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-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS

Tucson, AZ · CCN 030111 · Rates published

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You selected 470 (MS_DRG)

MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $19,800 across 23 payers · range $18,000-$47,780

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/901074558_banner-university-med-center-south_standardcharges.csv · observed 2026-03-02

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

7,027 distinct procedures filed
29 distinct payers
453,802 rate rows
2026-03-02 last MRF observed
Data quality

448,192 of 453,802 rate rows are consumer-grade (98.8%)

5,610 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 2,784
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,086
exceeds 10× this hospital's gross charge — excluded from medians 452
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 230
placeholder amount (≤ $0.02) — excluded from medians 58
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/901074558_banner-university-med-center-south_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 646027eed4ecb897… · 97,441,234 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 $2.84 $3,007,603.20 $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 $121,643.75 $955,680.06 $336,024.72 nat. median
$370,165
0.9× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $251,302.04 $713,812.89 $276,432.24 nat. median
$261,939
1.1× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 23 $211,841.13 $601,159.47 $233,025.24 nat. median
$205,166
1.1× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 4 $220,205.77 $220,205.77 $220,205.77 nat. median
$311,018
0.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 22 $191,503.06 $543,098.18 $210,653.37 nat. median
$199,832
1.1× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 4 $176,909.87 $176,909.87 $176,909.87 nat. median
$250,089
0.7× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 $174,425.68 $174,425.68 $174,425.68 nat. median
$254,667
0.7× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 4 $153,250.91 $153,250.91 $153,250.91 nat. median
$243,231
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 22 $126,689.70 $358,068.33 $139,358.67 nat. median
$132,706
1.1× median
6312219
CDM 		Fix Extrnl Lw/up/pelvic Lvl 36 14 $40,394.69 $224,259.20 $138,900.54 nat. median
$40,395
outlier · 3.4×
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 4 $135,033.51 $135,033.51 $135,033.51 nat. median
$209,486
0.6× median
6312201
CDM 		Fix Extrnl Lw/up/pelvic Lvl 35 14 $37,870.06 $210,243.20 $130,219.38 nat. median
$131,402
1.0× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 18 $117,562.80 $332,012.71 $129,319.08 nat. median
$114,305
1.1× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 18 $117,269.86 $331,176.46 $128,996.85 nat. median
$122,690
1.1× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 4 $121,547.91 $121,547.91 $121,547.91 nat. median
$165,646
0.7× median
6312193
CDM 		Fix Extrnl Lw/up/pelvic Lvl 34 14 $35,345.42 $196,227.20 $121,538.22 nat. median
$122,642
1.0× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 4 $120,010.07 $120,010.07 $120,010.07 nat. median
$169,230
0.7× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $119,063.72 $119,063.72 $119,063.72 nat. median
$168,361
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $116,638.67 $116,638.67 $116,638.67 nat. median
$168,174
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 4 $116,224.64 $116,224.64 $116,224.64 nat. median
$175,480
0.7× median
6312185
CDM 		Fix Extrnl Lw/up/pelvic Lvl 33 14 $32,820.79 $182,211.20 $112,857.06 nat. median
$113,882
1.0× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $99,080.83 $279,250.22 $108,988.91 nat. median
$108,240
1.0× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 $106,347.03 $106,347.03 $106,347.03 nat. median
$180,995
0.6× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 18 $95,793.82 $269,866.45 $105,373.20 nat. median
$99,646
1.1× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 4 $104,986.63 $104,986.63 $104,986.63 nat. median
$165,599
0.6× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 23 $95,309.16 $268,482.83 $104,840.08 nat. median
$98,002
1.1× median
6310122
CDM 		Fix Extrnl Lw/up/pelvic Lvl 32 14 $30,296.16 $168,195.20 $104,175.90 nat. median
$105,122
1.0× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $103,981.13 $103,981.13 $103,981.13 nat. median
$147,677
0.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 23 $97,964.15 $276,062.32 $103,958.02 nat. median
$100,978
1.0× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 23 $94,249.30 $265,457.11 $103,674.23 nat. median
$96,835
1.1× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 4 $100,195.70 $100,195.70 $100,195.70 nat. median
$160,171
0.6× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 4 $99,308.48 $99,308.48 $99,308.48 nat. median
$137,901
0.7× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $98,894.45 $98,894.45 $98,894.45 nat. median
$156,285
0.6× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 23 $86,932.32 $244,568.53 $95,625.55 nat. median
$92,900
1.0× median
6310114
CDM 		Fix Extrnl Lw/up/pelvic Lvl 31 14 $27,771.53 $154,179.20 $95,494.74 nat. median
$89,038
1.1× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 4 $94,813.28 $94,813.28 $94,813.28 nat. median
$154,685
0.6× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 4 $94,162.66 $94,162.66 $94,162.66 nat. median
$127,938
0.7× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 4 $92,624.83 $92,624.83 $92,624.83 nat. median
$109,499
0.8× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $92,210.80 $92,210.80 $92,210.80 nat. median
$127,600
0.7× median
6310106
CDM 		Fix Extrnl Lw/up/pelvic Lvl 30 14 $25,246.90 $140,163.20 $86,813.58 nat. median
$84,974
1.0× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 23 $76,482.79 $214,737.10 $84,131.07 nat. median
$79,040
1.1× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 23 $82,478.76 $233,438.76 $83,033.71 nat. median
$81,364
1.0× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $75,299.54 $211,359.14 $82,829.49 nat. median
$81,124
1.0× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 4 $82,096.59 $82,096.59 $82,096.59 nat. median
$92,994
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 4 $80,558.76 $80,558.76 $80,558.76 nat. median
$116,111
0.7× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 23 $72,818.53 $204,276.34 $80,100.38 nat. median
$77,385
1.0× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 18 $72,036.50 $202,043.79 $79,240.15 nat. median
$67,750
1.2× median
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $71,630.85 $200,885.71 $78,793.93 nat. median
$69,153
1.1× median
6310098
CDM 		Fix Extrnl Lw/up/pelvic Lvl 29 14 $22,722.26 $126,147.20 $78,132.42 nat. median
$78,842
1.0× median

Other procedures at this hospital

Browse this hospital's 7,027 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 $1,111,234.19 70% off $2.84 $3,007,603.20 $1,597,789.20 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 60 17 — $422,486.42 $121,643.75 $955,680.06 $336,024.72 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 62 18 — $310,749.93 $251,302.04 $713,812.89 $276,432.24 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 76 23 — $302,264.19 $211,841.13 $601,159.47 $233,025.24 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 4 — — $220,205.77 $220,205.77 $220,205.77 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 74 22 — $244,480.92 $191,503.06 $543,098.18 $210,653.37 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 4 — — $176,909.87 $176,909.87 $176,909.87 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $174,425.68 $174,425.68 $174,425.68 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 4 — — $153,250.91 $153,250.91 $153,250.91 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 74 22 — $168,567.99 $126,689.70 $358,068.33 $139,358.67 2026-03-02
6312219 CDM Fix Extrnl Lw/up/pelvic Lvl 36 44 14 $280,324.00 $59,148.36 79% off $40,394.69 $224,259.20 $138,900.54 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 4 — — $135,033.51 $135,033.51 $135,033.51 2026-03-02
6312201 CDM Fix Extrnl Lw/up/pelvic Lvl 35 44 14 $262,804.00 $55,451.64 79% off $37,870.06 $210,243.20 $130,219.38 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 62 18 — $131,425.69 $117,562.80 $332,012.71 $129,319.08 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 62 18 — $140,656.80 $117,269.86 $331,176.46 $128,996.85 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 4 — — $121,547.91 $121,547.91 $121,547.91 2026-03-02
6312193 CDM Fix Extrnl Lw/up/pelvic Lvl 34 44 14 $245,284.00 $51,754.92 79% off $35,345.42 $196,227.20 $121,538.22 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 4 — — $120,010.07 $120,010.07 $120,010.07 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $119,063.72 $119,063.72 $119,063.72 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $116,638.67 $116,638.67 $116,638.67 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 4 — — $116,224.64 $116,224.64 $116,224.64 2026-03-02
6312185 CDM Fix Extrnl Lw/up/pelvic Lvl 33 44 14 $227,764.00 $48,058.20 79% off $32,820.79 $182,211.20 $112,857.06 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 18 — $140,404.52 $99,080.83 $279,250.22 $108,988.91 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $106,347.03 $106,347.03 $106,347.03 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 62 18 — $118,685.62 $95,793.82 $269,866.45 $105,373.20 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 4 — — $104,986.63 $104,986.63 $104,986.63 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 76 23 — $117,137.55 $95,309.16 $268,482.83 $104,840.08 2026-03-02
6310122 CDM Fix Extrnl Lw/up/pelvic Lvl 32 44 14 $210,244.00 $44,361.48 79% off $30,296.16 $168,195.20 $104,175.90 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $103,981.13 $103,981.13 $103,981.13 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 76 23 — $123,513.32 $97,964.15 $276,062.32 $103,958.02 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 76 23 — — $94,249.30 $265,457.11 $103,674.23 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 4 — — $100,195.70 $100,195.70 $100,195.70 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 4 — — $99,308.48 $99,308.48 $99,308.48 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $98,894.45 $98,894.45 $98,894.45 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 76 23 — $111,289.27 $86,932.32 $244,568.53 $95,625.55 2026-03-02
6310114 CDM Fix Extrnl Lw/up/pelvic Lvl 31 44 14 $192,724.00 $40,664.76 79% off $27,771.53 $154,179.20 $95,494.74 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 4 — — $94,813.28 $94,813.28 $94,813.28 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 4 — — $94,162.66 $94,162.66 $94,162.66 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 4 — — $92,624.83 $92,624.83 $92,624.83 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $92,210.80 $92,210.80 $92,210.80 2026-03-02
6310106 CDM Fix Extrnl Lw/up/pelvic Lvl 30 44 14 $175,204.00 $36,968.04 79% off $25,246.90 $140,163.20 $86,813.58 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 76 23 — $93,056.41 $76,482.79 $214,737.10 $84,131.07 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 76 23 — — $82,478.76 $233,438.76 $83,033.71 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 76 23 — — $75,299.54 $211,359.14 $82,829.49 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 4 — — $82,096.59 $82,096.59 $82,096.59 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 4 — — $80,558.76 $80,558.76 $80,558.76 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 76 23 — $96,920.86 $72,818.53 $204,276.34 $80,100.38 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 62 18 — — $72,036.50 $202,043.79 $79,240.15 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 18 — $91,668.88 $71,630.85 $200,885.71 $78,793.93 2026-03-02
6310098 CDM Fix Extrnl Lw/up/pelvic Lvl 29 44 14 $157,684.00 $33,271.32 79% off $22,722.26 $126,147.20 $78,132.42 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 76 23 — $89,444.24 $70,646.42 $198,075.39 $77,711.06 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 76 23 — $88,423.66 $69,946.07 $196,075.99 $76,940.68 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 4 — — $76,536.74 $76,536.74 $76,536.74 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 76 23 — $96,657.11 $74,461.92 $214,618.00 $76,441.07 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 76 23 — $82,942.33 $67,520.09 $189,150.29 $74,272.10 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 4 — — $73,579.37 $73,579.37 $73,579.37 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 4 — — $70,976.88 $70,976.88 $70,976.88 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $70,799.44 $70,799.44 $70,799.44 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 76 23 — — $64,311.19 $179,989.52 $70,742.31 2026-03-02
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 44 14 $142,354.00 $30,036.69 79% off $20,513.21 $113,883.20 $70,536.40 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 76 23 — $80,683.29 $63,994.30 $179,084.85 $70,393.73 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 76 23 — $79,869.12 $63,013.45 $176,284.67 $69,314.79 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $68,492.69 $68,492.69 $68,492.69 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 76 23 — $69,835.31 $61,875.46 $173,035.95 $68,063.01 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 4 — — $67,546.33 $67,546.33 $67,546.33 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 76 23 — — $60,778.32 $169,903.80 $66,856.15 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 76 23 — $79,353.09 $60,549.29 $169,250.00 $66,604.22 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 76 23 — $78,607.73 $60,448.99 $168,963.65 $66,493.89 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 4 — — $65,949.35 $65,949.35 $65,949.35 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 4 — — $65,949.35 $65,949.35 $65,949.35 2026-03-02
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 44 14 $131,404.00 $27,726.24 79% off $18,935.32 $105,123.20 $65,110.68 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 76 23 — $79,215.49 $58,670.12 $163,885.32 $64,537.13 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 4 — — $64,529.81 $64,529.81 $64,529.81 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 76 23 — $72,988.79 $58,587.57 $163,649.64 $64,446.33 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $64,056.63 $64,056.63 $64,056.63 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 4 — — $63,820.04 $63,820.04 $63,820.04 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 4 — — $63,760.90 $63,760.90 $63,760.90 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 76 23 — $78,814.13 $57,401.66 $160,264.09 $63,141.83 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $63,051.13 $63,051.13 $63,051.13 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 76 23 — $71,211.37 $56,248.59 $156,972.29 $61,873.45 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 76 23 — $78,194.91 $55,736.40 $155,510.11 $61,310.04 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 76 23 — $68,218.43 $55,487.86 $154,800.57 $61,036.65 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 10 4 — — $60,803.53 $60,803.53 $60,803.53 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 76 23 — $69,101.41 $55,228.66 $154,060.61 $60,751.53 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $60,507.79 $60,507.79 $60,507.79 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 4 — — $60,448.64 $60,448.64 $60,448.64 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 62 18 — $70,832.96 $54,841.64 $152,955.74 $60,325.80 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 62 18 — $70,832.96 $54,841.64 $152,955.74 $60,325.80 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 76 23 — $71,624.19 $54,441.30 $151,812.86 $59,885.43 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 4 — — $59,798.02 $59,798.02 $59,798.02 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 76 23 — $65,328.70 $54,072.94 $150,761.21 $59,480.23 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $59,324.84 $59,324.84 $59,324.84 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 76 23 — $67,438.66 $53,495.07 $149,111.51 $58,844.58 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 76 23 — $69,342.22 $52,945.60 $147,542.90 $58,240.16 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 44 14 $116,512.00 $24,584.03 79% off $16,789.38 $93,209.60 $57,731.69 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 76 23 — — $56,177.57 $156,769.56 $57,295.41 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 76 23 — $65,007.61 $51,905.27 $144,572.94 $57,095.80 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 70 23 — $68,803.26 $54,032.99 $108,724.45 $56,734.64 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 4 — — $56,485.77 $56,485.77 $56,485.77 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $56,012.59 $56,012.59 $56,012.59 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 76 23 — $71,303.11 $45,688.76 $156,054.95 $55,927.25 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 76 23 — $62,083.48 $50,746.87 $141,265.94 $55,821.56 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $55,657.70 $55,657.70 $55,657.70 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 76 23 — $64,204.91 $50,327.01 $140,067.31 $55,359.71 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 76 23 — $70,420.14 $50,327.01 $146,936.41 $55,359.71 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 76 23 — — $50,121.06 $139,479.40 $55,133.17 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 76 23 — — $49,822.82 $138,627.94 $54,805.10 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 62 18 — $60,340.46 $49,561.84 $137,882.92 $54,518.02 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 76 23 — $63,126.99 $49,451.78 $137,568.69 $54,396.96 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 76 23 — $64,950.28 $49,205.89 $136,866.74 $54,126.48 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 74 22 — $59,124.94 $49,160.62 $136,737.50 $54,076.68 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 76 23 — $69,663.30 $52,209.73 $145,442.14 $53,337.92 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 76 23 — $59,606.56 $48,488.67 $134,819.19 $53,337.54 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 76 23 — $60,145.52 $48,280.06 $134,223.67 $53,108.07 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 444 17 $109,504.00 $30,880.13 72% off $10,074.00 $175,203.20 $52,780.77 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $52,404.60 $52,404.60 $52,404.60 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 4 — — $52,227.15 $52,227.15 $52,227.15 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 4 — — $52,168.01 $52,168.01 $52,168.01 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 44 14 $105,124.00 $22,181.16 79% off $15,148.37 $84,099.20 $52,088.94 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 76 23 — $57,989.68 $46,826.96 $130,075.35 $51,509.66 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 4 — — $51,399.09 $51,399.09 $51,399.09 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $51,339.94 $51,339.94 $51,339.94 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $51,339.94 $51,339.94 $51,339.94 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 76 23 — $59,480.42 $46,486.10 $129,102.26 $51,134.71 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 76 23 — $58,241.96 $46,347.63 $128,706.94 $50,982.39 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 76 23 — $55,122.88 $45,973.92 $127,640.08 $50,571.31 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 76 23 — $55,547.17 $45,710.28 $126,887.46 $50,281.31 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 76 23 — $57,324.58 $45,657.91 $126,737.94 $50,223.70 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 76 23 — $57,783.27 $45,498.14 $126,281.81 $50,047.95 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 4 — — $50,038.70 $50,038.70 $50,038.70 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 4 — — $49,683.82 $49,683.82 $49,683.82 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 4 — — $49,388.08 $49,388.08 $49,388.08 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 4 — — $49,210.64 $49,210.64 $49,210.64 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 76 23 — $65,168.15 $46,605.47 $136,722.30 $49,155.29 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 76 23 — $51,957.93 $44,641.54 $123,836.40 $49,105.69 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 64 23 — — $46,978.75 $130,508.68 $48,857.90 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 76 23 — $56,407.21 $44,379.69 $123,088.84 $48,817.66 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 62 18 — $55,466.90 $44,307.78 $122,883.58 $48,738.56 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 4 — — $48,323.43 $48,323.43 $48,323.43 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 76 23 — $53,070.25 $43,653.59 $121,015.95 $48,018.95 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 76 23 — $56,820.03 $43,469.84 $120,491.39 $47,816.82 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 76 23 — $54,216.97 $43,461.85 $120,468.58 $47,808.04 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 44 14 $96,364.00 $20,332.80 79% off $13,886.05 $77,091.20 $47,748.36 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 76 23 — $55,959.99 $43,025.11 $121,909.57 $47,327.62 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 76 23 — $51,625.38 $42,801.43 $118,583.21 $47,081.57 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 76 23 — $54,836.20 $42,556.44 $117,883.80 $46,812.08 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 4 — — $46,785.59 $46,785.59 $46,785.59 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 4 — — $46,785.59 $46,785.59 $46,785.59 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 4 — — $46,726.45 $46,726.45 $46,726.45 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $46,667.30 $46,667.30 $46,667.30 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 4 — — $46,489.86 $46,489.86 $46,489.86 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 76 23 — $54,056.43 $42,177.40 $116,801.74 $46,395.14 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 64 19 — $51,579.51 $42,160.54 $116,753.59 $46,376.59 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 4 — — $46,312.41 $46,312.41 $46,312.41 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 76 23 — $53,311.06 $42,030.05 $116,381.08 $46,233.06 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 76 23 — $51,797.39 $42,023.84 $116,363.34 $46,226.22 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $46,134.97 $46,134.97 $46,134.97 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 76 23 — $51,143.76 $41,376.02 $126,788.63 $45,675.66 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 76 23 — $50,776.81 $41,311.05 $114,328.46 $45,442.15 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 76 23 — $50,639.20 $40,962.20 $113,332.55 $45,058.42 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 4 — — $44,833.73 $44,833.73 $44,833.73 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 4 — — $44,656.29 $44,656.29 $44,656.29 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 76 23 — $50,019.97 $40,256.52 $111,317.94 $44,282.17 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 4 — — $44,242.26 $44,242.26 $44,242.26 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 4 — — $44,242.26 $44,242.26 $44,242.26 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $44,183.11 $44,183.11 $44,183.11 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 76 23 — — $39,671.54 $109,647.97 $43,638.69 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 76 23 — $51,957.93 $39,592.54 $109,422.44 $43,551.79 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 4 — — $43,532.49 $43,532.49 $43,532.49 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 44 14 $87,604.00 $18,484.44 79% off $12,623.74 $70,083.20 $43,407.78 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 4 — — $43,177.60 $43,177.60 $43,177.60 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $43,059.31 $43,059.31 $43,059.31 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 76 23 — $49,068.19 $39,128.29 $108,097.10 $43,041.12 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 76 23 — $47,474.25 $39,072.37 $107,937.46 $42,979.61 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $42,763.57 $42,763.57 $42,763.57 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 76 23 — $43,323.12 $38,804.30 $107,172.16 $42,684.73 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $42,526.98 $42,526.98 $42,526.98 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 4 — — $42,408.69 $42,408.69 $42,408.69 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 76 23 — $49,343.40 $41,072.27 $113,646.78 $42,322.53 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 76 23 — $47,210.50 $38,461.66 $106,193.99 $42,307.83 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 10 4 — — $42,231.24 $42,231.24 $42,231.24 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 4 — — $42,172.10 $42,172.10 $42,172.10 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 76 23 — $47,692.13 $38,196.25 $105,436.30 $42,015.88 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 76 23 — $46,339.00 $37,764.84 $104,204.73 $41,541.32 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 76 23 — $46,384.86 $37,744.43 $104,146.44 $41,518.87 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 4 — — $41,462.33 $41,462.33 $41,462.33 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 74 22 — $45,926.18 $37,690.28 $103,991.86 $41,459.31 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 76 23 — — $37,510.97 $103,479.97 $41,262.07 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 4 — — $41,225.74 $41,225.74 $41,225.74 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 76 23 — $44,848.26 $37,368.06 $103,071.98 $41,104.87 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 4 — — $40,930.00 $40,930.00 $40,930.00 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 10 4 — — $40,930.00 $40,930.00 $40,930.00 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 76 23 — $49,630.09 $40,591.16 $112,273.30 $40,764.88 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 76 23 — $42,658.02 $36,625.10 $100,950.94 $40,287.61 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 4 — — $40,101.94 $40,101.94 $40,101.94 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 4 — — $39,865.35 $39,865.35 $39,865.35 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 76 23 — $44,573.05 $36,215.88 $99,782.72 $39,837.47 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 4 — — $39,747.05 $39,747.05 $39,747.05 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 10 4 — — $39,747.05 $39,747.05 $39,747.05 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 76 23 — — $35,990.41 $99,139.06 $39,589.45 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 76 23 — $44,687.72 $35,973.55 $99,090.91 $39,570.90 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 4 — — $39,510.46 $39,510.46 $39,510.46 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 4 — — $39,510.46 $39,510.46 $39,510.46 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 76 23 — $44,733.59 $35,781.83 $98,543.55 $39,360.01 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 4 — — $39,214.73 $39,214.73 $39,214.73 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 76 23 — $45,387.22 $35,571.44 $97,942.96 $39,128.58 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 10 4 — — $39,096.43 $39,096.43 $39,096.43 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 44 14 $78,844.00 $16,636.08 79% off $11,361.42 $63,075.20 $39,067.20 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 10 4 — — $39,037.28 $39,037.28 $39,037.28 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 76 23 — $46,533.94 $35,440.96 $97,570.45 $38,985.06 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 4 — — $38,918.99 $38,918.99 $38,918.99 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 76 23 — $44,469.84 $35,193.30 $96,863.44 $38,712.63 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 76 23 — $43,449.26 $35,009.56 $96,338.88 $38,510.52 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 76 23 — $42,405.74 $29,312.26 $106,168.65 $38,452.79 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 70 23 — $48,265.49 $13,032.64 $76,274.27 $38,283.24 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 76 23 — $44,160.23 $34,746.80 $95,588.79 $38,221.48 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 4 — — $38,150.07 $38,150.07 $38,150.07 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 76 23 — $43,873.55 $34,479.62 $94,826.02 $37,927.58 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 10 4 — — $37,795.19 $37,795.19 $37,795.19 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 4 — — $37,676.89 $37,676.89 $37,676.89 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 10 4 — — $37,322.01 $37,322.01 $37,322.01 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 70 23 — $46,992.63 $36,119.24 $74,251.51 $37,301.48 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $37,203.71 $37,203.71 $37,203.71 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 76 23 — $41,545.70 $33,651.43 $92,461.71 $37,016.57 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $36,848.83 $36,848.83 $36,848.83 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 76 23 — $40,995.28 $33,426.86 $91,820.58 $36,769.55 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 76 23 — $46,040.85 $36,287.79 $99,987.98 $36,747.77 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 74 22 — $42,795.63 $36,144.87 $99,579.99 $36,747.77 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 4 — — $36,671.39 $36,671.39 $36,671.39 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 76 23 — $41,465.43 $35,942.85 $100,879.99 $36,600.24 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 76 23 — $39,344.00 $33,084.21 $90,842.42 $36,392.63 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 76 23 — $40,525.12 $32,927.99 $90,396.42 $36,220.79 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $36,139.06 $36,139.06 $36,139.06 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 10 4 — — $36,079.91 $36,079.91 $36,079.91 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 76 23 — $39,699.48 $32,785.96 $89,990.96 $36,064.56 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 10 4 — — $36,020.77 $36,020.77 $36,020.77 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 4 — — $35,902.47 $35,902.47 $35,902.47 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 10 4 — — $35,902.47 $35,902.47 $35,902.47 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 76 23 — $44,985.87 $32,601.33 $122,962.91 $35,861.46 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 76 23 — $36,706.54 $32,593.34 $89,441.06 $35,852.67 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 76 23 — $41,064.08 $32,514.33 $89,215.52 $35,765.76 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 76 23 — $40,421.92 $32,365.21 $88,789.80 $35,601.73 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 76 23 — $38,724.77 $32,355.45 $88,761.92 $35,591.00 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 76 23 — $42,680.96 $32,343.03 $88,726.44 $35,577.33 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 76 23 — $37,337.24 $34,400.10 $97,844.14 $35,536.82 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 64 19 — $39,653.61 $32,087.38 $87,996.62 $35,296.12 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 76 23 — $41,901.19 $32,053.65 $87,900.33 $35,259.01 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 76 23 — $39,057.32 $32,019.92 $87,804.03 $35,221.91 2026-03-02
C2624 HCPCS Imp Sensor Press Pa All Lvl 01 232 15 $87,604.00 $24,704.33 72% off $1,517.23 $105,123.20 $35,042.40 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 76 23 — $39,630.68 $31,837.95 $87,284.54 $35,021.75 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 336 17 $78,840.00 $22,232.88 72% off $12,264.00 $98,115.20 $34,996.20 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 76 23 — $38,633.03 $31,790.02 $87,147.70 $34,969.02 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 76 23 — $38,461.02 $31,713.68 $86,929.77 $34,885.05 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 76 23 — $39,974.69 $31,667.52 $86,797.99 $34,834.27 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 4 — — $34,778.67 $34,778.67 $34,778.67 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 44 14 $70,084.00 $14,787.72 79% off $10,099.10 $56,067.20 $34,726.62 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $34,660.38 $34,660.38 $34,660.38 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 10 4 — — $34,601.23 $34,601.23 $34,601.23 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 76 23 — $39,619.21 $31,372.81 $85,956.67 $34,510.09 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 4 — — $34,305.49 $34,305.49 $34,305.49 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 10 4 — — $34,246.34 $34,246.34 $34,246.34 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 108 29 $28,421.00 $14,977.87 47% off $3,243.00 $56,383.59 $34,171.87 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 108 29 $39,830.00 $20,990.41 47% off $3,243.00 $56,383.59 $34,171.87 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 108 29 $42,506.00 $22,400.66 47% off $3,243.00 $56,383.59 $34,171.87 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 108 29 $45,000.00 $23,715.00 47% off $3,243.00 $56,383.59 $34,171.87 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 76 23 — $39,309.60 $31,059.47 $85,062.13 $34,165.42 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 282 17 $87,604.00 $14,717.47 83% off $8,760.00 $105,123.20 $34,033.64 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 390 17 $87,604.00 $24,704.33 72% off $5,694.00 $122,643.20 $34,033.64 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 10 4 — — $33,832.31 $33,832.31 $33,832.31 2026-03-02
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 76 23 — $38,713.30 $30,741.69 $84,154.93 $33,815.86 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 10 4 — — $33,773.17 $33,773.17 $33,773.17 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 10 4 — — $33,714.02 $33,714.02 $33,714.02 2026-03-02
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 76 23 — $38,139.94 $30,573.03 $83,673.45 $33,630.33 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 4 — — $33,536.58 $33,536.58 $33,536.58 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $33,477.43 $33,477.43 $33,477.43 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 4 — — $33,477.43 $33,477.43 $33,477.43 2026-03-02
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 76 23 — $38,185.81 $30,278.32 $82,832.13 $33,306.15 2026-03-02
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 76 23 — $38,323.42 $30,195.78 $82,596.46 $33,215.36 2026-03-02
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 76 23 — $35,984.11 $30,183.35 $82,560.98 $33,201.68 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 10 4 — — $33,181.69 $33,181.69 $33,181.69 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 76 23 — $37,451.91 $32,287.99 $88,569.33 $33,177.83 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 76 23 — $41,706.24 $33,082.44 $90,837.35 $33,110.75 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 76 23 — $41,878.25 $26,641.63 $90,822.14 $33,077.11 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 4 — — $33,063.40 $33,063.40 $33,063.40 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 4 — — $32,826.81 $32,826.81 $32,826.81 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 4 — — $32,826.81 $32,826.81 $32,826.81 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $32,826.81 $32,826.81 $32,826.81 2026-03-02
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 76 23 — $37,772.99 $29,839.82 $81,580.28 $32,823.80 2026-03-02
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 76 23 — $34,046.15 $29,625.01 $80,967.03 $32,587.51 2026-03-02
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 76 23 — $35,835.03 $29,570.86 $80,812.45 $32,527.95 2026-03-02
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 76 23 — $36,878.55 $29,494.52 $80,594.52 $32,443.97 2026-03-02
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 76 23 — $36,867.08 $29,437.71 $80,432.33 $32,381.48 2026-03-02
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 76 23 — $37,188.16 $29,390.67 $80,298.03 $32,329.74 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 10 4 — — $32,057.89 $32,057.89 $32,057.89 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 4 — — $31,998.74 $31,998.74 $31,998.74 2026-03-02
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 76 23 — $37,165.23 $28,967.25 $79,089.26 $31,863.97 2026-03-02
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 76 23 — $35,422.21 $30,340.76 $87,010.86 $31,742.08 2026-03-02
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 76 23 — $36,465.73 $28,836.76 $85,790.33 $31,720.44 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $31,643.86 $31,643.86 $31,643.86 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $31,643.86 $31,643.86 $31,643.86 2026-03-02
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