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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

RIVERSIDE MEDICAL CENTER

Kankakee, IL · CCN 140186 · Rates published

8,485 distinct procedures filed
67 distinct payers
318,924 rate rows
2026-08-01 last MRF observed
Data quality

256,137 of 318,924 rate rows are consumer-grade (80.3%)

62,787 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 59,436
per-diem day rate — not a per-procedure price 1,631
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 804
exceeds 10× this hospital's gross charge — excluded from medians 780
template filing: same amount across many unrelated codes — excluded 112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/40e3102d5608e1d56aa13fa18d40822d/charges/mrf
Found on page https://www.cdmpricing.com/40e3102d5608e1d56aa13fa18d40822d
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 4fd931643816b911… · 57,786,231 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $346,618.34 $472,803.12 $409,710.73 nat. median
$168,055
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $236,261.24 $307,139.61 $271,700.42 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $180,161.23 $234,209.60 $207,185.42 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 14 $179,107.88 $232,840.24 $205,974.06 nat. median
$145,435
1.4× median
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 14 $117,119.95 $152,255.94 $134,687.95 nat. median
$97,418
1.4× median
7
MS_DRG 		Lung Transplant 14 $109,544.01 $142,407.21 $125,975.61 nat. median
$70,649
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $101,706.63 $132,218.62 $116,962.62 nat. median
$72,715
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $95,938.91 $124,720.58 $110,329.74 nat. median
$65,418
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $95,829.63 $124,578.52 $110,204.07 nat. median
$2,110
outlier · 52.2×
426
MS_DRG 		Non-hypovolemic Sodium Disorders 13 $93,327.84 $121,326.19 $107,327.01 nat. median
$2,736
outlier · 39.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $92,091.26 $119,718.64 $105,904.95 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Comorbity Or Intestinal Transplant 14 $87,353.35 $113,559.36 $100,456.35 nat. median
$69,922
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 14 $84,381.64 $109,696.13 $97,038.88 nat. median
$73,023
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $82,917.23 $107,792.40 $95,354.82 nat. median
$69,822
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $76,417.31 $99,342.50 $87,879.90 nat. median
$2,596
outlier · 33.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $73,474.18 $95,516.43 $84,495.30 nat. median
$2,633
outlier · 32.1×
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 14 $71,544.07 $93,007.29 $82,275.68 nat. median
$60,505
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $71,321.28 $92,717.66 $82,019.47 nat. median
$59,651
1.4× median
Q2043
HCPCS 		Provenge 16 $54,404.11 $91,596.00 $81,160.67 nat. median
$63,499
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $66,827.14 $86,875.28 $76,851.21 nat. median
$56,428
1.4× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 14 $65,225.73 $125,690.42 $75,009.59 nat. median
$55,923
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 14 $64,947.45 $84,431.68 $74,689.57 nat. median
$55,935
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $64,734.78 $84,155.21 $74,444.99 nat. median
$52,327
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $61,361.25 $79,769.62 $70,565.43 nat. median
$9,905
outlier · 7.1×
10
MS_DRG 		Pancreas Transplant 14 $61,000.61 $79,300.79 $70,150.70 nat. median
$23,080
outlier · 3.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $60,975.39 $79,268.01 $70,121.70 nat. median
$37,013
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $60,655.12 $78,851.66 $69,753.39 nat. median
$45,605
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $60,619.80 $78,805.74 $69,712.77 nat. median
$51,518
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $58,782.13 $77,168.19 $67,599.45 nat. median
$48,611
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 14 $58,497.16 $76,046.31 $67,271.74 nat. median
$49,569
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $57,263.08 $74,442.00 $65,852.54 nat. median
$47,340
1.4× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $56,859.20 $73,954.61 $65,406.90 nat. median
$2,633
outlier · 24.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $56,846.97 $73,901.06 $65,374.01 nat. median
$2,958
outlier · 22.1×
217
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 14 $55,953.35 $72,739.36 $64,346.36 nat. median
$47,458
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $55,752.43 $72,478.16 $64,115.29 nat. median
$43,299
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $54,680.02 $72,739.36 $63,709.69 nat. median
$45,446
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $54,771.39 $71,202.81 $62,987.10 nat. median
$47,121
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 14 $52,196.48 $67,855.42 $60,025.95 nat. median
$44,036
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $52,136.79 $67,777.83 $59,957.31 nat. median
$41,943
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $51,643.34 $67,136.34 $59,389.84 nat. median
$43,803
1.4× median
28
MS_DRG 		Spinal Procedures With Comorbity 14 $51,186.86 $66,542.92 $58,864.89 nat. median
$41,895
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $51,172.56 $66,524.33 $58,848.44 nat. median
$43,533
1.4× median
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 14 $50,806.87 $66,048.93 $58,427.90 nat. median
$42,674
1.4× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 $50,642.10 $65,834.73 $58,238.42 nat. median
$40,584
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 14 $50,526.09 $65,683.92 $58,105.00 nat. median
$38,932
1.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Cath With Comorbity 14 $50,012.46 $65,016.20 $57,514.33 nat. median
$43,023
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 $49,980.52 $64,974.68 $57,477.60 nat. median
$40,726
1.4× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 $49,159.21 $63,906.97 $56,533.09 nat. median
$2,596
outlier · 21.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or… 14 $48,849.85 $63,504.81 $56,177.33 nat. median
$40,301
1.4× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 11 $48,653.14 $63,249.08 $55,951.11 nat. median
$2,222
outlier · 25.2×

Other procedures at this hospital

Browse this hospital's 8,485 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 14 — — $346,618.34 $472,803.12 $409,710.73 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 14 — — $236,261.24 $307,139.61 $271,700.42 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 14 — — $180,161.23 $234,209.60 $207,185.42 2026-08-01
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 19 14 — — $179,107.88 $232,840.24 $205,974.06 2026-08-01
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 19 14 — — $117,119.95 $152,255.94 $134,687.95 2026-08-01
7 MS_DRG Lung Transplant 19 14 — — $109,544.01 $142,407.21 $125,975.61 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 14 — — $101,706.63 $132,218.62 $116,962.62 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 14 — — $95,938.91 $124,720.58 $110,329.74 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 17 12 — — $95,829.63 $124,578.52 $110,204.07 2026-08-01
426 MS_DRG Non-hypovolemic Sodium Disorders 17 13 — — $93,327.84 $121,326.19 $107,327.01 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 14 — — $92,091.26 $119,718.64 $105,904.95 2026-08-01
5 MS_DRG Liver Transplant With Comorbity Or Intestinal Transplant 19 14 — — $87,353.35 $113,559.36 $100,456.35 2026-08-01
215 MS_DRG Other Heart Assist System Implant 19 14 — — $84,381.64 $109,696.13 $97,038.88 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $82,917.23 $107,792.40 $95,354.82 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 13 — — $76,417.31 $99,342.50 $87,879.90 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 17 13 — — $73,474.18 $95,516.43 $84,495.30 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Comorbity 19 14 — — $71,544.07 $93,007.29 $82,275.68 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 14 — — $71,321.28 $92,717.66 $82,019.47 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 14 — — $66,827.14 $86,875.28 $76,851.21 2026-08-01
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 19 14 — — $65,225.73 $125,690.42 $75,009.59 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 19 14 — — $64,947.45 $84,431.68 $74,689.57 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 14 — — $64,734.78 $84,155.21 $74,444.99 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 13 — — $61,361.25 $79,769.62 $70,565.43 2026-08-01
10 MS_DRG Pancreas Transplant 19 14 — — $61,000.61 $79,300.79 $70,150.70 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 14 — — $60,975.39 $79,268.01 $70,121.70 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 14 — — $60,655.12 $78,851.66 $69,753.39 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 14 — — $60,619.80 $78,805.74 $69,712.77 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 14 — — $58,782.13 $77,168.19 $67,599.45 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 19 14 — — $58,497.16 $76,046.31 $67,271.74 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 14 — — $57,263.08 $74,442.00 $65,852.54 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 13 — — $56,859.20 $73,954.61 $65,406.90 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 13 — — $56,846.97 $73,901.06 $65,374.01 2026-08-01
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 19 14 — — $55,953.35 $72,739.36 $64,346.36 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 14 — — $55,752.43 $72,478.16 $64,115.29 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 14 — — $54,771.39 $71,202.81 $62,987.10 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $54,680.02 $72,739.36 $63,709.69 2026-08-01
Q2043 HCPCS Provenge 36 16 $199,098.00 $52,999.94 73% off $54,404.11 $91,596.00 $81,160.67 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 19 14 — — $52,196.48 $67,855.42 $60,025.95 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 14 — — $52,136.79 $67,777.83 $59,957.31 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 14 — — $51,643.34 $67,136.34 $59,389.84 2026-08-01
28 MS_DRG Spinal Procedures With Comorbity 19 14 — — $51,186.86 $66,542.92 $58,864.89 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 14 — — $51,172.56 $66,524.33 $58,848.44 2026-08-01
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 19 14 — — $50,806.87 $66,048.93 $58,427.90 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 14 — — $50,642.10 $65,834.73 $58,238.42 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 14 — — $50,526.09 $65,683.92 $58,105.00 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 19 14 — — $50,012.46 $65,016.20 $57,514.33 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 14 — — $49,980.52 $64,974.68 $57,477.60 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 13 — — $49,159.21 $63,906.97 $56,533.09 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 19 14 — — $48,849.85 $63,504.81 $56,177.33 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 11 — — $48,653.14 $63,249.08 $55,951.11 2026-08-01
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 19 14 — — $48,590.91 $63,168.18 $55,879.54 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 13 — — $47,939.41 $62,321.23 $55,130.32 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 14 — — $47,793.14 $62,131.08 $54,962.11 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 14 — — $47,107.17 $61,239.32 $54,173.25 2026-08-01
834 MS_DRG Acute Leukemia With Mcc 19 14 — — $46,828.92 $60,877.60 $53,853.26 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 14 — — $46,665.84 $60,665.59 $53,665.71 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 19 14 — — $46,600.27 $60,580.35 $53,590.31 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 14 — — $46,527.96 $60,486.35 $53,507.15 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 14 — — $46,344.69 $60,248.10 $53,296.39 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 14 — — $45,985.33 $61,711.44 $53,848.39 2026-08-01
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 19 14 — — $45,508.25 $59,160.72 $52,334.49 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 13 — — $45,481.36 $59,125.77 $52,303.57 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 19 14 — — $45,180.40 $58,734.52 $51,957.46 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 19 14 — — $44,437.26 $57,768.44 $51,102.85 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 19 14 — — $44,361.61 $57,670.09 $51,015.85 2026-08-01
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 19 14 — — $42,604.63 $55,386.02 $48,995.32 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 19 14 — — $42,268.39 $54,948.91 $48,608.65 2026-08-01
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 19 14 — — $42,210.59 $55,963.06 $49,086.82 2026-08-01
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 19 14 — — $42,052.33 $54,668.03 $48,360.18 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 14 — — $41,879.99 $54,443.99 $48,161.99 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 14 — — $41,270.53 $53,651.69 $47,461.11 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 14 — — $41,065.41 $53,385.03 $47,225.22 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 19 14 — — $40,707.35 $65,110.50 $48,523.55 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 19 14 — — $40,699.73 $52,909.65 $46,804.69 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 14 — — $40,200.39 $52,260.51 $46,230.45 2026-08-01
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 19 14 — — $40,119.69 $52,155.60 $46,137.64 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 14 — — $40,001.98 $52,002.57 $46,002.28 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 19 14 — — $39,659.00 $51,556.70 $45,607.85 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 14 — — $39,503.48 $51,354.52 $45,429.00 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 19 14 — — $39,318.53 $51,114.09 $45,216.31 2026-08-01
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 19 14 — — $39,220.19 $50,986.25 $45,103.22 2026-08-01
245 MS_DRG Aicd Generator Procedures 19 14 — — $39,031.89 $50,741.46 $44,886.68 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 19 14 — — $38,916.72 $50,591.74 $44,754.23 2026-08-01
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 19 14 — — $38,899.89 $50,569.86 $44,734.88 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 19 14 — — $38,750.27 $50,375.35 $44,562.81 2026-08-01
163 MS_DRG Major Chest Procedures With Comorbity 19 14 — — $38,354.32 $49,860.62 $44,107.47 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Comorbity 19 14 — — $38,343.39 $49,846.41 $44,094.90 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 14 — — $38,195.44 $49,654.07 $43,924.75 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 19 14 — — $37,606.12 $48,887.96 $43,247.04 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 14 — — $37,056.32 $48,173.22 $42,614.77 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 14 — — $36,766.32 $47,796.22 $42,281.27 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 14 — — $36,534.30 $47,494.59 $42,014.44 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 12 — — $36,328.33 $47,226.83 $41,777.58 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 19 14 — — $36,180.38 $47,034.49 $41,607.43 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 14 — — $36,119.85 $46,955.80 $41,537.82 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 19 14 — — $36,102.22 $54,183.60 $41,517.56 2026-08-01
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 19 14 — — $35,998.80 $55,393.89 $41,398.62 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 14 — — $35,956.77 $46,743.80 $41,350.29 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 19 14 — — $35,891.19 $54,213.93 $41,274.87 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 14 — — $35,755.00 $46,481.50 $41,118.25 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 14 — — $35,590.23 $46,267.30 $40,928.76 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 19 14 — — $35,359.06 $45,966.78 $40,662.92 2026-08-01
791 MS_DRG Prematurity With Major Problems 19 14 — — $34,800.04 $45,240.05 $40,020.04 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 12 — — $34,476.40 $44,819.32 $39,647.86 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 14 — — $33,563.44 $43,632.47 $38,597.96 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 14 — — $33,414.65 $43,439.04 $38,426.85 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 14 — — $33,217.09 $43,182.22 $38,199.65 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 14 — — $33,168.34 $43,118.84 $38,143.59 2026-08-01
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 19 14 — — $33,137.22 $43,078.39 $38,107.81 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 19 14 — — $32,953.13 $42,839.07 $37,896.10 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 14 — — $32,947.90 $44,421.52 $38,684.71 2026-08-01
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 19 14 — — $32,311.71 $42,005.22 $37,158.46 2026-08-01
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 19 14 — — $32,099.04 $41,728.75 $36,913.89 2026-08-01
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 19 14 — — $32,095.66 $46,707.46 $36,910.01 2026-08-01
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 19 14 — — $32,007.40 $41,609.62 $36,808.51 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 14 — — $31,830.86 $41,380.12 $36,605.49 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 14 — — $31,555.95 $41,022.74 $36,289.35 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 14 — — $31,543.34 $41,006.34 $36,274.84 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 14 — — $31,157.49 $40,504.74 $35,831.11 2026-08-01
332 MS_DRG Rectal Resection With Mcc 19 14 — — $31,115.47 $40,450.11 $35,782.79 2026-08-01
265 MS_DRG Aicd Lead Procedures 19 14 — — $31,094.44 $40,422.77 $35,758.61 2026-08-01
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 19 14 — — $31,040.64 $40,352.83 $35,696.74 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 14 — — $30,796.86 $40,035.92 $35,416.39 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 14 — — $30,727.08 $39,945.20 $35,336.14 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 19 14 — — $30,696.81 $39,905.85 $35,301.33 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 14 — — $30,652.25 $39,847.93 $35,250.09 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 14 — — $30,627.05 $39,815.16 $35,221.11 2026-08-01
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 19 14 — — $30,598.46 $39,778.00 $35,188.23 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Complication 19 14 — — $30,574.09 $39,746.32 $35,160.21 2026-08-01
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 19 14 — — $30,347.76 $41,825.99 $36,086.88 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 19 14 — — $30,324.41 $39,421.73 $34,873.07 2026-08-01
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 19 14 — — $30,263.88 $39,343.04 $34,803.46 2026-08-01
252 MS_DRG Other Vascular Procedures With Comorbity 19 14 — — $30,002.45 $39,003.18 $34,502.82 2026-08-01
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 19 14 — — $29,994.87 $38,993.33 $34,494.10 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 14 — — $29,860.37 $38,818.48 $34,339.43 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 19 14 — — $29,719.15 $38,634.89 $34,177.02 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $29,584.64 $38,460.03 $34,022.33 2026-08-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 19 14 — — $29,498.90 $38,348.57 $33,923.74 2026-08-01
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 19 14 — — $29,451.64 $40,293.84 $34,872.74 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 14 — — $29,357.66 $38,164.96 $33,761.31 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 19 14 — — $29,319.83 $38,115.78 $33,717.81 2026-08-01
939 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity 19 14 — — $29,172.23 $40,535.35 $34,853.79 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 14 — — $28,760.79 $37,389.03 $33,074.91 2026-08-01
37 MS_DRG Extracranial Procedures With Comorbity 19 14 — — $28,353.08 $36,859.00 $32,606.04 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 19 14 — — $28,349.74 $36,854.66 $32,602.20 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 19 14 — — $28,022.73 $36,429.55 $32,226.14 2026-08-01
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 19 14 — — $27,902.50 $36,273.25 $32,087.88 2026-08-01
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 19 14 — — $27,872.24 $36,233.91 $32,053.08 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 10 — — $27,834.42 $36,184.75 $32,009.58 2026-08-01
652 MS_DRG Kidney Transplant 19 14 — — $27,826.84 $36,174.89 $32,000.87 2026-08-01
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 19 14 — — $27,806.65 $36,148.64 $31,977.65 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 19 14 — — $27,753.69 $36,079.80 $31,916.74 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 19 14 — — $27,518.31 $35,773.80 $31,646.06 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 14 — — $27,468.73 $35,709.35 $31,589.04 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 14 — — $27,442.66 $35,675.46 $31,559.06 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 14 — — $27,388.87 $35,605.53 $31,497.20 2026-08-01
500 MS_DRG Soft Tissue Procedures With Comorbity 19 14 — — $27,282.93 $35,467.81 $31,375.37 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 14 — — $27,242.59 $35,415.37 $31,328.98 2026-08-01
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 19 14 — — $27,166.92 $56,121.28 $31,241.96 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 19 14 — — $27,154.32 $35,300.62 $31,227.47 2026-08-01
665 MS_DRG Prostatectomy With Comorbity 19 14 — — $26,916.43 $34,991.36 $30,953.90 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 14 — — $26,861.77 $34,920.30 $30,891.03 2026-08-01
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 19 14 — — $26,815.55 $34,860.21 $30,837.88 2026-08-01
662 MS_DRG Minor Bladder Procedures With Comorbity 19 14 — — $26,414.54 $34,338.90 $30,376.72 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 14 — — $26,305.56 $35,966.16 $31,135.86 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 19 14 — — $26,176.63 $34,029.62 $30,103.12 2026-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 14 — — $26,069.87 $33,890.83 $29,980.35 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 14 — — $26,066.51 $33,886.46 $29,976.49 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 14 — — $25,785.35 $35,219.76 $30,502.56 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 14 — — $25,699.14 $33,408.88 $29,554.01 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Complication 19 14 — — $25,444.44 $33,077.77 $29,261.10 2026-08-01
570 MS_DRG Skin Debridement With Comorbity 19 14 — — $25,402.41 $33,023.13 $29,212.77 2026-08-01
668 MS_DRG Transurethral Procedures With Comorbity 19 14 — — $25,225.03 $32,792.54 $29,008.78 2026-08-01
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 19 14 — — $25,160.29 $32,708.38 $28,934.33 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 14 — — $25,150.25 $36,981.41 $31,065.83 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 19 14 — — $25,073.70 $32,595.81 $28,834.76 2026-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 14 — — $25,058.58 $32,576.15 $28,817.37 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 14 — — $24,950.99 $32,436.29 $28,693.64 2026-08-01
974 MS_DRG HIV With Major Related Condition With Comorbity 19 14 — — $24,939.19 $32,420.95 $28,680.07 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 14 — — $24,806.38 $32,248.29 $28,527.33 2026-08-01
263 MS_DRG Vein Ligation & Stripping 19 14 — — $24,651.18 $34,294.09 $29,472.63 2026-08-01
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 19 14 — — $24,640.77 $32,033.00 $28,336.88 2026-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 14 — — $24,356.15 $32,375.06 $28,365.60 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 19 14 — — $24,300.08 $33,055.91 $28,677.99 2026-08-01
800 MS_DRG Splenic Procedures With Cc 19 14 — — $24,295.26 $31,583.84 $27,939.55 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 19 14 — — $24,210.37 $31,473.48 $27,841.92 2026-08-01
503 MS_DRG Foot Procedures With Mcc 19 14 — — $24,141.43 $31,383.86 $27,762.65 2026-08-01
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 14 — — $23,855.60 $31,012.28 $27,433.94 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 14 — — $23,784.99 $35,388.14 $27,352.74 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 19 14 — — $23,779.11 $30,912.84 $27,345.97 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 14 — — $23,659.72 $30,757.64 $27,208.68 2026-08-01
321 MS_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 19 14 — — $23,550.45 $30,615.58 $27,083.01 2026-08-01
849 MS_DRG Radiotherapy 19 14 — — $23,455.45 $30,492.08 $26,973.76 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 14 — — $23,427.72 $30,456.04 $26,941.88 2026-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 14 — — $23,420.51 $31,174.01 $27,297.26 2026-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 14 — — $23,353.73 $30,359.85 $26,856.79 2026-08-01
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 19 14 — — $23,206.36 $33,850.40 $28,528.38 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 19 14 — — $23,039.33 $29,951.13 $26,495.23 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 14 — — $22,961.16 $29,849.51 $26,405.33 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 14 — — $22,849.34 $29,704.14 $26,276.74 2026-08-01
253 MS_DRG Other Vascular Procedures With Complication 19 14 — — $22,497.96 $29,247.35 $25,872.65 2026-08-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 14 — — $22,471.90 $29,213.47 $25,842.69 2026-08-01
344 MS_DRG Minor Small & Large Bowel Procedures With Comorbity 19 14 — — $22,390.35 $29,107.46 $25,748.90 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 19 14 — — $22,262.57 $28,941.34 $25,601.96 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Complication/comorbity 19 14 — — $22,139.84 $56,063.47 $25,460.81 2026-08-01
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 19 14 — — $22,038.11 $28,649.54 $25,343.83 2026-08-01
96 MS_DRG Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb… 19 14 — — $22,032.67 $29,068.10 $25,550.38 2026-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 14 — — $22,032.67 $29,068.10 $25,550.38 2026-08-01
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 19 14 — — $21,997.76 $28,597.09 $25,297.42 2026-08-01
164 MS_DRG Major Chest Procedures With Complication 19 14 — — $21,896.04 $28,464.85 $25,180.44 2026-08-01
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 19 14 — — $21,886.79 $28,452.83 $25,169.81 2026-08-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 14 — — $21,626.20 $28,114.06 $24,870.13 2026-08-01
545 MS_DRG Connective Tissue Disorders With Comorbity 19 14 — — $21,540.44 $28,002.57 $24,771.51 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 19 14 — — $21,361.83 $58,543.29 $51,788.29 2026-08-01
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Complication 19 14 — — $21,351.30 $27,756.69 $24,553.99 2026-08-01
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 19 14 — — $21,345.41 $27,749.03 $24,547.22 2026-08-01
792 MS_DRG Prematurity Without Major Problems 19 14 — — $21,267.25 $27,647.42 $24,457.33 2026-08-01
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 19 14 — — $21,225.22 $27,592.79 $24,409.01 2026-08-01
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 19 14 — — $21,200.82 $27,561.07 $24,380.94 2026-08-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 11 8 — — $21,040.26 $27,352.34 $24,117.85 2026-08-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 8 — — $20,973.85 $27,266.00 $24,039.19 2026-08-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Comorbity 19 14 — — $20,898.19 $27,167.65 $24,032.92 2026-08-01
330 MS_DRG Major Small & Large Bowel Procedures With Complication 19 14 — — $20,830.10 $31,037.68 $23,954.62 2026-08-01
397 MS_DRG Appendix Procedures With Mcc 19 14 — — $20,810.77 $27,054.00 $23,932.38 2026-08-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 36 3 $108,620.00 $28,914.50 73% off $20,796.00 $72,334.00 $46,565.00 2024-05-13
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 14 — — $20,773.77 $27,005.90 $23,889.83 2026-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 19 14 — — $20,739.31 $26,961.10 $23,850.21 2026-08-01
113 MS_DRG Orbital Procedures With Complication/comorbity 19 14 — — $20,442.56 $26,575.33 $23,508.94 2026-08-01
674 MS_DRG Other Kidney & Urinary Tract Procedures With Complication 19 14 — — $20,337.48 $26,438.72 $23,388.10 2026-08-01
709 MS_DRG Penis Procedures With Cc/mcc 19 14 — — $20,240.81 $26,313.05 $23,276.93 2026-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Complication 19 14 — — $20,227.35 $26,295.56 $23,261.46 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Comorbity 19 14 — — $20,207.16 $26,269.31 $23,238.24 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 14 — — $20,107.14 $26,139.28 $23,123.21 2026-08-01
98 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication 19 14 — — $19,938.04 $25,961.14 $22,949.59 2026-08-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 27 5 $90,276.00 $24,031.00 73% off $19,910.00 $38,890.00 $38,890.00 2024-05-13
82 MS_DRG Traumatic Stupor & Coma; Coma >1 Hr With Comorbity 19 14 — — $19,891.93 $25,859.51 $22,875.72 2026-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedure With Comorbity 19 14 — — $19,858.28 $25,815.76 $22,837.02 2026-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 19 14 — — $19,808.70 $25,751.31 $22,780.01 2026-08-01
85 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr With Comorbity 19 14 — — $19,776.76 $25,709.79 $22,743.28 2026-08-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 14 — — $19,723.80 $25,640.94 $22,682.37 2026-08-01
C9602 HCPCS Perc D-e Cor Stent Ather S 18 13 $29,058.00 $7,735.24 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 18 13 $39,270.00 $10,453.67 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
C9765 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 28 12 $30,366.00 $8,083.43 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
92930 CPT Prq Tcat Plmt Ntrac St 2+les 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
0238T CPT Catheter Removal Of Plaque From Groin Artery; Accessed Through The Skin Or Open … 18 13 $24,919.00 $6,633.44 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37286 CPT Revsc Evasc Tpvt St Cplx 1st 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
C9774 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Tibial/peroneal Artery(ie… 14 12 $39,270.00 $10,453.67 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37284 CPT Revsc Evasc Tpvt St Sf 1st 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 18 13 $39,270.00 $10,453.67 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 18 13 $28,099.00 $7,479.95 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 18 13 $49,111.00 $13,073.35 73% off $19,548.26 $25,412.74 $22,480.50 2026-08-01
333 MS_DRG Rectal Resection With Cc 19 14 — — $19,533.63 $26,478.06 $23,005.85 2026-08-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 14 — — $19,496.83 $25,345.88 $22,421.35 2026-08-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 19 14 — — $19,485.90 $25,331.67 $22,408.78 2026-08-01
940 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication 19 14 — — $19,405.88 $26,420.15 $22,913.01 2026-08-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 19 14 — — $19,337.11 $25,138.24 $22,237.67 2026-08-01
286 MS_DRG Circulatory Disorders Except Ami; With Card Cath With Comorbity 19 14 — — $19,279.93 $25,063.91 $22,171.92 2026-08-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 14 — — $19,261.44 $25,039.87 $22,150.65 2026-08-01
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 19 14 — — $19,238.75 $25,010.38 $22,124.56 2026-08-01
62360 CPT Insertion Of Spinal Canal Drug Infusion Device Beneath Skin 18 13 $35,750.00 $9,516.65 73% off $19,220.06 $24,986.08 $22,103.07 2026-08-01
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 18 13 $31,350.00 $8,345.37 73% off $19,220.06 $24,986.08 $22,103.07 2026-08-01
41 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Complication Or Periph Neurosti… 19 14 — — $19,161.41 $24,909.83 $22,035.62 2026-08-01
30 MS_DRG Spinal Procedures Without Complication/comorbity 19 14 — — $19,131.99 $24,871.59 $22,001.79 2026-08-01
614 MS_DRG Adrenal & Pituitary Procedures With Complication/comorbity 19 14 — — $19,103.40 $24,834.42 $21,968.91 2026-08-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Complication 19 14 — — $19,070.62 $24,791.81 $21,931.22 2026-08-01
250 MS_DRG Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity 19 14 — — $19,025.22 $24,732.79 $21,879.01 2026-08-01
141 MS_DRG Major Head And Neck Procedures With Cc 19 14 — — $19,013.43 $24,717.46 $21,865.44 2026-08-01
629 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Complication 19 14 — — $18,994.12 $24,692.36 $21,843.24 2026-08-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 14 — — $18,981.50 $24,675.95 $21,828.72 2026-08-01
135 MS_DRG Sinus & Mastoid Procedures With Complication/comorbity 19 14 — — $18,920.16 $24,596.21 $21,758.19 2026-08-01
C9766 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery (i… 15 12 $28,117.00 $7,484.75 73% off $18,718.44 $25,412.74 $22,480.50 2026-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Complication 19 14 — — $18,680.55 $24,284.72 $21,482.63 2026-08-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 19 14 — — $18,673.82 $24,275.97 $21,474.90 2026-08-01
374 MS_DRG Digestive Malignancy With Comorbity 19 14 — — $18,657.01 $24,254.11 $21,455.56 2026-08-01
32 MS_DRG Ventricular Shunt Procedures With Cc 19 14 — — $18,592.29 $24,169.98 $21,381.13 2026-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Complication 19 14 — — $18,591.45 $24,168.88 $21,380.17 2026-08-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 19 14 — — $18,583.87 $24,159.03 $21,371.45 2026-08-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 19 14 — — $18,556.14 $24,122.98 $21,339.56 2026-08-01
595 MS_DRG Major Skin Disorders With Comorbity 19 14 — — $18,505.69 $24,057.40 $21,281.54 2026-08-01
783 MS_DRG Cesarean Section With Sterilization With Comorbity 19 14 — — $16,930.74 $27,711.88 $22,321.31 2026-08-01
J1300 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 25 4 $52,184.00 $13,891.00 73% off $14,872.00 $22,322.00 $22,322.00 2026-08-01
347 MS_DRG Anal & Stomal Procedures With Comorbity 19 14 — — $10,706.52 $25,968.81 $22,972.41 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 19 14 — — $4,454.26 $46,448.75 $41,089.28 2026-08-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 43 17 $117,275.00 $31,219.00 73% off $3,768.81 $45,501.00 $33,423.00 2026-08-01
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 49 22 $35,055.00 $9,331.64 73% off $1,635.00 $24,306.74 $21,502.12 2026-08-01
20982 CPT Ablate Bone Tumor(s) Perq 19 14 $33,540.00 $8,928.35 73% off $872.00 $24,306.74 $21,502.12 2026-08-01
53445 CPT Insertion Of Inflatable Urethra Or Bladder Neck Sphincter 31 22 $50,875.00 $13,542.93 73% off $833.00 $28,732.17 $22,764.72 2026-08-01
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 31 22 $40,185.00 $10,697.25 73% off $713.00 $61,361.33 $48,617.05 2026-08-01
61624 CPT Tcat Perm Occls/embolj Cns 20 14 $2,990.00 $795.94 73% off $664.00 $25,412.74 $22,480.50 2026-08-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 31 22 $8,550.00 $2,276.01 73% off $595.00 $42,777.34 $33,892.82 2026-08-01
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 43 17 $182,794.00 $48,660.00 73% off $495.55 $79,834.00 $52,096.00 2026-08-01
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 31 22 $25,080.00 $6,676.30 73% off $404.00 $42,777.34 $32,905.65 2026-08-01
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 51 15 $40,000.00 $10,648.00 73% off $299.00 $26,702.06 $23,621.06 2026-08-01
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