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

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You selected 807 (MS_DRG)

MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,804 across 22 payers · range $4,733-$11,147

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/861035549_banner-heart-hospital_standardcharges.csv · observed 2026-03-02

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

6,265 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 not_modified · 2026-08-03
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
$2,547
outlier · 627.3×
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
$370,165
0.8× 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
$261,939
0.8× 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
$205,166
0.9× 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
$199,832
0.9× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $154,743.89 $154,743.89 $154,743.89 nat. median
$311,018
outlier · 0.5×
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $124,318.82 $124,318.82 $124,318.82 nat. median
$250,089
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
$254,667
outlier · 0.5×
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
$132,706
0.8× 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
$243,231
outlier · 0.4×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 18 $97,294.40 $396,525.98 $99,726.76 nat. median
$114,305
0.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 18 $97,049.32 $395,527.23 $99,475.55 nat. median
$122,690
0.8× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $94,891.30 $94,891.30 $94,891.30 nat. median
$209,486
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
$165,646
0.5× median
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
$100,978
0.8× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $84,333.96 $84,333.96 $84,333.96 nat. median
$169,230
outlier · 0.5×
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
$108,240
0.8× 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
$168,361
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
$98,002
0.8× 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
$168,174
outlier · 0.5×
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
$96,835
0.8× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $81,673.85 $81,673.85 $81,673.85 nat. median
$175,480
outlier · 0.5×
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
$99,646
0.8× 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
$92,900
0.8× 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
$180,995
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
$165,599
outlier · 0.4×
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
$147,677
outlier · 0.5×
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 $68,407.86 $278,798.15 $71,828.25 nat. median
$81,364
0.9× median
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
$160,171
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
$137,901
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
$156,285
outlier · 0.4×
C1825
HCPCS 		Imp Dev Sys Barostim 17 $27,093.56 $114,158.25 $68,494.95 nat. median
$53,130
1.3× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $66,627.57 $66,627.57 $66,627.57 nat. median
$154,685
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
$127,938
0.5× median
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
$79,040
0.8× 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
$80,459
0.8× 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
$109,499
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
$81,124
0.8× median
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
$127,600
0.5× median
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
$77,385
0.8× 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
$73,475
0.8× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 18 $59,207.76 $241,302.85 $60,687.96 nat. median
$67,750
0.9× median
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
$69,153
0.9× 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
$74,472
0.8× median
2793800
CDM 		Fix Extrnl Lw/up/pelvic Lvl 26 14 $16,789.38 $87,384.00 $58,256.00 nat. median
$58,256
1.0× median
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
$71,485
0.8× 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
$63,643
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
$116,111
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
$66,640
0.8× median

Other procedures at this hospital

Browse this hospital's 6,265 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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