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

MEDICAL COLLEGE OF VIRGINIA HOSPITALS

Richmond, VA · CCN 490032 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,838 across 8 payers · range $12,286-$14,757

Source: https://urldefense.com/v3/__https:/vcuhealth.pt.panaceainc.com/MRFDownload/vcuhealth/vcucommunitymemorialhospital__;!!JqxBPMk!mOcOmC-wRsyqvW9oP8tVbu46_Pj-TZtfpAN2ZWljc3XQVbpmW8SnXp6J2Phjl4zbQ9y2D-k-Jg2ulasmQpq9MSH-$ · observed 2026-01-02

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.

55,022 distinct procedures filed
12 distinct payers
1,753,930 rate rows
2026-01-02 last MRF observed
Data quality

1,409,303 of 1,753,930 rate rows are consumer-grade (80.4%)

344,627 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 276,535
template filing: same amount across many unrelated codes — excluded 47,542
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,297
placeholder amount (≤ $0.02) — excluded from medians 6,745
exceeds 10× this hospital's gross charge — excluded from medians 234
percent-of-charges filed in the dollar field — excluded from medians 176
per-diem day rate — not a per-procedure price 96
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vcuhealth.pt.panaceainc.com/MRFDownload/vcuhealth/vcumedicalcenter
Found on page https://www.vcuhealth.org/locations/vcu-medical-center/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 3050dc24c426e48f… · 648,196,675 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $56,052.70 $4,388,710.78 $4,179,724.55 nat. median
$4,505,000
0.9× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $35,077.10 $3,719,501.31 $3,542,382.20 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $35,077.10 $3,694,704.64 $3,518,766.32 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $35,077.10 $3,333,086.13 $3,174,367.74 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $56,052.70 $3,269,707.33 $3,114,006.98 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $57,139.93 $2,958,243.38 $2,817,374.65 nat. median
$2,997,086
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $24,873.46 $2,458,395.47 $2,341,329.02 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $56,052.70 $2,337,972.25 $2,226,640.24 nat. median
$2,405,851
0.9× median
89100000S1-3348-3413
CDM 		Hc Rx 891 Cell Therapy W/hcpcs 4 $882,658.71 $1,635,978.85 $1,477,192.67 nat. median
$1,477,193
1.0× median
7355431111
NDC 		Betibeglogene Autotemcel IV Susp [190339] 9 $56,052.70 $2,845,548.39 $1,284,080.00 nat. median
$1,284,080
1.0× median
7189414009
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit [168092] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189414109
NDC 		Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit [168093] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412303
NDC 		Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit [168074] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412504
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit [168076] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412805
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit [168079] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413608
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit [168088] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413808
NDC 		Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit [168090] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413307
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit [168085] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412404
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit [168075] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412002
NDC 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit [168071] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413206
NDC 		Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit [168084] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413407
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit [168086] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412203
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit [168073] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413106
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit [168083] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413507
NDC 		Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit [168087] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413006
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit [168082] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412103
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit [168072] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412604
NDC 		Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit [168077] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413708
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit [168089] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189413909
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit [168091] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412705
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit [168078] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7189412905
NDC 		Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit [168080] 11 $24,400.17 $2,458,395.47 $1,003,760.75 nat. median
$1,003,761
1.0× median
7128711901
NDC 		Axicabtagene Ciloleucel 200000000 Cells IV Susp [182862] 9 $56,052.70 $1,891,950.06 $986,039.85 nat. median
$627,582
1.6× median
5957251501
NDC 		Idecabtagene Vicleucel 460000000 Cells IV Susp [178522] 9 $56,052.70 $1,872,518.89 $975,912.79 nat. median
$606,766
1.6× median
0078095819
NDC 		Tisagenlecleucel 600000000 Cells IV Susp [182865] 9 $56,052.70 $1,836,898.41 $957,348.23 nat. median
$957,348
1.0× median
7315390001
NDC 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp [178176] 9 $56,052.70 $1,831,451.10 $954,509.22 nat. median
$618,487
1.5× median
7128721901
NDC 		Brexucabtagene Autoleucel 200000000 Cells IV Susp [176998] 9 $56,052.70 $1,735,734.00 $904,623.72 nat. median
$577,363
1.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $56,052.70 $772,593.56 $735,803.39 nat. median
$809,151
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $487,890.49 $1,511,981.58 $672,494.65 nat. median
$370,165
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $57,139.93 $579,805.67 $552,195.88 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $56,052.70 $554,796.03 $528,377.17 nat. median
$631,793
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $57,139.93 $543,022.79 $517,164.56 nat. median
$624,417
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $57,139.93 $542,646.62 $516,806.30 nat. median
$610,161
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $57,139.93 $534,441.69 $508,992.08 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $57,139.93 $490,974.17 $467,594.45 nat. median
$577,541
0.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $184,859.66 $523,053.34 $372,670.52 nat. median
$154,685
outlier · 2.4×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $55,899.77 $479,024.83 $323,226.67 nat. median
$96,420
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $205,689.10 $1,129,323.48 $315,965.91 nat. median
$261,939
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $178,923.82 $951,094.50 $288,662.26 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $161,642.97 $859,235.71 $260,782.63 nat. median
$199,832
1.3× median

Other procedures at this hospital

Browse this hospital's 55,022 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 22 7 — — $56,052.70 $4,388,710.78 $4,179,724.55 2026-01-02
C9172 HCPCS Inj, Beqvez, Per Tx Dose 22 7 — — $35,077.10 $3,719,501.31 $3,542,382.20 2026-01-02
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 7 — — $35,077.10 $3,694,704.64 $3,518,766.32 2026-01-02
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 7 — — $35,077.10 $3,333,086.13 $3,174,367.74 2026-01-02
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 7 — — $56,052.70 $3,269,707.33 $3,114,006.98 2026-01-02
J3393 HCPCS Inj, Betibeglogene Autotemce 11 7 — — $57,139.93 $2,958,243.38 $2,817,374.65 2026-01-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $24,873.46 $2,458,395.47 $2,341,329.02 2026-01-02
J3392 HCPCS Inj, Exagamglogene Autotem 22 7 — — $56,052.70 $2,337,972.25 $2,226,640.24 2026-01-02
89100000S1-3348-3413 CDM Hc Rx 891 Cell Therapy W/hcpcs 4 4 $1,924,681.00 $866,106.45 55% off $882,658.71 $1,635,978.85 $1,477,192.67 2026-01-02
7355431111 NDC Betibeglogene Autotemcel IV Susp [190339] 13 9 $2,800,000.00 $1,260,000.00 55% off $56,052.70 $2,845,548.39 $1,284,080.00 2026-01-02
7189412404 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit [168075] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412905 NDC Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit [168080] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413307 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit [168085] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412203 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit [168073] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413507 NDC Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit [168087] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413006 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit [168082] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413808 NDC Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit [168090] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413206 NDC Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit [168084] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412303 NDC Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit [168074] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412002 NDC Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit [168071] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412103 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit [168072] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413608 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit [168088] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189414109 NDC Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit [168093] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412705 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit [168078] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413106 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit [168083] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412805 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit [168079] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189414009 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit [168092] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413909 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit [168091] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412604 NDC Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit [168077] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413407 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit [168086] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189413708 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit [168089] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7189412504 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit [168076] 25 11 $2,188,750.00 $984,937.50 55% off $24,400.17 $2,458,395.47 $1,003,760.75 2026-01-02
7128711901 NDC Axicabtagene Ciloleucel 200000000 Cells IV Susp [182862] 13 9 $2,225,823.60 $1,001,620.62 55% off $56,052.70 $1,891,950.06 $986,039.85 2026-01-02
5957251501 NDC Idecabtagene Vicleucel 460000000 Cells IV Susp [178522] 13 9 $2,202,963.40 $991,333.53 55% off $56,052.70 $1,872,518.89 $975,912.79 2026-01-02
0078095819 NDC Tisagenlecleucel 600000000 Cells IV Susp [182865] 13 9 $2,161,056.95 $972,475.63 55% off $56,052.70 $1,836,898.41 $957,348.23 2026-01-02
7315390001 NDC Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp [178176] 13 9 $2,154,648.35 $969,591.76 55% off $56,052.70 $1,831,451.10 $954,509.22 2026-01-02
7128721901 NDC Brexucabtagene Autoleucel 200000000 Cells IV Susp [176998] 13 9 $2,042,040.00 $918,918.00 55% off $56,052.70 $1,735,734.00 $904,623.72 2026-01-02
Q2057 HCPCS Afamitresgene Autoleucel 22 7 — — $56,052.70 $772,593.56 $735,803.39 2026-01-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 26 8 — — $487,890.49 $1,511,981.58 $672,494.65 2026-01-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $57,139.93 $579,805.67 $552,195.88 2026-01-02
Q2056 HCPCS Ciltacabtagene Car-pos T 22 7 — — $56,052.70 $554,796.03 $528,377.17 2026-01-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $57,139.93 $543,022.79 $517,164.56 2026-01-02
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $57,139.93 $542,646.62 $516,806.30 2026-01-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $57,139.93 $534,441.69 $508,992.08 2026-01-02
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $57,139.93 $490,974.17 $467,594.45 2026-01-02
5831 APR_DRG Neonate With Ecmo 40 5 — — $184,859.66 $523,053.34 $372,670.52 2026-01-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 40 5 — — $55,899.77 $479,024.83 $323,226.67 2026-01-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 12 — — $205,689.10 $1,129,323.48 $315,965.91 2026-01-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 12 — — $178,923.82 $951,094.50 $288,662.26 2026-01-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 12 — — $161,642.97 $859,235.71 $260,782.63 2026-01-02
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 22 7 — — $56,052.70 $271,067.43 $258,159.46 2026-01-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $94,178.01 $419,979.74 $257,078.88 2026-01-02
850 MS_DRG Acute Leukemia With Other Procedures 19 7 — — $82,930.43 $369,323.49 $226,126.96 2026-01-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 7 — — $75,174.19 $334,391.34 $204,782.77 2026-01-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $64,154.51 $284,761.45 $174,457.98 2026-01-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 12 — — $106,572.31 $566,499.96 $171,935.77 2026-01-02
8120000011-3348-3426 CDM Hc Cadaver Donor - Kidney/pancreas 6 5 $281,585.00 $126,713.25 55% off $103,398.01 $239,347.25 $170,288.53 2026-01-02
27500000S2-30304 CDM Kit Left Right Ventric Taht 30 12 $307,489.75 $138,370.39 55% off $78,717.38 $261,366.29 $170,041.83 2026-01-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 7 — — $60,611.54 $268,804.83 $164,708.18 2026-01-02
1611 APR_DRG Implantable Heart Assist Systems 40 5 — — $150,350.79 $357,888.68 $164,182.33 2026-01-02
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 57 8 — — $60,451.38 $955,702.00 $160,610.94 2026-01-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 7 — — $55,997.68 $248,025.15 $152,011.42 2026-01-02
7 MS_DRG Lung Transplant 44 12 — — $93,106.83 $523,954.33 $145,431.95 2026-01-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 12 — — $96,579.80 $436,758.24 $144,627.42 2026-01-02
14 MS_DRG Allogeneic Bone Marrow Transplant 43 12 — — $86,992.76 $525,277.37 $142,624.60 2026-01-02
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 5 — — $56,011.62 $309,202.38 $142,307.91 2026-01-02
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 40 5 — — $89,241.46 $273,241.54 $141,191.12 2026-01-02
8120000012-3348-3425 CDM Hc Cadaver Donor - Double Lung 6 5 $225,080.00 $101,286.00 55% off $82,649.38 $191,318.00 $136,117.13 2026-01-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $49,923.90 $220,670.38 $135,297.14 2026-01-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 7 — — $49,624.79 $219,323.29 $134,474.04 2026-01-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 40 5 — — $33,821.98 $238,528.61 $132,553.35 2026-01-02
8110000003-3348-3432 CDM Hc Living Donor -kidney/pancreas 6 5 $217,966.00 $98,084.70 55% off $80,037.12 $185,271.10 $131,814.94 2026-01-02
27800000S2-4119 CDM Heartmate 3 Lvad Implant Kit 58 12 $242,817.75 $109,267.99 55% off $56,405.95 $206,395.09 $130,393.13 2026-01-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 5 — — $121,976.53 $369,523.98 $130,199.31 2026-01-02
8120000003-3348-3429 CDM Hc Cadaver Donor - Liver 6 5 $213,768.00 $96,195.60 55% off $78,495.61 $181,702.80 $129,276.20 2026-01-02
215 MS_DRG Other Heart Assist System Implant 48 12 — — $77,534.37 $424,766.72 $127,731.72 2026-01-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 7 — — $46,772.62 $206,477.81 $126,625.21 2026-01-02
0187001050 NDC Sod Benz-sod Phenylacet 10-10 % IV Soln [40917] 30 12 $228,303.50 $102,736.58 55% off $58,445.70 $194,057.98 $126,251.84 2026-01-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 12 — — $83,113.58 $702,939.00 $124,931.84 2026-01-02
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 40 5 — — $30,315.17 $160,925.18 $122,927.94 2026-01-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 12 — — $78,560.59 $426,955.74 $119,853.65 2026-01-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 12 — — $72,791.22 $386,931.90 $117,435.90 2026-01-02
27800000S2-4169 CDM Heartmate Iii Implant Kit 44 12 $221,233.95 $99,555.28 55% off $45,920.00 $188,048.86 $116,984.43 2026-01-02
8120000004-3348-3428 CDM Hc Cadaver Donor - Lung 6 5 $186,232.00 $83,804.40 55% off $68,384.39 $158,297.20 $112,623.80 2026-01-02
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 40 5 — — $39,453.94 $323,905.31 $112,240.55 2026-01-02
8120000001-3348-3431 CDM Hc Cadaver Donor - Heart 6 5 $184,746.00 $83,135.70 55% off $67,838.73 $157,034.10 $111,725.14 2026-01-02
8110000002-3348-3433 CDM Hc Living Donor - Liver 6 5 $176,800.00 $79,560.00 55% off $64,920.96 $150,280.00 $106,919.80 2026-01-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 12 — — $63,877.01 $339,547.17 $103,054.38 2026-01-02
6300487101 NDC Corticotropin 80 Unit/ml Inj Gel (acthar) [9685] 14 8 $226,520.00 $101,934.00 55% off $57,989.12 $192,542.00 $102,115.21 2026-01-02
6813510001 NDC Elosulfase Alfa 5 Mg/5ml IV Soln [125260] 109 12 $266,739.00 $120,032.55 55% off $275.43 $329,460.34 $102,009.43 2026-01-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 12 — — $61,597.58 $339,735.60 $101,954.13 2026-01-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 7 — — $37,277.83 $163,715.68 $100,496.76 2026-01-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 5 — — $60,685.61 $216,473.50 $99,868.33 2026-01-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 40 5 — — $69,141.44 $207,745.26 $99,657.93 2026-01-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 40 12 — — $70,441.79 $313,375.11 $98,115.90 2026-01-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 12 — — $60,799.01 $323,185.62 $98,088.56 2026-01-02
8120000002-3348-3430 CDM Hc Cadaver Donor - Kidney 6 5 $160,580.00 $72,261.00 55% off $58,964.98 $136,493.00 $97,110.76 2026-01-02
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 30 5 — — $61,525.14 $303,285.44 $96,543.36 2026-01-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 12 — — $58,358.33 $310,211.85 $94,150.96 2026-01-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 7 — — $35,752.93 $156,847.92 $91,114.00 2026-01-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 12 — — $54,897.54 $299,254.71 $90,125.65 2026-01-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 12 — — $59,789.85 $317,821.31 $89,872.88 2026-01-02
7133610031 NDC Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy [189592] 28 11 $596,755.00 $268,539.75 55% off $4,758.69 $507,241.75 $89,194.73 2026-01-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 12 — — $53,301.24 $283,330.16 $85,992.22 2026-01-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 12 — — $52,467.82 $278,900.00 $84,647.64 2026-01-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 12 — — $56,068.89 $248,345.88 $82,236.85 2026-01-02
7267755103 NDC Inebilizumab-cdon 100 Mg/10ml IV Soln [173306] 72 12 $218,333.35 $98,250.01 55% off $472.09 $556,750.04 $81,389.18 2026-01-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 48 12 — — $50,390.07 $267,770.46 $81,277.76 2026-01-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 12 — — $50,305.98 $267,317.42 $81,140.82 2026-01-02
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 40 5 — — $28,895.34 $213,386.16 $80,779.54 2026-01-02
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 40 12 — — $47,187.58 $216,332.42 $80,212.75 2026-01-02
8100000008-3348-3435 CDM Hc Acq Liver - Ldlr 6 5 $132,385.00 $59,573.25 55% off $48,611.77 $112,527.25 $80,059.83 2026-01-02
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 40 5 — — $12,240.28 $258,356.92 $78,962.76 2026-01-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 12 — — $48,814.65 $259,282.98 $78,712.40 2026-01-02
10 MS_DRG Pancreas Transplant 44 12 — — $36,537.12 $319,653.52 $78,592.28 2026-01-02
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 40 5 — — $45,772.78 $126,220.69 $78,473.80 2026-01-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 12 — — $48,315.14 $258,910.13 $78,384.55 2026-01-02
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 40 5 — — $46,483.35 $151,422.30 $77,155.01 2026-01-02
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 40 12 — — $55,555.25 $246,032.58 $77,048.96 2026-01-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 12 — — $47,751.21 $253,553.84 $76,980.75 2026-01-02
8 MS_DRG Simultaneous Pancreas/kidney Transplant 36 12 — — $48,114.82 $218,144.58 $76,363.12 2026-01-02
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 40 12 — — $54,256.46 $240,183.15 $75,221.21 2026-01-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 12 — — $46,515.13 $246,894.55 $74,967.97 2026-01-02
9101 APR_DRG Craniotomy For Multiple Significant Trauma 78 12 — — $33,973.31 $273,760.20 $74,653.26 2026-01-02
28 MS_DRG Spinal Procedures With Mcc 48 12 — — $45,740.48 $243,739.31 $73,919.80 2026-01-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 12 — — $45,152.23 $244,910.00 $73,870.87 2026-01-02
8120000005-3348-3427 CDM Hc Cadaver Donor - Pancreas 6 5 $121,005.00 $54,452.25 55% off $44,433.04 $102,854.25 $73,177.77 2026-01-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 12 — — $44,476.08 $235,909.35 $71,647.66 2026-01-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 12 — — $43,240.21 $238,519.34 $71,576.38 2026-01-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 7 — — $28,398.17 $123,723.91 $71,557.00 2026-01-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 12 — — $44,015.43 $233,427.65 $70,897.57 2026-01-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 12 — — $43,398.51 $230,104.02 $69,892.99 2026-01-02
4401 APR_DRG Kidney Transplant 84 12 — — $22,964.74 $123,138.57 $69,545.93 2026-01-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 12 — — $43,028.43 $228,728.87 $69,419.94 2026-01-02
1781 APR_DRG External Heart Assist Systems 40 5 — — $53,224.59 $76,940.03 $68,911.09 2026-01-02
27800000S2-28262 CDM Maci Autologous Cultured Chondrocytes On Porcine Collagen Membra 32 12 $124,363.25 $55,963.46 55% off $31,836.99 $105,708.76 $68,772.88 2026-01-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 43 12 — — $45,605.00 $241,991.30 $68,470.12 2026-01-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 43 12 — — $45,605.00 $241,991.30 $68,470.12 2026-01-02
8110000001-3348-3434 CDM Hc Living Donor - Kidney 6 5 $112,082.00 $50,436.90 55% off $41,156.51 $95,269.70 $67,781.59 2026-01-02
8100000003-3348-3436 CDM Hc Acq Kidney - Ldkd 6 5 $112,082.00 $50,436.90 55% off $41,156.51 $95,269.70 $67,781.59 2026-01-02
653 MS_DRG Major Bladder Procedures With Mcc 48 12 — — $41,091.36 $223,496.86 $67,355.60 2026-01-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 12 — — $41,820.10 $221,600.51 $67,322.79 2026-01-02
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 47 12 — — $41,820.10 $221,600.51 $67,322.79 2026-01-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 40 12 — — $47,553.54 $213,297.46 $66,614.10 2026-01-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 12 — — $41,086.34 $217,647.44 $66,127.96 2026-01-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 12 — — $40,880.21 $216,536.89 $65,792.30 2026-01-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 12 — — $40,837.79 $216,308.37 $65,723.23 2026-01-02
27800000S2-2992 CDM Membrane Maci Collagen Bone Graft Substitue For Knees Lab Grown 32 12 $117,567.00 $52,905.15 55% off $30,097.15 $99,931.95 $65,014.55 2026-01-02
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 40 5 — — $46,797.84 $103,440.24 $64,800.90 2026-01-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 12 — — $39,808.59 $212,355.30 $64,380.68 2026-01-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 12 — — $38,383.87 $205,792.24 $62,293.74 2026-01-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 12 — — $38,600.04 $204,252.70 $62,079.38 2026-01-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 12 — — $38,483.95 $203,627.27 $61,890.34 2026-01-02
9999702330 NDC Pembrolizumab 400 Mg In Nacl 0.9% 100 Ml Ivpb (premix/batched) [5200197] 30 12 $111,164.00 $50,023.80 55% off $28,457.98 $94,489.40 $61,473.69 2026-01-02
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 37 12 — — $37,058.23 $164,525.54 $61,003.56 2026-01-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 12 — — $37,905.72 $200,512.12 $60,948.78 2026-01-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 12 — — $37,771.77 $199,790.46 $60,730.65 2026-01-02
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 7 — — $35,757.47 $63,593.50 $60,565.24 2026-01-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 12 — — $36,485.52 $201,939.39 $60,537.61 2026-01-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 47 12 — — $36,767.87 $200,748.66 $60,429.39 2026-01-02
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 40 5 — — $33,290.37 $118,057.24 $59,569.94 2026-01-02
27800000S2-28732 CDM Maci: Autologus Cultured Chondrocytes On Porcine Collagen Membra 30 12 $107,116.60 $48,202.47 55% off $27,421.85 $91,049.11 $59,235.48 2026-01-02
471 MS_DRG Cervical Spinal Fusion With Mcc 48 12 — — $36,834.10 $194,738.87 $59,203.80 2026-01-02
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 40 12 — — $42,807.70 $188,620.83 $59,109.65 2026-01-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 12 — — $33,856.20 $200,592.30 $58,940.81 2026-01-02
245 MS_DRG Aicd Generator Procedures 48 12 — — $34,395.11 $195,921.59 $58,232.01 2026-01-02
799 MS_DRG Splenic Procedures With Mcc 48 12 — — $36,071.32 $190,629.44 $57,961.71 2026-01-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 12 — — $35,981.51 $190,593.36 $57,909.25 2026-01-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 12 — — $35,126.07 $191,459.35 $57,662.91 2026-01-02
C9098 HCPCS Ciltacabtagene Car Pos T 12 6 — — $56,052.70 $502,897.50 $57,442.54 2026-01-02
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
J3403 HCPCS Revakinagene, Per Implant 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
C9301 HCPCS Obecabtagene Car Pos T 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
C9081 HCPCS Idecabtagene Car Pos T 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
C9073 HCPCS Brexucabtagene Autoleucel Ca 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
C9076 HCPCS Lisocabtagene Car Pos T 10 5 — — $56,052.70 $59,996.93 $57,156.84 2026-01-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 12 — — $38,617.42 $155,643.00 $56,953.32 2026-01-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 12 — — $35,305.56 $186,503.97 $56,714.79 2026-01-02
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 40 5 — — $24,155.55 $90,475.34 $56,613.72 2026-01-02
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,227.32 $59,293.79 $56,470.28 2026-01-02
7613824001-3348-4019 CDM Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 29 12 $141,772.00 $63,797.40 55% off $6,108.83 $174,351.45 $56,470.28 2026-01-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 12 — — $34,171.20 $187,610.51 $56,379.36 2026-01-02
163 MS_DRG Major Chest Procedures With Mcc 45 12 — — $34,987.79 $184,792.05 $56,197.35 2026-01-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 12 — — $34,864.26 $184,126.52 $55,996.19 2026-01-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 12 — — $34,284.30 $184,098.45 $55,700.33 2026-01-02
6 MS_DRG Liver Transplant Without Mcc 44 12 — — $36,713.99 $194,414.13 $55,046.04 2026-01-02
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 40 5 — — $49,324.33 $109,374.08 $54,800.88 2026-01-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 12 — — $33,613.30 $180,879.07 $54,690.56 2026-01-02
A9543 HCPCS Y90 Ibritumomab, Rx 11 7 — — $53,834.75 $56,970.08 $54,373.10 2026-01-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 12 — — $33,519.18 $179,303.45 $54,313.50 2026-01-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 12 — — $32,659.96 $179,800.59 $53,988.00 2026-01-02
901 MS_DRG Wound Debridements For Injuries With Mcc 48 12 — — $32,849.71 $177,627.61 $53,627.76 2026-01-02
7289300704 NDC Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit [41815] 30 12 $66,804.65 $30,062.09 55% off $17,101.99 $70,462.44 $53,602.57 2026-01-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 48 12 — — $33,108.55 $176,116.14 $53,440.61 2026-01-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 8 — — $35,077.10 $57,870.49 $53,418.33 2026-01-02
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 40 5 — — $18,614.39 $101,316.27 $52,892.71 2026-01-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 12 — — $32,820.74 $173,117.26 $52,668.61 2026-01-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 12 — — $32,431.54 $171,020.44 $52,034.86 2026-01-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 12 — — $34,137.80 $184,715.87 $51,927.73 2026-01-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 12 — — $31,424.23 $170,767.86 $51,478.29 2026-01-02
793 MS_DRG Full Term Neonate With Major Problems 45 12 — — $10,802.00 $109,190.00 $50,881.23 2026-01-02
27800000S2-21030 CDM Zenith Spiral Aaa Iliac Leg 14 Fr 144 Mm X 13 Mm 30 12 $91,897.40 $41,353.83 55% off $23,525.73 $78,112.79 $50,819.26 2026-01-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 45 12 — — $31,246.62 $168,009.54 $50,811.78 2026-01-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 12 — — $31,565.42 $166,810.78 $50,720.11 2026-01-02
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 40 5 — — $26,424.12 $287,461.38 $50,126.54 2026-01-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 12 — — $30,674.30 $164,862.31 $49,866.46 2026-01-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 12 — — $30,701.63 $164,770.10 $49,860.81 2026-01-02
140 MS_DRG Major Head And Neck Procedures With Mcc 45 12 — — $28,677.27 $169,557.09 $49,851.22 2026-01-02
1771 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 40 5 — — $14,769.40 $85,551.36 $49,788.15 2026-01-02
791 MS_DRG Prematurity With Major Problems 45 12 — — $26,373.11 $106,294.00 $49,540.99 2026-01-02
1791 APR_DRG Defibrillator Implants 40 5 — — $35,795.80 $68,896.31 $49,427.71 2026-01-02
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 40 12 — — $33,639.54 $159,602.24 $49,326.82 2026-01-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 12 — — $28,069.28 $167,969.44 $49,214.71 2026-01-02
4810483T01-3348-5341 CDM Hc Cath Tmvi W/prosthetic Valve Percutaneous Approach 27 12 $95,678.00 $43,055.10 55% off $21,321.50 $81,326.30 $49,178.49 2026-01-02
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 40 12 — — $35,736.02 $156,771.75 $49,106.11 2026-01-02
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 40 5 — — $20,996.13 $119,589.66 $49,043.53 2026-01-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 48 12 — — $29,685.27 $163,070.20 $48,996.60 2026-01-02
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 40 5 — — $33,882.51 $91,042.95 $48,606.01 2026-01-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 12 — — $30,050.17 $158,191.00 $48,157.13 2026-01-02
7269451501 NDC Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln [170117] 95 12 $95,819.25 $43,118.66 55% off $16,368.51 $179,346.52 $47,954.63 2026-01-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 47 12 — — $23,167.06 $173,474.07 $47,916.51 2026-01-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 12 — — $29,505.38 $157,866.26 $47,816.71 2026-01-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 12 — — $28,232.47 $159,714.50 $47,567.36 2026-01-02
7218704011 NDC Tagraxofusp-erzs 1000 Mcg/ml IV Soln [166309] 100 12 $91,612.85 $41,225.78 55% off $324.88 $168,715.78 $47,523.12 2026-01-02
33990 HCPCS Insj Perq Vad L Hrt Arterial 5 5 — — $47,007.05 $49,357.40 $47,477.12 2026-01-02
33995 HCPCS Insj Perq Vad R Hrt Venous 5 5 — — $47,007.05 $49,357.40 $47,477.12 2026-01-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 45 12 — — $29,613.17 $155,905.76 $47,460.00 2026-01-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 12 — — $29,449.61 $154,955.58 $47,179.21 2026-01-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 48 12 — — $28,323.56 $157,545.52 $47,158.63 2026-01-02
0451T OTHER Insj/rplcmt Aortic Ventr Sys 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
0452T OTHER Insj/rplcmt Dev Vasc Seal 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33982 HCPCS Replace Vad Intra Without Bp 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33983 HCPCS Replace Vad Intra W/bp 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
0459T OTHER Relocaj Rplcmt Aortic Ventr 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33975 HCPCS Implant Ventricular Device 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33981 HCPCS Replace Vad Pump Ext 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
0454T OTHER Insj/rplcmt Subq Electrode 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
33979 HCPCS Insert Intracorporeal Device 10 5 — — $46,112.63 $49,357.40 $47,020.96 2026-01-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 12 — — $29,340.22 $154,366.23 $47,001.08 2026-01-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 12 — — $29,132.59 $153,247.66 $46,662.99 2026-01-02
1831 APR_DRG Percutaneous Structural Cardiac Procedures 40 5 — — $39,056.54 $82,362.60 $46,635.94 2026-01-02
27800000S2-21364 CDM Boston Scientific Wavewriter Alpha Implantable Pulse Generator K 30 12 $84,193.50 $37,887.08 55% off $21,553.54 $71,564.48 $46,559.01 2026-01-02
27800000S2-21360 CDM Wavewriter Alpha Prime Implantable Pulse Generator Kit 30 12 $84,193.50 $37,887.08 55% off $21,553.54 $71,564.48 $46,559.01 2026-01-02
27800000S2-21362 CDM Wave Writer Alpha Implantable Pulse Generator Kit 30 12 $84,193.50 $37,887.08 55% off $21,553.54 $71,564.48 $46,559.01 2026-01-02
27800000S2-21363 CDM Implantable Pulse Generator Kit 30 12 $84,193.50 $37,887.08 55% off $21,553.54 $71,564.48 $46,559.01 2026-01-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 12 — — $28,758.49 $152,417.76 $46,302.12 2026-01-02
3110000001-3348-7028 CDM Hc Auto Islet Isolation 11 8 $100,687.00 $45,309.15 55% off $25,775.87 $85,583.95 $46,175.06 2026-01-02
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 40 5 — — $36,634.01 $78,459.76 $46,131.80 2026-01-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 45 12 — — $28,758.27 $151,231.03 $46,053.46 2026-01-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 12 — — $28,534.27 $150,024.26 $45,688.71 2026-01-02
27200000S2-31551 CDM Device Left Ventricular Assist 31 8 $92,250.00 $41,512.50 55% off $21,516.80 $78,412.50 $45,134.85 2026-01-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 12 — — $24,810.54 $154,799.22 $44,826.93 2026-01-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 12 — — $27,497.73 $146,283.68 $44,387.00 2026-01-02
5024255401 NDC Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln [200072] 39 11 $90,880.25 $40,896.11 55% off $45.11 $175,448.16 $44,258.68 2026-01-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 12 — — $27,147.49 $145,269.35 $43,999.43 2026-01-02
27800000S2-21361 CDM Wavewriter Alpha 16 Implantable Pulse Generator Kit 58 12 $84,193.50 $37,887.08 55% off $16,328.63 $71,564.48 $43,946.56 2026-01-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 12 — — $27,362.93 $143,713.78 $43,781.35 2026-01-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 48 12 — — $27,358.47 $143,689.73 $43,774.08 2026-01-02
27800000S2-3443 CDM Cath Impella 5.5 30 12 $78,750.00 $35,437.50 55% off $20,160.00 $66,937.50 $43,548.75 2026-01-02
27800000S2-3442 CDM Use Item # 409163 - Cath Impella 5.5 30 12 $78,750.00 $35,437.50 55% off $20,160.00 $66,937.50 $43,548.75 2026-01-02
J9226 HCPCS Supprelin La Implant 11 7 — — $35,757.47 $45,677.07 $43,501.97 2026-01-02
6797900201 NDC Histrelin Acetate (cpp) 50 Mg Sc Kit [93924] 21 11 $0.05 — $0.03 $56,494.88 $43,501.97 2026-01-02
265 MS_DRG Aicd Lead Procedures 48 12 — — $26,847.67 $143,016.18 $43,377.61 2026-01-02
4803327601-3348-5468 CDM Hc Insertion Phrenic Nerve Stimulator System 28 11 $139,727.00 $62,877.15 55% off $1,018.29 $118,767.95 $43,356.21 2026-01-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 12 — — $26,090.43 $143,721.80 $43,146.78 2026-01-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 12 — — $26,959.59 $141,540.80 $43,124.57 2026-01-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 12 — — $26,886.66 $141,147.90 $43,005.81 2026-01-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 12 — — $26,319.88 $142,374.71 $42,979.36 2026-01-02
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $28,874.18 $45,115.75 $42,967.38 2026-01-02
6901 APR_DRG Acute Leukemia 40 5 — — $14,932.57 $103,569.81 $42,954.71 2026-01-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 12 — — $26,761.64 $140,474.35 $42,802.23 2026-01-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 12 — — $26,743.03 $140,374.12 $42,771.93 2026-01-02
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 40 5 — — $27,874.22 $96,093.70 $42,643.26 2026-01-02
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 40 5 — — $24,517.42 $79,528.77 $42,469.07 2026-01-02
332 MS_DRG Rectal Resection With Mcc 48 12 — — $26,500.43 $139,067.12 $42,376.89 2026-01-02
27800000S2-5692 CDM Sc-1232 Implantable Pulse Generator Kit 30 12 $76,538.80 $34,442.46 55% off $19,593.93 $65,057.98 $42,325.96 2026-01-02
27200000S2-34209 CDM Impella 5.5 With Smartassist 13 8 $92,250.00 $41,512.50 55% off $23,616.00 $78,412.50 $42,305.85 2026-01-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 12 — — $25,693.86 $140,430.25 $42,259.10 2026-01-02
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 40 5 — — $32,165.29 $71,069.55 $42,147.11 2026-01-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 12 — — $26,276.63 $138,092.88 $42,060.94 2026-01-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 12 — — $25,907.18 $138,914.77 $42,048.36 2026-01-02
8631 APR_DRG Neonatal Aftercare 40 5 — — $13,860.13 $102,348.68 $41,903.49 2026-01-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 12 — — $26,176.71 $137,323.12 $41,849.76 2026-01-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 12 — — $24,404.44 $141,504.71 $41,839.43 2026-01-02
264 MS_DRG Other Circulatory System O.r. Procedures 48 12 — — $24,882.39 $140,125.55 $41,789.55 2026-01-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 48 12 — — $25,637.42 $137,876.39 $41,696.00 2026-01-02
252 MS_DRG Other Vascular Procedures With Mcc 48 12 — — $25,525.99 $137,531.60 $41,568.07 2026-01-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 48 12 — — $25,929.64 $135,992.06 $41,447.44 2026-01-02
7133610001 NDC Patisiran Sodium 10 Mg/5ml IV Soln [162886] 86 12 $112,136.10 $50,461.25 55% off $95.31 $128,252.00 $41,408.26 2026-01-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 48 12 — — $25,243.04 $136,561.37 $41,223.38 2026-01-02
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 40 12 — — $30,024.55 $131,048.72 $41,120.24 2026-01-02
27800000S2-21755 CDM 25mm Harmony Transcatheter Pulmonary Valve 30 12 $74,250.00 $33,412.50 55% off $19,008.00 $63,112.50 $41,060.25 2026-01-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 12 — — $25,666.95 $134,576.82 $41,019.68 2026-01-02
5789406103 NDC Ustekinumab 90 Mg/ml Sc Sosy [126168] 25 12 $145,757.30 $65,590.79 55% off $150.56 $123,893.71 $41,001.53 2026-01-02
665 MS_DRG Prostatectomy With Mcc 48 12 — — $23,585.63 $137,659.89 $40,624.75 2026-01-02
37 MS_DRG Extracranial Procedures With Mcc 48 12 — — $25,400.53 $133,141.52 $40,585.86 2026-01-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 48 12 — — $25,259.14 $132,379.77 $40,355.62 2026-01-02
8501 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 40 5 — — $18,923.62 $110,933.25 $40,070.87 2026-01-02
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