Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

University Of Toledo Medical Center

Toledo, OH · CCN 369805 · Rates published

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You selected 27447 (CPT)

ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

This hospital’s price: $12,284 across 23 payers · range $741-$20,052

Source: https://health.utoledo.edu/price-transparency/pdf-transparency/340967014_TheUniversityofToledoMedicalCenter_standardcharges.csv · observed 2026-07-15

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

25,461 distinct procedures filed
39 distinct payers
542,239 rate rows
2026-07-15 last MRF observed
Data quality

541,413 of 542,239 rate rows are consumer-grade (99.8%)

826 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 653
exceeds 10× this hospital's gross charge — excluded from medians 78
per-diem day rate — not a per-procedure price 49
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://health.utoledo.edu/price-transparency/pdf-transparency/340967014_TheUniversityofToledoMedicalCenter_standardcharges.csv
Found on page https://utmc.utoledo.edu/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 167e0951edd4d2a4… · 39,620,358 bytes · first seen 2026-06-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 20 $4,300,923.50 $4,731,015.85 $4,300,923.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Injection Fidanacogene Elaparvovec-dzkt Per Tx D 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj Etranacogene Dezaparvovec-drlb Per Thr Dose 20 $3,518,324.09 $4,606,583.33 $3,518,324.09 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Moxeparvovec-rokl Per Thr D 20 $3,166,226.83 $4,145,578.24 $3,166,226.83 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection Lovotibeglogene Autotemcel Per Tx 20 $3,101,291.12 $4,060,557.14 $3,101,291.12 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection Betibeglogene Autotemcel Per Treatment 20 $2,812,297.98 $3,682,175.00 $2,812,297.98 nat. median
$2,997,086
0.9× median
J3399
HCPCS 		Inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms 20 $2,343,894.09 $3,068,888.26 $2,343,894.09 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Injection Exagamglogene Autotemcel Per Treatment 20 $2,226,360.40 $2,915,000.00 $2,226,360.40 nat. median
$2,405,851
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 $735,710.91 $963,275.00 $735,710.91 nat. median
$809,151
0.9× median
Q2042
HCPCS 		Tisagenlecleucel To 600 M Car-pos Vi T Ce Per Td 21 $564,921.00 $1,035,520.85 $564,921.00 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Cilta Cel To 100 M Auto Bcma Dir Car-pos Tc Dose 21 $540,235.08 $990,270.66 $540,235.08 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lm >=110 Mil Autol Anti-cd19 Car-pos Viabl Tc 21 $537,055.21 $984,441.83 $537,055.21 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 21 $532,071.43 $975,306.38 $532,071.43 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Kte-c19 To 200 M A Anti-cd19 Car Pos T Ce P Td 21 $509,074.84 $933,152.80 $509,074.84 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Autolcl Au Anti-cd19 Car P V T C 21 $467,139.11 $611,630.76 $467,139.11 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $286,069.93 $773,792.59 $361,170.54 nat. median
$370,165
1.0× median
0588-4
OTHER 		Neonate Bwt <1500g W Major Procedure 10 $353,540.25 $371,217.26 $353,540.25 nat. median
$353,540
1.0× median
0583-4
OTHER 		Neonate W Ecmo 10 $342,012.36 $359,112.98 $342,012.36 nat. median
$342,012
1.0× median
0583-3
OTHER 		Neonate W Ecmo 10 $342,012.36 $359,112.98 $342,012.36 nat. median
$342,012
1.0× median
0583-1
OTHER 		Neonate W Ecmo 10 $325,345.09 $341,612.34 $325,345.09 nat. median
$325,345
1.0× median
0583-2
OTHER 		Neonate W Ecmo 10 $325,345.09 $341,612.34 $325,345.09 nat. median
$325,345
1.0× median
0161-4
OTHER 		Implantable Heart Assist Systems 10 $324,086.28 $340,290.59 $324,086.28 nat. median
$324,086
1.0× median
0002-4
OTHER 		Heart &/or Lung Transplant 10 $285,082.28 $299,336.39 $285,082.28 nat. median
$285,082
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 21 $252,000.00 $347,812.50 $265,645.28 nat. median
$302,242
0.9× median
0161-1
OTHER 		Implantable Heart Assist Systems 10 $250,917.87 $263,463.76 $250,917.87 nat. median
$250,918
1.0× median
0161-2
OTHER 		Implantable Heart Assist Systems 10 $250,917.87 $263,463.76 $250,917.87 nat. median
$250,918
1.0× median
0161-3
OTHER 		Implantable Heart Assist Systems 10 $250,917.87 $263,463.76 $250,917.87 nat. median
$250,918
1.0× median
0007-4
OTHER 		Allogeneic Bone Marrow Transplant 10 $243,755.34 $255,943.11 $243,755.34 nat. median
$243,755
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $185,815.96 $502,160.26 $234,553.22 nat. median
$261,939
0.9× median
0841-3
OTHER 		Extensive 3rd Degree Burns W Skin Graft 10 $226,926.15 $238,272.46 $226,926.15 nat. median
$226,926
1.0× median
0841-2
OTHER 		Extensive 3rd Degree Burns W Skin Graft 10 $226,926.15 $238,272.46 $226,926.15 nat. median
$226,926
1.0× median
0841-4
OTHER 		Extensive 3rd Degree Burns W Skin Graft 10 $226,926.15 $238,272.46 $226,926.15 nat. median
$226,926
1.0× median
0841-1
OTHER 		Extensive 3rd Degree Burns W Skin Graft 10 $226,926.15 $238,272.46 $226,926.15 nat. median
$226,926
1.0× median
0609-4
OTHER 		Neonate Bwt 1500-2499g W Major Procedure 10 $226,908.81 $238,254.25 $226,908.81 nat. median
$226,909
1.0× median
0630-4
OTHER 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 $220,226.28 $231,237.59 $220,226.28 nat. median
$220,226
1.0× median
0631-4
OTHER 		Neonate Birthwt >2499g W Other Major Procedure 10 $194,440.81 $204,162.85 $194,440.81 nat. median
$194,441
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $141,681.17 $382,579.61 $178,812.51 nat. median
$205,166
0.9× median
0588-3
OTHER 		Neonate Bwt <1500g W Major Procedure 10 $178,807.78 $187,748.17 $178,807.78 nat. median
$178,808
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $140,852.49 $380,334.36 $177,765.93 nat. median
$199,832
0.9× median
0588-2
OTHER 		Neonate Bwt <1500g W Major Procedure 10 $170,104.03 $178,609.23 $170,104.03 nat. median
$170,104
1.0× median
0588-1
OTHER 		Neonate Bwt <1500g W Major Procedure 10 $170,104.03 $178,609.23 $170,104.03 nat. median
$170,104
1.0× median
40861-1027-61
NDC 		Dialysate 0k/3ca With Bicarb And Calcium (nxstage 402) 9 $72,170.99 $245,688.47 $166,453.94 nat. median
$166,454
1.0× median
40861-1027-92
NDC 		Dialysate 4k/3ca With Bicarb And Calcium (nxstage 401) 9 $72,170.99 $245,688.47 $166,453.94 nat. median
$166,454
1.0× median
40861-1027-78
NDC 		Dialysate 2k/3ca With Bicarb Crrt Solution (nxstage 400) 9 $72,170.99 $245,688.47 $166,453.94 nat. median
$166,454
1.0× median
0593-4
OTHER 		Neonate Birthwt 750-999g Without Major Procedure 10 $164,864.43 $173,107.65 $164,864.43 nat. median
$164,864
1.0× median
E0766
HCPCS 		Elec Stim Dvc U Cancer Tx Incl All Acc Any Type 3 $48,183.66 $162,750.00 $162,750.00 nat. median
$16,786
outlier · 9.7×
0591-4
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 10 $153,082.07 $160,736.17 $153,082.07 nat. median
$153,082
1.0× median
0160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 10 $140,851.51 $147,894.09 $140,851.51 nat. median
$140,852
1.0× median
0002-3
OTHER 		Heart &/or Lung Transplant 10 $126,606.46 $132,936.78 $126,606.46 nat. median
$126,606
1.0× median
0002-1
OTHER 		Heart &/or Lung Transplant 10 $126,606.46 $132,936.78 $126,606.46 nat. median
$126,606
1.0× median

Other procedures at this hospital

Browse this hospital's 25,461 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 26 20 — — $4,300,923.50 $4,731,015.85 $4,300,923.50 2026-07-15
J1414 HCPCS Injection Fidanacogene Elaparvovec-dzkt Per Tx D 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-15
J1411 HCPCS Inj Etranacogene Dezaparvovec-drlb Per Thr Dose 30 20 — — $3,518,324.09 $4,606,583.33 $3,518,324.09 2026-07-15
J1413 HCPCS Inj Delandistrogene Moxeparvovec-rokl Per Thr D 30 20 — — $3,166,226.83 $4,145,578.24 $3,166,226.83 2026-07-15
J3394 HCPCS Injection Lovotibeglogene Autotemcel Per Tx 30 20 — — $3,101,291.12 $4,060,557.14 $3,101,291.12 2026-07-15
J3393 HCPCS Injection Betibeglogene Autotemcel Per Treatment 30 20 — — $2,812,297.98 $3,682,175.00 $2,812,297.98 2026-07-15
J3399 HCPCS Inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms 30 20 — — $2,343,894.09 $3,068,888.26 $2,343,894.09 2026-07-15
J3392 HCPCS Injection Exagamglogene Autotemcel Per Treatment 30 20 — — $2,226,360.40 $2,915,000.00 $2,226,360.40 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 31 21 — — $735,710.91 $963,275.00 $735,710.91 2026-07-15
Q2042 HCPCS Tisagenlecleucel To 600 M Car-pos Vi T Ce Per Td 31 21 — — $564,921.00 $1,035,520.85 $564,921.00 2026-07-15
Q2056 HCPCS Cilta Cel To 100 M Auto Bcma Dir Car-pos Tc Dose 31 21 — — $540,235.08 $990,270.66 $540,235.08 2026-07-15
Q2054 HCPCS Lm >=110 Mil Autol Anti-cd19 Car-pos Viabl Tc 31 21 — — $537,055.21 $984,441.83 $537,055.21 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 31 21 — — $532,071.43 $975,306.38 $532,071.43 2026-07-15
Q2041 HCPCS Kte-c19 To 200 M A Anti-cd19 Car Pos T Ce P Td 31 21 — — $509,074.84 $933,152.80 $509,074.84 2026-07-15
Q2053 HCPCS Brexucabtagene Autolcl Au Anti-cd19 Car P V T C 31 21 — — $467,139.11 $611,630.76 $467,139.11 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 26 — — $286,069.93 $773,792.59 $361,170.54 2026-07-15
0588-4 OTHER Neonate Bwt <1500g W Major Procedure 10 10 — — $353,540.25 $371,217.26 $353,540.25 2026-07-15
0583-4 OTHER Neonate W Ecmo 10 10 — — $342,012.36 $359,112.98 $342,012.36 2026-07-15
0583-3 OTHER Neonate W Ecmo 10 10 — — $342,012.36 $359,112.98 $342,012.36 2026-07-15
0583-1 OTHER Neonate W Ecmo 10 10 — — $325,345.09 $341,612.34 $325,345.09 2026-07-15
0583-2 OTHER Neonate W Ecmo 10 10 — — $325,345.09 $341,612.34 $325,345.09 2026-07-15
0161-4 OTHER Implantable Heart Assist Systems 10 10 — — $324,086.28 $340,290.59 $324,086.28 2026-07-15
0002-4 OTHER Heart &/or Lung Transplant 10 10 — — $285,082.28 $299,336.39 $285,082.28 2026-07-15
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 31 21 — — $252,000.00 $347,812.50 $265,645.28 2026-07-15
0161-3 OTHER Implantable Heart Assist Systems 10 10 — — $250,917.87 $263,463.76 $250,917.87 2026-07-15
0161-2 OTHER Implantable Heart Assist Systems 10 10 — — $250,917.87 $263,463.76 $250,917.87 2026-07-15
0161-1 OTHER Implantable Heart Assist Systems 10 10 — — $250,917.87 $263,463.76 $250,917.87 2026-07-15
0007-4 OTHER Allogeneic Bone Marrow Transplant 10 10 — — $243,755.34 $255,943.11 $243,755.34 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 26 — — $185,815.96 $502,160.26 $234,553.22 2026-07-15
0841-4 OTHER Extensive 3rd Degree Burns W Skin Graft 10 10 — — $226,926.15 $238,272.46 $226,926.15 2026-07-15
0841-1 OTHER Extensive 3rd Degree Burns W Skin Graft 10 10 — — $226,926.15 $238,272.46 $226,926.15 2026-07-15
0841-2 OTHER Extensive 3rd Degree Burns W Skin Graft 10 10 — — $226,926.15 $238,272.46 $226,926.15 2026-07-15
0841-3 OTHER Extensive 3rd Degree Burns W Skin Graft 10 10 — — $226,926.15 $238,272.46 $226,926.15 2026-07-15
0609-4 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 10 — — $226,908.81 $238,254.25 $226,908.81 2026-07-15
0630-4 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 10 — — $220,226.28 $231,237.59 $220,226.28 2026-07-15
0631-4 OTHER Neonate Birthwt >2499g W Other Major Procedure 10 10 — — $194,440.81 $204,162.85 $194,440.81 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 26 — — $141,681.17 $382,579.61 $178,812.51 2026-07-15
0588-3 OTHER Neonate Bwt <1500g W Major Procedure 10 10 — — $178,807.78 $187,748.17 $178,807.78 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 26 — — $140,852.49 $380,334.36 $177,765.93 2026-07-15
0588-1 OTHER Neonate Bwt <1500g W Major Procedure 10 10 — — $170,104.03 $178,609.23 $170,104.03 2026-07-15
0588-2 OTHER Neonate Bwt <1500g W Major Procedure 10 10 — — $170,104.03 $178,609.23 $170,104.03 2026-07-15
40861-1027-78 NDC Dialysate 2k/3ca With Bicarb Crrt Solution (nxstage 400) 11 9 $307,110.59 $184,266.35 40% off $72,170.99 $245,688.47 $166,453.94 2026-07-15
40861-1027-61 NDC Dialysate 0k/3ca With Bicarb And Calcium (nxstage 402) 11 9 $307,110.59 $184,266.35 40% off $72,170.99 $245,688.47 $166,453.94 2026-07-15
40861-1027-92 NDC Dialysate 4k/3ca With Bicarb And Calcium (nxstage 401) 11 9 $307,110.59 $184,266.35 40% off $72,170.99 $245,688.47 $166,453.94 2026-07-15
0593-4 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 10 — — $164,864.43 $173,107.65 $164,864.43 2026-07-15
E0766 HCPCS Elec Stim Dvc U Cancer Tx Incl All Acc Any Type 5 3 — — $48,183.66 $162,750.00 $162,750.00 2026-07-15
0591-4 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 10 — — $153,082.07 $160,736.17 $153,082.07 2026-07-15
0160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $140,851.51 $147,894.09 $140,851.51 2026-07-15
0002-3 OTHER Heart &/or Lung Transplant 10 10 — — $126,606.46 $132,936.78 $126,606.46 2026-07-15
0002-2 OTHER Heart &/or Lung Transplant 10 10 — — $126,606.46 $132,936.78 $126,606.46 2026-07-15
0002-1 OTHER Heart &/or Lung Transplant 10 10 — — $126,606.46 $132,936.78 $126,606.46 2026-07-15
0009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $126,404.05 $132,724.25 $126,404.05 2026-07-15
0007-3 OTHER Allogeneic Bone Marrow Transplant 10 10 — — $119,189.48 $125,148.95 $119,189.48 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 26 — — $92,085.58 $248,203.24 $116,175.00 2026-07-15
0004-4 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 10 — — $114,830.85 $120,572.39 $114,830.85 2026-07-15
0602-4 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $112,978.29 $118,627.20 $112,978.29 2026-07-15
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 19 12 $272,788.30 $163,672.98 40% off $415.04 $218,230.64 $112,907.08 2026-07-15
0607-4 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $111,738.75 $117,325.69 $111,738.75 2026-07-15
7 MS_DRG Lung Transplant 38 26 — — $86,125.45 $232,054.63 $108,647.56 2026-07-15
0850-4 OTHER Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 10 10 — — $108,210.98 $113,621.53 $108,210.98 2026-07-15
0303-4 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 10 — — $104,943.46 $110,190.63 $104,943.46 2026-07-15
0851-4 OTHER Gender Related Procedures 10 10 — — $104,736.23 $109,973.04 $104,736.23 2026-07-15
0593-3 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 10 — — $103,322.23 $108,488.34 $103,322.23 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 38 26 — — $79,959.65 $215,348.75 $100,860.37 2026-07-15
0001-4 OTHER Liver Transplant &/or Intestinal Transplant 10 10 — — $100,837.37 $105,879.24 $100,837.37 2026-07-15
0630-3 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 10 — — $97,519.73 $102,395.72 $97,519.73 2026-07-15
0008-4 OTHER Autologous Bone Marrow Transplant 10 10 — — $95,736.57 $100,523.40 $95,736.57 2026-07-15
0007-2 OTHER Allogeneic Bone Marrow Transplant 10 10 — — $95,499.45 $100,274.42 $95,499.45 2026-07-15
0007-1 OTHER Allogeneic Bone Marrow Transplant 10 10 — — $95,499.45 $100,274.42 $95,499.45 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 26 — — $75,422.11 $203,054.52 $95,129.61 2026-07-15
0633-4 OTHER Neonate Birthwt >2499g W Major Anomaly 10 10 — — $95,092.70 $99,847.34 $95,092.70 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 37 25 — — $75,336.12 $202,821.58 $95,021.02 2026-07-15
0842-4 OTHER Burns W Skin Graft Except Extensive 3rd Degree Burns 10 10 — — $95,004.03 $99,754.23 $95,004.03 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 25 — — $73,367.94 $197,488.88 $92,535.26 2026-07-15
0609-3 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 10 — — $92,480.60 $97,104.63 $92,480.60 2026-07-15
0602-3 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $91,421.32 $95,992.39 $91,421.32 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 26 — — $72,395.08 $194,853.00 $91,306.58 2026-07-15
0609-2 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 10 — — $87,988.96 $92,388.41 $87,988.96 2026-07-15
0609-1 OTHER Neonate Bwt 1500-2499g W Major Procedure 10 10 — — $87,988.96 $92,388.41 $87,988.96 2026-07-15
0611-4 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 10 10 — — $87,690.16 $92,074.67 $87,690.16 2026-07-15
0183-4 OTHER Percutaneous Structural Cardiac Procedures 10 10 — — $87,285.35 $91,649.62 $87,285.35 2026-07-15
0004-3 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 10 — — $87,117.63 $91,473.51 $87,117.63 2026-07-15
0863-4 OTHER Neonatal Aftercare 10 10 — — $86,991.36 $91,340.93 $86,991.36 2026-07-15
0178-4 OTHER External Heart Assist Systems 10 10 — — $86,962.44 $91,310.56 $86,962.44 2026-07-15
0690-4 OTHER Acute Leukemia 10 10 — — $86,624.13 $90,955.34 $86,624.13 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 26 — — $68,667.70 $184,753.85 $86,599.02 2026-07-15
0621-4 OTHER Neonate Bwt 2000-2499g W Major Anomaly 10 10 — — $86,114.24 $90,419.95 $86,114.24 2026-07-15
0591-3 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 10 — — $84,993.25 $89,242.91 $84,993.25 2026-07-15
215 MS_DRG Other Heart Assist System Implant 38 26 — — $66,329.81 $178,419.48 $83,646.36 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 26 — — $65,177.74 $175,297.99 $82,191.33 2026-07-15
0612-4 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 10 — — $82,000.43 $86,100.45 $82,000.43 2026-07-15
0005-4 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 10 — — $81,194.64 $85,254.37 $81,194.64 2026-07-15
00187-0007-14 NDC Virazole 6 Gram Solution For Inhalation 11 9 $148,571.76 $89,143.06 40% off $34,914.36 $118,857.41 $80,525.90 2026-07-15
0812 RC — 66 9 $142,699.50 $85,619.70 40% off $29,015.92 $243,600.00 $79,956.27 2026-07-15
0303-3 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 10 — — $78,820.62 $82,761.65 $78,820.62 2026-07-15
0607-3 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $78,651.95 $82,584.55 $78,651.95 2026-07-15
03060 EAPG Ventricular Assist Device Procedures 9 9 — — $78,576.16 $82,504.97 $78,576.16 2026-07-15
0589-4 OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500- 749g … 10 10 — — $77,580.13 $81,459.14 $77,580.13 2026-07-15
0589-3 OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500- 749g … 10 10 — — $77,580.13 $81,459.14 $77,580.13 2026-07-15
0681-4 OTHER Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 10 — — $76,315.52 $80,131.30 $76,315.52 2026-07-15
0811 RC — 22 9 $140,422.00 $84,253.20 40% off $32,622.94 $113,618.40 $76,108.73 2026-07-15
0695-4 OTHER Chemotherapy For Acute Leukemia 10 10 — — $75,882.75 $79,676.89 $75,882.75 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 25 — — $60,064.15 $161,443.02 $75,733.03 2026-07-15
0300-4 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $75,595.51 $79,375.29 $75,595.51 2026-07-15
J7330 HCPCS Autologous Cultured Chondrocytes Implant 4 2 — — $66,980.80 $75,353.76 $75,353.76 2026-07-15
0163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 10 10 — — $75,264.91 $79,028.16 $75,264.91 2026-07-15
0162-4 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 10 10 — — $74,420.56 $78,141.59 $74,420.56 2026-07-15
0631-3 OTHER Neonate Birthwt >2499g W Other Major Procedure 10 10 — — $74,064.89 $77,768.13 $74,064.89 2026-07-15
0589-1 OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500- 749g … 10 10 — — $73,816.21 $77,507.02 $73,816.21 2026-07-15
0589-2 OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500- 749g … 10 10 — — $73,816.21 $77,507.02 $73,816.21 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 37 25 — — $57,748.74 $155,169.58 $72,808.75 2026-07-15
0022-4 OTHER Ventricular Shunt Procedures 10 10 — — $72,386.79 $76,006.13 $72,386.79 2026-07-15
0008-3 OTHER Autologous Bone Marrow Transplant 10 10 — — $72,020.52 $75,621.55 $72,020.52 2026-07-15
0011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $71,340.99 $74,908.04 $71,340.99 2026-07-15
0011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $71,340.99 $74,908.04 $71,340.99 2026-07-15
0011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $71,340.99 $74,908.04 $71,340.99 2026-07-15
0011-1 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $71,340.99 $74,908.04 $71,340.99 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 26 — — $56,230.28 $151,055.38 $70,891.00 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 26 — — $56,055.02 $150,580.52 $70,669.64 2026-07-15
50479 LOCAL Kit,heart Valve,sapien3,23mm 12 10 $139,400.00 $83,640.00 40% off $32,759.00 $111,520.00 $70,536.40 2026-07-15
50480 LOCAL Kit,heart Valve,sapien3,26mm 12 10 $139,400.00 $83,640.00 40% off $32,759.00 $111,520.00 $70,536.40 2026-07-15
50478 LOCAL Kit,heart Valve,sapien3,20mm 12 10 $139,400.00 $83,640.00 40% off $32,759.00 $111,520.00 $70,536.40 2026-07-15
50481 LOCAL Kit,heart Valve,sapien3,29mm 12 10 $139,400.00 $83,640.00 40% off $32,759.00 $111,520.00 $70,536.40 2026-07-15
0792-4 OTHER Extensive Or Procedures For Other Complications Of Treatment 10 10 — — $70,074.46 $73,578.18 $70,074.46 2026-07-15
0950-4 OTHER Extensive Procedure Unrelated To Principal Diagnosis 10 10 — — $68,111.05 $71,516.60 $68,111.05 2026-07-15
3437 LOCAL Valve,heart,transcatheter,20mm 12 10 $133,250.00 $79,950.00 40% off $31,313.75 $106,600.00 $67,424.50 2026-07-15
5217 LOCAL Valve,heart,transcatheter,26mm 12 10 $133,250.00 $79,950.00 40% off $31,313.75 $106,600.00 $67,424.50 2026-07-15
5216 LOCAL Valve,heart,transcatheter,23mm 12 10 $133,250.00 $79,950.00 40% off $31,313.75 $106,600.00 $67,424.50 2026-07-15
0602-2 OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $67,005.50 $70,355.78 $67,005.50 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 26 — — $52,519.42 $141,001.03 $66,204.30 2026-07-15
0603-4 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 10 — — $65,943.31 $69,240.48 $65,943.31 2026-07-15
0603-3 OTHER Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 10 10 — — $65,943.31 $69,240.48 $65,943.31 2026-07-15
0863-3 OTHER Neonatal Aftercare 10 10 — — $65,829.57 $69,121.05 $65,829.57 2026-07-15
0299-4 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $65,570.29 $68,848.80 $65,570.29 2026-07-15
0593-1 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 10 — — $65,524.99 $68,801.24 $65,524.99 2026-07-15
0593-2 OTHER Neonate Birthwt 750-999g Without Major Procedure 10 10 — — $65,524.99 $68,801.24 $65,524.99 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 26 — — $51,259.54 $137,587.46 $64,613.11 2026-07-15
0091-4 OTHER Other Major Head & Neck Procedures 10 10 — — $64,349.07 $67,566.52 $64,349.07 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 26 — — $51,040.63 $136,994.34 $64,336.65 2026-07-15
0591-2 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 10 — — $64,227.63 $67,439.01 $64,227.63 2026-07-15
0591-1 OTHER Neonate Birthwt 500-749g Without Major Procedure 10 10 — — $64,227.63 $67,439.01 $64,227.63 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 26 — — $50,873.31 $136,540.99 $64,125.32 2026-07-15
0630-2 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 10 — — $64,049.31 $67,251.78 $64,049.31 2026-07-15
0630-1 OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 10 10 — — $64,049.31 $67,251.78 $64,049.31 2026-07-15
0200-4 OTHER Cardiac Structural & Valvular Disorders 10 10 — — $62,790.49 $65,930.01 $62,790.49 2026-07-15
0304-4 OTHER Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 10 10 — — $62,349.03 $65,466.48 $62,349.03 2026-07-15
24405 LOCAL Evolut Fx Transcatheter Aortic Valve 29mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
15983 LOCAL Evolut Fx 26mm Valve 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
15985 LOCAL Evlolutfx-26 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50074 LOCAL Valve,aortic,evolutfx+,34mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
24389 LOCAL Evolut Fx Transcatheter Aortic Valve 34mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
17503 LOCAL Evolut Fx Transcatheter Aortic Valve 26mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50075 LOCAL Valve,aortic,evolutfx,tc,23mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50077 LOCAL Valve,aortic,evolutfx,tc,29mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50072 LOCAL Valve,aortic,evolutfx+,26mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50073 LOCAL Valve,aortic,evolutfm+,29mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50071 LOCAL Valve,aortic,evolutfx+,23mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50078 LOCAL Valve,aortic,evolutfx,tc,34mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
50076 LOCAL Valve,aortic,evolutfx,tc,26mm 12 10 $123,000.00 $73,800.00 40% off $28,905.00 $98,400.00 $62,238.00 2026-07-15
0910-4 OTHER Craniotomy For Multiple Significant Trauma 10 10 — — $61,970.24 $65,068.75 $61,970.24 2026-07-15
0183-3 OTHER Percutaneous Structural Cardiac Procedures 10 10 — — $61,517.21 $64,593.07 $61,517.21 2026-07-15
J9029 HCPCS Ives Instal Nadofaragn Firadenovc-vncg Per Thr D 34 22 — — $60,472.88 $110,848.99 $61,077.60 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 25 — — $48,219.29 $129,350.09 $60,773.39 2026-07-15
10 MS_DRG Pancreas Transplant 39 27 — — $47,935.57 $140,000.00 $60,415.07 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 26 — — $47,915.73 $128,527.61 $60,390.00 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 39 27 — — $47,663.76 $235,000.00 $60,071.77 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 26 — — $47,635.98 $127,769.64 $60,036.69 2026-07-15
0179-4 OTHER Defibrillator Implants 10 10 — — $59,863.22 $62,856.38 $59,863.22 2026-07-15
0167-4 OTHER Other Cardiothoracic & Thoracic Vascular Procedures 10 10 — — $59,473.81 $62,447.50 $59,473.81 2026-07-15
0021-4 OTHER Open Craniotomy Except Trauma 10 10 — — $59,367.78 $62,336.17 $59,367.78 2026-07-15
0120-4 OTHER Major Respiratory & Chest Procedures 10 10 — — $59,033.32 $61,984.99 $59,033.32 2026-07-15
0005-3 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 10 10 — — $58,882.95 $61,827.10 $58,882.95 2026-07-15
0660-4 OTHER Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 10 10 — — $58,862.72 $61,805.86 $58,862.72 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 26 — — $46,190.26 $123,852.54 $58,210.80 2026-07-15
4923 LOCAL Pump,impella Cp 12 10 $114,800.00 $68,880.00 40% off $26,978.00 $91,840.00 $58,088.80 2026-07-15
0160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $58,001.02 $60,901.07 $58,001.02 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 26 — — $45,966.06 $123,245.09 $57,927.63 2026-07-15
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 46 30 $508,401.56 $305,040.94 40% off $52,768.49 $406,721.25 $56,995.65 2026-07-15
0312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 10 10 — — $56,870.40 $59,713.92 $56,870.40 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 26 — — $44,995.20 $120,614.58 $56,701.47 2026-07-15
38240 CPT Trnsplj Allogeneic Hematopoietic Cells Per Donor 35 24 — — $272.21 $92,166.76 $56,463.18 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 25 — — $44,700.23 $119,815.39 $56,328.94 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 25 — — $44,667.82 $119,727.59 $56,288.00 2026-07-15
0608-3 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 10 — — $55,554.71 $58,332.45 $55,554.71 2026-07-15
0608-4 OTHER Neonate Bwt 1250-1499g W Or Without Other Significant Condition 10 10 — — $55,554.71 $58,332.45 $55,554.71 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 26 — — $43,964.80 $117,822.80 $55,400.11 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 26 — — $43,964.80 $117,822.80 $55,400.11 2026-07-15
0634-4 OTHER Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 10 10 — — $55,390.85 $58,160.39 $55,390.85 2026-07-15
0220-4 OTHER Major Stomach, Esophageal & Duodenal Procedures 10 10 — — $55,386.03 $58,155.33 $55,386.03 2026-07-15
0183-2 OTHER Percutaneous Structural Cardiac Procedures 10 10 — — $55,280.01 $58,044.01 $55,280.01 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 26 — — $43,806.74 $117,394.54 $55,200.49 2026-07-15
0607-2 OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 10 10 — — $55,094.94 $57,849.69 $55,094.94 2026-07-15
0690-3 OTHER Acute Leukemia 10 10 — — $55,045.78 $57,798.07 $55,045.78 2026-07-15
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 34 22 — — $54,250.40 $73,231.25 $54,792.90 2026-07-15
0622-4 OTHER Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 10 10 — — $54,739.27 $57,476.23 $54,739.27 2026-07-15
Q0480 HCPCS Driver For Use With Pneumatic Vad Repl Only 5 3 — — $33,609.92 $69,016.30 $54,670.85 2026-07-15
0303-2 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 10 — — $54,377.82 $57,096.71 $54,377.82 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 26 — — $43,034.94 $115,303.39 $54,225.74 2026-07-15
0162-3 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 10 10 — — $54,066.49 $56,769.81 $54,066.49 2026-07-15
L2006 HCPCS Kaf Dvc Any Material Adjustability Custom Fab 5 3 — — $16,561.85 $54,000.00 $54,000.00 2026-07-15
0165-4 OTHER Coronary Bypass W Ami Or Complex Pdx 10 10 — — $53,972.99 $56,671.64 $53,972.99 2026-07-15
0183-1 OTHER Percutaneous Structural Cardiac Procedures 10 10 — — $53,738.77 $56,425.71 $53,738.77 2026-07-15
0911-4 OTHER Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 10 10 — — $53,307.92 $55,973.32 $53,307.92 2026-07-15
0026-4 OTHER Other Nervous System & Related Procedures 10 10 — — $52,947.44 $55,594.81 $52,947.44 2026-07-15
L8702 HCPCS Pwr Ue Rom Asst Dvc Elb Wr Hnd Fngr Sngl/dbl Upr 5 3 — — $32,935.87 $59,284.57 $52,697.39 2026-07-15
5137 LOCAL Pump,impella,rp 12 10 $103,525.00 $62,115.00 40% off $24,328.38 $82,820.00 $52,383.65 2026-07-15
0009-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $52,091.52 $54,696.10 $52,091.52 2026-07-15
0009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $52,091.52 $54,696.10 $52,091.52 2026-07-15
0009-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $52,091.52 $54,696.10 $52,091.52 2026-07-15
0023-4 OTHER Spinal Procedures 10 10 — — $51,868.87 $54,462.31 $51,868.87 2026-07-15
5147 LOCAL Catheter,impella 2.5 12 10 $102,500.00 $61,500.00 40% off $24,087.50 $82,000.00 $51,865.00 2026-07-15
0130-4 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 10 10 — — $51,827.42 $54,418.79 $51,827.42 2026-07-15
0178-2 OTHER External Heart Assist Systems 10 10 — — $51,764.76 $54,353.00 $51,764.76 2026-07-15
0178-3 OTHER External Heart Assist Systems 10 10 — — $51,764.76 $54,353.00 $51,764.76 2026-07-15
0178-1 OTHER External Heart Assist Systems 10 10 — — $51,764.76 $54,353.00 $51,764.76 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 26 — — $41,009.21 $109,814.80 $51,667.30 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 26 — — $40,962.25 $109,687.57 $51,608.00 2026-07-15
0299-3 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $51,368.62 $53,937.05 $51,368.62 2026-07-15
0612-3 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 10 — — $51,245.25 $53,807.51 $51,245.25 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 26 — — $40,574.05 $108,635.73 $51,117.72 2026-07-15
0680-4 OTHER Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 10 10 — — $51,074.64 $53,628.37 $51,074.64 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 38 26 — — $40,214.92 $107,662.73 $50,664.15 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 26 — — $40,203.69 $107,632.27 $50,649.96 2026-07-15
0230-4 OTHER Major Small Bowel Procedures 10 10 — — $50,295.83 $52,810.62 $50,295.83 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 26 — — $39,916.00 $106,852.79 $50,286.62 2026-07-15
0020-4 OTHER Open Craniotomy For Trauma 10 10 — — $50,158.00 $52,665.90 $50,158.00 2026-07-15
0842-3 OTHER Burns W Skin Graft Except Extensive 3rd Degree Burns 10 10 — — $50,130.04 $52,636.54 $50,130.04 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 26 — — $39,786.37 $106,501.58 $50,122.91 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 26 — — $39,695.11 $106,254.29 $50,007.64 2026-07-15
0089-4 OTHER Major Cranial/facial Bone Procedures 10 10 — — $49,808.11 $52,298.52 $49,808.11 2026-07-15
0166-4 OTHER Coronary Bypass Without Ami Or Complex Pdx 10 10 — — $49,773.41 $52,262.08 $49,773.41 2026-07-15
0260-4 OTHER Major Pancreas, Liver & Shunt Procedures 10 10 — — $49,579.67 $52,058.65 $49,579.67 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 26 — — $39,291.02 $105,159.44 $49,497.30 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 26 — — $39,265.89 $105,091.35 $49,465.55 2026-07-15
0030-4 OTHER Percutaneous Intra & Extracranial Vascular Procedures 10 10 — — $49,133.40 $51,590.07 $49,133.40 2026-07-15
0027-4 OTHER Other Open Craniotomy 10 10 — — $49,078.46 $51,532.38 $49,078.46 2026-07-15
0169-4 OTHER Major Abdominal Vascular Procedures 10 10 — — $48,996.53 $51,446.36 $48,996.53 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 25 — — $38,619.74 $103,340.66 $48,649.48 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 26 — — $38,376.37 $102,681.25 $48,342.13 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 37 25 — — $38,221.61 $102,261.94 $48,146.67 2026-07-15
0912-4 OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 10 10 — — $48,132.91 $50,539.56 $48,132.91 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 26 — — $38,172.67 $102,129.34 $48,084.85 2026-07-15
0029-4 OTHER Other Percutaneous Intracranial Procedures 10 10 — — $47,769.53 $50,158.01 $47,769.53 2026-07-15
0050-4 OTHER Non-bacterial Infections Of Nervous System Exc Viral Meningitis 10 10 — — $47,755.06 $50,142.81 $47,755.06 2026-07-15
0611-3 OTHER Neonate Birthwt 1500-1999g W Major Anomaly 10 10 — — $47,597.96 $49,977.86 $47,597.96 2026-07-15
0181-4 OTHER Lower Extremity Arterial Procedures 10 10 — — $47,546.87 $49,924.21 $47,546.87 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 25 — — $37,660.12 $100,740.62 $47,437.52 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 29 — — $37,545.04 $330,000.00 $47,292.18 2026-07-15
0321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 10 — — $47,222.04 $49,583.14 $47,222.04 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 26 — — $37,291.09 $99,740.74 $46,971.44 2026-07-15
0405-4 OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 10 10 — — $46,903.00 $49,248.15 $46,903.00 2026-07-15
0182-4 OTHER Other Peripheral Vascular And Related Procedures 10 10 — — $46,693.85 $49,028.54 $46,693.85 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 26 — — $37,005.38 $98,966.64 $46,610.61 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 38 26 — — $36,786.47 $98,373.52 $46,334.13 2026-07-15
0300-3 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $46,323.71 $48,639.90 $46,323.71 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 26 — — $36,658.17 $98,025.89 $46,172.09 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 26 — — $36,606.58 $97,886.12 $46,106.94 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 26 — — $36,549.70 $97,732.02 $46,035.10 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 26 — — $36,405.53 $97,341.38 $45,853.02 2026-07-15
0004-2 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 10 — — $45,696.24 $47,981.05 $45,696.24 2026-07-15
0004-1 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 10 10 — — $45,696.24 $47,981.05 $45,696.24 2026-07-15
0264-4 OTHER Other Hepatobiliary, Pancreas & Abdominal Procedures 10 10 — — $45,674.07 $47,957.77 $45,674.07 2026-07-15
K1007 HCPCS Bil Hkafo Devc Pwr Incl Pelv Comp Up Knee Joints 2 2 — — $40,964.37 $50,067.56 $45,515.96 2026-07-15
0621-3 OTHER Neonate Bwt 2000-2499g W Major Anomaly 10 10 — — $45,370.45 $47,638.97 $45,370.45 2026-07-15
C2624 HCPCS Delivery System,pa Sensor 16 12 $92,250.00 $55,350.00 40% off $21,678.75 $73,800.00 $45,340.88 2026-07-15
0304-3 OTHER Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 10 10 — — $45,329.00 $47,595.45 $45,329.00 2026-07-15
0229-4 OTHER Other Digestive System & Abdominal Procedures 10 10 — — $45,301.05 $47,566.10 $45,301.05 2026-07-15
0447-4 OTHER Other Kidney, Urinary Tract & Related Procedures 10 10 — — $45,230.68 $47,492.21 $45,230.68 2026-07-15
0428-4 OTHER Genetic Disorders 10 10 — — $45,178.63 $47,437.56 $45,178.63 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 26 — — $35,747.48 $95,558.44 $45,021.93 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 37 25 — — $35,726.32 $95,501.10 $44,995.20 2026-07-15
0951-4 OTHER Moderately Extensive Procedure Unrelated To Principal Diagnosis 10 10 — — $44,967.55 $47,215.93 $44,967.55 2026-07-15
0163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Pdx 10 10 — — $44,788.27 $47,027.68 $44,788.27 2026-07-15
0710-4 OTHER Infectious & Parasitic Diseases Including HIV W O.r. Procedure 10 10 — — $44,784.42 $47,023.64 $44,784.42 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 26 — — $35,489.56 $94,859.60 $44,696.18 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 26 — — $35,373.82 $94,546.02 $44,550.01 2026-07-15
0132-4 OTHER Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 10 10 — — $44,413.33 $46,634.00 $44,413.33 2026-07-15
0176-4 OTHER Insertion, Revision & Replacements Of Pacemaker & Other Cardiac Devices 10 10 — — $44,208.98 $46,419.43 $44,208.98 2026-07-15
0179-3 OTHER Defibrillator Implants 10 10 — — $44,123.20 $46,329.36 $44,123.20 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 26 — — $34,904.92 $93,275.56 $43,957.80 2026-07-15
0008-2 OTHER Autologous Bone Marrow Transplant 10 10 — — $43,908.25 $46,103.66 $43,908.25 2026-07-15
0008-1 OTHER Autologous Bone Marrow Transplant 10 10 — — $43,908.25 $46,103.66 $43,908.25 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 38 26 — — $34,845.40 $121,251.00 $43,882.62 2026-07-15
0711-4 OTHER Post-op, Post-trauma, Other Device Infections W O.r. Procedure 10 10 — — $43,698.14 $45,883.05 $43,698.14 2026-07-15
0303-1 OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 10 10 — — $43,685.60 $45,869.88 $43,685.60 2026-07-15
J9226 HCPCS Histrelin Implant Supprelin La 50 Mg 34 22 — — $42,981.21 $56,275.81 $43,411.02 2026-07-15
0121-4 OTHER Other Respiratory & Chest Procedures 10 10 — — $43,121.74 $45,277.83 $43,121.74 2026-07-15
0043-4 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 10 10 — — $42,997.40 $45,147.27 $42,997.40 2026-07-15
33276 CPT Insertion Phrenic Nerve Stimulator System 33 22 — — $1,622.00 $56,250.63 $42,961.98 2026-07-15
0266T CPT Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 34 23 — — $736.97 $56,250.63 $42,961.98 2026-07-15
0448-4 OTHER Other Kidney Urinary Tract And Related Percutaneous Procedures 10 10 — — $42,886.55 $45,030.88 $42,886.55 2026-07-15
0001-3 OTHER Liver Transplant &/or Intestinal Transplant 10 10 — — $42,861.50 $45,004.58 $42,861.50 2026-07-15
0850-3 OTHER Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 10 10 — — $42,780.52 $44,919.55 $42,780.52 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 26 — — $33,812.36 $90,315.34 $42,577.93 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 26 — — $33,463.16 $89,369.22 $42,136.91 2026-07-15
0325-4 OTHER Non-elective Or Complex Knee Joint Replacement 10 10 — — $42,102.93 $44,208.08 $42,102.93 2026-07-15
0162-2 OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 10 10 — — $42,101.96 $44,207.06 $42,101.96 2026-07-15
0612-2 OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 10 10 — — $42,093.29 $44,197.95 $42,093.29 2026-07-15
0952-4 OTHER Nonextensive Procedure Unrelated To Principal Diagnosis 10 10 — — $42,074.00 $44,177.70 $42,074.00 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 26 — — $33,198.63 $88,652.46 $41,802.81 2026-07-15
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