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

DEACONESS HOSPITAL INC

Evansville, IN · CCN 150082 · Rates published

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You selected 93306 (CPT)

HC ECHO COMPLETE

This hospital’s price: $862 across 70 payers · range $291-$1,940

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8112/350593390_deaconess-hospital,-inc_standardcharges.csv · observed 2026-02-11

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.

15,990 distinct procedures filed
79 distinct payers
2,108,894 rate rows
2026-02-11 last MRF observed
Data quality

1,313,916 of 2,108,894 rate rows are consumer-grade (62.3%)

794,978 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
professional (physician) fee — not the facility price 732,719
placeholder amount (≤ $0.02) — excluded from medians 52,561
per-diem day rate — not a per-procedure price 6,836
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,256
percent-of-charges filed in the dollar field — excluded from medians 953
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 308
exceeds 10× this hospital's gross charge — excluded from medians 210
template filing: same amount across many unrelated codes — excluded 125
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8112/350593390_deaconess-hospital,-inc_standardcharges.csv
Found on page https://www.deaconess.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 3471fe61b420afa8… · 1,958,549,178 bytes · first seen 2026-05-15

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 20 $3,419,469.92 $3,599,442.02 $3,599,442.02 nat. median
$3,703,693
1.0× median
C9172
HCPCS 		Outpatient Services: Cpt/hcpcs 20 $3,369,954.00 $3,547,320.00 $3,547,320.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 23 $3,095,998.40 $4,888,418.52 $3,258,945.68 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 23 $3,059,266.10 $4,830,420.15 $3,220,280.10 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 27 $2,763,208.10 $4,897,200.00 $2,908,640.10 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 31 $2,223,799.95 $4,710,944.63 $2,340,842.05 nat. median
$2,466,282
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 38 $492,709.56 $1,244,739.94 $518,641.64 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 38 $490,782.92 $1,239,872.64 $516,613.60 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 38 $490,284.06 $1,238,612.35 $516,088.48 nat. median
$622,245
0.8× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $515,000.00 $515,000.00 $515,000.00 nat. median
$265,000
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 38 $481,102.98 $1,215,418.06 $506,424.19 nat. median
$640,950
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 38 $455,714.51 $1,151,278.75 $479,699.48 nat. median
$608,101
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 $153,194.11 $993,324.38 $471,447.39 nat. median
$359,358
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 38 $428,784.81 $1,083,245.83 $451,352.43 nat. median
$591,650
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 51 $114,423.33 $741,931.14 $352,295.12 nat. median
$249,124
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 $96,371.63 $624,882.27 $296,817.76 nat. median
$198,433
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 55 $87,058.15 $564,492.90 $268,195.14 nat. median
$190,557
1.4× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 78 $4,586.11 $275,381.92 $189,325.07 nat. median
$8,223
outlier · 23.0×
5834
APR_DRG 		Neonate With Ecmo 12 $182,045.82 $193,038.14 $189,170.57 nat. median
$307,273
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 55 $57,398.13 $372,174.62 $177,042.50 nat. median
$126,722
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 52 $53,221.17 $345,090.81 $164,205.65 nat. median
$110,192
1.5× median
7
MS_DRG 		Lung Transplant 51 $53,087.10 $344,221.55 $163,793.65 nat. median
$117,894
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $149,326.95 $393,870.54 $155,171.17 nat. median
$247,214
0.6× median
5833
APR_DRG 		Neonate With Ecmo 12 $144,183.76 $193,038.14 $149,826.70 nat. median
$244,017
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 12 $142,774.29 $336,723.94 $148,362.06 nat. median
$202,993
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 12 $137,781.45 $349,554.99 $143,173.82 nat. median
$241,915
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 $44,766.49 $290,269.92 $138,222.32 nat. median
$103,967
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 55 $44,252.19 $286,935.15 $136,641.74 nat. median
$97,414
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 51 $43,258.92 $280,494.77 $133,589.22 nat. median
$94,964
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 55 $43,037.94 $279,061.82 $132,910.05 nat. median
$93,917
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 $42,580.51 $276,095.83 $131,504.26 nat. median
$93,270
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 $39,203.83 $254,201.19 $121,126.91 nat. median
$90,581
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $120,116.70 $120,116.70 $120,116.70 nat. median
$75,037
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 55 $37,420.03 $242,634.85 $115,644.85 nat. median
$78,262
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 $108,387.03 $181,410.32 $112,628.99 nat. median
$154,011
0.7× median
5832
APR_DRG 		Neonate With Ecmo 12 $106,321.70 $193,038.14 $110,482.83 nat. median
$159,249
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 12 $80,131.24 $113,660.59 $109,379.78 nat. median
$120,517
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 55 $34,422.39 $223,197.83 $106,432.32 nat. median
$77,043
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 $34,402.88 $223,071.39 $106,372.40 nat. median
$77,696
1.4× median
104
APR_DRG 		Head Trauma With Deep Coma 5 $105,040.01 $105,040.01 $105,040.01 nat. median
$42,757
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 55 $33,880.46 $219,683.94 $104,766.85 nat. median
$78,037
1.3× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 79 $43,213.38 $152,111.08 $104,576.37 nat. median
$65,720
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 $32,745.02 $212,321.63 $101,277.36 nat. median
$74,460
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 12 $97,389.59 $205,891.49 $101,201.13 nat. median
$151,838
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $100,684.94 $104,625.46 $100,684.94 nat. median
$156,153
0.6× median
10
MS_DRG 		Pancreas Transplant 51 $32,387.93 $210,006.26 $100,179.95 nat. median
$64,903
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $99,999.95 $99,999.95 $99,999.95 nat. median
$111,503
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $96,202.10 $175,201.00 $99,967.17 nat. median
$175,429
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 $32,201.47 $208,797.20 $99,606.90 nat. median
$66,660
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 $31,750.95 $205,875.99 $98,222.34 nat. median
$71,758
1.4× median

Other procedures at this hospital

Browse this hospital's 15,990 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 20 — — $3,419,469.92 $3,599,442.02 $3,599,442.02 2026-02-11
C9172 HCPCS Outpatient Services: Cpt/hcpcs 20 20 — — $3,369,954.00 $3,547,320.00 $3,547,320.00 2026-02-11
J1413 HCPCS Inj Delandistrogene Mox Rokl 23 23 — — $3,095,998.40 $4,888,418.52 $3,258,945.68 2026-02-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 23 23 — — $3,059,266.10 $4,830,420.15 $3,220,280.10 2026-02-11
J3393 HCPCS Inj, Betibeglogene Autotemce 27 27 — — $2,763,208.10 $4,897,200.00 $2,908,640.10 2026-02-11
J3399 HCPCS Inj Onase Abepar-xioi Treat 31 31 — — $2,223,799.95 $4,710,944.63 $2,340,842.05 2026-02-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 38 38 — — $492,709.56 $1,244,739.94 $518,641.64 2026-02-11
Q2056 HCPCS Ciltacabtagene Car-pos T 38 38 — — $490,782.92 $1,239,872.64 $516,613.60 2026-02-11
Q2055 HCPCS Idecabtagene Vicleucel Car 38 38 — — $490,284.06 $1,238,612.35 $516,088.48 2026-02-11
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $515,000.00 $515,000.00 $515,000.00 2026-02-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 38 38 — — $481,102.98 $1,215,418.06 $506,424.19 2026-02-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 38 — — $455,714.51 $1,151,278.75 $479,699.48 2026-02-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 53 — — $153,194.11 $993,324.38 $471,447.39 2026-02-11
Q2053 HCPCS Brexucabtagene Car Pos T 38 38 — — $428,784.81 $1,083,245.83 $451,352.43 2026-02-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 51 — — $114,423.33 $741,931.14 $352,295.12 2026-02-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 55 55 — — $96,371.63 $624,882.27 $296,817.76 2026-02-11
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 55 55 — — $87,058.15 $564,492.90 $268,195.14 2026-02-11
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 135 78 $312,934.00 $103,268.22 67% off $4,586.11 $275,381.92 $189,325.07 2026-02-11
5834 APR_DRG Neonate With Ecmo 12 12 — — $182,045.82 $193,038.14 $189,170.57 2026-02-11
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 55 55 — — $57,398.13 $372,174.62 $177,042.50 2026-02-11
14 MS_DRG Allogeneic Bone Marrow Transplant 52 52 — — $53,221.17 $345,090.81 $164,205.65 2026-02-11
7 MS_DRG Lung Transplant 51 51 — — $53,087.10 $344,221.55 $163,793.65 2026-02-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $149,326.95 $393,870.54 $155,171.17 2026-02-11
5833 APR_DRG Neonate With Ecmo 12 12 — — $144,183.76 $193,038.14 $149,826.70 2026-02-11
1614 APR_DRG Implantable Heart Assist Systems 12 12 — — $142,774.29 $336,723.94 $148,362.06 2026-02-11
24 APR_DRG Heart And/or Lung Transplant 12 12 — — $137,781.45 $349,554.99 $143,173.82 2026-02-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 51 — — $44,766.49 $290,269.92 $138,222.32 2026-02-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 55 — — $44,252.19 $286,935.15 $136,641.74 2026-02-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 51 51 — — $43,258.92 $280,494.77 $133,589.22 2026-02-11
215 MS_DRG Other Heart Assist System Implant 55 55 — — $43,037.94 $279,061.82 $132,910.05 2026-02-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 55 — — $42,580.51 $276,095.83 $131,504.26 2026-02-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 55 — — $39,203.83 $254,201.19 $121,126.91 2026-02-11
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $120,116.70 $120,116.70 $120,116.70 2026-02-11
850 MS_DRG Acute Leukemia With Other Procedures 55 55 — — $37,420.03 $242,634.85 $115,644.85 2026-02-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $108,387.03 $181,410.32 $112,628.99 2026-02-11
5832 APR_DRG Neonate With Ecmo 12 12 — — $106,321.70 $193,038.14 $110,482.83 2026-02-11
1613 APR_DRG Implantable Heart Assist Systems 12 12 — — $80,131.24 $113,660.59 $109,379.78 2026-02-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 55 55 — — $34,422.39 $223,197.83 $106,432.32 2026-02-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 55 — — $34,402.88 $223,071.39 $106,372.40 2026-02-11
104 APR_DRG Head Trauma With Deep Coma 5 5 — — $105,040.01 $105,040.01 $105,040.01 2026-02-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 55 55 — — $33,880.46 $219,683.94 $104,766.85 2026-02-11
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 137 79 $172,853.50 $57,041.66 67% off $43,213.38 $152,111.08 $104,576.37 2026-02-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 55 — — $32,745.02 $212,321.63 $101,277.36 2026-02-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $97,389.59 $205,891.49 $101,201.13 2026-02-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $100,684.94 $104,625.46 $100,684.94 2026-02-11
10 MS_DRG Pancreas Transplant 51 51 — — $32,387.93 $210,006.26 $100,179.95 2026-02-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $99,999.95 $99,999.95 $99,999.95 2026-02-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $96,202.10 $175,201.00 $99,967.17 2026-02-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 53 — — $32,201.47 $208,797.20 $99,606.90 2026-02-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 55 — — $31,750.95 $205,875.99 $98,222.34 2026-02-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $94,200.56 $173,929.35 $97,887.30 2026-02-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $94,045.73 $228,099.79 $97,726.41 2026-02-11
103 APR_DRG Head Trauma With Deep Coma 5 5 — — $97,657.40 $97,657.40 $97,657.40 2026-02-11
102 APR_DRG Head Trauma With Deep Coma 5 5 — — $97,657.40 $97,657.40 $97,657.40 2026-02-11
101 APR_DRG Head Trauma With Deep Coma 5 5 — — $97,657.40 $97,657.40 $97,657.40 2026-02-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 55 — — $31,430.83 $203,800.32 $97,238.53 2026-02-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $93,445.83 $217,051.93 $97,103.03 2026-02-11
5831 APR_DRG Neonate With Ecmo 12 12 — — $91,881.16 $190,324.53 $95,477.13 2026-02-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $93,924.86 $97,600.81 $93,924.86 2026-02-11
74 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $90,327.32 $237,739.99 $93,862.47 2026-02-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 55 — — $30,320.57 $196,601.32 $93,826.45 2026-02-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 12 — — $89,712.12 $184,314.90 $93,223.19 2026-02-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $89,469.62 $233,458.30 $92,971.20 2026-02-11
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $88,078.43 $254,608.29 $91,525.57 2026-02-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $87,593.06 $228,890.14 $91,021.20 2026-02-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 55 — — $28,837.79 $186,986.86 $89,269.49 2026-02-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 55 55 — — $28,706.99 $186,138.68 $88,867.49 2026-02-11
23 APR_DRG Heart And/or Lung Transplant 12 12 — — $85,202.04 $201,981.57 $88,536.60 2026-02-11
1612 APR_DRG Implantable Heart Assist Systems 12 12 — — $68,009.00 $91,259.62 $87,822.50 2026-02-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 55 55 — — $28,260.13 $183,241.17 $87,494.16 2026-02-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 55 — — $27,737.70 $179,853.71 $85,888.62 2026-02-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 55 55 — — $27,235.18 $176,595.33 $84,344.26 2026-02-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 55 55 — — $27,130.77 $175,918.37 $84,023.39 2026-02-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 55 55 — — $27,084.87 $175,620.72 $83,882.30 2026-02-11
1611 APR_DRG Implantable Heart Assist Systems 12 12 — — $55,377.27 $86,696.31 $83,431.06 2026-02-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 55 55 — — $26,274.42 $170,365.69 $81,391.60 2026-02-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $78,284.89 $91,018.80 $81,348.74 2026-02-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 55 — — $26,232.58 $170,094.37 $81,263.01 2026-02-11
64 APR_DRG Pancreas Transplant 12 12 — — $77,783.48 $162,821.32 $80,827.70 2026-02-11
A9543 HCPCS Pr Y90 Ibritumomab, Rx 40 40 — — $61,207.51 $154,629.50 $80,536.20 2026-02-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 55 — — $25,690.24 $166,577.85 $79,596.29 2026-02-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 55 55 — — $25,162.54 $163,156.15 $77,974.51 2026-02-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 55 55 — — $25,130.04 $162,945.43 $77,874.64 2026-02-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 40 40 — — $58,983.39 $149,010.67 $77,609.73 2026-02-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 55 55 — — $25,015.48 $162,202.61 $77,522.56 2026-02-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 55 — — $24,929.76 $161,646.81 $77,259.14 2026-02-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 55 55 — — $24,814.39 $160,898.73 $76,904.56 2026-02-11
A9699 HCPCS Radiopharm Rx Agent Noc 2 2 — — $76,785.37 $76,785.37 $76,785.37 2026-02-11
28 MS_DRG Spinal Procedures With Mcc 55 55 — — $24,695.76 $160,129.57 $76,540.02 2026-02-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 52 52 — — $24,518.65 $158,981.11 $75,995.68 2026-02-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 52 52 — — $24,518.65 $158,981.11 $75,995.68 2026-02-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 55 — — $24,335.43 $157,793.13 $75,432.61 2026-02-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 55 — — $24,167.66 $156,705.24 $74,916.99 2026-02-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 55 55 — — $24,151.00 $156,597.25 $74,865.81 2026-02-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 55 55 — — $23,902.38 $154,985.18 $74,101.73 2026-02-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 55 55 — — $23,650.92 $153,354.67 $73,328.93 2026-02-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $69,809.05 $148,785.92 $72,541.17 2026-02-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 55 — — $23,314.14 $151,171.00 $72,293.94 2026-02-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 55 — — $23,174.80 $150,267.50 $71,865.71 2026-02-11
C9293 HCPCS Glucarpidase 1000 Units IV Solr 111 79 $116,800.50 $38,544.17 67% off $29,200.13 $102,784.44 $70,664.30 2026-02-11
653 MS_DRG Major Bladder Procedures With Mcc 55 55 — — $22,644.66 $146,830.00 $70,236.45 2026-02-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 55 — — $22,454.13 $145,594.61 $69,650.91 2026-02-11
834 MS_DRG Acute Leukemia With Mcc 55 55 — — $22,452.51 $145,584.07 $69,645.92 2026-02-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 55 — — $22,364.35 $145,012.47 $69,374.99 2026-02-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 55 55 — — $22,221.76 $144,087.90 $68,936.78 2026-02-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 51 51 — — $22,102.74 $143,316.11 $68,570.98 2026-02-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 55 — — $22,052.36 $142,989.48 $68,416.16 2026-02-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 55 — — $21,939.83 $142,259.84 $68,070.34 2026-02-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 55 55 — — $21,919.11 $142,125.50 $68,006.66 2026-02-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 55 — — $21,916.27 $142,107.06 $67,997.92 2026-02-11
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 109 78 $111,533.00 $36,805.89 67% off $94.46 $98,149.04 $67,477.46 2026-02-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 55 55 — — $21,611.59 $140,131.49 $67,061.57 2026-02-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 55 — — $21,515.71 $139,509.84 $66,766.93 2026-02-11
22 APR_DRG Heart And/or Lung Transplant 12 12 — — $63,229.16 $201,130.02 $65,703.76 2026-02-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $62,627.76 $163,985.26 $65,078.83 2026-02-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 55 55 — — $20,920.17 $135,648.25 $64,936.66 2026-02-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 55 55 — — $20,851.51 $135,203.08 $64,725.66 2026-02-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $62,006.22 $173,929.35 $64,432.97 2026-02-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 55 — — $20,695.11 $134,188.96 $64,244.99 2026-02-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 55 55 — — $20,631.74 $133,778.04 $64,050.24 2026-02-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $61,226.50 $114,758.37 $63,622.73 2026-02-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 55 — — $20,460.30 $132,666.45 $63,523.38 2026-02-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 55 — — $20,339.65 $131,884.12 $63,152.58 2026-02-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 55 — — $20,323.81 $131,781.39 $63,103.89 2026-02-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 55 — — $20,318.12 $131,744.51 $63,086.42 2026-02-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 55 — — $20,242.56 $131,254.57 $62,854.19 2026-02-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $60,413.95 $123,602.18 $62,778.38 2026-02-11
245 MS_DRG Aicd Generator Procedures 55 55 — — $19,850.94 $128,715.30 $61,650.66 2026-02-11
471 MS_DRG Cervical Spinal Fusion With Mcc 55 55 — — $19,731.10 $127,938.24 $61,282.37 2026-02-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $58,962.32 $152,272.36 $61,269.94 2026-02-11
6 MS_DRG Liver Transplant Without Mcc 51 51 — — $19,698.19 $127,724.87 $61,181.23 2026-02-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 55 — — $19,398.80 $125,783.54 $60,261.10 2026-02-11
799 MS_DRG Splenic Procedures With Mcc 55 55 — — $19,314.71 $125,238.28 $60,002.67 2026-02-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 55 — — $19,313.89 $125,233.02 $60,000.18 2026-02-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 55 55 — — $19,111.18 $123,918.60 $59,377.18 2026-02-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $56,939.15 $114,679.53 $59,167.58 2026-02-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 55 55 — — $19,008.81 $123,254.81 $59,062.56 2026-02-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 55 55 — — $18,899.12 $122,543.60 $58,725.47 2026-02-11
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 162 78 $98,185.00 $32,401.05 67% off $195.69 $86,402.80 $58,277.71 2026-02-11
163 MS_DRG Major Chest Procedures With Mcc 55 55 — — $18,723.22 $121,403.03 $58,184.88 2026-02-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 53 53 — — $18,715.50 $121,352.99 $58,161.17 2026-02-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 55 — — $18,655.79 $120,965.77 $57,977.63 2026-02-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 55 — — $18,653.35 $120,949.97 $57,970.14 2026-02-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $55,096.54 $107,258.60 $57,252.86 2026-02-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $55,046.18 $137,977.17 $57,200.52 2026-02-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 55 55 — — $18,326.73 $118,832.15 $56,966.37 2026-02-11
63 APR_DRG Pancreas Transplant 12 12 — — $54,693.25 $111,952.12 $56,833.78 2026-02-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 55 55 — — $18,217.45 $118,123.58 $56,630.53 2026-02-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $54,435.45 $122,674.94 $56,565.90 2026-02-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 55 — — $18,167.08 $117,796.95 $56,475.71 2026-02-11
21 APR_DRG Heart And/or Lung Transplant 12 12 — — $54,204.15 $200,834.82 $56,325.54 2026-02-11
901 MS_DRG Wound Debridements For Injuries With Mcc 55 55 — — $17,997.27 $116,695.90 $55,953.86 2026-02-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $53,619.54 $144,789.11 $55,718.06 2026-02-11
J9226 HCPCS Supprelin La Implant 40 40 — — $42,252.06 $106,742.04 $55,594.82 2026-02-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 55 55 — — $17,844.12 $115,702.84 $55,483.18 2026-02-11
73 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $53,232.29 $143,781.31 $55,315.65 2026-02-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 55 55 — — $17,576.81 $113,969.60 $54,661.68 2026-02-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 55 — — $17,540.25 $113,732.54 $54,549.31 2026-02-11
G0448 HCPCS Place Perm Pacing Cardiovert 2 2 — — $47,818.00 $60,022.00 $53,920.00 2026-02-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 55 55 — — $17,327.78 $112,354.90 $53,896.37 2026-02-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 55 — — $17,302.60 $112,191.59 $53,818.96 2026-02-11
4404 APR_DRG Kidney Transplant 12 12 — — $51,750.45 $128,973.43 $53,775.81 2026-02-11
38240 CPT Transplt Allo Hct/donor 41 41 — — $9,740.00 $172,366.19 $53,664.63 2026-02-11
140 MS_DRG Major Head And Neck Procedures With Mcc 55 55 — — $17,179.91 $111,396.09 $53,441.92 2026-02-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 55 55 — — $17,022.70 $110,376.69 $52,958.75 2026-02-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 55 55 — — $17,021.48 $110,368.79 $52,955.01 2026-02-11
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $50,920.73 $82,189.32 $52,913.62 2026-02-11
793 MS_DRG Full Term Neonate With Major Problems 55 55 — — $16,942.67 $109,857.77 $52,712.80 2026-02-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 55 55 — — $16,901.23 $109,589.10 $52,585.46 2026-02-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $49,060.29 $54,419.74 $52,370.12 2026-02-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 55 55 — — $16,703.79 $108,308.92 $51,978.70 2026-02-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 55 55 — — $16,694.45 $108,248.34 $51,949.98 2026-02-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 55 55 — — $16,669.67 $108,087.66 $51,873.82 2026-02-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 55 55 — — $16,587.62 $107,555.57 $51,621.63 2026-02-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $49,638.48 $103,698.47 $51,581.19 2026-02-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 55 55 — — $16,522.21 $107,131.48 $51,420.62 2026-02-11
33368 CPT Hc Replace Aortic Valve W/byp Open Art/venous Aprch 111 79 $84,899.00 $28,016.67 67% off $4,726.00 $74,711.12 $51,363.89 2026-02-11
791 MS_DRG Prematurity With Major Problems 55 55 — — $16,493.77 $106,947.09 $51,333.23 2026-02-11
33367 CPT Hc Replace Aortic Valve W/byp Prq Art/venous Apprch 111 79 $84,761.00 $27,971.13 67% off $4,726.00 $74,589.68 $51,280.40 2026-02-11
33369 CPT Hc Replace Aorta Valve W/byp Cntrl Art/venous Aprch 111 79 $84,681.00 $27,944.73 67% off $4,726.00 $74,519.28 $51,232.00 2026-02-11
33366 CPT Hc Transcatheter Transapical Replacemt Aortic Valve 111 79 $84,624.00 $27,925.92 67% off $4,726.00 $74,469.12 $51,197.52 2026-02-11
33365 CPT Hc Replace Aortic Valve Open Transaortic Approach 111 79 $84,486.00 $27,880.38 67% off $4,726.00 $74,347.68 $51,114.03 2026-02-11
33364 CPT Hc Replace Aortic Valve Open Iliac Artery Approach 111 79 $84,349.00 $27,835.17 67% off $4,726.00 $74,227.12 $51,031.14 2026-02-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $50,883.43 $52,874.86 $50,883.43 2026-02-11
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 135 78 $83,400.00 $27,522.00 67% off $3,241.98 $73,392.00 $50,457.00 2026-02-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 55 55 — — $16,182.59 $104,929.37 $50,376.90 2026-02-11
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 111 79 $83,241.00 $27,469.53 67% off $4,726.00 $73,252.08 $50,360.81 2026-02-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 12 — — $48,451.74 $100,380.36 $50,348.00 2026-02-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 55 55 — — $16,171.21 $104,855.62 $50,341.95 2026-02-11
33362 CPT Hc Replace Aortic Valve Openfemoral Artery Approach 111 79 $83,102.00 $27,423.66 67% off $4,726.00 $73,129.76 $50,276.71 2026-02-11
0483T CPT Hc Tmvi W/prosthetic Valve Percutaneous Approach 111 79 $82,965.00 $27,378.45 67% off $4,726.00 $73,009.20 $50,193.82 2026-02-11
33361 CPT Hc Replace Aortic Valve Perq Femoral Artry Approach 111 79 $82,965.00 $27,378.45 67% off $4,726.00 $73,009.20 $50,193.82 2026-02-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 55 55 — — $16,031.47 $103,949.49 $49,912.46 2026-02-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 55 55 — — $15,994.91 $103,712.42 $49,800.11 2026-02-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 51 51 — — $15,962.81 $103,504.33 $49,701.47 2026-02-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 55 55 — — $15,962.00 $103,499.06 $49,698.98 2026-02-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 55 55 — — $15,884.00 $102,993.31 $49,459.26 2026-02-11
62 APR_DRG Pancreas Transplant 12 12 — — $47,479.14 $111,781.81 $49,337.33 2026-02-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 55 55 — — $15,796.67 $102,426.98 $49,190.85 2026-02-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 55 55 — — $15,700.79 $101,805.33 $48,896.21 2026-02-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 55 55 — — $15,684.54 $101,699.97 $48,846.27 2026-02-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 55 — — $15,644.32 $101,439.19 $48,722.67 2026-02-11
33230 CPT Hc Icd Insert Generator Only Dual Leads W/fluoro 138 79 $80,437.00 $26,544.21 67% off $20,109.25 $74,349.85 $48,664.39 2026-02-11
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 135 78 $80,381.00 $26,525.73 67% off $2,176.39 $70,735.28 $48,630.50 2026-02-11
A9606 HCPCS Radium Ra 223 Dichloride 30 Mcci/ml IV Soln 162 78 $81,625.00 $26,936.25 67% off $113.25 $71,830.00 $48,448.52 2026-02-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $46,555.03 $114,399.86 $48,377.06 2026-02-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 55 55 — — $15,527.32 $100,680.57 $48,363.10 2026-02-11
33418 CPT Hc Tcat Mitral Valve Repair Initial Prosthesis 111 79 $79,902.00 $26,367.66 67% off $1,604.57 $70,313.76 $48,340.71 2026-02-11
1784 APR_DRG External Heart Assist Systems 7 7 — — $48,128.28 $50,011.88 $48,128.28 2026-02-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 55 — — $15,442.83 $100,132.68 $48,103.42 2026-02-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 55 55 — — $15,322.58 $99,352.98 $47,733.87 2026-02-11
84 APR_DRG Autologous Bone Marrow Transplant 12 12 — — $45,692.86 $105,502.18 $47,481.15 2026-02-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 55 55 — — $15,209.64 $98,620.70 $47,386.80 2026-02-11
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $47,237.07 $47,237.07 $47,237.07 2026-02-11
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Wet Solr Vial 135 78 $76,862.50 $25,364.63 67% off $223.15 $67,639.00 $46,501.82 2026-02-11
33276 CPT Insj Phrnc Nrv Stim Sys 39 39 — — $19,516.00 $111,316.90 $46,382.04 2026-02-11
0266T CPT Outpatient Services: Cpt/hcpcs 39 39 — — $17,197.00 $111,316.90 $46,382.04 2026-02-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,232.33 $48,041.73 $46,232.33 2026-02-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 55 55 — — $14,821.28 $96,102.50 $46,193.25 2026-02-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 12 — — $44,308.01 $102,738.02 $46,042.10 2026-02-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 55 55 — — $14,721.75 $95,457.15 $45,887.38 2026-02-11
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $45,879.28 $45,879.28 $45,879.28 2026-02-11
J1747 HCPCS Spesolimab-sbzo 450 Mg/7.5ml IV Soln 135 78 $75,410.50 $24,885.47 67% off $57.22 $66,361.24 $45,623.36 2026-02-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 55 55 — — $14,562.91 $94,427.22 $45,399.22 2026-02-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 55 55 — — $14,562.09 $94,421.95 $45,396.72 2026-02-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 55 55 — — $14,558.85 $94,400.88 $45,386.74 2026-02-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 12 — — $43,582.76 $74,518.80 $45,288.46 2026-02-11
265 MS_DRG Aicd Lead Procedures 55 55 — — $14,490.19 $93,955.71 $45,175.74 2026-02-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $43,418.98 $95,018.12 $45,118.28 2026-02-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 50 — — $26,349.42 $92,272.52 $45,071.38 2026-02-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 55 55 — — $14,425.60 $93,536.89 $44,977.23 2026-02-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 55 55 — — $14,341.91 $92,994.27 $44,720.05 2026-02-11
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 55 55 — — $14,337.04 $92,962.66 $44,705.07 2026-02-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 55 55 — — $14,300.88 $92,728.22 $44,593.95 2026-02-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 55 55 — — $14,233.04 $92,288.33 $44,385.46 2026-02-11
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 55 55 — — $14,222.89 $92,222.48 $44,354.24 2026-02-11
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $42,677.69 $81,689.74 $44,347.97 2026-02-11
264 MS_DRG Other Circulatory System O.r. Procedures 55 55 — — $14,197.70 $92,059.16 $44,276.83 2026-02-11
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 137 79 $72,795.00 $24,022.35 67% off $18,198.75 $64,059.60 $44,040.97 2026-02-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 53 53 — — $14,105.49 $91,461.22 $43,993.44 2026-02-11
332 MS_DRG Rectal Resection With Mcc 55 55 — — $14,090.46 $91,363.76 $43,947.25 2026-02-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 55 55 — — $14,075.02 $91,263.66 $43,899.79 2026-02-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $42,093.45 $113,963.59 $43,740.87 2026-02-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 55 — — $13,992.55 $90,728.94 $43,646.35 2026-02-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $42,002.05 $98,492.57 $43,645.89 2026-02-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 55 55 — — $13,969.80 $90,581.43 $43,576.45 2026-02-11
665 MS_DRG Prostatectomy With Mcc 55 55 — — $13,947.86 $90,439.19 $43,509.02 2026-02-11
252 MS_DRG Other Vascular Procedures With Mcc 55 55 — — $13,934.87 $90,354.90 $43,469.07 2026-02-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 12 — — $41,781.94 $82,783.95 $43,417.16 2026-02-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 55 — — $13,913.33 $90,215.29 $43,402.91 2026-02-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $41,712.92 $105,090.96 $43,345.44 2026-02-11
72 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $41,638.68 $143,781.31 $43,268.30 2026-02-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 55 55 — — $13,839.80 $89,738.52 $43,176.93 2026-02-11
93651 CPT Pr Ablate Heart Dysrhythm Focus 2 2 — — $38,254.00 $48,017.00 $43,135.50 2026-02-11
93652 CPT Pr Ablate Dysrhythm Focus Rx Vtack 2 2 — — $38,254.00 $48,017.00 $43,135.50 2026-02-11
33264 CPT Hc Icd Bivent Generator Change W/fluoro 137 79 $71,150.00 $23,479.50 67% off $17,787.50 $103,771.53 $43,045.75 2026-02-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 55 55 — — $13,779.67 $89,348.67 $42,992.16 2026-02-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $41,216.73 $99,270.07 $42,829.84 2026-02-11
33263 CPT Hc Icd Generator Change Dual Lead W/fluoro 137 79 $70,636.00 $23,309.88 67% off $17,659.00 $74,349.85 $42,734.78 2026-02-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 55 55 — — $13,635.46 $88,413.57 $42,548.94 2026-02-11
0620T CPT Hc Endovascular Venous Arterialization Tibl/prnl Vn 138 79 $70,001.00 $23,100.33 67% off $13,866.00 $68,027.47 $42,350.61 2026-02-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 12 — — $40,746.66 $166,227.87 $42,341.37 2026-02-11
37 MS_DRG Extracranial Procedures With Mcc 55 55 — — $13,490.03 $87,470.56 $42,101.98 2026-02-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $40,370.98 $132,667.10 $41,950.98 2026-02-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 55 55 — — $13,412.84 $86,970.08 $41,864.78 2026-02-11
8634 APR_DRG Neonatal Aftercare 12 12 — — $39,946.42 $121,810.94 $41,509.81 2026-02-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 12 — — $39,939.70 $81,433.81 $41,502.83 2026-02-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 55 55 — — $13,277.97 $86,095.56 $41,450.29 2026-02-11
33262 CPT Hc Icd Generator Change Single Lead W/fluoro 137 79 $68,355.00 $22,557.15 67% off $14,062.81 $74,349.85 $41,354.78 2026-02-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 55 55 — — $13,239.79 $85,847.95 $41,332.93 2026-02-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 55 55 — — $13,234.10 $85,811.08 $41,315.46 2026-02-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $41,070.11 $42,677.48 $41,070.11 2026-02-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $39,456.20 $81,510.52 $41,000.40 2026-02-11
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 135 78 $67,745.50 $22,356.02 67% off $317.15 $59,616.04 $40,986.03 2026-02-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 55 55 — — $13,095.57 $84,912.85 $40,889.71 2026-02-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 55 — — $13,016.76 $84,401.83 $40,647.52 2026-02-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 12 — — $39,048.80 $66,762.43 $40,577.06 2026-02-11
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 55 55 — — $12,979.38 $84,159.50 $40,532.66 2026-02-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $38,998.44 $82,434.75 $40,524.73 2026-02-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $38,964.12 $91,679.86 $40,489.06 2026-02-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 55 55 — — $12,956.63 $84,011.99 $40,462.74 2026-02-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 55 55 — — $12,919.26 $83,769.65 $40,347.87 2026-02-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 55 55 — — $12,893.26 $83,601.07 $40,267.97 2026-02-11
500 MS_DRG Soft Tissue Procedures With Mcc 55 55 — — $12,871.73 $83,461.46 $40,201.81 2026-02-11
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 12 — — $38,228.42 $49,456.34 $39,724.57 2026-02-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 55 — — $12,677.95 $82,204.99 $39,606.29 2026-02-11
662 MS_DRG Minor Bladder Procedures With Mcc 55 55 — — $12,672.27 $82,168.12 $39,588.80 2026-02-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $38,095.98 $87,885.09 $39,586.94 2026-02-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 55 55 — — $12,618.23 $81,817.78 $39,422.75 2026-02-11
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $37,892.28 $81,655.68 $39,375.27 2026-02-11
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 135 78 $64,967.00 $21,439.11 67% off $2,469.15 $57,170.96 $39,305.04 2026-02-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 55 55 — — $12,561.77 $81,451.64 $39,249.22 2026-02-11
1794 APR_DRG Defibrillator Implants 7 7 — — $39,211.46 $40,746.09 $39,211.46 2026-02-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 55 — — $12,535.77 $81,283.06 $39,169.31 2026-02-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 55 55 — — $12,526.83 $81,225.11 $39,141.86 2026-02-11
652 MS_DRG Kidney Transplant 51 51 — — $12,476.45 $80,898.48 $38,987.04 2026-02-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 55 55 — — $12,465.08 $80,824.72 $38,952.08 2026-02-11
33270 CPT Hc Icd Insert Subq 137 79 $64,215.00 $21,190.95 67% off $16,053.75 $103,771.53 $38,850.07 2026-02-11
1694 APR_DRG Major Abdominal Vascular Procedures 12 12 — — $37,382.29 $79,967.17 $38,845.32 2026-02-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 55 55 — — $12,424.46 $80,561.31 $38,827.23 2026-02-11
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