Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HIGHLINE MEDICAL CENTER

Burien, WA · CCN 500011 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $18,582 across 17 payers · range $14,321-$67,862

Source: https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910565546-1518912609_harrison-medical-center_standardcharges.json · observed 2026-02-28

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.

11,378 distinct procedures filed
20 distinct payers
1,007,151 rate rows
2026-02-28 last MRF observed
Data quality

909,106 of 1,007,151 rate rows are consumer-grade (90.3%)

98,045 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 53,809
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 37,880
template filing: same amount across many unrelated codes — excluded 4,325
per-diem day rate — not a per-procedure price 1,352
placeholder amount (≤ $0.02) — excluded from medians 431
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 191
exceeds 10× this hospital's gross charge — excluded from medians 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910712166-1558333682_highline-medical-center_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint 3ccb518116e24721… · 64,789,587 bytes · first seen 2026-07-08

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $313,078.12 $969,882.00 $612,817.56 nat. median
$370,165
1.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 6 $320,168.54 $670,120.20 $536,096.16 nat. median
$8,133
outlier · 65.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $234,129.64 $704,141.00 $456,633.82 nat. median
$261,939
1.7× median
5834
APR_DRG 		Neonate With Ecmo 10 $379,423.00 $430,018.60 $404,608.41 nat. median
$311,018
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $197,358.15 $573,333.00 $377,940.86 nat. median
$205,166
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 19 $178,406.21 $548,550.00 $353,244.60 nat. median
$199,832
1.8× median
5833
APR_DRG 		Neonate With Ecmo 10 $304,808.00 $345,453.90 $325,040.72 nat. median
$250,089
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $300,548.00 $340,626.00 $320,498.10 nat. median
$254,667
1.3× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 19 $220.59 $431,479.67 $281,260.80 nat. median
$5,613
outlier · 50.1×
1614
APR_DRG 		Implantable Heart Assist Systems 10 $232,696.00 $263,726.10 $248,142.29 nat. median
$209,486
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 19 $118,010.15 $378,216.00 $233,523.26 nat. median
$132,706
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $209,480.00 $237,414.10 $223,385.08 nat. median
$165,646
1.3× median
5832
APR_DRG 		Neonate With Ecmo 10 $206,817.00 $234,395.70 $220,545.05 nat. median
$169,230
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $205,198.00 $232,560.90 $218,818.67 nat. median
$168,361
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $201,012.00 $227,817.70 $214,355.74 nat. median
$168,174
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $109,505.27 $316,644.00 $212,694.64 nat. median
$114,305
1.9× median
7
MS_DRG 		Lung Transplant 19 $109,232.30 $315,847.00 $210,670.26 nat. median
$122,690
1.7× median
453
MS_DRG 		No Active Code Description 8 $171,521.00 $232,609.00 $208,703.50 nat. median
$83,623
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $183,203.00 $207,632.70 $195,363.49 nat. median
$180,995
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $92,282.93 $419,737.00 $194,863.48 nat. median
$108,240
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $180,930.00 $205,057.60 $192,940.56 nat. median
$165,599
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $179,214.00 $203,112.80 $191,110.68 nat. median
$147,677
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 19 $88,768.31 $418,508.00 $187,425.67 nat. median
$98,002
1.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $172,604.00 $195,620.70 $184,061.30 nat. median
$160,171
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $170,358.00 $193,075.30 $181,666.30 nat. median
$156,285
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $91,242.36 $279,844.00 $179,010.68 nat. median
$100,978
1.8× median
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 6 $106,832.43 $223,602.75 $178,882.20 nat. median
$1,984
outlier · 90.2×
5831
APR_DRG 		Neonate With Ecmo 10 $163,411.00 $185,201.50 $174,257.77 nat. median
$154,685
1.1× median
222
MS_DRG 		No Active Code Description 4 $173,358.00 $173,358.00 $173,358.00 nat. median
$58,534
outlier · 3.0×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $162,231.00 $183,865.00 $173,000.25 nat. median
$127,938
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $89,219.94 $266,890.00 $172,988.47 nat. median
$99,646
1.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 $159,591.00 $180,871.90 $170,184.02 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $158,856.00 $180,039.20 $169,400.52 nat. median
$127,600
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $87,780.68 $272,172.00 $167,441.65 nat. median
$96,835
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $80,962.39 $250,570.00 $160,676.70 nat. median
$92,900
1.7× median
224
MS_DRG 		No Active Code Description 4 $154,945.00 $154,945.00 $154,945.00 nat. median
$51,048
outlier · 3.0×
459
MS_DRG 		No Active Code Description 8 $128,375.00 $170,642.00 $151,264.25 nat. median
$62,767
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $77,329.49 $239,344.00 $147,506.01 nat. median
$81,364
1.8× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 6 $69,956.70 $292,842.00 $146,421.00 nat. median
$92
outlier · 1596.3×
454
MS_DRG 		No Active Code Description 8 $118,387.00 $164,220.00 $144,051.00 nat. median
$57,648
outlier · 2.5×
226
MS_DRG 		No Active Code Description 4 $141,915.00 $141,915.00 $141,915.00 nat. median
$46,826
outlier · 3.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $131,831.00 $149,410.80 $140,581.98 nat. median
$123,690
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 $71,186.16 $257,632.00 $139,987.08 nat. median
$80,459
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $67,810.51 $252,163.00 $138,583.76 nat. median
$77,385
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $71,225.03 $209,576.00 $137,765.52 nat. median
$79,040
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 $126,735.00 $143,635.80 $135,148.23 nat. median
$96,420
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $70,122.43 $216,705.00 $133,758.54 nat. median
$81,124
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 $66,703.77 $205,665.00 $132,347.39 nat. median
$69,153
1.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 $122,252.00 $138,553.80 $130,366.53 nat. median
$89,188
1.5× median
223
MS_DRG 		No Active Code Description 4 $130,293.00 $130,293.00 $130,293.00 nat. median
$40,712
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 11,378 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 82 19 — — $313,078.12 $969,882.00 $612,817.56 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 27 6 $744,578.00 $227,361.02 69% off $320,168.54 $670,120.20 $536,096.16 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 84 19 — — $234,129.64 $704,141.00 $456,633.82 2026-02-28
5834 APR_DRG Neonate With Ecmo 33 10 — — $379,423.00 $430,018.60 $404,608.41 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 84 19 — — $197,358.15 $573,333.00 $377,940.86 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 84 19 — — $178,406.21 $548,550.00 $353,244.60 2026-02-28
5833 APR_DRG Neonate With Ecmo 33 10 — — $304,808.00 $345,453.90 $325,040.72 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 10 — — $300,548.00 $340,626.00 $320,498.10 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 331 19 $399,518.20 $146,392.58 63% off $220.59 $431,479.67 $281,260.80 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 33 10 — — $232,696.00 $263,726.10 $248,142.29 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 84 19 — — $118,010.15 $378,216.00 $233,523.26 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 33 10 — — $209,480.00 $237,414.10 $223,385.08 2026-02-28
5832 APR_DRG Neonate With Ecmo 33 10 — — $206,817.00 $234,395.70 $220,545.05 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 10 — — $205,198.00 $232,560.90 $218,818.67 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 33 10 — — $201,012.00 $227,817.70 $214,355.74 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 84 19 — — $109,505.27 $316,644.00 $212,694.64 2026-02-28
7 MS_DRG Lung Transplant 84 19 — — $109,232.30 $315,847.00 $210,670.26 2026-02-28
453 MS_DRG No Active Code Description 26 8 — — $171,521.00 $232,609.00 $208,703.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 10 — — $183,203.00 $207,632.70 $195,363.49 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 84 19 — — $92,282.93 $419,737.00 $194,863.48 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 33 10 — — $180,930.00 $205,057.60 $192,940.56 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 33 10 — — $179,214.00 $203,112.80 $191,110.68 2026-02-28
215 MS_DRG Other Heart Assist System Implant 84 19 — — $88,768.31 $418,508.00 $187,425.67 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 33 10 — — $172,604.00 $195,620.70 $184,061.30 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 33 10 — — $170,358.00 $193,075.30 $181,666.30 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 82 19 — — $91,242.36 $279,844.00 $179,010.68 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 25 6 $248,447.50 $109,651.81 56% off $106,832.43 $223,602.75 $178,882.20 2026-02-28
5831 APR_DRG Neonate With Ecmo 33 10 — — $163,411.00 $185,201.50 $174,257.77 2026-02-28
222 MS_DRG No Active Code Description 10 4 — — $173,358.00 $173,358.00 $173,358.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 33 10 — — $162,231.00 $183,865.00 $173,000.25 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 84 19 — — $89,219.94 $266,890.00 $172,988.47 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 33 10 — — $159,591.00 $180,871.90 $170,184.02 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 10 — — $158,856.00 $180,039.20 $169,400.52 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 18 — — $87,780.68 $272,172.00 $167,441.65 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 19 — — $80,962.39 $250,570.00 $160,676.70 2026-02-28
224 MS_DRG No Active Code Description 10 4 — — $154,945.00 $154,945.00 $154,945.00 2026-02-28
459 MS_DRG No Active Code Description 26 8 — — $128,375.00 $170,642.00 $151,264.25 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 76 18 — — $77,329.49 $239,344.00 $147,506.01 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 54 6 $244,035.00 $85,579.75 65% off $69,956.70 $292,842.00 $146,421.00 2026-02-28
454 MS_DRG No Active Code Description 26 8 — — $118,387.00 $164,220.00 $144,051.00 2026-02-28
226 MS_DRG No Active Code Description 10 4 — — $141,915.00 $141,915.00 $141,915.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $131,831.00 $149,410.80 $140,581.98 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 84 19 — — $71,186.16 $257,632.00 $139,987.08 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 19 — — $67,810.51 $252,163.00 $138,583.76 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 84 19 — — $71,225.03 $209,576.00 $137,765.52 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 33 10 — — $126,735.00 $143,635.80 $135,148.23 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 76 18 — — $70,122.43 $216,705.00 $133,758.54 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 82 19 — — $66,703.77 $205,665.00 $132,347.39 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 33 10 — — $122,252.00 $138,553.80 $130,366.53 2026-02-28
223 MS_DRG No Active Code Description 10 4 — — $130,293.00 $130,293.00 $130,293.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 10 — — $121,951.00 $138,212.80 $130,045.68 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 84 19 — — $65,786.44 $200,676.00 $129,487.22 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 19 — — $65,133.81 $200,352.00 $128,066.40 2026-02-28
38240 CPT Transplt Allo Hct/donor 74 19 — — $12,549.13 $269,893.90 $126,389.34 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 33 10 — — $117,977.00 $133,708.30 $125,807.35 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 25 6 $170,364.00 $75,189.81 56% off $73,256.52 $153,327.60 $122,662.08 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 54 6 $177,979.70 $63,927.23 64% off $63,040.58 $188,418.06 $122,416.01 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 19 — — $62,873.18 $180,395.00 $121,417.59 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 33 10 — — $113,627.00 $128,778.10 $121,168.49 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 33 10 — — $113,627.00 $128,778.10 $121,168.49 2026-02-28
225 MS_DRG No Active Code Description 10 4 — — $119,172.00 $119,172.00 $119,172.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 33 10 — — $111,138.00 $125,958.80 $118,515.78 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 10 — — $110,323.00 $125,034.80 $117,646.38 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 25 6 $163,265.50 $72,056.90 56% off $70,204.17 $146,938.95 $117,551.16 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 33 10 — — $109,975.00 $124,639.90 $117,274.82 2026-02-28
10 MS_DRG Pancreas Transplant 84 19 — — $67,081.78 $192,691.00 $117,211.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $109,903.00 $124,558.50 $117,198.23 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 82 19 — — $59,587.69 $182,804.00 $116,928.85 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 10 — — $108,624.00 $123,108.70 $115,834.10 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 19 — — $58,673.68 $179,200.00 $115,593.84 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 18 — — $59,882.99 $184,542.00 $114,226.81 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 84 19 — — $56,284.01 $176,365.00 $113,034.01 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 25 6 $156,167.00 $68,923.99 56% off $67,151.81 $140,550.30 $112,440.24 2026-02-28
8634 APR_DRG Neonatal Aftercare 33 10 — — $104,773.00 $118,743.90 $111,727.21 2026-02-28
227 MS_DRG No Active Code Description 10 4 — — $111,551.00 $111,551.00 $111,551.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 33 10 — — $104,260.00 $118,163.10 $111,180.74 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 19 — — $57,613.26 $165,026.00 $111,121.63 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 33 10 — — $104,173.00 $118,064.10 $111,087.59 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 19 — — $54,626.37 $177,736.00 $110,866.59 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 33 10 — — $102,198.00 $115,825.60 $108,981.36 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 84 19 — — $56,377.48 $161,416.00 $108,702.74 2026-02-28
455 MS_DRG No Active Code Description 26 8 — — $89,146.00 $126,036.00 $108,471.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 76 18 — — $56,590.88 $174,202.00 $107,947.11 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 25 6 $149,068.50 $65,791.09 56% off $64,099.46 $134,161.65 $107,329.32 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 19 — — $53,444.36 $176,825.00 $106,755.11 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 84 19 — — $50,685.77 $218,075.00 $106,628.89 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 19 — — $54,549.45 $164,201.00 $106,105.73 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 84 19 — — $51,892.60 $175,433.00 $105,837.30 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 33 10 — — $97,356.00 $110,337.70 $103,817.74 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 82 19 — — $52,369.88 $161,353.00 $103,094.94 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 33 10 — — $96,553.00 $109,428.00 $102,961.80 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 33 10 — — $95,952.00 $108,747.10 $102,321.13 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 84 19 — — $51,058.82 $158,928.00 $102,028.41 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 84 19 — — $51,419.47 $155,046.00 $100,339.74 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 84 19 — — $51,058.82 $158,928.00 $99,903.03 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 76 18 — — $52,303.70 $160,735.00 $99,769.31 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 19 — — $52,070.44 $159,985.00 $99,714.90 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 84 19 — — $48,606.29 $183,233.00 $99,542.65 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 19 — — $49,292.01 $155,576.00 $99,531.51 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 84 19 — — $51,661.00 $153,052.00 $99,501.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 84 19 — — $46,851.88 $189,435.00 $98,467.93 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 84 19 — — $49,804.02 $151,302.00 $97,730.51 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 19 — — $50,342.50 $147,263.00 $96,890.25 2026-02-28
C1822 HCPCS Ipg W/kit Nipg1500 100 6 $129,547.62 $53,259.45 59% off $48,837.68 $166,104.90 $96,539.60 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 82 19 — — $13,742.89 $154,377.00 $96,069.81 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $89,879.00 $101,864.40 $95,845.14 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 33 10 — — $88,579.00 $100,390.40 $94,458.24 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 19 — — $48,322.57 $145,853.00 $94,366.79 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 10 — — $88,444.00 $100,238.60 $94,315.41 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 10 — — $88,444.00 $100,238.60 $94,315.41 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 19 — — $45,760.02 $146,220.00 $93,262.51 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 19 — — $45,807.17 $145,721.00 $93,045.59 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 84 19 — — $46,851.88 $146,320.00 $92,766.94 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 33 10 — — $86,179.00 $97,671.20 $91,899.72 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 84 19 — — $46,036.30 $141,643.00 $91,197.15 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 84 19 — — $47,243.13 $149,399.00 $90,823.57 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 18 — — $46,659.98 $143,008.00 $89,003.92 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 84 19 — — $42,352.12 $184,132.00 $88,948.01 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 33 10 — — $83,214.00 $94,310.70 $88,737.79 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 84 19 — — $46,138.86 $142,548.00 $88,661.93 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 76 18 — — $46,382.05 $142,135.00 $88,473.76 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 19 — — $45,764.99 $132,666.00 $87,929.99 2026-02-28
230 MS_DRG No Active Code Description 10 4 — — $87,542.00 $87,542.00 $87,542.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 19 — — $44,944.44 $134,938.00 $87,423.72 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 84 19 — — $45,138.83 $133,737.00 $86,942.91 2026-02-28
1784 APR_DRG External Heart Assist Systems 33 10 — — $80,621.00 $91,371.50 $85,972.27 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $80,554.00 $91,295.60 $85,900.86 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 84 19 — — $43,272.75 $133,446.00 $85,869.88 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 33 10 — — $80,387.00 $91,106.40 $85,722.84 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 33 10 — — $80,078.00 $90,756.60 $85,393.71 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 33 10 — — $79,819.00 $90,462.90 $85,117.37 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 10 — — $79,543.00 $90,149.40 $84,822.39 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 84 19 — — $43,143.71 $139,445.00 $84,472.85 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 84 19 — — $43,590.38 $130,109.00 $84,422.19 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 84 19 — — $40,047.64 $168,156.00 $84,058.78 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 84 19 — — $42,549.81 $156,066.00 $83,696.40 2026-02-28
460 MS_DRG No Active Code Description 26 8 — — $70,802.00 $94,114.00 $83,487.50 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 76 18 — — $43,731.82 $133,810.00 $83,418.45 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 84 19 — — $42,501.01 $132,760.00 $83,164.51 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 33 10 — — $77,249.00 $87,550.10 $82,376.68 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 84 19 — — $42,795.47 $125,127.00 $82,117.74 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 33 10 — — $76,939.00 $87,199.20 $82,046.52 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 84 19 — — $40,462.05 $132,474.00 $81,591.02 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 84 19 — — $41,309.89 $126,561.00 $81,574.45 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 82 19 — — $42,517.55 $120,920.00 $81,573.77 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 10 — — $76,086.00 $86,232.30 $81,136.76 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 84 19 — — $41,242.89 $124,960.00 $80,523.95 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 33 10 — — $75,027.00 $85,031.10 $80,006.54 2026-02-28
245 MS_DRG Aicd Generator Procedures 84 19 — — $41,553.90 $124,054.00 $79,687.45 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 33 10 — — $74,411.00 $84,333.70 $79,350.35 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 33 10 — — $74,146.00 $84,033.40 $79,067.79 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 82 19 — — $39,610.90 $124,256.00 $79,032.95 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 19 — — $40,454.61 $150,597.94 $78,934.80 2026-02-28
69930 CPT Implant Cochlear Device 84 19 — — $12,267.00 $157,117.42 $78,710.43 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 33 10 — — $73,665.00 $83,487.80 $78,554.43 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 33 10 — — $73,286.00 $83,057.70 $78,149.74 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 84 19 — — $39,257.70 $130,414.00 $78,004.35 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 33 10 — — $73,072.00 $82,815.70 $77,922.04 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 19 — — $40,633.27 $126,496.00 $77,885.13 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 33 10 — — $72,814.00 $82,523.10 $77,646.74 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $72,709.00 $82,405.40 $77,535.99 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 19 — — $39,120.39 $119,790.00 $77,130.70 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 54 6 $128,148.00 $44,939.76 65% off $36,735.76 $153,777.60 $76,888.80 2026-02-28
C2616 HCPCS Therasphere Y-90 1-20gbq Y90thera 164 19 $125,998.38 $40,945.33 68% off $19,461.62 $123,269.01 $76,866.11 2026-02-28
C1767 HCPCS DRG Ipg Proclaim W/controller 3664ctrlsysxx 350 6 $122,371.04 $40,262.55 67% off $27,562.77 $222,280.30 $76,397.61 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 19 — — $39,839.20 $115,829.00 $76,331.10 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 33 10 — — $71,478.00 $81,009.50 $76,222.57 2026-02-28
C1820 HCPCS Kt Imp Vercise Gevia Genrtr M365db1200s0 225 6 $115,875.91 $45,518.90 61% off $2,911.95 $140,550.30 $76,024.94 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 33 10 — — $71,059.00 $80,534.30 $75,775.46 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 19 — — $39,114.60 $128,902.00 $75,495.80 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 82 19 — — $39,241.99 $117,259.00 $75,320.49 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $70,502.00 $79,904.00 $75,182.40 2026-02-28
6904 APR_DRG Acute Leukemia 33 10 — — $70,479.00 $79,876.50 $75,156.52 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 84 19 — — $36,849.01 $138,715.00 $74,538.51 2026-02-28
C1882 HCPCS Acticor 7 Hf-t 429523 408 6 $103,680.69 $37,932.42 63% off $25,487.17 $180,671.03 $74,108.42 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 19 — — $38,450.39 $343,732.19 $74,068.70 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 84 19 — — $38,125.32 $113,619.00 $73,752.66 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 33 10 — — $69,147.00 $78,367.30 $73,736.51 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 33 10 — — $68,711.00 $77,873.40 $73,271.79 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 19 — — $38,227.89 $110,707.00 $73,176.95 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 33 10 — — $68,458.00 $77,587.40 $73,002.69 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 33 10 — — $68,456.00 $77,585.20 $73,000.62 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 82 19 — — $37,467.72 $112,227.00 $72,753.86 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 84 19 — — $37,779.56 $112,409.00 $72,487.28 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 33 10 — — $67,600.00 $76,613.90 $72,086.71 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 33 10 — — $67,402.00 $76,390.60 $71,876.61 2026-02-28
2324 APR_DRG Gastric Fundoplication 33 10 — — $67,280.00 $76,252.00 $71,746.20 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 54 6 $130,690.00 $44,350.13 66% off $28,098.35 $176,431.50 $71,552.77 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 33 10 — — $67,039.00 $75,979.20 $71,489.52 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 84 19 — — $36,416.40 $110,087.00 $71,197.70 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 84 19 — — $36,922.62 $104,573.00 $70,622.31 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 33 10 — — $65,784.00 $74,556.90 $70,151.26 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 82 19 — — $36,364.29 $107,565.00 $69,529.15 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 33 10 — — $65,172.00 $73,862.80 $69,498.18 2026-02-28
J9249 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 54 6 $101,032.38 $36,295.05 64% off $35,777.36 $106,975.44 $69,474.63 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 84 19 — — $35,547.88 $106,997.00 $69,275.94 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 82 19 — — $36,114.49 $103,424.00 $69,040.24 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 84 19 — — $35,795.20 $105,916.00 $68,879.60 2026-02-28
984 MS_DRG No Active Code Description 10 4 — — $68,873.00 $68,873.00 $68,873.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 33 10 — — $64,316.00 $72,892.60 $68,585.31 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 84 19 — — $35,786.93 $101,254.00 $68,398.96 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 10 — — $64,092.00 $72,638.50 $68,346.23 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 33 10 — — $63,482.00 $71,947.70 $67,696.24 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 84 19 — — $35,145.88 $103,976.00 $67,620.94 2026-02-28
1794 APR_DRG Defibrillator Implants 33 10 — — $63,163.00 $71,584.70 $67,354.70 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 74 19 — — $33,918.32 $139,065.11 $67,158.27 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 84 19 — — $35,076.40 $103,042.00 $67,136.70 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 84 19 — — $35,126.86 $105,177.37 $67,106.93 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 84 19 — — $32,980.37 $104,403.00 $66,744.18 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 84 19 — — $33,769.48 $103,289.00 $66,602.24 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 76 18 — — $34,909.31 $106,097.00 $66,504.42 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 84 19 — — $34,776.14 $116,444.00 $66,420.57 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 33 10 — — $62,233.00 $70,530.90 $66,363.16 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 33 10 — — $62,148.00 $70,435.20 $66,273.12 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 33 10 — — $62,112.00 $70,394.50 $66,234.82 2026-02-28
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 27 6 $91,868.00 $28,052.41 69% off $39,503.24 $82,681.20 $66,144.96 2026-02-28
61886 CPT Implant Neurostim Arrays 76 19 — — $6,630.00 $139,065.11 $66,140.72 2026-02-28
246 MS_DRG No Active Code Description 10 4 — — $66,125.00 $66,125.00 $66,125.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 82 19 — — $34,714.10 $105,430.00 $65,956.79 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 33 10 — — $61,822.00 $70,066.70 $65,926.40 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 33 10 — — $61,816.00 $70,059.00 $65,919.15 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 84 19 — — $33,101.96 $105,809.00 $65,564.98 2026-02-28
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 281 19 $102,190.00 $36,081.08 65% off $39.97 $128,759.49 $65,401.64 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 54 6 $130,226.23 $42,403.83 67% off $16,685.72 $199,483.61 $65,116.22 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 84 19 — — $34,083.80 $100,501.00 $65,065.40 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 84 19 — — $34,060.64 $96,210.00 $65,019.82 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 84 19 — — $33,476.67 $100,266.00 $65,000.83 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 84 19 — — $33,702.48 $108,446.00 $64,992.24 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 84 19 — — $33,298.00 $100,379.00 $64,966.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 33 10 — — $59,957.00 $67,951.40 $63,936.09 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 78 18 — — $33,636.31 $94,971.00 $63,908.99 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 84 19 — — $32,333.53 $99,070.00 $63,853.26 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 76 18 — — $33,492.38 $101,647.00 $63,771.61 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 33 10 — — $59,725.00 $67,689.60 $63,689.76 2026-02-28
274 APR_DRG Other Open Craniotomy 33 10 — — $59,582.00 $67,526.80 $63,536.58 2026-02-28
22810 CPT Ant Fusion 4-7 Vert Seg 19 8 — — $15,299.08 $63,463.19 $63,463.19 2026-02-28
20805 CPT Replant Forearm Complete 19 8 — — $25,541.30 $63,463.19 $63,463.19 2026-02-28
20802 CPT Replantation Arm Complete 19 8 — — $21,188.31 $63,463.19 $63,463.19 2026-02-28
22590 CPT Spine Skull Spinal Fusion 19 8 — — $11,905.72 $63,463.19 $63,463.19 2026-02-28
27592 CPT Amputate Leg At Thigh 19 8 — — $5,231.85 $63,463.19 $63,463.19 2026-02-28
22556 CPT Thorax Spine Fusion 19 8 — — $12,666.35 $63,463.19 $63,463.19 2026-02-28
27880 CPT Amputation Of Lower Leg 19 8 — — $7,008.38 $63,463.19 $63,463.19 2026-02-28
27284 CPT Fusion Of Hip Joint 19 8 — — $11,626.80 $63,463.19 $63,463.19 2026-02-28
22610 CPT Thorax Spine Fusion 19 8 — — $9,646.37 $63,463.19 $63,463.19 2026-02-28
22558 CPT Lumbar Spine Fusion 19 8 — — $11,727.51 $63,463.19 $63,463.19 2026-02-28
22600 CPT Neck Spine Fusion 19 8 — — $9,813.38 $63,463.19 $63,463.19 2026-02-28
22812 CPT Ant Fusion 8/> Vert Seg 19 8 — — $17,044.91 $63,463.19 $63,463.19 2026-02-28
27286 CPT Fusion Of Hip Joint 19 8 — — $12,738.22 $63,463.19 $63,463.19 2026-02-28
27590 CPT Amputate Leg At Thigh 19 8 — — $6,106.56 $63,463.19 $63,463.19 2026-02-28
22802 CPT Post Fusion 7-12 Vert Seg 19 8 — — $16,021.82 $63,463.19 $63,463.19 2026-02-28
22818 CPT Kyphectomy 1-2 Segments 19 8 — — $16,700.93 $63,463.19 $63,463.19 2026-02-28
27280 CPT Fusion Of Sacroiliac Joint 19 8 — — $8,212.52 $63,463.19 $63,463.19 2026-02-28
20808 CPT Replantation Hand Complete 19 8 — — $30,876.15 $63,463.19 $63,463.19 2026-02-28
22548 CPT Neck Spine Fusion 19 8 — — $14,698.34 $63,463.19 $63,463.19 2026-02-28
27591 CPT Amputate Leg At Thigh 19 8 — — $7,476.34 $63,463.19 $63,463.19 2026-02-28
22804 CPT Post Fusion 13/> Vert Seg 19 8 — — $18,479.19 $63,463.19 $63,463.19 2026-02-28
27290 CPT Amputation Of Leg At Hip 19 8 — — $12,527.26 $63,463.19 $63,463.19 2026-02-28
22586 CPT Prescrl Fuse With Instr L5-s1 19 8 — — $14,869.18 $63,463.19 $63,463.19 2026-02-28
22532 CPT Lat Thorax Spine Fusion 19 8 — — $13,468.57 $63,463.19 $63,463.19 2026-02-28
22857 CPT Lumbar Artif Diskectomy 19 8 — — $13,715.93 $63,463.19 $63,463.19 2026-02-28
22861 CPT Revise Cerv Artific Disc 19 8 — — $14,605.92 $63,463.19 $63,463.19 2026-02-28
22800 CPT Post Fusion </6 Vert Seg 19 8 — — $10,366.21 $63,463.19 $63,463.19 2026-02-28
27295 CPT Amputation Of Leg At Hip 19 8 — — $9,631.89 $63,463.19 $63,463.19 2026-02-28
22862 CPT Revise Lumbar Artif Disc 19 8 — — $13,866.03 $63,463.19 $63,463.19 2026-02-28
22849 CPT Reinsert Spinal Fixation 19 8 — — $9,890.69 $63,463.19 $63,463.19 2026-02-28
20838 CPT Replantation Foot Complete 19 8 — — $17,117.27 $63,463.19 $63,463.19 2026-02-28
22595 CPT Neck Spinal Fusion 19 8 — — $11,399.57 $63,463.19 $63,463.19 2026-02-28
22808 CPT Ant Fusion 2-3 Vert Seg 19 8 — — $13,974.05 $63,463.19 $63,463.19 2026-02-28
22819 CPT Kyphectomy 3 Or More 19 8 — — $20,444.83 $63,463.19 $63,463.19 2026-02-28
22533 CPT Lat Lumbar Spine Fusion 19 8 — — $12,647.66 $63,463.19 $63,463.19 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 84 19 — — $30,334.28 $119,764.00 $63,450.68 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 84 19 — — $32,084.55 $98,429.00 $63,420.28 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 19 — — $32,578.37 $104,224.00 $63,211.68 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 84 19 — — $33,069.70 $93,315.00 $63,080.35 2026-02-28
234 APR_DRG Spinal Procedures 33 10 — — $58,990.00 $66,855.80 $62,905.23 2026-02-28
248 MS_DRG No Active Code Description 10 4 — — $62,466.00 $62,466.00 $62,466.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 84 19 — — $32,749.59 $99,217.00 $62,453.79 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 33 10 — — $58,293.00 $66,066.00 $62,162.10 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 33 10 — — $58,236.00 $66,002.20 $62,102.07 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 33 10 — — $58,127.00 $65,879.00 $61,986.15 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 33 10 — — $57,777.00 $65,480.80 $61,611.48 2026-02-28
J9019 HCPCS Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection 41 9 $102,476.00 $31,291.62 69% off $829.66 $92,228.40 $61,485.60 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 33 10 — — $57,653.00 $65,341.10 $61,480.04 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 33 10 — — $57,644.00 $65,330.10 $61,469.68 2026-02-28
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 54 6 $131,768.00 $41,614.51 68% off $8,716.96 $218,937.60 $61,424.16 2026-02-28
332 MS_DRG Rectal Resection With Mcc 84 19 — — $29,823.92 $124,108.00 $61,279.46 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 84 19 — — $30,093.57 $101,151.00 $61,144.29 2026-02-28
4414 APR_DRG Major Bladder Procedures 33 10 — — $57,133.00 $64,751.50 $60,925.28 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 33 10 — — $56,977.00 $64,574.40 $60,758.64 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 84 19 — — $31,312.81 $93,208.00 $60,521.90 2026-02-28
338 MS_DRG No Active Code Description 10 4 — — $60,478.00 $60,478.00 $60,478.00 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 84 19 — — $30,782.60 $93,574.00 $60,432.30 2026-02-28
C1787 HCPCS Kt Pulse Gen 16 Wavewriter Alp M365sc12160 165 6 $106,477.50 $35,331.34 67% off $3,037.10 $108,607.05 $60,337.25 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 33 10 — — $56,574.00 $64,117.90 $60,329.11 2026-02-28
1783 APR_DRG External Heart Assist Systems 33 10 — — $56,544.00 $64,083.80 $60,297.03 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 84 19 — — $30,777.64 $93,957.00 $60,068.16 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 84 19 — — $31,103.54 $106,617.00 $59,826.27 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 84 19 — — $30,253.22 $92,141.00 $59,478.11 2026-02-28
265 MS_DRG Aicd Lead Procedures 84 19 — — $30,638.67 $90,929.00 $59,087.33 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 33 10 — — $55,202.00 $62,562.50 $58,865.62 2026-02-28
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