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

UNIVERSITY HEALTH SYSTEM

San Antonio, TX · CCN 450213 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $20,337 across 26 payers · range $1,850-$35,413

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/9382/746002164_bexar-county-hospital-district_standardcharges.csv · observed 2025-10-14

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.

15,156 distinct procedures filed
45 distinct payers
1,104,934 rate rows
2025-10-14 last MRF observed
Data quality

1,094,779 of 1,104,934 rate rows are consumer-grade (99.1%)

10,155 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,681
per-diem day rate — not a per-procedure price 646
percent-of-charges filed in the dollar field — excluded from medians 231
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 183
exceeds 10× this hospital's gross charge — excluded from medians 164
placeholder amount (≤ $0.02) — excluded from medians 154
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 95
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/9382/746002164_bexar-county-hospital-district_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UniversityHealth/9382
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-18
Content fingerprint 9d0bd015031ade83… · 3,443,038,482 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 16 $4,377,500.00 $4,815,250.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 18 $3,710,000.00 $4,637,500.00 $3,747,100.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 18 $3,685,266.67 $4,606,583.33 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 18 $3,324,571.90 $4,654,400.66 $3,357,817.62 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 18 $3,261,355.00 $4,565,897.00 $3,293,968.55 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 20 $2,950,686.67 $4,868,633.00 $3,009,700.40 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 24 $2,452,115.60 $4,291,202.29 $2,525,679.06 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 24 $2,332,000.00 $4,081,000.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 24 $770,620.00 $1,348,585.00 $793,738.60 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 24 $578,324.58 $1,012,068.01 $595,674.32 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 24 $553,378.83 $968,412.95 $569,980.19 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 24 $541,635.66 $947,862.40 $557,884.73 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 24 $541,260.45 $947,205.78 $557,498.26 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 24 $533,076.48 $932,883.83 $549,068.77 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 24 $489,720.00 $857,010.00 $504,411.60 nat. median
$577,541
0.9× median
5834
APR_DRG 		Neonate With Ecmo 12 $409,098.45 $695,467.37 $421,371.40 nat. median
$311,018
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $397,971.35 $676,551.30 $409,910.49 nat. median
$175,480
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $294,914.10 $637,822.69 $375,404.21 nat. median
$370,165
1.0× median
5833
APR_DRG 		Neonate With Ecmo 12 $346,409.53 $588,896.20 $356,801.82 nat. median
$250,089
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 12 $333,236.16 $566,501.47 $343,233.24 nat. median
$243,231
1.4× median
J2326
HCPCS 		Nusinersen Inj Per 0.1 Mg 35 $1,246.94 $1,278,348.00 $311,916.91 nat. median
$2,353
outlier · 132.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $71,000.00 $482,741.79 $282,748.76 nat. median
$261,939
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 24 $270,375.00 $473,156.25 $278,486.25 nat. median
$302,242
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $258,952.60 $440,219.42 $266,721.18 nat. median
$254,667
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 12 $251,460.74 $427,483.26 $259,004.56 nat. median
$209,486
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 12 $235,579.12 $400,484.50 $242,646.49 nat. median
$165,599
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 25 $185,512.30 $410,510.42 $241,614.70 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 25 $167,595.11 $373,282.54 $219,703.44 nat. median
$199,832
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 $192,678.00 $327,552.60 $198,458.34 nat. median
$160,171
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 $190,970.53 $324,649.90 $196,699.65 nat. median
$168,174
1.2× median
5832
APR_DRG 		Neonate With Ecmo 12 $172,607.96 $293,433.53 $177,786.20 nat. median
$169,230
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $163,902.56 $278,634.35 $168,819.64 nat. median
$119,243
1.4× median
7
MS_DRG 		Lung Transplant 30 $57,000.00 $321,906.00 $163,547.90 nat. median
$122,690
1.3× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 12 $152,310.61 $258,928.04 $156,879.93 nat. median
$28,828
outlier · 5.4×
5831
APR_DRG 		Neonate With Ecmo 12 $151,984.74 $258,374.06 $156,544.28 nat. median
$154,685
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 25 $110,496.60 $254,644.74 $149,876.62 nat. median
$132,706
1.1× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $140,428.89 $238,729.11 $144,641.76 nat. median
$89,814
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $138,945.49 $236,207.33 $143,113.85 nat. median
$180,995
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $138,310.44 $235,127.75 $142,459.75 nat. median
$147,847
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 12 $137,952.79 $234,519.74 $142,091.37 nat. median
$127,600
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 12 $137,359.75 $233,511.58 $141,480.54 nat. median
$165,646
0.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 $135,987.85 $231,179.35 $140,067.49 nat. median
$147,677
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 25 $96,000.00 $237,938.31 $140,043.69 nat. median
$114,305
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 30 $80,300.00 $243,938.00 $136,966.36 nat. median
$99,646
1.4× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 $132,405.39 $225,089.16 $136,377.55 nat. median
$67,813
outlier · 2.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 12 $131,219.32 $223,072.84 $135,155.90 nat. median
$168,361
0.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 12 $131,064.73 $222,810.04 $134,996.67 nat. median
$127,938
1.1× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $130,372.05 $221,632.49 $134,283.21 nat. median
$120,928
1.1× median
J0225
HCPCS 		Vutrisiran Per 1 Mg 35 $4,983.86 $537,087.00 $131,049.23 nat. median
$8,133
outlier · 16.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 12 $119,370.99 $202,930.68 $122,952.12 nat. median
$137,901
0.9× median

Other procedures at this hospital

Browse this hospital's 15,156 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 17 16 — — $4,377,500.00 $4,815,250.00 $4,377,500.00 2025-10-14
J1414 HCPCS Inj, Beqvez, Per Tx Dose 20 18 — — $3,710,000.00 $4,637,500.00 $3,747,100.00 2025-10-14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 18 — — $3,685,266.67 $4,606,583.33 $3,722,119.33 2025-10-14
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 18 — — $3,324,571.90 $4,654,400.66 $3,357,817.62 2025-10-14
J3394 HCPCS Inj, Lovotibeglogene Autotem 21 18 — — $3,261,355.00 $4,565,897.00 $3,293,968.55 2025-10-14
J3393 HCPCS Inj, Betibeglogene Autotemce 23 20 — — $2,950,686.67 $4,868,633.00 $3,009,700.40 2025-10-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 24 — — $2,452,115.60 $4,291,202.29 $2,525,679.06 2025-10-14
J3392 HCPCS Inj, Exagamglogene Autotem 27 24 — — $2,332,000.00 $4,081,000.00 $2,401,960.00 2025-10-14
Q2057 HCPCS Afamitresgene Autoleucel 27 24 — — $770,620.00 $1,348,585.00 $793,738.60 2025-10-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 27 24 — — $578,324.58 $1,012,068.01 $595,674.32 2025-10-14
Q2056 HCPCS Ciltacabtagene Car-pos T 27 24 — — $553,378.83 $968,412.95 $569,980.19 2025-10-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 24 — — $541,635.66 $947,862.40 $557,884.73 2025-10-14
Q2055 HCPCS Idecabtagene Vicleucel Car 27 24 — — $541,260.45 $947,205.78 $557,498.26 2025-10-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 24 — — $533,076.48 $932,883.83 $549,068.77 2025-10-14
Q2053 HCPCS Brexucabtagene Car Pos T 27 24 — — $489,720.00 $857,010.00 $504,411.60 2025-10-14
5834 APR_DRG Neonate With Ecmo 12 12 — — $409,098.45 $695,467.37 $421,371.40 2025-10-14
74 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $397,971.35 $676,551.30 $409,910.49 2025-10-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 25 — — $294,914.10 $637,822.69 $375,404.21 2025-10-14
5833 APR_DRG Neonate With Ecmo 12 12 — — $346,409.53 $588,896.20 $356,801.82 2025-10-14
24 APR_DRG Heart And/or Lung Transplant 12 12 — — $333,236.16 $566,501.47 $343,233.24 2025-10-14
J2326 HCPCS Nusinersen Inj Per 0.1 Mg 89 35 $511,339.20 $127,834.80 75% off $1,246.94 $1,278,348.00 $311,916.91 2025-10-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 25 — — $71,000.00 $482,741.79 $282,748.76 2025-10-14
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 27 24 — — $270,375.00 $473,156.25 $278,486.25 2025-10-14
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $258,952.60 $440,219.42 $266,721.18 2025-10-14
1614 APR_DRG Implantable Heart Assist Systems 12 12 — — $251,460.74 $427,483.26 $259,004.56 2025-10-14
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $235,579.12 $400,484.50 $242,646.49 2025-10-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 31 25 — — $185,512.30 $410,510.42 $241,614.70 2025-10-14
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 31 25 — — $167,595.11 $373,282.54 $219,703.44 2025-10-14
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $192,678.00 $327,552.60 $198,458.34 2025-10-14
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $190,970.53 $324,649.90 $196,699.65 2025-10-14
5832 APR_DRG Neonate With Ecmo 12 12 — — $172,607.96 $293,433.53 $177,786.20 2025-10-14
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $163,902.56 $278,634.35 $168,819.64 2025-10-14
7 MS_DRG Lung Transplant 44 30 — — $57,000.00 $321,906.00 $163,547.90 2025-10-14
2004 APR_DRG Cardiac Structural And Valvular Disorders 12 12 — — $152,310.61 $258,928.04 $156,879.93 2025-10-14
5831 APR_DRG Neonate With Ecmo 12 12 — — $151,984.74 $258,374.06 $156,544.28 2025-10-14
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 31 25 — — $110,496.60 $254,644.74 $149,876.62 2025-10-14
73 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $140,428.89 $238,729.11 $144,641.76 2025-10-14
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $138,945.49 $236,207.33 $143,113.85 2025-10-14
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $138,310.44 $235,127.75 $142,459.75 2025-10-14
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $137,952.79 $234,519.74 $142,091.37 2025-10-14
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 12 — — $137,359.75 $233,511.58 $141,480.54 2025-10-14
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 12 — — $135,987.85 $231,179.35 $140,067.49 2025-10-14
14 MS_DRG Allogeneic Bone Marrow Transplant 32 25 — — $96,000.00 $237,938.31 $140,043.69 2025-10-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 30 — — $80,300.00 $243,938.00 $136,966.36 2025-10-14
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 12 — — $132,405.39 $225,089.16 $136,377.55 2025-10-14
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $131,219.32 $223,072.84 $135,155.90 2025-10-14
1613 APR_DRG Implantable Heart Assist Systems 12 12 — — $131,064.73 $222,810.04 $134,996.67 2025-10-14
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 12 — — $130,372.05 $221,632.49 $134,283.21 2025-10-14
J0225 HCPCS Vutrisiran Per 1 Mg 89 35 $214,834.80 $53,708.70 75% off $4,983.86 $537,087.00 $131,049.23 2025-10-14
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $119,370.99 $202,930.68 $122,952.12 2025-10-14
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $118,892.68 $202,117.56 $122,459.46 2025-10-14
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 12 — — $116,780.16 $198,526.27 $120,283.56 2025-10-14
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $116,714.99 $198,415.48 $120,216.44 2025-10-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 25 — — $70,536.00 $204,107.94 $119,548.93 2025-10-14
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $115,739.52 $196,757.18 $119,211.71 2025-10-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 25 — — $85,190.30 $202,063.91 $118,929.04 2025-10-14
2464 APR_DRG Gastrointestinal Vascular Insufficiency 12 12 — — $113,181.01 $192,407.72 $116,576.44 2025-10-14
215 MS_DRG Other Heart Assist System Implant 32 25 — — $82,851.34 $197,204.05 $116,068.67 2025-10-14
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 12 — — $112,597.13 $191,415.12 $115,975.04 2025-10-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 25 — — $81,917.63 $195,264.02 $114,926.82 2025-10-14
Q0480 HCPCS Driver Pneumatic Vad, Rep 27 24 — — $109,306.00 $191,285.50 $112,585.18 2025-10-14
64 APR_DRG Pancreas Transplant 12 12 — — $109,272.14 $185,762.64 $112,550.30 2025-10-14
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $109,263.52 $185,747.98 $112,541.43 2025-10-14
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $108,936.57 $185,192.17 $112,204.67 2025-10-14
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $105,898.68 $180,027.76 $109,075.64 2025-10-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 26 — — $24,000.00 $181,870.66 $105,484.98 2025-10-14
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $101,814.21 $173,084.16 $104,868.64 2025-10-14
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $100,143.37 $170,243.73 $103,147.67 2025-10-14
850 MS_DRG Acute Leukemia With Other Procedures 31 25 — — $72,037.06 $174,734.46 $102,843.71 2025-10-14
J1823 HCPCS Inebilizumab-cdon Per 1 Mg 120 43 $168,301.20 $42,075.30 75% off $494.43 $420,753.00 $102,663.73 2025-10-14
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 12 — — $99,330.57 $168,861.97 $102,310.49 2025-10-14
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 12 — — $95,097.45 $161,665.67 $97,950.37 2025-10-14
72 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $94,352.52 $160,399.28 $97,183.10 2025-10-14
1612 APR_DRG Implantable Heart Assist Systems 12 12 — — $94,215.17 $160,165.79 $97,041.63 2025-10-14
J0223 HCPCS Givosiran Inj Per 0.5 Mg 87 34 $158,021.40 $39,505.35 75% off $117.19 $395,053.50 $96,393.05 2025-10-14
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 27 24 — — $93,216.70 $163,129.23 $96,013.20 2025-10-14
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $93,137.90 $158,334.43 $95,932.04 2025-10-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 25 — — $66,229.14 $162,666.89 $95,741.09 2025-10-14
C9293 HCPCS Glucarpidase Per 10 Units 71 43 $155,641.30 $38,910.33 75% off $57,587.28 $389,103.25 $94,941.20 2025-10-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 25 — — $65,223.49 $160,577.38 $94,511.26 2025-10-14
8634 APR_DRG Neonatal Aftercare 12 12 — — $91,693.28 $155,878.58 $94,444.08 2025-10-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 26 — — $24,000.00 $162,743.28 $94,391.10 2025-10-14
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 12 — — $90,812.62 $154,381.45 $93,537.00 2025-10-14
1611 APR_DRG Implantable Heart Assist Systems 12 12 — — $89,354.53 $151,902.70 $92,035.17 2025-10-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 25 — — $63,037.80 $156,036.04 $91,838.35 2025-10-14
4404 APR_DRG Kidney Transplant 12 12 — — $89,133.69 $151,527.27 $91,807.70 2025-10-14
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $88,726.49 $150,835.03 $91,388.28 2025-10-14
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $88,696.32 $150,783.74 $91,357.21 2025-10-14
10 MS_DRG Pancreas Transplant 34 28 — — $50,861.00 $169,605.00 $90,995.83 2025-10-14
J9347 HCPCS Injection, Tremelimumab-actl, 1 Mg 110 36 $148,996.11 $37,249.03 75% off $141.17 $372,491.05 $90,887.62 2025-10-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 25 — — $61,991.49 $153,862.00 $90,558.77 2025-10-14
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $86,407.67 $146,893.04 $88,999.90 2025-10-14
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 12 — — $86,407.67 $146,893.04 $88,999.90 2025-10-14
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 12 — — $86,162.59 $146,476.40 $88,747.47 2025-10-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 26 — — $24,000.00 $152,060.09 $87,895.22 2025-10-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 26 — — $24,000.00 $150,778.11 $87,204.78 2025-10-14
4414 APR_DRG Major Bladder Procedures 12 12 — — $84,352.78 $143,399.73 $86,883.36 2025-10-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 25 — — $58,370.04 $146,337.47 $86,130.05 2025-10-14
23 APR_DRG Heart And/or Lung Transplant 12 12 — — $82,075.97 $139,529.15 $84,538.25 2025-10-14
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 12 — — $80,362.58 $136,616.39 $82,773.46 2025-10-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 25 — — $55,543.11 $140,463.75 $82,672.95 2025-10-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 26 — — $37,949.00 $139,883.68 $82,331.54 2025-10-14
1784 APR_DRG External Heart Assist Systems 12 12 — — $79,005.76 $134,309.79 $81,375.93 2025-10-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 31 25 — — $54,399.83 $138,088.25 $81,274.80 2025-10-14
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $77,804.60 $132,267.82 $80,138.74 2025-10-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 25 — — $53,397.31 $136,005.26 $80,048.81 2025-10-14
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 12 — — $77,715.19 $132,115.82 $80,046.65 2025-10-14
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 12 — — $77,371.54 $131,531.62 $79,692.69 2025-10-14
J9228 HCPCS Ipilimumab Per 1 Mg 119 43 $130,391.04 $32,597.76 75% off $183.41 $325,977.60 $79,538.53 2025-10-14
6904 APR_DRG Acute Leukemia 12 12 — — $76,676.70 $130,350.39 $78,977.00 2025-10-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 25 — — $52,430.75 $133,996.98 $78,866.79 2025-10-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 25 — — $52,229.00 $133,577.76 $78,620.05 2025-10-14
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 12 12 — — $76,207.02 $129,551.93 $78,493.23 2025-10-14
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $76,121.37 $129,406.33 $78,405.01 2025-10-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 26 — — $46,075.00 $133,394.17 $77,749.74 2025-10-14
6 MS_DRG Liver Transplant Without Mcc 46 30 — — $54,311.04 $243,938.00 $77,691.16 2025-10-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 31 25 — — $50,573.50 $130,138.02 $76,595.52 2025-10-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 26 — — $24,000.00 $129,986.90 $76,506.58 2025-10-14
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 12 — — $73,822.48 $125,498.22 $76,037.15 2025-10-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 25 — — $49,456.03 $127,816.12 $75,228.91 2025-10-14
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 12 — — $72,270.68 $122,860.16 $74,438.80 2025-10-14
J9269 HCPCS Tagraxofusp-erzs Per 10 Mcg 98 43 $121,526.94 $30,381.74 75% off $348.62 $303,817.35 $74,131.43 2025-10-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 25 — — $31,269.00 $125,705.53 $73,986.68 2025-10-14
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $71,830.08 $122,111.14 $73,984.98 2025-10-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 25 — — $48,377.65 $125,575.52 $73,910.16 2025-10-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 25 — — $48,157.12 $125,117.32 $73,640.48 2025-10-14
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $71,343.15 $121,283.36 $73,483.44 2025-10-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 25 — — $47,988.99 $124,768.02 $73,434.89 2025-10-14
28 MS_DRG Spinal Procedures With Mcc 31 25 — — $47,541.69 $123,838.59 $72,887.86 2025-10-14
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $70,645.08 $120,096.64 $72,764.43 2025-10-14
63 APR_DRG Pancreas Transplant 12 12 — — $70,615.99 $120,047.18 $72,734.47 2025-10-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 25 — — $47,200.74 $123,130.16 $72,119.09 2025-10-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 25 — — $47,200.74 $123,130.16 $72,119.09 2025-10-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 26 — — $46,848.06 $122,397.36 $72,039.59 2025-10-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 25 — — $24,000.00 $124,313.02 $71,746.37 2025-10-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 25 — — $24,000.00 $121,723.07 $71,642.72 2025-10-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 25 — — $46,488.34 $121,649.94 $71,599.68 2025-10-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 25 — — $45,530.39 $119,659.56 $70,428.20 2025-10-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 26 — — $24,000.00 $120,665.35 $69,985.90 2025-10-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 25 — — $44,882.11 $118,312.55 $69,635.39 2025-10-14
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 27 24 — — $67,452.66 $118,042.16 $69,476.24 2025-10-14
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 12 — — $67,318.48 $114,441.42 $69,338.03 2025-10-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 25 — — $44,613.88 $117,755.30 $69,307.40 2025-10-14
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 12 — — $66,951.67 $113,817.84 $68,960.22 2025-10-14
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 12 12 — — $66,794.93 $113,551.38 $68,798.78 2025-10-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 49 30 — — $28,000.00 $106,389.00 $68,515.20 2025-10-14
653 MS_DRG Major Bladder Procedures With Mcc 31 25 — — $43,593.37 $115,634.86 $68,059.37 2025-10-14
22 APR_DRG Heart And/or Lung Transplant 12 12 — — $65,934.19 $112,088.12 $67,912.22 2025-10-14
234 APR_DRG Spinal Procedures 12 12 — — $65,805.45 $111,869.27 $67,779.61 2025-10-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 25 — — $43,223.49 $114,866.36 $67,607.06 2025-10-14
834 MS_DRG Acute Leukemia With Mcc 31 25 — — $43,223.49 $114,866.36 $67,607.06 2025-10-14
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $65,567.38 $111,464.55 $67,534.40 2025-10-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 25 — — $43,042.06 $114,489.38 $67,385.18 2025-10-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 25 — — $42,779.31 $113,943.45 $67,063.86 2025-10-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 35 28 — — $42,549.40 $196,477.00 $66,782.70 2025-10-14
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $64,724.95 $110,032.42 $66,666.70 2025-10-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 25 — — $42,452.43 $113,264.25 $66,664.10 2025-10-14
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $64,722.26 $110,027.84 $66,663.93 2025-10-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 25 — — $42,235.82 $112,814.19 $66,399.21 2025-10-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 25 — — $42,195.94 $112,731.33 $66,350.44 2025-10-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 25 — — $42,191.25 $112,721.54 $66,344.68 2025-10-14
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $63,915.39 $108,656.16 $65,832.85 2025-10-14
62 APR_DRG Pancreas Transplant 12 12 — — $63,871.22 $108,581.07 $65,787.36 2025-10-14
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 12 — — $63,620.75 $108,155.28 $65,529.37 2025-10-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 26 — — $24,000.00 $111,119.51 $65,401.77 2025-10-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 27 24 — — $63,431.05 $111,004.34 $65,333.98 2025-10-14
J0202 HCPCS Alemtuzumab Per 1 Mg 87 35 $107,082.27 $26,770.57 75% off $2,440.70 $267,705.68 $65,320.18 2025-10-14
61 APR_DRG Pancreas Transplant 12 12 — — $63,046.57 $107,179.17 $64,937.97 2025-10-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 26 — — $24,000.00 $111,501.34 $64,670.77 2025-10-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 25 — — $40,273.78 $108,737.49 $63,999.78 2025-10-14
71 APR_DRG Allogeneic Bone Marrow Transplant 12 12 — — $61,955.30 $105,324.01 $63,813.96 2025-10-14
J9118 HCPCS Calaspargase Pegol-mknl Per 10 Units 71 43 $104,532.58 $26,133.15 75% off $38,677.05 $261,331.45 $63,764.87 2025-10-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 25 — — $39,839.77 $107,835.74 $63,469.03 2025-10-14
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $61,502.85 $104,554.85 $63,347.94 2025-10-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 25 — — $39,717.78 $107,582.28 $63,319.86 2025-10-14
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 12 — — $61,430.13 $104,431.22 $63,273.03 2025-10-14
264 APR_DRG Other Nervous System And Related Procedures 12 12 — — $61,392.96 $104,368.03 $63,234.75 2025-10-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 26 — — $40,140.06 $108,459.68 $63,216.50 2025-10-14
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 12 — — $61,127.96 $103,917.53 $62,961.80 2025-10-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 25 — — $39,388.56 $106,898.21 $62,917.23 2025-10-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 25 — — $39,156.30 $106,415.66 $62,633.22 2025-10-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 26 — — $21,736.00 $106,352.28 $62,595.91 2025-10-14
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 12 — — $60,765.46 $103,301.28 $62,588.42 2025-10-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 25 — — $39,110.17 $106,319.80 $62,576.80 2025-10-14
1824 APR_DRG Other Peripheral Vascular Procedures 12 12 — — $60,716.44 $103,217.95 $62,537.93 2025-10-14
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 12 — — $60,680.35 $103,156.60 $62,500.76 2025-10-14
J9359 HCPCS Loncastuximab Tesirine-lpyl Per 0.075 Mg 98 43 $101,960.74 $25,490.19 75% off $216.74 $254,901.85 $62,196.05 2025-10-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 26 — — $24,000.00 $106,027.30 $61,495.83 2025-10-14
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 12 — — $59,687.11 $101,468.09 $61,477.72 2025-10-14
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 12 — — $59,672.57 $101,443.37 $61,462.75 2025-10-14
2054 APR_DRG Cardiomyopathy 12 12 — — $59,503.98 $101,156.77 $61,289.10 2025-10-14
6954 APR_DRG Chemotherapy For Acute Leukemia 12 12 — — $59,427.49 $101,026.73 $61,210.31 2025-10-14
471 MS_DRG Cervical Spinal Fusion With Mcc 31 25 — — $37,984.09 $103,980.07 $61,199.70 2025-10-14
245 MS_DRG Aicd Generator Procedures 32 25 — — $14,500.00 $104,459.39 $61,183.35 2025-10-14
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 12 — — $59,366.62 $100,923.25 $61,147.62 2025-10-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 25 — — $37,344.41 $102,650.91 $60,417.39 2025-10-14
C1825 HCPCS System Neurostimulator Barostim Neo2 Neurostimulator System Ipg Model Csl Comb K… 88 43 $56,000.00 $14,000.00 75% off $20,720.00 $218,750.00 $60,375.00 2025-10-14
799 MS_DRG Splenic Procedures With Mcc 31 25 — — $37,182.54 $102,314.59 $60,219.44 2025-10-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 25 — — $37,175.50 $102,299.96 $60,210.83 2025-10-14
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $58,369.07 $99,227.42 $60,120.14 2025-10-14
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 12 — — $58,173.55 $98,895.04 $59,918.76 2025-10-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 26 — — $36,790.75 $101,500.58 $59,740.34 2025-10-14
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $57,992.03 $98,586.45 $59,731.79 2025-10-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 25 — — $36,593.69 $101,091.13 $59,499.35 2025-10-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 26 — — $25,102.00 $113,411.00 $59,235.39 2025-10-14
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 12 — — $57,382.83 $97,550.81 $59,104.31 2025-10-14
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 12 — — $57,285.34 $97,385.08 $59,003.90 2025-10-14
214 APR_DRG Open Craniotomy Except Trauma 12 12 — — $57,149.61 $97,154.34 $58,864.10 2025-10-14
163 MS_DRG Major Chest Procedures With Mcc 31 25 — — $36,043.94 $99,948.87 $58,827.05 2025-10-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 26 — — $24,000.00 $99,679.14 $58,668.30 2025-10-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 25 — — $35,908.66 $99,667.75 $58,661.59 2025-10-14
2304 APR_DRG Major Small Bowel Procedures 12 12 — — $56,943.31 $96,803.63 $58,651.61 2025-10-14
A9543 HCPCS Y90 Ibritumomab, Rx 27 24 — — $56,824.55 $99,442.96 $58,529.29 2025-10-14
224 APR_DRG Ventricular Shunt Procedures 12 12 — — $56,718.70 $96,421.79 $58,420.26 2025-10-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 49 30 — — $28,000.00 $106,389.00 $58,199.66 2025-10-14
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 12 12 — — $56,407.91 $95,893.45 $58,100.15 2025-10-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 25 — — $35,280.71 $98,363.02 $57,893.66 2025-10-14
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 12 — — $56,061.57 $95,304.67 $57,743.42 2025-10-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 25 — — $35,070.35 $97,925.98 $57,636.43 2025-10-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 27 24 — — $55,945.97 $97,905.45 $57,624.35 2025-10-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 25 — — $34,973.39 $97,724.48 $57,517.84 2025-10-14
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 12 — — $55,549.32 $94,433.84 $57,215.80 2025-10-14
901 MS_DRG Wound Debridements For Injuries With Mcc 32 25 — — $34,646.51 $97,045.32 $57,118.10 2025-10-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 25 — — $32,076.00 $96,432.74 $56,482.03 2025-10-14
38240 CPT Transplt Allo Hct/donor 34 24 — — $794.00 $97,183.56 $56,366.46 2025-10-14
4403 APR_DRG Kidney Transplant 12 12 — — $54,553.93 $92,741.68 $56,190.55 2025-10-14
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 12 12 — — $54,550.16 $92,735.27 $56,186.66 2025-10-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 31 25 — — $33,836.36 $95,362.02 $56,127.36 2025-10-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 25 — — $33,766.76 $95,217.38 $56,042.23 2025-10-14
1694 APR_DRG Major Abdominal Vascular Procedures 12 12 — — $54,364.87 $92,420.28 $55,995.82 2025-10-14
1204 APR_DRG Major Respiratory And Chest Procedures 12 12 — — $54,144.03 $92,044.85 $55,768.35 2025-10-14
4834 APR_DRG Penis, Testes And Scrotal Procedures 12 12 — — $53,938.27 $91,695.06 $55,556.42 2025-10-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 25 — — $33,357.77 $94,367.58 $55,542.06 2025-10-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 25 — — $33,308.51 $94,265.24 $55,481.83 2025-10-14
140 MS_DRG Major Head And Neck Procedures With Mcc 31 25 — — $33,072.34 $93,774.57 $55,193.03 2025-10-14
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 12 — — $53,359.78 $90,711.63 $54,960.57 2025-10-14
33276 CPT Insertion Phrenic Nerve Stimulator Complete System 113 43 $90,000.00 $22,500.00 75% off $2,400.00 $225,000.00 $54,900.00 2025-10-14
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 12 — — $53,289.22 $90,591.67 $54,887.90 2025-10-14
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 12 — — $53,275.75 $90,568.78 $54,874.02 2025-10-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 25 — — $32,770.49 $93,147.39 $54,823.89 2025-10-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 25 — — $32,762.67 $93,131.08 $54,814.29 2025-10-14
793 MS_DRG Full Term Neonate With Major Problems 31 25 — — $32,613.31 $92,820.77 $54,631.65 2025-10-14
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 12 — — $52,482.34 $89,219.98 $54,056.81 2025-10-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 25 — — $32,138.64 $91,834.52 $54,051.18 2025-10-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 26 — — $31,925.00 $92,661.56 $54,008.45 2025-10-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 25 — — $32,090.93 $91,735.42 $53,992.85 2025-10-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 26 — — $24,000.00 $91,871.89 $53,913.58 2025-10-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 25 — — $31,932.97 $91,407.21 $53,799.67 2025-10-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 25 — — $31,807.07 $91,145.60 $53,645.70 2025-10-14
791 MS_DRG Prematurity With Major Problems 31 25 — — $31,748.42 $91,023.77 $53,573.99 2025-10-14
652 MS_DRG Kidney Transplant 49 30 — — $28,000.00 $106,389.00 $53,544.56 2025-10-14
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 12 — — $51,439.01 $87,446.32 $52,982.18 2025-10-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 25 — — $31,130.64 $89,740.12 $52,818.47 2025-10-14
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 12 — — $51,158.38 $86,969.25 $52,693.13 2025-10-14
21 APR_DRG Heart And/or Lung Transplant 12 12 — — $51,070.58 $86,819.99 $52,602.70 2025-10-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 25 — — $10,963.20 $89,785.61 $52,588.71 2025-10-14
J9229 HCPCS Inotuzumab Ozogamicin Per 0.1 Mg 97 43 $86,099.92 $21,524.98 75% off $2,698.05 $215,249.80 $52,520.95 2025-10-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 25 — — $30,855.37 $89,168.19 $52,481.85 2025-10-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 25 — — $30,792.03 $89,036.57 $52,404.38 2025-10-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 25 — — $44,011.52 $88,906.60 $52,327.88 2025-10-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 25 — — $30,593.40 $88,623.87 $52,161.48 2025-10-14
1783 APR_DRG External Heart Assist Systems 12 12 — — $50,559.42 $85,951.01 $52,076.20 2025-10-14
1214 APR_DRG Other Respiratory And Chest Procedures 12 12 — — $50,530.33 $85,901.56 $52,046.24 2025-10-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 25 — — $30,409.63 $88,242.02 $51,936.73 2025-10-14
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 12 — — $50,345.58 $85,587.49 $51,855.95 2025-10-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 25 — — $30,224.30 $87,856.98 $51,710.11 2025-10-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 25 — — $30,193.80 $87,793.60 $51,672.80 2025-10-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 26 — — $24,132.00 $88,593.00 $51,637.06 2025-10-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 25 — — $30,109.35 $87,618.13 $51,569.53 2025-10-14
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 12 — — $49,938.91 $84,896.15 $51,437.08 2025-10-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 25 — — $29,891.17 $87,164.79 $51,302.70 2025-10-14
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $49,795.10 $84,651.67 $51,288.95 2025-10-14
J9600 HCPCS Porfimer Sodium Per 75 Mg 98 43 $83,965.30 $20,991.33 75% off $24,228.42 $209,913.25 $51,218.83 2025-10-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 25 — — $29,729.29 $86,828.46 $51,068.58 2025-10-14
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 12 — — $49,322.72 $83,848.62 $50,802.40 2025-10-14
2244 APR_DRG Peritoneal Adhesiolysis 12 12 — — $49,244.07 $83,714.92 $50,721.39 2025-10-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 25 — — $29,497.82 $86,347.52 $50,670.96 2025-10-14
L7180 HCPCS Electronic Elbow Sequential 27 24 — — $49,026.62 $85,796.59 $50,497.42 2025-10-14
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 12 — — $48,900.96 $83,131.63 $50,367.99 2025-10-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 25 — — $29,262.44 $85,858.41 $50,266.62 2025-10-14
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 12 — — $48,764.15 $82,899.06 $50,227.07 2025-10-14
L7181 HCPCS Electronic Elbo Simultaneous 27 24 — — $48,628.26 $85,099.46 $50,087.11 2025-10-14
914 APR_DRG Other Major Head And Neck Procedures 12 12 — — $48,501.84 $82,453.13 $49,956.90 2025-10-14
204 APR_DRG Open Craniotomy For Trauma 12 12 — — $48,006.83 $81,611.61 $49,447.03 2025-10-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 25 — — $28,532.83 $84,342.48 $49,159.61 2025-10-14
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 12 — — $47,680.42 $81,056.71 $49,110.83 2025-10-14
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 12 — — $47,588.85 $80,901.05 $49,016.52 2025-10-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 25 — — $28,334.99 $83,931.42 $48,920.03 2025-10-14
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 12 — — $47,239.82 $80,307.69 $48,657.01 2025-10-14
1814 APR_DRG Lower Extremity Arterial Procedures 12 12 — — $47,220.43 $80,274.73 $48,637.04 2025-10-14
265 MS_DRG Aicd Lead Procedures 32 26 — — $27,895.50 $83,018.23 $48,624.96 2025-10-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 25 — — $28,033.14 $83,304.22 $48,554.46 2025-10-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 25 — — $28,031.57 $83,300.95 $48,552.55 2025-10-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 25 — — $28,026.88 $83,291.22 $48,546.88 2025-10-14
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 12 12 — — $47,076.07 $80,029.32 $48,488.35 2025-10-14
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 12 — — $46,921.49 $79,766.53 $48,329.13 2025-10-14
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 12 12 — — $46,911.79 $79,750.04 $48,319.14 2025-10-14
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 12 — — $46,859.00 $79,660.30 $48,264.77 2025-10-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 25 — — $27,770.38 $82,758.29 $48,236.26 2025-10-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 25 — — $27,607.73 $82,420.29 $48,039.26 2025-10-14
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