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 ANTHONY HOSPITAL

Gig Harbor, WA · CCN 500151 · Rates published

11,378 distinct procedures filed
19 distinct payers
273,332 rate rows
2026-02-28 last MRF observed
Data quality

254,297 of 273,332 rate rows are consumer-grade (93.0%)

19,035 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 16,330
template filing: same amount across many unrelated codes — excluded 2,128
per-diem day rate — not a per-procedure price 486
placeholder amount (≤ $0.02) — excluded from medians 61
exceeds 10× this hospital's gross charge — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/383769889_st-anthony-hospital_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint e28467900cffca8d… · 58,309,347 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $305,628.14 $1,011,811.00 $610,492.22 nat. median
$370,174
1.6× 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 $228,339.72 $744,209.00 $474,946.62 nat. median
$265,286
1.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $382,067.00 $408,811.69 $404,991.02 nat. median
$309,665
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $192,341.44 $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 $173,788.00 $585,519.00 $346,443.00 nat. median
$202,986
1.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $306,933.00 $328,418.31 $325,348.98 nat. median
$244,017
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $302,643.00 $323,828.01 $320,801.58 nat. median
$246,434
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $234,318.00 $250,720.26 $248,377.08 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×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $210,940.00 $225,705.80 $223,596.40 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 7 $208,258.00 $222,836.06 $220,753.48 nat. median
$156,126
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 $114,661.90 $403,706.00 $219,577.54 nat. median
$133,176
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $206,628.00 $221,091.96 $219,025.68 nat. median
$164,279
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $202,413.00 $216,581.91 $214,557.78 nat. median
$162,982
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $106,335.85 $342,547.00 $211,548.00 nat. median
$117,303
1.8× median
453
MS_DRG 		No Active Code Description 5 $173,026.00 $243,361.00 $208,193.50 nat. median
$87,411
outlier · 2.4×
7
MS_DRG 		Lung Transplant 18 $106,068.63 $341,684.00 $201,530.40 nat. median
$122,708
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $184,479.00 $197,392.53 $195,547.74 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $182,191.00 $194,944.37 $193,122.46 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $180,463.00 $193,095.41 $191,290.78 nat. median
$122,924
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $89,475.65 $342,985.00 $186,109.36 nat. median
$108,660
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $173,806.00 $185,972.42 $184,234.36 nat. median
$150,721
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $171,545.00 $183,553.15 $181,837.70 nat. median
$151,838
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $86,477.07 $284,242.00 $179,872.31 nat. median
$100,136
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $86,034.94 $341,980.00 $178,952.68 nat. median
$99,019
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $88,456.96 $295,796.00 $176,692.78 nat. median
$102,358
1.7× 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×
5831
APR_DRG 		Neonate With Ecmo 7 $164,549.00 $176,067.43 $174,421.94 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $163,362.00 $174,797.34 $173,163.72 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $160,703.00 $171,952.21 $170,345.18 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $159,963.00 $171,160.41 $169,560.78 nat. median
$105,658
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $78,393.15 $266,537.00 $163,057.76 nat. median
$93,672
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $85,068.08 $273,879.00 $161,629.36 nat. median
$98,905
1.6× 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×
459
MS_DRG 		No Active Code Description 5 $125,364.00 $182,143.00 $148,578.75 nat. median
$65,381
outlier · 2.3×
226
MS_DRG 		No Active Code Description 3 $143,826.00 $143,826.00 $143,826.00 nat. median
$49,935
outlier · 2.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $68,860.55 $222,868.00 $143,229.95 nat. median
$79,312
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 $68,822.49 $231,497.00 $143,150.78 nat. median
$81,118
1.8× median
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×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $74,836.64 $240,845.00 $142,189.62 nat. median
$83,442
1.7× median
454
MS_DRG 		No Active Code Description 5 $115,118.00 $167,972.00 $141,545.00 nat. median
$62,270
outlier · 2.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $132,750.00 $142,042.50 $140,715.00 nat. median
$118,620
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $65,517.82 $232,128.00 $136,277.07 nat. median
$77,576
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $127,619.00 $136,552.33 $135,276.14 nat. median
$93,260
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $63,536.31 $214,200.00 $132,155.53 nat. median
$73,807
1.8× median
223
MS_DRG 		No Active Code Description 3 $132,047.00 $132,047.00 $132,047.00 nat. median
$44,728
outlier · 3.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $62,897.41 $211,773.00 $130,826.62 nat. median
$74,915
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $123,104.00 $131,721.28 $130,490.24 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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 18 — — $228,339.72 $744,209.00 $474,946.62 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 18 — — $192,341.44 $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 … 31 18 — — $173,788.00 $585,519.00 $346,443.00 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 10 Mg/ml Intravenous Solution 74 18 $399,514.00 $121,511.66 70% 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… 31 18 — — $114,661.90 $403,706.00 $219,577.54 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 31 18 — — $106,335.85 $342,547.00 $211,548.00 2026-02-28
7 MS_DRG Lung Transplant 31 18 — — $106,068.63 $341,684.00 $201,530.40 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 18 — — $89,475.65 $342,985.00 $186,109.36 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 18 — — $86,477.07 $284,242.00 $179,872.31 2026-02-28
215 MS_DRG Other Heart Assist System Implant 31 18 — — $86,034.94 $341,980.00 $178,952.68 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $78,393.15 $266,537.00 $163,057.76 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $68,860.55 $222,868.00 $143,229.95 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $68,822.49 $231,497.00 $143,150.78 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 18 — — $65,517.82 $232,128.00 $136,277.07 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 18 — — $63,536.31 $214,200.00 $132,155.53 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $62,897.41 $211,773.00 $130,826.62 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 18 — — $60,684.31 $176,857.00 $118,770.65 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 18 — — $56,573.11 $191,277.00 $113,799.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 18 — — $54,325.19 $174,620.00 $112,996.40 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 18 — — $54,233.68 $188,251.00 $112,806.06 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $52,535.60 $174,810.00 $109,274.05 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 18 — — $55,534.98 $161,790.00 $108,662.49 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 18 — — $51,453.75 $188,742.00 $103,720.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 18 — — $49,707.89 $163,366.00 $103,392.42 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 18 — — $52,610.91 $189,714.00 $102,998.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 31 18 — — $49,471.43 $165,495.00 $102,900.58 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 18 — — $49,118.37 $169,639.00 $102,166.21 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 18 — — $48,753.17 $178,198.00 $101,406.60 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $48,417.11 $156,448.00 $100,707.59 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 18 — — $47,889.95 $161,499.00 $99,611.10 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 18 — — $49,934.62 $187,256.00 $99,091.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 18 — — $47,388.71 $166,061.00 $98,568.52 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $46,717.41 $166,846.00 $97,172.22 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $46,439.66 $155,682.00 $96,594.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 31 18 — — $45,382.91 $148,674.00 $94,396.46 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 18 — — $44,999.89 $168,661.00 $93,599.78 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 31 18 — — $44,999.89 $153,765.00 $93,599.78 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $50,108.72 $170,768.00 $93,586.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 18 — — $44,301.87 $144,502.00 $92,147.89 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 31 18 — — $44,201.45 $151,189.00 $91,939.02 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 18 — — $43,977.15 $155,542.00 $91,472.48 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 18 — — $43,935.85 $141,607.00 $91,386.57 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 18 — — $49,118.37 $169,639.00 $90,170.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 18 — — $43,322.86 $142,750.00 $90,111.55 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $43,132.56 $144,032.00 $89,715.73 2026-02-28
10 MS_DRG Pancreas Transplant 31 18 — — $64,804.41 $208,454.00 $88,764.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 18 — — $41,806.97 $138,878.00 $86,958.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 18 — — $41,496.02 $142,440.00 $86,311.73 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 31 18 — — $41,369.69 $139,485.00 $86,048.96 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 18 — — $41,028.78 $132,009.00 $85,339.87 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 18 — — $40,788.28 $133,031.00 $84,839.63 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 18 — — $40,740.50 $137,296.00 $84,740.24 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 18 — — $40,594.74 $150,462.00 $84,437.06 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $43,930.99 $156,075.00 $84,127.85 2026-02-28
245 MS_DRG Aicd Generator Procedures 31 18 — — $39,813.32 $127,765.00 $82,811.71 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 31 18 — — $39,574.43 $135,090.00 $82,314.82 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 31 18 — — $39,508.84 $132,836.00 $82,178.39 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 18 — — $38,912.04 $127,091.00 $80,937.05 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 31 18 — — $38,744.42 $136,068.00 $80,588.40 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 18 — — $38,737.13 $130,186.00 $80,573.24 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 18 — — $38,338.73 $137,407.00 $79,744.56 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 18 — — $38,134.66 $123,636.00 $79,320.10 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 31 18 — — $37,565.40 $129,450.00 $78,136.04 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $37,430.97 $127,665.00 $77,856.42 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 18 — — $37,425.31 $124,045.00 $77,844.65 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 18 — — $36,775.06 $121,617.00 $76,492.13 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 18 — — $36,456.82 $121,277.00 $75,830.19 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 31 18 — — $36,118.34 $118,854.00 $75,126.15 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $35,207.35 $124,435.00 $73,231.29 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 18 — — $36,557.23 $118,168.00 $72,375.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 18 — — $34,783.84 $117,506.00 $72,350.39 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 18 — — $34,175.70 $113,054.00 $71,085.46 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 18 — — $33,933.58 $114,208.00 $70,581.85 2026-02-28
69930 CPT Implant Cochlear Device 30 18 — — $12,267.00 $158,629.94 $70,301.90 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 18 — — $33,540.03 $110,983.00 $69,763.27 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 18 — — $33,178.07 $107,405.00 $69,010.39 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 18 — — $32,500.29 $104,154.00 $67,600.61 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 18 — — $32,477.62 $104,081.00 $67,538.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 18 — — $33,472.01 $109,987.00 $67,279.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 18 — — $35,279.42 $113,127.00 $67,030.90 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 18 — — $32,126.99 $106,754.00 $66,824.14 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 18 — — $31,905.92 $107,023.00 $66,364.32 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 18 — — $31,731.01 $107,144.00 $66,000.51 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 31 18 — — $31,539.09 $108,690.00 $65,601.31 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 18 — — $33,521.41 $97,635.00 $65,578.21 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 18 — — $34,167.61 $109,537.00 $65,430.98 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 18 — — $31,420.06 $111,439.00 $65,353.73 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 31 18 — — $32,192.58 $110,250.00 $64,654.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $31,026.51 $104,052.00 $64,535.15 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 31 18 — — $30,786.82 $105,746.00 $64,036.59 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 31 18 — — $31,194.13 $96,613.00 $63,903.57 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 31 18 — — $30,543.08 $105,062.00 $63,529.61 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 18 — — $31,507.51 $100,948.00 $62,970.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 18 — — $29,787.56 $99,490.00 $61,958.13 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 18 — — $29,582.69 $98,180.00 $61,532.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 18 — — $29,270.12 $94,220.00 $60,881.85 2026-02-28
265 MS_DRG Aicd Lead Procedures 31 18 — — $29,127.60 $97,057.00 $60,585.41 2026-02-28
C2616 HCPCS Therasphere Y-90 1-20gbq Y90thera 43 18 $125,998.38 $38,322.24 70% off $19,818.31 $102,724.17 $60,328.50 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 31 18 — — $28,998.04 $95,080.00 $60,315.93 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 18 — — $28,829.61 $107,729.00 $59,965.59 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 18 — — $28,822.32 $92,279.00 $59,950.43 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 18 — — $29,268.50 $99,880.00 $59,908.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 18 — — $28,614.21 $96,813.00 $59,517.56 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 18 — — $28,605.30 $92,734.00 $59,499.03 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 18 — — $28,593.96 $102,223.00 $59,475.44 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 18 — — $28,750.25 $98,350.00 $59,470.00 2026-02-28
332 MS_DRG Rectal Resection With Mcc 31 18 — — $28,329.98 $101,414.00 $58,926.36 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 18 — — $28,133.21 $94,918.00 $58,517.08 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 18 — — $28,089.48 $92,523.00 $58,426.12 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 31 18 — — $28,019.84 $92,105.00 $58,281.27 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 18 — — $27,977.73 $95,744.00 $58,193.68 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 18 — — $27,823.87 $91,045.00 $57,873.65 2026-02-28
665 MS_DRG Prostatectomy With Mcc 31 18 — — $28,045.75 $89,771.00 $57,840.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 18 — — $27,708.89 $94,887.00 $57,634.50 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 18 — — $27,423.04 $94,149.00 $57,039.93 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 31 18 — — $28,543.76 $91,379.00 $57,009.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 31 18 — — $27,133.14 $92,704.00 $56,436.94 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 18 — — $29,263.64 $100,289.00 $56,039.88 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 18 — — $26,710.44 $91,446.00 $55,557.72 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 31 18 — — $26,623.80 $86,168.00 $55,377.51 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 17 — — $305,628.14 $1,011,811.00 $610,492.22 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 17 — — $88,456.96 $295,796.00 $176,692.78 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $64,434.35 $219,525.00 $125,986.39 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 17 — — $57,467.90 $193,224.00 $114,792.14 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 17 — — $50,401.86 $170,551.00 $100,677.72 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 30 17 — — $48,380.67 $164,781.00 $96,640.40 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $40,756.70 $130,811.00 $81,175.54 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 17 — — $37,911.17 $131,339.00 $75,727.57 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 17 — — $37,550.01 $123,515.00 $75,006.15 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 17 — — $35,813.06 $119,791.00 $71,536.59 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 17 — — $34,732.82 $113,697.00 $69,378.82 2026-02-28
33264 CPT Hc Icd Gen Remove Insert Multi 29 17 $32,288.91 $9,820.63 70% off $23,248.02 $159,895.47 $69,045.77 2026-02-28
33231 CPT Hc Ins Icd Gen Only Exs Mlt Ld 29 17 $19,401.69 $5,901.00 70% off $13,969.22 $159,895.47 $69,045.77 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $34,488.27 $110,572.00 $68,890.32 2026-02-28
791 MS_DRG Prematurity With Major Problems 30 17 — — $33,117.33 $112,535.00 $66,151.87 2026-02-28
61886 CPT Implant Neurostim Arrays 28 17 — — $6,630.00 $151,975.96 $65,971.38 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 17 — — $32,062.21 $102,739.00 $60,918.20 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 17 — — $28,360.75 $94,978.00 $56,650.60 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $85,068.08 $273,879.00 $161,629.36 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 27 16 — — $74,836.64 $240,845.00 $142,189.62 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 16 — — $67,781.12 $218,065.00 $128,784.13 2026-02-28
38240 CPT Transplt Allo Hct/donor 27 16 — — $11,819.00 $294,950.83 $114,912.86 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $57,756.99 $185,700.00 $109,738.29 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 16 — — $54,534.11 $175,294.00 $103,614.81 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 16 — — $50,337.08 $161,743.00 $95,640.46 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $44,812.02 $143,905.00 $85,142.84 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 16 — — $44,539.94 $143,026.00 $84,625.89 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 16 — — $41,945.44 $134,649.00 $79,696.34 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 27 16 — — $34,539.99 $151,975.96 $66,316.78 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 16 — — $33,308.44 $106,763.00 $63,286.04 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 16 — — $31,921.31 $102,284.00 $60,650.49 2026-02-28
33270 CPT Hc Ins/rep Subq Defib 28 16 $17,644.11 $5,366.44 70% off $12,703.76 $159,895.47 $55,418.32 2026-02-28
0408T CPT Hc Insj/replc Cardiac Modulj Sys 28 16 $19,401.69 $5,901.00 70% off $13,969.22 $159,895.47 $55,418.32 2026-02-28
J9019 HCPCS Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection 11 8 $102,476.00 $31,167.94 70% off $1,281.55 $76,857.00 $61,485.60 2026-02-28
5834 APR_DRG Neonate With Ecmo 7 7 — — $382,067.00 $408,811.69 $404,991.02 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 7 — — $306,933.00 $328,418.31 $325,348.98 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $302,643.00 $323,828.01 $320,801.58 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $234,318.00 $250,720.26 $248,377.08 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $210,940.00 $225,705.80 $223,596.40 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 7 — — $208,258.00 $222,836.06 $220,753.48 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $206,628.00 $221,091.96 $219,025.68 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $202,413.00 $216,581.91 $214,557.78 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $184,479.00 $197,392.53 $195,547.74 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $182,191.00 $194,944.37 $193,122.46 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $180,463.00 $193,095.41 $191,290.78 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $173,806.00 $185,972.42 $184,234.36 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $171,545.00 $183,553.15 $181,837.70 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 7 — — $164,549.00 $176,067.43 $174,421.94 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $163,362.00 $174,797.34 $173,163.72 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $160,703.00 $171,952.21 $170,345.18 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $159,963.00 $171,160.41 $169,560.78 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $132,750.00 $142,042.50 $140,715.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $127,619.00 $136,552.33 $135,276.14 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $123,104.00 $131,721.28 $130,490.24 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $122,801.00 $131,397.07 $130,169.06 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $118,799.00 $127,114.93 $125,926.94 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $114,418.00 $122,427.26 $121,283.08 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $114,418.00 $122,427.26 $121,283.08 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $111,913.00 $119,746.91 $118,627.78 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $111,092.00 $118,868.44 $117,757.52 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $110,742.00 $118,493.94 $117,386.52 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $110,669.00 $118,415.83 $117,309.14 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $109,381.00 $117,037.67 $115,943.86 2026-02-28
8634 APR_DRG Neonatal Aftercare 7 7 — — $105,503.00 $112,888.21 $111,833.18 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $104,986.00 $112,335.02 $111,285.16 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $104,899.00 $112,241.93 $111,192.94 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $102,910.00 $110,113.70 $109,084.60 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $98,034.00 $104,896.38 $103,916.04 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $97,226.00 $104,031.82 $103,059.56 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $96,621.00 $103,384.47 $102,418.26 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $90,505.00 $96,840.35 $95,935.30 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $89,196.00 $95,439.72 $94,547.76 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $89,061.00 $95,295.27 $94,404.66 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $89,061.00 $95,295.27 $94,404.66 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $86,780.00 $92,854.60 $91,986.80 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $83,794.00 $89,659.58 $88,821.64 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 7 — — $81,182.00 $86,864.74 $86,052.92 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $81,115.00 $86,793.05 $85,981.90 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $80,947.00 $86,613.29 $85,803.82 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $80,636.00 $86,280.52 $85,474.16 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $80,375.00 $86,001.25 $85,197.50 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $80,097.00 $85,703.79 $84,902.82 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $77,787.00 $83,232.09 $82,454.22 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $77,475.00 $82,898.25 $82,123.50 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $76,616.00 $81,979.12 $81,212.96 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $75,549.00 $80,837.43 $80,081.94 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 7 — — $74,929.00 $80,174.03 $79,424.74 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $74,663.00 $79,889.41 $79,142.78 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $74,178.00 $79,370.46 $78,628.68 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $73,796.00 $78,961.72 $78,223.76 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $73,581.00 $78,731.67 $77,995.86 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $73,321.00 $78,453.47 $77,720.26 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $73,216.00 $78,341.12 $77,608.96 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $71,976.00 $77,014.32 $76,294.56 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $71,554.00 $76,562.78 $75,847.24 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $70,993.00 $75,962.51 $75,252.58 2026-02-28
6904 APR_DRG Acute Leukemia 7 7 — — $70,970.00 $75,937.90 $75,228.20 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $69,629.00 $74,503.03 $73,806.74 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $69,189.00 $74,032.23 $73,340.34 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $68,935.00 $73,760.45 $73,071.10 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 7 — — $68,933.00 $73,758.31 $73,068.98 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $68,071.00 $72,835.97 $72,155.26 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 7 — — $67,872.00 $72,623.04 $71,944.32 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 7 — — $67,749.00 $72,491.43 $71,813.94 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $67,506.00 $72,231.42 $71,556.36 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 7 — — $66,243.00 $70,880.01 $70,217.58 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $65,626.00 $70,219.82 $69,563.56 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $64,764.00 $69,297.48 $68,649.84 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $64,539.00 $69,056.73 $68,411.34 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $63,925.00 $68,399.75 $67,760.50 2026-02-28
1794 APR_DRG Defibrillator Implants 7 7 — — $63,603.00 $68,055.21 $67,419.18 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $62,666.00 $67,052.62 $66,425.96 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $62,581.00 $66,961.67 $66,335.86 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $62,545.00 $66,923.15 $66,297.70 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $62,253.00 $66,610.71 $65,988.18 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $62,247.00 $66,604.29 $65,981.82 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $60,375.00 $64,601.25 $63,997.50 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $60,141.00 $64,350.87 $63,749.46 2026-02-28
274 APR_DRG Other Open Craniotomy 7 7 — — $59,997.00 $64,196.79 $63,596.82 2026-02-28
234 APR_DRG Spinal Procedures 7 7 — — $59,401.00 $63,559.07 $62,965.06 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $58,699.00 $62,807.93 $62,220.94 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $58,642.00 $62,746.94 $62,160.52 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 7 — — $58,532.00 $62,629.24 $62,043.92 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $58,179.00 $62,251.53 $61,669.74 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $58,055.00 $62,118.85 $61,538.30 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $58,045.00 $62,108.15 $61,527.70 2026-02-28
4414 APR_DRG Major Bladder Procedures 7 7 — — $57,531.00 $61,558.17 $60,982.86 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $57,374.00 $61,390.18 $60,816.44 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $56,968.00 $60,955.76 $60,386.08 2026-02-28
1783 APR_DRG External Heart Assist Systems 7 7 — — $56,938.00 $60,923.66 $60,354.28 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $55,586.00 $59,477.02 $58,921.16 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $54,874.00 $58,715.18 $58,166.44 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $54,874.00 $58,715.18 $58,166.44 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $54,487.00 $58,301.09 $57,756.22 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $54,453.00 $58,264.71 $57,720.18 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $54,453.00 $58,264.71 $57,720.18 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $54,172.00 $57,964.04 $57,422.32 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $53,996.00 $57,775.72 $57,235.76 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $53,629.00 $57,383.03 $56,846.74 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,424.00 $57,163.68 $56,629.44 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $52,532.00 $56,209.24 $55,683.92 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $52,406.00 $56,074.42 $55,550.36 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $52,322.00 $55,984.54 $55,461.32 2026-02-28
453 MS_DRG No Active Code Description 6 5 — — $173,026.00 $243,361.00 $208,193.50 2026-02-28
459 MS_DRG No Active Code Description 6 5 — — $125,364.00 $182,143.00 $148,578.75 2026-02-28
454 MS_DRG No Active Code Description 6 5 — — $115,118.00 $167,972.00 $141,545.00 2026-02-28
455 MS_DRG No Active Code Description 6 5 — — $90,493.00 $127,733.00 $109,113.00 2026-02-28
460 MS_DRG No Active Code Description 6 5 — — $71,177.00 $100,457.00 $83,864.50 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 5 4 $744,578.00 $226,462.41 70% off $372,289.00 $558,433.50 $528,650.38 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 10 4 $244,035.00 $74,222.92 70% off $81,345.00 $244,035.00 $142,353.75 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 4 4 $170,364.00 $51,815.99 70% off $85,182.00 $127,773.00 $120,958.44 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 10 4 $177,979.70 $54,132.29 70% off $73,303.00 $157,015.05 $107,755.41 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 10 4 $128,148.00 $38,976.04 70% off $42,716.00 $128,148.00 $74,753.00 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 10 4 $130,690.00 $39,749.19 70% off $32,672.50 $147,026.25 $73,513.12 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 10 4 $130,226.23 $39,608.14 70% off $19,402.00 $166,236.34 $69,963.61 2026-02-28
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 10 4 $131,768.00 $40,077.07 70% off $10,136.00 $182,448.00 $68,418.00 2026-02-28
C1882 HCPCS Acticor 7 Hf-t 429523 68 4 $103,680.69 $31,534.35 70% off $29,636.24 $150,559.19 $65,586.60 2026-02-28
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 5 4 $91,868.00 $27,941.54 70% off $45,934.00 $68,901.00 $65,226.28 2026-02-28
J9249 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 10 4 $101,032.38 $30,728.86 70% off $41,601.58 $89,146.20 $61,154.32 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 10 4 $105,733.45 $32,158.69 70% off $18,356.50 $131,065.43 $57,455.85 2026-02-28
222 MS_DRG No Active Code Description 3 3 — — $175,692.00 $175,692.00 $175,692.00 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 4 3 $248,447.50 $75,564.98 70% off $124,223.75 $186,335.63 $157,764.17 2026-02-28
224 MS_DRG No Active Code Description 3 3 — — $157,031.00 $157,031.00 $157,031.00 2026-02-28
226 MS_DRG No Active Code Description 3 3 — — $143,826.00 $143,826.00 $143,826.00 2026-02-28
223 MS_DRG No Active Code Description 3 3 — — $132,047.00 $132,047.00 $132,047.00 2026-02-28
225 MS_DRG No Active Code Description 3 3 — — $120,776.00 $120,776.00 $120,776.00 2026-02-28
227 MS_DRG No Active Code Description 3 3 — — $113,053.00 $113,053.00 $113,053.00 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 4 3 $163,265.50 $49,656.99 70% off $81,632.75 $122,449.13 $103,673.60 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 4 3 $156,167.00 $47,497.99 70% off $78,083.50 $117,125.25 $99,166.05 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 4 3 $149,068.50 $45,338.99 70% off $74,534.25 $111,801.38 $94,658.50 2026-02-28
230 MS_DRG No Active Code Description 3 3 — — $88,720.00 $88,720.00 $88,720.00 2026-02-28
C1822 HCPCS Ipg W/kit Nipg1500 16 3 $129,547.62 $39,401.74 70% off $56,788.00 $138,420.75 $86,033.82 2026-02-28
C1820 HCPCS Kt Imp Vercise Gevia Genrtr M365db1200s0 36 3 $115,875.91 $35,243.51 70% off $3,385.99 $117,125.25 $70,452.61 2026-02-28
984 MS_DRG No Active Code Description 3 3 — — $69,800.00 $69,800.00 $69,800.00 2026-02-28
C1767 HCPCS DRG Ipg Proclaim W/controller 3664ctrlsysxx 56 3 $122,371.04 $37,218.99 70% off $32,049.73 $185,233.59 $67,446.04 2026-02-28
246 MS_DRG No Active Code Description 3 3 — — $67,016.00 $67,016.00 $67,016.00 2026-02-28
248 MS_DRG No Active Code Description 3 3 — — $63,307.00 $63,307.00 $63,307.00 2026-02-28
338 MS_DRG No Active Code Description 3 3 — — $61,292.00 $61,292.00 $61,292.00 2026-02-28
C1787 HCPCS Kt Pulse Gen 16 Wavewriter Alp M365sc12160 23 3 $106,477.50 $32,385.00 70% off $3,531.51 $90,505.88 $60,337.25 2026-02-28
39503 CPT Repair Of Diaphragm Hernia 1 1 — — $57,625.53 $57,625.53 $57,625.53 2026-02-28
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