Price Transparency 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

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

318,008 of 329,911 rate rows are consumer-grade (96.4%)

11,903 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 8,126
template filing: same amount across many unrelated codes — excluded 2,076
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
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 · 2026-05-15
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
$3,570,000
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
$3,325,455
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
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $51,775.08 $3,452,460.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $51,775.08 $1,140,881.10 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $51,775.08 $1,036,481.36 $584,107.82 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $51,775.08 $1,014,991.10 $564,446.41 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $51,775.08 $948,121.24 $547,052.02 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $51,775.08 $969,380.60 $546,673.05 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $51,775.08 $918,762.90 $533,153.32 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $51,775.08 $898,880.00 $489,720.00 nat. median
$620,080
0.8× median
5831
APR_DRG 		6 $174,852.56 $507,606.93 $356,385.14 nat. median
$145,122
outlier · 2.5×
5891
APR_DRG 		6 $52,873.72 $464,878.64 $308,370.97 nat. median
$93,260
outlier · 3.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $51,775.08 $283,893.75 $270,375.00 nat. median
$324,450
0.8× 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
$206,368
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $162,983.64 $232,040.07 $207,490.67 nat. median
$102,358
outlier · 2.0×
1611
APR_DRG 		6 $142,211.77 $347,319.79 $154,841.06 nat. median
$76,806
outlier · 2.0×
0111
APR_DRG 		7 $57,178.94 $295,883.02 $148,328.39 nat. median
$85,731
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $111,140.98 $166,489.32 $148,238.03 nat. median
$73,807
outlier · 2.0×
5911
APR_DRG 		6 $84,410.51 $265,172.39 $135,177.66 nat. median
$40,550
outlier · 3.3×
6091
APR_DRG 		6 $52,979.51 $300,071.26 $133,667.71 nat. median
$32,820
outlier · 4.1×
5931
APR_DRG 		6 $31,991.08 $231,484.56 $126,748.79 nat. median
$29,713
outlier · 4.3×
5881
APR_DRG 		6 $115,373.52 $358,611.48 $124,930.28 nat. median
$124,573
1.0× median
6021
APR_DRG 		6 $28,674.10 $156,172.87 $117,624.82 nat. median
$29,949
outlier · 3.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $80,805.87 $131,940.72 $117,476.80 nat. median
$59,099
2.0× median
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
$55,736
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 6 $82,974.84 $127,604.04 $113,615.52 nat. median
$60,726
1.9× median
6301
APR_DRG 		6 $37,318.16 $314,340.00 $107,390.46 nat. median
$25,184
outlier · 4.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $106,120.90 $106,120.90 $106,120.90 nat. median
$111,989
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $45,737.00 $106,594.08 $103,294.46 nat. median
$76,377
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
$53,268
1.9× median
0041
APR_DRG 		6 $65,398.57 $201,610.29 $95,439.65 nat. median
$78,058
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $54,304.91 $150,527.10 $94,573.79 nat. median
$68,887
1.4× median
0091
APR_DRG 		6 $57,400.49 $210,080.77 $93,804.84 nat. median
$47,988
2.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $93,216.70 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
8411
APR_DRG 		6 $58,194.57 $294,329.05 $90,681.76 nat. median
$34,396
outlier · 2.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $65,116.50 $171,701.43 $90,403.92 nat. median
$77,576
1.2× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement Without Mcc 5 $70,387.02 $100,210.11 $89,608.07 nat. median
$47,651
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 11 $76,800.17 $225,669.24 $82,495.63 nat. median
$99,019
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
$53,173
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
$93,672
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
$64,510
1.2× median
6031
APR_DRG 		6 $27,331.13 $207,084.60 $77,169.21 nat. median
$15,754
outlier · 4.9×
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
$36,815
outlier · 2.1×
6311
APR_DRG 		6 $11,577.67 $250,727.33 $75,358.61 nat. median
$10,074
outlier · 7.5×
6071
APR_DRG 		6 $43,294.94 $122,493.24 $75,076.08 nat. median
$32,259
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
             
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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 11 — — $19,887.37 $71,497.71 $28,110.01 2026-01-02
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $28,151.96 $28,151.96 $28,151.96 2026-01-02
2641 APR_DRG — 24 6 — — $12,361.80 $42,964.76 $28,187.21 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
3251 APR_DRG — 24 6 — — $23,356.98 $55,907.63 $28,249.68 2026-01-02
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $28,285.52 $28,285.52 $28,285.52 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $26,985.14 $73,365.72 $28,334.40 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
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
4411 APR_DRG — 24 6 — — $14,997.96 $80,963.69 $28,467.47 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
711 MS_DRG Testes Procedures With Cc/mcc 15 9 — — $16,809.30 $40,695.78 $28,584.49 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
0491 APR_DRG — 24 6 — — $10,670.33 $56,103.09 $28,814.99 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
L6700 HCPCS Ue Add Ext Power Myoel 2 1 — — $28,931.56 $28,931.56 $28,931.56 2026-01-02
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 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
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 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
61886 HCPCS Implant Neurostim Arrays 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
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 17 11 — — $15,447.74 $42,866.25 $29,156.99 2026-01-02
37 MS_DRG Extracranial Procedures With Mcc 17 11 — — $26,370.00 $70,735.17 $29,219.88 2026-01-02
1101 APR_DRG — 24 6 — — $10,614.32 $40,654.75 $29,236.86 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 11 — — $20,937.89 $77,178.42 $29,286.42 2026-01-02
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 14 7 — — $8,418.18 $112,480.47 $29,387.76 2026-01-02
0301 APR_DRG — 24 6 — — $18,146.90 $54,043.22 $29,394.14 2026-01-02
J9266 HCPCS Pegaspargase Injection 14 9 — — $28,424.06 $53,472.66 $29,561.02 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
1761 APR_DRG — 24 6 — — $17,748.62 $61,179.64 $29,675.26 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
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
1701 APR_DRG — 24 6 — — $21,209.97 $54,792.27 $29,866.56 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
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
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
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
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
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
9121 APR_DRG — 24 6 — — $20,002.67 $73,276.42 $30,286.47 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
6251 APR_DRG — 24 6 — — $12,822.32 $92,796.66 $30,369.11 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
0291 APR_DRG — 24 6 — — $19,184.94 $58,705.61 $30,489.38 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
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
265 MS_DRG Aicd Lead Procedures 17 11 — — $27,579.68 $75,981.36 $30,592.40 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
0271 APR_DRG — 24 6 — — $19,362.92 $73,698.78 $30,879.04 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
0408T HCPCS Insj/rplc Cardiac Modulj Sys 14 7 — — $10,685.58 $118,341.88 $30,919.17 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
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
0231 APR_DRG — 24 6 — — $14,549.88 $75,311.69 $31,006.46 2026-01-02
4011 APR_DRG — 24 6 — — $10,138.87 $74,618.69 $31,193.72 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
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $30,252.61 $118,341.88 $31,378.36 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 HCPCS Insj/rplcmt Icds Ss Eltrd 14 7 — — $30,252.61 $118,341.88 $31,378.36 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
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
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
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
69930 HCPCS Implant Cochlear Device 16 9 — — $26,994.86 $117,405.25 $31,585.57 2026-01-02
332 MS_DRG Rectal Resection With Mcc 17 11 — — $28,293.28 $73,883.31 $31,632.71 2026-01-02
6211 APR_DRG — 24 6 — — $11,400.93 $84,543.51 $31,703.89 2026-01-02
6221 APR_DRG — 24 6 — — $14,927.01 $43,802.65 $31,719.78 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
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
J7174 HCPCS Injection Fitusiran 0.04 Mg 6 6 — — $133.25 $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
C9304 HCPCS Inj Marstacimab, 0.5 Mg 5 5 — — $32,400.21 $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
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 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
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 7 6 — — $91.73 $34,020.22 $32,400.21 2026-01-02
Q5139 HCPCS Inj, Eculizumab-aeeb, 10 Mg 5 5 — — $32,400.21 $34,020.22 $32,400.21 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
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
1691 APR_DRG — 24 6 — — $26,489.75 $78,607.21 $32,829.21 2026-01-02
0952T HCPCS Tot Impl Amei Rev/rplc Mstdc 5 5 — — $32,865.93 $34,509.23 $32,865.93 2026-01-02
0951T HCPCS 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
0891 APR_DRG — 24 6 — — $18,619.87 $69,579.04 $32,949.24 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
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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 11 — — $24,874.11 $66,164.19 $33,278.18 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 7 — — $14,826.20 $35,090.14 $33,419.18 2026-01-02
791 MS_DRG Prematurity With Major Problems 13 8 — — $31,881.12 $86,475.87 $33,475.18 2026-01-02
0911 APR_DRG — 24 6 — — $16,657.07 $74,360.35 $33,554.27 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
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
0201 APR_DRG — 24 6 — — $23,994.24 $92,538.33 $33,956.29 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
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 1 — — $34,284.44 $34,284.44 $34,284.44 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
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
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
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
6141 APR_DRG — 24 6 — — $15,819.42 $76,860.35 $34,985.68 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
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
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 9 — — $18,924.15 $51,518.31 $35,221.23 2026-01-02
8421 APR_DRG — 24 6 — — $16,299.85 $145,058.86 $35,375.99 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
8901 APR_DRG — 24 6 — — $10,313.12 $92,449.48 $35,630.82 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
1661 APR_DRG — 24 6 — — $23,867.29 $50,947.27 $35,693.96 2026-01-02
6231 APR_DRG — 24 6 — — $12,000.85 $64,714.36 $35,719.14 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
0211 APR_DRG — 24 6 — — $21,547.27 $72,889.60 $35,838.58 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
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
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 9 — — $20,848.19 $51,356.43 $36,072.47 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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 11 — — $31,449.90 $87,587.73 $36,969.95 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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 17 11 — — $33,637.26 $94,369.65 $37,462.81 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
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $37,828.21 $37,828.21 $37,828.21 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
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
8501 APR_DRG — 24 6 — — $17,899.22 $107,657.25 $38,295.86 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
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
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
245 MS_DRG Aicd Generator Procedures 17 11 — — $35,191.15 $104,088.84 $39,225.25 2026-01-02
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 9 — — $535.94 $45,115.75 $39,672.72 2026-01-02
8631 APR_DRG — 24 6 — — $13,109.83 $99,326.19 $39,970.76 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 8 — — $27,001.93 $73,964.25 $40,152.05 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
1651 APR_DRG — 24 6 — — $30,424.07 $68,970.79 $40,357.62 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
1671 APR_DRG — 24 6 — — $23,190.20 $77,180.20 $40,511.78 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
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
3041 APR_DRG — 24 6 — — $26,365.29 $93,255.93 $40,815.87 2026-01-02
800 MS_DRG Splenic Procedures With Cc 15 9 — — $22,112.06 $62,063.94 $40,893.42 2026-01-02
6901 APR_DRG — 24 6 — — $14,124.22 $100,511.27 $41,067.46 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
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $41,907.21 $41,907.21 $41,907.21 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
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
0266T HCPCS Implt/rpl Crtd Sns Dev Total 14 9 — — $26,163.19 $45,115.75 $42,146.57 2026-01-02
33981 HCPCS Replace Vad Pump Ext 7 6 — — $752.38 $44,723.25 $42,593.57 2026-01-02
0454T HCPCS Insj/rplcmt Subq Electrode 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0452T HCPCS Insj/rplcmt Dev Vasc Seal 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0451T HCPCS Insj/rplcmt Aortic Ventr Sys 5 5 — — $42,593.57 $44,723.25 $42,593.57 2026-01-02
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 5 5 — — $42,593.57 $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
33975 HCPCS Implant Ventricular Device 9 6 — — $1,190.19 $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
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 7 6 — — $412.87 $44,723.25 $42,593.57 2026-01-02
0459T HCPCS Relocaj Rplcmt Aortic Ventr 5 5 — — $42,593.57 $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
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
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
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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 9 — — $23,145.45 $65,148.18 $43,353.82 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
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
1301 APR_DRG — 24 6 — — $34,650.88 $76,142.74 $44,139.98 2026-01-02
1831 APR_DRG — 24 6 — — $36,942.27 $79,930.34 $44,649.89 2026-01-02
A9545 HCPCS I131 Tositumomab, Rx 1 1 — — $45,605.41 $45,605.41 $45,605.41 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
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
1631 APR_DRG — 24 6 — — $32,048.33 $88,354.34 $46,463.15 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
6131 APR_DRG — 24 6 — — $19,859.53 $116,058.02 $46,856.54 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
J9226 HCPCS Supprelin La Implant 19 9 — — $32,400.21 $90,981.66 $46,927.20 2026-01-02
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $47,211.27 $47,211.27 $47,211.27 2026-01-02
1791 APR_DRG — 24 6 — — $33,858.05 $66,861.71 $47,348.46 2026-01-02
1771 APR_DRG — 24 6 — — $13,969.88 $83,024.92 $47,614.71 2026-01-02
1601 APR_DRG — 24 6 — — $24,993.69 $278,972.29 $47,824.07 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
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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 8 — — $46,400.37 $126,624.24 $48,720.39 2026-01-02
28 MS_DRG Spinal Procedures With Mcc 17 11 — — $31,578.71 $129,493.35 $48,928.75 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
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
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
9101 APR_DRG — 35 11 — — $32,134.21 $145,442.79 $49,477.02 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 11 — — $39,062.90 $106,144.29 $50,077.53 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
6111 APR_DRG — 24 6 — — $17,606.73 $98,324.28 $50,530.46 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
3031 APR_DRG — 24 6 — — $46,654.23 $106,144.13 $51,660.19 2026-01-02
C9098 HCPCS Ciltacabtagene 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
C9073 HCPCS Brexucabtagene Autoleucel Ca 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
C9301 HCPCS Obecabtagene Car Pos T 5 5 — — $51,775.08 $54,363.83 $51,775.08 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 11 — — $42,623.26 $115,631.31 $53,385.62 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
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
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
6081 APR_DRG — 24 6 — — $22,847.92 $87,803.49 $54,147.68 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
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
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
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
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
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
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $5,642.64 $218,299.13 $56,470.28 2026-01-02
6121 APR_DRG — 24 6 — — $31,488.24 $114,570.87 $56,922.73 2026-01-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 9 — — $32,400.21 $110,907.14 $57,344.62 2026-01-02
A9543 HCPCS Y90 Ibritumomab, Rx 17 8 — — $48,780.22 $130,953.16 $57,961.04 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
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
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 8 6 — — $45,909.25 $66,477.30 $59,189.76 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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 11 — — $46,007.32 $130,115.31 $59,630.59 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
1621 APR_DRG — 24 6 — — $44,264.51 $100,385.51 $61,944.27 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
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
1781 APR_DRG — 24 6 — — $50,343.36 $74,667.89 $64,493.71 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
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 8 — — $32,400.21 $127,010.80 $64,699.67 2026-01-02
4401 APR_DRG — 40 10 — — $23,536.97 $111,115.43 $66,373.51 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
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
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
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $67,452.66 $67,452.66 $67,452.66 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
799 MS_DRG Splenic Procedures With Mcc 15 9 — — $38,421.04 $101,277.24 $69,235.79 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 11 — — $62,542.97 $180,494.07 $70,247.35 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
0051 APR_DRG — 24 6 — — $43,967.04 $146,950.61 $73,878.56 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
6071 APR_DRG — 24 6 — — $43,294.94 $122,493.24 $75,076.08 2026-01-02
6311 APR_DRG — 24 6 — — $11,577.67 $250,727.33 $75,358.61 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
6031 APR_DRG — 24 6 — — $27,331.13 $207,084.60 $77,169.21 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
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
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
215 MS_DRG Other Heart Assist System Implant 17 11 — — $76,800.17 $225,669.24 $82,495.63 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
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
8411 APR_DRG — 18 6 — — $58,194.57 $294,329.05 $90,681.76 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
0091 APR_DRG — 18 6 — — $57,400.49 $210,080.77 $93,804.84 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
0041 APR_DRG — 24 6 — — $65,398.57 $201,610.29 $95,439.65 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
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $45,737.00 $106,594.08 $103,294.46 2026-01-02
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $106,120.90 $106,120.90 $106,120.90 2026-01-02
6301 APR_DRG — 24 6 — — $37,318.16 $314,340.00 $107,390.46 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
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
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
6021 APR_DRG — 24 6 — — $28,674.10 $156,172.87 $117,624.82 2026-01-02
5881 APR_DRG — 18 6 — — $115,373.52 $358,611.48 $124,930.28 2026-01-02
5931 APR_DRG — 24 6 — — $31,991.08 $231,484.56 $126,748.79 2026-01-02
6091 APR_DRG — 18 6 — — $52,979.51 $300,071.26 $133,667.71 2026-01-02
5911 APR_DRG — 24 6 — — $84,410.51 $265,172.39 $135,177.66 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
0111 APR_DRG — 31 7 — — $57,178.94 $295,883.02 $148,328.39 2026-01-02
1611 APR_DRG — 24 6 — — $142,211.77 $347,319.79 $154,841.06 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
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
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 8 — — $51,775.08 $283,893.75 $270,375.00 2026-01-02
5891 APR_DRG — 24 6 — — $52,873.72 $464,878.64 $308,370.97 2026-01-02
5831 APR_DRG — 24 6 — — $174,852.56 $507,606.93 $356,385.14 2026-01-02
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $51,775.08 $898,880.00 $489,720.00 2026-01-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $51,775.08 $918,762.90 $533,153.32 2026-01-02
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $51,775.08 $969,380.60 $546,673.05 2026-01-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $51,775.08 $948,121.24 $547,052.02 2026-01-02
Q2056 HCPCS Ciltacabtagene Car-pos T 15 8 — — $51,775.08 $1,014,991.10 $564,446.41 2026-01-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $51,775.08 $1,036,481.36 $584,107.82 2026-01-02
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $51,775.08 $1,140,881.10 $770,620.00 2026-01-02
J3392 HCPCS Inj, Exagamglogene Autotem 14 8 — — $51,775.08 $3,452,460.00 $2,332,000.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 14 8 — — $51,775.08 $4,394,040.00 $2,950,686.67 2026-01-02
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 8 — — $51,775.08 $4,864,830.00 $3,261,355.00 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 8 — — $32,400.21 $3,869,530.00 $3,685,266.67 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
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 8 — — $51,775.08 $4,596,375.00 $4,377,500.00 2026-01-02
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