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 DEL E. WEBB MEDICAL CENTER

Sun City West, AZ · CCN 030093 · Rates published

6,990 distinct procedures filed
28 distinct payers
250,669 rate rows
2026-09-22 last MRF observed
Data quality

246,429 of 250,669 rate rows are consumer-grade (98.3%)

4,240 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 2,260
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,642
exceeds 10× this hospital's gross charge — excluded from medians 183
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 150
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/900389312_banner-del-e-webb-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-02
Content fingerprint 3311b4642683ce3a… · 102,076,885 bytes · first seen 2026-10-02

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 12 $3.74 $2,356,125.00 $1,335,137.50 nat. median
$3,398
outlier · 392.9×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $165,526.18 $1,414,884.44 $329,942.57 nat. median
$168,055
2.0× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,713.21 $222,713.21 $222,713.21 nat. median
$390,362
0.6× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $214,217.50 $918,203.08 $219,572.94 nat. median
$186,516
1.2× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $178,924.31 $178,924.31 $178,924.31 nat. median
$268,208
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
$286,698
0.6× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 21 $162,315.32 $695,443.68 $174,488.97 nat. median
$145,435
1.2× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 22 $163,271.87 $603,865.50 $171,435.46 nat. median
$131,925
1.3× 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
$225,531
0.7× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,571.11 $136,571.11 $136,571.11 nat. median
$202,242
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
$173,018
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
$201,678
0.6× 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
$171,497
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
$198,578
0.6× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,548.07 $117,548.07 $117,548.07 nat. median
$149,836
0.8× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 21 $106,022.71 $453,841.12 $113,974.42 nat. median
$97,418
1.2× 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
$173,134
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
$152,792
0.7× median
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $105,902.86 $105,902.86 $105,902.86 nat. median
$93
outlier · 1143.0×
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
$181,762
0.6× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 17 $99,142.85 $424,313.30 $101,621.42 nat. median
$70,649
1.4× 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
$187,567
0.5× 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
$136,566
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
$168,439
0.6× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,892.90 $95,892.90 $95,892.90 nat. median
$173,909
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
$155,539
0.6× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 17 $92,025.53 $393,766.49 $94,326.17 nat. median
$72,715
1.3× 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
$115,963
0.8× 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
$135,630
0.7× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $86,787.75 $409,578.35 $88,957.45 nat. median
$65,418
1.4× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 $84,416.61 $361,109.62 $88,637.44 nat. median
$2,736
outlier · 32.4×
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 22 $83,293.62 $356,289.89 $87,458.30 nat. median
$74,509
1.2× 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
$117,894
0.7× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 17 $78,991.03 $337,823.53 $80,965.80 nat. median
$69,922
1.2× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 22 $76,292.36 $387,884.72 $80,106.98 nat. median
$73,023
1.1× median
C1824
HCPCS 		Imp Gen Ccm Optimizer Smart 16 $31,318.31 $132,692.25 $79,615.35 nat. median
$32,119
outlier · 2.5×
6310098
CDM 		Fix Extrnl Lw/up/pelvic Lvl 29 13 $22,722.26 $118,263.00 $78,842.00 —
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 22 $74,962.47 $320,533.44 $78,710.59 nat. median
$69,822
1.1× 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
$124,731
0.6× median
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $75,824.44 $75,824.44 $75,824.44 nat. median
$20,955
outlier · 3.6×
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
$99,483
0.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $69,059.77 $295,199.54 $72,512.76 nat. median
$2,596
outlier · 27.9×
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
$96,548
0.7× 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
$120,079
0.6× median
2793826
CDM 		Fix Extrnl Lw/up/pelvic Lvl 28 13 $20,513.21 $106,765.50 $71,177.00 —
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 $66,387.08 $283,728.52 $69,706.43 nat. median
$2,633
outlier · 26.5×
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
$114,205
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
$95,481
0.7× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 22 $64,634.26 $276,205.67 $67,865.97 nat. median
$60,505
1.1× median

Other procedures at this hospital

Browse this hospital's 6,990 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 26 12 $3,141,500.00 $836,173.06 73% off $3.74 $2,356,125.00 $1,335,137.50 2026-09-22
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 15 — $386,193.01 $165,526.18 $1,414,884.44 $329,942.57 2026-09-22
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,713.21 $222,713.21 $222,713.21 2026-09-22
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 32 17 — $284,055.16 $214,217.50 $918,203.08 $219,572.94 2026-09-22
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,924.31 $178,924.31 $178,924.31 2026-09-22
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 2026-09-22
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 40 21 — $223,478.95 $162,315.32 $695,443.68 $174,488.97 2026-09-22
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 41 22 — $276,298.39 $163,271.87 $603,865.50 $171,435.46 2026-09-22
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,995.95 $154,995.95 $154,995.95 2026-09-22
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,571.11 $136,571.11 $136,571.11 2026-09-22
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 2026-09-22
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,376.61 $121,376.61 $121,376.61 2026-09-22
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 2026-09-22
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 2026-09-22
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $117,548.07 $117,548.07 $117,548.07 2026-09-22
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 40 21 — $154,087.27 $106,022.71 $453,841.12 $113,974.42 2026-09-22
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 2026-09-22
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $106,182.10 $106,182.10 $106,182.10 2026-09-22
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $105,902.86 $105,902.86 $105,902.86 2026-09-22
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 2026-09-22
7 MS_DRG Ms-DRG 42.00: Lung Transplant 32 17 — $128,573.77 $99,142.85 $424,313.30 $101,621.42 2026-09-22
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 2026-09-22
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,439.29 $100,439.29 $100,439.29 2026-09-22
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 2026-09-22
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,892.90 $95,892.90 $95,892.90 2026-09-22
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $95,234.87 $95,234.87 $95,234.87 2026-09-22
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 32 17 — $120,135.66 $92,025.53 $393,766.49 $94,326.17 2026-09-22
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 2026-09-22
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 2026-09-22
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 17 — $128,343.16 $86,787.75 $409,578.35 $88,957.45 2026-09-22
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 22 — — $84,416.61 $361,109.62 $88,637.44 2026-09-22
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 41 22 — $112,902.99 $83,293.62 $356,289.89 $87,458.30 2026-09-22
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $83,031.41 $83,031.41 $83,031.41 2026-09-22
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,476.07 $81,476.07 $81,476.07 2026-09-22
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 32 17 — $108,490.02 $78,991.03 $337,823.53 $80,965.80 2026-09-22
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 41 22 — $107,074.93 $76,292.36 $387,884.72 $80,106.98 2026-09-22
C1824 HCPCS Imp Gen Ccm Optimizer Smart 33 16 $176,923.00 $45,999.98 74% off $31,318.31 $132,692.25 $79,615.35 2026-09-22
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 23 13 $157,684.00 $24,441.02 85% off $22,722.26 $118,263.00 $78,842.00 2026-09-22
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 22 — $101,729.04 $74,962.47 $320,533.44 $78,710.59 2026-09-22
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 2026-09-22
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $75,824.44 $75,824.44 $75,824.44 2026-09-22
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 2026-09-22
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 22 — — $69,059.77 $295,199.54 $72,512.76 2026-09-22
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 2026-09-22
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 2026-09-22
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 23 13 $142,354.00 $22,064.87 85% off $20,513.21 $106,765.50 $71,177.00 2026-09-22
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 41 22 — — $66,387.08 $283,728.52 $69,706.43 2026-09-22
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 2026-09-22
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,315.47 $68,315.47 $68,315.47 2026-09-22
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 41 22 — $85,062.46 $64,634.26 $276,205.67 $67,865.97 2026-09-22
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 22 — $88,353.85 $64,431.97 $275,337.40 $67,653.57 2026-09-22
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-09-22
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,700.30 $66,700.30 $66,700.30 2026-09-22
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 23 13 $131,404.00 $20,367.62 85% off $18,935.32 $98,553.00 $65,702.00 2026-09-22
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 2026-09-22
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 2026-09-22
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,546.75 $64,546.75 $64,546.75 2026-09-22
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 2026-09-22
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 2026-09-22
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 41 22 — $88,594.94 $60,350.76 $282,995.34 $63,368.30 2026-09-22
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 22 — $80,827.68 $58,896.46 $251,579.50 $61,841.28 2026-09-22
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 41 22 — $81,760.59 $58,643.78 $250,494.98 $61,575.97 2026-09-22
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,495.89 $61,495.89 $61,495.89 2026-09-22
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 22 — $75,817.23 $58,450.62 $249,666.02 $61,373.15 2026-09-22
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 2026-09-22
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 2026-09-22
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $60,478.93 $60,478.93 $60,478.93 2026-09-22
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 2026-09-22
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 23 13 $116,512.00 $18,059.36 84% off $16,789.38 $87,384.00 $58,256.00 2026-09-22
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 22 — — $55,387.04 $236,517.43 $58,156.39 2026-09-22
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 41 22 — $72,536.32 $55,036.64 $235,013.52 $57,788.47 2026-09-22
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 22 — $73,752.25 $54,713.70 $274,819.10 $57,449.39 2026-09-22
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 2026-09-22
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 2026-09-22
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 32 17 — — $55,059.54 $182,716.93 $56,436.03 2026-09-22
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 2026-09-22
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 17 — $83,794.12 $54,745.77 $281,138.33 $56,114.41 2026-09-22
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 41 22 — $73,008.02 $53,044.90 $226,465.13 $55,697.14 2026-09-22
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 41 22 — $71,854.98 $52,786.09 $225,354.39 $55,425.39 2026-09-22
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 41 22 — $63,836.15 $51,665.40 $220,544.49 $54,248.67 2026-09-22
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 41 22 — — $51,324.92 $219,083.17 $53,891.17 2026-09-22
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 41 22 — — $51,287.51 $218,922.62 $53,851.89 2026-09-22
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 232 17 $109,504.00 $28,471.04 74% off $9,368.82 $164,253.00 $53,273.54 2026-09-22
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 2026-09-22
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 22 — $59,716.68 $50,476.01 $215,439.70 $52,999.81 2026-09-22
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 41 22 — $66,718.74 $50,476.01 $215,439.70 $52,999.81 2026-09-22
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,821.85 $52,821.85 $52,821.85 2026-09-22
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 22 — $65,177.87 $50,293.54 $214,656.62 $52,808.22 2026-09-22
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 2026-09-22
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 23 13 $105,124.00 $16,294.22 84% off $15,148.37 $78,843.00 $52,562.00 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 41 22 — $72,410.53 $49,402.64 $210,832.95 $51,872.77 2026-09-22
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 2026-09-22
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $50,249.56 $50,249.56 $50,249.56 2026-09-22
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,950.45 $49,950.45 $49,950.45 2026-09-22
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,770.99 $49,770.99 $49,770.99 2026-09-22
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 41 22 — $65,471.37 $47,064.31 $240,252.61 $49,417.53 2026-09-22
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 41 22 — $72,043.66 $47,010.11 $200,564.39 $49,360.62 2026-09-22
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 41 22 — $62,358.17 $46,561.99 $198,641.09 $48,890.09 2026-09-22
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 2026-09-22
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 41 22 — $63,165.30 $46,147.46 $196,861.95 $48,454.83 2026-09-22
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 41 22 — $65,094.01 $46,134.47 $196,806.25 $48,441.19 2026-09-22
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 23 13 $96,364.00 $14,936.42 84% off $13,886.05 $72,273.00 $48,182.00 2026-09-22
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 22 — $63,678.92 $45,802.39 $195,380.97 $48,092.51 2026-09-22
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 22 — $62,892.76 $45,652.75 $194,738.78 $47,478.86 2026-09-22
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 41 22 — $61,645.39 $45,080.96 $192,284.68 $47,335.01 2026-09-22
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-09-22
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,318.33 $47,318.33 $47,318.33 2026-09-22
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 22 — $63,385.42 $45,051.95 $192,160.17 $47,304.55 2026-09-22
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 2026-09-22
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 2026-09-22
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $47,019.23 $47,019.23 $47,019.23 2026-09-22
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 2026-09-22
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 32 17 — $64,748.10 $45,547.41 $209,666.07 $46,686.10 2026-09-22
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 2026-09-22
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 22 — — $44,306.09 $188,959.03 $46,521.39 2026-09-22
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 41 22 — $59,423.18 $44,025.17 $187,753.28 $46,226.43 2026-09-22
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 41 22 — $59,370.77 $43,790.04 $186,744.12 $45,979.54 2026-09-22
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 41 22 — — $43,198.39 $184,204.83 $45,358.31 2026-09-22
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,344.24 $45,344.24 $45,344.24 2026-09-22
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 2026-09-22
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 40 21 — $54,045.85 $41,916.61 $178,703.59 $45,060.35 2026-09-22
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 41 22 — $46,750.29 $42,772.41 $182,376.54 $44,911.03 2026-09-22
353 OTHER Hernia Procedures Except Inguinal And Femoral Age >17 With Mcc 1 1 — — $44,791.42 $44,791.42 $44,791.42 2026-09-22
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-09-22
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,746.03 $44,746.03 $44,746.03 2026-09-22
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 2026-09-22
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 41 22 — $71,477.63 $42,442.60 $175,640.06 $44,564.73 2026-09-22
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 41 22 — $58,689.43 $42,189.91 $179,876.57 $44,299.41 2026-09-22
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 41 22 — $57,704.11 $42,041.81 $179,240.93 $44,143.90 2026-09-22
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 32 17 — $55,156.95 $43,065.56 $237,070.46 $44,142.20 2026-09-22
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 41 22 — $54,486.10 $41,982.27 $178,985.37 $44,081.38 2026-09-22
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 2026-09-22
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 23 13 $87,604.00 $13,578.62 85% off $12,623.74 $65,703.00 $43,802.00 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 22 — $54,978.76 $40,990.60 $174,729.19 $43,040.13 2026-09-22
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 41 22 — — $40,966.16 $174,624.34 $43,014.47 2026-09-22
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 2026-09-22
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 2026-09-22
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 32 17 — $64,748.10 $41,750.18 $158,526.90 $42,793.93 2026-09-22
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 41 22 — $64,370.74 $40,692.87 $246,080.55 $42,727.51 2026-09-22
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,712.12 $42,712.12 $42,712.12 2026-09-22
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 2026-09-22
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 41 22 — $53,008.12 $40,559.27 $172,877.97 $42,587.23 2026-09-22
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $42,042.32 $42,042.32 $42,042.32 2026-09-22
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 41 22 — $54,370.79 $40,018.00 $170,554.93 $42,018.90 2026-09-22
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 41 22 — $56,750.24 $39,949.29 $170,260.05 $41,946.75 2026-09-22
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 2026-09-22
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,695.17 $41,695.17 $41,695.17 2026-09-22
6310189 CDM Occluder Lvl 11 23 13 $83,224.00 $12,899.72 84% off $11,992.58 $62,418.00 $41,612.00 2026-09-22
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,396.06 $41,396.06 $41,396.06 2026-09-22
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 2026-09-22
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 41 22 — $48,731.41 $38,756.85 $165,142.15 $40,694.69 2026-09-22
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 2026-09-22
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 2026-09-22
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 41 22 — $53,238.72 $38,353.75 $163,412.16 $40,271.44 2026-09-22
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,199.64 $40,199.64 $40,199.64 2026-09-22
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 2026-09-22
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-09-22
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,960.36 $39,960.36 $39,960.36 2026-09-22
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 41 22 — $52,819.44 $38,048.40 $197,230.43 $39,950.82 2026-09-22
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 22 — $52,400.15 $37,981.21 $161,813.23 $39,880.27 2026-09-22
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 41 22 — $50,387.59 $37,852.20 $161,259.50 $39,744.81 2026-09-22
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 2026-09-22
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 22 — $59,569.93 $37,695.70 $160,587.82 $39,580.49 2026-09-22
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 2026-09-22
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,481.79 $39,481.79 $39,481.79 2026-09-22
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 23 13 $78,844.00 $12,220.82 84% off $11,361.42 $59,133.00 $39,422.00 2026-09-22
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 2026-09-22
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 41 22 — $51,561.58 $37,142.22 $158,212.36 $38,999.33 2026-09-22
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 41 22 — $50,775.42 $36,955.95 $157,412.89 $38,803.75 2026-09-22
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 2026-09-22
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 41 22 — $51,152.78 $36,623.87 $221,182.23 $38,455.06 2026-09-22
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,225.56 $38,225.56 $38,225.56 2026-09-22
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 2026-09-22
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 41 22 — $49,559.50 $36,097.13 $153,726.83 $37,901.99 2026-09-22
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 41 22 — $48,511.28 $35,990.24 $153,268.12 $37,789.75 2026-09-22
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,746.99 $37,746.99 $37,746.99 2026-09-22
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 2026-09-22
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 41 22 — $50,125.53 $35,537.54 $151,325.15 $37,314.42 2026-09-22
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 2026-09-22
6310171 CDM Occluder Lvl 10 23 13 $74,464.00 $11,541.92 84% off $10,730.26 $55,848.00 $37,232.00 2026-09-22
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 41 22 — $47,347.77 $35,369.57 $150,604.32 $37,138.05 2026-09-22
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $37,088.96 $37,088.96 $37,088.96 2026-09-22
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 32 17 — $47,148.61 $36,170.41 $154,041.37 $37,074.67 2026-09-22
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 22 — $47,190.54 $35,280.26 $150,220.97 $37,044.27 2026-09-22
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 168 16 $78,840.00 $20,498.40 74% off $11,405.52 $91,983.00 $36,932.76 2026-09-22
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 41 22 — $47,494.52 $35,109.26 $149,487.04 $36,864.72 2026-09-22
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 41 22 — $46,414.86 $35,004.67 $149,038.16 $36,754.90 2026-09-22
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 41 22 — $46,289.07 $34,989.40 $178,209.63 $36,738.87 2026-09-22
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 41 22 — $51,938.94 $34,853.51 $148,389.41 $36,596.19 2026-09-22
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 32 17 — $50,702.05 $35,678.76 $201,467.30 $36,570.73 2026-09-22
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 2026-09-22
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,490.75 $36,490.75 $36,490.75 2026-09-22
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,430.93 $36,430.93 $36,430.93 2026-09-22
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 2026-09-22
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,311.29 $36,311.29 $36,311.29 2026-09-22
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 41 22 — $49,412.75 $34,493.95 $146,846.18 $36,218.65 2026-09-22
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 41 22 — $43,154.92 $34,484.04 $146,803.58 $36,208.24 2026-09-22
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 41 22 — $45,723.04 $34,349.65 $161,974.33 $36,067.13 2026-09-22
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 41 22 — $44,853.02 $33,814.51 $143,930.09 $35,505.24 2026-09-22
243 OTHER Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $35,441.76 $35,441.76 $35,441.76 2026-09-22
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 2026-09-22
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 2026-09-22
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 23 13 $70,084.00 $10,863.02 84% off $10,099.10 $52,563.00 $35,042.00 2026-09-22
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 141 16 $87,604.00 $28,471.30 68% off $8,146.80 $98,553.00 $35,041.60 2026-09-22
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,995.23 $34,995.23 $34,995.23 2026-09-22
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 41 22 — $43,396.01 $33,315.23 $141,787.26 $34,980.99 2026-09-22
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 40 21 — $41,980.92 $32,464.79 $138,137.24 $34,899.65 2026-09-22
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 41 22 — $45,104.59 $33,051.86 $140,656.87 $34,704.45 2026-09-22
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $34,696.12 $34,696.12 $34,696.12 2026-09-22
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,636.30 $34,636.30 $34,636.30 2026-09-22
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 41 22 — $39,601.48 $32,841.15 $139,752.55 $34,483.21 2026-09-22
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 41 22 — — $32,654.11 $138,949.81 $34,286.82 2026-09-22
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 5 5 — — $34,217.55 $34,217.55 $34,217.55 2026-09-22
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,157.73 $34,157.73 $34,157.73 2026-09-22
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 41 22 — $43,595.17 $32,519.76 $138,373.15 $34,145.75 2026-09-22
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $34,097.91 $34,097.91 $34,097.91 2026-09-22
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 41 22 — $42,400.20 $32,448.75 $138,068.43 $34,071.19 2026-09-22
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 41 22 — $38,762.91 $32,354.86 $137,665.42 $33,972.60 2026-09-22
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 41 22 — $45,366.65 $32,316.69 $137,501.60 $33,932.52 2026-09-22
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 2026-09-22
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 41 22 — $42,358.28 $32,257.14 $137,246.03 $33,870.00 2026-09-22
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 2026-09-22
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 2026-09-22
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 41 22 — $47,494.52 $32,133.47 $136,715.24 $33,740.14 2026-09-22
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 22 — $40,995.60 $31,983.84 $136,073.05 $33,583.03 2026-09-22
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,559.52 $33,559.52 $33,559.52 2026-09-22
0408T CPT Insr/rplc Sys Ccm Gen Puls&elcrd Tv 49 27 $18,627.00 $5,942.01 68% off $974.40 $55,265.94 $33,494.51 2026-09-22
33264 CPT Rem&rpl Gen Icd Multi 53 27 $19,011.00 $6,064.51 68% off $385.95 $66,010.00 $33,494.51 2026-09-22
33231 CPT Ins Gen Icd Only W Ld Exist Multi 53 27 $15,344.00 $4,894.74 68% off $383.79 $66,010.00 $33,494.51 2026-09-22
33249 CPT Ins/rpl Icd W Lead Sgl/dual 53 27 $19,993.00 $6,377.77 68% off $870.15 $66,010.00 $33,494.51 2026-09-22
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 2026-09-22
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 41 22 — $40,848.85 $31,773.91 $135,172.01 $33,362.61 2026-09-22
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $33,200.60 $33,200.60 $33,200.60 2026-09-22
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 2026-09-22
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 2026-09-22
6310163 CDM Occluder Lvl 09 23 13 $65,704.00 $10,184.12 84% off $9,467.95 $49,278.00 $32,852.00 2026-09-22
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 114 16 $65,704.00 $21,353.80 68% off $8,146.80 $82,128.00 $32,850.60 2026-09-22
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 41 22 — — $30,972.32 $155,051.12 $32,520.94 2026-09-22
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 38 22 — $42,955.76 $31,266.24 $132,993.14 $32,516.89 2026-09-22
481 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Cc 1 1 — — $32,479.20 $32,479.20 $32,479.20 2026-09-22
486 OTHER Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $32,430.18 $32,430.18 $32,430.18 2026-09-22
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 5 5 — — $32,422.93 $32,422.93 $32,422.93 2026-09-22
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $32,363.11 $32,363.11 $32,363.11 2026-09-22
314 OTHER Other Circulatory System Diagnoses With Mcc 1 1 — — $32,337.50 $32,337.50 $32,337.50 2026-09-22
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 41 22 — $35,964.18 $30,694.42 $130,539.04 $32,229.14 2026-09-22
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 38 22 — $44,119.27 $17,734.10 $136,616.94 $32,110.57 2026-09-22
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 40 21 — $39,119.30 $29,784.45 $126,633.45 $32,018.28 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 5 5 — — $31,764.90 $31,764.90 $31,764.90 2026-09-22
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 41 22 — $39,716.78 $30,143.23 $133,258.32 $31,650.39 2026-09-22
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 5 5 — — $31,585.44 $31,585.44 $31,585.44 2026-09-22
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 41 22 — — $30,008.12 $125,054.18 $31,508.53 2026-09-22
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $31,465.79 $31,465.79 $31,465.79 2026-09-22
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 41 22 — $40,890.78 $29,828.73 $126,823.49 $31,320.17 2026-09-22
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 2026-09-22
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 41 22 — $40,366.67 $29,756.22 $126,512.22 $31,244.03 2026-09-22
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 2026-09-22
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 41 22 — $38,993.51 $29,589.01 $125,794.66 $31,068.46 2026-09-22
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 23 13 $61,324.00 $9,505.22 84% off $8,836.79 $45,993.00 $30,662.00 2026-09-22
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $30,628.30 $30,628.30 $30,628.30 2026-09-22
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 2026-09-22
432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $30,549.60 $30,549.60 $30,549.60 2026-09-22
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 2026-09-22
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 41 22 — $40,649.69 $29,006.54 $123,968.78 $30,456.87 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
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 2026-09-22
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 41 22 — $34,863.55 $28,881.34 $122,757.35 $30,325.41 2026-09-22
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 41 22 — $42,536.47 $28,813.38 $122,465.74 $30,254.05 2026-09-22
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 41 22 — $38,280.73 $28,810.34 $122,452.63 $30,250.86 2026-09-22
871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours Age >17 With Mcc 1 1 — — $30,180.48 $30,180.48 $30,180.48 2026-09-22
100 OTHER Seizures Age >17 With Mcc 1 1 — — $30,178.76 $30,178.76 $30,178.76 2026-09-22
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 41 22 — $42,085.74 $28,730.17 $122,108.60 $30,166.68 2026-09-22
C1767 HCPCS Imp Generator Neurostim Lvl 01 168 16 $65,704.00 $17,083.04 74% off $5,295.42 $98,553.00 $30,026.73 2026-09-22
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 2026-09-22
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 2026-09-22
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 41 22 — $34,129.81 $28,320.21 $120,349.12 $29,736.22 2026-09-22
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 41 22 — $36,289.12 $28,308.76 $120,299.97 $29,724.20 2026-09-22
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 2026-09-22
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 5 5 — — $29,431.88 $29,431.88 $29,431.88 2026-09-22
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 2026-09-22
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 41 22 — $33,700.04 $27,979.73 $118,887.80 $29,378.72 2026-09-22
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 41 22 — $37,536.50 $27,958.35 $118,796.06 $29,356.27 2026-09-22
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 41 22 — $38,301.69 $27,920.18 $118,632.24 $29,316.19 2026-09-22
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 41 22 — $37,043.84 $27,901.10 $118,550.32 $29,296.15 2026-09-22
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 32 17 — $36,247.20 $28,569.86 $121,420.54 $29,284.10 2026-09-22
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 5 5 — — $29,252.42 $29,252.42 $29,252.42 2026-09-22
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 41 22 — $38,123.50 $27,852.25 $118,340.63 $29,244.86 2026-09-22
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 41 22 — $33,553.29 $27,811.02 $118,163.70 $29,201.57 2026-09-22
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 2026-09-22
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