Price Transparencybeta Hospital negotiated rates

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

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Hospital

PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL

Greenville, SC · CCN 420078 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $7,908 across 93 payers · range $1,899-$21,425

Source: https://www.prismahealth.org/getmedia/c4111b11-015a-467c-92ed-8839b4f32e29/811723202_prisma-health-greenville-memorial-hospital_standardcharges.zip · observed 2026-05-28

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

44,205 distinct procedures filed
142 distinct payers
2,391,396 rate rows
2026-05-28 last MRF observed
Data quality

1,977,491 of 2,391,396 rate rows are consumer-grade (82.7%)

413,905 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 283,196
template filing: same amount across many unrelated codes — excluded 101,845
per-diem day rate — not a per-procedure price 23,013
placeholder amount (≤ $0.02) — excluded from medians 4,490
exceeds 3× this hospital's gross charge for a DRG stay — excluded 409
percent-of-charges filed in the dollar field — excluded from medians 406
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 255
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 249
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/c4111b11-015a-467c-92ed-8839b4f32e29/811723202_prisma-health-greenville-memorial-hospital_standardcharges.zip
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 0bd18676e6a4f9ee… · 19,834,397 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
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $2,200,031.76 $2,200,031.76 $2,200,031.76 nat. median
$71,350
outlier · 30.8×
Rx71894012504
OTHER 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vgml IV 16 $745.15 $4,526,297.72 $2,113,769.87 nat. median
$2,113,770
1.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,423,762.44 $1,423,762.44 $1,423,762.44 nat. median
$108,751
outlier · 13.1×
42
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 19 $1,511.73 $4,945,695.78 $1,399,519.05 nat. median
$53,325
outlier · 26.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,275,089.25 $1,275,089.25 $1,275,089.25 nat. median
$168,361
outlier · 7.6×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $1,246,960.77 $1,246,960.77 $1,246,960.77 nat. median
$79,344
outlier · 15.7×
7
MS_DRG 		Lung Transplant 20 $80,485.59 $2,162,847.20 $1,196,004.75 nat. median
$122,690
outlier · 9.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $1,047,400.64 $1,047,400.64 $1,047,400.64 nat. median
$168,174
outlier · 6.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $1,022,559.01 $1,022,559.01 $1,022,559.01 nat. median
$254,667
outlier · 4.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $990,764.98 $990,764.98 $990,764.98 nat. median
$180,995
outlier · 5.5×
34
APR_DRG 		Bone Marrow Transplant 19 $1,575.41 $3,295,932.44 $940,340.45 nat. median
$241,408
outlier · 3.9×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $787,408.46 $787,408.46 $787,408.46 nat. median
$147,847
outlier · 5.3×
Q2053
HCPCS 		Hc Brexucabtagene Car Pos T (Tecartus) Mcl 97 $377,084.40 $2,482,145.82 $738,992.49 nat. median
$577,541
1.3× median
5833
APR_DRG 		Neonate With Ecmo 19 $1,624.47 $2,471,905.56 $682,529.38 nat. median
$250,089
outlier · 2.7×
6123
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $643,829.95 $643,829.95 $643,829.95 nat. median
$46,953
outlier · 13.7×
6083
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $641,687.83 $641,687.83 $641,687.83 nat. median
$53,072
outlier · 12.1×
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 96 $7,961.87 $2,582,193.36 $611,155.56 nat. median
$631,793
1.0× median
Rx24338005008
OTHER 		Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 35 $10.04 $1,902,341.00 $610,904.39 nat. median
$610,904
1.0× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 97 $399,062.20 $2,409,921.09 $600,523.18 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 97 $455,372.61 $2,749,977.43 $595,933.32 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 97 $444,144.86 $2,682,173.51 $591,566.63 nat. median
$610,161
1.0× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 19 $1,624.47 $2,101,925.60 $591,353.02 nat. median
$78,024
outlier · 7.6×
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 97 $448,012.18 $2,705,528.10 $564,123.78 nat. median
$588,565
1.0× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $531,886.58 $531,886.58 $531,886.58 nat. median
$69,517
outlier · 7.7×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $500,638.96 $500,638.96 $500,638.96 nat. median
$84,000
outlier · 6.0×
4054
APR_DRG 		Other Procedures For Endocrine, Nutritional And Metabolic Disorders 19 $1,013.74 $1,661,469.50 $457,858.82 nat. median
$42,254
outlier · 10.8×
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 15 $34,934.52 $599,559.59 $422,689.51 nat. median
$71,308
outlier · 5.9×
6081
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $420,984.60 $420,984.60 $420,984.60 nat. median
$16,348
outlier · 25.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $41,469.62 $752,886.92 $410,129.48 nat. median
$108,240
outlier · 3.8×
Px08910000007_Q2054_100099_36
OTHER 		Hc Lisocabtagene Mara Car Pos T (brenyazi) 34 $745.15 $1,087,295.00 $380,553.25 nat. median
$380,553
1.0× median
Px08910000005_Q2042_100099_36
OTHER 		Hc Tisagenlecleucel Car-pos T (kymriah) All 34 $745.15 $1,073,437.01 $375,702.95 nat. median
$375,703
1.0× median
Px08910000009_G2055_100099_36
OTHER 		Hc Idecabtagene Vicleucel Car 250ml (abecma) 35 $745.15 $1,111,675.01 $367,650.47 nat. median
$367,650
1.0× median
Px08910000008_G2055_100099_36
OTHER 		Hc Idecabtagene Vicleucel Car 50ml (abecma) 35 $745.15 $1,111,675.01 $367,650.47 nat. median
$367,650
1.0× median
Px08910000010_G2055_100099_36
OTHER 		Hc Idecabtagene Vicleucel Car 500ml (abecma) 35 $745.15 $1,111,675.01 $367,650.47 nat. median
$367,650
1.0× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 21 $91,930.84 $715,523.45 $364,916.96 nat. median
$2,024
outlier · 180.3×
588
MS_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 12 $338,802.41 $429,822.69 $348,966.48 nat. median
$313,714
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $343,899.59 $343,899.59 $343,899.59 nat. median
$147,677
outlier · 2.3×
294
APR_DRG 		Other Percutaneous Intracranial Procedures 19 $1,716.40 $1,271,960.95 $343,880.99 nat. median
$34,641
outlier · 9.9×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 $1,062.78 $2,440,755.45 $340,184.35 nat. median
$79,228
outlier · 4.3×
5831
APR_DRG 		Neonate With Ecmo 19 $1,624.47 $1,249,284.64 $335,074.89 nat. median
$154,685
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 83 $9,802.97 $2,431,051.85 $325,867.09 nat. median
$370,165
0.9× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 $14,507.58 $1,161,021.73 $317,945.26 nat. median
$99,613
outlier · 3.2×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 $27,976.40 $1,131,950.74 $310,095.15 nat. median
$69,851
outlier · 4.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 17 $1,624.47 $1,134,051.53 $308,985.85 nat. median
$165,599
1.9× median
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $303,272.35 $303,272.35 $303,272.35 nat. median
$64,930
outlier · 4.7×
6122
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $299,022.35 $299,022.35 $299,022.35 nat. median
$33,723
outlier · 8.9×
6121
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $284,884.30 $284,884.30 $284,884.30 nat. median
$24,007
outlier · 11.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $116,928.56 $395,817.38 $279,400.50 nat. median
$205,166
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 18 $2,179.82 $1,036,868.07 $275,341.81 nat. median
$243,231
1.1× median
5004
APR_DRG 		Malignancy, Male Reproductive System 19 $697.04 $1,006,897.21 $268,408.62 nat. median
$16,523
outlier · 16.2×

Other procedures at this hospital

Browse this hospital's 44,205 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
             
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $2,588,272.66 $1,682,377.23 35% off $2,200,031.76 $2,200,031.76 $2,200,031.76 2026-05-28
Rx71894012504 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vgml IV 16 16 — — $745.15 $4,526,297.72 $2,113,769.87 2026-05-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,675,014.64 $1,088,759.52 35% off $1,423,762.44 $1,423,762.44 $1,423,762.44 2026-05-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 19 — $3,782,002.65 $1,511.73 $4,945,695.78 $1,399,519.05 2026-05-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,500,105.00 $975,068.25 35% off $1,275,089.25 $1,275,089.25 $1,275,089.25 2026-05-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $1,467,012.67 $953,558.24 35% off $1,246,960.77 $1,246,960.77 $1,246,960.77 2026-05-28
7 MS_DRG Lung Transplant 20 20 $2,162,847.20 $1,405,850.68 35% off $80,485.59 $2,162,847.20 $1,196,004.75 2026-05-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $1,232,236.05 $800,953.43 35% off $1,047,400.64 $1,047,400.64 $1,047,400.64 2026-05-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,203,010.60 $781,956.89 35% off $1,022,559.01 $1,022,559.01 $1,022,559.01 2026-05-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,165,605.86 $757,643.81 35% off $990,764.98 $990,764.98 $990,764.98 2026-05-28
34 APR_DRG Bone Marrow Transplant 19 19 $3,877,567.58 $2,520,418.93 35% off $1,575.41 $3,295,932.44 $940,340.45 2026-05-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $926,362.89 $602,135.88 35% off $787,408.46 $787,408.46 $787,408.46 2026-05-28
Q2053 HCPCS Hc Brexucabtagene Car Pos T (Tecartus) Mcl 148 97 $2,448,600.00 $1,591,590.00 35% off $377,084.40 $2,482,145.82 $738,992.49 2026-03-01
5833 APR_DRG Neonate With Ecmo 19 19 $2,908,124.19 $1,890,280.72 35% off $1,624.47 $2,471,905.56 $682,529.38 2026-05-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $757,447.00 $492,340.55 35% off $643,829.95 $643,829.95 $643,829.95 2026-05-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $754,926.86 $490,702.46 35% off $641,687.83 $641,687.83 $641,687.83 2026-05-28
Q2056 HCPCS Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 113 96 $2,776,552.00 $1,804,758.80 35% off $7,961.87 $2,582,193.36 $611,155.56 2026-03-01
Rx24338005008 OTHER Carmustine In Polifeprosan 7.7 Mg Wafer For Implan 43 35 $1,902,341.00 $1,236,521.65 35% off $10.04 $1,902,341.00 $610,904.39 2026-05-28
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 114 97 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $600,523.18 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 114 97 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $595,933.32 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 114 97 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $591,566.63 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 19 $2,472,853.65 $1,607,354.87 35% off $1,624.47 $2,101,925.60 $591,353.02 2026-05-28
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 114 97 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $564,123.78 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $625,748.92 $406,736.80 35% off $531,886.58 $531,886.58 $531,886.58 2026-05-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $588,987.01 $382,841.56 35% off $500,638.96 $500,638.96 $500,638.96 2026-05-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 19 19 $1,954,670.00 $1,270,535.50 35% off $1,013.74 $1,661,469.50 $457,858.82 2026-05-28
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 15 15 $599,559.59 $389,713.73 35% off $34,934.52 $599,559.59 $422,689.51 2026-05-28
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $495,276.00 $321,929.40 35% off $420,984.60 $420,984.60 $420,984.60 2026-05-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 20 $752,886.92 $489,376.50 35% off $41,469.62 $752,886.92 $410,129.48 2026-05-28
Px08910000007_Q2054_100099_36 OTHER Hc Lisocabtagene Mara Car Pos T (brenyazi) 39 34 $1,087,295.00 $706,741.75 35% off $745.15 $1,087,295.00 $380,553.25 2026-05-28
Px08910000005_Q2042_100099_36 OTHER Hc Tisagenlecleucel Car-pos T (kymriah) All 39 34 $1,073,437.00 $697,734.05 35% off $745.15 $1,073,437.01 $375,702.95 2026-05-28
Px08910000010_G2055_100099_36 OTHER Hc Idecabtagene Vicleucel Car 500ml (abecma) 40 35 $1,111,675.00 $722,588.75 35% off $745.15 $1,111,675.01 $367,650.47 2026-05-28
Px08910000009_G2055_100099_36 OTHER Hc Idecabtagene Vicleucel Car 250ml (abecma) 40 35 $1,111,675.00 $722,588.75 35% off $745.15 $1,111,675.01 $367,650.47 2026-05-28
Px08910000008_G2055_100099_36 OTHER Hc Idecabtagene Vicleucel Car 50ml (abecma) 40 35 $1,111,675.00 $722,588.75 35% off $745.15 $1,111,675.01 $367,650.47 2026-05-28
237 MS_DRG Major Cardiovasc Procedures W Mcc 21 21 $715,523.45 $465,090.24 35% off $91,930.84 $715,523.45 $364,916.96 2026-05-28
588 MS_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 12 12 — — $338,802.41 $429,822.69 $348,966.48 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $404,587.75 $262,982.04 35% off $343,899.59 $343,899.59 $343,899.59 2026-05-28
294 APR_DRG Other Percutaneous Intracranial Procedures 19 19 $1,496,424.65 $972,676.02 35% off $1,716.40 $1,271,960.95 $343,880.99 2026-05-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 16 $2,871,477.00 $1,866,460.05 35% off $1,062.78 $2,440,755.45 $340,184.35 2026-05-28
5831 APR_DRG Neonate With Ecmo 19 19 $1,469,746.64 $955,335.32 35% off $1,624.47 $1,249,284.64 $335,074.89 2026-05-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 95 83 $2,860,061.00 $1,989,762.33 30% off $9,802.97 $2,431,051.85 $325,867.09 2026-05-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 11 $1,365,907.92 $887,840.15 35% off $14,507.58 $1,161,021.73 $317,945.26 2026-05-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 11 $1,331,706.75 $865,609.39 35% off $27,976.40 $1,131,950.74 $310,095.15 2026-05-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 17 $1,334,178.27 $867,215.88 35% off $1,624.47 $1,134,051.53 $308,985.85 2026-05-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $356,791.00 $231,914.15 35% off $303,272.35 $303,272.35 $303,272.35 2026-05-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $351,791.00 $228,664.15 35% off $299,022.35 $299,022.35 $299,022.35 2026-05-28
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $335,158.00 $217,852.70 35% off $284,884.30 $284,884.30 $284,884.30 2026-05-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 21 $465,667.50 $302,683.88 35% off $116,928.56 $395,817.38 $279,400.50 2026-05-28
24 APR_DRG Heart And/or Lung Transplant 18 18 $1,219,844.79 $792,899.11 35% off $2,179.82 $1,036,868.07 $275,341.81 2026-05-28
5004 APR_DRG Malignancy, Male Reproductive System 19 19 $1,184,584.95 $769,980.22 35% off $697.04 $1,006,897.21 $268,408.62 2026-05-28
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $307,680.00 $199,992.00 35% off $261,528.00 $261,528.00 $261,528.00 2026-05-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $303,433.00 $197,231.45 35% off $257,918.05 $257,918.05 $257,918.05 2026-05-28
Px08910000004_C9076_100099_36 OTHER Hc Lisocabtagene Maraleucel Ivp Up To 110 Million Car Pos (breyanzi) 39 34 $718,025.00 $466,716.25 35% off $745.15 $718,025.01 $251,308.75 2026-05-28
Px08910000006_Q2054_100099_36 OTHER Hc Lisocabtagene Mara Car Pos T 39 34 $718,025.00 $466,716.25 35% off $745.15 $718,025.01 $251,308.75 2026-05-28
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $236,380.57 $236,380.57 $236,380.57 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $269,569.61 $175,220.25 35% off $229,134.17 $229,134.17 $229,134.17 2026-05-28
591 MS_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 24 12 — — $177,125.94 $295,744.05 $228,913.97 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 11 $990,884.00 $644,074.60 35% off $19,979.89 $842,251.40 $224,878.24 2026-05-28
105 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 15 15 $372,415.27 $242,069.93 35% off $19,734.47 $372,415.27 $223,449.16 2026-05-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 19 19 $984,224.22 $639,745.74 35% off $1,069.68 $836,590.59 $220,095.73 2026-05-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 84 72 $846,592.03 $585,309.24 31% off $9,802.97 $846,592.03 $210,559.24 2026-05-28
32 APR_DRG Bone Marrow Transplant 19 19 $876,743.76 $569,883.44 35% off $1,108.80 $745,232.20 $209,857.72 2026-05-28
Px08910000000_Q2042_100099_36 OTHER Hc Tisagenlecleucel IV Up To 600 Million Car Pos (novartis) Dlbcl 39 34 $598,500.00 $389,025.00 35% off $745.15 $598,500.00 $209,475.00 2026-05-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 19 19 $943,814.24 $613,479.26 35% off $1,624.47 $802,242.10 $209,193.29 2026-05-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 19 $795,413.19 $517,018.57 35% off $1,624.46 $676,101.21 $201,120.78 2026-05-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 11 $861,472.00 $559,956.80 35% off $25,399.65 $732,251.20 $192,936.50 2026-05-28
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $226,378.40 $147,145.96 35% off $192,421.64 $192,421.64 $192,421.64 2026-05-28
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 38 32 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $187,310.60 2026-03-01
33 APR_DRG Bone Marrow Transplant 19 19 $777,830.26 $505,589.67 35% off $1,229.16 $661,155.72 $185,481.48 2026-05-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 19 $850,361.00 $552,734.65 35% off $507.73 $722,806.85 $185,332.98 2026-05-28
2214 APR_DRG Major Small & Large Bowel Procedures 19 19 $820,344.43 $533,223.88 35% off $1,220.93 $697,292.77 $181,896.14 2026-05-28
10 MS_DRG Pancreas Transplant 20 20 $363,908.35 $236,540.43 35% off $33,653.49 $363,908.35 $179,905.48 2026-05-28
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 19 19 $825,227.29 $536,397.74 35% off $915.24 $701,443.20 $179,205.72 2026-05-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $207,541.00 $134,901.65 35% off $176,409.85 $176,409.85 $176,409.85 2026-05-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 11 11 $769,040.26 $499,876.17 35% off $63,322.21 $653,684.22 $171,795.67 2026-05-28
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 19 19 $782,555.58 $508,661.13 35% off $1,176.63 $665,172.24 $169,762.30 2026-05-28
Px08910000002_C9399_100099_36 OTHER Hc Idecabtagene Vicleucel IV Up To 300 - 460 Million Car Pos 250ml (abecma) 43 35 $734,125.00 $477,181.25 35% off $10.04 $734,125.01 $168,152.30 2026-05-28
Px08910000001_C9399_100099_36 OTHER Hc Idecabtagene Vicleucel IV Up To 300 - 460 Million Car Pos 50ml (abecma) 43 35 $734,125.00 $477,181.25 35% off $10.04 $734,125.01 $168,152.30 2026-05-28
Px08910000003_C9399_100099_36 OTHER Hc Idecabtagene Vicleucel IV Up To 300 - 460 Million Car Pos 500ml (abecma) 43 35 $734,125.00 $477,181.25 35% off $10.04 $734,125.01 $168,152.30 2026-05-28
544 APR_DRG Migraine And Other Headaches 19 19 $776,799.61 $504,919.75 35% off $782.39 $660,279.67 $167,453.58 2026-05-28
5832 APR_DRG Neonate With Ecmo 11 11 $753,940.60 $490,061.39 35% off $27,002.45 $640,849.51 $166,252.86 2026-05-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 11 $752,808.00 $489,325.20 35% off $19,979.89 $639,886.80 $165,625.89 2026-05-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 19 19 $765,532.14 $497,595.89 35% off $690.12 $650,702.32 $165,314.81 2026-05-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 $193,245.48 $125,609.56 35% off $164,258.66 $164,258.66 $164,258.66 2026-05-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 83 71 $645,099.41 $395,642.87 39% off $10,929.73 $548,334.50 $159,436.23 2026-05-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 11 $713,583.00 $463,828.95 35% off $25,399.65 $606,545.55 $156,129.88 2026-05-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 11 $715,283.00 $464,933.95 35% off $14,507.58 $607,990.55 $156,017.73 2026-05-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 19 $723,485.90 $470,265.84 35% off $2,035.64 $614,963.01 $154,210.09 2026-05-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 $179,679.00 $116,791.35 35% off $152,727.15 $152,727.15 $152,727.15 2026-05-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 18 18 $645,999.87 $419,899.92 35% off $1,310.65 $549,099.89 $151,914.12 2026-05-28
4414 APR_DRG Major Bladder Procedures 19 19 $704,196.42 $457,727.67 35% off $1,246.15 $598,566.96 $150,603.37 2026-05-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 11 $693,353.30 $450,679.65 35% off $14,952.51 $589,350.31 $150,581.74 2026-05-28
7504 APR_DRG Schizophrenia 19 19 $705,248.35 $458,411.43 35% off $299.74 $599,461.10 $150,298.13 2026-05-28
913 APR_DRG Other Major Head And Neck Procedures 19 19 $703,216.95 $457,091.02 35% off $1,169.31 $597,734.41 $150,059.04 2026-05-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 19 $700,671.82 $455,436.68 35% off $2,913.13 $595,571.05 $148,134.81 2026-05-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 19 19 $680,689.23 $442,448.00 35% off $1,731.61 $578,585.85 $144,577.95 2026-05-28
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 21 21 $309,506.05 $201,178.93 35% off $37,604.73 $309,506.05 $138,125.62 2026-05-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 19 19 $646,229.23 $420,049.00 35% off $1,561.04 $549,294.85 $135,502.89 2026-05-28
238 MS_DRG Major Cardiovasc Procedures Without Mcc 21 21 $300,874.70 $195,568.55 35% off $26,619.91 $300,874.70 $135,339.23 2026-05-28
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 38 32 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $134,892.78 2026-03-01
4404 APR_DRG Kidney Transplant 19 19 $646,195.14 $420,026.84 35% off $2,102.70 $549,265.87 $134,879.50 2026-05-28
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 11 $619,098.30 $402,413.90 35% off $24,686.71 $526,233.56 $132,579.51 2026-05-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 16 $1,053,038.06 $684,474.74 35% off $1,295.02 $895,082.35 $132,002.52 2026-05-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 21 $373,981.41 $243,087.92 35% off $38,831.74 $317,884.20 $130,893.49 2026-05-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 21 $290,321.10 $188,708.71 35% off $21,816.57 $246,772.94 $127,950.52 2026-05-28
31 APR_DRG Bone Marrow Transplant 19 19 $401,250.76 $260,812.99 35% off $1,108.80 $341,063.15 $126,009.02 2026-05-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 19 19 $601,282.80 $390,833.82 35% off $1,241.28 $511,090.38 $125,306.26 2026-05-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 11 $591,272.21 $384,326.94 35% off $14,952.51 $502,581.38 $125,175.80 2026-05-28
7544 APR_DRG Depression Except Major Depressive Disorder 19 19 $597,400.00 $388,310.00 35% off $690.12 $507,790.00 $124,733.90 2026-05-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 19 19 $596,212.00 $387,537.80 35% off $1,175.56 $506,780.20 $124,626.95 2026-05-28
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 18 18 $585,826.00 $380,786.90 35% off $852.61 $497,952.10 $123,417.91 2026-05-28
631 MS_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 24 12 — — $29,799.07 $257,971.71 $120,573.84 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 19 19 $575,098.73 $373,814.17 35% off $1,090.90 $488,833.92 $119,071.52 2026-05-28
734 APR_DRG Orbit And Eye Procedures 19 19 $507,119.85 $329,627.90 35% off $724.26 $431,051.87 $118,041.21 2026-05-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 19 19 $562,308.80 $365,500.72 35% off $2,046.55 $477,962.48 $115,897.62 2026-05-28
PX-8110000000 CDM Hc Living Donor Sac- Kidney 38 32 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $114,510.00 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 21 21 $273,655.62 $177,876.15 35% off $15,416.20 $232,607.28 $112,461.12 2026-05-28
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 19 19 $545,496.19 $354,572.52 35% off $1,369.90 $463,671.76 $112,226.83 2026-05-28
8943 APR_DRG HIV With One Significant HIV Condition Or Without Significant Related Conditions 19 19 $415,225.30 $269,896.45 35% off $690.05 $352,941.51 $109,108.58 2026-05-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 11 $521,161.00 $338,754.65 35% off $41,860.38 $442,986.85 $109,048.82 2026-05-28
73 APR_DRG Allogeneic Bone Marrow Transplant 16 16 $917,811.00 $596,577.15 35% off $1,229.17 $780,139.35 $106,833.84 2026-05-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 107 95 $949,211.27 $247,560.01 74% off $9,802.97 $806,829.58 $106,632.07 2026-05-28
Px08120000000_00000_100099_36 OTHER Hc Cadaver Donor Sac- Kidney 30 26 $176,700.00 $114,855.00 35% off $745.15 $179,869.19 $106,020.00 2026-05-28
4454 APR_DRG Other Bladder Procedures 19 19 $510,108.83 $331,570.74 35% off $904.59 $433,592.51 $102,640.46 2026-05-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $120,175.80 $78,114.27 35% off $102,149.43 $102,149.43 $102,149.43 2026-05-28
C1823 HCPCS Hc Remede System 1001 78 31 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $100,196.25 2026-03-01
Rx68382039601 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 40 35 $284,700.00 $185,055.00 35% off $745.15 $284,700.00 $99,645.00 2026-05-28
Sx00000204485 OTHER Implant Hvad Pump 35 27 $186,625.00 $121,306.25 35% off $745.15 $186,625.00 $98,724.63 2026-05-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 11 $480,104.00 $312,067.60 35% off $14,507.58 $408,088.40 $97,486.38 2026-05-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 16 16 $770,702.00 $500,956.30 35% off $2,155.76 $655,096.70 $96,998.04 2026-05-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 19 19 $473,896.39 $308,032.65 35% off $1,070.84 $402,811.93 $96,367.92 2026-05-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 16 16 $490,875.65 $319,069.17 35% off $3,125.73 $417,244.30 $96,247.26 2026-05-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 16 16 $616,570.45 $400,770.79 35% off $2,155.76 $524,084.88 $95,583.11 2026-05-28
293 APR_DRG Other Percutaneous Intracranial Procedures 19 19 $468,767.40 $304,698.81 35% off $1,507.14 $398,452.29 $94,990.29 2026-05-28
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 119 99 $610,505.60 $396,828.64 35% off $1,246.99 $567,770.21 $94,017.86 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 11 $463,918.66 $301,547.13 35% off $14,952.51 $394,330.86 $93,480.04 2026-05-28
589 MS_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 24 12 — — $650.92 $228,284.38 $90,384.06 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 16 16 $761,444.24 $494,938.76 35% off $2,911.40 $647,227.60 $90,294.80 2026-05-28
Px08110000000_00000_100099_36 OTHER Hc Living Donor Sac- Kidney 30 26 $150,000.00 $97,500.00 35% off $745.15 $153,169.19 $90,000.00 2026-05-28
Sx00000197247 OTHER Kit Implnt Lvad Heartmate 3 44 35 $244,815.00 $159,129.75 35% off $745.15 $244,815.00 $88,990.26 2026-05-28
14 MS_DRG Allogeneic Bone Marrow Transplant 92 80 $38,882.04 $362,537.56 $5,065.18 $305,975.73 $88,502.62 2026-05-28
Sx00000216398 OTHER Custom Extendible P Tibia 35 27 $166,500.00 $108,225.00 35% off $745.15 $173,500.95 $88,078.50 2026-05-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 19 19 $443,186.58 $288,071.28 35% off $1,192.99 $376,708.59 $86,500.98 2026-05-28
74 APR_DRG Allogeneic Bone Marrow Transplant 16 16 $737,038.00 $479,074.70 35% off $1,575.41 $626,482.30 $84,921.47 2026-05-28
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 38 32 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $83,974.00 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 91 79 $148,868.05 $413,132.14 $9,802.97 $276,854.59 $83,173.10 2026-05-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $97,811.25 $63,577.31 35% off $83,139.56 $83,139.56 $83,139.56 2026-05-28
112 MS_DRG No Longer Valid 15 15 $137,461.40 $89,349.91 35% off $14,527.77 $137,461.40 $82,476.84 2026-05-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 21 21 $176,973.88 $115,033.02 35% off $12,863.24 $150,427.80 $82,418.04 2026-05-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 109 85 $31,834.62 $328,897.63 $1,015.00 $280,599.75 $81,407.61 2026-05-28
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 21 $197,034.50 $128,072.43 35% off $8,975.47 $167,479.33 $80,355.60 2026-05-28
4804 APR_DRG Major Male Pelvic Procedures 19 19 $406,155.20 $264,000.88 35% off $1,409.03 $345,231.92 $79,944.87 2026-05-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 19 19 $416,625.24 $270,806.41 35% off $1,369.90 $354,131.45 $79,674.42 2026-05-28
1781 APR_DRG External Heart Assist Systems 19 19 $413,274.98 $268,628.74 35% off $2,971.19 $351,283.73 $79,424.61 2026-05-28
107 MS_DRG No Longer Valid 15 15 $131,788.55 $85,662.56 35% off $11,947.79 $131,788.55 $79,073.13 2026-05-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 84 72 $473,562.45 $523,744.44 $9,802.97 $473,562.45 $79,020.71 2026-05-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 11 $403,301.00 $262,145.65 35% off $19,979.89 $342,805.85 $78,640.57 2026-05-28
215 MS_DRG Other Heart Assist System Implant 100 87 $335,128.60 $167,050.11 50% off $9,802.97 $317,013.75 $77,523.72 2026-05-28
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 19 19 $310,227.76 $201,648.04 35% off $1,047.09 $263,693.60 $75,932.27 2026-05-28
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 11 $385,006.00 $250,253.90 35% off $25,399.65 $327,255.10 $74,353.63 2026-05-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 87 75 $303,808.65 $293,981.17 $9,632.36 $258,237.35 $74,043.92 2026-05-28
120 MS_DRG Other Circulatory System O.r. Procedures 15 15 $122,985.83 $79,940.79 35% off $4,969.61 $122,985.83 $73,791.50 2026-05-28
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 19 19 $328,488.65 $213,517.62 35% off $1,136.41 $279,215.35 $73,465.65 2026-05-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 21 $194,247.61 $126,260.95 35% off $11,884.38 $165,110.47 $72,874.51 2026-05-28
72 APR_DRG Allogeneic Bone Marrow Transplant 16 16 $639,245.51 $415,509.58 35% off $1,229.16 $543,358.68 $72,753.70 2026-05-28
C1605 HCPCS Hc Aveir Ntap C1605 49 41 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $70,985.59 2026-03-01
6904 APR_DRG Acute Leukemia 19 19 $380,507.38 $247,329.80 35% off $713.13 $323,431.27 $70,952.50 2026-05-28
204 APR_DRG Open Craniotomy For Trauma 19 19 $267,190.09 $173,673.56 35% off $1,517.89 $227,111.58 $69,489.89 2026-05-28
203 APR_DRG Open Craniotomy For Trauma 19 19 $113,345.39 $73,674.50 35% off $1,441.49 $181,073.23 $69,489.89 2026-05-28
2313 APR_DRG Major Large Bowel Procedures 19 19 $81,813.88 $53,179.02 35% off $1,115.08 $152,676.42 $69,456.25 2026-05-28
202 APR_DRG Open Craniotomy For Trauma 19 19 $79,227.81 $51,498.08 35% off $1,441.49 $181,073.23 $69,109.73 2026-05-28
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 21 $165,498.01 $107,573.71 35% off $17,122.67 $140,673.31 $68,761.87 2026-05-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 18 18 $366,722.00 $238,369.30 35% off $1,083.57 $311,713.70 $68,486.50 2026-05-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 19 19 $368,054.23 $239,235.25 35% off $1,303.38 $312,846.10 $68,127.30 2026-05-28
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 19 19 $363,608.47 $236,345.51 35% off $372.25 $309,067.20 $68,112.14 2026-05-28
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 19 19 $347,243.93 $225,708.55 35% off $1,190.11 $295,157.34 $67,630.95 2026-05-28
63 APR_DRG Pancreas Transplant 16 16 $604,430.88 $392,880.07 35% off $2,503.67 $513,766.25 $67,372.07 2026-05-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 11 $356,448.67 $231,691.64 35% off $24,686.71 $302,981.37 $67,211.29 2026-05-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 85 73 $40,999.38 $258,405.15 $1,015.00 $229,384.42 $67,088.06 2026-05-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 21 $124,093.30 $80,660.65 35% off $7,326.19 $105,479.31 $66,632.02 2026-05-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 97 85 $325,502.69 $228,931.97 30% off $9,802.97 $276,677.29 $65,911.47 2026-05-28
23 APR_DRG Heart And/or Lung Transplant 16 16 $559,397.29 $363,608.24 35% off $2,478.83 $475,487.70 $65,348.88 2026-05-28
850 MS_DRG Acute Leukemia With Other Procedures 109 72 — $185,770.56 $9,802.97 $220,470.87 $64,595.86 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 21 21 $125,713.88 $81,714.02 35% off $17,623.80 $106,856.80 $63,796.11 2026-05-28
64 APR_DRG Pancreas Transplant 16 16 $578,248.99 $375,861.84 35% off $2,503.67 $491,511.64 $63,177.62 2026-05-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 135 87 $312,560.30 $280,369.08 $9,802.97 $265,676.26 $62,961.47 2026-05-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 11 $336,744.30 $218,883.80 35% off $24,686.71 $286,232.65 $62,307.25 2026-05-28
38240 CPT Hc Hpc Allogeneic 102 82 $147,856.00 $96,106.40 35% off $4,977.46 $159,747.27 $62,302.15 2026-03-01
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-03-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 16 $574,685.12 $373,545.33 35% off $1,229.16 $488,482.35 $62,192.09 2026-05-28
SUP-9600CT26A CDM Valve Certitude 26mm (9600ct26a 153922) 30 26 $89,375.00 $58,093.75 35% off $13,763.75 $83,118.75 $62,026.25 2026-03-01
SUP-9600CT29A CDM Valve Certitude 29mm (9600ct29a 153923) 30 26 $89,375.00 $58,093.75 35% off $13,763.75 $83,118.75 $62,026.25 2026-03-01
SUP-9600CT23A CDM Valve Certitude 23mm (9600ct23a 153921) 30 26 $89,375.00 $58,093.75 35% off $13,763.75 $83,118.75 $62,026.25 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 100 87 $387,183.73 $207,705.03 46% off $7,940.30 $329,106.17 $61,915.67 2026-05-28
6903 APR_DRG Acute Leukemia 19 19 $342,735.17 $222,777.86 35% off $713.12 $291,324.89 $61,828.24 2026-05-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 87 $302,432.06 $230,550.71 24% off $9,802.97 $257,067.25 $60,491.76 2026-05-28
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 11 11 $326,803.00 $212,421.95 35% off $32,783.06 $277,782.55 $60,230.91 2026-05-28
201 APR_DRG Open Craniotomy For Trauma 18 18 $58,541.52 $38,051.99 35% off $1,429.94 $94,818.55 $59,435.01 2026-05-28
2312 APR_DRG Major Large Bowel Procedures 18 18 $123,232.04 $80,100.83 35% off $1,070.05 $152,676.42 $59,333.04 2026-05-28
2254 APR_DRG Appendectomy 19 19 $311,732.77 $202,626.30 35% off $1,190.11 $264,972.85 $59,119.77 2026-05-28
2314 APR_DRG Major Large Bowel Procedures 19 19 $134,161.49 $87,204.97 35% off $1,115.08 $152,676.42 $59,040.76 2026-05-28
2624 APR_DRG Cholecystectomy Except Laparoscopic 19 19 $327,092.24 $212,609.96 35% off $1,172.19 $278,028.40 $59,031.80 2026-05-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 88 75 $179,465.74 $156,581.96 $17,534.63 $162,132.56 $58,768.35 2026-05-28
2311 APR_DRG Major Large Bowel Procedures 19 19 $53,730.36 $34,924.73 35% off $1,271.32 $152,676.42 $58,715.78 2026-05-28
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 21 21 $158,640.20 $103,116.13 35% off $9,937.89 $158,640.20 $58,538.23 2026-05-28
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 21 21 $146,158.35 $95,002.93 35% off $29,502.54 $124,234.60 $58,523.11 2026-05-28
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $58,051.04 $58,051.04 $58,051.04 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $57,869.10 $57,869.10 $57,869.10 2026-03-01
1793 APR_DRG Defibrillator Implants 19 19 $324,784.24 $211,109.76 35% off $2,440.86 $276,066.60 $57,597.92 2026-05-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 114 89 $215,419.13 $224,087.74 $9,802.97 $183,106.26 $57,375.59 2026-05-28
5143 APR_DRG Female Reproductive System Reconstructive Procedures 19 19 $322,697.02 $209,753.06 35% off $1,156.23 $274,292.47 $57,263.79 2026-05-28
SUP-EVOLUTPRO-29-US CDM Evolutpro 29mm (evolutpro-29-US 146167) 30 26 $82,500.00 $53,625.00 35% off $12,705.00 $76,725.00 $57,255.00 2026-03-01
SUP-EVOLUTPRO-23-US CDM Evolutpro 23mm (evolutpro-23-US 146165) 30 26 $82,500.00 $53,625.00 35% off $12,705.00 $76,725.00 $57,255.00 2026-03-01
SUP-EVOLUTPRO-26-US CDM Evolutpro 26mm (evolutpro-26-US 146166) 30 26 $82,500.00 $53,625.00 35% off $12,705.00 $76,725.00 $57,255.00 2026-03-01
0483T CPT Hc Tmvi Percutaneous Approach 40 34 $83,602.00 $54,341.30 35% off $12,874.71 $77,749.86 $55,762.54 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 79 66 — $203,541.94 $9,802.97 $181,539.98 $55,590.89 2026-03-01
567 MS_DRG Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 15 15 $92,298.76 $59,994.19 35% off $6,944.03 $92,298.76 $55,379.26 2026-05-28
1782 APR_DRG External Heart Assist Systems 19 19 $313,488.27 $203,767.38 35% off $2,851.20 $266,465.03 $55,276.97 2026-05-28
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 33 33 $159,375.10 $103,593.82 35% off $7,257.14 $135,468.84 $54,887.62 2026-05-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 97 85 $540,754.16 $178,588.96 67% off $9,802.97 $459,641.04 $54,509.25 2026-05-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 88 75 $38,989.51 $177,256.81 $1,015.00 $183,785.56 $54,338.83 2026-05-28
2223 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 19 19 $113,008.44 $73,455.49 35% off $1,075.74 $139,277.67 $54,110.46 2026-05-28
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 19 19 $238,350.92 $154,928.10 35% off $749.75 $202,598.28 $54,110.46 2026-05-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 97 85 $205,349.01 $141,502.05 31% off $7,010.52 $175,974.43 $53,980.30 2026-05-28
2222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 19 19 $50,275.24 $32,678.91 35% off $1,443.84 $139,277.67 $53,811.51 2026-05-28
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 21 21 $89,596.60 $58,237.79 35% off $22,797.47 $104,748.22 $53,757.96 2026-05-28
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 19 19 $62,473.71 $40,607.91 35% off $1,190.11 $138,774.93 $53,627.49 2026-05-28
Rx64406005801 OTHER Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml 43 35 $284,378.50 $184,846.02 35% off $745.15 $284,378.50 $52,886.48 2026-05-28
6614 APR_DRG Coagulation And Platelet Disorders 19 19 $304,193.16 $197,725.55 35% off $1,051.28 $258,564.19 $52,880.92 2026-05-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 19 19 $296,867.26 $192,963.72 35% off $1,716.40 $252,337.17 $52,590.46 2026-05-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 88 76 $203,377.17 $131,003.19 36% off $17,672.56 $172,870.59 $52,267.46 2026-05-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 87 $162,028.05 $198,660.70 $9,802.97 $167,407.14 $52,247.50 2026-05-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 19 19 $301,967.31 $196,278.75 35% off $1,226.14 $256,672.21 $51,907.98 2026-05-28
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 19 19 $283,657.54 $184,377.40 35% off $1,269.08 $241,108.91 $51,855.12 2026-05-28
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 150 99 $130,030.70 $84,519.95 35% off $338.89 $1,151,699.82 $51,599.72 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 85 72 — $151,017.72 $9,802.97 $170,238.29 $51,562.11 2026-03-01
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 45 33 $87,855.05 $57,105.78 35% off $8,919.94 $87,855.05 $51,553.31 2026-05-28
213 APR_DRG Open Craniotomy Except Trauma 19 19 $130,936.98 $85,109.04 35% off $1,522.41 $132,139.49 $51,483.82 2026-05-28
212 APR_DRG Open Craniotomy Except Trauma 19 19 $89,737.23 $58,329.20 35% off $1,960.30 $132,139.49 $51,483.82 2026-05-28
214 APR_DRG Open Craniotomy Except Trauma 19 19 $118,567.76 $77,069.04 35% off $1,507.14 $132,139.49 $51,483.82 2026-05-28
211 APR_DRG Open Craniotomy Except Trauma 19 19 $62,591.42 $40,684.42 35% off $2,160.20 $132,139.49 $51,483.82 2026-05-28
110 MS_DRG Major Cardiovascular Procedures W Cc 15 15 $85,727.51 $55,722.88 35% off $11,146.36 $85,727.51 $51,436.51 2026-05-28
2243 APR_DRG Peritoneal Adhesiolysis 19 19 $159,907.53 $103,939.89 35% off $1,009.30 $135,921.40 $51,326.56 2026-05-28
2244 APR_DRG Peritoneal Adhesiolysis 19 19 $94,362.73 $61,335.77 35% off $1,118.60 $131,712.08 $51,326.56 2026-05-28
2242 APR_DRG Peritoneal Adhesiolysis 19 19 $48,013.18 $31,208.57 35% off $944.47 $131,712.07 $51,042.32 2026-05-28
2241 APR_DRG Peritoneal Adhesiolysis 19 19 $45,743.49 $29,733.27 35% off $999.67 $131,712.07 $51,042.32 2026-05-28
30237890006 OTHER Sipuleucel-t In Lactated Ringers 50 Million C 41 27 $72,291.80 $46,989.67 35% off $745.15 $112,706.40 $50,965.72 2026-05-28
Rx30237890006 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell25 41 27 $72,291.80 $46,989.67 35% off $745.15 $112,706.40 $50,965.72 2026-05-28
7584 APR_DRG Behavioral Disorders 19 19 $296,557.32 $192,762.26 35% off $116.67 $252,073.72 $50,909.93 2026-05-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 88 75 $10,297.37 $165,280.20 $3,604.08 $170,113.54 $50,516.21 2026-05-28
SUP-AI CDM Artery Aortoiliac Cryopreserve (ai 153145) 30 26 $72,061.40 $46,839.91 35% off $11,097.46 $67,017.10 $50,010.61 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 96 82 $59,670.53 $38,573.54 35% off $5,910.78 $140,486.74 $49,589.39 2026-05-28
2213 APR_DRG Major Small & Large Bowel Procedures 19 19 $275,684.16 $179,194.70 35% off $1,070.05 $234,331.54 $49,351.27 2026-05-28
234 APR_DRG Spinal Procedures 19 19 $271,764.41 $176,646.87 35% off $1,402.73 $230,999.75 $49,316.11 2026-05-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 100 88 $187,383.61 $115,227.39 39% off $9,802.97 $159,276.07 $48,907.17 2026-05-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 100 88 $740,885.64 $122,798.69 83% off $9,802.97 $629,752.79 $48,854.11 2026-05-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 139 102 $557,980.25 $118,168.29 79% off $4,862.27 $474,283.21 $48,758.66 2026-05-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 21 $138,107.65 $89,769.97 35% off $13,963.00 $117,391.50 $48,337.68 2026-05-28
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $48,018.69 $48,018.69 $48,018.69 2026-03-01
804 APR_DRG Acute Major Eye Infections 19 19 $226,032.22 $146,920.94 35% off $655.71 $192,127.39 $47,626.51 2026-05-28
0268T CPT Hc Implt/Rpl Crtd Sns Dev Gen 45 38 $68,600.00 $44,590.00 35% off $10,564.40 $68,600.00 $47,608.40 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 98 86 $176,947.00 $125,715.70 29% off $4,717.88 $176,947.00 $47,422.02 2026-05-28
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $47,269.90 $47,269.90 $47,269.90 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 19 19 $279,367.61 $181,588.95 35% off $769.03 $237,462.47 $46,890.29 2026-05-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $55,130.20 $35,834.63 35% off $46,860.67 $46,860.67 $46,860.67 2026-05-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 97 85 $73,807.86 $184,916.77 $9,802.97 $151,820.53 $46,705.98 2026-05-28
28 MS_DRG Spinal Procedures With Mcc 96 80 $76,934.47 $93,527.95 $6,734.13 $129,484.53 $46,637.81 2026-05-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 100 87 $120,412.94 $195,426.39 $9,802.97 $149,414.56 $46,629.85 2026-05-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 21 $58,306.05 $37,898.93 35% off $20,407.12 $111,777.00 $46,518.70 2026-05-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 21 $162,010.38 $105,306.75 35% off $5,597.92 $137,708.82 $46,509.24 2026-05-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 87 75 $159,643.33 $166,133.92 $8,020.97 $135,696.83 $46,266.39 2026-05-28
2253 APR_DRG Appendectomy 19 19 $83,529.15 $54,293.95 35% off $1,146.18 $98,407.00 $45,784.60 2026-05-28
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 93 79 $382,425.60 $100,030.44 74% off $9,802.97 $382,425.60 $45,756.73 2026-05-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 84 71 $70,317.29 $148,678.43 $9,802.97 $137,434.93 $45,711.23 2026-05-28
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 $53,762.96 $34,945.92 35% off $45,698.52 $45,698.52 $45,698.52 2026-05-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 77 65 $5,125.05 $120,483.65 $1,793.77 $128,171.79 $45,262.06 2026-05-28
2264 APR_DRG Anal And Perineal Procedures 19 19 $71,328.43 $46,363.48 35% off $954.76 $114,999.11 $45,176.72 2026-05-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 94 82 $591,940.40 $419,367.86 29% off $9,802.97 $591,940.40 $44,992.09 2026-05-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 91 78 $6,239.65 $130,539.87 $1,015.00 $146,830.37 $44,886.50 2026-05-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 17 $161,320.91 $104,858.59 35% off $1,450.68 $137,122.77 $44,776.82 2026-05-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 17 $59,643.74 $38,768.43 35% off $1,450.68 $61,433.80 $44,776.82 2026-05-28
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $44,686.15 $44,686.15 $44,686.15 2026-03-01
Rx50633011011 OTHER Crotalidae Polyval Immune Fab Solution For Injecti 34 27 $99,777.60 $64,855.44 35% off $745.15 $99,777.60 $44,600.59 2026-05-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 21 $127,136.41 $82,638.67 35% off $7,614.96 $108,065.95 $44,576.86 2026-05-28
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 21 21 $120,116.60 $78,075.79 35% off $6,866.42 $120,116.60 $44,323.03 2026-05-28
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $44,177.82 $44,177.82 $44,177.82 2026-03-01
2202 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 19 19 $59,080.00 $38,402.00 35% off $1,176.50 $94,684.64 $44,160.97 2026-05-28
2324 APR_DRG Gastric Fundoplication 19 19 $249,234.15 $162,002.20 35% off $1,176.50 $211,849.03 $44,004.03 2026-05-28
5174 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 19 19 $266,404.95 $173,163.22 35% off $964.27 $226,444.21 $43,955.00 2026-05-28
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 48 12 — — $21,157.75 $87,649.20 $43,865.89 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 116 91 $286,913.55 $113,783.95 60% off $8,240.51 $286,913.55 $43,744.40 2026-05-28
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $51,416.76 $33,420.89 35% off $43,704.25 $43,704.25 $43,704.25 2026-05-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 134 94 $126,655.08 $94,203.75 26% off $1,672.82 $123,228.73 $43,525.13 2026-05-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 18 18 $199,201.20 $129,480.78 35% off $1,083.58 $169,321.02 $43,426.36 2026-05-28
1812 APR_DRG Lower Extremity Arterial Procedures 19 19 $265,143.02 $172,342.96 35% off $2,243.80 $225,371.57 $43,404.11 2026-05-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $43,354.97 $43,354.97 $43,354.97 2026-03-01
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 80 64 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $43,313.85 2026-03-01
8944 APR_DRG HIV With One Significant HIV Condition Or Without Significant Related Conditions 19 19 $154,907.80 $100,690.07 35% off $766.54 $131,671.63 $43,220.88 2026-05-28
62 APR_DRG Pancreas Transplant 16 16 $405,129.36 $263,334.08 35% off $3,964.51 $344,359.96 $43,057.29 2026-05-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 100 87 $8,290.87 $147,406.67 $1,015.00 $143,136.12 $42,973.46 2026-05-28
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