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 LAURENS COUNTY HOSPITAL

Clinton, SC · CCN 420038 · Rates published

103,498 distinct procedures filed
172 distinct payers
7,097,458 rate rows
2026-05-28 last MRF observed
Data quality

7,029,257 of 7,097,458 rate rows are consumer-grade (99.0%)

68,201 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 24,566
template filing: same amount across many unrelated codes — excluded 20,791
per-diem day rate — not a per-procedure price 12,783
placeholder amount (≤ $0.02) — excluded from medians 6,319
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,368
percent-of-charges filed in the dollar field — excluded from medians 374
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/e97694dc-7094-40c3-bee3-66f231043d23/811723202_prisma-health-laurens-county-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 19b9f122716575f9… · 12,569,020 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
APR-DRG 589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $1,633,200.05 $1,633,200.05 $1,633,200.05 nat. median
$72,561
outlier · 22.5×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $654,252.67 $2,288,048.80 $1,471,150.74 nat. median
$386,529
outlier · 3.8×
MS-DRG 018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $458,389.23 $2,541,523.73 $1,067,434.13 nat. median
$1,001,021
1.1× median
APR-DRG 591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,056,934.24 $1,056,934.24 $1,056,934.24 nat. median
$1,423,762
0.7× median
7
OTHER 		Lung Transplant 34 $217,826.73 $1,730,277.76 $974,052.24 nat. median
$169,933
outlier · 5.7×
APR-DRG 591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $946,566.26 $946,566.26 $946,566.26 nat. median
$270,904
outlier · 3.5×
APR-DRG 611-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $925,684.99 $925,684.99 $925,684.99 nat. median
$1,246,961
0.7× median
MS-DRG 007
OTHER 		Lung Transplant 27 $349,502.85 $2,162,847.20 $912,721.52 nat. median
$1,038,167
0.9× median
Rx24338005008_C9399_1000017_000
OTHER 		Carmustine In Polifeprosan 77 Mg Wafer For Implant 26 $25.27 $1,902,341.00 $802,787.90 nat. median
$802,788
1.0× median
APR-DRG 609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $777,540.95 $777,540.95 $777,540.95 nat. median
$263,273
outlier · 3.0×
APR-DRG 588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $759,099.69 $759,099.69 $759,099.69 nat. median
$316,777
outlier · 2.4×
APR-DRG 588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $735,497.30 $735,497.30 $735,497.30 nat. median
$316,777
outlier · 2.3×
APR-DRG 607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $443,732.36 $861,887.90 $652,810.13 nat. median
$320,979
outlier · 2.0×
APR-DRG 621-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 $433,098.12 $840,306.96 $636,702.54 nat. median
$313,079
outlier · 2.0×
Q2056
CPT 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 83 $11,705.53 $2,582,193.36 $599,402.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 84 $399,062.20 $2,409,921.09 $594,857.87 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 84 $455,372.61 $2,749,977.43 $590,311.30 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 84 $444,144.86 $2,682,173.51 $585,985.81 nat. median
$625,184
0.9× median
APR-DRG 588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $584,534.98 $584,534.98 $584,534.98 nat. median
$242,676
outlier · 2.4×
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 84 $448,012.18 $2,705,528.10 $558,801.85 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 84 $377,084.40 $2,482,145.82 $538,395.22 nat. median
$620,080
0.9× median
APR-DRG 612-3
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $477,949.06 $477,949.06 $477,949.06 nat. median
$67,028
outlier · 7.1×
APR-DRG 608-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $476,358.85 $476,358.85 $476,358.85 nat. median
$641,688
0.7× median
APR-DRG 593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $315,777.30 $625,247.80 $470,512.55 nat. median
$231,492
outlier · 2.0×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $233,870.69 $677,273.62 $455,572.16 nat. median
$239,422
1.9× median
MS-DRG 104
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 15 $40,412.89 $599,559.59 $422,689.51 nat. median
$422,690
1.0× median
APR-DRG 602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $271,904.78 $543,588.83 $407,746.80 nat. median
$198,839
outlier · 2.1×
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 $195,507.21 $602,309.54 $398,908.38 nat. median
$111,558
outlier · 3.6×
MS-DRG 001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $296,307.21 $846,592.03 $395,603.32 nat. median
$297,722
1.3× median
APR-DRG 612-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $394,847.57 $394,847.57 $394,847.57 nat. median
$107,328
outlier · 3.7×
APR-DRG 591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $371,650.80 $371,650.80 $371,650.80 nat. median
$500,639
0.7× median
APR-DRG 622-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 $243,286.24 $485,264.40 $364,275.32 nat. median
$173,540
outlier · 2.1×
APR-DRG 583-2
OTHER 		Neonate With Ecmo 2 $235,218.65 $475,736.52 $355,477.59 nat. median
$175,803
outlier · 2.0×
APR-DRG 593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $234,270.54 $475,021.85 $354,646.20 nat. median
$172,455
outlier · 2.1×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $192,568.74 $491,573.77 $342,071.26 nat. median
$146,562
outlier · 2.3×
APR-DRG 607-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $220,986.98 $451,343.57 $336,165.28 nat. median
$160,902
outlier · 2.1×
APR-DRG 602-2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $221,274.09 $450,270.87 $335,772.48 nat. median
$161,241
outlier · 2.1×
MS-DRG 004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $83,492.06 $806,829.58 $335,751.15 nat. median
$142,253
outlier · 2.4×
APR-DRG 603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $213,514.71 $437,505.93 $325,510.32 nat. median
$159,194
outlier · 2.0×
MS-DRG 002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $49,022.11 $752,886.92 $317,718.28 nat. median
$351,471
0.9× median
APR-DRG 608-1
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $312,519.16 $312,519.16 $312,519.16 nat. median
$45,653
outlier · 6.8×
APR-DRG 630-1
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $188,869.80 $390,651.03 $289,760.42 nat. median
$133,887
outlier · 2.2×
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×
APR-DRG 603-2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $178,566.63 $373,092.76 $275,829.70 nat. median
$131,136
outlier · 2.1×
MS-DRG 003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $9,987.87 $645,830.69 $271,248.89 nat. median
$186,772
1.5× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $8,733.55 $759,369.02 $271,245.23 nat. median
$134,983
outlier · 2.0×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 37 $51,051.84 $592,708.51 $263,274.39 nat. median
$64,729
outlier · 4.1×
MS-DRG 006
OTHER 		Liver Transplant Without Mcc 27 $76,871.66 $613,006.45 $258,688.72 nat. median
$258,689
1.0× median
MS-DRG 213
OTHER 		Amputation For Musculoskeletal System & Conn Tissue Disorders 15 $49,453.29 $382,425.60 $256,225.15 nat. median
$269,610
1.0× median

Other procedures at this hospital

Browse this hospital's 103,498 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
             
APR-DRG 589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $2,588,273.00 $1,682,377.00 35% off $1,633,200.05 $1,633,200.05 $1,633,200.05 2026-05-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 92 35 — — $654,252.67 $2,288,048.80 $1,471,150.74 2026-05-23
MS-DRG 018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 29 $2,860,061.00 $1,859,040.00 35% off $458,389.23 $2,541,523.73 $1,067,434.13 2026-05-28
APR-DRG 591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,675,015.00 $1,088,760.00 35% off $1,056,934.24 $1,056,934.24 $1,056,934.24 2026-05-28
7 OTHER Lung Transplant 88 34 — — $217,826.73 $1,730,277.76 $974,052.24 2026-05-23
APR-DRG 591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,500,105.00 $975,068.00 35% off $946,566.26 $946,566.26 $946,566.26 2026-05-28
APR-DRG 611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $1,467,013.00 $953,558.00 35% off $925,684.99 $925,684.99 $925,684.99 2026-05-28
MS-DRG 007 OTHER Lung Transplant 27 27 $2,162,847.00 $1,405,851.00 35% off $349,502.85 $2,162,847.20 $912,721.52 2026-05-28
Rx24338005008_C9399_1000017_000 OTHER Carmustine In Polifeprosan 77 Mg Wafer For Implant 33 26 $1,902,341.00 $1,236,522.00 35% off $25.27 $1,902,341.00 $802,787.90 2026-05-28
APR-DRG 609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $1,232,236.00 $800,953.00 35% off $777,540.95 $777,540.95 $777,540.95 2026-05-28
APR-DRG 588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,203,011.00 $781,957.00 35% off $759,099.69 $759,099.69 $759,099.69 2026-05-28
APR-DRG 588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,165,606.00 $757,644.00 35% off $735,497.30 $735,497.30 $735,497.30 2026-05-28
APR-DRG 607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $1,365,908.00 $887,840.00 35% off $443,732.36 $861,887.90 $652,810.13 2026-05-28
APR-DRG 621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 $1,331,707.00 $865,609.00 35% off $433,098.12 $840,306.96 $636,702.54 2026-05-28
Q2056 CPT Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 100 83 $2,776,552.00 $1,804,758.80 35% off $11,705.53 $2,582,193.36 $599,402.57 2026-03-01
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 101 84 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $594,857.87 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 101 84 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $590,311.30 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 101 84 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $585,985.81 2026-03-01
APR-DRG 588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $926,363.00 $602,136.00 35% off $584,534.98 $584,534.98 $584,534.98 2026-05-28
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 101 84 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $558,801.85 2026-03-01
Q2053 HCPCS Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 133 84 $2,668,974.00 $1,734,833.10 35% off $377,084.40 $2,482,145.82 $538,395.22 2026-03-01
APR-DRG 612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $757,447.00 $492,341.00 35% off $477,949.06 $477,949.06 $477,949.06 2026-05-28
APR-DRG 608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $754,927.00 $490,702.00 35% off $476,358.85 $476,358.85 $476,358.85 2026-05-28
APR-DRG 593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $990,884.00 $644,075.00 35% off $315,777.30 $625,247.80 $470,512.55 2026-05-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 88 34 — — $233,870.69 $677,273.62 $455,572.16 2026-05-23
MS-DRG 104 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 15 15 $599,560.00 $389,714.00 35% off $40,412.89 $599,559.59 $422,689.51 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 $559,957.00 35% off $271,904.78 $543,588.83 $407,746.80 2026-05-28
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 88 34 — — $195,507.21 $602,309.54 $398,908.38 2026-05-23
MS-DRG 001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 26 26 $846,592.00 $550,285.00 35% off $296,307.21 $846,592.03 $395,603.32 2026-05-28
APR-DRG 612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $625,749.00 $406,737.00 35% off $394,847.57 $394,847.57 $394,847.57 2026-05-28
APR-DRG 591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $588,987.00 $382,842.00 35% off $371,650.80 $371,650.80 $371,650.80 2026-05-28
APR-DRG 622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $769,040.00 $499,876.00 35% off $243,286.24 $485,264.40 $364,275.32 2026-05-28
APR-DRG 583-2 OTHER Neonate With Ecmo 2 2 $753,941.00 $490,061.00 35% off $235,218.65 $475,736.52 $355,477.59 2026-05-28
APR-DRG 593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $752,808.00 $489,325.00 35% off $234,270.54 $475,021.85 $354,646.20 2026-05-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 96 37 — — $192,568.74 $491,573.77 $342,071.26 2026-05-23
APR-DRG 607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $715,283.00 $464,934.00 35% off $220,986.98 $451,343.57 $336,165.28 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 $463,829.00 35% off $221,274.09 $450,270.87 $335,772.48 2026-05-28
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 29 $949,211.00 $616,987.00 35% off $83,492.06 $806,829.58 $335,751.15 2026-05-28
APR-DRG 603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $693,353.00 $450,680.00 35% off $213,514.71 $437,505.93 $325,510.32 2026-05-28
MS-DRG 002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 27 $752,887.00 $489,376.00 35% off $49,022.11 $752,886.92 $317,718.28 2026-05-28
APR-DRG 608-1 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $495,276.00 $321,929.00 35% off $312,519.16 $312,519.16 $312,519.16 2026-05-28
APR-DRG 630-1 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $619,098.00 $402,414.00 35% off $188,869.80 $390,651.03 $289,760.42 2026-05-28
6 OTHER Liver Transplant Without Mcc 88 34 — — $85,893.68 $490,405.16 $288,149.42 2026-05-23
8 OTHER Simultaneous Pancreas And Kidney Transplant 88 34 — — $93,437.27 $473,552.32 $283,494.79 2026-05-23
APR-DRG 603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $591,272.00 $384,327.00 35% off $178,566.63 $373,092.76 $275,829.70 2026-05-28
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 29 $645,099.00 $419,315.00 35% off $9,987.87 $645,830.69 $271,248.89 2026-05-28
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 24 — — $8,733.55 $759,369.02 $271,245.23 2026-05-23
969 OTHER HIV With Extensive O.r. Procedures With Mcc 96 37 — — $51,051.84 $592,708.51 $263,274.39 2026-05-23
MS-DRG 006 OTHER Liver Transplant Without Mcc 27 27 $613,006.00 $398,454.00 35% off $76,871.66 $613,006.45 $258,688.72 2026-05-28
MS-DRG 213 OTHER Amputation For Musculoskeletal System & Conn Tissue Disorders 15 15 $382,426.00 $248,577.00 35% off $49,453.29 $382,425.60 $256,225.15 2026-05-28
APR-DRG 631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $404,588.00 $262,982.00 35% off $255,294.87 $255,294.87 $255,294.87 2026-05-28
MS-DRG 969 OTHER HIV With Extensive O.r. Procedures With Mcc 29 29 $740,886.00 $481,576.00 35% off $71,627.25 $629,752.79 $251,108.48 2026-05-28
MS-DRG 237 OTHER Major Cardiovasc Procedures W Mcc 29 29 $715,523.00 $465,090.00 35% off $94,492.24 $715,523.45 $250,433.21 2026-05-28
MS-DRG 008 OTHER Simultaneous Pancreas And Kidney Transplant 27 27 $591,940.00 $384,761.00 35% off $71,549.28 $591,940.40 $249,798.85 2026-05-28
MS-DRG 105 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 15 15 $372,415.00 $242,070.00 35% off $22,615.75 $372,415.27 $249,518.23 2026-05-28
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 88 34 — — $111,859.70 $378,849.96 $245,354.83 2026-05-23
APR-DRG 614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 $521,161.00 $338,755.00 35% off $156,710.72 $328,852.59 $242,781.66 2026-05-28
MS-DRG 927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 28 $465,668.00 $302,684.00 35% off $162,983.63 $546,032.95 $229,993.52 2026-05-28
APR-DRG 608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $356,791.00 $231,914.00 35% off $225,135.12 $225,135.12 $225,135.12 2026-05-28
APR-DRG 612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $351,791.00 $228,664.00 35% off $221,980.12 $221,980.12 $221,980.12 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 $312,068.00 35% off $140,472.02 $302,945.62 $221,708.82 2026-05-28
APR-DRG 603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $463,919.00 $301,547.00 35% off $134,966.37 $292,732.67 $213,849.52 2026-05-28
APR-DRG 612-1 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $335,158.00 $217,853.00 35% off $211,484.70 $211,484.70 $211,484.70 2026-05-28
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 29 29 $557,980.00 $362,687.00 35% off $42,444.97 $486,232.84 $204,216.72 2026-05-28
215 OTHER Other Heart Assist System Implant 96 37 — — $85,536.25 $444,575.63 $203,949.90 2026-05-23
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 24 — — $11,026.70 $516,079.53 $201,845.77 2026-05-23
MS-DRG 005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 27 27 $473,562.00 $307,816.00 35% off $16,660.21 $473,562.45 $199,843.35 2026-05-28
Rx64406005801_J2326_100092_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 84 33 $418,481.00 $272,012.65 35% off $85,788.60 $418,481.00 $194,582.45 2026-05-23
Rx64406005801_J2326_200000_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 84 33 $418,481.00 $272,012.65 35% off $85,788.60 $418,481.00 $194,582.45 2026-05-23
Rx64406005801_J2326_200004_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 84 33 $418,481.00 $272,012.65 35% off $85,788.60 $418,481.00 $194,582.45 2026-05-23
APR-DRG 611-1 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $307,680.00 $199,992.00 35% off $194,146.08 $194,146.08 $194,146.08 2026-05-28
APR-DRG 608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $303,433.00 $197,231.00 35% off $191,466.22 $191,466.22 $191,466.22 2026-05-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 37 — — $77,486.36 $306,533.71 $185,783.67 2026-05-23
APR-DRG 593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $403,301.00 $262,146.00 35% off $114,614.69 $254,482.93 $184,548.81 2026-05-28
10 OTHER Pancreas Transplant 88 34 — — $76,882.42 $291,126.68 $184,004.55 2026-05-23
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 37 — — $120,377.60 $432,603.33 $182,751.33 2026-05-23
MS-DRG 570 OTHER Skin Debridement With Mcc 29 29 $561,769.00 $365,150.00 35% off $34,782.41 $477,503.56 $181,607.29 2026-05-28
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 29 $540,754.00 $351,490.00 35% off $32,681.09 $459,641.04 $180,087.56 2026-05-28
Sx00000197247_00000_100092_000 OTHER Kit Implnt Lvad Heartmate 3 95 44 $290,840.00 $189,046.00 35% off $826.93 $290,840.00 $179,157.44 2026-05-28
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 96 37 — — $87,457.06 $265,411.83 $176,434.45 2026-05-23
APR-DRG 602-1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $385,006.00 $250,254.00 35% off $108,783.75 $242,938.79 $175,861.27 2026-05-28
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 32 27 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $172,736.00 2026-03-01
MS-DRG 837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 29 $468,312.00 $304,403.00 35% off $2,028.00 $408,557.69 $171,593.17 2026-05-28
APR-DRG 609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $269,570.00 $175,220.00 35% off $170,098.42 $170,098.42 $170,098.42 2026-05-28
MS-DRG 402 OTHER Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 15 15 $253,840.00 $164,996.00 35% off $23,444.20 $253,839.77 $170,072.65 2026-05-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 37 — — $68,737.07 $260,402.15 $162,742.20 2026-05-23
APR-DRG 630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $356,449.00 $231,692.00 35% off $98,950.10 $224,919.11 $161,934.60 2026-05-28
MS-DRG 277 OTHER Cellulitis Age >17 W Cc 15 15 $232,912.00 $151,393.00 35% off $21,378.23 $232,912.00 $156,051.04 2026-05-28
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 96 37 — — $83,900.96 $309,746.98 $155,176.17 2026-05-23
231 OTHER Coronary Bypass With Ptca With Mcc 96 37 — — $68,490.68 $250,048.24 $153,704.22 2026-05-23
APR-DRG 630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $336,744.00 $218,884.00 35% off $92,204.19 $212,485.65 $152,344.92 2026-05-28
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 96 37 — — $75,804.96 $446,384.20 $151,722.66 2026-05-23
14 OTHER Allogeneic Bone Marrow Transplant 90 34 — — $31,105.63 $269,396.28 $150,250.95 2026-05-23
MS-DRG 163 OTHER Major Chest Procedures With Mcc 29 29 $460,004.00 $299,003.00 35% off $47,039.66 $391,003.68 $149,247.28 2026-05-28
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 37 — — $62,522.11 $260,637.97 $148,946.88 2026-05-23
APR-DRG 623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 $326,803.00 $212,422.00 35% off $89,446.76 $206,212.69 $147,829.73 2026-05-28
MS-DRG 010 OTHER Pancreas Transplant 27 27 $363,908.00 $236,540.00 35% off $35,188.98 $363,908.35 $144,930.92 2026-05-28
Rx00597003510_00000_100092_000 OTHER Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 52 23 $200,903.60 $130,587.34 35% off $41,185.24 $200,903.60 $144,650.59 2026-05-23
APR-DRG 631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $226,378.00 $147,146.00 35% off $142,844.77 $142,844.77 $142,844.77 2026-05-28
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 96 37 — — $51,947.84 $374,649.90 $139,381.04 2026-05-23
MS-DRG 653 OTHER Major Bladder Procedures With Mcc 29 29 $432,628.00 $281,208.00 35% off $40,662.81 $367,733.60 $138,596.30 2026-05-28
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 37 — — $62,242.03 $212,033.65 $137,137.84 2026-05-23
570 OTHER Skin Debridement With Mcc 54 24 — — $18,849.60 $449,415.11 $136,741.41 2026-05-23
653 OTHER Major Bladder Procedures With Mcc 96 37 — — $66,707.20 $346,102.22 $136,740.27 2026-05-23
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 29 $387,184.00 $251,669.00 35% off $11,710.80 $387,183.73 $135,514.31 2026-05-28
Rx71336100301_J0225_200004_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 110 34 $459,740.10 $298,831.07 35% off $9,894.77 $459,740.10 $133,297.61 2026-05-23
Rx71336100301_J0225_200000_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 110 34 $459,740.10 $298,831.07 35% off $9,894.77 $459,740.10 $133,297.61 2026-05-23
Rx71336100301_J0225_100092_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 110 34 $459,740.10 $298,831.07 35% off $9,894.77 $459,740.10 $133,297.61 2026-05-23
Sx00000196816_00000_100092_000 OTHER Implant Heartmate Ii 109 57 $226,600.00 $147,290.00 35% off $826.93 $226,600.00 $133,282.00 2026-05-28
Sx00000204485_00000_100092_000 OTHER Implant Hvad Pump 95 44 $205,287.50 $133,436.88 35% off $826.93 $205,287.50 $131,570.63 2026-05-28
APR-DRG 589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $207,541.00 $134,902.00 35% off $130,958.37 $130,958.37 $130,958.37 2026-05-28
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 96 37 — — $56,101.94 $223,938.22 $129,607.37 2026-05-23
163 OTHER Major Chest Procedures With Mcc 96 37 — — $45,895.36 $368,003.46 $129,018.36 2026-05-23
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 96 37 — — $59,356.34 $194,396.25 $126,876.29 2026-05-23
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 32 27 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $124,396.80 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 37 — — $51,111.37 $198,205.11 $123,679.17 2026-05-23
MS-DRG 471 OTHER Cervical Spinal Fusion With Mcc 29 29 $389,337.00 $253,069.00 35% off $45,154.18 $330,936.40 $122,224.80 2026-05-28
APR-DRG 636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 $193,245.00 $125,610.00 35% off $121,937.90 $121,937.90 $121,937.90 2026-05-28
MS-DRG 021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 29 $369,445.00 $240,139.00 35% off $9,426.80 $369,444.80 $121,248.84 2026-05-28
MS-DRG 399 OTHER Reticuloendothelial & Immunity Disorders Without Cc 15 15 $180,383.00 $117,249.00 35% off $14,840.36 $180,382.64 $120,856.37 2026-05-28
MS-DRG 461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 28 $373,981.00 $243,088.00 35% off $74,440.01 $317,884.20 $120,428.15 2026-05-28
Rx64406005801_J2326_1000017_000 OTHER Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml 33 26 $284,379.00 $184,846.00 35% off $826.93 $284,378.50 $120,007.73 2026-05-28
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 29 29 $381,082.00 $247,704.00 35% off $36,624.59 $323,920.01 $119,667.23 2026-05-28
MS-DRG 231 OTHER Coronary Bypass With Ptca With Mcc 28 28 $312,560.00 $203,164.00 35% off $92,637.15 $265,676.26 $118,047.58 2026-05-28
MS-DRG 215 OTHER Other Heart Assist System Implant 29 29 $335,129.00 $217,834.00 35% off $17,332.50 $288,892.93 $117,295.01 2026-05-28
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 96 37 — — $78,335.17 $299,185.13 $116,211.69 2026-05-23
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 96 37 — — $55,929.44 $304,865.89 $114,856.03 2026-05-23
276 OTHER Non-maligant Breast Disorders 96 37 — — $48,952.43 $192,736.82 $113,987.17 2026-05-23
APR-DRG 633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 $179,679.00 $116,791.00 35% off $113,377.45 $113,377.45 $113,377.45 2026-05-28
650 OTHER Kidney Transplant With Hemodialysis With Mcc 90 34 — — $36,654.48 $189,318.00 $112,986.24 2026-05-23
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 96 37 — — $76,466.47 $295,555.84 $111,013.36 2026-05-23
MS-DRG 022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 29 $357,604.00 $232,442.00 35% off $33,125.01 $357,603.65 $110,440.79 2026-05-28
MS-DRG 216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 29 $303,809.00 $197,476.00 35% off $8,802.30 $262,722.45 $110,343.43 2026-05-28
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 96 37 — — $55,196.57 $164,279.21 $109,737.89 2026-05-23
MS-DRG 356 OTHER Other Digestive System O.r. Procedures With Mcc 28 28 $330,340.00 $214,721.00 35% off $52,727.47 $280,788.62 $109,544.01 2026-05-28
APR-DRG 639-4 OTHER Neonate Birth Weight > 2499 Grams With Other Significant Condition 2 2 $249,939.00 $162,461.00 35% off $61,368.20 $157,711.74 $109,539.97 2026-05-28
955 OTHER Craniotomy For Multiple Significant Trauma 96 37 — — $54,146.19 $162,701.74 $108,423.96 2026-05-23
MS-DRG 129 OTHER Major Head & Neck Procedures W Cc/mcc Or Major Device 29 29 $309,506.00 $201,179.00 35% off $37,864.00 $309,506.05 $108,327.12 2026-05-28
MS-DRG 456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 29 $325,503.00 $211,577.00 35% off $12,552.35 $276,677.29 $108,247.07 2026-05-28
471 OTHER Cervical Spinal Fusion With Mcc 96 37 — — $59,253.60 $311,469.55 $108,166.08 2026-05-23
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 96 37 — — $46,410.85 $177,525.42 $108,113.74 2026-05-23
PX-8110000000 CDM Hc Living Donor Sac- Kidney 32 27 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $105,600.00 2026-03-01
MS-DRG 238 OTHER Major Cardiovasc Procedures Without Mcc 29 29 $300,875.00 $195,569.00 35% off $27,677.32 $300,874.70 $105,306.14 2026-05-28
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 37 — — $51,994.19 $229,530.84 $104,531.73 2026-05-23
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 96 37 — — $42,557.29 $180,115.88 $103,871.08 2026-05-23
MS-DRG 014 OTHER Allogeneic Bone Marrow Transplant 28 28 $38,882.00 $25,273.00 35% off $4,628.69 $270,464.12 $103,556.37 2026-05-28
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 90 34 — — $29,878.54 $175,317.80 $102,598.17 2026-05-23
MS-DRG 531 OTHER Spinal Procedures W Cc 15 15 $152,879.00 $99,372.00 35% off $7,937.19 $152,879.40 $102,429.20 2026-05-28
232 OTHER Coronary Bypass With Ptca Without Mcc 96 37 — — $48,250.26 $155,398.09 $101,824.18 2026-05-23
MS-DRG 230 OTHER Other Cardiothoracic Procedures Without Cc/mcc 29 29 $288,760.00 $187,694.00 35% off $22,618.64 $288,760.15 $101,066.05 2026-05-28
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 37 — — $41,789.79 $159,851.94 $100,820.87 2026-05-23
28 OTHER Spinal Procedures With Mcc 96 37 — — $48,011.01 $153,587.01 $100,799.01 2026-05-23
MS-DRG 453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 29 29 $273,656.00 $177,876.00 35% off $14,087.73 $239,599.65 $100,631.85 2026-05-28
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 96 37 — — $56,269.92 $286,082.92 $100,611.36 2026-05-23
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 37 — — $41,980.71 $158,754.68 $100,367.70 2026-05-23
Rx24338005008_C9399_200004_000 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 58 24 $149,273.80 $97,027.97 35% off $29.54 $149,273.80 $100,162.72 2026-05-23
Rx24338005008_C9399_200000_000 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 58 24 $149,273.80 $97,027.97 35% off $29.54 $149,273.80 $100,162.72 2026-05-23
Rx24338005008_C9399_100092_000 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 58 24 $149,273.80 $97,027.97 35% off $29.54 $149,273.80 $100,162.72 2026-05-23
MS-DRG 212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 15 15 $148,868.00 $96,764.00 35% off $11,420.69 $148,868.05 $99,741.59 2026-05-28
Rx68382039601_J3490_100092_000 OTHER Sodium Benzoate 10 Percent Sodium Phenylacetate 10 90 44 $140,598.00 $91,388.70 35% off $826.93 $284,700.00 $99,031.80 2026-05-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 61 49 — $197,075.32 $62,514.25 $260,364.08 $98,997.75 2026-03-01
MS-DRG 219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 29 $302,432.00 $196,581.00 35% off $11,233.21 $257,067.25 $98,724.92 2026-05-28
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 96 37 — — $47,284.26 $149,906.89 $98,595.57 2026-05-23
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 96 37 — — $39,468.61 $156,738.40 $96,902.30 2026-05-23
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 37 — — $41,597.25 $169,862.61 $96,885.46 2026-05-23
APR-DRG 622-1 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $218,983.00 $142,339.00 35% off $54,970.81 $138,178.27 $96,574.54 2026-05-28
C1823 HCPCS Hc Remede System 1001 76 30 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $96,380.62 2026-03-01
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 90 34 — — $47,653.77 $141,557.60 $94,605.68 2026-05-23
MS-DRG 970 OTHER HIV With Extensive O.r. Procedures Without Mcc 28 28 $290,321.00 $188,709.00 35% off $36,581.68 $246,772.94 $93,991.40 2026-05-28
270 OTHER Other Major Cardiovascular Procedures With Mcc 96 37 — — $40,256.00 $159,479.18 $93,663.71 2026-05-23
356 OTHER Other Digestive System O.r. Procedures With Mcc 96 37 — — $36,080.80 $264,271.64 $92,674.58 2026-05-23
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 12 12 — — $92,288.57 $98,748.77 $92,288.57 2026-03-01
MS-DRG 112 OTHER No Longer Valid 15 15 $137,461.00 $89,350.00 35% off $13,275.86 $137,461.40 $92,099.14 2026-05-28
228 OTHER Other Cardiothoracic Procedures With Mcc 96 37 — — $39,029.45 $247,669.21 $92,079.96 2026-05-23
38240 CPT Hc Hpc Allogeneic 62 54 $147,856.00 $96,106.40 35% off $6,553.27 $208,611.14 $91,670.72 2026-03-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 96 37 — — $39,176.94 $148,644.81 $91,344.22 2026-05-23
277 OTHER Cellulitis Age >17 W Cc 96 37 — — $36,920.83 $186,329.60 $89,549.08 2026-05-23
MS-DRG 223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 29 29 $290,106.00 $188,569.00 35% off $16,833.54 $246,590.30 $89,481.56 2026-05-28
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 96 37 — — $42,451.81 $134,644.92 $88,548.37 2026-05-23
MS-DRG 107 OTHER No Longer Valid 15 15 $131,789.00 $85,663.00 35% off $10,918.20 $131,788.55 $88,298.33 2026-05-28
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 37 — — $35,828.32 $142,602.34 $88,237.36 2026-05-23
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 34 — — $13,095.12 $161,152.50 $87,123.81 2026-05-23
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 96 37 — — $45,903.69 $127,714.66 $86,809.18 2026-05-23
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 96 37 — — $36,540.32 $136,344.24 $86,442.28 2026-05-23
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 29 $286,914.00 $186,494.00 35% off $9,596.95 $243,876.52 $86,002.13 2026-05-28
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 96 37 — — $47,736.42 $124,145.23 $85,940.82 2026-05-23
MS-DRG 233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 29 $215,419.00 $140,022.00 35% off $10,695.60 $204,159.27 $85,746.90 2026-05-28
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 37 — — $36,746.78 $133,371.04 $85,058.91 2026-05-23
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 96 37 — — $42,678.77 $125,924.47 $84,301.62 2026-05-23
MS-DRG 347 OTHER Anal And Stomal Procedures With Mcc 29 29 $294,993.00 $191,746.00 35% off $27,526.11 $250,744.25 $84,180.78 2026-05-28
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 58 25 — — $5,600.00 $218,924.50 $83,297.32 2026-05-23
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 37 — — $33,578.41 $190,175.53 $83,121.50 2026-05-23
MS-DRG 650 OTHER Kidney Transplant With Hemodialysis With Mcc 29 29 $236,648.00 $153,821.00 35% off $10,316.12 $236,647.50 $82,826.62 2026-05-28
652 OTHER Kidney Transplant 88 34 — — $23,366.39 $141,711.22 $82,538.80 2026-05-23
MS-DRG 197 OTHER Interstitial Lung Disease With Cc 29 29 $296,167.00 $192,508.00 35% off $12,325.68 $251,741.87 $82,445.73 2026-05-28
MS-DRG 120 OTHER Other Circulatory System O.r. Procedures 15 15 $122,986.00 $79,941.00 35% off $4,541.36 $122,985.83 $82,400.51 2026-05-28
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 96 37 — — $31,852.48 $132,741.99 $82,297.24 2026-05-23
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 96 37 — — $34,842.66 $145,007.30 $81,696.51 2026-05-23
329 OTHER Major Small And Large Bowel Procedures With Mcc 96 37 — — $35,822.58 $129,654.39 $81,473.91 2026-05-23
APR-DRG 625-3 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 $188,983.00 $122,839.00 35% off $43,617.27 $119,248.27 $81,432.77 2026-05-28
MS-DRG 222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 29 29 $159,375.00 $103,594.00 35% off $14,412.44 $201,410.55 $81,281.30 2026-05-28
MS-DRG 955 OTHER Craniotomy For Multiple Significant Trauma 28 28 $203,377.00 $132,195.00 35% off $61,584.83 $172,870.59 $80,737.71 2026-05-28
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 37 — — $45,224.44 $115,384.45 $80,304.45 2026-05-23
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 96 37 — — $32,564.79 $167,214.62 $80,093.48 2026-05-23
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 96 37 — — $31,822.58 $136,091.66 $78,996.23 2026-05-23
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 96 37 — — $37,326.88 $119,963.66 $78,645.27 2026-05-23
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 28 $179,466.00 $116,653.00 35% off $62,813.01 $187,982.30 $78,510.09 2026-05-28
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 32 27 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $77,440.00 2026-03-01
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 96 37 — — $31,891.40 $122,677.21 $77,284.30 2026-05-23
323 OTHER Urinary Stones W Cc, &/or Esw Lithotripsy 96 37 — — $33,098.29 $148,906.35 $77,223.36 2026-05-23
MS-DRG 651 OTHER Kidney Transplant With Hemodialysis Without Mcc 29 29 $219,147.00 $142,446.00 35% off $9,264.96 $219,147.25 $76,399.87 2026-05-28
C1605 HCPCS Hc Aveir Ntap C1605 38 30 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $75,971.20 2026-03-01
APR-DRG 631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $120,176.00 $78,114.00 35% off $75,830.93 $75,830.93 $75,830.93 2026-05-28
Rx30237890006_Q2043_100092_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 134 37 $586,116.90 $380,975.99 35% off $31,928.12 $586,116.90 $75,480.88 2026-05-23
Rx30237890006_Q2043_200004_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 134 37 $586,116.90 $380,975.99 35% off $31,928.12 $586,116.90 $75,480.88 2026-05-23
Rx30237890006_Q2043_200000_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 134 37 $586,116.90 $380,975.99 35% off $31,928.12 $586,116.90 $75,480.88 2026-05-23
MS-DRG 266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 29 $187,384.00 $121,799.00 35% off $23,672.55 $178,533.65 $74,984.13 2026-05-28
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 96 37 — — $29,517.78 $122,217.26 $74,910.06 2026-05-23
347 OTHER Anal And Stomal Procedures With Mcc 96 37 — — $41,121.92 $235,994.58 $74,611.49 2026-05-23
Rx50633021011_C9293_100092_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 90 34 $148,225.00 $96,346.25 35% off $29,860.20 $148,225.00 $74,112.50 2026-05-23
Rx50633021011_C9293_200004_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 90 34 $148,225.00 $96,346.25 35% off $29,860.20 $148,225.00 $74,112.50 2026-05-23
Rx50633021011_C9293_200000_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 90 34 $148,225.00 $96,346.25 35% off $29,860.20 $148,225.00 $74,112.50 2026-05-23
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 96 37 — — $32,526.39 $139,756.90 $74,064.25 2026-05-23
MS-DRG 849 OTHER Radiotherapy 29 29 $266,108.00 $172,970.00 35% off $20,643.30 $226,191.80 $73,735.26 2026-05-28
MS-DRG 224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 29 29 $35,291.00 $22,939.00 35% off $10,742.31 $190,469.85 $73,601.82 2026-05-28
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 96 37 — — $38,754.24 $232,256.88 $73,277.58 2026-05-23
MS-DRG 016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 28 28 $176,947.00 $115,016.00 35% off $4,311.32 $176,947.00 $73,170.30 2026-05-28
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 96 37 — — $31,872.56 $115,173.73 $72,675.35 2026-05-23
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 96 37 — — $29,530.28 $167,148.60 $72,612.92 2026-05-23
Sx00000268839_00000_100092_000 OTHER Kit NeuRx Dps 62 23 $100,375.00 $65,243.75 35% off $20,576.88 $100,375.00 $72,470.75 2026-05-23
Sx00000216398_00000_100092_000 OTHER Custom Extendible P Tibia 33 26 $166,500.00 $108,225.00 35% off $826.93 $166,500.00 $72,427.50 2026-05-28
197 OTHER Interstitial Lung Disease With Cc 96 37 — — $12,445.44 $236,933.53 $72,388.56 2026-05-23
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 96 37 — — $33,651.34 $110,486.12 $72,068.73 2026-05-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 32 27 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $72,000.64 2026-03-01
MS-DRG 870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 29 29 $205,349.00 $133,477.00 35% off $6,406.39 $174,546.66 $71,872.15 2026-05-28
MS-DRG 459 OTHER Spinal Fusion Except Cervical With Mcc 29 29 $176,974.00 $115,033.00 35% off $11,754.77 $170,569.45 $71,639.17 2026-05-28
166 OTHER Other Respiratory System O.r. Procedures With Mcc 96 37 — — $29,746.39 $113,315.89 $71,531.14 2026-05-23
MS-DRG 226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 29 29 $197,035.00 $128,072.00 35% off $8,202.02 $169,644.52 $71,250.70 2026-05-28
907 OTHER Other O.r. Procedures For Injuries With Mcc 96 37 — — $30,839.38 $123,870.68 $70,870.59 2026-05-23
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 96 37 — — $30,461.68 $109,784.82 $70,123.25 2026-05-23
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 37 — — $29,348.19 $111,933.04 $69,702.13 2026-05-23
MS-DRG 246 OTHER Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 29 29 $251,843.00 $163,698.00 35% off $23,793.52 $214,066.63 $69,490.70 2026-05-28
MS-DRG 820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 29 $159,643.00 $103,768.00 35% off $7,329.78 $171,626.97 $69,444.85 2026-05-28
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 96 37 — — $33,258.46 $184,119.26 $69,007.40 2026-05-23
MS-DRG 217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 29 $162,028.00 $105,318.00 35% off $9,319.64 $164,236.57 $68,375.84 2026-05-28
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 90 34 — — $15,118.50 $121,586.85 $68,352.68 2026-05-23
MS-DRG 232 OTHER Coronary Bypass With Ptca Without Mcc 29 29 $194,248.00 $126,261.00 35% off $10,860.26 $165,110.47 $67,986.66 2026-05-28
245 OTHER Aicd Generator Procedures 96 37 — — $38,238.79 $97,549.17 $67,893.98 2026-05-23
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 96 37 — — $31,525.17 $103,535.60 $67,530.38 2026-05-23
31 OTHER Ventricular Shunt Procedures With Mcc 96 37 — — $32,534.58 $101,543.59 $67,039.09 2026-05-23
MS-DRG 360 OTHER Vagina, Cervix & Vulva Procedures 15 15 $99,950.00 $64,967.00 35% off $7,677.90 $99,949.81 $66,966.37 2026-05-28
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 96 37 — — $34,191.28 $99,274.64 $66,732.96 2026-05-23
904 OTHER Skin Grafts For Injuries With Cc/mcc 96 37 — — $29,834.88 $102,554.56 $66,194.72 2026-05-23
799 OTHER Splenectomy With Mcc 96 37 — — $37,157.28 $94,787.95 $65,972.62 2026-05-23
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 37 — — $37,149.90 $94,769.12 $65,959.51 2026-05-23
140 OTHER Major Head And Neck Procedures With Mcc 96 37 — — $32,850.85 $147,696.34 $65,879.59 2026-05-23
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 96 37 — — $27,744.64 $102,990.88 $65,367.76 2026-05-23
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 96 37 — — $25,991.38 $132,312.54 $65,296.00 2026-05-23
271 OTHER Other Major Cardiovascular Procedures With Cc 96 37 — — $26,420.71 $103,686.92 $65,053.82 2026-05-23
MS-DRG 895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 29 29 $245,827.00 $159,788.00 35% off $650.00 $208,953.08 $65,045.12 2026-05-28
MS-DRG 011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 29 $225,145.00 $146,344.00 35% off $5,223.82 $191,373.12 $64,950.92 2026-05-28
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 96 37 — — $39,941.38 $101,896.10 $64,559.32 2026-05-23
Sx00000195424_00000_100092_000 OTHER Valve 23mm Lotus With 15f Isleeve 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000062344_00000_100092_000 OTHER Transcatheter Sapien 3 26mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000264286_00000_100092_000 OTHER Valve Tavr Sapien 3 Ultra Comm Sys 20mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000192130_00000_100092_000 OTHER Transcath Ultra S3 Ultra 26mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000062345_00000_100092_000 OTHER Transcatheter Sapien 3 29mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000192129_00000_100092_000 OTHER Transcath Ultra S3 Ultra 23mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000195429_00000_100092_000 OTHER Valve 27mm Lotus And Large Lotus 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000148134_00000_100092_000 OTHER Valve 20mm Certitude 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000195425_00000_100092_000 OTHER Valve 25mm Lotus With 15f Isleeve 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000195428_00000_100092_000 OTHER Valve 25mm Lotus And Large Lotus 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000192128_00000_100092_000 OTHER Transcath Ultra S3 Ultra 20mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000118467_00000_100092_000 OTHER Valve Certitude 26mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000118468_00000_100092_000 OTHER Valve Certitude 29mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000195426_00000_100092_000 OTHER Valve 27mm Lotus With 15f Isleeve 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000062343_00000_100092_000 OTHER Transcatheter Sapien 3 20mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000062346_00000_100092_000 OTHER Transcatheter Sapien 3 23mm 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
Sx00000195427_00000_100092_000 OTHER Valve 23mm Lotus And Large Lotus 62 23 $89,375.00 $58,093.75 35% off $18,321.88 $89,375.00 $64,528.75 2026-05-23
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 96 37 — — $27,045.05 $101,709.13 $64,377.09 2026-05-23
MS-DRG 019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 28 $16,369.00 $10,640.00 35% off $4,349.96 $103,078.32 $63,819.82 2026-05-28
252 OTHER Other Vascular Procedures With Mcc 96 37 — — $26,306.01 $100,891.25 $63,598.63 2026-05-23
849 OTHER Radiotherapy 96 37 — — $43,221.87 $212,886.40 $63,488.89 2026-05-23
MS-DRG 745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 29 29 $243,234.00 $158,102.00 35% off $14,320.80 $206,749.15 $63,467.30 2026-05-28
MS-DRG 485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 29 $233,890.00 $152,028.00 35% off $9,880.90 $198,806.23 $63,394.19 2026-05-28
MS-DRG 432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 29 29 $239,741.00 $155,831.00 35% off $18,208.42 $203,779.44 $63,252.25 2026-05-28
MS-DRG 928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 28 $58,306.00 $37,899.00 35% off $20,407.12 $165,455.02 $62,969.71 2026-05-28
MS-DRG 457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 29 $73,808.00 $47,975.00 35% off $20,117.75 $164,550.70 $62,736.68 2026-05-28
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 96 37 — — $24,893.48 $105,321.07 $62,689.43 2026-05-23
MS-DRG 802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 29 $230,149.00 $149,597.00 35% off $7,424.49 $195,626.72 $62,484.40 2026-05-28
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 96 37 — — $35,164.65 $89,700.50 $62,432.57 2026-05-23
459 OTHER Spinal Fusion Except Cervical With Mcc 58 25 — — $5,600.00 $141,579.10 $62,343.74 2026-05-23
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 96 37 — — $34,944.25 $89,137.78 $62,041.01 2026-05-23
APR-DRG 623-1 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 $150,522.00 $97,839.00 35% off $29,095.90 $94,979.38 $62,037.64 2026-05-28
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 96 37 — — $30,237.99 $93,813.92 $62,025.96 2026-05-23
MS-DRG 652 OTHER Kidney Transplant 27 27 $177,139.00 $115,140.00 35% off $10,209.57 $177,139.02 $61,998.66 2026-05-28
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 96 37 — — $32,618.88 $187,111.74 $61,971.52 2026-05-23
APR-DRG 630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $151,034.00 $98,172.00 35% off $28,625.17 $95,302.50 $61,963.83 2026-05-28
MS-DRG 567 OTHER Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 15 15 $92,299.00 $59,994.00 35% off $6,345.63 $92,298.76 $61,840.17 2026-05-28
APR-DRG 609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $97,811.00 $63,577.00 35% off $61,718.90 $61,718.90 $61,718.90 2026-05-28
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