Hospital

DEACONESS HENDERSON HOSPITAL

Henderson, KY · CCN 180056 · Rates published

14,554 distinct procedures filed

53 distinct payers

1,362,098 rate rows

2026-02-09 last MRF observed

Data quality

769,514 of 1,362,098 rate rows are consumer-grade (56.5%)

592,584 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 — reason	Rows
professional (physician) fee — not the facility price	553,028
placeholder amount (≤ $0.02) — excluded from medians	37,595
per-diem day rate — not a per-procedure price	905
percent-of-charges filed in the dollar field — excluded from medians	748
exceeds 10× this hospital's gross charge — excluded from medians	266
template filing: same amount across many unrelated codes — excluded	38
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8109/610461753_deaconess-health-system-henderson-hospital_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/hospital/daconesshendersonhospital/8109or
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	ae346a149549b0e1… · 987,261,617 bytes · first seen 2026-05-08

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	17	$3,347,481.08	$4,319,330.42	$3,599,442.02	nat. median $3,710,000 1.0× median
C9172 HCPCS	Outpatient Services: Cpt/hcpcs	17	$3,299,007.60	$4,256,784.00	$3,547,320.00	nat. median $3,570,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	20	$3,030,819.48	$4,888,418.52	$3,258,945.68	nat. median $3,325,455 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	20	$2,994,860.49	$4,830,420.15	$3,220,280.10	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	21	$2,705,035.29	$4,897,200.00	$2,908,640.10	nat. median $3,006,423 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	22	$2,176,983.11	$4,798,726.20	$2,340,842.05	nat. median $2,469,189 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	28	$482,336.73	$1,244,739.94	$518,641.64	nat. median $754,974 0.7× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	28	$480,450.65	$1,239,872.64	$516,613.60	nat. median $675,122 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	28	$479,962.29	$1,238,612.35	$516,088.48	nat. median $625,184 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	28	$470,974.50	$1,215,418.06	$506,424.19	nat. median $674,188 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	28	$446,120.52	$1,151,278.75	$479,699.48	nat. median $634,511 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	28	$419,757.76	$1,083,245.83	$451,352.43	nat. median $620,080 0.7× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	$238,293.67	$851,348.90	$326,560.25	nat. median $370,174 0.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	37	$177,985.65	$552,491.19	$244,027.06	nat. median $265,286 0.9× median
209 MS_DRG	Complex Aortic Arch Procedures	1	$223,150.14	$223,150.14	$223,150.14	nat. median $98,017 outlier · 2.3×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	40	$149,906.21	$448,503.26	$167,755.72	nat. median $206,368 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	40	$135,419.09	$418,454.82	$151,630.34	nat. median $202,986 0.7× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	4	$115,628.23	$115,628.23	$115,628.23	nat. median $246,434 outlier · 0.5×
14 MS_DRG	Allogeneic Bone Marrow Transplant	37	$82,785.60	$247,685.62	$113,743.13	nat. median $117,303 1.0× median
7 MS_DRG	Lung Transplant	37	$82,577.07	$255,313.19	$113,457.75	nat. median $122,708 0.9× median
213 MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	1	$112,511.53	$112,511.53	$112,511.53	nat. median $51,061 outlier · 2.2×
24 APR_DRG	Heart &/or Lung Transplant	4	$101,004.57	$101,004.57	$101,004.57	nat. median $234,738 outlier · 0.4×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	40	$89,282.87	$273,080.35	$100,276.84	nat. median $133,176 0.8× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	$96,953.84	$96,953.84	$96,953.84	nat. median $207,730 outlier · 0.5×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	37	$69,634.34	$223,406.44	$95,745.26	nat. median $108,660 0.9× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	37	$67,289.33	$203,271.51	$92,536.04	nat. median $100,136 0.9× median
J9043 HCPCS	Cabazitaxel 60 Mg/1.5ml IV Soln	53	$198.08	$138,677.51	$90,068.90	nat. median $739 outlier · 121.9×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	40	$68,834.34	$214,382.88	$77,515.89	nat. median $102,358 0.8× median
A9699 HCPCS	Radiopharm Rx Agent Noc	1	$76,785.37	$76,785.37	$76,785.37	nat. median $21,806 outlier · 3.5×
215 MS_DRG	Other Heart Assist System Implant	40	$66,945.57	$200,293.95	$75,413.53	nat. median $99,019 0.8× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	40	$66,234.04	$217,282.96	$74,621.54	nat. median $98,905 0.8× median
J1823 HCPCS	Inebilizumab-cdon 100 Mg/10ml IV Soln	53	$441.56	$114,432.36	$74,322.05	nat. median $798 outlier · 93.1×
14 APR_DRG	Liver Transplant &/or Intestinal Transplant	4	$73,501.84	$73,501.84	$73,501.84	nat. median $129,535 0.6× median
J2351 HCPCS	Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln	53	$16,729.95	$108,187.01	$70,265.79	nat. median $78 outlier · 901.4×
10 MS_DRG	Pancreas Transplant	37	$50,379.48	$150,729.98	$69,394.45	nat. median $68,882 1.0× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	4	$69,192.08	$69,192.08	$69,192.08	nat. median $187,294 outlier · 0.4×
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	37	$50,089.43	$149,862.19	$68,997.51	nat. median $71,240 1.0× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	$60,981.62	$192,867.90	$68,775.15	nat. median $93,672 0.7× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	4	$68,020.04	$68,020.04	$68,020.04	nat. median $105,658 0.6× median
359 MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	1	$67,792.00	$67,792.00	$67,792.00	nat. median $32,088 outlier · 2.1×
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	$66,694.22	$66,694.22	$66,694.22	nat. median $164,279 outlier · 0.4×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	4	$65,781.90	$65,781.90	$65,781.90	nat. median $164,834 outlier · 0.4×
850 MS_DRG	Acute Leukemia With Other Procedures	38	$58,206.92	$171,394.66	$65,686.67	nat. median $83,442 0.8× median
A9543 HCPCS	Pr Y90 Ibritumomab, Rx	25	$59,918.93	$154,629.50	$64,428.96	nat. median $62,507 1.0× median
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	$63,710.81	$63,710.81	$63,710.81	nat. median $162,982 outlier · 0.4×
J9029 HCPCS	Instill Adstiladrin, Tx Dose	28	$57,741.64	$149,010.67	$62,087.78	nat. median $69,774 0.9× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	$60,752.95	$60,752.95	$60,752.95	nat. median $151,838 outlier · 0.4×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	40	$53,544.07	$166,195.48	$60,496.53	nat. median $79,312 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	40	$53,513.74	$165,673.03	$60,462.77	nat. median $81,118 0.7× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	40	$52,701.11	$177,624.26	$59,558.24	nat. median $82,712 0.7× median

Other procedures at this hospital

Browse this hospital's 14,554 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	17	—	—	$3,347,481.08	$4,319,330.42	$3,599,442.02	2026-02-09
C9172	HCPCS	Outpatient Services: Cpt/hcpcs	20	17	—	—	$3,299,007.60	$4,256,784.00	$3,547,320.00	2026-02-09
J1413	HCPCS	Inj Delandistrogene Mox Rokl	23	20	—	—	$3,030,819.48	$4,888,418.52	$3,258,945.68	2026-02-09
J3394	HCPCS	Inj, Lovotibeglogene Autotem	23	20	—	—	$2,994,860.49	$4,830,420.15	$3,220,280.10	2026-02-09
J3393	HCPCS	Inj, Betibeglogene Autotemce	25	21	—	—	$2,705,035.29	$4,897,200.00	$2,908,640.10	2026-02-09
J3399	HCPCS	Inj Onase Abepar-xioi Treat	26	22	—	—	$2,176,983.11	$4,798,726.20	$2,340,842.05	2026-02-09
Q2042	HCPCS	Tisagenlecleucel Car-pos T	34	28	—	—	$482,336.73	$1,244,739.94	$518,641.64	2026-02-09
Q2056	HCPCS	Ciltacabtagene Car-pos T	34	28	—	—	$480,450.65	$1,239,872.64	$516,613.60	2026-02-09
Q2055	HCPCS	Idecabtagene Vicleucel Car	34	28	—	—	$479,962.29	$1,238,612.35	$516,088.48	2026-02-09
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	34	28	—	—	$470,974.50	$1,215,418.06	$506,424.19	2026-02-09
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	34	28	—	—	$446,120.52	$1,151,278.75	$479,699.48	2026-02-09
Q2053	HCPCS	Brexucabtagene Car Pos T	34	28	—	—	$419,757.76	$1,083,245.83	$451,352.43	2026-02-09
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	42	37	—	—	$238,293.67	$851,348.90	$326,560.25	2026-02-09
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	42	37	—	—	$177,985.65	$552,491.19	$244,027.06	2026-02-09
209	MS_DRG	Complex Aortic Arch Procedures	1	1	—	—	$223,150.14	$223,150.14	$223,150.14	2026-02-09
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	46	40	—	—	$149,906.21	$448,503.26	$167,755.72	2026-02-09
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	46	40	—	—	$135,419.09	$418,454.82	$151,630.34	2026-02-09
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$115,628.23	$115,628.23	$115,628.23	2026-02-09
14	MS_DRG	Allogeneic Bone Marrow Transplant	42	37	—	—	$82,785.60	$247,685.62	$113,743.13	2026-02-09
7	MS_DRG	Lung Transplant	42	37	—	—	$82,577.07	$255,313.19	$113,457.75	2026-02-09
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	1	1	—	—	$112,511.53	$112,511.53	$112,511.53	2026-02-09
24	APR_DRG	Heart &/or Lung Transplant	4	4	—	—	$101,004.57	$101,004.57	$101,004.57	2026-02-09
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	46	40	—	—	$89,282.87	$273,080.35	$100,276.84	2026-02-09
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	4	4	—	—	$96,953.84	$96,953.84	$96,953.84	2026-02-09
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	42	37	—	—	$69,634.34	$223,406.44	$95,745.26	2026-02-09
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	42	37	—	—	$67,289.33	$203,271.51	$92,536.04	2026-02-09
J9043	HCPCS	Cabazitaxel 60 Mg/1.5ml IV Soln	107	53	$142,966.50	$42,889.95 70% off	$198.08	$138,677.51	$90,068.90	2026-02-09
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	46	40	—	—	$68,834.34	$214,382.88	$77,515.89	2026-02-09
A9699	HCPCS	Radiopharm Rx Agent Noc	1	1	—	—	$76,785.37	$76,785.37	$76,785.37	2026-02-09
215	MS_DRG	Other Heart Assist System Implant	46	40	—	—	$66,945.57	$200,293.95	$75,413.53	2026-02-09
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	40	—	—	$66,234.04	$217,282.96	$74,621.54	2026-02-09
J1823	HCPCS	Inebilizumab-cdon 100 Mg/10ml IV Soln	107	53	$117,971.50	$35,391.45 70% off	$441.56	$114,432.36	$74,322.05	2026-02-09
14	APR_DRG	Liver Transplant &/or Intestinal Transplant	4	4	—	—	$73,501.84	$73,501.84	$73,501.84	2026-02-09
J2351	HCPCS	Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln	84	53	$111,533.00	$33,459.90 70% off	$16,729.95	$108,187.01	$70,265.79	2026-02-09
10	MS_DRG	Pancreas Transplant	42	37	—	—	$50,379.48	$150,729.98	$69,394.45	2026-02-09
74	APR_DRG	Allogeneic Bone Marrow Transplant	4	4	—	—	$69,192.08	$69,192.08	$69,192.08	2026-02-09
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	42	37	—	—	$50,089.43	$149,862.19	$68,997.51	2026-02-09
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$60,981.62	$192,867.90	$68,775.15	2026-02-09
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	4	4	—	—	$68,020.04	$68,020.04	$68,020.04	2026-02-09
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	1	1	—	—	$67,792.00	$67,792.00	$67,792.00	2026-02-09
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$66,694.22	$66,694.22	$66,694.22	2026-02-09
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$65,781.90	$65,781.90	$65,781.90	2026-02-09
850	MS_DRG	Acute Leukemia With Other Procedures	44	38	—	—	$58,206.92	$171,394.66	$65,686.67	2026-02-09
A9543	HCPCS	Pr Y90 Ibritumomab, Rx	29	25	—	—	$59,918.93	$154,629.50	$64,428.96	2026-02-09
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$63,710.81	$63,710.81	$63,710.81	2026-02-09
J9029	HCPCS	Instill Adstiladrin, Tx Dose	34	28	—	—	$57,741.64	$149,010.67	$62,087.78	2026-02-09
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$60,752.95	$60,752.95	$60,752.95	2026-02-09
231	MS_DRG	Coronary Bypass With Ptca With Mcc	46	40	—	—	$53,544.07	$166,195.48	$60,496.53	2026-02-09
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	40	—	—	$53,513.74	$165,673.03	$60,462.77	2026-02-09
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	46	40	—	—	$52,701.11	$177,624.26	$59,558.24	2026-02-09
23	APR_DRG	Heart &/or Lung Transplant	4	4	—	—	$58,449.61	$58,449.61	$58,449.61	2026-02-09
22	APR_DRG	Heart &/or Lung Transplant	4	4	—	—	$57,965.86	$57,965.86	$57,965.86	2026-02-09
21	APR_DRG	Heart &/or Lung Transplant	4	4	—	—	$57,798.16	$57,798.16	$57,798.16	2026-02-09
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	40	—	—	$50,934.92	$155,133.39	$57,592.33	2026-02-09
J9347	HCPCS	Tremelimumab-actl 300 Mg/15ml IV Soln	131	53	$112,139.00	$33,641.70 70% off	$153.80	$108,774.83	$56,630.20	2026-02-09
5834	APR_DRG	Neonate W Ecmo	4	4	—	—	$56,336.77	$56,336.77	$56,336.77	2026-02-09
5832	APR_DRG	Neonate W Ecmo	4	4	—	—	$56,336.77	$56,336.77	$56,336.77	2026-02-09
5833	APR_DRG	Neonate W Ecmo	4	4	—	—	$56,336.77	$56,336.77	$56,336.77	2026-02-09
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	46	40	—	—	$49,388.65	$150,725.12	$55,871.19	2026-02-09
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$48,890.71	$151,377.68	$55,316.94	2026-02-09
5831	APR_DRG	Neonate W Ecmo	4	4	—	—	$54,795.22	$54,795.22	$54,795.22	2026-02-09
J7330	HCPCS	Cultured Chondrocytes Implnt	6	5	—	—	$45,751.35	$120,116.70	$54,329.72	2026-02-09
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	34	28	—	—	$50,171.23	$129,474.14	$53,947.56	2026-02-09
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	4	4	—	—	$53,626.41	$53,626.41	$53,626.41	2026-02-09
33368	CPT	Hc Replace Aortic Valve W/byp Open Art/venous Aprch	85	53	$84,899.00	$25,469.70 70% off	$987.14	$82,352.03	$53,486.37	2026-02-09
33367	CPT	Hc Replace Aortic Valve W/byp Prq Art/venous Apprch	85	53	$84,761.00	$25,428.30 70% off	$835.82	$82,218.17	$53,399.43	2026-02-09
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	40	—	—	$47,163.70	$150,226.33	$53,394.64	2026-02-09
33369	CPT	Hc Replace Aorta Valve W/byp Cntrl Art/venous Aprch	85	53	$84,681.00	$25,404.30 70% off	$1,303.37	$82,140.57	$53,349.03	2026-02-09
33366	CPT	Hc Transcatheter Transapical Replacemt Aortic Valve	85	53	$84,624.00	$25,387.20 70% off	$2,092.88	$82,085.28	$53,313.12	2026-02-09
33365	CPT	Hc Replace Aortic Valve Open Transaortic Approach	85	53	$84,486.00	$25,345.80 70% off	$1,898.77	$81,951.42	$53,226.18	2026-02-09
33364	CPT	Hc Replace Aortic Valve Open Iliac Artery Approach	85	53	$84,349.00	$25,304.70 70% off	$1,821.13	$81,818.53	$53,139.87	2026-02-09
G0448	HCPCS	Place Perm Pacing Cardiovert	1	1	—	—	$53,056.00	$53,056.00	$53,056.00	2026-02-09
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	42	37	—	—	$38,138.80	$114,107.16	$52,642.73	2026-02-09
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	42	37	—	—	$38,138.80	$116,904.04	$52,642.73	2026-02-09
J2507	HCPCS	Pegloticase 8 Mg/ml IV Soln	107	53	$83,400.00	$25,020.00 70% off	$3,173.73	$80,898.00	$52,542.00	2026-02-09
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	4	—	—	$52,530.43	$52,530.43	$52,530.43	2026-02-09
33363	CPT	Hc Replace Aortic Valve Open Axillry Artry Approach	85	53	$83,241.00	$24,972.30 70% off	$1,820.33	$80,743.77	$52,441.83	2026-02-09
33362	CPT	Hc Replace Aortic Valve Openfemoral Artery Approach	85	53	$83,102.00	$24,930.60 70% off	$1,755.57	$80,608.94	$52,354.26	2026-02-09
0483T	CPT	Hc Tmvi W/prosthetic Valve Percutaneous Approach	85	53	$82,965.00	$24,889.50 70% off	$1,271.97	$80,476.05	$52,267.95	2026-02-09
33361	CPT	Hc Replace Aortic Valve Perq Femoral Artry Approach	85	53	$82,965.00	$24,889.50 70% off	$1,611.55	$80,476.05	$52,267.95	2026-02-09
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$52,192.62	$52,192.62	$52,192.62	2026-02-09
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$51,470.22	$51,470.22	$51,470.22	2026-02-09
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	4	4	—	—	$51,470.22	$51,470.22	$51,470.22	2026-02-09
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	40	—	—	$44,857.23	$142,314.70	$50,827.35	2026-02-09
33230	CPT	Hc Icd Insert Generator Only Dual Leads W/fluoro	107	53	$80,437.00	$24,131.10 70% off	$9,496.00	$78,023.89	$50,675.31	2026-02-09
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	46	40	—	—	$44,653.76	$140,575.84	$50,600.86	2026-02-09
33418	CPT	Hc Tcat Mitral Valve Repair Initial Prosthesis	85	53	$79,902.00	$23,970.60 70% off	$2,396.65	$77,504.94	$50,338.26	2026-02-09
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	44	38	—	—	$43,958.66	$136,266.14	$49,827.16	2026-02-09
J3357	HCPCS	Ustekinumab 90 Mg/ml Sc Sosy	107	53	$78,780.50	$23,634.15 70% off	$145.84	$76,417.09	$49,631.72	2026-02-09
J9228	HCPCS	Ipilimumab 200 Mg/40ml IV Soln	131	53	$98,185.00	$29,455.50 70% off	$191.57	$95,239.45	$49,583.43	2026-02-09
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	4	4	—	—	$48,981.26	$48,981.26	$48,981.26	2026-02-09
955	MS_DRG	Craniotomy For Multiple Significant Trauma	46	40	—	—	$43,146.03	$132,703.64	$48,922.63	2026-02-09
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$48,568.14	$48,568.14	$48,568.14	2026-02-09
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	46	40	—	—	$42,364.36	$131,727.74	$48,052.57	2026-02-09
38240	CPT	Transplt Allo Hct/donor	29	25	—	—	$10,966.00	$115,183.51	$47,993.13	2026-02-09
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	46	40	—	—	$42,201.95	$141,409.78	$47,871.80	2026-02-09
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	46	40	—	—	$42,130.55	$135,597.80	$47,792.32	2026-02-09
318	MS_DRG	Percutaneous Coronary Atherectomy Without Intraluminal Device	1	1	—	—	$47,753.67	$47,753.67	$47,753.67	2026-02-09
360	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	1	1	—	—	$47,597.92	$47,597.92	$47,597.92	2026-02-09
J1747	HCPCS	Spesolimab-sbzo 450 Mg/7.5ml IV Soln	107	53	$75,410.50	$22,623.15 70% off	$56.01	$73,148.19	$47,508.62	2026-02-09
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	42	37	—	—	$34,380.83	$110,494.69	$47,499.86	2026-02-09
64	APR_DRG	Pancreas Transplant	4	4	—	—	$46,792.89	$46,792.89	$46,792.89	2026-02-09
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	46	40	—	—	$40,869.89	$126,860.11	$46,389.10	2026-02-09
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$40,804.81	$129,632.04	$46,316.66	2026-02-09
J9266	HCPCS	Pegaspargase 750 Unit/ml Ij Soln	107	53	$72,795.00	$21,838.50 70% off	$14,559.00	$70,611.15	$45,860.85	2026-02-09
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	46	40	—	—	$39,961.21	$120,681.43	$45,377.66	2026-02-09
33264	CPT	Hc Icd Bivent Generator Change W/fluoro	107	53	$71,150.00	$21,345.00 70% off	$9,496.00	$69,345.22	$44,824.50	2026-02-09
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$44,535.51	$44,535.51	$44,535.51	2026-02-09
33263	CPT	Hc Icd Generator Change Dual Lead W/fluoro	107	53	$70,636.00	$21,190.80 70% off	$9,496.00	$68,516.92	$44,500.68	2026-02-09
J9226	HCPCS	Supprelin La Implant	34	28	—	—	$41,362.54	$106,742.04	$44,475.85	2026-02-09
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	46	40	—	—	$39,140.36	$118,420.12	$44,463.99	2026-02-09
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	46	40	—	—	$39,089.81	$131,824.35	$44,407.72	2026-02-09
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$44,334.48	$44,334.48	$44,334.48	2026-02-09
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	46	40	—	—	$38,911.61	$129,160.85	$44,209.37	2026-02-09
0620T	CPT	Hc Endovascular Venous Arterialization Tibl/prnl Vn	107	53	$70,001.00	$21,000.30 70% off	$9,496.00	$67,900.97	$44,100.63	2026-02-09
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	46	40	—	—	$38,778.28	$116,020.45	$44,060.96	2026-02-09
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	46	40	—	—	$38,598.82	$119,524.16	$43,861.20	2026-02-09
28	MS_DRG	Spinal Procedures With Mcc	46	40	—	—	$38,414.30	$118,453.63	$43,655.82	2026-02-09
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$43,134.82	$43,134.82	$43,134.82	2026-02-09
33262	CPT	Hc Icd Generator Change Single Lead W/fluoro	107	53	$68,355.00	$20,506.50 70% off	$9,496.00	$66,304.35	$43,063.65	2026-02-09
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	40	—	—	$37,853.80	$120,821.41	$43,031.93	2026-02-09
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	40	—	—	$37,592.82	$129,632.04	$42,741.44	2026-02-09
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	46	40	—	—	$37,566.91	$117,176.10	$42,712.61	2026-02-09
93652	CPT	Pr Ablate Dysrhythm Focus Rx Vtack	1	1	—	—	$42,445.00	$42,445.00	$42,445.00	2026-02-09
93651	CPT	Pr Ablate Heart Dysrhythm Focus	1	1	—	—	$42,445.00	$42,445.00	$42,445.00	2026-02-09
6	MS_DRG	Liver Transplant Without Mcc	42	37	—	—	$30,640.58	$91,673.30	$42,381.21	2026-02-09
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	46	40	—	—	$37,180.19	$115,699.45	$42,282.15	2026-02-09
72	APR_DRG	Allogeneic Bone Marrow Transplant	4	4	—	—	$41,926.76	$41,926.76	$41,926.76	2026-02-09
73	APR_DRG	Allogeneic Bone Marrow Transplant	4	4	—	—	$41,926.76	$41,926.76	$41,926.76	2026-02-09
71	APR_DRG	Allogeneic Bone Marrow Transplant	4	4	—	—	$41,926.76	$41,926.76	$41,926.76	2026-02-09
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	44	38	—	—	$36,789.04	$115,624.53	$41,846.76	2026-02-09
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	36	32	—	—	$26,538.06	$76,196.50	$41,563.42	2026-02-09
33276	CPT	Insj Phrnc Nrv Stim Sys	29	25	—	—	$21,655.00	$99,552.46	$41,480.19	2026-02-09
0266T	CPT	Outpatient Services: Cpt/hcpcs	29	25	—	—	$19,082.00	$99,552.46	$41,480.19	2026-02-09
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	40	—	—	$36,265.19	$117,562.52	$41,263.67	2026-02-09
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$41,246.26	$41,246.26	$41,246.26	2026-02-09
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	40	—	—	$36,048.44	$112,972.86	$41,022.42	2026-02-09
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg IV Solr	107	53	$64,967.00	$19,490.10 70% off	$2,417.17	$63,017.99	$40,929.21	2026-02-09
33270	CPT	Hc Icd Insert Subq	107	53	$64,215.00	$19,264.50 70% off	$9,496.00	$69,345.22	$40,455.45	2026-02-09
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	42	37	—	—	$29,111.99	$92,688.10	$40,289.29	2026-02-09
653	MS_DRG	Major Bladder Procedures With Mcc	46	40	—	—	$35,223.80	$105,385.83	$40,104.52	2026-02-09
33249	CPT	Hc Icd Insert Single/dual W/fluoro	107	53	$63,421.00	$19,026.30 70% off	$9,496.00	$69,345.22	$39,955.23	2026-02-09
6214	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	4	4	—	—	$39,919.32	$39,919.32	$39,919.32	2026-02-09
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	40	—	—	$34,927.43	$104,499.13	$39,774.64	2026-02-09
834	MS_DRG	Acute Leukemia With Mcc	44	38	—	—	$34,924.91	$108,233.38	$39,771.83	2026-02-09
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	40	—	—	$34,787.78	$110,837.73	$39,619.20	2026-02-09
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	46	40	—	—	$34,565.99	$113,698.38	$39,372.32	2026-02-09
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	46	40	—	—	$34,302.48	$107,850.91	$39,079.01	2026-02-09
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	40	—	—	$34,127.44	$112,365.64	$38,884.18	2026-02-09
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	40	—	—	$34,095.22	$107,527.58	$38,848.31	2026-02-09
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	40	—	—	$34,090.79	$101,995.98	$38,843.39	2026-02-09
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	46	40	—	—	$33,616.86	$107,697.13	$38,315.86	2026-02-09
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$38,289.60	$38,289.60	$38,289.60	2026-02-09
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$38,289.60	$38,289.60	$38,289.60	2026-02-09
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$38,289.60	$38,289.60	$38,289.60	2026-02-09
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$33,467.73	$105,136.15	$38,149.87	2026-02-09
4404	APR_DRG	Kidney Transplant	4	4	—	—	$37,173.36	$37,173.36	$37,173.36	2026-02-09
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	46	40	—	—	$32,541.35	$105,073.06	$37,118.73	2026-02-09
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	46	40	—	—	$32,434.56	$104,022.25	$36,999.86	2026-02-09
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	46	40	—	—	$32,191.27	$102,624.46	$36,729.07	2026-02-09
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	46	40	—	—	$32,092.70	$98,326.59	$36,619.34	2026-02-09
J0638	HCPCS	Canakinumab 150 Mg/ml Sc Soln	107	53	$57,809.50	$17,342.85 70% off	$116.48	$56,075.22	$36,419.99	2026-02-09
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	40	—	—	$31,826.04	$97,031.32	$36,322.52	2026-02-09
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	44	38	—	—	$31,638.35	$94,716.77	$36,113.62	2026-02-09
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	46	40	—	—	$31,613.71	$109,737.63	$36,086.19	2026-02-09
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	44	38	—	—	$31,604.87	$97,364.50	$36,076.34	2026-02-09
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	46	40	—	—	$31,487.33	$97,537.99	$35,945.52	2026-02-09
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$35,776.57	$35,776.57	$35,776.57	2026-02-09
8634	APR_DRG	Neonatal Aftercare	4	4	—	—	$35,694.39	$35,694.39	$35,694.39	2026-02-09
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$35,389.82	$35,389.82	$35,389.82	2026-02-09
245	MS_DRG	Aicd Generator Procedures	46	40	—	—	$30,878.17	$92,384.17	$35,267.47	2026-02-09
J2350	HCPCS	Ocrelizumab 300 Mg/10ml IV Soln	107	53	$55,802.00	$16,740.60 70% off	$54.59	$54,127.94	$35,155.26	2026-02-09
471	MS_DRG	Cervical Spinal Fusion With Mcc	46	40	—	—	$30,691.75	$95,197.82	$35,059.98	2026-02-09
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	44	38	—	—	$30,174.86	$92,222.83	$34,484.62	2026-02-09
33274	CPT	Hc Tcat Insj/rpl Perm Ldls Pm	107	53	$54,675.00	$16,402.50 70% off	$9,496.00	$53,034.75	$34,445.25	2026-02-09
0823T	CPT	Hc Tcat Ins 1chmbr Ldls Pm Ra	107	53	$54,675.00	$16,402.50 70% off	$9,496.00	$53,034.75	$34,445.25	2026-02-09
799	MS_DRG	Splenic Procedures With Mcc	46	40	—	—	$30,044.05	$89,888.58	$34,339.03	2026-02-09
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	40	—	—	$30,042.79	$92,498.84	$34,337.62	2026-02-09
37231	CPT	Hc Stent/atherectomy Ti/person Unilat Init W S/i	107	53	$54,049.00	$16,214.70 70% off	$9,496.00	$52,427.53	$34,050.87	2026-02-09
37227	CPT	Hc Stent/atherectomy Fem/pop Unilat W S/i	107	53	$54,049.00	$16,214.70 70% off	$9,496.00	$52,427.53	$34,050.87	2026-02-09
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	46	40	—	—	$29,727.47	$93,859.17	$33,986.64	2026-02-09
37245	CPT	Peripheral Vascular Procedures	1	1	—	—	$33,956.00	$33,956.00	$33,956.00	2026-02-09
37240	CPT	Peripheral Vascular Procedures	1	1	—	—	$33,956.00	$33,956.00	$33,956.00	2026-02-09
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	44	38	—	—	$29,568.23	$90,389.33	$33,809.39	2026-02-09
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$33,637.86	$33,637.86	$33,637.86	2026-02-09
6092	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$33,637.86	$33,637.86	$33,637.86	2026-02-09
6091	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	4	4	—	—	$33,637.86	$33,637.86	$33,637.86	2026-02-09
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	46	40	—	—	$29,397.61	$91,053.73	$33,619.48	2026-02-09
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	4	4	—	—	$33,470.98	$33,470.98	$33,470.98	2026-02-09
163	MS_DRG	Major Chest Procedures With Mcc	46	40	—	—	$29,124.00	$88,358.69	$33,314.92	2026-02-09
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	4	4	—	—	$33,278.54	$33,278.54	$33,278.54	2026-02-09
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	40	—	—	$29,019.10	$99,367.54	$33,198.17	2026-02-09
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	46	40	—	—	$29,015.31	$90,620.00	$33,193.95	2026-02-09
77372	CPT	Hc Srs Linear Based	107	53	$52,542.00	$15,762.60 70% off	$6,360.47	$50,965.74	$33,101.46	2026-02-09
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	4	4	—	—	$33,019.48	$33,019.48	$33,019.48	2026-02-09
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	4	4	—	—	$32,806.63	$32,806.63	$32,806.63	2026-02-09
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	44	38	—	—	$28,507.25	$89,677.62	$32,628.44	2026-02-09
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	46	40	—	—	$28,337.27	$84,782.07	$32,439.23	2026-02-09
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	40	—	—	$28,258.91	$89,638.19	$32,352.02	2026-02-09
63	APR_DRG	Pancreas Transplant	4	4	—	—	$32,258.83	$32,258.83	$32,258.83	2026-02-09
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$32,168.16	$32,168.16	$32,168.16	2026-02-09
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$32,168.16	$32,168.16	$32,168.16	2026-02-09
62	APR_DRG	Pancreas Transplant	4	4	—	—	$32,162.08	$32,162.08	$32,162.08	2026-02-09
61	APR_DRG	Pancreas Transplant	4	4	—	—	$32,129.83	$32,129.83	$32,129.83	2026-02-09
901	MS_DRG	Wound Debridements For Injuries With Mcc	46	40	—	—	$27,994.78	$83,757.36	$32,058.01	2026-02-09
92942	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92936	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92940	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92935	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92932	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92930	CPT	Prq Tcat Plmt Ntrac St 2+les	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92931	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
92939	CPT	Percutaneous Cardiovascular Procedure (ptca) With Drug-eluting Stent	1	1	—	—	$31,834.00	$31,834.00	$31,834.00	2026-02-09
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	46	40	—	—	$27,756.55	$87,986.07	$31,792.84	2026-02-09
33231	CPT	Hc Icd Bivent Insert Generator Only W/fluoro	107	53	$50,331.00	$15,099.30 70% off	$9,496.00	$69,345.22	$31,708.53	2026-02-09
93654	CPT	Hc Ep Comp Study W/ablation Vt W/wo Mapping	107	53	$49,952.00	$14,985.60 70% off	$9,496.00	$50,061.48	$31,469.76	2026-02-09
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$31,353.27	$31,353.27	$31,353.27	2026-02-09
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	46	40	—	—	$27,340.75	$81,800.59	$31,330.02	2026-02-09
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	40	—	—	$27,283.88	$82,262.81	$31,266.72	2026-02-09
0795T	CPT	Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys	107	53	$49,347.00	$14,804.10 70% off	$9,496.00	$47,866.59	$31,088.61	2026-02-09
5911	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	4	4	—	—	$30,974.91	$30,974.91	$30,974.91	2026-02-09
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	46	40	—	—	$26,953.39	$86,604.05	$30,898.86	2026-02-09
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	46	40	—	—	$26,914.21	$85,314.69	$30,855.25	2026-02-09
84	APR_DRG	Autologous Bone Marrow Transplant	4	4	—	—	$30,855.21	$30,855.21	$30,855.21	2026-02-09
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$30,814.35	$30,814.35	$30,814.35	2026-02-09
J3241	HCPCS	Teprotumumab-trbw 500 Mg IV Solr	107	53	$48,723.00	$14,616.90 70% off	$313.51	$47,261.31	$30,695.49	2026-02-09
104	APR_DRG	Head Trauma With Deep Coma	4	4	—	—	$30,649.43	$30,649.43	$30,649.43	2026-02-09
140	MS_DRG	Major Head And Neck Procedures With Mcc	46	40	—	—	$26,723.38	$84,090.39	$30,642.84	2026-02-09
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Sc Sosy	107	53	$48,567.50	$14,570.25 70% off	$123.98	$47,110.48	$30,597.53	2026-02-09
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	42	37	—	—	$21,941.10	$73,059.85	$30,475.74	2026-02-09
31	MS_DRG	Ventricular Shunt Procedures With Mcc	46	40	—	—	$26,478.83	$88,333.06	$30,370.63	2026-02-09
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	46	40	—	—	$26,476.94	$82,834.54	$30,368.52	2026-02-09
0571T	CPT	Hc Insj/rplcmt Icds W Substernal Electrode	107	53	$48,092.00	$14,427.60 70% off	$9,496.00	$69,345.22	$30,297.96	2026-02-09
793	MS_DRG	Full Term Neonate With Major Problems	46	40	—	—	$26,354.34	$82,203.66	$30,232.07	2026-02-09
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	46	40	—	—	$26,289.89	$83,260.39	$30,160.33	2026-02-09
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	4	4	—	—	$29,828.21	$29,828.21	$29,828.21	2026-02-09
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	46	40	—	—	$25,982.79	$82,582.19	$29,818.49	2026-02-09
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	46	40	—	—	$25,968.25	$83,077.04	$29,802.31	2026-02-09
33289	CPT	Hc Imp Transcath Wireless Pulm Art Pressure Sensor	107	53	$47,302.00	$14,190.60 70% off	$9,460.40	$61,262.74	$29,800.26	2026-02-09
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	46	40	—	—	$25,929.70	$83,118.44	$29,759.41	2026-02-09
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	46	40	—	—	$25,802.06	$83,607.37	$29,617.33	2026-02-09
6022	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$29,605.88	$29,605.88	$29,605.88	2026-02-09
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	46	40	—	—	$25,700.32	$81,876.40	$29,504.08	2026-02-09
791	MS_DRG	Prematurity With Major Problems	41	37	—	—	$25,656.09	$80,023.19	$29,454.85	2026-02-09
69930	CPT	Pr Cochlear Device Implantation W/wo Mastoidectomy	29	25	—	—	$21,655.00	$70,684.56	$29,451.90	2026-02-09
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	4	—	—	$29,128.94	$29,128.94	$29,128.94	2026-02-09
6072	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$29,124.15	$29,124.15	$29,124.15	2026-02-09
93656	CPT	Hc Ep Comp Study W/ablation Afib W/transseptal	107	53	$46,072.00	$13,821.60 70% off	$9,214.40	$50,061.48	$29,025.36	2026-02-09
J7310	HCPCS	Op Drug Reimbursement	6	5	—	—	$6,969.90	$32,224.00	$29,001.60	2026-02-09
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	46	40	—	—	$25,172.05	$75,691.80	$28,916.07	2026-02-09
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	46	40	—	—	$25,154.35	$75,259.11	$28,896.38	2026-02-09
0408T	CPT	Insj/rplc Cardiac Modulj Sys	29	25	—	—	$21,655.00	$69,345.22	$28,893.84	2026-02-09
5931	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	4	4	—	—	$28,814.85	$28,814.85	$28,814.85	2026-02-09
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	46	40	—	—	$24,936.98	$74,608.75	$28,654.42	2026-02-09
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	46	40	—	—	$24,880.10	$74,438.59	$28,591.11	2026-02-09
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$28,574.47	$28,574.47	$28,574.47	2026-02-09
103	APR_DRG	Head Trauma With Deep Coma	4	4	—	—	$28,540.11	$28,540.11	$28,540.11	2026-02-09
102	APR_DRG	Head Trauma With Deep Coma	4	4	—	—	$28,540.11	$28,540.11	$28,540.11	2026-02-09
101	APR_DRG	Head Trauma With Deep Coma	4	4	—	—	$28,540.11	$28,540.11	$28,540.11	2026-02-09
6021	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	4	—	—	$28,535.18	$28,535.18	$28,535.18	2026-02-09
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	46	40	—	—	$24,828.92	$79,264.16	$28,534.14	2026-02-09
3032	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$28,464.82	$28,464.82	$28,464.82	2026-02-09
3031	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	4	—	—	$28,400.32	$28,400.32	$28,400.32	2026-02-09
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	46	40	—	—	$24,707.59	$81,334.23	$28,399.10	2026-02-09
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$28,249.57	$28,249.57	$28,249.57	2026-02-09
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	46	40	—	—	$24,571.73	$76,310.85	$28,247.87	2026-02-09
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	46	40	—	—	$24,422.60	$73,069.80	$28,081.88	2026-02-09
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	46	40	—	—	$24,397.32	$72,994.18	$28,053.74	2026-02-09
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	46	40	—	—	$24,334.76	$73,688.76	$27,984.11	2026-02-09
J9334	HCPCS	Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln	107	53	$44,379.50	$13,313.85 70% off	$47.50	$43,048.12	$27,959.09	2026-02-09
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	4	—	—	$27,895.03	$27,895.03	$27,895.03	2026-02-09
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	46	40	—	—	$24,152.78	$74,187.55	$27,781.54	2026-02-09
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	40	—	—	$24,021.34	$77,123.11	$27,635.24	2026-02-09
0644T	CPT	Hc Tcat Rmvl Dblk Icar Mas Perq	107	53	$43,607.00	$13,082.10 70% off	$4,668.43	$42,298.79	$27,472.41	2026-02-09
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$27,453.22	$27,453.22	$27,453.22	2026-02-09
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	46	40	—	—	$23,834.29	$76,123.56	$27,427.04	2026-02-09
6334	APR_DRG	Neonate Birthwt >2499g W Major Anomaly	4	4	—	—	$27,373.13	$27,373.13	$27,373.13	2026-02-09
8633	APR_DRG	Neonatal Aftercare	4	4	—	—	$27,337.12	$27,337.12	$27,337.12	2026-02-09
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	4	4	—	—	$27,287.49	$27,287.49	$27,287.49	2026-02-09
64582	CPT	Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor	29	25	—	—	$20,161.00	$65,452.34	$27,271.81	2026-02-09
0268T	CPT	Outpatient Services: Cpt/hcpcs	29	25	—	—	$19,082.00	$65,452.34	$27,271.81	2026-02-09
64568	CPT	Pr Open Implantation Cranial Nerve Nea & Pulse Gen	29	25	—	—	$20,161.00	$65,452.34	$27,271.81	2026-02-09
63685	CPT	Pr Insj/rplcmt Spi Npgr Dir/induxive Coupling	29	25	—	—	$20,161.00	$65,452.34	$27,271.81	2026-02-09
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	29	25	—	—	$19,082.00	$65,452.34	$27,271.81	2026-02-09
61886	CPT	Implant Neurostim Arrays	29	25	—	—	$21,655.00	$65,452.34	$27,271.81	2026-02-09
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	46	40	—	—	$23,658.63	$70,784.06	$27,231.51	2026-02-09
33419	CPT	Hc Tcat Mitral Valve Repair Addl Prosthesis	84	53	$43,024.00	$12,907.20 70% off	$566.03	$41,733.28	$27,105.12	2026-02-09
652	MS_DRG	Kidney Transplant	42	37	—	—	$19,407.15	$63,669.59	$27,007.96	2026-02-09
6083	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	4	—	—	$26,956.57	$26,956.57	$26,956.57	2026-02-09
93653	CPT	Hc Ep Comp Study W/ablation Svt/flutter	107	53	$42,319.00	$12,695.70 70% off	$8,463.80	$50,061.48	$26,660.97	2026-02-09
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	46	40	—	—	$23,054.52	$69,384.97	$26,559.09	2026-02-09
J9298	HCPCS	Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln	107	53	$42,033.50	$12,610.05 70% off	$203.94	$40,772.50	$26,481.11	2026-02-09
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$26,469.37	$26,469.37	$26,469.37	2026-02-09
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	46	40	—	—	$22,899.70	$70,400.29	$26,386.76	2026-02-09
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	4	4	—	—	$26,167.75	$26,167.75	$26,167.75	2026-02-09
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	46	40	—	—	$22,652.63	$71,206.64	$26,111.75	2026-02-09
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	44	38	—	—	$22,651.36	$78,546.53	$26,110.34	2026-02-09
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	46	40	—	—	$22,646.31	$73,680.87	$26,104.71	2026-02-09
265	MS_DRG	Aicd Lead Procedures	46	40	—	—	$22,539.52	$71,332.81	$25,985.84	2026-02-09
6032	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	4	—	—	$25,971.95	$25,971.95	$25,971.95	2026-02-09

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