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 DESERT MEDICAL CENTER

Mesa, AZ · CCN 030065 · Rates published

8,570 distinct procedures filed
29 distinct payers
588,728 rate rows
2026-03-02 last MRF observed
Data quality

579,672 of 588,728 rate rows are consumer-grade (98.5%)

9,056 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 5,912
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,248
exceeds 10× this hospital's gross charge — excluded from medians 830
placeholder amount (≤ $0.02) — excluded from medians 66
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/900054201_banner-desert-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 587342cdf4d692e7… · 118,138,504 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 13 $4.73 $2,819,628.00 $1,503,801.60 nat. median
$1,829
outlier · 822.3×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $151,683.78 $1,141,377.89 $302,056.57 nat. median
$370,174
0.8× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $225,834.78 $852,513.60 $242,772.39 nat. median
$265,286
0.9× 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
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 23 $190,333.29 $717,970.54 $209,366.62 nat. median
$206,474
1.0× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 22 $172,035.91 $648,627.37 $189,239.50 nat. median
$202,976
0.9× 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
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $154,515.58 $154,515.58 $154,515.58 nat. median
$234,729
0.7× 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
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 22 $113,725.79 $427,644.45 $125,098.37 nat. median
$133,161
0.9× 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
$164,289
0.7× 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 $117,183.76 $117,183.76 nat. median
$187,061
0.6× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 $105,514.65 $396,525.98 $113,428.25 nat. median
$117,357
1.0× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 19 $105,251.11 $395,527.23 $113,144.95 nat. median
$122,708
0.9× 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
$182,665
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
6310122
CDM 		Fix Extrnl Lw/up/pelvic Lvl 32 14 $30,296.16 $157,683.00 $105,122.00 nat. median
$105,122
1.0× 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
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
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
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 23 $87,882.49 $329,703.88 $96,670.74 nat. median
$102,358
0.9× median
6310114
CDM 		Fix Extrnl Lw/up/pelvic Lvl 31 14 $27,771.53 $144,543.00 $96,362.00 nat. median
$94,627
1.0× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,595.71 $95,595.71 $95,595.71 nat. median
$144,745
0.7× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $88,887.13 $375,329.45 $95,553.67 nat. median
$108,660
0.9× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $94,939.72 $94,939.72 $94,939.72 nat. median
$119,796
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 23 $85,493.89 $355,449.83 $94,043.28 nat. median
$99,019
0.9× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $93,389.19 $93,389.19 $93,389.19 nat. median
$109,499
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 23 $84,540.38 $317,037.98 $92,994.42 nat. median
$98,894
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $92,971.74 $92,971.74 $92,971.74 nat. median
$105,658
0.9× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 $85,929.94 $322,304.09 $92,374.68 nat. median
$100,136
0.9× median
6310106
CDM 		Fix Extrnl Lw/up/pelvic Lvl 30 14 $25,246.90 $131,403.00 $87,602.00 nat. median
$86,025
1.0× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 23 $77,957.57 $292,090.54 $85,753.33 nat. median
$93,672
0.9× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $82,774.07 $82,774.07 $82,774.07 nat. median
$91,009
0.9× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 23 $74,450.13 $278,798.15 $81,895.14 nat. median
$83,470
1.0× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $81,223.55 $81,223.55 $81,223.55 nat. median
$93,528
0.9× median
6310098
CDM 		Fix Extrnl Lw/up/pelvic Lvl 29 14 $22,722.26 $118,263.00 $78,842.00 nat. median
$78,842
1.0× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $77,168.34 $77,168.34 $77,168.34 nat. median
$118,620
0.7× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 23 $68,556.52 $256,462.58 $75,412.17 nat. median
$79,312
1.0× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 23 $68,518.99 $256,320.34 $75,370.89 nat. median
$81,118
0.9× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $67,492.00 $252,428.26 $74,241.20 nat. median
$82,711
0.9× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $74,186.56 $74,186.56 $74,186.56 nat. median
$93,370
0.8× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 23 $65,259.91 $280,941.55 $71,785.90 nat. median
$77,570
0.9× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $71,562.60 $71,562.60 $71,562.60 nat. median
$89,796
0.8× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $71,383.69 $71,383.69 $71,383.69 nat. median
$102,919
0.7× median
2793826
CDM 		Fix Extrnl Lw/up/pelvic Lvl 28 14 $20,513.21 $106,765.50 $71,177.00 nat. median
$71,177
1.0× median

Other procedures at this hospital

Browse this hospital's 8,570 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 54 13 $3,759,504.00 $1,209,282.06 68% off $4.73 $2,819,628.00 $1,503,801.60 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 70 18 — $513,722.28 $151,683.78 $1,141,377.89 $302,056.57 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 72 19 — $377,856.31 $225,834.78 $852,513.60 $242,772.39 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $222,022.97 $222,022.97 $222,022.97 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 90 23 — $367,538.08 $190,333.29 $717,970.54 $209,366.62 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 88 22 — $297,276.53 $172,035.91 $648,627.37 $189,239.50 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 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 10 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 10 5 — — $154,515.58 $154,515.58 $154,515.58 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $136,147.85 $136,147.85 $136,147.85 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 88 22 — $204,970.21 $113,725.79 $427,644.45 $125,098.37 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $122,550.95 $122,550.95 $122,550.95 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 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 10 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 10 5 — — $117,601.21 $117,601.21 $117,601.21 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $117,183.76 $117,183.76 $117,183.76 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 72 19 — $159,807.05 $105,514.65 $396,525.98 $113,428.25 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 72 19 — $171,031.61 $105,251.11 $395,527.23 $113,144.95 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $107,224.63 $107,224.63 $107,224.63 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $105,853.01 $105,853.01 $105,853.01 2026-03-02
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 50 14 $210,244.00 $32,587.82 84% off $30,296.16 $157,683.00 $105,122.00 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 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… 10 5 — — $101,022.54 $101,022.54 $101,022.54 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 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 10 5 — — $99,710.56 $99,710.56 $99,710.56 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 90 23 — $150,186.00 $87,882.49 $329,703.88 $96,670.74 2026-03-02
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 50 14 $192,724.00 $29,872.22 84% off $27,771.53 $144,543.00 $96,362.00 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $95,595.71 $95,595.71 $95,595.71 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 72 19 — $170,724.85 $88,887.13 $375,329.45 $95,553.67 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $94,939.72 $94,939.72 $94,939.72 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 90 23 — $142,433.38 $85,493.89 $355,449.83 $94,043.28 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $93,389.19 $93,389.19 $93,389.19 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 90 23 — — $84,540.38 $317,037.98 $92,994.42 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $92,971.74 $92,971.74 $92,971.74 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 72 19 — $144,315.76 $85,929.94 $322,304.09 $92,374.68 2026-03-02
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 50 14 $175,204.00 $27,156.62 84% off $25,246.90 $131,403.00 $87,602.00 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 90 23 — $135,322.17 $77,957.57 $292,090.54 $85,753.33 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $82,774.07 $82,774.07 $82,774.07 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 90 23 — — $74,450.13 $278,798.15 $81,895.14 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $81,223.55 $81,223.55 $81,223.55 2026-03-02
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 50 14 $157,684.00 $24,441.02 85% off $22,722.26 $118,263.00 $78,842.00 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $77,168.34 $77,168.34 $77,168.34 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 90 23 — $113,151.92 $68,556.52 $256,462.58 $75,412.17 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 90 23 — $117,530.20 $68,518.99 $256,320.34 $75,370.89 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 90 23 — — $67,492.00 $252,428.26 $74,241.20 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $74,186.56 $74,186.56 $74,186.56 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 90 23 — $117,850.90 $65,259.91 $280,941.55 $71,785.90 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $71,562.60 $71,562.60 $71,562.60 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $71,383.69 $71,383.69 $71,383.69 2026-03-02
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 50 14 $142,354.00 $22,064.87 85% off $20,513.21 $106,765.50 $71,177.00 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 90 23 — $108,759.70 $63,305.77 $236,563.35 $69,636.35 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 72 19 — — $64,556.36 $241,302.85 $69,398.09 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $69,057.91 $69,057.91 $69,057.91 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 72 19 — $111,464.75 $64,191.41 $257,629.57 $69,005.76 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 648 17 $153,304.00 $40,472.26 74% off $10,074.00 $213,528.00 $68,986.80 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 90 23 — $107,518.73 $62,675.68 $234,175.44 $68,943.25 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $68,103.74 $68,103.74 $68,103.74 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 90 23 — $100,853.71 $60,493.12 $225,904.01 $66,542.43 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 50 14 $131,404.00 $20,367.62 85% off $18,935.32 $98,553.00 $65,702.00 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $65,062.33 $65,062.33 $65,062.33 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 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 10 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… 10 5 — — $64,287.07 $64,287.07 $64,287.07 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $63,571.44 $63,571.44 $63,571.44 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 90 23 — — $57,606.18 $214,963.22 $63,366.80 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 23 — $98,106.83 $57,321.09 $251,838.75 $63,053.20 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 90 23 — $97,116.84 $56,438.67 $210,538.47 $62,082.54 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 10 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 10 5 — — $61,007.12 $61,007.12 $61,007.12 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 90 23 — $84,916.23 $55,414.86 $206,658.50 $60,956.35 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $60,947.48 $60,947.48 $60,947.48 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $60,291.49 $60,291.49 $60,291.49 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 90 23 — — $54,427.81 $202,917.75 $59,870.59 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $59,814.41 $59,814.41 $59,814.41 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 90 23 — $96,489.38 $54,221.76 $202,136.91 $59,643.94 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 90 23 — $95,583.05 $54,131.52 $201,794.91 $59,544.67 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 50 14 $116,512.00 $18,059.36 84% off $16,789.38 $87,384.00 $58,256.00 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 90 23 — $96,322.06 $52,531.13 $195,729.81 $57,784.24 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 90 23 — $88,750.71 $52,456.85 $195,448.34 $57,702.54 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $56,951.90 $56,951.90 $56,951.90 2026-03-02
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 110 29 $91,190.00 $29,332.18 68% off $30,639.84 $350,571.48 $56,824.55 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 90 23 — $95,834.03 $51,389.94 $191,404.94 $56,528.93 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 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 10 5 — — $56,117.01 $56,117.01 $56,117.01 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 90 23 — $86,589.46 $50,352.58 $187,473.52 $55,387.84 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 90 23 — — $50,288.68 $187,231.40 $55,317.55 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 90 23 — $86,701.01 $50,063.48 $186,377.92 $55,069.83 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 90 23 — $95,081.08 $49,891.79 $185,727.23 $54,880.97 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 90 23 — $82,950.19 $49,668.18 $184,879.81 $54,635.00 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 90 23 — $84,023.84 $49,434.99 $183,996.07 $54,378.49 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 90 23 — $87,091.43 $48,726.63 $220,162.71 $53,599.29 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 90 23 — $79,436.42 $48,395.23 $180,055.56 $53,234.75 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $52,837.05 $52,837.05 $52,837.05 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 72 19 — $86,129.32 $49,086.79 $192,133.82 $52,768.30 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 72 19 — $86,129.32 $49,086.79 $182,676.51 $52,768.30 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 90 23 — $82,002.03 $47,875.33 $178,085.31 $52,662.86 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 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… 10 5 — — $52,598.51 $52,598.51 $52,598.51 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 50 14 $105,124.00 $16,294.22 84% off $15,148.37 $78,843.00 $52,562.00 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 90 23 — $84,316.66 $47,381.01 $176,211.91 $52,119.11 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 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 10 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 10 5 — — $51,763.61 $51,763.61 $51,763.61 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 90 23 — $84,707.08 $46,718.96 $173,702.94 $51,390.86 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 90 23 — $79,046.00 $46,445.06 $172,664.85 $51,089.57 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 23 — $83,661.31 $48,359.28 $179,919.37 $50,777.24 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $50,451.63 $50,451.63 $50,451.63 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $50,093.82 $50,093.82 $50,093.82 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 90 23 — $75,490.39 $45,402.88 $168,715.27 $49,943.17 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $49,795.64 $49,795.64 $49,795.64 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $49,616.74 $49,616.74 $49,616.74 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 90 23 — $78,069.95 $45,025.16 $167,283.73 $49,527.68 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 90 23 — $85,627.35 $45,025.16 $244,296.64 $49,527.68 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 90 23 — — $44,839.88 $166,581.59 $49,323.87 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 23 — — $44,571.55 $165,765.34 $49,028.71 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $48,722.20 $48,722.20 $48,722.20 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 90 23 — $76,759.25 $44,237.75 $164,299.61 $48,661.53 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 90 23 — $78,976.28 $44,016.53 $163,461.27 $48,418.18 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 88 22 — $71,892.95 $43,975.80 $163,306.91 $48,373.38 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 90 23 — $79,241.21 $43,971.00 $163,288.75 $48,368.10 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 50 14 $96,364.00 $14,936.42 84% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 90 23 — $72,478.58 $43,371.26 $161,015.85 $47,708.39 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 72 19 — $73,370.97 $44,336.77 $217,246.65 $47,662.03 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 90 23 — $73,133.93 $43,183.59 $160,304.63 $47,501.95 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 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 10 5 — — $47,171.68 $47,171.68 $47,171.68 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 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 10 5 — — $47,052.41 $47,052.41 $47,052.41 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 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… 10 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 10 5 — — $46,515.69 $46,515.69 $46,515.69 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 90 23 — $70,512.54 $41,876.30 $155,350.24 $46,063.93 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 90 23 — $72,325.20 $41,569.63 $154,188.07 $45,726.59 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 90 23 — $70,819.30 $41,445.05 $153,715.93 $45,589.56 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 90 23 — $67,026.65 $41,108.84 $152,441.78 $45,219.72 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 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 … 10 5 — — $45,024.80 $45,024.80 $45,024.80 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 90 23 — $67,542.57 $40,871.67 $151,542.91 $44,958.84 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 90 23 — $62,188.24 $40,840.51 $151,424.87 $44,924.56 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 90 23 — $69,703.82 $40,824.55 $151,364.34 $44,907.00 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 90 23 — $70,261.56 $40,680.82 $180,738.04 $44,748.90 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $44,607.35 $44,607.35 $44,607.35 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 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 10 5 — — $44,547.72 $44,547.72 $44,547.72 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 90 23 — $63,178.23 $39,910.16 $147,899.00 $43,901.18 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 5 — — $43,891.73 $43,891.73 $43,891.73 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 50 14 $87,604.00 $13,578.62 85% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 90 23 — $68,588.33 $39,674.58 $147,006.18 $43,642.04 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 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 10 5 — — $43,414.64 $43,414.64 $43,414.64 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $43,116.47 $43,116.47 $43,116.47 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 90 23 — $64,530.76 $39,021.34 $144,530.51 $42,923.47 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $42,877.92 $42,877.92 $42,877.92 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 5 — — $42,758.65 $42,758.65 $42,758.65 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 90 23 — $69,090.30 $38,856.02 $143,904.02 $42,741.62 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 90 23 — $65,925.11 $38,848.83 $143,876.78 $42,733.71 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 76 23 — — $42,012.86 $155,867.78 $42,643.06 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 72 19 — $67,444.96 $39,609.89 $184,620.62 $42,580.63 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 10 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… 10 5 — — $42,520.11 $42,520.11 $42,520.11 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 90 23 — $68,044.53 $38,455.93 $202,686.99 $42,301.52 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 90 23 — $62,773.87 $38,254.67 $141,625.07 $42,080.14 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 90 23 — $66,678.07 $38,034.27 $140,789.75 $41,837.70 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 5 — — $41,804.49 $41,804.49 $41,804.49 2026-03-02
6310189 CDM Occluder Lvl 11 50 14 $83,224.00 $12,899.72 84% off $11,992.58 $62,418.00 $41,612.00 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $41,565.94 $41,565.94 $41,565.94 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 90 23 — $65,729.90 $37,693.26 $139,497.44 $41,462.59 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 90 23 — $64,823.57 $37,560.70 $146,637.46 $41,316.77 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 90 23 — $62,983.02 $37,555.11 $138,973.85 $41,310.62 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 10 5 — — $41,267.77 $41,267.77 $41,267.77 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $41,267.77 $41,267.77 $41,267.77 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 90 23 — $61,742.05 $36,913.83 $136,543.57 $40,605.21 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $40,432.87 $40,432.87 $40,432.87 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 90 23 — $59,999.10 $36,699.01 $135,729.45 $40,368.91 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 90 23 — $61,574.73 $36,599.99 $163,307.76 $40,259.99 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $40,194.33 $40,194.33 $40,194.33 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 10 5 — — $40,075.06 $40,075.06 $40,075.06 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 5 — — $40,075.06 $40,075.06 $40,075.06 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 90 23 — $60,347.69 $36,266.19 $134,089.08 $39,892.81 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 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 10 5 — — $39,836.51 $39,836.51 $39,836.51 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 74 20 — $62,718.10 $37,678.09 $139,439.93 $39,561.99 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 90 23 — $60,821.77 $35,965.12 $148,430.05 $39,561.63 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $39,538.34 $39,538.34 $39,538.34 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 50 14 $78,844.00 $12,220.82 84% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 10 5 — — $39,419.07 $39,419.07 $39,419.07 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 10 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… 10 5 — — $39,240.16 $39,240.16 $39,240.16 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 90 23 — — $35,438.83 $130,953.63 $38,982.71 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 90 23 — $63,178.23 $35,367.78 $130,684.27 $38,904.56 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 5 — — $38,464.90 $38,464.90 $38,464.90 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 90 23 — $59,664.46 $34,950.10 $129,101.41 $38,445.11 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 90 23 — $57,726.30 $34,899.79 $128,910.74 $38,389.77 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 90 23 — $52,678.74 $34,658.61 $127,996.74 $38,124.47 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 10 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… 10 5 — — $37,987.81 $37,987.81 $37,987.81 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 362 17 $78,840.00 $20,813.76 74% off $12,264.00 $91,983.00 $37,843.20 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 90 23 — $57,405.60 $34,350.37 $126,828.51 $37,785.41 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 10 5 — — $37,630.00 $37,630.00 $37,630.00 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 90 23 — $57,991.23 $34,111.57 $125,923.59 $37,522.73 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $37,510.73 $37,510.73 $37,510.73 2026-03-02
6310171 CDM Occluder Lvl 10 50 14 $74,464.00 $11,541.92 84% off $10,730.26 $55,848.00 $37,232.00 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $37,152.92 $37,152.92 $37,152.92 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 90 23 — $56,345.89 $33,723.46 $124,452.71 $37,095.81 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 90 23 — $56,401.67 $33,705.08 $124,383.10 $37,075.59 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 88 22 — $55,843.93 $33,656.38 $124,198.48 $37,022.02 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 5 — — $36,974.01 $36,974.01 $36,974.01 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 90 23 — — $33,495.05 $123,587.13 $36,844.56 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 478 17 $87,604.00 $23,127.46 74% off $5,694.00 $131,403.00 $36,792.84 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 90 23 — $54,533.23 $33,366.48 $123,099.86 $36,703.13 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 90 23 — $51,563.25 $34,342.37 $126,798.24 $36,550.94 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 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 10 5 — — $36,377.65 $36,377.65 $36,377.65 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 10 5 — — $36,318.02 $36,318.02 $36,318.02 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 10 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 90 23 — $51,870.01 $32,698.08 $120,566.68 $35,967.89 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 90 23 — $50,419.88 $32,675.71 $120,481.94 $35,943.28 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 90 23 — $55,983.36 $32,394.61 $119,416.61 $35,634.07 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 90 23 — $54,198.59 $32,329.92 $119,171.46 $35,562.91 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 88 23 — $52,037.34 $32,266.03 $118,929.34 $35,492.63 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 90 23 — — $32,127.06 $142,085.76 $35,339.77 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 90 23 — $54,338.02 $32,111.89 $118,345.23 $35,323.08 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 90 23 — $54,393.80 $31,939.40 $117,691.51 $35,133.34 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $35,065.67 $35,065.67 $35,065.67 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 304 17 $87,604.00 $27,420.05 69% off $8,760.00 $98,553.00 $35,063.77 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 50 14 $70,084.00 $10,863.02 84% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 84 23 — $57,140.68 $33,306.59 $122,872.87 $34,971.92 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $34,946.40 $34,946.40 $34,946.40 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 90 23 — $55,188.58 $31,750.13 $116,974.23 $34,925.14 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 90 23 — $45,400.20 $31,718.99 $116,856.19 $34,890.89 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 10 5 — — $34,886.77 $34,886.77 $34,886.77 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 90 23 — $56,582.93 $31,632.75 $116,529.33 $34,796.03 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $34,588.59 $34,588.59 $34,588.59 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 90 23 — $54,073.09 $31,409.93 $115,684.94 $34,550.92 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 10 5 — — $34,528.95 $34,528.95 $34,528.95 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 90 23 — $52,832.12 $31,244.64 $122,115.28 $34,369.10 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 84 23 — $58,688.41 $16,251.06 $126,220.18 $34,189.83 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 116 29 $14,740.00 $5,217.96 65% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 116 29 $29,247.00 $10,353.44 65% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 116 29 $21,991.00 $7,784.81 65% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 116 29 $16,977.00 $6,009.86 65% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 10 5 — — $34,111.51 $34,111.51 $34,111.51 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 90 23 — $53,696.62 $31,008.24 $114,162.61 $34,109.06 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 10 5 — — $34,051.87 $34,051.87 $34,051.87 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $33,992.24 $33,992.24 $33,992.24 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 90 23 — $53,348.03 $30,767.85 $113,251.63 $33,844.64 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 5 — — $33,813.33 $33,813.33 $33,813.33 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $33,753.69 $33,753.69 $33,753.69 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $33,753.69 $33,753.69 $33,753.69 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 10 5 — — $33,455.52 $33,455.52 $33,455.52 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 5 — — $33,336.24 $33,336.24 $33,336.24 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 90 23 — $50,517.49 $30,022.77 $110,427.91 $33,025.05 2026-03-02
C1823 HCPCS Imp Nrstm Sen Tv&ld Stim Lvl 01 420 17 $87,604.00 $23,127.46 74% off $4,380.80 $114,978.00 $32,852.00 2026-03-02
6310163 CDM Occluder Lvl 09 50 14 $65,704.00 $10,184.12 84% off $9,467.95 $49,278.00 $32,852.00 2026-03-02
C2624 HCPCS Imp Sensor Press Pa All Lvl 01 214 15 $65,704.00 $17,345.86 74% off $2,524.89 $82,128.00 $32,852.00 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 246 17 $65,704.00 $20,565.35 69% off $8,760.00 $82,128.00 $32,850.00 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 90 23 — $49,848.20 $29,820.71 $109,662.20 $32,802.78 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 90 23 — $47,840.33 $29,512.46 $108,493.97 $32,463.71 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 90 23 — $50,712.70 $29,510.87 $108,487.92 $32,461.96 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 90 23 — $50,921.85 $29,506.08 $108,469.76 $32,456.69 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 10 5 — — $32,322.44 $32,322.44 $32,322.44 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 90 23 — $49,276.51 $29,371.92 $107,961.31 $32,309.11 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $32,262.81 $32,262.81 $32,262.81 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 90 23 — $48,272.58 $29,244.15 $107,477.07 $32,168.56 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 90 23 — $54,700.55 $29,078.02 $204,438.28 $31,985.82 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 90 23 — $44,633.31 $29,070.84 $106,820.32 $31,977.92 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $31,904.99 $31,904.99 $31,904.99 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $31,904.99 $31,904.99 $31,904.99 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 90 23 — $49,931.86 $28,999.76 $106,550.96 $31,899.74 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 90 23 — $49,151.02 $28,865.61 $106,042.51 $31,752.17 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 90 23 — $47,087.37 $28,856.81 $106,009.22 $31,742.49 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 90 23 — $51,897.90 $28,845.64 $105,966.84 $31,730.20 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 90 23 — $45,539.64 $28,796.14 $105,779.20 $31,675.75 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 10 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 10 5 — — $31,487.54 $31,487.54 $31,487.54 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 90 23 — $50,949.74 $28,585.31 $104,980.21 $31,443.84 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 90 23 — $47,491.74 $28,554.95 $104,865.20 $31,410.44 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $31,368.27 $31,368.27 $31,368.27 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 90 23 — $48,188.92 $28,391.25 $104,244.77 $31,230.38 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 10 5 — — $31,189.37 $31,189.37 $31,189.37 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 90 23 — $46,975.83 $28,348.12 $104,081.34 $31,182.93 2026-03-02
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 90 23 — $43,071.63 $28,305.00 $103,917.90 $31,135.50 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 90 23 — $46,766.67 $28,279.45 $103,821.06 $31,107.40 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 10 5 — — $31,070.10 $31,070.10 $31,070.10 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 90 23 — $48,607.22 $28,237.93 $103,663.68 $31,061.72 2026-03-02
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 90 23 — $46,222.87 $28,086.18 $103,088.64 $30,894.80 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 90 23 — $48,174.97 $27,972.78 $102,658.88 $30,770.06 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 50 14 $61,324.00 $9,505.22 84% off $8,836.79 $45,993.00 $30,662.00 2026-03-02
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $30,533.38 $30,533.38 $30,533.38 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 10 5 — — $30,473.74 $30,473.74 $30,473.74 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 90 23 — $47,798.50 $27,690.88 $101,590.53 $30,459.97 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $30,414.10 $30,414.10 $30,414.10 2026-03-02
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