Hospital

GEISINGER SOUTH WILKES-BARRE

Wilkes Barre, PA · CCN 390169 · Rates published

9,126 distinct procedures filed

22 distinct payers

270,760 rate rows

2026-04-01 last MRF observed

Data quality

265,927 of 270,760 rate rows are consumer-grade (98.2%)

4,833 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	4,542
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	124
placeholder amount (≤ $0.02) — excluded from medians	101
per-diem day rate — not a per-procedure price	40
exceeds 3× this hospital's gross charge for a DRG stay — excluded	14
exceeds 10× this hospital's gross charge — excluded from medians	9
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1

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

Source MRF file	https://www.geisinger.org/-/media/OneGeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/hosp-charges-csv/23-1996150_Geisinger-Wyoming-Valley_standardcharges
Found on page	https://www.geisinger.org/patient-care/patients-and-visitors/billing-and-insurance/tools-to-use/shop-services-and-view-hospital-charge-lists
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint	0a34284a650aca76… · 165,098,896 bytes · first seen 2026-06-16

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
583 - 4 OTHER	Neonate With Ecmo	7	$430,523.87	$516,628.88	$473,576.09	—
005 - 4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	13	$97,570.04	$1,519,065.92	$463,328.44	—
004 - 3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	13	$93,799.35	$1,090,867.69	$346,963.79	—
004 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	$149,584.54	$954,838.15	$344,187.05	—
607 - 4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	13	$94,154.13	$1,025,824.84	$329,844.65	—
661 - 4 OTHER	Coagulation And Platelet Disorders	13	$22,647.46	$1,127,912.18	$314,143.90	—
443 - 4 OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	13	$33,349.39	$1,094,649.76	$311,701.60	—
588 - 4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$280,867.78	$337,041.48	$308,954.44	—
583 - 3 OTHER	Neonate With Ecmo	7	$278,907.11	$334,688.69	$306,797.71	—
183 - 4 OTHER	Percutaneous Structural Cardiac Procedures	11	$59,064.01	$538,423.57	$301,833.92	—
2780000603 CDM	Hc 6139219 Lvad Heartmate 3 Implant Kit	10	$100,963.20	$530,400.00	$286,603.20	—
118058 LOCAL	Kit Implant Heartmate Iii	10	$100,963.20	$530,400.00	$286,603.20	—
310 - 4 OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	13	$36,272.69	$991,956.69	$286,090.90	—
002 - 4 OTHER	Heart And/or Lung Transplant	7	$248,734.12	$298,481.08	$273,607.43	—
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$34,671.48	$911,442.95	$261,176.60	nat. median $168,055 1.6× median
602 - 3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	13	$87,146.80	$720,373.67	$244,246.50	—
102772 LOCAL	Kit Implant Heartmate Ii	10	$84,136.00	$442,000.00	$238,836.00	—
2780000604 CDM	Hc 6135022 Lvad Heartmate 2 Implant Kit	10	$84,136.00	$442,000.00	$238,836.00	—
162 - 4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	13	$84,902.92	$694,764.55	$236,076.10	—
583 - 2 OTHER	Neonate With Ecmo	7	$214,149.42	$256,979.41	$235,564.27	—
161 - 4 OTHER	Implantable Heart Assist Systems	7	$213,164.19	$255,797.14	$234,480.52	—
220 - 4 OTHER	Major Stomach Esophageal And Duodenal Procedures	13	$51,307.97	$740,873.28	$228,205.74	—
630 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$204,883.15	$245,859.88	$225,371.38	—
841 - 4 OTHER	Extensive Third Degree Burns With Skin Graft	7	$202,076.60	$242,492.02	$222,284.17	—
089 - 3 OTHER	Major Cranial Or Facial Bone Procedures	13	$34,894.27	$729,335.22	$215,282.96	—
C9293 HCPCS	Glucarpidase 1000 Units Solr 1 Each Vial	7	$71,616.00	$376,227.42	$206,084.10	nat. median $57,284 outlier · 3.6×
609 - 4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$184,671.64	$221,606.07	$203,138.74	—
588 - 3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$182,668.80	$219,202.66	$200,935.61	—
631 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$181,301.67	$217,562.10	$199,431.77	—
591 - 4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$178,425.08	$214,110.20	$196,267.52	—
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	6	$149,467.28	$510,601.42	$195,077.03	nat. median $186,516 1.0× median
441 - 4 OTHER	Major Bladder Procedures	13	$46,855.61	$618,103.96	$192,819.90	—
607 - 3 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	13	$65,178.00	$557,709.33	$187,719.96	—
007 - 4 OTHER	Allogeneic Bone Marrow Transplant	7	$169,361.43	$203,233.80	$186,297.50	—
593 - 2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	13	$93,979.37	$479,270.06	$184,099.03	—
13811-0705-50 NDC	Sod Benzoate/ Sod Phenylacetate (ammonul) 10-10 % Soln 50 Ml Vial	7	$63,486.28	$333,518.75	$182,689.80	—
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$165,445.37	$198,534.54	$181,989.85	—
009 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	13	$108,633.22	$203,837.17	$179,465.82	—
588 - 2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$160,287.99	$192,345.67	$176,316.72	—
583 - 1 OTHER	Neonate With Ecmo	7	$155,657.86	$186,789.52	$171,223.59	—
J7330 HCPCS	Hc Cultured Chondrocytes Implnt	7	$59,075.04	$310,344.77	$169,995.91	nat. median $92,809 1.8× median
603 - 4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	$153,032.09	$183,638.59	$168,335.24	—
001 - 4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$150,616.47	$180,739.85	$165,678.06	—
260 - 3 OTHER	Major Pancreas Liver And Shunt Procedures	13	$27,334.07	$545,485.32	$161,756.25	—
724 - 4 OTHER	Other Infectious And Parasitic Diseases	13	$22,099.10	$551,875.52	$160,318.07	—
161 - 3 OTHER	Implantable Heart Assist Systems	7	$144,232.06	$173,078.55	$158,655.21	—
361 - 3 OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	13	$26,409.86	$532,073.01	$157,627.73	—
260 - 4 OTHER	Major Pancreas Liver And Shunt Procedures	13	$53,033.63	$459,953.22	$154,384.20	—
002 - 3 OTHER	Heart And/or Lung Transplant	7	$139,662.95	$167,595.62	$153,629.19	—
421 - 4 OTHER	Malnutrition Failure To Thrive And Other Nutritional Disorders	13	$18,779.61	$528,207.80	$152,019.61	—

Other procedures at this hospital

Browse this hospital's 9,126 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

583 - 4	OTHER	Neonate With Ecmo	7	7	—	—	$430,523.87	$516,628.88	$473,576.09	2026-04-01
005 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	13	$1,787,136.38	$1,108,024.55 38% off	$97,570.04	$1,519,065.92	$463,328.44	2026-04-01
004 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	13	$1,283,373.75	$795,691.72 38% off	$93,799.35	$1,090,867.69	$346,963.79	2026-04-01
004 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	12	11	$1,123,339.00	$696,470.18 38% off	$149,584.54	$954,838.15	$344,187.05	2026-04-01
607 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	13	$1,206,852.75	$748,248.70 38% off	$94,154.13	$1,025,824.84	$329,844.65	2026-04-01
661 - 4	OTHER	Coagulation And Platelet Disorders	14	13	$1,326,955.50	$822,712.41 38% off	$22,647.46	$1,127,912.18	$314,143.90	2026-04-01
443 - 4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	14	13	$1,287,823.25	$798,450.42 38% off	$33,349.39	$1,094,649.76	$311,701.60	2026-04-01
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$280,867.78	$337,041.48	$308,954.44	2026-04-01
583 - 3	OTHER	Neonate With Ecmo	7	7	—	—	$278,907.11	$334,688.69	$306,797.71	2026-04-01
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	12	11	$633,439.50	$392,732.49 38% off	$59,064.01	$538,423.57	$301,833.92	2026-04-01
118058	LOCAL	Kit Implant Heartmate Iii	16	10	$624,000.00	$386,880.00 38% off	$100,963.20	$530,400.00	$286,603.20	2026-04-01
2780000603	CDM	Hc 6139219 Lvad Heartmate 3 Implant Kit	16	10	$624,000.00	$386,880.00 38% off	$100,963.20	$530,400.00	$286,603.20	2026-04-01
310 - 4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	14	13	$1,167,007.88	$723,544.88 38% off	$36,272.69	$991,956.69	$286,090.90	2026-04-01
002 - 4	OTHER	Heart And/or Lung Transplant	7	7	—	—	$248,734.12	$298,481.08	$273,607.43	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	7	—	—	$34,671.48	$911,442.95	$261,176.60	2026-04-01
602 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	13	$847,498.44	$525,449.03 38% off	$87,146.80	$720,373.67	$244,246.50	2026-04-01
102772	LOCAL	Kit Implant Heartmate Ii	16	10	$520,000.00	$322,400.00 38% off	$84,136.00	$442,000.00	$238,836.00	2026-04-01
2780000604	CDM	Hc 6135022 Lvad Heartmate 2 Implant Kit	16	10	$520,000.00	$322,400.00 38% off	$84,136.00	$442,000.00	$238,836.00	2026-04-01
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	13	$817,370.06	$506,769.44 38% off	$84,902.92	$694,764.55	$236,076.10	2026-04-01
583 - 2	OTHER	Neonate With Ecmo	7	7	—	—	$214,149.42	$256,979.41	$235,564.27	2026-04-01
161 - 4	OTHER	Implantable Heart Assist Systems	7	7	—	—	$213,164.19	$255,797.14	$234,480.52	2026-04-01
220 - 4	OTHER	Major Stomach Esophageal And Duodenal Procedures	14	13	$871,615.63	$540,401.69 38% off	$51,307.97	$740,873.28	$228,205.74	2026-04-01
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$204,883.15	$245,859.88	$225,371.38	2026-04-01
841 - 4	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$202,076.60	$242,492.02	$222,284.17	2026-04-01
089 - 3	OTHER	Major Cranial Or Facial Bone Procedures	14	13	$858,041.44	$531,985.69 38% off	$34,894.27	$729,335.22	$215,282.96	2026-04-01
C9293	HCPCS	Glucarpidase 1000 Units Solr 1 Each Vial	13	7	$442,620.50	$274,424.71 38% off	$71,616.00	$376,227.42	$206,084.10	2026-04-01
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$184,671.64	$221,606.07	$203,138.74	2026-04-01
588 - 3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$182,668.80	$219,202.66	$200,935.61	2026-04-01
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$181,301.67	$217,562.10	$199,431.77	2026-04-01
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$178,425.08	$214,110.20	$196,267.52	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	6	$217,481.55	$134,838.56 38% off	$149,467.28	$510,601.42	$195,077.03	2026-04-01
441 - 4	OTHER	Major Bladder Procedures	14	13	$727,181.13	$450,852.30 38% off	$46,855.61	$618,103.96	$192,819.90	2026-04-01
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	13	$656,128.63	$406,799.75 38% off	$65,178.00	$557,709.33	$187,719.96	2026-04-01
007 - 4	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$169,361.43	$203,233.80	$186,297.50	2026-04-01
593 - 2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	13	$563,847.13	$349,585.22 38% off	$93,979.37	$479,270.06	$184,099.03	2026-04-01
13811-0705-50	NDC	Sod Benzoate/ Sod Phenylacetate (ammonul) 10-10 % Soln 50 Ml Vial	13	7	$392,375.00	$243,272.50 38% off	$63,486.28	$333,518.75	$182,689.80	2026-04-01
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$165,445.37	$198,534.54	$181,989.85	2026-04-01
009 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	14	13	$239,808.44	$148,681.23 38% off	$108,633.22	$203,837.17	$179,465.82	2026-04-01
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$160,287.99	$192,345.67	$176,316.72	2026-04-01
583 - 1	OTHER	Neonate With Ecmo	7	7	—	—	$155,657.86	$186,789.52	$171,223.59	2026-04-01
J7330	HCPCS	Hc Cultured Chondrocytes Implnt	13	7	$365,111.50	$226,369.13 38% off	$59,075.04	$310,344.77	$169,995.91	2026-04-01
603 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$153,032.09	$183,638.59	$168,335.24	2026-04-01
001 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$150,616.47	$180,739.85	$165,678.06	2026-04-01
260 - 3	OTHER	Major Pancreas Liver And Shunt Procedures	14	13	$641,747.44	$397,883.41 38% off	$27,334.07	$545,485.32	$161,756.25	2026-04-01
724 - 4	OTHER	Other Infectious And Parasitic Diseases	14	13	$649,265.31	$402,544.49 38% off	$22,099.10	$551,875.52	$160,318.07	2026-04-01
161 - 3	OTHER	Implantable Heart Assist Systems	7	7	—	—	$144,232.06	$173,078.55	$158,655.21	2026-04-01
361 - 3	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	14	13	$625,968.25	$388,100.32 38% off	$26,409.86	$532,073.01	$157,627.73	2026-04-01
260 - 4	OTHER	Major Pancreas Liver And Shunt Procedures	14	13	$541,121.44	$335,495.29 38% off	$53,033.63	$459,953.22	$154,384.20	2026-04-01
002 - 3	OTHER	Heart And/or Lung Transplant	7	7	—	—	$139,662.95	$167,595.62	$153,629.19	2026-04-01
421 - 4	OTHER	Malnutrition Failure To Thrive And Other Nutritional Disorders	14	13	$621,420.94	$385,280.98 38% off	$18,779.61	$528,207.80	$152,019.61	2026-04-01
588 - 1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$137,390.46	$164,868.62	$151,129.45	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	15	8	$1,072,293.13	$664,821.74 38% off	$74,995.50	$620,894.88	$150,049.76	2026-04-01
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	14	13	$508,948.69	$315,548.19 38% off	$56,072.17	$432,606.38	$148,920.20	2026-04-01
089 - 2	OTHER	Major Cranial Or Facial Bone Procedures	14	13	$604,232.75	$374,624.30 38% off	$19,322.69	$513,597.84	$148,452.33	2026-04-01
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	13	$479,374.34	$297,212.09 38% off	$66,048.74	$407,468.19	$148,207.55	2026-04-01
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$132,434.18	$158,921.08	$145,677.54	2026-04-01
Q2043	HCPCS	Sipuleucel-t Susp 250 Ml Flex Cont	27	17	$672,976.88	$417,245.66 38% off	$55,536.50	$572,030.34	$142,696.70	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	8	—	—	$27,942.85	$582,673.44	$139,982.76	2026-04-01
169 - 4	OTHER	Major Abdominal Vascular Procedures	14	13	$482,413.63	$299,096.45 38% off	$50,972.78	$410,051.58	$139,850.37	2026-04-01
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	13	$488,497.38	$302,868.37 38% off	$47,145.61	$415,222.77	$138,932.03	2026-04-01
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	13	$490,940.97	$304,383.40 38% off	$44,201.97	$417,299.82	$137,719.33	2026-04-01
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$124,367.06	$149,240.54	$136,803.72	2026-04-01
229 - 3	OTHER	Other Digestive System And Abdominal Procedures	14	13	$549,419.94	$340,640.36 38% off	$20,542.92	$467,006.95	$136,769.38	2026-04-01
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	14	13	$492,914.59	$305,607.05 38% off	$39,759.40	$418,977.40	$135,500.81	2026-04-01
602 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$122,856.06	$147,427.34	$135,141.62	2026-04-01
191978	LOCAL	Cath Bypass Impella 5.5	16	10	$292,500.00	$181,350.00 38% off	$47,326.50	$248,625.00	$134,345.25	2026-04-01
286971	LOCAL	Kit Pump Impella 5.5 Temporary	16	10	$292,500.00	$181,350.00 38% off	$47,326.50	$248,625.00	$134,345.25	2026-04-01
020 - 4	OTHER	Open Craniotomy For Trauma	14	13	$459,250.22	$284,735.14 38% off	$49,928.80	$390,362.69	$133,977.47	2026-04-01
445 - 3	OTHER	Other Bladder Procedures	14	13	$548,830.31	$340,274.79 38% off	$15,707.17	$466,505.77	$133,734.37	2026-04-01
501 - 3	OTHER	Male Reproductive System Diagnoses Except Malignancy	14	13	$561,075.69	$347,866.93 38% off	$8,555.22	$476,914.33	$132,216.78	2026-04-01
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	13	$462,557.22	$286,785.48 38% off	$45,043.33	$393,173.64	$131,795.22	2026-04-01
161 - 2	OTHER	Implantable Heart Assist Systems	7	7	—	—	$115,777.94	$138,933.59	$127,355.69	2026-04-01
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	13	$422,775.72	$262,120.95 38% off	$52,435.56	$359,359.36	$127,220.05	2026-04-01
049 - 4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	14	13	$475,826.25	$295,012.28 38% off	$32,354.37	$404,452.31	$127,187.27	2026-04-01
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	13	$371,577.59	$230,378.11 38% off	$70,723.31	$315,840.95	$126,596.33	2026-04-01
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$114,743.00	$137,691.66	$126,217.25	2026-04-01
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	13	$442,985.66	$274,651.11 38% off	$40,915.62	$376,537.81	$124,885.63	2026-04-01
121 - 4	OTHER	Other Respiratory And Chest Procedures	14	13	$434,273.78	$269,249.74 38% off	$42,374.63	$369,132.71	$123,787.80	2026-04-01
161 - 1	OTHER	Implantable Heart Assist Systems	7	7	—	—	$110,308.71	$132,370.51	$121,339.54	2026-04-01
589 - 1	OTHER	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	7	7	—	—	$109,718.18	$131,661.88	$120,689.96	2026-04-01
021 - 3	OTHER	Open Craniotomy Except Trauma	14	13	$441,268.59	$273,586.53 38% off	$34,437.81	$375,078.30	$120,610.03	2026-04-01
006 - 4	OTHER	Pancreas Transplant	7	7	—	—	$108,349.55	$130,019.52	$119,184.46	2026-04-01
171 - 4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	14	13	$437,153.63	$271,035.25 38% off	$32,234.61	$371,580.58	$118,356.07	2026-04-01
405 - 4	OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	14	13	$413,134.28	$256,143.25 38% off	$40,716.76	$351,164.14	$118,004.99	2026-04-01
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	13	$412,049.13	$255,470.46 38% off	$40,281.39	$350,241.76	$117,497.97	2026-04-01
589 - 2	OTHER	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	7	7	—	—	$106,481.53	$127,777.90	$117,129.64	2026-04-01
299674	LOCAL	System Transcath Triclip G4	16	10	$253,500.00	$157,170.00 38% off	$41,016.30	$215,475.00	$116,432.55	2026-04-01
224 - 1	OTHER	Peritoneal Adhesiolysis	12	11	$240,937.48	$149,381.24 38% off	$11,411.48	$204,796.86	$114,806.71	2026-04-01
589 - 3	OTHER	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	7	7	—	—	$104,212.80	$125,055.41	$114,634.03	2026-04-01
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	14	13	$414,032.22	$256,699.98 38% off	$34,363.24	$351,927.39	$114,396.26	2026-04-01
179 - 4	OTHER	Defibrillator Implants	14	13	$357,372.91	$221,571.20 38% off	$54,926.50	$303,766.97	$113,900.88	2026-04-01
842 - 4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$103,490.45	$124,188.59	$113,839.45	2026-04-01
423 - 3	OTHER	Inborn Errors Of Metabolism	14	13	$470,537.81	$291,733.44 38% off	$11,878.48	$399,957.14	$113,703.91	2026-04-01
230 - 4	OTHER	Major Small Bowel Procedures	14	13	$387,425.66	$240,203.91 38% off	$42,297.80	$329,311.81	$113,130.60	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	7	—	—	$57,637.17	$227,287.96	$112,178.30	2026-04-01
002 - 2	OTHER	Heart And/or Lung Transplant	7	7	—	—	$101,639.76	$121,967.76	$111,803.69	2026-04-01
591 - 2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$100,427.05	$120,512.51	$110,469.71	2026-04-01
310 - 3	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	14	13	$431,011.53	$267,227.15 38% off	$18,958.12	$366,359.80	$108,998.99	2026-04-01
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	13	$336,011.75	$208,327.29 38% off	$54,239.56	$285,609.99	$108,650.41	2026-04-01
264 - 4	OTHER	Other Hepatobiliary Pancreas And Abdominal Procedures	14	13	$366,248.72	$227,074.21 38% off	$42,669.89	$311,311.41	$108,557.29	2026-04-01
021 - 4	OTHER	Open Craniotomy Except Trauma	14	13	$328,189.38	$203,477.41 38% off	$55,730.20	$278,960.97	$107,773.03	2026-04-01
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$97,832.16	$117,398.65	$107,615.34	2026-04-01
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	13	$348,834.97	$216,277.68 38% off	$45,132.97	$296,509.72	$106,090.91	2026-04-01
612 - 2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	13	$377,417.34	$233,998.75 38% off	$33,109.86	$320,804.74	$105,350.95	2026-04-01
120 - 4	OTHER	Major Respiratory And Chest Procedures	14	13	$316,052.00	$195,952.24 38% off	$53,462.97	$268,644.20	$103,663.57	2026-04-01
002 - 1	OTHER	Heart And/or Lung Transplant	7	7	—	—	$93,472.45	$112,166.99	$102,819.66	2026-04-01
271999	LOCAL	Valve Transcath Resilia 29mm	16	10	$221,000.00	$137,020.00 38% off	$35,757.80	$187,850.00	$101,505.30	2026-04-01
271997	LOCAL	Valve Transcath Resilia 23mm	16	10	$221,000.00	$137,020.00 38% off	$35,757.80	$187,850.00	$101,505.30	2026-04-01
271998	LOCAL	Valve Transcath Resilia 26mm	16	10	$221,000.00	$137,020.00 38% off	$35,757.80	$187,850.00	$101,505.30	2026-04-01
271996	LOCAL	Valve Transcath Resilia 20mm	16	10	$221,000.00	$137,020.00 38% off	$35,757.80	$187,850.00	$101,505.30	2026-04-01
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	14	13	$329,569.13	$204,332.86 38% off	$42,306.84	$280,133.76	$100,031.52	2026-04-01
180 - 3	OTHER	Other Circulatory System Procedures	14	13	$390,261.97	$241,962.42 38% off	$18,937.78	$331,722.67	$99,757.01	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	14	8	$276,051.22	$171,151.76 38% off	$42,527.12	$306,941.95	$99,555.15	2026-04-01
020 - 3	OTHER	Open Craniotomy For Trauma	14	13	$352,130.25	$218,320.76 38% off	$31,101.74	$299,310.71	$98,418.55	2026-04-01
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$89,323.64	$107,188.42	$98,255.97	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	15	8	$923,690.63	$572,688.19 38% off	$82,117.31	$409,360.23	$97,856.04	2026-04-01
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	14	13	$311,967.94	$193,420.12 38% off	$44,615.50	$265,172.75	$97,430.05	2026-04-01
6112124	LOCAL	Valve Tavr Sapien 29mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138517	LOCAL	Valve Sapien 3 Ultra 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
260920	LOCAL	Valve Pericardial 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
260919	LOCAL	Valve Pericardial 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6112122	LOCAL	Valve Tavr Sapien 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110487	LOCAL	Sapien Xt Kit Ascendra 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138515	LOCAL	Valve Sapien 3 Ultra 29mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110483	LOCAL	Sapien Xt Kit Novaflex 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138516	LOCAL	Valve Sapien 3 Ultra 20mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110486	LOCAL	Sapien Xt Kit Ascendra 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
264628	LOCAL	Valve Sapien 3 29mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110484	LOCAL	Sapien Xt Kit Novaflex 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138514	LOCAL	Valve Sapien 3 Ultra 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
74419	LOCAL	Valve Tavr Sapien 20mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110485	LOCAL	Sapien Xt Kit Novaflex 29mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138513	LOCAL	Valve Sapien 3 Ultra 23mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6110488	LOCAL	Sapien Xt Kit Ascendra 29mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
6112123	LOCAL	Valve Tavr Sapien 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138518	LOCAL	Valve Sapien 3 Ultra 26mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
138512	LOCAL	Valve Sapien 3 Ultra 20mm	16	10	$211,250.00	$130,975.00 38% off	$34,180.25	$179,562.50	$97,027.12	2026-04-01
182 - 3	OTHER	Other Peripheral Vascular And Related Procedures	14	13	$361,234.34	$223,965.29 38% off	$22,804.13	$307,049.19	$95,502.07	2026-04-01
50242-0142-01	NDC	Mosunetuzumab-axgb 30 Mg/30ml Soln 30 Ml Vial	13	7	$201,322.23	$124,819.79 38% off	$32,573.94	$171,123.90	$93,735.63	2026-04-01
304 - 2	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	13	$340,344.13	$211,013.36 38% off	$27,520.12	$289,292.51	$93,600.03	2026-04-01
711 - 4	OTHER	Post-operative Post-trauma Other Device Infections With O.r. Procedure	14	13	$308,857.38	$191,491.57 38% off	$38,219.04	$262,528.77	$92,887.63	2026-04-01
008 - 4	OTHER	Autologous Bone Marrow Transplant	7	7	—	—	$83,942.55	$100,731.10	$92,336.77	2026-04-01
50474-0983-86	NDC	Rozanolixizumab-noli 840 Mg/6ml Soln 6 Ml Vial	13	7	$197,551.44	$122,481.89 38% off	$31,963.82	$167,918.72	$91,979.95	2026-04-01
169 - 3	OTHER	Major Abdominal Vascular Procedures	14	13	$320,317.59	$198,596.91 38% off	$32,190.92	$272,269.95	$91,866.49	2026-04-01
280889	LOCAL	Valve Heart Precision Mitral Pascal System	16	10	$198,900.00	$123,318.00 38% off	$32,182.02	$169,065.00	$91,354.77	2026-04-01
007 - 3	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$82,772.78	$99,327.38	$91,050.02	2026-04-01
179 - 3	OTHER	Defibrillator Implants	14	13	$296,302.19	$183,707.36 38% off	$39,753.38	$251,856.86	$90,964.48	2026-04-01
950 - 3	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	13	$330,528.22	$204,927.50 38% off	$26,568.79	$280,948.99	$90,805.92	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	14	7	—	—	$31,486.24	$316,644.30	$90,526.71	2026-04-01
249434	LOCAL	Valve Aortic Transcath Fx 29mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
249432	LOCAL	Valve Aortic Transcath Fx 23mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
249433	LOCAL	Valve Aortic Transcath Fx 26mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
140517	LOCAL	Valve Aort Evolut Proplus 29mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
185199	LOCAL	Mirtaclip G4	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
180549	LOCAL	Mitraclip Bundle	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
86991	LOCAL	Valve Aortic Transcath 23 Pro	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
180550	LOCAL	Mitraclip Bundle	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
180548	LOCAL	Mitraclip Bundle	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
6122521	LOCAL	Valve Aortic Transcath 29 Fr	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
86992	LOCAL	Valve Aortic Transcath 26 Pro	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
86993	LOCAL	Valve Aortic Transcath 29 Pro	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
180551	LOCAL	Mitraclip Bundle	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
6122520	LOCAL	Valve Aortic Transcath 26 Fr	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
140516	LOCAL	Valve Aort Evolut Proplus 26mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
249435	LOCAL	Valve Aortic Transcath Fx 34mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
6122519	LOCAL	Valve Aortic Transcath 23 Fr	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
140518	LOCAL	Valve Aort Evolut Proplus 34mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
140515	LOCAL	Valve Aort Evolut Proplus 23mm	16	10	$195,000.00	$120,900.00 38% off	$31,551.00	$165,750.00	$89,563.50	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	15	8	$532,868.31	$330,378.35 38% off	$59,678.99	$315,607.18	$89,338.72	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	8	$438,952.06	$272,150.28 38% off	$11,937.07	$303,482.81	$89,177.75	2026-04-01
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	14	13	$285,305.38	$176,889.33 38% off	$40,093.09	$242,509.57	$88,677.53	2026-04-01
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	14	13	$303,920.78	$188,430.88 38% off	$32,566.78	$258,332.66	$88,378.13	2026-04-01
098 - 3	OTHER	Other Ear Nose Mouth Throat Craniofacial And Neck Procedures	14	13	$336,278.41	$208,492.61 38% off	$18,705.79	$285,836.65	$87,390.54	2026-04-01
440 - 4	OTHER	Kidney Transplant	7	7	—	—	$79,343.30	$95,212.01	$87,277.60	2026-04-01
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	13	$195,536.66	$121,232.73 38% off	$71,203.87	$166,206.16	$87,011.39	2026-04-01
7	MS_DRG	Lung Transplant	14	7	—	—	$47,503.15	$315,846.76	$86,782.40	2026-04-01
183 - 1	OTHER	Percutaneous Structural Cardiac Procedures	14	13	$299,358.97	$185,602.56 38% off	$31,056.55	$254,455.12	$86,438.74	2026-04-01
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	14	13	$289,977.88	$179,786.28 38% off	$34,561.34	$246,481.19	$86,416.80	2026-04-01
181 - 1	OTHER	Lower Extremity Arterial Procedures	13	12	$190,544.61	$118,137.66 38% off	$12,374.86	$161,962.92	$86,316.71	2026-04-01
863 - 4	OTHER	Neonatal Aftercare	7	7	—	—	$78,416.83	$94,100.23	$86,258.48	2026-04-01
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	14	13	$268,659.47	$166,568.87 38% off	$41,899.34	$228,360.55	$85,990.99	2026-04-01
266456	LOCAL	Valve Navitor 29mm	16	10	$185,250.00	$114,855.00 38% off	$29,973.45	$157,462.50	$85,085.32	2026-04-01
266452	LOCAL	Valve Navitor 25mm	16	10	$185,250.00	$114,855.00 38% off	$29,973.45	$157,462.50	$85,085.32	2026-04-01
266455	LOCAL	Valve Navitor 27mm	16	10	$185,250.00	$114,855.00 38% off	$29,973.45	$157,462.50	$85,085.32	2026-04-01
266451	LOCAL	Valve Navitor 23mm	16	10	$185,250.00	$114,855.00 38% off	$29,973.45	$157,462.50	$85,085.32	2026-04-01
622 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	14	13	$312,365.75	$193,666.76 38% off	$23,766.01	$265,510.89	$85,010.45	2026-04-01
121 - 3	OTHER	Other Respiratory And Chest Procedures	14	13	$309,872.50	$192,120.95 38% off	$24,147.90	$263,391.63	$84,674.86	2026-04-01
006 - 3	OTHER	Pancreas Transplant	7	7	—	—	$76,972.88	$92,367.50	$84,670.14	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	8	$408,387.22	$253,200.08 38% off	$43,530.18	$205,772.32	$84,589.34	2026-04-01
169 - 2	OTHER	Major Abdominal Vascular Procedures	14	13	$309,855.69	$192,110.53 38% off	$23,713.28	$263,377.33	$84,410.29	2026-04-01
613 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	7	7	—	—	$76,668.58	$92,002.33	$84,335.40	2026-04-01
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	14	13	$213,922.75	$132,632.11 38% off	$59,788.62	$181,834.34	$84,326.70	2026-04-01
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$76,310.79	$91,572.98	$83,941.83	2026-04-01
321 - 2	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	14	13	$318,533.38	$197,490.69 38% off	$18,607.87	$270,753.37	$83,312.54	2026-04-01
639 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	14	13	$314,983.84	$195,289.98 38% off	$17,846.35	$267,736.27	$82,051.65	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	15	8	—	—	$51,116.87	$241,635.52	$81,974.59	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	15	8	$314,997.44	$195,298.41 38% off	$32,613.26	$245,361.19	$81,564.23	2026-04-01
252 - 4	OTHER	Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure	14	13	$306,302.16	$189,907.34 38% off	$20,242.38	$260,356.83	$81,522.88	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	14	7	—	—	$59,090.02	$257,374.70	$81,207.90	2026-04-01
82705-0010-01	NDC	Epcoritamab-bysp 48 Mg/0.8ml Soln 0.8 Ml Vial	13	7	$173,689.47	$107,687.47 38% off	$28,102.96	$147,636.05	$80,869.82	2026-04-01
952 - 4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	14	13	$264,719.31	$164,125.97 38% off	$34,541.76	$225,011.42	$80,683.99	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	8	$574,959.00	$356,474.58 38% off	$34,396.08	$279,602.02	$80,654.57	2026-04-01
313 - 3	OTHER	Knee And Lower Leg Procedures Except Foot	14	13	$296,812.47	$184,023.73 38% off	$22,158.61	$252,290.60	$80,523.19	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	8	$528,479.31	$327,657.17 38% off	$48,775.02	$233,538.13	$79,885.92	2026-04-01
009 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$72,622.96	$87,147.59	$79,885.23	2026-04-01
304 - 1	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	13	$292,267.72	$181,205.99 38% off	$22,317.54	$248,427.56	$79,589.17	2026-04-01
321 - 3	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	14	13	$281,531.75	$174,549.68 38% off	$26,229.83	$239,301.99	$79,504.85	2026-04-01
181 - 3	OTHER	Lower Extremity Arterial Procedures	14	13	$275,196.06	$170,621.56 38% off	$28,376.55	$233,916.65	$79,357.85	2026-04-01
621 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	13	$265,935.97	$164,880.30 38% off	$31,839.91	$226,045.57	$79,338.45	2026-04-01
044 - 4	OTHER	Intracranial Hemorrhage	14	13	$299,239.97	$185,528.78 38% off	$18,125.05	$254,353.97	$78,652.89	2026-04-01
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	13	$257,357.58	$159,561.70 38% off	$33,889.46	$218,753.94	$78,625.17	2026-04-01
021 - 2	OTHER	Open Craniotomy Except Trauma	14	13	$285,929.38	$177,276.21 38% off	$22,805.64	$243,039.97	$78,446.39	2026-04-01
305 - 4	OTHER	Amputation Of Lower Limb Except Toes	14	13	$253,504.56	$157,172.83 38% off	$34,325.58	$215,478.88	$78,014.14	2026-04-01
611 - 2	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	13	$273,498.50	$169,569.07 38% off	$26,712.66	$232,473.73	$77,975.01	2026-04-01
167 - 2	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	14	13	$272,219.53	$168,776.11 38% off	$26,474.63	$231,386.60	$77,542.51	2026-04-01
001 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$70,458.92	$84,550.75	$77,504.79	2026-04-01
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	13	$242,703.34	$150,476.07 38% off	$37,155.48	$206,297.84	$77,265.60	2026-04-01
179 - 1	OTHER	Defibrillator Implants	14	13	$265,175.00	$164,408.50 38% off	$28,472.96	$225,398.75	$77,145.92	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	8	$371,601.06	$230,392.66 38% off	$36,715.70	$173,559.47	$77,029.45	2026-04-01
602 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$69,691.38	$83,629.69	$76,660.49	2026-04-01
180553	LOCAL	Valve Melody Pul 16mm	16	10	$165,750.00	$102,765.00 38% off	$26,818.35	$140,887.50	$76,128.98	2026-04-01
116457	LOCAL	Melody Valve Hde	16	10	$165,750.00	$102,765.00 38% off	$26,818.35	$140,887.50	$76,128.98	2026-04-01
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$68,952.45	$82,742.98	$75,847.67	2026-04-01
55513-0077-01	NDC	Tarlatamab-dlle 10 Mg Solr 1 Each Vial	13	7	$161,250.00	$99,975.00 38% off	$26,090.25	$137,062.50	$75,078.00	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	8	$479,591.03	$297,346.44 38% off	$39,578.40	$187,091.82	$74,850.64	2026-04-01
303527	LOCAL	Valve Aortic Navitor With Radiopaque Marker 27mm	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
303528	LOCAL	Valve Aortic Navitor With Radiopaque Marker 23mm	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
303524	LOCAL	Valve Aortic Navitor With Radiopaque Marker 25mm	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
303525	LOCAL	Valve Aortic Navitor With Radiopaque Marker 29mm	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
6122559	LOCAL	Pump Impella Cp	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
303526	LOCAL	Valve Aortic Navitor With Radiopaque Marker 35mm	16	10	$162,500.00	$100,750.00 38% off	$26,292.50	$138,125.00	$74,636.25	2026-04-01
178 - 4	OTHER	External Heart Assist Systems	7	7	—	—	$67,774.40	$81,329.31	$74,551.81	2026-04-01
282 - 4	OTHER	Disorders Of Pancreas Except Malignancy	14	13	$269,953.94	$167,371.44 38% off	$22,216.61	$229,460.85	$74,474.54	2026-04-01
603 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$67,595.88	$81,115.10	$74,355.44	2026-04-01
005 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$67,397.78	$80,877.37	$74,137.53	2026-04-01
612 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$67,254.67	$80,705.63	$73,980.11	2026-04-01
483 - 4	OTHER	Penis Testes And Scrotal Procedures	14	13	$240,348.81	$149,016.26 38% off	$32,393.54	$204,296.49	$73,875.14	2026-04-01
850 - 4	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	7	7	—	—	$66,640.03	$79,968.07	$73,304.01	2026-04-01
007 - 2	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$66,374.89	$79,649.91	$73,012.36	2026-04-01
681 - 3	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	14	13	$258,674.84	$160,378.40 38% off	$23,753.20	$219,873.62	$72,841.78	2026-04-01
841 - 3	OTHER	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$64,668.82	$77,602.62	$71,135.67	2026-04-01
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$64,598.77	$77,518.55	$71,058.62	2026-04-01
680 - 4	OTHER	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	7	7	—	—	$64,543.78	$77,452.57	$70,998.14	2026-04-01
470 - 4	OTHER	Chronic Kidney Disease	14	13	$266,204.38	$165,046.71 38% off	$17,789.10	$226,273.72	$70,968.76	2026-04-01
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$63,948.73	$76,738.50	$70,343.57	2026-04-01
182 - 1	OTHER	Other Peripheral Vascular And Related Procedures	14	13	$265,808.28	$164,801.13 38% off	$16,592.97	$225,937.04	$70,161.36	2026-04-01
315 - 3	OTHER	Shoulder Upper Arm And Forearm Procedures Except Joint Replacement	14	13	$252,433.19	$156,508.58 38% off	$20,906.73	$214,568.21	$69,720.16	2026-04-01
179 - 2	OTHER	Defibrillator Implants	14	13	$221,832.59	$137,536.21 38% off	$32,401.07	$188,557.70	$69,685.73	2026-04-01
055 - 4	OTHER	Head Trauma With Coma > 1 Hour Or Hemorrhage	14	13	$241,566.88	$149,771.46 38% off	$24,800.95	$205,331.84	$69,595.47	2026-04-01
007 - 1	OTHER	Allogeneic Bone Marrow Transplant	7	7	—	—	$63,056.15	$75,667.41	$69,361.74	2026-04-01
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$62,626.80	$75,152.20	$68,889.46	2026-04-01
174 - 4	OTHER	Percutaneous Cardiac Intervention With Ami	14	13	$214,800.44	$133,176.27 38% off	$32,729.48	$182,580.37	$68,289.99	2026-04-01
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	13	$202,711.52	$125,681.14 38% off	$36,987.51	$172,304.79	$68,106.68	2026-04-01
405 - 2	OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	14	13	$264,931.84	$164,257.74 38% off	$13,187.60	$225,192.07	$67,919.63	2026-04-01
023 - 2	OTHER	Spinal Procedures	14	13	$248,045.00	$153,787.90 38% off	$19,538.11	$210,838.25	$67,905.07	2026-04-01
006 - 2	OTHER	Pancreas Transplant	7	7	—	—	$61,631.78	$73,958.17	$67,794.93	2026-04-01
539 - 4	OTHER	Cesarean Section With Sterilization	14	13	$236,166.66	$146,423.33 38% off	$23,575.44	$200,741.66	$67,637.02	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	8	$370,522.06	$229,723.68 38% off	$31,417.79	$224,163.11	$67,375.57	2026-04-01
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$60,871.02	$73,045.25	$66,958.09	2026-04-01
517 - 2	OTHER	Dilation And Curettage For Non-obstetric Diagnoses	14	13	$272,895.41	$169,195.15 38% off	$8,071.64	$231,961.10	$66,653.80	2026-04-01
J9600	HCPCS	Porfimer 75 Mg Solr 1 Each Vial	22	13	$250,722.25	$155,447.80 38% off	$23,930.41	$213,113.91	$66,643.80	2026-04-01
166 - 2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	14	13	$215,799.78	$133,795.86 38% off	$29,512.42	$183,429.81	$66,586.11	2026-04-01
680 - 1	OTHER	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	14	13	$257,346.98	$159,555.13 38% off	$13,766.84	$218,744.94	$66,549.20	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	15	8	$277,768.84	$172,216.68 38% off	$25,426.16	$245,497.36	$66,495.55	2026-04-01
591 - 1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$60,368.61	$72,442.36	$66,405.45	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	15	8	$130,703.74	$81,036.32 38% off	$38,759.61	$183,221.30	$66,060.91	2026-04-01
309 - 3	OTHER	Other Significant Hip And Femur Surgery	14	13	$229,217.86	$142,115.07 38% off	$23,350.22	$194,835.18	$65,927.99	2026-04-01
030 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	14	13	$181,230.41	$112,362.85 38% off	$41,096.39	$154,045.85	$65,706.53	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	15	8	$295,036.03	$182,922.34 38% off	$41,848.47	$197,822.68	$65,589.19	2026-04-01
608 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$59,487.33	$71,384.83	$65,436.04	2026-04-01
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	14	13	$189,392.06	$117,423.08 38% off	$36,850.42	$160,983.25	$65,007.56	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	8	$369,080.72	$228,830.05 38% off	$33,732.87	$159,459.28	$64,997.69	2026-04-01
547 - 3	OTHER	Antepartum With O.r. Procedure	14	13	$251,210.44	$155,750.47 38% off	$13,417.34	$213,528.87	$64,949.57	2026-04-01
681 - 4	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	7	7	—	—	$58,812.43	$70,574.95	$64,693.65	2026-04-01
190 - 4	OTHER	Acute Myocardial Infarction	14	13	$239,451.45	$148,459.90 38% off	$17,203.09	$203,533.74	$64,557.61	2026-04-01
312 - 4	OTHER	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$58,649.73	$70,379.71	$64,514.68	2026-04-01
740 - 4	OTHER	Mental Illness Diagnosis With O.r. Procedure	7	7	—	—	$58,572.15	$70,286.61	$64,429.34	2026-04-01
240 - 4	OTHER	Digestive Malignancy	14	13	$233,030.53	$144,478.93 38% off	$19,371.65	$198,075.95	$64,404.41	2026-04-01
690 - 4	OTHER	Acute Leukemia	7	7	—	—	$58,260.31	$69,912.41	$64,086.32	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	15	8	—	—	$36,118.52	$266,877.95	$63,796.18	2026-04-01
004 - 2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$57,880.68	$69,456.85	$63,668.73	2026-04-01
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$57,840.01	$69,408.04	$63,623.98	2026-04-01
180 - 4	OTHER	Other Circulatory System Procedures	14	13	$193,731.08	$120,113.27 38% off	$32,889.16	$164,671.42	$63,613.60	2026-04-01
030 - 1	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	14	13	$236,809.41	$146,821.83 38% off	$16,324.07	$201,288.00	$63,431.78	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	15	8	$375,611.19	$232,878.94 38% off	$43,343.71	$226,448.92	$62,861.98	2026-04-01
043 - 3	OTHER	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	14	13	$233,585.00	$144,822.70 38% off	$16,097.34	$198,547.25	$62,565.42	2026-04-01
364 - 3	OTHER	Other Skin Subcutaneous Tissue And Related Procedures	14	13	$235,587.61	$146,064.32 38% off	$15,292.14	$200,249.47	$62,535.88	2026-04-01
361 - 4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	7	7	—	—	$56,825.40	$68,190.51	$62,507.92	2026-04-01
204 - 3	OTHER	Syncope And Collapse	13	12	$137,970.30	$85,541.58 38% off	$7,619.71	$117,274.75	$62,500.54	2026-04-01
091 - 4	OTHER	Other Major Head And Neck Procedures	7	7	—	—	$56,655.17	$67,986.24	$62,320.67	2026-04-01
226 - 3	OTHER	Anal And Perineal Procedures	14	13	$239,195.42	$148,301.16 38% off	$13,528.06	$203,316.11	$62,294.61	2026-04-01
001 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$56,601.69	$67,922.06	$62,261.84	2026-04-01
021 - 1	OTHER	Open Craniotomy Except Trauma	14	13	$227,200.13	$140,864.08 38% off	$17,677.63	$193,120.11	$62,067.41	2026-04-01
309 - 2	OTHER	Other Significant Hip And Femur Surgery	14	13	$231,067.47	$143,261.83 38% off	$16,077.00	$196,407.35	$61,982.99	2026-04-01
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$55,984.80	$67,181.79	$61,583.25	2026-04-01
50474-0982-84	NDC	Rozanolixizumab-noli 560 Mg/4ml Soln 4 Ml Vial	13	7	$131,700.95	$81,654.59 38% off	$21,309.21	$111,945.81	$61,319.96	2026-04-01
175 - 3	OTHER	Percutaneous Cardiac Intervention Without Ami	14	13	$203,386.45	$126,099.60 38% off	$24,861.96	$172,878.49	$60,984.21	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	14	8	$390,875.97	$242,343.10 38% off	$37,963.50	$179,457.96	$60,871.00	2026-04-01
912 - 3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	14	13	$187,790.48	$116,430.10 38% off	$30,050.23	$159,621.91	$60,564.69	2026-04-01
313 - 2	OTHER	Knee And Lower Leg Procedures Except Foot	14	13	$227,779.97	$141,223.58 38% off	$14,915.52	$193,612.97	$60,541.48	2026-04-01

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