Hospital

RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG

Williamsburg, VA · CCN 490143 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $4,759 across 8 payers · range $4,621-$12,064

Source: https://riverside.pt.panaceainc.com/MRFDownload/riverside/RDHW · observed 2026-01-02

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

21,040 distinct procedures filed

11 distinct payers

604,886 rate rows

2026-01-02 last MRF observed

Data quality

582,110 of 604,886 rate rows are consumer-grade (96.2%)

22,776 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	12,426
template filing: same amount across many unrelated codes — excluded	3,842
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,880
exceeds 10× this hospital's gross charge — excluded from medians	1,848
placeholder amount (≤ $0.02) — excluded from medians	1,580
per-diem day rate — not a per-procedure price	114
percent-of-charges filed in the dollar field — excluded from medians	64
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	22

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

Source MRF file	https://riverside.pt.panaceainc.com/MRFDownload/riverside/RDHW
Found on page	https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-17
Content fingerprint	a5b166db0a9254c9… · 118,540,281 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3391 HCPCS	Inj, Atidarsagene Autotemcel	8	$51,775.08	$4,596,375.00	$4,377,500.00	nat. median $4,505,000 1.0× median
C9172 HCPCS	Inj, Beqvez, Per Tx Dose	7	$32,400.21	$3,895,500.00	$3,710,000.00	nat. median $3,605,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	8	$32,400.21	$3,869,530.00	$3,685,266.67	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	8	$32,400.21	$3,490,800.50	$3,324,571.90	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	8	$51,775.08	$4,864,830.00	$3,261,355.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	8	$51,775.08	$4,394,040.00	$2,950,686.67	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	8	$2,452,115.60	$4,806,917.50	$2,525,679.07	nat. median $2,460,273 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	8	$51,775.08	$4,664,000.00	$2,332,000.00	nat. median $2,405,851 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$51,775.08	$1,140,881.10	$770,620.00	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	8	$51,775.08	$1,131,247.68	$584,107.82	nat. median $691,418 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	8	$51,775.08	$1,102,636.68	$564,446.41	nat. median $631,793 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	8	$51,775.08	$1,032,971.94	$547,052.02	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	8	$51,775.08	$1,056,624.86	$546,673.05	nat. median $610,161 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	8	$51,775.08	$979,034.30	$533,153.32	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	8	$51,775.08	$976,103.02	$489,720.00	nat. median $577,541 0.8× median
5831 APR_DRG	Neonate With Ecmo	6	$174,852.56	$533,722.06	$364,276.67	nat. median $154,685 outlier · 2.4×
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	6	$52,873.72	$488,795.50	$313,732.04	nat. median $96,420 outlier · 3.3×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	8	$51,775.08	$283,893.75	$270,375.00	nat. median $302,242 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$186,140.79	$505,295.64	$233,005.58	nat. median $205,166 1.1× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$175,478.94	$232,040.07	$207,490.67	nat. median $100,978 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 $96,835 outlier · 2.0×
850 MS_DRG	Acute Leukemia With Other Procedures	1	$174,381.27	$174,381.27	$174,381.27	nat. median $81,364 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 $81,124 1.9× median
1611 APR_DRG	Implantable Heart Assist Systems	6	$142,211.77	$365,188.54	$155,361.83	nat. median $82,164 1.9× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	$150,560.44	$405,700.19	$155,077.25	nat. median $199,832 0.8× median
111 APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	7	$57,178.94	$293,998.77	$148,328.39	nat. median $34,746 outlier · 4.3×
233 MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	6	$110,784.40	$166,489.32	$148,238.03	nat. median $73,475 outlier · 2.0×
5911 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$84,410.51	$278,814.86	$138,485.01	nat. median $37,247 outlier · 3.7×
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 $66,640 outlier · 2.0×
6091 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$52,979.51	$315,509.19	$133,667.71	nat. median $34,574 outlier · 3.9×
5931 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$31,991.08	$243,393.87	$129,531.15	nat. median $29,157 outlier · 4.4×
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 $62,262 outlier · 2.0×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$115,373.52	$377,061.16	$124,930.28	nat. median $120,928 1.0× median
6021 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$28,674.10	$164,207.58	$120,367.39	nat. median $31,211 outlier · 3.9×
276 MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	$81,120.44	$131,940.72	$117,476.80	nat. median $58,419 outlier · 2.0×
317 MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	$117,108.55	$117,108.55	$117,108.55	nat. median $59,832 2.0× median
461 MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	6	$89,431.41	$130,711.71	$116,382.51	nat. median $55,446 outlier · 2.1×
266 MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	6	$83,381.37	$127,604.04	$113,615.52	nat. median $60,162 1.9× median
6301 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$37,318.16	$330,512.02	$109,878.27	nat. median $25,387 outlier · 4.3×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	8	$103,808.97	$267,480.90	$106,923.24	nat. median $132,706 0.8× median
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 $53,080 2.0× median
430 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	$103,556.57	$103,556.57	$103,556.57	nat. median $53,268 1.9× median
J7330 HCPCS	Cultured Chondrocytes Implnt	3	$45,737.00	$115,121.61	$103,294.46	nat. median $75,807 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 $52,447 1.9× median
234 MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	6	$75,013.49	$113,320.26	$100,897.60	nat. median $53,013 1.9× median
41 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$65,398.57	$211,982.65	$97,827.36	nat. median $43,550 outlier · 2.2×
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 $50,178 1.9× median
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	9	$49,685.66	$150,527.10	$94,983.24	nat. median $68,581 1.4× median
91 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	$57,400.49	$220,888.91	$93,804.84	nat. median $47,924 2.0× median

Other procedures at this hospital

Browse this hospital's 21,040 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	26	8	—	—	$51,775.08	$4,596,375.00	$4,377,500.00	2026-01-02
C9172	HCPCS	Inj, Beqvez, Per Tx Dose	24	7	—	—	$32,400.21	$3,895,500.00	$3,710,000.00	2026-01-02
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	26	8	—	—	$32,400.21	$3,869,530.00	$3,685,266.67	2026-01-02
J1413	HCPCS	Inj Delandistrogene Mox Rokl	26	8	—	—	$32,400.21	$3,490,800.50	$3,324,571.90	2026-01-02
J3394	HCPCS	Inj, Lovotibeglogene Autotem	28	8	—	—	$51,775.08	$4,864,830.00	$3,261,355.00	2026-01-02
J3393	HCPCS	Inj, Betibeglogene Autotemce	28	8	—	—	$51,775.08	$4,394,040.00	$2,950,686.67	2026-01-02
J3399	HCPCS	Inj Onase Abepar-xioi Treat	18	8	—	—	$2,452,115.60	$4,806,917.50	$2,525,679.07	2026-01-02
J3392	HCPCS	Inj, Exagamglogene Autotem	30	8	—	—	$51,775.08	$4,664,000.00	$2,332,000.00	2026-01-02
Q2057	HCPCS	Afamitresgene Autoleucel	26	7	—	—	$51,775.08	$1,140,881.10	$770,620.00	2026-01-02
Q2042	HCPCS	Tisagenlecleucel Car-pos T	28	8	—	—	$51,775.08	$1,131,247.68	$584,107.82	2026-01-02
Q2056	HCPCS	Ciltacabtagene Car-pos T	30	8	—	—	$51,775.08	$1,102,636.68	$564,446.41	2026-01-02
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	28	8	—	—	$51,775.08	$1,032,971.94	$547,052.02	2026-01-02
Q2055	HCPCS	Idecabtagene Vicleucel Car	28	8	—	—	$51,775.08	$1,056,624.86	$546,673.05	2026-01-02
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	28	8	—	—	$51,775.08	$979,034.30	$533,153.32	2026-01-02
Q2053	HCPCS	Brexucabtagene Car Pos T	28	8	—	—	$51,775.08	$976,103.02	$489,720.00	2026-01-02
5831	APR_DRG	Neonate With Ecmo	48	6	—	—	$174,852.56	$533,722.06	$364,276.67	2026-01-02
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	48	6	—	—	$52,873.72	$488,795.50	$313,732.04	2026-01-02
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	26	8	—	—	$51,775.08	$283,893.75	$270,375.00	2026-01-02
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	11	—	—	$186,140.79	$505,295.64	$233,005.58	2026-01-02
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	12	5	—	—	$175,478.94	$232,040.07	$207,490.67	2026-01-02
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$198,299.32	$198,299.32	$198,299.32	2026-01-02
850	MS_DRG	Acute Leukemia With Other Procedures	2	1	—	—	$174,381.27	$174,381.27	$174,381.27	2026-01-02
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	1	—	—	$157,887.56	$157,887.56	$157,887.56	2026-01-02
1611	APR_DRG	Implantable Heart Assist Systems	48	6	—	—	$142,211.77	$365,188.54	$155,361.83	2026-01-02
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	8	—	—	$150,560.44	$405,700.19	$155,077.25	2026-01-02
111	APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	62	7	—	—	$57,178.94	$293,998.77	$148,328.39	2026-01-02
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	16	6	—	—	$110,784.40	$166,489.32	$148,238.03	2026-01-02
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	48	6	—	—	$84,410.51	$278,814.86	$138,485.01	2026-01-02
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$134,454.11	$134,454.11	$134,454.11	2026-01-02
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	36	6	—	—	$52,979.51	$315,509.19	$133,667.71	2026-01-02
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	48	6	—	—	$31,991.08	$243,393.87	$129,531.15	2026-01-02
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	1	—	—	$126,919.97	$126,919.97	$126,919.97	2026-01-02
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	36	6	—	—	$115,373.52	$377,061.16	$124,930.28	2026-01-02
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	48	6	—	—	$28,674.10	$164,207.58	$120,367.39	2026-01-02
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	16	6	—	—	$81,120.44	$131,940.72	$117,476.80	2026-01-02
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	2	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	16	6	—	—	$89,431.41	$130,711.71	$116,382.51	2026-01-02
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	16	6	—	—	$83,381.37	$127,604.04	$113,615.52	2026-01-02
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	48	6	—	—	$37,318.16	$330,512.02	$109,878.27	2026-01-02
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	8	—	—	$103,808.97	$267,480.90	$106,923.24	2026-01-02
Q0480	HCPCS	Driver Pneumatic Vad, Rep	4	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…	2	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	2	1	—	—	$103,556.57	$103,556.57	$103,556.57	2026-01-02
J7330	HCPCS	Cultured Chondrocytes Implnt	6	3	—	—	$45,737.00	$115,121.61	$103,294.46	2026-01-02
11	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Mcc	2	1	—	—	$102,144.39	$102,144.39	$102,144.39	2026-01-02
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	16	6	—	—	$75,013.49	$113,320.26	$100,897.60	2026-01-02
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	48	6	—	—	$65,398.57	$211,982.65	$97,827.36	2026-01-02
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	2	1	—	—	$97,491.39	$97,491.39	$97,491.39	2026-01-02
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	9	—	—	$49,685.66	$150,527.10	$94,983.24	2026-01-02
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	36	6	—	—	$57,400.49	$220,888.91	$93,804.84	2026-01-02
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	4	1	—	—	$93,216.70	$93,216.70	$93,216.70	2026-01-02
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	34	11	—	—	$59,689.45	$171,701.43	$92,320.80	2026-01-02
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	36	6	—	—	$58,194.57	$309,471.55	$90,681.76	2026-01-02
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	12	5	—	—	$75,783.31	$100,210.11	$89,608.07	2026-01-02
215	MS_DRG	Other Heart Assist System Implant	34	11	—	—	$72,135.23	$225,669.24	$82,556.42	2026-01-02
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	11	—	—	$68,537.23	$205,568.43	$79,914.04	2026-01-02
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	11	—	—	$44,950.70	$137,553.27	$79,469.66	2026-01-02
6031	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	48	6	—	—	$27,331.13	$217,738.59	$78,716.76	2026-01-02
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	30	9	—	—	$39,539.21	$117,731.49	$78,635.35	2026-01-02
12	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses W Cc	2	1	—	—	$77,683.04	$77,683.04	$77,683.04	2026-01-02
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	2	1	—	—	$77,300.66	$77,300.66	$77,300.66	2026-01-02
6071	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	48	6	—	—	$43,294.94	$128,795.21	$76,801.79	2026-01-02
6311	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	48	6	—	—	$11,577.67	$263,626.63	$76,719.10	2026-01-02
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	48	6	—	—	$43,967.04	$154,510.85	$75,705.49	2026-01-02
739	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc	16	6	—	—	$55,165.44	$84,793.17	$75,497.77	2026-01-02
273	MS_DRG	Percutaneous Intracardiac Procedures W Mcc	16	6	—	—	$55,404.68	$83,289.39	$74,158.84	2026-01-02
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	2	1	—	—	$74,057.95	$74,057.95	$74,057.95	2026-01-02
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	34	11	—	—	$43,369.55	$117,731.49	$72,440.84	2026-01-02
231	MS_DRG	Coronary Bypass With Ptca With Mcc	34	11	—	—	$57,308.20	$180,494.07	$71,736.84	2026-01-02
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	30	9	—	—	$35,867.06	$108,182.70	$70,148.16	2026-01-02
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	34	11	—	—	$51,074.72	$158,987.46	$68,716.18	2026-01-02
799	MS_DRG	Splenic Procedures With Mcc	30	9	—	—	$34,988.57	$101,277.24	$68,132.90	2026-01-02
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	4	1	—	—	$67,452.66	$67,452.66	$67,452.66	2026-01-02
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	30	9	—	—	$31,498.61	$106,570.29	$67,452.45	2026-01-02
4401	APR_DRG	Kidney Transplant	80	10	—	—	$21,216.58	$116,832.04	$67,222.57	2026-01-02
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	30	9	—	—	$33,772.52	$99,085.47	$66,428.99	2026-01-02
J9029	HCPCS	Instill Adstiladrin, Tx Dose	36	9	—	—	$32,400.21	$126,804.08	$65,016.82	2026-01-02
1781	APR_DRG	External Heart Assist Systems	48	6	—	—	$50,343.36	$78,509.37	$64,493.71	2026-01-02
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	48	6	—	—	$44,264.51	$105,550.10	$63,265.97	2026-01-02
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	30	9	—	—	$31,185.06	$95,259.99	$63,222.53	2026-01-02
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	11	—	—	$46,305.14	$180,393.96	$62,503.38	2026-01-02
469	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc	16	6	—	—	$46,568.90	$69,623.31	$61,990.90	2026-01-02
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	34	11	—	—	$42,008.03	$130,115.31	$60,894.96	2026-01-02
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	11	—	—	$54,455.22	$164,808.75	$60,889.39	2026-01-02
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	34	11	—	—	$48,533.17	$134,707.59	$60,752.41	2026-01-02
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	34	11	—	—	$36,626.91	$108,514.98	$60,653.66	2026-01-02
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	34	11	—	—	$49,184.97	$148,173.45	$59,764.11	2026-01-02
793	MS_DRG	Full Term Neonate With Major Problems	30	9	—	—	$29,725.38	$88,831.65	$59,278.51	2026-01-02
274	MS_DRG	Percutaneous Intracardiac Procedures Without Mcc	16	6	—	—	$44,681.64	$66,477.30	$59,189.76	2026-01-02
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	2	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…	48	6	—	—	$31,488.24	$120,465.26	$58,094.75	2026-01-02
A9543	HCPCS	Y90 Ibritumomab, Rx	34	8	—	—	$48,780.22	$113,649.10	$57,961.04	2026-01-02
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	36	9	—	—	$32,400.21	$111,073.00	$57,344.62	2026-01-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	34	11	—	—	$27,618.13	$86,635.62	$57,126.88	2026-01-02
38240	HCPCS	Transplt Allo Hct/donor	32	9	—	—	$5,642.64	$198,732.92	$56,470.28	2026-01-02
6081	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	48	6	—	—	$22,847.92	$92,320.77	$55,362.59	2026-01-02
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	34	11	—	—	$43,911.20	$131,169.66	$54,966.73	2026-01-02
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	34	11	—	—	$38,876.81	$115,631.31	$54,517.58	2026-01-02
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	34	11	—	—	$27,387.21	$81,417.12	$54,402.17	2026-01-02
462	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc	16	6	—	—	$40,549.52	$60,998.94	$54,311.96	2026-01-02
510	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc	16	6	—	—	$40,044.98	$60,877.53	$54,203.87	2026-01-02
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A…	16	6	—	—	$40,468.75	$60,636.84	$53,989.56	2026-01-02
31	MS_DRG	Ventricular Shunt Procedures With Mcc	30	9	—	—	$29,070.75	$89,259.78	$53,785.38	2026-01-02
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	34	11	—	—	$48,783.16	$137,751.36	$52,636.53	2026-01-02
J3403	HCPCS	Revakinagene, Per Implant	12	6	—	—	$51,775.08	$257,500.00	$52,427.44	2026-01-02
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	12	6	—	—	$51,775.08	$205,640.00	$52,427.44	2026-01-02
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	48	6	—	—	$46,654.23	$111,604.98	$51,834.32	2026-01-02
C9081	HCPCS	Idecabtagene Car Pos T	10	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9098	HCPCS	Ciltacabtagene Car Pos T	10	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9076	HCPCS	Lisocabtagene Car Pos T	10	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9073	HCPCS	Brexucabtagene Autoleucel Ca	10	5	—	—	$51,775.08	$54,363.83	$51,775.08	2026-01-02
C9301	HCPCS	Obecabtagene Car Pos T	10	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	48	6	—	—	$17,606.73	$103,382.82	$51,547.21	2026-01-02
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	11	—	—	$42,902.77	$122,249.22	$51,516.03	2026-01-02
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	34	11	—	—	$35,855.56	$142,260.57	$51,309.07	2026-01-02
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	34	11	—	—	$35,582.47	$106,144.29	$51,139.35	2026-01-02
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	34	11	—	—	$29,236.00	$90,725.22	$51,100.32	2026-01-02
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	34	11	—	—	$39,439.37	$142,019.88	$50,827.10	2026-01-02
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	11	—	—	$40,229.16	$126,720.09	$50,357.30	2026-01-02
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	34	11	—	—	$40,133.11	$114,919.89	$50,237.05	2026-01-02
13	MS_DRG	Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc	2	1	—	—	$50,164.50	$50,164.50	$50,164.50	2026-01-02
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	30	9	—	—	$24,448.78	$75,640.56	$50,044.67	2026-01-02
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	34	11	—	—	$42,700.80	$124,014.99	$49,937.61	2026-01-02
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	34	11	—	—	$40,032.13	$121,518.63	$49,490.05	2026-01-02
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	70	11	—	—	$32,134.21	$145,442.79	$49,477.02	2026-01-02
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	34	11	—	—	$41,527.83	$125,333.46	$49,219.28	2026-01-02
1771	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	48	6	—	—	$13,969.88	$87,296.35	$48,673.62	2026-01-02
1601	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	48	6	—	—	$24,993.69	$293,324.73	$48,658.26	2026-01-02
483	MS_DRG	Major Joint/limb Reattachment Procedure Of Upper Extremities	16	6	—	—	$35,909.83	$54,276.66	$48,326.62	2026-01-02
653	MS_DRG	Major Bladder Procedures With Mcc	34	11	—	—	$38,229.95	$118,738.98	$47,855.09	2026-01-02
6131	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	48	6	—	—	$19,859.53	$122,028.92	$47,806.14	2026-01-02
1791	APR_DRG	Defibrillator Implants	48	6	—	—	$33,858.05	$70,301.58	$47,642.48	2026-01-02
1631	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	48	6	—	—	$32,048.33	$92,899.96	$47,454.24	2026-01-02
L7181	HCPCS	Electronic Elbo Simultaneous	4	1	—	—	$47,211.27	$47,211.27	$47,211.27	2026-01-02
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	34	11	—	—	$26,285.56	$74,577.69	$46,987.04	2026-01-02
J9226	HCPCS	Supprelin La Implant	38	9	—	—	$32,400.21	$98,260.19	$46,927.20	2026-01-02
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	48	6	—	—	$36,942.27	$84,042.55	$45,742.76	2026-01-02
A9545	HCPCS	I131 Tositumomab, Rx	2	1	—	—	$45,605.41	$45,605.41	$45,605.41	2026-01-02
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	28	8	—	—	$31,760.60	$98,135.49	$45,250.29	2026-01-02
1301	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	48	6	—	—	$34,650.88	$80,060.10	$45,165.77	2026-01-02
28	MS_DRG	Spinal Procedures With Mcc	34	11	—	—	$32,248.29	$129,493.35	$44,683.09	2026-01-02
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	26	8	—	—	$42,371.72	$126,624.24	$44,490.31	2026-01-02
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	34	11	—	—	$23,941.74	$76,356.24	$44,316.78	2026-01-02
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	30	9	—	—	$22,602.11	$68,253.72	$44,067.28	2026-01-02
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	34	11	—	—	$39,996.11	$115,041.30	$43,754.54	2026-01-02
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	34	11	—	—	$28,655.51	$82,011.39	$43,017.10	2026-01-02
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	30	9	—	—	$20,854.30	$65,148.18	$43,001.24	2026-01-02
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	34	11	—	—	$30,992.98	$101,718.15	$42,962.94	2026-01-02
0459T	OTHER	Relocaj Rplcmt Aortic Ventr	10	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
0451T	OTHER	Insj/rplcmt Aortic Ventr Sys	10	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
33982	HCPCS	Replace Vad Intra Without Bp	14	6	—	—	$1,768.89	$44,723.25	$42,593.57	2026-01-02
0453T	OTHER	Insj/rplcmt Mech-elec Ntrfce	10	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
33991	HCPCS	Insj Perq Vad L Hrt Artl&ven	14	6	—	—	$412.87	$44,723.25	$42,593.57	2026-01-02
33979	HCPCS	Insert Intracorporeal Device	14	6	—	—	$1,768.15	$44,723.25	$42,593.57	2026-01-02
0454T	OTHER	Insj/rplcmt Subq Electrode	10	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
33983	HCPCS	Replace Vad Intra W/bp	14	6	—	—	$2,080.76	$44,723.25	$42,593.57	2026-01-02
33975	HCPCS	Implant Ventricular Device	18	6	—	—	$1,190.19	$44,723.25	$42,593.57	2026-01-02
33981	HCPCS	Replace Vad Pump Ext	14	6	—	—	$752.38	$44,723.25	$42,593.57	2026-01-02
0452T	OTHER	Insj/rplcmt Dev Vasc Seal	10	5	—	—	$42,593.57	$44,723.25	$42,593.57	2026-01-02
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	11	—	—	$37,036.50	$112,819.71	$42,183.29	2026-01-02
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	28	9	—	—	$26,163.19	$45,115.75	$42,146.57	2026-01-02
6901	APR_DRG	Acute Leukemia	48	6	—	—	$14,124.22	$105,682.32	$41,956.40	2026-01-02
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	34	11	—	—	$27,948.62	$82,324.50	$41,947.56	2026-01-02
L7180	HCPCS	Electronic Elbow Sequential	4	1	—	—	$41,907.21	$41,907.21	$41,907.21	2026-01-02
3041	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	48	6	—	—	$26,365.29	$98,053.72	$41,792.08	2026-01-02
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	30	9	—	—	$20,824.65	$62,643.30	$41,733.97	2026-01-02
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	30	9	—	—	$20,650.92	$62,472.90	$41,561.91	2026-01-02
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	34	11	—	—	$33,475.92	$101,258.07	$41,484.87	2026-01-02
1651	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	48	6	—	—	$30,424.07	$72,519.17	$41,356.27	2026-01-02
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	48	6	—	—	$23,190.20	$81,150.93	$41,205.26	2026-01-02
800	MS_DRG	Splenic Procedures With Cc	30	9	—	—	$19,898.13	$62,063.94	$40,981.04	2026-01-02
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	28	8	—	—	$24,422.65	$73,964.25	$40,789.40	2026-01-02
8631	APR_DRG	Neonatal Aftercare	48	6	—	—	$13,109.83	$104,436.28	$40,651.93	2026-01-02
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	30	9	—	—	$23,484.84	$70,330.47	$40,357.50	2026-01-02
245	MS_DRG	Aicd Generator Procedures	34	11	—	—	$32,000.00	$104,088.84	$40,056.96	2026-01-02
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	11	—	—	$35,304.23	$106,527.69	$39,999.62	2026-01-02
33276	HCPCS	Insj Phrnc Nrv Stim Sys	32	9	—	—	$535.94	$45,115.75	$39,672.72	2026-01-02
8501	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	48	6	—	—	$17,899.22	$113,195.95	$39,095.77	2026-01-02
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	11	—	—	$31,997.17	$91,973.40	$38,975.48	2026-01-02
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	34	11	—	—	$30,803.02	$93,566.64	$38,558.18	2026-01-02
901	MS_DRG	Wound Debridements For Injuries With Mcc	34	11	—	—	$30,562.21	$94,369.65	$38,257.15	2026-01-02
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	34	11	—	—	$30,385.66	$95,524.11	$38,035.76	2026-01-02
252	MS_DRG	Other Vascular Procedures With Mcc	34	11	—	—	$23,683.98	$73,067.52	$37,940.19	2026-01-02
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	4	1	—	—	$37,828.21	$37,828.21	$37,828.21	2026-01-02
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	34	11	—	—	$28,538.29	$87,587.73	$37,753.84	2026-01-02
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	34	11	—	—	$31,791.68	$99,673.35	$37,515.72	2026-01-02
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	30	10	—	—	$35,611.95	$109,332.90	$37,486.26	2026-01-02
511	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc	16	6	—	—	$27,926.72	$41,773.56	$37,194.16	2026-01-02
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	34	11	—	—	$33,590.32	$106,653.36	$36,834.82	2026-01-02
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	34	11	—	—	$28,563.71	$87,538.74	$36,682.71	2026-01-02
1661	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	48	6	—	—	$23,867.29	$53,568.38	$36,564.80	2026-01-02
211	APR_DRG	Open Craniotomy Except Trauma	48	6	—	—	$21,547.27	$76,639.59	$36,518.35	2026-01-02
471	MS_DRG	Cervical Spinal Fusion With Mcc	34	11	—	—	$31,568.90	$103,460.49	$36,474.03	2026-01-02
8901	APR_DRG	HIV With Multiple Major HIV Related Conditions	48	6	—	—	$10,313.12	$97,205.78	$36,407.66	2026-01-02
6231	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	48	6	—	—	$12,000.85	$68,043.76	$36,313.71	2026-01-02
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	34	11	—	—	$26,755.88	$80,976.21	$36,312.40	2026-01-02
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	34	11	—	—	$31,896.90	$97,807.47	$36,220.02	2026-01-02
8421	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	48	6	—	—	$16,299.85	$152,521.78	$36,068.17	2026-01-02
470	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	16	6	—	—	$26,724.70	$40,161.15	$35,758.51	2026-01-02
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	34	11	—	—	$32,688.61	$107,285.97	$35,642.07	2026-01-02
6141	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	48	6	—	—	$15,819.42	$80,814.63	$35,626.60	2026-01-02
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	34	11	—	—	$28,349.74	$84,043.41	$35,487.35	2026-01-02
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	34	11	—	—	$24,551.88	$75,197.52	$35,135.35	2026-01-02
135	MS_DRG	Sinus And Mastoid Procedures With Cc/mcc	30	9	—	—	$18,728.69	$51,356.43	$35,042.56	2026-01-02
163	MS_DRG	Major Chest Procedures With Mcc	34	11	—	—	$28,287.70	$98,175.96	$34,951.00	2026-01-02
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	30	9	—	—	$17,180.74	$52,564.14	$34,872.44	2026-01-02
201	APR_DRG	Open Craniotomy For Trauma	48	6	—	—	$23,994.24	$97,299.20	$34,765.46	2026-01-02
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	30	9	—	—	$17,636.23	$51,718.53	$34,677.38	2026-01-02
740	MS_DRG	Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc	16	6	—	—	$25,674.65	$38,729.79	$34,484.06	2026-01-02
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	11	—	—	$30,703.39	$97,822.38	$34,469.03	2026-01-02
911	APR_DRG	Other Major Head And Neck Procedures	48	6	—	—	$16,657.07	$78,186.01	$34,365.57	2026-01-02
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	34	11	—	—	$27,450.77	$83,870.88	$34,362.07	2026-01-02
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	4	1	—	—	$34,284.44	$34,284.44	$34,284.44	2026-01-02
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	30	9	—	—	$16,948.40	$51,518.31	$34,233.36	2026-01-02
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	30	9	—	—	$16,960.41	$51,141.30	$34,050.86	2026-01-02
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	34	11	—	—	$22,453.81	$66,164.19	$33,983.79	2026-01-02
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	34	11	—	—	$27,015.76	$79,704.60	$33,817.35	2026-01-02
896	MS_DRG	Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc	10	4	—	—	$19,954.52	$37,931.04	$33,710.54	2026-01-02
891	APR_DRG	Major Cranial Or Facial Bone Procedures	48	6	—	—	$18,619.87	$73,158.71	$33,704.25	2026-01-02
1691	APR_DRG	Major Abdominal Vascular Procedures	48	6	—	—	$26,489.75	$82,651.35	$33,577.82	2026-01-02
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	24	7	—	—	$14,826.20	$35,090.14	$33,419.18	2026-01-02
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	34	11	—	—	$22,069.65	$67,925.70	$33,259.89	2026-01-02
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	16	6	—	—	$28,008.59	$37,036.44	$32,976.34	2026-01-02
S2235	HCPCS	Implant Auditory Brain Imp	10	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02
0952T	OTHER	Tot Impl Amei Rev/rplc Mstdc	10	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02
0951T	OTHER	Tot Impl Amei 1st Plmt	10	5	—	—	$32,865.93	$34,509.23	$32,865.93	2026-01-02
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	34	11	—	—	$24,001.81	$96,097.08	$32,836.26	2026-01-02
6221	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	48	6	—	—	$14,927.01	$46,056.19	$32,462.78	2026-01-02
J1300	HCPCS	Eculizumab Injection	16	6	—	—	$404.57	$34,020.22	$32,400.21	2026-01-02
Q5139	HCPCS	Inj, Eculizumab-aeeb, 10 Mg	10	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
C9304	HCPCS	Inj Marstacimab, 0.5 Mg	10	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
C9149	HCPCS	Inj, Teplizumab-mzwv, 5 Mcg	10	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
C9146	HCPCS	Inj, Elahere, 1 Mg	10	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
J9600	HCPCS	Porfimer Sodium Injection	36	8	—	—	$24,228.42	$48,456.84	$32,400.21	2026-01-02
C9085	HCPCS	Inj Avalglucosid Alfa-ngpt	10	5	—	—	$32,400.21	$34,020.22	$32,400.21	2026-01-02
J9376	HCPCS	Inj Pozelimab-bbfg, 1 Mg	14	6	—	—	$91.73	$34,020.22	$32,400.21	2026-01-02
J7174	HCPCS	Injection Fitusiran 0.04 Mg	12	6	—	—	$133.25	$34,020.22	$32,400.21	2026-01-02
332	MS_DRG	Rectal Resection With Mcc	34	11	—	—	$25,617.51	$73,883.31	$32,303.44	2026-01-02
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	30	9	—	—	$16,050.14	$48,265.80	$32,157.97	2026-01-02
6211	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	48	6	—	—	$11,400.93	$88,893.07	$32,123.36	2026-01-02
264	MS_DRG	Other Circulatory System O.r. Procedures	34	11	—	—	$23,063.95	$74,445.63	$31,968.16	2026-01-02
4011	APR_DRG	Adrenal Procedures	48	6	—	—	$10,138.87	$78,457.63	$31,892.54	2026-01-02
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	34	11	—	—	$28,756.78	$90,859.41	$31,726.24	2026-01-02
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	34	11	—	—	$23,845.70	$74,607.51	$31,660.76	2026-01-02
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	34	11	—	—	$25,289.84	$74,988.78	$31,656.78	2026-01-02
231	APR_DRG	Spinal Procedures	48	6	—	—	$14,549.88	$79,186.29	$31,654.47	2026-01-02
69930	HCPCS	Implant Cochlear Device	32	9	—	—	$26,994.86	$106,882.19	$31,585.57	2026-01-02
36100033-19-2274	CDM	Inspulse Gen W Exist Multiple Leads	46	11	$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	46	11	$85,971.71	$42,985.86 50% off	$5,087.00	$85,971.71	$31,531.43	2026-01-02
36100040-19-2267	CDM	Ins/Rplcmt Icd Sngl/Dual Implant	46	11	$110,632.25	$55,316.13 50% off	$13,680.00	$107,734.87	$31,531.43	2026-01-02
27800571-19-4409	CDM	C-defib,dual Chamber Implant	46	11	$65,841.60	$32,920.80 50% off	$15,341.09	$47,636.40	$31,488.74	2026-01-02
271	APR_DRG	Other Open Craniotomy	48	6	—	—	$19,362.92	$77,490.41	$31,432.26	2026-01-02
36100044-19-2263	CDM	Ins/Rpl Subq Defib With Electrodes	44	11	$104,570.52	$52,285.26 50% off	$5,087.00	$104,570.52	$31,378.36	2026-01-02
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	28	7	—	—	$30,252.61	$107,734.87	$31,378.36	2026-01-02
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	28	7	—	—	$30,252.61	$107,734.87	$31,378.36	2026-01-02
265	MS_DRG	Aicd Lead Procedures	34	11	—	—	$24,957.23	$75,981.36	$31,241.07	2026-01-02
291	APR_DRG	Other Percutaneous Intracranial Procedures	48	6	—	—	$19,184.94	$61,725.87	$31,203.67	2026-01-02
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	34	11	—	—	$24,894.38	$74,630.94	$31,162.23	2026-01-02
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	28	7	—	—	$10,685.58	$107,734.87	$30,919.17	2026-01-02
9121	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	48	6	—	—	$20,002.67	$77,046.31	$30,872.92	2026-01-02
6251	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	48	6	—	—	$12,822.32	$97,570.82	$30,845.93	2026-01-02
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	10	—	—	$29,367.35	$88,622.91	$30,835.72	2026-01-02
835	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Cc	30	9	—	—	$15,786.73	$45,494.67	$30,640.70	2026-01-02
1701	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	48	6	—	—	$21,209.97	$57,611.19	$30,535.82	2026-01-02
512	MS_DRG	Shoulder,elbow Or Forearm Proc,exc Major Joint Proc Without Cc/mcc	16	6	—	—	$22,821.26	$34,246.14	$30,491.93	2026-01-02
791	MS_DRG	Prematurity With Major Problems	26	8	—	—	$28,937.28	$86,475.87	$30,384.14	2026-01-02
32	MS_DRG	Ventricular Shunt Procedures With Cc	30	9	—	—	$15,209.78	$45,488.28	$30,349.03	2026-01-02
1761	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	48	6	—	—	$17,748.62	$64,327.18	$30,299.61	2026-01-02
36100037-19-2270	CDM	Ins Defib Pls Gen W Existing Sgl Lead	46	11	$83,536.76	$41,768.38 50% off	$13,680.00	$75,424.78	$30,252.61	2026-01-02
G0448	HCPCS	Place Perm Pacing Cardiovert	10	5	—	—	$30,252.61	$31,765.24	$30,252.61	2026-01-02
36100041-19-2266	CDM	Icd Single Gen Change	46	11	$85,971.71	$42,985.86 50% off	$5,087.00	$75,424.78	$30,252.61	2026-01-02
36100032-19-2275	CDM	Ins Pulse Gen W Exist Dual Leads	46	11	$87,472.67	$43,736.34 50% off	$5,087.00	$75,424.78	$30,252.61	2026-01-02
36100042-19-2265	CDM	Icd Dual Gen Change	46	11	$85,971.71	$42,985.86 50% off	$5,087.00	$75,424.78	$30,252.61	2026-01-02
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	34	11	—	—	$25,683.19	$76,351.98	$30,149.24	2026-01-02
301	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	48	6	—	—	$18,146.90	$56,823.61	$30,087.34	2026-01-02
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	34	11	—	—	$26,266.50	$84,852.81	$29,882.45	2026-01-02
1101	APR_DRG	Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies	48	6	—	—	$10,614.32	$42,746.34	$29,868.21	2026-01-02
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	34	11	—	—	$24,619.68	$72,956.76	$29,867.32	2026-01-02
37	MS_DRG	Extracranial Procedures With Mcc	34	11	—	—	$23,837.93	$70,735.17	$29,839.45	2026-01-02
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	34	11	—	—	$26,114.67	$89,238.48	$29,707.25	2026-01-02
J9266	HCPCS	Pegaspargase Injection	28	9	—	—	$28,424.06	$54,141.06	$29,561.02	2026-01-02
491	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	48	6	—	—	$10,670.33	$58,989.46	$29,534.10	2026-01-02
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	34	11	—	—	$21,195.39	$62,805.18	$29,519.30	2026-01-02
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	30	9	—	—	$14,652.60	$44,195.37	$29,423.99	2026-01-02
0674T	OTHER	Laps Insj Nw/rpcmt Prm Isdss	28	7	—	—	$8,418.18	$102,398.82	$29,387.76	2026-01-02
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	34	11	—	—	$23,261.68	$68,571.09	$29,117.93	2026-01-02
61886	HCPCS	Implant Neurostim Arrays	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
33287	HCPCS	Rmv&rplcmt Phrnc Nrv Stim Pg	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
64582	HCPCS	Opn Mpltj Hpglsl Nstm Ary Pg	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
64568	HCPCS	Opn Impltj Crnl Nrv Nea&pg	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
63685	HCPCS	Ins/rplc Spi Npg/rcvr Pocket	32	9	—	—	$24,996.65	$102,398.82	$29,096.79	2026-01-02
4411	APR_DRG	Major Bladder Procedures	48	6	—	—	$14,997.96	$85,129.07	$29,053.96	2026-01-02
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	34	11	—	—	$19,838.11	$62,029.86	$29,030.33	2026-01-02
L6700	HCPCS	Ue Add Ext Power Myoel	4	1	—	—	$28,931.56	$28,931.56	$28,931.56	2026-01-02
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	34	11	—	—	$25,451.36	$82,829.31	$28,928.59	2026-01-02
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	34	11	—	—	$24,399.35	$72,249.60	$28,877.42	2026-01-02
584	MS_DRG	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	34	11	—	—	$13,831.31	$43,609.62	$28,720.47	2026-01-02
398	MS_DRG	Appendix Procedures Without Mcc/cc	16	6	—	—	$21,458.92	$32,231.16	$28,697.84	2026-01-02
2641	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	48	6	—	—	$12,361.80	$45,175.19	$28,667.23	2026-01-02

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