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

UofL Health - Frazier Rehabilitation Hospital - Brownsboro

Louisville, KY · CCN 183032 · Rates published

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You selected 93350 (CPT)

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This hospital’s price: $514 across 13 payers · range $459-$869

Source: https://uoflhealth.org/wp-content/uploads/2026/04/843178470_UofL-Health-Frazier-Hospital_standardcharges.zip · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,398 distinct procedures filed
23 distinct payers
348,815 rate rows
2026-07-15 last MRF observed
Data quality

344,361 of 348,815 rate rows are consumer-grade (98.7%)

4,454 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
per-diem day rate — not a per-procedure price 3,887
placeholder amount (≤ $0.02) — excluded from medians 540
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uoflhealth.org/wp-content/uploads/2026/04/843178470_UofL-Health-Frazier-Hospital_standardcharges.zip
Found on page https://uoflhealth.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint 365e8a5e9be9cd39… · 3,900,620 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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 8 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 4 $3,424,750.00 $4,506,250.00 $3,695,125.00 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 13 $3,489,255.00 $4,969,916.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,159,182.02 $4,675,409.45 $3,342,727.38 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $3,121,700.00 $4,222,979.44 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,819,600.00 $3,829,462.00 $2,945,740.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,231,250.00 $4,299,505.61 $2,455,110.61 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 9 $2,332,000.00 $3,031,600.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $763,350.00 $1,001,806.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $502,733.22 $952,547.15 $591,726.20 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $500,767.26 $948,822.17 $565,868.95 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $490,889.78 $930,106.94 $562,538.19 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $500,258.21 $947,857.66 $557,317.93 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $464,983.16 $881,020.73 $533,230.17 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $437,503.88 $828,954.72 $489,304.61 nat. median
$591,721
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 $232,863.73 $424,344.43 $282,601.25 nat. median
$359,454
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $551,250.00 $278,250.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene Per Implant 9 $257,500.00 $334,750.00 $257,500.00 nat. median
$265,000
1.0× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $217,286.57 $217,286.57 $217,286.57 nat. median
$53,038
outlier · 4.1×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $267,332.00 $205,640.00 nat. median
$209,753
1.0× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $199,388.70 $199,388.70 $199,388.70 nat. median
$8,810
outlier · 22.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $20,000.00 $316,949.71 $186,147.79 nat. median
$249,036
0.7× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $179,138.52 $179,138.52 $179,138.52 nat. median
$8,001
outlier · 22.4×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $176,428.56 $176,428.56 $176,428.56 nat. median
$123,836
1.4× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $174,511.45 $174,511.45 $174,511.45 nat. median
$78,936
outlier · 2.2×
5834
APR_DRG 		Neonate With Ecmo 1 $162,247.62 $162,247.62 $162,247.62 nat. median
$307,206
0.5× median
5833
APR_DRG 		Neonate With Ecmo 1 $162,247.62 $162,247.62 $162,247.62 nat. median
$244,017
0.7× median
5832
APR_DRG 		Neonate With Ecmo 1 $152,626.88 $152,626.88 $152,626.88 nat. median
$159,249
1.0× median
5831
APR_DRG 		Neonate With Ecmo 1 $152,626.88 $152,626.88 $152,626.88 nat. median
$146,500
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $139,724.10 $266,928.95 $150,203.41 nat. median
$198,418
0.8× median
24
APR_DRG 		Heart andOR Lung Transplant 1 $147,504.23 $147,504.23 $147,504.23 nat. median
$241,437
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $132,332.85 $241,839.93 $144,460.27 nat. median
$190,559
0.8× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 1 $141,703.04 $141,703.04 $141,703.04 nat. median
$247,214
0.6× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 1 $131,839.30 $131,839.30 $131,839.30 nat. median
$133,164
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $129,112.29 $129,112.29 $129,112.29 nat. median
$202,993
0.6× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 1 $111,984.02 $111,984.02 $111,984.02 nat. median
$175,204
0.6× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 13 $72,648.53 $195,676.14 $109,316.28 nat. median
$111,503
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $109,115.53 $109,115.53 $109,115.53 nat. median
$122,016
0.9× median
681
MS_DRG 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $102,819.68 $102,819.68 $102,819.68 nat. median
$29,557
outlier · 3.5×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $102,798.61 $102,798.61 $102,798.61 nat. median
$67,735
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 14 $87,247.95 $158,990.76 $94,273.64 nat. median
$126,695
0.7× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 1 $93,807.13 $93,807.13 $93,807.13 nat. median
$162,342
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $92,412.49 $92,412.49 $92,412.49 nat. median
$170,082
0.5× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 1 $90,542.33 $90,542.33 $90,542.33 nat. median
$151,838
0.6× median
14
APR_DRG 		Liver Transplant andOR Intestinal Transplant 1 $90,110.39 $90,110.39 $90,110.39 nat. median
$136,566
0.7× median
7
MS_DRG 		Lung Transplant 14 $20,000.00 $147,050.14 $86,021.26 nat. median
$117,974
0.7× median
635
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- Died 1 $84,974.31 $84,974.31 $84,974.31 nat. median
$62,067
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $83,350.94 $83,350.94 $83,350.94 nat. median
$120,517
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $83,331.59 $83,331.59 $83,331.59 nat. median
$84,880
1.0× median

Other procedures at this hospital

Browse this hospital's 16,398 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj Atidarsagene Autotemcel 9 8 — — $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-07-15
C9172 HCPCS Inj- Beqvez- Per Tx Dose 4 4 — — $3,424,750.00 $4,506,250.00 $3,695,125.00 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 17 13 — — $3,489,255.00 $4,969,916.00 $3,685,266.67 2026-07-15
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 14 — — $3,159,182.02 $4,675,409.45 $3,342,727.38 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 14 12 — — $3,121,700.00 $4,222,979.44 $3,248,445.72 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 14 12 — — $2,819,600.00 $3,829,462.00 $2,945,740.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 13 — — $2,231,250.00 $4,299,505.61 $2,455,110.61 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 10 9 — — $2,332,000.00 $3,031,600.00 $2,332,000.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 11 9 — — $763,350.00 $1,001,806.00 $770,620.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 14 — — $502,733.22 $952,547.15 $591,726.20 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 19 14 — — $500,767.26 $948,822.17 $565,868.95 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 14 — — $490,889.78 $930,106.94 $562,538.19 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 19 14 — — $500,258.21 $947,857.66 $557,317.93 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 14 — — $464,983.16 $881,020.73 $533,230.17 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 19 14 — — $437,503.88 $828,954.72 $489,304.61 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 13 — — $232,863.73 $424,344.43 $282,601.25 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 9 — — $278,250.00 $551,250.00 $278,250.00 2026-07-15
J3403 HCPCS Revakinagene Per Implant 10 9 — — $257,500.00 $334,750.00 $257,500.00 2026-07-15
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $217,286.57 $217,286.57 $217,286.57 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 9 — — $205,640.00 $267,332.00 $205,640.00 2026-07-15
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $199,388.70 $199,388.70 $199,388.70 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 14 — — $20,000.00 $316,949.71 $186,147.79 2026-07-15
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $179,138.52 $179,138.52 $179,138.52 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $176,428.56 $176,428.56 $176,428.56 2026-07-15
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $174,511.45 $174,511.45 $174,511.45 2026-07-15
5833 APR_DRG Neonate With Ecmo 1 1 — — $162,247.62 $162,247.62 $162,247.62 2026-07-15
5834 APR_DRG Neonate With Ecmo 1 1 — — $162,247.62 $162,247.62 $162,247.62 2026-07-15
5832 APR_DRG Neonate With Ecmo 1 1 — — $152,626.88 $152,626.88 $152,626.88 2026-07-15
5831 APR_DRG Neonate With Ecmo 1 1 — — $152,626.88 $152,626.88 $152,626.88 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 14 — — $139,724.10 $266,928.95 $150,203.41 2026-07-15
24 APR_DRG Heart andOR Lung Transplant 1 1 — — $147,504.23 $147,504.23 $147,504.23 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 18 14 — — $132,332.85 $241,839.93 $144,460.27 2026-07-15
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 1 1 — — $141,703.04 $141,703.04 $141,703.04 2026-07-15
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 1 1 — — $131,839.30 $131,839.30 $131,839.30 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $129,112.29 $129,112.29 $129,112.29 2026-07-15
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 1 1 — — $111,984.02 $111,984.02 $111,984.02 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 18 13 — — $72,648.53 $195,676.14 $109,316.28 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $109,115.53 $109,115.53 $109,115.53 2026-07-15
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $102,819.68 $102,819.68 $102,819.68 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $102,798.61 $102,798.61 $102,798.61 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 18 14 — — $87,247.95 $158,990.76 $94,273.64 2026-07-15
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 1 1 — — $93,807.13 $93,807.13 $93,807.13 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $92,412.49 $92,412.49 $92,412.49 2026-07-15
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 1 1 — — $90,542.33 $90,542.33 $90,542.33 2026-07-15
14 APR_DRG Liver Transplant andOR Intestinal Transplant 1 1 — — $90,110.39 $90,110.39 $90,110.39 2026-07-15
7 MS_DRG Lung Transplant 18 14 — — $20,000.00 $147,050.14 $86,021.26 2026-07-15
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $84,974.31 $84,974.31 $84,974.31 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $83,350.94 $83,350.94 $83,350.94 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $83,331.59 $83,331.59 $83,331.59 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $82,976.94 $82,976.94 $82,976.94 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $82,318.94 $82,318.94 $82,318.94 2026-07-15
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 1 1 — — $82,259.54 $82,259.54 $82,259.54 2026-07-15
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 1 1 — — $82,259.54 $82,259.54 $82,259.54 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 18 14 — — $20,000.00 $147,421.45 $81,794.71 2026-07-15
23 APR_DRG Heart andOR Lung Transplant 1 1 — — $81,282.42 $81,282.42 $81,282.42 2026-07-15
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $80,655.19 $80,655.19 $80,655.19 2026-07-15
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $77,067.16 $77,067.16 $77,067.16 2026-07-15
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Syringe 43 23 $424,153.51 $169,661.40 60% off $4,679.70 $424,153.51 $76,347.63 2026-07-15
J0224 HCPCS Lumasiran 94.5 Mg/0.5 Ml Inj 42 23 $407,533.02 $163,013.21 60% off $301.99 $407,533.02 $75,291.73 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 14 — — $20,000.00 $123,993.66 $75,271.09 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 12 10 — — $3,693.82 $128,966.41 $74,073.64 2026-07-15
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 3 3 — — $71,748.67 $87,340.74 $73,858.93 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 18 14 — — $7,190.96 $123,899.50 $72,230.84 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $11,906.58 $125,575.55 $72,126.05 2026-07-15
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 1 1 — — $70,877.49 $70,877.49 $70,877.49 2026-07-15
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $69,929.73 $69,929.73 $69,929.73 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 13 — — $62,578.15 $120,740.26 $69,320.79 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 14 — — $20,000.00 $119,827.05 $69,271.76 2026-07-15
215 MS_DRG Other Heart Assist System Implant 18 14 — — $65,161.61 $119,212.69 $68,554.98 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $66,951.91 $66,951.91 $66,951.91 2026-07-15
22 APR_DRG Heart andOR Lung Transplant 1 1 — — $66,841.49 $66,841.49 $66,841.49 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $59,592.26 $111,465.22 $66,582.46 2026-07-15
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 1 1 — — $64,803.32 $64,803.32 $64,803.32 2026-07-15
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $64,772.71 $64,772.71 $64,772.71 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 19 14 — — $60,187.03 $114,038.59 $63,945.00 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $63,880.82 $63,880.82 $63,880.82 2026-07-15
A9543 HCPCS Y90 Ibritumomab Rx 18 14 — — $56,824.55 $117,857.84 $63,207.24 2026-07-15
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $62,566.87 $62,566.87 $62,566.87 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $62,431.22 $62,431.22 $62,431.22 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $61,489.01 $61,489.01 $61,489.01 2026-07-15
21 APR_DRG Heart andOR Lung Transplant 1 1 — — $59,406.60 $59,406.60 $59,406.60 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 13 — — $51,500.37 $102,655.38 $58,961.54 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 15 13 — — $56,670.38 $103,652.30 $58,370.49 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 14 — — $52,323.45 $96,050.28 $57,374.51 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $55,840.60 $55,840.60 $55,840.60 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 14 — — $47,959.32 $95,748.34 $55,819.29 2026-07-15
38240 CPT Transplt Allo Hct/donor 19 14 — — $1,242.31 $86,122.24 $55,441.20 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $54,798.99 $54,798.99 $54,798.99 2026-07-15
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 1 1 — — $54,565.07 $54,565.07 $54,565.07 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Inj 69 23 $135,291.98 $54,116.79 60% off $85.03 $135,292.05 $54,116.82 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $39,966.76 $55,279.59 $53,700.17 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 14 — — $49,774.55 $90,837.88 $53,555.63 2026-07-15
0815 RC N/a 1 1 — — $52,500.00 $52,500.00 $52,500.00 2026-07-15
361 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $52,473.56 $52,473.56 $52,473.56 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $47,776.43 $87,486.55 $52,259.07 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Heal 1 1 — — $52,127.35 $52,127.35 $52,127.35 2026-07-15
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $52,095.87 $52,095.87 $52,095.87 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 14 — — $48,263.62 $87,950.13 $52,033.79 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 14 — — $46,088.90 $86,821.14 $51,861.60 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $50,327.10 $50,327.10 $50,327.10 2026-07-15
8514 APR_DRG Gender Related Procedures 1 1 — — $49,861.86 $49,861.86 $49,861.86 2026-07-15
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $49,747.80 $49,747.80 $49,747.80 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $49,570.91 $49,570.91 $49,570.91 2026-07-15
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 3 3 — — $47,811.23 $50,978.78 $49,522.24 2026-07-15
13 APR_DRG Liver Transplant andOR Intestinal Transplant 1 1 — — $49,313.89 $49,313.89 $49,313.89 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 18 13 — — $37,858.44 $87,052.69 $49,250.20 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 13 — — $46,690.97 $89,197.98 $49,025.52 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 14 — — $37,136.45 $81,725.74 $47,644.41 2026-07-15
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 1 1 — — $47,510.45 $47,510.45 $47,510.45 2026-07-15
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 1 1 — — $47,389.23 $47,389.23 $47,389.23 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 14 — — $40,848.29 $81,243.78 $47,363.43 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $11,460.72 $82,248.73 $47,240.69 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 14 — — $42,954.02 $78,753.05 $47,042.22 2026-07-15
10 MS_DRG Pancreas Transplant 18 14 — — $20,000.00 $89,712.20 $46,959.94 2026-07-15
64 APR_DRG Pancreas Transplant 1 1 — — $46,800.53 $46,800.53 $46,800.53 2026-07-15
62 APR_DRG Pancreas Transplant 1 1 — — $46,800.53 $46,800.53 $46,800.53 2026-07-15
63 APR_DRG Pancreas Transplant 1 1 — — $46,800.53 $46,800.53 $46,800.53 2026-07-15
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $46,719.69 $46,719.69 $46,719.69 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $46,512.41 $46,512.41 $46,512.41 2026-07-15
J9226 HCPCS Supprelin La Implant 21 14 — — $40,379.36 $81,630.40 $46,371.27 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $46,186.44 $46,186.44 $46,186.44 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $46,025.19 $46,025.19 $46,025.19 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 14 — — $42,162.43 $98,561.68 $45,812.36 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 14 — — $13,047.47 $78,366.79 $45,686.21 2026-07-15
V2790 HCPCS Amniotic Membrane 1 1 — — $45,176.00 $45,176.00 $45,176.00 2026-07-15
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 1 1 — — $45,106.97 $45,106.97 $45,106.97 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $39,875.34 $78,193.17 $44,751.97 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $36,734.91 $74,918.97 $44,751.97 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 14 — — $38,024.79 $74,646.65 $44,589.31 2026-07-15
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 1 1 — — $44,351.21 $44,351.21 $44,351.21 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 16 13 — — $38,198.92 $76,185.98 $43,795.32 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 14 — — $39,932.76 $73,316.97 $43,795.04 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 13 — — $41,399.25 $76,130.15 $43,726.40 2026-07-15
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 1 1 — — $43,232.92 $43,232.92 $43,232.92 2026-07-15
6092 APR_DRG Neonate Bwt 15002499g W Major Procedure 1 1 — — $42,551.98 $42,551.98 $42,551.98 2026-07-15
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 1 1 — — $42,365.74 $42,365.74 $42,365.74 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 17 14 — — $10,917.00 $74,434.96 $42,184.37 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 17 13 — — $26,103.48 $74,434.96 $42,184.37 2026-07-15
8634 APR_DRG Neonatal Aftercare 1 1 — — $41,993.68 $41,993.68 $41,993.68 2026-07-15
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 1 1 — — $41,988.10 $41,988.10 $41,988.10 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 14 — — $39,050.40 $71,161.02 $41,662.01 2026-07-15
6091 APR_DRG Neonate Bwt 15002499g W Major Procedure 1 1 — — $41,410.33 $41,410.33 $41,410.33 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 14 — — $37,719.15 $69,077.26 $41,262.49 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 14 — — $36,991.16 $69,826.99 $40,933.43 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 14 — — $35,438.85 $67,943.56 $40,585.29 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 14 — — $31,382.58 $69,699.39 $40,324.50 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $40,034.09 $40,034.09 $40,034.09 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 18 14 — — $33,400.31 $68,458.57 $39,957.76 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 14 — — $36,332.94 $66,866.83 $39,942.12 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 14 — — $35,950.73 $66,823.53 $39,916.26 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 18 13 — — $25,912.94 $70,183.07 $39,706.18 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 18 13 — — $35,816.41 $69,105.31 $39,675.53 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 14 — — $20,000.00 $67,915.95 $39,551.51 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 18 14 — — $5,463.16 $67,720.24 $39,479.50 2026-07-15
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $39,097.10 $39,097.10 $39,097.10 2026-07-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $39,095.74 $39,095.74 $39,095.74 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 14 — — $35,227.05 $65,291.04 $39,000.84 2026-07-15
4404 APR_DRG Kidney Transplant 1 1 — — $38,936.02 $38,936.02 $38,936.02 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $38,890.26 $38,890.26 $38,890.26 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 14 — — $36,144.18 $69,050.15 $38,854.99 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 14 — — $33,349.34 $64,940.10 $38,791.21 2026-07-15
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $38,589.90 $38,589.90 $38,589.90 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $38,382.34 $38,382.34 $38,382.34 2026-07-15
5894 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 1 1 — — $38,000.63 $38,000.63 $38,000.63 2026-07-15
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 1 1 — — $38,000.63 $38,000.63 $38,000.63 2026-07-15
4403 APR_DRG Kidney Transplant 1 1 — — $37,845.97 $37,845.97 $37,845.97 2026-07-15
4402 APR_DRG Kidney Transplant 1 1 — — $37,762.12 $37,762.12 $37,762.12 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 13 — — $33,778.48 $65,710.34 $37,741.64 2026-07-15
4401 APR_DRG Kidney Transplant 1 1 — — $37,704.07 $37,704.07 $37,704.07 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 14 — — $34,129.20 $66,388.46 $37,364.67 2026-07-15
213 MS_DRG Splenectomy Age 0-17 12 10 — — $13,686.10 $65,024.42 $37,347.67 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 14 — — $20,000.00 $67,915.95 $37,298.88 2026-07-15
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 3 3 — — $34,801.36 $38,387.24 $37,290.46 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 18 14 — — $33,520.38 $62,330.88 $37,232.62 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 18 14 — — $20,000.00 $61,223.26 $37,228.37 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 14 — — $32,850.43 $62,242.00 $37,179.54 2026-07-15
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 14 — — $33,317.85 $62,144.02 $37,121.01 2026-07-15
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $37,076.11 $37,076.11 $37,076.11 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $9,066.86 $64,057.07 $36,792.06 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 1 1 — — $36,692.40 $36,692.40 $36,692.40 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $36,472.19 $36,472.19 $36,472.19 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 14 — — $29,346.83 $63,421.28 $36,426.89 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $36,326.66 $36,326.66 $36,326.66 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $32,705.32 $60,761.92 $36,295.43 2026-07-15
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 1 1 — — $36,259.18 $36,259.18 $36,259.18 2026-07-15
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 1 1 — — $36,259.18 $36,259.18 $36,259.18 2026-07-15
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 1 1 — — $36,203.72 $36,203.72 $36,203.72 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 14 — — $34,129.20 $71,277.25 $36,106.04 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 18 14 — — $34,006.81 $62,725.40 $35,924.74 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $35,863.70 $35,863.70 $35,863.70 2026-07-15
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $35,817.67 $35,817.67 $35,817.67 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 14 — — $31,694.53 $60,118.16 $35,565.59 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 14 — — $31,457.42 $59,679.41 $35,428.33 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 13 — — $31,806.86 $61,369.15 $35,233.96 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $35,220.33 $35,220.33 $35,220.33 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $35,043.46 $35,043.46 $35,043.46 2026-07-15
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Inj 43 23 $193,897.27 $77,558.91 60% off $204.02 $193,897.27 $34,901.51 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 13 — — $31,800.12 $60,725.46 $34,878.51 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $34,824.67 $34,824.67 $34,824.67 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 14 — — $32,074.93 $60,707.92 $34,329.26 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $34,320.66 $34,320.66 $34,320.66 2026-07-15
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 1 1 — — $34,132.55 $34,132.55 $34,132.55 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 14 — — $30,770.18 $56,370.68 $33,672.36 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 14 — — $30,881.33 $56,274.63 $33,612.47 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $33,611.16 $33,611.16 $33,611.16 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 14 — — $31,101.15 $56,675.20 $33,497.45 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 14 — — $28,357.75 $57,428.04 $33,479.35 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 18 14 — — $31,361.10 $57,148.91 $33,439.53 2026-07-15
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 1 1 — — $33,339.20 $33,339.20 $33,339.20 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/1 Ml Inj 69 23 $106,093.21 $42,437.29 60% off $2,816.84 $145,546.42 $33,320.00 2026-07-15
12 APR_DRG Liver Transplant andOR Intestinal Transplant 1 1 — — $32,829.81 $32,829.81 $32,829.81 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $32,822.81 $32,822.81 $32,822.81 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 14 — — $11,288.00 $45,488.35 $32,810.17 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 14 — — $30,917.76 $56,341.01 $32,738.24 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 18 14 — — $29,992.18 $55,018.21 $32,622.57 2026-07-15
677 MS_DRG Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 1 1 — — $32,617.51 $32,617.51 $32,617.51 2026-07-15
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $32,581.47 $32,581.47 $32,581.47 2026-07-15
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 1 1 — — $32,506.92 $32,506.92 $32,506.92 2026-07-15
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $32,398.11 $32,398.11 $32,398.11 2026-07-15
1784 APR_DRG External Heart Assist Devices 1 1 — — $32,392.76 $32,392.76 $32,392.76 2026-07-15
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 1 1 — — $32,328.70 $32,328.70 $32,328.70 2026-07-15
8633 APR_DRG Neonatal Aftercare 1 1 — — $32,119.16 $32,119.16 $32,119.16 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 17 14 — — $29,049.92 $54,244.56 $32,090.79 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 — — $29,353.72 $53,490.88 $31,932.74 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $31,859.36 $31,859.36 $31,859.36 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 14 — — $29,487.09 $53,733.93 $31,837.45 2026-07-15
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 1 1 — — $31,717.13 $31,717.13 $31,717.13 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $31,579.92 $31,579.92 $31,579.92 2026-07-15
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $31,551.05 $31,551.05 $31,551.05 2026-07-15
245 MS_DRG Aicd Generator Procedures 18 14 — — $29,857.72 $54,986.27 $31,516.83 2026-07-15
J9600 HCPCS Porfimer 75 Mg Inj 45 23 $97,232.52 $38,893.01 60% off $2,834.66 $97,232.52 $31,511.93 2026-07-15
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 1 1 — — $31,468.80 $31,468.80 $31,468.80 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $31,463.82 $31,463.82 $31,463.82 2026-07-15
6344 APR_DRG Neonate Birthwt 2499g W Resp Dist Syndoth Maj Resp Cond 1 1 — — $31,437.15 $31,437.15 $31,437.15 2026-07-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 14 — — $28,723.90 $52,623.19 $31,433.85 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 18 14 — — $20,000.00 $57,117.08 $31,347.78 2026-07-15
0344 RC Nuclear Medicine - Therapeutic Radiopharmaceuticals 2 1 — — $29.50 $62,654.01 $31,341.76 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $31,301.68 $31,301.68 $31,301.68 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 14 — — $28,353.42 $52,372.52 $31,284.11 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 14 — — $28,894.32 $52,653.73 $31,204.49 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $31,058.52 $31,058.52 $31,058.52 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 18 14 — — $29,359.28 $53,501.01 $30,973.83 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 14 — — $27,614.93 $51,805.10 $30,945.17 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $30,929.35 $30,929.35 $30,929.35 2026-07-15
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 1 1 — — $30,865.43 $30,865.43 $30,865.43 2026-07-15
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc With Other Prob 17 13 — — $16,746.00 $51,841.34 $30,767.38 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $30,649.98 $30,649.98 $30,649.98 2026-07-15
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 1 1 — — $30,605.37 $30,605.37 $30,605.37 2026-07-15
J9300 HCPCS Gemtuzumab Ozogamicin 4.5 Mg Inj 24 16 $47,551.21 $19,020.48 60% off $8,559.22 $47,551.21 $30,587.32 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 14 — — $27,124.05 $50,850.28 $30,374.82 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 14 — — $24,859.24 $51,827.89 $30,214.58 2026-07-15
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 1 1 — — $30,102.51 $30,102.51 $30,102.51 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $409.50 $30,099.57 $30,099.57 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 1 1 — — $30,061.78 $30,061.78 $30,061.78 2026-07-15
0408T CPT Insj/rplc Cardiac Modulj Sys 17 14 — — $28,054.00 $51,849.13 $30,055.17 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 18 14 — — $26,103.48 $51,849.13 $30,055.17 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 10 9 — — $30,055.17 $39,071.71 $30,055.17 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 19 14 — — $13,051.74 $54,342.00 $30,055.17 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 19 14 — — $13,051.74 $54,342.00 $30,055.17 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 19 14 — — $13,051.74 $54,342.00 $30,055.17 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 19 14 — — $26,103.48 $54,342.00 $30,055.17 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 18 14 — — $28,460.24 $51,862.72 $30,046.71 2026-07-15
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 1 1 — — $29,939.82 $29,939.82 $29,939.82 2026-07-15
69930 CPT Implant Cochlear Device 19 14 — — $3,957.76 $52,850.56 $29,817.29 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 14 — — $18,965.11 $51,050.82 $29,761.57 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 14 — — $26,339.25 $50,051.56 $29,697.15 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $28,262.35 $30,488.25 $29,617.16 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 18 13 — — $17,323.21 $52,155.62 $29,507.13 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 14 — — $26,300.35 $50,279.52 $29,452.60 2026-07-15
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,440.07 $29,440.07 $29,440.07 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 18 13 — — $22,574.88 $51,909.43 $29,367.84 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 14 — — $27,691.50 $50,461.84 $29,287.40 2026-07-15
L6700 HCPCS Ue Add Ext Power Myoel 11 9 — — $28,931.56 $51,787.49 $28,931.56 2026-07-15
J9269 HCPCS Tagraxofusp-erzs (Elzonris) 1000 Mcg Inj 45 23 $160,681.65 $64,272.66 60% off $279.15 $160,681.65 $28,922.70 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 18 14 — — $27,356.83 $49,851.99 $28,780.83 2026-07-15
1814 APR_DRG Lower Extremity Vascular Procedures 1 1 — — $28,777.64 $28,777.64 $28,777.64 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $28,773.77 $28,773.77 $28,773.77 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 14 — — $25,376.62 $48,013.18 $28,680.11 2026-07-15
J1932 HCPCS Lanreotide 120 Mg Syringe (J1932/nonpreferred) 67 23 $69,159.61 $27,663.85 60% off $29.84 $90,529.58 $28,673.78 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 14 — — $25,869.36 $47,873.03 $28,596.40 2026-07-15
0268T CPT Implt/rpl Crtd Sns Dev Gen 17 14 — — $10,917.00 $48,938.44 $28,566.55 2026-07-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 12 10 — — $4,641.00 $37,136.51 $28,566.55 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 19 14 — — $1,728.79 $48,938.44 $28,566.55 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 19 14 — — $13,051.74 $48,938.44 $28,566.55 2026-07-15
61886 CPT Implant Neurostim Arrays 19 14 — — $1,728.79 $48,938.44 $28,566.55 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 19 14 — — $16,088.00 $48,938.44 $28,566.55 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 18 13 — — $25,828.62 $48,938.44 $28,566.55 2026-07-15
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 1 1 — — $28,520.06 $28,520.06 $28,520.06 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 14 — — $25,390.82 $47,727.19 $28,509.28 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 14 — — $25,690.91 $48,119.14 $28,467.03 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $28,420.12 $28,420.12 $28,420.12 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 14 — — $26,662.18 $48,586.14 $28,399.02 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 18 14 — — $25,751.42 $47,508.42 $28,378.60 2026-07-15
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 18 14 — — $4,018.22 $48,598.83 $28,332.11 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 14 — — $25,114.81 $64,872.22 $28,265.62 2026-07-15
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 1 1 — — $28,165.54 $28,165.54 $28,165.54 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $28,163.09 $28,163.09 $28,163.09 2026-07-15
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 14 — — $25,338.95 $48,037.10 $28,098.29 2026-07-15
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 1 1 — — $28,094.36 $28,094.36 $28,094.36 2026-07-15
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