Hospital

RIVERSIDE REGIONAL MEDICAL CENTER

Newport News, VA · CCN 490052 · Rates published

21,919 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 — reason	Rows
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 via	Discovered by HANK
Last fetch	not_modified · 2026-10-14
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 $3,675,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	8	$32,400.21	$3,869,530.00	$3,685,266.67	nat. median $3,685,267 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 $3,248,446 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	8	$51,775.08	$4,394,040.00	$2,950,686.67	nat. median $2,968,000 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 $2,455,111 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	8	$51,775.08	$3,452,460.00	$2,332,000.00	nat. median $2,332,000 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$51,775.08	$1,140,881.10	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	8	$51,775.08	$1,036,481.36	$584,107.82	nat. median $621,313 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	8	$51,775.08	$1,014,991.10	$564,446.41	nat. median $599,737 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	8	$51,775.08	$948,121.24	$547,052.02	nat. median $579,571 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	8	$51,775.08	$969,380.60	$546,673.05	nat. median $574,037 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	8	$51,775.08	$918,762.90	$533,153.32	nat. median $562,501 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	8	$51,775.08	$898,880.00	$489,720.00	nat. median $513,770 1.0× median
5831 APR_DRG	Neonate With Ecmo	6	$174,852.56	$507,606.93	$356,385.14	nat. median $173,909 outlier · 2.0×
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 $99,483 outlier · 3.1×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	8	$51,775.08	$283,893.75	$270,375.00	nat. median $286,598 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$201,778.70	$505,295.64	$216,759.26	nat. median $131,925 1.6× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$162,983.64	$232,040.07	$207,490.67	nat. median $74,509 outlier · 2.8×
1611 APR_DRG	Implantable Heart Assist Systems	6	$142,211.77	$347,319.79	$154,841.06	nat. median $108,954 1.4× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	5	$116,941.16	$166,489.32	$148,875.07	nat. median $55,935 outlier · 2.7×
111 APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	7	$57,178.94	$295,883.02	$148,328.39	nat. median $30,753 outlier · 4.8×
5911 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$84,410.51	$265,172.39	$135,177.66	nat. median $30,994 outlier · 4.4×
6091 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$52,979.51	$300,071.26	$133,667.71	nat. median $37,807 outlier · 3.5×
5931 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$31,991.08	$231,484.56	$126,748.79	nat. median $33,329 outlier · 3.8×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$115,373.52	$358,611.48	$124,930.28	nat. median $130,862 1.0× median
276 MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	5	$92,674.42	$131,940.72	$117,981.64	nat. median $43,533 outlier · 2.7×
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 $29,873 outlier · 3.9×
461 MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	5	$91,811.17	$130,711.71	$116,882.65	nat. median $38,844 outlier · 3.0×
266 MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	5	$89,628.36	$127,604.04	$114,103.77	nat. median $44,036 outlier · 2.6×
6301 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$37,318.16	$314,340.00	$107,390.46	nat. median $23,172 outlier · 4.6×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$106,120.90	$106,120.90	$106,120.90	nat. median $108,243 1.0× median
J7330 HCPCS	Cultured Chondrocytes Implnt	3	$45,737.00	$106,594.08	$103,294.46	nat. median $92,809 1.1× median
234 MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	5	$79,595.51	$113,320.26	$101,331.19	nat. median $39,159 outlier · 2.6×
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×
91 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	$57,400.49	$210,080.77	$93,804.84	nat. median $43,644 outlier · 2.1×
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	$93,216.70	$93,216.70	$93,216.70	nat. median $95,583 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 $23,507 outlier · 3.9×
267 MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	5	$70,387.02	$100,210.11	$89,608.07	nat. median $34,616 outlier · 2.6×
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	$65,116.50	$171,701.43	$85,883.72	nat. median $56,428 1.5× median
215 MS_DRG	Other Heart Assist System Implant	10	$76,800.17	$225,669.24	$80,924.29	nat. median $73,023 1.1× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$74,342.03	$205,568.43	$78,254.77	nat. median $69,822 1.1× 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 $9,307 outlier · 8.3×
739 MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc	5	$59,558.24	$84,793.17	$75,822.21	nat. median $24,605 outlier · 3.1×
6311 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$11,577.67	$250,727.33	$75,358.61	nat. median $5,637 outlier · 13.4×
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 $31,152 outlier · 2.4×
273 MS_DRG	Percutaneous Intracardiac Procedures W Mcc	5	$58,502.00	$83,289.39	$74,477.53	nat. median $29,055 outlier · 2.6×
217 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$49,187.60	$137,553.27	$73,928.64	nat. median $47,458 1.6× median
51 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	$43,967.04	$146,950.61	$73,878.56	nat. median $27,602 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 21,919 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

0266T	OTHER	Implt/rpl Crtd Sns Dev Total	14	9	—	—	$26,163.19	$45,115.75	$42,146.57	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
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	14	7	—	—	$10,685.58	$118,341.88	$30,919.17	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
0453T	OTHER	Insj/rplcmt Mech-elec Ntrfce	5	5	—	—	$42,593.57	$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
0459T	OTHER	Relocaj Rplcmt Aortic Ventr	5	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	14	7	—	—	$30,252.61	$118,341.88	$31,378.36	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
0674T	OTHER	Laps Insj Nw/rpcmt Prm Isdss	14	7	—	—	$8,418.18	$112,480.47	$29,387.76	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
0951T	OTHER	Tot Impl Amei 1st Plmt	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
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
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
1201	APR_DRG	Major Respiratory And Chest Procedures	24	6	—	—	$14,853.58	$74,924.86	$27,727.21	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
140	MS_DRG	Major Head And Neck Procedures With Mcc	13	8	—	—	$29,441.91	$90,081.96	$30,914.01	2026-01-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	13	8	—	—	$25,988.39	$70,330.47	$27,287.81	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
1611	APR_DRG	Implantable Heart Assist Systems	24	6	—	—	$142,211.77	$347,319.79	$154,841.06	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
163	MS_DRG	Major Chest Procedures With Mcc	15	10	—	—	$27,700.37	$98,175.96	$37,679.16	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
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
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	15	10	—	—	$31,576.60	$82,011.39	$40,017.72	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
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	24	6	—	—	$23,190.20	$77,180.20	$40,511.78	2026-01-02
1691	APR_DRG	Major Abdominal Vascular Procedures	24	6	—	—	$26,489.75	$78,607.21	$32,829.21	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
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
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
1781	APR_DRG	External Heart Assist Systems	24	6	—	—	$50,343.36	$74,667.89	$64,493.71	2026-01-02
1791	APR_DRG	Defibrillator Implants	24	6	—	—	$33,858.05	$66,861.71	$47,348.46	2026-01-02
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	24	6	—	—	$36,942.27	$79,930.34	$44,649.89	2026-01-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	10	—	—	$65,116.50	$171,701.43	$85,883.72	2026-01-02
201	APR_DRG	Open Craniotomy For Trauma	24	6	—	—	$23,994.24	$92,538.33	$33,956.29	2026-01-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	15	10	—	—	$48,966.45	$137,751.36	$54,929.42	2026-01-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	15	10	—	—	$47,478.78	$117,731.49	$67,389.89	2026-01-02
211	APR_DRG	Open Craniotomy Except Trauma	24	6	—	—	$21,547.27	$72,889.60	$35,838.58	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
215	MS_DRG	Other Heart Assist System Implant	15	10	—	—	$76,800.17	$225,669.24	$80,924.29	2026-01-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	10	—	—	$74,342.03	$205,568.43	$78,254.77	2026-01-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	10	—	—	$49,187.60	$137,553.27	$73,928.64	2026-01-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	10	—	—	$44,084.80	$126,720.09	$46,846.13	2026-01-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	10	—	—	$56,643.87	$164,808.75	$61,243.40	2026-01-02
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	15	10	—	—	$27,141.60	$75,197.52	$32,685.54	2026-01-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	10	—	—	$39,242.06	$112,819.71	$41,853.37	2026-01-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	10	—	—	$30,065.89	$97,822.38	$37,168.20	2026-01-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	15	10	—	—	$39,062.90	$106,144.29	$47,573.65	2026-01-02
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	15	10	—	—	$24,874.11	$66,164.19	$31,614.27	2026-01-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	10	—	—	$43,871.87	$121,518.63	$46,065.46	2026-01-02
2301	APR_DRG	Major Small Bowel Procedures	24	6	—	—	$11,842.78	$74,475.16	$27,365.22	2026-01-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	15	10	—	—	$62,542.97	$180,494.07	$66,734.98	2026-01-02
231	APR_DRG	Spinal Procedures	24	6	—	—	$14,549.88	$75,311.69	$31,006.46	2026-01-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	15	10	—	—	$46,007.32	$130,115.31	$56,649.06	2026-01-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	6	5	—	—	$116,941.16	$166,489.32	$148,875.07	2026-01-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	6	5	—	—	$79,595.51	$113,320.26	$101,331.19	2026-01-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	15	10	—	—	$45,488.34	$125,333.46	$47,762.76	2026-01-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	15	10	—	—	$31,449.90	$87,587.73	$35,121.45	2026-01-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	15	10	—	—	$32,009.88	$107,285.97	$38,411.81	2026-01-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	10	—	—	$29,523.57	$80,976.21	$33,780.52	2026-01-02
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	15	10	—	—	$22,047.19	$62,029.86	$27,006.18	2026-01-02
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	15	10	—	—	$26,863.94	$72,249.60	$28,277.83	2026-01-02
245	MS_DRG	Aicd Generator Procedures	15	10	—	—	$35,191.15	$104,088.84	$37,263.99	2026-01-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	13	8	—	—	$34,310.40	$95,259.99	$36,025.92	2026-01-02
252	MS_DRG	Other Vascular Procedures With Mcc	15	10	—	—	$26,203.62	$73,067.52	$35,294.81	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
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	15	10	—	—	$23,676.07	$72,552.06	$26,686.29	2026-01-02
2601	APR_DRG	Major Pancreas, Liver And Shunt Procedures	24	6	—	—	$18,243.99	$60,451.10	$27,551.42	2026-01-02
264	MS_DRG	Other Circulatory System O.r. Procedures	15	10	—	—	$25,533.52	$74,445.63	$29,739.18	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
265	MS_DRG	Aicd Lead Procedures	15	10	—	—	$27,579.68	$75,981.36	$29,062.78	2026-01-02
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	6	5	—	—	$89,628.36	$127,604.04	$114,103.77	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
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	15	10	—	—	$38,620.48	$142,019.88	$54,510.42	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
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	15	10	—	—	$34,872.52	$109,332.90	$40,377.85	2026-01-02
271	APR_DRG	Other Open Craniotomy	24	6	—	—	$19,362.92	$73,698.78	$30,879.04	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
273	MS_DRG	Percutaneous Intracardiac Procedures W Mcc	6	5	—	—	$58,502.00	$83,289.39	$74,477.53	2026-01-02
274	MS_DRG	Percutaneous Intracardiac Procedures Without Mcc	6	5	—	—	$46,693.28	$66,477.30	$59,444.12	2026-01-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	13	8	—	—	$54,304.91	$150,527.10	$57,020.16	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
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	5	—	—	$92,674.42	$131,940.72	$117,981.64	2026-01-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	13	8	—	—	$37,106.80	$99,085.47	$38,962.14	2026-01-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	13	8	—	—	$34,649.27	$106,570.29	$36,381.73	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
28	MS_DRG	Spinal Procedures With Mcc	15	10	—	—	$31,578.71	$129,493.35	$47,996.77	2026-01-02
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	15	10	—	—	$19,887.37	$71,497.71	$27,574.58	2026-01-02
291	APR_DRG	Other Percutaneous Intracranial Procedures	24	6	—	—	$19,184.94	$58,705.61	$30,489.38	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
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
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
3091	APR_DRG	Other Significant Hip And Femur Surgery	24	6	—	—	$11,092.26	$48,973.51	$26,750.68	2026-01-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	13	8	—	—	$32,025.36	$89,259.78	$33,626.63	2026-01-02
3121	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	24	6	—	—	$9,999.46	$95,302.13	$27,121.61	2026-01-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	15	10	—	—	$33,897.51	$93,566.64	$35,869.71	2026-01-02
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A…	6	5	—	—	$42,590.97	$60,636.84	$54,221.57	2026-01-02
3211	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	24	6	—	—	$20,608.81	$39,278.31	$26,874.17	2026-01-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	15	10	—	—	$32,203.95	$90,725.22	$47,537.35	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
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	13	8	—	—	$39,370.47	$108,182.70	$41,338.99	2026-01-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	15	10	—	—	$33,694.57	$97,807.47	$36,132.11	2026-01-02
332	MS_DRG	Rectal Resection With Mcc	15	10	—	—	$28,293.28	$73,883.31	$30,051.07	2026-01-02
33276	HCPCS	Insj Phrnc Nrv Stim Sys	16	9	—	—	$535.94	$45,115.75	$39,672.72	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
33289	HCPCS	Tcat Impl Wrls P-art Prs Snr	16	9	—	—	$23,396.61	$104,931.25	$28,229.70	2026-01-02
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	15	10	—	—	$20,937.89	$77,178.42	$28,728.58	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
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
33983	HCPCS	Replace Vad Intra W/bp	7	6	—	—	$2,080.76	$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
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	15	10	—	—	$24,922.92	$82,829.31	$31,294.43	2026-01-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	15	10	—	—	$28,159.69	$90,859.41	$34,260.40	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
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
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
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
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
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
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
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
37	MS_DRG	Extracranial Procedures With Mcc	15	10	—	—	$26,370.00	$70,735.17	$27,758.89	2026-01-02
38240	HCPCS	Transplt Allo Hct/donor	16	9	—	—	$5,642.64	$218,299.13	$56,470.28	2026-01-02
398	MS_DRG	Appendix Procedures Without Mcc/cc	6	5	—	—	$22,638.99	$32,231.16	$28,821.17	2026-01-02
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	15	10	—	—	$25,583.02	$80,345.73	$30,894.30	2026-01-02
4011	APR_DRG	Adrenal Procedures	24	6	—	—	$10,138.87	$74,618.69	$31,193.72	2026-01-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	15	10	—	—	$42,623.26	$115,631.31	$50,716.34	2026-01-02
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	15	10	—	—	$29,015.27	$74,577.69	$43,710.86	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
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	15	10	—	—	$27,511.75	$74,630.94	$28,989.44	2026-01-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	15	10	—	—	$30,455.44	$86,635.62	$60,852.37	2026-01-02
4401	APR_DRG	Kidney Transplant	38	9	—	—	$23,536.97	$111,115.43	$64,164.62	2026-01-02
4411	APR_DRG	Major Bladder Procedures	24	6	—	—	$14,997.96	$80,963.69	$28,467.47	2026-01-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	10	—	—	$45,343.70	$180,393.96	$66,889.20	2026-01-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	10	—	—	$46,974.30	$122,249.22	$49,323.02	2026-01-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	10	—	—	$35,188.09	$91,973.40	$36,947.49	2026-01-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	6	5	—	—	$91,811.17	$130,711.71	$116,882.65	2026-01-02
462	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	6	5	—	—	$42,845.31	$60,998.94	$54,545.36	2026-01-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	15	10	—	—	$40,703.76	$115,041.30	$45,147.93	2026-01-02
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	15	10	—	—	$23,514.07	$62,805.18	$27,461.07	2026-01-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	15	10	—	—	$40,191.68	$108,514.98	$56,424.59	2026-01-02
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	15	10	—	—	$27,214.87	$72,956.76	$28,575.61	2026-01-02
469	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc	6	5	—	—	$48,903.02	$69,623.31	$62,257.29	2026-01-02
470	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	6	5	—	—	$28,208.97	$40,161.15	$35,912.18	2026-01-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	15	10	—	—	$30,913.43	$103,460.49	$39,293.82	2026-01-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	15	10	—	—	$33,446.45	$95,524.11	$35,383.71	2026-01-02
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	15	10	—	—	$23,710.89	$73,250.70	$27,109.21	2026-01-02
483	MS_DRG	Major Joint/limb Reattachment Procedure Of Upper Extremities	6	5	—	—	$38,123.62	$54,276.66	$48,534.29	2026-01-02
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	15	10	—	—	$25,747.22	$68,571.09	$27,087.68	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
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	13	8	—	—	$27,030.17	$75,640.56	$28,381.68	2026-01-02
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	15	10	—	—	$27,939.15	$74,988.78	$29,449.51	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
510	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc	6	5	—	—	$42,760.03	$60,877.53	$54,436.80	2026-01-02
511	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc	6	5	—	—	$29,341.51	$41,773.56	$37,354.00	2026-01-02
512	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc Without Cc/mcc	6	5	—	—	$24,054.30	$34,246.14	$30,622.97	2026-01-02
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	15	10	—	—	$26,615.02	$76,339.20	$29,332.31	2026-01-02
52	MS_DRG	Spinal Disorders And Injuries With Cc/mcc	15	10	—	—	$15,447.74	$42,866.25	$30,109.01	2026-01-02
562	MS_DRG	Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc	6	5	—	—	$21,895.42	$31,172.55	$27,874.56	2026-01-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	15	10	—	—	$48,064.16	$131,169.66	$51,134.18	2026-01-02
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	15	10	—	—	$13,782.76	$73,802.37	$27,398.49	2026-01-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	15	10	—	—	$43,981.00	$114,919.89	$46,734.27	2026-01-02
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	15	10	—	—	$20,291.87	$69,425.22	$26,898.53	2026-01-02
5831	APR_DRG	Neonate With Ecmo	24	6	—	—	$174,852.56	$507,606.93	$356,385.14	2026-01-02
584	MS_DRG	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	15	10	—	—	$15,555.35	$43,609.62	$26,937.29	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
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
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
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
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
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
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
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
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
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
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
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
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
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	15	10	—	—	$30,812.63	$82,324.50	$39,022.77	2026-01-02
61886	HCPCS	Implant Neurostim Arrays	16	9	—	—	$24,996.65	$112,480.47	$29,096.79	2026-01-02
61889	HCPCS	Ins Sk-mnt Crnl Nstm Pg/rcvr	7	6	—	—	$26,163.19	$79,152.97	$26,822.50	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
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	15	10	—	—	$29,804.43	$79,704.60	$31,459.43	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
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
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
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	15	10	—	—	$31,246.13	$84,043.41	$33,012.99	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
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
63685	HCPCS	Ins/rplc Spi Npg/rcvr Pocket	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
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	12	7	—	—	$34,932.42	$98,135.49	$36,329.71	2026-01-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	12	7	—	—	$27,001.93	$73,964.25	$28,082.01	2026-01-02
653	MS_DRG	Major Bladder Procedures With Mcc	15	10	—	—	$41,924.16	$118,738.98	$44,518.39	2026-01-02
67	MS_DRG	Precerebral Occlusion Without Infarction With Mcc	6	5	—	—	$21,766.76	$30,989.37	$27,710.75	2026-01-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	15	10	—	—	$27,635.91	$89,238.48	$29,695.50	2026-01-02
6801	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	24	6	—	—	$12,838.50	$158,917.54	$26,739.00	2026-01-02
6901	APR_DRG	Acute Leukemia	24	6	—	—	$14,124.22	$100,511.27	$41,067.46	2026-01-02
69930	HCPCS	Implant Cochlear Device	16	9	—	—	$26,994.86	$117,405.25	$31,585.57	2026-01-02
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	6	5	—	—	$26,014.19	$37,036.44	$33,118.06	2026-01-02
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	15	10	—	—	$30,274.56	$83,870.88	$31,966.17	2026-01-02
739	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc	6	5	—	—	$59,558.24	$84,793.17	$75,822.21	2026-01-02
740	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc	6	5	—	—	$27,203.59	$38,729.79	$34,632.25	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
791	MS_DRG	Prematurity With Major Problems	13	8	—	—	$31,881.12	$86,475.87	$33,475.18	2026-01-02
793	MS_DRG	Full Term Neonate With Major Problems	13	8	—	—	$32,732.86	$88,831.65	$34,369.50	2026-01-02
799	MS_DRG	Splenic Procedures With Mcc	13	8	—	—	$38,421.04	$101,277.24	$40,342.09	2026-01-02
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	15	10	—	—	$26,482.19	$76,356.24	$41,226.80	2026-01-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	15	10	—	—	$46,455.71	$124,014.99	$48,900.75	2026-01-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	15	10	—	—	$34,899.94	$99,673.35	$36,714.30	2026-01-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	15	10	—	—	$34,102.81	$101,718.15	$39,967.35	2026-01-02
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	13	8	—	—	$43,339.15	$117,731.49	$45,506.11	2026-01-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	15	10	—	—	$34,266.51	$106,653.36	$38,017.19	2026-01-02
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	15	10	—	—	$24,458.92	$67,925.70	$30,940.84	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
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
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
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	15	10	—	—	$37,210.65	$106,527.69	$39,925.06	2026-01-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	15	10	—	—	$23,503.45	$96,097.08	$35,437.19	2026-01-02
8631	APR_DRG	Neonatal Aftercare	24	6	—	—	$13,109.83	$99,326.19	$39,970.76	2026-01-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	15	10	—	—	$53,763.80	$148,173.45	$56,451.99	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
8901	APR_DRG	HIV With Multiple Major HIV Related Conditions	24	6	—	—	$10,313.12	$92,449.48	$35,630.82	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
895	MS_DRG	Alcohol/drug Abuse Or Dependence W Rehabilitation Therapy	4	4	—	—	$723.79	$30,840.27	$27,526.75	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
901	MS_DRG	Wound Debridements For Injuries With Mcc	15	10	—	—	$33,637.26	$94,369.65	$35,589.67	2026-01-02
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	15	10	—	—	$25,458.73	$82,241.43	$26,731.67	2026-01-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	15	10	—	—	$27,798.89	$84,852.81	$29,864.51	2026-01-02
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	18	6	—	—	$57,400.49	$210,080.77	$93,804.84	2026-01-02
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	33	10	—	—	$32,134.21	$145,442.79	$49,442.42	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
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
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	10	—	—	$201,778.70	$505,295.64	$216,759.26	2026-01-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	15	10	—	—	$35,111.08	$142,260.57	$55,021.39	2026-01-02
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	15	10	—	—	$23,828.68	$77,717.31	$29,103.56	2026-01-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	15	10	—	—	$30,205.88	$81,417.12	$57,186.93	2026-01-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	15	10	—	—	$55,806.14	$158,987.46	$63,924.94	2026-01-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	15	10	—	—	$31,477.38	$87,538.74	$34,125.01	2026-01-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	15	10	—	—	$53,059.36	$134,707.59	$56,516.45	2026-01-02
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	15	10	—	—	$28,047.08	$76,351.98	$29,523.24	2026-01-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	10	—	—	$36,786.25	$101,258.07	$38,625.56	2026-01-02
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	10	—	—	$26,378.39	$74,607.51	$29,453.21	2026-01-02
A9543	HCPCS	Y90 Ibritumomab, Rx	17	8	—	—	$48,780.22	$130,953.16	$57,961.04	2026-01-02
A9545	HCPCS	I131 Tositumomab, Rx	1	1	—	—	$45,605.41	$45,605.41	$45,605.41	2026-01-02
C1822	HCPCS	Gen, Neuro, Hf, Rechg Bat	1	1	—	—	$27,138.86	$27,138.86	$27,138.86	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
C9081	HCPCS	Idecabtagene Car Pos T	5	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9085	HCPCS	Inj Avalglucosid Alfa-ngpt	5	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
C9098	HCPCS	Ciltacabtagene Car Pos T	5	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9146	HCPCS	Inj, Elahere, 1 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
C9172	HCPCS	Inj, Beqvez, Per Tx Dose	12	7	—	—	$32,400.21	$3,895,500.00	$3,710,000.00	2026-01-02
C9301	HCPCS	Obecabtagene Car Pos T	5	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9304	HCPCS	Inj Marstacimab, 0.5 Mg	5	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
G0448	HCPCS	Place Perm Pacing Cardiovert	5	5	—	—	$30,252.61	$31,765.24	$30,252.61	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
J3391	HCPCS	Inj, Atidarsagene Autotemcel	13	8	—	—	$51,775.08	$4,596,375.00	$4,377,500.00	2026-01-02
J3392	HCPCS	Inj, Exagamglogene Autotem	14	8	—	—	$51,775.08	$3,452,460.00	$2,332,000.00	2026-01-02
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
J3399	HCPCS	Inj Onase Abepar-xioi Treat	9	8	—	—	$2,452,115.60	$4,545,204.82	$2,525,679.07	2026-01-02
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	6	6	—	—	$51,775.08	$205,640.00	$52,427.44	2026-01-02
J3403	HCPCS	Revakinagene, Per Implant	6	6	—	—	$51,775.08	$257,500.00	$52,427.44	2026-01-02
J7174	HCPCS	Injection Fitusiran 0.04 Mg	6	6	—	—	$133.25	$34,020.22	$32,400.21	2026-01-02
J7330	HCPCS	Cultured Chondrocytes Implnt	3	3	—	—	$45,737.00	$106,594.08	$103,294.46	2026-01-02
J9029	HCPCS	Instill Adstiladrin, Tx Dose	17	8	—	—	$32,400.21	$127,010.80	$64,699.67	2026-01-02
J9226	HCPCS	Supprelin La Implant	19	9	—	—	$32,400.21	$90,981.66	$46,927.20	2026-01-02
J9266	HCPCS	Pegaspargase Injection	14	9	—	—	$28,424.06	$53,472.66	$29,561.02	2026-01-02
J9376	HCPCS	Inj Pozelimab-bbfg, 1 Mg	7	6	—	—	$91.73	$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
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	2	1	—	—	$93,216.70	$93,216.70	$93,216.70	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
L5856	HCPCS	Elec Knee-shin Swing/stance	2	1	—	—	$28,285.52	$28,285.52	$28,285.52	2026-01-02
L6700	HCPCS	Ue Add Ext Power Myoel	2	1	—	—	$28,931.56	$28,931.56	$28,931.56	2026-01-02
L6880	HCPCS	Elec Hand Ind Art Digits	2	1	—	—	$28,151.96	$28,151.96	$28,151.96	2026-01-02
L7180	HCPCS	Electronic Elbow Sequential	2	1	—	—	$41,907.21	$41,907.21	$41,907.21	2026-01-02
L7181	HCPCS	Electronic Elbo Simultaneous	2	1	—	—	$47,211.27	$47,211.27	$47,211.27	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
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	2	1	—	—	$67,452.66	$67,452.66	$67,452.66	2026-01-02
Q0480	HCPCS	Driver Pneumatic Vad, Rep	2	1	—	—	$106,120.90	$106,120.90	$106,120.90	2026-01-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	14	8	—	—	$51,775.08	$918,762.90	$533,153.32	2026-01-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	14	8	—	—	$51,775.08	$1,036,481.36	$584,107.82	2026-01-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	18	9	—	—	$32,400.21	$110,907.14	$57,344.62	2026-01-02
Q2053	HCPCS	Brexucabtagene Car Pos T	14	8	—	—	$51,775.08	$898,880.00	$489,720.00	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
Q2056	HCPCS	Ciltacabtagene Car-pos T	15	8	—	—	$51,775.08	$1,014,991.10	$564,446.41	2026-01-02
Q2057	HCPCS	Afamitresgene Autoleucel	13	7	—	—	$51,775.08	$1,140,881.10	$770,620.00	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
Q5139	HCPCS	Inj, Eculizumab-aeeb, 10 Mg	5	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
S2235	HCPCS	Implant Auditory Brain Imp	5	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02

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