Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS

Tucson, AZ · CCN 030064 · Rates published

8,732 distinct procedures filed
33 distinct payers
324,486 rate rows
2026-09-25 last MRF observed
Data quality

321,229 of 324,486 rate rows are consumer-grade (99.0%)

3,257 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 1,797
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,100
exceeds 10× this hospital's gross charge — excluded from medians 181
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 95
placeholder amount (≤ $0.02) — excluded from medians 79
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/901074557_banner-university-medical-center-tucson_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-01
Content fingerprint 6de8bc6ea59b004b… · 147,135,870 bytes · first seen 2026-10-01

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 15 $4.23 $2,356,125.00 $1,099,525.00 nat. median
$2,706
outlier · 406.4×
Q2057
HCPCS 		Afamitres Tcr-t/dose 2.68b-10b Sniv 29 $0.04 $3,991,230.00 $813,967.38 nat. median
$813,967
1.0× median
Q2041
HCPCS 		Axicabtag Cil Car-t/<=200m/dose 29 $4.23 $3,013,461.00 $562,500.89 nat. median
$608,239
0.9× median
Q2042
HCPCS 		Tisagenlecl Car-t/<=600m/dose Adult 29 $4.23 $3,323,668.05 $473,380.96 nat. median
$739,258
0.6× median
Q2056
HCPCS 		Ciltacabt Car-t/<=100m/dose 30ml Ij 29 $4.23 $3,048,654.38 $452,695.16 nat. median
$646,415
0.7× median
Q2054
HCPCS 		Lisocabtag Mar Car-t/<=110m/dose Ij 29 $4.23 $3,062,969.40 $450,030.55 nat. median
$640,950
0.7× median
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $229,063.17 $843,403.27 $446,040.94 nat. median
$359,454
1.2× median
Q2055
HCPCS 		Idecabt Car-t/<=510m/dose 250ml Ij 29 $4.23 $2,987,448.30 $408,121.35 nat. median
$622,450
0.7× median
Q2053
HCPCS 		Brexucabtag Car-t/<=200m/dose Spij 29 $4.23 $2,764,654.20 $391,443.69 nat. median
$591,721
0.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $217,933.00 $547,334.79 $289,738.35 nat. median
$249,036
1.2× median
Q2058
HCPCS 		Obecabtagn Car-t/10<=400m/inf 1st 29 $0.04 $1,441,125.00 $278,250.00 nat. median
$319,951
0.9× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 22 $219,637.32 $414,549.38 $236,110.12 nat. median
$190,559
1.2× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 23 $220,929.28 $402,091.29 $231,975.74 nat. median
$198,418
1.2× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $230,470.53 $230,470.53 $230,470.53 nat. median
$2
outlier · 136373.1×
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,022.97 $222,022.97 $222,022.97 nat. median
$307,206
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 22 $124,701.33 $445,167.23 $199,522.13 nat. median
$110,307
1.8× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 22 $134,314.23 $447,686.00 $181,419.35 nat. median
$117,974
1.5× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $178,369.78 $178,369.78 $178,369.78 nat. median
$244,017
0.7× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $175,865.09 $175,865.09 $175,865.09 nat. median
$247,214
0.7× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $154,515.58 $154,515.58 $154,515.58 nat. median
$241,437
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 22 $143,606.46 $270,531.69 $154,376.95 nat. median
$126,695
1.2× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,147.85 $136,147.85 $136,147.85 nat. median
$202,993
0.7× median
6313522
CDM 		Fix Extrnl Lw/up/pelvic Lvl 37 14 $42,919.32 $223,383.00 $134,029.80 nat. median
$146,241
0.9× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $117,626.98 $447,686.00 $129,389.68 nat. median
$104,013
1.2× median
6312219
CDM 		Fix Extrnl Lw/up/pelvic Lvl 36 14 $40,394.69 $210,243.00 $126,145.80 nat. median
$77,650
1.6× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 22 $107,096.43 $604,484.78 $125,838.31 nat. median
$95,038
1.3× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $122,550.95 $122,550.95 $122,550.95 nat. median
$155,939
0.8× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $121,000.43 $121,000.43 $121,000.43 nat. median
$159,249
0.8× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 23 $114,424.42 $215,255.06 $120,145.64 nat. median
$93,276
1.3× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,046.26 $120,046.26 $120,046.26 nat. median
$162,342
0.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 23 $112,907.67 $212,382.05 $118,553.05 nat. median
$97,323
1.2× median
6312201
CDM 		Fix Extrnl Lw/up/pelvic Lvl 35 14 $37,870.06 $197,103.00 $118,261.80 nat. median
$131,402
0.9× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $117,601.21 $117,601.21 $117,601.21 nat. median
$165,000
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,183.76 $227,104.00 $117,183.76 nat. median
$170,082
0.7× median
8101875
CDM 		Acq/store Heart Cadaver 16 $32,310.39 $224,222.00 $112,111.00 nat. median
$103,702
1.1× median
6312193
CDM 		Fix Extrnl Lw/up/pelvic Lvl 34 14 $35,345.42 $183,963.00 $110,377.80 nat. median
$122,642
0.9× median
8101651
CDM 		Acq/store Lung Living 16 $31,326.91 $217,397.00 $108,698.50 nat. median
$108,698
1.0× median
8101891
CDM 		Acq/store Lung Double Cadaver 16 $31,326.91 $217,397.00 $108,698.50 nat. median
$108,698
1.0× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 23 $103,451.51 $254,995.50 $108,624.09 nat. median
$93,901
1.2× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $107,224.63 $107,224.63 $107,224.63 nat. median
$175,204
0.6× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 23 $101,655.33 $191,067.87 $106,738.10 nat. median
$90,551
1.2× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $105,853.01 $105,853.01 $105,853.01 nat. median
$163,587
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $104,839.21 $104,839.21 $104,839.21 nat. median
$133,164
0.8× median
6312185
CDM 		Fix Extrnl Lw/up/pelvic Lvl 33 14 $32,820.79 $170,823.00 $102,493.80 nat. median
$113,882
0.9× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $101,022.54 $101,022.54 $101,022.54 nat. median
$154,011
0.7× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $100,128.00 $100,128.00 $100,128.00 nat. median
$136,566
0.7× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $99,710.56 $99,710.56 $99,710.56 nat. median
$151,838
0.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $93,682.91 $175,966.50 $98,367.06 nat. median
$78,049
1.3× median
16
MS_DRG 		Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 22 $61,926.23 $387,136.00 $96,295.29 nat. median
$53,927
1.8× median
8100042
CDM 		Acq/store Liver Living 16 $27,735.07 $192,471.00 $96,235.50 nat. median
$86,612
1.1× median

Other procedures at this hospital

Browse this hospital's 8,732 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 29 15 $3,141,500.00 $537,196.50 83% off $4.23 $2,356,125.00 $1,099,525.00 2026-09-25
Q2057 HCPCS Afamitres Tcr-t/dose 2.68b-10b Sniv 72 29 $559,063.00 $910,000.44 $0.04 $3,991,230.00 $813,967.38 2026-09-25
Q2041 HCPCS Axicabtag Cil Car-t/<=200m/dose 84 29 $4,017,948.00 $687,069.11 83% off $4.23 $3,013,461.00 $562,500.89 2026-09-25
Q2042 HCPCS Tisagenlecl Car-t/<=600m/dose Adult 101 29 $3,829,471.20 $654,839.58 83% off $4.23 $3,323,668.05 $473,380.96 2026-09-25
Q2056 HCPCS Ciltacabt Car-t/<=100m/dose 30ml Ij 80 29 $4,064,872.50 $695,093.20 83% off $4.23 $3,048,654.38 $452,695.16 2026-09-25
Q2054 HCPCS Lisocabtag Mar Car-t/<=110m/dose Ij 80 29 $4,083,959.20 $698,357.02 83% off $4.23 $3,062,969.40 $450,030.55 2026-09-25
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 16 — $482,161.30 $229,063.17 $843,403.27 $446,040.94 2026-09-25
Q2055 HCPCS Idecabt Car-t/<=510m/dose 250ml Ij 99 29 $3,983,264.40 $681,138.21 83% off $4.23 $2,987,448.30 $408,121.35 2026-09-25
Q2053 HCPCS Brexucabtag Car-t/<=200m/dose Spij 80 29 $3,686,205.60 $630,341.16 83% off $4.23 $2,764,654.20 $391,443.69 2026-09-25
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 39 22 — $354,642.37 $217,933.00 $547,334.79 $289,738.35 2026-09-25
Q2058 HCPCS Obecabtagn Car-t/10<=400m/inf 1st 80 29 $1,921,500.00 $328,576.50 83% off $0.04 $1,441,125.00 $278,250.00 2026-09-25
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 38 22 — $279,013.08 $219,637.32 $414,549.38 $236,110.12 2026-09-25
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 39 23 — $344,958.06 $220,929.28 $402,091.29 $231,975.74 2026-09-25
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $230,470.53 $230,470.53 $230,470.53 2026-09-25
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,022.97 $222,022.97 $222,022.97 2026-09-25
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 61 22 — $149,989.16 $124,701.33 $445,167.23 $199,522.13 2026-09-25
7 MS_DRG Ms-DRG 42.00: Lung Transplant 45 22 — $160,524.13 $134,314.23 $447,686.00 $181,419.35 2026-09-25
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,369.78 $178,369.78 $178,369.78 2026-09-25
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $175,865.09 $175,865.09 $175,865.09 2026-09-25
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,515.58 $154,515.58 $154,515.58 2026-09-25
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 38 22 — $192,377.69 $143,606.46 $270,531.69 $154,376.95 2026-09-25
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,147.85 $136,147.85 $136,147.85 2026-09-25
6313522 CDM Fix Extrnl Lw/up/pelvic Lvl 37 21 14 $297,844.00 $60,462.33 80% off $42,919.32 $223,383.00 $134,029.80 2026-09-25
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 22 — $160,236.22 $117,626.98 $447,686.00 $129,389.68 2026-09-25
6312219 CDM Fix Extrnl Lw/up/pelvic Lvl 36 21 14 $280,324.00 $56,905.77 80% off $40,394.69 $210,243.00 $126,145.80 2026-09-25
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 42 22 — $135,449.60 $107,096.43 $604,484.78 $125,838.31 2026-09-25
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $122,550.95 $122,550.95 $122,550.95 2026-09-25
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,000.43 $121,000.43 $121,000.43 2026-09-25
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 39 23 — — $114,424.42 $215,255.06 $120,145.64 2026-09-25
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,046.26 $120,046.26 $120,046.26 2026-09-25
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 39 23 — $140,959.19 $112,907.67 $212,382.05 $118,553.05 2026-09-25
6312201 CDM Fix Extrnl Lw/up/pelvic Lvl 35 21 14 $262,804.00 $53,349.21 80% off $37,870.06 $197,103.00 $118,261.80 2026-09-25
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $117,601.21 $117,601.21 $117,601.21 2026-09-25
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $117,183.76 $227,104.00 $117,183.76 2026-09-25
8101875 CDM Acq/store Heart Cadaver 24 16 $224,222.00 $70,773.43 68% off $32,310.39 $224,222.00 $112,111.00 2026-09-25
6312193 CDM Fix Extrnl Lw/up/pelvic Lvl 34 21 14 $245,284.00 $49,792.65 80% off $35,345.42 $183,963.00 $110,377.80 2026-09-25
8101651 CDM Acq/store Lung Living 24 16 $217,397.00 $68,619.19 68% off $31,326.91 $217,397.00 $108,698.50 2026-09-25
8101891 CDM Acq/store Lung Double Cadaver 24 16 $217,397.00 $68,619.19 68% off $31,326.91 $217,397.00 $108,698.50 2026-09-25
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 39 23 — $133,682.86 $103,451.51 $254,995.50 $108,624.09 2026-09-25
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $107,224.63 $107,224.63 $107,224.63 2026-09-25
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 39 23 — $127,008.53 $101,655.33 $191,067.87 $106,738.10 2026-09-25
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $105,853.01 $105,853.01 $105,853.01 2026-09-25
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $104,839.21 $104,839.21 $104,839.21 2026-09-25
6312185 CDM Fix Extrnl Lw/up/pelvic Lvl 33 21 14 $227,764.00 $46,236.09 80% off $32,820.79 $170,823.00 $102,493.80 2026-09-25
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $101,022.54 $101,022.54 $101,022.54 2026-09-25
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,128.00 $100,128.00 $100,128.00 2026-09-25
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $99,710.56 $99,710.56 $99,710.56 2026-09-25
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 39 23 — — $93,682.91 $175,966.50 $98,367.06 2026-09-25
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 50 22 — $80,837.89 $61,926.23 $387,136.00 $96,295.29 2026-09-25
8101859 CDM Acq/store Liver Cadaver 24 16 $192,471.00 $60,751.55 68% off $27,735.07 $192,471.00 $96,235.50 2026-09-25
8100042 CDM Acq/store Liver Living 24 16 $192,471.00 $60,751.55 68% off $27,735.07 $192,471.00 $96,235.50 2026-09-25
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,595.71 $95,595.71 $95,595.71 2026-09-25
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $94,939.72 $94,939.72 $94,939.72 2026-09-25
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 21 14 $210,244.00 $42,679.53 80% off $30,296.16 $157,683.00 $94,609.80 2026-09-25
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 39 23 — — $90,073.06 $169,128.69 $94,576.71 2026-09-25
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $93,389.19 $93,389.19 $93,389.19 2026-09-25
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $92,971.74 $92,971.74 $92,971.74 2026-09-25
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 39 23 — $106,200.33 $87,705.66 $176,878.50 $92,090.94 2026-09-25
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 39 23 — $110,309.63 $87,432.43 $164,126.81 $91,804.05 2026-09-25
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 21 14 $192,724.00 $39,122.97 80% off $27,771.53 $144,543.00 $86,725.80 2026-09-25
8101867 CDM Acq/store Panc Cadaver 24 16 $172,446.00 $54,430.86 68% off $24,849.47 $172,446.00 $86,223.00 2026-09-25
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 39 23 — $110,610.63 $81,920.18 $186,041.20 $86,016.19 2026-09-25
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $85,527.54 $85,527.54 $85,527.54 2026-09-25
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 48 22 — $80,837.89 $56,797.55 $387,136.00 $84,959.90 2026-09-25
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $84,445.96 $84,445.96 $84,445.96 2026-09-25
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 39 23 — $100,913.22 $79,955.96 $149,964.88 $83,953.76 2026-09-25
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 39 23 — $102,077.96 $79,614.66 $168,303.37 $83,595.39 2026-09-25
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 23 — $94,657.67 $79,353.79 $148,824.27 $83,321.48 2026-09-25
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $82,774.07 $82,774.07 $82,774.07 2026-09-25
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,223.55 $81,223.55 $81,223.55 2026-09-25
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $79,793.98 $79,793.98 $79,793.98 2026-09-25
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 39 23 — — $75,215.99 $153,877.66 $78,976.79 2026-09-25
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 21 14 $175,204.00 $35,566.41 80% off $25,246.90 $131,403.00 $78,841.80 2026-09-25
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 39 23 — $90,561.47 $74,742.73 $140,090.00 $78,479.87 2026-09-25
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 23 — $92,079.55 $74,306.58 $180,666.13 $78,021.91 2026-09-25
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,168.34 $77,168.34 $77,168.34 2026-09-25
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 39 23 — $91,150.38 $72,052.60 $134,994.37 $75,655.23 2026-09-25
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 39 23 — $89,710.82 $71,703.07 $134,332.26 $75,288.22 2026-09-25
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 36 22 — — $43,006.23 $232,050.49 $74,773.68 2026-09-25
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 21 — $104,616.82 $74,349.89 $281,290.31 $74,349.89 2026-09-25
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,186.56 $74,186.56 $74,186.56 2026-09-25
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 39 23 — $79,699.33 $70,189.42 $131,537.94 $73,698.89 2026-09-25
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 39 23 — — $69,679.04 $130,498.33 $73,162.99 2026-09-25
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 39 23 — $74,556.17 $68,582.99 $128,422.18 $72,012.14 2026-09-25
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 39 23 — $83,298.23 $68,582.99 $136,305.56 $72,012.14 2026-09-25
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $71,562.60 $71,562.60 $71,562.60 2026-09-25
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,383.69 $71,383.69 $71,383.69 2026-09-25
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 21 14 $157,684.00 $32,009.85 80% off $22,722.26 $118,263.00 $70,957.80 2026-09-25
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 39 23 — $90,404.43 $67,133.24 $125,676.13 $70,489.90 2026-09-25
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $70,424.69 $70,424.69 $70,424.69 2026-09-25
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 23 — — $68,337.98 $130,594.03 $69,729.56 2026-09-25
028 OTHER Spinal Procedures With Mcc 1 1 — — $69,471.68 $69,471.68 $69,471.68 2026-09-25
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $69,057.91 $69,057.91 $69,057.91 2026-09-25
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 23 — $81,374.45 $54,494.37 $127,955.39 $68,336.53 2026-09-25
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,103.74 $68,103.74 $68,103.74 2026-09-25
8100034 CDM Acq/store Kidney Living 24 16 $135,429.00 $42,746.81 68% off $19,515.32 $135,429.00 $67,714.50 2026-09-25
8101842 CDM Acq/store Kidney Cadaver 24 16 $135,429.00 $42,746.81 68% off $19,515.32 $135,429.00 $67,714.50 2026-09-25
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $67,293.95 $67,293.95 $67,293.95 2026-09-25
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 39 23 — $81,740.89 $63,975.01 $157,942.12 $67,173.76 2026-09-25
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 39 23 — $89,946.38 $63,901.82 $119,555.11 $67,096.91 2026-09-25
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-09-25
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-09-25
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 39 23 — $77,854.07 $63,296.55 $168,329.22 $66,461.38 2026-09-25
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 39 23 — $78,861.76 $62,736.68 $117,348.11 $65,873.51 2026-09-25
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 39 23 — $81,269.76 $62,719.14 $117,314.90 $65,855.10 2026-09-25
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 39 23 — $79,503.02 $62,270.61 $116,465.31 $65,384.14 2026-09-25
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $65,062.33 $65,062.33 $65,062.33 2026-09-25
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $64,879.84 $64,879.84 $64,879.84 2026-09-25
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,585.25 $64,585.25 $64,585.25 2026-09-25
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 23 — $78,521.50 $62,068.52 $130,721.93 $64,551.26 2026-09-25
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 39 23 — $76,964.16 $61,296.23 $135,946.43 $64,361.04 2026-09-25
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,346.70 $64,346.70 $64,346.70 2026-09-25
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 23 — $79,136.59 $61,257.05 $114,545.41 $64,319.90 2026-09-25
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $64,287.07 $64,287.07 $64,287.07 2026-09-25
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 21 14 $142,354.00 $28,897.86 80% off $20,513.21 $106,765.50 $64,059.30 2026-09-25
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $63,798.97 $63,798.97 $63,798.97 2026-09-25
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,571.44 $63,571.44 $63,571.44 2026-09-25
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 23 — — $60,249.67 $133,329.85 $63,262.15 2026-09-25
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 39 23 — $74,189.73 $59,870.22 $111,918.49 $62,863.73 2026-09-25
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 39 23 — $74,124.30 $59,552.64 $111,316.93 $62,530.27 2026-09-25
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 39 23 — — $58,753.56 $133,329.85 $61,691.24 2026-09-25
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,305.29 $61,305.29 $61,305.29 2026-09-25
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 38 22 — $67,476.15 $57,022.34 $106,524.03 $61,299.01 2026-09-25
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,007.12 $61,007.12 $61,007.12 2026-09-25
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $60,947.48 $60,947.48 $60,947.48 2026-09-25
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 39 23 — $89,239.69 $57,732.78 $114,855.10 $60,619.42 2026-09-25
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $60,291.49 $227,104.00 $60,291.49 2026-09-25
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 39 23 — $73,273.65 $57,391.48 $121,749.56 $60,261.05 2026-09-25
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 39 23 — $72,043.48 $57,191.45 $106,844.34 $60,051.02 2026-09-25
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $59,971.36 $59,971.36 $59,971.36 2026-09-25
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 39 23 — $68,025.80 $57,111.02 $132,284.90 $59,966.57 2026-09-25
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $59,814.41 $59,814.41 $59,814.41 2026-09-25
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 21 14 $131,404.00 $26,675.01 80% off $18,935.32 $98,553.00 $59,131.80 2026-09-25
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 34 21 — $68,863.36 $58,574.16 $281,290.31 $58,574.16 2026-09-25
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 39 23 — $68,640.88 $55,771.63 $110,929.57 $58,560.21 2026-09-25
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 39 23 — — $55,738.62 $104,092.42 $58,525.55 2026-09-25
163 OTHER Major Chest Procedures With Mcc 1 1 — — $58,222.00 $58,222.00 $58,222.00 2026-09-25
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 39 23 — $58,367.65 $49,350.43 $108,713.45 $58,178.20 2026-09-25
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 39 23 — $80,366.76 $55,369.52 $161,773.41 $58,138.00 2026-09-25
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 39 23 — $66,180.54 $55,189.06 $103,051.42 $57,948.51 2026-09-25
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $57,581.06 $57,581.06 $57,581.06 2026-09-25
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 39 23 — $67,881.84 $54,458.00 $101,666.67 $57,180.90 2026-09-25
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 42 22 — $63,301.42 $48,597.27 $604,484.78 $57,101.79 2026-09-25
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 39 23 — $70,852.57 $54,365.21 $101,490.89 $57,083.47 2026-09-25
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $56,951.90 $56,951.90 $56,951.90 2026-09-25
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $56,758.31 $56,758.31 $56,758.31 2026-09-25
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,474.82 $56,474.82 $56,474.82 2026-09-25
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,117.01 $56,117.01 $56,117.01 2026-09-25
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 39 23 — $60,841.08 $52,754.66 $105,195.98 $55,392.39 2026-09-25
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 39 23 — $66,468.45 $52,210.21 $97,408.91 $54,820.72 2026-09-25
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 39 23 — $65,944.98 $51,797.79 $129,659.33 $54,387.68 2026-09-25
8101883 CDM Acq/store Lung Single Cadaver 24 16 $108,699.00 $34,309.75 68% off $15,663.53 $108,699.00 $54,349.50 2026-09-25
8101917 CDM Acq/store Lung 2ndry2 Heart Cad 24 16 $108,699.00 $34,309.75 68% off $15,663.53 $108,699.00 $54,349.50 2026-09-25
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 23 — $65,421.50 $51,707.06 $138,335.20 $54,292.41 2026-09-25
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 41 22 — $58,864.95 $49,261.29 $387,498.00 $54,187.42 2026-09-25
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 39 23 — $62,908.81 $51,532.80 $96,125.72 $54,109.44 2026-09-25
C1825 HCPCS Imp Dev Sys Barostim 31 17 $152,211.00 $44,750.03 71% off $28,311.25 $114,158.25 $54,034.90 2026-09-25
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 231 17 $131,404.00 $38,632.78 71% off $9,368.82 $180,678.00 $53,961.60 2026-09-25
356 OTHER Other Digestive System O.r. Procedures With Mcc 1 1 — — $53,936.83 $53,936.83 $53,936.83 2026-09-25
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 23 — $74,372.95 $51,321.41 $95,725.34 $53,887.48 2026-09-25
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 39 23 — $64,374.55 $50,573.88 $94,309.34 $53,102.57 2026-09-25
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 39 23 — $63,393.03 $50,322.29 $93,832.78 $52,838.40 2026-09-25
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 5 — — $52,837.05 $227,104.00 $52,837.05 2026-09-25
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,658.15 $52,658.15 $52,658.15 2026-09-25
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,598.51 $52,598.51 $52,598.51 2026-09-25
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 21 14 $116,512.00 $23,651.94 80% off $16,789.38 $87,384.00 $52,430.40 2026-09-25
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 39 23 — $63,864.16 $49,873.77 $145,405.24 $52,367.46 2026-09-25
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $51,823.25 $51,823.25 $51,823.25 2026-09-25
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,763.61 $51,763.61 $51,763.61 2026-09-25
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,763.61 $51,763.61 $51,763.61 2026-09-25
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 39 23 — $61,874.95 $49,162.31 $95,315.27 $51,620.43 2026-09-25
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 39 23 — $60,566.25 $49,017.94 $99,210.86 $51,468.84 2026-09-25
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 39 23 — $62,581.64 $48,406.53 $94,140.65 $50,826.86 2026-09-25
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 39 23 — $59,113.61 $48,179.67 $89,774.24 $50,588.65 2026-09-25
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 23 — $58,917.30 $48,059.03 $90,335.84 $50,461.98 2026-09-25
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,451.63 $50,451.63 $50,451.63 2026-09-25
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 39 23 — $59,296.82 $47,828.07 $89,108.23 $50,219.47 2026-09-25
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $50,093.82 $227,104.00 $50,093.82 2026-09-25
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 39 23 — $57,948.87 $47,686.81 $88,840.66 $50,071.15 2026-09-25
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 39 23 — $57,791.83 $47,666.20 $117,155.05 $50,049.51 2026-09-25
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 39 23 — $64,845.68 $47,482.66 $88,453.95 $49,856.79 2026-09-25
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,795.64 $49,795.64 $49,795.64 2026-09-25
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 7 5 — — $49,616.74 $121,664.00 $49,616.74 2026-09-25
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $49,543.09 $49,543.09 $49,543.09 2026-09-25
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $49,529.03 $49,529.03 $49,529.03 2026-09-25
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 39 23 — $61,691.73 $46,997.00 $87,534.04 $49,346.85 2026-09-25
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 39 23 — $53,878.84 $46,983.62 $114,231.18 $49,332.80 2026-09-25
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $49,219.27 $49,219.27 $49,219.27 2026-09-25
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 39 23 — $57,085.13 $46,802.14 $106,481.96 $49,142.25 2026-09-25
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 1 1 — — $48,806.05 $48,806.05 $48,806.05 2026-09-25
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $48,722.20 $48,722.20 $48,722.20 2026-09-25
C1823 HCPCS Imp Nrstm Sen Tv&ld Stim Lvl 01 281 17 $131,404.00 $38,632.78 71% off $4,074.14 $180,678.00 $48,444.06 2026-09-25
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 39 23 — $55,998.92 $46,079.33 $85,795.78 $48,383.30 2026-09-25
727 OTHER Inflammation Of The Male Reproductive System With Mcc 1 1 — — $47,840.71 $47,840.71 $47,840.71 2026-09-25
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 39 23 — $54,179.84 $45,405.00 $84,518.45 $47,675.25 2026-09-25
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 38 22 — $52,413.10 $44,256.36 $82,342.70 $47,575.59 2026-09-25
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 21 14 $105,124.00 $21,340.17 80% off $15,148.37 $78,843.00 $47,305.80 2026-09-25
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 39 23 — $56,313.01 $45,049.28 $83,844.63 $47,301.74 2026-09-25
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-09-25
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-09-25
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $47,112.04 $47,112.04 $47,112.04 2026-09-25
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,052.41 $47,052.41 $47,052.41 2026-09-25
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 39 23 — $49,442.37 $44,764.69 $83,305.57 $47,002.92 2026-09-25
64654 CPT Initial Open Implantation Of Baroreflex Activation Therapy (bat) Modulation Syst… 39 23 — — $2,925.56 $77,552.01 $47,001.22 2026-09-25
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 43 23 — — $2,603.00 $77,552.01 $47,001.22 2026-09-25
33276 CPT Ins Sys Stm Nrv Phrenic Incl IM Gd 52 29 $54,466.00 $19,771.16 64% off $2,925.56 $77,552.01 $47,001.22 2026-09-25
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $46,873.50 $46,873.50 $46,873.50 2026-09-25
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 39 23 — — $44,512.06 $82,827.06 $46,737.66 2026-09-25
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $46,694.60 $46,694.60 $46,694.60 2026-09-25
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 39 23 — $54,428.49 $44,330.58 $82,483.32 $46,547.11 2026-09-25
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,515.69 $46,515.69 $46,515.69 2026-09-25
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 39 23 — $52,936.58 $44,234.69 $82,301.68 $46,446.42 2026-09-25
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 39 23 — $56,640.18 $44,056.32 $81,963.79 $46,259.14 2026-09-25
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 39 23 — $52,884.23 $43,975.90 $98,708.66 $46,174.69 2026-09-25
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 39 23 — $59,296.82 $43,808.86 $100,157.69 $45,999.30 2026-09-25
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 23 — $51,182.93 $43,606.77 $81,112.24 $45,787.11 2026-09-25
404 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $45,608.06 $45,608.06 $45,608.06 2026-09-25
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 39 23 — $50,999.72 $43,323.22 $80,575.14 $45,489.38 2026-09-25
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,203.71 $45,203.71 $45,203.71 2026-09-25
399 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 With Mcc 1 1 — — $45,043.19 $45,043.19 $45,043.19 2026-09-25
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $45,024.80 $45,024.80 $45,024.80 2026-09-25
792 OTHER Neonate, Birth Weight >2499 Grams, Without Significant O.r. Procedures, With Oth… 1 1 — — $44,900.43 $44,900.43 $44,900.43 2026-09-25
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-09-25
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-09-25
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,547.72 $44,547.72 $44,547.72 2026-09-25
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 39 23 — — $42,240.56 $114,283.68 $44,352.59 2026-09-25
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 36 23 — $53,630.19 $42,637.55 $79,276.33 $44,343.06 2026-09-25
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 39 23 — $48,395.42 $39,198.64 $82,061.45 $44,107.87 2026-09-25
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 39 23 — $44,901.21 $41,865.25 $77,813.46 $43,958.51 2026-09-25
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $43,891.73 $43,891.73 $43,891.73 2026-09-25
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 36 23 — $55,082.84 $22,035.82 $81,436.46 $43,777.93 2026-09-25
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,533.92 $43,533.92 $43,533.92 2026-09-25
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,414.64 $43,414.64 $43,414.64 2026-09-25
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 21 14 $96,364.00 $19,561.89 80% off $13,886.05 $72,273.00 $43,363.80 2026-09-25
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 38 22 — $48,840.38 $40,636.18 $75,485.36 $43,249.08 2026-09-25
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 39 23 — $49,586.33 $41,120.80 $87,604.05 $43,176.84 2026-09-25
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,116.47 $43,116.47 $43,116.47 2026-09-25
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 39 23 — — $40,938.30 $74,543.97 $42,985.21 2026-09-25
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 41 22 — $45,254.56 $38,995.72 $387,498.00 $42,895.29 2026-09-25
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $42,877.92 $42,877.92 $42,877.92 2026-09-25
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $42,758.65 $42,758.65 $42,758.65 2026-09-25
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 39 23 — $51,052.06 $40,696.00 $75,598.64 $42,730.80 2026-09-25
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 39 23 — $50,397.72 $40,598.05 $75,413.10 $42,627.95 2026-09-25
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,579.75 $42,579.75 $42,579.75 2026-09-25
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,520.11 $42,520.11 $42,520.11 2026-09-25
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 39 23 — $48,683.33 $40,372.22 $74,985.37 $42,390.83 2026-09-25
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $41,804.49 $41,804.49 $41,804.49 2026-09-25
252 OTHER Other Vascular Procedures With Mcc 1 1 — — $41,804.34 $41,804.34 $41,804.34 2026-09-25
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,565.94 $41,565.94 $41,565.94 2026-09-25
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 39 23 — $50,751.07 $39,585.50 $81,497.10 $41,564.78 2026-09-25
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 39 23 — $43,527.09 $39,416.39 $73,174.84 $41,387.21 2026-09-25
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 39 23 — $53,106.71 $39,324.63 $73,001.02 $41,290.86 2026-09-25
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $41,267.77 $41,267.77 $41,267.77 2026-09-25
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,267.77 $41,267.77 $41,267.77 2026-09-25
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 39 23 — $52,543.97 $39,212.25 $72,788.13 $41,172.86 2026-09-25
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 39 23 — $42,611.00 $38,658.54 $71,739.32 $40,591.47 2026-09-25
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 39 23 — $45,306.91 $38,643.08 $71,710.02 $40,575.23 2026-09-25
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,432.87 $40,432.87 $40,432.87 2026-09-25
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $40,380.36 $40,380.36 $40,380.36 2026-09-25
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $40,194.33 $40,194.33 $40,194.33 2026-09-25
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 39 23 — $42,074.44 $38,198.67 $70,868.23 $40,108.60 2026-09-25
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 39 23 — $46,864.25 $38,169.81 $70,813.55 $40,078.30 2026-09-25
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $40,075.06 $40,075.06 $40,075.06 2026-09-25
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,075.06 $40,075.06 $40,075.06 2026-09-25
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 39 23 — $47,819.60 $38,118.27 $70,715.89 $40,024.18 2026-09-25
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 39 23 — $46,249.17 $38,092.48 $70,667.06 $39,997.10 2026-09-25
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-09-25
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-09-25
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 39 23 — $47,322.29 $37,727.48 $68,872.17 $39,613.85 2026-09-25
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,538.34 $39,538.34 $39,538.34 2026-09-25
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 39 23 — $50,868.85 $37,641.90 $74,151.50 $39,524.00 2026-09-25
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 39 23 — $47,597.12 $38,026.49 $70,542.07 $39,492.20 2026-09-25
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 39 23 — $46,785.73 $37,604.76 $69,743.25 $39,485.00 2026-09-25
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 39 23 — $48,709.51 $37,550.13 $81,633.10 $39,427.64 2026-09-25
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 21 14 $87,604.00 $17,783.61 80% off $12,623.74 $65,703.00 $39,421.80 2026-09-25
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,419.07 $39,419.07 $39,419.07 2026-09-25
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 23 — $46,131.38 $37,519.19 $69,581.14 $39,395.15 2026-09-25
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,359.43 $39,359.43 $39,359.43 2026-09-25
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 39 23 — $50,070.55 $37,484.12 $69,514.74 $39,358.33 2026-09-25
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 39 23 — $45,228.39 $37,454.22 $69,458.10 $39,326.93 2026-09-25
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 39 23 — $47,793.42 $35,627.27 $72,993.21 $39,320.51 2026-09-25
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $39,240.16 $39,240.16 $39,240.16 2026-09-25
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 39 23 — $45,620.99 $37,147.99 $77,381.12 $39,005.39 2026-09-25
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 23 — $47,413.90 $37,073.77 $68,737.40 $38,927.46 2026-09-25
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 39 23 — $43,893.52 $36,753.09 $68,129.99 $38,590.74 2026-09-25
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 39 23 — $51,798.02 $36,743.80 $68,112.41 $38,580.99 2026-09-25
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,464.90 $38,464.90 $38,464.90 2026-09-25
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 39 23 — $44,574.04 $36,578.84 $67,799.91 $38,407.78 2026-09-25
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 23 — $44,089.82 $36,405.60 $67,471.79 $38,225.88 2026-09-25
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,107.08 $38,107.08 $38,107.08 2026-09-25
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $37,987.81 $37,987.81 $37,987.81 2026-09-25
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 39 23 — $41,891.22 $35,506.83 $70,436.60 $37,970.81 2026-09-25
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 39 23 — $44,194.52 $36,135.45 $66,960.08 $37,942.22 2026-09-25
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 39 23 — $44,861.95 $35,962.24 $66,874.20 $37,760.35 2026-09-25
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 39 23 — $41,891.22 $35,915.83 $71,274.48 $37,711.62 2026-09-25
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,630.00 $37,630.00 $37,630.00 2026-09-25
C1767 HCPCS Imp Generator Neurostim Lvl 01 206 17 $87,604.00 $25,755.58 71% off $5,295.42 $131,403.00 $37,559.48 2026-09-25
C1827 HCPCS Imp Gen Nrstm W Ld&cntrl Ep Lvl 01 206 17 $87,604.00 $25,755.58 71% off $5,703.50 $131,403.00 $37,559.48 2026-09-25
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,510.73 $37,510.73 $37,510.73 2026-09-25
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 41 22 — $39,313.10 $34,084.60 $387,498.00 $37,493.06 2026-09-25
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