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

HARRISON MEDICAL CENTER

Silverdale, WA · CCN 500039 · Rates published

11,108 distinct procedures filed
17 distinct payers
420,509 rate rows
2026-02-28 last MRF observed
Data quality

379,623 of 420,509 rate rows are consumer-grade (90.3%)

40,886 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20,840
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,343
per-diem day rate — not a per-procedure price 430
placeholder amount (≤ $0.02) — excluded from medians 225
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
exceeds 10× this hospital's gross charge — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910565546_st-michael-medical-center_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 8cf41d84c3c81915… · 91,104,568 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 5 $469,084.14 $670,120.20 $595,662.40 nat. median
$6,067
outlier · 98.2×
5834
APR_DRG 		Neonate With Ecmo 5 $390,926.00 $418,290.82 $414,381.56 nat. median
$390,362
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $337,725.28 $969,882.00 $364,743.31 nat. median
$168,055
outlier · 2.2×
5833
APR_DRG 		Neonate With Ecmo 5 $314,049.00 $336,032.43 $332,891.94 nat. median
$268,208
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $309,660.00 $331,336.20 $328,239.60 nat. median
$286,698
1.1× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 16 $243.33 $431,479.67 $320,813.10 nat. median
$504
outlier · 636.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $252,332.78 $704,141.00 $272,519.41 nat. median
$186,516
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $239,751.00 $256,533.57 $254,136.06 nat. median
$202,242
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $215,831.00 $230,939.17 $228,780.86 nat. median
$173,018
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $212,559.89 $573,333.00 $228,501.89 nat. median
$131,925
1.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $213,087.00 $228,003.09 $225,872.22 nat. median
$201,678
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $211,419.00 $226,218.33 $224,104.14 nat. median
$171,497
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $207,107.00 $221,604.49 $219,533.42 nat. median
$198,578
1.1× median
453
MS_DRG 		No Active Code Description 2 $189,412.00 $227,995.00 $208,703.50 nat. median
$2,106
outlier · 99.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 13 $192,061.04 $548,550.00 $207,425.93 nat. median
$145,435
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $188,757.00 $201,969.99 $200,082.42 nat. median
$173,134
1.2× median
90378
CPT 		Palivizumab 100 Mg/ml Intramuscular Solution 16 $339.68 $279,376.79 $199,296.27 nat. median
$2,008
outlier · 99.2×
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 5 $156,521.93 $223,602.75 $198,758.00 nat. median
$2,392
outlier · 83.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $186,416.00 $199,465.12 $197,600.96 nat. median
$152,792
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $184,648.00 $197,573.36 $195,726.88 nat. median
$181,762
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $177,837.00 $190,285.59 $188,507.22 nat. median
$187,567
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $175,523.00 $187,809.61 $186,054.38 nat. median
$168,439
1.1× median
5831
APR_DRG 		Neonate With Ecmo 5 $168,365.00 $180,150.55 $178,466.90 nat. median
$173,909
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $167,150.00 $178,850.50 $177,179.00 nat. median
$155,539
1.1× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 5 $102,494.70 $292,842.00 $175,705.20 nat. median
$76
outlier · 2324.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $164,429.00 $175,939.03 $174,294.74 nat. median
$115,963
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $163,672.00 $175,129.04 $173,492.32 nat. median
$135,630
1.3× median
459
MS_DRG 		No Active Code Description 2 $141,765.00 $170,642.00 $156,203.50 nat. median
$2,106
outlier · 74.2×
38240
CPT 		Transplt Allo Hct/donor 16 $64,686.43 $237,134.59 $150,910.51 nat. median
$28,331
outlier · 5.3×
454
MS_DRG 		No Active Code Description 2 $130,736.00 $157,366.00 $144,051.00 nat. median
$2,106
outlier · 68.4×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $135,828.00 $145,335.96 $143,977.68 nat. median
$124,731
1.2× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 $130,578.00 $139,718.46 $138,412.68 nat. median
$99,483
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 13 $126,735.27 $378,216.00 $136,874.10 nat. median
$97,418
1.4× median
C1605
HCPCS 		Pacer Sys Aveir Dual Chamber Dr-system-aveir 5 $107,329.32 $153,327.60 $136,291.20 nat. median
$17,883
outlier · 7.6×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 $125,958.00 $134,775.06 $133,515.48 nat. median
$96,548
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $125,648.00 $134,443.36 $133,186.88 nat. median
$120,079
1.1× median
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 5 $92,361.78 $188,418.06 $131,919.02 nat. median
$292
outlier · 451.2×
C1824
HCPCS 		Optimizer Smart Ipg 10-b411-3-xx 5 $102,857.27 $146,938.95 $130,612.40 nat. median
$32,119
outlier · 4.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $121,553.00 $130,061.71 $128,846.18 nat. median
$114,205
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $117,536.20 $316,644.00 $126,939.10 nat. median
$72,715
1.7× median
7
MS_DRG 		Lung Transplant 13 $117,240.95 $315,847.00 $126,620.23 nat. median
$70,649
1.8× median
C1826
HCPCS 		Neurostimulator Rechrg 977119 5 $98,385.21 $140,550.30 $124,933.60 nat. median
$30,926
outlier · 4.0×
1611
APR_DRG 		Implantable Heart Assist Systems 5 $117,071.00 $125,265.97 $124,095.26 nat. median
$108,954
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $117,071.00 $125,265.97 $124,095.26 nat. median
$109,992
1.1× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 $114,508.00 $122,523.56 $121,378.48 nat. median
$77,096
1.6× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $113,668.00 $121,624.76 $120,488.08 nat. median
$85,835
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $113,309.00 $121,240.63 $120,107.54 nat. median
$106,926
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $113,235.00 $121,161.45 $120,029.10 nat. median
$100,752
1.2× median
C2624
HCPCS 		Sys Del Pa Sens Cardiomems Cm2000 5 $93,913.16 $134,161.65 $119,254.80 nat. median
$26,491
outlier · 4.5×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $111,917.00 $119,751.19 $118,632.02 nat. median
$85,032
1.4× median

Other procedures at this hospital

Browse this hospital's 11,108 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 13 5 $744,578.00 $328,618.00 56% off $469,084.14 $670,120.20 $595,662.40 2026-02-28
5834 APR_DRG Neonate With Ecmo 5 5 — — $390,926.00 $418,290.82 $414,381.56 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 13 — — $337,725.28 $969,882.00 $364,743.31 2026-02-28
5833 APR_DRG Neonate With Ecmo 5 5 — — $314,049.00 $336,032.43 $332,891.94 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $309,660.00 $331,336.20 $328,239.60 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 151 16 $439,461.00 $193,955.23 56% off $243.33 $431,479.67 $320,813.10 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 13 — — $252,332.78 $704,141.00 $272,519.41 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $239,751.00 $256,533.57 $254,136.06 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $215,831.00 $230,939.17 $228,780.86 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $212,559.89 $573,333.00 $228,501.89 2026-02-28
5832 APR_DRG Neonate With Ecmo 5 5 — — $213,087.00 $228,003.09 $225,872.22 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $211,419.00 $226,218.33 $224,104.14 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $207,107.00 $221,604.49 $219,533.42 2026-02-28
453 MS_DRG No Active Code Description 2 2 — — $189,412.00 $227,995.00 $208,703.50 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 18 13 — — $192,061.04 $548,550.00 $207,425.93 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $188,757.00 $201,969.99 $200,082.42 2026-02-28
90378 CPT Palivizumab 100 Mg/ml Intramuscular Solution 43 16 $293,082.75 $129,351.48 56% off $339.68 $279,376.79 $199,296.27 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 13 5 $248,447.50 $109,651.81 56% off $156,521.93 $223,602.75 $198,758.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $186,416.00 $199,465.12 $197,600.96 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $184,648.00 $197,573.36 $195,726.88 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $177,837.00 $190,285.59 $188,507.22 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $175,523.00 $187,809.61 $186,054.38 2026-02-28
5831 APR_DRG Neonate With Ecmo 5 5 — — $168,365.00 $180,150.55 $178,466.90 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $167,150.00 $178,850.50 $177,179.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 26 5 $244,035.00 $107,704.36 56% off $102,494.70 $292,842.00 $175,705.20 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $164,429.00 $175,939.03 $174,294.74 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $163,672.00 $175,129.04 $173,492.32 2026-02-28
459 MS_DRG No Active Code Description 2 2 — — $141,765.00 $170,642.00 $156,203.50 2026-02-28
38240 CPT Transplt Allo Hct/donor 28 16 — — $64,686.43 $237,134.59 $150,910.51 2026-02-28
454 MS_DRG No Active Code Description 2 2 — — $130,736.00 $157,366.00 $144,051.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $135,828.00 $145,335.96 $143,977.68 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $130,578.00 $139,718.46 $138,412.68 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 13 — — $126,735.27 $378,216.00 $136,874.10 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 13 5 $170,364.00 $75,189.81 56% off $107,329.32 $153,327.60 $136,291.20 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $125,958.00 $134,775.06 $133,515.48 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $125,648.00 $134,443.36 $133,186.88 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 26 5 $177,979.70 $78,550.99 56% off $92,361.78 $188,418.06 $131,919.02 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 13 5 $163,265.50 $72,056.90 56% off $102,857.27 $146,938.95 $130,612.40 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $121,553.00 $130,061.71 $128,846.18 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 18 13 — — $117,536.20 $316,644.00 $126,939.10 2026-02-28
7 MS_DRG Lung Transplant 18 13 — — $117,240.95 $315,847.00 $126,620.23 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 13 5 $156,167.00 $68,923.99 56% off $98,385.21 $140,550.30 $124,933.60 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $117,071.00 $125,265.97 $124,095.26 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $117,071.00 $125,265.97 $124,095.26 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $114,508.00 $122,523.56 $121,378.48 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $113,668.00 $121,624.76 $120,488.08 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $113,309.00 $121,240.63 $120,107.54 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $113,235.00 $121,161.45 $120,029.10 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 13 5 $149,068.50 $65,791.09 56% off $93,913.16 $134,161.65 $119,254.80 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $111,917.00 $119,751.19 $118,632.02 2026-02-28
8634 APR_DRG Neonatal Aftercare 5 5 — — $107,949.00 $115,505.43 $114,425.94 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $107,421.00 $114,940.47 $113,866.26 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $107,331.00 $114,844.17 $113,770.86 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $105,296.00 $112,666.72 $111,613.76 2026-02-28
455 MS_DRG No Active Code Description 2 2 — — $98,445.00 $118,497.00 $108,471.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 13 — — $98,908.12 $419,737.00 $106,820.77 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $100,307.00 $107,328.49 $106,325.42 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 13 — — $97,782.61 $279,844.00 $105,605.22 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $99,480.00 $106,443.60 $105,448.80 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $98,861.00 $105,781.27 $104,792.66 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 13 — — $95,595.12 $266,890.00 $103,242.73 2026-02-28
215 MS_DRG Other Heart Assist System Implant 18 13 — — $95,106.63 $418,508.00 $102,715.17 2026-02-28
C1822 HCPCS Ipg W/kit Nipg1500 52 5 $129,547.62 $57,175.58 56% off $71,552.88 $166,104.90 $101,632.77 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $94,038.39 $272,172.00 $101,091.27 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $92,604.00 $99,086.28 $98,160.24 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $91,264.00 $97,652.48 $96,739.84 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $91,126.00 $97,504.82 $96,593.56 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $91,126.00 $97,504.82 $96,593.56 2026-02-28
C2616 HCPCS Therasphere Y-90 1-20gbq Y90thera 70 16 $130,221.98 $57,473.21 56% off $20,377.49 $123,269.01 $95,424.79 2026-02-28
69930 CPT Implant Cochlear Device 28 16 — — $37,069.47 $157,117.42 $94,914.59 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $88,792.00 $95,007.44 $94,119.52 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $86,663.56 $250,570.00 $93,596.65 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 26 5 $128,148.00 $56,557.87 56% off $53,822.16 $153,777.60 $92,266.56 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 26 5 $130,690.00 $57,679.78 56% off $41,167.35 $176,431.50 $91,156.27 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $85,737.00 $91,738.59 $90,881.22 2026-02-28
C1820 HCPCS Kt Imp Vercise Gevia Genrtr M365db1200s0 117 5 $115,875.91 $51,141.60 56% off $4,266.35 $140,550.30 $90,216.26 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 16 12 — — $82,734.14 $239,344.00 $88,939.21 2026-02-28
1784 APR_DRG External Heart Assist Systems 5 5 — — $83,065.00 $88,879.55 $88,048.90 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $82,996.00 $88,805.72 $87,975.76 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $82,824.00 $88,621.68 $87,793.44 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $82,506.00 $88,281.42 $87,456.36 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 26 5 $130,226.23 $57,475.08 56% off $24,446.52 $199,483.61 $87,281.07 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $82,239.00 $87,995.73 $87,173.34 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $81,954.00 $87,690.78 $86,871.24 2026-02-28
C1767 HCPCS DRG Ipg Proclaim W/controller 3664ctrlsysxx 182 5 $122,371.04 $54,008.21 56% off $40,382.66 $222,280.30 $86,779.17 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 28 16 — — $35,514.53 $138,366.52 $86,405.89 2026-02-28
61886 CPT Implant Neurostim Arrays 28 16 — — $35,514.53 $138,366.52 $86,405.89 2026-02-28
460 MS_DRG No Active Code Description 2 2 — — $78,188.00 $94,114.00 $86,151.00 2026-02-28
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 26 5 $131,768.00 $58,155.55 56% off $12,771.36 $218,937.60 $85,750.56 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $79,591.00 $85,162.37 $84,366.46 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $79,272.00 $84,821.04 $84,028.32 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $78,393.00 $83,880.51 $83,096.58 2026-02-28
C1882 HCPCS Acticor 7 Hf-t 429523 208 5 $106,200.66 $46,871.46 56% off $37,341.67 $180,671.03 $82,541.36 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 13 — — $76,131.42 $209,576.00 $82,221.94 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 13 — — $76,089.37 $257,632.00 $82,176.52 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $77,301.00 $82,712.07 $81,939.06 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 5 5 — — $76,667.00 $82,033.69 $81,267.02 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $76,394.00 $81,741.58 $80,977.64 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 — — $74,938.81 $216,705.00 $80,559.23 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $75,898.00 $81,210.86 $80,451.88 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $75,507.00 $80,792.49 $80,037.42 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $75,287.00 $80,557.09 $79,804.22 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $75,021.00 $80,272.47 $79,522.26 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $74,914.00 $80,157.98 $79,408.84 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 13 — — $72,438.19 $252,163.00 $78,233.25 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $73,645.00 $78,800.15 $78,063.70 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $73,213.00 $78,337.91 $77,605.78 2026-02-28
10 MS_DRG Pancreas Transplant 18 13 — — $71,649.98 $192,691.00 $77,381.98 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $72,640.00 $77,724.80 $76,998.40 2026-02-28
6904 APR_DRG Acute Leukemia 5 5 — — $72,615.00 $77,698.05 $76,971.90 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 13 — — $71,241.11 $205,665.00 $76,940.40 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 13 — — $70,248.91 $200,676.00 $75,868.83 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $71,243.00 $76,230.01 $75,517.58 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $69,543.01 $200,352.00 $75,106.46 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $70,794.00 $75,749.58 $75,041.64 2026-02-28
C1787 HCPCS Comm Handset Kit Th91scsr 91 5 $106,477.50 $46,993.63 56% off $4,449.70 $108,607.05 $74,960.16 2026-02-28
J9249 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 26 5 $101,032.38 $44,590.44 56% off $52,417.99 $106,975.44 $74,882.82 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $70,534.00 $75,471.38 $74,766.04 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 5 5 — — $70,532.00 $75,469.24 $74,763.92 2026-02-28
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 125 16 $102,190.10 $45,101.40 56% off $44.75 $128,759.49 $74,598.78 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $69,649.00 $74,524.43 $73,827.94 2026-02-28
J9019 HCPCS Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection 19 9 $102,476.00 $45,227.58 56% off $829.66 $92,228.40 $73,782.72 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $69,446.00 $74,307.22 $73,612.76 2026-02-28
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 13 5 $91,868.00 $40,545.76 56% off $57,876.84 $82,681.20 $73,494.40 2026-02-28
2324 APR_DRG Gastric Fundoplication 5 5 — — $69,320.00 $74,172.40 $73,479.20 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $69,072.00 $73,907.04 $73,216.32 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 12 — — $67,097.86 $180,395.00 $72,130.21 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 5 5 — — $67,779.00 $72,523.53 $71,845.74 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 26 5 $105,733.45 $46,665.25 56% off $23,129.19 $157,278.51 $71,568.33 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $67,148.00 $71,848.36 $71,176.88 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $66,266.00 $70,904.62 $70,241.96 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $66,035.00 $70,657.45 $69,997.10 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $65,407.00 $69,985.49 $69,331.42 2026-02-28
J7504 HCPCS Lymphocyteanti-thymo Immune Globulin 50 Mg/ml Intravenous Solution 96 16 $93,515.00 $41,272.66 56% off $247.56 $201,992.36 $69,014.07 2026-02-28
1794 APR_DRG Defibrillator Implants 5 5 — — $65,077.00 $69,632.39 $68,981.62 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $63,863.60 $184,542.00 $68,653.38 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $63,544.20 $182,804.00 $68,627.74 2026-02-28
35355 CPT Rechanneling Of Artery 1 1 — — $68,090.04 $68,090.04 $68,090.04 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $64,119.00 $68,607.33 $67,966.14 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $64,032.00 $68,514.24 $67,873.92 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $63,995.00 $68,474.65 $67,834.70 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 13 — — $62,555.58 $179,200.00 $67,560.03 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $63,697.00 $68,155.79 $67,518.82 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $63,690.00 $68,148.30 $67,511.40 2026-02-28
L8614 HCPCS Imp Cochlear Model Ci624 O P1431676 130 5 $89,446.89 $39,477.21 56% off $710.75 $108,479.28 $66,768.48 2026-02-28
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 35 16 $155,646.95 $68,694.47 56% off $27,014.86 $140,082.26 $66,251.94 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 12 — — $61,408.60 $165,026.00 $66,014.25 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $61,774.00 $66,098.18 $65,480.44 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $61,536.00 $65,843.52 $65,228.16 2026-02-28
274 APR_DRG Other Open Craniotomy 5 5 — — $61,388.00 $65,685.16 $65,071.28 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 — — $60,302.78 $174,202.00 $64,825.50 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 13 — — $59,970.86 $176,365.00 $64,768.53 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 12 — — $60,071.95 $161,416.00 $64,577.35 2026-02-28
234 APR_DRG Spinal Procedures 5 5 — — $60,778.00 $65,032.46 $64,424.68 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $60,060.00 $64,264.20 $63,663.60 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $60,002.00 $64,202.14 $63,602.12 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 5 5 — — $59,890.00 $64,082.30 $63,483.40 2026-02-28
27880 CPT Amputation Of Lower Leg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22532 CPT Lat Thorax Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27592 CPT Amputate Leg At Thigh 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27591 CPT Amputate Leg At Thigh 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27590 CPT Amputate Leg At Thigh 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22819 CPT Kyphectomy 3 Or More 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22533 CPT Lat Lumbar Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22849 CPT Reinsert Spinal Fixation 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
20808 CPT Replantation Hand Complete 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22548 CPT Neck Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22818 CPT Kyphectomy 1-2 Segments 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22556 CPT Thorax Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22586 CPT Prescrl Fuse With Instr L5-s1 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22558 CPT Lumbar Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22857 CPT Lumbar Artif Diskectomy 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22804 CPT Post Fusion 13/> Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
20802 CPT Replantation Arm Complete 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27295 CPT Amputation Of Leg At Hip 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22808 CPT Ant Fusion 2-3 Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27290 CPT Amputation Of Leg At Hip 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27286 CPT Fusion Of Hip Joint 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27280 CPT Fusion Of Sacroiliac Joint 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22810 CPT Ant Fusion 4-7 Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22802 CPT Post Fusion 7-12 Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
27284 CPT Fusion Of Hip Joint 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
20838 CPT Replantation Foot Complete 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22861 CPT Revise Cerv Artific Disc 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22862 CPT Revise Lumbar Artif Disc 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22590 CPT Spine Skull Spinal Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22595 CPT Neck Spinal Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22600 CPT Neck Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
20805 CPT Replant Forearm Complete 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22812 CPT Ant Fusion 8/> Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22610 CPT Thorax Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
22800 CPT Post Fusion </6 Vert Seg 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $59,528.00 $63,694.96 $63,099.68 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $59,401.00 $63,559.07 $62,965.06 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $59,391.00 $63,548.37 $62,954.46 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 13 — — $58,177.92 $177,736.00 $62,832.16 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $58,094.72 $164,201.00 $62,742.30 2026-02-28
4414 APR_DRG Major Bladder Procedures 5 5 — — $58,865.00 $62,985.55 $62,396.90 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $58,704.00 $62,813.28 $62,226.24 2026-02-28
64590 CPT Insrt/redo Pn/gastr Stimul 28 16 — — $24,991.72 $101,401.89 $61,845.53 2026-02-28
63655 CPT Implant Neuroelectrodes 28 16 — — $24,991.72 $101,401.89 $61,845.53 2026-02-28
64580 CPT Implant Neuroelectrodes 28 16 — — $24,991.72 $101,401.89 $61,845.53 2026-02-28
61885 CPT Insrt/redo Neurostim 1 Array 28 16 — — $24,991.72 $101,401.89 $61,845.53 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,289.00 $62,369.23 $61,786.34 2026-02-28
1783 APR_DRG External Heart Assist Systems 5 5 — — $58,258.00 $62,336.06 $61,753.48 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 13 — — $56,899.43 $176,825.00 $61,451.39 2026-02-28
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 39 5 $75,500.00 $33,321.78 56% off $35,673.75 $101,925.00 $60,400.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $56,875.00 $60,856.25 $60,287.50 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 13 — — $55,737.24 $161,353.00 $60,196.22 2026-02-28
C1722 HCPCS Defib Gallant Vr Df-1 Cdvra500t 182 5 $72,482.79 $31,990.13 56% off $24,596.31 $139,272.57 $60,011.71 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $55,413.37 $159,985.00 $59,846.44 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 12 — — $55,665.67 $160,735.00 $59,840.60 2026-02-28
L8679 HCPCS Neurostimulator Non Rechrg 4101 13 5 $74,555.55 $32,904.95 56% off $46,970.00 $67,100.00 $59,644.44 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 13 — — $55,221.01 $175,433.00 $59,638.70 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $56,147.00 $60,077.29 $59,515.82 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $56,147.00 $60,077.29 $59,515.82 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 13 — — $54,970.50 $153,052.00 $59,368.14 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $55,750.00 $59,652.50 $59,095.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 18 13 — — $54,709.26 $155,046.00 $59,086.01 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $55,715.00 $59,615.05 $59,057.90 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $55,715.00 $59,615.05 $59,057.90 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $55,428.00 $59,307.96 $58,753.68 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 13 — — $54,319.18 $158,928.00 $58,664.72 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 13 — — $54,319.18 $158,928.00 $58,664.72 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $55,248.00 $59,115.36 $58,562.88 2026-02-28
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10000 Unit/5 Ml Subcut Solution 39 5 $72,870.00 $32,161.03 56% off $30,605.40 $87,444.00 $58,296.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 13 — — $53,915.68 $218,075.00 $58,228.94 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $54,873.00 $58,714.11 $58,165.38 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $54,663.00 $58,489.41 $57,942.78 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $53,544.39 $147,263.00 $57,827.95 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 18 13 — — $53,504.13 $154,377.00 $57,784.47 2026-02-28
C1772 HCPCS Pmp Pain Prometra Ii 13827 52 5 $74,708.17 $32,972.30 56% off $40,248.50 $71,552.88 $57,370.08 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 13 — — $52,961.95 $151,302.00 $57,198.91 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $53,751.00 $57,513.57 $56,976.06 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 5 5 — — $53,621.00 $57,374.47 $56,838.26 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $53,535.00 $57,282.45 $56,747.10 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $53,421.00 $57,160.47 $56,626.26 2026-02-28
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 5 5 — — $53,420.00 $57,159.40 $56,625.20 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $53,402.00 $57,140.14 $56,606.12 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 13 — — $52,408.15 $155,576.00 $56,600.81 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 5 5 — — $53,319.00 $57,051.33 $56,518.14 2026-02-28
54410 CPT Remove/replace Penis Prosth 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
54416 CPT Remv/repl Penis Contain Pros 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
54411 CPT Remov/replc Penis Pros Comp 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
54405 CPT Insert Multi-comp Penis Pros 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
53447 CPT Remove/replace Ur Sphincter 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
53444 CPT Insert Tandem Cuff 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
53445 CPT Insert Uro/ves Nck Sphincter 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
54401 CPT Insert Self-contd Prosthesis 28 16 — — $23,458.23 $90,874.70 $56,474.57 2026-02-28
J9024 HCPCS Atezolizumab 1875 Mg-hyaluronidase-tqjs 30000 Unit/15 Ml Subcut Soln 13 5 $70,194.00 $30,979.98 56% off $44,222.22 $63,174.60 $56,155.20 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 13 — — $51,666.46 $183,233.00 $55,799.78 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $52,618.00 $56,301.26 $55,775.08 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $52,377.00 $56,043.39 $55,519.62 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 13 5 $69,336.00 $30,601.31 56% off $43,681.68 $62,402.40 $55,468.80 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 — — $51,359.59 $145,853.00 $55,468.36 2026-02-28
25446 CPT Wrist Replacement 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
27702 CPT Reconstruct Ankle Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
22856 CPT Cerv Artific Diskectomy 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
25442 CPT Reconstruct Wrist Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
20696 CPT Comp Multiplane Ext Fixation 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
22867 CPT Insj Stablj Dev W/dcmprn 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
23616 CPT Treat Humerus Fracture 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
27279 CPT Arthrodesis Sacroiliac Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
22630 CPT Lumbar Spine Fusion 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
22633 CPT Lumbar Spine Fusion Combined 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
22612 CPT Lumbar Spine Fusion 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
24371 CPT Revise Reconst Elbow Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
21243 CPT Reconstruction Of Jaw Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
24361 CPT Reconstruct Elbow Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
24363 CPT Replace Elbow Joint 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
28705 CPT Fusion Of Foot Bones 28 16 — — $21,432.13 $103,203.53 $55,393.38 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $51,808.00 $55,434.56 $54,916.48 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $51,699.00 $55,317.93 $54,800.94 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $51,682.00 $55,299.74 $54,782.92 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $51,297.00 $54,887.79 $54,374.82 2026-02-28
C1721 HCPCS Defib Gallant Vr Df-1 Cddra500t 143 5 $71,304.43 $31,470.07 56% off $28,621.16 $102,218.40 $54,303.53 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 18 13 — — $50,192.03 $149,399.00 $54,207.40 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 5 5 — — $51,101.00 $54,678.07 $54,167.06 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 18 13 — — $49,768.85 $146,320.00 $53,750.36 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 13 — — $49,768.85 $189,435.00 $53,750.36 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $50,350.00 $53,874.50 $53,371.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $49,561.28 $143,008.00 $53,278.38 2026-02-28
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 47 16 $84,527.00 $37,305.83 56% off $66.28 $152,148.60 $53,252.01 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $50,098.00 $53,604.86 $53,103.88 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 12 — — $49,260.67 $142,135.00 $52,955.22 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 13 — — $48,997.64 $142,548.00 $52,917.46 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 18 13 — — $48,886.70 $141,643.00 $52,797.64 2026-02-28
1782 APR_DRG External Heart Assist Systems 5 5 — — $49,630.00 $53,104.10 $52,607.80 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 5 5 — — $49,585.00 $53,055.95 $52,560.10 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 13 — — $48,638.87 $145,721.00 $52,529.98 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $49,518.00 $52,984.26 $52,489.08 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 13 — — $48,593.24 $132,666.00 $52,480.70 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $48,587.87 $146,220.00 $52,474.90 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $49,422.00 $52,881.54 $52,387.32 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $49,393.00 $52,850.51 $52,356.58 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $49,393.00 $52,850.51 $52,356.58 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $49,295.00 $52,745.65 $52,252.70 2026-02-28
93654 CPT Hc Comp Ep Eval Abl 3d Mapg Tx Vt 31 16 $65,066.95 $28,717.17 56% off $28,114.26 $110,667.32 $52,053.56 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 5 5 — — $48,833.00 $52,251.31 $51,762.98 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 13 — — $47,915.97 $133,737.00 $51,749.25 2026-02-28
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