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

BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Phoenix, AZ · CCN 030002 · Rates published

8,519 distinct procedures filed
32 distinct payers
330,293 rate rows
2026-09-25 last MRF observed
Data quality

324,666 of 330,293 rate rows are consumer-grade (98.3%)

5,627 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
per-diem day rate — not a per-procedure price 2,943
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,097
exceeds 10× this hospital's gross charge — excluded from medians 295
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 253
placeholder amount (≤ $0.02) — excluded from medians 37
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/270036499_banner-university-medical-center-phoenix_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 64bf265bfb94c488… · 141,241,152 bytes · first seen 2026-11-02

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
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 12 $4.90 $2,356,125.00 $1,335,137.50 nat. median
$2,491
outlier · 535.9×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $199,630.31 $1,414,884.44 $401,326.75 nat. median
$360,195
1.1× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $247,408.00 $918,203.08 $286,971.85 nat. median
$247,805
1.2× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $220,205.77 $220,205.77 $220,205.77 nat. median
$309,665
0.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 23 $197,895.34 $695,443.68 $219,663.83 nat. median
$190,274
1.2× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 24 $199,056.20 $613,034.03 $218,961.82 nat. median
$197,664
1.1× median
6313571
CDM 		Fix Extrnl Lw/up/pelvic Lvl 42 13 $55,542.48 $289,083.00 $192,722.00 nat. median
$192,722
1.0× median
6313563
CDM 		Fix Extrnl Lw/up/pelvic Lvl 41 13 $53,017.85 $275,943.00 $183,962.00 nat. median
$98
outlier · 1869.5×
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $176,909.87 $176,909.87 $176,909.87 nat. median
$244,017
0.7× median
6313555
CDM 		Fix Extrnl Lw/up/pelvic Lvl 40 13 $50,493.22 $262,803.00 $175,202.00 nat. median
$107
outlier · 1642.9×
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $174,425.68 $174,425.68 $174,425.68 nat. median
$249,123
0.7× median
6313548
CDM 		Fix Extrnl Lw/up/pelvic Lvl 39 13 $47,968.58 $249,663.00 $166,442.00 nat. median
$166,442
1.0× median
6313530
CDM 		Fix Extrnl Lw/up/pelvic Lvl 38 13 $45,443.95 $236,523.00 $157,682.00 nat. median
$157,682
1.0× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $153,250.91 $272,449.00 $153,250.91 nat. median
$243,231
0.6× median
6313522
CDM 		Fix Extrnl Lw/up/pelvic Lvl 37 13 $42,919.32 $223,383.00 $148,922.00 nat. median
$148,922
1.0× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 23 $96,773.50 $415,564.00 $146,127.98 nat. median
$94,844
1.5× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 23 $129,579.00 $453,841.12 $143,832.69 nat. median
$126,240
1.1× median
6312219
CDM 		Fix Extrnl Lw/up/pelvic Lvl 36 13 $40,394.69 $210,243.00 $140,162.00 nat. median
$52,140
outlier · 2.7×
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $106,235.56 $493,969.32 $139,168.58 nat. median
$103,911
1.3× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $135,033.51 $135,033.51 $135,033.51 nat. median
$202,660
0.7× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 22 $121,229.62 $424,313.30 $133,352.58 nat. median
$117,943
1.1× median
6312201
CDM 		Fix Extrnl Lw/up/pelvic Lvl 35 13 $37,870.06 $197,103.00 $131,402.00 nat. median
$131,402
1.0× median
650
OTHER 		Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 $128,614.53 $128,614.53 $128,614.53 nat. median
$36,541
outlier · 3.5×
813
OTHER 		Coagulation Disorders 1 $126,422.92 $126,422.92 $126,422.92 nat. median
$99
outlier · 1276.0×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 20 $112,592.11 $393,766.49 $126,103.16 nat. median
$109,875
1.1× median
6312193
CDM 		Fix Extrnl Lw/up/pelvic Lvl 34 13 $35,345.42 $183,963.00 $122,642.00 nat. median
$122,642
1.0× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $121,547.91 $121,547.91 $121,547.91 nat. median
$160,390
0.8× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $120,010.07 $120,010.07 $120,010.07 nat. median
$159,829
0.8× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $119,063.72 $119,063.72 $119,063.72 nat. median
$165,334
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $116,638.67 $116,638.67 $116,638.67 nat. median
$165,846
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $116,224.64 $116,224.64 $116,224.64 nat. median
$171,358
0.7× median
6312185
CDM 		Fix Extrnl Lw/up/pelvic Lvl 33 13 $32,820.79 $170,823.00 $113,882.00 nat. median
$109,441
1.0× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 24 $103,357.95 $361,109.62 $113,693.74 nat. median
$93,094
1.2× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 24 $101,995.10 $356,289.89 $112,194.61 nat. median
$97,029
1.2× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $106,347.03 $106,347.03 $106,347.03 nat. median
$177,531
0.6× median
6310122
CDM 		Fix Extrnl Lw/up/pelvic Lvl 32 13 $30,296.16 $157,683.00 $105,122.00 nat. median
$105,122
1.0× median
8101875
CDM 		Acq/store Heart Cadaver 15 $29,887.06 $207,405.00 $105,050.63 nat. median
$105,051
1.0× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $104,986.63 $104,986.63 $104,986.63 nat. median
$165,169
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $103,981.13 $103,981.13 $103,981.13 nat. median
$138,094
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 24 $93,498.41 $467,805.85 $102,848.25 nat. median
$93,531
1.1× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 24 $91,884.48 $320,533.44 $101,072.93 nat. median
$90,525
1.1× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $100,195.70 $100,195.70 $100,195.70 nat. median
$154,211
0.6× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $99,308.48 $286,771.00 $99,308.48 nat. median
$137,215
0.7× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $98,894.45 $98,894.45 $98,894.45 nat. median
$152,569
0.6× median
6310114
CDM 		Fix Extrnl Lw/up/pelvic Lvl 31 13 $27,771.53 $144,543.00 $96,362.00 nat. median
$96,169
1.0× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $94,813.28 $94,813.28 $94,813.28 nat. median
$148,245
0.6× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $94,162.66 $94,162.66 $94,162.66 nat. median
$121,888
0.8× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 $84,720.99 $295,199.54 $93,193.09 nat. median
$77,933
1.2× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $92,624.83 $92,624.83 $92,624.83 nat. median
$107,562
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $92,210.80 $92,210.80 $92,210.80 nat. median
$122,016
0.8× median

Other procedures at this hospital

Browse this hospital's 8,519 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
             
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 232 17 $109,504.00 $31,318.14 71% off $9,368.82 $164,253.00 $54,752.00 2026-09-25
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 26 12 $3,141,500.00 $1,033,647.74 67% off $4.90 $2,356,125.00 $1,335,137.50 2026-09-25
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 168 16 $78,840.00 $22,548.24 71% off $11,405.52 $91,983.00 $37,282.56 2026-09-25
C1827 HCPCS Imp Gen Nrstm W Ld&cntrl Ep Lvl 01 222 16 $87,604.00 $25,054.74 71% off $5,703.50 $131,403.00 $40,778.86 2026-09-25
C1825 HCPCS Imp Dev Sys Barostim 33 16 $152,211.00 $43,532.35 71% off $28,311.25 $114,158.25 $68,494.95 2026-09-25
C1824 HCPCS Imp Gen Ccm Optimizer Smart 63 16 $176,923.00 $50,599.98 71% off $12,302.78 $132,692.25 $47,061.52 2026-09-25
C1767 HCPCS Imp Generator Neurostim Lvl 01 222 16 $87,604.00 $25,054.74 71% off $5,295.42 $131,403.00 $40,778.86 2026-09-25
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 53 28 $127,245.00 $51,788.72 59% off $41,609.11 $267,382.59 $59,665.78 2026-09-25
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 43 24 — $75,209.83 $44,717.71 $153,726.83 $49,189.48 2026-09-25
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $46,511.68 $46,511.68 $46,511.68 2026-09-25
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 43 24 — $57,854.94 $34,711.79 $118,340.63 $38,182.97 2026-09-25
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 43 24 — $109,331.03 $57,961.65 $200,564.39 $63,757.82 2026-09-25
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 43 24 — $64,345.12 $40,290.07 $149,968.37 $44,319.08 2026-09-25
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $42,583.98 $42,583.98 $42,583.98 2026-09-25
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 24 — $115,057.67 $71,845.79 $249,666.02 $79,030.37 2026-09-25
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 43 24 — $61,688.60 $36,112.63 $149,511.74 $39,723.89 2026-09-25
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 43 24 — $96,875.60 $63,611.29 $241,314.91 $69,972.42 2026-09-25
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $104,986.63 $104,986.63 $104,986.63 2026-09-25
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 24 — $57,632.23 $33,855.73 $115,313.14 $37,241.30 2026-09-25
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 43 24 — $51,142.05 $34,866.49 $118,887.80 $38,353.14 2026-09-25
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 43 24 — — $37,328.16 $125,054.18 $41,060.98 2026-09-25
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $46,489.86 $46,489.86 $46,489.86 2026-09-25
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 43 24 — $110,078.68 $67,702.60 $235,013.52 $74,472.86 2026-09-25
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 43 24 — $419,301.14 $199,056.20 $613,034.03 $218,961.82 2026-09-25
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $38,918.99 $38,918.99 $38,918.99 2026-09-25
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $41,462.33 $41,462.33 $41,462.33 2026-09-25
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,231.24 $42,231.24 $42,231.24 2026-09-25
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 43 24 — $59,175.24 $36,819.53 $125,794.66 $40,501.48 2026-09-25
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 43 24 — $51,794.25 $35,279.73 $120,349.12 $38,807.70 2026-09-25
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 43 24 — $68,846.90 $40,129.81 $137,501.60 $44,142.79 2026-09-25
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 42 23 — $59,366.13 $37,056.69 $126,633.45 $41,132.93 2026-09-25
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 43 24 — $110,794.51 $65,285.43 $235,460.34 $71,813.97 2026-09-25
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $60,803.53 $60,803.53 $60,803.53 2026-09-25
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 43 24 — $70,437.63 $43,391.93 $149,038.16 $47,731.12 2026-09-25
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $59,026.90 $59,026.90 $59,026.90 2026-09-25
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 24 — $79,520.71 $47,004.26 $173,022.44 $51,704.69 2026-09-25
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $37,676.89 $37,676.89 $37,676.89 2026-09-25
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 43 24 — — $81,477.41 $283,728.52 $89,625.15 2026-09-25
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $60,448.64 $60,448.64 $60,448.64 2026-09-25
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $121,547.91 $121,547.91 $121,547.91 2026-09-25
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $48,323.43 $48,323.43 $48,323.43 2026-09-25
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $52,404.60 $52,404.60 $52,404.60 2026-09-25
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 43 24 — $77,055.08 $45,759.99 $157,412.89 $50,335.99 2026-09-25
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $46,357.98 $46,357.98 $46,357.98 2026-09-25
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 43 24 — $89,065.10 $52,111.90 $179,876.57 $57,323.09 2026-09-25
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 43 24 — $73,619.09 $44,588.00 $162,335.27 $49,046.80 2026-09-25
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 24 — $71,614.77 $43,726.39 $150,220.97 $48,099.03 2026-09-25
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 24 — $96,191.59 $55,585.25 $192,160.17 $61,143.78 2026-09-25
813 OTHER Coagulation Disorders 1 1 — — $126,422.92 $126,422.92 $126,422.92 2026-09-25
8101875 CDM Acq/store Heart Cadaver 24 15 $207,405.00 $68,242.47 67% off $29,887.06 $207,405.00 $105,050.63 2026-09-25
8101867 CDM Acq/store Panc Cadaver 24 15 $137,163.00 $45,130.74 67% off $19,765.19 $137,163.00 $69,473.06 2026-09-25
8101859 CDM Acq/store Liver Cadaver 24 15 $150,286.00 $49,448.60 67% off $21,656.21 $150,286.00 $76,119.86 2026-09-25
8101842 CDM Acq/store Kidney Cadaver 24 15 $118,654.00 $39,040.73 67% off $17,098.04 $118,654.00 $60,098.25 2026-09-25
8100042 CDM Acq/store Liver Living 24 15 $158,394.00 $52,116.38 67% off $22,824.58 $158,394.00 $80,226.56 2026-09-25
8100034 CDM Acq/store Kidney Living 24 15 $118,654.00 $39,040.73 67% off $17,098.04 $118,654.00 $60,098.25 2026-09-25
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 43 24 — $54,578.03 $38,161.06 $130,539.04 $41,977.17 2026-09-25
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 41 22 — $83,704.34 $53,174.56 $285,917.29 $58,492.02 2026-09-25
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 43 24 — $78,820.79 $43,208.48 $148,389.41 $47,529.33 2026-09-25
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $41,075.65 $41,075.65 $41,075.65 2026-09-25
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 40 24 — $66,953.92 $22,405.67 $136,616.94 $39,879.67 2026-09-25
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 40 24 — $65,188.21 $38,854.99 $132,993.14 $41,769.11 2026-09-25
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 24 — $95,443.94 $56,314.38 $213,895.73 $60,537.96 2026-09-25
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $116,224.64 $116,224.64 $116,224.64 2026-09-25
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 43 24 — $57,520.88 $34,443.13 $115,539.22 $37,887.44 2026-09-25
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 43 24 — $61,831.77 $34,366.23 $121,331.52 $37,802.85 2026-09-25
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $59,798.02 $59,798.02 $59,798.02 2026-09-25
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $49,683.82 $49,683.82 $49,683.82 2026-09-25
7 MS_DRG Ms-DRG 42.00: Lung Transplant 39 22 — $195,119.23 $121,229.62 $424,313.30 $133,352.58 2026-09-25
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,322.01 $37,322.01 $37,322.01 2026-09-25
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $40,930.00 $40,930.00 $40,930.00 2026-09-25
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,150.07 $38,150.07 $38,150.07 2026-09-25
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,177.60 $43,177.60 $43,177.60 2026-09-25
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 43 24 — $58,825.28 $40,176.12 $137,665.42 $44,193.73 2026-09-25
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 43 24 — $86,122.25 $49,392.70 $170,260.05 $54,331.97 2026-09-25
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 47 23 — $47,785.60 $31,169.87 $415,564.00 $47,066.50 2026-09-25
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,096.43 $39,096.43 $39,096.43 2026-09-25
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 47 23 — $55,007.52 $35,582.68 $415,564.00 $53,729.85 2026-09-25
650 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $128,614.53 $128,614.53 $128,614.53 2026-09-25
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 47 23 — $71,551.14 $44,806.64 $415,564.00 $67,658.03 2026-09-25
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 46 23 — — $591.42 $77,552.01 $47,001.22 2026-09-25
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 7 5 — — $82,096.59 $200,895.00 $82,096.59 2026-09-25
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,214.73 $39,214.73 $39,214.73 2026-09-25
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $103,981.13 $103,981.13 $103,981.13 2026-09-25
6313571 CDM Fix Extrnl Lw/up/pelvic Lvl 42 23 13 $385,444.00 $82,870.46 78% off $55,542.48 $289,083.00 $192,722.00 2026-09-25
6313563 CDM Fix Extrnl Lw/up/pelvic Lvl 41 23 13 $367,924.00 $79,103.66 78% off $53,017.85 $275,943.00 $183,962.00 2026-09-25
6313555 CDM Fix Extrnl Lw/up/pelvic Lvl 40 23 13 $350,404.00 $75,336.86 78% off $50,493.22 $262,803.00 $175,202.00 2026-09-25
6313548 CDM Fix Extrnl Lw/up/pelvic Lvl 39 23 13 $332,884.00 $71,570.06 78% off $47,968.58 $249,663.00 $166,442.00 2026-09-25
6313530 CDM Fix Extrnl Lw/up/pelvic Lvl 38 23 13 $315,364.00 $67,803.26 78% off $45,443.95 $236,523.00 $157,682.00 2026-09-25
6313522 CDM Fix Extrnl Lw/up/pelvic Lvl 37 23 13 $297,844.00 $64,036.46 78% off $42,919.32 $223,383.00 $148,922.00 2026-09-25
6312219 CDM Fix Extrnl Lw/up/pelvic Lvl 36 23 13 $280,324.00 $60,269.66 78% off $40,394.69 $210,243.00 $140,162.00 2026-09-25
6312201 CDM Fix Extrnl Lw/up/pelvic Lvl 35 23 13 $262,804.00 $56,502.86 78% off $37,870.06 $197,103.00 $131,402.00 2026-09-25
6312193 CDM Fix Extrnl Lw/up/pelvic Lvl 34 23 13 $245,284.00 $52,736.06 78% off $35,345.42 $183,963.00 $122,642.00 2026-09-25
6312185 CDM Fix Extrnl Lw/up/pelvic Lvl 33 23 13 $227,764.00 $48,969.26 78% off $32,820.79 $170,823.00 $113,882.00 2026-09-25
6310189 CDM Occluder Lvl 11 23 13 $83,224.00 $17,893.16 78% off $11,992.58 $62,418.00 $41,612.00 2026-09-25
6310171 CDM Occluder Lvl 10 23 13 $74,464.00 $16,009.76 78% off $10,730.26 $55,848.00 $37,232.00 2026-09-25
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 23 13 $210,244.00 $45,202.46 78% off $30,296.16 $157,683.00 $105,122.00 2026-09-25
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 23 13 $192,724.00 $41,435.66 78% off $27,771.53 $144,543.00 $96,362.00 2026-09-25
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 23 13 $175,204.00 $37,668.86 78% off $25,246.90 $131,403.00 $87,602.00 2026-09-25
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 23 13 $157,684.00 $33,902.06 78% off $22,722.26 $118,263.00 $78,842.00 2026-09-25
6307326 CDM Supply Perfusion/ecmo Lvl 23 23 13 $96,364.00 $20,718.26 78% off $13,886.05 $72,273.00 $48,182.00 2026-09-25
6307318 CDM Supply Perfusion/ecmo Lvl 22 23 13 $83,224.00 $17,893.16 78% off $11,992.58 $62,418.00 $41,612.00 2026-09-25
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $100,195.70 $100,195.70 $100,195.70 2026-09-25
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,038.70 $50,038.70 $50,038.70 2026-09-25
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 7 5 — — $49,388.08 $200,895.00 $49,388.08 2026-09-25
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 43 24 — $63,867.90 $35,777.23 $122,108.60 $39,354.95 2026-09-25
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $43,532.49 $43,532.49 $43,532.49 2026-09-25
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 43 24 — $60,861.42 $34,224.48 $116,617.19 $37,646.93 2026-09-25
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $39,865.35 $39,865.35 $39,865.35 2026-09-25
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 7 5 — — $44,242.26 $200,895.00 $44,242.26 2026-09-25
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 43 24 — $62,961.19 $33,559.25 $114,264.66 $36,915.18 2026-09-25
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $42,408.69 $42,408.69 $42,408.69 2026-09-25
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,172.10 $42,172.10 $42,172.10 2026-09-25
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $51,399.09 $51,399.09 $51,399.09 2026-09-25
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 7 5 — — $44,242.26 $200,895.00 $44,242.26 2026-09-25
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $116,638.67 $116,638.67 $116,638.67 2026-09-25
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $46,667.30 $46,667.30 $46,667.30 2026-09-25
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $56,485.77 $56,485.77 $56,485.77 2026-09-25
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $63,760.90 $63,760.90 $63,760.90 2026-09-25
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $40,930.00 $40,930.00 $40,930.00 2026-09-25
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $92,624.83 $92,624.83 $92,624.83 2026-09-25
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $44,656.29 $44,656.29 $44,656.29 2026-09-25
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $76,536.74 $76,536.74 $76,536.74 2026-09-25
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,168.01 $52,168.01 $52,168.01 2026-09-25
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $46,726.45 $46,726.45 $46,726.45 2026-09-25
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 46 22 — $76,943.72 $44,209.99 $415,564.00 $66,536.04 2026-09-25
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $98,894.45 $98,894.45 $98,894.45 2026-09-25
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $68,492.69 $68,492.69 $68,492.69 2026-09-25
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $59,324.84 $59,324.84 $59,324.84 2026-09-25
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $119,063.72 $119,063.72 $119,063.72 2026-09-25
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $70,799.44 $70,799.44 $70,799.44 2026-09-25
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,056.63 $64,056.63 $64,056.63 2026-09-25
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,134.97 $46,134.97 $46,134.97 2026-09-25
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $64,529.81 $64,529.81 $64,529.81 2026-09-25
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $70,976.88 $70,976.88 $70,976.88 2026-09-25
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $73,579.37 $73,579.37 $73,579.37 2026-09-25
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $174,425.68 $174,425.68 $174,425.68 2026-09-25
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $106,347.03 $106,347.03 $106,347.03 2026-09-25
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,339.94 $51,339.94 $51,339.94 2026-09-25
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,339.94 $51,339.94 $51,339.94 2026-09-25
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $220,205.77 $220,205.77 $220,205.77 2026-09-25
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $176,909.87 $176,909.87 $176,909.87 2026-09-25
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $120,010.07 $120,010.07 $120,010.07 2026-09-25
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $94,813.28 $94,813.28 $94,813.28 2026-09-25
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 24 — $90,401.32 $46,657.75 $160,587.82 $51,323.53 2026-09-25
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 24 — $54,180.34 $33,411.03 $113,740.42 $36,752.13 2026-09-25
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 24 — $98,911.74 $61,946.41 $214,656.62 $68,141.05 2026-09-25
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $60,507.79 $60,507.79 $60,507.79 2026-09-25
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $42,526.98 $42,526.98 $42,526.98 2026-09-25
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $46,647.40 $46,647.40 $46,647.40 2026-09-25
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 43 24 — $58,093.55 $35,874.52 $122,452.63 $39,461.97 2026-09-25
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 47 23 — $164,640.80 $96,773.50 $415,564.00 $146,127.98 2026-09-25
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 43 24 — $56,964.13 $34,840.57 $118,796.06 $38,324.63 2026-09-25
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 43 24 — $55,071.15 $35,265.82 $120,299.97 $38,792.40 2026-09-25
481 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Cc 1 1 — — $38,288.38 $38,288.38 $38,288.38 2026-09-25
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 24 — $53,591.77 $33,255.39 $113,189.97 $36,580.93 2026-09-25
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 43 24 — $68,449.21 $41,022.01 $140,656.87 $45,124.21 2026-09-25
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 43 24 — $78,248.12 $45,986.04 $158,212.36 $50,584.64 2026-09-25
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 43 24 — $55,452.93 $33,922.43 $115,549.05 $37,314.67 2026-09-25
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 43 24 — $82,511.29 $49,476.08 $170,554.93 $54,423.69 2026-09-25
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 43 24 — $90,099.08 $54,053.79 $186,744.12 $59,459.17 2026-09-25
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 43 24 — $108,472.04 $52,418.57 $187,933.39 $57,660.43 2026-09-25
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 24 — $72,076.08 $39,907.46 $163,884.53 $43,898.21 2026-09-25
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 24 — $96,636.99 $56,495.97 $195,380.97 $62,145.57 2026-09-25
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 24 — $134,082.83 $79,104.72 $275,337.40 $87,015.19 2026-09-25
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 43 24 — — $50,626.76 $174,624.34 $55,689.44 2026-09-25
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 43 24 — — $40,539.31 $138,949.81 $44,593.24 2026-09-25
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $44,127.25 $44,127.25 $44,127.25 2026-09-25
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 43 24 — — $63,152.67 $218,922.62 $69,467.94 2026-09-25
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 7 5 — — $49,210.64 $200,895.00 $49,210.64 2026-09-25
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $92,210.80 $92,210.80 $92,210.80 2026-09-25
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 24 — — $54,680.09 $218,162.99 $60,148.10 2026-09-25
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,051.13 $63,051.13 $63,051.13 2026-09-25
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 24 — — $84,720.99 $295,199.54 $93,193.09 2026-09-25
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 24 — — $53,335.77 $218,162.99 $58,669.35 2026-09-25
427 OTHER Appendix Procedures With Cc 1 1 — — $80,042.65 $80,042.65 $80,042.65 2026-09-25
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 24 — — $68,127.84 $251,784.65 $74,940.62 2026-09-25
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 24 — — $103,357.95 $361,109.62 $113,693.74 2026-09-25
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 24 — $62,213.54 $39,725.88 $136,073.05 $43,698.47 2026-09-25
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,183.11 $44,183.11 $44,183.11 2026-09-25
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 24 — $56,073.32 $34,255.97 $116,728.59 $37,681.57 2026-09-25
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,203.71 $37,203.71 $37,203.71 2026-09-25
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 43 24 — $59,207.06 $34,283.76 $133,573.39 $37,712.14 2026-09-25
406 OTHER Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $37,097.21 $37,097.21 $37,097.21 2026-09-25
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 43 24 — $87,569.82 $51,932.16 $179,240.93 $57,125.38 2026-09-25
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 43 24 — — $38,498.29 $186,998.40 $42,348.12 2026-09-25
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 43 24 — $61,259.10 $37,022.43 $126,512.22 $40,724.67 2026-09-25
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 42 23 — $233,837.66 $129,579.00 $453,841.12 $143,832.69 2026-09-25
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 43 24 — $68,067.44 $41,947.55 $143,930.09 $46,142.31 2026-09-25
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 43 24 — $62,054.47 $37,110.44 $126,823.49 $40,821.48 2026-09-25
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 43 24 — $56,868.68 $34,332.87 $117,000.54 $37,766.16 2026-09-25
33276 CPT Ins Sys Stm Nrv Phrenic Incl IM Gd 54 28 $54,466.00 $19,498.83 64% off $552.57 $77,552.01 $43,925.36 2026-09-25
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 43 24 — $58,125.36 $34,794.25 $118,632.24 $38,273.68 2026-09-25
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 43 24 — $71,853.38 $43,834.77 $150,604.32 $48,218.25 2026-09-25
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $52,240.26 $52,240.26 $52,240.26 2026-09-25
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 43 24 — $80,793.30 $47,456.34 $163,412.16 $52,201.97 2026-09-25
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $45,527.57 $45,527.57 $45,527.57 2026-09-25
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 43 24 — $65,856.32 $41,341.64 $141,787.26 $45,475.80 2026-09-25
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 43 24 — $69,387.75 $42,597.01 $195,348.10 $46,856.71 2026-09-25
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $72,167.95 $72,167.95 $72,167.95 2026-09-25
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 24 — — $63,198.10 $219,083.17 $69,517.91 2026-09-25
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $39,747.05 $39,747.05 $39,747.05 2026-09-25
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 43 24 — $65,490.45 $42,760.07 $154,860.77 $47,036.08 2026-09-25
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,101.94 $40,101.94 $40,101.94 2026-09-25
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,012.59 $56,012.59 $56,012.59 2026-09-25
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,059.31 $43,059.31 $43,059.31 2026-09-25
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 42 23 — $339,144.14 $197,895.34 $695,443.68 $219,663.83 2026-09-25
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 43 24 — $95,857.53 $56,914.73 $196,861.95 $62,606.20 2026-09-25
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 23 13 $142,354.00 $30,606.11 78% off $20,513.21 $106,765.50 $71,177.00 2026-09-25
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 23 13 $131,404.00 $28,251.86 78% off $18,935.32 $98,553.00 $65,702.00 2026-09-25
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 23 13 $116,512.00 $25,050.08 78% off $16,789.38 $87,384.00 $58,256.00 2026-09-25
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 23 13 $105,124.00 $22,601.66 78% off $15,148.37 $78,843.00 $52,562.00 2026-09-25
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 23 13 $96,364.00 $20,718.26 78% off $13,886.05 $72,273.00 $48,182.00 2026-09-25
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 23 13 $87,604.00 $18,834.86 78% off $12,623.74 $65,703.00 $43,802.00 2026-09-25
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 23 13 $78,844.00 $16,951.46 78% off $11,361.42 $59,133.00 $39,422.00 2026-09-25
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 43 24 — $50,919.34 $34,661.76 $118,163.70 $38,127.94 2026-09-25
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 43 24 — $70,946.66 $52,818.80 $182,376.54 $58,100.68 2026-09-25
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 43 24 — $76,068.82 $44,038.62 $172,707.16 $48,442.48 2026-09-25
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 43 24 — $98,784.48 $56,898.99 $200,137.21 $62,588.89 2026-09-25
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 24 — $111,923.93 $67,310.68 $331,443.79 $74,041.75 2026-09-25
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $43,709.51 $43,709.51 $43,709.51 2026-09-25
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 43 24 — $61,990.84 $39,471.09 $135,172.01 $43,418.20 2026-09-25
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 43 24 — $54,975.71 $34,197.59 $116,522.17 $37,617.35 2026-09-25
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 43 24 — $80,443.34 $50,132.94 $172,877.97 $55,146.23 2026-09-25
270 OTHER Allergic Reactions Age 0-17 1 1 — — $52,524.90 $52,524.90 $52,524.90 2026-09-25
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 43 24 — $66,158.56 $40,376.24 $138,373.15 $44,413.86 2026-09-25
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 43 24 — $109,044.70 $64,971.34 $225,354.39 $71,468.47 2026-09-25
268 OTHER Septicemia Or Severe Sepsis Age 0-17 1 1 — — $66,167.32 $66,167.32 $66,167.32 2026-09-25
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 43 24 — $77,627.74 $45,356.98 $266,755.39 $49,892.68 2026-09-25
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 43 24 — $99,357.14 $58,027.43 $289,755.11 $63,830.17 2026-09-25
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 43 24 — $56,216.48 $34,771.09 $120,646.58 $38,248.20 2026-09-25
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $39,747.05 $39,747.05 $39,747.05 2026-09-25
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 43 24 — $53,353.16 $33,567.59 $114,294.15 $36,924.35 2026-09-25
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 43 24 — $70,246.74 $43,373.40 $214,928.57 $47,710.74 2026-09-25
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 43 24 — $72,076.08 $43,518.86 $149,487.04 $47,870.75 2026-09-25
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 6 5 — — $153,250.91 $272,449.00 $153,250.91 2026-09-25
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 43 24 — $60,272.85 $37,492.13 $160,715.34 $41,241.34 2026-09-25
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 43 24 — $76,466.50 $46,847.68 $161,259.50 $51,532.45 2026-09-25
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $45,439.46 $45,439.46 $45,439.46 2026-09-25
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 43 24 — $64,281.49 $40,057.55 $147,424.32 $44,063.31 2026-09-25
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $65,188.30 $65,188.30 $65,188.30 2026-09-25
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 43 24 — $93,550.97 $55,620.46 $203,040.04 $61,182.51 2026-09-25
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 43 24 — $82,686.27 $51,859.90 $197,571.42 $57,045.89 2026-09-25
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 43 24 — $124,077.12 $72,080.20 $251,366.08 $79,288.22 2026-09-25
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,037.28 $39,037.28 $39,037.28 2026-09-25
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 43 24 — $94,632.67 $57,417.80 $224,191.51 $63,159.58 2026-09-25
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 43 24 — $129,087.93 $79,350.22 $276,205.67 $87,285.24 2026-09-25
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 6 5 — — $80,558.76 $272,449.00 $80,558.76 2026-09-25
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 43 24 — $90,178.62 $54,339.14 $193,940.17 $59,773.05 2026-09-25
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 43 24 — $80,157.00 $47,085.79 $237,868.49 $51,794.37 2026-09-25
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 24 — $73,953.15 $47,945.55 $192,988.87 $52,740.11 2026-09-25
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $46,462.82 $46,462.82 $46,462.82 2026-09-25
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 24 — $83,433.91 $50,656.40 $203,507.53 $55,722.04 2026-09-25
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 6 5 — — $67,546.33 $272,449.00 $67,546.33 2026-09-25
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 24 — $122,661.37 $72,386.85 $265,124.59 $79,625.54 2026-09-25
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $75,376.80 $75,376.80 $75,376.80 2026-09-25
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 24 — $90,624.02 $62,167.83 $226,257.19 $68,384.61 2026-09-25
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 24 — $101,250.11 $62,167.83 $250,061.44 $68,384.61 2026-09-25
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 24 — $154,380.57 $91,884.48 $320,533.44 $101,072.93 2026-09-25
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 43 24 — $162,493.31 $93,498.41 $467,805.85 $102,848.25 2026-09-25
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $37,795.19 $37,795.19 $37,795.19 2026-09-25
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 43 24 — $171,337.78 $101,995.10 $356,289.89 $112,194.61 2026-09-25
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 43 24 — $97,686.87 $50,295.09 $296,783.86 $55,324.60 2026-09-25
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 6 5 — — $52,227.15 $272,449.00 $52,227.15 2026-09-25
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 43 24 — $109,887.79 $60,865.20 $210,832.95 $66,951.72 2026-09-25
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 43 24 — $134,448.70 $74,151.78 $341,304.70 $81,566.96 2026-09-25
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 23 — $194,769.27 $106,235.56 $493,969.32 $139,168.58 2026-09-25
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 22 — $127,163.14 $67,349.62 $339,065.06 $74,084.58 2026-09-25
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,225.74 $41,225.74 $41,225.74 2026-09-25
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 17 — $586,073.52 $199,630.31 $1,414,884.44 $401,326.75 2026-09-25
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $36,671.39 $36,671.39 $36,671.39 2026-09-25
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $46,785.59 $46,785.59 $46,785.59 2026-09-25
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 37 20 — $98,259.54 $51,578.24 $379,600.00 $57,767.63 2026-09-25
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $44,833.73 $44,833.73 $44,833.73 2026-09-25
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $36,848.83 $36,848.83 $36,848.83 2026-09-25
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 43 24 — $64,551.92 $35,878.20 $122,465.74 $39,466.02 2026-09-25
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $42,763.57 $42,763.57 $42,763.57 2026-09-25
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $46,312.41 $46,312.41 $46,312.41 2026-09-25
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 43 24 — $74,987.12 $42,772.12 $146,846.18 $47,049.33 2026-09-25
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $55,657.70 $55,657.70 $55,657.70 2026-09-25
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $135,033.51 $135,033.51 $135,033.51 2026-09-25
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $94,162.66 $94,162.66 $94,162.66 2026-09-25
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $65,949.35 $65,949.35 $65,949.35 2026-09-25
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $65,949.35 $65,949.35 $65,949.35 2026-09-25
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $63,820.04 $63,820.04 $63,820.04 2026-09-25
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 37 20 — $98,259.54 $56,186.52 $379,600.00 $62,928.90 2026-09-25
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 24 — $52,907.76 $35,960.68 $122,757.35 $39,556.75 2026-09-25
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 43 24 — $60,097.87 $40,766.31 $139,752.55 $44,842.94 2026-09-25
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 37 20 — $182,313.83 $112,592.11 $393,766.49 $126,103.16 2026-09-25
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 6 5 — — $99,308.48 $286,771.00 $99,308.48 2026-09-25
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 6 5 — — $46,785.59 $286,771.00 $46,785.59 2026-09-25
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 42 23 — $63,708.83 $40,309.55 $138,137.24 $44,743.60 2026-09-25
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 6 5 — — $39,510.46 $286,771.00 $39,510.46 2026-09-25
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 42 23 — $82,018.16 $51,780.22 $178,703.59 $57,476.04 2026-09-25
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 6 5 — — $39,510.46 $286,771.00 $39,510.46 2026-09-25
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 43 23 — — $66,033.55 $220,364.57 $74,503.43 2026-09-25
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 44 23 — $431,072.56 $247,408.00 $918,203.08 $286,971.85 2026-09-25
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $41,629.60 $41,629.60 $41,629.60 2026-09-25
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $39,452.61 $39,452.61 $39,452.61 2026-09-25
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $66,298.94 $66,298.94 $66,298.94 2026-09-25
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $59,711.43 $59,711.43 $59,711.43 2026-09-25
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