Price Transparency 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

11,189 distinct procedures filed
17 distinct payers
420,509 rate rows
2026-02-28 last MRF observed
Data quality

400,482 of 420,509 rate rows are consumer-grade (95.2%)

20,027 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 19,355
per-diem day rate — not a per-procedure price 430
placeholder amount (≤ $0.02) — excluded from medians 225
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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $337,725.28 $969,882.00 $653,803.64 nat. median
$370,174
1.8× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 5 $469,084.14 $670,120.20 $595,662.40 nat. median
$8,223
outlier · 72.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $252,332.78 $704,141.00 $478,236.89 nat. median
$265,286
1.8× median
5834
APR_DRG 		Neonate With Ecmo 9 $390,926.00 $418,290.82 $404,608.41 nat. median
$309,665
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $212,559.89 $573,333.00 $392,946.45 nat. median
$206,368
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 16 $192,061.04 $548,550.00 $370,305.52 nat. median
$202,986
1.8× median
5833
APR_DRG 		Neonate With Ecmo 9 $314,049.00 $336,032.43 $325,040.72 nat. median
$244,017
1.3× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 16 $243.33 $431,479.67 $320,813.10 nat. median
$4,664
outlier · 68.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $309,660.00 $331,336.20 $320,498.10 nat. median
$246,434
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 16 $126,735.27 $378,216.00 $252,475.64 nat. median
$133,176
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $98,908.12 $419,737.00 $249,186.28 nat. median
$108,660
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $239,751.00 $256,533.57 $248,142.29 nat. median
$207,730
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 16 $95,106.63 $418,508.00 $226,191.26 nat. median
$99,019
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $215,831.00 $230,939.17 $223,385.08 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 9 $213,087.00 $228,003.09 $220,545.05 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $211,419.00 $226,218.33 $218,818.67 nat. median
$164,279
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $117,536.20 $316,644.00 $217,090.10 nat. median
$117,303
1.9× median
7
MS_DRG 		Lung Transplant 16 $117,240.95 $315,847.00 $216,543.98 nat. median
$122,708
1.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $207,107.00 $221,604.49 $214,355.74 nat. median
$162,982
1.3× median
453
MS_DRG 		No Active Code Description 7 $189,412.00 $227,995.00 $208,703.50 nat. median
$87,411
outlier · 2.4×
90378
CPT 		Palivizumab 100 Mg/ml Intramuscular Solution 16 $339.68 $279,376.79 $199,296.27 nat. median
$1,997
outlier · 99.8×
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 5 $156,521.93 $223,602.75 $198,758.00 nat. median
$1,988
outlier · 100.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $188,757.00 $201,969.99 $195,363.49 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $186,416.00 $199,465.12 $192,940.56 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $184,648.00 $197,573.36 $191,110.68 nat. median
$122,924
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $97,782.61 $279,844.00 $188,813.30 nat. median
$102,358
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $177,837.00 $190,285.59 $184,061.30 nat. median
$150,721
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $94,038.39 $272,172.00 $183,105.20 nat. median
$98,905
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $175,523.00 $187,809.61 $181,666.30 nat. median
$151,838
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $95,595.12 $266,890.00 $181,242.56 nat. median
$100,136
1.8× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 5 $102,494.70 $292,842.00 $175,705.20 nat. median
$94
outlier · 1873.6×
5831
APR_DRG 		Neonate With Ecmo 9 $168,365.00 $180,150.55 $174,257.77 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $167,150.00 $178,850.50 $173,000.25 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 $164,429.00 $175,939.03 $170,184.02 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $163,672.00 $175,129.04 $169,400.52 nat. median
$105,658
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $86,663.56 $250,570.00 $168,616.78 nat. median
$93,672
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 16 $76,089.37 $257,632.00 $166,860.68 nat. median
$81,118
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $72,438.19 $252,163.00 $162,300.60 nat. median
$77,576
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $82,734.14 $239,344.00 $161,039.07 nat. median
$83,442
1.9× median
459
MS_DRG 		No Active Code Description 7 $141,765.00 $170,642.00 $156,203.50 nat. median
$65,381
outlier · 2.4×
38240
CPT 		Transplt Allo Hct/donor 16 $64,686.43 $237,134.59 $150,910.51 nat. median
$15,912
outlier · 9.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $74,938.81 $216,705.00 $145,821.90 nat. median
$82,712
1.8× median
454
MS_DRG 		No Active Code Description 7 $130,736.00 $157,366.00 $144,051.00 nat. median
$62,270
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $76,131.42 $209,576.00 $142,853.71 nat. median
$79,312
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $135,828.00 $145,335.96 $140,581.98 nat. median
$118,620
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $71,241.11 $205,665.00 $138,453.05 nat. median
$71,240
1.9× median
C1605
HCPCS 		Pacer Sys Aveir Dual Chamber Dr-system-aveir 5 $107,329.32 $153,327.60 $136,291.20 nat. median
$22,209
outlier · 6.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $70,248.91 $200,676.00 $135,462.45 nat. median
$73,807
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 $130,578.00 $139,718.46 $135,148.23 nat. median
$93,260
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $69,543.01 $200,352.00 $134,947.51 nat. median
$74,915
1.8× median

Other procedures at this hospital

Browse this hospital's 11,189 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 28 16 — — $337,725.28 $969,882.00 $653,803.64 2026-02-28
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 16 — — $252,332.78 $704,141.00 $478,236.89 2026-02-28
5834 APR_DRG Neonate With Ecmo 15 9 — — $390,926.00 $418,290.82 $404,608.41 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 16 — — $212,559.89 $573,333.00 $392,946.45 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 28 16 — — $192,061.04 $548,550.00 $370,305.52 2026-02-28
5833 APR_DRG Neonate With Ecmo 15 9 — — $314,049.00 $336,032.43 $325,040.72 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
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $309,660.00 $331,336.20 $320,498.10 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 28 16 — — $126,735.27 $378,216.00 $252,475.64 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 16 — — $98,908.12 $419,737.00 $249,186.28 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 15 9 — — $239,751.00 $256,533.57 $248,142.29 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 16 — — $95,106.63 $418,508.00 $226,191.26 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $215,831.00 $230,939.17 $223,385.08 2026-02-28
5832 APR_DRG Neonate With Ecmo 15 9 — — $213,087.00 $228,003.09 $220,545.05 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $211,419.00 $226,218.33 $218,818.67 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 28 16 — — $117,536.20 $316,644.00 $217,090.10 2026-02-28
7 MS_DRG Lung Transplant 28 16 — — $117,240.95 $315,847.00 $216,543.98 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $207,107.00 $221,604.49 $214,355.74 2026-02-28
453 MS_DRG No Active Code Description 12 7 — — $189,412.00 $227,995.00 $208,703.50 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
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $188,757.00 $201,969.99 $195,363.49 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $186,416.00 $199,465.12 $192,940.56 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 9 — — $184,648.00 $197,573.36 $191,110.68 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 16 — — $97,782.61 $279,844.00 $188,813.30 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 9 — — $177,837.00 $190,285.59 $184,061.30 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 15 — — $94,038.39 $272,172.00 $183,105.20 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $175,523.00 $187,809.61 $181,666.30 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 16 — — $95,595.12 $266,890.00 $181,242.56 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
5831 APR_DRG Neonate With Ecmo 15 9 — — $168,365.00 $180,150.55 $174,257.77 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 15 9 — — $167,150.00 $178,850.50 $173,000.25 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 9 — — $164,429.00 $175,939.03 $170,184.02 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $163,672.00 $175,129.04 $169,400.52 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 16 — — $86,663.56 $250,570.00 $168,616.78 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 16 — — $76,089.37 $257,632.00 $166,860.68 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 16 — — $72,438.19 $252,163.00 $162,300.60 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 26 15 — — $82,734.14 $239,344.00 $161,039.07 2026-02-28
459 MS_DRG No Active Code Description 12 7 — — $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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 15 — — $74,938.81 $216,705.00 $145,821.90 2026-02-28
454 MS_DRG No Active Code Description 12 7 — — $130,736.00 $157,366.00 $144,051.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 16 — — $76,131.42 $209,576.00 $142,853.71 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $135,828.00 $145,335.96 $140,581.98 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 16 — — $71,241.11 $205,665.00 $138,453.05 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 16 — — $70,248.91 $200,676.00 $135,462.45 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 9 — — $130,578.00 $139,718.46 $135,148.23 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 16 — — $69,543.01 $200,352.00 $134,947.51 2026-02-28
10 MS_DRG Pancreas Transplant 28 16 — — $71,649.98 $192,691.00 $132,170.49 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 16 — — $53,915.68 $218,075.00 $131,734.00 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
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 9 — — $125,958.00 $134,775.06 $130,366.53 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $125,648.00 $134,443.36 $130,045.68 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $121,553.00 $130,061.71 $125,807.35 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 15 — — $63,863.60 $184,542.00 $124,202.80 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 16 — — $67,097.86 $180,395.00 $123,746.43 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 16 — — $63,544.20 $182,804.00 $123,174.10 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 15 9 — — $117,071.00 $125,265.97 $121,168.49 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 15 9 — — $117,071.00 $125,265.97 $121,168.49 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 16 — — $62,555.58 $179,200.00 $120,877.79 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 16 — — $49,768.85 $189,435.00 $119,601.93 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
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 9 — — $114,508.00 $122,523.56 $118,515.78 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 16 — — $59,970.86 $176,365.00 $118,167.93 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 16 — — $58,177.92 $177,736.00 $117,956.96 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $113,668.00 $121,624.76 $117,646.38 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 16 — — $51,666.46 $183,233.00 $117,449.73 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 9 — — $113,309.00 $121,240.63 $117,274.82 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 15 — — $60,302.78 $174,202.00 $117,252.39 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $113,235.00 $121,161.45 $117,198.23 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 16 — — $56,899.43 $176,825.00 $116,862.21 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $111,917.00 $119,751.19 $115,834.10 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 16 — — $55,221.01 $175,433.00 $115,327.01 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 16 — — $61,408.60 $165,026.00 $113,217.30 2026-02-28
8634 APR_DRG Neonatal Aftercare 15 9 — — $107,949.00 $115,505.43 $111,727.21 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $107,421.00 $114,940.47 $111,180.74 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 16 — — $58,094.72 $164,201.00 $111,147.86 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 9 — — $107,331.00 $114,844.17 $111,087.59 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 16 — — $60,071.95 $161,416.00 $110,743.98 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $105,296.00 $112,666.72 $108,981.36 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 16 — — $55,737.24 $161,353.00 $108,545.12 2026-02-28
455 MS_DRG No Active Code Description 12 7 — — $98,445.00 $118,497.00 $108,471.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 15 — — $55,665.67 $160,735.00 $108,200.34 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 16 — — $44,901.80 $184,132.00 $107,902.50 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 16 — — $55,413.37 $159,985.00 $107,699.18 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 16 — — $54,319.18 $158,928.00 $106,623.59 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 16 — — $54,319.18 $158,928.00 $106,623.59 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 28 16 — — $54,709.26 $155,046.00 $104,877.63 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 16 — — $54,970.50 $153,052.00 $104,011.25 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 16 — — $52,408.15 $155,576.00 $103,992.07 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 28 16 — — $53,504.13 $154,377.00 $103,940.57 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 9 — — $100,307.00 $107,328.49 $103,817.74 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 16 — — $42,409.23 $168,156.00 $103,186.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 9 — — $99,480.00 $106,443.60 $102,961.80 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 9 — — $98,861.00 $105,781.27 $102,321.13 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 16 — — $52,961.95 $151,302.00 $102,131.98 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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 16 — — $45,115.63 $156,066.00 $100,590.82 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 16 — — $53,544.39 $147,263.00 $100,403.70 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 28 16 — — $50,192.03 $149,399.00 $99,795.51 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 16 — — $51,359.59 $145,853.00 $98,606.29 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 28 16 — — $49,768.85 $146,320.00 $98,044.43 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 16 — — $48,587.87 $146,220.00 $97,403.93 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 16 — — $48,638.87 $145,721.00 $97,179.93 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 15 — — $49,561.28 $143,008.00 $96,284.64 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $92,604.00 $99,086.28 $95,845.14 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 16 — — $48,997.64 $142,548.00 $95,772.82 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 15 — — $49,260.67 $142,135.00 $95,697.84 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
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 28 16 — — $48,886.70 $141,643.00 $95,264.85 2026-02-28
69930 CPT Implant Cochlear Device 28 16 — — $37,069.47 $157,117.42 $94,914.59 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 9 — — $91,264.00 $97,652.48 $94,458.24 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $91,126.00 $97,504.82 $94,315.41 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $91,126.00 $97,504.82 $94,315.41 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 28 16 — — $45,758.01 $139,445.00 $92,601.51 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
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 9 — — $88,792.00 $95,007.44 $91,899.72 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 16 — — $47,705.72 $134,938.00 $91,321.86 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 16 — — $47,915.97 $133,737.00 $90,826.49 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 16 — — $48,593.24 $132,666.00 $90,629.62 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 15 — — $46,394.12 $133,810.00 $90,102.06 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 16 — — $45,897.58 $133,446.00 $89,671.79 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 16 — — $45,062.84 $132,760.00 $88,911.42 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 16 — — $38,949.51 $138,715.00 $88,832.26 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $85,737.00 $91,738.59 $88,737.79 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 16 — — $46,241.14 $130,109.00 $88,175.07 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 28 16 — — $42,857.46 $132,474.00 $87,665.73 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
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 12 7 — — $78,188.00 $94,114.00 $86,151.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 28 16 — — $41,554.81 $130,414.00 $85,984.40 2026-02-28
1784 APR_DRG External Heart Assist Systems 15 9 — — $83,065.00 $88,879.55 $85,972.27 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $82,996.00 $88,805.72 $85,900.86 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
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $82,824.00 $88,621.68 $85,722.84 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 16 — — $42,849.41 $150,597.94 $85,666.71 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $82,506.00 $88,281.42 $85,393.71 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 16 — — $45,381.35 $125,127.00 $85,254.18 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 16 — — $43,774.51 $126,561.00 $85,167.76 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 16 — — $41,400.04 $128,902.00 $85,151.02 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 9 — — $82,239.00 $87,995.73 $85,117.37 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $81,954.00 $87,690.78 $84,822.39 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 16 — — $43,042.66 $126,496.00 $84,769.33 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 28 16 — — $43,702.04 $124,960.00 $84,331.02 2026-02-28
245 MS_DRG Aicd Generator Procedures 28 16 — — $44,038.44 $124,054.00 $84,046.22 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 16 — — $41,936.84 $124,256.00 $83,096.42 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 16 — — $45,080.74 $120,920.00 $83,000.37 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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 9 — — $79,591.00 $85,162.37 $82,376.68 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 9 — — $79,272.00 $84,821.04 $82,046.52 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $78,393.00 $83,880.51 $81,136.76 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 16 — — $40,681.61 $343,732.19 $80,651.30 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 16 — — $41,406.30 $119,790.00 $80,598.15 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 15 9 — — $77,301.00 $82,712.07 $80,006.54 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 16 — — $41,537.82 $117,259.00 $79,398.41 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 15 9 — — $76,667.00 $82,033.69 $79,350.35 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 9 — — $76,394.00 $81,741.58 $79,067.79 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 16 — — $42,183.77 $115,829.00 $79,006.38 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 9 — — $75,898.00 $81,210.86 $78,554.43 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $75,507.00 $80,792.49 $78,149.74 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 9 — — $75,287.00 $80,557.09 $77,922.04 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $75,021.00 $80,272.47 $77,646.74 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $74,914.00 $80,157.98 $77,535.99 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 16 — — $40,330.00 $113,619.00 $76,974.50 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 16 — — $36,707.45 $116,444.00 $76,575.73 2026-02-28
332 MS_DRG Rectal Resection With Mcc 28 16 — — $31,351.02 $124,108.00 $76,488.26 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 9 — — $73,645.00 $78,800.15 $76,222.57 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 28 16 — — $39,956.03 $112,409.00 $76,182.51 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 16 — — $39,618.73 $112,227.00 $75,922.87 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 16 — — $31,903.03 $119,764.00 $75,833.51 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 9 — — $73,213.00 $78,337.91 $75,775.46 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 16 — — $40,440.94 $110,707.00 $75,573.97 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $72,640.00 $77,724.80 $75,182.40 2026-02-28
6904 APR_DRG Acute Leukemia 15 9 — — $72,615.00 $77,698.05 $75,156.52 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
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 16 — — $38,481.60 $110,087.00 $74,284.30 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
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 9 — — $71,243.00 $76,230.01 $73,736.51 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
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 9 — — $70,794.00 $75,749.58 $73,271.79 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 15 9 — — $70,534.00 $75,471.38 $73,002.69 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 15 9 — — $70,532.00 $75,469.24 $73,000.62 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 16 — — $38,425.23 $107,565.00 $72,995.12 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 16 — — $37,542.19 $106,997.00 $72,269.60 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 15 9 — — $69,649.00 $74,524.43 $72,086.71 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 16 — — $35,546.16 $108,446.00 $71,996.08 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 15 9 — — $69,446.00 $74,307.22 $71,876.61 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 16 — — $37,809.69 $105,916.00 $71,862.85 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 16 — — $39,029.14 $104,573.00 $71,801.07 2026-02-28
2324 APR_DRG Gastric Fundoplication 15 9 — — $69,320.00 $74,172.40 $71,746.20 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
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 15 9 — — $69,072.00 $73,907.04 $71,489.52 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 15 — — $36,851.49 $106,097.00 $71,474.24 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 28 16 — — $38,155.04 $103,424.00 $70,789.52 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 16 — — $37,107.37 $103,976.00 $70,541.68 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 28 16 — — $34,896.62 $105,809.00 $70,352.81 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 15 9 — — $67,779.00 $72,523.53 $70,151.26 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 16 — — $37,032.22 $103,042.00 $70,037.11 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 16 — — $32,735.08 $106,617.00 $69,676.04 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 16 — — $34,765.11 $104,403.00 $69,584.05 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 16 — — $37,800.75 $101,254.00 $69,527.38 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 15 9 — — $67,148.00 $71,848.36 $69,498.18 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 28 16 — — $35,618.63 $103,289.00 $69,453.82 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 16 — — $34,330.29 $104,224.00 $69,277.15 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
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 16 — — $37,086.79 $105,177.37 $68,676.90 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 15 9 — — $66,266.00 $70,904.62 $68,585.31 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 15 — — $35,318.91 $101,647.00 $68,482.96 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $66,035.00 $70,657.45 $68,346.23 2026-02-28
791 MS_DRG Prematurity With Major Problems 28 16 — — $36,640.35 $105,430.00 $68,233.59 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 16 — — $35,958.61 $100,501.00 $68,229.80 2026-02-28
35355 CPT Rechanneling Of Artery 1 1 — — $68,090.04 $68,090.04 $68,090.04 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 16 — — $35,301.91 $100,266.00 $67,783.96 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 16 — — $35,108.66 $100,379.00 $67,743.83 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 15 9 — — $65,407.00 $69,985.49 $67,696.24 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 16 — — $28,108.71 $123,308.00 $67,674.50 2026-02-28
1794 APR_DRG Defibrillator Implants 15 9 — — $65,077.00 $69,632.39 $67,354.70 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 28 16 — — $34,515.49 $99,217.00 $66,866.24 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
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 28 16 — — $34,065.47 $99,070.00 $66,567.74 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 16 — — $31,642.68 $101,151.00 $66,396.84 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 9 — — $64,119.00 $68,607.33 $66,363.16 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 15 9 — — $64,032.00 $68,514.24 $66,273.12 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
1694 APR_DRG Major Abdominal Vascular Procedures 15 9 — — $63,995.00 $68,474.65 $66,234.82 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 28 16 — — $33,796.17 $98,429.00 $66,112.59 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 16 — — $35,933.56 $96,210.00 $66,071.78 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 15 9 — — $63,697.00 $68,155.79 $65,926.40 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 9 — — $63,690.00 $68,148.30 $65,919.15 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 15 — — $35,474.59 $94,971.00 $65,222.79 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 16 — — $30,791.84 $97,781.00 $64,286.42 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 16 — — $34,861.73 $93,315.00 $64,088.36 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 9 — — $61,774.00 $66,098.18 $63,936.09 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 9 — — $61,536.00 $65,843.52 $63,689.76 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 16 — — $31,385.02 $95,967.00 $63,676.01 2026-02-28
274 APR_DRG Other Open Craniotomy 15 9 — — $61,388.00 $65,685.16 $63,536.58 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
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
22800 CPT Post Fusion </6 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
22558 CPT Lumbar Spine Fusion 15 9 — — $46,055.66 $80,870.73 $63,463.19 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 16 — — $30,664.80 $96,146.00 $63,405.40 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 16 — — $32,382.58 $93,957.00 $63,169.79 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 16 — — $32,961.44 $93,208.00 $63,084.72 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 16 — — $32,387.95 $93,574.00 $62,980.97 2026-02-28
234 APR_DRG Spinal Procedures 15 9 — — $60,778.00 $65,032.46 $62,905.23 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 15 9 — — $60,060.00 $64,264.20 $62,162.10 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 15 9 — — $60,002.00 $64,202.14 $62,102.07 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 15 9 — — $59,890.00 $64,082.30 $61,986.15 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 16 — — $31,815.35 $92,141.00 $61,978.18 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
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 9 — — $59,528.00 $63,694.96 $61,611.48 2026-02-28
265 MS_DRG Aicd Lead Procedures 28 16 — — $32,232.27 $90,929.00 $61,580.64 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 9 — — $59,401.00 $63,559.07 $61,480.04 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $59,391.00 $63,548.37 $61,469.68 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 16 — — $31,665.05 $91,184.00 $61,424.53 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 16 — — $31,894.98 $90,230.00 $61,062.49 2026-02-28
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