Price Transparency 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 BOSWELL MEDICAL CENTER

Sun City, AZ · CCN 030061 · Rates published

6,972 distinct procedures filed
28 distinct payers
241,232 rate rows
2026-03-02 last MRF observed
Data quality

237,679 of 241,232 rate rows are consumer-grade (98.5%)

3,553 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 2,256
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,021
exceeds 10× this hospital's gross charge — excluded from medians 271
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/900389314_banner-boswell-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2e096d41283fc239… · 95,566,833 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 13 $3.61 $3,007,603.20 $1,597,789.20 nat. median
$1,829
outlier · 873.6×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $155,233.74 $1,141,377.89 $286,807.83 nat. median
$370,174
0.8× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,713.21 $222,713.21 $222,713.21 nat. median
$309,665
0.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $214,260.72 $852,513.60 $219,617.24 nat. median
$265,286
0.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 22 $180,470.77 $717,970.54 $189,494.31 nat. median
$206,368
0.9× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $178,924.31 $178,924.31 $178,924.31 nat. median
$244,017
0.7× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $176,411.83 $176,411.83 $176,411.83 nat. median
$246,434
0.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 21 $163,055.51 $648,627.37 $175,284.67 nat. median
$202,986
0.9× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $154,995.95 $154,995.95 $154,995.95 nat. median
$234,738
0.7× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,571.11 $136,571.11 $136,571.11 nat. median
$207,730
0.7× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $122,931.95 $122,931.95 $122,931.95 nat. median
$160,267
0.8× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $121,376.61 $121,376.61 $121,376.61 nat. median
$156,126
0.8× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,419.47 $120,419.47 $120,419.47 nat. median
$164,279
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $117,966.81 $117,966.81 $117,966.81 nat. median
$162,982
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,548.07 $117,548.07 $117,548.07 nat. median
$187,294
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 21 $107,556.55 $427,644.45 $115,623.30 nat. median
$133,176
0.9× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $107,557.98 $107,557.98 $107,557.98 nat. median
$182,736
0.6× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $106,182.10 $106,182.10 $106,182.10 nat. median
$164,834
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $105,165.14 $105,165.14 $105,165.14 nat. median
$122,924
0.9× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 18 $99,741.28 $396,525.98 $102,234.81 nat. median
$117,303
0.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 18 $99,490.45 $395,527.23 $101,977.71 nat. median
$122,708
0.8× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $101,336.60 $101,336.60 $101,336.60 nat. median
$150,721
0.7× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $100,439.29 $100,439.29 $100,439.29 nat. median
$129,535
0.8× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $100,020.54 $100,020.54 $100,020.54 nat. median
$151,838
0.7× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,892.90 $95,892.90 $95,892.90 nat. median
$145,122
0.7× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $95,234.87 $95,234.87 $95,234.87 nat. median
$119,796
0.8× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $93,679.53 $93,679.53 $93,679.53 nat. median
$109,499
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $93,260.78 $93,260.78 $93,260.78 nat. median
$105,658
0.9× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 22 $82,959.18 $329,703.88 $87,107.14 nat. median
$102,358
0.9× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $83,915.37 $384,107.49 $86,013.26 nat. median
$108,660
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 22 $80,685.73 $363,762.94 $84,720.02 nat. median
$99,019
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 $79,778.21 $317,037.98 $83,767.12 nat. median
$98,905
0.8× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 18 $81,100.75 $322,304.09 $83,128.27 nat. median
$100,136
0.8× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $83,031.41 $83,031.41 $83,031.41 nat. median
$91,748
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $81,476.07 $81,476.07 $81,476.07 nat. median
$93,528
0.9× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $77,408.24 $77,408.24 $77,408.24 nat. median
$118,620
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 22 $73,512.74 $292,090.54 $77,188.38 nat. median
$93,672
0.8× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $74,417.20 $74,417.20 $74,417.20 nat. median
$93,260
0.8× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 $70,174.41 $278,798.15 $73,683.13 nat. median
$83,442
0.9× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $71,785.08 $71,785.08 $71,785.08 nat. median
$89,790
0.8× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $71,605.62 $71,605.62 $71,605.62 nat. median
$102,636
0.7× median
5933
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $69,272.60 $69,272.60 $69,272.60 nat. median
$108,996
0.6× median
22
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $68,315.47 $68,315.47 $68,315.47 nat. median
$78,029
0.9× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 22 $64,564.91 $256,462.58 $67,793.16 nat. median
$79,312
0.9× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 22 $64,529.20 $256,320.34 $67,755.66 nat. median
$81,118
0.8× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $63,551.72 $252,428.26 $66,729.31 nat. median
$82,712
0.8× median
1611
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,700.30 $66,700.30 $66,700.30 nat. median
$76,806
0.9× median
1612
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,700.30 $66,700.30 $66,700.30 nat. median
$85,406
0.8× median
5893
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $65,264.60 $65,264.60 $65,264.60 nat. median
$69,788
0.9× median
5912
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $64,786.03 $64,786.03 $64,786.03 nat. median
$81,294
0.8× median

Other procedures at this hospital

Browse this hospital's 6,972 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 26 13 $3,759,504.00 $906,641.98 76% off $3.61 $3,007,603.20 $1,597,789.20 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 17 — $384,370.61 $155,233.74 $1,141,377.89 $286,807.83 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,713.21 $222,713.21 $222,713.21 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 34 18 — $282,714.74 $214,260.72 $852,513.60 $219,617.24 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 43 22 — $274,994.57 $180,470.77 $717,970.54 $189,494.31 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,924.31 $178,924.31 $178,924.31 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $176,411.83 $176,411.83 $176,411.83 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 42 21 — $222,424.38 $163,055.51 $648,627.37 $175,284.67 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,995.95 $154,995.95 $154,995.95 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,571.11 $136,571.11 $136,571.11 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $122,931.95 $122,931.95 $122,931.95 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,376.61 $121,376.61 $121,376.61 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,419.47 $120,419.47 $120,419.47 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $117,966.81 $117,966.81 $117,966.81 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $117,548.07 $117,548.07 $117,548.07 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 42 21 — $153,360.15 $107,556.55 $427,644.45 $115,623.30 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $107,557.98 $107,557.98 $107,557.98 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $106,182.10 $106,182.10 $106,182.10 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $105,165.14 $105,165.14 $105,165.14 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 34 18 — $119,568.75 $99,741.28 $396,525.98 $102,234.81 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 34 18 — $127,967.05 $99,490.45 $395,527.23 $101,977.71 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $101,336.60 $101,336.60 $101,336.60 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,439.29 $100,439.29 $100,439.29 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $100,020.54 $100,020.54 $100,020.54 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,892.90 $95,892.90 $95,892.90 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $95,234.87 $95,234.87 $95,234.87 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $93,679.53 $93,679.53 $93,679.53 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $93,260.78 $93,260.78 $93,260.78 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 43 22 — $112,370.21 $82,959.18 $329,703.88 $87,107.14 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 18 — $127,737.53 $83,915.37 $384,107.49 $86,013.26 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 43 22 — $106,569.65 $80,685.73 $363,762.94 $84,720.02 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 22 — — $79,778.21 $317,037.98 $83,767.12 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 34 18 — $107,978.06 $81,100.75 $322,304.09 $83,128.27 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $83,031.41 $83,031.41 $83,031.41 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,476.07 $81,476.07 $81,476.07 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,408.24 $77,408.24 $77,408.24 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 22 — $101,249.00 $73,512.74 $292,090.54 $77,188.38 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,417.20 $74,417.20 $74,417.20 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 43 22 — — $70,174.41 $278,798.15 $73,683.13 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $71,785.08 $71,785.08 $71,785.08 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,605.62 $71,605.62 $71,605.62 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $69,272.60 $69,272.60 $69,272.60 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,315.47 $68,315.47 $68,315.47 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 43 22 — $84,661.06 $64,564.91 $256,462.58 $67,793.16 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 22 — $87,936.92 $64,529.20 $256,320.34 $67,755.66 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 22 — — $63,551.72 $252,428.26 $66,729.31 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $65,264.60 $65,264.60 $65,264.60 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,786.03 $64,786.03 $64,786.03 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,546.75 $64,546.75 $64,546.75 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 43 22 — $88,176.87 $61,427.25 $287,512.09 $64,498.61 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $64,486.93 $64,486.93 $64,486.93 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,769.08 $63,769.08 $63,769.08 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 43 22 — $81,374.77 $59,567.31 $236,563.35 $62,545.68 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 34 18 — — $60,757.62 $241,302.85 $62,276.56 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 18 — $83,398.71 $60,410.26 $263,654.90 $61,920.51 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 22 — $80,446.27 $58,967.60 $234,175.44 $61,915.98 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,495.89 $61,495.89 $61,495.89 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,196.78 $61,196.78 $61,196.78 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $61,136.96 $61,136.96 $61,136.96 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $60,478.93 $60,478.93 $60,478.93 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $60,000.36 $60,000.36 $60,000.36 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 22 — $75,459.45 $56,890.27 $225,904.01 $59,734.78 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 25 14 $116,512.00 $18,175.87 84% off $16,789.38 $93,209.60 $58,256.00 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $57,128.96 $57,128.96 $57,128.96 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 22 — — $54,142.52 $214,963.22 $56,849.65 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,650.39 $56,650.39 $56,650.39 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 22 — $73,404.22 $53,871.17 $257,728.64 $56,564.73 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,291.47 $56,291.47 $56,291.47 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 43 22 — $72,663.50 $53,031.28 $210,538.47 $55,682.84 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 251 17 $109,504.00 $26,937.98 75% off $10,074.00 $175,203.20 $54,752.00 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 43 22 — $63,534.92 $52,056.83 $206,658.50 $54,659.67 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 43 22 — — $51,117.35 $202,917.75 $53,673.22 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 43 22 — $72,194.03 $50,921.25 $202,136.91 $53,467.31 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 43 22 — $71,515.91 $50,835.36 $201,794.91 $53,377.13 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $53,001.32 $53,001.32 $53,001.32 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,821.85 $52,821.85 $52,821.85 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,762.03 $52,762.03 $52,762.03 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 25 14 $105,124.00 $16,399.34 84% off $15,148.37 $84,099.20 $52,562.00 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $51,984.36 $51,984.36 $51,984.36 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,924.54 $51,924.54 $51,924.54 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,924.54 $51,924.54 $51,924.54 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 43 22 — $72,068.84 $49,312.13 $195,729.81 $51,777.74 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 22 — $66,403.90 $49,241.44 $195,448.34 $51,703.51 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 43 22 — $71,703.69 $48,225.96 $191,404.94 $50,637.26 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,608.48 $50,608.48 $50,608.48 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $50,249.56 $50,249.56 $50,249.56 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,950.45 $49,950.45 $49,950.45 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,770.99 $49,770.99 $49,770.99 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 43 22 — $64,786.84 $47,238.60 $187,473.52 $49,600.53 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 22 — — $47,177.80 $187,231.40 $49,536.69 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 22 — $64,870.30 $46,963.43 $186,377.92 $49,311.60 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 43 22 — $71,140.33 $46,800.02 $185,727.23 $49,140.02 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 43 22 — $62,063.91 $46,587.19 $184,879.81 $48,916.55 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $48,873.68 $48,873.68 $48,873.68 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 43 22 — $62,867.23 $46,365.23 $183,996.07 $48,683.49 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 25 14 $96,364.00 $15,032.78 84% off $13,886.05 $77,091.20 $48,182.00 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 43 22 — $65,162.41 $45,691.03 $225,311.78 $47,975.58 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 43 22 — $59,434.88 $45,375.62 $180,055.56 $47,644.40 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $47,258.51 $47,258.51 $47,258.51 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,198.69 $47,198.69 $47,198.69 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 34 18 — $64,442.56 $46,033.84 $196,627.36 $47,184.68 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 34 18 — $64,442.56 $46,033.84 $182,676.51 $47,184.68 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 22 — $62,595.98 $45,341.41 $179,919.37 $47,155.07 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 43 22 — $61,354.49 $44,880.79 $178,085.31 $47,124.83 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $47,019.23 $47,019.23 $47,019.23 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $46,839.76 $46,839.76 $46,839.76 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,660.30 $46,660.30 $46,660.30 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 22 — $63,086.31 $44,410.30 $176,211.91 $46,630.82 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 22 — $63,378.43 $43,780.16 $173,702.94 $45,969.17 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 43 22 — $59,142.77 $43,519.46 $172,664.85 $45,695.43 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,344.24 $45,344.24 $45,344.24 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $45,164.78 $45,164.78 $45,164.78 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,686.21 $44,686.21 $44,686.21 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 43 22 — $56,482.44 $42,527.54 $168,715.27 $44,653.92 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 43 22 — $64,066.98 $42,168.01 $250,010.14 $44,276.41 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 43 22 — $58,412.48 $42,168.01 $167,283.73 $44,276.41 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 42 21 — $53,790.81 $41,169.25 $163,306.91 $44,256.94 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 43 22 — — $41,991.68 $169,642.19 $44,091.26 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $44,028.18 $44,028.18 $44,028.18 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 22 — — $41,736.28 $169,642.19 $43,823.09 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 25 14 $87,604.00 $13,666.22 84% off $12,623.74 $70,083.20 $43,802.00 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,669.26 $43,669.26 $43,669.26 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,549.62 $43,549.62 $43,549.62 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 43 22 — $57,431.81 $41,418.57 $164,299.61 $43,489.50 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 43 22 — $59,090.60 $41,208.02 $163,461.27 $43,268.42 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,250.51 $43,250.51 $43,250.51 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 22 — $59,288.82 $41,164.69 $163,288.75 $43,222.92 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $43,011.23 $43,011.23 $43,011.23 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $42,891.59 $42,891.59 $42,891.59 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,712.12 $42,712.12 $42,712.12 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,652.30 $42,652.30 $42,652.30 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 43 22 — $54,228.98 $40,593.87 $161,015.85 $42,623.56 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 34 18 — $54,896.67 $41,512.81 $222,327.52 $42,550.63 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 22 — $54,719.32 $40,415.24 $160,304.63 $42,436.00 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $41,934.45 $41,934.45 $41,934.45 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,695.17 $41,695.17 $41,695.17 2026-03-02
6310189 CDM Occluder Lvl 11 25 14 $83,224.00 $12,982.94 84% off $11,992.58 $66,579.20 $41,612.00 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $41,396.06 $41,396.06 $41,396.06 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,396.06 $41,396.06 $41,396.06 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 43 22 — $52,757.98 $39,170.98 $155,350.24 $41,129.53 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 43 22 — $54,114.22 $38,879.09 $154,188.07 $40,823.04 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 43 22 — $52,987.50 $38,760.53 $153,715.93 $40,698.56 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,558.57 $40,558.57 $40,558.57 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 43 22 — $50,149.81 $38,440.51 $152,441.78 $40,362.54 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $40,319.29 $40,319.29 $40,319.29 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,199.64 $40,199.64 $40,199.64 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $40,199.64 $40,199.64 $40,199.64 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 43 22 — $50,535.82 $38,214.76 $151,542.91 $40,125.50 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 43 22 — $46,529.68 $38,185.12 $151,424.87 $40,094.38 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 22 — $52,152.88 $38,169.91 $151,364.34 $40,078.41 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 43 22 — $52,570.19 $38,033.11 $184,965.07 $39,934.77 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,661.26 $39,661.26 $39,661.26 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,541.61 $39,541.61 $39,541.61 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,481.79 $39,481.79 $39,481.79 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 25 14 $78,844.00 $12,299.66 84% off $11,361.42 $63,075.20 $39,422.00 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $39,362.15 $39,362.15 $39,362.15 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 37 22 — — $39,300.93 $155,867.78 $39,300.93 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 43 22 — $47,270.40 $37,299.62 $147,899.00 $39,164.60 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 43 22 — $51,318.27 $37,075.39 $147,006.18 $38,929.16 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,584.48 $38,584.48 $38,584.48 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 43 22 — $48,282.37 $36,453.63 $144,530.51 $38,276.31 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,225.56 $38,225.56 $38,225.56 2026-03-02
C1824 HCPCS Imp Gen Ccm Optimizer Smart 67 17 $176,923.00 $43,523.06 75% off $13,228.80 $141,538.40 $38,165.09 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 43 22 — $51,693.85 $36,296.28 $143,904.02 $38,111.09 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $38,105.91 $38,105.91 $38,105.91 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 43 22 — $49,325.63 $36,289.44 $143,876.78 $38,103.91 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 34 18 — $50,462.79 $37,013.81 $188,938.45 $37,939.15 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,746.99 $37,746.99 $37,746.99 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 43 22 — $50,911.40 $35,915.49 $207,427.34 $37,711.26 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,627.35 $37,627.35 $37,627.35 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 22 — $46,967.85 $35,723.95 $141,625.07 $37,510.15 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 43 22 — $49,889.00 $35,514.17 $140,789.75 $37,289.88 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,268.42 $37,268.42 $37,268.42 2026-03-02
6310171 CDM Occluder Lvl 10 25 14 $74,464.00 $11,616.38 84% off $10,730.26 $59,571.20 $37,232.00 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $37,088.96 $37,088.96 $37,088.96 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 43 22 — $49,179.57 $35,189.59 $139,497.44 $36,949.07 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 35 19 — $46,926.12 $35,175.17 $139,439.93 $36,933.93 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 180 17 $78,840.00 $19,394.64 75% off $12,264.00 $98,115.20 $36,862.75 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 43 22 — $48,501.45 $35,063.42 $150,066.95 $36,816.59 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 43 22 — $47,124.34 $35,058.11 $138,973.85 $36,811.02 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,550.57 $36,550.57 $36,550.57 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,490.75 $36,490.75 $36,490.75 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,430.93 $36,430.93 $36,430.93 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $36,311.29 $36,311.29 $36,311.29 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,311.29 $36,311.29 $36,311.29 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 43 22 — $46,195.83 $34,447.76 $136,543.57 $36,170.15 2026-03-02
C2624 HCPCS Imp Sensor Press Pa All Lvl 01 131 15 $87,604.00 $21,550.58 75% off $1,927.93 $105,123.20 $36,005.79 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 43 22 — $44,891.75 $34,243.28 $135,729.45 $35,955.44 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 43 22 — $46,070.64 $34,149.04 $167,127.13 $35,856.49 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 43 22 — $45,152.57 $33,831.31 $134,089.08 $35,522.88 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 43 22 — $45,507.28 $33,544.77 $151,901.47 $35,222.01 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $35,174.69 $35,174.69 $35,174.69 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $35,055.05 $35,055.05 $35,055.05 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 25 14 $70,084.00 $10,933.10 84% off $10,099.10 $56,067.20 $35,042.00 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 151 17 $87,604.00 $24,353.91 72% off $8,760.00 $105,123.20 $35,040.00 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,995.23 $34,995.23 $34,995.23 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $34,696.12 $34,696.12 $34,696.12 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 43 22 — — $33,043.86 $130,953.63 $34,696.05 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,636.30 $34,636.30 $34,636.30 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 43 22 — $47,270.40 $32,976.22 $130,684.27 $34,625.03 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 5 5 — — $34,217.55 $34,217.55 $34,217.55 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 43 22 — $44,641.37 $32,578.68 $129,101.41 $34,207.61 2026-03-02
0408T CPT Insr/rplc Sys Ccm Gen Puls&elcrd Tv 51 28 $14,799.00 $4,276.91 71% off $2,132.54 $56,383.59 $34,171.87 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 56 28 $16,977.00 $4,906.35 71% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 56 28 $29,247.00 $8,452.38 71% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 56 28 $14,740.00 $4,259.86 71% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 56 28 $21,991.00 $6,355.40 71% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,157.73 $34,157.73 $34,157.73 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 43 22 — $43,191.23 $32,530.79 $128,910.74 $34,157.33 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $34,097.91 $34,097.91 $34,097.91 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $33,918.45 $33,918.45 $33,918.45 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 43 22 — $39,414.60 $32,301.24 $127,996.74 $33,916.30 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $33,858.63 $33,858.63 $33,858.63 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $33,858.63 $33,858.63 $33,858.63 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 42 21 — $41,782.82 $31,347.32 $124,198.48 $33,698.37 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 43 22 — $42,951.27 $32,007.86 $126,828.51 $33,608.25 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 43 22 — $38,579.99 $32,000.26 $126,798.24 $33,600.27 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,559.52 $33,559.52 $33,559.52 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $33,439.88 $33,439.88 $33,439.88 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 43 22 — $43,389.45 $31,780.56 $125,923.59 $33,369.59 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 43 22 — $42,158.39 $31,411.18 $124,452.71 $32,981.74 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 43 22 — $42,200.12 $31,393.68 $124,383.10 $32,963.36 2026-03-02
6310163 CDM Occluder Lvl 09 25 14 $65,704.00 $10,249.82 84% off $9,467.95 $52,563.20 $32,852.00 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 122 17 $65,704.00 $18,265.71 72% off $8,760.00 $87,603.20 $32,850.60 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 43 22 — — $31,193.78 $123,587.13 $32,753.47 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 22 — $40,802.15 $31,071.43 $123,099.86 $32,625.00 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 5 5 — — $32,422.93 $32,422.93 $32,422.93 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $32,363.11 $32,363.11 $32,363.11 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 42 22 — $38,934.70 $30,024.01 $118,929.34 $32,275.81 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 40 22 — $42,753.05 $31,014.39 $122,872.87 $32,254.97 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,004.18 $32,004.18 $32,004.18 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,004.18 $32,004.18 $32,004.18 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 43 22 — $38,809.51 $30,435.22 $120,566.68 $31,956.98 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 43 22 — $37,724.51 $30,413.94 $120,481.94 $31,934.64 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 40 22 — $43,911.08 $16,631.39 $126,220.18 $31,855.05 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 43 22 — $41,887.14 $30,146.39 $119,416.61 $31,653.71 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 43 22 — $40,551.76 $30,084.80 $119,171.46 $31,589.04 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 5 5 — — $31,585.44 $31,585.44 $31,585.44 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $31,465.79 $31,465.79 $31,465.79 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 43 22 — — $29,891.75 $145,408.80 $31,386.34 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 43 22 — $40,656.09 $29,877.32 $118,345.23 $31,371.19 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 5 5 — — $31,286.33 $31,286.33 $31,286.33 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 43 22 — $40,697.82 $29,713.14 $117,691.51 $31,198.80 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 5 5 — — $31,166.69 $31,166.69 $31,166.69 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 43 22 — $41,292.48 $29,532.99 $116,974.23 $31,009.64 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 43 22 — $33,968.75 $29,503.34 $116,856.19 $30,978.51 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 43 22 — $42,335.75 $29,421.27 $116,529.33 $30,892.33 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 43 22 — $40,457.87 $29,209.19 $116,259.41 $30,669.65 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 25 14 $61,324.00 $9,566.54 84% off $8,836.79 $49,059.20 $30,662.00 2026-03-02
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $30,628.30 $30,628.30 $30,628.30 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 5 5 — — $30,568.48 $30,568.48 $30,568.48 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $30,508.66 $30,508.66 $30,508.66 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 43 22 — $39,529.36 $29,051.85 $124,971.26 $30,504.44 2026-03-02
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 5 5 — — $30,389.02 $30,389.02 $30,389.02 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 56 28 $75,585.00 $14,890.25 80% off $5,013.00 $60,468.00 $30,299.48 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 43 22 — $40,176.19 $28,826.85 $114,162.61 $30,268.19 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 43 22 — $39,915.37 $28,598.06 $113,251.63 $30,027.96 2026-03-02
6113 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $29,970.27 $29,970.27 $29,970.27 2026-03-02
1633 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $29,850.63 $29,850.63 $29,850.63 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 180 17 $65,704.00 $16,163.18 75% off $5,694.00 $105,123.20 $29,566.80 2026-03-02
1653 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $29,491.70 $29,491.70 $29,491.70 2026-03-02
6032 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $29,431.88 $29,431.88 $29,431.88 2026-03-02
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 5 5 — — $29,431.88 $29,431.88 $29,431.88 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 22 — $37,797.54 $27,888.91 $110,427.91 $29,283.36 2026-03-02
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 5 5 — — $29,252.42 $29,252.42 $29,252.42 2026-03-02
5104 APR_DRG Apr-DRG 38.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 5 5 — — $29,132.78 $29,132.78 $29,132.78 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 43 22 — $37,296.77 $27,696.61 $109,662.20 $29,081.44 2026-03-02
C2616 HCPCS Brachy N-strnd Yttr 90 Sirsp/srce 72 28 $75,117.00 $18,478.78 75% off $12,613.29 $60,093.60 $28,795.93 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 43 22 — $35,794.47 $27,403.19 $108,493.97 $28,773.35 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 43 22 — $37,943.60 $27,401.69 $108,487.92 $28,771.77 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 43 22 — $38,100.09 $27,397.11 $108,469.76 $28,766.97 2026-03-02
1833 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $28,714.03 $28,714.03 $28,714.03 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 43 22 — $36,869.03 $27,269.43 $107,961.31 $28,632.90 2026-03-02
7104 APR_DRG Apr-DRG 38.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 5 5 — — $28,534.57 $28,534.57 $28,534.57 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 43 22 — $36,117.88 $27,147.81 $107,477.07 $28,505.20 2026-03-02
6301055 CDM Device Ablation Lvl 15 25 14 $56,944.00 $8,883.26 84% off $8,205.63 $45,555.20 $28,472.00 2026-03-02
6310155 CDM Occluder Lvl 08 25 14 $56,944.00 $8,883.26 84% off $8,205.63 $45,555.20 $28,472.00 2026-03-02
82 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $28,355.11 $28,355.11 $28,355.11 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 43 22 — $40,927.34 $26,989.71 $209,219.59 $28,339.20 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 43 22 — $33,394.95 $26,982.88 $106,820.32 $28,332.02 2026-03-02
1782 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $28,295.29 $28,295.29 $28,295.29 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 43 22 — $37,359.37 $26,915.22 $106,550.96 $28,260.98 2026-03-02
7114 APR_DRG Apr-DRG 38.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 5 5 — — $28,235.46 $28,235.46 $28,235.46 2026-03-02
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