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

RIVER CREST HOSP

San Angelo, TX · CCN 454064 · Rates published

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You selected 807 (MS_DRG)

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

This hospital’s price: $7,430 across 15 payers · range $3,374-$13,784

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12617/752559845_shannon-river-crest-hospital_standardcharges.csv · observed 2025-12-08

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.

15,571 distinct procedures filed
23 distinct payers
386,457 rate rows
2025-12-08 last MRF observed
Data quality

386,187 of 386,457 rate rows are consumer-grade (99.9%)

270 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
per-diem day rate — not a per-procedure price 82
percent-of-charges filed in the dollar field — excluded from medians 63
placeholder amount (≤ $0.02) — excluded from medians 60
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 39
exceeds 10× this hospital's gross charge — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12617/752559845_shannon-river-crest-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ShannonHealthRiverCrest/12617
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-07-31
Content fingerprint 97491d5633f614fb… · 495,658,817 bytes · first seen 2026-05-08

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 3 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,950,686.67 $4,809,619.27 $3,983,427.00 nat. median
$2,997,086
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,452,115.60 $4,904,231.19 $3,923,384.96 nat. median
$2,460,273
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,664,000.00 $3,731,200.00 nat. median
$2,405,851
1.6× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $4,975,110.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,324,571.90 $4,488,172.07 $3,324,571.90 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,261,355.00 $4,402,829.25 $3,261,355.00 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $1,926,550.00 $1,256,110.60 nat. median
$809,151
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $578,324.58 $1,445,811.45 $925,319.33 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $553,378.83 $1,383,447.08 $902,007.49 nat. median
$631,793
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $541,635.66 $1,354,089.14 $882,866.12 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $541,260.45 $1,353,151.12 $882,254.53 nat. median
$610,161
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $533,076.48 $1,332,691.19 $852,922.36 nat. median
$588,565
1.4× median
5834
APR_DRG 		Neonate With Ecmo 2 $810,332.46 $841,202.27 $825,767.36 nat. median
$311,018
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $788,292.16 $818,322.34 $803,307.25 nat. median
$175,480
outlier · 4.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $489,720.00 $1,224,300.00 $783,552.00 nat. median
$577,541
1.4× median
5833
APR_DRG 		Neonate With Ecmo 2 $686,159.74 $712,299.16 $699,229.45 nat. median
$250,089
outlier · 2.8×
C9076
HCPCS 		Dme 1 $646,591.77 $680,400.49 $680,400.49 nat. median
$27,935
outlier · 24.4×
24
APR_DRG 		Heart And/or Lung Transplant 2 $660,066.25 $685,211.63 $672,638.94 nat. median
$243,231
outlier · 2.8×
J2326
HCPCS 		Nusinersen Per 0.1 Mg 23 $1,246.94 $794,325.00 $597,975.00 nat. median
$2,353
outlier · 254.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $512,927.15 $532,467.23 $522,697.19 nat. median
$254,667
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $498,087.45 $517,062.21 $507,574.83 nat. median
$209,486
outlier · 2.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $466,629.51 $484,405.88 $475,517.70 nat. median
$165,599
outlier · 2.9×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $270,375.00 $675,937.50 $440,711.25 nat. median
$302,242
1.5× median
0100T
CPT 		Prosth Retina Receive&gen 1 $413,276.36 $434,626.43 $434,626.43 nat. median
$11,184
outlier · 38.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $199,689.28 $653,092.53 $403,300.68 nat. median
$370,165
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $381,651.99 $396,191.12 $388,921.55 nat. median
$160,171
outlier · 2.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $378,269.88 $392,680.16 $385,475.02 nat. median
$168,174
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 2 $341,897.73 $354,922.41 $348,410.07 nat. median
$169,230
outlier · 2.1×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $324,654.28 $337,022.06 $330,838.17 nat. median
$119,243
outlier · 2.8×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 2 $301,693.23 $313,186.31 $307,439.77 nat. median
$28,828
outlier · 10.7×
5831
APR_DRG 		Neonate With Ecmo 2 $301,047.76 $312,516.24 $306,782.00 nat. median
$154,685
2.0× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $278,158.20 $288,754.70 $283,456.45 nat. median
$89,814
outlier · 3.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $275,219.91 $285,704.48 $280,462.19 nat. median
$180,995
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $273,962.02 $284,398.67 $279,180.34 nat. median
$147,847
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $273,253.60 $283,663.26 $278,458.43 nat. median
$127,600
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $272,078.92 $282,443.83 $277,261.38 nat. median
$165,646
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $269,361.49 $279,622.88 $274,492.18 nat. median
$147,677
1.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 $262,265.45 $272,256.52 $267,260.98 nat. median
$67,813
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $259,916.11 $269,817.67 $264,866.89 nat. median
$168,361
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $259,609.91 $269,499.81 $264,554.86 nat. median
$127,938
outlier · 2.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $258,237.85 $268,075.48 $263,156.66 nat. median
$120,928
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $149,151.15 $488,512.85 $260,865.86 nat. median
$261,939
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $236,447.21 $245,454.72 $240,950.96 nat. median
$137,901
1.7× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $235,499.80 $244,471.22 $239,985.51 nat. median
$79,228
outlier · 3.0×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 $231,315.36 $240,127.37 $235,721.36 nat. median
$69,072
outlier · 3.4×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $231,186.26 $239,993.36 $235,589.81 nat. median
$101,315
outlier · 2.3×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $229,254.08 $237,987.57 $233,620.83 nat. median
$80,413
outlier · 2.9×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 2 $224,186.25 $232,726.67 $228,456.46 nat. median
$20,493
outlier · 11.1×

Other procedures at this hospital

Browse this hospital's 15,571 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2025-12-08
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,950,686.67 $4,809,619.27 $3,983,427.00 2025-12-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,452,115.60 $4,904,231.19 $3,923,384.96 2025-12-08
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $4,664,000.00 $3,731,200.00 2025-12-08
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-12-08
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,685,266.67 $4,975,110.00 $3,685,266.67 2025-12-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,324,571.90 $4,488,172.07 $3,324,571.90 2025-12-08
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,261,355.00 $4,402,829.25 $3,261,355.00 2025-12-08
Q2057 HCPCS Afamitresgene Autoleucel 12 12 — — $770,620.00 $1,926,550.00 $1,256,110.60 2025-12-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 13 — — $578,324.58 $1,445,811.45 $925,319.33 2025-12-08
Q2056 HCPCS Ciltacabtagene Car-pos T 12 12 — — $553,378.83 $1,383,447.08 $902,007.49 2025-12-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 12 — — $541,635.66 $1,354,089.14 $882,866.12 2025-12-08
Q2055 HCPCS Idecabtagene Vicleucel Car 12 12 — — $541,260.45 $1,353,151.12 $882,254.53 2025-12-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 13 — — $533,076.48 $1,332,691.19 $852,922.36 2025-12-08
5834 APR_DRG Neonate With Ecmo 2 2 — — $810,332.46 $841,202.27 $825,767.36 2025-12-08
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $788,292.16 $818,322.34 $803,307.25 2025-12-08
Q2053 HCPCS Brexucabtagene Car Pos T 15 13 — — $489,720.00 $1,224,300.00 $783,552.00 2025-12-08
5833 APR_DRG Neonate With Ecmo 2 2 — — $686,159.74 $712,299.16 $699,229.45 2025-12-08
C9076 HCPCS Dme 3 1 — — $646,591.77 $680,400.49 $680,400.49 2025-12-08
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $660,066.25 $685,211.63 $672,638.94 2025-12-08
J2326 HCPCS Nusinersen Per 0.1 Mg 43 23 $892,500.00 $446,250.00 50% off $1,246.94 $794,325.00 $597,975.00 2025-12-08
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $512,927.15 $532,467.23 $522,697.19 2025-12-08
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $498,087.45 $517,062.21 $507,574.83 2025-12-08
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $466,629.51 $484,405.88 $475,517.70 2025-12-08
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 12 — — $270,375.00 $675,937.50 $440,711.25 2025-12-08
0100T CPT Prosth Retina Receive&gen 3 1 — — $413,276.36 $434,626.43 $434,626.43 2025-12-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 15 — — $199,689.28 $653,092.53 $403,300.68 2025-12-08
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $381,651.99 $396,191.12 $388,921.55 2025-12-08
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $378,269.88 $392,680.16 $385,475.02 2025-12-08
5832 APR_DRG Neonate With Ecmo 2 2 — — $341,897.73 $354,922.41 $348,410.07 2025-12-08
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $324,654.28 $337,022.06 $330,838.17 2025-12-08
2004 APR_DRG Cardiac Structural And Valvular Disorders 2 2 — — $301,693.23 $313,186.31 $307,439.77 2025-12-08
5831 APR_DRG Neonate With Ecmo 2 2 — — $301,047.76 $312,516.24 $306,782.00 2025-12-08
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $278,158.20 $288,754.70 $283,456.45 2025-12-08
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $275,219.91 $285,704.48 $280,462.19 2025-12-08
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $273,962.02 $284,398.67 $279,180.34 2025-12-08
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $273,253.60 $283,663.26 $278,458.43 2025-12-08
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $272,078.92 $282,443.83 $277,261.38 2025-12-08
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $269,361.49 $279,622.88 $274,492.18 2025-12-08
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $262,265.45 $272,256.52 $267,260.98 2025-12-08
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $259,916.11 $269,817.67 $264,866.89 2025-12-08
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $259,609.91 $269,499.81 $264,554.86 2025-12-08
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $258,237.85 $268,075.48 $263,156.66 2025-12-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 14 — — $149,151.15 $488,512.85 $260,865.86 2025-12-08
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $236,447.21 $245,454.72 $240,950.96 2025-12-08
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $235,499.80 $244,471.22 $239,985.51 2025-12-08
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $231,315.36 $240,127.37 $235,721.36 2025-12-08
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $231,186.26 $239,993.36 $235,589.81 2025-12-08
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $229,254.08 $237,987.57 $233,620.83 2025-12-08
2464 APR_DRG Gastrointestinal Vascular Insufficiency 2 2 — — $224,186.25 $232,726.67 $228,456.46 2025-12-08
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $223,029.71 $231,526.08 $227,277.89 2025-12-08
64 APR_DRG Pancreas Transplant 2 2 — — $216,443.65 $224,689.12 $220,566.39 2025-12-08
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $216,426.59 $224,671.41 $220,549.00 2025-12-08
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 15 — — $113,480.32 $372,349.10 $220,108.01 2025-12-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 14 — — $125,612.23 $411,857.20 $219,931.74 2025-12-08
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $215,778.97 $223,999.12 $219,889.04 2025-12-08
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $209,761.58 $217,752.49 $213,757.03 2025-12-08
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $201,671.17 $209,353.88 $205,512.53 2025-12-08
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $198,361.61 $205,918.24 $202,139.92 2025-12-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $196,751.64 $204,246.94 $200,499.29 2025-12-08
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $188,366.77 $195,542.64 $191,954.71 2025-12-08
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $186,891.22 $194,010.89 $190,451.05 2025-12-08
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $186,619.16 $193,728.46 $190,173.81 2025-12-08
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $184,485.33 $191,513.34 $187,999.33 2025-12-08
8634 APR_DRG Neonatal Aftercare 2 2 — — $181,623.87 $188,542.87 $185,083.37 2025-12-08
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $179,879.47 $186,732.02 $183,305.74 2025-12-08
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $176,991.33 $183,733.86 $180,362.59 2025-12-08
4404 APR_DRG Kidney Transplant 2 2 — — $176,553.90 $183,279.76 $179,916.83 2025-12-08
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $175,747.31 $182,442.45 $179,094.88 2025-12-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $175,687.56 $182,380.42 $179,033.99 2025-12-08
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 12 — — $109,306.00 $273,265.00 $178,168.78 2025-12-08
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $171,154.25 $177,674.41 $174,414.33 2025-12-08
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $171,154.25 $177,674.41 $174,414.33 2025-12-08
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $170,668.81 $177,170.47 $173,919.64 2025-12-08
4414 APR_DRG Major Bladder Procedures 2 2 — — $167,083.97 $173,449.07 $170,266.52 2025-12-08
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $162,574.13 $168,767.43 $165,670.78 2025-12-08
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $159,180.28 $165,244.29 $162,212.29 2025-12-08
1784 APR_DRG External Heart Assist Systems 2 2 — — $156,492.72 $162,454.35 $159,473.54 2025-12-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $154,113.51 $159,984.50 $157,049.01 2025-12-08
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $153,936.39 $159,800.64 $156,868.52 2025-12-08
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $153,255.71 $159,094.02 $156,174.86 2025-12-08
6904 APR_DRG Acute Leukemia 2 2 — — $151,879.39 $157,665.27 $154,772.33 2025-12-08
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $150,949.04 $156,699.48 $153,824.26 2025-12-08
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $150,779.40 $156,523.38 $153,651.39 2025-12-08
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 12 — — $93,216.70 $233,041.75 $151,943.22 2025-12-08
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $146,225.81 $151,796.32 $149,011.07 2025-12-08
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $143,152.03 $148,605.44 $145,878.73 2025-12-08
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $142,279.31 $147,699.47 $144,989.39 2025-12-08
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $141,314.82 $146,698.24 $144,006.53 2025-12-08
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $139,932.09 $145,262.84 $142,597.46 2025-12-08
63 APR_DRG Pancreas Transplant 2 2 — — $139,874.48 $145,203.03 $142,538.76 2025-12-08
J9347 HCPCS Tremelimumab-actl Per 1 Mg 40 23 $208,591.05 $104,295.53 50% off $141.17 $185,646.03 $139,756.00 2025-12-08
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 15 — — $74,818.35 $246,444.60 $137,480.58 2025-12-08
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $133,342.84 $138,422.57 $135,882.71 2025-12-08
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $132,616.27 $137,668.32 $135,142.29 2025-12-08
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $132,305.80 $137,346.02 $134,825.91 2025-12-08
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $130,600.87 $135,576.14 $133,088.51 2025-12-08
234 APR_DRG Spinal Procedures 2 2 — — $130,345.88 $135,311.43 $132,828.65 2025-12-08
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $129,874.30 $134,821.89 $132,348.10 2025-12-08
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $128,205.65 $133,089.68 $130,647.66 2025-12-08
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $128,200.32 $133,084.14 $130,642.23 2025-12-08
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $126,602.08 $131,425.02 $129,013.55 2025-12-08
62 APR_DRG Pancreas Transplant 2 2 — — $126,514.59 $131,334.20 $128,924.40 2025-12-08
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $126,018.48 $130,819.18 $128,418.83 2025-12-08
61 APR_DRG Pancreas Transplant 2 2 — — $124,881.15 $129,638.53 $127,259.84 2025-12-08
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $122,719.58 $127,394.61 $125,057.10 2025-12-08
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $121,823.37 $126,464.26 $124,143.82 2025-12-08
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $121,679.34 $126,314.75 $123,997.04 2025-12-08
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $121,605.72 $126,238.32 $123,922.02 2025-12-08
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $121,080.80 $125,693.40 $123,387.10 2025-12-08
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $120,362.77 $124,948.02 $122,655.40 2025-12-08
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $120,265.68 $124,847.23 $122,556.45 2025-12-08
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $120,194.19 $124,773.02 $122,483.61 2025-12-08
14 MS_DRG Allogeneic Bone Marrow Transplant 14 14 — — $69,374.03 $228,714.95 $122,133.78 2025-12-08
7 MS_DRG Lung Transplant 14 14 — — $69,199.30 $228,145.85 $121,829.88 2025-12-08
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $118,226.81 $122,730.69 $120,478.75 2025-12-08
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $118,198.00 $122,700.78 $120,449.39 2025-12-08
2054 APR_DRG Cardiomyopathy 2 2 — — $117,864.05 $122,354.11 $120,109.08 2025-12-08
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $117,712.56 $122,196.85 $119,954.71 2025-12-08
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $117,592.00 $122,071.69 $119,831.85 2025-12-08
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $115,616.07 $120,020.49 $117,818.28 2025-12-08
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $115,228.79 $119,618.45 $117,423.62 2025-12-08
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $114,869.23 $119,245.20 $117,057.21 2025-12-08
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $113,662.55 $117,992.55 $115,827.55 2025-12-08
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $113,469.44 $117,792.08 $115,630.76 2025-12-08
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $113,200.57 $117,512.98 $115,356.77 2025-12-08
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $112,791.96 $117,088.79 $114,940.38 2025-12-08
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $112,347.05 $116,626.94 $114,486.99 2025-12-08
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $111,731.43 $115,987.87 $113,859.65 2025-12-08
215 MS_DRG Other Heart Assist System Implant 17 15 — — $56,099.47 $185,485.70 $113,300.79 2025-12-08
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $111,045.42 $115,275.72 $113,160.57 2025-12-08
453 MS_DRG Inpatient Ms-DRG 3 1 — — $106,553.82 $112,879.02 $112,879.02 2025-12-08
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $110,030.78 $114,222.43 $112,126.60 2025-12-08
4403 APR_DRG Kidney Transplant 2 2 — — $108,059.12 $112,175.66 $110,117.39 2025-12-08
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $108,051.66 $112,167.91 $110,109.79 2025-12-08
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 12 — — $67,452.66 $168,631.65 $109,947.84 2025-12-08
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $107,684.64 $111,786.91 $109,735.77 2025-12-08
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $107,247.20 $111,332.81 $109,290.01 2025-12-08
4834 APR_DRG Penis, Testes And Scrotal Procedures 2 2 — — $106,839.64 $110,909.72 $108,874.68 2025-12-08
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $105,693.78 $109,720.21 $107,706.99 2025-12-08
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $105,554.01 $109,575.12 $107,564.57 2025-12-08
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $105,527.34 $109,547.43 $107,537.38 2025-12-08
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $103,955.78 $107,916.00 $105,935.89 2025-12-08
J9266 HCPCS Pegaspargase Per 1 Eacht 43 23 $156,148.44 $78,074.22 50% off $21,704.63 $138,972.11 $104,619.46 2025-12-08
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $101,889.17 $105,770.66 $103,829.92 2025-12-08
222 MS_DRG Inpatient Ms-DRG 3 1 — — $97,600.55 $103,394.27 $103,394.27 2025-12-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 12 — — $63,431.05 $158,577.63 $103,392.62 2025-12-08
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $101,333.31 $105,193.62 $103,263.46 2025-12-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $51,102.57 $169,213.08 $103,208.86 2025-12-08
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $101,159.39 $105,013.09 $103,086.24 2025-12-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 14 — — $58,349.31 $192,812.43 $102,961.84 2025-12-08
1783 APR_DRG External Heart Assist Systems 2 2 — — $100,146.89 $103,962.01 $102,054.45 2025-12-08
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $100,089.28 $103,902.20 $101,995.74 2025-12-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 14 — — $57,683.20 $190,643.20 $101,803.47 2025-12-08
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $99,723.33 $103,522.31 $101,622.82 2025-12-08
38240 CPT Transplt Allo Hct/donor 15 13 — — $55,533.47 $138,833.66 $101,451.23 2025-12-08
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $98,917.81 $102,686.11 $100,801.96 2025-12-08
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $98,632.95 $102,390.39 $100,511.67 2025-12-08
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $97,697.26 $101,419.06 $99,558.16 2025-12-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 14 — — $56,388.57 $186,427.23 $99,552.14 2025-12-08
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $97,541.49 $101,257.36 $99,399.43 2025-12-08
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $96,861.87 $100,551.85 $98,706.86 2025-12-08
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $96,590.88 $100,270.53 $98,430.71 2025-12-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $55,467.24 $183,426.83 $97,949.93 2025-12-08
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $96,071.28 $99,731.14 $97,901.21 2025-12-08
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $95,090.79 $98,713.30 $96,902.04 2025-12-08
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $94,444.25 $98,042.12 $96,243.18 2025-12-08
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $94,262.87 $97,853.83 $96,058.35 2025-12-08
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $93,571.51 $97,136.13 $95,353.82 2025-12-08
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $93,533.10 $97,096.26 $95,314.68 2025-12-08
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $93,247.16 $96,799.43 $95,023.29 2025-12-08
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 2 2 — — $92,940.96 $96,481.57 $94,711.27 2025-12-08
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $92,921.76 $96,461.63 $94,691.70 2025-12-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $92,817.20 $96,353.09 $94,585.14 2025-12-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 13 — — $55,945.97 $139,864.93 $93,158.93 2025-12-08
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $90,450.78 $93,896.52 $92,173.65 2025-12-08
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $90,058.16 $93,488.95 $91,773.55 2025-12-08
A9543 HCPCS Y90 Ibritumomab, Rx 15 13 — — $56,824.55 $142,061.37 $90,919.28 2025-12-08
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $89,015.79 $92,406.86 $90,711.32 2025-12-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 15 — — $44,869.30 $148,914.18 $90,619.89 2025-12-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 15 — — $44,844.41 $148,833.13 $90,569.62 2025-12-08
224 MS_DRG Inpatient Ms-DRG 3 1 — — $85,327.90 $90,393.09 $90,393.09 2025-12-08
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $88,697.85 $92,076.81 $90,387.33 2025-12-08
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $88,229.47 $91,590.60 $89,910.04 2025-12-08
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $87,883.79 $91,231.75 $89,557.77 2025-12-08
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $87,328.99 $90,655.81 $88,992.40 2025-12-08
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 2 2 — — $86,446.66 $89,739.86 $88,093.26 2025-12-08
1782 APR_DRG External Heart Assist Systems 2 2 — — $85,952.67 $89,227.06 $87,589.86 2025-12-08
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $85,806.51 $89,075.33 $87,440.92 2025-12-08
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $85,053.27 $88,293.39 $86,673.33 2025-12-08
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $84,728.93 $87,956.70 $86,342.82 2025-12-08
850 MS_DRG Acute Leukemia With Other Procedures 14 14 — — $48,777.01 $161,639.78 $86,315.64 2025-12-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 15 — — $42,683.52 $141,796.08 $86,205.40 2025-12-08
33264 CPT Hc Rem/Repl Aicd, 3+ Lead System 46 23 $128,146.00 $64,073.00 50% off $17,812.29 $114,049.94 $85,857.82 2025-12-08
33262 CPT Hc Rem/Repl Aicd, 1 Lead System 45 23 $128,146.00 $64,073.00 50% off $16,986.96 $114,049.94 $85,857.82 2025-12-08
33263 CPT Hc Rem/Repl Aicd, 2 Lead System 46 23 $128,146.00 $64,073.00 50% off $17,153.28 $114,049.94 $85,857.82 2025-12-08
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $83,751.63 $86,942.17 $85,346.90 2025-12-08
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $83,236.31 $86,407.22 $84,821.76 2025-12-08
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $82,861.83 $86,018.47 $84,440.15 2025-12-08
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 2 2 — — $82,393.46 $85,532.26 $83,962.86 2025-12-08
7234 APR_DRG Viral Illness 2 2 — — $82,281.43 $85,415.96 $83,848.70 2025-12-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 15 — — $41,387.84 $137,576.60 $83,588.58 2025-12-08
0424T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0431T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0312T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0316T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0427T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $81,396.96 $84,497.79 $82,947.38 2025-12-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 15 — — $40,970.06 $136,216.10 $82,744.83 2025-12-08
459 MS_DRG Inpatient Ms-DRG 3 1 — — $78,021.56 $82,653.04 $82,653.04 2025-12-08
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $80,497.55 $83,564.12 $82,030.83 2025-12-08
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $80,338.58 $83,399.09 $81,868.83 2025-12-08
226 MS_DRG Inpatient Ms-DRG 3 1 — — $76,630.76 $81,179.68 $81,179.68 2025-12-08
6614 APR_DRG Coagulation And Platelet Disorders 2 2 — — $79,608.81 $82,641.52 $81,125.17 2025-12-08
1781 APR_DRG External Heart Assist Systems 2 2 — — $78,791.56 $81,793.14 $80,292.35 2025-12-08
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $78,509.89 $81,500.74 $80,005.32 2025-12-08
L7180 HCPCS Electronic Elbow Sequential 12 12 — — $49,026.62 $122,566.55 $79,913.39 2025-12-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 15 — — $39,522.94 $131,503.48 $79,822.15 2025-12-08
33240 CPT Hc Insert Single Card/Def 45 23 $118,943.00 $59,471.50 50% off $16,533.08 $105,859.27 $79,691.81 2025-12-08
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $78,046.85 $81,020.06 $79,533.46 2025-12-08
L7181 HCPCS Electronic Elbo Simultaneous 12 12 — — $48,628.26 $121,570.65 $79,264.06 2025-12-08
0266T CPT Outpatient Services 15 13 — — $42,254.57 $105,636.42 $78,911.79 2025-12-08
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 2 — — $76,940.46 $79,871.53 $78,405.99 2025-12-08
1794 APR_DRG Defibrillator Implants 2 2 — — $76,893.52 $79,822.79 $78,358.15 2025-12-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 14 — — $44,163.48 $146,615.60 $78,292.73 2025-12-08
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $76,788.96 $79,714.25 $78,251.61 2025-12-08
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $76,415.54 $79,326.60 $77,871.07 2025-12-08
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $76,011.18 $78,906.84 $77,459.01 2025-12-08
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $75,821.27 $78,709.70 $77,265.49 2025-12-08
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $75,422.25 $78,295.47 $76,858.86 2025-12-08
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $75,178.98 $78,042.94 $76,610.96 2025-12-08
223 MS_DRG Inpatient Ms-DRG 3 1 — — $71,998.24 $76,272.16 $76,272.16 2025-12-08
33230 CPT Insert Dual Card/Def 45 23 $113,279.00 $56,639.50 50% off $15,745.78 $100,818.31 $75,896.93 2025-12-08
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $74,370.26 $77,203.41 $75,786.83 2025-12-08
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $74,296.65 $77,126.99 $75,711.82 2025-12-08
4013 APR_DRG Adrenal Procedures 2 2 — — $74,018.19 $76,837.93 $75,428.06 2025-12-08
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $74,010.72 $76,830.18 $75,420.45 2025-12-08
10 MS_DRG Pancreas Transplant 14 14 — — $42,217.04 $140,276.95 $74,907.89 2025-12-08
454 MS_DRG Inpatient Ms-DRG 3 1 — — $70,676.98 $74,872.47 $74,872.47 2025-12-08
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 2 — — $73,226.54 $76,016.12 $74,621.33 2025-12-08
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 2 2 — — $73,176.39 $75,964.06 $74,570.23 2025-12-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 14 — — $41,975.05 $139,488.90 $74,487.07 2025-12-08
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $73,070.76 $75,854.41 $74,462.58 2025-12-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 17 15 — — $36,834.67 $122,749.00 $74,392.81 2025-12-08
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $72,909.66 $75,687.17 $74,298.42 2025-12-08
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $72,801.91 $75,575.31 $74,188.61 2025-12-08
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $72,493.56 $75,255.22 $73,874.39 2025-12-08
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $72,060.40 $74,805.56 $73,432.98 2025-12-08
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $71,872.63 $74,610.63 $73,241.63 2025-12-08
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $71,653.90 $74,383.57 $73,018.74 2025-12-08
3464 APR_DRG Connective Tissue Disorders 2 2 — — $71,635.77 $74,364.75 $73,000.26 2025-12-08
J9226 HCPCS Supprelin La Implant 15 13 — — $45,560.39 $113,900.98 $72,896.63 2025-12-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 15 — — $36,155.85 $120,538.40 $72,877.92 2025-12-08
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $71,411.72 $74,132.16 $72,771.94 2025-12-08
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 2 — — $70,871.86 $73,571.74 $72,221.80 2025-12-08
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $70,836.64 $73,535.18 $72,185.91 2025-12-08
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $70,783.30 $73,479.81 $72,131.55 2025-12-08
33249 CPT Hc Ins/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 47 23 $107,547.00 $53,773.50 50% off $14,949.03 $95,716.83 $72,056.49 2025-12-08
734 APR_DRG Orbit And Eye Procedures 2 2 — — $70,641.41 $73,332.51 $71,986.96 2025-12-08
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 2 2 — — $70,285.06 $72,962.58 $71,623.82 2025-12-08
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $70,087.68 $72,757.69 $71,422.68 2025-12-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 15 — — $35,304.94 $117,767.38 $71,303.31 2025-12-08
4402 APR_DRG Kidney Transplant 2 2 — — $69,501.94 $72,149.63 $70,825.79 2025-12-08
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 2 2 — — $69,463.53 $72,109.76 $70,786.64 2025-12-08
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $69,401.65 $72,045.52 $70,723.58 2025-12-08
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $68,930.07 $71,555.98 $70,243.02 2025-12-08
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $68,820.18 $71,441.90 $70,131.04 2025-12-08
6924 APR_DRG Radiotherapy 2 2 — — $68,772.18 $71,392.07 $70,082.12 2025-12-08
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 2 2 — — $68,682.55 $71,299.03 $69,990.79 2025-12-08
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $68,421.16 $71,027.68 $69,724.42 2025-12-08
J2350 HCPCS Ocrelizumab Per 1 Mg 43 23 $104,030.43 $52,015.22 50% off $59.70 $92,587.08 $69,700.38 2025-12-08
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $68,348.61 $70,952.36 $69,650.49 2025-12-08
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 2 2 — — $68,321.94 $70,924.68 $69,623.31 2025-12-08
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $68,128.82 $70,724.20 $69,426.51 2025-12-08
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $67,882.36 $70,468.36 $69,175.36 2025-12-08
225 MS_DRG Inpatient Ms-DRG 3 1 — — $65,214.61 $69,085.85 $69,085.85 2025-12-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $34,194.58 $114,151.38 $69,060.78 2025-12-08
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $67,694.59 $70,273.43 $68,984.01 2025-12-08
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $67,640.17 $70,216.94 $68,928.55 2025-12-08
33276 CPT Insj Phrnc Nrv Stim Sys 12 12 — — $42,254.57 $105,636.42 $68,874.95 2025-12-08
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 2 — — $67,512.14 $70,084.04 $68,798.09 2025-12-08
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $67,110.99 $69,667.60 $68,389.30 2025-12-08
6903 APR_DRG Acute Leukemia 2 2 — — $66,848.52 $69,395.13 $68,121.83 2025-12-08
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $66,571.12 $69,107.17 $67,839.14 2025-12-08
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $66,429.23 $68,959.86 $67,694.54 2025-12-08
4014 APR_DRG Adrenal Procedures 2 2 — — $66,190.24 $68,711.77 $67,451.01 2025-12-08
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $66,051.54 $68,567.79 $67,309.66 2025-12-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 15 — — $33,487.17 $111,847.70 $67,075.97 2025-12-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $37,608.80 $125,269.98 $66,894.17 2025-12-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 14 — — $37,419.77 $124,654.38 $66,565.43 2025-12-08
6613 APR_DRG Coagulation And Platelet Disorders 2 2 — — $65,270.56 $67,757.06 $66,513.81 2025-12-08
274 APR_DRG Other Open Craniotomy 2 2 — — $65,192.67 $67,676.20 $66,434.43 2025-12-08
4401 APR_DRG Kidney Transplant 2 2 — — $65,150.00 $67,631.91 $66,390.96 2025-12-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 17 15 — — $34,243.82 $114,311.80 $66,368.98 2025-12-08
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $64,930.22 $67,403.75 $66,166.99 2025-12-08
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $64,787.25 $67,255.33 $66,021.29 2025-12-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 15 — — $32,493.83 $108,612.85 $65,625.87 2025-12-08
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $64,375.42 $66,827.81 $65,601.61 2025-12-08
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 2 2 — — $64,354.08 $66,805.66 $65,579.87 2025-12-08
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $64,332.74 $66,783.52 $65,558.13 2025-12-08
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