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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

TUCSON MEDICAL CENTER

Tucson, AZ · CCN 030006 · Rates published

18,911 distinct procedures filed
12 distinct payers
265,172 rate rows
2026-04-30 last MRF observed
Data quality

222,266 of 265,172 rate rows are consumer-grade (83.8%)

42,906 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 42,400
exceeds 10× this hospital's gross charge — excluded from medians 174
placeholder amount (≤ $0.02) — excluded from medians 153
template filing: same amount across many unrelated codes — excluded 117
per-diem day rate — not a per-procedure price 51
percent-of-charges filed in the dollar field — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8289/860137567_tucson-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TucsonMedicalCenter/8289
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-05-15
Content fingerprint b2fa0a14152444f1… · 510,613,074 bytes · first seen 2026-05-06

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,820,350.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $0.03 $4,725,056.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $4,269,849.60 $3,394,196.85 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $2,636,800.00 $4,982,064.57 $3,346,286.70 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $2,628,800.00 $4,868,072.08 $3,269,721.75 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $4,770,000.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,374,400.00 $4,407,480.00 $2,960,357.40 nat. median
$3,006,423
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 8 $2,664,228.59 $3,996,342.89 $2,717,513.16 nat. median
$10,376
outlier · 261.9×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $1,316,994.07 $3,880,630.89 $2,587,087.26 nat. median
$2,469,189
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $2,374,400.00 $2,374,400.00 $2,374,400.00 nat. median
$3,710,000
0.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $1,492,480.00 $3,498,000.00 $2,349,490.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,155,930.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $408,858.00 $1,184,365.00 $623,393.52 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $405,756.74 $1,184,365.00 $597,322.23 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $0.03 $843,391.25 $562,260.84 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $0.03 $839,671.62 $559,781.08 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $359,552.00 $1,184,365.00 $539,826.85 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $1,413.84 $733,935.90 $489,290.60 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $114,328.38 $616,938.87 $356,263.12 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $417,375.00 $283,815.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $262,233.77 $393,350.66 $267,478.45 nat. median
$265,000
1.0× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $239,668.62 $239,668.62 $239,668.62 nat. median
$16,785
outlier · 14.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $226,873.22 $460,802.30 $234,813.78 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $227,217.12 $227,217.12 $227,217.12 nat. median
$309,665
0.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $202,713.58 $304,070.38 $206,767.86 nat. median
$209,753
1.0× median
5833
APR_DRG 		Neonate With Ecmo 3 $182,534.52 $182,534.52 $182,534.52 nat. median
$244,017
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $179,983.39 $179,983.39 $179,983.39 nat. median
$246,434
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 9 $172,987.15 $329,014.32 $179,041.70 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 9 $171,975.39 $350,598.07 $177,994.53 nat. median
$202,986
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 3 $158,105.93 $158,105.93 $158,105.93 nat. median
$234,738
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $139,350.25 $139,350.25 $139,350.25 nat. median
$207,730
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $125,447.20 $125,447.20 $125,447.20 nat. median
$160,267
0.8× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 8 $121,900.00 $182,850.00 $124,338.00 nat. median
$121,900
1.0× median
5832
APR_DRG 		Neonate With Ecmo 3 $123,852.44 $123,852.44 $123,852.44 nat. median
$156,126
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $122,883.26 $122,883.26 $122,883.26 nat. median
$164,279
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $120,376.07 $120,376.07 $120,376.07 nat. median
$162,982
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $119,912.23 $119,912.23 $119,912.23 nat. median
$187,294
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $112,433.78 $231,152.08 $116,368.96 nat. median
$133,176
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 11 $68,407.23 $273,145.48 $110,137.61 nat. median
$111,989
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $109,710.76 $109,710.76 $109,710.76 nat. median
$182,736
0.6× median
7
MS_DRG 		Lung Transplant 9 $105,156.83 $213,790.84 $108,837.32 nat. median
$122,708
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 3 $108,350.36 $108,350.36 $108,350.36 nat. median
$164,834
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $107,322.59 $107,322.59 $107,322.59 nat. median
$122,924
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $103,363.46 $103,363.46 $103,363.46 nat. median
$150,721
0.7× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $102,463.24 $102,463.24 $102,463.24 nat. median
$129,535
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $102,018.93 $102,018.93 $102,018.93 nat. median
$151,838
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $97,628.73 $214,330.72 $101,045.74 nat. median
$117,303
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $96,092.85 $100,345.32 $98,219.09 nat. median
$76,377
1.3× median
5831
APR_DRG 		Neonate With Ecmo 3 $97,858.39 $97,858.39 $97,858.39 nat. median
$145,122
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $97,152.25 $97,152.25 $97,152.25 nat. median
$119,796
0.8× median

Other procedures at this hospital

Browse this hospital's 18,911 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 7 — — $4,505,000.00 $4,820,350.00 $4,572,575.00 2026-04-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 9 — — $0.03 $4,725,056.00 $3,691,450.00 2026-04-30
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 7 — — $3,335,820.00 $4,269,849.60 $3,394,196.85 2026-04-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 10 — — $2,636,800.00 $4,982,064.57 $3,346,286.70 2026-04-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 10 — — $2,628,800.00 $4,868,072.08 $3,269,721.75 2026-04-30
J3387 HCPCS Inj Elivaldogene Autotemecel 9 8 — — $3,180,000.00 $4,770,000.00 $3,243,600.00 2026-04-30
J3393 HCPCS Inj, Betibeglogene Autotemce 12 10 — — $2,374,400.00 $4,407,480.00 $2,960,357.40 2026-04-30
C9309 HCPCS Inj Onase Abepar-brve Treat 9 8 — — $2,664,228.59 $3,996,342.89 $2,717,513.16 2026-04-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 10 — — $1,316,994.07 $3,880,630.89 $2,587,087.26 2026-04-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $2,374,400.00 $2,374,400.00 $2,374,400.00 2026-04-30
J3392 HCPCS Inj, Exagamglogene Autotem 12 10 — — $1,492,480.00 $3,498,000.00 $2,349,490.00 2026-04-30
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $770,620.00 $1,155,930.00 $786,032.40 2026-04-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 10 — — $408,858.00 $1,184,365.00 $623,393.52 2026-04-30
Q2056 HCPCS Ciltacabtagene Car-pos T 13 10 — — $405,756.74 $1,184,365.00 $597,322.23 2026-04-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 10 — — $0.03 $843,391.25 $562,260.84 2026-04-30
Q2055 HCPCS Idecabtagene Vicleucel Car 13 10 — — $0.03 $839,671.62 $559,781.08 2026-04-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 10 — — $359,552.00 $1,184,365.00 $539,826.85 2026-04-30
Q2053 HCPCS Brexucabtagene Car Pos T 13 10 — — $1,413.84 $733,935.90 $489,290.60 2026-04-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $114,328.38 $616,938.87 $356,263.12 2026-04-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 8 — — $278,250.00 $417,375.00 $283,815.00 2026-04-30
J3403 HCPCS Revakinagene, Per Implant 9 8 — — $262,233.77 $393,350.66 $267,478.45 2026-04-30
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $239,668.62 $239,668.62 $239,668.62 2026-04-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 9 — — $226,873.22 $460,802.30 $234,813.78 2026-04-30
5834 APR_DRG Neonate With Ecmo 3 3 — — $227,217.12 $227,217.12 $227,217.12 2026-04-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 8 — — $202,713.58 $304,070.38 $206,767.86 2026-04-30
5833 APR_DRG Neonate With Ecmo 3 3 — — $182,534.52 $182,534.52 $182,534.52 2026-04-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $179,983.39 $179,983.39 $179,983.39 2026-04-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 9 — — $172,987.15 $329,014.32 $179,041.70 2026-04-30
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 9 — — $171,975.39 $350,598.07 $177,994.53 2026-04-30
24 APR_DRG Heart And/Or Lung Transplant 3 3 — — $158,105.93 $158,105.93 $158,105.93 2026-04-30
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $139,350.25 $139,350.25 $139,350.25 2026-04-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $125,447.20 $125,447.20 $125,447.20 2026-04-30
J3404 HCPCS Inj Zopapogene Per Ther Dose 9 8 — — $121,900.00 $182,850.00 $124,338.00 2026-04-30
5832 APR_DRG Neonate With Ecmo 3 3 — — $123,852.44 $123,852.44 $123,852.44 2026-04-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $122,883.26 $122,883.26 $122,883.26 2026-04-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $120,376.07 $120,376.07 $120,376.07 2026-04-30
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $119,912.23 $119,912.23 $119,912.23 2026-04-30
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 9 — — $112,433.78 $231,152.08 $116,368.96 2026-04-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 11 — — $68,407.23 $273,145.48 $110,137.61 2026-04-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $109,710.76 $109,710.76 $109,710.76 2026-04-30
7 MS_DRG Lung Transplant 12 9 — — $105,156.83 $213,790.84 $108,837.32 2026-04-30
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $108,350.36 $108,350.36 $108,350.36 2026-04-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $107,322.59 $107,322.59 $107,322.59 2026-04-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $103,363.46 $103,363.46 $103,363.46 2026-04-30
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $102,463.24 $102,463.24 $102,463.24 2026-04-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $102,018.93 $102,018.93 $102,018.93 2026-04-30
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $97,628.73 $214,330.72 $101,045.74 2026-04-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $96,092.85 $100,345.32 $98,219.09 2026-04-30
5831 APR_DRG Neonate With Ecmo 3 3 — — $97,858.39 $97,858.39 $97,858.39 2026-04-30
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $97,152.25 $97,152.25 $97,152.25 2026-04-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $10,119.40 $142,621.55 $96,744.95 2026-04-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $95,570.92 $95,570.92 $95,570.92 2026-04-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $92,088.64 $212,172.36 $95,311.74 2026-04-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $95,130.88 $95,130.88 $95,130.88 2026-04-30
209 MS_DRG Complex Aortic Arch Procedures 9 8 — — $91,983.68 $137,975.52 $93,823.35 2026-04-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $89,580.63 $171,478.98 $92,715.95 2026-04-30
E0194 HCPCS Air Fluidized Bed 2 2 — — $67,840.73 $117,034.44 $92,437.58 2026-04-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 9 — — $88,392.82 $178,211.12 $91,486.57 2026-04-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $83,841.91 $174,211.10 $86,776.38 2026-04-30
90288 CPT Hc Babybig Botulism Immune Globulin 3 2 $182,700.00 $51,156.00 72% off $32,668.80 $87,357.29 $85,869.00 2026-04-30
64 APR_DRG Pancreas Transplant 3 3 — — $84,684.06 $84,684.06 $84,684.06 2026-04-30
215 MS_DRG Other Heart Assist System Implant 12 9 — — $80,987.49 $200,934.49 $83,822.05 2026-04-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $79,580.85 $157,880.54 $83,559.89 2026-04-30
23 APR_DRG Heart And/Or Lung Transplant 3 3 — — $83,108.22 $83,108.22 $83,108.22 2026-04-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $78,947.07 $78,947.07 $78,947.07 2026-04-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 9 — — $73,337.46 $136,442.40 $75,904.27 2026-04-30
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $75,895.48 $75,895.48 $75,895.48 2026-04-30
J9183 HCPCS Gemcitabine Intravesical Sys 9 8 — — $73,088.26 $109,632.39 $74,550.03 2026-04-30
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $73,210.70 $73,210.70 $73,210.70 2026-04-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $73,030.04 $73,030.04 $73,030.04 2026-04-30
850 MS_DRG Acute Leukemia With Other Procedures 12 9 — — $70,510.49 $150,696.87 $72,978.35 2026-04-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 10 — — $68,656.52 $138,624.82 $72,089.35 2026-04-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $70,650.41 $70,650.41 $70,650.41 2026-04-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $68,801.71 $110,302.15 $70,177.74 2026-04-30
459 MS_DRG Inpatient Ms-DRG 1 1 — — $69,983.96 $69,983.96 $69,983.96 2026-04-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $60,668.00 $138,546.30 $69,811.39 2026-04-30
22 APR_DRG Heart And/Or Lung Transplant 3 3 — — $69,675.12 $69,675.12 $69,675.12 2026-04-30
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $68,044.96 $68,044.96 $68,044.96 2026-04-30
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $68,044.96 $68,044.96 $68,044.96 2026-04-30
K0606 HCPCS Aed Garment W Elec Analysis 2 2 — — $52,496.93 $81,570.07 $67,033.50 2026-04-30
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $66,555.18 $66,555.18 $66,555.18 2026-04-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 9 — — $64,125.77 $158,815.23 $66,370.18 2026-04-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $66,066.92 $66,066.92 $66,066.92 2026-04-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $65,858.81 $65,858.81 $65,858.81 2026-04-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $65,815.47 $65,815.47 $65,815.47 2026-04-30
38240 CPT Transplt Allo Hct/donor 16 12 — — $408.76 $98,685.63 $65,790.42 2026-04-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $62,587.55 $126,577.32 $65,716.93 2026-04-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 10 — — $62,320.27 $127,866.49 $65,436.28 2026-04-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 11 — — $49,440.00 $107,185.54 $65,407.24 2026-04-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $65,049.52 $65,049.52 $65,049.52 2026-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 9 — — $62,115.98 $122,106.13 $64,290.04 2026-04-30
8634 APR_DRG Neonatal Aftercare 3 3 — — $62,743.13 $62,743.13 $62,743.13 2026-04-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,436.14 $62,436.14 $62,436.14 2026-04-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $62,383.65 $62,383.65 $62,383.65 2026-04-30
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $61,720.85 $61,720.85 $61,720.85 2026-04-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $61,200.86 $61,200.86 $61,200.86 2026-04-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $58,875.58 $116,134.73 $60,936.22 2026-04-30
10 MS_DRG Pancreas Transplant 12 9 — — $58,529.18 $130,431.74 $60,577.70 2026-04-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 9 — — $58,504.95 $109,260.26 $60,552.62 2026-04-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $58,197.29 $145,637.05 $60,234.19 2026-04-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 9 — — $58,163.38 $142,363.52 $60,199.10 2026-04-30
C1604 HCPCS Detour System Procedure Charge 1 1 $125,000.00 $35,000.00 72% off $58,750.00 $58,750.00 $58,750.00 2026-04-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 9 — — $56,398.24 $113,808.34 $58,372.18 2026-04-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $58,301.24 $58,301.24 $58,301.24 2026-04-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $57,820.31 $57,820.31 $57,820.31 2026-04-30
A9543 HCPCS Y90 Ibritumomab, Rx 14 11 — — $52,381.27 $152,325.70 $57,818.98 2026-04-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $57,460.83 $57,460.83 $57,460.83 2026-04-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 11 — — $42,741.32 $160,086.39 $57,253.90 2026-04-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 10 — — $56,124.50 $109,075.39 $57,246.99 2026-04-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 9 — — $54,939.13 $111,704.44 $56,862.00 2026-04-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 9 — — $54,539.43 $109,680.71 $56,448.31 2026-04-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $53,681.09 $99,324.00 $56,365.14 2026-04-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $53,681.09 $107,407.73 $56,365.14 2026-04-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 9 — — $53,849.80 $101,202.96 $55,670.60 2026-04-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $42,941.15 $100,741.61 $54,557.86 2026-04-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 9 — — $52,545.75 $105,811.57 $54,384.85 2026-04-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $54,093.70 $54,093.70 $54,093.70 2026-04-30
21 APR_DRG Heart And/Or Lung Transplant 3 3 — — $53,862.39 $53,862.39 $53,862.39 2026-04-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $53,823.94 $53,823.94 $53,823.94 2026-04-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $53,045.18 $53,045.18 $53,045.18 2026-04-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $52,964.62 $52,964.62 $52,964.62 2026-04-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $52,964.62 $52,964.62 $52,964.62 2026-04-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 10 — — $50,072.48 $124,457.17 $52,576.10 2026-04-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 10 — — $49,541.15 $99,931.79 $52,018.21 2026-04-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 9 — — $50,015.17 $103,459.00 $51,765.70 2026-04-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $51,608.49 $51,608.49 $51,608.49 2026-04-30
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $51,259.39 $51,259.39 $51,259.39 2026-04-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $48,737.71 $93,890.04 $51,174.60 2026-04-30
63 APR_DRG Pancreas Transplant 3 3 — — $50,954.23 $50,954.23 $50,954.23 2026-04-30
28 MS_DRG Spinal Procedures With Mcc 12 9 — — $49,102.70 $99,454.08 $50,821.29 2026-04-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 9 — — $49,088.96 $101,333.84 $50,807.07 2026-04-30
4404 APR_DRG Kidney Transplant 3 3 — — $50,803.48 $50,803.48 $50,803.48 2026-04-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 10 — — $47,974.66 $96,258.97 $50,373.39 2026-04-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 9 — — $48,579.46 $97,260.20 $50,279.74 2026-04-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $48,468.03 $108,612.54 $50,164.41 2026-04-30
460 MS_DRG Inpatient Ms-DRG 1 1 — — $50,130.30 $50,130.30 $50,130.30 2026-04-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $49,832.46 $49,832.46 $49,832.46 2026-04-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 9 — — $47,943.98 $95,246.28 $49,622.02 2026-04-30
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 1 1 — — $49,297.12 $49,297.12 $49,297.12 2026-04-30
L7181 HCPCS Electronic Elbo Simultaneous 14 11 — — $30,433.14 $121,517.49 $48,998.22 2026-04-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 9 — — $47,155.08 $93,706.54 $48,805.51 2026-04-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $46,857.93 $93,328.89 $48,497.96 2026-04-30
C1825 HCPCS Procedure Charge Bartostim Neo2 2 2 $157,500.00 $44,100.00 72% off $22,947.50 $74,025.00 $48,486.25 2026-04-30
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $48,296.90 $48,296.90 $48,296.90 2026-04-30
1784 APR_DRG External Heart Assist Systems 3 3 — — $48,279.82 $48,279.82 $48,279.82 2026-04-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 9 — — $46,609.22 $88,355.45 $48,240.54 2026-04-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $48,239.53 $48,239.53 $48,239.53 2026-04-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $48,139.44 $48,139.44 $48,139.44 2026-04-30
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $47,955.13 $47,955.13 $47,955.13 2026-04-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $47,799.50 $47,799.50 $47,799.50 2026-04-30
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $47,634.10 $47,634.10 $47,634.10 2026-04-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 8 — — $46,668.98 $70,003.47 $47,602.36 2026-04-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $45,983.43 $93,706.54 $47,592.85 2026-04-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $45,842.93 $122,808.74 $47,447.43 2026-04-30
64654 CPT 1st Opn Implt Bat Modulj Sys 9 8 — — $46,069.71 $69,104.57 $46,991.11 2026-04-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 10 — — $44,697.12 $87,033.56 $46,931.98 2026-04-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 9 — — $45,184.03 $98,002.94 $46,765.47 2026-04-30
C9150 HCPCS Apc 2 2 — — $434.34 $92,894.13 $46,664.24 2026-04-30
834 MS_DRG Acute Leukemia With Mcc 12 9 — — $44,916.76 $90,420.08 $46,488.85 2026-04-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 9 — — $38,887.76 $81,847.44 $46,443.50 2026-04-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $1,893.34 $69,104.57 $46,415.24 2026-04-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 9 — — $44,760.11 $88,808.62 $46,326.71 2026-04-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $46,260.27 $46,260.27 $46,260.27 2026-04-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 9 — — $44,627.68 $88,272.02 $46,189.65 2026-04-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $46,074.74 $46,074.74 $46,074.74 2026-04-30
33276 CPT Insj Phrnc Nrv Stim Sys 13 10 — — $9,350.00 $69,104.57 $46,069.71 2026-04-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 16 12 — — $1,031.71 $69,104.57 $46,069.71 2026-04-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 9 — — $44,451.63 $98,740.78 $46,007.43 2026-04-30
C1823 HCPCS Ld Tv Respistim Lqs Quad 65 Lt 3 2 $45,000.00 $12,600.00 72% off $21,150.00 $59,925.00 $45,895.00 2026-04-30
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 1 1 — — $45,895.00 $45,895.00 $45,895.00 2026-04-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $43,648.21 $87,411.65 $45,830.62 2026-04-30
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $45,828.36 $45,828.36 $45,828.36 2026-04-30
62 APR_DRG Pancreas Transplant 3 3 — — $45,675.59 $45,675.59 $45,675.59 2026-04-30
61 APR_DRG Pancreas Transplant 3 3 — — $45,675.59 $45,675.59 $45,675.59 2026-04-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $45,564.51 $45,564.51 $45,564.51 2026-04-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $44,929.78 $44,929.78 $44,929.78 2026-04-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 9 — — $43,333.31 $138,100.00 $44,849.98 2026-04-30
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $44,560.54 $44,560.54 $44,560.54 2026-04-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $43,622.36 $84,249.09 $44,494.81 2026-04-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $44,402.47 $44,402.47 $44,402.47 2026-04-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $44,114.40 $44,114.40 $44,114.40 2026-04-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 10 — — $42,086.00 $83,972.61 $44,055.82 2026-04-30
653 MS_DRG Major Bladder Procedures With Mcc 12 9 — — $42,546.80 $91,193.91 $44,035.94 2026-04-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $43,886.75 $43,886.75 $43,886.75 2026-04-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $43,759.19 $43,759.19 $43,759.19 2026-04-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $43,604.17 $43,604.17 $43,604.17 2026-04-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $43,541.92 $43,541.92 $43,541.92 2026-04-30
L7180 HCPCS Electronic Elbow Sequential 14 11 — — $28,032.50 $111,931.88 $43,493.40 2026-04-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 10 — — $33,009.00 $83,342.75 $43,471.86 2026-04-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $41,285.53 $82,893.62 $43,349.81 2026-04-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $42,804.65 $42,804.65 $42,804.65 2026-04-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 10 — — $40,536.21 $102,170.55 $42,563.02 2026-04-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $42,553.20 $42,553.20 $42,553.20 2026-04-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 9 — — $40,859.19 $83,087.53 $42,289.26 2026-04-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $42,219.97 $42,219.97 $42,219.97 2026-04-30
6904 APR_DRG Acute Leukemia 3 3 — — $42,205.93 $42,205.93 $42,205.93 2026-04-30
J9226 HCPCS Supprelin La Implant 15 12 — — $35,660.75 $135,017.20 $41,996.90 2026-04-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 9 — — $40,465.15 $81,824.54 $41,881.43 2026-04-30
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $41,717.87 $41,717.87 $41,717.87 2026-04-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $40,163.14 $88,260.56 $41,568.85 2026-04-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $41,408.86 $41,408.86 $41,408.86 2026-04-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $41,147.03 $41,147.03 $41,147.03 2026-04-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 10 — — $38,849.00 $82,397.14 $41,135.24 2026-04-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $40,996.28 $40,996.28 $40,996.28 2026-04-30
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $40,995.06 $40,995.06 $40,995.06 2026-04-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 10 — — $39,029.45 $114,578.21 $40,980.92 2026-04-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 9 — — $39,380.68 $81,911.25 $40,759.00 2026-04-30
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $40,753.37 $40,753.37 $40,753.37 2026-04-30
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $40,753.37 $40,753.37 $40,753.37 2026-04-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $40,481.78 $40,481.78 $40,481.78 2026-04-30
471 MS_DRG Cervical Spinal Fusion With Mcc 13 10 — — $25,901.00 $79,460.52 $40,369.28 2026-04-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $40,363.99 $40,363.99 $40,363.99 2026-04-30
2324 APR_DRG Gastric Fundoplication 3 3 — — $40,290.75 $40,290.75 $40,290.75 2026-04-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $40,146.11 $40,146.11 $40,146.11 2026-04-30
J9999 HCPCS Carmustine In Polifeprosan 7.7 Mg Wafr 8 Each Box 1 1 $85,299.88 $23,883.97 72% off $40,090.94 $40,090.94 $40,090.94 2026-04-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 9 — — $38,549.82 $75,370.52 $39,899.07 2026-04-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $38,472.29 $77,780.35 $39,818.82 2026-04-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 9 — — $38,359.23 $78,122.27 $39,701.80 2026-04-30
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $39,394.81 $39,394.81 $39,394.81 2026-04-30
6 MS_DRG Liver Transplant Without Mcc 12 9 — — $38,029.80 $104,365.36 $39,360.85 2026-04-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $10,745.38 $63,502.28 $39,356.46 2026-04-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 9 — — $37,880.41 $76,109.99 $39,206.22 2026-04-30
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $39,028.62 $39,028.62 $39,028.62 2026-04-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 9 — — $37,702.75 $75,120.21 $39,022.35 2026-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 9 — — $37,608.30 $76,551.71 $38,924.60 2026-04-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $38,891.29 $38,891.29 $38,891.29 2026-04-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 9 — — $37,316.80 $73,804.87 $38,622.89 2026-04-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 9 — — $37,300.65 $92,317.28 $38,606.17 2026-04-30
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $38,515.34 $38,515.34 $38,515.34 2026-04-30
799 MS_DRG Splenic Procedures With Mcc 12 9 — — $37,156.92 $77,783.62 $38,457.41 2026-04-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $38,381.68 $38,381.68 $38,381.68 2026-04-30
245 MS_DRG Aicd Generator Procedures 13 10 — — $36,265.00 $79,943.14 $38,175.96 2026-04-30
163 MS_DRG Major Chest Procedures With Mcc 12 9 — — $36,776.60 $75,401.60 $38,063.78 2026-04-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 9 — — $36,766.09 $68,553.31 $38,052.90 2026-04-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $38,016.71 $38,016.71 $38,016.71 2026-04-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 9 — — $36,623.97 $83,906.97 $37,905.81 2026-04-30
1794 APR_DRG Defibrillator Implants 3 3 — — $37,825.07 $37,825.07 $37,825.07 2026-04-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 9 — — $36,057.95 $69,781.94 $37,319.98 2026-04-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $37,267.85 $37,267.85 $37,267.85 2026-04-30
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $37,217.19 $37,217.19 $37,217.19 2026-04-30
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $37,195.83 $37,195.83 $37,195.83 2026-04-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $37,022.50 $37,022.50 $37,022.50 2026-04-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $37,018.84 $37,018.84 $37,018.84 2026-04-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 9 — — $35,529.86 $69,680.51 $36,773.40 2026-04-30
0870T CPT Imp Subq Prtl Ascts Pmp Sys 9 8 — — $35,832.11 $53,748.17 $36,548.75 2026-04-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 9 — — $35,251.28 $73,364.78 $36,485.07 2026-04-30
140 MS_DRG Major Head And Neck Procedures With Mcc 12 9 — — $35,028.41 $69,186.44 $36,254.40 2026-04-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 10 — — $34,410.70 $67,269.05 $36,131.24 2026-04-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 9 — — $34,830.56 $66,801.15 $36,049.63 2026-04-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $34,279.89 $71,104.71 $35,993.88 2026-04-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $35,905.01 $35,905.01 $35,905.01 2026-04-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 9 — — $34,630.33 $67,131.62 $35,842.40 2026-04-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 9 — — $34,613.36 $67,231.42 $35,824.83 2026-04-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $35,766.47 $35,766.47 $35,766.47 2026-04-30
274 APR_DRG Other Open Craniotomy 3 3 — — $35,680.41 $35,680.41 $35,680.41 2026-04-30
901 MS_DRG Wound Debridements For Injuries With Mcc 12 9 — — $34,473.67 $72,478.07 $35,680.24 2026-04-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 8 — — $34,970.13 $110,302.15 $35,669.53 2026-04-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 10 — — $34,151.00 $68,064.14 $35,382.21 2026-04-30
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $35,378.30 $35,378.30 $35,378.30 2026-04-30
234 APR_DRG Spinal Procedures 3 3 — — $35,325.82 $35,325.82 $35,325.82 2026-04-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 9 — — $34,121.62 $66,537.76 $35,315.88 2026-04-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 9 — — $27,549.49 $68,548.40 $35,204.32 2026-04-30
793 MS_DRG Full Term Neonate With Major Problems 12 9 — — $12,248.89 $68,231.02 $34,940.76 2026-04-30
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $34,908.36 $34,908.36 $34,908.36 2026-04-30
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $34,874.79 $34,874.79 $34,874.79 2026-04-30
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $34,809.49 $34,809.49 $34,809.49 2026-04-30
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 2 2 — — $32,245.50 $37,085.63 $34,665.57 2026-04-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $34,599.54 $34,599.54 $34,599.54 2026-04-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 10 — — $32,889.00 $63,967.60 $34,577.56 2026-04-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $34,525.69 $34,525.69 $34,525.69 2026-04-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $34,519.59 $34,519.59 $34,519.59 2026-04-30
69930 CPT Implant Cochlear Device 16 12 — — $2,072.34 $51,730.00 $34,486.67 2026-04-30
4414 APR_DRG Major Bladder Procedures 3 3 — — $34,213.82 $34,213.82 $34,213.82 2026-04-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 9 — — $33,051.70 $80,320.56 $34,208.51 2026-04-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $34,120.44 $34,120.44 $34,120.44 2026-04-30
791 MS_DRG Prematurity With Major Problems 12 9 — — $33,362.59 $66,423.24 $34,029.84 2026-04-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 9 — — $32,757.79 $58,644.06 $33,904.32 2026-04-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $33,886.69 $33,886.69 $33,886.69 2026-04-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $33,879.36 $33,879.36 $33,879.36 2026-04-30
1783 APR_DRG External Heart Assist Systems 3 3 — — $33,861.05 $33,861.05 $33,861.05 2026-04-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $32,830.68 $49,246.02 $33,487.30 2026-04-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $32,174.79 $69,031.32 $33,300.91 2026-04-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 12 9 — — $32,031.88 $70,784.81 $33,153.00 2026-04-30
0408T CPT Insj/rplc Cardiac Modulj Sys 12 9 — — $4,225.08 $49,246.02 $33,076.91 2026-04-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 9 — — $4,225.08 $49,246.02 $33,076.91 2026-04-30
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $33,057.26 $33,057.26 $33,057.26 2026-04-30
4403 APR_DRG Kidney Transplant 3 3 — — $33,006.61 $33,006.61 $33,006.61 2026-04-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 9 — — $31,842.12 $63,615.86 $32,956.60 2026-04-30
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
64656 CPT Revj/rplcmt Bat Mod Sys Pg 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 9 — — $31,795.29 $64,284.98 $32,908.12 2026-04-30
246 MS_DRG Other Inpatient Ms-DRG 1 1 — — $32,889.00 $32,889.00 $32,889.00 2026-04-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 9 — — $31,765.41 $61,706.65 $32,877.20 2026-04-30
33270 CPT Ins/rep Subq Defibrillator 16 12 — — $950.12 $49,246.02 $32,830.68 2026-04-30
33249 CPT Insj/rplcmt Defib W/lead(s) 16 12 — — $1,545.85 $49,246.02 $32,830.68 2026-04-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 16 12 — — $683.13 $49,246.02 $32,830.68 2026-04-30
33231 CPT Insrt Pulse Gen W/mult Leads 16 12 — — $673.78 $49,246.02 $32,830.68 2026-04-30
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