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.

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
             
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,396.06 $41,396.06 $41,396.06 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $37,088.96 $37,088.96 $37,088.96 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,481.79 $39,481.79 $39,481.79 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
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
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
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
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
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
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
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
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
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,770.99 $49,770.99 $49,770.99 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
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
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
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
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
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
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
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,559.52 $33,559.52 $33,559.52 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
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
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
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
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
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
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
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
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
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,495.89 $61,495.89 $61,495.89 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,713.21 $222,713.21 $222,713.21 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
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,376.61 $121,376.61 $121,376.61 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
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
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
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
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
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
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
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,995.23 $34,995.23 $34,995.23 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
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
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $83,031.41 $83,031.41 $83,031.41 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
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
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
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
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
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
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
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
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
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
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
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,636.30 $34,636.30 $34,636.30 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
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
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
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
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
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
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
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,157.73 $34,157.73 $34,157.73 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 34 18 — — $60,757.62 $241,302.85 $62,276.56 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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