Hospital

RIVERSIDE WALTER REED HOSPITAL

Gloucester, VA · CCN 490130 · Rates published

21,455 distinct procedures filed

10 distinct payers

287,782 rate rows

2026-01-02 last MRF observed

Data quality

276,213 of 287,782 rate rows are consumer-grade (96.0%)

11,569 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	5,178
template filing: same amount across many unrelated codes — excluded	2,026
placeholder amount (≤ $0.02) — excluded from medians	1,934
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,440
exceeds 10× this hospital's gross charge — excluded from medians	923
per-diem day rate — not a per-procedure price	57
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	11

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

Source MRF file	https://riverside.pt.panaceainc.com/MRFDownload/riverside/RWRH
Found on page	https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-27
Content fingerprint	e0c244f3dec49e16… · 111,299,076 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3391 HCPCS	Inj, Atidarsagene Autotemcel	7	$51,775.08	$4,596,375.00	$4,421,275.00	nat. median $4,505,000 1.0× median
C9172 HCPCS	Inj, Beqvez, Per Tx Dose	6	$32,400.21	$3,895,500.00	$3,710,000.00	nat. median $3,605,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$32,400.21	$3,869,530.00	$3,685,266.67	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$32,400.21	$3,490,800.50	$3,320,517.25	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$51,775.08	$4,864,830.00	$3,261,355.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$51,775.08	$4,394,040.00	$2,950,686.67	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	7	$2,452,115.60	$4,806,917.50	$2,525,679.07	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	7	$51,775.08	$4,664,000.00	$2,355,320.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	6	$51,775.08	$1,140,881.10	$778,326.20	nat. median $813,967 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$51,775.08	$1,131,247.68	$589,891.07	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$51,775.08	$1,102,636.68	$565,157.68	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$51,775.08	$1,032,971.94	$552,468.37	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$51,775.08	$1,056,624.86	$552,085.66	nat. median $622,450 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$51,775.08	$979,034.30	$533,230.17	nat. median $608,239 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$51,775.08	$976,103.02	$489,720.00	nat. median $591,721 0.8× median
5831 APR_DRG	Neonate With Ecmo	5	$182,178.94	$505,663.48	$364,303.43	nat. median $146,500 outlier · 2.5×
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	5	$55,089.14	$463,098.78	$316,526.65	nat. median $93,998 outlier · 3.4×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	7	$51,775.08	$283,893.75	$273,078.75	nat. median $319,951 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	$208,896.19	$505,295.64	$226,173.29	nat. median $198,418 1.1× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$173,790.39	$232,040.07	$207,490.67	nat. median $97,323 outlier · 2.1×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$198,299.32	$198,299.32	$198,299.32	nat. median $93,276 outlier · 2.1×
850 MS_DRG	Acute Leukemia With Other Procedures	1	$174,381.27	$174,381.27	$174,381.27	nat. median $78,268 outlier · 2.2×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	9	$169,076.85	$405,700.19	$174,149.16	nat. median $190,559 0.9× median
1611 APR_DRG	Implantable Heart Assist Systems	5	$148,170.49	$345,990.02	$159,793.67	nat. median $76,852 outlier · 2.1×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	$157,887.56	$157,887.56	$157,887.56	nat. median $78,049 outlier · 2.0×
111 APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	6	$59,574.76	$306,340.70	$152,644.02	nat. median $34,085 outlier · 4.5×
233 MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	5	$124,695.03	$166,489.32	$148,875.07	nat. median $71,748 outlier · 2.1×
5911 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$87,947.34	$264,157.14	$137,901.92	nat. median $37,247 outlier · 3.7×
6091 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$55,199.37	$298,922.39	$137,535.48	nat. median $33,638 outlier · 4.1×
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$134,454.11	$134,454.11	$134,454.11	nat. median $63,648 outlier · 2.1×
5931 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$33,331.52	$230,598.29	$129,586.51	nat. median $32,930 outlier · 3.9×
447 MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	$126,919.97	$126,919.97	$126,919.97	nat. median $60,596 outlier · 2.1×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$120,207.70	$357,238.49	$126,218.09	nat. median $120,208 1.1× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	$116,755.48	$267,480.90	$120,258.14	nat. median $126,695 0.9× median
6021 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$29,875.56	$155,574.94	$120,115.64	nat. median $31,154 outlier · 3.9×
276 MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	5	$98,819.26	$131,940.72	$117,981.64	nat. median $56,687 outlier · 2.1×
317 MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	$117,108.55	$117,108.55	$117,108.55	nat. median $57,556 outlier · 2.0×
461 MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	5	$97,898.78	$130,711.71	$116,882.65	nat. median $53,342 outlier · 2.2×
266 MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	5	$95,571.23	$127,604.04	$114,103.77	nat. median $58,280 2.0× median
6301 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$38,881.80	$313,136.50	$109,678.87	nat. median $24,189 outlier · 4.5×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$106,120.90	$106,120.90	$106,120.90	nat. median $111,503 1.0× median
428 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$104,192.61	$104,192.61	$104,192.61	nat. median $50,573 outlier · 2.1×
430 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	$103,556.57	$103,556.57	$103,556.57	nat. median $51,241 outlier · 2.0×
J7330 HCPCS	Cultured Chondrocytes Implnt	3	$45,737.00	$115,121.61	$103,294.46	nat. median $75,000 1.4× median
11 MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	1	$102,144.39	$102,144.39	$102,144.39	nat. median $50,018 outlier · 2.0×
234 MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	5	$84,873.15	$113,320.26	$101,331.19	nat. median $51,598 2.0× median
450 MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically…	1	$97,491.39	$97,491.39	$97,491.39	nat. median $48,253 outlier · 2.0×
41 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$68,138.79	$200,838.40	$97,316.29	nat. median $42,618 outlier · 2.3×
91 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	$59,805.59	$209,276.45	$96,519.15	nat. median $46,282 outlier · 2.1×
8411 APR_DRG	Extensive Third Degree Burns With Skin Graft	5	$60,632.94	$293,202.17	$93,305.69	nat. median $31,109 outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 21,455 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J3391	HCPCS	Inj, Atidarsagene Autotemcel	12	7	—	—	$51,775.08	$4,596,375.00	$4,421,275.00	2026-01-02
C9172	HCPCS	Inj, Beqvez, Per Tx Dose	11	6	—	—	$32,400.21	$3,895,500.00	$3,710,000.00	2026-01-02
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	12	7	—	—	$32,400.21	$3,869,530.00	$3,685,266.67	2026-01-02
J1413	HCPCS	Inj Delandistrogene Mox Rokl	12	7	—	—	$32,400.21	$3,490,800.50	$3,320,517.25	2026-01-02
J3394	HCPCS	Inj, Lovotibeglogene Autotem	13	7	—	—	$51,775.08	$4,864,830.00	$3,261,355.00	2026-01-02
J3393	HCPCS	Inj, Betibeglogene Autotemce	13	7	—	—	$51,775.08	$4,394,040.00	$2,950,686.67	2026-01-02
J3399	HCPCS	Inj Onase Abepar-xioi Treat	8	7	—	—	$2,452,115.60	$4,806,917.50	$2,525,679.07	2026-01-02
J3392	HCPCS	Inj, Exagamglogene Autotem	14	7	—	—	$51,775.08	$4,664,000.00	$2,355,320.00	2026-01-02
Q2057	HCPCS	Afamitresgene Autoleucel	12	6	—	—	$51,775.08	$1,140,881.10	$778,326.20	2026-01-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	13	7	—	—	$51,775.08	$1,131,247.68	$589,891.07	2026-01-02
Q2056	HCPCS	Ciltacabtagene Car-pos T	14	7	—	—	$51,775.08	$1,102,636.68	$565,157.68	2026-01-02
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	13	7	—	—	$51,775.08	$1,032,971.94	$552,468.37	2026-01-02
Q2055	HCPCS	Idecabtagene Vicleucel Car	13	7	—	—	$51,775.08	$1,056,624.86	$552,085.66	2026-01-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	13	7	—	—	$51,775.08	$979,034.30	$533,230.17	2026-01-02
Q2053	HCPCS	Brexucabtagene Car Pos T	13	7	—	—	$51,775.08	$976,103.02	$489,720.00	2026-01-02
5831	APR_DRG	Neonate With Ecmo	20	5	—	—	$182,178.94	$505,663.48	$364,303.43	2026-01-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	20	5	—	—	$55,089.14	$463,098.78	$316,526.65	2026-01-02
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	12	7	—	—	$51,775.08	$283,893.75	$273,078.75	2026-01-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	9	—	—	$208,896.19	$505,295.64	$226,173.29	2026-01-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	6	5	—	—	$173,790.39	$232,040.07	$207,490.67	2026-01-02
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$198,299.32	$198,299.32	$198,299.32	2026-01-02
850	MS_DRG	Acute Leukemia With Other Procedures	1	1	—	—	$174,381.27	$174,381.27	$174,381.27	2026-01-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	9	9	—	—	$169,076.85	$405,700.19	$174,149.16	2026-01-02
1611	APR_DRG	Implantable Heart Assist Systems	20	5	—	—	$148,170.49	$345,990.02	$159,793.67	2026-01-02
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$157,887.56	$157,887.56	$157,887.56	2026-01-02
111	APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	26	6	—	—	$59,574.76	$306,340.70	$152,644.02	2026-01-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	6	5	—	—	$124,695.03	$166,489.32	$148,875.07	2026-01-02
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	20	5	—	—	$87,947.34	$264,157.14	$137,901.92	2026-01-02
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	5	—	—	$55,199.37	$298,922.39	$137,535.48	2026-01-02
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$134,454.11	$134,454.11	$134,454.11	2026-01-02
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	20	5	—	—	$33,331.52	$230,598.29	$129,586.51	2026-01-02
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$126,919.97	$126,919.97	$126,919.97	2026-01-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	5	—	—	$120,207.70	$357,238.49	$126,218.09	2026-01-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	9	—	—	$116,755.48	$267,480.90	$120,258.14	2026-01-02
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	20	5	—	—	$29,875.56	$155,574.94	$120,115.64	2026-01-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	5	—	—	$98,819.26	$131,940.72	$117,981.64	2026-01-02
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	1	—	—	$117,108.55	$117,108.55	$117,108.55	2026-01-02
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	6	5	—	—	$97,898.78	$130,711.71	$116,882.65	2026-01-02
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	6	5	—	—	$95,571.23	$127,604.04	$114,103.77	2026-01-02
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	20	5	—	—	$38,881.80	$313,136.50	$109,678.87	2026-01-02
Q0480	HCPCS	Driver Pneumatic Vad, Rep	2	1	—	—	$106,120.90	$106,120.90	$106,120.90	2026-01-02
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$104,192.61	$104,192.61	$104,192.61	2026-01-02
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	1	—	—	$103,556.57	$103,556.57	$103,556.57	2026-01-02
J7330	HCPCS	Cultured Chondrocytes Implnt	3	3	—	—	$45,737.00	$115,121.61	$103,294.46	2026-01-02
11	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	1	1	—	—	$102,144.39	$102,144.39	$102,144.39	2026-01-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	6	5	—	—	$84,873.15	$113,320.26	$101,331.19	2026-01-02
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	1	1	—	—	$97,491.39	$97,491.39	$97,491.39	2026-01-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	20	5	—	—	$68,138.79	$200,838.40	$97,316.29	2026-01-02
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	15	5	—	—	$59,805.59	$209,276.45	$96,519.15	2026-01-02
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	5	—	—	$60,632.94	$293,202.17	$93,305.69	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
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	6	5	—	—	$75,054.08	$100,210.11	$89,608.07	2026-01-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	14	9	—	—	$67,379.63	$171,701.43	$89,102.26	2026-01-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	12	7	—	—	$56,183.99	$150,527.10	$85,866.52	2026-01-02
215	MS_DRG	Other Heart Assist System Implant	14	9	—	—	$76,800.17	$225,669.24	$84,560.51	2026-01-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	9	—	—	$74,342.03	$205,568.43	$80,529.82	2026-01-02
6031	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	20	5	—	—	$28,476.32	$206,291.74	$79,027.10	2026-01-02
12	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Cc	1	1	—	—	$77,683.04	$77,683.04	$77,683.04	2026-01-02
6311	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	20	5	—	—	$12,062.78	$249,767.38	$77,306.90	2026-01-02
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$77,300.66	$77,300.66	$77,300.66	2026-01-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	9	—	—	$50,884.92	$137,553.27	$76,699.15	2026-01-02
6071	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	20	5	—	—	$45,109.01	$122,024.25	$76,687.92	2026-01-02
739	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc	6	5	—	—	$63,507.30	$84,793.17	$75,822.21	2026-01-02
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	20	5	—	—	$45,809.28	$146,387.99	$75,350.24	2026-01-02
273	MS_DRG	Percutaneous Intracardiac Procedures W Mcc	6	5	—	—	$62,381.02	$83,289.39	$74,477.53	2026-01-02
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$74,057.95	$74,057.95	$74,057.95	2026-01-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	12	7	—	—	$47,998.68	$126,624.24	$72,618.00	2026-01-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	14	9	—	—	$49,115.40	$117,731.49	$69,915.36	2026-01-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	9	—	—	$45,343.70	$180,393.96	$69,885.76	2026-01-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	14	9	—	—	$64,714.68	$180,494.07	$69,843.62	2026-01-02
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	12	7	—	—	$44,828.71	$117,731.49	$67,623.59	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
1781	APR_DRG	External Heart Assist Systems	20	5	—	—	$52,452.76	$74,382.02	$67,196.02	2026-01-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	14	9	—	—	$57,738.55	$158,987.46	$66,320.56	2026-01-02
J9029	HCPCS	Instill Adstiladrin, Tx Dose	17	8	—	—	$32,400.21	$126,804.08	$65,333.98	2026-01-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	9	—	—	$56,643.87	$164,808.75	$63,982.66	2026-01-02
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	20	5	—	—	$46,119.21	$100,001.17	$63,364.96	2026-01-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	14	9	—	—	$31,487.37	$86,635.62	$63,110.71	2026-01-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	14	9	—	—	$31,228.94	$81,417.12	$62,834.12	2026-01-02
469	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc	6	5	—	—	$52,145.57	$69,623.31	$62,257.29	2026-01-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	12	7	—	—	$40,719.07	$108,182.70	$61,890.15	2026-01-02
4401	APR_DRG	Kidney Transplant	33	8	—	—	$24,323.15	$110,690.01	$61,203.79	2026-01-02
274	MS_DRG	Percutaneous Intracardiac Procedures Without Mcc	6	5	—	—	$49,789.31	$66,477.30	$59,444.12	2026-01-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	14	9	—	—	$54,894.19	$134,707.59	$59,195.65	2026-01-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	14	9	—	—	$55,597.05	$148,173.45	$59,084.47	2026-01-02
799	MS_DRG	Splenic Procedures With Mcc	12	7	—	—	$39,735.91	$101,277.24	$58,788.01	2026-01-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	14	9	—	—	$47,591.66	$130,115.31	$58,772.01	2026-01-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	12	7	—	—	$35,830.16	$106,570.29	$58,719.65	2026-01-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	14	9	—	—	$41,569.45	$108,514.98	$58,539.12	2026-01-02
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$58,417.98	$58,417.98	$58,417.98	2026-01-02
6121	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	20	5	—	—	$32,807.61	$114,132.22	$58,266.07	2026-01-02
A9543	HCPCS	Y90 Ibritumomab, Rx	16	7	—	—	$48,780.22	$113,649.10	$58,245.17	2026-01-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	17	8	—	—	$32,400.21	$111,073.00	$57,624.35	2026-01-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	14	9	—	—	$35,111.08	$142,260.57	$57,477.08	2026-01-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	9	—	—	$48,966.45	$137,751.36	$57,380.93	2026-01-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	12	7	—	—	$38,374.98	$99,085.47	$57,252.74	2026-01-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	14	9	—	—	$38,620.48	$142,019.88	$56,942.84	2026-01-02
38240	HCPCS	Transplt Allo Hct/donor	15	8	—	—	$5,642.64	$224,109.29	$56,470.28	2026-01-02
6081	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	20	5	—	—	$23,805.26	$87,467.33	$55,336.60	2026-01-02
462	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	6	5	—	—	$45,686.20	$60,998.94	$54,545.36	2026-01-02
510	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc	6	5	—	—	$45,595.27	$60,877.53	$54,436.80	2026-01-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	12	7	—	—	$35,479.26	$95,259.99	$54,299.91	2026-01-02
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A…	6	5	—	—	$45,415.00	$60,636.84	$54,221.57	2026-01-02
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	20	5	—	—	$48,609.06	$105,737.74	$53,824.77	2026-01-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	14	9	—	—	$49,721.57	$131,169.66	$53,587.19	2026-01-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	14	9	—	—	$44,087.40	$115,631.31	$52,616.96	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
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
J3387	HCPCS	Inj Elivaldogene Autotemecel	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
C9301	HCPCS	Obecabtagene 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
J3389	HCPCS	Topi Adm Prad Zami Per Treat	5	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
6111	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	20	5	—	—	$18,344.46	$97,947.83	$51,743.96	2026-01-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	9	—	—	$47,924.07	$122,249.22	$51,269.34	2026-01-02
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	29	9	—	—	$33,480.65	$145,442.79	$51,146.29	2026-01-02
793	MS_DRG	Full Term Neonate With Major Problems	12	7	—	—	$33,845.68	$88,831.65	$51,034.98	2026-01-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	12	7	—	—	$33,113.05	$89,259.78	$50,810.67	2026-01-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	14	9	—	—	$46,455.71	$124,014.99	$50,361.46	2026-01-02
13	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc	1	1	—	—	$50,164.50	$50,164.50	$50,164.50	2026-01-02
28	MS_DRG	Spinal Procedures With Mcc	14	9	—	—	$31,578.71	$129,493.35	$50,132.32	2026-01-02
140	MS_DRG	Major Head And Neck Procedures With Mcc	12	7	—	—	$30,437.83	$90,081.96	$49,714.07	2026-01-02
791	MS_DRG	Prematurity With Major Problems	12	7	—	—	$32,963.68	$86,475.87	$49,689.72	2026-01-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	14	9	—	—	$40,400.57	$106,144.29	$49,356.50	2026-01-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	14	9	—	—	$33,297.99	$90,725.22	$49,318.83	2026-01-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	14	9	—	—	$45,787.46	$125,333.46	$49,313.12	2026-01-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	9	—	—	$45,600.85	$126,720.09	$49,119.10	2026-01-02
1601	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	20	5	—	—	$26,040.94	$277,904.20	$49,086.44	2026-01-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	14	9	—	—	$45,493.37	$114,919.89	$49,002.54	2026-01-02
1771	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	20	5	—	—	$14,555.22	$82,707.05	$48,668.58	2026-01-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	9	—	—	$45,380.36	$121,518.63	$48,569.71	2026-01-02
483	MS_DRG	Major Joint/limb Reattachment Procedure Of Upper Extremities	6	5	—	—	$40,651.43	$54,276.66	$48,534.29	2026-01-02
1791	APR_DRG	Defibrillator Implants	20	5	—	—	$35,276.71	$66,605.72	$48,256.49	2026-01-02
6131	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	20	5	—	—	$20,691.66	$115,613.68	$47,975.80	2026-01-02
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	20	5	—	—	$33,391.17	$88,016.07	$47,529.06	2026-01-02
L7181	HCPCS	Electronic Elbo Simultaneous	2	1	—	—	$47,211.27	$47,211.27	$47,211.27	2026-01-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	14	9	—	—	$40,703.76	$115,041.30	$47,153.65	2026-01-02
J9226	HCPCS	Supprelin La Implant	18	8	—	—	$32,400.21	$98,260.19	$46,927.20	2026-01-02
653	MS_DRG	Major Bladder Procedures With Mcc	14	9	—	—	$43,363.47	$118,738.98	$46,693.36	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	20	5	—	—	$38,490.17	$79,624.31	$45,549.34	2026-01-02
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	14	9	—	—	$29,996.04	$74,577.69	$45,348.95	2026-01-02
1301	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	20	5	—	—	$36,102.77	$75,851.22	$45,077.69	2026-01-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	9	—	—	$39,242.06	$112,819.71	$43,708.94	2026-01-02
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	12	7	—	—	$27,940.43	$75,640.56	$42,994.87	2026-01-02
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	14	9	—	—	$27,372.98	$76,356.24	$42,771.79	2026-01-02
33975	HCPCS	Implant Ventricular Device	9	5	—	—	$1,190.19	$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	5	—	—	$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
0452T	OTHER	Insj/rplcmt Dev Vasc Seal	5	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
33983	HCPCS	Replace Vad Intra W/bp	7	5	—	—	$2,080.76	$44,723.25	$42,593.57	2026-01-02
33981	HCPCS	Replace Vad Pump Ext	7	5	—	—	$752.38	$44,723.25	$42,593.57	2026-01-02
0451T	OTHER	Insj/rplcmt Aortic Ventr Sys	5	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
33979	HCPCS	Insert Intracorporeal Device	7	5	—	—	$1,768.15	$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
33982	HCPCS	Replace Vad Intra Without Bp	7	5	—	—	$1,768.89	$44,723.25	$42,593.57	2026-01-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	14	9	—	—	$34,872.52	$109,332.90	$42,166.18	2026-01-02
6901	APR_DRG	Acute Leukemia	20	5	—	—	$14,716.02	$100,126.44	$41,998.06	2026-01-02
L7180	HCPCS	Electronic Elbow Sequential	2	1	—	—	$41,907.21	$41,907.21	$41,907.21	2026-01-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	14	9	—	—	$37,210.65	$106,527.69	$41,692.75	2026-01-02
3041	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	20	5	—	—	$27,470.00	$92,898.89	$41,658.36	2026-01-02
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	20	5	—	—	$24,161.88	$76,884.70	$41,592.85	2026-01-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	14	9	—	—	$32,648.35	$82,011.39	$41,517.41	2026-01-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	14	9	—	—	$35,264.30	$101,718.15	$41,465.15	2026-01-02
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	13	8	—	—	$26,163.19	$45,115.75	$41,325.75	2026-01-02
1651	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	20	5	—	—	$31,698.85	$68,706.72	$41,160.99	2026-01-02
8631	APR_DRG	Neonatal Aftercare	20	5	—	—	$13,659.14	$98,945.91	$41,040.09	2026-01-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	14	9	—	—	$30,913.43	$103,460.49	$41,032.74	2026-01-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	9	—	—	$38,043.05	$101,258.07	$40,715.04	2026-01-02
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	14	9	—	—	$31,857.24	$82,324.50	$40,485.16	2026-01-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	12	7	—	—	$26,861.64	$70,330.47	$40,439.96	2026-01-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	14	9	—	—	$32,009.88	$107,285.97	$40,110.53	2026-01-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	14	9	—	—	$34,266.51	$106,653.36	$39,697.92	2026-01-02
163	MS_DRG	Major Chest Procedures With Mcc	14	9	—	—	$27,700.37	$98,175.96	$39,344.50	2026-01-02
8501	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	20	5	—	—	$18,649.20	$107,245.07	$39,189.46	2026-01-02
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	12	7	—	—	$25,873.75	$68,253.72	$39,143.61	2026-01-02
245	MS_DRG	Aicd Generator Procedures	14	9	—	—	$36,391.29	$104,088.84	$39,133.90	2026-01-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	9	—	—	$30,065.89	$97,822.38	$38,810.24	2026-01-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	9	—	—	$36,257.92	$91,973.40	$38,591.51	2026-01-02
33276	HCPCS	Insj Phrnc Nrv Stim Sys	15	8	—	—	$535.94	$45,115.75	$38,019.69	2026-01-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	11	6	—	—	$36,123.37	$98,135.49	$37,929.54	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
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	14	9	—	—	$34,899.94	$99,673.35	$37,740.89	2026-01-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	14	9	—	—	$33,694.57	$97,807.47	$37,726.94	2026-01-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	14	9	—	—	$35,051.70	$93,566.64	$37,681.24	2026-01-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	14	9	—	—	$34,782.20	$94,369.65	$37,389.23	2026-01-02
511	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc	6	5	—	—	$31,287.02	$41,773.56	$37,354.00	2026-01-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	14	9	—	—	$34,584.62	$95,524.11	$37,174.81	2026-01-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	14	9	—	—	$23,503.45	$96,097.08	$37,000.35	2026-01-02
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	12	7	—	—	$23,917.71	$65,148.18	$36,953.72	2026-01-02
211	APR_DRG	Open Craniotomy Except Trauma	20	5	—	—	$22,450.11	$72,610.53	$36,736.03	2026-01-02
6231	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	20	5	—	—	$12,503.69	$64,466.59	$36,687.30	2026-01-02
252	MS_DRG	Other Vascular Procedures With Mcc	14	9	—	—	$27,084.51	$73,067.52	$36,617.50	2026-01-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	14	9	—	—	$32,517.15	$87,587.73	$36,437.64	2026-01-02
8901	APR_DRG	HIV With Multiple Major HIV Related Conditions	20	5	—	—	$10,745.24	$92,095.52	$36,433.25	2026-01-02
1661	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	20	5	—	—	$24,867.34	$50,752.21	$36,415.52	2026-01-02
8421	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	20	5	—	—	$16,982.82	$144,503.48	$36,243.02	2026-01-02
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	12	7	—	—	$23,884.52	$62,643.30	$35,998.26	2026-01-02
470	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	6	5	—	—	$30,079.38	$40,161.15	$35,912.18	2026-01-02
6141	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	20	5	—	—	$16,482.26	$76,566.08	$35,881.92	2026-01-02
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	12	7	—	—	$23,690.10	$62,472.90	$35,832.38	2026-01-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	14	9	—	—	$28,159.69	$90,859.41	$35,769.93	2026-01-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	14	9	—	—	$32,545.61	$87,538.74	$35,427.80	2026-01-02
800	MS_DRG	Splenic Procedures With Cc	12	7	—	—	$22,847.62	$62,063.94	$35,236.93	2026-01-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	9	—	—	$30,522.39	$80,976.21	$35,046.46	2026-01-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	14	9	—	—	$29,671.02	$88,622.91	$34,782.79	2026-01-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	14	9	—	—	$32,306.14	$84,043.41	$34,704.40	2026-01-02
201	APR_DRG	Open Craniotomy For Trauma	20	5	—	—	$24,999.61	$92,184.03	$34,659.86	2026-01-02
740	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc	6	5	—	—	$29,007.34	$38,729.79	$34,632.25	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
911	APR_DRG	Other Major Head And Neck Procedures	20	5	—	—	$17,355.00	$74,075.65	$34,239.08	2026-01-02
896	MS_DRG	Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc	3	3	—	—	$33,710.54	$37,931.04	$34,000.81	2026-01-02
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	14	9	—	—	$28,055.81	$75,197.52	$33,910.44	2026-01-02
891	APR_DRG	Major Cranial Or Facial Bone Procedures	20	5	—	—	$19,400.05	$69,312.65	$33,658.73	2026-01-02
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	14	9	—	—	$31,300.07	$83,870.88	$33,613.57	2026-01-02
1691	APR_DRG	Major Abdominal Vascular Procedures	20	5	—	—	$27,599.68	$78,306.25	$33,539.36	2026-01-02
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	11	6	—	—	$14,826.20	$35,090.14	$33,419.18	2026-01-02
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	6	5	—	—	$27,739.08	$37,036.44	$33,118.06	2026-01-02
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	14	9	—	—	$30,813.23	$79,704.60	$33,085.62	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
S2235	HCPCS	Implant Auditory Brain Imp	5	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02
0951T	OTHER	Tot Impl Amei 1st Plmt	5	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	14	9	—	—	$25,707.78	$66,164.19	$32,799.03	2026-01-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	14	9	—	—	$24,922.92	$82,829.31	$32,668.78	2026-01-02
6211	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	20	5	—	—	$11,878.64	$84,219.83	$32,659.45	2026-01-02
J1300	HCPCS	Eculizumab Injection	8	6	—	—	$404.57	$34,020.22	$32,400.21	2026-01-02
C9309	HCPCS	Inj Onase Abepar-brve Treat	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
C9146	HCPCS	Inj, Elahere, 1 Mg	5	5	—	—	$32,400.21	$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
J9600	HCPCS	Porfimer Sodium Injection	17	7	—	—	$24,228.42	$48,456.84	$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
J9183	HCPCS	Gemcit Intraves Sys, 225 Mg	5	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
J3404	HCPCS	Inj Zopap Imad-drba	5	5	—	—	$32,400.21	$34,020.22	$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
C9304	HCPCS	Inj Marstacimab, 0.5 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
6221	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	20	5	—	—	$15,552.46	$43,634.94	$32,388.46	2026-01-02
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	14	9	—	—	$25,583.02	$80,345.73	$32,250.42	2026-01-02
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	14	9	—	—	$25,277.85	$67,925.70	$32,100.36	2026-01-02
52	MS_DRG	Spinal Disorders And Injuries With Cc/mcc	14	9	—	—	$15,946.57	$42,866.25	$32,057.65	2026-01-02
69930	HCPCS	Implant Cochlear Device	15	8	—	—	$26,994.86	$120,530.06	$31,889.28	2026-01-02
4011	APR_DRG	Adrenal Procedures	20	5	—	—	$10,563.69	$74,333.00	$31,879.60	2026-01-02
231	APR_DRG	Spinal Procedures	20	5	—	—	$15,159.53	$75,023.35	$31,729.65	2026-01-02
271	APR_DRG	Other Open Craniotomy	20	5	—	—	$20,174.23	$73,416.62	$31,681.15	2026-01-02
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	13	6	—	—	$30,252.61	$121,491.63	$31,531.43	2026-01-02
36100040-19-2267	CDM	Ins/Rplcmt Icd Sngl/Dual Implant	21	10	$110,632.25	$55,316.13 50% off	$13,680.00	$110,632.25	$31,531.43	2026-01-02
36100044-19-2263	CDM	Ins/Rpl Subq Defib With Electrodes	21	10	$104,570.52	$52,285.26 50% off	$5,087.00	$104,570.52	$31,531.43	2026-01-02
36100033-19-2274	CDM	Inspulse Gen W Exist Multiple Leads	21	10	$87,472.67	$43,736.34 50% off	$5,087.00	$87,472.67	$31,531.43	2026-01-02
36100043-19-2264	CDM	Icd Biv Gen Change	21	10	$85,971.71	$42,985.86 50% off	$5,087.00	$85,971.71	$31,531.43	2026-01-02
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	13	6	—	—	$30,252.61	$121,491.63	$31,531.43	2026-01-02
332	MS_DRG	Rectal Resection With Mcc	14	9	—	—	$29,248.40	$73,883.31	$31,507.13	2026-01-02
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	13	6	—	—	$10,685.58	$121,491.63	$31,225.30	2026-01-02
6251	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	20	5	—	—	$13,359.58	$92,441.38	$31,217.77	2026-01-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	14	9	—	—	$27,798.89	$84,852.81	$31,173.69	2026-01-02
291	APR_DRG	Other Percutaneous Intracranial Procedures	20	5	—	—	$19,988.79	$58,480.85	$31,131.99	2026-01-02
9121	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	20	5	—	—	$20,840.79	$72,995.87	$31,034.21	2026-01-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	14	9	—	—	$27,635.91	$89,238.48	$30,996.98	2026-01-02
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	14	9	—	—	$28,881.69	$74,988.78	$30,991.28	2026-01-02
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	8	7	—	—	$30,069.54	$74,662.40	$30,971.63	2026-01-02
264	MS_DRG	Other Circulatory System O.r. Procedures	14	9	—	—	$26,390.61	$74,445.63	$30,853.67	2026-01-02
512	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc Without Cc/mcc	6	5	—	—	$25,649.23	$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…	14	9	—	—	$26,615.02	$76,339.20	$30,617.24	2026-01-02
265	MS_DRG	Aicd Lead Procedures	14	9	—	—	$28,509.46	$75,981.36	$30,588.00	2026-01-02
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	9	—	—	$27,265.50	$74,607.51	$30,556.99	2026-01-02
135	MS_DRG	Sinus And Mastoid Procedures With Cc/mcc	12	7	—	—	$21,538.86	$51,356.43	$30,540.04	2026-01-02
1701	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	20	5	—	—	$22,098.68	$54,582.49	$30,523.11	2026-01-02
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	14	9	—	—	$28,439.12	$74,630.94	$30,511.65	2026-01-02
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	14	9	—	—	$28,047.08	$76,351.98	$30,494.78	2026-01-02
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	14	9	—	—	$23,828.68	$77,717.31	$30,378.07	2026-01-02
1761	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	20	5	—	—	$18,492.29	$60,945.40	$30,363.71	2026-01-02
0923T	OTHER	Rmvl&rplcmt Perm Ccm-d Pg	13	6	—	—	$21,432.07	$85,055.83	$30,252.61	2026-01-02
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	13	6	—	—	$21,432.07	$85,055.83	$30,252.61	2026-01-02
0916T	OTHER	Insj Perm Ccm-d Sys Pg Only	13	6	—	—	$21,432.07	$85,055.83	$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
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	13	6	—	—	$21,432.07	$85,055.83	$30,252.61	2026-01-02
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	13	6	—	—	$21,432.07	$85,055.83	$30,252.61	2026-01-02
36100042-19-2265	CDM	Icd Dual Gen Change	21	10	$85,971.71	$42,985.86 50% off	$5,087.00	$85,055.83	$30,252.61	2026-01-02
36100032-19-2275	CDM	Ins Pulse Gen W Exist Dual Leads	21	10	$87,472.67	$43,736.34 50% off	$5,087.00	$85,055.83	$30,252.61	2026-01-02
36100041-19-2266	CDM	Icd Single Gen Change	21	10	$85,971.71	$42,985.86 50% off	$5,087.00	$85,055.83	$30,252.61	2026-01-02
36100037-19-2270	CDM	Ins Defib Pls Gen W Existing Sgl Lead	21	10	$83,536.76	$41,768.38 50% off	$13,680.00	$83,536.76	$30,252.61	2026-01-02
792	MS_DRG	Prematurity Without Major Problems	12	7	—	—	$20,119.45	$52,178.61	$30,102.74	2026-01-02
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	12	7	—	—	$19,806.48	$52,564.14	$30,082.81	2026-01-02
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	12	7	—	—	$20,316.24	$51,718.53	$30,033.76	2026-01-02
301	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	20	5	—	—	$18,907.27	$53,836.31	$30,009.61	2026-01-02
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	14	9	—	—	$20,937.89	$77,178.42	$29,985.99	2026-01-02
1101	APR_DRG	Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies	20	5	—	—	$11,059.06	$40,499.10	$29,900.71	2026-01-02
J9266	HCPCS	Pegaspargase Injection	13	8	—	—	$28,424.06	$54,141.06	$29,845.26	2026-01-02
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	14	9	—	—	$27,784.82	$72,956.76	$29,702.79	2026-01-02
0674T	OTHER	Laps Insj Nw/rpcmt Prm Isdss	13	6	—	—	$8,418.18	$115,474.21	$29,678.73	2026-01-02
27800571-19-4409	CDM	C-defib,dual Chamber Implant	22	10	$65,841.60	$32,920.80 50% off	$11,719.80	$47,636.40	$29,678.10	2026-01-02
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	14	9	—	—	$27,746.30	$73,365.72	$29,557.20	2026-01-02
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	12	7	—	—	$19,546.47	$51,518.31	$29,554.65	2026-01-02
3251	APR_DRG	Non-elective Or Complex Knee Joint Replacement	20	5	—	—	$24,335.65	$55,693.58	$29,433.35	2026-01-02
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	12	7	—	—	$19,559.90	$51,141.30	$29,420.53	2026-01-02
491	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	20	5	—	—	$11,117.42	$55,888.29	$29,383.17	2026-01-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	11	6	—	—	$27,911.19	$73,964.25	$29,306.75	2026-01-02

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