Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL

Eau Claire, WI · CCN 520070 · Rates published

Your selected procedure

You selected 29916 (CPT)

REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE

This hospital’s price: $7,719 across 11 payers · range $976-$10,562

Source: https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-eau-claire_standardcharges.csv · observed 2026-03-31

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.

9,424 distinct procedures filed
291 distinct payers
9,111,910 rate rows
2026-03-31 last MRF observed
Data quality

4,319,111 of 9,111,910 rate rows are consumer-grade (47.4%)

4,792,799 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
professional (physician) fee — not the facility price 4,789,630
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,976
exceeds 10× this hospital's gross charge — excluded from medians 87
placeholder amount (≤ $0.02) — excluded from medians 67
per-diem day rate — not a per-procedure price 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-eau-claire_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/for-patients-and-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint b2afbfbef66f379a… · 5,961,022,315 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $215,164.14 $721,671.47 $220,390.55 nat. median
$248,541
0.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 272 $5,003.64 $205,856.84 $199,555.10 nat. median
$8,223
outlier · 24.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $163,037.87 $546,591.35 $166,998.11 nat. median
$190,359
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $156,346.70 $156,346.70 $156,346.70 nat. median
$122,016
1.3× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 272 $255.84 $158,270.00 $153,425.00 nat. median
$432
outlier · 354.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $106,502.24 $356,701.25 $109,089.21 nat. median
$126,461
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $108,917.19 $108,917.19 $108,917.19 nat. median
$81,052
1.3× median
33276
CPT 		Pr Insn Phrnc Nrv Stim Sys 273 $519.01 $92,784.44 $89,944.10 nat. median
$43,331
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $84,802.82 $283,817.94 $86,862.71 nat. median
$93,226
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 13 $76,643.49 $256,412.66 $78,505.18 nat. median
$93,787
0.8× median
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 272 $216.90 $80,098.73 $77,646.73 nat. median
$737
outlier · 105.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $75,307.88 $251,926.67 $77,137.14 nat. median
$90,512
0.9× median
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 273 $3,660.83 $77,869.43 $75,485.67 nat. median
$9,222
outlier · 8.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $69,379.69 $232,015.22 $71,064.95 nat. median
$77,936
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $64,935.07 $217,086.78 $66,512.37 nat. median
$76,979
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $64,731.89 $216,404.36 $66,304.25 nat. median
$77,487
0.9× median
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 263 $13,994.32 $65,934.79 $63,916.38 nat. median
$63,916
1.0× median
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 263 $13,994.32 $65,934.79 $63,916.38 nat. median
$63,916
1.0× median
SUP-00690103193909
CDM 		Implant Valve Coronary Aortic Transcatheter Sterile With 3 23mm 263 $13,520.00 $63,700.00 $61,750.00 nat. median
$61,750
1.0× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Circulatory Procedures 2 $61,667.07 $61,667.07 $61,667.07 nat. median
$60,998
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $59,172.48 $197,731.58 $60,609.80 nat. median
$72,247
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $58,918.70 $196,879.19 $60,349.85 nat. median
$71,737
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $58,724.72 $196,227.66 $60,151.16 nat. median
$67,908
0.9× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $59,779.31 $59,779.31 $59,779.31 nat. median
$57,574
1.0× median
1623
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $58,563.81 $58,563.81 $58,563.81 nat. median
$52,697
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $55,647.92 $185,893.39 $56,999.63 nat. median
$63,564
0.9× median
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 $56,858.85 $56,858.85 $56,858.85 nat. median
$52,635
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $54,971.67 $183,622.06 $56,306.95 nat. median
$66,584
0.8× median
1794
APR_DRG 		Defibrillator Implants 2 $55,376.84 $55,376.84 $55,376.84 nat. median
$44,987
1.2× median
0823T
CPT 		Pr Tcat Ins 1chmbr Ldls Pm Ra 272 $12,002.22 $56,548.94 $54,817.85 nat. median
$22,098
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $53,295.67 $177,992.67 $54,590.24 nat. median
$62,577
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $53,035.75 $177,119.68 $54,324.01 nat. median
$63,829
0.9× median
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 273 $141.60 $55,047.09 $53,361.98 nat. median
$253
outlier · 211.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $51,910.20 $173,339.29 $53,171.12 nat. median
$61,660
0.9× median
9124
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 $52,867.25 $52,867.25 $52,867.25 nat. median
$53,270
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $51,568.26 $172,190.75 $52,820.87 nat. median
$57,485
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $51,530.69 $172,064.56 $52,782.39 nat. median
$60,517
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $50,715.68 $169,327.13 $51,947.58 nat. median
$61,995
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 $50,532.43 $168,711.65 $51,759.88 nat. median
$58,052
0.9× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 273 $59.41 $52,794.85 $51,178.69 nat. median
$518
outlier · 98.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $49,637.67 $165,706.39 $50,843.38 nat. median
$59,324
0.9× median
33231
CPT 		Pr Ins Pulse Gen W Exst Mult Lead 273 $364.93 $51,990.96 $50,399.40 nat. median
$30,121
1.7× median
1633
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 $50,363.63 $50,363.63 $50,363.63 nat. median
$42,999
1.2× median
SUP-00480003
CDM 		Ventricular Assist Automated Controller Cp 263 $10,816.00 $50,960.00 $49,400.00 nat. median
$49,400
1.0× median
SUP-ZABIO4000021
CDM 		Cp Pump Set Plus Companion Sheath 263 $10,816.00 $50,960.00 $49,400.00 nat. median
$46,800
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $47,289.26 $157,818.56 $48,437.93 nat. median
$58,220
0.8× median
1304
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 $48,119.68 $48,119.68 $48,119.68 nat. median
$46,300
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 13 $46,784.75 $156,124.08 $47,921.17 nat. median
$57,798
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 13 $46,368.44 $154,725.74 $47,494.74 nat. median
$54,377
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 $46,355.40 $154,681.96 $47,481.39 nat. median
$56,633
0.8× median

Other procedures at this hospital

Browse this hospital's 9,424 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 13 13 — — $215,164.14 $721,671.47 $220,390.55 2026-03-31
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 382 272 $210,058.00 $189,052.20 $5,003.64 $205,856.84 $199,555.10 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 13 — — $163,037.87 $546,591.35 $166,998.11 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $156,346.70 $156,346.70 $156,346.70 2026-03-31
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 385 272 $161,500.00 $145,350.00 $255.84 $158,270.00 $153,425.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 13 — — $106,502.24 $356,701.25 $109,089.21 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $108,917.19 $108,917.19 $108,917.19 2026-03-31
33276 CPT Pr Insn Phrnc Nrv Stim Sys 387 273 $94,678.00 $85,210.20 $519.01 $92,784.44 $89,944.10 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $84,802.82 $283,817.94 $86,862.71 2026-03-31
215 MS_DRG Other Heart Assist System Implant 13 13 — — $76,643.49 $256,412.66 $78,505.18 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 382 272 $81,733.40 $73,560.06 $216.90 $80,098.73 $77,646.73 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 — — $75,307.88 $251,926.67 $77,137.14 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 384 273 $79,458.60 $71,512.74 $3,660.83 $77,869.43 $75,485.67 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 13 — — $69,379.69 $232,015.22 $71,064.95 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 13 — — $64,935.07 $217,086.78 $66,512.37 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 13 — — $64,731.89 $216,404.36 $66,304.25 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 376 263 $67,280.40 $60,552.36 $13,994.32 $65,934.79 $63,916.38 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 376 263 $67,280.40 $60,552.36 $13,994.32 $65,934.79 $63,916.38 2026-03-31
SUP-00690103193909 CDM Implant Valve Coronary Aortic Transcatheter Sterile With 3 23mm 376 263 $65,000.00 $58,500.00 $13,520.00 $63,700.00 $61,750.00 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 2 2 — — $61,667.07 $61,667.07 $61,667.07 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $59,172.48 $197,731.58 $60,609.80 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 13 — — $58,918.70 $196,879.19 $60,349.85 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 13 — — $58,724.72 $196,227.66 $60,151.16 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $59,779.31 $59,779.31 $59,779.31 2026-03-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $58,563.81 $58,563.81 $58,563.81 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $55,647.92 $185,893.39 $56,999.63 2026-03-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $56,858.85 $56,858.85 $56,858.85 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 13 — — $54,971.67 $183,622.06 $56,306.95 2026-03-31
1794 APR_DRG Defibrillator Implants 2 2 — — $55,376.84 $55,376.84 $55,376.84 2026-03-31
0823T CPT Pr Tcat Ins 1chmbr Ldls Pm Ra 385 272 $57,703.00 $51,932.70 $12,002.22 $56,548.94 $54,817.85 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 13 — — $53,295.67 $177,992.67 $54,590.24 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 13 — — $53,035.75 $177,119.68 $54,324.01 2026-03-31
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 384 273 $56,170.50 $50,553.45 $141.60 $55,047.09 $53,361.98 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 13 — — $51,910.20 $173,339.29 $53,171.12 2026-03-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $52,867.25 $52,867.25 $52,867.25 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 13 — — $51,568.26 $172,190.75 $52,820.87 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 13 — — $51,530.69 $172,064.56 $52,782.39 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 — — $50,715.68 $169,327.13 $51,947.58 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 13 — — $50,532.43 $168,711.65 $51,759.88 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 384 273 $53,872.30 $48,485.07 $59.41 $52,794.85 $51,178.69 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 13 — — $49,637.67 $165,706.39 $50,843.38 2026-03-31
33231 CPT Pr Ins Pulse Gen W Exst Mult Lead 387 273 $53,052.00 $47,746.80 $364.93 $51,990.96 $50,399.40 2026-03-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $50,363.63 $50,363.63 $50,363.63 2026-03-31
SUP-00480003 CDM Ventricular Assist Automated Controller Cp 376 263 $52,000.00 $46,800.00 $10,816.00 $50,960.00 $49,400.00 2026-03-31
SUP-ZABIO4000021 CDM Cp Pump Set Plus Companion Sheath 376 263 $52,000.00 $46,800.00 $10,816.00 $50,960.00 $49,400.00 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 13 — — $47,289.26 $157,818.56 $48,437.93 2026-03-31
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $48,119.68 $48,119.68 $48,119.68 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 13 — — $46,784.75 $156,124.08 $47,921.17 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 13 13 — — $46,368.44 $154,725.74 $47,494.74 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 13 — — $46,355.40 $154,681.96 $47,481.39 2026-03-31
203 APR_DRG Open Craniotomy For Trauma 2 2 — — $47,290.27 $47,290.27 $47,290.27 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 13 — — $46,021.89 $153,561.75 $47,139.77 2026-03-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $46,955.43 $46,955.43 $46,955.43 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 9 — — $45,871.61 $46,985.84 $46,446.89 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 13 — — $45,297.33 $151,128.19 $46,397.62 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 13 — — $45,268.20 $151,030.33 $46,367.78 2026-03-31
64568 CPT Pr Incision Impl Cranial Nerve 13 12 — — $663.90 $47,882.74 $45,602.61 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 13 — — $44,519.13 $148,514.36 $45,600.51 2026-03-31
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $45,341.88 $45,341.88 $45,341.88 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 13 — — $44,236.98 $147,566.69 $45,311.51 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 — — $44,000.84 $146,773.52 $45,069.63 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $43,406.65 $144,777.74 $44,461.01 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 — — $42,978.80 $143,340.78 $44,022.77 2026-03-31
SUP-ZNEVRHFXD CDM Kit Scs With Generator And Remote Hfx Iq_ 376 263 $46,000.00 $41,400.00 $9,568.00 $45,080.00 $43,700.00 2026-03-31
93580 CPT Pr Tx Cath Clsr Asd W Imp 387 273 $45,809.00 $41,228.10 $856.77 $44,892.82 $43,518.55 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 13 13 — — $42,393.81 $141,375.90 $43,423.57 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 13 — — $42,185.26 $140,675.45 $43,209.96 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 13 — — $42,119.33 $140,453.98 $43,142.42 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $41,189.31 $137,330.27 $42,189.81 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 13 — — $41,164.77 $137,247.86 $42,164.67 2026-03-31
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 382 272 $44,253.00 $39,827.70 $197.83 $43,367.94 $42,040.35 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 13 — — $40,756.12 $135,875.28 $41,746.10 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 392 273 $43,708.00 $39,337.20 $816.94 $42,833.84 $41,522.60 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 388 273 $43,694.00 $39,324.60 $365.07 $42,820.12 $41,509.30 2026-03-31
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $41,422.02 $41,422.02 $41,422.02 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 13 — — $40,212.51 $134,049.46 $41,189.28 2026-03-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $41,164.05 $41,164.05 $41,164.05 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 13 13 — — $40,143.52 $133,817.69 $41,118.62 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 388 273 $42,818.00 $38,536.20 $505.52 $41,961.64 $40,677.10 2026-03-31
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $40,569.54 $40,569.54 $40,569.54 2026-03-31
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $39,892.17 $39,892.17 $39,892.17 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 — — $38,945.92 $129,795.23 $39,891.93 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 761 272 $41,487.50 $37,338.75 $8,629.40 $42,012.60 $39,620.56 2026-03-31
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $39,612.00 $39,612.00 $39,612.00 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 13 — — $38,541.09 $128,435.52 $39,477.27 2026-03-31
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 384 273 $41,438.90 $37,295.01 $227.28 $40,610.12 $39,366.96 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 13 — — $38,234.43 $127,405.44 $39,163.15 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 13 — — $38,166.94 $127,178.83 $39,094.03 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 13 — — $38,037.35 $126,743.62 $38,961.29 2026-03-31
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $38,892.78 $38,892.78 $38,892.78 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 13 — — $37,880.19 $126,215.70 $38,800.31 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 13 13 — — $37,324.32 $124,348.68 $38,230.94 2026-03-31
0796T CPT Pr Tcat Ins 2chmbr Ldls Pm Ra 385 272 $40,124.00 $36,111.60 $8,345.79 $39,321.52 $38,117.80 2026-03-31
C1826 HCPCS Nrstm Spn Incp Pn Mgmnt Clsd Lp 376 263 $40,000.00 $36,000.00 $8,320.00 $39,200.00 $38,000.00 2026-03-31
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $37,711.43 $37,711.43 $37,711.43 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 13 — — $36,803.73 $122,600.12 $37,697.71 2026-03-31
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $37,169.88 $37,169.88 $37,169.88 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 13 — — $36,274.70 $120,823.23 $37,155.83 2026-03-31
SUP-08033178019422 CDM Cannulaprotek Duo Plus Dual Lumen Ecmo Perfusion 31fr Without Kit 376 263 $39,000.00 $35,100.00 $8,112.00 $38,220.00 $37,050.00 2026-03-31
SUP-08033178019392 CDM Protek Duo Plus Dual Lumen Ecmo Perfusion Cannula 29fr Without Kit 376 263 $39,000.00 $35,100.00 $8,112.00 $38,220.00 $37,050.00 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 13 — — $35,712.70 $118,935.61 $36,580.17 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 13 — — $35,544.02 $118,369.07 $36,407.40 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 13 — — $35,454.32 $118,067.77 $36,315.52 2026-03-31
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $36,301.18 $36,301.18 $36,301.18 2026-03-31
245 MS_DRG Aicd Generator Procedures 13 13 — — $35,282.58 $117,490.92 $36,139.60 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 387 273 $37,959.00 $34,163.10 $554.63 $37,199.82 $36,061.05 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 13 — — $35,177.55 $117,138.12 $36,032.02 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 13 — — $35,162.22 $117,086.62 $36,016.32 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 13 13 — — $35,025.73 $116,628.23 $35,876.52 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 13 13 — — $34,664.62 $115,415.31 $35,506.63 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 13 — — $34,654.63 $115,381.84 $35,496.41 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 13 — — $34,519.71 $114,928.60 $35,358.20 2026-03-31
J9042 HCPCS Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted) 384 273 $37,123.70 $33,411.33 $258.64 $36,381.23 $35,267.52 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 388 273 $37,013.00 $33,311.70 $817.79 $36,272.74 $35,162.35 2026-03-31
SUP-ZABBO222ETCTRSY33 CDM Etena Kit - Ipg Controller Magnet Kit _ 376 263 $37,000.00 $33,300.00 $7,696.00 $36,260.00 $35,150.00 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 387 273 $36,958.00 $33,262.20 $338.76 $36,218.84 $35,110.10 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 387 273 $36,958.00 $33,262.20 $351.79 $36,218.84 $35,110.10 2026-03-31
69930 CPT Pr Cochlear Device Implantation 11 10 — — $1,132.07 $35,843.85 $34,990.43 2026-03-31
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $34,967.79 $34,967.79 $34,967.79 2026-03-31
1792 APR_DRG Defibrillator Implants 2 2 — — $34,866.99 $34,866.99 $34,866.99 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 13 — — $33,982.23 $113,123.39 $34,807.67 2026-03-31
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 382 272 $36,622.70 $32,960.43 $75.97 $35,890.25 $34,791.57 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 13 — — $33,480.80 $111,439.20 $34,294.06 2026-03-31
SUP-00852454006288 CDM Generator Radiofrequency Percutaneous Ablation 376 263 $36,000.00 $32,400.00 $7,488.00 $35,280.00 $34,200.00 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 13 — — $33,216.31 $110,550.76 $34,023.14 2026-03-31
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 2 — — $33,755.70 $33,755.70 $33,755.70 2026-03-31
0795T CPT Pr Tcat Ins 2chmbr Ldls Pm Cmpl 385 272 $35,523.00 $31,970.70 $7,388.78 $34,812.54 $33,746.85 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 13 — — $32,816.83 $109,209.08 $33,613.97 2026-03-31
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $33,565.22 $33,565.22 $33,565.22 2026-03-31
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $33,534.47 $33,534.47 $33,534.47 2026-03-31
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $33,533.62 $33,533.62 $33,533.62 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 13 — — $32,681.89 $108,755.85 $33,475.74 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 13 — — $32,610.60 $108,516.35 $33,402.73 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 13 — — $32,516.30 $108,199.60 $33,306.13 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 13 — — $32,418.15 $107,869.98 $33,205.60 2026-03-31
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 384 273 $34,722.00 $31,249.80 $318.53 $34,027.56 $32,985.90 2026-03-31
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $32,961.31 $32,961.31 $32,961.31 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 13 — — $32,143.67 $106,948.06 $32,924.45 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 382 272 $34,619.50 $31,157.55 $243.71 $33,927.11 $32,888.53 2026-03-31
61885 CPT Pr Ins Crnl Pulse Gen 1 Connect 11 10 — — $564.50 $33,545.27 $32,746.58 2026-03-31
61886 CPT Pr Ins Crnl Pulse Gen 2+ Connect 11 10 — — $940.92 $33,545.27 $32,746.58 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 382 272 $34,446.60 $31,001.94 $32.91 $33,757.67 $32,724.27 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 13 — — $31,932.82 $106,239.88 $32,708.48 2026-03-31
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $32,702.49 $32,702.49 $32,702.49 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 9 9 — — $32,270.95 $33,054.82 $32,672.32 2026-03-31
63663 CPT Pr Rev Spine Elec Perc Array 12 11 — — $436.37 $33,545.27 $32,347.23 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 384 273 $33,690.00 $30,321.00 $91.34 $33,016.20 $32,005.50 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 382 272 $33,689.90 $30,320.91 $31.58 $33,016.10 $32,005.41 2026-03-31
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 2 — — $32,000.36 $32,000.36 $32,000.36 2026-03-31
64582 CPT Pr Opn Mpltj Hpglsl Nstm Ary Pg 13 12 — — $768.64 $33,545.27 $31,947.88 2026-03-31
C1822 HCPCS Bundle Hfx With Remote_ 6,392 263 $33,870.00 $30,483.00 $141.44 $70,560.00 $31,941.20 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 13 — — $31,127.80 $103,535.92 $31,883.90 2026-03-31
791 MS_DRG Prematurity With Major Problems 9 9 — — $31,422.96 $32,186.24 $31,813.50 2026-03-31
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 2 — — $31,717.61 $31,717.61 $31,717.61 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 387 273 $33,332.00 $29,998.80 $869.46 $32,665.36 $31,665.40 2026-03-31
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $31,650.14 $31,650.14 $31,650.14 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 13 — — $30,848.70 $102,598.54 $31,598.03 2026-03-31
SUP-07640135140627 CDM Pump Centrifugal Ventricular Assist Support Device 376 263 $33,000.00 $29,700.00 $6,864.00 $32,340.00 $31,350.00 2026-03-31
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1 387 273 $32,572.00 $29,314.80 $834.67 $31,920.56 $30,943.40 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 387 273 $32,557.00 $29,301.30 $339.10 $31,905.86 $30,929.15 2026-03-31
1203 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $30,714.80 $30,714.80 $30,714.80 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 13 — — $29,934.79 $99,528.90 $30,661.91 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 13 — — $29,906.40 $99,433.62 $30,632.84 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 377 264 $32,160.00 $28,944.00 $519.20 $31,516.80 $30,552.00 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 385 272 $32,160.00 $28,944.00 $6,689.28 $31,516.80 $30,552.00 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 13 — — $29,738.50 $98,869.65 $30,460.86 2026-03-31
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 384 273 $32,012.50 $28,811.25 $29.29 $31,372.25 $30,411.88 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 384 273 $31,586.60 $28,427.94 $55.57 $30,954.87 $30,007.27 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 13 — — $29,153.52 $96,904.78 $29,861.66 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 389 273 $31,341.00 $28,206.90 $721.26 $30,714.18 $29,773.95 2026-03-31
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $29,758.11 $29,758.11 $29,758.11 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc-express Care 13 13 — — $29,027.76 $96,482.44 $29,732.85 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 13 — — $28,959.52 $96,253.25 $29,662.95 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 13 — — $28,956.45 $96,242.95 $29,659.81 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 13 — — $28,875.95 $95,972.55 $29,577.36 2026-03-31
SUP-00763000478087 CDM Vanta Non-rechargable Ipg 376 263 $30,685.00 $27,616.50 $6,382.48 $30,071.30 $29,150.75 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 13 — — $28,452.72 $94,551.04 $29,143.84 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 385 272 $30,495.00 $27,445.50 $6,342.96 $29,885.10 $28,970.25 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 13 — — $28,100.82 $93,369.03 $28,783.40 2026-03-31
6924 APR_DRG Radiotherapy 2 2 — — $28,695.50 $28,695.50 $28,695.50 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 13 — — $27,994.24 $93,011.07 $28,674.23 2026-03-31
C1767 HCPCS Device Neurostimulator H2.6xl1.9in 67gm 16 Electrode Nonchargeable Primary Cell … 4,888 263 $30,180.10 $27,162.09 $106.08 $49,000.00 $28,671.10 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 — — $27,952.84 $92,872.01 $28,631.82 2026-03-31
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $28,569.09 $28,569.09 $28,569.09 2026-03-31
SUP-04058863080383 CDM Set TB Hls 7.0 Cardiopulm Adv 376 263 $30,000.00 $27,000.00 $6,240.00 $29,400.00 $28,500.00 2026-03-31
SUP-00195451000355 CDM Kit Generator And Connector For Intravascular Lithotripsy 376 263 $29,997.00 $26,997.30 $6,239.38 $29,397.06 $28,497.15 2026-03-31
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $28,476.84 $28,476.84 $28,476.84 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 13 — — $27,680.66 $91,957.82 $28,353.03 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 13 — — $27,640.02 $91,821.33 $28,311.40 2026-03-31
1813 APR_DRG Lower Vascular Procedures 2 2 — — $28,288.91 $28,288.91 $28,288.91 2026-03-31
1812 APR_DRG Lower Vascular Procedures 2 2 — — $28,288.91 $28,288.91 $28,288.91 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 13 — — $27,617.00 $91,744.08 $28,287.83 2026-03-31
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 2 2 — — $28,274.39 $28,274.39 $28,274.39 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 387 273 $29,760.00 $26,784.00 $430.26 $29,164.80 $28,272.00 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 13 — — $27,590.95 $91,656.52 $28,261.14 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 13 — — $27,568.72 $91,581.84 $28,238.37 2026-03-31
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $28,208.62 $28,208.62 $28,208.62 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 13 — — $27,340.99 $90,817.00 $28,005.11 2026-03-31
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 384 273 $29,459.10 $26,513.19 $127.45 $28,869.92 $27,986.15 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 13 — — $27,285.79 $90,631.59 $27,948.57 2026-03-31
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $27,707.21 $27,707.21 $27,707.21 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 13 13 — — $27,047.35 $89,830.70 $27,704.33 2026-03-31
1692 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $27,697.82 $27,697.82 $27,697.82 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 13 — — $27,040.47 $89,807.52 $27,697.29 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 13 — — $26,917.77 $89,395.49 $27,571.61 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 13 — — $26,788.96 $88,962.86 $27,439.67 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 385 272 $28,687.00 $25,818.30 $5,966.90 $28,113.26 $27,252.65 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 13 — — $26,588.09 $88,288.16 $27,233.92 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 13 — — $26,459.30 $87,855.52 $27,102.00 2026-03-31
C1882 HCPCS Defibrillator Cardiac 32.5cc W2.11xh3.22in D0.39in Ra:is-1 Rv:df4 Lv:is4 Connect… 6,016 263 $29,200.00 $26,280.00 $144.77 $43,120.00 $26,740.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 13 13 — — $25,914.92 $86,027.13 $26,544.40 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 13 — — $25,628.92 $85,066.58 $26,251.46 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 382 272 $27,620.10 $24,858.09 $39.41 $27,067.70 $26,239.10 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 13 13 — — $25,543.05 $84,778.16 $26,163.50 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 13 — — $25,539.99 $84,767.86 $26,160.36 2026-03-31
7103 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $25,948.45 $25,948.45 $25,948.45 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 13 — — $25,241.75 $83,766.11 $25,854.89 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 13 — — $25,132.11 $83,397.85 $25,742.58 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 13 — — $25,104.51 $83,305.14 $25,714.31 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 13 — — $25,070.01 $83,189.26 $25,678.97 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 13 — — $25,044.70 $83,104.28 $25,653.04 2026-03-31
2303 APR_DRG Major Small Bowel Procedures 2 2 — — $25,561.50 $25,561.50 $25,561.50 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 13 — — $24,781.71 $82,220.99 $25,383.67 2026-03-31
J9228 HCPCS Ipilimumab 5 Mg/ml Intravenous Solution (wrapper) 759 273 $103,322.30 $92,990.07 $183.48 $101,255.85 $25,383.06 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 13 — — $24,736.49 $82,069.05 $25,337.35 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 13 — — $24,712.71 $81,989.22 $25,312.99 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 13 13 — — $24,567.04 $81,499.93 $25,163.79 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 13 — — $24,530.23 $81,376.32 $25,126.08 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 13 — — $24,461.24 $81,144.55 $25,055.42 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 13 — — $24,449.74 $81,105.92 $25,043.63 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 13 — — $24,393.01 $80,915.36 $24,985.53 2026-03-31
J2327 HCPCS Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector 764 272 $40,667.00 $36,600.30 $14.94 $55,658.70 $24,905.04 2026-03-31
665 MS_DRG Prostatectomy With Mcc 13 13 — — $24,232.75 $80,377.14 $24,821.37 2026-03-31
J9316 HCPCS Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 384 273 $26,096.40 $23,486.76 $62.10 $25,574.47 $24,791.58 2026-03-31
C1820 HCPCS Implant Blank Lead Neurostimulator 50cm 7,520 263 $26,740.00 $24,066.00 $10.40 $41,895.00 $24,772.70 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 — — $24,182.93 $80,209.75 $24,770.34 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 13 — — $24,140.76 $80,068.12 $24,727.14 2026-03-31
263 APR_DRG Other Nervous System And Related Procedures 2 2 — — $24,508.29 $24,508.29 $24,508.29 2026-03-31
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $24,375.04 $24,375.04 $24,375.04 2026-03-31
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 2 2 — — $24,369.91 $24,369.91 $24,369.91 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 13 13 — — $23,775.03 $78,839.75 $24,352.53 2026-03-31
263 MS_DRG Vein Ligation And Stripping 13 13 — — $23,743.59 $78,734.16 $24,320.33 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 384 273 $25,557.80 $23,002.02 $21.31 $25,046.64 $24,279.91 2026-03-31
1752 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $24,151.24 $24,151.24 $24,151.24 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 13 — — $23,558.04 $78,110.97 $24,130.27 2026-03-31
2313 APR_DRG Major Large Bowel Procedures 2 2 — — $24,120.50 $24,120.50 $24,120.50 2026-03-31
J2427 HCPCS Paliperidone Palmitate (3-month) 273 Mg/0.88 Ml Intramuscular Syringe 1,874 272 $25,321.60 $22,789.44 $13.00 $49,213.64 $24,055.52 2026-03-31
0483T CPT Pr Tmvi Percutaneous Approach 378 265 $25,308.00 $22,777.20 $1,468.86 $24,801.84 $24,042.60 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 13 — — $23,460.68 $77,783.92 $24,030.55 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 13 — — $23,432.32 $77,688.63 $24,001.50 2026-03-31
9122 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $23,928.30 $23,928.30 $23,928.30 2026-03-31
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 384 273 $25,148.30 $22,633.47 $34.05 $24,645.33 $23,890.89 2026-03-31
1743 APR_DRG Percutaneous Cardiac Intervention With Ami 2 2 — — $23,796.76 $23,796.76 $23,796.76 2026-03-31
7204 APR_DRG Septicemia And Disseminated Infections 2 2 — — $23,750.63 $23,750.63 $23,750.63 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 387 273 $24,983.00 $22,484.70 $519.20 $24,483.34 $23,733.85 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 13 — — $23,122.57 $76,648.25 $23,684.22 2026-03-31
3132 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $23,573.81 $23,573.81 $23,573.81 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 13 13 — — $22,890.25 $75,867.97 $23,446.26 2026-03-31
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 387 273 $24,658.00 $22,192.20 $622.43 $24,164.84 $23,425.10 2026-03-31
570 MS_DRG Skin Debridement With Mcc 13 13 — — $22,851.91 $75,739.21 $23,406.99 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 13 13 — — $22,690.13 $75,195.84 $23,241.28 2026-03-31
1691 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $23,229.57 $23,229.57 $23,229.57 2026-03-31
2824 APR_DRG Disorders Of Pancreas Except Malignancy 2 2 — — $23,134.76 $23,134.76 $23,134.76 2026-03-31
7113 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $23,106.57 $23,106.57 $23,106.57 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 13 — — $22,552.13 $74,732.30 $23,099.93 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 13 — — $22,538.33 $74,685.95 $23,085.79 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 13 — — $22,440.19 $74,356.32 $22,985.27 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 13 13 — — $22,429.45 $74,320.27 $22,974.27 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 384 273 $24,133.80 $21,720.42 $79.00 $23,651.12 $22,927.11 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 13 — — $22,308.33 $73,913.39 $22,850.21 2026-03-31
1823 APR_DRG Other Upper Vascular Procedures 2 2 — — $22,821.28 $22,821.28 $22,821.28 2026-03-31
2804 APR_DRG Alcoholic Liver Disease 2 2 — — $22,789.67 $22,789.67 $22,789.67 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 387 273 $23,904.00 $21,513.60 $693.45 $23,425.92 $22,708.80 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 13 — — $22,157.27 $73,406.08 $22,695.48 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted) 384 273 $23,868.50 $21,481.65 $207.13 $23,391.13 $22,675.08 2026-03-31
3252 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $22,577.84 $22,577.84 $22,577.84 2026-03-31
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections 2 2 — — $22,477.90 $22,477.90 $22,477.90 2026-03-31
3233 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $22,425.78 $22,425.78 $22,425.78 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 13 13 — — $21,764.73 $72,087.57 $22,293.40 2026-03-31
9513 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $22,207.97 $22,207.97 $22,207.97 2026-03-31
7754 APR_DRG Alcohol Abuse And Dependence 2 2 — — $22,100.34 $22,100.34 $22,100.34 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 13 — — $21,554.63 $71,381.97 $22,078.20 2026-03-31
2293 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $22,043.96 $22,043.96 $22,043.96 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 387 273 $23,121.00 $20,808.90 $566.03 $22,658.58 $21,964.95 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 13 — — $21,441.18 $71,000.84 $21,961.99 2026-03-31
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $21,915.84 $21,915.84 $21,915.84 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 13 — — $21,376.77 $70,784.52 $21,896.02 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 13 — — $21,371.41 $70,766.50 $21,890.53 2026-03-31
1713 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $21,879.11 $21,879.11 $21,879.11 2026-03-31
3153 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $21,868.00 $21,868.00 $21,868.00 2026-03-31
J9299 HCPCS Nivolumab 10 Mg/ml Intravenous Solution (wrapper) 384 273 $23,010.70 $20,709.63 $32.96 $22,550.49 $21,860.17 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 13 — — $21,262.52 $70,400.82 $21,779.00 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 13 — — $21,162.85 $70,066.04 $21,676.90 2026-03-31
444 APR_DRG Intracranial Hemorrhage 2 2 — — $21,657.02 $21,657.02 $21,657.02 2026-03-31
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 2 2 — — $21,598.93 $21,598.93 $21,598.93 2026-03-31
2793 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 2 2 — — $21,598.93 $21,598.93 $21,598.93 2026-03-31
849 MS_DRG Radiotherapy 13 13 — — $21,076.22 $69,775.04 $21,588.17 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 13 — — $21,050.92 $69,690.06 $21,562.25 2026-03-31
33214 CPT Pr Upgrade Impl Pcmkr Sys 387 273 $22,677.00 $20,409.30 $438.05 $22,223.46 $21,543.15 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 13 — — $20,983.45 $69,463.44 $21,493.14 2026-03-31
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