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 HEART HOSPITAL

Mesa, AZ · CCN 030105 · Rates published

6,263 distinct procedures filed
28 distinct payers
458,522 rate rows
2026-03-02 last MRF observed
Data quality

452,256 of 458,522 rate rows are consumer-grade (98.6%)

6,266 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 3,452
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,052
exceeds 10× this hospital's gross charge — excluded from medians 618
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 120
placeholder amount (≤ $0.02) — excluded from medians 20
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/861035549_banner-heart-hospital_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-10-01
Content fingerprint 3b8b63ff0003a27e… · 91,304,752 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 13 $3.97 $2,819,628.00 $1,597,789.20 nat. median
$3,398
outlier · 470.2×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $151,683.78 $1,141,377.89 $280,056.48 nat. median
$168,055
1.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $209,178.70 $852,513.60 $214,408.17 nat. median
$186,516
1.1× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 22 $176,166.28 $717,970.54 $184,974.59 nat. median
$131,925
1.4× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 21 $159,151.76 $648,627.37 $171,088.15 nat. median
$145,435
1.2× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $154,743.89 $154,743.89 $154,743.89 nat. median
$390,362
outlier · 0.4×
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $124,318.82 $124,318.82 $124,318.82 nat. median
$268,208
outlier · 0.5×
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $122,573.12 $122,573.12 $122,573.12 nat. median
$286,698
outlier · 0.4×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 21 $104,929.83 $427,644.45 $112,799.57 nat. median
$97,418
1.2× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $107,693.10 $107,693.10 $107,693.10 nat. median
$225,531
outlier · 0.5×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 18 $97,294.40 $396,525.98 $99,726.76 nat. median
$72,715
1.4× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 18 $97,049.32 $395,527.23 $99,475.55 nat. median
$70,649
1.4× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $94,891.30 $94,891.30 $94,891.30 nat. median
$202,242
outlier · 0.5×
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $85,414.64 $85,414.64 $85,414.64 nat. median
$173,018
outlier · 0.5×
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 22 $80,898.45 $329,703.88 $84,943.37 nat. median
$74,509
1.1× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $84,333.96 $84,333.96 $84,333.96 nat. median
$201,678
outlier · 0.4×
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $81,832.64 $375,329.45 $83,878.46 nat. median
$65,418
1.3× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $83,668.94 $83,668.94 $83,668.94 nat. median
$171,497
outlier · 0.5×
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 22 $78,677.32 $355,449.83 $82,611.19 nat. median
$73,023
1.1× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $81,964.80 $81,964.80 $81,964.80 nat. median
$198,578
outlier · 0.4×
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 $77,790.66 $317,037.98 $81,680.19 nat. median
$2,736
outlier · 29.9×
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $81,673.85 $81,673.85 $81,673.85 nat. median
$149,836
0.5× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 18 $79,082.78 $322,304.09 $81,059.85 nat. median
$69,922
1.2× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 22 $71,669.38 $292,090.54 $75,252.85 nat. median
$69,822
1.1× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $74,732.61 $74,732.61 $74,732.61 nat. median
$173,134
outlier · 0.4×
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $73,776.63 $73,776.63 $73,776.63 nat. median
$152,792
outlier · 0.5×
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $73,070.04 $73,070.04 $73,070.04 nat. median
$181,762
outlier · 0.4×
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 $68,407.86 $278,798.15 $71,828.25 nat. median
$2,633
outlier · 27.3×
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $70,409.92 $70,409.92 $70,409.92 nat. median
$187,567
outlier · 0.4×
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $69,786.46 $69,786.46 $69,786.46 nat. median
$136,566
0.5× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $69,495.51 $69,495.51 $69,495.51 nat. median
$168,439
outlier · 0.4×
C1825
HCPCS 		Imp Dev Sys Barostim 17 $27,093.56 $114,158.25 $68,494.95 nat. median
$35,000
2.0× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $66,627.57 $66,627.57 $66,627.57 nat. median
$173,909
outlier · 0.4×
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,170.37 $66,170.37 $66,170.37 nat. median
$155,539
outlier · 0.4×
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 22 $62,927.45 $256,462.58 $66,073.82 nat. median
$60,505
1.1× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 22 $62,892.56 $256,320.34 $66,037.19 nat. median
$59,651
1.1× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $65,089.69 $65,089.69 $65,089.69 nat. median
$115,963
0.6× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $61,937.58 $252,428.26 $65,034.46 nat. median
$2,596
outlier · 25.1×
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $64,798.74 $64,798.74 $64,798.74 nat. median
$135,630
outlier · 0.5×
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 22 $59,861.99 $280,941.55 $62,855.09 nat. median
$56,428
1.1× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 22 $58,044.84 $236,563.35 $60,947.08 nat. median
$55,935
1.1× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 18 $59,207.76 $241,302.85 $60,687.96 nat. median
$23,080
outlier · 2.6×
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $58,868.39 $257,629.57 $60,340.10 nat. median
$45,605
1.3× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 22 $57,458.93 $234,175.44 $60,331.88 nat. median
$55,923
1.1× median
2793800
CDM 		Fix Extrnl Lw/up/pelvic Lvl 26 14 $16,789.38 $87,384.00 $58,256.00 —
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $55,429.39 $225,904.01 $58,200.86 nat. median
$52,327
1.1× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $57,691.25 $57,691.25 $57,691.25 nat. median
$92,994
0.6× median
A9543
HCPCS 		Rrx Yttr90 Zev Thr/0-40mci Dose 28 $19,786.70 $293,977.48 $56,824.55 nat. median
$65,477
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $56,610.58 $56,610.58 $56,610.58 nat. median
$117,894
outlier · 0.5×
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 $52,744.88 $214,963.22 $55,382.12 nat. median
$9,905
outlier · 5.6×

Other procedures at this hospital

Browse this hospital's 6,263 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 52 13 $3,759,504.00 $995,629.44 74% off $3.97 $2,819,628.00 $1,597,789.20 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 66 17 — $404,211.89 $151,683.78 $1,141,377.89 $280,056.48 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 68 18 — $297,308.53 $209,178.70 $852,513.60 $214,408.17 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 86 22 — $289,189.84 $176,166.28 $717,970.54 $184,974.59 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 84 21 — $233,905.97 $159,151.76 $648,627.37 $171,088.15 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $154,743.89 $154,743.89 $154,743.89 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $124,318.82 $124,318.82 $124,318.82 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $122,573.12 $122,573.12 $122,573.12 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 84 21 — $161,276.63 $104,929.83 $427,644.45 $112,799.57 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $107,693.10 $107,693.10 $107,693.10 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 68 18 — $125,740.91 $97,294.40 $396,525.98 $99,726.76 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 68 18 — $134,572.73 $97,049.32 $395,527.23 $99,475.55 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $94,891.30 $94,891.30 $94,891.30 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $85,414.64 $85,414.64 $85,414.64 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 86 22 — $118,170.79 $80,898.45 $329,703.88 $84,943.37 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $84,333.96 $84,333.96 $84,333.96 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 18 — $134,331.36 $81,832.64 $375,329.45 $83,878.46 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $83,668.94 $83,668.94 $83,668.94 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 86 22 — $112,070.80 $78,677.32 $355,449.83 $82,611.19 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $81,964.80 $81,964.80 $81,964.80 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $77,790.66 $317,037.98 $81,680.19 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $81,673.85 $81,673.85 $81,673.85 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 68 18 — $113,551.91 $79,082.78 $322,304.09 $81,059.85 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $106,475.49 $71,669.38 $292,090.54 $75,252.85 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $74,732.61 $74,732.61 $74,732.61 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $73,776.63 $73,776.63 $73,776.63 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $73,070.04 $73,070.04 $73,070.04 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 86 22 — — $68,407.86 $278,798.15 $71,828.25 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $70,409.92 $70,409.92 $70,409.92 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $69,786.46 $69,786.46 $69,786.46 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $69,495.51 $69,495.51 $69,495.51 2026-03-02
C1825 HCPCS Imp Dev Sys Barostim 70 17 $152,211.00 $36,682.85 76% off $27,093.56 $114,158.25 $68,494.95 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $66,627.57 $66,627.57 $66,627.57 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $66,170.37 $66,170.37 $66,170.37 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 86 22 — $89,031.28 $62,927.45 $256,462.58 $66,073.82 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $92,476.24 $62,892.56 $256,320.34 $66,037.19 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $65,089.69 $65,089.69 $65,089.69 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 86 22 — — $61,937.58 $252,428.26 $65,034.46 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $64,798.74 $64,798.74 $64,798.74 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 22 — $92,728.58 $59,861.99 $280,941.55 $62,855.09 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 22 — $85,575.35 $58,044.84 $236,563.35 $60,947.08 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 68 18 — — $59,207.76 $241,302.85 $60,687.96 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 18 — $87,703.77 $58,868.39 $257,629.57 $60,340.10 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $84,598.92 $57,458.93 $234,175.44 $60,331.88 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 50 14 $116,512.00 $19,340.99 83% off $16,789.38 $87,384.00 $58,256.00 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 86 22 — $79,354.68 $55,429.39 $225,904.01 $58,200.86 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $57,691.25 $57,691.25 $57,691.25 2026-03-02
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 106 28 $58,889.00 $15,595.57 74% off $19,786.70 $293,977.48 $56,824.55 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $56,610.58 $56,610.58 $56,610.58 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $52,744.88 $214,963.22 $55,382.12 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 86 22 — $77,193.36 $52,479.77 $251,838.75 $55,103.76 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 502 17 $109,504.00 $26,390.46 76% off $10,074.00 $164,253.00 $54,752.00 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 86 22 — $76,414.40 $51,659.20 $210,538.47 $54,242.16 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $53,784.20 $53,784.20 $53,784.20 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 86 22 — $66,814.60 $50,707.19 $206,658.50 $53,242.55 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 50 14 $105,124.00 $17,450.58 83% off $15,148.37 $78,843.00 $52,562.00 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 86 22 — — $49,789.32 $202,917.75 $52,278.79 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 86 22 — $75,920.70 $49,597.72 $202,136.91 $52,077.61 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 86 22 — $75,207.57 $49,513.81 $201,794.91 $51,989.50 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $51,705.99 $51,705.99 $51,705.99 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 86 22 — $75,789.04 $48,025.64 $195,729.81 $50,426.92 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $69,831.68 $47,956.58 $195,448.34 $50,354.41 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $49,877.16 $49,877.16 $49,877.16 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $49,752.47 $49,752.47 $49,752.47 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 86 22 — $75,405.05 $46,964.46 $191,404.94 $49,312.68 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 86 22 — $68,131.15 $45,999.81 $187,473.52 $48,299.80 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 86 22 — — $45,940.40 $187,231.40 $48,237.42 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 50 14 $96,364.00 $15,996.42 83% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $48,131.46 $48,131.46 $48,131.46 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 86 22 — $68,218.92 $45,730.99 $186,377.92 $48,017.54 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 86 22 — $74,812.61 $45,571.33 $185,727.23 $47,849.90 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 86 22 — $65,267.66 $45,363.41 $184,879.81 $47,631.58 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $47,466.43 $47,466.43 $47,466.43 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 86 22 — $66,112.45 $45,146.55 $183,996.07 $47,403.88 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 22 — $68,526.11 $44,487.87 $220,162.71 $46,712.26 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $62,502.92 $44,179.70 $180,055.56 $46,388.68 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $46,344.19 $46,344.19 $46,344.19 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $46,344.19 $46,344.19 $46,344.19 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 68 18 — $67,769.10 $44,822.79 $192,133.82 $45,943.36 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 68 18 — $67,769.10 $44,822.79 $182,676.51 $45,943.36 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 80 22 — $65,827.20 $44,146.28 $179,919.37 $45,912.13 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 86 22 — $64,521.62 $43,696.26 $178,085.31 $45,881.07 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 86 22 — $66,342.84 $43,236.60 $176,211.91 $45,398.43 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $45,346.65 $45,346.65 $45,346.65 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $45,014.14 $45,014.14 $45,014.14 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $44,847.88 $44,847.88 $44,847.88 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $44,806.32 $44,806.32 $44,806.32 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $66,650.04 $42,620.97 $173,702.94 $44,752.02 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 22 — $62,195.73 $42,366.26 $172,664.85 $44,484.57 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $44,307.54 $44,307.54 $44,307.54 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 50 14 $87,604.00 $14,542.26 83% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 86 22 — $59,398.07 $41,397.16 $168,715.27 $43,467.02 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 22 — $67,374.13 $41,045.92 $244,296.64 $43,098.22 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 86 22 — $61,427.74 $41,045.92 $167,283.73 $43,098.22 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 84 21 — $56,567.50 $40,070.12 $163,306.91 $43,075.38 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $40,873.61 $166,581.59 $42,917.29 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 10 5 — — $42,728.10 $42,728.10 $42,728.10 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 86 22 — — $40,624.12 $165,765.34 $42,655.33 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $42,520.28 $42,520.28 $42,520.28 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $42,478.71 $42,478.71 $42,478.71 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 86 22 — $60,396.45 $40,313.70 $164,299.61 $42,329.39 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 86 22 — $62,140.87 $40,108.01 $163,461.27 $42,113.41 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 86 22 — $62,349.32 $40,065.66 $163,288.75 $42,068.94 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $42,021.51 $42,021.51 $42,021.51 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $41,688.99 $41,688.99 $41,688.99 2026-03-02
6310189 CDM Occluder Lvl 11 50 14 $83,224.00 $13,815.18 83% off $11,992.58 $62,418.00 $41,612.00 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 22 — $57,028.29 $39,507.99 $161,015.85 $41,483.39 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 68 18 — $57,730.45 $40,405.79 $217,246.65 $41,415.93 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $57,543.94 $39,333.46 $160,304.63 $41,300.13 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 86 22 — $55,481.35 $38,117.83 $155,350.24 $40,023.72 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 86 22 — $56,907.61 $37,832.66 $154,188.07 $39,724.29 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $39,693.91 $39,693.91 $39,693.91 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 86 22 — $55,722.72 $37,716.82 $153,715.93 $39,602.66 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 50 14 $78,844.00 $13,088.10 83% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $39,361.39 $39,361.39 $39,361.39 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 86 22 — $52,738.55 $37,404.18 $152,441.78 $39,274.39 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $39,112.01 $39,112.01 $39,112.01 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 86 22 — $53,144.49 $37,183.62 $151,542.91 $39,042.80 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 86 22 — $48,931.55 $37,154.65 $151,424.87 $39,012.38 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 22 — $54,845.02 $37,139.81 $151,364.34 $38,996.80 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 86 22 — $55,283.87 $37,006.15 $180,738.04 $38,856.46 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 74 22 — — $38,244.80 $155,867.78 $38,244.80 2026-03-02
C1824 HCPCS Imp Gen Ccm Optimizer Smart 134 17 $176,923.00 $42,638.44 76% off $11,773.63 $132,692.25 $38,165.09 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 86 22 — $49,710.50 $36,289.53 $147,899.00 $38,104.01 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 86 22 — $53,967.33 $36,070.46 $147,006.18 $37,873.98 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 360 17 $78,840.00 $19,000.44 76% off $10,914.96 $91,983.00 $37,549.86 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 86 22 — $50,774.71 $35,463.02 $144,530.51 $37,236.17 2026-03-02
6310171 CDM Occluder Lvl 10 50 14 $74,464.00 $12,361.02 83% off $10,730.26 $55,848.00 $37,232.00 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 86 22 — $54,362.29 $35,309.30 $143,904.02 $37,074.76 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 86 22 — $51,871.83 $35,302.61 $143,876.78 $37,067.74 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 68 18 — $53,067.69 $36,010.31 $184,620.62 $36,910.57 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $36,825.97 $36,825.97 $36,825.97 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $36,701.28 $36,701.28 $36,701.28 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 22 — $53,539.45 $34,937.25 $202,686.99 $36,684.11 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $36,659.71 $36,659.71 $36,659.71 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 86 22 — $49,392.34 $34,750.12 $141,625.07 $36,487.63 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 86 22 — $52,464.27 $34,545.16 $140,789.75 $36,272.42 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $36,119.38 $36,119.38 $36,119.38 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $36,077.81 $36,077.81 $36,077.81 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $36,077.81 $36,077.81 $36,077.81 2026-03-02
C2624 HCPCS Imp Sensor Press Pa All Lvl 01 262 15 $87,604.00 $21,112.56 76% off $2,117.29 $98,553.00 $36,005.79 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 86 22 — $51,718.23 $34,228.06 $139,497.44 $35,939.46 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 70 19 — $49,348.45 $34,213.96 $139,439.93 $35,924.66 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $51,005.11 $34,104.79 $146,637.46 $35,810.03 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 86 22 — $49,556.91 $34,099.61 $138,973.85 $35,804.59 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 86 22 — $48,580.47 $33,503.29 $136,543.57 $35,178.45 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $35,163.40 $35,163.40 $35,163.40 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 50 14 $70,084.00 $11,633.94 83% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 302 17 $87,604.00 $26,631.62 70% off $7,796.40 $98,553.00 $35,041.60 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 86 22 — $47,209.07 $33,303.52 $135,729.45 $34,968.70 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $34,914.01 $34,914.01 $34,914.01 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 86 22 — $48,448.82 $33,211.45 $163,307.76 $34,872.02 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $34,706.19 $34,706.19 $34,706.19 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $34,581.50 $34,581.50 $34,581.50 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 86 22 — $47,483.35 $32,901.03 $134,089.08 $34,546.08 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 86 22 — $47,856.37 $32,621.09 $148,430.05 $34,252.14 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 112 28 $14,740.00 $4,171.42 72% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 112 28 $29,247.00 $8,276.90 72% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 112 28 $16,977.00 $4,804.49 72% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $33,958.03 $33,958.03 $33,958.03 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 86 22 — — $32,131.70 $130,953.63 $33,738.29 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $49,710.50 $32,065.61 $130,684.27 $33,668.89 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 86 22 — $46,945.76 $31,677.22 $129,101.41 $33,261.08 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 86 22 — $45,420.76 $31,630.44 $128,910.74 $33,211.96 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 86 22 — $41,449.19 $31,406.17 $127,996.74 $32,976.48 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $32,877.36 $32,877.36 $32,877.36 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $32,877.36 $32,877.36 $32,877.36 2026-03-02
6310163 CDM Occluder Lvl 09 50 14 $65,704.00 $10,906.86 83% off $9,467.95 $49,278.00 $32,852.00 2026-03-02
C1823 HCPCS Imp Nrstm Sen Tv&ld Stim Lvl 01 418 17 $87,604.00 $21,112.56 76% off $3,898.91 $114,978.00 $32,852.00 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 418 17 $87,604.00 $21,112.56 76% off $5,067.66 $114,978.00 $32,852.00 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $32,835.80 $32,835.80 $32,835.80 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $32,794.23 $32,794.23 $32,794.23 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 84 21 — $43,939.65 $30,474.21 $124,198.48 $32,759.77 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 86 22 — $45,168.43 $31,119.53 $126,828.51 $32,675.51 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $32,669.54 $32,669.54 $32,669.54 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 86 22 — $40,571.49 $31,112.11 $126,798.24 $32,667.72 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 5 — — $32,544.85 $32,544.85 $32,544.85 2026-03-02
0268T CPT Imp/rpl Dev Sinus Car Gen Pulse 102 28 $9,260.00 $2,620.58 72% off $936.00 $53,590.94 $32,479.36 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 86 22 — $45,629.22 $30,897.50 $125,923.59 $32,442.38 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $32,420.15 $32,420.15 $32,420.15 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 244 17 $65,704.00 $19,974.02 70% off $7,796.40 $82,128.00 $32,358.22 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 86 22 — $44,334.62 $30,536.59 $124,452.71 $32,063.42 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 86 22 — $44,378.50 $30,519.51 $124,383.10 $32,045.49 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 86 22 — — $30,324.21 $123,587.13 $31,840.42 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 86 22 — $42,908.36 $30,204.65 $123,099.86 $31,714.88 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $31,505.74 $31,505.74 $31,505.74 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $31,381.05 $31,381.05 $31,381.05 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 84 22 — $40,944.52 $29,181.34 $118,929.34 $31,369.94 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 80 22 — $44,959.97 $30,148.94 $122,872.87 $31,354.90 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $31,090.10 $31,090.10 $31,090.10 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $31,090.10 $31,090.10 $31,090.10 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 86 22 — $40,812.86 $29,583.09 $120,566.68 $31,062.24 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $31,048.53 $31,048.53 $31,048.53 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 86 22 — $39,671.86 $29,562.29 $120,481.94 $31,040.40 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 80 22 — $46,177.78 $16,251.06 $126,220.18 $30,970.26 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 86 22 — $44,049.36 $29,300.90 $119,416.61 $30,765.94 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 86 22 — $42,645.05 $29,240.75 $119,171.46 $30,702.79 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 50 14 $61,324.00 $10,179.78 83% off $8,836.79 $45,993.00 $30,662.00 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 5 — — $30,591.32 $30,591.32 $30,591.32 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 86 22 — — $29,052.11 $142,085.76 $30,504.72 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 86 22 — $42,754.76 $29,038.02 $118,345.23 $30,489.92 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 5 — — $30,341.94 $30,341.94 $30,341.94 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 86 22 — $42,798.65 $28,877.63 $117,691.51 $30,321.51 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 112 28 $75,585.00 $15,494.92 80% off $5,013.00 $56,688.75 $30,299.48 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $30,258.81 $30,258.81 $30,258.81 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 86 22 — $43,424.01 $28,701.61 $116,974.23 $30,136.69 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 86 22 — $35,722.22 $28,672.65 $116,856.19 $30,106.28 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $30,050.99 $30,050.99 $30,050.99 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 86 22 — $44,521.13 $28,592.46 $116,529.33 $30,022.08 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $29,884.73 $29,884.73 $29,884.73 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 86 22 — $42,546.31 $28,385.27 $115,684.94 $29,804.53 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 5 — — $29,801.60 $29,801.60 $29,801.60 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 10 5 — — $29,676.91 $29,676.91 $29,676.91 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 22 — $41,569.87 $28,231.56 $122,115.28 $29,643.14 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 5 — — $29,635.35 $29,635.35 $29,635.35 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 86 22 — $42,250.09 $28,011.74 $114,162.61 $29,412.33 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 86 22 — $41,975.81 $27,788.21 $113,251.63 $29,177.62 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 5 — — $29,136.57 $29,136.57 $29,136.57 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $28,970.32 $28,970.32 $28,970.32 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $28,762.50 $28,762.50 $28,762.50 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 10 5 — — $28,762.50 $28,762.50 $28,762.50 2026-03-02
6310155 CDM Occluder Lvl 08 50 14 $56,944.00 $9,452.70 83% off $8,205.63 $42,708.00 $28,472.00 2026-03-02
6301055 CDM Device Ablation Lvl 15 50 14 $56,944.00 $9,452.70 83% off $8,205.63 $42,708.00 $28,472.00 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 86 22 — $39,748.65 $27,095.36 $110,427.91 $28,450.13 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 86 22 — $39,222.04 $26,907.48 $109,662.20 $28,252.85 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $28,180.60 $28,180.60 $28,180.60 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $28,014.34 $28,014.34 $28,014.34 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 86 22 — $37,642.18 $26,620.83 $108,493.97 $27,951.87 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 86 22 — $39,902.25 $26,619.35 $108,487.92 $27,950.32 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 86 22 — $40,066.82 $26,614.90 $108,469.76 $27,945.65 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 5 — — $27,931.21 $27,931.21 $27,931.21 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 10 5 — — $27,931.21 $27,931.21 $27,931.21 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 86 22 — $38,772.22 $26,490.14 $107,961.31 $27,814.65 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $27,764.95 $27,764.95 $27,764.95 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $27,764.95 $27,764.95 $27,764.95 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 86 22 — $37,982.29 $26,371.33 $107,477.07 $27,689.90 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $27,557.13 $27,557.13 $27,557.13 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 22 — $43,040.01 $26,216.87 $204,438.28 $27,527.71 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 86 22 — $35,118.81 $26,210.18 $106,820.32 $27,520.69 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 10 5 — — $27,474.00 $27,474.00 $27,474.00 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 86 22 — $39,287.86 $26,144.09 $106,550.96 $27,451.29 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 10 5 — — $27,432.44 $27,432.44 $27,432.44 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 5 — — $27,349.31 $27,349.31 $27,349.31 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 86 22 — $38,673.48 $26,019.32 $106,042.51 $27,320.29 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 86 22 — $37,049.74 $26,011.16 $106,009.22 $27,311.72 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 86 22 — $40,834.80 $26,000.77 $105,966.84 $27,300.81 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 86 22 — $35,831.94 $25,954.72 $105,779.20 $27,252.46 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 70 19 — $37,938.41 $25,786.89 $107,031.06 $27,076.23 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 86 22 — $40,088.76 $25,758.68 $104,980.21 $27,046.61 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 86 22 — $37,367.90 $25,730.45 $104,865.20 $27,016.97 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 86 22 — $37,916.46 $25,578.23 $104,244.77 $26,857.14 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 86 22 — $36,961.97 $25,538.13 $104,081.34 $26,815.04 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 5 — — $26,808.97 $26,808.97 $26,808.97 2026-03-02
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 86 22 — $33,890.03 $25,498.03 $103,917.90 $26,772.93 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 86 22 — $36,797.40 $25,474.27 $103,821.06 $26,747.98 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 86 22 — $38,245.60 $25,435.65 $103,663.68 $26,707.43 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 10 5 — — $26,559.59 $26,559.59 $26,559.59 2026-03-02
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 86 22 — $36,369.53 $25,294.55 $103,088.64 $26,559.28 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 5 — — $26,476.46 $26,476.46 $26,476.46 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 86 22 — $37,905.49 $25,189.11 $102,658.88 $26,448.57 2026-03-02
2793735 CDM Fix Extrnl Lw/up/pelvic Lvl 19 50 14 $52,564.00 $8,725.62 83% off $7,574.47 $39,423.00 $26,282.00 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 10 5 — — $26,227.07 $26,227.07 $26,227.07 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 86 22 — $37,609.27 $24,926.96 $101,590.53 $26,173.31 2026-03-02
93654 CPT Eval Ep&abl Arrhythmia Vt 144 28 $51,479.00 $14,722.99 71% off $15,142.00 $43,322.00 $26,147.02 2026-03-02
93656 CPT Eval Ep&abl Fib Atrial Vein Pulm 144 28 $52,243.00 $37,403.61 28% off $15,142.00 $43,322.00 $26,147.02 2026-03-02
93653 CPT Eval Ep&abl Arrhythmia Sv 144 28 $48,022.00 $34,249.62 29% off $15,142.00 $43,322.00 $26,147.02 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $26,143.94 $26,143.94 $26,143.94 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $25,894.56 $25,894.56 $25,894.56 2026-03-02
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 86 22 — $37,038.77 $24,661.11 $100,507.04 $25,894.17 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 5 — — $25,769.87 $25,769.87 $25,769.87 2026-03-02
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 86 22 — $36,490.21 $24,520.02 $99,932.00 $25,746.02 2026-03-02
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 86 22 — $36,534.09 $24,273.47 $98,927.21 $25,487.14 2026-03-02
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 86 22 — $36,665.75 $24,204.42 $98,645.74 $25,414.64 2026-03-02
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 86 22 — $34,427.62 $24,194.01 $98,603.37 $25,403.71 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $25,395.79 $25,395.79 $25,395.79 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 10 5 — — $25,354.22 $25,354.22 $25,354.22 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 10 5 — — $25,312.66 $25,312.66 $25,312.66 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 5 — — $25,229.53 $25,229.53 $25,229.53 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 10 5 — — $25,229.53 $25,229.53 $25,229.53 2026-03-02
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 86 22 — $36,139.13 $23,906.63 $97,432.11 $25,101.96 2026-03-02
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 86 22 — $35,118.81 $23,795.98 $96,981.17 $24,985.78 2026-03-02
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 86 22 — $32,573.49 $23,726.92 $96,699.70 $24,913.27 2026-03-02
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 86 22 — $34,285.00 $23,681.62 $96,515.09 $24,865.70 2026-03-02
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 86 22 — $35,283.38 $23,617.75 $96,254.81 $24,798.64 2026-03-02
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 86 22 — $35,272.41 $23,570.22 $96,061.11 $24,748.73 2026-03-02
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 86 22 — $35,579.60 $23,530.87 $95,900.71 $24,707.41 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $24,439.81 $24,439.81 $24,439.81 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $24,356.68 $24,356.68 $24,356.68 2026-03-02
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 86 22 — $35,557.66 $23,176.65 $94,457.07 $24,335.48 2026-03-02
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 86 22 — $32,880.68 $23,166.24 $94,414.69 $24,324.55 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 10 5 — — $24,315.12 $24,315.12 $24,315.12 2026-03-02
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 86 22 — $34,888.41 $23,067.48 $142,635.10 $24,220.85 2026-03-02
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 86 22 — $34,690.93 $22,964.26 $93,591.49 $24,112.47 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $24,107.29 $24,107.29 $24,107.29 2026-03-02
6310148 CDM Occluder Lvl 07 50 14 $48,184.00 $7,998.54 83% off $6,943.31 $36,138.00 $24,092.00 2026-03-02
6301048 CDM Device Ablation Lvl 14 50 14 $48,184.00 $7,998.54 83% off $6,943.31 $36,138.00 $24,092.00 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 10 5 — — $24,065.73 $24,065.73 $24,065.73 2026-03-02
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 86 22 — $34,603.16 $22,900.40 $93,331.21 $24,045.42 2026-03-02
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 70 19 — $32,957.48 $22,808.32 $92,955.92 $23,948.74 2026-03-02
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 86 22 — $33,736.44 $22,787.51 $92,871.18 $23,926.89 2026-03-02
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