Hospital

ST ELIZABETH HOSPITAL

Enumclaw, WA · CCN 501335 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $19,847 across 6 payers · range $14,438-$55,699

Source: https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910715805_st-elizabeth-hospital_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.

9,521 distinct procedures filed

19 distinct payers

1,491,838 rate rows

2026-02-28 last MRF observed

Data quality

1,342,908 of 1,491,838 rate rows are consumer-grade (90.0%)

148,930 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	102,638
per-diem day rate — not a per-procedure price	24,130
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	15,624
template filing: same amount across many unrelated codes — excluded	4,116
placeholder amount (≤ $0.02) — excluded from medians	1,934
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	406
exceeds 10× this hospital's gross charge — excluded from medians	82

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910715805-1073674040_enumclaw-regional-hospital-association_standardcharges.json
Found on page	https://www.vmfh.org/billing-insurance/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-02
Content fingerprint	79fa21ccbb29fec2… · 127,902,917 bytes · first seen 2026-07-08

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	13	$655,335.00	$940,293.00	$797,814.00	nat. median $370,165 outlier · 2.2×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$489,481.00	$702,320.00	$595,900.50	nat. median $261,939 outlier · 2.3×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$332,319.00	$591,481.00	$461,900.00	nat. median $205,166 outlier · 2.3×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth…	13	$346,443.00	$534,354.00	$440,398.50	nat. median $199,832 outlier · 2.2×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	13	$210,877.00	$364,104.00	$287,490.50	nat. median $132,706 outlier · 2.2×
14 MS_DRG	Allogeneic Bone Marrow Transplant	13	$211,548.00	$326,667.00	$269,107.50	nat. median $114,305 outlier · 2.4×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	$191,489.00	$342,985.00	$267,237.00	nat. median $108,240 outlier · 2.5×
215 MS_DRG	Other Heart Assist System Implant	13	$184,106.00	$341,980.00	$263,043.00	nat. median $98,002 outlier · 2.7×
7 MS_DRG	Lung Transplant	13	$187,090.00	$325,844.00	$256,467.00	nat. median $122,690 outlier · 2.1×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	13	$189,303.00	$271,618.00	$230,460.50	nat. median $100,978 outlier · 2.3×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	13	$185,055.00	$265,521.00	$225,288.00	nat. median $99,646 outlier · 2.3×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	$182,031.00	$261,183.00	$221,607.00	nat. median $96,835 outlier · 2.3×
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$167,707.00	$240,631.00	$204,169.00	nat. median $92,900 outlier · 2.2×
453 MS_DRG	No Active Code Description	10	$171,521.00	$219,488.00	$195,504.50	nat. median $83,623 outlier · 2.3×
850 MS_DRG	Acute Leukemia With Other Procedures	11	$160,075.00	$229,680.00	$194,877.50	nat. median $81,364 outlier · 2.4×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	13	$147,251.00	$211,280.00	$179,265.50	nat. median $79,040 outlier · 2.3×
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	13	$147,169.00	$211,163.00	$179,166.00	nat. median $80,459 outlier · 2.2×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	11	$144,935.00	$207,956.00	$176,445.50	nat. median $81,124 outlier · 2.2×
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	13	$140,078.00	$209,357.00	$174,717.50	nat. median $77,385 outlier · 2.3×
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	13	$135,826.00	$194,886.00	$165,356.00	nat. median $73,475 outlier · 2.3×
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	$134,455.00	$192,919.00	$163,687.00	nat. median $74,472 outlier · 2.2×
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	$128,581.00	$197,991.00	$163,286.00	nat. median $69,153 outlier · 2.4×
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	13	$129,705.00	$186,105.00	$157,905.00	nat. median $71,485 outlier · 2.2×
J0225 HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	18	$52,250.00	$670,120.20	$154,127.65	nat. median $8,133 outlier · 19.0×
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	$123,424.00	$177,092.00	$150,258.00	nat. median $66,640 outlier · 2.3×
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	13	$122,803.00	$176,202.00	$149,502.50	nat. median $68,581 outlier · 2.2×
459 MS_DRG	No Active Code Description	10	$125,364.00	$164,275.00	$144,819.50	nat. median $62,767 outlier · 2.3×
955 MS_DRG	Craniotomy For Multiple Significant Trauma	13	$118,655.00	$170,250.00	$144,452.50	nat. median $64,357 outlier · 2.2×
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	13	$113,799.00	$173,446.00	$143,622.50	nat. median $65,958 outlier · 2.2×
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	13	$115,863.00	$169,784.00	$142,823.50	nat. median $65,792 outlier · 2.2×
447 MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	11	$116,508.00	$167,168.00	$141,838.00	nat. median $62,262 outlier · 2.3×
928 MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	13	$116,059.00	$166,525.00	$141,292.00	nat. median $62,911 outlier · 2.2×
266 MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	13	$104,102.00	$178,198.00	$141,150.00	nat. median $60,162 outlier · 2.3×
969 MS_DRG	HIV With Extensive O.r. Procedures With Mcc	13	$109,897.00	$170,227.00	$140,062.00	nat. median $60,294 outlier · 2.3×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	13	$102,998.00	$171,104.00	$137,051.00	nat. median $62,218 outlier · 2.2×
217 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$112,219.00	$161,015.00	$136,617.00	nat. median $63,840 outlier · 2.1×
10 MS_DRG	Pancreas Transplant	13	$74,122.00	$198,791.00	$136,456.50	nat. median $67,750 outlier · 2.0×
461 MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	13	$99,091.00	$168,887.00	$133,989.00	nat. median $55,446 outlier · 2.4×
454 MS_DRG	No Active Code Description	10	$115,118.00	$151,495.00	$133,306.50	nat. median $57,648 outlier · 2.3×
790 MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome Neonate	12	$113,799.00	$148,616.00	$131,207.50	nat. median $51,433 outlier · 2.6×
276 MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	13	$107,640.00	$154,445.00	$131,042.50	nat. median $58,419 outlier · 2.2×
317 MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	11	$107,501.00	$154,246.00	$130,873.50	nat. median $59,832 outlier · 2.2×
232 MS_DRG	Coronary Bypass With Ptca Without Mcc	13	$106,151.00	$152,308.00	$129,229.50	nat. median $59,257 outlier · 2.2×
16 MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	13	$104,886.00	$152,998.00	$128,942.00	nat. median $55,867 outlier · 2.3×
28 MS_DRG	Spinal Procedures With Mcc	13	$105,643.00	$151,580.00	$128,611.50	nat. median $56,970 outlier · 2.3×
218 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$103,381.00	$148,334.00	$125,857.50	nat. median $60,895 outlier · 2.1×
21 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	13	$96,048.00	$154,795.00	$125,421.50	nat. median $54,267 outlier · 2.3×
820 MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	13	$100,503.00	$149,771.00	$125,137.00	nat. median $56,397 outlier · 2.2×
457 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	13	$99,734.00	$150,479.00	$125,106.50	nat. median $57,394 outlier · 2.2×
235 MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	13	$102,250.00	$146,711.00	$124,480.50	nat. median $57,082 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 9,521 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	40	13	—	—	$655,335.00	$940,293.00	$797,814.00	2026-02-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	40	13	—	—	$489,481.00	$702,320.00	$595,900.50	2026-02-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	40	13	—	—	$332,319.00	$591,481.00	$461,900.00	2026-02-28
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	40	13	—	—	$346,443.00	$534,354.00	$440,398.50	2026-02-28
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	40	13	—	—	$210,877.00	$364,104.00	$287,490.50	2026-02-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	40	13	—	—	$211,548.00	$326,667.00	$269,107.50	2026-02-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	40	13	—	—	$191,489.00	$342,985.00	$267,237.00	2026-02-28
215	MS_DRG	Other Heart Assist System Implant	40	13	—	—	$184,106.00	$341,980.00	$263,043.00	2026-02-28
7	MS_DRG	Lung Transplant	40	13	—	—	$187,090.00	$325,844.00	$256,467.00	2026-02-28
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	40	13	—	—	$189,303.00	$271,618.00	$230,460.50	2026-02-28
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	40	13	—	—	$185,055.00	$265,521.00	$225,288.00	2026-02-28
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	11	—	—	$182,031.00	$261,183.00	$221,607.00	2026-02-28
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	13	—	—	$167,707.00	$240,631.00	$204,169.00	2026-02-28
453	MS_DRG	No Active Code Description	26	10	—	—	$171,521.00	$219,488.00	$195,504.50	2026-02-28
850	MS_DRG	Acute Leukemia With Other Procedures	34	11	—	—	$160,075.00	$229,680.00	$194,877.50	2026-02-28
231	MS_DRG	Coronary Bypass With Ptca With Mcc	40	13	—	—	$147,251.00	$211,280.00	$179,265.50	2026-02-28
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	40	13	—	—	$147,169.00	$211,163.00	$179,166.00	2026-02-28
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	34	11	—	—	$144,935.00	$207,956.00	$176,445.50	2026-02-28
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	40	13	—	—	$140,078.00	$209,357.00	$174,717.50	2026-02-28
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	40	13	—	—	$135,826.00	$194,886.00	$165,356.00	2026-02-28
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	13	—	—	$134,455.00	$192,919.00	$163,687.00	2026-02-28
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	40	13	—	—	$128,581.00	$197,991.00	$163,286.00	2026-02-28
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	40	13	—	—	$129,705.00	$186,105.00	$157,905.00	2026-02-28
J0225	HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	70	18	$744,578.00	$263,107.33 65% off	$52,250.00	$670,120.20	$154,127.65	2026-02-28
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	11	—	—	$123,424.00	$177,092.00	$150,258.00	2026-02-28
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	40	13	—	—	$122,803.00	$176,202.00	$149,502.50	2026-02-28
459	MS_DRG	No Active Code Description	26	10	—	—	$125,364.00	$164,275.00	$144,819.50	2026-02-28
955	MS_DRG	Craniotomy For Multiple Significant Trauma	40	13	—	—	$118,655.00	$170,250.00	$144,452.50	2026-02-28
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	40	13	—	—	$113,799.00	$173,446.00	$143,622.50	2026-02-28
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	40	13	—	—	$115,863.00	$169,784.00	$142,823.50	2026-02-28
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	34	11	—	—	$116,508.00	$167,168.00	$141,838.00	2026-02-28
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	40	13	—	—	$116,059.00	$166,525.00	$141,292.00	2026-02-28
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	40	13	—	—	$104,102.00	$178,198.00	$141,150.00	2026-02-28
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	40	13	—	—	$109,897.00	$170,227.00	$140,062.00	2026-02-28
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	40	13	—	—	$102,998.00	$171,104.00	$137,051.00	2026-02-28
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	13	—	—	$112,219.00	$161,015.00	$136,617.00	2026-02-28
10	MS_DRG	Pancreas Transplant	40	13	—	—	$74,122.00	$198,791.00	$136,456.50	2026-02-28
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	40	13	—	—	$99,091.00	$168,887.00	$133,989.00	2026-02-28
454	MS_DRG	No Active Code Description	26	10	—	—	$115,118.00	$151,495.00	$133,306.50	2026-02-28
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome Neonate	32	12	—	—	$113,799.00	$148,616.00	$131,207.50	2026-02-28
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	40	13	—	—	$107,640.00	$154,445.00	$131,042.50	2026-02-28
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	34	11	—	—	$107,501.00	$154,246.00	$130,873.50	2026-02-28
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	40	13	—	—	$106,151.00	$152,308.00	$129,229.50	2026-02-28
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	40	13	—	—	$104,886.00	$152,998.00	$128,942.00	2026-02-28
28	MS_DRG	Spinal Procedures With Mcc	40	13	—	—	$105,643.00	$151,580.00	$128,611.50	2026-02-28
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	13	—	—	$103,381.00	$148,334.00	$125,857.50	2026-02-28
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	40	13	—	—	$96,048.00	$154,795.00	$125,421.50	2026-02-28
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	40	13	—	—	$100,503.00	$149,771.00	$125,137.00	2026-02-28
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	40	13	—	—	$99,734.00	$150,479.00	$125,106.50	2026-02-28
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	40	13	—	—	$102,250.00	$146,711.00	$124,480.50	2026-02-28
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	40	13	—	—	$99,138.00	$142,245.00	$120,691.50	2026-02-28
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	40	13	—	—	$86,595.00	$150,462.00	$118,528.50	2026-02-28
653	MS_DRG	Major Bladder Procedures With Mcc	40	13	—	—	$96,870.00	$138,992.00	$117,931.00	2026-02-28
834	MS_DRG	Acute Leukemia With Mcc	40	13	—	—	$96,048.00	$138,682.00	$117,365.00	2026-02-28
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	13	—	—	$93,853.00	$140,284.00	$117,068.50	2026-02-28
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	11	—	—	$95,645.00	$137,234.00	$116,439.50	2026-02-28
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	40	13	—	—	$78,557.00	$152,998.00	$115,777.50	2026-02-28
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	34	11	—	—	$95,061.00	$136,396.00	$115,728.50	2026-02-28
405	MS_DRG	Pancreas Liver And Shunt Procedures With Mcc	40	13	—	—	$94,335.00	$136,358.00	$115,346.50	2026-02-28
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	40	13	—	—	$94,550.00	$135,663.00	$115,106.50	2026-02-28
38240	CPT	Transplt Allo Hct/donor	18	6	—	—	$9,906.60	$231,265.51	$114,912.86	2026-02-28
11	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc	40	13	—	—	$93,765.00	$134,536.00	$114,150.50	2026-02-28
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	40	13	—	—	$71,167.00	$154,016.00	$112,591.50	2026-02-28
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	40	13	—	—	$92,449.00	$132,649.00	$112,549.00	2026-02-28
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	40	13	—	—	$83,375.00	$140,765.00	$112,070.00	2026-02-28
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	13	—	—	$92,041.00	$132,063.00	$112,052.00	2026-02-28
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	40	13	—	—	$81,754.00	$137,407.00	$109,580.50	2026-02-28
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	34	11	—	—	$89,493.00	$128,407.00	$108,950.00	2026-02-28
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	40	13	—	—	$89,196.00	$127,981.00	$108,588.50	2026-02-28
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	40	13	—	—	$88,529.00	$128,467.00	$108,498.00	2026-02-28
326	MS_DRG	Stomach Esophageal And Duodenal Procedures With Mcc	40	13	—	—	$88,258.00	$126,635.00	$107,446.50	2026-02-28
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	40	13	—	—	$87,010.00	$127,528.00	$107,269.00	2026-02-28
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	40	13	—	—	$87,526.00	$125,585.00	$106,555.50	2026-02-28
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	40	13	—	—	$86,908.00	$124,697.00	$105,802.50	2026-02-28
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	40	13	—	—	$84,302.00	$124,747.00	$104,524.50	2026-02-28
245	MS_DRG	Aicd Generator Procedures	40	13	—	—	$84,918.00	$121,843.00	$103,380.50	2026-02-28
471	MS_DRG	Cervical Spinal Fusion With Mcc	40	13	—	—	$84,405.00	$121,839.00	$103,122.00	2026-02-28
799	MS_DRG	Splenic Procedures With Mcc	40	13	—	—	$82,624.00	$122,720.00	$102,672.00	2026-02-28
6	MS_DRG	Liver Transplant Without Mcc	40	13	—	—	$84,265.00	$120,905.00	$102,585.00	2026-02-28
455	MS_DRG	No Active Code Description	26	10	—	—	$89,146.00	$114,076.00	$101,611.00	2026-02-28
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	40	13	—	—	$82,984.00	$119,068.00	$101,026.00	2026-02-28
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	40	13	—	—	$82,609.00	$118,529.00	$100,569.00	2026-02-28
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	40	13	—	—	$80,836.00	$118,455.00	$99,645.50	2026-02-28
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	40	13	—	—	$81,316.00	$116,674.00	$98,995.00	2026-02-28
163	MS_DRG	Major Chest Procedures With Mcc	40	13	—	—	$80,094.00	$116,751.00	$98,422.50	2026-02-28
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	13	—	—	$79,806.00	$115,141.00	$97,473.50	2026-02-28
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	40	13	—	—	$80,061.00	$114,874.00	$97,467.50	2026-02-28
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	40	13	—	—	$79,793.00	$114,490.00	$97,141.50	2026-02-28
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	40	13	—	—	$78,398.00	$112,488.00	$95,443.00	2026-02-28
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	40	13	—	—	$77,715.00	$111,508.00	$94,611.50	2026-02-28
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	40	13	—	—	$75,034.00	$113,350.00	$94,192.00	2026-02-28
901	MS_DRG	Wound Debridements For Injuries With Mcc	40	13	—	—	$76,989.00	$110,466.00	$93,727.50	2026-02-28
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	40	13	—	—	$76,334.00	$109,526.00	$92,930.00	2026-02-28
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	662	19	$439,461.00	$155,289.86 65% off	$221.77	$431,479.67	$92,335.68	2026-02-28
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	40	13	—	—	$72,375.00	$111,817.00	$92,096.00	2026-02-28
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	40	13	—	—	$74,125.00	$106,357.00	$90,241.00	2026-02-28
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	40	13	—	—	$74,016.00	$106,200.00	$90,108.00	2026-02-28
791	MS_DRG	Prematurity With Major Problems	32	12	—	—	$77,719.00	$101,496.00	$89,607.50	2026-02-28
140	MS_DRG	Major Head And Neck Procedures With Mcc	40	13	—	—	$73,129.00	$105,447.00	$89,288.00	2026-02-28
31	MS_DRG	Ventricular Shunt Procedures With Mcc	40	13	—	—	$72,820.00	$104,484.00	$88,652.00	2026-02-28
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	40	13	—	—	$72,300.00	$103,739.00	$88,019.50	2026-02-28
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	40	13	—	—	$71,456.00	$102,527.00	$86,991.50	2026-02-28
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	40	13	—	—	$71,416.00	$102,470.00	$86,943.00	2026-02-28
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	34	11	—	—	$70,959.00	$101,814.00	$86,386.50	2026-02-28
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	40	13	—	—	$70,679.00	$101,412.00	$86,045.50	2026-02-28
12	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc	40	13	—	—	$67,279.00	$102,318.00	$84,798.50	2026-02-28
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	40	13	—	—	$64,519.00	$104,459.00	$84,489.00	2026-02-28
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	40	13	—	—	$69,225.00	$99,326.00	$84,275.50	2026-02-28
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	40	13	—	—	$66,907.00	$100,508.00	$83,707.50	2026-02-28
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	40	13	—	—	$67,538.00	$99,256.00	$83,397.00	2026-02-28
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	40	13	—	—	$68,424.00	$98,176.00	$83,300.00	2026-02-28
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	34	11	—	—	$67,982.00	$97,543.00	$82,762.50	2026-02-28
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	40	13	—	—	$67,949.00	$97,496.00	$82,722.50	2026-02-28
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	40	13	—	—	$57,324.00	$107,883.00	$82,603.50	2026-02-28
616	MS_DRG	Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …	40	13	—	—	$67,162.00	$98,028.00	$82,595.00	2026-02-28
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	40	13	—	—	$67,574.00	$96,957.00	$82,265.50	2026-02-28
628	MS_DRG	Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc	40	13	—	—	$64,654.00	$99,435.00	$82,044.50	2026-02-28
956	MS_DRG	Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma	40	13	—	—	$66,422.00	$96,613.00	$81,517.50	2026-02-28
332	MS_DRG	Rectal Resection With Mcc	40	13	—	—	$60,276.00	$101,414.00	$80,845.00	2026-02-28
460	MS_DRG	No Active Code Description	26	10	—	—	$70,802.00	$90,603.00	$80,702.50	2026-02-28
40	MS_DRG	Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc	40	13	—	—	$65,548.00	$95,373.00	$80,460.50	2026-02-28
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	40	13	—	—	$66,062.00	$94,788.00	$80,425.00	2026-02-28
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…	40	13	—	—	$65,025.00	$94,756.00	$79,890.50	2026-02-28
64568	CPT	Inc For Vagus N Elect Impl	18	6	—	—	$30,854.10	$131,415.23	$79,881.49	2026-02-28
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	40	13	—	—	$62,970.00	$96,269.00	$79,619.50	2026-02-28
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	40	13	—	—	$61,348.00	$97,864.00	$79,606.00	2026-02-28
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	36	11	—	—	$60,410.00	$97,977.00	$79,193.50	2026-02-28
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	40	13	—	—	$53,978.00	$100,760.00	$77,369.00	2026-02-28
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	40	13	—	—	$63,403.00	$90,973.00	$77,188.00	2026-02-28
69930	CPT	Implant Cochlear Device	64	19	—	—	$12,267.00	$141,920.51	$77,093.76	2026-02-28
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	40	13	—	—	$62,964.00	$90,342.00	$76,653.00	2026-02-28
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	40	13	—	—	$60,842.00	$92,195.00	$76,518.50	2026-02-28
265	MS_DRG	Aicd Lead Procedures	40	13	—	—	$61,977.00	$88,941.00	$75,459.00	2026-02-28
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	40	13	—	—	$61,047.00	$89,380.00	$75,213.50	2026-02-28
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc	40	13	—	—	$61,709.00	$88,542.00	$75,125.50	2026-02-28
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	40	13	—	—	$59,908.00	$90,082.00	$74,995.00	2026-02-28
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	40	13	—	—	$61,332.00	$88,001.00	$74,666.50	2026-02-28
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	40	13	—	—	$60,886.00	$87,360.00	$74,123.00	2026-02-28
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	40	13	—	—	$60,866.00	$87,333.00	$74,099.50	2026-02-28
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	40	13	—	—	$59,470.00	$88,703.00	$74,086.50	2026-02-28
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	40	13	—	—	$60,342.00	$86,580.00	$73,461.00	2026-02-28
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	40	13	—	—	$55,842.00	$90,451.00	$73,146.50	2026-02-28
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	40	13	—	—	$59,520.00	$86,352.00	$72,936.00	2026-02-28
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	40	13	—	—	$59,853.00	$85,879.00	$72,866.00	2026-02-28
252	MS_DRG	Other Vascular Procedures With Mcc	40	13	—	—	$59,610.00	$85,530.00	$72,570.00	2026-02-28
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	40	13	—	—	$58,943.00	$85,579.00	$72,261.00	2026-02-28
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	40	13	—	—	$58,644.00	$85,745.00	$72,194.50	2026-02-28
264	MS_DRG	Other Circulatory System O.r. Procedures	40	13	—	—	$57,009.00	$87,143.00	$72,076.00	2026-02-28
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	40	13	—	—	$59,190.00	$84,927.00	$72,058.50	2026-02-28
665	MS_DRG	Prostatectomy With Mcc	40	13	—	—	$57,840.00	$85,610.00	$71,725.00	2026-02-28
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	40	13	—	—	$58,329.00	$84,913.00	$71,621.00	2026-02-28
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	40	13	—	—	$55,141.00	$86,390.00	$70,765.50	2026-02-28
37	MS_DRG	Extracranial Procedures With Mcc	40	13	—	—	$57,707.00	$83,610.00	$70,658.50	2026-02-28
143	MS_DRG	Other Ear Nose Mouth And Throat O.r. Procedures With Mcc	40	13	—	—	$57,204.00	$82,372.00	$69,788.00	2026-02-28
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	40	13	—	—	$56,800.00	$82,476.00	$69,638.00	2026-02-28
61886	CPT	Implant Neurostim Arrays	64	19	—	—	$6,630.00	$131,415.23	$69,022.62	2026-02-28
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	40	13	—	—	$56,614.00	$81,232.00	$68,923.00	2026-02-28
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	40	13	—	—	$55,942.00	$81,589.00	$68,765.50	2026-02-28
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	40	13	—	—	$55,683.00	$79,895.00	$67,789.00	2026-02-28
500	MS_DRG	Soft Tissue Procedures With Mcc	40	13	—	—	$55,062.00	$80,321.00	$67,691.50	2026-02-28
579	MS_DRG	Other Skin Subcutaneous Tissue And Breast Procedures With Mcc	40	13	—	—	$52,495.00	$82,783.00	$67,639.00	2026-02-28
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	40	13	—	—	$55,521.00	$79,663.00	$67,592.00	2026-02-28
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	40	13	—	—	$55,415.00	$79,511.00	$67,463.00	2026-02-28
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	40	13	—	—	$55,155.00	$79,640.00	$67,397.50	2026-02-28
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	40	13	—	—	$55,266.00	$79,297.00	$67,281.50	2026-02-28
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	40	13	—	—	$53,737.00	$78,307.00	$66,022.00	2026-02-28
662	MS_DRG	Minor Bladder Procedures With Mcc	40	13	—	—	$54,209.00	$77,781.00	$65,995.00	2026-02-28
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	40	13	—	—	$53,587.00	$78,116.00	$65,851.50	2026-02-28
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	34	11	—	—	$53,625.00	$76,943.00	$65,284.00	2026-02-28
652	MS_DRG	Kidney Transplant	40	13	—	—	$53,372.00	$76,579.00	$64,975.50	2026-02-28
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	40	13	—	—	$53,323.00	$76,509.00	$64,916.00	2026-02-28
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	40	13	—	—	$53,149.00	$76,260.00	$64,704.50	2026-02-28
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	40	13	—	—	$48,837.00	$80,271.00	$64,554.00	2026-02-28
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	32	13	—	—	$55,093.00	$71,403.00	$63,248.00	2026-02-28
974	MS_DRG	HIV With Major Related Condition With Mcc	40	13	—	—	$51,480.00	$74,455.00	$62,967.50	2026-02-28
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	13	—	—	$51,238.00	$74,342.00	$62,790.00	2026-02-28
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	40	13	—	—	$50,649.00	$74,163.00	$62,406.00	2026-02-28
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	40	13	—	—	$51,106.00	$73,328.00	$62,217.00	2026-02-28
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	40	13	—	—	$50,967.00	$73,128.00	$62,047.50	2026-02-28
472	MS_DRG	Cervical Spinal Fusion With Cc	40	13	—	—	$50,345.00	$73,202.00	$61,773.50	2026-02-28
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	40	13	—	—	$50,605.00	$72,610.00	$61,607.50	2026-02-28
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	40	13	—	—	$47,550.00	$75,638.00	$61,594.00	2026-02-28
800	MS_DRG	Splenic Procedures With Cc	40	13	—	—	$50,246.00	$72,650.00	$61,448.00	2026-02-28
625	MS_DRG	Thyroid Parathyroid And Thyroglossal Procedures With Mcc	40	13	—	—	$49,822.00	$72,355.00	$61,088.50	2026-02-28
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	40	13	—	—	$49,735.00	$71,361.00	$60,548.00	2026-02-28
570	MS_DRG	Skin Debridement With Mcc	40	13	—	—	$45,765.00	$75,053.00	$60,409.00	2026-02-28
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	40	13	—	—	$49,469.00	$71,203.00	$60,336.00	2026-02-28
406	MS_DRG	Pancreas Liver And Shunt Procedures With Cc	40	13	—	—	$48,802.00	$71,518.00	$60,160.00	2026-02-28
90378	CPT	Palivizumab 100 Mg/ml Intramuscular Solution	152	19	$293,082.75	$103,565.00 65% off	$339.68	$279,376.79	$60,066.01	2026-02-28
668	MS_DRG	Transurethral Procedures With Mcc	40	13	—	—	$47,353.00	$72,712.00	$60,032.50	2026-02-28
654	MS_DRG	Major Bladder Procedures With Cc	40	13	—	—	$49,040.00	$70,363.00	$59,701.50	2026-02-28
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	40	13	—	—	$48,751.00	$69,950.00	$59,350.50	2026-02-28
510	MS_DRG	Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc	40	13	—	—	$47,355.00	$71,261.00	$59,308.00	2026-02-28
J1747	HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	134	18	$162,690.00	$57,488.85 65% off	$27,657.30	$292,842.00	$58,633.48	2026-02-28
61	MS_DRG	Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag…	40	13	—	—	$46,977.00	$69,423.00	$58,200.00	2026-02-28
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	40	13	—	—	$44,907.00	$71,281.00	$58,094.00	2026-02-28
288	MS_DRG	Acute And Subacute Endocarditis With Mcc	40	13	—	—	$47,465.00	$68,104.00	$57,784.50	2026-02-28
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	40	13	—	—	$46,106.00	$68,848.00	$57,477.00	2026-02-28
963	MS_DRG	Other Multiple Significant Trauma With Mcc	40	13	—	—	$47,208.00	$67,735.00	$57,471.50	2026-02-28
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	40	13	—	—	$46,822.00	$67,877.00	$57,349.50	2026-02-28
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	40	13	—	—	$44,052.00	$69,769.00	$56,910.50	2026-02-28
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	40	13	—	—	$45,467.00	$68,050.00	$56,758.50	2026-02-28
793	MS_DRG	Full Term Neonate With Major Problems	32	12	—	—	$19,356.00	$93,109.00	$56,232.50	2026-02-28
503	MS_DRG	Foot Procedures With Mcc	40	13	—	—	$45,990.00	$66,428.00	$56,209.00	2026-02-28
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	40	13	—	—	$45,943.00	$65,920.00	$55,931.50	2026-02-28
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	40	13	—	—	$45,585.00	$66,123.00	$55,854.00	2026-02-28
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	40	13	—	—	$44,587.00	$66,970.00	$55,778.50	2026-02-28
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	40	13	—	—	$44,178.00	$66,392.00	$55,285.00	2026-02-28
13	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	40	13	—	—	$43,769.00	$66,522.00	$55,145.50	2026-02-28
C1877	HCPCS	Thraflx Hbrd Antflo 30x40x150a Tha3040x150a	70	18	$248,447.50	$87,792.50 65% off	$42,236.08	$223,602.75	$55,000.00	2026-02-28
263	MS_DRG	Vein Ligation And Stripping	40	13	—	—	$39,608.00	$69,977.00	$54,792.50	2026-02-28
63655	CPT	Implant Neuroelectrodes	64	19	—	—	$16,971.00	$92,578.90	$54,774.95	2026-02-28
749	MS_DRG	Other Female Reproductive System O.r. Procedures With Cc/mcc	40	13	—	—	$44,982.00	$64,542.00	$54,762.00	2026-02-28
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	40	13	—	—	$43,875.00	$64,672.00	$54,273.50	2026-02-28
792	MS_DRG	Prematurity Without Major Problems	32	12	—	—	$46,895.00	$61,241.00	$54,068.00	2026-02-28
846	MS_DRG	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	40	13	—	—	$44,377.00	$63,674.00	$54,025.50	2026-02-28
253	MS_DRG	Other Vascular Procedures With Cc	40	13	—	—	$44,363.00	$63,654.00	$54,008.50	2026-02-28
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	40	13	—	—	$44,280.00	$63,534.00	$53,907.00	2026-02-28
545	MS_DRG	Connective Tissue Disorders With Mcc	40	13	—	—	$43,910.00	$63,003.00	$53,456.50	2026-02-28
164	MS_DRG	Major Chest Procedures With Cc	40	13	—	—	$43,738.00	$63,171.00	$53,454.50	2026-02-28
272	MS_DRG	Other Major Cardiovascular Procedures Without Cc/mcc	40	13	—	—	$43,481.00	$62,387.00	$52,934.00	2026-02-28
135	MS_DRG	Sinus And Mastoid Procedures With Cc/mcc	40	13	—	—	$38,876.00	$65,690.00	$52,283.00	2026-02-28
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	40	13	—	—	$42,883.00	$61,530.00	$52,206.50	2026-02-28
347	MS_DRG	Anal And Stomal Procedures With Mcc	40	13	—	—	$41,128.00	$63,139.00	$52,133.50	2026-02-28
397	MS_DRG	Appendix Procedures With Mcc	40	13	—	—	$42,461.00	$61,779.00	$52,120.00	2026-02-28
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	40	13	—	—	$42,544.00	$61,576.00	$52,060.00	2026-02-28
327	MS_DRG	Stomach Esophageal And Duodenal Procedures With Cc	40	13	—	—	$42,193.00	$61,858.00	$52,025.50	2026-02-28
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	40	13	—	—	$42,030.00	$60,305.00	$51,167.50	2026-02-28
54411	CPT	Remov/replc Penis Pros Comp	16	5	—	—	$1,814.50	$85,368.46	$51,158.53	2026-02-28
473	MS_DRG	Cervical Spinal Fusion Without Cc/mcc	40	13	—	—	$41,138.00	$60,947.00	$51,042.50	2026-02-28
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	40	13	—	—	$41,656.00	$59,769.00	$50,712.50	2026-02-28
113	MS_DRG	Orbital Procedures With Cc/mcc	40	13	—	—	$39,213.00	$62,103.00	$50,658.00	2026-02-28
96	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	40	13	—	—	$41,339.00	$59,769.00	$50,554.00	2026-02-28
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc	40	13	—	—	$41,240.00	$59,864.00	$50,552.00	2026-02-28
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	40	13	—	—	$41,296.00	$59,253.00	$50,274.50	2026-02-28
849	MS_DRG	Radiotherapy	40	13	—	—	$33,813.00	$66,663.00	$50,238.00	2026-02-28
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	40	13	—	—	$41,074.00	$58,934.00	$50,004.00	2026-02-28
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	40	13	—	—	$41,008.00	$58,839.00	$49,923.50	2026-02-28
478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	40	13	—	—	$40,638.00	$59,042.00	$49,840.00	2026-02-28
674	MS_DRG	Other Kidney And Urinary Tract Procedures With Cc	40	13	—	—	$40,113.00	$59,005.00	$49,559.00	2026-02-28
61885	CPT	Insrt/redo Neurostim 1 Array	64	19	—	—	$5,920.00	$92,578.90	$49,249.45	2026-02-28
64590	CPT	Insrt/redo Pn/gastr Stimul	64	19	—	—	$5,920.00	$92,578.90	$49,249.45	2026-02-28
250	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	40	13	—	—	$40,186.00	$58,227.00	$49,206.50	2026-02-28
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	40	13	—	—	$35,734.00	$62,435.00	$49,084.50	2026-02-28
320	MS_DRG	Other Endovascular Cardiac Valve Procedures Without Mcc	40	13	—	—	$40,224.00	$57,715.00	$48,969.50	2026-02-28
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	40	13	—	—	$39,799.00	$57,104.00	$48,451.50	2026-02-28
424	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	40	13	—	—	$39,677.00	$56,930.00	$48,303.50	2026-02-28
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	40	13	—	—	$38,754.00	$57,850.00	$48,302.00	2026-02-28
35	MS_DRG	Carotid Artery Stent Procedures With Cc	40	13	—	—	$39,529.00	$56,956.00	$48,242.50	2026-02-28
614	MS_DRG	Adrenal And Pituitary Procedures With Cc/mcc	40	13	—	—	$39,602.00	$56,822.00	$48,212.00	2026-02-28
243	MS_DRG	Permanent Cardiac Pacemaker Implant With Cc	40	13	—	—	$39,147.00	$56,414.00	$47,780.50	2026-02-28
715	MS_DRG	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	40	13	—	—	$39,242.00	$56,306.00	$47,774.00	2026-02-28
41	MS_DRG	Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher…	40	13	—	—	$39,241.00	$56,304.00	$47,772.50	2026-02-28
357	MS_DRG	Other Digestive System O.r. Procedures With Cc	40	13	—	—	$39,133.00	$56,149.00	$47,641.00	2026-02-28
146	MS_DRG	Ear Nose Mouth And Throat Malignancy With Mcc	40	13	—	—	$38,068.00	$57,199.00	$47,633.50	2026-02-28
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	40	13	—	—	$38,666.00	$56,498.00	$47,582.00	2026-02-28
629	MS_DRG	Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc	40	13	—	—	$39,083.00	$56,077.00	$47,580.00	2026-02-28
709	MS_DRG	Penis Procedures With Cc/mcc	40	13	—	—	$39,048.00	$56,027.00	$47,537.50	2026-02-28
821	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Cc	40	13	—	—	$38,792.00	$55,660.00	$47,226.00	2026-02-28
734	MS_DRG	Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	40	13	—	—	$36,540.00	$57,731.00	$47,135.50	2026-02-28
30	MS_DRG	Spinal Procedures Without Cc/mcc	40	13	—	—	$36,687.00	$57,439.00	$47,063.00	2026-02-28
286	MS_DRG	Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc	40	13	—	—	$38,461.00	$55,184.00	$46,822.50	2026-02-28
824	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	40	13	—	—	$38,219.00	$55,307.00	$46,763.00	2026-02-28
37231	CPT	Tib/per Revasc Stent Ather	18	6	—	—	$22,222.40	$74,209.87	$46,738.53	2026-02-28
37227	CPT	Fem/popl Revasc Stnt Ather	18	6	—	—	$22,222.40	$74,209.87	$46,738.53	2026-02-28
867	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Mcc	40	13	—	—	$37,262.00	$56,192.00	$46,727.00	2026-02-28
935	MS_DRG	Non-extensive Burns	40	13	—	—	$38,167.00	$54,763.00	$46,465.00	2026-02-28
835	MS_DRG	Acute Leukemia With Cc	40	13	—	—	$37,116.00	$55,371.00	$46,243.50	2026-02-28
857	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	40	13	—	—	$37,863.00	$54,327.00	$46,095.00	2026-02-28
22867	CPT	Insj Stablj Dev W/dcmprn	14	4	—	—	$13,386.45	$65,543.99	$46,058.01	2026-02-28
27279	CPT	Arthrodesis Sacroiliac Joint	14	4	—	—	$14,438.10	$65,543.99	$46,058.01	2026-02-28
22856	CPT	Cerv Artific Diskectomy	14	4	—	—	$13,386.45	$65,543.99	$46,058.01	2026-02-28
24371	CPT	Revise Reconst Elbow Joint	14	4	—	—	$14,438.10	$65,543.99	$46,058.01	2026-02-28
54416	CPT	Remv/repl Penis Contain Pros	64	19	—	—	$6,630.00	$85,368.46	$45,999.23	2026-02-28
54401	CPT	Insert Self-contd Prosthesis	64	19	—	—	$6,630.00	$85,368.46	$45,999.23	2026-02-28
54405	CPT	Insert Multi-comp Penis Pros	64	19	—	—	$6,630.00	$85,368.46	$45,999.23	2026-02-28
54410	CPT	Remove/replace Penis Prosth	64	19	—	—	$6,630.00	$85,368.46	$45,999.23	2026-02-28
C1824	HCPCS	Optimizer Smart Ipg 10-b411-3-xx	70	18	$163,265.50	$57,692.21 65% off	$27,755.14	$146,938.95	$45,714.34	2026-02-28
53444	CPT	Insert Tandem Cuff	64	19	—	—	$5,920.00	$85,368.46	$45,644.23	2026-02-28
475	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	40	13	—	—	$37,487.00	$53,788.00	$45,637.50	2026-02-28
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	40	13	—	—	$37,421.00	$53,693.00	$45,557.00	2026-02-28
838	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	40	13	—	—	$35,244.00	$55,704.00	$45,474.00	2026-02-28
141	MS_DRG	Major Head And Neck Procedures With Cc	40	13	—	—	$37,334.00	$53,569.00	$45,451.50	2026-02-28
595	MS_DRG	Major Skin Disorders With Mcc	40	13	—	—	$36,754.00	$53,873.00	$45,313.50	2026-02-28
619	MS_DRG	O.r. Procedures For Obesity With Mcc	40	13	—	—	$22,585.00	$67,980.00	$45,282.50	2026-02-28
32	MS_DRG	Ventricular Shunt Procedures With Cc	40	13	—	—	$37,110.00	$53,347.00	$45,228.50	2026-02-28
407	MS_DRG	Pancreas Liver And Shunt Procedures Without Cc/mcc	40	13	—	—	$37,114.00	$53,278.00	$45,196.00	2026-02-28
940	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	40	13	—	—	$36,690.00	$53,665.00	$45,177.50	2026-02-28
412	MS_DRG	Cholecystectomy With C.d.e. With Cc	40	13	—	—	$37,041.00	$53,147.00	$45,094.00	2026-02-28
53445	CPT	Insert Uro/ves Nck Sphincter	64	19	—	—	$4,556.00	$85,368.46	$44,962.23	2026-02-28
53447	CPT	Remove/replace Ur Sphincter	64	19	—	—	$4,556.00	$85,368.46	$44,962.23	2026-02-28
333	MS_DRG	Rectal Resection With Cc	40	13	—	—	$36,931.00	$52,990.00	$44,960.50	2026-02-28
486	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	40	13	—	—	$36,855.00	$52,880.00	$44,867.50	2026-02-28
336	MS_DRG	Peritoneal Adhesiolysis With Cc	40	13	—	—	$36,705.00	$52,666.00	$44,685.50	2026-02-28
374	MS_DRG	Digestive Malignancy With Mcc	40	13	—	—	$36,690.00	$52,644.00	$44,667.00	2026-02-28
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	40	13	—	—	$36,632.00	$52,561.00	$44,596.50	2026-02-28
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	40	13	—	—	$35,012.00	$54,087.00	$44,549.50	2026-02-28
934	MS_DRG	Full Thickness Burn Without Skin Graft Or Inhalation Injury	40	13	—	—	$35,456.00	$53,501.00	$44,478.50	2026-02-28
409	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	40	13	—	—	$36,431.00	$52,272.00	$44,351.50	2026-02-28
655	MS_DRG	Major Bladder Procedures Without Cc/mcc	40	13	—	—	$36,097.00	$52,208.00	$44,152.50	2026-02-28

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