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

ST JOSEPHS HOSPITAL AND MEDICAL CENTER

Phoenix, AZ · CCN 030024 · Rates published

11,055 distinct procedures filed
15 distinct payers
603,202 rate rows
2026-02-28 last MRF observed
Data quality

558,366 of 603,202 rate rows are consumer-grade (92.6%)

44,836 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 27,252
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,594
per-diem day rate — not a per-procedure price 4,614
template filing: same amount across many unrelated codes — excluded 246
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 78
exceeds 10× this hospital's gross charge — excluded from medians 32
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/dharz/ceaz/finance/price-transparency/941196203-1982733655_dignity-health-st-josephs-hospital-and-medical-center_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/dignity-health-arizona-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 719db1e3699591cf… · 81,425,049 bytes · first seen 2026-07-06

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $173,483.00 $1,146,658.00 $350,687.14 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $214,276.00 $1,033,864.00 $288,476.86 nat. median
$186,516
1.5× median
5834
APR_DRG 		Neonate With Ecmo 3 $248,255.00 $248,255.00 $248,255.00 nat. median
$390,362
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $180,459.00 $867,247.00 $243,167.64 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $163,030.00 $906,288.00 $219,815.39 nat. median
$145,435
1.5× median
5833
APR_DRG 		Neonate With Ecmo 3 $199,435.00 $199,435.00 $199,435.00 nat. median
$268,208
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $196,648.00 $196,648.00 $196,648.00 nat. median
$286,698
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $172,745.00 $172,745.00 $172,745.00 nat. median
$225,531
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $152,253.00 $152,253.00 $152,253.00 nat. median
$202,242
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $107,487.00 $535,522.00 $145,396.37 nat. median
$97,418
1.5× median
31600026
CDM 		Lung Acquistion Double 8 $42,966.60 $178,650.60 $141,337.50 —
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $137,062.00 $137,062.00 $137,062.00 nat. median
$173,018
0.8× median
5832
APR_DRG 		Neonate With Ecmo 3 $135,320.00 $135,320.00 $135,320.00 nat. median
$201,678
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $99,665.00 $462,284.00 $134,916.80 nat. median
$72,715
1.9× median
7
MS_DRG 		Lung Transplant 11 $99,414.00 $397,357.00 $134,580.45 nat. median
$70,649
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $134,261.00 $134,261.00 $134,261.00 nat. median
$171,497
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $131,522.00 $131,522.00 $131,522.00 nat. median
$198,578
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $131,015.00 $131,015.00 $131,015.00 nat. median
$149,836
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $119,869.00 $119,869.00 $119,869.00 nat. median
$173,134
0.7× median
31600018
CDM 		Lung Acquistion Single 8 $36,087.84 $150,049.44 $118,710.00 —
31400013
CDM 		Liver Acquistion Cadaver 8 $36,058.96 $149,929.36 $118,615.00 —
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $118,382.00 $118,382.00 $118,382.00 nat. median
$152,792
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $117,260.00 $117,260.00 $117,260.00 nat. median
$181,762
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $83,827.00 $727,969.00 $113,695.72 nat. median
$65,418
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $112,934.00 $112,934.00 $112,934.00 nat. median
$187,567
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $82,870.00 $335,232.00 $112,413.54 nat. median
$74,509
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $111,950.00 $111,950.00 $111,950.00 nat. median
$136,566
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $111,465.00 $111,465.00 $111,465.00 nat. median
$168,439
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $81,010.00 $323,795.00 $109,921.56 nat. median
$69,922
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $80,595.00 $689,411.00 $109,365.07 nat. median
$73,023
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $79,686.00 $400,996.00 $108,148.12 nat. median
$2,736
outlier · 39.5×
5831
APR_DRG 		Neonate With Ecmo 3 $106,919.00 $106,919.00 $106,919.00 nat. median
$173,909
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $106,148.00 $106,148.00 $106,148.00 nat. median
$155,539
0.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $104,420.00 $104,420.00 $104,420.00 nat. median
$115,963
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $103,939.00 $103,939.00 $103,939.00 nat. median
$135,630
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $73,416.00 $434,150.00 $99,746.74 nat. median
$69,822
1.4× median
31800022
CDM 		Kidney Acquistion Cadaver 8 $29,826.96 $124,017.36 $98,115.00 —
5A1522F
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 nat. median
$24,346
outlier · 4.0×
5A15A2G
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 —
5A1522G
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 nat. median
$24,346
outlier · 4.0×
5A15A2F
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 —
5A1522H
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 —
5A15A2H
OTHER 		Single Lung Transplant - Ecmo 4 $96,999.00 $96,999.00 $96,999.00 —
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $70,075.00 $280,088.00 $95,270.34 nat. median
$2,633
outlier · 36.2×
64
APR_DRG 		Pancreas Transplant 3 $92,525.00 $92,525.00 $92,525.00 nat. median
$92,994
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $90,803.00 $90,803.00 $90,803.00 nat. median
$117,894
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $64,461.00 $373,721.00 $87,748.53 nat. median
$60,505
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 11 $64,425.00 $320,558.00 $87,700.63 nat. median
$59,651
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $63,447.00 $354,916.00 $86,389.92 nat. median
$2,596
outlier · 33.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $86,257.00 $86,257.00 $86,257.00 nat. median
$124,731
0.7× median

Other procedures at this hospital

Browse this hospital's 11,055 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
             
0686T CPT Histrpsy Hepat Tis W Imag 16 8 $72,808.00 $27,812.66 62% off $13,833.52 $57,518.32 $45,505.00 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 24 9 $77,238.00 $29,504.92 62% off $14,675.22 $61,018.02 $44,411.85 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 11 — — $214,276.00 $1,033,864.00 $288,476.86 2026-02-28
10 MS_DRG Pancreas Transplant 50 11 — — $60,651.00 $289,887.00 $82,643.28 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 11 — — $41,047.00 $199,981.00 $56,377.08 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $44,527.00 $44,527.00 $44,527.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $44,527.00 $44,527.00 $44,527.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 11 — — $31,217.00 $156,545.00 $43,206.78 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 3 — — $36,118.00 $36,118.00 $36,118.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $52,769.00 $52,769.00 $52,769.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 50 11 — — $99,665.00 $462,284.00 $134,916.80 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $111,950.00 $111,950.00 $111,950.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 50 11 — — $32,172.00 $160,767.00 $44,485.91 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 50 11 — — $25,118.00 $118,580.00 $35,034.72 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 50 11 — — $45,915.00 $332,643.00 $62,900.06 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $71,957.00 $71,957.00 $71,957.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 6 3 — — $74,345.00 $74,345.00 $74,345.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 6 3 — — $74,345.00 $74,345.00 $74,345.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 6 3 — — $106,148.00 $106,148.00 $106,148.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 6 3 — — $152,253.00 $152,253.00 $152,253.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $40,718.00 $40,718.00 $40,718.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $62,781.00 $62,781.00 $62,781.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 50 11 — — $35,062.00 $203,498.00 $48,358.92 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $52,225.00 $52,225.00 $52,225.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $48,199.00 $48,199.00 $48,199.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 11 — — $29,289.00 $169,283.00 $40,624.09 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $41,537.00 $41,537.00 $41,537.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 3 — — $50,543.00 $50,543.00 $50,543.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $40,640.00 $40,640.00 $40,640.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 50 11 — — $45,915.00 $227,766.00 $62,900.06 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 3 — — $34,846.00 $34,846.00 $34,846.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 6 3 — — $36,996.00 $36,996.00 $36,996.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 6 3 — — $52,750.00 $52,750.00 $52,750.00 2026-02-28
1794 APR_DRG Defibrillator Implants 6 3 — — $41,327.00 $41,327.00 $41,327.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 50 11 — — $173,483.00 $1,146,658.00 $350,687.14 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 3 — — $35,404.00 $35,404.00 $35,404.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $46,493.00 $46,493.00 $46,493.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 11 — — $60,303.00 $446,036.00 $82,177.51 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 11 — — $83,827.00 $727,969.00 $113,695.72 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 11 — — $61,321.00 $523,072.00 $83,541.21 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 6 3 — — $38,140.00 $38,140.00 $38,140.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 11 — — $49,196.00 $296,188.00 $67,295.94 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 6 3 — — $58,849.00 $58,849.00 $58,849.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 11 — — $42,046.00 $454,845.00 $57,716.33 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 50 11 — — $82,870.00 $335,232.00 $112,413.54 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 6 3 — — $42,642.00 $42,642.00 $42,642.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 50 11 — — $80,595.00 $689,411.00 $109,365.07 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 11 — — $73,416.00 $434,150.00 $99,746.74 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 11 — — $49,125.00 $353,757.00 $67,201.15 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 11 — — $45,256.00 $320,082.00 $62,017.42 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 11 — — $58,859.00 $375,066.00 $80,243.04 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 6 3 — — $76,126.00 $76,126.00 $76,126.00 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 50 11 — — $26,856.00 $380,634.00 $37,363.63 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 11 — — $40,292.00 $287,898.00 $55,366.03 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 3 — — $38,032.00 $38,032.00 $38,032.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 11 — — $34,936.00 $273,017.00 $48,189.73 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 6 3 — — $38,104.00 $38,104.00 $38,104.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 11 — — $37,908.00 $336,508.00 $52,171.81 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 6 3 — — $90,803.00 $90,803.00 $90,803.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 11 — — $43,399.00 $274,363.00 $59,528.50 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 11 — — $64,461.00 $373,721.00 $87,748.53 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 11 — — $46,469.00 $317,159.00 $63,642.06 2026-02-28
2324 APR_DRG Gastric Fundoplication 6 3 — — $44,021.00 $44,021.00 $44,021.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 50 11 — — $59,459.00 $355,603.00 $81,047.19 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 11 — — $40,471.00 $271,356.00 $55,605.54 2026-02-28
234 APR_DRG Spinal Procedures 6 3 — — $38,597.00 $38,597.00 $38,597.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 11 — — $44,761.00 $278,870.00 $61,353.91 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 11 — — $31,281.00 $202,483.00 $43,292.40 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 11 — — $38,316.00 $171,069.00 $52,718.11 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 6 3 — — $172,745.00 $172,745.00 $172,745.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 11 — — $28,920.00 $227,361.00 $40,128.75 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 11 — — $25,803.00 $178,159.00 $35,953.03 2026-02-28
245 MS_DRG Aicd Generator Procedures 50 11 — — $37,174.00 $177,798.00 $51,188.26 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 11 — — $34,021.00 $304,055.00 $46,963.61 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 50 11 — — $26,095.00 $149,287.00 $36,344.41 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 50 11 — — $25,911.00 $103,566.00 $36,097.76 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 3 — — $44,791.00 $44,791.00 $44,791.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 6 3 — — $35,199.00 $35,199.00 $35,199.00 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 50 11 — — $26,587.00 $106,988.00 $37,003.84 2026-02-28
265 MS_DRG Aicd Lead Procedures 50 11 — — $27,136.00 $177,798.00 $37,738.69 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 11 — — $45,572.00 $409,911.00 $62,440.39 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 11 — — $35,789.00 $377,373.00 $49,332.28 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 11 — — $50,720.00 $270,967.00 $69,338.45 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 11 — — $31,650.00 $177,422.00 $43,787.74 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 11 — — $39,047.00 $204,275.00 $53,697.57 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 11 — — $26,202.00 $142,814.00 $36,487.10 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 11 — — $29,746.00 $172,078.00 $41,235.63 2026-02-28
274 APR_DRG Other Open Craniotomy 6 3 — — $38,984.00 $38,984.00 $38,984.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 11 — — $53,759.00 $488,453.00 $73,409.20 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 50 11 — — $47,121.00 $294,945.00 $64,515.52 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 11 — — $35,387.00 $254,521.00 $48,794.12 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 50 11 — — $38,060.00 $152,125.00 $52,375.65 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 50 11 — — $46,247.00 $259,144.00 $63,344.44 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 50 11 — — $25,534.00 $173,560.00 $35,593.25 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 50 11 — — $163,030.00 $906,288.00 $219,815.39 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $48,514.00 $48,514.00 $48,514.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $63,174.00 $63,174.00 $63,174.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 3 — — $35,084.00 $35,084.00 $35,084.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $45,243.00 $45,243.00 $45,243.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 50 11 — — $31,878.00 $188,864.00 $44,092.48 2026-02-28
31120819 CDM Kit/pack Disp61656x-67822 26 9 $161,848.00 $61,825.94 62% off $853.74 $127,859.92 $76,068.56 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 3 — — $44,792.00 $44,792.00 $44,792.00 2026-02-28
31400013 CDM Liver Acquistion Cadaver 16 8 $189,784.00 $72,497.49 62% off $36,058.96 $149,929.36 $118,615.00 2026-02-28
31600018 CDM Lung Acquistion Single 16 8 $189,936.00 $72,555.56 62% off $36,087.84 $150,049.44 $118,710.00 2026-02-28
31600026 CDM Lung Acquistion Double 16 8 $226,140.00 $86,385.48 62% off $42,966.60 $178,650.60 $141,337.50 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 11 — — $47,060.00 $188,097.00 $64,433.98 2026-02-28
31800014 CDM Kidney Acquistion Living 16 8 $113,302.00 $43,281.37 62% off $21,527.38 $89,508.58 $70,813.75 2026-02-28
31800022 CDM Kidney Acquistion Cadaver 16 8 $156,984.00 $59,967.89 62% off $29,826.96 $124,017.36 $98,115.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 50 11 — — $33,416.00 $276,355.00 $46,153.34 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 11 — — $32,401.00 $146,246.00 $44,793.71 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 50 11 — — $38,636.00 $247,662.00 $53,147.20 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 11 — — $34,931.00 $213,055.00 $48,182.60 2026-02-28
332 MS_DRG Rectal Resection With Mcc 50 11 — — $26,386.00 $175,115.00 $36,734.77 2026-02-28
33418 CPT Transcth Rpr Mitral Init 34 10 $109,569.00 $41,855.36 62% off $1,839.22 $86,559.51 $37,542.64 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 11 — — $27,563.00 $154,951.00 $38,311.50 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 11 — — $29,581.00 $173,961.00 $41,015.47 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 11 — — $32,449.00 $163,459.00 $44,857.92 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $37,803.00 $37,803.00 $37,803.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 50 11 — — $25,262.00 $122,436.00 $35,228.37 2026-02-28
38240 CPT Transplt Allo Hct/donor 44 10 — — $252.12 $69,338.59 $63,035.08 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 50 11 — — $107,487.00 $535,522.00 $145,396.37 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 50 11 — — $28,694.00 $144,007.00 $39,827.07 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 50 11 — — $29,760.00 $275,582.00 $41,254.99 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 50 11 — — $41,296.00 $241,070.00 $56,711.38 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 11 — — $26,634.00 $196,849.00 $37,067.03 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $41,935.00 $41,935.00 $41,935.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 11 — — $26,653.00 $147,388.00 $37,092.51 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $49,783.00 $49,783.00 $49,783.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 11 — — $26,849.00 $171,870.00 $37,354.45 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 11 — — $30,941.00 $185,201.00 $42,836.81 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $79,686.00 $400,996.00 $108,148.12 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $54,030.00 $371,058.00 $73,773.06 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $41,870.00 $321,509.00 $57,479.88 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 50 11 — — $63,447.00 $354,916.00 $86,389.92 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $71,072.00 $71,072.00 $71,072.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 11 — — $41,614.00 $321,509.00 $57,137.43 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $103,939.00 $103,939.00 $103,939.00 2026-02-28
4403 APR_DRG Kidney Transplant 6 3 — — $36,063.00 $36,063.00 $36,063.00 2026-02-28
4404 APR_DRG Kidney Transplant 6 3 — — $55,507.00 $55,507.00 $55,507.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 6 3 — — $37,382.00 $37,382.00 $37,382.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 11 — — $51,003.00 $230,498.00 $69,716.57 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 50 11 — — $31,063.00 $165,109.00 $43,000.91 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 50 11 — — $39,177.00 $230,498.00 $53,871.86 2026-02-28
45096724 CDM Ide#g170118 Triclip Delivery 18 8 $75,000.00 $28,650.00 62% off $10,500.00 $59,250.00 $45,000.00 2026-02-28
45097292 CDM Ide#g190289 Evoque System 18 8 $91,360.00 $34,899.52 62% off $12,790.40 $72,174.40 $54,816.00 2026-02-28
45097409 CDM Ide#g200126 Impella Ecp 18 8 $62,500.00 $23,875.00 62% off $8,750.00 $49,375.00 $37,500.00 2026-02-28
45097706 CDM Ide# G190128 Altavalve 18 8 $121,598.00 $46,450.44 62% off $17,023.72 $96,062.42 $72,958.80 2026-02-28
45097755 CDM Ide# G240065 Tricvalve 18 8 $62,403.00 $23,837.95 62% off $8,736.42 $49,298.37 $37,441.80 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 11 — — $64,425.00 $320,558.00 $87,700.63 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 11 — — $43,660.00 $258,883.00 $59,878.09 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 11 — — $32,847.00 $234,190.00 $45,390.97 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 11 — — $46,682.00 $276,960.00 $63,927.43 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 11 — — $41,085.00 $178,079.00 $56,429.07 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 50 11 — — $38,755.00 $198,884.00 $53,306.19 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 50 11 — — $26,055.00 $154,598.00 $36,291.41 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 50 11 — — $24,865.00 $147,332.00 $34,696.34 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 50 11 — — $36,949.00 $164,486.00 $50,887.59 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 11 — — $34,115.00 $136,477.00 $47,089.99 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 11 — — $26,160.00 $129,134.00 $36,432.06 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 50 11 — — $27,014.00 $125,734.00 $37,575.62 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 11 — — $26,781.00 $121,849.00 $37,263.75 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 11 — — $81,010.00 $323,795.00 $109,921.56 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 50 11 — — $27,263.00 $120,938.00 $37,909.92 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $37,716.00 $37,716.00 $37,716.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $47,950.00 $47,950.00 $47,950.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $68,217.00 $68,217.00 $68,217.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 11 — — $46,845.00 $187,240.00 $64,146.56 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 11 — — $26,357.00 $116,081.00 $36,696.04 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 50 11 — — $41,042.00 $164,044.00 $56,370.97 2026-02-28
5831 APR_DRG Neonate With Ecmo 6 3 — — $106,919.00 $106,919.00 $106,919.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 6 3 — — $135,320.00 $135,320.00 $135,320.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 6 3 — — $199,435.00 $199,435.00 $199,435.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 6 3 — — $248,255.00 $248,255.00 $248,255.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $57,869.00 $57,869.00 $57,869.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $57,869.00 $57,869.00 $57,869.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $119,869.00 $119,869.00 $119,869.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $196,648.00 $196,648.00 $196,648.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 3 — — $82,923.00 $82,923.00 $82,923.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 3 — — $79,989.00 $79,989.00 $79,989.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 3 — — $72,717.00 $72,717.00 $72,717.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $52,045.00 $52,045.00 $52,045.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $72,184.00 $72,184.00 $72,184.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $79,792.00 $79,792.00 $79,792.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $134,261.00 $134,261.00 $134,261.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $66,867.00 $66,867.00 $66,867.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $77,192.00 $77,192.00 $77,192.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $111,465.00 $111,465.00 $111,465.00 2026-02-28
5A1522F OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
5A1522G OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
5A1522H OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
5A15A2F OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
5A15A2G OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
5A15A2H OTHER Single Lung Transplant - Ecmo 8 4 — — $96,999.00 $96,999.00 $96,999.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 50 11 — — $36,888.00 $196,895.00 $50,805.03 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $52,706.00 $52,706.00 $52,706.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $58,807.00 $58,807.00 $58,807.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $86,257.00 $86,257.00 $86,257.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $50,341.00 $50,341.00 $50,341.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $104,420.00 $104,420.00 $104,420.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $37,016.00 $37,016.00 $37,016.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $46,129.00 $46,129.00 $46,129.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $71,909.00 $71,909.00 $71,909.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $39,229.00 $39,229.00 $39,229.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $63,699.00 $63,699.00 $63,699.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $35,656.00 $35,656.00 $35,656.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $35,656.00 $35,656.00 $35,656.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $52,597.00 $52,597.00 $52,597.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $131,522.00 $131,522.00 $131,522.00 2026-02-28
61 APR_DRG Pancreas Transplant 6 3 — — $49,905.00 $49,905.00 $49,905.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $57,957.00 $57,957.00 $57,957.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $47,573.00 $47,573.00 $47,573.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 3 — — $47,811.00 $47,811.00 $47,811.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 3 — — $37,280.00 $37,280.00 $37,280.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 50 11 — — $29,401.00 $142,758.00 $40,773.92 2026-02-28
62 APR_DRG Pancreas Transplant 6 3 — — $49,905.00 $49,905.00 $49,905.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 3 — — $44,957.00 $44,957.00 $44,957.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 50 11 — — $28,465.00 $129,107.00 $39,520.29 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $34,714.00 $34,714.00 $34,714.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 3 — — $40,450.00 $40,450.00 $40,450.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 3 — — $49,090.00 $49,090.00 $49,090.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 50 11 — — $30,015.00 $119,969.00 $41,596.43 2026-02-28
63 APR_DRG Pancreas Transplant 6 3 — — $55,672.00 $55,672.00 $55,672.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $56,387.00 $56,387.00 $56,387.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $112,934.00 $112,934.00 $112,934.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $39,078.00 $39,078.00 $39,078.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $117,260.00 $117,260.00 $117,260.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 3 — — $44,230.00 $44,230.00 $44,230.00 2026-02-28
64 APR_DRG Pancreas Transplant 6 3 — — $92,525.00 $92,525.00 $92,525.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 11 — — $35,048.00 $165,335.00 $48,339.56 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 11 — — $26,415.00 $165,330.00 $36,773.50 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 3 — — $44,101.00 $44,101.00 $44,101.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 50 11 — — $42,406.00 $232,346.00 $58,198.42 2026-02-28
665 MS_DRG Prostatectomy With Mcc 50 11 — — $26,119.00 $104,399.00 $36,377.03 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 11 — — $31,870.00 $127,385.00 $44,082.30 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 3 — — $48,686.00 $48,686.00 $48,686.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 3 — — $43,042.00 $43,042.00 $43,042.00 2026-02-28
6904 APR_DRG Acute Leukemia 6 3 — — $46,114.00 $46,114.00 $46,114.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 3 — — $42,081.00 $42,081.00 $42,081.00 2026-02-28
7 MS_DRG Lung Transplant 50 11 — — $99,414.00 $397,357.00 $134,580.45 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $38,654.00 $38,654.00 $38,654.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $56,005.00 $56,005.00 $56,005.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $67,436.00 $67,436.00 $67,436.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 11 — — $29,953.00 $202,581.00 $41,513.87 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 11 — — $30,283.00 $131,314.00 $41,955.19 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $131,015.00 $131,015.00 $131,015.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 48 11 — — $45,222.00 $476,516.00 $59,858.90 2026-02-28
791 MS_DRG Prematurity With Major Problems 48 11 — — $30,884.00 $176,072.00 $41,302.63 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 48 11 — — $31,477.00 $126,804.00 $40,396.57 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 50 11 — — $36,170.00 $163,995.00 $49,842.90 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 11 — — $41,390.00 $376,121.00 $56,837.77 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 11 — — $27,270.00 $134,939.00 $37,918.08 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 11 — — $44,290.00 $259,608.00 $60,723.02 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 11 — — $35,597.00 $177,310.00 $49,075.43 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 11 — — $36,327.00 $229,652.00 $50,053.88 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 3 — — $37,024.00 $37,024.00 $37,024.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 50 11 — — $42,046.00 $243,241.00 $57,716.33 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 11 — — $38,090.00 $209,691.00 $52,415.40 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 3 — — $59,102.00 $59,102.00 $59,102.00 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $35,382.00 $35,382.00 $35,382.00 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $35,382.00 $35,382.00 $35,382.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $54,446.00 $54,446.00 $54,446.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $137,062.00 $137,062.00 $137,062.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $68,160.00 $68,160.00 $68,160.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 50 11 — — $70,075.00 $280,088.00 $95,270.34 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 3 — — $42,492.00 $42,492.00 $42,492.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 11 — — $38,045.00 $254,985.00 $52,355.26 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 11 — — $34,320.00 $168,257.00 $47,364.17 2026-02-28
8634 APR_DRG Neonatal Aftercare 6 3 — — $68,552.00 $68,552.00 $68,552.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 11 — — $52,918.00 $336,469.00 $72,282.96 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 50 11 — — $29,892.00 $119,479.00 $41,432.33 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $40,446.00 $40,446.00 $40,446.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 50 11 — — $33,703.00 $134,709.00 $46,537.58 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 50 11 — — $29,371.00 $117,397.00 $40,734.17 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 11 — — $30,304.00 $142,013.00 $41,983.73 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $47,641.00 $47,641.00 $47,641.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 3 — — $46,768.00 $46,768.00 $46,768.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 3 — — $43,863.00 $43,863.00 $43,863.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 6 3 — — $40,663.00 $40,663.00 $40,663.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 11 — — $180,459.00 $867,247.00 $243,167.64 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 11 — — $50,806.00 $277,801.00 $69,453.62 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $52,395.00 $52,395.00 $52,395.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 50 11 — — $32,915.00 $155,173.00 $45,481.67 2026-02-28
93583 CPT Transct Septal Reduc Perc 34 10 $67,779.00 $25,891.58 62% off $754.57 $111,750.70 $40,667.40 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $118,382.00 $118,382.00 $118,382.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 11 — — $27,756.00 $131,756.00 $38,569.36 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $37,722.00 $37,722.00 $37,722.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 11 — — $51,943.00 $341,383.00 $70,976.33 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 50 11 — — $29,077.00 $211,511.00 $40,339.73 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 11 — — $56,780.00 $274,563.00 $77,457.52 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 50 11 — — $31,263.00 $212,157.00 $43,268.96 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 11 — — $48,109.00 $251,877.00 $65,839.48 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 11 — — $27,268.00 $120,959.00 $37,916.04 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 11 — — $36,163.00 $179,589.00 $49,833.72 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 11 — — $26,645.00 $121,032.00 $37,081.30 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 54 11 $56,730.00 $21,670.86 62% off $7,942.20 $62,403.00 $36,874.50 2026-02-28
J1304 HCPCS Tofer 100mg/15mlsdvjwtb 18 9 $68,304.00 $26,092.13 62% off $12,977.76 $53,960.16 $40,982.40 2026-02-28
J9274 HCPCS Teb-tebn100mcg/.5mljwpctb 18 9 $97,248.00 $37,148.74 62% off $18,477.12 $76,825.92 $58,348.80 2026-02-28
J9298 HCPCS N/r-r240/80mg20mlsdjwpctb 18 9 $67,048.00 $25,612.34 62% off $12,739.12 $52,967.92 $40,228.80 2026-02-28
J9359 HCPCS Loncas-lpyl 10mgsdvjwpctb 18 9 $112,800.00 $43,089.60 62% off $21,432.00 $89,112.00 $67,680.00 2026-02-28
Q2043 HCPCS Sipuleucel-t 250ml Pbpc 68 15 $188,010.00 $71,819.82 62% off $35,721.90 $188,010.00 $60,199.15 2026-02-28
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