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

RIVERSIDE REGIONAL MEDICAL CENTER

Newport News, VA · CCN 490052 · 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: $5,769 across 10 payers · range $3,109-$13,574

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

21,924 distinct procedures filed
13 distinct payers
329,911 rate rows
2026-01-02 last MRF observed
Data quality

316,564 of 329,911 rate rows are consumer-grade (96.0%)

13,347 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,083
template filing: same amount across many unrelated codes — excluded 2,076
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,475
exceeds 10× this hospital's gross charge — excluded from medians 934
placeholder amount (≤ $0.02) — excluded from medians 661
per-diem day rate — not a per-procedure price 74
percent-of-charges filed in the dollar field — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://riverside.pt.panaceainc.com/MRFDownload/riverside/RRMC
Found on page https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint eafc18e1e85dbd3b… · 136,213,123 bytes · first seen 2026-05-06

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 8 $51,775.08 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $32,400.21 $3,895,500.00 $3,710,000.00 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $32,400.21 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $32,400.21 $3,490,800.50 $3,324,571.90 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $51,775.08 $4,864,830.00 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $51,775.08 $4,394,040.00 $2,950,686.67 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $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 8 $51,775.08 $3,452,460.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $51,775.08 $1,140,881.10 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $51,775.08 $1,036,481.36 $584,107.82 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $51,775.08 $1,014,991.10 $564,446.41 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $51,775.08 $948,121.24 $547,052.02 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $51,775.08 $969,380.60 $546,673.05 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $51,775.08 $918,762.90 $533,153.32 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $51,775.08 $898,880.00 $489,720.00 nat. median
$577,541
0.8× median
5831
APR_DRG 		Neonate With Ecmo 6 $174,852.56 $507,606.93 $356,385.14 nat. median
$154,685
outlier · 2.3×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $52,873.72 $464,878.64 $308,370.97 nat. median
$96,420
outlier · 3.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $51,775.08 $283,893.75 $270,375.00 nat. median
$302,242
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $201,778.70 $505,295.64 $228,167.64 nat. median
$205,166
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $162,983.64 $232,040.07 $207,490.67 nat. median
$100,978
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 6 $142,211.77 $347,319.79 $154,841.06 nat. median
$82,164
1.9× median
111
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $57,178.94 $295,883.02 $148,328.39 nat. median
$34,746
outlier · 4.3×
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 6 $84,410.51 $265,172.39 $135,177.66 nat. median
$37,247
outlier · 3.6×
6091
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $52,979.51 $300,071.26 $133,667.71 nat. median
$34,574
outlier · 3.9×
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $31,991.08 $231,484.56 $126,748.79 nat. median
$29,157
outlier · 4.3×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $115,373.52 $358,611.48 $124,930.28 nat. median
$120,928
1.0× median
6021
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $28,674.10 $156,172.87 $117,624.82 nat. median
$31,211
outlier · 3.8×
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 $91,679.09 $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
6301
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $37,318.16 $314,340.00 $107,390.46 nat. median
$25,387
outlier · 4.2×
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 $76,799.09 $113,320.26 $100,897.60 nat. median
$53,013
1.9× median
41
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $65,398.57 $201,610.29 $95,439.65 nat. median
$43,550
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $54,304.91 $150,527.10 $94,573.79 nat. median
$68,581
1.4× median
91
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $57,400.49 $210,080.77 $93,804.84 nat. median
$47,924
2.0× median
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
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $58,194.57 $294,329.05 $90,681.76 nat. median
$31,876
outlier · 2.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $65,116.50 $171,701.43 $90,403.92 nat. median
$77,385
1.2× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement Without Mcc 5 $70,387.02 $100,210.11 $89,608.07 nat. median
$47,266
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 11 $76,800.17 $225,669.24 $82,495.63 nat. median
$98,002
0.8× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 9 $43,339.15 $117,731.49 $80,535.32 nat. median
$52,155
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $74,342.03 $205,568.43 $78,412.67 nat. median
$92,900
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $49,187.60 $137,553.27 $77,819.62 nat. median
$63,840
1.2× median
6031
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $27,331.13 $207,084.60 $77,169.21 nat. median
$14,502
outlier · 5.3×
739
MS_DRG 		Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 6 $56,500.11 $84,793.17 $75,497.77 nat. median
$36,182
outlier · 2.1×
6311
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $11,577.67 $250,727.33 $75,358.61 nat. median
$9,539
outlier · 7.9×
6071
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $43,294.94 $122,493.24 $75,076.08 nat. median
$33,050
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 21,924 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 8 — — $51,775.08 $4,596,375.00 $4,377,500.00 2026-01-02
C9172 HCPCS Inj, Beqvez, Per Tx Dose 12 7 — — $32,400.21 $3,895,500.00 $3,710,000.00 2026-01-02
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 8 — — $32,400.21 $3,869,530.00 $3,685,266.67 2026-01-02
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 8 — — $32,400.21 $3,490,800.50 $3,324,571.90 2026-01-02
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 8 — — $51,775.08 $4,864,830.00 $3,261,355.00 2026-01-02
J3393 HCPCS Inj, Betibeglogene Autotemce 14 8 — — $51,775.08 $4,394,040.00 $2,950,686.67 2026-01-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,452,115.60 $4,545,204.82 $2,525,679.07 2026-01-02
J3392 HCPCS Inj, Exagamglogene Autotem 14 8 — — $51,775.08 $3,452,460.00 $2,332,000.00 2026-01-02
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $51,775.08 $1,140,881.10 $770,620.00 2026-01-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $51,775.08 $1,036,481.36 $584,107.82 2026-01-02
Q2056 HCPCS Ciltacabtagene Car-pos T 15 8 — — $51,775.08 $1,014,991.10 $564,446.41 2026-01-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $51,775.08 $948,121.24 $547,052.02 2026-01-02
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $51,775.08 $969,380.60 $546,673.05 2026-01-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $51,775.08 $918,762.90 $533,153.32 2026-01-02
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $51,775.08 $898,880.00 $489,720.00 2026-01-02
5831 APR_DRG Neonate With Ecmo 24 6 — — $174,852.56 $507,606.93 $356,385.14 2026-01-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 24 6 — — $52,873.72 $464,878.64 $308,370.97 2026-01-02
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 8 — — $51,775.08 $283,893.75 $270,375.00 2026-01-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 11 — — $201,778.70 $505,295.64 $228,167.64 2026-01-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 5 — — $162,983.64 $232,040.07 $207,490.67 2026-01-02
1611 APR_DRG Implantable Heart Assist Systems 24 6 — — $142,211.77 $347,319.79 $154,841.06 2026-01-02
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 7 — — $57,178.94 $295,883.02 $148,328.39 2026-01-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 8 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 24 6 — — $84,410.51 $265,172.39 $135,177.66 2026-01-02
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 6 — — $52,979.51 $300,071.26 $133,667.71 2026-01-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 24 6 — — $31,991.08 $231,484.56 $126,748.79 2026-01-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 6 — — $115,373.52 $358,611.48 $124,930.28 2026-01-02
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 24 6 — — $28,674.10 $156,172.87 $117,624.82 2026-01-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 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 8 6 — — $91,679.09 $130,711.71 $116,382.51 2026-01-02
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 8 6 — — $82,974.84 $127,604.04 $113,615.52 2026-01-02
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 24 6 — — $37,318.16 $314,340.00 $107,390.46 2026-01-02
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $106,120.90 $106,120.90 $106,120.90 2026-01-02
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $45,737.00 $106,594.08 $103,294.46 2026-01-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 8 6 — — $76,799.09 $113,320.26 $100,897.60 2026-01-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 24 6 — — $65,398.57 $201,610.29 $95,439.65 2026-01-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 9 — — $54,304.91 $150,527.10 $94,573.79 2026-01-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 6 — — $57,400.49 $210,080.77 $93,804.84 2026-01-02
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $93,216.70 $93,216.70 $93,216.70 2026-01-02
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 18 6 — — $58,194.57 $294,329.05 $90,681.76 2026-01-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 11 — — $65,116.50 $171,701.43 $90,403.92 2026-01-02
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 6 5 — — $70,387.02 $100,210.11 $89,608.07 2026-01-02
215 MS_DRG Other Heart Assist System Implant 17 11 — — $76,800.17 $225,669.24 $82,495.63 2026-01-02
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 9 — — $43,339.15 $117,731.49 $80,535.32 2026-01-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $74,342.03 $205,568.43 $78,412.67 2026-01-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $49,187.60 $137,553.27 $77,819.62 2026-01-02
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 24 6 — — $27,331.13 $207,084.60 $77,169.21 2026-01-02
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 8 6 — — $56,500.11 $84,793.17 $75,497.77 2026-01-02
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 6 — — $11,577.67 $250,727.33 $75,358.61 2026-01-02
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 24 6 — — $43,294.94 $122,493.24 $75,076.08 2026-01-02
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 8 6 — — $56,819.38 $83,289.39 $74,158.84 2026-01-02
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 6 — — $43,967.04 $146,950.61 $73,878.56 2026-01-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 11 — — $47,478.78 $117,731.49 $70,936.73 2026-01-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 11 — — $62,542.97 $180,494.07 $70,247.35 2026-01-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 9 — — $39,370.47 $108,182.70 $69,814.77 2026-01-02
799 MS_DRG Splenic Procedures With Mcc 15 9 — — $38,421.04 $101,277.24 $69,235.79 2026-01-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $45,343.70 $180,393.96 $68,188.02 2026-01-02
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $67,452.66 $67,452.66 $67,452.66 2026-01-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 11 — — $55,806.14 $158,987.46 $67,289.41 2026-01-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $34,649.27 $106,570.29 $67,158.29 2026-01-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $37,106.80 $99,085.47 $66,978.99 2026-01-02
4401 APR_DRG Kidney Transplant 40 10 — — $23,536.97 $111,115.43 $66,373.51 2026-01-02
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 8 — — $32,400.21 $127,010.80 $64,699.67 2026-01-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 9 — — $34,310.40 $95,259.99 $64,615.82 2026-01-02
1781 APR_DRG External Heart Assist Systems 24 6 — — $50,343.36 $74,667.89 $64,493.71 2026-01-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $56,643.87 $164,808.75 $62,432.59 2026-01-02
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 8 6 — — $47,046.42 $69,623.31 $61,990.90 2026-01-02
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 6 — — $44,264.51 $100,385.51 $61,944.27 2026-01-02
793 MS_DRG Full Term Neonate With Major Problems 15 9 — — $32,732.86 $88,831.65 $60,782.25 2026-01-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 11 — — $46,007.32 $130,115.31 $59,630.59 2026-01-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 11 — — $53,059.36 $134,707.59 $59,491.00 2026-01-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 11 — — $40,191.68 $108,514.98 $59,394.30 2026-01-02
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 8 6 — — $45,909.25 $66,477.30 $59,189.76 2026-01-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 11 — — $30,455.44 $86,635.62 $58,545.53 2026-01-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 11 — — $53,763.80 $148,173.45 $58,523.21 2026-01-02
A9543 HCPCS Y90 Ibritumomab, Rx 17 8 — — $48,780.22 $130,953.16 $57,961.04 2026-01-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 9 — — $32,400.21 $110,907.14 $57,344.62 2026-01-02
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 24 6 — — $31,488.24 $114,570.87 $56,922.73 2026-01-02
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $5,642.64 $218,299.13 $56,470.28 2026-01-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 11 — — $35,111.08 $142,260.57 $56,089.77 2026-01-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 11 — — $48,966.45 $137,751.36 $55,996.01 2026-01-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 11 — — $30,205.88 $81,417.12 $55,811.50 2026-01-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 11 — — $38,620.48 $142,019.88 $55,568.88 2026-01-02
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 8 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 8 6 — — $41,124.26 $60,877.53 $54,203.87 2026-01-02
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 24 6 — — $22,847.92 $87,803.49 $54,147.68 2026-01-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 8 6 — — $41,591.96 $60,636.84 $53,989.56 2026-01-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $48,064.16 $131,169.66 $53,825.45 2026-01-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 — — $32,025.36 $89,259.78 $53,595.28 2026-01-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 11 — — $42,623.26 $115,631.31 $53,385.62 2026-01-02
J3403 HCPCS Revakinagene, Per Implant 6 6 — — $51,775.08 $257,500.00 $52,427.44 2026-01-02
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $51,775.08 $205,640.00 $52,427.44 2026-01-02
C9073 HCPCS Brexucabtagene Autoleucel Ca 5 5 — — $51,775.08 $54,363.83 $51,775.08 2026-01-02
C9301 HCPCS Obecabtagene Car Pos T 5 5 — — $51,775.08 $54,363.83 $51,775.08 2026-01-02
C9081 HCPCS Idecabtagene Car Pos T 5 5 — — $51,775.08 $54,363.83 $51,775.08 2026-01-02
C9098 HCPCS Ciltacabtagene Car Pos T 5 5 — — $51,775.08 $54,363.83 $51,775.08 2026-01-02
C9076 HCPCS Lisocabtagene Car Pos T 5 5 — — $51,775.08 $54,363.83 $51,775.08 2026-01-02
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 6 — — $46,654.23 $106,144.13 $51,660.19 2026-01-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 9 — — $27,030.17 $75,640.56 $51,335.36 2026-01-02
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 24 6 — — $17,606.73 $98,324.28 $50,530.46 2026-01-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $46,974.30 $122,249.22 $50,446.39 2026-01-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 11 — — $39,062.90 $106,144.29 $50,077.53 2026-01-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 11 — — $32,203.95 $90,725.22 $50,039.32 2026-01-02
9101 APR_DRG Craniotomy For Multiple Significant Trauma 35 11 — — $32,134.21 $145,442.79 $49,477.02 2026-01-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $44,084.80 $126,720.09 $49,311.72 2026-01-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $43,981.00 $114,919.89 $49,193.97 2026-01-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 11 — — $46,455.71 $124,014.99 $49,093.83 2026-01-02
28 MS_DRG Spinal Procedures With Mcc 17 11 — — $31,578.71 $129,493.35 $48,928.75 2026-01-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 8 — — $46,400.37 $126,624.24 $48,720.39 2026-01-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 11 — — $43,871.87 $121,518.63 $48,462.48 2026-01-02
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 8 6 — — $35,810.35 $54,276.66 $48,326.62 2026-01-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 11 — — $45,488.34 $125,333.46 $48,197.33 2026-01-02
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 6 — — $24,993.69 $278,972.29 $47,824.07 2026-01-02
1771 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 24 6 — — $13,969.88 $83,024.92 $47,614.71 2026-01-02
1791 APR_DRG Defibrillator Implants 24 6 — — $33,858.05 $66,861.71 $47,348.46 2026-01-02
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $47,211.27 $47,211.27 $47,211.27 2026-01-02
J9226 HCPCS Supprelin La Implant 19 9 — — $32,400.21 $90,981.66 $46,927.20 2026-01-02
653 MS_DRG Major Bladder Procedures With Mcc 17 11 — — $41,924.16 $118,738.98 $46,861.46 2026-01-02
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 24 6 — — $19,859.53 $116,058.02 $46,856.54 2026-01-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 8 — — $34,932.42 $98,135.49 $46,831.57 2026-01-02
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 24 6 — — $32,048.33 $88,354.34 $46,463.15 2026-01-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 11 — — $40,703.76 $115,041.30 $46,024.59 2026-01-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 11 — — $29,015.27 $74,577.69 $46,011.43 2026-01-02
A9545 HCPCS I131 Tositumomab, Rx 1 1 — — $45,605.41 $45,605.41 $45,605.41 2026-01-02
1831 APR_DRG Percutaneous Structural Cardiac Procedures 24 6 — — $36,942.27 $79,930.34 $44,649.89 2026-01-02
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 6 — — $34,650.88 $76,142.74 $44,139.98 2026-01-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $25,034.38 $68,253.72 $43,860.88 2026-01-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 11 — — $26,482.19 $76,356.24 $43,396.63 2026-01-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 9 — — $23,145.45 $65,148.18 $43,353.82 2026-01-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 9 — — $23,113.39 $62,643.30 $42,878.35 2026-01-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 — — $22,925.64 $62,472.90 $42,699.27 2026-01-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $39,242.06 $112,819.71 $42,666.06 2026-01-02
0451T OTHER Insj/rplcmt Aortic Ventr Sys 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0452T OTHER Insj/rplcmt Dev Vasc Seal 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0459T OTHER Relocaj Rplcmt Aortic Ventr 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 7 6 — — $412.87 $44,723.25 $42,593.57 2026-01-02
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
33981 HCPCS Replace Vad Pump Ext 7 6 — — $752.38 $44,723.25 $42,593.57 2026-01-02
33982 HCPCS Replace Vad Intra Without Bp 7 6 — — $1,768.89 $44,723.25 $42,593.57 2026-01-02
33975 HCPCS Implant Ventricular Device 9 6 — — $1,190.19 $44,723.25 $42,593.57 2026-01-02
33979 HCPCS Insert Intracorporeal Device 7 6 — — $1,768.15 $44,723.25 $42,593.57 2026-01-02
33983 HCPCS Replace Vad Intra W/bp 7 6 — — $2,080.76 $44,723.25 $42,593.57 2026-01-02
0454T OTHER Insj/rplcmt Subq Electrode 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0266T OTHER Implt/rpl Crtd Sns Dev Total 14 9 — — $26,163.19 $45,115.75 $42,146.57 2026-01-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 11 — — $31,576.60 $82,011.39 $42,123.92 2026-01-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 11 — — $34,102.81 $101,718.15 $42,070.89 2026-01-02
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $41,907.21 $41,907.21 $41,907.21 2026-01-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 11 — — $30,812.63 $82,324.50 $41,076.60 2026-01-02
6901 APR_DRG Acute Leukemia 24 6 — — $14,124.22 $100,511.27 $41,067.46 2026-01-02
800 MS_DRG Splenic Procedures With Cc 15 9 — — $22,112.06 $62,063.94 $40,893.42 2026-01-02
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 24 6 — — $26,365.29 $93,255.93 $40,815.87 2026-01-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 11 — — $37,210.65 $106,527.69 $40,700.30 2026-01-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $36,786.25 $101,258.07 $40,623.51 2026-01-02
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 24 6 — — $23,190.20 $77,180.20 $40,511.78 2026-01-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $34,872.52 $109,332.90 $40,377.85 2026-01-02
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 24 6 — — $30,424.07 $68,970.79 $40,357.62 2026-01-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 9 — — $25,988.39 $70,330.47 $40,249.68 2026-01-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 8 — — $27,001.93 $73,964.25 $40,152.05 2026-01-02
471 MS_DRG Cervical Spinal Fusion With Mcc 17 11 — — $30,913.43 $103,460.49 $40,056.81 2026-01-02
8631 APR_DRG Neonatal Aftercare 24 6 — — $13,109.83 $99,326.19 $39,970.76 2026-01-02
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 9 — — $535.94 $45,115.75 $39,672.72 2026-01-02
245 MS_DRG Aicd Generator Procedures 17 11 — — $35,191.15 $104,088.84 $39,225.25 2026-01-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 11 — — $32,009.88 $107,285.97 $39,157.67 2026-01-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 11 — — $34,266.51 $106,653.36 $38,755.38 2026-01-02
163 MS_DRG Major Chest Procedures With Mcc 17 11 — — $27,700.37 $98,175.96 $38,410.80 2026-01-02
8501 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 24 6 — — $17,899.22 $107,657.25 $38,295.86 2026-01-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $35,188.09 $91,973.40 $38,166.23 2026-01-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $30,065.89 $97,822.38 $37,889.91 2026-01-02
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $37,828.21 $37,828.21 $37,828.21 2026-01-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 11 — — $33,897.51 $93,566.64 $37,757.59 2026-01-02
901 MS_DRG Wound Debridements For Injuries With Mcc 17 11 — — $33,637.26 $94,369.65 $37,462.81 2026-01-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 11 — — $33,446.45 $95,524.11 $37,246.01 2026-01-02
511 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc 8 6 — — $28,798.78 $41,773.56 $37,194.16 2026-01-02
252 MS_DRG Other Vascular Procedures With Mcc 17 11 — — $26,203.62 $73,067.52 $37,152.43 2026-01-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 11 — — $31,449.90 $87,587.73 $36,969.95 2026-01-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 11 — — $33,694.57 $97,807.47 $36,833.71 2026-01-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 11 — — $34,899.94 $99,673.35 $36,736.78 2026-01-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 11 — — $23,503.45 $96,097.08 $36,125.29 2026-01-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 9 — — $20,848.19 $51,356.43 $36,072.47 2026-01-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 11 — — $31,477.38 $87,538.74 $35,921.06 2026-01-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 9 — — $19,175.24 $52,564.14 $35,869.69 2026-01-02
211 APR_DRG Open Craniotomy Except Trauma 24 6 — — $21,547.27 $72,889.60 $35,838.58 2026-01-02
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 8 6 — — $27,564.79 $40,161.15 $35,758.51 2026-01-02
6231 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 24 6 — — $12,000.85 $64,714.36 $35,719.14 2026-01-02
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 24 6 — — $23,867.29 $50,947.27 $35,693.96 2026-01-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 9 — — $19,667.51 $51,718.53 $35,693.02 2026-01-02
8901 APR_DRG HIV With Multiple Major HIV Related Conditions 24 6 — — $10,313.12 $92,449.48 $35,630.82 2026-01-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 11 — — $29,523.57 $80,976.21 $35,558.44 2026-01-02
8421 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 24 6 — — $16,299.85 $145,058.86 $35,375.99 2026-01-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 9 — — $18,924.15 $51,518.31 $35,221.23 2026-01-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 9 — — $18,937.12 $51,141.30 $35,039.21 2026-01-02
27800571-19-4409 CDM C-defib,dual Chamber Implant 23 11 $65,841.60 $32,920.80 50% off $22,383.86 $47,636.40 $35,010.13 2026-01-02
6141 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 24 6 — — $15,819.42 $76,860.35 $34,985.68 2026-01-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 11 — — $28,159.69 $90,859.41 $34,925.65 2026-01-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 11 — — $31,246.13 $84,043.41 $34,750.52 2026-01-02
740 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc 8 6 — — $26,487.74 $38,729.79 $34,484.06 2026-01-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 11 — — $27,141.60 $75,197.52 $34,405.83 2026-01-02
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 1 — — $34,284.44 $34,284.44 $34,284.44 2026-01-02
2568200101 NDC Soliris 300 Mg/30ml IV Soln 13 8 $117,413.82 $58,706.91 50% off $451.40 $84,948.90 $34,020.22 2026-01-02
201 APR_DRG Open Craniotomy For Trauma 24 6 — — $23,994.24 $92,538.33 $33,956.29 2026-01-02
896 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 4 4 — — $804.21 $37,931.04 $33,855.68 2026-01-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 11 — — $30,274.56 $83,870.88 $33,648.60 2026-01-02
911 APR_DRG Other Major Head And Neck Procedures 24 6 — — $16,657.07 $74,360.35 $33,554.27 2026-01-02
791 MS_DRG Prematurity With Major Problems 13 8 — — $31,881.12 $86,475.87 $33,475.18 2026-01-02
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 12 7 — — $14,826.20 $35,090.14 $33,419.18 2026-01-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 10 — — $29,671.02 $88,622.91 $33,316.29 2026-01-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 11 — — $24,874.11 $66,164.19 $33,278.18 2026-01-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 11 — — $29,804.43 $79,704.60 $33,115.19 2026-01-02
70 MS_DRG Other Cerebrovascular Disorders With Mcc 8 6 — — $26,014.19 $37,036.44 $32,976.34 2026-01-02
891 APR_DRG Major Cranial Or Facial Bone Procedures 24 6 — — $18,619.87 $69,579.04 $32,949.24 2026-01-02
0951T OTHER Tot Impl Amei 1st Plmt 5 5 — — $32,865.93 $34,509.23 $32,865.93 2026-01-02
S2235 HCPCS Implant Auditory Brain Imp 5 5 — — $32,865.93 $34,509.23 $32,865.93 2026-01-02
0952T OTHER Tot Impl Amei Rev/rplc Mstdc 5 5 — — $32,865.93 $34,509.23 $32,865.93 2026-01-02
1691 APR_DRG Major Abdominal Vascular Procedures 24 6 — — $26,489.75 $78,607.21 $32,829.21 2026-01-02
27500004-19-4526 CDM Bi-v Defibrillator 23 11 $59,656.80 $29,828.40 50% off $22,013.36 $43,161.69 $32,587.53 2026-01-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 11 — — $24,458.92 $67,925.70 $32,569.30 2026-01-02
Q5139 HCPCS Inj, Eculizumab-aeeb, 10 Mg 5 5 — — $32,400.21 $34,020.22 $32,400.21 2026-01-02
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 5 5 — — $32,400.21 $34,020.22 $32,400.21 2026-01-02
C9304 HCPCS Inj Marstacimab, 0.5 Mg 5 5 — — $32,400.21 $34,020.22 $32,400.21 2026-01-02
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 7 6 — — $91.73 $34,020.22 $32,400.21 2026-01-02
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 5 5 — — $32,400.21 $34,020.22 $32,400.21 2026-01-02
J9600 HCPCS Porfimer Sodium Injection 18 8 — — $24,228.42 $47,699.28 $32,400.21 2026-01-02
J7174 HCPCS Injection Fitusiran 0.04 Mg 6 6 — — $133.25 $34,020.22 $32,400.21 2026-01-02
C9146 HCPCS Inj, Elahere, 1 Mg 5 5 — — $32,400.21 $34,020.22 $32,400.21 2026-01-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 15 9 — — $17,953.35 $48,265.80 $32,181.85 2026-01-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 11 — — $24,922.92 $82,829.31 $31,902.09 2026-01-02
6221 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 24 6 — — $14,927.01 $43,802.65 $31,719.78 2026-01-02
6211 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 24 6 — — $11,400.93 $84,543.51 $31,703.89 2026-01-02
332 MS_DRG Rectal Resection With Mcc 17 11 — — $28,293.28 $73,883.31 $31,632.71 2026-01-02
69930 HCPCS Implant Cochlear Device 16 9 — — $26,994.86 $117,405.25 $31,585.57 2026-01-02
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 15 9 — — $17,668.67 $45,494.67 $31,581.67 2026-01-02
36100043-19-2264 CDM Icd Biv Gen Change 23 11 $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 23 11 $87,472.67 $43,736.34 50% off $5,087.00 $87,472.67 $31,531.43 2026-01-02
36100040-19-2267 CDM Ins/Rplcmt Icd Sngl/Dual Implant 23 11 $110,632.25 $55,316.13 50% off $13,680.00 $110,632.25 $31,531.43 2026-01-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 11 — — $25,583.02 $80,345.73 $31,494.19 2026-01-02
36100044-19-2263 CDM Ins/Rpl Subq Defib With Electrodes 22 11 $104,570.52 $52,285.26 50% off $5,087.00 $104,570.52 $31,378.36 2026-01-02
0571T OTHER Insj/rplcmt Icds Ss Eltrd 14 7 — — $30,252.61 $118,341.88 $31,378.36 2026-01-02
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $30,252.61 $118,341.88 $31,378.36 2026-01-02
264 MS_DRG Other Circulatory System O.r. Procedures 17 11 — — $25,533.52 $74,445.63 $31,304.40 2026-01-02
4011 APR_DRG Adrenal Procedures 24 6 — — $10,138.87 $74,618.69 $31,193.72 2026-01-02
231 APR_DRG Spinal Procedures 24 6 — — $14,549.88 $75,311.69 $31,006.46 2026-01-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $26,378.39 $74,607.51 $31,003.38 2026-01-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 11 — — $27,939.15 $74,988.78 $30,999.48 2026-01-02
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 7 — — $10,685.58 $118,341.88 $30,919.17 2026-01-02
140 MS_DRG Major Head And Neck Procedures With Mcc 13 8 — — $29,441.91 $90,081.96 $30,914.01 2026-01-02
271 APR_DRG Other Open Craniotomy 24 6 — — $19,362.92 $73,698.78 $30,879.04 2026-01-02
32 MS_DRG Ventricular Shunt Procedures With Cc 15 9 — — $17,045.13 $45,488.28 $30,654.56 2026-01-02
265 MS_DRG Aicd Lead Procedures 17 11 — — $27,579.68 $75,981.36 $30,592.40 2026-01-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 11 — — $27,511.75 $74,630.94 $30,515.20 2026-01-02
512 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc Without Cc/mcc 8 6 — — $23,584.97 $34,246.14 $30,491.93 2026-01-02
291 APR_DRG Other Percutaneous Intracranial Procedures 24 6 — — $19,184.94 $58,705.61 $30,489.38 2026-01-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 11 — — $27,798.89 $84,852.81 $30,444.40 2026-01-02
6251 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 24 6 — — $12,822.32 $92,796.66 $30,369.11 2026-01-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 9 — — $16,442.96 $44,195.37 $30,319.17 2026-01-02
9121 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 24 6 — — $20,002.67 $73,276.42 $30,286.47 2026-01-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 11 — — $27,635.91 $89,238.48 $30,272.11 2026-01-02
36100041-19-2266 CDM Icd Single Gen Change 23 11 $85,971.71 $42,985.86 50% off $5,087.00 $82,850.71 $30,252.61 2026-01-02
36100032-19-2275 CDM Ins Pulse Gen W Exist Dual Leads 23 11 $87,472.67 $43,736.34 50% off $5,087.00 $82,850.71 $30,252.61 2026-01-02
G0448 HCPCS Place Perm Pacing Cardiovert 5 5 — — $30,252.61 $31,765.24 $30,252.61 2026-01-02
36100037-19-2270 CDM Ins Defib Pls Gen W Existing Sgl Lead 23 11 $83,536.76 $41,768.38 50% off $13,680.00 $82,850.71 $30,252.61 2026-01-02
36100042-19-2265 CDM Icd Dual Gen Change 23 11 $85,971.71 $42,985.86 50% off $5,087.00 $82,850.71 $30,252.61 2026-01-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 11 — — $26,615.02 $76,339.20 $29,901.87 2026-01-02
1701 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 24 6 — — $21,209.97 $54,792.27 $29,866.56 2026-01-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 9 — — $27,329.93 $74,662.40 $29,813.41 2026-01-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 11 — — $28,047.08 $76,351.98 $29,782.47 2026-01-02
1761 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 24 6 — — $17,748.62 $61,179.64 $29,675.26 2026-01-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 11 — — $23,828.68 $77,717.31 $29,668.67 2026-01-02
J9266 HCPCS Pegaspargase Injection 14 9 — — $28,424.06 $53,472.66 $29,561.02 2026-01-02
301 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 24 6 — — $18,146.90 $54,043.22 $29,394.14 2026-01-02
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 14 7 — — $8,418.18 $112,480.47 $29,387.76 2026-01-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 11 — — $20,937.89 $77,178.42 $29,286.42 2026-01-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 11 — — $27,214.87 $72,956.76 $29,247.18 2026-01-02
1101 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 24 6 — — $10,614.32 $40,654.75 $29,236.86 2026-01-02
37 MS_DRG Extracranial Procedures With Mcc 17 11 — — $26,370.00 $70,735.17 $29,219.88 2026-01-02
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 17 11 — — $15,447.74 $42,866.25 $29,156.99 2026-01-02
0268T OTHER Implt/rpl Crtd Sns Dev Gen 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
61886 HCPCS Implant Neurostim Arrays 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 16 9 — — $24,996.65 $112,480.47 $29,096.79 2026-01-02
L6700 HCPCS Ue Add Ext Power Myoel 2 1 — — $28,931.56 $28,931.56 $28,931.56 2026-01-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 11 — — $23,514.07 $62,805.18 $28,906.39 2026-01-02
491 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 24 6 — — $10,670.33 $56,103.09 $28,814.99 2026-01-02
398 MS_DRG Appendix Procedures Without Mcc/cc 8 6 — — $22,193.97 $32,231.16 $28,697.84 2026-01-02
711 MS_DRG Testes Procedures With Cc/mcc 15 9 — — $16,809.30 $40,695.78 $28,584.49 2026-01-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 11 — — $25,747.22 $68,571.09 $28,513.35 2026-01-02
4411 APR_DRG Major Bladder Procedures 24 6 — — $14,997.96 $80,963.69 $28,467.47 2026-01-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 17 11 — — $22,047.19 $62,029.86 $28,427.56 2026-01-02
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 17 11 — — $15,555.35 $43,609.62 $28,355.04 2026-01-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $26,985.14 $73,365.72 $28,334.40 2026-01-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 11 — — $26,863.94 $72,249.60 $28,325.59 2026-01-02
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $28,285.52 $28,285.52 $28,285.52 2026-01-02
3251 APR_DRG Non-elective Or Complex Knee Joint Replacement 24 6 — — $23,356.98 $55,907.63 $28,249.68 2026-01-02
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 16 9 — — $23,396.61 $104,931.25 $28,229.70 2026-01-02
2641 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 24 6 — — $12,361.80 $42,964.76 $28,187.21 2026-01-02
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $28,151.96 $28,151.96 $28,151.96 2026-01-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 11 — — $19,887.37 $71,497.71 $28,110.01 2026-01-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 11 — — $13,782.76 $73,802.37 $27,930.50 2026-01-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 11 — — $25,146.57 $67,606.20 $27,832.54 2026-01-02
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