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

ST FRANCIS COMMUNITY HOSPITAL

Federal Way, WA · CCN 500141 · Rates published

11,378 distinct procedures filed
19 distinct payers
546,664 rate rows
2026-02-28 last MRF observed
Data quality

508,600 of 546,664 rate rows are consumer-grade (93.0%)

38,064 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 32,654
template filing: same amount across many unrelated codes — excluded 4,256
per-diem day rate — not a per-procedure price 972
placeholder amount (≤ $0.02) — excluded from medians 122
exceeds 10× this hospital's gross charge — excluded from medians 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/911267921_st-francis-hospital_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 5c7b3bd78e7da820… · 58,316,257 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 17 $321,303.64 $986,001.00 $634,474.40 nat. median
$370,174
1.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 4 $372,289.00 $558,433.50 $528,650.38 nat. median
$8,223
outlier · 64.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $240,215.30 $736,460.00 $488,337.65 nat. median
$265,286
1.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $392,654.00 $420,139.78 $416,213.24 nat. median
$309,665
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $202,447.14 $620,233.00 $360,515.00 nat. median
$206,368
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 18 $182,981.52 $560,329.00 $350,409.62 nat. median
$202,986
1.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $315,438.00 $337,518.66 $334,364.28 nat. median
$244,017
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $311,029.00 $332,801.03 $329,690.74 nat. median
$246,434
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $240,811.00 $257,667.77 $255,259.66 nat. median
$207,730
1.2× median
J1303
HCPCS 		Ravulizumab-cwvz 10 Mg/ml Intravenous Solution 18 $220.59 $359,566.39 $234,911.88 nat. median
$4,664
outlier · 50.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 $120,948.45 $369,429.00 $229,802.06 nat. median
$133,176
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $216,785.00 $231,959.95 $229,792.10 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 7 $214,029.00 $229,011.03 $226,870.74 nat. median
$156,126
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $212,354.00 $227,218.78 $225,095.24 nat. median
$164,279
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $208,022.00 $222,583.54 $220,503.32 nat. median
$162,982
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $112,213.05 $342,547.00 $214,888.00 nat. median
$117,303
1.8× median
7
MS_DRG 		Lung Transplant 18 $111,932.69 $341,684.00 $205,798.00 nat. median
$122,708
1.7× median
453
MS_DRG 		No Active Code Description 5 $171,521.00 $235,741.00 $203,631.00 nat. median
$87,411
outlier · 2.3×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $189,592.00 $202,863.44 $200,967.52 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $187,240.00 $200,346.80 $198,474.40 nat. median
$164,834
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $94,523.91 $342,985.00 $196,609.74 nat. median
$108,660
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $185,464.00 $198,446.48 $196,591.84 nat. median
$122,924
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $178,623.00 $191,126.61 $189,340.38 nat. median
$150,721
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 18 $90,914.03 $341,980.00 $189,101.19 nat. median
$99,019
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $176,299.00 $188,639.93 $186,876.94 nat. median
$151,838
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $91,377.91 $278,429.00 $184,903.45 nat. median
$100,136
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $93,455.13 $284,821.00 $184,052.32 nat. median
$102,358
1.8× median
5831
APR_DRG 		Neonate With Ecmo 7 $169,109.00 $180,946.63 $179,255.54 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $167,889.00 $179,641.23 $177,962.34 nat. median
$119,796
1.5× median
222
MS_DRG 		No Active Code Description 3 $175,692.00 $175,692.00 $175,692.00 nat. median
$63,570
outlier · 2.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $165,156.00 $176,716.92 $175,065.36 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $164,396.00 $175,903.72 $174,259.76 nat. median
$105,658
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $89,899.63 $273,879.00 $170,809.30 nat. median
$98,905
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $82,896.53 $252,328.00 $167,612.27 nat. median
$93,672
1.8× median
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 3 $124,223.75 $186,335.63 $157,764.17 nat. median
$1,988
outlier · 79.4×
224
MS_DRG 		No Active Code Description 3 $157,031.00 $157,031.00 $157,031.00 nat. median
$54,196
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $79,165.17 $240,845.00 $150,413.83 nat. median
$83,442
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $72,895.25 $221,550.00 $147,222.62 nat. median
$79,312
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 $72,855.32 $221,427.00 $147,141.16 nat. median
$81,118
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $136,428.00 $145,977.96 $144,613.68 nat. median
$118,620
1.2× median
226
MS_DRG 		No Active Code Description 3 $143,826.00 $143,826.00 $143,826.00 nat. median
$49,935
outlier · 2.9×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 4 $81,345.00 $244,035.00 $142,353.75 nat. median
$94
outlier · 1518.0×
454
MS_DRG 		No Active Code Description 5 $115,118.00 $166,432.00 $140,775.00 nat. median
$62,270
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $69,388.18 $210,757.00 $140,072.59 nat. median
$77,576
1.8× median
459
MS_DRG 		No Active Code Description 5 $125,364.00 $164,275.00 $139,906.75 nat. median
$65,381
outlier · 2.1×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $131,155.00 $140,335.85 $139,024.30 nat. median
$93,260
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $71,762.76 $218,065.00 $136,349.25 nat. median
$82,712
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $67,309.25 $204,360.00 $135,834.62 nat. median
$73,807
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $66,638.93 $202,297.00 $134,467.96 nat. median
$74,915
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $126,515.00 $135,371.05 $134,105.90 nat. median
$89,790
1.5× median

Other procedures at this hospital

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

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 60 17 — — $321,303.64 $986,001.00 $634,474.40 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 10 4 $744,578.00 $233,665.75 69% off $372,289.00 $558,433.50 $528,650.38 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 18 — — $240,215.30 $736,460.00 $488,337.65 2026-02-28
5834 APR_DRG Neonate With Ecmo 14 7 — — $392,654.00 $420,139.78 $416,213.24 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 18 — — $202,447.14 $620,233.00 $360,515.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 62 18 — — $182,981.52 $560,329.00 $350,409.62 2026-02-28
5833 APR_DRG Neonate With Ecmo 14 7 — — $315,438.00 $337,518.66 $334,364.28 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 7 — — $311,029.00 $332,801.03 $329,690.74 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 14 7 — — $240,811.00 $257,667.77 $255,259.66 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 10 Mg/ml Intravenous Solution 148 18 $399,514.00 $125,376.71 69% off $220.59 $359,566.39 $234,911.88 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 62 18 — — $120,948.45 $369,429.00 $229,802.06 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 7 — — $216,785.00 $231,959.95 $229,792.10 2026-02-28
5832 APR_DRG Neonate With Ecmo 14 7 — — $214,029.00 $229,011.03 $226,870.74 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 7 — — $212,354.00 $227,218.78 $225,095.24 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 7 — — $208,022.00 $222,583.54 $220,503.32 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 62 18 — — $112,213.05 $342,547.00 $214,888.00 2026-02-28
7 MS_DRG Lung Transplant 62 18 — — $111,932.69 $341,684.00 $205,798.00 2026-02-28
453 MS_DRG No Active Code Description 12 5 — — $171,521.00 $235,741.00 $203,631.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 7 — — $189,592.00 $202,863.44 $200,967.52 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 7 — — $187,240.00 $200,346.80 $198,474.40 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 18 — — $94,523.91 $342,985.00 $196,609.74 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 7 — — $185,464.00 $198,446.48 $196,591.84 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 7 — — $178,623.00 $191,126.61 $189,340.38 2026-02-28
215 MS_DRG Other Heart Assist System Implant 62 18 — — $90,914.03 $341,980.00 $189,101.19 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 7 — — $176,299.00 $188,639.93 $186,876.94 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 18 — — $91,377.91 $278,429.00 $184,903.45 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 17 — — $93,455.13 $284,821.00 $184,052.32 2026-02-28
5831 APR_DRG Neonate With Ecmo 14 7 — — $169,109.00 $180,946.63 $179,255.54 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 14 7 — — $167,889.00 $179,641.23 $177,962.34 2026-02-28
222 MS_DRG No Active Code Description 6 3 — — $175,692.00 $175,692.00 $175,692.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 7 — — $165,156.00 $176,716.92 $175,065.36 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $164,396.00 $175,903.72 $174,259.76 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 16 — — $89,899.63 $273,879.00 $170,809.30 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 18 — — $82,896.53 $252,328.00 $167,612.27 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 8 3 $248,447.50 $77,968.56 69% off $124,223.75 $186,335.63 $157,764.17 2026-02-28
224 MS_DRG No Active Code Description 6 3 — — $157,031.00 $157,031.00 $157,031.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 54 16 — — $79,165.17 $240,845.00 $150,413.83 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 18 — — $72,895.25 $221,550.00 $147,222.62 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 62 18 — — $72,855.32 $221,427.00 $147,141.16 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $136,428.00 $145,977.96 $144,613.68 2026-02-28
226 MS_DRG No Active Code Description 6 3 — — $143,826.00 $143,826.00 $143,826.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 20 4 $244,035.00 $76,583.82 69% off $81,345.00 $244,035.00 $142,353.75 2026-02-28
454 MS_DRG No Active Code Description 12 5 — — $115,118.00 $166,432.00 $140,775.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 18 — — $69,388.18 $210,757.00 $140,072.59 2026-02-28
459 MS_DRG No Active Code Description 12 5 — — $125,364.00 $164,275.00 $139,906.75 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 7 — — $131,155.00 $140,335.85 $139,024.30 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 16 — — $71,762.76 $218,065.00 $136,349.25 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 18 — — $67,309.25 $204,360.00 $135,834.62 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — — $66,638.93 $202,297.00 $134,467.96 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 7 — — $126,515.00 $135,371.05 $134,105.90 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 7 — — $126,204.00 $135,038.28 $133,776.24 2026-02-28
223 MS_DRG No Active Code Description 6 3 — — $132,047.00 $132,047.00 $132,047.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 60 17 — — $68,251.44 $207,259.00 $130,189.62 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 7 — — $122,091.00 $130,637.37 $129,416.46 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 14 7 — — $117,589.00 $125,820.23 $124,644.34 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 14 7 — — $117,589.00 $125,820.23 $124,644.34 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 7 — — $115,014.00 $123,064.98 $121,914.84 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 7 — — $114,170.00 $122,161.90 $121,020.20 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 8 4 $170,364.00 $53,464.16 69% off $85,182.00 $127,773.00 $120,958.44 2026-02-28
225 MS_DRG No Active Code Description 6 3 — — $120,776.00 $120,776.00 $120,776.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 7 — — $113,810.00 $121,776.70 $120,638.60 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 18 — — $64,317.03 $176,857.00 $120,587.01 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $113,736.00 $121,697.52 $120,560.16 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 17 — — $60,942.49 $184,767.00 $119,779.81 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $112,412.00 $120,280.84 $119,156.72 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 16 — — $61,245.79 $185,700.00 $116,367.01 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 62 18 — — $57,645.26 $174,620.00 $116,132.63 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 18 — — $57,549.26 $174,324.00 $115,936.63 2026-02-28
8634 APR_DRG Neonatal Aftercare 14 7 — — $108,427.00 $116,016.89 $114,932.62 2026-02-28
38240 CPT Transplt Allo Hct/donor 54 16 — — $11,819.00 $294,950.83 $114,912.86 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 18 — — $60,003.70 $181,878.00 $114,907.09 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $107,896.00 $115,448.72 $114,369.76 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 7 — — $107,806.00 $115,352.42 $114,274.36 2026-02-28
227 MS_DRG No Active Code Description 6 3 — — $113,053.00 $113,053.00 $113,053.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 18 — — $55,767.68 $168,842.00 $112,304.84 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 7 — — $105,761.00 $113,164.27 $112,106.66 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 18 — — $58,914.53 $161,790.00 $110,352.26 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 16 — — $57,864.45 $175,294.00 $109,942.46 2026-02-28
455 MS_DRG No Active Code Description 12 5 — — $89,146.00 $127,733.00 $108,439.50 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 20 4 $177,979.70 $55,854.14 69% off $73,303.00 $157,015.05 $107,755.41 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 18 — — $51,799.29 $178,198.00 $107,742.53 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 18 — — $55,846.69 $171,104.00 $106,946.42 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 7 — — $100,751.00 $107,803.57 $106,796.06 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 18 — — $52,800.94 $159,712.00 $106,256.47 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 7 — — $99,920.00 $106,914.40 $105,915.20 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 62 18 — — $52,552.87 $158,949.00 $105,750.93 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 7 — — $99,299.00 $106,249.93 $105,256.94 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 17 — — $53,529.03 $161,953.00 $105,124.56 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 62 18 — — $52,182.45 $157,809.00 $104,995.73 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 18 — — $54,632.64 $170,227.00 $104,621.51 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 8 3 $163,265.50 $51,236.48 69% off $81,632.75 $122,449.13 $103,673.60 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 18 — — $51,446.71 $155,544.00 $103,495.35 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 18 — — $50,893.63 $153,842.00 $102,367.82 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 16 — — $53,461.07 $161,743.00 $101,576.04 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 62 18 — — $53,038.83 $168,887.00 $101,569.36 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 60 17 — — $51,408.48 $155,427.00 $100,932.49 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 18 — — $50,367.74 $152,224.00 $100,503.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 62 18 — — $49,663.44 $150,479.00 $100,071.22 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 18 — — $47,861.47 $154,795.00 $99,551.86 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 18 — — $49,372.03 $149,160.00 $99,266.01 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 8 3 $156,167.00 $49,008.81 69% off $78,083.50 $117,125.25 $99,166.05 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $93,013.00 $99,523.91 $98,593.78 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 7 — — $91,668.00 $98,084.76 $97,168.08 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 7 — — $91,529.00 $97,936.03 $97,020.74 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 7 — — $91,529.00 $97,936.03 $97,020.74 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 62 18 — — $48,263.33 $145,748.00 $97,005.66 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 62 18 — — $47,861.47 $144,511.00 $96,186.24 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 18 — — $47,129.13 $142,258.00 $94,693.57 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 8 3 $149,068.50 $46,781.14 69% off $74,534.25 $111,801.38 $94,658.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 7 — — $89,184.00 $95,426.88 $94,535.04 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 62 18 — — $47,023.79 $141,933.00 $94,478.40 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 18 — — $46,788.45 $141,209.00 $93,998.73 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 18 — — $46,745.12 $141,076.00 $93,910.56 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 18 — — $53,221.49 $161,006.00 $93,586.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 62 18 — — $46,101.99 $139,097.00 $92,599.49 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — — $45,902.34 $138,482.00 $92,192.17 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 7 — — $86,116.00 $92,144.12 $91,282.96 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 16 — — $47,664.37 $143,905.00 $90,562.31 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 62 18 — — $52,182.45 $157,809.00 $90,170.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 16 — — $47,378.91 $143,026.00 $90,019.93 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 18 — — $43,239.75 $150,462.00 $89,938.68 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 18 — — $46,740.03 $141,060.00 $89,507.16 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 18 — — $44,511.57 $134,202.00 $89,356.79 2026-02-28
10 MS_DRG Pancreas Transplant 62 18 — — $68,639.70 $208,454.00 $88,764.00 2026-02-28
230 MS_DRG No Active Code Description 6 3 — — $88,720.00 $88,720.00 $88,720.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 18 — — $44,185.33 $133,198.00 $88,691.66 2026-02-28
1784 APR_DRG External Heart Assist Systems 14 7 — — $83,432.00 $89,272.24 $88,437.92 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 62 18 — — $44,052.80 $132,790.00 $88,421.40 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $83,363.00 $89,198.41 $88,364.78 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 7 — — $83,190.00 $89,013.30 $88,181.40 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 7 — — $82,871.00 $88,671.97 $87,843.26 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 18 — — $43,695.12 $131,690.00 $87,692.56 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 7 — — $82,602.00 $88,384.14 $87,558.12 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 7 — — $82,317.00 $88,079.19 $87,256.02 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 18 — — $43,442.80 $130,913.00 $87,177.90 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 62 18 — — $43,392.67 $130,759.00 $87,075.84 2026-02-28
C1822 HCPCS Ipg W/kit Nipg1500 32 3 $129,547.62 $40,655.04 69% off $56,788.00 $138,420.75 $86,033.82 2026-02-28
245 MS_DRG Aicd Generator Procedures 62 18 — — $42,419.90 $127,765.00 $85,092.45 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 18 — — $40,872.81 $137,407.00 $85,015.45 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 16 — — $44,656.85 $134,649.00 $84,848.02 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 7 — — $79,943.00 $85,539.01 $84,739.58 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 62 18 — — $42,169.28 $126,994.00 $84,581.64 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 62 18 — — $42,100.46 $126,782.00 $84,441.23 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 7 — — $79,622.00 $85,195.54 $84,399.32 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 17 — — $43,409.67 $130,811.00 $83,715.76 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $78,740.00 $84,251.80 $83,464.40 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 18 — — $41,474.32 $124,855.00 $83,164.66 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 62 18 — — $41,298.45 $124,314.00 $82,806.23 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 18 — — $41,290.81 $124,291.00 $82,790.90 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 14 7 — — $77,643.00 $83,078.01 $82,301.58 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 7 — — $77,006.00 $82,396.42 $81,626.36 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 18 — — $40,658.72 $122,346.00 $81,502.36 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 7 — — $76,732.00 $82,103.24 $81,335.92 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 7 — — $76,234.00 $81,570.38 $80,808.04 2026-02-28
460 MS_DRG No Active Code Description 12 5 — — $70,802.00 $90,603.00 $80,702.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $75,841.00 $81,149.87 $80,391.46 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 62 18 — — $40,061.46 $120,508.00 $80,284.73 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 7 — — $75,620.00 $80,913.40 $80,157.20 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — — $39,920.43 $120,074.00 $79,997.21 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 18 — — $39,914.49 $120,055.00 $79,984.74 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 7 — — $75,353.00 $80,627.71 $79,874.18 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $75,245.00 $80,512.15 $79,759.70 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 60 17 — — $40,424.23 $121,624.00 $79,218.26 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 18 — — $39,232.27 $117,956.00 $78,594.13 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 60 17 — — $40,045.32 $120,458.00 $78,469.23 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 7 — — $73,970.00 $79,147.90 $78,408.20 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 7 — — $73,537.00 $78,684.59 $77,949.22 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 18 — — $38,898.39 $116,928.00 $77,913.20 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $72,961.00 $78,068.27 $77,338.66 2026-02-28
6904 APR_DRG Acute Leukemia 14 7 — — $72,936.00 $78,041.52 $77,312.16 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 62 18 — — $38,543.26 $115,835.00 $77,189.13 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $71,558.00 $76,567.06 $75,851.48 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 62 18 — — $37,587.48 $113,350.00 $75,468.74 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 7 — — $71,107.00 $76,084.49 $75,373.42 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 14 7 — — $70,846.00 $75,805.22 $75,096.76 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 14 7 — — $70,844.00 $75,803.08 $75,094.64 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 60 17 — — $38,222.97 $114,850.00 $74,866.74 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 20 4 $128,148.00 $40,215.81 69% off $42,716.00 $128,148.00 $74,753.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 18 — — $39,003.73 $117,252.00 $74,692.15 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 18 — — $37,143.15 $111,527.00 $74,315.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 7 — — $69,957.00 $74,853.99 $74,154.42 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 7 — — $69,753.00 $74,635.71 $73,938.18 2026-02-28
2324 APR_DRG Gastric Fundoplication 14 7 — — $69,626.00 $74,499.82 $73,803.56 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 7 — — $69,377.00 $74,233.39 $73,539.62 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 20 4 $130,690.00 $41,013.54 69% off $32,672.50 $147,026.25 $73,513.12 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 18 — — $36,505.11 $109,563.00 $73,034.05 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 17 — — $37,089.63 $111,362.00 $72,626.23 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 62 18 — — $36,251.09 $108,782.00 $72,516.54 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 7 — — $68,079.00 $72,844.53 $72,163.74 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 60 17 — — $36,833.05 $110,572.00 $71,832.15 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 18 — — $35,838.19 $107,511.00 $71,674.60 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 18 — — $37,663.09 $113,127.00 $71,559.88 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 14 7 — — $67,445.00 $72,166.15 $71,491.70 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 18 — — $35,458.43 $106,342.00 $70,900.21 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 14 7 — — $66,559.00 $71,218.13 $70,552.54 2026-02-28
C1820 HCPCS Kt Imp Vercise Gevia Genrtr M365db1200s0 72 3 $115,875.91 $36,364.54 69% off $3,385.99 $117,125.25 $70,452.61 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $66,327.00 $70,969.89 $70,306.62 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 20 4 $130,226.23 $40,867.99 69% off $19,402.00 $166,236.34 $69,963.61 2026-02-28
984 MS_DRG No Active Code Description 6 3 — — $69,800.00 $69,800.00 $69,800.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 7 — — $65,696.00 $70,294.72 $69,637.76 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 18 — — $34,747.33 $104,154.00 $69,450.66 2026-02-28
1794 APR_DRG Defibrillator Implants 14 7 — — $65,365.00 $69,940.55 $69,286.90 2026-02-28
791 MS_DRG Prematurity With Major Problems 60 17 — — $35,394.71 $106,146.00 $69,275.61 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 62 18 — — $36,496.62 $109,537.00 $69,212.00 2026-02-28
69930 CPT Implant Cochlear Device 60 18 — — $12,267.00 $158,629.94 $69,036.59 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 18 — — $34,355.67 $102,949.00 $68,652.34 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 18 — — $35,766.83 $107,291.00 $68,493.48 2026-02-28
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 20 4 $131,768.00 $41,351.85 69% off $10,136.00 $182,448.00 $68,418.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 7 — — $64,403.00 $68,911.21 $68,267.18 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 62 18 — — $34,123.74 $102,235.00 $68,179.37 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 14 7 — — $64,315.00 $68,817.05 $68,173.90 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $64,278.00 $68,777.46 $68,134.68 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 14 7 — — $63,978.00 $68,456.46 $67,816.68 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 14 7 — — $63,972.00 $68,450.04 $67,810.32 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 18 — — $33,940.23 $101,670.00 $67,805.12 2026-02-28
33264 CPT Hc Icd Gen Remove Insert Multi 58 17 $32,288.91 $10,133.01 69% off $23,248.02 $159,895.47 $67,803.06 2026-02-28
33231 CPT Hc Ins Icd Gen Only Exs Mlt Ld 58 17 $19,401.69 $6,088.70 69% off $13,969.22 $159,895.47 $67,803.06 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 16 — — $35,595.21 $106,763.00 $67,630.90 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 18 — — $34,723.54 $104,081.00 $67,538.00 2026-02-28
C1767 HCPCS DRG Ipg Proclaim W/controller 3664ctrlsysxx 112 3 $122,371.04 $38,402.86 69% off $32,049.73 $185,233.59 $67,446.04 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 62 18 — — $33,738.87 $101,050.00 $67,394.43 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 62 18 — — $33,613.99 $100,666.00 $67,139.99 2026-02-28
246 MS_DRG No Active Code Description 6 3 — — $67,016.00 $67,016.00 $67,016.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 18 — — $35,818.65 $97,635.00 $66,726.82 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 18 — — $33,201.09 $99,395.00 $66,298.04 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 62 18 — — $34,424.49 $103,160.00 $65,922.90 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 62 18 — — $32,949.61 $98,622.00 $65,785.80 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 7 — — $62,048.00 $66,391.36 $65,770.88 2026-02-28
C1882 HCPCS Acticor 7 Hf-t 429523 136 4 $103,680.69 $32,537.40 69% off $29,636.24 $150,559.19 $65,586.60 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 7 — — $61,808.00 $66,134.56 $65,516.48 2026-02-28
274 APR_DRG Other Open Craniotomy 14 7 — — $61,660.00 $65,976.20 $65,359.60 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 62 18 — — $32,693.89 $97,835.00 $65,264.44 2026-02-28
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 10 4 $91,868.00 $28,830.30 69% off $45,934.00 $68,901.00 $65,226.28 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 54 16 — — $33,918.32 $151,975.96 $65,123.17 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 62 18 — — $33,376.95 $96,613.00 $64,994.97 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 16 — — $34,139.88 $102,284.00 $64,865.78 2026-02-28
61886 CPT Implant Neurostim Arrays 56 17 — — $6,630.00 $151,975.96 $64,783.99 2026-02-28
234 APR_DRG Spinal Procedures 14 7 — — $61,047.00 $65,320.29 $64,709.82 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 62 18 — — $30,896.17 $103,073.00 $64,264.04 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 62 18 — — $33,705.74 $100,948.00 $64,040.91 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 14 7 — — $60,326.00 $64,548.82 $63,945.56 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 14 7 — — $60,267.00 $64,485.69 $63,883.02 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 14 7 — — $60,154.00 $64,364.78 $63,763.24 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 62 18 — — $31,901.23 $95,395.00 $63,648.11 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 58 17 — — $34,287.70 $102,739.00 $63,606.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 7 — — $59,792.00 $63,977.44 $63,379.52 2026-02-28
248 MS_DRG No Active Code Description 6 3 — — $63,307.00 $63,307.00 $63,307.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $59,663.00 $63,839.41 $63,242.78 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $59,654.00 $63,829.78 $63,233.24 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 18 — — $31,686.29 $94,734.00 $63,210.14 2026-02-28
332 MS_DRG Rectal Resection With Mcc 62 18 — — $30,371.98 $101,414.00 $63,173.72 2026-02-28
4414 APR_DRG Major Bladder Procedures 14 7 — — $59,125.00 $63,263.75 $62,672.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 7 — — $58,964.00 $63,091.48 $62,501.84 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $58,547.00 $62,645.29 $62,059.82 2026-02-28
1783 APR_DRG External Heart Assist Systems 14 7 — — $58,515.00 $62,611.05 $62,025.90 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 62 18 — — $31,072.89 $92,846.00 $61,959.44 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 18 — — $30,888.53 $92,279.00 $61,583.76 2026-02-28
J9019 HCPCS Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection 22 8 $102,476.00 $32,159.34 69% off $1,281.55 $76,857.00 $61,485.60 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 18 — — $30,648.95 $92,195.00 $61,421.97 2026-02-28
338 MS_DRG No Active Code Description 6 3 — — $61,292.00 $61,292.00 $61,292.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 62 18 — — $31,208.82 $93,264.00 $61,214.00 2026-02-28
J9249 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 20 4 $101,032.38 $31,706.29 69% off $41,601.58 $89,146.20 $61,154.32 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 18 — — $30,670.19 $91,607.00 $61,138.60 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 18 — — $30,660.84 $91,578.00 $61,119.42 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 18 — — $31,358.35 $93,725.00 $61,047.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 14 7 — — $57,127.00 $61,125.89 $60,554.62 2026-02-28
C1787 HCPCS Kt Pulse Gen 16 Wavewriter Alp M365sc12160 46 3 $106,477.50 $33,415.10 69% off $3,531.51 $90,505.88 $60,337.25 2026-02-28
C2616 HCPCS Therasphere Y-90 1-20gbq Y90thera 86 18 $125,998.38 $39,541.20 69% off $19,461.62 $102,724.17 $60,328.50 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 18 — — $30,165.53 $90,054.00 $60,109.76 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 18 — — $31,356.65 $93,719.00 $60,047.99 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 62 18 — — $31,351.55 $93,704.00 $60,038.22 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 62 18 — — $30,046.59 $89,688.00 $59,867.29 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 7 — — $56,395.00 $60,342.65 $59,778.70 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 7 — — $56,395.00 $60,342.65 $59,778.70 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 62 18 — — $30,002.41 $89,552.00 $59,777.21 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 18 — — $30,812.91 $92,046.00 $59,470.00 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 62 18 — — $29,840.99 $89,055.00 $59,448.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 60 17 — — $30,404.27 $90,789.00 $59,410.41 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 14 7 — — $55,997.00 $59,916.79 $59,356.82 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 14 7 — — $55,962.00 $59,879.34 $59,319.72 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 7 — — $55,962.00 $59,879.34 $59,319.72 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 62 18 — — $29,720.35 $88,684.00 $59,202.18 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 14 7 — — $55,673.00 $59,570.11 $59,013.38 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 14 7 — — $55,492.00 $59,376.44 $58,821.52 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 62 18 — — $30,119.66 $89,913.00 $58,644.00 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 62 18 — — $29,420.45 $87,761.00 $58,590.72 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 14 7 — — $55,115.00 $58,973.05 $58,421.90 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $54,905.00 $58,748.35 $58,199.30 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 62 18 — — $30,596.27 $91,379.00 $58,132.92 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 18 — — $30,339.70 $90,590.00 $58,100.53 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 62 18 — — $29,116.30 $86,825.00 $57,970.65 2026-02-28
665 MS_DRG Prostatectomy With Mcc 62 18 — — $30,073.78 $89,771.00 $57,840.00 2026-02-28
39503 CPT Repair Of Diaphragm Hernia 2 1 — — $57,625.53 $57,625.53 $57,625.53 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 20 4 $105,733.45 $33,181.60 69% off $18,356.50 $131,065.43 $57,455.85 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 7 — — $53,988.00 $57,767.16 $57,227.28 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 14 7 — — $53,859.00 $57,629.13 $57,090.54 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 62 18 — — $28,672.82 $85,460.00 $57,066.41 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $53,772.00 $57,536.04 $56,998.32 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 62 18 — — $28,581.91 $85,180.00 $56,880.96 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 7 — — $53,657.00 $57,412.99 $56,876.42 2026-02-28
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