Price Transparency 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

PRISMA HEALTH OCONEE MEMORIAL HOSPITAL

Seneca, SC · CCN 420009 · Rates published

99,320 distinct procedures filed
184 distinct payers
4,253,266 rate rows
2026-05-28 last MRF observed
Data quality

4,169,608 of 4,253,266 rate rows are consumer-grade (98.0%)

83,658 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
exceeds 10× this hospital's gross charge — excluded from medians 36,616
per-diem day rate — not a per-procedure price 35,305
template filing: same amount across many unrelated codes — excluded 5,150
placeholder amount (≤ $0.02) — excluded from medians 3,802
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,960
percent-of-charges filed in the dollar field — excluded from medians 825
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/c4894f84-f64f-40d5-a800-62f95ec032b5/811723202_prisma-health-oconee-memorial-hospital_standardcharges.zip
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-15
Content fingerprint 43e8dad16c244a26… · 15,027,601 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $654,252.67 $2,288,048.80 $1,075,099.67 nat. median
$386,529
outlier · 2.8×
7
OTHER 		Lung Transplant 34 $217,826.73 $1,730,277.76 $974,052.24 nat. median
$169,933
outlier · 5.7×
MS-DRG 018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $458,389.23 $2,431,051.85 $937,106.47 nat. median
$1,001,021
0.9× median
MS-DRG 007
OTHER 		Lung Transplant 25 $350,322.40 $2,162,847.20 $756,996.52 nat. median
$1,038,167
0.7× median
Q2053
HCPCS 		Hc Brexucabtagene Car Pos T (Tecartus) Mcl 103 $197,690.00 $2,482,145.82 $699,840.57 nat. median
$620,080
1.1× median
Q2056
CPT 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 102 $7,540.05 $2,582,193.36 $617,032.05 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 103 $219,694.16 $2,409,921.09 $600,523.18 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 103 $217,459.00 $2,749,977.43 $595,933.32 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 103 $222,335.00 $2,682,173.51 $591,566.63 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 103 $197,690.00 $2,705,528.10 $564,123.78 nat. median
$634,511
0.9× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $237,903.69 $677,273.62 $457,588.66 nat. median
$239,422
1.9× median
MS-DRG 104
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 $41,217.09 $599,559.59 $412,197.22 nat. median
$422,690
1.0× median
MS-DRG 001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $266,970.79 $846,592.03 $399,022.93 nat. median
$297,722
1.3× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 $181,274.54 $602,309.54 $391,792.04 nat. median
$111,558
outlier · 3.5×
MS-DRG 004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $3,146.55 $806,829.58 $294,929.80 nat. median
$142,253
outlier · 2.1×
6
OTHER 		Liver Transplant Without Mcc 34 $85,893.68 $490,405.16 $288,149.42 nat. median
$52,924
outlier · 5.4×
8
OTHER 		Simultaneous Pancreas And Kidney Transplant 34 $93,437.27 $473,552.32 $283,494.79 nat. median
$57,589
outlier · 4.9×
MS-DRG 002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $49,941.11 $752,886.92 $263,510.42 nat. median
$351,471
0.7× median
MS-DRG 213
OTHER 		Amputation For Musculoskeletal System & Conn Tissue Disorders 14 $49,984.11 $382,425.60 $262,917.60 nat. median
$269,610
1.0× median
MS-DRG 105
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 $23,276.20 $372,415.27 $256,035.50 nat. median
$262,553
1.0× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $3,054.90 $759,369.02 $250,437.07 nat. median
$134,983
1.9× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 34 $106,777.94 $378,849.96 $242,813.95 nat. median
$94,894
outlier · 2.6×
MS-DRG 003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $3,146.55 $561,346.22 $232,739.84 nat. median
$186,772
1.2× median
MS-DRG 237
OTHER 		Major Cardiovasc Procedures W Mcc 28 $95,134.99 $715,523.45 $230,782.30 nat. median
$250,433
0.9× median
MS-DRG 969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 28 $17,353.85 $629,752.79 $221,426.23 nat. median
$131,045
1.7× median
215
OTHER 		Other Heart Assist System Implant 37 $87,574.11 $479,769.84 $214,690.35 nat. median
$92,359
outlier · 2.3×
MS-DRG 006
OTHER 		Liver Transplant Without Mcc 25 $77,499.58 $613,006.45 $214,552.26 nat. median
$258,689
0.8× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $2,300.38 $565,788.78 $207,756.63 nat. median
$146,562
1.4× median
MS-DRG 008
OTHER 		Simultaneous Pancreas And Kidney Transplant 25 $72,183.04 $591,940.40 $207,179.14 nat. median
$256,635
0.8× median
APR-DRG 621-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 $27,976.40 $383,923.96 $205,950.18 nat. median
$313,079
0.7× median
APR-DRG 607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $14,507.58 $393,443.59 $203,975.58 nat. median
$320,979
0.6× median
MS-DRG 927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $2,369.39 $475,658.77 $203,108.99 nat. median
$237,490
0.9× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $3,054.90 $516,079.53 $191,860.57 nat. median
$181,005
1.1× median
10
OTHER 		Pancreas Transplant 34 $74,266.87 $291,126.68 $182,696.77 nat. median
$62,879
outlier · 2.9×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 25 $16,848.40 $592,708.51 $177,973.20 nat. median
$64,729
outlier · 2.7×
MS-DRG 207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $42,267.61 $474,283.21 $176,453.83 nat. median
$72,898
outlier · 2.4×
MS-DRG 402
OTHER 		Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 14 $23,976.81 $253,839.77 $174,514.85 nat. median
$178,322
1.0× median
Sx00000197247_00000_102000_000
OTHER 		Kit Implnt Lvad Heartmate 3 44 $833.36 $290,840.00 $174,038.92 nat. median
$174,039
1.0× median
PX-8120000001
CDM 		Hc Cadaver Donor Sac- Liver 35 $32,388.00 $251,007.00 $172,736.00 nat. median
$62,617
outlier · 2.8×
MS-DRG 005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 25 $17,457.12 $473,562.45 $165,746.86 nat. median
$209,771
0.8× median
MS-DRG 570
OTHER 		Skin Debridement With Mcc 28 $13,209.98 $477,503.56 $160,594.01 nat. median
$34,782
outlier · 4.6×
MS-DRG 277
OTHER 		Cellulitis Age >17 W Cc 14 $21,899.82 $232,912.00 $160,127.00 nat. median
$163,621
1.0× median
MS-DRG 268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $33,464.38 $459,641.04 $158,248.38 nat. median
$89,237
1.8× median
Rx64406005801_J2326_102000_000
OTHER 		Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 55 $833.37 $418,481.00 $157,021.20 nat. median
$157,021
1.0× median
14
OTHER 		Allogeneic Bone Marrow Transplant 34 $31,105.63 $273,234.47 $152,170.05 nat. median
$100,915
1.5× median
APR-DRG 593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $19,979.89 $280,032.63 $150,006.26 nat. median
$231,492
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 61 $12,595.98 $540,393.59 $149,032.02 nat. median
$202,986
0.7× median
MS-DRG 837
OTHER 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 $2,028.00 $398,065.52 $147,975.96 nat. median
$123,716
1.2× median
212
OTHER 		Hip & Femur Procedures Except Major Joint Age 0-17 37 $50,737.92 $286,422.78 $146,302.89 nat. median
$90,581
1.6× median
Rx00597003510_00000_102000_000
OTHER 		Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 23 $26,117.47 $200,903.60 $144,650.59 nat. median
$144,651
1.0× median

Other procedures at this hospital

Browse this hospital's 99,320 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
             
Q2053 HCPCS Hc Brexucabtagene Car Pos T (Tecartus) Mcl 216 103 $2,448,600.00 $1,591,590.00 35% off $197,690.00 $2,482,145.82 $699,840.57 2026-03-01
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 155 103 $2,591,313.00 $1,684,353.45 35% off $219,694.16 $2,409,921.09 $600,523.18 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 155 103 $2,956,964.98 $1,922,027.24 35% off $217,459.00 $2,749,977.43 $595,933.32 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 155 103 $2,884,057.54 $1,874,637.40 35% off $222,335.00 $2,682,173.51 $591,566.63 2026-03-01
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 155 103 $2,909,170.00 $1,890,960.50 35% off $197,690.00 $2,705,528.10 $564,123.78 2026-03-01
Q2056 CPT Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 153 102 $2,776,552.00 $1,804,758.80 35% off $7,540.05 $2,582,193.36 $617,032.05 2026-03-01
38240 CPT Hc Hpc Allogeneic 142 97 $147,856.00 $96,106.40 35% off $659.00 $147,856.00 $66,294.28 2026-03-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 117 97 $459,740.10 $298,831.06 35% off $5,009.56 $427,558.29 $70,799.98 2026-03-01
Rx30237890006_Q2043_102000_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 107 58 $586,116.90 $380,975.99 35% off $833.36 $586,116.90 $59,466.76 2026-05-28
850 MS_DRG Acute Leukemia With Other Procedures 81 65 — $106,877.27 $12,595.98 $220,470.87 $63,597.38 2026-03-01
Sx00000196816_00000_102000_000 OTHER Implant Heartmate Ii 77 56 $206,000.00 $133,900.00 35% off $833.37 $226,600.00 $113,300.00 2026-05-28
C1823 HCPCS Hc Remede System 1001 76 30 $151,250.00 $98,312.50 35% off $17,325.00 $147,056.25 $97,535.62 2026-03-01
Rx64406005801_J2326_102000_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 75 55 $418,481.00 $272,012.65 35% off $833.37 $418,481.00 $157,021.20 2026-05-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 73 61 — $663,376.38 $12,595.98 $540,393.59 $149,032.02 2026-03-01
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 70 35 $269,900.00 $175,435.00 35% off $32,388.00 $251,007.00 $172,736.00 2026-03-01
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 70 35 $194,370.00 $126,340.50 35% off $23,324.40 $180,764.10 $124,396.80 2026-03-01
PX-8110000000 CDM Hc Living Donor Sac- Kidney 70 35 $165,000.00 $107,250.00 35% off $19,800.00 $153,450.00 $105,600.00 2026-03-01
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 69 35 $121,000.00 $78,650.00 35% off $14,520.00 $112,530.00 $77,440.00 2026-03-01
Rx75987015003_J1823_102000_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 66 39 $176,030.40 $114,419.76 35% off $22,883.95 $176,030.40 $59,522.82 2026-05-06
Rx75987015001_J1823_102000_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 66 39 $176,030.40 $114,419.76 35% off $22,883.95 $176,030.40 $59,522.82 2026-05-06
Sx00000197247_00000_102000_000 OTHER Kit Implnt Lvad Heartmate 3 64 44 $244,815.00 $159,129.75 35% off $833.36 $290,840.00 $174,038.92 2026-05-28
Sx00000204485_00000_102000_000 OTHER Implant Hvad Pump 64 44 $186,625.00 $121,306.25 35% off $833.36 $205,287.50 $129,013.87 2026-05-28
Sx00000240843_00000_102000_000 OTHER Cnterpc Vbr 20 Mm Ht 40-62 Mm 63 43 $75,020.00 $48,763.00 35% off $833.36 $115,228.19 $52,889.10 2026-05-28
Sx00000101266_00000_102000_000 OTHER Evolutpro 23mm 63 43 $75,000.00 $48,750.00 35% off $833.36 $115,215.45 $52,875.00 2026-05-28
Rx24338005008_C9399_102000_000 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 62 46 $1,902,341.00 $1,236,521.65 35% off $15.18 $1,902,341.00 $119,419.04 2026-05-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 61 49 — $211,926.65 $62,514.25 $268,183.36 $95,912.73 2026-03-01
Rx68382039601_J3490_102000_000 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 58 45 $284,700.00 $185,055.00 35% off $833.37 $284,700.00 $101,843.76 2026-05-28
Rx71336100301_J0225_102000_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 54 36 $459,740.10 $298,831.07 35% off $59,766.21 $459,740.10 $140,571.77 2026-05-06
215 OTHER Other Heart Assist System Implant 48 37 — — $87,574.11 $479,769.84 $214,690.35 2026-05-06
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 48 37 — — $50,737.92 $286,422.78 $146,302.89 2026-05-06
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $62,344.92 $330,800.02 $143,770.39 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 37 — — $49,820.46 $323,594.68 $132,560.08 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 48 37 — — $41,036.51 $446,384.20 $131,427.13 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 48 37 — — $63,729.20 $346,102.22 $130,298.12 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 37 — — $33,047.39 $432,603.33 $130,106.61 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 37 — — $39,888.37 $260,402.15 $126,225.51 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 48 37 — — $53,639.82 $250,048.24 $121,844.01 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $40,850.80 $281,271.01 $114,636.64 2026-05-06
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 37 — — $58,280.86 $228,819.00 $111,512.29 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 37 — — $34,192.62 $209,785.35 $107,048.75 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 37 — — $22,361.94 $299,185.13 $106,628.33 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 48 37 — — $55,177.49 $241,665.98 $105,634.68 2026-05-06
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 37 — — $49,820.46 $295,555.84 $104,327.49 2026-05-06
163 OTHER Major Chest Procedures With Mcc 48 37 — — $29,219.27 $368,003.46 $101,365.20 2026-05-06
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $52,456.32 $213,895.74 $98,216.47 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 48 37 — — $26,399.14 $304,865.89 $97,770.75 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 48 37 — — $24,773.86 $311,469.55 $89,820.15 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 48 37 — — $34,120.78 $162,854.95 $88,901.61 2026-05-06
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 48 37 — — $13,123.06 $165,912.52 $85,766.64 2026-05-06
232 OTHER Coronary Bypass With Ptca Without Mcc 48 37 — — $49,568.99 $155,398.09 $85,098.20 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 37 — — $30,187.54 $138,861.86 $84,524.70 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 48 37 — — $32,146.28 $191,578.97 $84,479.37 2026-05-06
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 37 — — $48,594.14 $149,906.89 $84,371.87 2026-05-06
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 37 — — $15,929.18 $180,115.88 $83,918.12 2026-05-06
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $40,850.80 $183,309.54 $82,706.54 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 48 37 — — $15,002.38 $264,271.64 $82,114.73 2026-05-06
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 37 — — $43,049.33 $172,506.40 $81,013.82 2026-05-06
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 37 — — $41,980.71 $171,322.27 $79,039.80 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 37 — — $37,960.11 $133,371.04 $77,579.40 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 37 — — $12,658.20 $146,873.07 $75,584.06 2026-05-06
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 37 — — $29,339.58 $229,530.84 $75,500.95 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 37 — — $20,834.78 $145,303.89 $74,165.92 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 37 — — $39,888.37 $136,884.69 $74,043.16 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 37 — — $34,762.69 $205,230.51 $73,998.35 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 48 37 — — $33,450.35 $129,474.49 $73,594.65 2026-05-06
276 OTHER Non-maligant Breast Disorders 48 37 — — $42,447.46 $207,994.56 $73,418.49 2026-05-06
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 37 — — $49,820.46 $286,082.92 $71,952.80 2026-05-06
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 37 — — $37,033.21 $153,891.25 $71,890.29 2026-05-06
245 OTHER Aicd Generator Procedures 48 37 — — $29,233.87 $116,550.18 $71,816.47 2026-05-06
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 37 — — $28,562.27 $156,738.40 $71,760.39 2026-05-06
277 OTHER Cellulitis Age >17 W Cc 48 37 — — $38,330.46 $186,329.60 $71,281.24 2026-05-06
C1605 HCPCS Hc Aveir Ntap C1605 48 40 $118,705.00 $77,158.25 35% off $14,244.60 $110,395.65 $70,985.59 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 37 — — $30,664.87 $131,892.42 $70,747.34 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 48 37 — — $35,527.06 $267,275.59 $70,155.81 2026-05-06
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 48 37 — — $35,381.18 $104,768.28 $69,783.98 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 48 37 — — $33,047.39 $172,104.12 $69,149.00 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 37 — — $20,891.43 $119,963.66 $69,093.72 2026-05-06
28 OTHER Spinal Procedures With Mcc 48 37 — — $23,349.49 $165,745.51 $69,075.28 2026-05-06
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 37 — — $23,840.05 $167,214.62 $68,236.69 2026-05-06
799 OTHER Splenectomy With Mcc 48 37 — — $21,796.63 $113,401.98 $67,599.30 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 37 — — $27,844.54 $136,344.24 $66,943.01 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 37 — — $10,184.35 $128,677.91 $65,912.46 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 48 37 — — $32,146.28 $132,388.78 $65,361.39 2026-05-06
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 37 — — $15,929.18 $136,091.66 $64,141.35 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 48 37 — — $32,690.63 $103,535.60 $63,698.77 2026-05-06
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 37 — — $30,493.71 $120,794.06 $63,266.38 2026-05-06
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 37 — — $20,188.88 $160,412.07 $62,716.68 2026-05-06
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 48 37 — — $31,852.48 $143,250.32 $62,682.79 2026-05-06
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 48 37 — — $26,891.45 $156,486.60 $62,393.33 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 37 — — $16,165.12 $109,784.82 $61,392.38 2026-05-06
278 OTHER Cellulitis Age >17 Without Cc 48 37 — — $11,544.75 $119,328.71 $60,296.79 2026-05-06
901 OTHER Wound Debridements For Injuries With Mcc 48 37 — — $12,991.08 $105,667.43 $59,329.25 2026-05-06
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 48 37 — — $33,041.21 $124,291.29 $56,965.35 2026-05-06
323 OTHER Urinary Stones W Cc, &/or Esw Lithotripsy 48 37 — — $25,869.45 $160,694.31 $56,609.00 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 48 37 — — $23,358.83 $121,506.21 $56,535.55 2026-05-06
904 OTHER Skin Grafts For Injuries With Cc/mcc 48 37 — — $10,485.14 $102,554.56 $56,519.85 2026-05-06
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 37 — — $17,375.75 $167,148.60 $56,212.04 2026-05-06
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 37 — — $11,709.78 $101,709.13 $56,082.17 2026-05-06
265 OTHER Aicd Lead Procedures 48 37 — — $28,554.76 $85,077.72 $55,892.68 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 37 — — $19,447.78 $113,380.51 $55,709.15 2026-05-06
31 OTHER Ventricular Shunt Procedures With Mcc 48 37 — — $16,682.54 $109,582.15 $55,650.23 2026-05-06
332 OTHER Rectal Resection With Mcc 48 37 — — $24,480.11 $82,728.50 $53,604.31 2026-05-06
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 37 — — $17,005.50 $111,036.70 $53,379.61 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 48 37 — — $27,106.14 $132,312.54 $53,361.30 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 48 37 — — $19,150.53 $133,676.73 $53,284.92 2026-05-06
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 48 37 — — $29,360.02 $93,813.92 $53,164.87 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 37 — — $31,162.68 $187,111.74 $53,128.77 2026-05-06
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 48 37 — — $10,889.85 $94,944.46 $52,917.15 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 48 37 — — $32,603.55 $129,654.39 $52,819.74 2026-05-06
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 37 — — $17,017.76 $106,960.10 $52,778.86 2026-05-06
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 37 — — $16,048.32 $105,835.11 $52,632.50 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 37 — — $20,188.88 $107,601.66 $52,610.87 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 45 35 — — $654,252.67 $2,288,048.80 $1,075,099.67 2026-05-06
Rx50633021011_C9293_102000_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 45 34 $148,225.00 $96,346.25 35% off $19,269.25 $148,225.00 $74,112.50 2026-05-06
14 OTHER Allogeneic Bone Marrow Transplant 44 34 — — $31,105.63 $273,234.47 $152,170.05 2026-05-06
650 OTHER Kidney Transplant With Hemodialysis With Mcc 44 34 — — $38,065.36 $189,318.00 $113,691.68 2026-05-06
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 44 34 — — $29,415.55 $175,317.80 $102,366.68 2026-05-06
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 44 34 — — $48,967.04 $141,557.60 $95,262.32 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 34 — — $13,095.12 $164,393.20 $88,744.16 2026-05-06
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 44 34 — — $15,118.50 $124,609.15 $69,863.82 2026-05-06
7 OTHER Lung Transplant 42 34 — — $217,826.73 $1,730,277.76 $974,052.24 2026-05-06
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 42 34 — — $237,903.69 $677,273.62 $457,588.66 2026-05-06
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 34 — — $181,274.54 $602,309.54 $391,792.04 2026-05-06
6 OTHER Liver Transplant Without Mcc 42 34 — — $85,893.68 $490,405.16 $288,149.42 2026-05-06
8 OTHER Simultaneous Pancreas And Kidney Transplant 42 34 — — $93,437.27 $473,552.32 $283,494.79 2026-05-06
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 42 34 — — $106,777.94 $378,849.96 $242,813.95 2026-05-06
10 OTHER Pancreas Transplant 42 34 — — $74,266.87 $291,126.68 $182,696.77 2026-05-06
652 OTHER Kidney Transplant 42 34 — — $24,570.97 $141,711.22 $83,141.10 2026-05-06
Sx00000265876_C1825_102000_000 OTHER System Barostim Neo2 Kit 35 25 $96,250.00 $62,562.50 35% off $12,512.50 $96,250.00 $69,685.00 2026-05-06
Sx00000216398_00000_102000_000 OTHER Custom Extendible P Tibia 33 26 $166,500.00 $108,225.00 35% off $833.36 $173,500.95 $88,078.50 2026-05-28
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 25 — — $13,419.15 $374,649.90 $102,435.61 2026-05-06
Sx00000148537_C1767_102000_000 OTHER Generator Sentive Vns 32 24 $93,654.41 $60,875.37 35% off $12,175.07 $93,654.41 $67,712.13 2026-05-06
Sx00000208241_C1776_102000_000 OTHER Stem 16.5 8 32 24 $73,961.25 $48,074.81 35% off $9,614.96 $73,961.25 $53,473.99 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 31 25 — — $5,600.00 $218,924.50 $77,759.56 2026-05-06
Sx00000268839_00000_102000_000 OTHER Kit NeuRx Dps 31 23 $100,375.00 $65,243.75 35% off $13,048.75 $100,375.00 $72,671.50 2026-05-06
Sx00000062345_00000_102000_000 OTHER Transcatheter Sapien 3 29mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000192129_00000_102000_000 OTHER Transcath Ultra S3 Ultra 23mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195425_00000_102000_000 OTHER Valve 25mm Lotus With 15f Isleeve 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000192128_00000_102000_000 OTHER Transcath Ultra S3 Ultra 20mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195429_00000_102000_000 OTHER Valve 27mm Lotus And Large Lotus 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000062343_00000_102000_000 OTHER Transcatheter Sapien 3 20mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000264286_00000_102000_000 OTHER Valve Tavr Sapien 3 Ultra Comm Sys 20mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000118467_00000_102000_000 OTHER Valve Certitude 26mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195427_00000_102000_000 OTHER Valve 23mm Lotus And Large Lotus 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000062346_00000_102000_000 OTHER Transcatheter Sapien 3 23mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000192130_00000_102000_000 OTHER Transcath Ultra S3 Ultra 26mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000118468_00000_102000_000 OTHER Valve Certitude 29mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195424_00000_102000_000 OTHER Valve 23mm Lotus With 15f Isleeve 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000148134_00000_102000_000 OTHER Valve 20mm Certitude 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000062344_00000_102000_000 OTHER Transcatheter Sapien 3 26mm 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195426_00000_102000_000 OTHER Valve 27mm Lotus With 15f Isleeve 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000195428_00000_102000_000 OTHER Valve 25mm Lotus And Large Lotus 31 23 $89,375.00 $58,093.75 35% off $11,618.75 $89,375.00 $64,707.50 2026-05-06
Sx00000240844_00000_102000_000 OTHER Cnterpc Vbr 20 Mm Ht 5387 Mm 31 23 $82,522.00 $53,639.30 35% off $10,727.86 $82,522.00 $59,745.93 2026-05-06
Sx00000240845_00000_102000_000 OTHER Cnterpc Vbr 20 Mm Ht 76132 Mm 31 23 $82,522.00 $53,639.30 35% off $10,727.86 $82,522.00 $59,745.93 2026-05-06
Sx00000015949_00000_102000_000 OTHER Corevalve 23mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000062349_00000_102000_000 OTHER Valve Evolut R Transcath 29mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000192114_00000_102000_000 OTHER Valve Aort Evolutpro Plus 29mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000192115_00000_102000_000 OTHER Valve Aort Evolutpro Plus 34mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000062347_00000_102000_000 OTHER Valve Evolut R Transcath 23mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000192112_00000_102000_000 OTHER Valve Aort Evolutpro Plus 23mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000075478_00000_102000_000 OTHER Cath Trans Evolut R 34mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000101267_00000_102000_000 OTHER Evolutpro 26mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000062348_00000_102000_000 OTHER Valve Evolut R Transcath 26mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000022701_00000_102000_000 OTHER Corevalve 31mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000195430_00000_102000_000 OTHER Mictraclip G4 System 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000027010_00000_102000_000 OTHER Corevalve 26mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000002826_00000_102000_000 OTHER Corevalve 29mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000101268_00000_102000_000 OTHER Evolutpro 29mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
Sx00000192113_00000_102000_000 OTHER Valve Aort Evolutpro Plus 26mm 31 23 $82,500.00 $53,625.00 35% off $10,725.00 $82,500.00 $59,730.00 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 31 25 — — $5,600.00 $141,579.10 $58,083.55 2026-05-06
Sx00000240839_00000_102000_000 OTHER Cnterpc Vbr 20 Mm Ht 2028 Mm 31 23 $78,512.50 $51,033.13 35% off $10,206.63 $78,512.50 $56,843.05 2026-05-06
Sx00000240842_00000_102000_000 OTHER Cnterpc Vbr 20 Mm Ht 3247 Mm 31 23 $78,512.50 $51,033.13 35% off $10,206.63 $78,512.50 $56,843.05 2026-05-06
Sx00000192126_00000_102000_000 OTHER Valve 27mm Lotus Edge Sys 31 23 $77,000.00 $50,050.00 35% off $10,010.00 $77,000.00 $55,748.00 2026-05-06
Sx00000192125_00000_102000_000 OTHER Valve 25mm Lotus Edge Sys 31 23 $77,000.00 $50,050.00 35% off $10,010.00 $77,000.00 $55,748.00 2026-05-06
Sx00000248921_00000_102000_000 OTHER Ipg Kit Nipg2000 31 23 $74,250.00 $48,262.50 35% off $9,652.50 $74,250.00 $53,757.00 2026-05-06
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 31 25 — — $5,600.00 $126,300.30 $53,564.59 2026-05-06
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 25 — — $3,054.90 $759,369.02 $250,437.07 2026-05-06
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 25 — — $3,054.90 $516,079.53 $191,860.57 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 30 25 — — $16,848.40 $592,708.51 $177,973.20 2026-05-06
570 OTHER Skin Debridement With Mcc 30 25 — — $12,825.22 $449,415.11 $124,604.50 2026-05-06
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 25 — — $2,871.53 $159,291.76 $57,923.88 2026-05-06
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 24 — — $2,300.38 $565,788.78 $207,756.63 2026-05-06
MS-DRG 018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 28 $2,860,061.00 $1,859,039.65 35% off $458,389.23 $2,431,051.85 $937,106.47 2026-05-28
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 28 $949,211.27 $616,987.33 35% off $3,146.55 $806,829.58 $294,929.80 2026-05-28
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 28 $645,099.41 $419,314.62 35% off $3,146.55 $561,346.22 $232,739.84 2026-05-28
MS-DRG 237 OTHER Major Cardiovasc Procedures W Mcc 28 28 $715,523.45 $465,090.24 35% off $95,134.99 $715,523.45 $230,782.30 2026-05-28
MS-DRG 969 OTHER HIV With Extensive O.r. Procedures With Mcc 28 28 $740,885.64 $481,575.67 35% off $17,353.85 $629,752.79 $221,426.23 2026-05-28
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 28 28 $557,980.25 $362,687.16 35% off $42,267.61 $474,283.21 $176,453.83 2026-05-28
MS-DRG 570 OTHER Skin Debridement With Mcc 28 28 $561,768.89 $365,149.78 35% off $13,209.98 $477,503.56 $160,594.01 2026-05-28
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 28 $540,754.16 $351,490.20 35% off $33,464.38 $459,641.04 $158,248.38 2026-05-28
MS-DRG 837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 28 $468,312.38 $304,403.05 35% off $2,028.00 $398,065.52 $147,975.96 2026-05-28
MS-DRG 163 OTHER Major Chest Procedures With Mcc 28 28 $460,004.33 $299,002.81 35% off $30,095.85 $391,003.68 $129,305.99 2026-05-28
MS-DRG 653 OTHER Major Bladder Procedures With Mcc 28 28 $432,627.77 $281,208.05 35% off $41,291.80 $367,733.60 $121,887.93 2026-05-28
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 28 $387,183.73 $251,669.42 35% off $12,443.56 $329,106.17 $114,637.12 2026-05-28
MS-DRG 215 OTHER Other Heart Assist System Implant 28 28 $335,128.60 $217,833.59 35% off $17,242.04 $284,859.31 $107,843.28 2026-05-28
MS-DRG 471 OTHER Cervical Spinal Fusion With Mcc 28 28 $389,336.94 $253,069.01 35% off $25,517.08 $330,936.40 $105,946.43 2026-05-28
MS-DRG 021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 28 $369,444.80 $240,139.12 35% off $9,377.60 $314,028.08 $103,771.73 2026-05-28
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 28 28 $381,082.36 $247,703.53 35% off $27,191.11 $323,920.01 $103,642.17 2026-05-28
MS-DRG 216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $303,808.65 $197,475.62 35% off $8,756.36 $258,237.35 $96,617.29 2026-05-28
MS-DRG 022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 28 $357,603.65 $232,442.37 35% off $33,715.19 $303,963.10 $95,697.76 2026-05-28
MS-DRG 456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 28 $325,502.69 $211,576.75 35% off $13,216.46 $276,677.29 $92,521.61 2026-05-28
MS-DRG 129 OTHER Major Head & Neck Procedures W Cc/mcc Or Major Device 28 28 $309,506.05 $201,178.93 35% off $38,379.34 $309,506.05 $92,462.80 2026-05-28
MS-DRG 238 OTHER Major Cardiovasc Procedures Without Mcc 28 28 $300,874.70 $195,568.55 35% off $28,236.83 $300,874.70 $90,638.92 2026-05-28
MS-DRG 453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 28 28 $273,655.62 $177,876.15 35% off $14,014.20 $232,607.28 $88,064.49 2026-05-28
MS-DRG 230 OTHER Other Cardiothoracic Procedures Without Cc/mcc 28 28 $288,760.15 $187,694.10 35% off $23,191.93 $288,760.15 $87,177.72 2026-05-28
MS-DRG 219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 $302,432.06 $196,580.84 35% off $11,174.58 $257,067.25 $84,367.26 2026-05-28
MS-DRG 223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 28 28 $290,106.23 $188,569.05 35% off $17,438.43 $246,590.30 $76,411.86 2026-05-28
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 28 $286,913.55 $186,493.81 35% off $10,236.29 $243,876.52 $75,223.31 2026-05-28
MS-DRG 233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 28 $215,419.13 $140,022.43 35% off $10,639.78 $183,106.26 $74,958.31 2026-05-28
MS-DRG 347 OTHER Anal And Stomal Procedures With Mcc 28 28 $294,993.23 $191,745.60 35% off $10,121.78 $250,744.25 $74,387.80 2026-05-28
MS-DRG 197 OTHER Interstitial Lung Disease With Cc 28 28 $296,166.91 $192,508.49 35% off $12,325.68 $251,741.87 $73,204.43 2026-05-28
MS-DRG 222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 28 28 $159,375.10 $103,593.82 35% off $14,337.22 $175,603.02 $72,598.35 2026-05-28
MS-DRG 650 OTHER Kidney Transplant With Hemodialysis With Mcc 28 28 $236,647.50 $153,820.88 35% off $10,262.28 $236,647.50 $67,805.89 2026-05-28
MS-DRG 224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 28 28 $35,291.23 $22,939.30 35% off $10,686.25 $166,064.23 $65,520.22 2026-05-28
MS-DRG 266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 28 $187,383.61 $121,799.35 35% off $23,549.00 $159,276.07 $65,473.23 2026-05-28
MS-DRG 849 OTHER Radiotherapy 28 28 $266,108.00 $172,970.20 35% off $13,442.77 $226,191.80 $65,128.43 2026-05-28
MS-DRG 459 OTHER Spinal Fusion Except Cervical With Mcc 28 28 $176,973.88 $115,033.02 35% off $11,693.42 $150,427.80 $62,200.31 2026-05-28
MS-DRG 226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 28 28 $197,034.50 $128,072.43 35% off $8,159.21 $167,479.33 $62,185.55 2026-05-28
MS-DRG 820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 28 $159,643.33 $103,768.16 35% off $7,291.52 $149,629.02 $61,763.68 2026-05-28
MS-DRG 870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 28 28 $205,349.01 $133,476.86 35% off $6,372.96 $174,546.66 $61,291.38 2026-05-28
MS-DRG 246 OTHER Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 28 28 $251,843.09 $163,698.01 35% off $24,322.22 $214,066.63 $61,215.76 2026-05-28
MS-DRG 217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $162,028.05 $105,318.23 35% off $9,271.00 $143,192.30 $60,177.89 2026-05-28
MS-DRG 651 OTHER Kidney Transplant With Hemodialysis Without Mcc 28 28 $219,147.25 $142,445.71 35% off $9,835.43 $219,147.25 $60,171.35 2026-05-28
MS-DRG 895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 28 28 $245,827.15 $159,787.65 35% off $650.00 $208,953.08 $57,656.07 2026-05-28
MS-DRG 019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 28 $16,368.90 $10,639.78 35% off $4,327.25 $147,525.50 $57,527.88 2026-05-28
MS-DRG 457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 28 $73,807.86 $47,975.11 35% off $20,012.75 $143,466.17 $56,738.99 2026-05-28
MS-DRG 232 OTHER Coronary Bypass With Ptca Without Mcc 28 28 $194,247.61 $126,260.95 35% off $10,803.58 $165,110.47 $56,593.68 2026-05-28
MS-DRG 745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 28 28 $243,234.30 $158,102.30 35% off $7,228.47 $206,749.15 $56,354.32 2026-05-28
MS-DRG 011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 28 $225,144.85 $146,344.15 35% off $5,196.56 $191,373.12 $55,714.38 2026-05-28
MS-DRG 235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 28 28 $120,412.94 $78,268.41 35% off $10,861.22 $134,813.03 $55,585.74 2026-05-28
MS-DRG 267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 28 $166,713.80 $108,363.97 35% off $30,533.02 $141,706.73 $55,489.22 2026-05-28
MS-DRG 432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 28 28 $239,740.52 $155,831.34 35% off $10,740.74 $203,779.44 $55,199.40 2026-05-28
MS-DRG 485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 28 $233,889.68 $152,028.29 35% off $10,463.52 $198,806.23 $54,957.96 2026-05-28
MS-DRG 802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 28 $230,149.08 $149,596.90 35% off $7,385.74 $195,626.72 $54,884.00 2026-05-28
MS-DRG 454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 28 28 $89,596.60 $58,237.79 35% off $20,724.19 $134,570.10 $54,391.03 2026-05-28
MS-DRG 405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 28 28 $157,405.59 $102,313.63 35% off $5,869.33 $133,794.75 $53,179.70 2026-05-28
MS-DRG 218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $52,475.89 $34,109.33 35% off $11,602.65 $134,927.88 $53,005.04 2026-05-28
MS-DRG 834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 28 28 $39,815.60 $25,880.14 35% off $5,440.68 $133,666.80 $52,497.86 2026-05-28
MS-DRG 225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 28 28 $165,498.01 $107,573.71 35% off $15,565.48 $140,673.31 $52,341.40 2026-05-28
MS-DRG 927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 27 $465,667.50 $302,683.88 35% off $2,369.39 $475,658.77 $203,108.99 2026-05-28
MS-DRG 231 OTHER Coronary Bypass With Ptca With Mcc 27 27 $312,560.30 $203,164.20 35% off $55,249.01 $265,676.26 $103,856.60 2026-05-28
MS-DRG 461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 27 $373,981.41 $243,087.92 35% off $23,032.80 $317,884.20 $103,671.49 2026-05-28
MS-DRG 014 OTHER Allogeneic Bone Marrow Transplant 27 27 $38,882.04 $25,273.33 35% off $4,604.53 $235,808.47 $91,816.27 2026-05-28
MS-DRG 356 OTHER Other Digestive System O.r. Procedures With Mcc 27 27 $330,339.55 $214,720.71 35% off $15,452.45 $280,788.62 $87,765.85 2026-05-28
MS-DRG 970 OTHER HIV With Extensive O.r. Procedures Without Mcc 27 27 $290,321.10 $188,708.71 35% off $17,353.85 $246,772.94 $73,472.33 2026-05-28
MS-DRG 955 OTHER Craniotomy For Multiple Significant Trauma 27 27 $203,377.17 $132,195.16 35% off $35,144.41 $172,870.59 $71,182.01 2026-05-28
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 27 $179,465.74 $116,652.73 35% off $35,218.39 $163,895.43 $69,109.55 2026-05-28
MS-DRG 016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 27 27 $176,947.00 $115,015.55 35% off $4,288.82 $176,947.00 $62,485.75 2026-05-28
MS-DRG 928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 27 $58,306.05 $37,898.93 35% off $2,957.68 $144,254.65 $56,753.59 2026-05-28
MS-DRG 853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 27 $84,615.14 $54,999.84 35% off $20,794.55 $130,598.40 $52,805.39 2026-05-28
Rx00597003510_00000_102000_000 OTHER Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 26 23 $200,903.60 $130,587.34 35% off $26,117.47 $200,903.60 $144,650.59 2026-05-06
Rx00069033621_00000_102000_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 26 23 $85,454.10 $55,545.17 35% off $11,109.03 $85,454.10 $61,526.95 2026-05-06
Rx00591405094_00000_102000_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 26 23 $73,872.20 $48,016.93 35% off $9,603.39 $73,872.20 $53,187.99 2026-05-06
MS-DRG 007 OTHER Lung Transplant 25 25 $2,162,847.20 $1,405,850.68 35% off $350,322.40 $2,162,847.20 $756,996.52 2026-05-28
MS-DRG 002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 25 $752,886.92 $489,376.50 35% off $49,941.11 $752,886.92 $263,510.42 2026-05-28
MS-DRG 006 OTHER Liver Transplant Without Mcc 25 25 $613,006.45 $398,454.19 35% off $77,499.58 $613,006.45 $214,552.26 2026-05-28
MS-DRG 008 OTHER Simultaneous Pancreas And Kidney Transplant 25 25 $591,940.40 $384,761.26 35% off $72,183.04 $591,940.40 $207,179.14 2026-05-28
MS-DRG 005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 25 25 $473,562.45 $307,815.59 35% off $17,457.12 $473,562.45 $165,746.86 2026-05-28
MS-DRG 010 OTHER Pancreas Transplant 25 25 $363,908.35 $236,540.43 35% off $35,774.96 $363,908.35 $127,367.92 2026-05-28
MS-DRG 652 OTHER Kidney Transplant 25 25 $177,139.02 $115,140.36 35% off $10,156.29 $177,139.02 $59,695.85 2026-05-28
MS-DRG 001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 24 24 $846,592.03 $550,284.82 35% off $266,970.79 $846,592.03 $399,022.93 2026-05-28
MS-DRG 104 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 14 $599,559.59 $389,713.73 35% off $41,217.09 $599,559.59 $412,197.22 2026-05-28
MS-DRG 213 OTHER Amputation For Musculoskeletal System & Conn Tissue Disorders 14 14 $382,425.60 $248,576.64 35% off $49,984.11 $382,425.60 $262,917.60 2026-05-28
MS-DRG 105 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 14 $372,415.27 $242,069.93 35% off $23,276.20 $372,415.27 $256,035.50 2026-05-28
MS-DRG 402 OTHER Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 14 14 $253,839.77 $164,995.85 35% off $23,976.81 $253,839.77 $174,514.85 2026-05-28
MS-DRG 277 OTHER Cellulitis Age >17 W Cc 14 14 $232,912.00 $151,392.80 35% off $21,899.82 $232,912.00 $160,127.00 2026-05-28
MS-DRG 399 OTHER Reticuloendothelial & Immunity Disorders Without Cc 14 14 $180,382.64 $117,248.72 35% off $15,341.35 $180,382.64 $124,013.07 2026-05-28
MS-DRG 531 OTHER Spinal Procedures W Cc 14 14 $152,879.40 $99,371.61 35% off $7,895.76 $152,879.40 $105,104.59 2026-05-28
MS-DRG 212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 14 14 $148,868.05 $96,764.23 35% off $11,361.08 $148,868.05 $102,346.79 2026-05-28
MS-DRG 112 OTHER No Longer Valid 14 14 $137,461.40 $89,349.91 35% off $13,206.57 $137,461.40 $94,504.71 2026-05-28
MS-DRG 107 OTHER No Longer Valid 14 14 $131,788.55 $85,662.56 35% off $10,861.22 $131,788.55 $90,604.63 2026-05-28
MS-DRG 120 OTHER Other Circulatory System O.r. Procedures 14 14 $122,985.83 $79,940.79 35% off $4,517.65 $122,985.83 $84,552.76 2026-05-28
MS-DRG 360 OTHER Vagina, Cervix & Vulva Procedures 14 14 $99,949.81 $64,967.38 35% off $7,637.83 $99,949.81 $68,715.49 2026-05-28
MS-DRG 567 OTHER Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 14 14 $92,298.76 $59,994.19 35% off $6,312.52 $92,298.76 $63,455.40 2026-05-28
MS-DRG 110 OTHER Major Cardiovascular Procedures W Cc 14 14 $85,727.51 $55,722.88 35% off $10,132.67 $85,727.51 $58,937.66 2026-05-28
MS-DRG 398 OTHER Reticuloendothelial & Immunity Disorders W Cc 14 14 $82,456.32 $53,596.61 35% off $4,024.19 $82,456.32 $56,688.72 2026-05-28
MS-DRG 045 OTHER Neurological Eye Disorders 14 14 $79,098.57 $51,414.07 35% off $5,417.31 $79,098.57 $54,380.26 2026-05-28
MS-DRG 451 OTHER Poisoning & Toxic Effects Of Drugs Age 0-17 14 14 $78,978.04 $51,335.73 35% off $3,017.97 $78,978.04 $54,297.40 2026-05-28
APR-DRG 621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 $1,331,706.75 $865,609.39 35% off $27,976.40 $383,923.96 $205,950.18 2026-05-28
APR-DRG 607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $1,365,907.92 $887,840.15 35% off $14,507.58 $393,443.59 $203,975.58 2026-05-28
APR-DRG 593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $990,884.00 $644,074.60 35% off $19,979.89 $280,032.63 $150,006.26 2026-05-28
APR-DRG 622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $769,040.26 $499,876.17 35% off $63,322.21 $215,490.25 $139,406.23 2026-05-28
APR-DRG 602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $861,472.00 $559,956.80 35% off $25,399.65 $241,121.32 $133,260.49 2026-05-28
APR-DRG 583-2 OTHER Neonate With Ecmo 2 2 $753,940.60 $490,061.39 35% off $27,002.45 $208,604.89 $117,803.67 2026-05-28
APR-DRG 593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $752,808.00 $489,325.20 35% off $19,979.89 $207,815.61 $113,897.75 2026-05-28
APR-DRG 602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $713,583.00 $463,828.95 35% off $25,399.65 $196,261.26 $110,830.46 2026-05-28
APR-DRG 607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $715,283.00 $464,933.95 35% off $14,507.58 $196,085.62 $105,296.60 2026-05-28
APR-DRG 603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $693,353.30 $450,679.65 35% off $14,952.51 $189,461.79 $102,207.15 2026-05-28
APR-DRG 630-1 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $619,098.30 $402,413.90 35% off $24,686.71 $167,555.38 $96,121.05 2026-05-28
APR-DRG 614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 $521,161.00 $338,754.65 35% off $41,860.38 $138,937.43 $90,398.90 2026-05-28
APR-DRG 603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $591,272.21 $384,326.94 35% off $14,952.51 $158,496.93 $86,724.72 2026-05-28
APR-DRG 607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $480,104.00 $312,067.60 35% off $14,507.58 $124,747.36 $69,627.47 2026-05-28
APR-DRG 603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $463,918.66 $301,547.13 35% off $14,952.51 $119,866.01 $67,409.26 2026-05-28
APR-DRG 602-1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $385,006.00 $250,253.90 35% off $25,399.65 $96,592.02 $60,995.83 2026-05-28
APR-DRG 593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $403,301.00 $262,145.65 35% off $19,979.89 $101,797.56 $60,888.72 2026-05-28
APR-DRG 630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $356,448.67 $231,691.64 35% off $24,686.71 $87,884.29 $56,285.50 2026-05-28
APR-DRG 623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 $326,803.00 $212,421.95 35% off $32,783.06 $79,405.53 $56,094.29 2026-05-28
APR-DRG 622-1 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $218,983.00 $142,338.95 35% off $48,638.08 $63,322.20 $55,980.14 2026-05-28
APR-DRG 630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $336,744.30 $218,883.80 35% off $24,686.71 $81,907.24 $53,296.98 2026-05-28
APR-DRG 955-1 OTHER Principal Diagnosis Invalid As Discharge Diagnosis 1 1 $9,508.00 $6,180.20 35% off $53,679.91 $53,679.91 $53,679.91 2026-05-28
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