 — — $20,484.16 $53,272.00 $21,201.10 2026-02-12
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 8 6 — — $19,939.43 $54,500.56 $21,147.98 2026-02-12
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 6 — — $20,233.66 $51,616.48 $21,115.75 2026-02-12
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 6 — — $20,670.22 $53,784.00 $21,066.40 2026-02-12
595 MS_DRG Major Skin Disorders With Mcc 10 6 — — $10,691.55 $52,330.86 $21,058.97 2026-02-12
374 MS_DRG Digestive Malignancy With Mcc 10 6 — — $20,683.99 $65,065.00 $21,022.76 2026-02-12
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 10 6 — — $19,633.85 $57,548.76 $21,022.76 2026-02-12
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