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 OF VIRGINIA MEDICAL CENTER

Charlottesville, VA · CCN 490009 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Echo 2d W/Spec/Color Compl

This hospital’s price: $2,448 across 44 payers · range $130-$4,339

Source: https://brand.uvahealth.com/api/asset/eyJjbGllbnRJZCI6bnVsbCwiaWQiOjEwMzY1MywidGltZXN0YW1wIjoxNzc0ODg0MjgyLCJ2ZXJzaW9uIjoxNzc0NTU3ODAxfQ:uva-health:HZO3laOkYrq590lgmFn0RvRs16GKxxflQ01jS9Zgweg/download · observed 2026-03-24

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.

12,510 distinct procedures filed
62 distinct payers
888,493 rate rows
2026-03-24 last MRF observed
Data quality

815,316 of 888,493 rate rows are consumer-grade (91.8%)

73,177 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 47,398
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,384
per-diem day rate — not a per-procedure price 7,103
placeholder amount (≤ $0.02) — excluded from medians 4,382
exceeds 10× this hospital's gross charge — excluded from medians 1,421
template filing: same amount across many unrelated codes — excluded 954
percent-of-charges filed in the dollar field — excluded from medians 331
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 159
exceeds 3× this hospital's gross charge for a DRG stay — excluded 44
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://brand.uvahealth.com/api/asset/eyJjbGllbnRJZCI6bnVsbCwiaWQiOjEwMzY1MywidGltZXN0YW1wIjoxNzc0ODg0MjgyLCJ2ZXJzaW9uIjoxNzc0NTU3ODAxfQ:uva-health:HZO3laOkYrq590lgmFn0RvRs16GKxxflQ01jS9Zgweg/download
Found on page https://www.uvahealth.com/support/billing-and-insurance/pricing
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint d0a742180924b1c7… · 846,531,060 bytes · first seen 2026-05-09

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
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 28 $2,995,073.76 $4,800,000.00 $3,327,859.73 nat. median
$3,324,572
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 17 $511,072.50 $2,089,237.36 $1,447,223.65 nat. median
$739,258
2.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 16 $711,295.20 $1,626,240.00 $1,293,600.00 nat. median
$591,721
outlier · 2.2×
Q2054
HCPCS 		Hsr 200067 Jcar017 (lisocabtagene Maraleucel) Syringe 4 $473,853.52 $893,698.84 $893,698.84 nat. median
$640,950
1.4× median
850
OTHER 		Acute Leukemia With Other Procedures 2 $702,746.27 $702,746.27 $702,746.27 nat. median
$396
outlier · 1774.2×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $648,803.52 $648,803.52 $648,803.52 nat. median
$165,355
outlier · 3.9×
38227
CPT 		Hc Car-t Receipt&Prepj Admn 43 $61.60 $1,884,766.94 $562,201.24 nat. median
$2,138
outlier · 262.9×
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 37 $449,440.00 $1,764,544.32 $532,192.24 nat. median
$608,239
0.9× median
583
APR_DRG 		Neonate With Ecmo,extreme 13 $352,102.15 $582,598.53 $511,727.85 nat. median
$12,353
outlier · 41.4×
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 2 $489,108.54 $489,108.54 $489,108.54 nat. median
$1,883
outlier · 259.8×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $406,674.25 $406,674.25 $406,674.25 nat. median
$214,523
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $302,066.07 $1,108,027.47 $335,628.97 nat. median
$359,454
0.9× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,extreme 13 $320,922.19 $320,922.19 $320,922.19 nat. median
$51,198
outlier · 6.3×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 13 $304,347.78 $304,347.78 $304,347.78 nat. median
$6,406
outlier · 47.5×
161
APR_DRG 		Implantable Heart Assist Systems,extreme 13 $193,311.04 $398,631.27 $295,971.16 nat. median
$137,490
outlier · 2.2×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 13 $151,761.30 $411,591.16 $281,676.23 nat. median
$259,357
1.1× median
609
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 13 $166,384.11 $344,402.46 $255,393.29 nat. median
$93,344
outlier · 2.7×
630
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,extreme 13 $148,818.22 $360,779.19 $254,798.71 nat. median
$82,555
outlier · 3.1×
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 $245,858.68 $245,858.68 $245,858.68 nat. median
$190
outlier · 1292.2×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 13 $241,117.18 $241,117.18 $241,117.18 nat. median
$120,304
outlier · 2.0×
589
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 13 $66,644.32 $533,557.74 $239,198.53 nat. median
$114,872
outlier · 2.1×
275
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $237,324.96 $237,324.96 $237,324.96 nat. median
$20,019
outlier · 11.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $196,444.00 $763,765.00 $218,271.11 nat. median
$249,036
0.9× median
PX-90005544
CDM 		Hc Fda Ide # G090216 16 $105,673.53 $241,602.24 $192,183.60 nat. median
$196,329
1.0× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 13 $124,142.52 $265,683.06 $183,185.99 nat. median
$12,919
outlier · 14.2×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 13 $123,596.58 $231,395.30 $177,495.94 nat. median
$117,543
1.5× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $171,820.54 $171,820.54 $171,820.54 nat. median
$1
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $149,072.99 $581,104.00 $165,636.65 nat. median
$190,559
0.9× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 $122,366.63 $179,245.16 $162,135.79 nat. median
$86,947
1.9× median
PX-90004366
CDM 		Hc Heartmate3 17 $105,861.07 $250,633.24 $150,208.28 nat. median
$177,389
0.8× median
014
OTHER 		Allogeneic Bone Marrow Transplant 2 $148,177.14 $148,177.14 $148,177.14 nat. median
$85,837
1.7× median
PX-90004840
CDM 		Hc Total Artifical Heart Implant 17 $99,167.03 $234,784.64 $140,709.98 nat. median
$166,172
0.8× median
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 2 $136,256.53 $136,256.53 $136,256.53 nat. median
$78,835
1.7× median
PX-90004363
CDM 		Hc Ide#G050262/A3 Berlin Peds Vad 16 $74,844.96 $171,118.64 $136,117.10 nat. median
$139,053
1.0× median
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 13 $81,513.44 $168,660.44 $125,086.94 nat. median
$87,627
1.4× median
631
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 13 $60,701.69 $287,768.67 $123,307.92 nat. median
$56,996
outlier · 2.2×
365
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $121,965.16 $121,965.16 $121,965.16 nat. median
$5
outlier · 25676.9×
792
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment,extreme 13 $43,259.74 $198,138.25 $120,698.99 nat. median
$22,629
outlier · 5.3×
440
APR_DRG 		Kidney Transplant,extreme 13 $61,095.46 $127,531.13 $112,720.07 nat. median
$56,304
outlier · 2.0×
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 13 $112,480.04 $112,480.04 $112,480.04 nat. median
$43,429
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $97,694.86 $383,126.00 $108,549.84 nat. median
$126,695
0.9× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 44 $48,963.70 $220,360.80 $107,601.18 nat. median
$65,720
1.6× median
219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $106,777.73 $106,777.73 $106,777.73 nat. median
$65,545
1.6× median
20
APR_DRG 		Open Craniotomy For Trauma,extreme 13 $106,209.53 $106,209.53 $106,209.53 nat. median
$32,272
outlier · 3.3×
PX-90000396
CDM 		Hc Heartmate Ii Implant Kit 17 $74,623.45 $176,676.06 $105,884.63 nat. median
$125,045
0.8× median
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 $76,996.85 $140,589.85 $104,700.34 nat. median
$71,946
1.5× median
PX-90000397
CDM 		Hc Heartware Sterile Implant Set 17 $72,887.78 $172,566.74 $103,421.85 nat. median
$122,136
0.8× median
0398T
CPT 		Hc MRI Guide US Brain Ablat 1 $102,031.16 $102,031.16 $102,031.16 nat. median
$13,628
outlier · 7.5×
7
MS_DRG 		Lung Transplant 26 $91,415.61 $354,352.00 $101,572.90 nat. median
$117,974
0.9× median
957
OTHER 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $99,976.55 $99,976.55 $99,976.55 nat. median
$63,621
1.6× median

Other procedures at this hospital

Browse this hospital's 12,510 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
             
J1413 HCPCS Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 32 28 — $4,800,000.00 $2,995,073.76 $4,800,000.00 $3,327,859.73 2026-03-24
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 49 17 $2,374,133.36 $1,424,480.02 40% off $511,072.50 $2,089,237.36 $1,447,223.65 2026-03-24
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 23 16 $1,848,000.00 $1,108,800.00 40% off $711,295.20 $1,626,240.00 $1,293,600.00 2026-03-24
Q2054 HCPCS Hsr 200067 Jcar017 (lisocabtagene Maraleucel) Syringe 5 4 $0.01 — $473,853.52 $893,698.84 $893,698.84 2026-03-24
850 OTHER Acute Leukemia With Other Procedures 2 2 $3,895,924.92 — $702,746.27 $702,746.27 $702,746.27 2026-03-24
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $3,706,134.05 — $648,803.52 $648,803.52 $648,803.52 2026-03-24
38227 CPT Hc Car-t Receipt&Prepj Admn 76 43 $2,141,780.61 $1,285,068.37 40% off $61.60 $1,884,766.94 $562,201.24 2026-03-24
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 41 37 $2,014,320.00 $1,208,592.00 40% off $449,440.00 $1,764,544.32 $532,192.24 2026-03-24
583 APR_DRG Neonate With Ecmo,extreme 39 13 $1,731,050.71 — $352,102.15 $582,598.53 $511,727.85 2026-03-24
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 2 2 $2,383,789.95 — $489,108.54 $489,108.54 $489,108.54 2026-03-24
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $2,039,123.36 — $406,674.25 $406,674.25 $406,674.25 2026-03-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 25 $2,251,069.62 $1,350,641.77 40% off $302,066.07 $1,108,027.47 $335,628.97 2026-03-24
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,extreme 13 13 $246,359.13 — $320,922.19 $320,922.19 $320,922.19 2026-03-24
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 13 13 $199,109.89 — $304,347.78 $304,347.78 $304,347.78 2026-03-24
161 APR_DRG Implantable Heart Assist Systems,extreme 26 13 $940,992.73 — $193,311.04 $398,631.27 $295,971.16 2026-03-24
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 26 13 $1,510,908.48 — $151,761.30 $411,591.16 $281,676.23 2026-03-24
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 26 13 $727,465.34 — $166,384.11 $344,402.46 $255,393.29 2026-03-24
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,extreme 26 13 $1,194,709.33 — $148,818.22 $360,779.19 $254,798.71 2026-03-24
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 2 $1,316,244.96 — $245,858.68 $245,858.68 $245,858.68 2026-03-24
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 13 13 $1,871,596.72 — $241,117.18 $241,117.18 $241,117.18 2026-03-24
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 39 13 $1,904,719.11 — $66,644.32 $533,557.74 $239,198.53 2026-03-24
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 $1,412,490.05 — $237,324.96 $237,324.96 $237,324.96 2026-03-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 28 $1,550,232.81 $930,139.69 40% off $196,444.00 $763,765.00 $218,271.11 2026-03-24
PX-90005544 CDM Hc Fda Ide # G090216 25 16 $274,548.00 $164,728.80 40% off $105,673.53 $241,602.24 $192,183.60 2026-03-24
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 39 13 $905,907.98 — $124,142.52 $265,683.06 $183,185.99 2026-03-24
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 26 13 $1,070,602.75 — $123,596.58 $231,395.30 $177,495.94 2026-03-24
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 $547,168.64 — $171,820.54 $171,820.54 $171,820.54 2026-03-24
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 28 $1,418,059.08 $850,835.45 40% off $149,072.99 $581,104.00 $165,636.65 2026-03-24
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 39 13 $852,083.05 — $122,366.63 $179,245.16 $162,135.79 2026-03-24
PX-90004366 CDM Hc Heartmate3 26 17 $286,111.00 $171,666.60 40% off $105,861.07 $250,633.24 $150,208.28 2026-03-24
014 OTHER Allogeneic Bone Marrow Transplant 2 2 $750,301.58 — $148,177.14 $148,177.14 $148,177.14 2026-03-24
PX-90004840 CDM Hc Total Artifical Heart Implant 26 17 $268,019.00 $160,811.40 40% off $99,167.03 $234,784.64 $140,709.98 2026-03-24
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 $455,304.09 — $136,256.53 $136,256.53 $136,256.53 2026-03-24
PX-90004363 CDM Hc Ide#G050262/A3 Berlin Peds Vad 25 16 $194,453.00 $116,671.80 40% off $74,844.96 $171,118.64 $136,117.10 2026-03-24
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 26 13 $858,970.79 — $81,513.44 $168,660.44 $125,086.94 2026-03-24
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 39 13 $210,078.88 — $60,701.69 $287,768.67 $123,307.92 2026-03-24
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $357,161.62 — $121,965.16 $121,965.16 $121,965.16 2026-03-24
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,extreme 26 13 $250,130.62 — $43,259.74 $198,138.25 $120,698.99 2026-03-24
440 APR_DRG Kidney Transplant,extreme 52 13 $264,609.88 — $61,095.46 $127,531.13 $112,720.07 2026-03-24
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 13 13 $461,485.73 — $112,480.04 $112,480.04 $112,480.04 2026-03-24
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 28 $796,715.11 $478,029.07 40% off $97,694.86 $383,126.00 $108,549.84 2026-03-24
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 56 44 $250,410.00 $150,246.00 40% off $48,963.70 $220,360.80 $107,601.18 2026-03-24
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $652,847.68 — $106,777.73 $106,777.73 $106,777.73 2026-03-24
20 APR_DRG Open Craniotomy For Trauma,extreme 13 13 $551,169.40 — $106,209.53 $106,209.53 $106,209.53 2026-03-24
PX-90000396 CDM Hc Heartmate Ii Implant Kit 26 17 $201,685.00 $121,011.00 40% off $74,623.45 $176,676.06 $105,884.63 2026-03-24
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 39 13 $857,697.56 — $76,996.85 $140,589.85 $104,700.34 2026-03-24
PX-90000397 CDM Hc Heartware Sterile Implant Set 26 17 $196,994.00 $118,196.40 40% off $72,887.78 $172,566.74 $103,421.85 2026-03-24
0398T CPT Hc MRI Guide US Brain Ablat 1 1 — — $102,031.16 $102,031.16 $102,031.16 2026-03-24
7 MS_DRG Lung Transplant 29 26 $1,185,416.67 $711,250.00 40% off $91,415.61 $354,352.00 $101,572.90 2026-03-24
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 $200,114.28 — $99,976.55 $99,976.55 $99,976.55 2026-03-24
834 OTHER Acute Leukemia Age >17 With Mcc 2 2 $500,493.14 — $97,831.67 $97,831.67 $97,831.67 2026-03-24
PX-90004149 CDM Hc Bil Lung Transplant 48 38 $235,926.00 $141,555.60 40% off $61,340.76 $207,614.88 $95,538.24 2026-03-24
PX-90004841 CDM Hc Berlin Lvad 26 17 $180,914.00 $108,548.40 40% off $66,938.18 $158,480.66 $94,979.85 2026-03-24
850 MS_DRG Acute Leukemia With Other Procedures 39 31 $233,904.71 $140,342.83 40% off $61,519.48 $249,775.00 $94,583.76 2026-03-24
14 MS_DRG Allogeneic Bone Marrow Transplant 26 25 $636,657.53 $381,994.52 40% off $84,919.65 $308,367.30 $94,355.17 2026-03-24
33270 CPT Hc Ins/Rep Subq Defibrillator 69 43 $265,660.17 $159,396.10 40% off $563.21 $232,718.31 $94,046.99 2026-03-24
215 MS_DRG Other Heart Assist System Implant 38 31 $290,630.97 $174,378.58 40% off $70,560.01 $287,271.00 $93,479.40 2026-03-24
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $409,755.59 — $92,825.03 $92,825.03 $92,825.03 2026-03-24
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 39 13 $455,376.24 — $58,971.30 $115,216.03 $91,392.19 2026-03-24
PX-90000399 CDM Hc Thoratec Vad Pump Without Outflgrf 26 17 $173,542.00 $104,125.20 40% off $64,210.54 $152,022.79 $91,109.55 2026-03-24
PX-90005545 CDM Hc Fda Ide # G120160 25 16 $127,917.00 $76,750.20 40% off $49,235.25 $112,566.96 $89,541.90 2026-03-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 28 $1,221,583.00 $732,949.80 40% off $80,139.14 $290,762.66 $89,043.49 2026-03-24
209 MS_DRG Complex Aortic Arch Procedures 33 28 $855,684.62 $513,410.77 40% off $80,048.56 $292,296.69 $88,942.84 2026-03-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 28 $407,191.24 $244,314.74 40% off $77,974.99 $284,034.00 $86,638.88 2026-03-24
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 2 $424,174.80 — $85,824.48 $85,824.48 $85,824.48 2026-03-24
178 APR_DRG External Heart Assist Systems,extreme 13 13 $1,705,471.67 — $85,699.00 $85,699.00 $85,699.00 2026-03-24
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 28 $726,356.00 $435,813.60 40% off $76,950.04 $295,381.00 $85,500.04 2026-03-24
22830 CPT Exploration Spinal Fusion 1 1 $158,595.45 $95,157.27 40% off $83,262.61 $83,262.61 $83,262.61 2026-03-24
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 1 1 $158,595.45 $95,157.27 40% off $83,262.61 $83,262.61 $83,262.61 2026-03-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 26 $634,951.09 $380,970.65 40% off $73,023.07 $288,752.00 $81,136.74 2026-03-24
PX-90005546 CDM Hc Fda Ide # G150278 25 16 $114,981.00 $68,988.60 40% off $44,256.19 $101,183.28 $80,486.70 2026-03-24
890 APR_DRG HIV With Multiple Major HIV Related Conditions,extreme 26 13 $77,661.12 — $51,756.38 $106,107.56 $78,931.97 2026-03-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 39 31 $182,936.32 $109,761.79 40% off $51,159.94 $184,044.31 $78,569.79 2026-03-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 31 $241,072.69 $144,643.61 40% off $50,865.23 $191,617.00 $78,114.20 2026-03-24
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 39 13 $245,561.32 — $45,365.08 $112,850.28 $77,561.62 2026-03-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 28 $516,367.31 $309,820.39 40% off $69,346.23 $261,683.00 $77,051.37 2026-03-24
PX-90004146 CDM Hc Ld Liver Transplant 25 16 $109,729.00 $65,837.40 40% off $42,234.69 $96,561.52 $76,810.30 2026-03-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 31 $282,741.45 $169,644.87 40% off $47,738.13 $181,794.00 $73,280.28 2026-03-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 31 $258,047.13 $154,828.28 40% off $46,997.49 $175,102.00 $72,135.37 2026-03-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 31 $288,322.77 $172,993.66 40% off $46,997.49 $168,715.62 $72,135.37 2026-03-24
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,majo… 13 13 $313,437.93 — $71,590.76 $71,590.76 $71,590.76 2026-03-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 28 $450,475.40 $270,285.24 40% off $63,958.85 $231,177.33 $71,065.39 2026-03-24
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $478,742.13 — $70,186.35 $70,186.35 $70,186.35 2026-03-24
PX-90004151 CDM Hc Liver Transplant 48 38 $171,970.00 $103,182.00 40% off $44,712.20 $151,333.60 $69,639.25 2026-03-24
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 52 13 $508,798.73 — $39,689.15 $131,497.07 $69,180.29 2026-03-24
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,moder… 13 13 $665,181.19 — $69,047.73 $69,047.73 $69,047.73 2026-03-24
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 2 2 $342,483.74 — $68,933.63 $68,933.63 $68,933.63 2026-03-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 31 $98,302.55 $58,981.53 40% off $43,883.63 $162,437.00 $67,321.91 2026-03-24
33240 CPT Hc Insert Pulse Generator 15 9 — — $2,428.00 $165,902.00 $66,645.97 2026-03-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 28 $577,625.35 $346,575.21 40% off $59,919.70 $229,764.00 $66,577.44 2026-03-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 30 $314,948.95 $188,969.37 40% off $59,735.06 $229,637.00 $66,372.29 2026-03-24
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 31 $203,302.24 $121,981.34 40% off $43,034.97 $167,957.00 $66,010.03 2026-03-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 31 $266,628.76 $159,977.26 40% off $42,731.87 $155,620.00 $65,541.50 2026-03-24
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 $113,986.36 — $65,226.55 $65,226.55 $65,226.55 2026-03-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 31 $228,257.10 $136,954.26 40% off $42,046.97 $157,868.00 $64,482.75 2026-03-24
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 54 42 $60,900.00 $36,540.00 40% off $30,450.00 $135,569.49 $64,274.79 2026-03-24
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 $127,358.35 — $64,188.28 $64,188.28 $64,188.28 2026-03-24
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,extreme 52 13 $254,819.49 — $58,805.01 $121,825.40 $63,773.41 2026-03-24
252 OTHER Other Vascular Procedures With Mcc 2 2 $491,840.39 — $63,743.82 $63,743.82 $63,743.82 2026-03-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 31 $286,865.83 $172,119.50 40% off $41,366.22 $148,329.00 $63,430.45 2026-03-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 31 $254,176.38 $152,505.83 40% off $41,109.80 $154,690.00 $63,034.08 2026-03-24
J7330 HCPCS Implant Maci 29 17 $89,873.60 $53,924.16 40% off $33,253.23 $158,425.08 $62,911.52 2026-03-24
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 31 $182,582.01 $109,549.21 40% off $40,946.75 $147,374.99 $62,782.03 2026-03-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 31 $201,155.10 $120,693.06 40% off $40,895.20 $146,445.00 $62,702.34 2026-03-24
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 $173,692.15 — $62,372.84 $62,372.84 $62,372.84 2026-03-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 28 $412,405.36 $247,443.22 40% off $56,010.14 $218,571.00 $62,233.49 2026-03-24
54416 CPT Hc Rem/Repl Prosth Penile Sem 19 10 — — $1,244.00 $91,889.00 $62,099.40 2026-03-24
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 31 $198,056.23 $118,833.74 40% off $40,355.21 $149,240.00 $61,867.61 2026-03-24
361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 $180,075.47 — $61,816.41 $61,816.41 $61,816.41 2026-03-24
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 $311,189.58 — $61,661.31 $61,661.31 $61,661.31 2026-03-24
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $266,991.39 — $61,473.61 $61,473.61 $61,473.61 2026-03-24
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 31 $165,850.89 $99,510.53 40% off $39,966.41 $142,823.13 $61,266.59 2026-03-24
PX-90004144 CDM Hc Kidney-liver Transplant 48 38 $151,280.00 $90,768.00 40% off $39,332.80 $133,126.40 $61,260.83 2026-03-24
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 39 13 $420,348.63 — $45,768.26 $87,391.74 $61,009.18 2026-03-24
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 2 2 $112,961.12 — $60,959.88 $60,959.88 $60,959.88 2026-03-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 28 $484,786.20 $290,871.72 40% off $54,682.80 $209,797.00 $60,758.67 2026-03-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 28 $484,511.86 $290,707.12 40% off $54,452.17 $211,937.00 $60,502.41 2026-03-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 30 $344,103.87 $206,462.32 40% off $54,275.89 $202,387.00 $60,306.54 2026-03-24
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 39 31 $161,824.92 $97,094.95 40% off $39,299.62 $147,196.00 $60,235.85 2026-03-24
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 39 31 $188,670.44 $113,202.26 40% off $39,185.33 $146,306.00 $60,059.19 2026-03-24
179 APR_DRG Defibrillator Implants,extreme 39 13 $166,876.12 — $54,006.04 $76,739.57 $60,050.64 2026-03-24
690 APR_DRG Acute Leukemia,extreme 39 13 $344,393.18 — $39,662.48 $115,360.36 $59,969.06 2026-03-24
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 $310,608.06 — $59,824.44 $59,824.44 $59,824.44 2026-03-24
93582 CPT Hc Perq Transcath Closure Pda 73 44 $155,521.48 $93,312.89 40% off $25.21 $136,236.82 $59,537.73 2026-03-24
PX-28195097 CDM Hc Fda Ide #g150521 25 16 $84,524.00 $50,714.40 40% off $32,533.29 $74,381.12 $59,166.80 2026-03-24
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 31 $269,932.09 $161,959.25 40% off $38,317.86 $139,642.00 $58,718.24 2026-03-24
J1246 HCPCS Dinutuximab 17.5 Mg/5ml IV Soln 26 17 $83,731.76 $50,239.06 40% off $32,228.35 $73,683.95 $58,612.23 2026-03-24
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,extreme 52 13 $431,948.78 — $31,503.13 $320,186.42 $58,452.03 2026-03-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 31 $247,058.98 $148,235.39 40% off $37,946.48 $139,178.00 $58,144.16 2026-03-24
261 APR_DRG Major Biliary Tract Procedures,extreme 26 13 $113,926.61 — $39,813.08 $75,470.41 $57,641.75 2026-03-24
J9269 HCPCS Hsr 210434 Tagraxofusp (sl-401) 1000 Mcg/1 Ml Vial 11 7 $0.01 — $32,556.00 $79,456.19 $57,522.00 2026-03-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 39 31 $153,328.11 $91,996.87 40% off $37,452.48 $138,137.00 $57,380.52 2026-03-24
653 MS_DRG Major Bladder Procedures With Mcc 39 31 $215,626.25 $129,375.75 40% off $37,389.76 $151,152.00 $57,283.57 2026-03-24
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,extr… 26 13 $209,284.24 — $44,215.14 $70,218.05 $57,216.60 2026-03-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 29 $249,471.30 $149,682.78 40% off $51,479.78 $192,585.00 $57,199.75 2026-03-24
10 MS_DRG Pancreas Transplant 32 28 $242,900.81 $145,740.49 40% off $51,180.87 $216,183.00 $56,867.63 2026-03-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 28 $404,133.32 $242,479.99 40% off $50,894.49 $214,944.00 $56,549.43 2026-03-24
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,extreme 52 13 $418,829.71 — $40,395.11 $101,407.43 $56,392.98 2026-03-24
PX-90005627 CDM Hc Fda Ide #g150521 25 16 $80,499.00 $48,299.40 40% off $30,984.07 $70,839.12 $56,349.30 2026-03-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 39 31 $144,625.20 $86,775.12 40% off $35,933.53 $137,714.00 $55,032.49 2026-03-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 28 $481,741.39 $289,044.83 40% off $49,342.10 $188,621.00 $54,824.56 2026-03-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 28 $421,894.39 $253,136.63 40% off $49,105.89 $180,788.00 $54,562.10 2026-03-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 31 $246,601.27 $147,960.76 40% off $35,593.50 $135,607.00 $54,506.87 2026-03-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 31 $156,959.35 $94,175.61 40% off $35,475.76 $136,572.00 $54,324.86 2026-03-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 31 $147,259.40 $88,355.64 40% off $35,332.92 $146,290.00 $54,104.05 2026-03-24
62361 CPT Hc Impl Pump Infsnon-program 19 10 — — $1,088.00 $124,802.00 $54,002.87 2026-03-24
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 2 2 $141,072.45 — $53,900.03 $53,900.03 $53,900.03 2026-03-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 28 $410,424.99 $246,254.99 40% off $48,083.04 $185,145.00 $53,425.60 2026-03-24
471 MS_DRG Cervical Spinal Fusion With Mcc 39 31 $192,122.25 $115,273.35 40% off $34,827.77 $124,696.35 $53,323.18 2026-03-24
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 30 $312,125.22 $187,275.13 40% off $47,772.27 $171,568.90 $53,080.30 2026-03-24
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 39 13 $446,414.23 — $44,557.14 $79,160.23 $52,804.34 2026-03-24
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 $106,432.36 — $52,750.40 $52,750.40 $52,750.40 2026-03-24
329 OTHER Major Small And Large Bowel Procedures With Mcc 2 2 $101,641.70 — $52,697.23 $52,697.23 $52,697.23 2026-03-24
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 31 $86,798.06 $52,078.84 40% off $34,354.66 $122,942.90 $52,591.84 2026-03-24
834 MS_DRG Acute Leukemia With Mcc 38 31 $305,822.89 $183,493.73 40% off $39,434.78 $149,869.00 $52,130.60 2026-03-24
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 29 19 $74,360.60 $44,616.36 40% off $27,365.43 $65,437.33 $52,052.42 2026-03-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 29 $50,675.13 $30,405.08 40% off $46,830.94 $148,539.89 $52,034.38 2026-03-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 39 31 $284,537.70 $170,722.62 40% off $33,940.79 $121,408.95 $51,952.07 2026-03-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 31 $237,035.82 $142,221.49 40% off $33,873.89 $121,161.04 $51,848.65 2026-03-24
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 $307,222.97 — $51,769.21 $51,769.21 $51,769.21 2026-03-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 31 $182,331.69 $109,399.01 40% off $33,776.33 $120,799.51 $51,697.86 2026-03-24
C9758 HCPCS Hc Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implanta… 12 7 — — $3,226.00 $124,802.00 $51,323.20 2026-03-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 28 $431,987.59 $259,192.55 40% off $46,017.81 $175,354.00 $51,130.90 2026-03-24
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 31 $117,500.09 $70,500.05 40% off $33,363.15 $119,268.14 $51,059.15 2026-03-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 31 $151,811.16 $91,086.70 40% off $33,209.87 $118,700.02 $50,822.20 2026-03-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 31 $203,186.11 $121,911.67 40% off $33,128.34 $118,397.88 $50,696.18 2026-03-24
245 MS_DRG Aicd Generator Procedures 39 31 $119,242.06 $71,545.24 40% off $32,972.27 $117,819.42 $50,454.92 2026-03-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 31 $146,152.78 $87,691.67 40% off $32,876.81 $117,465.63 $50,307.36 2026-03-24
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 31 $204,782.42 $122,869.45 40% off $32,862.89 $117,413.98 $50,285.83 2026-03-24
799 MS_DRG Splenic Procedures With Mcc 39 31 $232,875.76 $139,725.46 40% off $32,738.86 $116,954.31 $50,094.10 2026-03-24
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 $78,301.23 — $49,939.90 $49,939.90 $49,939.90 2026-03-24
0915T CPT Hc Insj Perm Ccm-d Sys Pg&Eltrd 34 22 $84,162.00 $50,497.20 40% off $2,428.00 $94,046.99 $49,697.66 2026-03-24
163 MS_DRG Major Chest Procedures With Mcc 39 31 $238,197.63 $142,918.58 40% off $32,410.67 $115,738.00 $49,586.79 2026-03-24
31 MS_DRG Ventricular Shunt Procedures With Mcc 39 31 $132,626.32 $79,575.79 40% off $32,401.62 $115,704.43 $49,572.80 2026-03-24
167 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures,extreme 52 13 $330,755.62 — $29,229.94 $88,582.46 $49,543.58 2026-03-24
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 39 31 $114,569.66 $68,741.80 40% off $32,279.00 $115,249.93 $49,383.24 2026-03-24
404 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 $109,434.00 — $49,346.97 $49,346.97 $49,346.97 2026-03-24
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,extreme 52 13 $225,593.45 — $33,231.95 $107,033.15 $49,307.48 2026-03-24
840 OTHER Lymphoma And Non-acute Leukemia With Mcc 2 2 $116,793.84 — $49,140.07 $49,140.07 $49,140.07 2026-03-24
229 OTHER Other Cardiothoracic Procedures Without Mcc 2 2 $303,828.73 — $48,904.15 $48,904.15 $48,904.15 2026-03-24
33230 CPT Hc Insrt Pulse Gen W/Dual Leads 70 44 $157,292.66 $94,375.60 40% off $384.28 $165,902.00 $48,893.40 2026-03-24
183 APR_DRG Percutaneous Structural Cardiac Procedures,extreme 39 13 $88,130.74 — $46,563.64 $91,738.89 $48,761.53 2026-03-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 30 $303,881.92 $182,329.15 40% off $43,834.15 $171,479.00 $48,704.61 2026-03-24
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 31 $191,482.70 $114,889.62 40% off $31,790.55 $113,439.67 $48,628.19 2026-03-24
0571T CPT Hc Insj/Rplcmt Icds Ss Eltrd 105 45 $82,320.00 $49,392.00 40% off $10.13 $165,902.00 $48,103.20 2026-03-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 31 $306,762.47 $184,057.48 40% off $36,301.43 $130,158.12 $47,968.06 2026-03-24
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 31 $174,975.05 $104,985.03 40% off $31,334.87 $111,750.78 $47,923.79 2026-03-24
90288 CPT Hc Babybig (Botulism Immune Globulin Human) 26 17 $57,300.00 $34,380.00 40% off $28,650.00 $108,422.20 $47,874.15 2026-03-24
28 MS_DRG Spinal Procedures With Mcc 35 29 $269,151.30 $161,490.78 40% off $43,046.81 $164,842.00 $47,829.79 2026-03-24
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 39 13 $191,296.02 — $26,166.07 $84,101.96 $47,613.17 2026-03-24
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 39 31 $156,412.50 $93,847.50 40% off $31,094.48 $110,859.85 $47,552.19 2026-03-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 21 $429,794.22 $257,876.53 40% off $42,595.31 $65,330.40 $47,328.12 2026-03-24
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,extreme 39 13 $396,691.18 — $38,854.54 $58,473.99 $47,310.39 2026-03-24
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 25 $286,519.57 $171,911.74 40% off $42,499.15 $152,150.17 $47,221.28 2026-03-24
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 56 44 $109,735.00 $65,841.00 40% off $108.62 $98,754.43 $47,153.13 2026-03-24
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 31 $166,420.10 $99,852.06 40% off $30,731.48 $109,514.42 $46,991.06 2026-03-24
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 56 44 $112,623.64 $67,574.18 40% off $25,581.65 $99,108.80 $46,899.70 2026-03-24
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 31 $187,123.16 $112,273.90 40% off $30,608.84 $109,059.92 $46,801.48 2026-03-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 28 $423,345.24 $254,007.14 40% off $42,073.44 $159,546.00 $46,748.27 2026-03-24
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 39 31 $191,450.70 $114,870.42 40% off $30,558.67 $108,873.98 $46,723.93 2026-03-24
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 39 31 $210,365.52 $126,219.31 40% off $30,544.04 $108,819.75 $46,701.31 2026-03-24
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 31 $180,843.85 $108,506.31 40% off $30,458.34 $108,502.12 $46,568.83 2026-03-24
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 52 13 $233,156.84 — $22,560.96 $123,562.06 $46,517.36 2026-03-24
901 MS_DRG Wound Debridements For Injuries With Mcc 39 31 $115,067.84 $69,040.70 40% off $30,423.51 $108,373.00 $46,514.99 2026-03-24
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 31 $212,300.11 $127,380.07 40% off $30,256.27 $107,753.22 $46,256.48 2026-03-24
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 31 $98,529.85 $59,117.91 40% off $30,119.72 $107,247.07 $46,045.38 2026-03-24
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 39 31 $164,057.76 $98,434.66 40% off $29,928.12 $106,536.91 $45,749.21 2026-03-24
33946 CPT Hc Ecmo/Ecls Initiation Venous 34 22 $86,877.00 $52,126.20 40% off $266.48 $76,451.76 $45,610.43 2026-03-24
33947 CPT Hc Ecmo/Ecls Initiation Artery 34 22 $86,877.00 $52,126.20 40% off $293.67 $76,451.76 $45,610.43 2026-03-24
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 26 $552,796.59 $331,677.95 40% off $40,233.97 $147,532.00 $44,704.41 2026-03-24
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 31 $127,313.25 $76,387.95 40% off $29,196.50 $103,825.39 $44,618.25 2026-03-24
401 APR_DRG Adrenal Procedures,major 13 13 $232,702.01 — $44,393.99 $44,393.99 $44,393.99 2026-03-24
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 31 $110,615.72 $66,369.43 40% off $28,942.88 $102,885.40 $44,226.20 2026-03-24
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 56 44 $110,525.78 $66,315.47 40% off $609.97 $165,902.00 $44,190.49 2026-03-24
PX-90004147 CDM Hc Ld Kidney Transplant 25 16 $63,053.00 $37,831.80 40% off $24,269.10 $55,486.64 $44,137.10 2026-03-24
467 OTHER Revision Of Hip Or Knee Replacement With Cc 2 2 $194,705.75 — $44,106.34 $44,106.34 $44,106.34 2026-03-24
21 APR_DRG Open Craniotomy Except Trauma,extreme 52 13 $188,439.96 — $27,159.12 $83,657.99 $43,683.32 2026-03-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 26 $437,802.74 $262,681.64 40% off $39,245.26 $144,254.00 $43,605.84 2026-03-24
PX-90004152 CDM Hc Lung Transplant 43 34 $100,079.00 $60,047.40 40% off $26,020.54 $88,069.52 $43,474.32 2026-03-24
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 31 $154,668.09 $92,800.85 40% off $28,439.82 $101,020.91 $43,448.56 2026-03-24
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 22 $45,981.23 $27,588.74 40% off $39,033.43 $107,456.33 $43,370.48 2026-03-24
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 31 $55,490.32 $33,294.19 40% off $28,316.49 $100,563.82 $43,257.92 2026-03-24
34 MS_DRG Carotid Artery Stent Procedures With Mcc 39 31 $124,254.23 $74,552.54 40% off $28,152.74 $99,956.96 $43,004.79 2026-03-24
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 38 30 $59,489.26 $35,693.56 40% off $28,112.33 $99,807.18 $42,942.32 2026-03-24
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 31 $201,993.51 $121,196.11 40% off $27,933.95 $99,146.08 $42,666.58 2026-03-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 28 $378,429.35 $227,057.61 40% off $38,340.17 $143,617.00 $42,600.19 2026-03-24
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 39 13 $219,927.20 — $22,725.68 $182,395.31 $42,448.67 2026-03-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 28 $411,634.16 $246,980.50 40% off $38,068.41 $144,815.00 $42,298.23 2026-03-24
692 APR_DRG Radiotherapy,extreme 26 13 $401,516.39 — $33,049.97 $50,904.52 $41,977.24 2026-03-24
C9399 HCPCS Amivantamab-hyaluronidase-lpuj 1600-20000 Mg-ut/10ml Sc Soln 204 41 $49,530.60 $59,025.18 $6,211.14 $276,000.00 $41,957.70 2026-03-24
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 39 31 $216,574.94 $129,944.96 40% off $27,402.33 $97,175.71 $41,844.79 2026-03-24
PX-90004150 CDM Hc Heart Transplant 48 38 $103,119.00 $61,871.40 40% off $26,810.94 $90,744.72 $41,758.04 2026-03-24
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 39 31 $123,231.59 $73,938.95 40% off $27,288.05 $96,752.20 $41,668.14 2026-03-24
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 31 $103,936.68 $62,362.01 40% off $27,223.26 $96,512.04 $41,567.99 2026-03-24
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 39 31 $173,488.99 $104,093.39 40% off $27,150.10 $96,240.88 $41,454.89 2026-03-24
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 39 31 $251,518.89 $150,911.33 40% off $27,003.77 $95,698.58 $41,228.70 2026-03-24
278 OTHER Other Major Cardiovascular Procedures With Cc 2 2 $90,737.70 — $41,169.36 $41,169.36 $41,169.36 2026-03-24
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 39 13 $138,731.45 — $16,031.60 $63,578.88 $41,086.95 2026-03-24
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 39 31 $170,696.76 $102,418.06 40% off $26,775.94 $94,854.13 $40,876.50 2026-03-24
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 39 31 $158,763.12 $95,257.87 40% off $26,765.49 $94,815.40 $40,860.35 2026-03-24
PX-90005836 CDM Hc Fda Ide # G120024 25 16 $58,344.00 $35,006.40 40% off $22,456.61 $51,342.72 $40,840.80 2026-03-24
33948 CPT Hc Ecmo/Ecls Daily Mgmt-venous 34 22 $77,564.00 $46,538.40 40% off $208.54 $68,256.32 $40,721.10 2026-03-24
33949 CPT Hc Ecmo/Ecls Daily Mgmt Artery 34 22 $77,564.00 $46,538.40 40% off $201.15 $68,256.32 $40,721.10 2026-03-24
91 APR_DRG Other Major Head And Neck Procedures,major 26 13 $159,243.99 — $36,198.56 $44,833.25 $40,515.90 2026-03-24
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 39 31 $83,000.31 $49,800.19 40% off $26,465.18 $93,702.38 $40,396.12 2026-03-24
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 $210,494.69 — $40,343.02 $40,343.02 $40,343.02 2026-03-24
265 MS_DRG Aicd Lead Procedures 39 31 $143,652.45 $86,191.47 40% off $26,393.39 $93,436.40 $40,285.16 2026-03-24
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 31 $244,116.85 $146,470.11 40% off $26,348.82 $93,271.12 $40,216.26 2026-03-24
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 31 $121,111.13 $72,666.68 40% off $26,311.19 $93,131.67 $40,158.08 2026-03-24
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 31 $106,684.70 $64,010.82 40% off $26,146.76 $92,522.23 $39,903.91 2026-03-24
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 39 31 $126,651.45 $75,990.87 40% off $26,088.93 $92,307.89 $39,814.51 2026-03-24
169 APR_DRG Major Abdominal Vascular Procedures,extreme 52 13 $175,980.62 — $33,388.83 $90,220.29 $39,739.35 2026-03-24
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 31 $131,271.18 $78,762.71 40% off $26,026.90 $92,078.05 $39,718.63 2026-03-24
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 31 $118,581.51 $71,148.91 40% off $26,006.01 $92,000.58 $39,686.34 2026-03-24
271 MS_DRG Other Major Cardiovascular Procedures With Cc 39 31 $156,503.10 $93,901.86 40% off $25,962.11 $91,837.89 $39,618.47 2026-03-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 28 $367,990.94 $220,794.56 40% off $35,654.82 $127,761.66 $39,616.47 2026-03-24
SUP-9003198646 CDM Calibrator Vip Glenoid Arthrex 25 16 $56,196.00 $33,717.60 40% off $21,629.84 $49,452.48 $39,337.20 2026-03-24
181 APR_DRG Lower Extremity Arterial Procedures,extreme 39 13 $143,340.69 — $25,295.38 $72,191.61 $39,242.04 2026-03-24
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 31 $175,791.17 $105,474.70 40% off $25,705.00 $90,884.99 $39,221.03 2026-03-24
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 52 13 $73,818.47 — $14,370.24 $97,033.60 $39,042.01 2026-03-24
252 MS_DRG Other Vascular Procedures With Mcc 39 31 $158,510.47 $95,106.28 40% off $25,488.31 $90,081.86 $38,886.06 2026-03-24
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 39 31 $163,261.63 $97,956.98 40% off $25,482.04 $90,058.62 $38,876.37 2026-03-24
264 OTHER Other Circulatory System O.r. Procedures 2 2 $253,289.32 — $38,873.79 $38,873.79 $38,873.79 2026-03-24
907 OTHER Other O.r. Procedures For Injuries With Mcc 2 2 $203,778.57 — $38,869.49 $38,869.49 $38,869.49 2026-03-24
J1305 HCPCS Evinacumab-dgnb 1200 Mg/8ml IV Soln 58 19 $72,014.85 $43,208.91 40% off $13,668.84 $103,518.99 $38,652.74 2026-03-24
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 31 $128,895.86 $77,337.52 40% off $25,253.50 $89,211.59 $38,523.09 2026-03-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 25 $148,844.10 $89,306.46 40% off $34,657.75 $97,834.77 $38,508.61 2026-03-24
37277 CPT Hc Rvsc Evsc Fpvt St Athr Cpx 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
92930 CPT Hc Prq Tcat Plmt Ntrac St 2+Les 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37273 CPT Hc Revsc Evsc Fpvt Athrc Cplx 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37286 CPT Hc Revsc Evasc Tpvt St Cplx 1st 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37271 CPT Hc Revsc Evsc Fpvt Athrc Sf 1st 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
37275 CPT Hc Rvsc Evsc Fpvt St Athrc Sf 1 31 21 $46,822.00 $28,093.20 40% off $18,021.79 $54,925.07 $38,440.86 2026-03-24
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 52 13 $383,452.65 — $18,814.65 $50,273.86 $38,353.32 2026-03-24
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 39 31 $137,005.40 $82,203.24 40% off $25,142.01 $88,798.41 $38,350.75 2026-03-24
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 $139,911.40 — $38,160.47 $38,160.47 $38,160.47 2026-03-24
PX-90005835 CDM Hc Fda Ide # G1602461 (a001) 25 16 $54,455.00 $32,673.00 40% off $20,959.73 $47,920.40 $38,118.50 2026-03-24
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 39 31 $133,880.43 $80,328.26 40% off $24,953.89 $88,101.16 $38,059.94 2026-03-24
PX-90004343 CDM Hc Fda Ide # G120053 25 16 $54,315.00 $32,589.00 40% off $20,905.84 $47,797.20 $38,020.50 2026-03-24
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 31 $93,350.94 $56,010.56 40% off $24,922.53 $87,984.95 $38,011.47 2026-03-24
23 APR_DRG Spinal Procedures,extreme 52 13 $147,084.95 — $18,339.31 $86,437.91 $37,662.26 2026-03-24
PX-90004145 CDM Hc Kidney-pancreas Transplant 48 38 $92,736.00 $55,641.60 40% off $24,111.36 $81,607.68 $37,553.44 2026-03-24
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,extreme 39 13 $122,153.85 — $32,085.16 $64,391.52 $37,403.40 2026-03-24
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 $342,932.36 — $37,364.42 $37,364.42 $37,364.42 2026-03-24
253 OTHER Other Vascular Procedures With Cc 2 2 $85,909.77 — $37,320.26 $37,320.26 $37,320.26 2026-03-24
451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 2 2 $66,198.50 — $37,215.66 $37,215.66 $37,215.66 2026-03-24
6 MS_DRG Liver Transplant Without Mcc 29 26 $424,597.04 $254,758.22 40% off $33,492.05 $119,745.89 $37,213.39 2026-03-24
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 39 31 $109,933.70 $65,960.22 40% off $24,199.30 $85,304.42 $36,893.48 2026-03-24
29 APR_DRG Other Percutaneous Intracranial Procedures,extreme 52 13 $203,440.10 — $24,181.53 $67,378.52 $36,865.30 2026-03-24
37 MS_DRG Extracranial Procedures With Mcc 39 31 $192,248.99 $115,349.39 40% off $24,121.25 $85,015.19 $36,772.84 2026-03-24
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 31 $71,178.84 $42,707.30 40% off $24,118.46 $85,004.86 $36,768.53 2026-03-24
397 OTHER Major Head And Neck Procedures With Cc 2 2 $84,757.77 — $36,693.26 $36,693.26 $36,693.26 2026-03-24
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 39 31 $152,226.49 $91,335.89 40% off $23,847.43 $84,000.31 $36,349.55 2026-03-24
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 39 31 $155,007.47 $93,004.48 40% off $23,747.80 $83,631.02 $36,195.54 2026-03-24
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 31 $194,286.56 $116,571.94 40% off $23,722.71 $83,538.06 $36,156.77 2026-03-24
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