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 BAYWOOD MEDICAL CENTER

Mesa, AZ · CCN 030088 · Rates published

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You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $16,671 across 7 payers · range $8,928-$26,170

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/363386394_banner-baywood-medical-center_standardcharges.csv · observed 2026-03-02

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,094 distinct procedures filed
27 distinct payers
196,769 rate rows
2026-03-02 last MRF observed
Data quality

193,842 of 196,769 rate rows are consumer-grade (98.5%)

2,927 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 1,631
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 973
exceeds 10× this hospital's gross charge — excluded from medians 234
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 79
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/363386394_banner-baywood-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 · 2026-08-03
Content fingerprint 72ec5a08599b0336… · 98,152,539 bytes · first seen 2026-05-06

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 11 $4.73 $2,819,628.00 $1,409,814.00 nat. median
$2,547
outlier · 553.5×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $154,264.23 $1,141,377.89 $288,582.16 nat. median
$370,165
0.8× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,713.21 $222,713.21 $222,713.21 nat. median
$311,018
0.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $215,603.15 $852,513.60 $220,993.23 nat. median
$261,939
0.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 21 $181,612.05 $717,970.54 $190,692.65 nat. median
$205,166
0.9× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $178,924.31 $178,924.31 $178,924.31 nat. median
$250,089
0.7× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $176,411.83 $176,411.83 $176,411.83 nat. median
$254,667
0.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 20 $164,093.11 $648,627.37 $176,400.10 nat. median
$199,832
0.9× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $154,995.95 $154,995.95 $154,995.95 nat. median
$243,231
0.6× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,571.11 $136,571.11 $136,571.11 nat. median
$209,486
0.7× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $122,931.95 $122,931.95 $122,931.95 nat. median
$165,646
0.7× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $121,376.61 $121,376.61 $121,376.61 nat. median
$169,230
0.7× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,419.47 $120,419.47 $120,419.47 nat. median
$168,361
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $117,966.81 $117,966.81 $117,966.81 nat. median
$168,174
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,548.07 $117,548.07 $117,548.07 nat. median
$175,480
0.7× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 20 $108,263.74 $427,644.45 $116,383.52 nat. median
$132,706
0.9× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $107,557.98 $107,557.98 $107,557.98 nat. median
$180,995
0.6× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $106,182.10 $106,182.10 $106,182.10 nat. median
$165,599
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $105,165.14 $105,165.14 $105,165.14 nat. median
$147,677
0.7× median
6310122
CDM 		Fix Extrnl Lw/up/pelvic Lvl 32 12 $30,296.16 $157,683.00 $105,122.00 nat. median
$105,122
1.0× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 17 $100,401.95 $396,525.98 $102,912.00 nat. median
$114,305
0.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 17 $100,149.60 $395,527.23 $102,653.34 nat. median
$122,690
0.8× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $101,336.60 $101,336.60 $101,336.60 nat. median
$160,171
0.6× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $100,439.29 $100,439.29 $100,439.29 nat. median
$137,901
0.7× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $100,020.54 $100,020.54 $100,020.54 nat. median
$156,285
0.6× median
6310114
CDM 		Fix Extrnl Lw/up/pelvic Lvl 31 12 $27,771.53 $144,543.00 $96,362.00 nat. median
$89,038
1.1× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,892.90 $95,892.90 $95,892.90 nat. median
$154,685
0.6× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $95,234.87 $95,234.87 $95,234.87 nat. median
$127,938
0.7× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $93,679.53 $93,679.53 $93,679.53 nat. median
$109,499
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $93,260.78 $93,260.78 $93,260.78 nat. median
$127,600
0.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 21 $83,519.93 $329,703.88 $87,695.93 nat. median
$100,978
0.9× median
6310106
CDM 		Fix Extrnl Lw/up/pelvic Lvl 30 12 $25,246.90 $131,403.00 $87,602.00 nat. median
$84,974
1.0× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $84,481.81 $381,717.61 $86,593.85 nat. median
$108,240
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 21 $81,232.95 $361,499.64 $85,294.60 nat. median
$98,002
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 21 $80,320.00 $317,037.98 $84,336.00 nat. median
$96,835
0.9× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 17 $81,650.43 $322,304.09 $83,691.69 nat. median
$99,646
0.8× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $83,031.41 $83,031.41 $83,031.41 nat. median
$92,994
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $81,476.07 $81,476.07 $81,476.07 nat. median
$116,111
0.7× median
6310098
CDM 		Fix Extrnl Lw/up/pelvic Lvl 29 12 $22,722.26 $118,263.00 $78,842.00 nat. median
$78,842
1.0× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 21 $74,017.25 $292,090.54 $77,718.11 nat. median
$92,900
0.8× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $77,408.24 $77,408.24 $77,408.24 nat. median
$123,690
0.6× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $74,417.20 $74,417.20 $74,417.20 nat. median
$96,420
0.8× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 21 $70,659.05 $278,798.15 $74,192.00 nat. median
$81,364
0.9× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $71,785.08 $71,785.08 $71,785.08 nat. median
$89,188
0.8× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $71,605.62 $71,605.62 $71,605.62 nat. median
$108,751
0.7× median
2793826
CDM 		Fix Extrnl Lw/up/pelvic Lvl 28 12 $20,513.21 $106,765.50 $71,177.00 nat. median
$71,177
1.0× median
5933
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $69,272.60 $69,272.60 $69,272.60 nat. median
$112,711
0.6× median
22
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $68,315.47 $68,315.47 $68,315.47 nat. median
$94,014
0.7× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 21 $65,016.15 $256,462.58 $68,266.96 nat. median
$79,040
0.9× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 21 $64,980.24 $256,320.34 $68,229.25 nat. median
$80,459
0.8× median

Other procedures at this hospital

Browse this hospital's 7,094 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 18 11 $3,759,504.00 $947,620.58 75% off $4.73 $2,819,628.00 $1,409,814.00 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 16 — $378,232.03 $154,264.23 $1,141,377.89 $288,582.16 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,713.21 $222,713.21 $222,713.21 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 26 17 — $278,199.66 $215,603.15 $852,513.60 $220,993.23 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 35 21 — $270,602.78 $181,612.05 $717,970.54 $190,692.65 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,924.31 $178,924.31 $178,924.31 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $176,411.83 $176,411.83 $176,411.83 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 34 20 — $218,872.16 $164,093.11 $648,627.37 $176,400.10 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,995.95 $154,995.95 $154,995.95 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,571.11 $136,571.11 $136,571.11 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $122,931.95 $122,931.95 $122,931.95 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,376.61 $121,376.61 $121,376.61 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,419.47 $120,419.47 $120,419.47 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $117,966.81 $117,966.81 $117,966.81 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $117,548.07 $117,548.07 $117,548.07 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 34 20 — $150,910.92 $108,263.74 $427,644.45 $116,383.52 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $107,557.98 $107,557.98 $107,557.98 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $106,182.10 $106,182.10 $106,182.10 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $105,165.14 $105,165.14 $105,165.14 2026-03-02
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 17 12 $210,244.00 $48,986.85 77% off $30,296.16 $157,683.00 $105,122.00 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 26 17 — $117,659.18 $100,401.95 $396,525.98 $102,912.00 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 26 17 — $125,923.35 $100,149.60 $395,527.23 $102,653.34 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $101,336.60 $101,336.60 $101,336.60 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,439.29 $100,439.29 $100,439.29 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $100,020.54 $100,020.54 $100,020.54 2026-03-02
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 17 12 $192,724.00 $44,904.69 77% off $27,771.53 $144,543.00 $96,362.00 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,892.90 $95,892.90 $95,892.90 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $95,234.87 $95,234.87 $95,234.87 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $93,679.53 $93,679.53 $93,679.53 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $93,260.78 $93,260.78 $93,260.78 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 35 21 — $110,575.61 $83,519.93 $329,703.88 $87,695.93 2026-03-02
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 17 12 $175,204.00 $40,822.53 77% off $25,246.90 $131,403.00 $87,602.00 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 17 — $125,697.50 $84,481.81 $381,717.61 $86,593.85 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 35 21 — $104,867.69 $81,232.95 $361,499.64 $85,294.60 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 35 21 — — $80,320.00 $317,037.98 $84,336.00 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 26 17 — $106,253.60 $81,650.43 $322,304.09 $83,691.69 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $83,031.41 $83,031.41 $83,031.41 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,476.07 $81,476.07 $81,476.07 2026-03-02
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 17 12 $157,684.00 $36,740.37 77% off $22,722.26 $118,263.00 $78,842.00 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 35 21 — $99,632.00 $74,017.25 $292,090.54 $77,718.11 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,408.24 $77,408.24 $77,408.24 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,417.20 $74,417.20 $74,417.20 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 35 21 — — $70,659.05 $278,798.15 $74,192.00 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $71,785.08 $71,785.08 $71,785.08 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,605.62 $71,605.62 $71,605.62 2026-03-02
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 17 12 $142,354.00 $33,168.48 77% off $20,513.21 $106,765.50 $71,177.00 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $69,272.60 $69,272.60 $69,272.60 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,315.47 $68,315.47 $68,315.47 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 35 21 — $83,308.99 $65,016.15 $256,462.58 $68,266.96 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 35 21 — $86,532.52 $64,980.24 $256,320.34 $68,229.25 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 21 — — $63,996.93 $252,428.26 $67,196.78 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-03-02
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 17 12 $131,404.00 $30,617.13 77% 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… 5 5 — — $65,264.60 $65,264.60 $65,264.60 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 35 21 — $86,768.64 $61,859.81 $285,723.21 $64,952.80 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,786.03 $64,786.03 $64,786.03 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,546.75 $64,546.75 $64,546.75 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $64,486.93 $64,486.93 $64,486.93 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,769.08 $63,769.08 $63,769.08 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 35 21 — $80,075.18 $59,988.78 $236,563.35 $62,988.22 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 26 17 — — $61,186.18 $241,302.85 $62,715.83 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 17 — $82,066.79 $60,836.76 $262,014.46 $62,357.68 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 35 21 — $79,161.50 $59,385.51 $234,175.44 $62,354.79 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,495.89 $61,495.89 $61,495.89 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,196.78 $61,196.78 $61,196.78 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $61,136.96 $61,136.96 $61,136.96 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $60,478.93 $60,478.93 $60,478.93 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 21 — $74,254.33 $57,295.81 $225,904.01 $60,160.60 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $60,000.36 $60,000.36 $60,000.36 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 171 15 $109,504.00 $29,785.09 73% off $15,111.00 $164,253.00 $59,131.20 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 17 12 $116,512.00 $27,147.30 77% off $16,789.38 $87,384.00 $58,256.00 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 35 21 — — $54,531.70 $214,963.22 $57,258.29 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $57,128.96 $57,128.96 $57,128.96 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 21 — $72,231.92 $54,258.74 $256,125.08 $56,971.68 2026-03-02
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 44 27 $58,889.00 $52,411.21 $20,611.15 $350,571.48 $56,824.55 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,650.39 $56,650.39 $56,650.39 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,291.47 $56,291.47 $56,291.47 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 35 21 — $71,503.03 $53,413.84 $210,538.47 $56,084.53 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 35 21 — $62,520.24 $52,433.60 $206,658.50 $55,055.28 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 35 21 — — $51,488.53 $202,917.75 $54,062.96 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 35 21 — $71,041.06 $51,291.26 $202,136.91 $53,855.82 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 35 21 — $70,373.76 $51,204.85 $201,794.91 $53,765.09 2026-03-02
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $53,532.46 $53,532.46 $53,532.46 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $53,001.32 $53,001.32 $53,001.32 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,821.85 $52,821.85 $52,821.85 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,762.03 $52,762.03 $52,762.03 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 17 12 $105,124.00 $24,493.89 77% off $15,148.37 $78,843.00 $52,562.00 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 35 21 — $70,917.86 $49,672.56 $195,729.81 $52,156.19 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 35 21 — $65,343.40 $49,601.44 $195,448.34 $52,081.51 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $51,984.36 $51,984.36 $51,984.36 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,924.54 $51,924.54 $51,924.54 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,924.54 $51,924.54 $51,924.54 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 35 21 — $70,558.55 $48,579.92 $191,404.94 $51,008.92 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,608.48 $50,608.48 $50,608.48 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $50,249.56 $50,249.56 $50,249.56 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 35 21 — $63,752.16 $47,586.69 $187,473.52 $49,966.02 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,950.45 $49,950.45 $49,950.45 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 21 — — $47,525.51 $187,231.40 $49,901.79 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,770.99 $49,770.99 $49,770.99 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 21 — $63,834.29 $47,309.88 $186,377.92 $49,675.37 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 35 21 — $70,004.19 $47,145.50 $185,727.23 $49,502.78 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 35 21 — $61,072.72 $46,931.40 $184,879.81 $49,277.97 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 35 21 — $61,863.21 $46,708.13 $183,996.07 $49,043.54 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $48,873.68 $48,873.68 $48,873.68 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 35 21 — $64,121.74 $46,029.91 $223,909.91 $48,331.41 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 17 12 $96,364.00 $22,452.81 77% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 35 21 — $58,485.68 $45,712.61 $180,055.56 $47,998.24 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 21 — $61,596.29 $45,678.19 $179,919.37 $47,962.10 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 26 17 — $63,413.38 $46,374.76 $195,403.96 $47,534.13 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 26 17 — $63,413.38 $46,374.76 $182,676.51 $47,534.13 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 35 21 — $60,374.63 $45,214.84 $178,085.31 $47,475.58 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $47,258.51 $47,258.51 $47,258.51 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,198.69 $47,198.69 $47,198.69 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $47,019.23 $47,019.23 $47,019.23 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 21 — $62,078.80 $44,741.54 $176,211.91 $46,978.62 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $46,839.76 $46,839.76 $46,839.76 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,660.30 $46,660.30 $46,660.30 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 35 21 — $62,366.25 $44,107.66 $173,702.94 $46,313.04 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 35 21 — $58,198.23 $43,845.40 $172,664.85 $46,037.67 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,344.24 $45,344.24 $45,344.24 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $45,164.78 $45,164.78 $45,164.78 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 35 21 — $55,580.39 $42,847.57 $168,715.27 $44,989.95 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,686.21 $44,686.21 $44,686.21 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 35 21 — $63,043.81 $42,485.90 $248,454.60 $44,610.19 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 35 21 — $57,479.61 $42,485.90 $167,283.73 $44,610.19 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 34 20 — $52,931.75 $41,481.20 $163,306.91 $44,592.29 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 35 21 — — $42,308.52 $168,586.69 $44,423.95 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 35 21 — — $42,051.61 $168,586.69 $44,154.19 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $44,028.18 $44,028.18 $44,028.18 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 35 21 — $56,514.60 $41,732.01 $164,299.61 $43,818.61 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 17 12 $87,604.00 $20,411.73 77% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,669.26 $43,669.26 $43,669.26 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 35 21 — $58,146.90 $41,520.19 $163,461.27 $43,596.20 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 21 — $58,341.96 $41,476.61 $163,288.75 $43,550.44 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,549.62 $43,549.62 $43,549.62 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,250.51 $43,250.51 $43,250.51 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $43,011.23 $43,011.23 $43,011.23 2026-03-02
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $42,992.91 $42,992.91 $42,992.91 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 35 21 — $53,362.92 $40,902.39 $161,015.85 $42,947.51 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $42,891.59 $42,891.59 $42,891.59 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 26 17 — $54,019.95 $41,826.80 $220,944.22 $42,872.47 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 35 21 — $53,845.43 $40,722.71 $160,304.63 $42,758.85 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,712.12 $42,712.12 $42,712.12 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,652.30 $42,652.30 $42,652.30 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $41,934.45 $41,934.45 $41,934.45 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,695.17 $41,695.17 $41,695.17 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 35 21 — $51,915.41 $39,471.02 $155,350.24 $41,444.57 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $41,396.06 $41,396.06 $41,396.06 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,396.06 $41,396.06 $41,396.06 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 35 21 — $53,249.99 $39,177.40 $154,188.07 $41,136.27 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 35 21 — $52,141.26 $39,058.13 $153,715.93 $41,011.04 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 35 21 — $49,348.90 $38,736.23 $152,441.78 $40,673.04 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,558.57 $40,558.57 $40,558.57 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 35 21 — $49,728.74 $38,509.13 $151,542.91 $40,434.59 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 35 21 — $45,786.58 $38,479.30 $151,424.87 $40,403.26 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 21 — $51,319.98 $38,464.02 $151,364.34 $40,387.22 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $40,319.29 $40,319.29 $40,319.29 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 35 21 — $51,730.62 $38,326.39 $183,814.23 $40,242.71 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,199.64 $40,199.64 $40,199.64 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $40,199.64 $40,199.64 $40,199.64 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,661.26 $39,661.26 $39,661.26 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 29 21 — — $39,601.77 $155,867.78 $39,601.77 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,541.61 $39,541.61 $39,541.61 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,481.79 $39,481.79 $39,481.79 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 35 21 — $46,515.47 $37,588.52 $147,899.00 $39,467.95 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 17 12 $78,844.00 $18,370.65 77% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $39,362.15 $39,362.15 $39,362.15 2026-03-02
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $39,270.85 $39,270.85 $39,270.85 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 35 21 — $50,498.69 $37,362.97 $147,006.18 $39,231.12 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,584.48 $38,584.48 $38,584.48 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 35 21 — $47,511.27 $36,737.51 $144,530.51 $38,574.39 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 35 21 — $50,868.27 $36,579.23 $143,904.02 $38,408.19 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 35 21 — $48,537.88 $36,572.35 $143,876.78 $38,400.97 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 26 17 — $49,656.88 $37,301.04 $187,762.89 $38,233.57 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,225.56 $38,225.56 $38,225.56 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $38,105.91 $38,105.91 $38,105.91 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 35 21 — $50,098.32 $36,196.15 $206,136.75 $38,005.96 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 132 15 $78,840.00 $21,444.48 73% off $12,693.24 $91,983.00 $37,843.20 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 21 — $46,217.75 $36,003.48 $141,625.07 $37,803.65 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,746.99 $37,746.99 $37,746.99 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,627.35 $37,627.35 $37,627.35 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 35 21 — $49,092.25 $35,792.45 $140,789.75 $37,582.07 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,268.42 $37,268.42 $37,268.42 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 35 21 — $48,394.15 $35,465.95 $139,497.44 $37,239.25 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 27 18 — $46,176.69 $35,451.42 $139,439.93 $37,223.99 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 35 21 — $47,726.86 $35,339.01 $149,133.25 $37,105.96 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 35 21 — $46,371.74 $35,333.66 $138,973.85 $37,100.34 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $37,088.96 $37,088.96 $37,088.96 2026-03-02
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $36,638.25 $36,638.25 $36,638.25 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,550.57 $36,550.57 $36,550.57 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,490.75 $36,490.75 $36,490.75 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 35 21 — $45,458.06 $34,719.69 $136,543.57 $36,455.67 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,430.93 $36,430.93 $36,430.93 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $36,311.29 $36,311.29 $36,311.29 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,311.29 $36,311.29 $36,311.29 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 35 21 — $44,174.81 $34,513.99 $135,729.45 $36,239.69 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 35 21 — $45,334.87 $34,419.18 $166,087.28 $36,140.14 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 35 21 — $44,431.46 $34,099.59 $134,089.08 $35,804.57 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 35 21 — $44,780.50 $33,811.31 $150,956.36 $35,501.88 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $35,174.69 $35,174.69 $35,174.69 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 111 15 $87,604.00 $22,081.46 75% off $9,066.60 $98,553.00 $35,085.94 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $35,055.05 $35,055.05 $35,055.05 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 17 12 $70,084.00 $16,329.57 77% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,995.23 $34,995.23 $34,995.23 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 35 21 — — $33,307.44 $130,953.63 $34,972.81 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 35 21 — $46,515.47 $33,239.39 $130,684.27 $34,901.36 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $34,696.12 $34,696.12 $34,696.12 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,636.30 $34,636.30 $34,636.30 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 35 21 — $43,928.42 $32,839.48 $129,101.41 $34,481.45 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 35 21 — $42,501.44 $32,791.31 $128,910.74 $34,430.88 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 5 5 — — $34,217.55 $34,217.55 $34,217.55 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 35 21 — $38,785.13 $32,560.40 $127,996.74 $34,188.42 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 47 27 $29,247.00 $10,002.47 66% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 47 27 $16,977.00 $5,806.13 66% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 47 27 $21,991.00 $7,520.92 66% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 47 27 $14,740.00 $5,041.08 66% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,157.73 $34,157.73 $34,157.73 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $34,097.91 $34,097.91 $34,097.91 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 34 20 — $41,115.53 $31,600.80 $124,198.48 $33,970.86 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $33,918.45 $33,918.45 $33,918.45 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 35 21 — $42,265.32 $32,265.27 $126,828.51 $33,878.53 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 35 21 — $37,963.85 $32,257.61 $126,798.24 $33,870.49 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $33,858.63 $33,858.63 $33,858.63 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $33,858.63 $33,858.63 $33,858.63 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 35 21 — $42,696.50 $32,036.64 $125,923.59 $33,638.47 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,559.52 $33,559.52 $33,559.52 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $33,439.88 $33,439.88 $33,439.88 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 35 21 — $41,485.10 $31,665.04 $124,452.71 $33,248.29 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 35 21 — $41,526.17 $31,647.45 $124,383.10 $33,229.82 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 35 21 — — $31,446.34 $123,587.13 $33,018.66 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 21 — $40,150.52 $31,323.25 $123,099.86 $32,889.41 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 90 15 $65,704.00 $16,561.35 75% off $9,066.60 $82,128.00 $32,851.60 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 35 21 — $42,070.27 $31,265.90 $122,872.87 $32,829.19 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 34 21 — $38,312.89 $30,269.61 $118,929.34 $32,539.83 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 5 5 — — $32,422.93 $32,422.93 $32,422.93 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $32,363.11 $32,363.11 $32,363.11 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 35 21 — $38,189.70 $30,683.27 $120,566.68 $32,217.43 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 35 21 — $37,122.03 $30,661.86 $120,481.94 $32,194.95 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 35 21 — $43,209.80 $16,527.52 $126,220.18 $32,111.57 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,004.18 $32,004.18 $32,004.18 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,004.18 $32,004.18 $32,004.18 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 35 21 — $41,218.19 $30,392.71 $119,416.61 $31,912.35 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 35 21 — $39,904.13 $30,330.77 $119,171.46 $31,847.31 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 35 21 — — $30,136.56 $144,504.08 $31,643.39 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 35 21 — $40,006.79 $30,122.03 $118,345.23 $31,628.13 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 5 5 — — $31,585.44 $31,585.44 $31,585.44 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $31,465.79 $31,465.79 $31,465.79 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 35 21 — $40,047.86 $29,956.87 $117,691.51 $31,454.71 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 5 5 — — $31,286.33 $31,286.33 $31,286.33 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 35 21 — $40,633.02 $29,775.66 $116,974.23 $31,264.44 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 35 21 — $33,426.25 $29,745.84 $116,856.19 $31,233.13 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 5 5 — — $31,166.69 $31,166.69 $31,166.69 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 35 21 — $41,659.63 $29,663.27 $116,529.33 $31,146.43 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 35 21 — $39,811.74 $29,449.94 $115,684.94 $30,922.44 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 35 21 — $38,898.06 $29,291.67 $124,193.70 $30,756.25 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 17 12 $61,324.00 $14,288.49 77% 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 5 5 — — $30,628.30 $30,628.30 $30,628.30 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 5 5 — — $30,568.48 $30,568.48 $30,568.48 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 35 21 — $39,534.55 $29,065.33 $114,162.61 $30,518.60 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $30,508.66 $30,508.66 $30,508.66 2026-03-02
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $30,448.84 $30,448.84 $30,448.84 2026-03-02
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 5 5 — — $30,389.02 $30,389.02 $30,389.02 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 47 27 $75,585.00 $19,051.96 75% off $11,454.85 $56,688.75 $30,299.48 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 35 21 — $39,277.90 $28,835.18 $113,251.63 $30,276.94 2026-03-02
6113 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $29,970.27 $29,970.27 $29,970.27 2026-03-02
1633 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $29,850.63 $29,850.63 $29,850.63 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 132 15 $65,704.00 $17,871.49 73% off $5,893.29 $98,553.00 $29,566.80 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 21 — $37,193.89 $28,121.79 $110,427.91 $29,527.88 2026-03-02
1653 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $29,491.70 $29,491.70 $29,491.70 2026-03-02
6032 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $29,431.88 $29,431.88 $29,431.88 2026-03-02
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 5 5 — — $29,431.88 $29,431.88 $29,431.88 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 35 21 — $36,701.12 $27,928.34 $109,662.20 $29,324.76 2026-03-02
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 5 5 — — $29,252.42 $29,252.42 $29,252.42 2026-03-02
5104 APR_DRG Apr-DRG 38.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 5 5 — — $29,132.78 $29,132.78 $29,132.78 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 35 21 — $35,222.81 $27,633.19 $108,493.97 $29,014.85 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 35 21 — $37,337.62 $27,631.67 $108,487.92 $29,013.25 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 35 21 — $37,491.61 $27,627.09 $108,469.76 $29,008.44 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 35 21 — $36,280.22 $27,498.63 $107,961.31 $28,873.56 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 35 21 — $35,541.06 $27,376.29 $107,477.07 $28,745.10 2026-03-02
1833 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $28,714.03 $28,714.03 $28,714.03 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 35 21 — $40,273.71 $27,217.24 $207,917.85 $28,578.10 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 35 21 — $32,861.62 $27,210.37 $106,820.32 $28,570.89 2026-03-02
7104 APR_DRG Apr-DRG 38.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 5 5 — — $28,534.57 $28,534.57 $28,534.57 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 35 21 — $36,762.72 $27,142.30 $106,550.96 $28,499.42 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 21 — $36,187.82 $27,013.85 $106,042.51 $28,364.54 2026-03-02
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