Hospital

RIVERSIDE SHORE MEMORIAL HOSPITAL

Onancock, VA · CCN 490037 · Rates published

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You selected 807 (MS_DRG)

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

This hospital’s price: $5,799 across 9 payers · range $3,109-$13,574

Source: https://riverside.pt.panaceainc.com/MRFDownload/riverside/RSMH · 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.

21,504 distinct procedures filed

10 distinct payers

575,164 rate rows

2026-01-02 last MRF observed

Data quality

552,190 of 575,164 rate rows are consumer-grade (96.0%)

22,974 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	10,312
template filing: same amount across many unrelated codes — excluded	3,880
placeholder amount (≤ $0.02) — excluded from medians	3,854
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,932
exceeds 10× this hospital's gross charge — excluded from medians	1,858
per-diem day rate — not a per-procedure price	114
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	24

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://riverside.pt.panaceainc.com/MRFDownload/riverside/RSMH
Found on page	https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-17
Content fingerprint	ffa2c07e018224c5… · 110,967,211 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	$52,100.68	$4,596,375.00	$4,421,275.00	nat. median $4,505,000 1.0× median
C9172 HCPCS	Inj, Beqvez, Per Tx Dose	6	$32,603.97	$3,895,500.00	$3,710,000.00	nat. median $3,605,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$32,603.97	$3,869,530.00	$3,685,266.67	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$32,603.97	$3,490,800.50	$3,320,517.25	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$52,100.68	$4,864,830.00	$3,261,355.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$52,100.68	$4,394,040.00	$2,950,686.67	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	7	$2,452,115.60	$4,545,204.82	$2,525,679.07	nat. median $2,460,273 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	7	$52,100.68	$3,452,460.00	$2,332,000.00	nat. median $2,405,851 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	6	$52,100.68	$1,140,881.10	$778,326.20	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$52,100.68	$1,036,481.36	$589,891.07	nat. median $691,418 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$52,100.68	$1,014,991.10	$565,157.68	nat. median $631,793 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$52,100.68	$948,121.24	$552,468.37	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$52,100.68	$969,380.60	$552,085.66	nat. median $610,161 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$52,100.68	$918,762.90	$533,230.17	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$52,100.68	$898,880.00	$489,720.00	nat. median $577,541 0.8× median
5831 APR_DRG	Neonate With Ecmo	5	$183,326.28	$508,848.07	$366,597.75	nat. median $154,685 outlier · 2.4×
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$55,436.09	$466,015.30	$318,520.08	nat. median $96,420 outlier · 3.3×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$215,099.48	$505,295.64	$296,601.57	nat. median $205,166 1.4× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	7	$52,100.68	$283,893.75	$273,078.75	nat. median $302,242 0.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$177,025.88	$232,040.07	$207,490.67	nat. median $100,978 outlier · 2.1×
1611 APR_DRG	Implantable Heart Assist Systems	5	$149,103.65	$348,169.01	$160,800.02	nat. median $82,164 2.0× median
111 APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	6	$59,949.95	$315,585.36	$153,605.35	nat. median $34,746 outlier · 4.4×
233 MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	6	$111,140.98	$166,489.32	$148,238.03	nat. median $73,475 outlier · 2.0×
5911 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$88,501.21	$265,820.75	$138,770.40	nat. median $37,247 outlier · 3.7×
6091 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$55,547.01	$300,804.96	$138,401.65	nat. median $34,574 outlier · 4.0×
5931 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$33,541.43	$232,050.56	$130,402.63	nat. median $29,157 outlier · 4.5×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$120,964.75	$359,488.32	$127,012.99	nat. median $120,928 1.1× median
6021 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$30,063.71	$156,554.72	$120,872.10	nat. median $31,211 outlier · 3.9×
215 MS_DRG	Other Heart Assist System Implant	10	$76,800.17	$225,669.24	$119,458.03	nat. median $98,002 1.2× median
276 MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	$80,805.87	$131,940.72	$117,476.80	nat. median $58,419 outlier · 2.0×
461 MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	6	$93,266.79	$130,711.71	$116,382.51	nat. median $55,446 outlier · 2.1×
266 MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	6	$82,974.84	$127,604.04	$113,615.52	nat. median $60,162 1.9× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$74,342.03	$205,568.43	$111,637.93	nat. median $92,900 1.2× median
6301 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$39,126.67	$315,108.58	$110,369.61	nat. median $25,387 outlier · 4.3×
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	$69,140.24	$171,701.43	$106,370.82	nat. median $77,385 1.4× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$106,120.90	$106,120.90	$106,120.90	nat. median $111,503 1.0× median
J7330 HCPCS	Cultured Chondrocytes Implnt	3	$45,737.00	$106,594.08	$103,294.46	nat. median $75,807 1.4× median
234 MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	6	$77,966.09	$113,320.26	$100,897.60	nat. median $53,013 1.9× median
41 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$68,567.92	$202,103.24	$97,929.17	nat. median $43,550 outlier · 2.2×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	10	$66,391.63	$180,494.07	$97,589.85	nat. median $79,040 1.2× median
91 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	$60,182.23	$210,594.44	$97,127.01	nat. median $47,924 outlier · 2.0×
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	8	$57,593.14	$150,527.10	$94,573.79	nat. median $68,581 1.4× median
8411 APR_DRG	Extensive Third Degree Burns With Skin Graft	5	$61,014.80	$295,048.71	$93,893.32	nat. median $31,876 outlier · 2.9×
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	$93,216.70	$93,216.70	$93,216.70	nat. median $97,404 1.0× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$45,343.70	$180,393.96	$92,634.61	nat. median $80,459 1.2× median
267 MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	5	$76,451.38	$100,210.11	$89,608.07	nat. median $47,266 1.9× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	$59,196.50	$158,987.46	$88,904.08	nat. median $71,485 1.2× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$56,643.87	$164,808.75	$88,489.88	nat. median $74,472 1.2× median
217 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$52,127.71	$137,553.27	$87,155.08	nat. median $63,840 1.4× median
834 MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	8	$45,881.38	$117,731.49	$81,806.43	nat. median $52,155 1.6× median

Other procedures at this hospital

Browse this hospital's 21,504 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	24	7	—	—	$52,100.68	$4,596,375.00	$4,421,275.00	2026-01-02
C9172	HCPCS	Inj, Beqvez, Per Tx Dose	22	6	—	—	$32,603.97	$3,895,500.00	$3,710,000.00	2026-01-02
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	24	7	—	—	$32,603.97	$3,869,530.00	$3,685,266.67	2026-01-02
J1413	HCPCS	Inj Delandistrogene Mox Rokl	24	7	—	—	$32,603.97	$3,490,800.50	$3,320,517.25	2026-01-02
J3394	HCPCS	Inj, Lovotibeglogene Autotem	26	7	—	—	$52,100.68	$4,864,830.00	$3,261,355.00	2026-01-02
J3393	HCPCS	Inj, Betibeglogene Autotemce	26	7	—	—	$52,100.68	$4,394,040.00	$2,950,686.67	2026-01-02
J3399	HCPCS	Inj Onase Abepar-xioi Treat	16	7	—	—	$2,452,115.60	$4,545,204.82	$2,525,679.07	2026-01-02
J3392	HCPCS	Inj, Exagamglogene Autotem	26	7	—	—	$52,100.68	$3,452,460.00	$2,332,000.00	2026-01-02
Q2057	HCPCS	Afamitresgene Autoleucel	24	6	—	—	$52,100.68	$1,140,881.10	$778,326.20	2026-01-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	26	7	—	—	$52,100.68	$1,036,481.36	$589,891.07	2026-01-02
Q2056	HCPCS	Ciltacabtagene Car-pos T	28	7	—	—	$52,100.68	$1,014,991.10	$565,157.68	2026-01-02
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	26	7	—	—	$52,100.68	$948,121.24	$552,468.37	2026-01-02
Q2055	HCPCS	Idecabtagene Vicleucel Car	26	7	—	—	$52,100.68	$969,380.60	$552,085.66	2026-01-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	26	7	—	—	$52,100.68	$918,762.90	$533,230.17	2026-01-02
Q2053	HCPCS	Brexucabtagene Car Pos T	26	7	—	—	$52,100.68	$898,880.00	$489,720.00	2026-01-02
5831	APR_DRG	Neonate With Ecmo	40	5	—	—	$183,326.28	$508,848.07	$366,597.75	2026-01-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	40	5	—	—	$55,436.09	$466,015.30	$318,520.08	2026-01-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	10	—	—	$215,099.48	$505,295.64	$296,601.57	2026-01-02
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	24	7	—	—	$52,100.68	$283,893.75	$273,078.75	2026-01-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	12	5	—	—	$177,025.88	$232,040.07	$207,490.67	2026-01-02
1611	APR_DRG	Implantable Heart Assist Systems	40	5	—	—	$149,103.65	$348,169.01	$160,800.02	2026-01-02
111	APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	52	6	—	—	$59,949.95	$315,585.36	$153,605.35	2026-01-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	16	6	—	—	$111,140.98	$166,489.32	$148,238.03	2026-01-02
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	40	5	—	—	$88,501.21	$265,820.75	$138,770.40	2026-01-02
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	30	5	—	—	$55,547.01	$300,804.96	$138,401.65	2026-01-02
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	40	5	—	—	$33,541.43	$232,050.56	$130,402.63	2026-01-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	30	5	—	—	$120,964.75	$359,488.32	$127,012.99	2026-01-02
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	40	5	—	—	$30,063.71	$156,554.72	$120,872.10	2026-01-02
215	MS_DRG	Other Heart Assist System Implant	32	10	—	—	$76,800.17	$225,669.24	$119,458.03	2026-01-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	16	6	—	—	$80,805.87	$131,940.72	$117,476.80	2026-01-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	16	6	—	—	$93,266.79	$130,711.71	$116,382.51	2026-01-02
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	16	6	—	—	$82,974.84	$127,604.04	$113,615.52	2026-01-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	10	—	—	$74,342.03	$205,568.43	$111,637.93	2026-01-02
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	40	5	—	—	$39,126.67	$315,108.58	$110,369.61	2026-01-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	10	—	—	$69,140.24	$171,701.43	$106,370.82	2026-01-02
Q0480	HCPCS	Driver Pneumatic Vad, Rep	4	1	—	—	$106,120.90	$106,120.90	$106,120.90	2026-01-02
J7330	HCPCS	Cultured Chondrocytes Implnt	6	3	—	—	$45,737.00	$106,594.08	$103,294.46	2026-01-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	16	6	—	—	$77,966.09	$113,320.26	$100,897.60	2026-01-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	40	5	—	—	$68,567.92	$202,103.24	$97,929.17	2026-01-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	32	10	—	—	$66,391.63	$180,494.07	$97,589.85	2026-01-02
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	30	5	—	—	$60,182.23	$210,594.44	$97,127.01	2026-01-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	28	8	—	—	$57,593.14	$150,527.10	$94,573.79	2026-01-02
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	30	5	—	—	$61,014.80	$295,048.71	$93,893.32	2026-01-02
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	4	1	—	—	$93,216.70	$93,216.70	$93,216.70	2026-01-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	10	—	—	$45,343.70	$180,393.96	$92,634.61	2026-01-02
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	12	5	—	—	$76,451.38	$100,210.11	$89,608.07	2026-01-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	10	—	—	$59,196.50	$158,987.46	$88,904.08	2026-01-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	10	—	—	$56,643.87	$164,808.75	$88,489.88	2026-01-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	10	—	—	$52,127.71	$137,553.27	$87,155.08	2026-01-02
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	28	8	—	—	$45,881.38	$117,731.49	$81,806.43	2026-01-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	32	10	—	—	$55,597.05	$148,173.45	$80,875.61	2026-01-02
6031	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	40	5	—	—	$28,655.66	$207,590.94	$79,524.80	2026-01-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	32	10	—	—	$50,302.64	$117,731.49	$78,228.95	2026-01-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	32	10	—	—	$56,262.85	$134,707.59	$78,118.82	2026-01-02
6311	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	40	5	—	—	$12,138.75	$251,340.37	$77,793.77	2026-01-02
6071	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	40	5	—	—	$45,393.10	$122,792.74	$77,170.88	2026-01-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	10	—	—	$48,966.45	$137,751.36	$76,368.94	2026-01-02
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	40	5	—	—	$46,097.78	$147,309.91	$75,824.78	2026-01-02
739	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc	16	6	—	—	$57,256.50	$84,793.17	$75,497.77	2026-01-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	32	10	—	—	$48,731.07	$130,115.31	$75,159.07	2026-01-02
273	MS_DRG	Percutaneous Intracardiac Procedures W Mcc	16	6	—	—	$57,648.65	$83,289.39	$74,158.84	2026-01-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	24	7	—	—	$49,150.86	$126,624.24	$74,105.70	2026-01-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	10	—	—	$35,111.08	$142,260.57	$74,082.47	2026-01-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	10	—	—	$50,927.84	$131,169.66	$73,007.74	2026-01-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	32	10	—	—	$38,620.48	$142,019.88	$70,177.14	2026-01-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	28	8	—	—	$41,642.72	$108,182.70	$69,814.77	2026-01-02
799	MS_DRG	Splenic Procedures With Mcc	28	8	—	—	$40,628.70	$101,277.24	$69,235.79	2026-01-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	10	—	—	$47,924.07	$122,249.22	$68,669.34	2026-01-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	10	—	—	$46,455.71	$124,014.99	$68,621.30	2026-01-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	10	—	—	$46,677.76	$126,720.09	$68,528.11	2026-01-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	32	10	—	—	$42,519.80	$108,514.98	$68,085.52	2026-01-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	32	10	—	—	$45,787.46	$125,333.46	$68,073.04	2026-01-02
1781	APR_DRG	External Heart Assist Systems	40	5	—	—	$52,783.10	$74,850.46	$67,619.21	2026-01-02
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	4	1	—	—	$67,452.66	$67,452.66	$67,452.66	2026-01-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	32	10	—	—	$45,116.79	$115,631.31	$67,445.82	2026-01-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	8	—	—	$36,600.34	$106,570.29	$67,158.29	2026-01-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	28	8	—	—	$39,225.05	$99,085.47	$66,978.99	2026-01-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	10	—	—	$46,039.36	$121,518.63	$66,634.52	2026-01-02
28	MS_DRG	Spinal Procedures With Mcc	32	10	—	—	$31,578.71	$129,493.35	$66,183.48	2026-01-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	32	10	—	—	$46,566.91	$114,919.89	$65,490.22	2026-01-02
4401	APR_DRG	Kidney Transplant	70	9	—	—	$24,732.08	$111,387.11	$65,420.82	2026-01-02
J9029	HCPCS	Instill Adstiladrin, Tx Dose	32	7	—	—	$32,603.97	$127,010.80	$65,016.82	2026-01-02
653	MS_DRG	Major Bladder Procedures With Mcc	32	10	—	—	$44,370.14	$118,738.98	$64,704.82	2026-01-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	8	—	—	$36,238.42	$95,259.99	$64,615.82	2026-01-02
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	40	5	—	—	$46,409.66	$100,630.97	$63,764.03	2026-01-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	10	—	—	$40,703.76	$115,041.30	$63,300.87	2026-01-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	32	10	—	—	$41,314.22	$106,144.29	$62,434.30	2026-01-02
469	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc	16	6	—	—	$47,046.42	$69,623.31	$61,990.90	2026-01-02
793	MS_DRG	Full Term Neonate With Major Problems	28	8	—	—	$34,553.55	$88,831.65	$61,692.60	2026-01-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	10	—	—	$39,242.06	$112,819.71	$60,586.54	2026-01-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	32	10	—	—	$32,121.21	$86,635.62	$60,356.30	2026-01-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	32	10	—	—	$31,854.66	$81,417.12	$59,374.94	2026-01-02
274	MS_DRG	Percutaneous Intracardiac Procedures Without Mcc	16	6	—	—	$46,498.38	$66,477.30	$59,189.76	2026-01-02
6121	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	40	5	—	—	$33,014.23	$114,851.01	$58,633.01	2026-01-02
A9543	HCPCS	Y90 Ibritumomab, Rx	32	7	—	—	$49,086.98	$130,953.16	$58,245.17	2026-01-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	34	8	—	—	$32,603.97	$110,907.14	$57,624.35	2026-01-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	32	10	—	—	$37,210.65	$106,527.69	$57,455.94	2026-01-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	26	7	—	—	$36,902.75	$98,135.49	$56,984.09	2026-01-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	32	10	—	—	$33,988.67	$90,725.22	$56,728.63	2026-01-02
38240	HCPCS	Transplt Allo Hct/donor	30	8	—	—	$5,678.13	$234,084.74	$56,470.28	2026-01-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	26	7	—	—	$28,432.76	$75,409.59	$56,428.13	2026-01-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	10	—	—	$36,016.71	$101,718.15	$55,915.18	2026-01-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	10	—	—	$34,266.51	$106,653.36	$55,712.71	2026-01-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	10	—	—	$38,592.33	$101,258.07	$55,705.04	2026-01-02
6081	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	40	5	—	—	$23,955.18	$88,018.18	$55,685.10	2026-01-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	10	—	—	$32,009.88	$107,285.97	$55,521.53	2026-01-02
245	MS_DRG	Aicd Generator Procedures	32	10	—	—	$37,179.08	$104,088.84	$55,345.46	2026-01-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	32	10	—	—	$30,913.43	$103,460.49	$54,771.20	2026-01-02
462	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	16	6	—	—	$41,409.59	$60,998.94	$54,311.96	2026-01-02
510	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc	16	6	—	—	$41,625.22	$60,877.53	$54,203.87	2026-01-02
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	40	5	—	—	$48,915.19	$106,403.66	$54,163.75	2026-01-02
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A…	16	6	—	—	$42,155.85	$60,636.84	$53,989.56	2026-01-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	28	8	—	—	$33,797.93	$89,259.78	$53,595.28	2026-01-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	10	—	—	$34,899.94	$99,673.35	$53,036.10	2026-01-02
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	12	6	—	—	$52,100.68	$205,640.00	$52,757.15	2026-01-02
J3403	HCPCS	Revakinagene, Per Implant	12	6	—	—	$52,100.68	$257,500.00	$52,757.15	2026-01-02
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	62	10	—	—	$33,691.50	$145,442.79	$52,379.55	2026-01-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	32	10	—	—	$33,694.57	$97,807.47	$52,332.04	2026-01-02
C9081	HCPCS	Idecabtagene Car Pos T	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
C9301	HCPCS	Obecabtagene Car Pos T	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
J3389	HCPCS	Topi Adm Prad Zami Per Treat	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
C9098	HCPCS	Ciltacabtagene Car Pos T	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
C9073	HCPCS	Brexucabtagene Autoleucel Ca	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
C9076	HCPCS	Lisocabtagene Car Pos T	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
J3387	HCPCS	Inj Elivaldogene Autotemecel	10	5	—	—	$52,100.68	$54,705.71	$52,100.68	2026-01-02
6111	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	40	5	—	—	$18,459.99	$98,564.69	$52,069.84	2026-01-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	10	—	—	$30,065.89	$97,822.38	$51,992.63	2026-01-02
163	MS_DRG	Major Chest Procedures With Mcc	32	10	—	—	$27,700.37	$98,175.96	$51,767.81	2026-01-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	32	10	—	—	$35,315.70	$95,524.11	$51,727.83	2026-01-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	32	10	—	—	$35,797.44	$93,566.64	$51,620.11	2026-01-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	32	10	—	—	$35,519.48	$94,369.65	$51,600.86	2026-01-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	10	—	—	$36,257.92	$91,973.40	$51,575.14	2026-01-02
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	28	8	—	—	$28,462.92	$75,640.56	$51,573.41	2026-01-02
140	MS_DRG	Major Head And Neck Procedures With Mcc	24	7	—	—	$31,038.72	$90,081.96	$50,657.58	2026-01-02
791	MS_DRG	Prematurity With Major Problems	24	7	—	—	$33,643.87	$86,475.87	$50,649.72	2026-01-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	32	10	—	—	$33,318.63	$82,011.39	$50,341.06	2026-01-02
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	10	—	—	$30,583.06	$74,577.69	$49,783.71	2026-01-02
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	32	10	—	—	$32,502.69	$82,324.50	$49,680.58	2026-01-02
1601	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	40	5	—	—	$26,204.94	$279,654.40	$49,395.58	2026-01-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	32	10	—	—	$33,183.32	$87,587.73	$49,069.68	2026-01-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	10	—	—	$23,503.45	$96,097.08	$48,978.37	2026-01-02
1771	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	40	5	—	—	$14,646.89	$83,227.93	$48,975.08	2026-01-02
1791	APR_DRG	Defibrillator Implants	40	5	—	—	$35,498.88	$67,025.19	$48,560.40	2026-01-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	32	10	—	—	$33,212.67	$87,538.74	$48,529.21	2026-01-02
483	MS_DRG	Major Joint/limb Reattachment Procedure Of Upper Extremities	16	6	—	—	$35,810.35	$54,276.66	$48,326.62	2026-01-02
6131	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	40	5	—	—	$20,821.97	$116,341.79	$48,277.94	2026-01-02
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	10	—	—	$27,877.65	$76,356.24	$48,216.86	2026-01-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	32	10	—	—	$28,159.69	$90,859.41	$48,192.38	2026-01-02
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	40	5	—	—	$33,601.46	$88,570.38	$47,828.39	2026-01-02
L7181	HCPCS	Electronic Elbo Simultaneous	4	1	—	—	$47,211.27	$47,211.27	$47,211.27	2026-01-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	32	10	—	—	$32,965.68	$84,043.41	$46,995.95	2026-01-02
J9226	HCPCS	Supprelin La Implant	36	8	—	—	$32,603.97	$90,981.66	$46,927.20	2026-01-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	10	—	—	$31,125.94	$80,976.21	$46,181.74	2026-01-02
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	10	—	—	$31,928.02	$83,870.88	$46,130.76	2026-01-02
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	40	5	—	—	$38,732.57	$80,125.77	$45,836.20	2026-01-02
A9545	HCPCS	I131 Tositumomab, Rx	2	1	—	—	$45,605.41	$45,605.41	$45,605.41	2026-01-02
1301	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	40	5	—	—	$36,330.14	$76,328.92	$45,361.58	2026-01-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	32	10	—	—	$27,635.91	$89,238.48	$45,171.14	2026-01-02
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	32	10	—	—	$31,425.91	$79,704.60	$44,691.30	2026-01-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	32	10	—	—	$27,798.89	$84,852.81	$44,207.47	2026-01-02
252	MS_DRG	Other Vascular Procedures With Mcc	32	10	—	—	$27,580.13	$73,067.52	$44,132.01	2026-01-02
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	8	—	—	$26,331.36	$68,253.72	$43,860.88	2026-01-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	32	10	—	—	$24,922.92	$82,829.31	$43,761.04	2026-01-02
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	32	10	—	—	$28,581.92	$75,197.52	$43,512.54	2026-01-02
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	28	8	—	—	$24,279.68	$62,643.30	$43,461.49	2026-01-02
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	28	8	—	—	$24,313.92	$65,148.18	$43,353.82	2026-01-02
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	28	8	—	—	$24,079.16	$62,472.90	$43,276.03	2026-01-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	28	9	—	—	$34,872.52	$109,332.90	$43,121.08	2026-01-02
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	32	10	—	—	$25,583.02	$80,345.73	$43,087.34	2026-01-02
0454T	OTHER	Insj/rplcmt Subq Electrode	10	5	—	—	$42,861.43	$45,004.50	$42,861.43	2026-01-02
0452T	OTHER	Insj/rplcmt Dev Vasc Seal	10	5	—	—	$42,861.43	$45,004.50	$42,861.43	2026-01-02
0459T	OTHER	Relocaj Rplcmt Aortic Ventr	10	5	—	—	$42,861.43	$45,004.50	$42,861.43	2026-01-02
33982	HCPCS	Replace Vad Intra Without Bp	14	5	—	—	$1,768.89	$45,004.50	$42,861.43	2026-01-02
33983	HCPCS	Replace Vad Intra W/bp	14	5	—	—	$2,080.76	$45,004.50	$42,861.43	2026-01-02
33975	HCPCS	Implant Ventricular Device	18	5	—	—	$1,190.19	$45,004.50	$42,861.43	2026-01-02
33979	HCPCS	Insert Intracorporeal Device	14	5	—	—	$1,768.15	$45,004.50	$42,861.43	2026-01-02
33991	HCPCS	Insj Perq Vad L Hrt Artl&ven	14	5	—	—	$412.87	$45,004.50	$42,861.43	2026-01-02
33981	HCPCS	Replace Vad Pump Ext	14	5	—	—	$752.38	$45,004.50	$42,861.43	2026-01-02
0451T	OTHER	Insj/rplcmt Aortic Ventr Sys	10	5	—	—	$42,861.43	$45,004.50	$42,861.43	2026-01-02
0453T	OTHER	Insj/rplcmt Mech-elec Ntrfce	10	5	—	—	$42,861.43	$45,004.50	$42,861.43	2026-01-02
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	10	—	—	$24,933.29	$92,162.97	$42,675.10	2026-01-02
6901	APR_DRG	Acute Leukemia	40	5	—	—	$14,808.70	$100,757.02	$42,262.56	2026-01-02
332	MS_DRG	Rectal Resection With Mcc	32	10	—	—	$29,811.95	$73,883.31	$42,075.53	2026-01-02
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	32	10	—	—	$29,433.73	$74,988.78	$41,934.02	2026-01-02
3041	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	40	5	—	—	$27,643.01	$93,483.95	$41,920.73	2026-01-02
L7180	HCPCS	Electronic Elbow Sequential	4	1	—	—	$41,907.21	$41,907.21	$41,907.21	2026-01-02
265	MS_DRG	Aicd Lead Procedures	32	10	—	—	$29,049.81	$75,981.36	$41,878.33	2026-01-02
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	40	5	—	—	$24,314.05	$77,368.91	$41,854.79	2026-01-02
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	32	10	—	—	$28,047.08	$76,351.98	$41,790.84	2026-01-02
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	32	10	—	—	$26,615.02	$76,339.20	$41,493.39	2026-01-02
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	32	10	—	—	$28,977.26	$74,630.94	$41,483.17	2026-01-02
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	10	—	—	$27,766.80	$74,607.51	$41,423.96	2026-01-02
1651	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	40	5	—	—	$31,898.49	$69,139.43	$41,420.21	2026-01-02
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	26	8	—	—	$26,327.72	$45,115.75	$41,325.75	2026-01-02
264	MS_DRG	Other Circulatory System O.r. Procedures	32	10	—	—	$26,864.45	$74,445.63	$41,311.60	2026-01-02
8631	APR_DRG	Neonatal Aftercare	40	5	—	—	$13,745.16	$99,569.05	$41,298.56	2026-01-02
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	32	10	—	—	$25,955.66	$82,241.43	$41,111.17	2026-01-02
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	32	10	—	—	$23,828.68	$77,717.31	$41,016.80	2026-01-02
800	MS_DRG	Splenic Procedures With Cc	28	8	—	—	$23,210.23	$62,063.94	$40,893.42	2026-01-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	28	8	—	—	$27,350.27	$70,330.47	$40,249.68	2026-01-02
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	32	10	—	—	$27,784.82	$72,956.76	$40,231.99	2026-01-02
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	32	10	—	—	$26,160.18	$66,164.19	$40,072.99	2026-01-02
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	32	10	—	—	$25,716.75	$67,925.70	$40,040.56	2026-01-02
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	32	10	—	—	$20,937.89	$77,178.42	$39,955.26	2026-01-02
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	32	10	—	—	$26,863.94	$72,249.60	$39,691.46	2026-01-02
37	MS_DRG	Extracranial Procedures With Mcc	32	10	—	—	$27,757.83	$70,735.17	$39,542.97	2026-01-02
8501	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	40	5	—	—	$18,766.65	$107,920.48	$39,436.27	2026-01-02
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	32	10	—	—	$23,710.89	$73,250.70	$38,785.01	2026-01-02
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	32	10	—	—	$23,773.85	$75,178.35	$38,562.87	2026-01-02
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	32	10	—	—	$27,087.68	$68,571.09	$38,473.66	2026-01-02
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	32	10	—	—	$23,676.07	$72,552.06	$38,371.41	2026-01-02
665	MS_DRG	Prostatectomy With Mcc	32	10	—	—	$25,402.99	$73,135.68	$38,288.15	2026-01-02
33276	HCPCS	Insj Phrnc Nrv Stim Sys	30	8	—	—	$535.94	$45,115.75	$38,019.69	2026-01-02
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	4	1	—	—	$37,828.21	$37,828.21	$37,828.21	2026-01-02
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	32	10	—	—	$26,440.91	$67,606.20	$37,723.12	2026-01-02
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	32	10	—	—	$19,887.37	$71,497.71	$37,644.23	2026-01-02
511	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc	16	6	—	—	$29,133.97	$41,773.56	$37,194.16	2026-01-02
211	APR_DRG	Open Craniotomy Except Trauma	40	5	—	—	$22,591.50	$73,067.82	$36,967.39	2026-01-02
6231	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	40	5	—	—	$12,582.44	$64,872.59	$36,918.35	2026-01-02
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	32	10	—	—	$20,291.87	$69,425.22	$36,859.20	2026-01-02
8901	APR_DRG	HIV With Multiple Major HIV Related Conditions	40	5	—	—	$10,812.91	$92,675.53	$36,662.71	2026-01-02
1661	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	40	5	—	—	$25,023.95	$51,071.84	$36,644.86	2026-01-02
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	10	—	—	$24,707.62	$62,805.18	$36,637.85	2026-01-02
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	32	10	—	—	$13,782.76	$73,802.37	$36,598.38	2026-01-02
135	MS_DRG	Sinus And Mastoid Procedures With Cc/mcc	28	8	—	—	$21,860.38	$51,356.43	$36,582.78	2026-01-02
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	32	10	—	—	$24,440.26	$68,055.63	$36,555.27	2026-01-02
8421	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	40	5	—	—	$17,089.78	$145,413.54	$36,471.27	2026-01-02
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	28	8	—	—	$20,073.62	$52,564.14	$36,318.88	2026-01-02
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	32	10	—	—	$24,631.76	$65,868.12	$36,281.61	2026-01-02
6141	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	40	5	—	—	$16,586.06	$77,048.28	$36,107.90	2026-01-02
662	MS_DRG	Minor Bladder Procedures With Mcc	32	10	—	—	$24,642.88	$66,447.48	$36,017.53	2026-01-02
500	MS_DRG	Soft Tissue Procedures With Mcc	32	10	—	—	$20,457.07	$67,493.31	$35,992.15	2026-01-02
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	28	8	—	—	$20,599.38	$51,718.53	$35,952.60	2026-01-02
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	32	10	—	—	$23,140.95	$62,029.86	$35,807.87	2026-01-02
470	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	16	6	—	—	$27,754.29	$40,161.15	$35,758.51	2026-01-02
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	28	8	—	—	$19,805.44	$51,518.31	$35,627.27	2026-01-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	28	9	—	—	$29,671.02	$88,622.91	$35,505.89	2026-01-02
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	28	8	—	—	$19,819.30	$51,141.30	$35,480.30	2026-01-02
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	32	10	—	—	$24,648.93	$62,083.11	$35,168.46	2026-01-02
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	32	10	—	—	$20,042.94	$65,684.94	$35,055.65	2026-01-02
570	MS_DRG	Skin Debridement With Mcc	32	10	—	—	$24,030.19	$64,117.26	$34,952.50	2026-01-02
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	32	10	—	—	$15,908.26	$69,395.40	$34,880.28	2026-01-02
201	APR_DRG	Open Craniotomy For Trauma	40	5	—	—	$25,157.05	$92,764.59	$34,878.14	2026-01-02
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	32	10	—	—	$16,178.67	$67,742.52	$34,868.02	2026-01-02
740	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc	16	6	—	—	$26,769.25	$38,729.79	$34,484.06	2026-01-02
911	APR_DRG	Other Major Head And Neck Procedures	40	5	—	—	$17,464.30	$74,542.16	$34,454.71	2026-01-02
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	32	10	—	—	$19,233.93	$65,361.18	$34,435.25	2026-01-02
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	4	1	—	—	$34,284.44	$34,284.44	$34,284.44	2026-01-02
974	MS_DRG	HIV With Major Related Condition With Mcc	32	10	—	—	$22,408.48	$63,606.06	$34,111.82	2026-01-02
619	MS_DRG	O.r. Procedures For Obesity With Mcc	32	10	—	—	$21,341.96	$58,074.45	$34,051.91	2026-01-02
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	32	10	—	—	$23,722.13	$58,285.32	$33,939.93	2026-01-02
891	APR_DRG	Major Cranial Or Facial Bone Procedures	40	5	—	—	$19,522.23	$69,749.17	$33,870.71	2026-01-02
668	MS_DRG	Transurethral Procedures With Mcc	32	10	—	—	$23,173.77	$62,117.19	$33,778.07	2026-01-02
1691	APR_DRG	Major Abdominal Vascular Procedures	40	5	—	—	$27,773.50	$78,799.41	$33,750.58	2026-01-02
896	MS_DRG	Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc	10	4	—	—	$19,961.52	$37,931.04	$33,710.54	2026-01-02
472	MS_DRG	Cervical Spinal Fusion With Cc	32	10	—	—	$21,658.74	$61,710.36	$33,616.92	2026-01-02
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	32	10	—	—	$20,884.67	$56,315.07	$33,436.42	2026-01-02
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	22	6	—	—	$14,919.44	$35,090.14	$33,419.18	2026-01-02
S2235	HCPCS	Implant Auditory Brain Imp	10	5	—	—	$33,072.62	$34,726.25	$33,072.62	2026-01-02
0951T	OTHER	Tot Impl Amei 1st Plmt	10	5	—	—	$33,072.62	$34,726.25	$33,072.62	2026-01-02
0952T	OTHER	Tot Impl Amei Rev/rplc Mstdc	10	5	—	—	$33,072.62	$34,726.25	$33,072.62	2026-01-02
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	16	6	—	—	$28,255.50	$37,036.44	$32,976.34	2026-01-02
6211	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	40	5	—	—	$11,953.45	$84,750.23	$32,865.14	2026-01-02
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	32	10	—	—	$21,479.44	$59,818.92	$32,808.24	2026-01-02
J1300	HCPCS	Eculizumab Injection	14	5	—	—	$451.40	$34,234.17	$32,603.97	2026-01-02
Q5139	HCPCS	Inj, Eculizumab-aeeb, 10 Mg	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
C9304	HCPCS	Inj Marstacimab, 0.5 Mg	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
C9309	HCPCS	Inj Onase Abepar-brve Treat	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
J9600	HCPCS	Porfimer Sodium Injection	34	7	—	—	$24,228.42	$47,699.28	$32,603.97	2026-01-02
C9146	HCPCS	Inj, Elahere, 1 Mg	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
J9376	HCPCS	Inj Pozelimab-bbfg, 1 Mg	14	6	—	—	$91.73	$34,234.17	$32,603.97	2026-01-02
C9085	HCPCS	Inj Avalglucosid Alfa-ngpt	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
J7174	HCPCS	Injection Fitusiran 0.04 Mg	12	6	—	—	$133.25	$34,234.17	$32,603.97	2026-01-02
J3404	HCPCS	Inj Zopap Imad-drba	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
J9183	HCPCS	Gemcit Intraves Sys, 225 Mg	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
C9149	HCPCS	Inj, Teplizumab-mzwv, 5 Mcg	10	5	—	—	$32,603.97	$34,234.17	$32,603.97	2026-01-02
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	32	10	—	—	$21,835.93	$56,717.64	$32,600.22	2026-01-02
6221	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	40	5	—	—	$15,650.40	$43,909.75	$32,592.43	2026-01-02
263	MS_DRG	Vein Ligation And Stripping	32	10	—	—	$23,233.04	$57,128.73	$32,577.63	2026-01-02
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	32	10	—	—	$22,273.64	$59,757.15	$32,479.23	2026-01-02
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	32	10	—	—	$21,745.41	$60,962.73	$32,364.66	2026-01-02
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	32	10	—	—	$17,693.70	$61,069.23	$32,319.02	2026-01-02
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	28	8	—	—	$18,768.60	$48,265.80	$32,181.85	2026-01-02
4011	APR_DRG	Adrenal Procedures	40	5	—	—	$10,630.22	$74,801.13	$32,080.36	2026-01-02
835	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Cc	28	8	—	—	$18,464.56	$45,494.67	$31,959.80	2026-01-02
231	APR_DRG	Spinal Procedures	40	5	—	—	$15,255.00	$75,495.83	$31,929.48	2026-01-02
69930	HCPCS	Implant Cochlear Device	30	8	—	—	$26,994.86	$125,895.04	$31,889.28	2026-01-02
271	APR_DRG	Other Open Craniotomy	40	5	—	—	$20,301.29	$73,878.98	$31,880.68	2026-01-02
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	32	10	—	—	$22,592.95	$55,731.45	$31,724.25	2026-01-02
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	14	6	—	—	$30,658.87	$74,662.40	$31,578.64	2026-01-02
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	32	10	—	—	$20,217.78	$57,582.42	$31,571.66	2026-01-02
36100040-19-2267	CDM	Ins/Rplcmt Icd Sngl/Dual Implant	42	10	$110,632.25	$55,316.13 50% off	$13,680.00	$110,632.25	$31,531.43	2026-01-02
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	26	6	—	—	$30,442.86	$126,899.40	$31,531.43	2026-01-02
36100043-19-2264	CDM	Icd Biv Gen Change	42	10	$85,971.71	$42,985.86 50% off	$5,087.00	$85,971.71	$31,531.43	2026-01-02
36100033-19-2274	CDM	Inspulse Gen W Exist Multiple Leads	42	10	$87,472.67	$43,736.34 50% off	$5,087.00	$87,472.67	$31,531.43	2026-01-02
36100044-19-2263	CDM	Ins/Rpl Subq Defib With Electrodes	42	10	$104,570.52	$52,285.26 50% off	$5,087.00	$104,570.52	$31,531.43	2026-01-02
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	26	6	—	—	$30,442.86	$126,899.40	$31,531.43	2026-01-02
503	MS_DRG	Foot Procedures With Mcc	32	10	—	—	$22,054.35	$56,372.58	$31,460.40	2026-01-02
6251	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	40	5	—	—	$13,443.71	$93,023.56	$31,414.38	2026-01-02
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	32	10	—	—	$19,841.31	$56,515.29	$31,374.86	2026-01-02

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