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 TUOMEY HOSPITAL

Sumter, SC · CCN 420070 · Rates published

105,185 distinct procedures filed
136 distinct payers
3,253,411 rate rows
2026-05-28 last MRF observed
Data quality

3,224,659 of 3,253,411 rate rows are consumer-grade (99.1%)

28,752 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 13,902
per-diem day rate — not a per-procedure price 9,650
template filing: same amount across many unrelated codes — excluded 2,201
placeholder amount (≤ $0.02) — excluded from medians 1,398
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,261
percent-of-charges filed in the dollar field — excluded from medians 340
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/88054115-f6e3-43d9-b038-0c51582676d3/474914917_prisma-health-tuomey-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 09d16a927d12e3b8… · 13,428,224 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… 3 $2,646.00 $2,122,383.58 $2,122,383.58 nat. median
$72,561
outlier · 29.2×
APR-DRG 591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $1,373,512.00 $1,373,512.00 nat. median
$1,423,762
1.0× median
APR-DRG 591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $1,230,086.10 $1,230,086.10 nat. median
$270,904
outlier · 4.5×
APR-DRG 611-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $2,646.00 $1,202,950.39 $1,202,950.39 nat. median
$1,246,961
1.0× median
APR-DRG 609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $2,646.00 $1,010,433.56 $1,010,433.56 nat. median
$263,273
outlier · 3.8×
APR-DRG 588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $986,468.69 $986,468.69 nat. median
$316,777
outlier · 3.1×
APR-DRG 588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $955,796.81 $955,796.81 nat. median
$316,777
outlier · 3.0×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $16,602.00 $2,062,665.65 $861,120.60 nat. median
$386,529
outlier · 2.2×
7
OTHER 		Lung Transplant 27 $61,756.30 $1,501,364.40 $859,595.56 nat. median
$169,933
outlier · 5.1×
MS-DRG 018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $16,398.00 $2,459,652.46 $854,203.01 nat. median
$1,001,021
0.9× median
APR-DRG 588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $759,617.57 $759,617.57 nat. median
$242,676
outlier · 3.1×
MS-DRG 007
OTHER 		Lung Transplant 13 $284,869.87 $1,860,048.59 $629,903.09 nat. median
$1,038,167
0.6× median
APR-DRG 612-3
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $621,106.54 $621,106.54 nat. median
$67,028
outlier · 9.3×
APR-DRG 608-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $619,040.03 $619,040.03 nat. median
$641,688
1.0× median
APR-DRG 607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $1,120,044.49 $542,229.20 nat. median
$320,979
1.7× median
APR-DRG 621-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 $2,646.00 $1,091,999.53 $529,076.88 nat. median
$313,079
1.7× median
APR-DRG 612-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $513,114.11 $513,114.11 nat. median
$107,328
outlier · 4.8×
APR-DRG 591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $482,969.35 $482,969.35 nat. median
$500,639
1.0× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $40,197.65 $589,998.57 $416,781.68 nat. median
$239,422
1.7× median
APR-DRG 608-1
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $406,126.32 $406,126.32 nat. median
$45,653
outlier · 8.9×
APR-DRG 593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $2,646.00 $812,524.88 $383,010.21 nat. median
$231,492
1.7× median
MS-DRG 104
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 7 $40,271.13 $515,621.25 $359,735.75 nat. median
$422,690
0.9× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $342,952.74 $342,952.74 $342,952.74 nat. median
$0
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $14,159.52 $481,261.68 $337,593.85 nat. median
$111,558
outlier · 3.0×
APR-DRG 631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $2,646.00 $331,761.95 $331,761.95 nat. median
$343,900
1.0× median
APR-DRG 602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $706,407.04 $328,439.94 nat. median
$198,839
1.7× median
APR-DRG 622-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $630,613.01 $293,055.09 nat. median
$173,540
1.7× median
APR-DRG 608-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $292,568.62 $292,568.62 nat. median
$303,272
1.0× median
APR-DRG 612-2
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $288,468.62 $288,468.62 nat. median
$35,046
outlier · 8.2×
APR-DRG 583-2
OTHER 		Neonate With Ecmo 6 $2,646.00 $618,231.29 $282,790.28 nat. median
$175,803
1.6× median
APR-DRG 593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $2,646.00 $617,302.56 $281,566.97 nat. median
$172,455
1.6× median
APR-DRG 612-1
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $274,829.56 $274,829.56 nat. median
$31,124
outlier · 8.8×
MS-DRG 004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $34,864.00 $816,321.69 $267,744.53 nat. median
$142,253
1.9× median
APR-DRG 602-2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $585,138.06 $265,425.02 nat. median
$161,241
1.6× median
APR-DRG 607-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $586,532.06 $265,000.52 nat. median
$160,902
1.6× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $11,754.79 $630,100.33 $264,394.94 nat. median
$134,983
2.0× median
MS-DRG 001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $197,399.52 $728,069.15 $262,642.67 nat. median
$297,722
0.9× median
APR-DRG 603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $2,646.00 $568,549.71 $255,703.29 nat. median
$159,194
1.6× median
APR-DRG 611-1
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $2,646.00 $252,297.60 $252,297.60 nat. median
$261,528
1.0× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $11,733.69 $468,077.79 $251,686.89 nat. median
$146,562
1.7× median
APR-DRG 608-2
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $248,815.06 $248,815.06 nat. median
$49,087
outlier · 5.1×
MS-DRG 213
OTHER 		Amputation For Musculoskeletal System & Conn Tissue Disorders 7 $49,645.95 $328,886.02 $229,455.36 nat. median
$269,610
0.9× median
6
OTHER 		Liver Transplant Without Mcc 27 $10,751.87 $365,698.03 $225,795.86 nat. median
$52,924
outlier · 4.3×
APR-DRG 630-1
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $2,646.00 $507,660.61 $225,090.28 nat. median
$133,887
1.7× median
MS-DRG 105
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 7 $22,649.82 $320,277.13 $223,449.16 nat. median
$262,553
0.9× median
8
OTHER 		Simultaneous Pancreas And Kidney Transplant 27 $9,247.52 $351,954.92 $222,696.10 nat. median
$57,589
outlier · 3.9×
APR-DRG 609-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $2,646.00 $221,047.08 $221,047.08 nat. median
$92,451
outlier · 2.4×
MS-DRG 002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $48,739.93 $647,482.75 $217,178.18 nat. median
$351,471
0.6× median
APR-DRG 603-2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $2,646.00 $484,843.21 $212,206.95 nat. median
$131,136
1.6× median
Sx00000197247_00000_1000014_000
OTHER 		Kit Implnt Lvad Heartmate 3 16 $70,092.44 $290,840.00 $209,404.80 nat. median
$209,405
1.0× median

Other procedures at this hospital

Browse this hospital's 105,185 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 42 31 — — $9,676.42 $107,722.37 $46,473.26 2026-05-06
MS-DRG 451 OTHER Poisoning & Toxic Effects Of Drugs Age 0-17 7 7 $78,978.04 $51,335.73 35% off $3,053.17 $67,921.11 $47,386.82 2026-05-28
Rx72694051501_J9118_1000014_000 OTHER Calaspargase Pegolmknl 750 Unit Ml Intravenous Sol 43 30 $112,977.00 $73,435.05 35% off $17,172.50 $112,977.00 $47,450.34 2026-05-06
MS-DRG 224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 16 $35,291.23 $22,939.30 35% off $10,810.90 $118,968.24 $47,796.74 2026-05-28
Sx00000208172_00000_1000014_000 OTHER Alloderm Tissue 16x20 20 16 $66,580.25 $43,277.16 35% off $16,045.84 $66,580.25 $47,937.77 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 42 31 — — $5,651.99 $149,399.27 $47,954.01 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 42 31 — — $12,383.75 $101,163.37 $48,053.50 2026-05-06
849 OTHER Radiotherapy 42 31 — — $4,450.24 $110,689.40 $48,091.95 2026-05-06
MS-DRG 266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 16 $187,383.61 $121,799.35 35% off $23,823.69 $171,118.95 $48,118.23 2026-05-28
MS-DRG 745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 16 16 $243,234.30 $158,102.30 35% off $10,017.16 $209,181.50 $48,573.27 2026-05-28
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 31 — — $6,493.74 $80,022.15 $48,646.94 2026-05-06
MS-DRG 802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 16 $230,149.08 $149,596.90 35% off $7,471.89 $197,928.21 $48,680.90 2026-05-28
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 21 — — $5,139.35 $130,238.55 $48,762.07 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 28 23 — — $5,600.00 $140,340.29 $48,775.66 2026-05-06
Rx82959011101_00000_1000014_000 OTHER Imetelstat 188 Mg 6 Ml IV Solr 1 Each Vial 19 16 $65,961.80 $42,875.17 35% off $15,896.79 $65,961.80 $48,811.73 2026-05-06
Sx00000072770_00000_1000014_000 OTHER Artery Aortoiliac 13mmx12cm 20 16 $68,062.50 $44,240.63 35% off $16,403.06 $68,062.50 $49,005.00 2026-05-06
MS-DRG 432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 16 16 $239,740.52 $155,831.34 35% off $12,357.70 $206,176.85 $49,345.11 2026-05-28
Rx66302001401_00000_1000014_000 OTHER Dinutuximab 3.5 Mg Ml Intravenous Solution 5 Ml Vi 19 16 $66,760.80 $43,394.52 35% off $16,089.35 $66,760.80 $49,402.99 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 51 45 — $67,955.19 $21,296.31 $287,622.09 $49,410.67 2026-03-01
MS-DRG 485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 16 $233,889.68 $152,028.29 35% off $10,010.20 $201,145.12 $49,419.26 2026-05-28
MS-DRG 398 OTHER Reticuloendothelial & Immunity Disorders W Cc 7 7 $82,456.32 $53,596.61 35% off $4,071.13 $70,912.44 $49,473.79 2026-05-28
Sx00000003933_00000_1000014_000 OTHER Impella 5.0 Fem Ctdn 20 16 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $49,500.00 2026-05-06
Sx00000026811_00000_1000014_000 OTHER Cath Impella Cp 3.5 Pump 20 16 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $49,500.00 2026-05-06
Sx00000031864_00000_1000014_000 OTHER Cath Impella Rp With Smartassist 20 16 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $49,500.00 2026-05-06
MS-DRG 011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 16 $225,144.85 $146,344.15 35% off $32,966.88 $225,144.85 $49,698.03 2026-05-28
MS-DRG 895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 16 16 $245,827.15 $159,787.65 35% off $1,497.11 $211,411.35 $49,803.95 2026-05-28
Sx00000060271_C1767_1000014_000 OTHER Stimulator Vns 106 28 22 $82,285.45 $53,485.54 35% off $19,830.79 $82,285.45 $50,029.55 2026-05-06
MS-DRG 014 OTHER Allogeneic Bone Marrow Transplant 16 16 $38,882.04 $25,273.33 35% off $4,658.24 $79,054.82 $50,269.44 2026-05-28
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 31 — — $10,577.44 $84,374.55 $50,488.28 2026-05-06
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 15 $179,465.74 $116,652.73 35% off $34,864.00 $154,340.54 $50,664.83 2026-05-28
Rx31722013631_00000_1000014_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 19 16 $68,512.10 $44,532.87 35% off $16,511.42 $68,512.10 $50,698.95 2026-05-06
MS-DRG 650 OTHER Kidney Transplant With Hemodialysis With Mcc 15 15 $236,647.50 $153,820.88 35% off $10,381.98 $203,516.85 $50,766.13 2026-05-28
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 31 — — $5,087.50 $91,250.25 $51,205.48 2026-05-06
MS-DRG 110 OTHER Major Cardiovascular Procedures W Cc 7 7 $85,727.51 $55,722.88 35% off $10,250.87 $73,725.66 $51,436.51 2026-05-28
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 42 31 — — $10,703.52 $76,250.85 $51,711.99 2026-05-06
Sx00000117364_00000_1000014_000 OTHER Artery Aortoiliac Cryopreserve 20 16 $72,061.40 $46,839.91 35% off $17,366.80 $72,061.40 $51,884.21 2026-05-06
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 88 78 $180,079.10 $117,051.41 35% off $484.40 $167,473.56 $52,081.00 2026-03-01
APR-DRG 625-3 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 $188,983.00 $122,838.95 35% off $2,646.00 $154,966.06 $52,271.36 2026-05-28
799 OTHER Splenectomy With Mcc 42 31 — — $10,742.33 $92,718.60 $52,394.29 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 31 — — $6,540.58 $93,122.25 $52,705.93 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 51 — $120,458.39 $16,667.74 $141,173.52 $53,095.17 2026-03-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 31 — — $19,264.28 $97,525.35 $53,456.32 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 42 31 — — $10,416.65 $99,344.70 $53,572.60 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 31 — — $28,234.15 $79,314.30 $53,774.22 2026-05-06
MS-DRG 233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 $215,419.13 $140,022.43 35% off $10,763.89 $185,260.45 $54,088.04 2026-05-28
28 OTHER Spinal Procedures With Mcc 42 31 — — $9,369.23 $118,550.25 $54,093.95 2026-05-06
MS-DRG 222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 16 $159,375.10 $103,593.82 35% off $14,504.46 $167,959.94 $54,283.99 2026-05-28
MS-DRG 246 OTHER Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 16 $251,843.09 $163,698.01 35% off $20,517.77 $216,585.06 $54,318.28 2026-05-28
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 31 — — $14,190.62 $117,949.20 $54,398.65 2026-05-06
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 31 — — $11,728.50 $256,147.32 $54,441.35 2026-05-06
197 OTHER Interstitial Lung Disease With Cc 42 31 — — $3,629.75 $128,286.13 $54,574.82 2026-05-06
Rx00591405094_00000_1000014_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 19 16 $73,872.20 $48,016.93 35% off $17,803.20 $73,872.20 $54,665.43 2026-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 49 — $258,169.76 $21,886.98 $129,402.50 $54,733.36 2026-03-01
270 OTHER Other Major Cardiovascular Procedures With Mcc 42 31 — — $3,581.79 $133,464.19 $54,845.94 2026-05-06
278 OTHER Cellulitis Age >17 Without Cc 42 31 — — $12,014.17 $97,564.35 $55,241.56 2026-05-06
MS-DRG 567 OTHER Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 7 7 $92,298.76 $59,994.19 35% off $6,386.15 $79,376.93 $55,379.26 2026-05-28
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 42 31 — — $5,937.22 $128,080.00 $55,390.55 2026-05-06
Sx00000192124_00000_1000014_000 OTHER Valve 23mm Lotus Edge Sys 20 16 $77,000.00 $50,050.00 35% off $18,557.00 $77,000.00 $55,440.00 2026-05-06
Sx00000192125_00000_1000014_000 OTHER Valve 25mm Lotus Edge Sys 20 16 $77,000.00 $50,050.00 35% off $18,557.00 $77,000.00 $55,440.00 2026-05-06
Sx00000192126_00000_1000014_000 OTHER Valve 27mm Lotus Edge Sys 20 16 $77,000.00 $50,050.00 35% off $18,557.00 $77,000.00 $55,440.00 2026-05-06
Sx00000191306_00000_1000014_000 OTHER Sensor Cordella 19 16 $74,112.50 $48,173.13 35% off $17,861.11 $74,112.50 $55,584.38 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 42 31 — — $6,935.66 $105,859.65 $55,602.87 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 31 — — $23,540.13 $199,379.06 $55,686.23 2026-05-06
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 38 29 — — $4,708.92 $78,806.28 $55,727.88 2026-05-06
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $55,936.69 $55,936.69 $55,936.69 2026-05-06
323 OTHER Urinary Stones W Cc, &/or Esw Lithotripsy 42 31 — — $20,583.71 $83,058.30 $56,294.57 2026-05-06
347 OTHER Anal And Stomal Procedures With Mcc 42 31 — — $4,225.14 $130,754.45 $56,426.02 2026-05-06
Sx00000240842_00000_1000014_000 OTHER Cnterpc Vbr 20 Mm Ht 3247 Mm 20 16 $78,512.50 $51,033.13 35% off $18,921.51 $78,512.50 $56,529.00 2026-05-06
Sx00000240839_00000_1000014_000 OTHER Cnterpc Vbr 20 Mm Ht 2028 Mm 20 16 $78,512.50 $51,033.13 35% off $18,921.51 $78,512.50 $56,529.00 2026-05-06
Sx00000148537_C1767_1000014_000 OTHER Generator Sentive Vns 28 22 $93,654.41 $60,875.37 35% off $22,570.71 $93,654.41 $56,941.89 2026-05-06
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 41 31 — — $5,600.00 $108,613.26 $57,106.63 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 31 — — $2,948.40 $138,999.46 $57,315.51 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 31 — — $6,572.07 $105,208.35 $57,441.59 2026-05-06
Sx00000265876_C1825_1000014_000 OTHER System Barostim Neo2 Kit 34 23 $96,250.00 $62,562.50 35% off $14,630.00 $96,250.00 $57,509.38 2026-05-06
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 42 31 — — $7,212.29 $200,784.06 $57,538.88 2026-05-06
MS-DRG 849 OTHER Radiotherapy 16 16 $266,108.00 $172,970.20 35% off $16,379.00 $228,852.88 $57,740.72 2026-05-28
Rx30237890006_Q2043_1000014_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 76 44 $586,116.90 $380,975.99 35% off $750.59 $586,116.90 $58,088.88 2026-05-28
0483T CPT Hc Tmvi Percutaneous Approach 39 32 $83,602.00 $54,341.30 35% off $12,623.90 $77,749.86 $58,521.40 2026-03-01
228 OTHER Other Cardiothoracic Procedures With Mcc 42 31 — — $11,906.11 $97,174.35 $58,765.11 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 31 — — $7,249.76 $105,319.50 $59,100.99 2026-05-06
MS-DRG 045 OTHER Neurological Eye Disorders 7 7 $79,098.57 $51,414.07 35% off $27,684.50 $79,098.57 $59,323.93 2026-05-28
Sx00000192113_00000_1000014_000 OTHER Valve Aort Evolutpro Plus 26mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000101266_00000_1000014_000 OTHER Evolutpro 23mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000027010_00000_1000014_000 OTHER Corevalve 26mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000062347_00000_1000014_000 OTHER Valve Evolut R Transcath 23mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000101267_00000_1000014_000 OTHER Evolutpro 26mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000192112_00000_1000014_000 OTHER Valve Aort Evolutpro Plus 23mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000062348_00000_1000014_000 OTHER Valve Evolut R Transcath 26mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000195430_00000_1000014_000 OTHER Mictraclip G4 System 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000101268_00000_1000014_000 OTHER Evolutpro 29mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000075478_00000_1000014_000 OTHER Cath Trans Evolut R 34mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000192114_00000_1000014_000 OTHER Valve Aort Evolutpro Plus 29mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000192115_00000_1000014_000 OTHER Valve Aort Evolutpro Plus 34mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000022701_00000_1000014_000 OTHER Corevalve 31mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000062349_00000_1000014_000 OTHER Valve Evolut R Transcath 29mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000002826_00000_1000014_000 OTHER Corevalve 29mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000015949_00000_1000014_000 OTHER Corevalve 23mm 20 16 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $59,400.00 2026-05-06
Sx00000240844_00000_1000014_000 OTHER Cnterpc Vbr 20 Mm Ht 5387 Mm 20 16 $82,522.00 $53,639.30 35% off $19,887.80 $82,522.00 $59,415.84 2026-05-06
Sx00000240845_00000_1000014_000 OTHER Cnterpc Vbr 20 Mm Ht 76132 Mm 20 16 $82,522.00 $53,639.30 35% off $19,887.80 $82,522.00 $59,415.84 2026-05-06
Sx00000240843_00000_1000014_000 OTHER Cnterpc Vbr 20 Mm Ht 4062 Mm 20 16 $82,522.00 $53,639.30 35% off $19,887.80 $82,522.00 $59,415.84 2026-05-06
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 42 31 — — $5,415.27 $107,782.35 $59,649.86 2026-05-06
MS-DRG 360 OTHER Vagina, Cervix & Vulva Procedures 7 7 $99,949.81 $64,967.38 35% off $7,726.92 $85,956.84 $59,969.89 2026-05-28
38240 CPT Hc Hpc Allogeneic 87 77 $147,856.00 $96,106.40 35% off $2,939.82 $137,506.08 $60,551.92 2026-03-01
245 OTHER Aicd Generator Procedures 42 31 — — $13,599.42 $111,150.15 $60,982.58 2026-05-06
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 7 — — $59,410.40 $64,925.29 $61,717.60 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 31 — — $11,888.86 $103,743.90 $62,290.72 2026-05-06
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 31 — — $13,935.97 $105,220.05 $62,417.66 2026-05-06
Rx75987015001_J1823_1000014_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 50 31 $176,030.40 $114,419.76 35% off $42,423.33 $176,030.40 $62,506.42 2026-05-06
Rx75987015003_J1823_1000014_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 50 31 $176,030.40 $114,419.76 35% off $42,423.33 $176,030.40 $62,506.42 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 31 — — $7,480.51 $113,534.85 $62,659.78 2026-05-06
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 31 — — $14,321.31 $129,732.83 $62,764.58 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 42 31 — — $12,044.77 $114,741.90 $62,870.85 2026-05-06
Rx00310453530_J9347_1000014_000 OTHER Tremelimumabactl 20 Mg Ml Intravenous Solution 15 43 30 $150,228.00 $97,648.20 35% off $36,204.95 $150,228.00 $63,095.76 2026-05-06
Rx00069033621_00000_1000014_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 19 16 $85,454.10 $55,545.17 35% off $20,594.44 $85,454.10 $63,236.03 2026-05-06
MS-DRG 197 OTHER Interstitial Lung Disease With Cc 16 16 $296,166.91 $192,508.49 35% off $16,398.00 $254,703.54 $63,512.75 2026-05-28
Sx00000195426_00000_1000014_000 OTHER Valve 27mm Lotus With 15f Isleeve 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000192129_00000_1000014_000 OTHER Transcath Ultra S3 Ultra 23mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000195429_00000_1000014_000 OTHER Valve 27mm Lotus And Large Lotus 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000195427_00000_1000014_000 OTHER Valve 23mm Lotus And Large Lotus 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000195428_00000_1000014_000 OTHER Valve 25mm Lotus And Large Lotus 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000192128_00000_1000014_000 OTHER Transcath Ultra S3 Ultra 20mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000192130_00000_1000014_000 OTHER Transcath Ultra S3 Ultra 26mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000264286_00000_1000014_000 OTHER Valve Tavr Sapien 3 Ultra Comm Sys 20mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000148134_00000_1000014_000 OTHER Valve 20mm Certitude 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000118466_00000_1000014_000 OTHER Valve Certitude 23mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000118467_00000_1000014_000 OTHER Valve Certitude 26mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000062343_00000_1000014_000 OTHER Transcatheter Sapien 3 20mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000118468_00000_1000014_000 OTHER Valve Certitude 29mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000062345_00000_1000014_000 OTHER Transcatheter Sapien 3 29mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000195424_00000_1000014_000 OTHER Valve 23mm Lotus With 15f Isleeve 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000062346_00000_1000014_000 OTHER Transcatheter Sapien 3 23mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000062344_00000_1000014_000 OTHER Transcatheter Sapien 3 26mm 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
Sx00000195425_00000_1000014_000 OTHER Valve 25mm Lotus With 15f Isleeve 20 16 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $64,350.00 2026-05-06
650 OTHER Kidney Transplant With Hemodialysis With Mcc 38 29 — — $2,432.23 $94,137.47 $64,716.74 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 31 — — $22,619.39 $220,951.78 $65,031.93 2026-05-06
Rx66658051001_J9210_1000014_000 OTHER Emapalumablzsg 5 Mg Ml Intravenous Solution 20 Ml 50 31 $130,082.50 $84,553.63 35% off $31,349.88 $131,948.26 $65,041.25 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 28 23 — — $5,600.00 $217,008.91 $65,341.96 2026-05-06
MS-DRG 347 OTHER Anal And Stomal Procedures With Mcc 16 16 $294,993.23 $191,745.60 35% off $17,814.55 $253,694.18 $66,123.26 2026-05-28
APR-DRG 639-4 OTHER Neonate Birth Weight > 2499 Grams With Other Significant Condition 6 6 $249,939.36 $162,460.58 35% off $2,646.00 $204,950.28 $66,315.57 2026-05-28
MS-DRG 970 OTHER HIV With Extensive O.r. Procedures Without Mcc 15 15 $290,321.10 $188,708.71 35% off $19,627.94 $249,676.15 $66,320.65 2026-05-28
APR-DRG 622-1 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $218,983.00 $142,338.95 35% off $2,646.00 $179,566.06 $66,773.69 2026-05-28
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 31 — — $8,128.42 $132,970.92 $67,061.10 2026-05-06
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 39 30 — — $5,850.06 $117,700.05 $67,151.02 2026-05-06
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 38 29 — — $4,816.19 $117,700.05 $67,151.02 2026-05-06
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 $286,913.55 $186,493.81 35% off $9,656.87 $246,745.65 $67,500.96 2026-05-28
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 31 — — $5,959.11 $120,084.90 $67,794.88 2026-05-06
MS-DRG 230 OTHER Other Cardiothoracic Procedures Without Cc/mcc 15 15 $288,760.15 $187,694.10 35% off $28,244.73 $288,760.15 $68,073.57 2026-05-28
MS-DRG 453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 16 16 $273,655.62 $177,876.15 35% off $14,177.67 $235,343.83 $68,372.18 2026-05-28
MS-DRG 223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 16 $290,106.23 $188,569.05 35% off $16,935.59 $249,491.36 $68,578.63 2026-05-28
232 OTHER Coronary Bypass With Ptca Without Mcc 42 31 — — $14,530.85 $122,658.42 $69,188.58 2026-05-06
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 31 — — $32,213.71 $125,101.28 $69,205.92 2026-05-06
Sx00000191617_00000_1000014_000 OTHER Cath Pump Implla 5.5 USuse 234932 20 16 $96,250.00 $62,562.50 35% off $23,196.25 $96,250.00 $69,300.00 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 42 31 — — $6,281.05 $160,773.62 $69,615.94 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 42 31 — — $35,296.00 $133,151.85 $69,755.36 2026-05-06
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 31 — — $35,296.00 $200,784.06 $69,840.62 2026-05-06
MS-DRG 238 OTHER Major Cardiovasc Procedures Without Mcc 15 15 $300,874.70 $195,568.55 35% off $22,485.10 $258,752.24 $69,953.79 2026-05-28
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 42 31 — — $6,888.15 $135,651.75 $70,339.42 2026-05-06
MS-DRG 129 OTHER Major Head & Neck Procedures W Cc/mcc Or Major Device 15 15 $309,506.05 $201,178.93 35% off $19,656.30 $266,175.20 $71,165.42 2026-05-28
Sx00000268839_00000_1000014_000 OTHER Kit NeuRx Dps 20 16 $100,375.00 $65,243.75 35% off $24,190.38 $100,375.00 $72,270.00 2026-05-06
MS-DRG 120 OTHER Other Circulatory System O.r. Procedures 7 7 $122,985.83 $79,940.79 35% off $4,570.35 $105,767.81 $73,791.50 2026-05-28
Rx50633021011_C9293_1000014_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 42 29 $148,225.00 $96,346.25 35% off $8,258.00 $148,225.00 $74,112.50 2026-05-06
MS-DRG 219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 $302,432.06 $196,580.84 35% off $11,304.93 $260,091.57 $74,798.46 2026-05-28
215 MS_DRG Other Heart Assist System Implant 45 42 — $106,418.40 $27,953.44 $203,371.73 $75,722.38 2026-03-01
C1605 HCPCS Hc Aveir Ntap C1605 46 39 $118,705.00 $77,158.25 35% off $17,924.46 $110,395.65 $75,971.20 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 31 — — $13,284.51 $138,999.46 $76,724.55 2026-05-06
Rx24338005008_C9399_1000014_000 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 33 23 $149,273.80 $97,027.97 35% off $22,689.62 $149,273.80 $76,726.73 2026-05-06
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 31 — — $9,183.53 $178,634.20 $76,892.07 2026-05-06
MS-DRG 356 OTHER Other Digestive System O.r. Procedures With Mcc 15 15 $330,339.55 $214,720.71 35% off $28,284.10 $284,092.01 $77,427.62 2026-05-28
MS-DRG 216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 $303,808.65 $197,475.62 35% off $8,858.50 $261,275.44 $77,505.42 2026-05-28
277 OTHER Cellulitis Age >17 W Cc 42 31 — — $9,173.50 $120,088.47 $77,692.24 2026-05-06
MS-DRG 107 OTHER No Longer Valid 7 7 $131,788.55 $85,662.56 35% off $10,987.91 $113,338.15 $79,073.13 2026-05-28
MS-DRG 231 OTHER Coronary Bypass With Ptca With Mcc 16 16 $312,560.30 $203,164.20 35% off $34,864.00 $312,560.30 $80,047.70 2026-05-28
APR-DRG 609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 $97,811.25 $63,577.31 35% off $2,646.00 $80,205.22 $80,205.22 2026-05-28
276 OTHER Non-maligant Breast Disorders 42 31 — — $22,607.00 $125,387.22 $80,341.61 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 31 — — $12,915.99 $150,881.25 $81,349.76 2026-05-06
MS-DRG 456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 $325,502.69 $211,576.75 35% off $12,581.95 $279,932.31 $82,151.57 2026-05-28
MS-DRG 112 OTHER No Longer Valid 7 7 $137,461.40 $89,349.91 35% off $13,360.62 $118,216.80 $82,476.84 2026-05-28
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 31 — — $11,679.32 $152,419.80 $83,201.52 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 31 — — $9,053.54 $145,551.90 $83,333.49 2026-05-06
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 31 — — $11,304.10 $191,965.52 $84,184.18 2026-05-06
Rx68382039601_J3490_1000014_000 OTHER Sodium Benzoate 10 Percent Sodium Phenylacetate 10 27 22 $140,598.00 $91,388.70 35% off $33,884.12 $140,598.00 $84,358.80 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 31 — — $11,055.59 $196,698.45 $85,277.68 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 42 31 — — $7,091.55 $199,265.75 $86,031.85 2026-05-06
MS-DRG 215 OTHER Other Heart Assist System Implant 16 16 $335,128.60 $217,833.59 35% off $17,443.16 $288,210.60 $87,234.99 2026-05-28
471 OTHER Cervical Spinal Fusion With Mcc 42 31 — — $9,743.24 $204,675.47 $88,235.99 2026-05-06
MS-DRG 010 OTHER Pancreas Transplant 13 13 $363,908.35 $236,540.43 35% off $28,941.00 $312,961.18 $88,815.17 2026-05-28
MS-DRG 022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 16 $357,603.65 $232,442.37 35% off $31,794.87 $357,603.65 $88,833.27 2026-05-28
MS-DRG 212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 7 7 $148,868.05 $96,764.23 35% off $11,493.60 $128,026.52 $89,320.83 2026-05-28
231 OTHER Coronary Bypass With Ptca With Mcc 42 31 — — $11,579.76 $165,241.05 $89,771.15 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 31 — — $10,948.02 $167,407.10 $90,822.76 2026-05-06
MS-DRG 531 OTHER Spinal Procedures W Cc 7 7 $152,879.40 $99,371.61 35% off $7,987.86 $131,476.28 $91,727.64 2026-05-28
MS-DRG 021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 16 $369,444.80 $240,139.12 35% off $9,486.99 $317,722.53 $93,725.43 2026-05-28
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 16 16 $381,082.36 $247,703.53 35% off $34,864.00 $327,730.83 $94,524.69 2026-05-28
MS-DRG 461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 15 $373,981.41 $243,087.92 35% off $34,864.00 $321,624.01 $94,697.97 2026-05-28
MS-DRG 471 OTHER Cervical Spinal Fusion With Mcc 16 16 $389,336.94 $253,069.01 35% off $32,955.71 $334,829.77 $94,715.17 2026-05-28
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 31 — — $9,890.96 $210,835.33 $94,814.43 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 39 30 — — $9,724.43 $154,582.35 $94,939.18 2026-05-06
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 31 — — $9,268.87 $200,784.06 $96,894.57 2026-05-06
APR-DRG 631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 $120,175.80 $78,114.27 35% off $2,646.00 $98,544.16 $98,544.16 2026-05-28
C1823 HCPCS Hc Remede System 1001 92 39 $151,250.00 $98,312.50 35% off $21,800.63 $147,056.25 $101,200.00 2026-03-01
APR-DRG 623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 $326,803.00 $212,421.95 35% off $2,646.00 $267,978.46 $101,398.38 2026-05-28
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 31 — — $9,906.41 $168,246.71 $101,771.35 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 42 31 — — $6,945.52 $237,571.10 $102,271.96 2026-05-06
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 16 $387,183.73 $251,669.42 35% off $34,864.00 $387,183.73 $104,137.82 2026-05-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 40 37 — $553,557.57 $62,514.25 $141,776.98 $104,307.35 2026-03-01
APR-DRG 630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 $336,744.30 $218,883.80 35% off $2,646.00 $276,130.33 $104,780.35 2026-05-28
MS-DRG 399 OTHER Reticuloendothelial & Immunity Disorders Without Cc 7 7 $180,382.64 $117,248.72 35% off $15,069.50 $155,129.07 $108,229.58 2026-05-28
163 OTHER Major Chest Procedures With Mcc 42 31 — — $7,576.71 $254,958.93 $109,279.02 2026-05-06
MS-DRG 653 OTHER Major Bladder Procedures With Mcc 16 16 $432,627.77 $281,208.05 35% off $34,864.00 $372,059.88 $109,709.49 2026-05-28
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 31 — — $4,853.09 $261,898.55 $112,315.62 2026-05-06
APR-DRG 630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 $356,448.67 $231,691.64 35% off $2,646.00 $292,287.91 $113,176.30 2026-05-28
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 42 31 — — $7,267.31 $212,431.05 $116,995.07 2026-05-06
MS-DRG 163 OTHER Major Chest Procedures With Mcc 16 16 $460,004.33 $299,002.81 35% off $34,864.00 $395,603.72 $118,229.96 2026-05-28
215 OTHER Other Heart Assist System Implant 42 31 — — $35,296.00 $206,598.60 $120,947.30 2026-05-06
APR-DRG 602-1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $385,006.00 $250,253.90 35% off $2,646.00 $315,704.92 $125,419.68 2026-05-28
MS-DRG 005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 13 13 $473,562.45 $307,815.59 35% off $16,527.36 $407,263.71 $129,032.34 2026-05-28
APR-DRG 593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $403,301.00 $262,145.65 35% off $2,646.00 $330,706.82 $132,643.44 2026-05-28
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 32 — — $4,277.18 $318,052.47 $134,460.35 2026-05-06
14 OTHER Allogeneic Bone Marrow Transplant 39 30 — — $6,548.56 $255,485.10 $136,043.55 2026-05-06
10 OTHER Pancreas Transplant 36 27 — — $7,959.19 $193,865.02 $136,942.71 2026-05-06
MS-DRG 837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 16 $468,312.38 $304,403.05 35% off $2,028.00 $402,748.65 $136,948.08 2026-05-28
570 OTHER Skin Debridement With Mcc 42 31 — — $4,692.52 $324,381.33 $137,946.47 2026-05-06
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 88 78 $459,740.10 $298,831.06 35% off $5,009.56 $427,558.29 $138,201.50 2026-03-01
MS-DRG 277 OTHER Cellulitis Age >17 W Cc 7 7 $232,912.00 $151,392.80 35% off $21,582.18 $200,304.32 $139,747.20 2026-05-28
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 16 $540,754.16 $351,490.20 35% off $32,564.90 $465,048.58 $140,200.54 2026-05-28
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 42 31 — — $16,602.00 $329,972.97 $141,354.25 2026-05-06
MS-DRG 927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 15 $465,667.50 $302,683.88 35% off $34,864.00 $400,474.05 $143,996.94 2026-05-28
MS-DRG 570 OTHER Skin Debridement With Mcc 16 16 $561,768.89 $365,149.78 35% off $34,864.00 $483,121.25 $144,291.02 2026-05-28
APR-DRG 633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 $179,679.00 $116,791.35 35% off $2,646.00 $147,336.78 $147,336.78 2026-05-28
Sx00000204485_00000_1000014_000 OTHER Implant Hvad Pump 20 16 $205,287.50 $133,436.88 35% off $49,474.29 $205,287.50 $147,807.00 2026-05-06
Rx00597003510_00000_1000014_000 OTHER Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 19 16 $200,903.60 $130,587.34 35% off $48,417.77 $200,903.60 $148,668.66 2026-05-06
MS-DRG 402 OTHER Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 7 7 $253,839.77 $164,995.85 35% off $23,634.67 $218,302.20 $152,303.86 2026-05-28
APR-DRG 603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $463,918.66 $301,547.13 35% off $2,646.00 $380,413.30 $157,942.10 2026-05-28
MS-DRG 008 OTHER Simultaneous Pancreas And Kidney Transplant 13 13 $591,940.40 $384,761.26 35% off $62,091.08 $509,068.74 $158,352.40 2026-05-28
APR-DRG 636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 3 3 $193,245.48 $125,609.56 35% off $2,646.00 $158,461.29 $158,461.29 2026-05-28
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 16 16 $557,980.25 $362,687.16 35% off $16,398.00 $479,863.02 $163,124.85 2026-05-28
Sx00000196816_00000_1000014_000 OTHER Implant Heartmate Ii 20 16 $226,600.00 $147,290.00 35% off $54,610.60 $226,600.00 $163,152.00 2026-05-06
MS-DRG 006 OTHER Liver Transplant Without Mcc 13 13 $613,006.45 $398,454.19 35% off $64,551.35 $527,185.55 $163,708.86 2026-05-28
APR-DRG 607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $480,104.00 $312,067.60 35% off $2,646.00 $393,685.28 $164,791.68 2026-05-28
APR-DRG 589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 $207,541.00 $134,901.65 35% off $2,646.00 $170,183.62 $170,183.62 2026-05-28
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 21 — — $8,338.59 $428,711.57 $184,732.61 2026-05-06
APR-DRG 614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 $521,161.00 $338,754.65 35% off $2,646.00 $427,352.02 $185,171.01 2026-05-28
APR-DRG 631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 $226,378.40 $147,145.96 35% off $2,646.00 $185,630.29 $185,630.29 2026-05-28
Rx71336100301_J0225_1000014_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 43 30 $459,740.10 $298,831.07 35% off $110,797.36 $459,740.10 $193,090.84 2026-05-06
MS-DRG 237 OTHER Major Cardiovasc Procedures W Mcc 15 15 $715,523.45 $465,090.24 35% off $76,111.22 $615,350.17 $194,466.50 2026-05-28
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 36 27 — — $11,643.63 $279,256.90 $194,977.50 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 42 31 — — $26,019.67 $461,320.98 $196,476.63 2026-05-06
MS-DRG 969 OTHER HIV With Extensive O.r. Procedures With Mcc 16 16 $740,885.64 $481,575.67 35% off $34,864.00 $637,161.65 $199,982.03 2026-05-28
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 16 $645,099.41 $419,314.62 35% off $10,051.64 $554,785.49 $206,922.74 2026-05-28
Rx64406005801_J2326_1000014_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 65 46 $418,481.00 $272,012.65 35% off $750.59 $418,481.00 $209,240.50 2026-05-28
Sx00000197247_00000_1000014_000 OTHER Kit Implnt Lvad Heartmate 3 20 16 $290,840.00 $189,046.00 35% off $70,092.44 $290,840.00 $209,404.80 2026-05-06
APR-DRG 603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $591,272.21 $384,326.94 35% off $2,646.00 $484,843.21 $212,206.95 2026-05-28
MS-DRG 002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 13 $752,886.92 $489,376.50 35% off $48,739.93 $647,482.75 $217,178.18 2026-05-28
APR-DRG 609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 $269,569.61 $175,220.25 35% off $2,646.00 $221,047.08 $221,047.08 2026-05-28
8 OTHER Simultaneous Pancreas And Kidney Transplant 36 27 — — $9,247.52 $351,954.92 $222,696.10 2026-05-06
MS-DRG 105 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 7 7 $372,415.27 $242,069.93 35% off $22,649.82 $320,277.13 $223,449.16 2026-05-28
APR-DRG 630-1 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 $619,098.30 $402,413.90 35% off $2,646.00 $507,660.61 $225,090.28 2026-05-28
6 OTHER Liver Transplant Without Mcc 36 27 — — $10,751.87 $365,698.03 $225,795.86 2026-05-06
MS-DRG 213 OTHER Amputation For Musculoskeletal System & Conn Tissue Disorders 7 7 $382,425.60 $248,576.64 35% off $49,645.95 $328,886.02 $229,455.36 2026-05-28
APR-DRG 608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 $303,433.00 $197,231.45 35% off $2,646.00 $248,815.06 $248,815.06 2026-05-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 31 — — $11,733.69 $468,077.79 $251,686.89 2026-05-06
APR-DRG 611-1 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 $307,680.00 $199,992.00 35% off $2,646.00 $252,297.60 $252,297.60 2026-05-28
APR-DRG 603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $693,353.30 $450,679.65 35% off $2,646.00 $568,549.71 $255,703.29 2026-05-28
MS-DRG 001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 $846,592.03 $550,284.82 35% off $197,399.52 $728,069.15 $262,642.67 2026-05-28
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 21 — — $11,754.79 $630,100.33 $264,394.94 2026-05-06
APR-DRG 607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $715,283.00 $464,933.95 35% off $2,646.00 $586,532.06 $265,000.52 2026-05-28
APR-DRG 602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $713,583.00 $463,828.95 35% off $2,646.00 $585,138.06 $265,425.02 2026-05-28
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 16 $949,211.27 $616,987.33 35% off $34,864.00 $816,321.69 $267,744.53 2026-05-28
APR-DRG 612-1 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 $335,158.00 $217,852.70 35% off $2,646.00 $274,829.56 $274,829.56 2026-05-28
APR-DRG 593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $752,808.00 $489,325.20 35% off $2,646.00 $617,302.56 $281,566.97 2026-05-28
APR-DRG 583-2 OTHER Neonate With Ecmo 6 6 $753,940.60 $490,061.39 35% off $2,646.00 $618,231.29 $282,790.28 2026-05-28
APR-DRG 612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 $351,791.00 $228,664.15 35% off $2,646.00 $288,468.62 $288,468.62 2026-05-28
APR-DRG 608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 $356,791.00 $231,914.15 35% off $2,646.00 $292,568.62 $292,568.62 2026-05-28
APR-DRG 622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $769,040.26 $499,876.17 35% off $2,646.00 $630,613.01 $293,055.09 2026-05-28
APR-DRG 602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $861,472.00 $559,956.80 35% off $2,646.00 $706,407.04 $328,439.94 2026-05-28
APR-DRG 631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 $404,587.75 $262,982.04 35% off $2,646.00 $331,761.95 $331,761.95 2026-05-28
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 27 — — $14,159.52 $481,261.68 $337,593.85 2026-05-06
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $342,952.74 $342,952.74 $342,952.74 2026-05-06
MS-DRG 104 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 7 7 $599,559.59 $389,713.73 35% off $40,271.13 $515,621.25 $359,735.75 2026-05-28
APR-DRG 593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $990,884.00 $644,074.60 35% off $2,646.00 $812,524.88 $383,010.21 2026-05-28
APR-DRG 608-1 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 $495,276.00 $321,929.40 35% off $2,646.00 $406,126.32 $406,126.32 2026-05-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 36 27 — — $40,197.65 $589,998.57 $416,781.68 2026-05-06
APR-DRG 591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 $588,987.01 $382,841.56 35% off $2,646.00 $482,969.35 $482,969.35 2026-05-28
APR-DRG 612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 $625,748.92 $406,736.80 35% off $2,646.00 $513,114.11 $513,114.11 2026-05-28
APR-DRG 621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 $1,331,706.75 $865,609.39 35% off $2,646.00 $1,091,999.53 $529,076.88 2026-05-28
APR-DRG 607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $1,365,907.92 $887,840.15 35% off $2,646.00 $1,120,044.49 $542,229.20 2026-05-28
APR-DRG 608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 $754,926.86 $490,702.46 35% off $2,646.00 $619,040.03 $619,040.03 2026-05-28
APR-DRG 612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 $757,447.00 $492,340.55 35% off $2,646.00 $621,106.54 $621,106.54 2026-05-28
MS-DRG 007 OTHER Lung Transplant 13 13 $2,162,847.20 $1,405,850.68 35% off $284,869.87 $1,860,048.59 $629,903.09 2026-05-28
APR-DRG 588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 $926,362.89 $602,135.88 35% off $2,646.00 $759,617.57 $759,617.57 2026-05-28
MS-DRG 018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 16 $2,860,061.00 $1,859,039.65 35% off $16,398.00 $2,459,652.46 $854,203.01 2026-05-28
7 OTHER Lung Transplant 36 27 — — $61,756.30 $1,501,364.40 $859,595.56 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 20 — — $16,602.00 $2,062,665.65 $861,120.60 2026-05-06
APR-DRG 588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 $1,165,605.86 $757,643.81 35% off $2,646.00 $955,796.81 $955,796.81 2026-05-28
APR-DRG 588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 $1,203,010.60 $781,956.89 35% off $2,646.00 $986,468.69 $986,468.69 2026-05-28
APR-DRG 609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 $1,232,236.05 $800,953.43 35% off $2,646.00 $1,010,433.56 $1,010,433.56 2026-05-28
APR-DRG 611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 $1,467,012.67 $953,558.24 35% off $2,646.00 $1,202,950.39 $1,202,950.39 2026-05-28
APR-DRG 591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 $1,500,105.00 $975,068.25 35% off $2,646.00 $1,230,086.10 $1,230,086.10 2026-05-28
APR-DRG 591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 $1,675,014.64 $1,088,759.52 35% off $2,646.00 $1,373,512.00 $1,373,512.00 2026-05-28
APR-DRG 589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 $2,588,272.66 $1,682,377.23 35% off $2,646.00 $2,122,383.58 $2,122,383.58 2026-05-28
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