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 - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS

Tucson, AZ · CCN 030064 · Rates published

8,855 distinct procedures filed
33 distinct payers
286,894 rate rows
2026-03-02 last MRF observed
Data quality

283,609 of 286,894 rate rows are consumer-grade (98.9%)

3,285 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 1,779
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,136
exceeds 10× this hospital's gross charge — excluded from medians 302
placeholder amount (≤ $0.02) — excluded from medians 68
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 not_modified · 2026-05-16
Content fingerprint 15b9c57e66cc1b58… · 146,575,326 bytes · first seen 2026-05-09

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 $4.04 $3,007,603.20 $1,424,852.02 nat. median
$1,829
outlier · 779.1×
Q2057
HCPCS 		Afamitres Tcr-t/dose 2.68b-10b Sniv 29 $80,560.98 $4,245,683.20 $821,342.21 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabt Car-t/<=100m/dose 30ml Ij 29 $4.04 $3,048,852.16 $553,378.83 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtag Mar Car-t/<=110m/dose Ij 29 $4.04 $3,103,134.40 $541,635.66 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabt Car-t/<=510m/dose 250ml Ij 29 $4.04 $3,085,392.64 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtag Cil Car-t/<=200m/dose 29 $4.04 $2,935,115.20 $533,076.48 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtag Car-t/<=200m/dose Spij 29 $4.04 $2,698,128.00 $489,720.00 nat. median
$620,080
0.8× median
Q2042
HCPCS 		Tisagenlecl Car-t/<=600m/dose Adult 29 $4.04 $3,398,317.36 $408,858.00 nat. median
$754,974
0.5× median
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $208,879.79 $689,729.40 $391,697.12 nat. median
$370,174
1.1× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $217,933.00 $515,170.04 $292,723.45 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecabtagn Car-t/10<=400m/inf 1st 29 $40,372.50 $1,533,001.60 $270,375.00 nat. median
$324,450
0.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 23 $246,624.91 $433,866.29 $258,956.16 nat. median
$206,368
1.3× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 22 $222,865.84 $391,962.53 $239,580.78 nat. median
$202,986
1.2× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,022.97 $222,022.97 $222,022.97 nat. median
$309,665
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 22 $136,488.26 $416,044.14 $203,367.51 nat. median
$117,303
1.7× 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
$246,434
0.7× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 22 $136,146.04 $430,467.00 $170,182.55 nat. median
$122,708
1.4× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 22 $147,150.38 $258,423.57 $158,186.66 nat. median
$133,176
1.2× 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
$234,738
0.7× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 22 $111,057.58 $564,939.05 $138,429.75 nat. median
$100,136
1.4× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,147.85 $136,147.85 $136,147.85 nat. median
$207,730
0.7× median
6313522
CDM 		Fix Extrnl Lw/up/pelvic Lvl 37 14 $42,919.32 $238,275.20 $134,029.80 nat. median
$145,348
0.9× median
6312219
CDM 		Fix Extrnl Lw/up/pelvic Lvl 36 14 $40,394.69 $224,259.20 $126,145.80 nat. median
$98,113
1.3× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $114,897.49 $430,467.00 $123,514.80 nat. median
$108,660
1.1× 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
$160,267
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
$156,126
0.8× 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
$164,279
0.7× median
6312201
CDM 		Fix Extrnl Lw/up/pelvic Lvl 35 14 $37,870.06 $210,243.20 $118,261.80 nat. median
$130,219
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
$162,982
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,183.76 $219,742.00 $117,183.76 nat. median
$187,294
0.6× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 23 $110,491.41 $232,526.01 $116,015.98 nat. median
$99,019
1.2× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 23 $109,253.27 $191,584.59 $114,715.93 nat. median
$98,905
1.2× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 23 $113,067.89 $199,238.54 $113,592.97 nat. median
$102,358
1.1× 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 $196,227.20 $110,377.80 nat. median
$122,642
0.9× 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
8101651
CDM 		Acq/store Lung Living 16 $31,326.91 $217,397.00 $108,698.50 nat. median
$108,698
1.0× 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
$182,736
0.6× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $105,853.01 $105,853.01 $105,853.01 nat. median
$164,834
0.6× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 23 $100,705.51 $176,508.97 $105,740.79 nat. median
$93,672
1.1× 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
$122,924
0.9× median
6312185
CDM 		Fix Extrnl Lw/up/pelvic Lvl 33 14 $32,820.79 $182,211.20 $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
$150,721
0.7× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 23 $96,151.13 $168,476.44 $100,958.69 nat. median
$83,442
1.2× 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
$129,535
0.8× 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
8101859
CDM 		Acq/store Liver Cadaver 16 $27,735.07 $192,471.00 $96,235.50 nat. median
$83,594
1.2× median
8100042
CDM 		Acq/store Liver Living 16 $27,735.07 $192,471.00 $96,235.50 nat. median
$85,784
1.1× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,595.71 $95,595.71 $95,595.71 nat. median
$145,122
0.7× median

Other procedures at this hospital

Browse this hospital's 8,855 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
             
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 41 23 — $344,958.06 $246,624.91 $433,866.29 $258,956.16 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 40 22 — $279,013.08 $222,865.84 $391,962.53 $239,580.78 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,022.97 $222,022.97 $222,022.97 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 38 22 — $354,642.37 $217,933.00 $515,170.04 $292,723.45 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 18 — $482,161.30 $208,879.79 $689,729.40 $391,697.12 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,369.78 $178,369.78 $178,369.78 2026-03-02
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 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,515.58 $154,515.58 $154,515.58 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 40 22 — $192,377.69 $147,150.38 $258,423.57 $158,186.66 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 58 22 — $149,989.16 $136,488.26 $416,044.14 $203,367.51 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,147.85 $136,147.85 $136,147.85 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 45 22 — $160,524.13 $136,146.04 $430,467.00 $170,182.55 2026-03-02
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 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,000.43 $121,000.43 $121,000.43 2026-03-02
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 2026-03-02
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 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $117,183.76 $219,742.00 $117,183.76 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 22 — $160,236.22 $114,897.49 $430,467.00 $123,514.80 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 41 23 — $140,959.19 $113,067.89 $199,238.54 $113,592.97 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 44 22 — $135,449.60 $111,057.58 $564,939.05 $138,429.75 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 41 23 — $133,682.86 $110,491.41 $232,526.01 $116,015.98 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 23 — — $109,253.27 $191,584.59 $114,715.93 2026-03-02
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 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $105,853.01 $105,853.01 $105,853.01 2026-03-02
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 2026-03-02
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 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 23 — $127,008.53 $100,705.51 $176,508.97 $105,740.79 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,128.00 $100,128.00 $100,128.00 2026-03-02
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 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 41 23 — — $96,151.13 $168,476.44 $100,958.69 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,595.71 $95,595.71 $95,595.71 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $94,939.72 $94,939.72 $94,939.72 2026-03-02
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 2026-03-02
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 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 41 23 — $106,200.33 $88,498.29 $161,293.44 $92,923.20 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 23 — $110,309.63 $88,449.55 $154,893.20 $90,806.20 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 23 — — $87,116.02 $152,541.23 $91,471.82 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 41 23 — $110,610.63 $84,217.67 $183,784.64 $88,428.55 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 36 22 — — $83,304.10 $216,869.62 $85,386.70 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 21 — $104,616.82 $82,830.22 $262,888.14 $82,830.22 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $82,774.07 $82,774.07 $82,774.07 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 41 23 — $102,077.96 $81,680.19 $153,473.88 $85,764.20 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,223.55 $81,223.55 $81,223.55 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 23 — $100,913.22 $80,862.03 $141,511.14 $84,905.13 2026-03-02
Q2057 HCPCS Afamitres Tcr-t/dose 2.68b-10b Sniv 63 29 $559,063.00 $907,514.78 $80,560.98 $4,245,683.20 $821,342.21 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 23 — $94,657.67 $78,028.00 $136,549.00 $81,929.40 2026-03-02
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 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 23 — — $74,279.34 $140,325.01 $77,993.31 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,186.56 $74,186.56 $74,186.56 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 23 — $92,079.55 $73,909.14 $164,746.34 $77,604.60 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 41 23 — $91,150.38 $72,763.30 $127,335.77 $76,401.46 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $71,562.60 $71,562.60 $71,562.60 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 41 23 — $79,699.33 $71,433.89 $125,009.31 $75,005.58 2026-03-02
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 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 41 23 — — $70,152.22 $122,766.38 $73,659.83 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 41 23 — $90,561.47 $69,884.65 $122,298.14 $73,378.88 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 41 23 — $89,710.82 $69,767.48 $122,093.09 $73,255.85 2026-03-02
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 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,103.74 $68,103.74 $68,103.74 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 41 23 — $90,404.43 $67,689.39 $118,456.43 $71,073.86 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 23 — $83,298.23 $67,592.96 $124,294.70 $70,972.61 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 41 23 — $89,946.38 $66,207.56 $115,863.23 $69,517.94 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $65,062.33 $65,062.33 $65,062.33 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 41 23 — $81,269.76 $64,860.54 $113,505.95 $68,103.57 2026-03-02
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 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,346.70 $64,346.70 $64,346.70 2026-03-02
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 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 41 23 — $89,239.69 $64,262.21 $112,458.87 $67,475.32 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 41 23 — $77,854.07 $63,971.85 $153,502.72 $67,170.44 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 41 23 — $78,861.76 $63,669.06 $111,420.85 $66,852.51 2026-03-02
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 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 51 22 — $80,837.89 $63,216.93 $375,860.00 $94,825.40 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 49 22 — $80,837.89 $63,216.93 $375,860.00 $93,561.06 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 41 23 — $81,740.89 $62,749.25 $144,024.71 $65,886.71 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 23 — $74,556.17 $62,318.93 $112,462.64 $65,434.88 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 41 23 — — $62,316.23 $113,360.75 $64,777.57 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 23 — $78,521.50 $62,272.26 $119,208.70 $64,763.15 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 41 23 — $76,964.16 $61,643.85 $120,356.90 $64,726.04 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,305.29 $61,305.29 $61,305.29 2026-03-02
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 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 23 — $79,136.59 $61,001.97 $106,753.45 $64,052.07 2026-03-02
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 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $60,291.49 $219,742.00 $60,291.49 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 23 — $79,503.02 $60,142.32 $105,249.06 $63,149.44 2026-03-02
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 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 41 23 — $74,189.73 $59,786.64 $104,626.62 $62,775.97 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 41 23 — $70,852.57 $58,433.39 $102,258.43 $61,355.06 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 41 23 — $73,273.65 $57,942.91 $111,022.31 $60,840.06 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 41 23 — $80,366.76 $57,942.91 $159,812.49 $60,840.06 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 23 — — $57,702.32 $121,586.94 $60,587.44 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 23 — — $57,353.91 $121,586.94 $60,221.61 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 35 21 — $68,863.36 $57,049.03 $262,888.14 $57,049.03 2026-03-02
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 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 41 23 — $72,043.48 $56,920.46 $99,610.80 $59,766.48 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 41 23 — $74,124.30 $56,633.22 $99,108.13 $59,464.88 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 40 22 — $67,476.15 $56,580.32 $99,015.56 $60,823.85 2026-03-02
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 2026-03-02
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 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 41 23 — $68,025.80 $55,795.35 $117,114.23 $58,585.12 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 23 — $68,640.88 $55,551.63 $101,154.77 $58,329.21 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 35 23 — — $54,031.45 $94,555.04 $54,031.45 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 41 23 — $66,180.54 $53,854.12 $94,244.71 $56,546.83 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 41 23 — $67,881.84 $53,455.92 $93,547.86 $56,128.72 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 41 23 — $66,468.45 $53,294.17 $93,264.80 $55,958.88 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 41 23 — $62,908.81 $52,857.60 $92,500.80 $55,500.48 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 5 — — $52,837.05 $219,742.00 $52,837.05 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,658.15 $52,658.15 $52,658.15 2026-03-02
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 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 41 23 — $63,393.03 $52,549.61 $91,961.82 $55,177.09 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 23 — $65,421.50 $52,488.43 $126,147.88 $55,112.85 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 41 23 — $65,944.98 $52,301.79 $118,234.12 $54,916.88 2026-03-02
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 2026-03-02
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 2026-03-02
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 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 41 23 — $59,296.82 $51,301.09 $89,776.91 $53,866.14 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 41 23 — $64,374.55 $50,995.20 $89,241.60 $53,544.96 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 47 22 — $63,301.42 $50,911.19 $564,939.05 $70,711.03 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 23 — $74,372.95 $50,689.52 $99,004.66 $56,574.09 2026-03-02
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 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 41 23 — $60,566.25 $50,146.97 $90,472.94 $52,654.32 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 6 5 — — $50,093.82 $219,742.00 $50,093.82 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 41 23 — $64,845.68 $49,932.31 $87,381.54 $52,428.93 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 41 23 — $61,874.95 $49,922.97 $87,365.20 $52,419.12 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,795.64 $49,795.64 $49,795.64 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 23 — $81,374.45 $49,692.48 $112,849.01 $64,485.15 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 8 6 — — $49,616.74 $132,253.00 $49,616.74 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 41 23 — $63,864.16 $49,412.78 $132,592.54 $51,883.42 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 23 — $58,917.30 $49,151.46 $86,015.05 $51,609.03 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 41 23 — $62,581.64 $48,865.26 $85,845.24 $51,308.52 2026-03-02
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 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 41 23 — $61,691.73 $48,422.47 $84,739.32 $50,843.59 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 44 23 — $58,864.95 $48,402.77 $387,498.00 $56,481.43 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 23 — $60,841.08 $48,250.34 $95,926.40 $50,662.86 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 41 23 — $59,113.61 $48,243.08 $84,425.39 $50,655.23 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 41 23 — $57,948.87 $47,410.40 $82,968.20 $49,780.92 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 41 23 — $56,313.01 $47,131.45 $82,480.04 $49,488.02 2026-03-02
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 2026-03-02
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 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 41 23 — $57,791.83 $47,002.86 $106,831.68 $49,353.00 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $46,873.50 $46,873.50 $46,873.50 2026-03-02
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 2026-03-02
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 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 41 23 — $57,085.13 $46,178.48 $97,099.07 $48,487.40 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 41 23 — — $45,495.10 $79,616.43 $47,769.86 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 23 — $59,296.82 $45,402.83 $126,285.85 $47,672.97 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,203.71 $45,203.71 $45,203.71 2026-03-02
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 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 41 23 — $58,367.65 $45,001.81 $91,891.05 $52,509.17 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 41 23 — $55,998.92 $44,860.47 $78,505.82 $47,103.49 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 41 23 — $54,179.84 $44,795.15 $78,391.51 $47,034.91 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-03-02
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 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 41 23 — $49,442.37 $44,482.00 $77,843.50 $46,706.10 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 41 23 — $56,640.18 $44,337.12 $81,496.47 $46,569.41 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 41 23 — $53,878.84 $44,081.72 $89,799.98 $46,285.81 2026-03-02
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 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 41 23 — $54,428.49 $43,771.67 $76,600.42 $45,960.25 2026-03-02
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 2026-03-02
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 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 41 23 — $52,884.23 $43,267.69 $87,389.27 $45,431.07 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 41 23 — $52,936.58 $43,243.85 $75,676.74 $45,406.04 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 40 22 — $52,413.10 $43,180.59 $75,566.03 $46,419.14 2026-03-02
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 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 41 23 — — $42,971.10 $75,199.43 $45,119.65 2026-03-02
6313522 CDM Fix Extrnl Lw/up/pelvic Lvl 37 22 14 $297,844.00 $60,462.33 80% off $42,919.32 $238,275.20 $134,029.80 2026-03-02
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 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 23 — $51,182.93 $42,804.18 $74,907.32 $44,944.39 2026-03-02
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 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 38 23 — $53,630.19 $42,726.39 $74,771.18 $44,027.76 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,579.75 $42,579.75 $42,579.75 2026-03-02
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 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 41 23 — $48,683.33 $41,936.24 $73,388.42 $44,033.05 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 41 23 — $47,322.29 $41,907.20 $73,337.60 $44,002.56 2026-03-02
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 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,565.94 $41,565.94 $41,565.94 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 41 23 — $50,868.85 $41,458.18 $72,551.82 $43,531.09 2026-03-02
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 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,267.77 $41,267.77 $41,267.77 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 41 23 — — $41,194.79 $104,218.24 $43,254.53 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 41 23 — $50,999.72 $41,175.09 $72,056.41 $43,233.84 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 41 23 — $51,052.06 $40,951.11 $71,664.44 $42,998.67 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 41 23 — $51,798.02 $40,705.34 $71,234.35 $42,740.61 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 41 23 — $42,611.00 $40,664.91 $71,163.59 $41,950.87 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 41 23 — $53,106.71 $40,552.91 $70,967.59 $42,580.56 2026-03-02
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 2026-03-02
6312219 CDM Fix Extrnl Lw/up/pelvic Lvl 36 22 14 $280,324.00 $56,905.77 80% off $40,394.69 $224,259.20 $126,145.80 2026-03-02
Q2058 HCPCS Obecabtagn Car-t/10<=400m/inf 1st 73 29 $1,916,252.00 $327,679.09 83% off $40,372.50 $1,533,001.60 $270,375.00 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 41 23 — $50,751.07 $40,263.59 $74,315.81 $42,276.77 2026-03-02
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 2026-03-02
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 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,075.06 $40,075.06 $40,075.06 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 41 23 — $49,586.33 $40,048.95 $79,884.63 $42,051.40 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 41 23 — $52,543.97 $39,967.98 $72,698.85 $41,542.20 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 40 23 — $48,840.38 $39,967.98 $72,406.63 $41,375.22 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 41 23 — $50,397.72 $39,742.00 $69,548.50 $41,729.10 2026-03-02
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 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 41 23 — $50,070.55 $39,429.87 $69,002.27 $41,401.36 2026-03-02
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 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,359.43 $39,359.43 $39,359.43 2026-03-02
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 2026-03-02
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 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 23 — $47,413.90 $38,462.38 $67,309.16 $40,385.50 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 41 23 — $46,785.73 $38,200.02 $66,850.04 $40,110.02 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,107.08 $38,107.08 $38,107.08 2026-03-02
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 2026-03-02
6312201 CDM Fix Extrnl Lw/up/pelvic Lvl 35 22 14 $262,804.00 $53,349.21 80% off $37,870.06 $210,243.20 $118,261.80 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 41 23 — $44,901.21 $37,799.74 $66,149.54 $39,689.73 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,630.00 $37,630.00 $37,630.00 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 41 23 — $46,249.17 $37,617.23 $65,830.15 $39,498.09 2026-03-02
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 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 41 23 — $45,306.91 $37,451.33 $65,539.83 $39,323.90 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 41 23 — $51,339.98 $37,235.64 $133,738.19 $39,097.42 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 41 23 — $41,891.22 $37,226.30 $65,146.03 $39,087.61 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,152.92 $37,152.92 $37,152.92 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 41 23 — $46,864.25 $37,134.00 $64,984.50 $38,990.70 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $36,974.01 $36,974.01 $36,974.01 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 23 — $46,131.38 $36,959.79 $64,679.63 $38,807.78 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 41 23 — $44,194.52 $36,948.39 $64,659.68 $38,795.81 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 41 23 — $48,709.51 $36,933.89 $74,443.33 $38,780.58 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 44 23 — $45,254.56 $36,635.24 $387,498.00 $42,654.65 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 41 23 — $47,819.60 $36,595.83 $64,042.70 $38,425.62 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 41 23 — $44,574.04 $36,556.42 $63,973.74 $38,384.24 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,437.29 $36,437.29 $36,437.29 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,377.65 $36,377.65 $36,377.65 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 41 23 — $45,228.39 $36,343.85 $63,601.74 $38,161.04 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,318.02 $36,318.02 $36,318.02 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 23 — $44,089.82 $36,287.85 $63,503.74 $38,102.24 2026-03-02
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 41 23 — $40,425.49 $36,231.86 $63,405.75 $37,000.50 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 41 23 — $43,893.52 $36,198.67 $63,347.67 $38,008.60 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 41 23 — $45,620.99 $36,144.74 $70,563.14 $37,951.98 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 41 23 — $42,741.87 $36,085.21 $64,521.76 $36,869.58 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 41 23 — $47,597.12 $36,012.26 $66,145.90 $37,797.66 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 41 23 — $45,215.30 $35,800.47 $62,650.82 $37,590.49 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 41 23 — $48,395.42 $35,746.25 $77,124.88 $44,071.36 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 41 23 — $44,861.95 $35,434.43 $62,010.25 $37,206.15 2026-03-02
6312193 CDM Fix Extrnl Lw/up/pelvic Lvl 34 22 14 $245,284.00 $49,792.65 80% off $35,345.42 $196,227.20 $110,377.80 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $35,065.67 $35,065.67 $35,065.67 2026-03-02
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 41 23 — $44,181.43 $35,063.19 $61,360.58 $36,816.35 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $34,946.40 $34,946.40 $34,946.40 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,886.77 $34,886.77 $34,886.77 2026-03-02
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 41 23 — $43,527.09 $34,866.16 $61,015.78 $36,609.47 2026-03-02
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 41 23 — $43,579.43 $34,521.87 $68,451.30 $36,247.96 2026-03-02
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 23 — $43,736.48 $34,425.46 $60,244.56 $36,146.73 2026-03-02
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 41 23 — $41,066.75 $34,410.93 $64,650.58 $36,131.48 2026-03-02
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 41 23 — $43,108.31 $34,009.62 $61,580.49 $35,710.10 2026-03-02
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 41 23 — $38,855.06 $33,758.67 $59,077.67 $35,446.60 2026-03-02
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 41 23 — $40,896.62 $33,695.42 $58,966.99 $35,380.19 2026-03-02
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 41 23 — $42,087.53 $33,606.24 $58,810.92 $35,286.55 2026-03-02
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 41 23 — $42,074.44 $33,539.87 $58,694.77 $35,216.86 2026-03-02
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 41 23 — $42,440.87 $33,484.93 $58,598.63 $35,159.18 2026-03-02
6312185 CDM Fix Extrnl Lw/up/pelvic Lvl 33 22 14 $227,764.00 $46,236.09 80% off $32,820.79 $182,211.20 $102,493.80 2026-03-02
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 41 23 — $43,383.13 $32,772.56 $62,908.53 $35,947.73 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 41 23 — $47,793.42 $32,489.43 $66,135.02 $37,791.44 2026-03-02
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 44 23 — $39,313.10 $32,475.93 $387,498.00 $37,767.50 2026-03-02
8101875 CDM Acq/store Heart Cadaver 25 16 $224,222.00 $70,773.43 68% off $32,310.39 $224,222.00 $112,111.00 2026-03-02
8101891 CDM Acq/store Lung Double Cadaver 25 16 $217,397.00 $68,619.19 68% off $31,326.91 $217,397.00 $108,698.50 2026-03-02
8101651 CDM Acq/store Lung Living 25 16 $217,397.00 $68,619.19 68% off $31,326.91 $217,397.00 $108,698.50 2026-03-02
C1825 HCPCS Imp Dev Sys Barostim 32 17 $152,211.00 $44,750.03 71% off $30,442.20 $121,768.80 $53,502.17 2026-03-02
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 22 14 $210,244.00 $42,679.53 80% off $30,296.16 $168,195.20 $94,609.80 2026-03-02
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 22 14 $192,724.00 $39,122.97 80% off $27,771.53 $154,179.20 $86,725.80 2026-03-02
8100042 CDM Acq/store Liver Living 25 16 $192,471.00 $60,751.55 68% off $27,735.07 $192,471.00 $96,235.50 2026-03-02
8101859 CDM Acq/store Liver Cadaver 25 16 $192,471.00 $60,751.55 68% off $27,735.07 $192,471.00 $96,235.50 2026-03-02
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 22 14 $175,204.00 $35,566.41 80% off $25,246.90 $140,163.20 $78,841.80 2026-03-02
8101867 CDM Acq/store Panc Cadaver 25 16 $172,446.00 $54,430.86 68% off $24,849.47 $172,446.00 $86,223.00 2026-03-02
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 22 14 $157,684.00 $32,009.85 80% off $22,722.26 $126,147.20 $70,957.80 2026-03-02
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 22 14 $142,354.00 $28,897.86 80% off $20,513.21 $113,883.20 $64,059.30 2026-03-02
8100034 CDM Acq/store Kidney Living 25 16 $135,429.00 $42,746.81 68% off $19,515.32 $135,429.00 $67,714.50 2026-03-02
8101842 CDM Acq/store Kidney Cadaver 25 16 $135,429.00 $42,746.81 68% off $19,515.32 $135,429.00 $67,714.50 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 38 23 — $55,082.84 $19,182.00 $76,778.24 $43,873.28 2026-03-02
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 22 14 $131,404.00 $26,675.01 80% off $18,935.32 $105,123.20 $59,131.80 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 22 14 $116,512.00 $23,651.94 80% off $16,789.38 $93,209.60 $52,430.40 2026-03-02
8101883 CDM Acq/store Lung Single Cadaver 25 16 $108,699.00 $34,309.75 68% off $15,663.53 $108,699.00 $54,349.50 2026-03-02
8101917 CDM Acq/store Lung 2ndry2 Heart Cad 25 16 $108,699.00 $34,309.75 68% off $15,663.53 $108,699.00 $54,349.50 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 22 14 $105,124.00 $21,340.17 80% off $15,148.37 $84,099.20 $47,305.80 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 22 14 $96,364.00 $19,561.89 80% off $13,886.05 $77,091.20 $43,363.80 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 22 14 $87,604.00 $17,783.61 80% off $12,623.74 $70,083.20 $39,421.80 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 162 17 $78,840.00 $23,178.96 71% off $12,264.00 $98,115.20 $34,768.44 2026-03-02
6310189 CDM Occluder Lvl 11 22 14 $83,224.00 $16,894.47 80% off $11,992.58 $66,579.20 $37,450.80 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 22 14 $78,844.00 $16,005.33 80% off $11,361.42 $63,075.20 $35,479.80 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 221 17 $109,504.00 $32,194.18 71% off $10,074.00 $175,203.20 $52,036.56 2026-03-02
C1827 HCPCS Imp Gen Nrstm W Ld&cntrl Ep Lvl 01 214 17 $87,604.00 $25,755.58 71% off $6,132.80 $140,163.20 $35,534.48 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 214 17 $87,604.00 $25,755.58 71% off $5,694.00 $140,163.20 $36,190.88 2026-03-02
C1823 HCPCS Imp Nrstm Sen Tv&ld Stim Lvl 01 292 17 $131,404.00 $38,632.78 71% off $4,380.80 $192,723.20 $48,093.38 2026-03-02
33276 CPT Ins Sys Stm Nrv Phrenic Incl IM Gd 54 29 $40,345.00 $14,645.23 64% off $2,788.18 $79,138.01 $47,962.43 2026-03-02
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 26 13 $3,759,504.00 $642,875.18 83% off $4.04 $3,007,603.20 $1,424,852.02 2026-03-02
Q2056 HCPCS Ciltacabt Car-t/<=100m/dose 30ml Ij 83 29 $3,811,065.20 $651,692.15 83% off $4.04 $3,048,852.16 $553,378.83 2026-03-02
Q2054 HCPCS Lisocabtag Mar Car-t/<=110m/dose Ij 83 29 $3,878,918.00 $663,294.98 83% off $4.04 $3,103,134.40 $541,635.66 2026-03-02
Q2055 HCPCS Idecabt Car-t/<=510m/dose 250ml Ij 83 29 $3,856,740.80 $659,502.68 83% off $4.04 $3,085,392.64 $541,260.45 2026-03-02
Q2041 HCPCS Axicabtag Cil Car-t/<=200m/dose 83 29 $3,668,894.00 $627,380.87 83% off $4.04 $2,935,115.20 $533,076.48 2026-03-02
Q2053 HCPCS Brexucabtag Car-t/<=200m/dose Spij 83 29 $3,372,660.00 $576,724.86 83% off $4.04 $2,698,128.00 $489,720.00 2026-03-02
Q2042 HCPCS Tisagenlecl Car-t/<=600m/dose Adult 113 29 $3,335,729.60 $570,409.76 83% off $4.04 $3,398,317.36 $408,858.00 2026-03-02
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