Hospital

BRYAN MEDICAL CENTER

Lincoln, NE · CCN 280003 · Rates published

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You selected 93306 (CPT)

Echo W/Bubble Study

This hospital’s price: $1,070 across 7 payers · range $150-$4,147

Source: https://www.bryanhealth.com/app/files/public/0c8f55af-3354-471c-9d96-e1d3c2e2a445/470376552_bryan-medical-center_standardcharges.csv · observed 2026-07-18

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.

15,773 distinct procedures filed

11 distinct payers

116,942 rate rows

2026-07-18 last MRF observed

Data quality

116,431 of 116,942 rate rows are consumer-grade (99.6%)

511 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
exceeds 10× this hospital's gross charge — excluded from medians	479
placeholder amount (≤ $0.02) — excluded from medians	15
exceeds 3× this hospital's gross charge for a DRG stay — excluded	8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	6
per-diem day rate — not a per-procedure price	3

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

Source MRF file	https://www.bryanhealth.com/app/files/public/0c8f55af-3354-471c-9d96-e1d3c2e2a445/470376552_bryan-medical-center_standardcharges.csv
Found on page	https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/price-estimates/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint	0417c71779047805… · 23,324,872 bytes · first seen 2026-05-05

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
0773 OTHER	Inj, Beqvez, Per Tx Dose	2	$3,615,617.60	$3,615,617.60	$3,615,617.60	nat. median $3,635,800 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	2	$3,615,617.60	$3,615,617.60	$3,615,617.60	nat. median $3,758,972 1.0× median
0714 OTHER	Inj Delandistrogene Mox Rokl	2	$3,237,275.39	$3,237,275.39	$3,237,275.39	nat. median $3,316,463 1.0× median
0748 OTHER	Inj, Lovotibeglogene Autotem	2	$3,111,770.08	$3,111,770.08	$3,111,770.08	nat. median $3,248,446 1.0× median
0746 OTHER	Inj, Betibeglogene Autotemce	2	$2,892,494.08	$2,892,494.08	$2,892,494.08	nat. median $2,945,740 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	2	$2,342,314.76	$2,342,314.76	$2,342,314.76	nat. median $2,588,981 0.9× median
0824 RC	Inj, Exagamglogene Autotem	2	$2,272,673.92	$2,272,673.92	$2,272,673.92	nat. median $1,200 outlier · 1893.9×
9194 OTHER	Tisagenlecleucel Car-pos T	2	$551,234.37	$551,234.37	$551,234.37	nat. median $577,163 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	2	$537,292.80	$537,292.80	$537,292.80	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	2	$514,872.16	$514,872.16	$514,872.16	nat. median $563,449 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	2	$503,346.57	$503,346.57	$503,346.57	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	2	$477,063.83	$477,063.83	$477,063.83	nat. median $533,230 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	2	$475,635.48	$475,635.48	$475,635.48	nat. median $492,768 1.0× median
583 - 4 OTHER	Neonate With Ecmo	4	$472,816.54	$774,455.49	$472,816.54	nat. median $341,637 1.4× median
588 - 4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$289,591.51	$688,447.48	$289,591.51	nat. median $135,396 outlier · 2.1×
11 - 4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$270,719.54	$1,355,897.38	$270,719.54	nat. median $270,720 1.0× median
2 - 4 OTHER	Heart And/or Lung Transplant	4	$270,540.72	$854,611.48	$270,540.72	nat. median $270,541 1.0× median
583 - 3 OTHER	Neonate With Ecmo	4	$269,284.70	$767,167.94	$269,284.70	nat. median $269,285 1.0× median
583 - 2 OTHER	Neonate With Ecmo	4	$206,760.87	$481,415.24	$206,760.87	nat. median $206,761 1.0× median
161 - 4 OTHER	Implantable Heart Assist Systems	4	$201,889.94	$612,198.29	$201,889.94	nat. median $467,324 outlier · 0.4×
609 - 4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	$201,765.88	$496,146.98	$201,765.88	nat. median $184,672 1.1× median
11 - 3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$201,473.27	$1,250,109.90	$201,473.27	nat. median $201,473 1.0× median
9 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$197,917.39	$318,344.42	$197,917.39	nat. median $197,917 1.0× median
631 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	$194,062.06	$340,625.56	$194,062.06	nat. median $48,747 outlier · 4.0×
588 - 3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$192,867.64	$421,415.15	$192,867.64	nat. median $172,331 1.1× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	$192,644.09	$192,644.09	$192,644.09	nat. median $249,036 0.8× median
591 - 4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$189,899.56	$412,862.74	$189,899.56	nat. median $157,136 1.2× median
583 - 1 OTHER	Neonate With Ecmo	4	$185,593.33	$361,417.39	$185,593.33	nat. median $182,898 1.0× median
841 - 4 OTHER	Extensive Third Degree Burns With Skin Graft	4	$179,586.16	$435,265.46	$179,586.16	nat. median $253,670 0.7× median
630 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	$175,994.35	$291,377.93	$175,994.35	nat. median $175,994 1.0× median
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$166,958.36	$430,573.09	$166,958.36	nat. median $161,603 1.0× median
588 - 2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$165,266.84	$410,206.78	$165,266.84	nat. median $157,618 1.0× median
11 - 2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$160,168.32	$892,954.68	$160,168.32	nat. median $160,168 1.0× median
7 - 4 OTHER	Allogeneic Bone Marrow Transplant	4	$159,283.63	$400,144.02	$159,283.63	nat. median $159,284 1.0× median
161 - 3 OTHER	Implantable Heart Assist Systems	4	$158,084.08	$416,858.39	$158,084.08	nat. median $568,895 outlier · 0.3×
J1823 HCPCS	Inebilizumab-cdon 10 Mg/ml IV Soln	7	$99,109.00	$471,303.98	$157,101.33	nat. median $818 outlier · 192.1×
4 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	$152,101.72	$320,168.06	$152,101.72	nat. median $152,102 1.0× median
1 - 4 OTHER	Liver Transplant And/or Intestinal Transplant	4	$150,589.02	$584,528.06	$150,589.02	nat. median $150,589 1.0× median
2 - 3 OTHER	Heart And/or Lung Transplant	4	$147,367.69	$430,325.27	$147,367.69	nat. median $147,368 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	$145,907.94	$145,907.94	$145,907.94	nat. median $190,559 0.8× median
591 - 3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$143,217.17	$245,309.97	$143,217.17	nat. median $369,356 outlier · 0.4×
588 - 1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$141,657.41	$272,832.91	$141,657.41	nat. median $141,650 1.0× median
J2351 HCPCS	Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln	6	$86,908.72	$416,190.80	$138,730.27	nat. median $78 outlier · 1779.7×
J3316 HCPCS	Triptorelin Pamoate(pediatric) 22.5 Mg IM Susr	7	$91,614.64	$408,687.54	$136,229.19	nat. median $4,430 outlier · 30.7×
589 - 1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$324,350.74	$134,989.72	nat. median $11,272 outlier · 12.0×
589 - 3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$218,079.29	$134,989.72	nat. median $133,763 1.0× median
589 - 2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$236,219.83	$134,989.72	nat. median $75,433 1.8× median
9 - 3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$133,013.29	$227,153.07	$133,013.29	nat. median $133,013 1.0× median
J9269 HCPCS	Tagraxofusp-erzs 1000 Mcg/ml IV Soln	6	$71,386.00	$340,547.89	$126,469.87	nat. median $512 outlier · 246.8×
602 - 4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	$125,775.77	$285,455.77	$125,775.77	nat. median $122,856 1.0× median

Other procedures at this hospital

Browse this hospital's 15,773 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

0773	OTHER	Inj, Beqvez, Per Tx Dose	2	2	—	—	$3,615,617.60	$3,615,617.60	$3,615,617.60	2026-07-18
9138	OTHER	Inj, Hemgenix, Per Tx Dose	2	2	—	—	$3,615,617.60	$3,615,617.60	$3,615,617.60	2026-07-18
0714	OTHER	Inj Delandistrogene Mox Rokl	2	2	—	—	$3,237,275.39	$3,237,275.39	$3,237,275.39	2026-07-18
0748	OTHER	Inj, Lovotibeglogene Autotem	2	2	—	—	$3,111,770.08	$3,111,770.08	$3,111,770.08	2026-07-18
0746	OTHER	Inj, Betibeglogene Autotemce	2	2	—	—	$2,892,494.08	$2,892,494.08	$2,892,494.08	2026-07-18
9141	OTHER	Inj Onase Abepar-xioi Treat	2	2	—	—	$2,342,314.76	$2,342,314.76	$2,342,314.76	2026-07-18
0824	RC	Inj, Exagamglogene Autotem	2	2	—	—	$2,272,673.92	$2,272,673.92	$2,272,673.92	2026-07-18
9194	OTHER	Tisagenlecleucel Car-pos T	2	2	—	—	$551,234.37	$551,234.37	$551,234.37	2026-07-18
9498	OTHER	Ciltacabtagene Car-pos T	2	2	—	—	$537,292.80	$537,292.80	$537,292.80	2026-07-18
9422	OTHER	Idecabtagene Vicleucel Car	2	2	—	—	$514,872.16	$514,872.16	$514,872.16	2026-07-18
9413	OTHER	Lisocabtagene Mara Car Pos T	2	2	—	—	$503,346.57	$503,346.57	$503,346.57	2026-07-18
9035	OTHER	Axicabtagene Ciloleucel Car+	2	2	—	—	$477,063.83	$477,063.83	$477,063.83	2026-07-18
9391	OTHER	Brexucabtagene Car Pos T	2	2	—	—	$475,635.48	$475,635.48	$475,635.48	2026-07-18
583 - 4	OTHER	Neonate With Ecmo	4	4	—	—	$472,816.54	$774,455.49	$472,816.54	2026-07-18
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$289,591.51	$688,447.48	$289,591.51	2026-07-18
11 - 4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$270,719.54	$1,355,897.38	$270,719.54	2026-07-18
2 - 4	OTHER	Heart And/or Lung Transplant	4	4	—	—	$270,540.72	$854,611.48	$270,540.72	2026-07-18
583 - 3	OTHER	Neonate With Ecmo	4	4	—	—	$269,284.70	$767,167.94	$269,284.70	2026-07-18
583 - 2	OTHER	Neonate With Ecmo	4	4	—	—	$206,760.87	$481,415.24	$206,760.87	2026-07-18
161 - 4	OTHER	Implantable Heart Assist Systems	4	4	—	—	$201,889.94	$612,198.29	$201,889.94	2026-07-18
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$201,765.88	$496,146.98	$201,765.88	2026-07-18
11 - 3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$201,473.27	$1,250,109.90	$201,473.27	2026-07-18
9 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$197,917.39	$318,344.42	$197,917.39	2026-07-18
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$194,062.06	$340,625.56	$194,062.06	2026-07-18
588 - 3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$192,867.64	$421,415.15	$192,867.64	2026-07-18
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	2	$759,540.13	—	$192,644.09	$192,644.09	$192,644.09	2026-07-18
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$189,899.56	$412,862.74	$189,899.56	2026-07-18
583 - 1	OTHER	Neonate With Ecmo	4	4	—	—	$185,593.33	$361,417.39	$185,593.33	2026-07-18
841 - 4	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$179,586.16	$435,265.46	$179,586.16	2026-07-18
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$175,994.35	$291,377.93	$175,994.35	2026-07-18
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$166,958.36	$430,573.09	$166,958.36	2026-07-18
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$165,266.84	$410,206.78	$165,266.84	2026-07-18
11 - 2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$160,168.32	$892,954.68	$160,168.32	2026-07-18
7 - 4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$159,283.63	$400,144.02	$159,283.63	2026-07-18
161 - 3	OTHER	Implantable Heart Assist Systems	4	4	—	—	$158,084.08	$416,858.39	$158,084.08	2026-07-18
J1823	HCPCS	Inebilizumab-cdon 10 Mg/ml IV Soln	14	7	$157,101.33	$94,260.79 40% off	$99,109.00	$471,303.98	$157,101.33	2026-07-18
4 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$152,101.72	$320,168.06	$152,101.72	2026-07-18
1 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$150,589.02	$584,528.06	$150,589.02	2026-07-18
2 - 3	OTHER	Heart And/or Lung Transplant	4	4	—	—	$147,367.69	$430,325.27	$147,367.69	2026-07-18
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	2	$504,792.82	—	$145,907.94	$145,907.94	$145,907.94	2026-07-18
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$143,217.17	$245,309.97	$143,217.17	2026-07-18
588 - 1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$141,657.41	$272,832.91	$141,657.41	2026-07-18
J2351	HCPCS	Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln	12	6	$138,730.27	$83,238.16 40% off	$86,908.72	$416,190.80	$138,730.27	2026-07-18
J3316	HCPCS	Triptorelin Pamoate(pediatric) 22.5 Mg IM Susr	14	7	$75,014.08	$45,008.45 40% off	$91,614.64	$408,687.54	$136,229.19	2026-07-18
589 - 3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$218,079.29	$134,989.72	2026-07-18
589 - 2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$236,219.83	$134,989.72	2026-07-18
589 - 1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$324,350.74	$134,989.72	2026-07-18
9 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$133,013.29	$227,153.07	$133,013.29	2026-07-18
J9269	HCPCS	Tagraxofusp-erzs 1000 Mcg/ml IV Soln	12	6	$113,515.96	$68,109.58 40% off	$71,386.00	$340,547.89	$126,469.87	2026-07-18
602 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$125,775.77	$285,455.77	$125,775.77	2026-07-18
591 - 2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$122,839.35	$179,911.44	$122,839.35	2026-07-18
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$122,135.19	$333,471.28	$122,135.19	2026-07-18
510 - 4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$119,686.90	$119,686.90	$119,686.90	2026-07-18
161 - 2	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$368,279.42	$116,318.82	2026-07-18
161 - 1	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$350,288.51	$116,318.82	2026-07-18
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$115,895.30	$241,973.65	$115,895.30	2026-07-18
2 - 2	OTHER	Heart And/or Lung Transplant	4	4	—	—	$111,592.49	$267,443.82	$111,592.49	2026-07-18
5 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$105,960.07	$302,336.13	$105,960.07	2026-07-18
4 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$104,885.44	$212,124.40	$104,885.44	2026-07-18
7 - 3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$101,306.46	$334,528.05	$101,306.46	2026-07-18
842 - 4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$100,542.41	$210,043.58	$100,542.41	2026-07-18
2 - 1	OTHER	Heart And/or Lung Transplant	4	4	—	—	$98,630.15	$219,865.52	$98,630.15	2026-07-18
6 - 4	OTHER	Pancreas Transplant	4	4	—	—	$98,364.05	$293,603.70	$98,364.05	2026-07-18
593 - 2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$98,236.57	$226,168.77	$98,236.57	2026-07-18
607 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$97,225.25	$310,392.88	$97,225.25	2026-07-18
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$97,012.21	$175,943.85	$97,012.21	2026-07-18
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	2	$320,417.42	—	$95,218.38	$95,218.38	$95,218.38	2026-07-18
480 - 4	OTHER	Major Male Pelvic Procedures	1	1	—	—	$94,158.27	$94,158.27	$94,158.27	2026-07-18
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml IV Soln	14	7	$93,329.92	$55,997.96 40% off	$58,317.38	$279,989.78	$93,329.93	2026-07-18
851 - 3	OTHER	Gender Related Procedures	4	4	—	—	$67,937.60	$92,776.13	$92,776.13	2026-07-18
851 - 4	OTHER	Gender Related Procedures	4	4	—	—	$92,776.13	$209,159.82	$92,776.13	2026-07-18
603 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$91,993.26	$324,016.41	$91,993.26	2026-07-18
602 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$87,327.67	$241,033.77	$87,327.67	2026-07-18
J9266	HCPCS	Pegaspargase 750 Units/ml Inj Soln	14	7	$85,902.11	$51,541.27 40% off	$56,848.12	$257,706.36	$85,902.12	2026-07-18
SUP-421192	CDM	Heartmate 3 Lvas Implant Kit	6	6	$179,865.00	$107,919.00 40% off	$34,174.35	$269,797.50	$80,939.25	2026-07-18
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$80,862.76	$179,754.79	$80,862.76	2026-07-18
613 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$80,120.10	$149,711.49	$80,120.10	2026-07-18
863 - 4	OTHER	Neonatal Aftercare	4	4	—	—	$79,087.39	$160,251.20	$79,087.39	2026-07-18
11 - 1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$78,883.75	$83,216.43	$78,883.75	2026-07-18
1 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$78,182.16	$430,867.68	$78,182.16	2026-07-18
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$77,886.12	$201,750.70	$77,886.12	2026-07-18
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$77,509.66	$185,646.55	$77,509.66	2026-07-18
5 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$76,897.91	$214,090.66	$76,897.91	2026-07-18
440 - 4	OTHER	Kidney Transplant	4	4	—	—	$76,265.62	$392,531.50	$76,265.62	2026-07-18
6 - 3	OTHER	Pancreas Transplant	4	4	—	—	$75,805.30	$232,441.62	$75,805.30	2026-07-18
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$238,294.98	—	$75,762.80	$75,762.80	$75,762.80	2026-07-18
593 - 1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$74,761.47	$205,608.40	$74,761.47	2026-07-18
510 - 3	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$72,821.69	$72,821.69	$72,821.69	2026-07-18
7 - 2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$71,340.78	$290,959.42	$71,340.78	2026-07-18
8 - 4	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$70,844.54	$247,624.59	$70,844.54	2026-07-18
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subq Syr	16	8	$46,776.85	$28,066.10 40% off	$34,709.00	$217,623.48	$70,842.60	2026-07-18
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$69,990.65	$154,036.79	$69,990.65	2026-07-18
602 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$69,780.17	$176,324.95	$69,780.17	2026-07-18
J2350	HCPCS	Ocrelizumab 30 Mg/ml IV Soln	14	7	$69,376.35	$41,625.80 40% off	$35,648.40	$157,164.74	$69,376.35	2026-07-18
215	MS_DRG	Other Heart Assist System Implant	2	2	$265,522.50	—	$68,447.19	$68,447.19	$68,447.19	2026-07-18
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$68,153.67	$125,153.14	$68,153.67	2026-07-18
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subq Soln	14	7	$67,967.33	$40,780.40 40% off	$42,481.20	$203,902.01	$67,967.34	2026-07-18
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	$255,115.35	—	$67,249.69	$67,249.69	$67,249.69	2026-07-18
4 - 2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$67,025.99	$153,538.80	$67,025.99	2026-07-18
299 - 4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$66,778.72	$66,778.72	$66,778.72	2026-07-18
9 - 2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$66,759.05	$96,790.86	$66,759.05	2026-07-18
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$66,658.94	$233,575.55	$66,658.94	2026-07-18
6 - 2	OTHER	Pancreas Transplant	4	4	—	—	$65,352.44	$190,935.11	$65,352.44	2026-07-18
120	EAPG	Car T-cell Immunotherapy	4	4	—	—	$65,239.56	$68,759.98	$65,239.56	2026-07-18
178 - 4	OTHER	External Heart Assist Systems	4	4	—	—	$64,808.28	$250,348.36	$64,808.28	2026-07-18
612 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$63,698.56	$162,612.58	$63,698.56	2026-07-18
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	4	4	—	—	$63,531.72	$158,062.83	$63,531.72	2026-07-18
7 - 1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$62,975.58	$135,358.51	$62,975.58	2026-07-18
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	4	4	—	—	$62,468.21	$142,877.52	$62,468.21	2026-07-18
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	2	$343,184.18	—	$61,934.50	$61,934.50	$61,934.50	2026-07-18
0717	OTHER	Instill Adstiladrin, Tx Dose	2	2	—	—	$61,789.09	$61,789.09	$61,789.09	2026-07-18
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$61,229.30	$127,883.92	$61,229.30	2026-07-18
1 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$60,419.91	$174,933.84	$60,419.91	2026-07-18
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$59,992.96	$192,866.30	$59,992.96	2026-07-18
850	MS_DRG	Acute Leukemia With Other Procedures	2	2	$320,940.79	—	$59,527.81	$59,527.81	$59,527.81	2026-07-18
C9293	HCPCS	Glucarpidase 1000 Units IV Solr	5	5	$117,179.45	$70,307.67 40% off	$22,264.10	$175,769.17	$58,589.73	2026-07-18
841 - 3	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$58,404.11	$143,080.92	$58,404.11	2026-07-18
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$58,328.82	$173,704.05	$58,328.82	2026-07-18
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$58,156.84	$117,652.84	$58,156.84	2026-07-18
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	$171,384.22	—	$57,767.31	$57,767.31	$57,767.31	2026-07-18
5244	OTHER	Transplt Allo Hct/donor	2	2	—	—	$57,637.75	$57,637.75	$57,637.75	2026-07-18
631 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$57,037.72	$111,707.30	$57,037.72	2026-07-18
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$56,973.55	$134,937.67	$56,973.55	2026-07-18
680 - 4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$56,528.64	$141,785.67	$56,528.64	2026-07-18
608 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$55,454.00	$153,330.72	$55,454.00	2026-07-18
1643	OTHER	Y90 Ibritumomab, Rx	2	2	—	—	$55,378.93	$55,378.93	$55,378.93	2026-07-18
625 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	4	4	—	—	$55,372.72	$143,487.74	$55,372.72	2026-07-18
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	4	4	—	—	$55,315.40	$187,311.21	$55,315.40	2026-07-18
J9334	HCPCS	Efgartigimod-hyaluronidas-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Subq Soln	14	7	$55,161.03	$33,096.62 40% off	$34,159.10	$165,483.07	$55,161.03	2026-07-18
J3241	HCPCS	Teprotumumab-trbw 500 Mg IV Solr	14	7	$55,066.25	$33,039.74 40% off	$35,919.20	$165,198.73	$55,066.25	2026-07-18
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$54,663.43	$129,590.66	$54,663.43	2026-07-18
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$54,585.57	$124,468.11	$54,585.57	2026-07-18
9273	OTHER	Sipuleucel-t Auto Cd54+	2	2	—	—	$54,123.65	$54,123.65	$54,123.65	2026-07-18
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	2	$101,942.37	—	$54,092.32	$54,092.32	$54,092.32	2026-07-18
179 - 4	OTHER	Defibrillator Implants	4	4	—	—	$53,873.71	$144,892.87	$53,873.71	2026-07-18
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$53,791.57	$121,891.63	$53,791.57	2026-07-18
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$53,717.13	$74,079.53	$53,717.13	2026-07-18
91 - 4	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$53,559.70	$165,644.96	$53,559.70	2026-07-18
614 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$53,458.74	$206,541.26	$53,458.74	2026-07-18
1 - 1	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$53,080.57	$155,916.54	$53,080.57	2026-07-18
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	2	$202,026.13	—	$52,782.77	$52,782.77	$52,782.77	2026-07-18
850 - 4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	4	4	—	—	$52,736.62	$155,900.18	$52,736.62	2026-07-18
21 - 4	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$52,662.18	$166,977.62	$52,662.18	2026-07-18
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	2	$204,664.05	—	$52,555.23	$52,555.23	$52,555.23	2026-07-18
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	2	$180,594.70	—	$52,381.31	$52,381.31	$52,381.31	2026-07-18
246	EAPG	Class IV Therapeutic Radiopharmaceuticals	4	4	—	—	$52,343.27	$58,451.73	$52,343.27	2026-07-18
178 - 3	OTHER	External Heart Assist Systems	4	4	—	—	$52,293.42	$136,983.42	$52,293.42	2026-07-18
299 - 3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$52,218.12	$52,218.12	$52,218.12	2026-07-18
603 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$52,092.35	$163,049.78	$52,092.35	2026-07-18
602 - 1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$29,047.31	$51,981.12	$51,981.12	2026-07-18
440 - 3	OTHER	Kidney Transplant	4	4	—	—	$51,851.93	$245,284.26	$51,851.93	2026-07-18
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	—	—	$51,431.83	$130,841.49	$51,431.83	2026-07-18
5 - 2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$51,274.40	$123,834.51	$51,274.40	2026-07-18
300 - 4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$50,944.99	$50,944.99	$50,944.99	2026-07-18
690 - 4	OTHER	Acute Leukemia	4	4	—	—	$50,529.17	$161,378.11	$50,529.17	2026-07-18
8 - 3	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$49,863.51	$195,604.09	$49,863.51	2026-07-18
607 - 2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$49,787.36	$110,145.52	$49,787.36	2026-07-18
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$171,131.79	—	$49,622.67	$49,622.67	$49,622.67	2026-07-18
480 - 3	OTHER	Major Male Pelvic Procedures	1	1	—	—	$49,376.22	$49,376.22	$49,376.22	2026-07-18
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	2	2	$47,617.35	—	$49,307.14	$49,307.14	$49,307.14	2026-07-18
260 - 4	OTHER	Major Pancreas, Liver And Shunt Procedures	4	4	—	—	$49,135.40	$157,436.24	$49,135.40	2026-07-18
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	2	2	$167,556.14	—	$49,016.36	$49,016.36	$49,016.36	2026-07-18
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$48,995.93	$94,237.77	$48,995.93	2026-07-18
9 - 1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$48,886.42	$91,951.20	$48,886.42	2026-07-18
169 - 4	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$48,666.53	$103,133.86	$48,666.53	2026-07-18
23 - 4	OTHER	Spinal Procedures	4	4	—	—	$48,016.27	$149,444.96	$48,016.27	2026-07-18
740 - 4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$47,886.22	$123,053.62	$47,886.22	2026-07-18
608 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$47,868.25	$149,910.22	$47,868.25	2026-07-18
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	2	2	$177,414.89	—	$47,513.64	$47,513.64	$47,513.64	2026-07-18
120 - 4	OTHER	Major Respiratory And Chest Procedures	4	4	—	—	$47,370.29	$123,228.97	$47,370.29	2026-07-18
681 - 4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$47,293.29	$131,288.05	$47,293.29	2026-07-18
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	2	2	$177,665.48	—	$47,280.60	$47,280.60	$47,280.60	2026-07-18
312 - 4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	4	4	—	—	$47,204.31	$134,474.75	$47,204.31	2026-07-18
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$46,813.30	$112,997.88	$46,813.30	2026-07-18
220 - 4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$46,658.43	$145,930.95	$46,658.43	2026-07-18
695 - 4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$46,506.14	$118,697.92	$46,506.14	2026-07-18
4 - 1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$46,371.81	$119,584.02	$46,371.81	2026-07-18
20 - 4	OTHER	Open Craniotomy For Trauma	4	4	—	—	$46,006.47	$130,404.29	$46,006.47	2026-07-18
89 - 4	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$45,979.09	$134,890.91	$45,979.09	2026-07-18
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	2	2	$196,276.90	—	$45,964.86	$45,964.86	$45,964.86	2026-07-18
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	$188,896.37	—	$45,931.18	$45,931.18	$45,931.18	2026-07-18
361 - 4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	4	4	—	—	$45,927.75	$123,086.35	$45,927.75	2026-07-18
428 - 4	OTHER	Genetic Disorders	3	3	—	—	$45,872.14	$45,872.14	$45,872.14	2026-07-18
261 - 4	OTHER	Major Biliary Tract Procedures	4	4	—	—	$45,687.33	$128,632.08	$45,687.33	2026-07-18
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$45,680.48	$240,750.87	$45,680.48	2026-07-18
609 - 2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$45,669.36	$102,923.44	$45,669.36	2026-07-18
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$45,500.81	$96,624.86	$45,500.81	2026-07-18
6 - 1	OTHER	Pancreas Transplant	4	4	—	—	$45,393.00	$158,609.92	$45,393.00	2026-07-18
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	$207,065.04	—	$45,200.44	$45,200.44	$45,200.44	2026-07-18
955	MS_DRG	Craniotomy For Multiple Significant Trauma	2	2	$138,908.06	—	$43,922.77	$46,271.46	$45,097.11	2026-07-18
623 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	4	4	—	—	$44,623.82	$94,672.63	$44,623.82	2026-07-18
27 - 4	OTHER	Other Open Craniotomy	4	4	—	—	$44,321.79	$113,187.26	$44,321.79	2026-07-18
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	2	2	$136,792.26	—	$44,233.92	$44,233.92	$44,233.92	2026-07-18
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$44,213.13	$93,421.80	$44,213.13	2026-07-18
440 - 2	OTHER	Kidney Transplant	4	4	—	—	$44,188.32	$217,670.14	$44,188.32	2026-07-18
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$44,111.31	$158,392.49	$44,111.31	2026-07-18
1142	OTHER	Supprelin La Implant	2	2	—	—	$44,110.34	$44,110.34	$44,110.34	2026-07-18
33276	CPT	Insj Phrnc Nrv Stim Sys	9	9	$89,960.00	$53,976.00 40% off	$4,100.00	$134,940.00	$43,855.69	2026-07-18
1580	OTHER	Implt/rpl Crtd Sns Dev Total	2	2	—	—	$43,855.69	$43,855.69	$43,855.69	2026-07-18
92 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	4	—	—	$43,829.82	$99,224.72	$43,829.82	2026-07-18
401 - 4	OTHER	Adrenal Procedures	4	4	—	—	$43,471.32	$121,608.73	$43,471.32	2026-07-18
520 - 4	OTHER	Other GYN Procedures For Malignancy	3	3	—	—	$43,311.33	$43,311.33	$43,311.33	2026-07-18
613 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$43,295.07	$107,414.73	$43,295.07	2026-07-18
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$43,124.81	$143,576.58	$43,124.81	2026-07-18
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$43,072.62	$118,115.76	$43,072.62	2026-07-18
3060	EAPG	Ventricular Assist Device Procedures	4	4	—	—	$42,925.84	$52,563.06	$42,925.84	2026-07-18
441 - 4	OTHER	Major Bladder Procedures	4	4	—	—	$42,874.12	$125,118.07	$42,874.12	2026-07-18
178 - 2	OTHER	External Heart Assist Systems	4	4	—	—	$42,578.08	$130,656.79	$42,578.08	2026-07-18
603 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$42,503.64	$123,359.89	$42,503.64	2026-07-18
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$42,384.71	$97,010.63	$42,384.71	2026-07-18
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	$135,786.08	—	$42,128.33	$42,128.33	$42,128.33	2026-07-18
511 - 4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	4	4	—	—	$41,488.04	$114,753.72	$41,488.04	2026-07-18
440 - 1	OTHER	Kidney Transplant	4	4	—	—	$41,352.86	$116,098.07	$41,352.86	2026-07-18
622 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$41,307.51	$225,214.86	$41,307.51	2026-07-18
28	MS_DRG	Spinal Procedures With Mcc	2	2	$64,982.52	—	$41,302.73	$41,302.73	$41,302.73	2026-07-18
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	2	2	$174,997.49	—	$41,291.04	$41,291.04	$41,291.04	2026-07-18
J1628	HCPCS	Guselkumab 100 Mg/ml Subq Syrg	16	8	$48,965.89	$29,379.53 40% off	$15,194.40	$146,897.65	$41,222.00	2026-07-18
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	4	4	—	—	$41,178.32	$112,696.28	$41,178.32	2026-07-18
22 - 4	OTHER	Ventricular Shunt Procedures	4	4	—	—	$41,151.79	$108,836.24	$41,151.79	2026-07-18
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$41,028.59	$116,472.15	$41,028.59	2026-07-18
179 - 3	OTHER	Defibrillator Implants	4	4	—	—	$41,026.88	$89,793.23	$41,026.88	2026-07-18
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	$153,331.71	—	$40,992.01	$40,992.01	$40,992.01	2026-07-18
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	2	$156,775.09	—	$40,857.27	$40,857.27	$40,857.27	2026-07-18
842 - 3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$40,611.91	$93,555.07	$40,611.91	2026-07-18
651 - 4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	—	—	$40,605.06	$105,923.09	$40,605.06	2026-07-18
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	2	$74,883.95	—	$40,558.54	$40,558.54	$40,558.54	2026-07-18
SUP-477331	CDM	Kit Implants Aprevo 5-level	6	6	$90,000.00	$54,000.00 40% off	$17,100.00	$135,000.00	$40,500.00	2026-07-18
863 - 3	OTHER	Neonatal Aftercare	4	4	—	—	$40,457.90	$109,259.42	$40,457.90	2026-07-18
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	2	2	$166,253.72	—	$40,342.39	$40,342.39	$40,342.39	2026-07-18
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	2	2	$89,473.27	—	$40,316.27	$40,316.27	$40,316.27	2026-07-18
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$40,297.90	$92,182.66	$40,297.90	2026-07-18
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$40,244.86	$48,095.00	$40,244.86	2026-07-18
30 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$40,172.13	$113,949.44	$40,172.13	2026-07-18
170 - 4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	4	4	—	—	$40,141.33	$108,964.83	$40,141.33	2026-07-18
181 - 4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$40,052.35	$112,371.29	$40,052.35	2026-07-18
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$40,046.36	$85,795.25	$40,046.36	2026-07-18
121 - 4	OTHER	Other Respiratory And Chest Procedures	4	4	—	—	$39,706.68	$136,211.88	$39,706.68	2026-07-18
512 - 4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	4	4	—	—	$39,690.43	$98,046.37	$39,690.43	2026-07-18
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	$236,352.91	—	$39,644.65	$39,644.65	$39,644.65	2026-07-18
230 - 4	OTHER	Major Small Bowel Procedures	4	4	—	—	$39,468.83	$99,956.51	$39,468.83	2026-07-18
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	2	$153,889.09	—	$39,391.68	$39,391.68	$39,391.68	2026-07-18
C1831	HCPCS	Kit Implants Aprevo 3-level	4	4	$68,400.00	$41,040.00 40% off	$27,360.00	$102,600.00	$39,295.80	2026-07-18
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	2	$194,089.40	—	$39,179.95	$39,179.95	$39,179.95	2026-07-18
8 - 2	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$39,137.71	$121,087.36	$39,137.71	2026-07-18
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$39,122.31	$88,451.22	$39,122.31	2026-07-18
405 - 4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	4	4	—	—	$39,025.63	$142,323.41	$39,025.63	2026-07-18
264 - 4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	4	4	—	—	$38,949.48	$122,279.74	$38,949.48	2026-07-18
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	4	4	—	—	$38,809.16	$110,475.18	$38,809.16	2026-07-18
176 - 4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	4	4	—	—	$38,650.87	$122,015.54	$38,650.87	2026-07-18
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$187,510.84	—	$38,647.19	$38,647.19	$38,647.19	2026-07-18
404 - 4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	4	4	—	—	$38,559.33	$106,414.07	$38,559.33	2026-07-18
634 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	4	4	—	—	$38,536.22	$85,776.54	$38,536.22	2026-07-18
403 - 4	OTHER	Procedures For Obesity	4	4	—	—	$38,451.52	$94,207.37	$38,451.52	2026-07-18
299 - 2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$38,405.32	$38,405.32	$38,405.32	2026-07-18
178 - 1	OTHER	External Heart Assist Systems	4	4	—	—	$38,319.76	$119,446.08	$38,319.76	2026-07-18
841 - 1	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$41,081.00	$38,267.57	2026-07-18
841 - 2	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$46,764.68	$38,267.57	2026-07-18
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$38,080.19	$78,313.65	$38,080.19	2026-07-18
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	2	2	$319,823.31	—	$37,966.64	$37,966.64	$37,966.64	2026-07-18
711 - 4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	4	4	—	—	$37,837.20	$95,925.80	$37,837.20	2026-07-18
834	MS_DRG	Acute Leukemia With Mcc	2	2	$56,122.36	—	$37,739.10	$37,739.10	$37,739.10	2026-07-18
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	2	2	$103,095.80	—	$37,605.74	$37,605.74	$37,605.74	2026-07-18
33270	CPT	Insrt Repl Icd Subq Electrode	7	7	$62,664.00	$37,598.40 40% off	$4,100.00	$93,996.00	$37,598.40	2026-07-18
0408T	CPT	Insj/Rplc Cardiac Modulj Sys	7	7	$62,664.00	$37,598.40 40% off	$4,100.00	$93,996.00	$37,598.40	2026-07-18
29 - 4	OTHER	Other Percutaneous Intracranial Procedures	4	4	—	—	$37,583.09	$83,978.62	$37,583.09	2026-07-18
484 - 4	OTHER	Other Male Reproductive System And Related Procedures	4	4	—	—	$37,579.66	$88,289.89	$37,579.66	2026-07-18
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	2	2	$195,157.60	—	$37,552.12	$37,552.12	$37,552.12	2026-07-18
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$37,541.16	$80,027.40	$37,541.16	2026-07-18
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	2	2	$114,382.10	—	$37,493.00	$37,493.00	$37,493.00	2026-07-18
485 - 4	OTHER	Prostatectomy Procedures	3	3	—	—	$37,492.39	$37,492.39	$37,492.39	2026-07-18
J2329	HCPCS	Ublituximab-xiiy 25 Mg/ml IV Soln	14	7	$37,352.04	$22,411.22 40% off	$21,225.90	$112,056.14	$37,352.05	2026-07-18
26 - 4	OTHER	Other Nervous System And Related Procedures	4	4	—	—	$37,349.51	$100,938.47	$37,349.51	2026-07-18
21 - 3	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$37,060.31	$83,527.39	$37,060.31	2026-07-18
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	4	4	—	—	$36,947.37	$108,431.76	$36,947.37	2026-07-18
754 - 4	OTHER	Depression Except Major Depressive Disorder	1	1	—	—	$36,818.82	$36,818.82	$36,818.82	2026-07-18
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$36,687.27	$80,347.71	$36,687.27	2026-07-18
609 - 1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$36,684.71	$93,363.35	$36,684.71	2026-07-18
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	2	$172,607.92	—	$36,659.15	$36,659.15	$36,659.15	2026-07-18
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	2	2	$114,368.94	—	$36,637.15	$36,637.15	$36,637.15	2026-07-18
447 - 4	OTHER	Other Kidney, Urinary Tract And Related Procedures	4	4	—	—	$36,595.72	$101,803.53	$36,595.72	2026-07-18
442 - 4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	4	4	—	—	$36,481.07	$119,041.61	$36,481.07	2026-07-18
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	2	2	$151,769.82	—	$36,391.06	$36,391.06	$36,391.06	2026-07-18
J9307	HCPCS	Pralatrexate 20 Mg/ml (1 Ml) IV Soln	28	7	$35,992.42	$21,595.46 40% off	$15,705.16	$143,876.09	$36,313.16	2026-07-18
448 - 4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	3	3	—	—	$36,288.56	$36,288.56	$36,288.56	2026-07-18
J1747	HCPCS	Spesolimab-sbzo 60 Mg/ml IV Soln	8	8	$85,948.33	$51,569.00 40% off	$16,330.18	$128,922.49	$36,275.88	2026-07-18
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	2	2	$131,374.70	—	$36,270.76	$36,270.76	$36,270.76	2026-07-18
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$36,161.08	$76,050.46	$36,161.08	2026-07-18
650 - 4	OTHER	Splenic Procedures	4	4	—	—	$36,143.97	$96,907.76	$36,143.97	2026-07-18
614 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$36,105.46	$160,162.35	$36,105.46	2026-07-18
162 - 1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$35,890.71	$100,454.51	$35,890.71	2026-07-18
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$35,817.98	$214,415.64	$35,817.98	2026-07-18
91 - 3	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$35,787.18	$72,248.88	$35,787.18	2026-07-18
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	2	2	$185,389.90	—	$35,783.37	$35,783.37	$35,783.37	2026-07-18
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml IV Soln	14	7	$35,746.03	$21,447.62 40% off	$17,929.20	$107,238.07	$35,746.03	2026-07-18
653	MS_DRG	Major Bladder Procedures With Mcc	2	2	$172,888.33	—	$35,721.50	$35,721.50	$35,721.50	2026-07-18
SUP-477330	CDM	Kit Implants Aprevo 4-level	6	6	$79,200.00	$47,520.00 40% off	$15,048.00	$118,800.00	$35,640.00	2026-07-18
SUP-431937	CDM	Cath Impella 5.5 S2 W Smart Assist	6	6	$79,200.00	$47,520.00 40% off	$15,048.00	$118,800.00	$35,640.00	2026-07-18
300 - 3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$35,620.34	$35,620.34	$35,620.34	2026-07-18
607 - 1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$35,591.25	$51,742.28	$35,591.25	2026-07-18
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$35,315.75	$82,150.31	$35,315.75	2026-07-18

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