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

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $18,445 across 14 payers · range $14,995-$67,862

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

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

11,189 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $337,725.28 $969,882.00 $653,803.64 nat. median
$370,165
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
$8,133
outlier · 73.2×
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
$261,939
1.8× median
5834
APR_DRG 		Neonate With Ecmo 9 $390,926.00 $418,290.82 $404,608.41 nat. median
$311,018
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $212,559.89 $573,333.00 $392,946.45 nat. median
$205,166
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
$199,832
1.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $314,049.00 $336,032.43 $325,040.72 nat. median
$250,089
1.3× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 16 $243.33 $431,479.67 $320,813.10 nat. median
$5,613
outlier · 57.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $309,660.00 $331,336.20 $320,498.10 nat. median
$254,667
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
$132,706
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
$108,240
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $239,751.00 $256,533.57 $248,142.29 nat. median
$209,486
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 16 $95,106.63 $418,508.00 $226,191.26 nat. median
$98,002
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
$165,646
1.3× median
5832
APR_DRG 		Neonate With Ecmo 9 $213,087.00 $228,003.09 $220,545.05 nat. median
$169,230
1.3× 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
$168,361
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $117,536.20 $316,644.00 $217,090.10 nat. median
$114,305
1.9× median
7
MS_DRG 		Lung Transplant 16 $117,240.95 $315,847.00 $216,543.98 nat. median
$122,690
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
$168,174
1.3× median
453
MS_DRG 		No Active Code Description 7 $189,412.00 $227,995.00 $208,703.50 nat. median
$83,623
outlier · 2.5×
90378
CPT 		Palivizumab 100 Mg/ml Intramuscular Solution 16 $339.68 $279,376.79 $199,296.27 nat. median
$2,124
outlier · 93.8×
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 5 $156,521.93 $223,602.75 $198,758.00 nat. median
$1,984
outlier · 100.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $188,757.00 $201,969.99 $195,363.49 nat. median
$180,995
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $186,416.00 $199,465.12 $192,940.56 nat. median
$165,599
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
$147,677
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $97,782.61 $279,844.00 $188,813.30 nat. median
$100,978
1.9× 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
$160,171
1.1× 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
$96,835
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
$156,285
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
$99,646
1.8× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 5 $102,494.70 $292,842.00 $175,705.20 nat. median
$92
outlier · 1915.6×
5831
APR_DRG 		Neonate With Ecmo 9 $168,365.00 $180,150.55 $174,257.77 nat. median
$154,685
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $167,150.00 $178,850.50 $173,000.25 nat. median
$127,938
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
$127,600
1.3× 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
$92,900
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
$80,459
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
$77,385
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $82,734.14 $239,344.00 $161,039.07 nat. median
$81,364
2.0× median
459
MS_DRG 		No Active Code Description 7 $141,765.00 $170,642.00 $156,203.50 nat. median
$62,767
outlier · 2.5×
38240
CPT 		Transplt Allo Hct/donor 16 $64,686.43 $237,134.59 $150,910.51 nat. median
$13,835
outlier · 10.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $74,938.81 $216,705.00 $145,821.90 nat. median
$81,124
1.8× median
454
MS_DRG 		No Active Code Description 7 $130,736.00 $157,366.00 $144,051.00 nat. median
$57,648
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $76,131.42 $209,576.00 $142,853.71 nat. median
$79,040
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
$123,690
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $71,241.11 $205,665.00 $138,453.05 nat. median
$69,153
outlier · 2.0×
C1605
HCPCS 		Pacer Sys Aveir Dual Chamber Dr-system-aveir 5 $107,329.32 $153,327.60 $136,291.20 nat. median
$21,714
outlier · 6.3×
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
$73,475
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
$96,420
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
$74,472
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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