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

The Queen's Medical Center

Hon, HI · CCN 129801 · Rates published

Your selected procedure

You selected 93306 (CPT)

ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION

This hospital’s price: $923 across 14 payers · range $159-$3,113

Source: https://www.queens.org/wp-content/uploads/990073524_queens-medical-center-west-oahu_standardcharges-2.csv · observed 2026-07-15

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.

7,516 distinct procedures filed
15 distinct payers
320,337 rate rows
2026-07-15 last MRF observed
Data quality

303,662 of 320,337 rate rows are consumer-grade (94.8%)

16,675 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
exceeds 10× this hospital's gross charge — excluded from medians 5,213
per-diem day rate — not a per-procedure price 4,614
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,814
placeholder amount (≤ $0.02) — excluded from medians 2,141
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 820
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 60
percent-of-charges filed in the dollar field — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.queens.org/wp-content/uploads/990073524_queens-medical-center_standardcharges-4.csv
Found on page https://www.queens.org/pricing-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-19

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
9114
APR_DRG 		Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 7 $59,029.39 $1,487,390.06 $956,557.07 nat. median
$52,059
outlier · 18.4×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion With Comorbity 3 $728,386.92 $875,876.47 $766,895.29 nat. median
$71,201
outlier · 10.8×
3612
APR_DRG 		Skin Graft For Skin & Subcutaneous Tissue Diagnoses 7 $12,353.92 $1,022,699.11 $657,709.16 nat. median
$15,541
outlier · 42.3×
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 $87,846.92 $968,034.69 $622,553.87 nat. median
$81,668
outlier · 7.6×
3144
APR_DRG 		Foot & Toe Procedures 7 $29,553.80 $961,590.75 $618,409.70 nat. median
$25,759
outlier · 24.0×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 $137,371.87 $882,276.16 $567,401.60 nat. median
$122,016
outlier · 4.7×
7104
APR_DRG 		Infectious & Parasitic Diseases Including HIV W O.r. Procedure 7 $44,313.95 $794,268.89 $510,803.15 nat. median
$39,969
outlier · 12.8×
2544
APR_DRG 		Other Digestive System Diagnoses 7 $17,577.33 $788,785.38 $507,276.64 nat. median
$17,562
outlier · 28.9×
3153
APR_DRG 		Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement 7 $20,414.39 $749,472.66 $481,994.20 nat. median
$19,933
outlier · 24.2×
2074
APR_DRG 		Other Circulatory System Diagnoses 7 $16,392.84 $638,099.68 $410,368.99 nat. median
$19,512
outlier · 21.0×
454
APR_DRG 		Cva & Precerebral Occlusion W Infarct 7 $19,828.35 $614,661.06 $395,295.36 nat. median
$19,808
outlier · 20.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $225,898.09 $722,030.86 $390,286.95 nat. median
$359,358
1.1× median
1783
APR_DRG 		External Heart Assist Systems 7 $60,189.04 $586,917.99 $377,453.48 nat. median
$44,500
outlier · 8.5×
504
APR_DRG 		Non-bacterial Infections Of Nervous System Exc Viral Meningitis 7 $38,097.25 $574,943.98 $369,752.87 nat. median
$35,060
outlier · 10.5×
4253
APR_DRG 		Other Non-hypovolemic Electrolyte Disorders 7 $7,406.14 $549,338.15 $353,285.47 nat. median
$7,273
outlier · 48.6×
1674
APR_DRG 		Other Cardiothoracic & Thoracic Vascular Procedures 7 $71,707.37 $509,427.01 $327,618.17 nat. median
$61,042
outlier · 5.4×
7514
APR_DRG 		Major Depressive Disorders & Other/Unspecified Psychoses 7 $23,344.56 $488,275.70 $314,015.53 nat. median
$14,895
outlier · 21.1×
890
MS_DRG 		HIV With Multiple Major HIV Related Conditions 3 $280,586.79 $337,402.22 $295,420.85 nat. median
$22,275
outlier · 13.3×
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 7 $221,952.20 $410,611.57 $295,172.50 nat. median
$190,557
1.5× median
8504
APR_DRG 		Procedure W Diag Of Rehab; Aftercare Or Oth Contact W Health Service 7 $55,490.83 $456,386.51 $293,507.23 nat. median
$66,842
outlier · 4.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 7 $234,080.67 $608,400.64 $291,604.38 nat. median
$249,124
1.2× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 7 $68,134.04 $451,551.46 $290,397.76 nat. median
$57,695
outlier · 5.0×
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 7 $146,459.47 $753,570.89 $270,950.02 nat. median
$126,722
outlier · 2.1×
0811
RC 		13 $102,204.21 $328,041.90 $264,070.85 nat. median
$60,209
outlier · 4.4×
1924
APR_DRG 		Cardiac Catheterization For Other Non-coronary Conditions 7 $26,700.61 $393,044.91 $252,771.55 nat. median
$26,099
outlier · 9.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $5,753.00 $454,436.63 $245,641.42 nat. median
$198,433
1.2× median
3084
APR_DRG 		Hip & Femur Fracture Repair 7 $30,123.70 $381,581.40 $245,399.24 nat. median
$28,451
outlier · 8.6×
46
MS_DRG 		Nonspecific Cva And Precerebral Occlusion Without Infarction 3 $228,099.18 $274,286.50 $240,158.33 nat. median
$8,095
outlier · 29.7×
7103
APR_DRG 		Infectious & Parasitic Diseases Including HIV W O.r. Procedure 7 $24,859.32 $365,028.72 $234,754.03 nat. median
$22,172
outlier · 10.6×
0812
RC 		13 $68,842.75 $390,528.00 $233,900.60 nat. median
$76,298
outlier · 3.1×
680
MS_DRG 		Major O.r. Procedures For Lymphatic; Hematopoietic Or Other Neoplasms 3 $209,030.86 $251,357.08 $220,081.90 nat. median
$38,396
outlier · 5.7×
9513
APR_DRG 		Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 $21,716.83 $341,996.79 $219,941.93 nat. median
$20,060
outlier · 11.0×
1304
APR_DRG 		Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 $51,201.10 $338,278.10 $217,550.40 nat. median
$46,267
outlier · 4.7×
3134
APR_DRG 		Knee & Lower Leg Procedures Except Foot 7 $36,730.25 $336,630.56 $216,490.85 nat. median
$34,695
outlier · 6.2×
1633
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Pdx 7 $53,622.22 $325,363.58 $209,244.93 nat. median
$42,945
outlier · 4.9×
3094
APR_DRG 		Other Significant Hip & Femur Surgery 7 $40,714.55 $322,905.67 $207,664.23 nat. median
$34,971
outlier · 5.9×
1213
APR_DRG 		Other Respiratory & Chest Procedures 7 $25,142.40 $320,427.68 $206,070.60 nat. median
$23,125
outlier · 8.9×
534
APR_DRG 		Seizure 7 $19,097.05 $319,024.79 $205,168.39 nat. median
$18,533
outlier · 11.1×
7504
APR_DRG 		Schizophrenia 7 $22,718.80 $319,010.03 $205,158.90 nat. median
$20,361
outlier · 10.1×
5
MS_DRG 		Liver Transplant With Comorbity Or Intestinal Transplant 7 $110,472.82 $632,640.78 $204,374.72 nat. median
$94,964
outlier · 2.2×
2644
APR_DRG 		Other Hepatobiliary; Pancreas & Abdominal Procedures 7 $47,895.96 $317,427.46 $204,141.13 nat. median
$39,790
outlier · 5.1×
214
APR_DRG 		Open Craniotomy Except Trauma 7 $56,250.69 $295,717.64 $190,179.30 nat. median
$52,729
outlier · 3.6×
7513
APR_DRG 		Major Depressive Disorders & Other/Unspecified Psychoses 7 $9,133.21 $291,426.98 $187,419.93 nat. median
$7,613
outlier · 24.6×
1673
APR_DRG 		Other Cardiothoracic & Thoracic Vascular Procedures 7 $40,293.64 $289,318.46 $186,063.92 nat. median
$33,786
outlier · 5.5×
J0225
HCPCS 		Amvuttra 14 $5,003.64 $295,393.72 $180,918.21 nat. median
$8,223
outlier · 22.0×
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 7 $100,151.17 $366,839.82 $167,624.88 nat. median
$90,581
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 7 $83,711.85 $386,782.87 $154,866.92 nat. median
$74,460
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 7 $109,908.29 $341,909.37 $147,905.25 nat. median
$93,917
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $5,753.00 $251,283.08 $135,828.69 nat. median
$110,192
1.2× median
7
MS_DRG 		Lung Transplant 7 $5,753.00 $250,651.89 $135,487.51 nat. median
$117,894
1.1× median

Other procedures at this hospital

Browse this hospital's 7,516 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
             
9114 APR_DRG Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 10 7 — — $59,029.39 $1,487,390.06 $956,557.07 2026-07-15
453 MS_DRG Combined Anterior/posterior Spinal Fusion With Comorbity 4 3 — — $728,386.92 $875,876.47 $766,895.29 2026-07-15
3612 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 10 7 — — $12,353.92 $1,022,699.11 $657,709.16 2026-07-15
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 7 — — $87,846.92 $968,034.69 $622,553.87 2026-07-15
3144 APR_DRG Foot & Toe Procedures 10 7 — — $29,553.80 $961,590.75 $618,409.70 2026-07-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 7 — — $137,371.87 $882,276.16 $567,401.60 2026-07-15
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 10 7 — — $44,313.95 $794,268.89 $510,803.15 2026-07-15
2544 APR_DRG Other Digestive System Diagnoses 10 7 — — $17,577.33 $788,785.38 $507,276.64 2026-07-15
3153 APR_DRG Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement 10 7 — — $20,414.39 $749,472.66 $481,994.20 2026-07-15
2074 APR_DRG Other Circulatory System Diagnoses 10 7 — — $16,392.84 $638,099.68 $410,368.99 2026-07-15
454 APR_DRG Cva & Precerebral Occlusion W Infarct 10 7 — — $19,828.35 $614,661.06 $395,295.36 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $225,898.09 $722,030.86 $390,286.95 2026-07-15
1783 APR_DRG External Heart Assist Systems 10 7 — — $60,189.04 $586,917.99 $377,453.48 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 10 7 — — $38,097.25 $574,943.98 $369,752.87 2026-07-15
4253 APR_DRG Other Non-hypovolemic Electrolyte Disorders 10 7 — — $7,406.14 $549,338.15 $353,285.47 2026-07-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 10 7 — — $71,707.37 $509,427.01 $327,618.17 2026-07-15
7514 APR_DRG Major Depressive Disorders & Other/Unspecified Psychoses 10 7 — — $23,344.56 $488,275.70 $314,015.53 2026-07-15
890 MS_DRG HIV With Multiple Major HIV Related Conditions 4 3 — — $280,586.79 $337,402.22 $295,420.85 2026-07-15
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 9 7 — — $221,952.20 $410,611.57 $295,172.50 2026-07-15
8504 APR_DRG Procedure W Diag Of Rehab; Aftercare Or Oth Contact W Health Service 10 7 — — $55,490.83 $456,386.51 $293,507.23 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 9 7 — — $234,080.67 $608,400.64 $291,604.38 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $68,134.04 $451,551.46 $290,397.76 2026-07-15
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 9 7 — — $146,459.47 $753,570.89 $270,950.02 2026-07-15
0811 RC — 16 13 $364,491.00 $255,143.70 30% off $102,204.21 $328,041.90 $264,070.85 2026-07-15
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 10 7 — — $26,700.61 $393,044.91 $252,771.55 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 7 — — $5,753.00 $454,436.63 $245,641.42 2026-07-15
3084 APR_DRG Hip & Femur Fracture Repair 10 7 — — $30,123.70 $381,581.40 $245,399.24 2026-07-15
46 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 4 3 — — $228,099.18 $274,286.50 $240,158.33 2026-07-15
7103 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 10 7 — — $24,859.32 $365,028.72 $234,754.03 2026-07-15
0812 RC — 73 13 $364,491.00 $255,143.70 30% off $68,842.75 $390,528.00 $233,900.60 2026-07-15
680 MS_DRG Major O.r. Procedures For Lymphatic; Hematopoietic Or Other Neoplasms 4 3 — — $209,030.86 $251,357.08 $220,081.90 2026-07-15
9513 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 10 7 — — $21,716.83 $341,996.79 $219,941.93 2026-07-15
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 10 7 — — $51,201.10 $338,278.10 $217,550.40 2026-07-15
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 10 7 — — $36,730.25 $336,630.56 $216,490.85 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 10 7 — — $53,622.22 $325,363.58 $209,244.93 2026-07-15
3094 APR_DRG Other Significant Hip & Femur Surgery 10 7 — — $40,714.55 $322,905.67 $207,664.23 2026-07-15
1213 APR_DRG Other Respiratory & Chest Procedures 10 7 — — $25,142.40 $320,427.68 $206,070.60 2026-07-15
534 APR_DRG Seizure 10 7 — — $19,097.05 $319,024.79 $205,168.39 2026-07-15
7504 APR_DRG Schizophrenia 10 7 — — $22,718.80 $319,010.03 $205,158.90 2026-07-15
5 MS_DRG Liver Transplant With Comorbity Or Intestinal Transplant 9 7 — — $110,472.82 $632,640.78 $204,374.72 2026-07-15
2644 APR_DRG Other Hepatobiliary; Pancreas & Abdominal Procedures 10 7 — — $47,895.96 $317,427.46 $204,141.13 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 9 7 — — $56,250.69 $295,717.64 $190,179.30 2026-07-15
7513 APR_DRG Major Depressive Disorders & Other/Unspecified Psychoses 9 7 — — $9,133.21 $291,426.98 $187,419.93 2026-07-15
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 9 7 — — $40,293.64 $289,318.46 $186,063.92 2026-07-15
J0225 HCPCS Amvuttra 30 14 $286,442.40 $200,509.68 30% off $5,003.64 $295,393.72 $180,918.21 2026-07-15
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 9 7 — — $100,151.17 $366,839.82 $167,624.88 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 9 7 — — $83,711.85 $386,782.87 $154,866.92 2026-07-15
215 MS_DRG Other Heart Assist System Implant 9 7 — — $109,908.29 $341,909.37 $147,905.25 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 9 7 — — $5,753.00 $251,283.08 $135,828.69 2026-07-15
7 MS_DRG Lung Transplant 7 7 — — $5,753.00 $250,651.89 $135,487.51 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 7 — — $72,291.15 $333,178.99 $133,738.63 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 9 7 — — $77,540.37 $524,744.29 $132,420.58 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $70,965.67 $674,359.38 $131,286.49 2026-07-15
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 9 7 — — $67,136.01 $235,840.18 $124,201.62 2026-07-15
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 9 7 — — $87,931.27 $192,697.57 $119,003.20 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 8 7 — — $50,110.98 $258,248.92 $116,877.33 2026-07-15
304 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 8 7 — — $47,437.81 $257,630.62 $115,320.90 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $5,753.00 $266,321.58 $114,301.42 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 7 — — $5,753.00 $209,051.39 $113,000.75 2026-07-15
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 8 7 — — $36,986.02 $259,943.18 $110,917.25 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 9 7 — — $81,181.83 $660,288.25 $110,376.34 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 9 7 — — $5,753.00 $201,046.51 $108,673.79 2026-07-15
3083 APR_DRG Hip & Femur Fracture Repair 8 7 — — $20,722.30 $270,042.89 $106,376.40 2026-07-15
2054 APR_DRG Cardiomyopathy 8 7 — — $20,144.96 $270,849.10 $106,374.38 2026-07-15
7764 APR_DRG Other Drug Abuse & Dependence 8 7 — — $14,788.70 $269,621.20 $103,259.66 2026-07-15
302 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 8 7 — — $23,920.67 $256,529.27 $103,170.74 2026-07-15
9122 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 8 7 — — $19,047.39 $252,718.16 $99,379.04 2026-07-15
3133 APR_DRG Knee & Lower Leg Procedures Except Foot 8 7 — — $22,552.42 $245,719.25 $98,643.06 2026-07-15
892 APR_DRG Major Cranial/Facial Bone Procedures 8 7 — — $21,790.08 $245,244.31 $98,093.02 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 9 7 — — $55,373.10 $196,689.95 $96,880.35 2026-07-15
444 APR_DRG Intracranial Hemorrhage 8 7 — — $14,080.99 $251,981.08 $96,633.77 2026-07-15
850 MS_DRG Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 9 7 — — $5,753.00 $176,878.87 $95,610.20 2026-07-15
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 8 6 — — $80,366.08 $148,677.25 $95,459.98 2026-07-15
892 MS_DRG HIV With Major HIV Related Condition 2 2 — — $5,753.00 $184,331.77 $95,042.38 2026-07-15
134 MS_DRG Other Ear; Nose; Mouth & Throat O.r. Procedures Without Complication/comorbity 2 2 — — $5,753.00 $181,528.93 $93,640.96 2026-07-15
6 MS_DRG Liver Transplant Without Comorbity 9 7 — — $50,503.33 $392,222.23 $93,431.16 2026-07-15
230 MS_DRG Major Small Bowel Procedures 2 2 — — $5,753.00 $174,812.50 $90,282.75 2026-07-15
162 MS_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $5,753.00 $172,288.83 $89,020.91 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $48,002.29 $382,390.84 $88,804.24 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Comorbity 7 5 — — $87,979.86 $162,762.74 $87,979.86 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Comorbity 2 2 — — $5,753.00 $169,124.42 $87,438.71 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $5,753.00 $160,213.05 $86,601.65 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 8 6 — — $69,304.16 $145,779.80 $82,886.24 2026-07-15
10 MS_DRG Pancreas Transplant 7 7 — — $5,753.00 $153,181.78 $82,800.96 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $6,149.00 $152,307.65 $82,328.46 2026-07-15
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 9 7 — — $56,494.89 $835,774.32 $80,983.05 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 8 7 — — $5,753.00 $207,273.08 $79,860.95 2026-07-15
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 8 6 — — $55,130.13 $179,609.89 $78,560.43 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 9 7 — — $46,606.49 $311,654.48 $77,233.63 2026-07-15
130 MS_DRG Major Head & Neck Procedures Without Complication/comorbity 2 2 — — $5,753.00 $147,969.07 $76,861.04 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 8 6 — — $52,879.28 $164,731.24 $75,352.98 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 8 6 — — $53,437.61 $159,674.50 $74,952.96 2026-07-15
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 9 7 — — $40,995.39 $229,598.39 $74,540.49 2026-07-15
222 MS_DRG Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock With Comorbity 2 2 — — $5,753.00 $141,971.88 $73,862.44 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $5,753.00 $136,535.07 $73,802.74 2026-07-15
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 9 7 — — $39,887.03 $305,338.71 $73,791.01 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 5 — — $73,433.63 $157,836.51 $73,433.63 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 8 6 — — $61,204.41 $162,382.51 $72,732.35 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 12 $95,015.00 $66,510.50 30% off $257.71 $85,513.50 $70,310.73 2026-07-15
13 APR_DRG Liver Transplant &/Or Intestinal Transplant 8 7 — — $5,753.00 $95,019.65 $70,087.69 2026-07-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 9 7 — — $52,444.00 $236,852.82 $70,044.12 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 21 14 $139,557.00 $97,689.90 30% off $39,132.14 $125,601.30 $69,778.50 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 5 — — $69,687.75 $128,922.34 $69,687.75 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 7 7 — — $5,753.00 $128,428.81 $69,420.98 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 19 14 $172,791.00 $120,953.70 30% off $257.71 $155,511.90 $69,116.40 2026-07-15
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 18 12 $96,133.00 $67,293.10 30% off $257.71 $86,519.70 $68,801.92 2026-07-15
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 36 12 $96,133.00 $67,293.10 30% off $257.71 $86,519.70 $68,801.92 2026-07-15
1794 APR_DRG Defibrillator Implants 8 7 — — $5,753.00 $215,851.23 $68,024.78 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath With Comorbity 2 2 — — $5,753.00 $128,911.09 $67,332.04 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 7 — — $5,753.00 $182,688.12 $67,232.17 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 7 — — $36,269.34 $334,073.11 $67,098.28 2026-07-15
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 9 7 — — $60,564.42 $222,745.33 $66,325.95 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 9 7 — — $49,518.01 $212,750.85 $66,317.63 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedure With Comorbity 9 7 — — $5,753.00 $121,646.20 $65,754.70 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 5 — — $64,411.64 $119,161.53 $64,411.64 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 7 — — $5,753.00 $119,008.50 $64,328.92 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 7 5 — — $52,775.88 $118,469.13 $64,037.37 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 7 — — $5,753.00 $118,057.88 $63,815.07 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 5 — — $63,525.56 $138,567.41 $63,525.56 2026-07-15
J9029 HCPCS Adstiladrin 39 14 $144,000.00 $100,800.00 30% off $5,060.00 $150,727.50 $63,342.28 2026-07-15
28 MS_DRG Spinal Procedures With Comorbity 9 7 — — $5,753.00 $176,443.45 $63,223.66 2026-07-15
J1823 HCPCS Uplizna 10 9 $128,561.13 $89,992.79 30% off $36,048.87 $115,705.02 $63,020.83 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 7 — — $5,753.00 $225,815.04 $62,772.87 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 7 — — $5,753.00 $225,815.04 $62,772.87 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 8 7 — — $5,753.00 $242,658.68 $62,417.72 2026-07-15
252 MS_DRG Other Vascular Procedures With Comorbity 9 7 — — $35,834.07 $274,694.91 $62,334.73 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 7 5 — — $62,306.58 $115,267.17 $62,306.58 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $61,877.49 $190,712.56 $61,877.49 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 9 7 — — $5,753.00 $268,237.52 $61,830.98 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 8 6 — — $43,384.78 $141,736.92 $61,823.31 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 8 6 — — $42,882.32 $149,427.15 $60,611.86 2026-07-15
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 7 5 — — $59,707.30 $135,394.00 $59,707.30 2026-07-15
652 MS_DRG Kidney Transplant 9 7 — — $32,122.30 $347,653.27 $59,426.26 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 8 6 — — $49,009.32 $134,960.96 $59,373.76 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 9 7 — — $5,753.00 $109,802.46 $59,352.68 2026-07-15
C9293 HCPCS Voraxaze 10 9 $118,890.75 $83,223.53 30% off $33,337.27 $107,001.68 $58,280.40 2026-07-15
653 MS_DRG Major Bladder Procedures With Comorbity 8 6 — — $39,702.95 $160,103.96 $58,003.40 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 9 7 — — $5,753.00 $137,783.87 $57,514.35 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 9 7 — — $5,753.00 $241,907.52 $57,514.35 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $5,753.00 $114,009.31 $57,274.48 2026-07-15
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 8 7 — — $5,753.00 $199,061.33 $57,159.54 2026-07-15
24338005008 NDC Gliadel 10 9 $116,159.89 $81,311.92 30% off $32,571.53 $104,543.90 $56,941.72 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $5,753.00 $114,009.31 $56,927.08 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $6,149.00 $687,266.81 $56,623.12 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 9 7 — — $40,287.16 $190,613.95 $56,399.48 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 9 7 — — $5,753.00 $103,985.76 $56,208.52 2026-07-15
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 9 7 — — $5,753.00 $168,224.58 $56,155.78 2026-07-15
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 9 7 — — $51,917.84 $285,199.98 $56,149.57 2026-07-15
2204 APR_DRG Major Stomach; Esophageal & Duodenal Procedures 8 7 — — $5,753.00 $190,341.08 $55,325.70 2026-07-15
L8614 HCPCS Cochlear Device; Includes All Internal And External Components 19 13 $149,179.80 $104,425.86 30% off $257.71 $134,261.82 $54,823.58 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $53,614.40 $99,186.64 $53,614.40 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 9 7 — — $5,753.00 $98,125.05 $53,040.57 2026-07-15
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 9 7 — — $50,253.03 $256,897.07 $52,136.95 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $5,753.00 $96,378.69 $52,096.59 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 9 7 — — $5,753.00 $148,370.00 $52,075.92 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 9 7 — — $5,753.00 $150,366.70 $51,889.82 2026-07-15
J9028 HCPCS Anktiva 29 14 $85,920.00 $60,144.00 30% off $94.66 $88,605.00 $51,552.00 2026-07-15
245 MS_DRG Aicd Generator Procedures 9 7 — — $5,753.00 $94,150.35 $50,892.08 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Comorbity 7 5 — — $50,587.10 $93,586.14 $50,587.10 2026-07-15
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 9 7 — — $5,753.00 $134,202.10 $49,741.33 2026-07-15
799 MS_DRG Splenectomy With Comorbity 7 5 — — $37,903.65 $91,625.52 $49,527.31 2026-07-15
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 17 12 $66,519.00 $46,563.30 30% off $257.71 $59,867.10 $49,224.26 2026-07-15
0916T CPT Insj Perm Ccm-d Sys Pg Only 17 12 $66,519.00 $46,563.30 30% off $257.71 $59,867.10 $49,224.26 2026-07-15
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 9 7 — — $5,753.00 $150,071.58 $48,748.79 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 18 12 $68,877.00 $48,213.90 30% off $257.71 $61,989.30 $48,719.08 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 5 — — $48,463.41 $101,589.59 $48,463.41 2026-07-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 8 7 — — $5,753.00 $146,431.19 $48,123.17 2026-07-15
163 MS_DRG Major Chest Procedures With Comorbity 9 7 — — $5,753.00 $127,389.63 $48,021.93 2026-07-15
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 18 12 $66,519.00 $46,563.30 30% off $257.71 $59,867.10 $47,893.78 2026-07-15
0409T CPT Insj/rplc Car Modulj Pls Gn 18 12 $66,519.00 $46,563.30 30% off $257.71 $59,867.10 $47,893.78 2026-07-15
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 7 5 — — $47,850.30 $125,780.93 $47,850.30 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 7 5 — — $47,843.06 $88,509.66 $47,843.06 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 8 6 — — $40,175.50 $138,661.72 $47,610.69 2026-07-15
J1303 HCPCS Ultomiris 143 14 $138,326.43 $96,828.50 30% off $225.11 $152,159.07 $47,406.41 2026-07-15
J2350 HCPCS Injection; Ocrelizumab; 1 Mg 67 14 $94,629.03 $66,240.32 30% off $59.41 $85,166.13 $47,314.52 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 9 7 — — $25,471.08 $249,655.87 $47,121.50 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 9 7 — — $32,853.65 $273,586.95 $47,012.83 2026-07-15
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 9 7 — — $5,753.00 $86,459.20 $46,734.70 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Comorbity 9 7 — — $43,693.93 $280,024.23 $46,653.27 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Comorbity 9 7 — — $24,346.47 $920,964.35 $46,174.32 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 9 7 — — $5,753.00 $130,348.13 $45,784.53 2026-07-15
J9269 HCPCS Elzonris 10 9 $92,830.79 $64,981.55 30% off $26,029.99 $83,547.71 $45,505.77 2026-07-15
1832 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $5,753.00 $168,306.08 $45,497.19 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hrs Without Skin Graft 9 7 — — $5,753.00 $83,440.85 $45,103.16 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 7 5 — — $45,011.15 $135,394.00 $45,011.15 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 8 7 — — $5,753.00 $136,418.98 $44,578.41 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 9 7 — — $5,753.00 $82,270.26 $44,470.41 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 7 — — $5,753.00 $82,149.75 $44,405.27 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $5,753.00 $81,572.11 $44,093.03 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 7 — — $5,753.00 $239,782.58 $44,074.32 2026-07-15
85 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr With Comorbity 9 7 — — $23,795.09 $264,029.40 $44,020.92 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 9 7 — — $5,753.00 $80,814.66 $43,683.60 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $5,753.00 $183,652.31 $43,486.13 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Complication 8 6 — — $36,190.77 $154,834.67 $43,123.11 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 9 7 — — $5,753.00 $164,177.16 $42,858.54 2026-07-15
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 9 7 — — $5,753.00 $81,979.30 $42,795.46 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $42,586.61 $78,785.23 $42,586.61 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 7 5 — — $42,420.15 $95,482.01 $42,420.15 2026-07-15
791 MS_DRG Prematurity With Major Problems 9 7 — — $5,753.00 $78,333.81 $42,342.60 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 9 7 — — $5,753.00 $76,876.31 $41,554.76 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Complication 9 7 — — $22,446.87 $204,657.73 $41,526.71 2026-07-15
739 MS_DRG Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity 9 7 — — $5,753.00 $76,822.73 $41,525.80 2026-07-15
J2507 HCPCS Krystexxa 10 9 $84,543.23 $59,180.26 30% off $23,706.14 $76,088.91 $41,443.20 2026-07-15
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 9 7 — — $5,753.00 $76,149.44 $41,161.86 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 8 7 — — $5,753.00 $140,164.39 $41,142.90 2026-07-15
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity 9 7 — — $5,753.00 $75,994.52 $41,078.12 2026-07-15
A9699 HCPCS Radiopharm Rx Agent Noc 20 14 $106,250.00 $74,375.00 30% off $257.71 $95,625.00 $40,906.25 2026-07-15
30 MS_DRG Spinal Procedures Without Complication/comorbity 9 7 — — $23,375.31 $304,443.51 $40,904.31 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 7 — — $5,753.00 $114,009.31 $40,815.50 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 7 5 — — $40,795.85 $75,472.32 $40,795.85 2026-07-15
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 18 12 $56,517.00 $39,561.90 30% off $257.71 $50,865.30 $40,692.38 2026-07-15
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 9 7 — — $34,066.08 $234,396.13 $40,586.87 2026-07-15
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 8 7 — — $5,753.00 $83,192.11 $40,582.94 2026-07-15
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 7 7 — — $5,753.00 $75,059.16 $40,572.52 2026-07-15
59676070101 NDC Sirturo 10 9 $82,499.76 $57,749.83 30% off $23,133.14 $74,249.78 $40,441.49 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 9 7 — — $5,753.00 $74,605.86 $40,327.49 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 9 7 — — $37,422.19 $281,299.31 $40,193.37 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 9 7 — — $39,055.78 $409,693.96 $39,942.32 2026-07-15
C1824 HCPCS Generator; Cardiac Contractility Modulation (implantable) 19 13 $107,900.00 $75,530.00 30% off $257.71 $97,110.00 $39,923.00 2026-07-15
0238T CPT Trluml Perip Athrc Iliac Art 20 14 $59,137.00 $41,395.90 30% off $257.71 $53,223.30 $39,920.23 2026-07-15
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 9 7 — — $5,753.00 $98,544.89 $39,673.02 2026-07-15
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 9 7 — — $5,753.00 $72,828.89 $39,366.97 2026-07-15
J9118 HCPCS Asparlas 10 9 $79,849.36 $55,894.55 30% off $22,389.96 $71,864.42 $39,142.26 2026-07-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 9 7 — — $5,753.00 $143,883.92 $38,091.11 2026-07-15
283 MS_DRG Acute Myocardial Infarction; Expired With Comorbity 9 7 — — $20,583.74 $412,772.92 $38,079.92 2026-07-15
1693 APR_DRG Major Abdominal Vascular Procedures 8 7 — — $5,753.00 $159,383.52 $38,036.42 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 9 7 — — $5,753.00 $69,984.67 $37,829.55 2026-07-15
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 8 7 — — $5,753.00 $131,728.18 $37,654.00 2026-07-15
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 9 7 — — $5,753.00 $69,246.30 $37,430.43 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 9 7 — — $32,555.17 $189,350.62 $37,428.37 2026-07-15
265 MS_DRG Aicd Lead Procedures 9 7 — — $5,753.00 $76,245.38 $37,248.49 2026-07-15
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 7 5 — — $37,083.05 $68,603.64 $37,083.05 2026-07-15
1662 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 8 7 — — $5,753.00 $159,320.40 $37,063.00 2026-07-15
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 8 7 — — $5,753.00 $153,335.18 $36,914.01 2026-07-15
843 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag With Comorbity 9 7 — — $19,941.67 $200,629.49 $36,892.09 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 9 7 — — $5,753.00 $241,907.52 $36,867.99 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 9 7 — — $5,753.00 $68,188.56 $36,858.68 2026-07-15
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity 8 6 — — $33,189.92 $175,486.84 $36,766.68 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 7 5 — — $35,919.37 $67,696.98 $36,592.96 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 9 7 — — $5,753.00 $67,675.94 $36,581.59 2026-07-15
408 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 9 7 — — $5,753.00 $130,736.66 $36,567.11 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 9 7 — — $5,753.00 $155,782.00 $36,503.01 2026-07-15
332 MS_DRG Rectal Resection With Mcc 9 7 — — $5,753.00 $70,235.74 $36,230.05 2026-07-15
J9266 HCPCS Oncaspar 10 9 $73,741.67 $51,619.17 30% off $20,677.35 $66,367.50 $36,148.26 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Proc For Malignancy With Complication/comorb… 9 7 — — $23,715.48 $188,723.37 $36,064.28 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Complication 7 5 — — $35,978.82 $94,718.36 $35,978.82 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 9 7 — — $5,753.00 $167,196.41 $35,922.98 2026-07-15
665 MS_DRG Prostatectomy With Comorbity 9 7 — — $5,753.00 $66,354.25 $35,867.16 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 9 7 — — $5,753.00 $66,193.56 $35,780.30 2026-07-15
984 APR_DRG Other Ear; Nose; Mouth & Throat Procedures 8 7 — — $5,753.00 $161,502.50 $35,696.00 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 9 7 — — $5,753.00 $65,830.16 $35,583.87 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 9 7 — — $5,753.00 $70,597.09 $35,437.03 2026-07-15
303 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 8 7 — — $5,753.00 $224,956.36 $35,406.71 2026-07-15
475 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication 9 7 — — $22,671.22 $225,373.01 $35,278.19 2026-07-15
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 9 7 — — $5,753.00 $131,968.39 $35,072.07 2026-07-15
37 MS_DRG Extracranial Procedures With Comorbity 9 7 — — $5,753.00 $64,198.59 $34,701.94 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 7 5 — — $34,505.48 $99,399.05 $34,505.48 2026-07-15
42 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc Without Complication/comorbity 9 7 — — $18,538.65 $193,356.60 $34,296.50 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 9 7 — — $5,753.00 $63,200.11 $34,162.22 2026-07-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 9 7 — — $5,753.00 $62,995.44 $34,051.59 2026-07-15
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 9 7 — — $5,753.00 $181,921.68 $33,651.47 2026-07-15
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 9 7 — — $5,753.00 $70,920.35 $33,497.41 2026-07-15
2603 APR_DRG Major Pancreas; Liver & Shunt Procedures 8 7 — — $5,753.00 $145,067.98 $33,444.98 2026-07-15
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 9 7 — — $5,753.00 $61,792.29 $33,401.24 2026-07-15
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 9 7 — — $5,753.00 $81,151.63 $33,338.17 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 7 7 — — $5,753.00 $61,511.13 $33,249.26 2026-07-15
939 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity 9 7 — — $5,753.00 $61,388.73 $33,183.10 2026-07-15
500 MS_DRG Soft Tissue Procedures With Comorbity 8 6 — — $6,149.00 $61,287.36 $33,128.30 2026-07-15
00078069819 NDC Rydapt 10 9 $67,118.13 $46,982.69 30% off $18,820.09 $60,406.32 $32,901.39 2026-07-15
J7175 HCPCS Injection; Factor X; (human); 1 I.u. 33 14 $85,622.40 $59,935.68 30% off $9.77 $77,060.16 $32,750.57 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 9 7 — — $5,753.00 $60,374.95 $32,635.11 2026-07-15
662 MS_DRG Minor Bladder Procedures With Comorbity 9 7 — — $5,753.00 $60,348.20 $32,620.65 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 9 7 — — $5,753.00 $111,124.17 $32,483.13 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 9 7 — — $5,753.00 $163,130.81 $32,339.42 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 7 7 — — $5,753.00 $59,705.51 $32,273.25 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 7 — — $5,753.00 $137,876.70 $32,250.48 2026-07-15
J9229 HCPCS Besponsa 10 9 $65,768.87 $46,038.21 30% off $18,441.76 $59,191.98 $32,239.99 2026-07-15
C1822 HCPCS Generator; Neurostimulator (implantable); High Frequency; With Rechargeable Batt… 19 13 $86,743.80 $60,720.66 30% off $257.71 $78,069.42 $32,095.21 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 7 — — $5,753.00 $59,372.66 $32,093.33 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 9 7 — — $5,753.00 $87,871.34 $31,989.95 2026-07-15
J9347 HCPCS Imjudo 39 14 $95,472.00 $66,830.40 30% off $140.90 $102,433.11 $31,913.90 2026-07-15
1813 APR_DRG Lower Extremity Arterial Procedures 8 7 — — $5,753.00 $56,493.79 $31,824.69 2026-07-15
570 MS_DRG Skin Debridement With Comorbity 9 7 — — $5,753.00 $59,963.58 $31,489.53 2026-07-15
J9600 HCPCS Photofrin 10 9 $64,138.25 $44,896.78 30% off $17,984.53 $57,724.42 $31,440.65 2026-07-15
974 MS_DRG HIV With Major Related Condition With Comorbity 9 7 — — $5,753.00 $57,796.61 $31,241.41 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 9 7 — — $5,753.00 $147,668.14 $30,852.64 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 9 7 — — $5,753.00 $56,932.01 $30,774.06 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 9 7 — — $5,753.00 $56,779.00 $30,691.35 2026-07-15
675 MS_DRG Other Kidney & Urinary Tract Procedures Without Complication/comorbity 9 7 — — $16,550.40 $188,865.65 $30,618.24 2026-07-15
668 MS_DRG Transurethral Procedures With Comorbity 9 7 — — $18,348.98 $201,927.74 $30,518.68 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 7 — — $5,753.00 $56,428.94 $30,502.13 2026-07-15
800 MS_DRG Splenic Procedures With Cc 9 7 — — $5,753.00 $56,411.74 $30,492.83 2026-07-15
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 9 7 — — $5,753.00 $79,691.59 $30,476.28 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 9 7 — — $5,753.00 $56,094.22 $30,321.20 2026-07-15
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 9 7 — — $24,046.33 $357,613.06 $30,256.99 2026-07-15
774 MS_DRG Cocaine Abuse And Dependence 4 4 — — $5,753.00 $61,094.48 $30,227.60 2026-07-15
57425 CPT Surgical Repair Of Vaginal Defect Using An Endoscope 33 14 $40,220.00 $28,154.00 30% off $257.71 $44,332.20 $30,165.00 2026-07-15
625 MS_DRG Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity 9 7 — — $5,753.00 $55,518.46 $30,009.98 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 9 7 — — $5,753.00 $65,400.25 $29,975.87 2026-07-15
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 8 7 — — $5,753.00 $243,837.44 $29,970.98 2026-07-15
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