Hospital

SOUTHERN OHIO MEDICAL CENTER

Portsmouth, OH · CCN 360008 · Rates published

10,777 distinct procedures filed

19 distinct payers

409,592 rate rows

2026-01-23 last MRF observed

Data quality

328,111 of 409,592 rate rows are consumer-grade (80.1%)

81,481 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	77,329
template filing: same amount across many unrelated codes — excluded	3,253
exceeds 10× this hospital's gross charge — excluded from medians	493
placeholder amount (≤ $0.02) — excluded from medians	403
per-diem day rate — not a per-procedure price	3

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

Source MRF file	https://pricetransparency.healthcare/southern-ohio-medical-center/charges/export
Found on page	https://pricetransparency.healthcare/southern-ohio-medical-center/charges/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	b2d4d439353776f1… · 286,231,551 bytes · first seen 2026-05-13

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
5834 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	$358,959.57	$358,959.57	$358,959.57	nat. median $309,665 1.2× median
18 MS_DRG	Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$308,588.76	$454,762.38	$324,830.27	nat. median $370,174 0.9× median
1 MS_DRG	Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc	6	$230,489.92	$339,669.36	$242,620.97	nat. median $265,286 0.9× median
5884 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$219,883.85	$219,883.85	$219,883.85	nat. median $246,434 0.9× median
114 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$205,528.06	$205,528.06	$205,528.06	nat. median $117,173 1.8× median
24 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	$205,398.14	$205,398.14	$205,398.14	nat. median $234,738 0.9× median
5833 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	$204,423.77	$204,423.77	$204,423.77	nat. median $244,017 0.8× median
927 MS_DRG	Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	6	$194,114.17	$286,062.99	$204,330.71	nat. median $206,368 1.0× median
3 MS_DRG	Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	6	$175,366.20	$258,434.40	$184,596.00	nat. median $202,986 0.9× median
5832 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	$157,004.21	$157,004.21	$157,004.21	nat. median $156,126 1.0× median
1614 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	$153,301.59	$153,301.59	$153,301.59	nat. median $207,730 0.7× median
6094 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$153,171.67	$153,171.67	$153,171.67	nat. median $162,982 0.9× median
113 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$152,976.80	$152,976.80	$152,976.80	nat. median $60,845 outlier · 2.5×
94 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	$150,248.55	$150,248.55	$150,248.55	nat. median $164,834 0.9× median
6314 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	$147,325.42	$147,325.42	$147,325.42	nat. median $122,924 1.2× median
5883 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$146,416.01	$146,416.01	$146,416.01	nat. median $182,736 0.8× median
5914 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$144,142.47	$144,142.47	$144,142.47	nat. median $164,279 0.9× median
5831 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	$140,894.55	$140,894.55	$140,894.55	nat. median $145,122 1.0× median
8414 APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	2	$136,347.47	$136,347.47	$136,347.47	nat. median $160,267 0.9× median
6304 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	2	$133,619.22	$133,619.22	$133,619.22	nat. median $150,721 0.9× median
5934 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$126,733.64	$126,733.64	$126,733.64	nat. median $151,838 0.8× median
5882 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$125,499.44	$125,499.44	$125,499.44	nat. median $145,336 0.9× median
J9298 HCPCS	Opdualag 3/1mg(480/160mg/2SDV)	14	$197.65	$158,211.28	$122,613.74	nat. median $562 outlier · 218.3×
4 MS_DRG	Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	6	$115,620.13	$170,387.56	$121,705.40	nat. median $133,176 0.9× median
112 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$121,601.94	$121,601.94	$121,601.94	nat. median $58,674 outlier · 2.1×
33952 HCPCS	Ecmo/ecls Insj Prph Cannula	12	$46,575.00	$150,201.60	$121,566.90	nat. median $3,145 outlier · 38.7×
74 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	2	$120,952.35	$120,952.35	$120,952.35	nat. median $187,294 0.6× median
1613 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	$120,042.94	$120,042.94	$120,042.94	nat. median $119,796 1.0× median
44 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$115,495.86	$115,495.86	$115,495.86	nat. median $105,658 1.1× median
14 APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	2	$114,326.61	$114,326.61	$114,326.61	nat. median $129,535 0.9× median
14 MS_DRG	Ms-DRG 42.00: Allogeneic Bone Marrow Transplant	6	$107,206.79	$157,988.95	$112,849.25	nat. median $117,303 1.0× median
7 MS_DRG	Ms-DRG 42.00: Lung Transplant	6	$106,936.77	$157,591.03	$112,565.02	nat. median $122,708 0.9× median
23 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	$111,858.19	$111,858.19	$111,858.19	nat. median $93,528 1.2× median
5913 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$108,740.19	$108,740.19	$108,740.19	nat. median $102,636 1.1× median
J9266 HCPCS	Oncaspar 750 Iu / Ml 5ml Vial	14	$28,424.06	$140,296.87	$108,730.07	nat. median $34,109 outlier · 3.2×
5881 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$107,570.94	$107,570.94	$107,570.94	nat. median $124,573 0.9× median
5892 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	$102,504.20	$102,504.20	$102,504.20	nat. median $89,790 1.1× median
5891 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	$102,504.20	$102,504.20	$102,504.20	nat. median $93,260 1.1× median
5893 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	$102,504.20	$102,504.20	$102,504.20	nat. median $69,788 1.5× median
93 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	$101,010.16	$101,010.16	$101,010.16	nat. median $79,160 1.3× median
6024 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	2	$95,488.70	$95,488.70	$95,488.70	nat. median $118,620 0.8× median
2 MS_DRG	Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc	6	$90,169.80	$132,881.81	$94,915.58	nat. median $108,660 0.9× median
212 MS_DRG	Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures	6	$89,140.42	$131,364.83	$93,832.02	nat. median $102,358 0.9× median
5912 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$93,280.12	$93,280.12	$93,280.12	nat. median $81,294 1.1× median
5933 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$92,695.49	$92,695.49	$92,695.49	nat. median $108,996 0.9× median
5 MS_DRG	Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant	6	$87,139.78	$128,416.51	$91,726.08	nat. median $100,136 0.9× median
215 MS_DRG	Ms-DRG 42.00: Other Heart Assist System Implant	6	$86,693.01	$127,758.12	$91,255.80	nat. median $99,019 0.9× median
426 MS_DRG	Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	6	$85,716.00	$126,318.32	$90,227.37	nat. median $98,905 0.9× median
1612 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	$88,343.29	$88,343.29	$88,343.29	nat. median $85,406 1.0× median
1611 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	$88,343.29	$88,343.29	$88,343.29	nat. median $76,806 1.2× median

Other procedures at this hospital

Browse this hospital's 10,777 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

5834	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	2	—	—	$358,959.57	$358,959.57	$358,959.57	2026-01-23
18	MS_DRG	Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	6	—	—	$308,588.76	$454,762.38	$324,830.27	2026-01-23
1	MS_DRG	Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc	9	6	—	—	$230,489.92	$339,669.36	$242,620.97	2026-01-23
5884	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$219,883.85	$219,883.85	$219,883.85	2026-01-23
114	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$205,528.06	$205,528.06	$205,528.06	2026-01-23
24	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	2	—	—	$205,398.14	$205,398.14	$205,398.14	2026-01-23
5833	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	2	—	—	$204,423.77	$204,423.77	$204,423.77	2026-01-23
927	MS_DRG	Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	9	6	—	—	$194,114.17	$286,062.99	$204,330.71	2026-01-23
3	MS_DRG	Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	9	6	—	—	$175,366.20	$258,434.40	$184,596.00	2026-01-23
5832	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	2	—	—	$157,004.21	$157,004.21	$157,004.21	2026-01-23
1614	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	2	—	—	$153,301.59	$153,301.59	$153,301.59	2026-01-23
6094	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$153,171.67	$153,171.67	$153,171.67	2026-01-23
113	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$152,976.80	$152,976.80	$152,976.80	2026-01-23
94	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$150,248.55	$150,248.55	$150,248.55	2026-01-23
6314	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$147,325.42	$147,325.42	$147,325.42	2026-01-23
5883	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$146,416.01	$146,416.01	$146,416.01	2026-01-23
5914	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$144,142.47	$144,142.47	$144,142.47	2026-01-23
5831	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	2	2	—	—	$140,894.55	$140,894.55	$140,894.55	2026-01-23
8414	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	2	2	—	—	$136,347.47	$136,347.47	$136,347.47	2026-01-23
6304	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	2	2	—	—	$133,619.22	$133,619.22	$133,619.22	2026-01-23
5934	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$126,733.64	$126,733.64	$126,733.64	2026-01-23
5882	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$125,499.44	$125,499.44	$125,499.44	2026-01-23
J9298	HCPCS	Opdualag 3/1mg(480/160mg/2SDV)	24	14	$164,803.42	$82,401.71 50% off	$197.65	$158,211.28	$122,613.74	2026-01-23
4	MS_DRG	Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	9	6	—	—	$115,620.13	$170,387.56	$121,705.40	2026-01-23
112	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$121,601.94	$121,601.94	$121,601.94	2026-01-23
33952	HCPCS	Ecmo/ecls Insj Prph Cannula	38	12	$155,855.00	$77,927.50 50% off	$46,575.00	$150,201.60	$121,566.90	2026-01-23
74	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	2	2	—	—	$120,952.35	$120,952.35	$120,952.35	2026-01-23
1613	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	2	—	—	$120,042.94	$120,042.94	$120,042.94	2026-01-23
44	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$115,495.86	$115,495.86	$115,495.86	2026-01-23
14	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$114,326.61	$114,326.61	$114,326.61	2026-01-23
14	MS_DRG	Ms-DRG 42.00: Allogeneic Bone Marrow Transplant	9	6	—	—	$107,206.79	$157,988.95	$112,849.25	2026-01-23
7	MS_DRG	Ms-DRG 42.00: Lung Transplant	9	6	—	—	$106,936.77	$157,591.03	$112,565.02	2026-01-23
23	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	2	—	—	$111,858.19	$111,858.19	$111,858.19	2026-01-23
5913	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$108,740.19	$108,740.19	$108,740.19	2026-01-23
J9266	HCPCS	Oncaspar 750 Iu / Ml 5ml Vial	24	14	$146,142.57	$73,071.29 50% off	$28,424.06	$140,296.87	$108,730.07	2026-01-23
5881	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$107,570.94	$107,570.94	$107,570.94	2026-01-23
5892	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	2	—	—	$102,504.20	$102,504.20	$102,504.20	2026-01-23
5891	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	2	—	—	$102,504.20	$102,504.20	$102,504.20	2026-01-23
5893	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	2	2	—	—	$102,504.20	$102,504.20	$102,504.20	2026-01-23
93	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$101,010.16	$101,010.16	$101,010.16	2026-01-23
6024	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	2	2	—	—	$95,488.70	$95,488.70	$95,488.70	2026-01-23
2	MS_DRG	Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	6	—	—	$90,169.80	$132,881.81	$94,915.58	2026-01-23
212	MS_DRG	Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures	9	6	—	—	$89,140.42	$131,364.83	$93,832.02	2026-01-23
5912	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$93,280.12	$93,280.12	$93,280.12	2026-01-23
5933	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$92,695.49	$92,695.49	$92,695.49	2026-01-23
5	MS_DRG	Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant	9	6	—	—	$87,139.78	$128,416.51	$91,726.08	2026-01-23
215	MS_DRG	Ms-DRG 42.00: Other Heart Assist System Implant	9	6	—	—	$86,693.01	$127,758.12	$91,255.80	2026-01-23
426	MS_DRG	Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	9	6	—	—	$85,716.00	$126,318.32	$90,227.37	2026-01-23
1612	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	2	—	—	$88,343.29	$88,343.29	$88,343.29	2026-01-23
1611	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	2	2	—	—	$88,343.29	$88,343.29	$88,343.29	2026-01-23
1604	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$88,018.50	$88,018.50	$88,018.50	2026-01-23
C2624	HCPCS	Cardio Mems Pa Sensor System	19	12	$111,200.00	$55,600.00 50% off	$33,360.00	$106,752.00	$86,736.00	2026-01-23
22	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	2	—	—	$84,705.62	$84,705.62	$84,705.62	2026-01-23
J2350	HCPCS	Ocrevus 1mg (300mg Vial)	24	14	$112,493.23	$56,246.61 50% off	$59.70	$107,993.50	$83,694.96	2026-01-23
216	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	9	6	—	—	$78,971.10	$116,378.46	$83,127.47	2026-01-23
54	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$80,418.38	$80,418.38	$80,418.38	2026-01-23
43	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$79,638.88	$79,638.88	$79,638.88	2026-01-23
850	MS_DRG	Ms-DRG 42.00: Acute Leukemia With Other Procedures	9	6	—	—	$75,377.27	$111,082.30	$79,344.50	2026-01-23
73	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	2	2	—	—	$76,910.63	$76,910.63	$76,910.63	2026-01-23
8424	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	2	2	—	—	$76,326.00	$76,326.00	$76,326.00	2026-01-23
21	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	2	2	—	—	$74,896.92	$74,896.92	$74,896.92	2026-01-23
64	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	2	2	—	—	$74,702.04	$74,702.04	$74,702.04	2026-01-23
5932	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$74,572.13	$74,572.13	$74,572.13	2026-01-23
6074	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	2	2	—	—	$73,792.63	$73,792.63	$73,792.63	2026-01-23
6303	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	2	2	—	—	$73,662.71	$73,662.71	$73,662.71	2026-01-23
J3241	HCPCS	Tepezza 10 Mg (500mg Vial)	24	14	$98,203.28	$49,101.64 50% off	$359.09	$94,275.15	$73,063.24	2026-01-23
231	MS_DRG	Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc	9	6	—	—	$69,338.54	$102,183.12	$72,987.94	2026-01-23
456	MS_DRG	Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	9	6	—	—	$69,300.07	$102,126.42	$72,947.44	2026-01-23
J3245	HCPCS	Ilumya 1mg (100mg Pfs)	24	14	$97,889.85	$48,944.93 50% off	$126.24	$93,974.26	$72,830.05	2026-01-23
429	MS_DRG	Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	9	6	—	—	$68,247.79	$100,575.69	$71,839.78	2026-01-23
8514	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	2	2	—	—	$70,414.80	$70,414.80	$70,414.80	2026-01-23
8513	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	2	2	—	—	$70,414.80	$70,414.80	$70,414.80	2026-01-23
6034	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	2	2	—	—	$69,830.17	$69,830.17	$69,830.17	2026-01-23
20	MS_DRG	Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…	9	6	—	—	$65,960.75	$97,205.32	$69,432.37	2026-01-23
10	MS_DRG	Ms-DRG 42.00: Pancreas Transplant	9	6	—	—	$65,239.86	$96,142.96	$68,673.54	2026-01-23
19	MS_DRG	Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis	9	6	—	—	$64,865.92	$95,591.89	$68,279.92	2026-01-23
233	MS_DRG	Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	9	6	—	—	$63,958.46	$94,254.58	$67,324.70	2026-01-23
219	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…	9	6	—	—	$63,312.87	$93,303.18	$66,645.13	2026-01-23
6023	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	2	2	—	—	$66,322.42	$66,322.42	$66,322.42	2026-01-23
C1882	HCPCS	Claria MRI Surescan Crt-d	323	12	$93,925.20	$46,962.60 50% off	$510.47	$124,992.00	$66,041.18	2026-01-23
957	MS_DRG	Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc	9	6	—	—	$61,076.54	$90,007.54	$64,291.10	2026-01-23
6114	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$61,385.59	$61,385.59	$61,385.59	2026-01-23
427	MS_DRG	Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	9	6	—	—	$58,118.55	$85,648.39	$61,177.42	2026-01-23
C1721	HCPCS	Defib Atlas V-343	911	12	$81,370.00	$40,685.00 50% off	$6.90	$182,448.00	$61,027.50	2026-01-23
275	MS_DRG	Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	9	6	—	—	$57,826.41	$85,217.87	$60,869.91	2026-01-23
6134	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	2	2	—	—	$60,800.97	$60,800.97	$60,800.97	2026-01-23
8634	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	2	2	—	—	$60,021.47	$60,021.47	$60,021.47	2026-01-23
870	MS_DRG	Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours	9	6	—	—	$56,922.26	$83,885.44	$59,918.17	2026-01-23
111	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$59,891.55	$59,891.55	$59,891.55	2026-01-23
13	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$59,371.89	$59,371.89	$59,371.89	2026-01-23
C1722	HCPCS	Defib Cur+vr Cd1211-36q	550	12	$79,280.00	$39,640.00 50% off	$6.90	$160,560.00	$59,267.50	2026-01-23
1624	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$59,112.05	$59,112.05	$59,112.05	2026-01-23
3034	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$58,852.22	$58,852.22	$58,852.22	2026-01-23
955	MS_DRG	Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma	9	6	—	—	$55,873.23	$82,339.50	$58,813.93	2026-01-23
53	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$58,397.51	$58,397.51	$58,397.51	2026-01-23
J9043	HCPCS	Jevtana 1mg (60mg Vial)	24	14	$78,255.08	$39,127.54 50% off	$227.10	$75,124.88	$58,221.78	2026-01-23
4404	APR_DRG	Apr-DRG 42.00: Kidney Transplant	2	2	—	—	$57,877.85	$57,877.85	$57,877.85	2026-01-23
447	MS_DRG	Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma…	9	6	—	—	$54,861.88	$80,849.09	$57,749.35	2026-01-23
63	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	2	2	—	—	$57,553.05	$57,553.05	$57,553.05	2026-01-23
928	MS_DRG	Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m…	9	6	—	—	$54,650.77	$80,537.98	$57,527.13	2026-01-23
268	MS_DRG	Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M…	9	6	—	—	$54,558.30	$80,401.71	$57,429.79	2026-01-23
5931	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$56,773.55	$56,773.55	$56,773.55	2026-01-23
207	MS_DRG	Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours	9	6	—	—	$52,918.51	$77,985.18	$55,703.70	2026-01-23
217	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	9	6	—	—	$52,842.42	$77,873.04	$55,623.60	2026-01-23
969	MS_DRG	Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc	9	6	—	—	$51,749.22	$76,262.00	$54,472.86	2026-01-23
72	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	2	2	—	—	$54,175.22	$54,175.22	$54,175.22	2026-01-23
84	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	2	2	—	—	$53,785.47	$53,785.47	$53,785.47	2026-01-23
C1767	HCPCS	Eonc Non-recharable Ipg 3688	76	12	$72,240.50	$36,120.25 50% off	$2,465.85	$79,593.55	$53,653.72	2026-01-23
276	MS_DRG	Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu…	9	6	—	—	$50,686.30	$74,695.60	$53,354.00	2026-01-23
317	MS_DRG	Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation	9	6	—	—	$50,620.85	$74,599.14	$53,285.10	2026-01-23
6093	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$53,135.89	$53,135.89	$53,135.89	2026-01-23
573	MS_DRG	Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc	9	6	—	—	$50,390.08	$74,259.07	$53,042.19	2026-01-23
6022	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	2	2	—	—	$53,005.97	$53,005.97	$53,005.97	2026-01-23
461	MS_DRG	Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi…	9	6	—	—	$50,214.16	$73,999.81	$52,857.01	2026-01-23
232	MS_DRG	Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc	9	6	—	—	$49,985.04	$73,662.16	$52,615.83	2026-01-23
A9543	HCPCS	Yttriu 90 Ibritumo Tiux Pr Dos	24	14	$63,605.00	$31,802.50 50% off	$19,081.50	$79,554.37	$52,474.12	2026-01-23
28	MS_DRG	Ms-DRG 42.00: Spinal Procedures With Mcc	9	6	—	—	$49,746.11	$73,310.06	$52,364.33	2026-01-23
17	MS_DRG	Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc	9	6	—	—	$49,389.34	$72,784.29	$51,988.78	2026-01-23
16	MS_DRG	Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc	9	6	—	—	$49,389.34	$72,784.29	$51,988.78	2026-01-23
1634	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	2	2	—	—	$51,771.77	$51,771.77	$51,771.77	2026-01-23
Q2043	HCPCS	Provenge 50 Mm/250 Per Infsn	24	14	$62,740.52	$31,370.26 50% off	$18,822.16	$78,324.36	$51,760.93	2026-01-23
266	MS_DRG	Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…	9	6	—	—	$49,020.31	$72,240.46	$51,600.33	2026-01-23
J9042	HCPCS	Adcetris 50 Mg/10 Ml Vial	24	14	$69,083.11	$34,541.56 50% off	$258.52	$66,319.79	$51,397.83	2026-01-23
218	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	9	6	—	—	$48,680.74	$71,740.03	$51,242.88	2026-01-23
790	MS_DRG	Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	9	6	—	—	$48,643.90	$71,685.75	$51,204.11	2026-01-23
42	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$50,862.35	$50,862.35	$50,862.35	2026-01-23
235	MS_DRG	Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc	9	6	—	—	$48,148.05	$70,955.02	$50,682.16	2026-01-23
2994	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	2	2	—	—	$50,667.47	$50,667.47	$50,667.47	2026-01-23
92	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$50,667.47	$50,667.47	$50,667.47	2026-01-23
6073	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	2	2	—	—	$50,602.52	$50,602.52	$50,602.52	2026-01-23
820	MS_DRG	Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc	9	6	—	—	$47,641.54	$70,208.59	$50,148.99	2026-01-23
62	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	2	2	—	—	$49,628.14	$49,628.14	$49,628.14	2026-01-23
457	MS_DRG	Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	9	6	—	—	$46,963.21	$69,208.94	$49,434.96	2026-01-23
1784	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	2	2	—	—	$49,173.43	$49,173.43	$49,173.43	2026-01-23
23	MS_DRG	Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…	9	6	—	—	$46,682.54	$68,795.33	$49,139.52	2026-01-23
6124	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	2	2	—	—	$48,328.98	$48,328.98	$48,328.98	2026-01-23
6334	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly	2	2	—	—	$48,264.02	$48,264.02	$48,264.02	2026-01-23
653	MS_DRG	Ms-DRG 42.00: Major Bladder Procedures With Mcc	9	6	—	—	$45,614.71	$67,221.67	$48,015.48	2026-01-23
J9272	HCPCS	Jemperli 10mg (500mg Sdv)	24	14	$64,279.37	$32,139.69 50% off	$243.82	$61,708.20	$47,823.85	2026-01-23
71	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	2	2	—	—	$47,809.31	$47,809.31	$47,809.31	2026-01-23
834	MS_DRG	Ms-DRG 42.00: Acute Leukemia With Mcc	9	6	—	—	$45,227.69	$66,651.33	$47,608.09	2026-01-23
21	MS_DRG	Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…	9	6	—	—	$45,227.69	$66,651.33	$47,608.09	2026-01-23
6214	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	2	—	—	$47,419.56	$47,419.56	$47,419.56	2026-01-23
428	MS_DRG	Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	9	6	—	—	$45,037.85	$66,371.56	$47,408.26	2026-01-23
430	MS_DRG	Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	9	6	—	—	$44,762.91	$65,966.39	$47,118.85	2026-01-23
8	MS_DRG	Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant	9	6	—	—	$44,522.34	$65,611.87	$46,865.62	2026-01-23
405	MS_DRG	Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc	9	6	—	—	$44,420.87	$65,462.33	$46,758.81	2026-01-23
463	MS_DRG	Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A…	9	6	—	—	$44,194.22	$65,128.32	$46,520.23	2026-01-23
1654	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$46,510.14	$46,510.14	$46,510.14	2026-01-23
11	MS_DRG	Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi…	9	6	—	—	$44,152.49	$65,066.82	$46,476.30	2026-01-23
576	MS_DRG	Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	9	6	—	—	$44,147.58	$65,059.60	$46,471.14	2026-01-23
12	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$45,860.56	$45,860.56	$45,860.56	2026-01-23
234	MS_DRG	Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	9	6	—	—	$43,533.07	$64,153.99	$45,824.28	2026-01-23
220	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…	9	6	—	—	$43,340.79	$63,870.63	$45,621.88	2026-01-23
1674	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	2	2	—	—	$45,535.77	$45,535.77	$45,535.77	2026-01-23
8413	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	2	2	—	—	$44,366.52	$44,366.52	$44,366.52	2026-01-23
450	MS_DRG	Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made…	9	6	—	—	$42,141.21	$62,102.84	$44,359.17	2026-01-23
1834	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	2	2	—	—	$44,301.56	$44,301.56	$44,301.56	2026-01-23
J9119	HCPCS	Libtayo 1mg (350mg Vial)	24	14	$59,541.03	$29,770.52 50% off	$28.70	$57,159.39	$44,298.52	2026-01-23
270	MS_DRG	Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc	9	6	—	—	$42,001.28	$61,896.62	$44,211.87	2026-01-23
9104	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	2	2	—	—	$44,171.64	$44,171.64	$44,171.64	2026-01-23
466	MS_DRG	Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc	9	6	—	—	$41,687.07	$61,433.58	$43,881.13	2026-01-23
326	MS_DRG	Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc	9	6	—	—	$41,559.42	$61,245.46	$43,746.76	2026-01-23
239	MS_DRG	Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And …	9	6	—	—	$41,214.95	$60,737.82	$43,384.16	2026-01-23
6313	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$43,327.19	$43,327.19	$43,327.19	2026-01-23
1623	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$43,262.23	$43,262.23	$43,262.23	2026-01-23
837	MS_DRG	Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi…	9	6	—	—	$40,971.91	$60,379.66	$43,128.33	2026-01-23
278	MS_DRG	Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul…	9	6	—	—	$40,940.00	$60,332.64	$43,094.74	2026-01-23
853	MS_DRG	Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc	9	6	—	—	$40,923.62	$60,308.50	$43,077.50	2026-01-23
6804	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	2	2	—	—	$42,937.44	$42,937.44	$42,937.44	2026-01-23
228	MS_DRG	Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc	9	6	—	—	$40,776.35	$60,091.46	$42,922.47	2026-01-23
J9144	HCPCS	Darzalex Faspro 10mg (1800mg)	24	14	$57,616.69	$28,808.35 50% off	$54.67	$55,312.02	$42,866.82	2026-01-23
J9228	HCPCS	Yervoy 1mg (200mg Vial)	43	14	$193,522.52	$96,761.26 50% off	$183.41	$185,781.62	$42,575.05	2026-01-23
6084	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	2	2	—	—	$42,092.98	$42,092.98	$42,092.98	2026-01-23
245	MS_DRG	Ms-DRG 42.00: Aicd Generator Procedures	9	6	—	—	$39,986.71	$58,927.78	$42,091.27	2026-01-23
J2327	HCPCS	Skyrizi 1mg(600mg Sdv)	24	14	$56,531.22	$28,265.61 50% off	$14.84	$54,269.97	$42,059.23	2026-01-23
9114	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	2	2	—	—	$42,028.02	$42,028.02	$42,028.02	2026-01-23
6254	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…	2	2	—	—	$42,028.02	$42,028.02	$42,028.02	2026-01-23
471	MS_DRG	Ms-DRG 42.00: Cervical Spinal Fusion With Mcc	9	6	—	—	$39,745.34	$58,572.08	$41,837.20	2026-01-23
6	MS_DRG	Ms-DRG 42.00: Liver Transplant Without Mcc	9	6	—	—	$39,679.07	$58,474.42	$41,767.44	2026-01-23
3044	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	—	—	$41,508.35	$41,508.35	$41,508.35	2026-01-23
1664	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	—	—	$41,443.40	$41,443.40	$41,443.40	2026-01-23
J9203	HCPCS	Mylotarg (gemtuzumab) 5mg Vial	24	14	$55,566.46	$27,783.23 50% off	$236.62	$53,343.80	$41,341.45	2026-01-23
826	MS_DRG	Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi…	9	6	—	—	$39,076.01	$57,585.70	$41,132.64	2026-01-23
799	MS_DRG	Ms-DRG 42.00: Splenic Procedures With Mcc	9	6	—	—	$38,906.63	$57,336.09	$40,954.35	2026-01-23
981	MS_DRG	Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc…	9	6	—	—	$38,899.26	$57,325.23	$40,946.59	2026-01-23
1794	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	2	2	—	—	$40,923.73	$40,923.73	$40,923.73	2026-01-23
3033	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$40,858.77	$40,858.77	$40,858.77	2026-01-23
1603	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$40,793.81	$40,793.81	$40,793.81	2026-01-23
914	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	2	2	—	—	$40,663.90	$40,663.90	$40,663.90	2026-01-23
6144	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	2	2	—	—	$40,598.94	$40,598.94	$40,598.94	2026-01-23
267	MS_DRG	Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…	9	6	—	—	$38,496.66	$56,731.92	$40,522.80	2026-01-23
823	MS_DRG	Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	9	6	—	—	$38,290.47	$56,428.06	$40,305.76	2026-01-23
11	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$40,274.15	$40,274.15	$40,274.15	2026-01-23
277	MS_DRG	Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc	9	6	—	—	$38,064.65	$56,095.27	$40,068.05	2026-01-23
8504	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	2	2	—	—	$40,014.31	$40,014.31	$40,014.31	2026-01-23
214	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	2	2	—	—	$40,014.31	$40,014.31	$40,014.31	2026-01-23
163	MS_DRG	Ms-DRG 42.00: Major Chest Procedures With Mcc	9	6	—	—	$37,715.24	$55,580.35	$39,700.25	2026-01-23
1783	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	2	2	—	—	$39,689.52	$39,689.52	$39,689.52	2026-01-23
650	MS_DRG	Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc	9	6	—	—	$37,699.70	$55,557.45	$39,683.89	2026-01-23
2993	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	2	2	—	—	$39,624.56	$39,624.56	$39,624.56	2026-01-23
6033	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	2	2	—	—	$39,559.60	$39,559.60	$39,559.60	2026-01-23
221	MS_DRG	Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…	9	6	—	—	$37,579.41	$55,380.18	$39,557.27	2026-01-23
329	MS_DRG	Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc	9	6	—	—	$37,573.68	$55,371.74	$39,551.24	2026-01-23
6021	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	2	2	—	—	$39,494.65	$39,494.65	$39,494.65	2026-01-23
J1628	HCPCS	Tremfya 1mg (200mg Sdv)	24	14	$52,960.32	$26,480.16 50% off	$74.86	$50,841.91	$39,402.48	2026-01-23
4403	APR_DRG	Apr-DRG 42.00: Kidney Transplant	2	2	—	—	$39,364.73	$39,364.73	$39,364.73	2026-01-23
9124	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	2	2	—	—	$39,039.94	$39,039.94	$39,039.94	2026-01-23
52	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$38,910.02	$38,910.02	$38,910.02	2026-01-23
856	MS_DRG	Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi…	9	6	—	—	$36,916.63	$54,403.45	$38,859.61	2026-01-23
3004	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	2	2	—	—	$38,650.19	$38,650.19	$38,650.19	2026-01-23
474	MS_DRG	Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord…	9	6	—	—	$36,696.50	$54,079.05	$38,627.89	2026-01-23
25	MS_DRG	Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc	9	6	—	—	$36,595.04	$53,929.54	$38,521.10	2026-01-23
6904	APR_DRG	Apr-DRG 42.00: Acute Leukemia	2	2	—	—	$38,390.36	$38,390.36	$38,390.36	2026-01-23
901	MS_DRG	Ms-DRG 42.00: Wound Debridements For Injuries With Mcc	9	6	—	—	$36,253.01	$53,425.48	$38,161.06	2026-01-23
J3380	HCPCS	Entyvio 1 Mg (300mg Vial)	24	14	$51,011.51	$25,505.76 50% off	$22.06	$48,971.05	$37,952.56	2026-01-23
83	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	2	2	—	—	$37,870.69	$37,870.69	$37,870.69	2026-01-23
319	MS_DRG	Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc	9	6	—	—	$35,944.53	$52,970.89	$37,836.35	2026-01-23
6072	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	2	2	—	—	$37,805.73	$37,805.73	$37,805.73	2026-01-23
2604	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	2	2	—	—	$37,286.06	$37,286.06	$37,286.06	2026-01-23
933	MS_DRG	Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without …	9	6	—	—	$35,405.30	$52,176.24	$37,268.74	2026-01-23
1633	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	2	2	—	—	$37,221.11	$37,221.11	$37,221.11	2026-01-23
458	MS_DRG	Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	9	6	—	—	$35,332.48	$52,068.91	$37,192.08	2026-01-23
91	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$37,091.19	$37,091.19	$37,091.19	2026-01-23
1694	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	2	2	—	—	$36,961.27	$36,961.27	$36,961.27	2026-01-23
356	MS_DRG	Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc	9	6	—	—	$34,904.51	$51,438.23	$36,741.59	2026-01-23
323	MS_DRG	Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M…	9	6	—	—	$34,852.97	$51,362.28	$36,687.34	2026-01-23
234	APR_DRG	Apr-DRG 42.00: Spinal Procedures	2	2	—	—	$36,441.61	$36,441.61	$36,441.61	2026-01-23
140	MS_DRG	Ms-DRG 42.00: Major Head And Neck Procedures With Mcc	9	6	—	—	$34,605.85	$50,998.09	$36,427.21	2026-01-23
7404	APR_DRG	Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure	2	2	—	—	$36,376.65	$36,376.65	$36,376.65	2026-01-23
6083	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	2	2	—	—	$36,311.69	$36,311.69	$36,311.69	2026-01-23
31	MS_DRG	Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc	9	6	—	—	$34,290.00	$50,532.64	$36,094.74	2026-01-23
673	MS_DRG	Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc	9	6	—	—	$34,281.81	$50,520.57	$36,086.12	2026-01-23
1204	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	2	2	—	—	$35,986.90	$35,986.90	$35,986.90	2026-01-23
6814	APR_DRG	Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…	2	2	—	—	$35,921.94	$35,921.94	$35,921.94	2026-01-23
793	MS_DRG	Ms-DRG 42.00: Full Term Neonate With Major Problems	9	6	—	—	$34,125.53	$50,290.25	$35,921.61	2026-01-23
3124	APR_DRG	Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	2	2	—	—	$35,856.98	$35,856.98	$35,856.98	2026-01-23
269	MS_DRG	Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou…	9	6	—	—	$34,045.34	$50,172.08	$35,837.20	2026-01-23
0571T	CPT	Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S…	5	5	—	—	$29,624.26	$41,473.96	$35,549.11	2026-01-23
33270	CPT	Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys…	5	5	—	—	$29,624.26	$41,473.96	$35,549.11	2026-01-23
33249	CPT	Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra…	5	5	—	—	$29,624.26	$41,473.96	$35,549.11	2026-01-23
1304	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$35,532.19	$35,532.19	$35,532.19	2026-01-23
236	MS_DRG	Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc	9	6	—	—	$33,647.66	$49,586.03	$35,418.59	2026-01-23
2204	APR_DRG	Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$35,402.27	$35,402.27	$35,402.27	2026-01-23
958	MS_DRG	Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc	9	6	—	—	$33,628.86	$49,558.32	$35,398.80	2026-01-23
12	MS_DRG	Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi…	9	6	—	—	$33,578.93	$49,484.74	$35,346.24	2026-01-23
6954	APR_DRG	Apr-DRG 42.00: Chemotherapy For Acute Leukemia	2	2	—	—	$35,337.32	$35,337.32	$35,337.32	2026-01-23
41	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$35,207.40	$35,207.40	$35,207.40	2026-01-23
J9022	HCPCS	Tecentriq 10mg (1200mg Vl)	43	14	$61,322.36	$30,661.18 50% off	$91.02	$58,869.47	$35,199.05	2026-01-23
448	MS_DRG	Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc	9	6	—	—	$33,413.66	$49,241.18	$35,172.27	2026-01-23
423	MS_DRG	Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	9	6	—	—	$33,281.91	$49,047.03	$35,033.59	2026-01-23
791	MS_DRG	Ms-DRG 42.00: Prematurity With Major Problems	9	6	—	—	$33,220.54	$48,956.59	$34,968.99	2026-01-23
204	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	2	2	—	—	$34,947.57	$34,947.57	$34,947.57	2026-01-23
J9301	HCPCS	Gazyva 10mg [1000 Mg Vl]	24	14	$46,939.32	$23,469.66 50% off	$78.46	$45,061.75	$34,922.85	2026-01-23
894	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	2	2	—	—	$34,882.61	$34,882.61	$34,882.61	2026-01-23
3614	APR_DRG	Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	2	—	—	$34,882.61	$34,882.61	$34,882.61	2026-01-23
4284	APR_DRG	Apr-DRG 42.00: Genetic Disorders	2	2	—	—	$34,817.65	$34,817.65	$34,817.65	2026-01-23
9504	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$34,687.73	$34,687.73	$34,687.73	2026-01-23
6092	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$34,687.73	$34,687.73	$34,687.73	2026-01-23
2614	APR_DRG	Apr-DRG 42.00: Major Biliary Tract Procedures	2	2	—	—	$34,687.73	$34,687.73	$34,687.73	2026-01-23
1653	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$34,557.82	$34,557.82	$34,557.82	2026-01-23
61	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	2	2	—	—	$34,492.86	$34,492.86	$34,492.86	2026-01-23
907	MS_DRG	Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc	9	6	—	—	$32,597.04	$48,037.74	$34,312.67	2026-01-23
739	MS_DRG	Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali…	9	6	—	—	$32,574.10	$48,003.94	$34,288.53	2026-01-23
628	MS_DRG	Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc…	9	6	—	—	$32,286.09	$47,579.50	$33,985.36	2026-01-23
736	MS_DRG	Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi…	9	6	—	—	$32,219.80	$47,481.81	$33,915.58	2026-01-23
6234	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…	2	2	—	—	$33,908.23	$33,908.23	$33,908.23	2026-01-23
876	MS_DRG	Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness	9	6	—	—	$32,154.33	$47,385.32	$33,846.66	2026-01-23
63685	CPT	Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, …	5	5	—	—	$28,156.99	$39,419.79	$33,788.39	2026-01-23
402	MS_DRG	Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except …	9	6	—	—	$32,011.97	$47,175.53	$33,696.81	2026-01-23
273	MS_DRG	Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc	9	6	—	—	$31,996.42	$47,152.62	$33,680.44	2026-01-23
274	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	2	2	—	—	$33,648.40	$33,648.40	$33,648.40	2026-01-23
J3101	HCPCS	Tenecteplase 1mg (50mg Sdv)	24	14	$45,220.07	$22,610.04 50% off	$171.94	$43,411.27	$33,643.73	2026-01-23
6302	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	2	2	—	—	$33,583.44	$33,583.44	$33,583.44	2026-01-23
6123	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	2	2	—	—	$33,518.48	$33,518.48	$33,518.48	2026-01-23
4402	APR_DRG	Apr-DRG 42.00: Kidney Transplant	2	2	—	—	$33,518.48	$33,518.48	$33,518.48	2026-01-23
34	MS_DRG	Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc	9	6	—	—	$31,819.67	$46,892.15	$33,494.39	2026-01-23
616	MS_DRG	Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic …	9	6	—	—	$31,625.76	$46,606.38	$33,290.27	2026-01-23
924	APR_DRG	Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…	2	2	—	—	$33,258.65	$33,258.65	$33,258.65	2026-01-23
904	MS_DRG	Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc	9	6	—	—	$31,593.84	$46,559.34	$33,256.67	2026-01-23
166	MS_DRG	Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc	9	6	—	—	$31,505.47	$46,429.11	$33,163.65	2026-01-23
4014	APR_DRG	Apr-DRG 42.00: Adrenal Procedures	2	2	—	—	$32,998.82	$32,998.82	$32,998.82	2026-01-23
956	MS_DRG	Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa…	9	6	—	—	$31,277.15	$46,092.65	$32,923.32	2026-01-23
J9223	HCPCS	Lurbinectedin 0.1mg (4mg Sdv)	24	14	$44,199.50	$22,099.75 50% off	$206.13	$42,431.52	$32,884.43	2026-01-23
6133	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	2	2	—	—	$32,868.90	$32,868.90	$32,868.90	2026-01-23
5204	APR_DRG	Apr-DRG 42.00: Other GYN Procedures For Malignancy	2	2	—	—	$32,868.90	$32,868.90	$32,868.90	2026-01-23
24	MS_DRG	Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…	9	6	—	—	$31,107.80	$45,843.07	$32,745.05	2026-01-23
6113	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$32,738.98	$32,738.98	$32,738.98	2026-01-23
1622	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$32,674.02	$32,674.02	$32,674.02	2026-01-23
4414	APR_DRG	Apr-DRG 42.00: Major Bladder Procedures	2	2	—	—	$32,544.11	$32,544.11	$32,544.11	2026-01-23
40	MS_DRG	Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With…	9	6	—	—	$30,865.60	$45,486.14	$32,490.10	2026-01-23
1782	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	2	2	—	—	$32,349.23	$32,349.23	$32,349.23	2026-01-23
6032	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	2	2	—	—	$32,284.28	$32,284.28	$32,284.28	2026-01-23
622	MS_DRG	Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M…	9	6	—	—	$30,619.29	$45,123.16	$32,230.83	2026-01-23
1833	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	2	2	—	—	$32,154.36	$32,154.36	$32,154.36	2026-01-23
5114	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	2	2	—	—	$31,504.78	$31,504.78	$31,504.78	2026-01-23
94	MS_DRG	Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc	9	6	—	—	$29,855.87	$43,998.12	$31,427.23	2026-01-23
6224	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy…	2	2	—	—	$31,374.86	$31,374.86	$31,374.86	2026-01-23
4401	APR_DRG	Apr-DRG 42.00: Kidney Transplant	2	2	—	—	$31,374.86	$31,374.86	$31,374.86	2026-01-23
224	APR_DRG	Apr-DRG 42.00: Ventricular Shunt Procedures	2	2	—	—	$31,244.94	$31,244.94	$31,244.94	2026-01-23

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