Hospital

HIGHLINE MEDICAL CENTER

Burien, WA · CCN 500011 · Rates published

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You selected 93306 (CPT)

HC ECHO RT 2D WWO M MD W SPDOP

This hospital’s price: $1,479 across 19 payers · range $610-$5,004

Source: https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910712166_st-anne-hospital_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.

11,296 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 — reason	Rows
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_st-anne-hospital_standardcharges.json
Found on page	https://www.vmfh.org/billing-insurance/price-transparency
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-20
Content fingerprint	69b89ee054a71bba… · 64,789,581 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
J0225 HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	6	$320,168.54	$670,120.20	$536,096.16	nat. median $8,223 outlier · 65.2×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$313,078.12	$969,882.00	$423,469.66	nat. median $359,454 1.2× median
5834 APR_DRG	Neonate With Ecmo	5	$379,423.00	$430,018.60	$405,982.61	nat. median $307,206 1.3× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$234,129.64	$704,141.00	$360,160.00	nat. median $249,036 1.4× median
5833 APR_DRG	Neonate With Ecmo	5	$304,808.00	$345,453.90	$326,144.56	nat. median $244,017 1.3× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$300,548.00	$340,626.00	$321,586.36	nat. median $247,214 1.3× median
J1303 HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	19	$220.59	$431,479.67	$281,260.80	nat. median $5,977 outlier · 47.1×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth…	18	$178,406.21	$548,550.00	$274,024.00	nat. median $190,559 1.4× median
1614 APR_DRG	Implantable Heart Assist Systems	5	$232,696.00	$263,726.10	$248,984.72	nat. median $202,993 1.2× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$197,358.15	$573,333.00	$228,501.89	nat. median $198,418 1.2× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	5	$209,480.00	$237,414.10	$224,143.60	nat. median $155,939 1.4× median
5832 APR_DRG	Neonate With Ecmo	5	$206,817.00	$234,395.70	$221,294.19	nat. median $159,249 1.4× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$205,198.00	$232,560.90	$219,561.86	nat. median $162,342 1.4× median
453 MS_DRG	No Active Code Description	3	$171,521.00	$232,609.00	$219,488.00	nat. median $70,732 outlier · 3.1×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$201,012.00	$227,817.70	$215,082.84	nat. median $165,000 1.3× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$183,203.00	$207,632.70	$196,027.21	nat. median $175,204 1.1× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	5	$180,930.00	$205,057.60	$193,595.10	nat. median $163,587 1.2× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$179,214.00	$203,112.80	$191,758.98	nat. median $133,164 1.4× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$172,604.00	$195,620.70	$184,686.28	nat. median $154,011 1.2× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$170,358.00	$193,075.30	$182,283.06	nat. median $151,838 1.2× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	18	$118,010.15	$378,216.00	$180,666.00	nat. median $126,695 1.4× median
C1877 HCPCS	Thraflx Hbrd Antflo 30x40x150a Tha3040x150a	6	$106,832.43	$223,602.75	$178,882.20	nat. median $2,016 outlier · 88.7×
5831 APR_DRG	Neonate With Ecmo	5	$163,411.00	$185,201.50	$174,849.77	nat. median $146,500 1.2× median
1613 APR_DRG	Implantable Heart Assist Systems	5	$162,231.00	$183,865.00	$173,587.17	nat. median $120,517 1.4× median
222 MS_DRG	No Active Code Description	1	$173,358.00	$173,358.00	$173,358.00	nat. median $47,543 outlier · 3.6×
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	5	$159,591.00	$180,871.90	$170,762.37	nat. median $107,681 1.6× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$158,856.00	$180,039.20	$169,975.92	nat. median $122,016 1.4× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	18	$109,505.27	$316,644.00	$167,520.00	nat. median $110,307 1.5× median
7 MS_DRG	Lung Transplant	18	$109,232.30	$315,847.00	$167,098.00	nat. median $117,974 1.4× median
224 MS_DRG	No Active Code Description	1	$154,945.00	$154,945.00	$154,945.00	nat. median $39,452 outlier · 3.9×
454 MS_DRG	No Active Code Description	3	$118,387.00	$164,220.00	$151,495.00	nat. median $49,540 outlier · 3.1×
J1747 HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	6	$69,956.70	$292,842.00	$146,421.00	nat. median $92 outlier · 1591.0×
226 MS_DRG	No Active Code Description	1	$141,915.00	$141,915.00	$141,915.00	nat. median $38,225 outlier · 3.7×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	5	$131,831.00	$149,410.80	$141,059.17	nat. median $118,620 1.2× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$92,282.93	$419,737.00	$140,898.00	nat. median $104,013 1.4× median
459 MS_DRG	No Active Code Description	3	$128,375.00	$170,642.00	$137,483.00	nat. median $52,712 outlier · 2.6×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	18	$89,219.94	$266,890.00	$136,163.00	nat. median $95,038 1.4× median
5891 APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	5	$126,735.00	$143,635.80	$135,606.45	nat. median $93,998 1.4× median
215 MS_DRG	Other Heart Assist System Implant	18	$88,768.31	$418,508.00	$135,465.00	nat. median $93,901 1.4× median
5892 APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	5	$122,252.00	$138,553.80	$130,809.64	nat. median $89,188 1.5× median
5913 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$121,951.00	$138,212.80	$130,487.57	nat. median $101,406 1.3× median
223 MS_DRG	No Active Code Description	1	$130,293.00	$130,293.00	$130,293.00	nat. median $32,619 outlier · 4.0×
38240 CPT	Transplt Allo Hct/donor	19	$12,549.13	$269,893.90	$126,389.34	nat. median $12,842 outlier · 9.8×
5933 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$117,977.00	$133,708.30	$126,235.39	nat. median $108,695 1.2× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	$80,962.39	$250,570.00	$123,399.00	nat. median $90,551 1.4× median
C1605 HCPCS	Pacer Sys Aveir Dual Chamber Dr-system-aveir	6	$73,256.52	$153,327.60	$122,662.08	nat. median $21,751 outlier · 5.6×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	17	$91,242.36	$279,844.00	$122,447.11	nat. median $97,323 1.3× median
J9359 HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution	6	$63,040.58	$188,418.06	$122,416.01	nat. median $742 outlier · 164.9×
1612 APR_DRG	Implantable Heart Assist Systems	5	$113,627.00	$128,778.10	$121,580.89	nat. median $84,880 1.4× median
1611 APR_DRG	Implantable Heart Assist Systems	5	$113,627.00	$128,778.10	$121,580.89	nat. median $76,852 1.6× median

Other procedures at this hospital

Browse this hospital's 11,296 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

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
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	64	17	—	—	$313,078.12	$969,882.00	$423,469.66	2026-02-28
5834	APR_DRG	Neonate With Ecmo	15	5	—	—	$379,423.00	$430,018.60	$405,982.61	2026-02-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	66	18	—	—	$234,129.64	$704,141.00	$360,160.00	2026-02-28
5833	APR_DRG	Neonate With Ecmo	15	5	—	—	$304,808.00	$345,453.90	$326,144.56	2026-02-28
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	5	—	—	$300,548.00	$340,626.00	$321,586.36	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
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	66	18	—	—	$178,406.21	$548,550.00	$274,024.00	2026-02-28
1614	APR_DRG	Implantable Heart Assist Systems	15	5	—	—	$232,696.00	$263,726.10	$248,984.72	2026-02-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	60	17	—	—	$197,358.15	$573,333.00	$228,501.89	2026-02-28
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	5	—	—	$209,480.00	$237,414.10	$224,143.60	2026-02-28
5832	APR_DRG	Neonate With Ecmo	15	5	—	—	$206,817.00	$234,395.70	$221,294.19	2026-02-28
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	5	—	—	$205,198.00	$232,560.90	$219,561.86	2026-02-28
453	MS_DRG	No Active Code Description	8	3	—	—	$171,521.00	$232,609.00	$219,488.00	2026-02-28
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	5	—	—	$201,012.00	$227,817.70	$215,082.84	2026-02-28
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	5	—	—	$183,203.00	$207,632.70	$196,027.21	2026-02-28
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	15	5	—	—	$180,930.00	$205,057.60	$193,595.10	2026-02-28
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	15	5	—	—	$179,214.00	$203,112.80	$191,758.98	2026-02-28
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	5	—	—	$172,604.00	$195,620.70	$184,686.28	2026-02-28
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	5	—	—	$170,358.00	$193,075.30	$182,283.06	2026-02-28
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	66	18	—	—	$118,010.15	$378,216.00	$180,666.00	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	15	5	—	—	$163,411.00	$185,201.50	$174,849.77	2026-02-28
1613	APR_DRG	Implantable Heart Assist Systems	15	5	—	—	$162,231.00	$183,865.00	$173,587.17	2026-02-28
222	MS_DRG	No Active Code Description	2	1	—	—	$173,358.00	$173,358.00	$173,358.00	2026-02-28
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	5	—	—	$159,591.00	$180,871.90	$170,762.37	2026-02-28
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	5	—	—	$158,856.00	$180,039.20	$169,975.92	2026-02-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	66	18	—	—	$109,505.27	$316,644.00	$167,520.00	2026-02-28
7	MS_DRG	Lung Transplant	66	18	—	—	$109,232.30	$315,847.00	$167,098.00	2026-02-28
224	MS_DRG	No Active Code Description	2	1	—	—	$154,945.00	$154,945.00	$154,945.00	2026-02-28
454	MS_DRG	No Active Code Description	8	3	—	—	$118,387.00	$164,220.00	$151,495.00	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
226	MS_DRG	No Active Code Description	2	1	—	—	$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…	15	5	—	—	$131,831.00	$149,410.80	$141,059.17	2026-02-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	66	18	—	—	$92,282.93	$419,737.00	$140,898.00	2026-02-28
459	MS_DRG	No Active Code Description	8	3	—	—	$128,375.00	$170,642.00	$137,483.00	2026-02-28
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	66	18	—	—	$89,219.94	$266,890.00	$136,163.00	2026-02-28
5891	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	15	5	—	—	$126,735.00	$143,635.80	$135,606.45	2026-02-28
215	MS_DRG	Other Heart Assist System Implant	66	18	—	—	$88,768.31	$418,508.00	$135,465.00	2026-02-28
5892	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	15	5	—	—	$122,252.00	$138,553.80	$130,809.64	2026-02-28
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	5	—	—	$121,951.00	$138,212.80	$130,487.57	2026-02-28
223	MS_DRG	No Active Code Description	2	1	—	—	$130,293.00	$130,293.00	$130,293.00	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	15	5	—	—	$117,977.00	$133,708.30	$126,235.39	2026-02-28
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	18	—	—	$80,962.39	$250,570.00	$123,399.00	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
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	64	17	—	—	$91,242.36	$279,844.00	$122,447.11	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
1612	APR_DRG	Implantable Heart Assist Systems	15	5	—	—	$113,627.00	$128,778.10	$121,580.89	2026-02-28
1611	APR_DRG	Implantable Heart Assist Systems	15	5	—	—	$113,627.00	$128,778.10	$121,580.89	2026-02-28
225	MS_DRG	No Active Code Description	2	1	—	—	$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…	15	5	—	—	$111,138.00	$125,958.80	$118,917.66	2026-02-28
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	5	—	—	$110,323.00	$125,034.80	$118,045.61	2026-02-28
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	15	5	—	—	$109,975.00	$124,639.90	$117,673.25	2026-02-28
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$109,903.00	$124,558.50	$117,596.21	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
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	5	—	—	$108,624.00	$123,108.70	$116,227.68	2026-02-28
455	MS_DRG	No Active Code Description	8	3	—	—	$89,146.00	$126,036.00	$114,076.00	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	15	5	—	—	$104,773.00	$118,743.90	$112,107.11	2026-02-28
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	15	5	—	—	$104,260.00	$118,163.10	$111,558.20	2026-02-28
227	MS_DRG	No Active Code Description	2	1	—	—	$111,551.00	$111,551.00	$111,551.00	2026-02-28
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	15	5	—	—	$104,173.00	$118,064.10	$111,465.11	2026-02-28
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	5	—	—	$102,198.00	$115,825.60	$109,351.86	2026-02-28
231	MS_DRG	Coronary Bypass With Ptca With Mcc	66	18	—	—	$71,225.03	$209,576.00	$108,347.00	2026-02-28
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	66	18	—	—	$71,186.16	$257,632.00	$108,287.00	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
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	15	5	—	—	$97,356.00	$110,337.70	$104,170.92	2026-02-28
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	5	—	—	$96,553.00	$109,428.00	$103,311.71	2026-02-28
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	66	18	—	—	$67,810.51	$252,163.00	$103,069.00	2026-02-28
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	5	—	—	$95,952.00	$108,747.10	$102,668.64	2026-02-28
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	58	16	—	—	$87,780.68	$272,172.00	$100,947.79	2026-02-28
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	66	18	—	—	$65,786.44	$200,676.00	$99,940.00	2026-02-28
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	18	—	—	$65,133.81	$200,352.00	$98,932.00	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
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$89,879.00	$101,864.40	$96,170.53	2026-02-28
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	15	5	—	—	$88,579.00	$100,390.40	$94,779.53	2026-02-28
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	5	—	—	$88,444.00	$100,238.60	$94,635.08	2026-02-28
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	5	—	—	$88,444.00	$100,238.60	$94,635.08	2026-02-28
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	5	—	—	$86,179.00	$97,671.20	$92,211.53	2026-02-28
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	64	17	—	—	$66,703.77	$205,665.00	$89,149.20	2026-02-28
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	5	—	—	$83,214.00	$94,310.70	$89,038.98	2026-02-28
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	66	18	—	—	$58,673.68	$179,200.00	$88,946.00	2026-02-28
850	MS_DRG	Acute Leukemia With Other Procedures	58	16	—	—	$77,329.49	$239,344.00	$88,928.92	2026-02-28
10	MS_DRG	Pancreas Transplant	66	18	—	—	$67,081.78	$192,691.00	$87,584.00	2026-02-28
230	MS_DRG	No Active Code Description	2	1	—	—	$87,542.00	$87,542.00	$87,542.00	2026-02-28
1784	APR_DRG	External Heart Assist Systems	15	5	—	—	$80,621.00	$91,371.50	$86,264.47	2026-02-28
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$80,554.00	$91,295.60	$86,192.78	2026-02-28
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	5	—	—	$80,387.00	$91,106.40	$86,014.09	2026-02-28
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	15	5	—	—	$80,078.00	$90,756.60	$85,683.46	2026-02-28
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	15	5	—	—	$79,819.00	$90,462.90	$85,406.33	2026-02-28
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	66	18	—	—	$56,284.01	$176,365.00	$85,252.00	2026-02-28
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	5	—	—	$79,543.00	$90,149.40	$85,111.01	2026-02-28
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	66	18	—	—	$54,626.37	$177,736.00	$82,690.00	2026-02-28
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	15	5	—	—	$77,249.00	$87,550.10	$82,656.43	2026-02-28
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	18	—	—	$54,549.45	$164,201.00	$82,571.00	2026-02-28
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	5	—	—	$76,939.00	$87,199.20	$82,324.73	2026-02-28
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	5	—	—	$76,086.00	$86,232.30	$81,412.02	2026-02-28
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	66	18	—	—	$53,444.36	$176,825.00	$80,862.00	2026-02-28
460	MS_DRG	No Active Code Description	8	3	—	—	$70,802.00	$94,114.00	$80,824.00	2026-02-28
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	58	16	—	—	$70,122.43	$216,705.00	$80,640.80	2026-02-28
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	15	5	—	—	$75,027.00	$85,031.10	$80,278.89	2026-02-28
6804	APR_DRG	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	15	5	—	—	$74,411.00	$84,333.70	$79,619.77	2026-02-28
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	64	17	—	—	$59,587.69	$182,804.00	$79,493.37	2026-02-28
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	5	—	—	$74,146.00	$84,033.40	$79,336.22	2026-02-28
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	15	5	—	—	$73,665.00	$83,487.80	$78,821.55	2026-02-28
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	66	18	—	—	$52,070.44	$159,985.00	$78,739.00	2026-02-28
69930	CPT	Implant Cochlear Device	84	19	—	—	$12,267.00	$157,117.42	$78,710.43	2026-02-28
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	66	18	—	—	$51,892.60	$175,433.00	$78,464.00	2026-02-28
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	15	5	—	—	$73,286.00	$83,057.70	$78,416.02	2026-02-28
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	15	5	—	—	$73,072.00	$82,815.70	$78,187.04	2026-02-28
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	66	18	—	—	$51,661.00	$153,052.00	$78,106.00	2026-02-28
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	15	5	—	—	$72,814.00	$82,523.10	$77,910.98	2026-02-28
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$72,709.00	$82,405.40	$77,798.63	2026-02-28
28	MS_DRG	Spinal Procedures With Mcc	66	18	—	—	$51,419.47	$155,046.00	$77,732.00	2026-02-28
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	66	18	—	—	$51,058.82	$158,928.00	$77,175.00	2026-02-28
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	66	18	—	—	$51,058.82	$158,928.00	$77,175.00	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
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	66	18	—	—	$50,685.77	$218,075.00	$76,598.00	2026-02-28
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	15	5	—	—	$71,478.00	$81,009.50	$76,481.46	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
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	66	18	—	—	$50,342.50	$147,263.00	$76,068.00	2026-02-28
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	15	5	—	—	$71,059.00	$80,534.30	$76,033.13	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
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$70,502.00	$79,904.00	$75,437.14	2026-02-28
6904	APR_DRG	Acute Leukemia	15	5	—	—	$70,479.00	$79,876.50	$75,412.53	2026-02-28
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	66	18	—	—	$49,804.02	$151,302.00	$75,235.00	2026-02-28
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	66	18	—	—	$49,292.01	$155,576.00	$74,444.00	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
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	15	5	—	—	$69,147.00	$78,367.30	$73,987.29	2026-02-28
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	15	5	—	—	$68,711.00	$77,873.40	$73,520.77	2026-02-28
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	66	18	—	—	$48,606.29	$183,233.00	$73,384.00	2026-02-28
3124	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	15	5	—	—	$68,458.00	$77,587.40	$73,250.06	2026-02-28
2604	APR_DRG	Major Pancreas Liver And Shunt Procedures	15	5	—	—	$68,456.00	$77,585.20	$73,247.92	2026-02-28
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	66	18	—	—	$48,322.57	$145,853.00	$72,945.00	2026-02-28
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	60	17	—	—	$62,873.18	$180,395.00	$72,384.93	2026-02-28
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	15	5	—	—	$67,600.00	$76,613.90	$72,332.00	2026-02-28
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	15	5	—	—	$67,402.00	$76,390.60	$72,120.14	2026-02-28
2324	APR_DRG	Gastric Fundoplication	15	5	—	—	$67,280.00	$76,252.00	$71,989.60	2026-02-28
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	15	5	—	—	$67,039.00	$75,979.20	$71,731.73	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
653	MS_DRG	Major Bladder Procedures With Mcc	66	18	—	—	$47,243.13	$149,399.00	$71,277.00	2026-02-28
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	66	18	—	—	$46,851.88	$189,435.00	$70,672.00	2026-02-28
834	MS_DRG	Acute Leukemia With Mcc	66	18	—	—	$46,851.88	$146,320.00	$70,672.00	2026-02-28
6814	APR_DRG	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	15	5	—	—	$65,784.00	$74,556.90	$70,388.88	2026-02-28
214	APR_DRG	Open Craniotomy Except Trauma	15	5	—	—	$65,172.00	$73,862.80	$69,734.04	2026-02-28
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	64	17	—	—	$52,369.88	$161,353.00	$69,713.68	2026-02-28
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	66	18	—	—	$46,138.86	$142,548.00	$69,570.00	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
405	MS_DRG	Pancreas Liver And Shunt Procedures With Mcc	66	18	—	—	$46,036.30	$141,643.00	$69,411.00	2026-02-28
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	66	18	—	—	$45,807.17	$145,721.00	$69,057.00	2026-02-28
11	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc	66	18	—	—	$45,764.99	$132,666.00	$68,992.00	2026-02-28
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	66	18	—	—	$45,760.02	$146,220.00	$68,984.00	2026-02-28
984	MS_DRG	No Active Code Description	2	1	—	—	$68,873.00	$68,873.00	$68,873.00	2026-02-28
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	58	16	—	—	$59,882.99	$184,542.00	$68,865.44	2026-02-28
6954	APR_DRG	Chemotherapy For Acute Leukemia	15	5	—	—	$64,316.00	$72,892.60	$68,818.12	2026-02-28
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	5	—	—	$64,092.00	$72,638.50	$68,578.44	2026-02-28
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	66	18	—	—	$45,138.83	$133,737.00	$68,024.00	2026-02-28
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	15	5	—	—	$63,482.00	$71,947.70	$67,925.74	2026-02-28
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	18	—	—	$44,944.44	$134,938.00	$67,724.00	2026-02-28
1794	APR_DRG	Defibrillator Implants	15	5	—	—	$63,163.00	$71,584.70	$67,584.41	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
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	15	5	—	—	$62,233.00	$70,530.90	$66,589.31	2026-02-28
914	APR_DRG	Other Major Head And Neck Procedures	15	5	—	—	$62,148.00	$70,435.20	$66,498.36	2026-02-28
1694	APR_DRG	Major Abdominal Vascular Procedures	15	5	—	—	$62,112.00	$70,394.50	$66,459.84	2026-02-28
955	MS_DRG	Craniotomy For Multiple Significant Trauma	60	17	—	—	$57,613.26	$165,026.00	$66,288.27	2026-02-28
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	15	5	—	—	$61,822.00	$70,066.70	$66,149.54	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
894	APR_DRG	Major Cranial Or Facial Bone Procedures	15	5	—	—	$61,816.00	$70,059.00	$66,143.12	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	2	1	—	—	$66,125.00	$66,125.00	$66,125.00	2026-02-28
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	66	18	—	—	$43,590.38	$130,109.00	$65,631.00	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
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	66	18	—	—	$43,272.75	$133,446.00	$65,140.00	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
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	58	16	—	—	$56,590.88	$174,202.00	$65,079.52	2026-02-28
326	MS_DRG	Stomach Esophageal And Duodenal Procedures With Mcc	66	18	—	—	$43,143.71	$139,445.00	$64,940.00	2026-02-28
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	60	17	—	—	$56,377.48	$161,416.00	$64,855.91	2026-02-28
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	66	18	—	—	$42,795.47	$125,127.00	$64,402.00	2026-02-28
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	15	5	—	—	$59,957.00	$67,951.40	$64,153.99	2026-02-28
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	66	18	—	—	$42,549.81	$156,066.00	$64,022.00	2026-02-28
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	66	18	—	—	$42,501.01	$132,760.00	$63,947.00	2026-02-28
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	15	5	—	—	$59,725.00	$67,689.60	$63,905.75	2026-02-28
274	APR_DRG	Other Open Craniotomy	15	5	—	—	$59,582.00	$67,526.80	$63,752.74	2026-02-28
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	66	18	—	—	$42,352.12	$184,132.00	$63,716.00	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
22595	CPT	Neck Spinal Fusion	19	8	—	—	$11,399.57	$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
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
234	APR_DRG	Spinal Procedures	15	5	—	—	$58,990.00	$66,855.80	$63,119.30	2026-02-28
245	MS_DRG	Aicd Generator Procedures	66	18	—	—	$41,553.90	$124,054.00	$62,483.00	2026-02-28
248	MS_DRG	No Active Code Description	2	1	—	—	$62,466.00	$62,466.00	$62,466.00	2026-02-28
204	APR_DRG	Open Craniotomy For Trauma	15	5	—	—	$58,293.00	$66,066.00	$62,373.51	2026-02-28
224	APR_DRG	Ventricular Shunt Procedures	15	5	—	—	$58,236.00	$66,002.20	$62,312.52	2026-02-28
2204	APR_DRG	Major Stomach Esophageal And Duodenal Procedures	15	5	—	—	$58,127.00	$65,879.00	$62,195.89	2026-02-28
471	MS_DRG	Cervical Spinal Fusion With Mcc	66	18	—	—	$41,309.89	$126,561.00	$62,105.00	2026-02-28
6	MS_DRG	Liver Transplant Without Mcc	66	18	—	—	$41,242.89	$124,960.00	$62,002.00	2026-02-28
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	15	5	—	—	$57,777.00	$65,480.80	$61,821.39	2026-02-28
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	15	5	—	—	$57,653.00	$65,341.10	$61,688.71	2026-02-28
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	15	5	—	—	$57,644.00	$65,330.10	$61,679.08	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
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
4414	APR_DRG	Major Bladder Procedures	15	5	—	—	$57,133.00	$64,751.50	$61,132.31	2026-02-28
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	66	18	—	—	$40,633.27	$126,496.00	$61,060.00	2026-02-28
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	15	5	—	—	$56,977.00	$64,574.40	$60,965.39	2026-02-28
799	MS_DRG	Splenic Procedures With Mcc	66	18	—	—	$40,462.05	$132,474.00	$60,795.00	2026-02-28
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	66	18	—	—	$40,454.61	$128,484.00	$60,783.00	2026-02-28
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$56,574.00	$64,117.90	$60,534.18	2026-02-28
1783	APR_DRG	External Heart Assist Systems	15	5	—	—	$56,544.00	$64,083.80	$60,502.08	2026-02-28
338	MS_DRG	No Active Code Description	2	1	—	—	$60,478.00	$60,478.00	$60,478.00	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
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	66	18	—	—	$40,047.64	$168,156.00	$60,154.00	2026-02-28
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	58	16	—	—	$52,303.70	$160,735.00	$60,118.93	2026-02-28
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	66	18	—	—	$39,839.20	$115,829.00	$59,832.00	2026-02-28
1204	APR_DRG	Major Respiratory And Chest Procedures	15	5	—	—	$55,202.00	$62,562.50	$59,066.14	2026-02-28
163	MS_DRG	Major Chest Procedures With Mcc	66	18	—	—	$39,257.70	$130,414.00	$58,933.00	2026-02-28
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	66	18	—	—	$39,120.39	$119,790.00	$58,721.00	2026-02-28
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	66	18	—	—	$39,114.60	$128,902.00	$58,712.00	2026-02-28
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	5	—	—	$54,495.00	$61,761.70	$58,309.65	2026-02-28
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	5	—	—	$54,495.00	$61,761.70	$58,309.65	2026-02-28
1814	APR_DRG	Lower Extremity Arterial Procedures	15	5	—	—	$54,110.00	$61,325.00	$57,897.70	2026-02-28
C1722	HCPCS	Defib Gallant Vr Df-1 Cdvra500t	356	6	$72,177.55	$31,329.09 57% off	$16,787.96	$139,272.57	$57,868.40	2026-02-28
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	5	—	—	$54,076.00	$61,286.50	$57,861.32	2026-02-28
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	5	—	—	$54,076.00	$61,286.50	$57,861.32	2026-02-28
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome Neonate	62	16	—	—	$50,305.28	$154,377.00	$57,851.08	2026-02-28
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	66	18	—	—	$38,450.39	$120,621.00	$57,685.00	2026-02-28
2614	APR_DRG	Major Biliary Tract Procedures	15	5	—	—	$53,797.00	$60,970.80	$57,562.79	2026-02-28
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	15	5	—	—	$53,622.00	$60,772.80	$57,375.54	2026-02-28
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	66	18	—	—	$38,227.89	$110,707.00	$57,341.00	2026-02-28
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	66	18	—	—	$38,125.32	$113,619.00	$57,183.00	2026-02-28
1764	APR_DRG	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	15	5	—	—	$53,258.00	$60,360.30	$56,986.06	2026-02-28
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	15	5	—	—	$53,055.00	$60,129.30	$56,768.85	2026-02-28
901	MS_DRG	Wound Debridements For Injuries With Mcc	66	18	—	—	$37,779.56	$112,409.00	$56,648.00	2026-02-28
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	64	17	—	—	$42,517.55	$120,920.00	$56,433.60	2026-02-28
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	15	5	—	—	$52,169.00	$59,126.10	$55,820.83	2026-02-28
3214	APR_DRG	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	15	5	—	—	$52,044.00	$58,983.10	$55,687.08	2026-02-28
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	15	5	—	—	$51,960.00	$58,888.50	$55,597.20	2026-02-28
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	15	5	—	—	$51,849.00	$58,763.10	$55,478.43	2026-02-28
8434	APR_DRG	Extensive Third Degree Burns Without Skin Graft	15	5	—	—	$51,848.00	$58,762.00	$55,477.36	2026-02-28
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	15	5	—	—	$51,831.00	$58,742.20	$55,459.17	2026-02-28
4054	APR_DRG	Other Procedures For Endocrine Nutritional And Metabolic Disorders	15	5	—	—	$51,750.00	$58,650.90	$55,372.50	2026-02-28
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	66	18	—	—	$36,849.01	$138,715.00	$55,210.00	2026-02-28
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	15	5	—	—	$51,070.00	$57,879.80	$54,644.90	2026-02-28
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	66	18	—	—	$36,416.40	$110,087.00	$54,541.00	2026-02-28
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	15	5	—	—	$50,835.00	$57,614.70	$54,393.45	2026-02-28
J7504	HCPCS	Lymphocyteanti-thymo Immune Globulin 50 Mg/ml Intravenous Solution	226	19	$74,812.00	$33,018.13 56% off	$168.97	$201,992.36	$54,238.70	2026-02-28
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg Intravenous Solution	54	6	$105,733.45	$34,782.65 67% off	$15,786.59	$157,278.51	$54,092.94	2026-02-28
L8614	HCPCS	Imp Cochlear Model Ci624 O P1431676	250	6	$89,446.89	$31,669.75 65% off	$485.11	$108,479.28	$53,832.12	2026-02-28
1653	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	15	5	—	—	$50,283.00	$56,988.80	$53,802.81	2026-02-28
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	15	5	—	—	$50,178.00	$56,868.90	$53,690.46	2026-02-28
L8679	HCPCS	Neurostimulator Non Rechrg 4101	25	6	$74,555.55	$32,904.95 56% off	$32,058.89	$67,100.00	$53,680.00	2026-02-28
2304	APR_DRG	Major Small Bowel Procedures	15	5	—	—	$50,161.00	$56,850.20	$53,672.27	2026-02-28
J9333	HCPCS	Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution	81	6	$75,500.00	$24,991.33 67% off	$24,348.75	$101,925.00	$53,605.00	2026-02-28
31	MS_DRG	Ventricular Shunt Procedures With Mcc	66	18	—	—	$35,795.20	$105,916.00	$53,581.00	2026-02-28
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	66	18	—	—	$35,786.93	$101,254.00	$53,568.00	2026-02-28
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	58	16	—	—	$46,659.98	$143,008.00	$53,526.19	2026-02-28
264	APR_DRG	Other Nervous System And Related Procedures	15	5	—	—	$49,787.00	$56,426.70	$53,272.09	2026-02-28
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	58	16	—	—	$46,382.05	$142,135.00	$53,201.53	2026-02-28
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	66	18	—	—	$35,547.88	$106,997.00	$53,199.00	2026-02-28
5104	APR_DRG	Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…	15	5	—	—	$49,598.00	$56,211.10	$53,069.86	2026-02-28
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	66	18	—	—	$35,145.88	$103,976.00	$52,577.00	2026-02-28
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	64	17	—	—	$39,610.90	$124,256.00	$52,515.77	2026-02-28
12	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc	66	18	—	—	$35,076.40	$103,042.00	$52,470.00	2026-02-28
C1772	HCPCS	Pmp Pain Prometra Ii 13827	100	6	$74,708.17	$28,196.18 62% off	$27,471.20	$71,552.88	$52,386.93	2026-02-28
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	15	5	—	—	$48,868.00	$55,385.00	$52,288.76	2026-02-28
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	15	5	—	—	$48,624.00	$55,107.80	$52,027.68	2026-02-28
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	64	17	—	—	$39,241.99	$117,259.00	$52,018.65	2026-02-28
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	66	18	—	—	$34,776.14	$116,444.00	$52,006.00	2026-02-28

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