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

ORO VALLEY HOSPITAL

Oro Valley, AZ · CCN 030114 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D

This hospital’s price: $1,055 across 1 payer · range $883-$2,536

Source: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-moreno-valley-medical-center-standard-charges-scal-en.csv · observed 2026-07-17

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.

19,340 distinct procedures filed
61 distinct payers
187,904 rate rows
2026-07-17 last MRF observed
Data quality

167,420 of 187,904 rate rows are consumer-grade (89.1%)

20,484 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,181
per-diem day rate — not a per-procedure price 8,248
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,827
template filing: same amount across many unrelated codes — excluded 100
placeholder amount (≤ $0.02) — excluded from medians 73
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 36
exceeds 10× this hospital's gross charge — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-moreno-valley-medical-center-standard-charges-scal-en.csv
Found on page https://healthy.kaiserpermanente.org/southern-california/doctors-locations/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-24
Content fingerprint 24bb8a4c35b9705c… · 209,265,719 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
J3391
HCPCS 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,467,386
1.1× median
J3392
HCPCS 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$622,450
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$640,950
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$739,258
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$591,721
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $447,392.07 $520,336.42 $486,295.73 nat. median
$155,939
outlier · 3.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $92,813.16 $759,308.82 $361,894.31 nat. median
$359,454
1.0× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $295,709.00 $321,392.07 $308,550.54 nat. median
$1
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$319,951
0.9× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $273,391.12 $303,936.59 $288,663.85 nat. median
$39,056
outlier · 7.4×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $279,020.97 $290,036.92 $284,528.94 nat. median
$380,401
0.7× median
5834
APR_DRG 		Neonate With Ecmo 8 $222,844.05 $259,177.32 $242,221.79 nat. median
$307,206
0.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 8 $222,483.66 $258,758.16 $241,830.06 nat. median
$82,180
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $208,606.96 $492,760.88 $237,245.79 nat. median
$249,036
1.0× median
5833
APR_DRG 		Neonate With Ecmo 8 $179,021.41 $208,209.70 $194,588.49 nat. median
$244,017
0.8× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $177,721.37 $206,697.69 $193,175.40 nat. median
$61,012
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $158,939.14 $397,321.83 $191,947.12 nat. median
$198,418
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $176,519.39 $205,299.73 $191,868.90 nat. median
$247,214
0.8× median
7
MS_DRG 		Lung Transplant 27 $119,715.99 $428,639.50 $191,804.30 nat. median
$117,974
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 $158,006.58 $405,974.81 $190,820.64 nat. median
$190,559
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $144,490.52 $168,048.75 $157,054.91 nat. median
$241,437
0.7× median
8634
APR_DRG 		Neonatal Aftercare 8 $134,259.41 $156,149.54 $145,934.14 nat. median
$71,097
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 8 $127,349.99 $148,113.58 $138,423.90 nat. median
$202,993
0.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 $123,725.42 $143,898.04 $134,484.15 nat. median
$82,615
1.6× median
5832
APR_DRG 		Neonate With Ecmo 8 $121,468.75 $141,273.43 $132,031.25 nat. median
$159,249
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $120,518.22 $140,167.93 $130,998.06 nat. median
$162,342
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $118,059.28 $137,308.08 $128,325.31 nat. median
$165,000
0.8× median
8411
APR_DRG 		Chemotherapy For Acute Leukemia 8 $115,491.69 $134,321.85 $125,534.44 nat. median
$31,109
outlier · 4.0×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $115,491.69 $134,321.85 $125,534.44 nat. median
$32,402
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 $103,125.92 $245,345.08 $124,528.05 nat. median
$126,695
1.0× median
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 8 $110,733.59 $128,787.97 $120,362.60 nat. median
$19,649
outlier · 6.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $109,585.89 $127,453.16 $119,115.10 nat. median
$170,082
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $107,599.24 $125,142.61 $116,955.71 nat. median
$175,204
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $105,257.04 $122,418.51 $114,409.82 nat. median
$133,164
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $101,374.10 $117,902.48 $110,189.24 nat. median
$154,011
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $100,055.44 $116,368.84 $108,755.92 nat. median
$151,838
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $99,019.69 $115,164.20 $107,630.09 nat. median
$163,587
0.7× median
5831
APR_DRG 		Neonate With Ecmo 8 $95,974.98 $111,623.08 $104,320.64 nat. median
$146,500
0.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $93,731.54 $109,013.86 $101,882.11 nat. median
$107,681
0.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $93,639.54 $108,906.85 $101,782.10 nat. median
$136,566
0.7× median

Other procedures at this hospital

Browse this hospital's 19,340 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J3391 HCPCS "Inj, Atidarsagene Autotemcel" 3 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-07-17
J1411 HCPCS "Inj, Hemgenix, Per Tx Dose" 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1414 HCPCS Beqvez (fidanacogene Elaparvovec-dz 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-07-17
J3394 HCPCS "Inj, Lovotibeglogene Autotem" 3 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-07-17
J3393 HCPCS "Inj, Betibeglogene Autotemce" 3 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-07-17
J3392 HCPCS Casgevy (exagamglogene Autotemcel) 3 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-07-17
Q2057 HCPCS Tecelra (afamitresgene Autoleucel) 3 1 — — $792,430.00 $792,430.00 $792,430.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $605,288.00 $605,288.00 $605,288.00 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Car 3 1 — — $575,861.00 $575,861.00 $575,861.00 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 1 — — $567,588.00 $567,588.00 $567,588.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $557,936.00 $557,936.00 $557,936.00 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $548,902.00 $548,902.00 $548,902.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $503,580.00 $503,580.00 $503,580.00 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $447,392.07 $520,336.42 $486,295.73 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 32 — — $92,813.16 $759,308.82 $361,894.31 2026-07-17
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $295,709.00 $321,392.07 $308,550.54 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $294,709.00 $294,709.00 $294,709.00 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $273,391.12 $303,936.59 $288,663.85 2026-07-17
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $279,020.97 $290,036.92 $284,528.94 2026-07-17
5834 APR_DRG Neonate With Ecmo 8 8 — — $222,844.05 $259,177.32 $242,221.79 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $222,483.66 $258,758.16 $241,830.06 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 29 — — $208,606.96 $492,760.88 $237,245.79 2026-07-17
5833 APR_DRG Neonate With Ecmo 8 8 — — $179,021.41 $208,209.70 $194,588.49 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $177,721.37 $206,697.69 $193,175.40 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 35 — — $158,939.14 $397,321.83 $191,947.12 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $176,519.39 $205,299.73 $191,868.90 2026-07-17
7 MS_DRG Lung Transplant 27 27 — — $119,715.99 $428,639.50 $191,804.30 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 35 — — $158,006.58 $405,974.81 $190,820.64 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 8 8 — — $144,490.52 $168,048.75 $157,054.91 2026-07-17
8634 APR_DRG Neonatal Aftercare 8 8 — — $134,259.41 $156,149.54 $145,934.14 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 8 8 — — $127,349.99 $148,113.58 $138,423.90 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $123,725.42 $143,898.04 $134,484.15 2026-07-17
5832 APR_DRG Neonate With Ecmo 8 8 — — $121,468.75 $141,273.43 $132,031.25 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $120,518.22 $140,167.93 $130,998.06 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $118,059.28 $137,308.08 $128,325.31 2026-07-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $115,491.69 $134,321.85 $125,534.44 2026-07-17
8411 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $115,491.69 $134,321.85 $125,534.44 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 35 — — $103,125.92 $245,345.08 $124,528.05 2026-07-17
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 8 8 — — $110,733.59 $128,787.97 $120,362.60 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $109,585.89 $127,453.16 $119,115.10 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $107,599.24 $125,142.61 $116,955.71 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $105,257.04 $122,418.51 $114,409.82 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $101,374.10 $117,902.48 $110,189.24 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $100,055.44 $116,368.84 $108,755.92 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $99,019.69 $115,164.20 $107,630.09 2026-07-17
5831 APR_DRG Neonate With Ecmo 8 8 — — $95,974.98 $111,623.08 $104,320.64 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $93,731.54 $109,013.86 $101,882.11 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $93,639.54 $108,906.85 $101,782.10 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 30 29 — — $89,479.81 $227,760.79 $101,752.26 2026-07-17
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $95,104.22 $104,319.07 $99,711.65 2026-07-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $90,586.75 $105,356.33 $98,463.86 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 8 8 — — $88,785.91 $103,261.87 $96,506.42 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 27 — — $84,373.41 $320,153.18 $94,966.37 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $86,938.61 $101,113.38 $94,498.48 2026-07-17
2324 APR_DRG Gastric Fundoplication 8 8 — — $86,215.22 $100,272.05 $93,712.19 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 38 35 — — $79,319.09 $191,205.74 $92,069.79 2026-07-17
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $86,646.86 $95,985.70 $91,316.28 2026-07-17
215 MS_DRG Other Heart Assist System Implant 38 35 — — $74,141.24 $303,196.02 $89,516.29 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 35 — — $72,844.72 $198,902.26 $87,950.17 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 27 — — $76,772.23 $230,311.58 $86,407.36 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $77,427.65 $90,051.72 $84,160.48 2026-07-17
64 APR_DRG Pancreas Transplant 8 8 — — $77,391.42 $90,009.60 $84,121.12 2026-07-17
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 3 1 $182,231.00 $94,760.12 48% off $83,439.00 $140,178.00 $83,439.00 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 8 8 — — $75,951.29 $88,334.66 $82,555.75 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $74,434.79 $86,570.89 $80,907.37 2026-07-17
215 OTHER Other Heart Assist System Implant 2 2 — — $74,743.94 $81,614.37 $78,179.15 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $71,801.67 $83,508.46 $78,045.29 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $71,624.48 $83,302.39 $77,852.71 2026-07-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $74,786.23 $79,709.54 $77,247.88 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 35 — — $62,775.57 $171,216.95 $75,787.22 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 35 — — $62,578.34 $147,762.01 $75,429.81 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $69,290.66 $80,588.05 $75,315.93 2026-07-17
38240 CPT Transplt Allo Hct/donor 3 1 — — $58,671.00 $174,504.00 $71,867.00 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $68,139.58 $74,236.15 $71,187.86 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $65,274.24 $75,916.78 $70,950.26 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 35 — — $58,599.49 $221,207.64 $70,742.77 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $64,795.38 $75,359.85 $70,429.77 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $64,548.78 $75,073.03 $70,161.71 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 29 29 — — $65,987.08 $273,655.62 $69,745.12 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 8 8 — — $63,675.00 $74,056.79 $69,211.95 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 35 — — $57,181.66 $171,833.51 $69,030.12 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 35 — — $56,935.31 $162,916.29 $68,732.54 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 8 8 — — $62,185.22 $72,324.11 $67,592.63 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 8 8 — — $62,185.22 $72,324.11 $67,592.63 2026-07-17
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $63,313.49 $69,950.58 $66,632.04 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 35 — — $56,747.01 $133,985.23 $66,411.92 2026-07-17
8444 APR_DRG Partial Thickness Burns Without Skin Graft 8 8 — — $60,264.20 $70,089.88 $65,504.57 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $60,187.32 $70,000.47 $65,421.00 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $60,022.97 $69,809.32 $65,242.36 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $59,447.73 $69,140.29 $64,617.10 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 35 — — $53,418.66 $127,272.08 $64,484.63 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 35 — — $53,103.84 $214,816.55 $64,104.35 2026-07-17
J9029 HCPCS "Instill Adstiladrin, Tx Dose" 3 1 — — $63,431.00 $106,564.00 $63,431.00 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $57,179.16 $66,501.85 $62,151.26 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 35 — — $51,476.87 $152,607.41 $62,139.07 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $57,059.40 $66,362.57 $62,021.09 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 35 — — $51,224.56 $120,938.21 $61,459.11 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $56,405.71 $65,602.29 $61,310.56 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 32 — — $53,135.09 $219,756.08 $60,999.57 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 35 — — $50,131.99 $156,401.89 $60,514.52 2026-07-17
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $58,445.15 $62,302.57 $60,373.86 2026-07-17
10 MS_DRG Pancreas Transplant 27 27 — — $53,440.98 $142,823.48 $60,136.09 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 35 — — $48,972.41 $162,070.72 $59,113.83 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 35 — — $48,972.41 $146,642.63 $59,113.83 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 35 — — $47,925.97 $135,696.05 $57,849.80 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $52,788.04 $61,394.78 $57,378.30 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $52,512.55 $61,074.37 $57,078.85 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $52,024.26 $60,506.47 $56,548.11 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $51,945.25 $60,414.59 $56,462.22 2026-07-17
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $50,965.49 $61,676.39 $56,320.94 2026-07-17
8633 APR_DRG Neonatal Aftercare 8 8 — — $51,555.96 $59,961.82 $56,039.08 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $55,946.00 $93,989.00 $55,946.00 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 35 — — $34,860.14 $115,197.15 $55,477.40 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 35 — — $45,646.29 $187,797.13 $55,096.07 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 35 — — $45,593.45 $110,772.93 $55,032.24 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $50,615.22 $58,867.71 $55,016.55 2026-07-17
33276 CPT Insj Phrnc Nrv Stim Sys 3 1 — — $44,641.00 $132,777.00 $54,682.00 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 35 — — $45,156.55 $145,303.81 $54,504.51 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 38 35 — — $44,752.42 $118,724.79 $54,016.34 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 38 35 — — $44,739.79 $129,713.65 $54,001.06 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $49,435.38 $57,495.49 $53,734.11 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 35 — — $44,416.02 $113,859.25 $53,609.98 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 8 8 — — $49,223.99 $57,249.65 $53,504.34 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 35 — — $44,270.15 $149,498.79 $53,433.77 2026-07-17
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $49,109.00 $57,115.90 $53,379.34 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 35 — — $43,712.68 $131,595.04 $52,760.40 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 35 — — $43,684.41 $114,172.82 $52,726.24 2026-07-17
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 3 1 — — $52,618.00 $88,398.00 $52,618.00 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 29 29 — — $44,243.47 $176,973.88 $52,209.35 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 35 — — $42,683.36 $125,697.21 $51,517.04 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $47,311.11 $55,024.87 $51,425.11 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 8 8 — — $47,222.95 $54,922.34 $51,329.29 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $47,212.94 $54,910.71 $51,318.41 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $46,845.14 $54,482.94 $50,918.64 2026-07-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $46,717.32 $54,334.28 $50,779.70 2026-07-17
63 APR_DRG Pancreas Transplant 8 8 — — $46,566.26 $54,158.60 $50,615.51 2026-07-17
4404 APR_DRG Kidney Transplant 8 8 — — $46,428.49 $53,998.36 $50,465.76 2026-07-17
4834 APR_DRG Penis, Testes And Scrotal Procedures 8 8 — — $45,988.59 $53,486.73 $49,987.60 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 27 — — $44,167.43 $163,888.69 $49,693.97 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 35 — — $41,140.50 $121,804.07 $49,653.35 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 35 — — $40,894.14 $106,974.92 $49,355.76 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 35 — — $40,749.77 $106,020.13 $49,181.36 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $45,187.97 $52,555.58 $49,117.36 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 35 — — $40,691.72 $128,050.70 $49,111.24 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 35 — — $42,135.07 $100,217.69 $48,265.91 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 29 29 — — $22,399.15 $107,546.52 $48,150.10 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $44,137.78 $51,334.15 $47,975.85 2026-07-17
213 OTHER Splenic Procedures Age 0-17 2 2 — — $43,405.25 $52,527.30 $47,966.28 2026-07-17
1784 APR_DRG External Heart Assist Systems 8 8 — — $44,122.16 $51,315.99 $47,958.87 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 35 — — $39,724.92 $131,898.04 $47,943.40 2026-07-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 8 — — $44,065.05 $51,249.58 $47,896.80 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $43,825.43 $50,970.88 $47,636.34 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 35 — — $39,434.66 $192,352.63 $47,592.79 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $43,683.20 $50,805.46 $47,481.75 2026-07-17
278 MS_DRG Cellulitis Age >17 Without Cc 38 35 — — $31,569.55 $97,873.78 $47,137.51 2026-07-17
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $45,062.36 $49,089.76 $47,076.06 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 35 — — $40,627.71 $95,902.68 $46,974.48 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 27 — — $41,747.83 $185,309.75 $46,969.46 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 35 — — $39,304.41 $92,776.32 $46,722.40 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 38 35 — — $38,709.74 $102,183.37 $46,717.12 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 8 — — $42,916.99 $49,914.32 $46,648.90 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $42,703.90 $49,666.49 $46,417.28 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 29 — — $40,465.47 $112,217.44 $46,004.04 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 8 — — $42,276.54 $49,169.44 $45,952.76 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 35 — — $38,776.72 $91,529.63 $45,781.46 2026-07-17
J9226 HCPCS Supprelin La Implant 3 1 — — $45,560.00 $76,541.00 $45,560.00 2026-07-17
62 APR_DRG Pancreas Transplant 8 8 — — $41,742.20 $48,547.99 $45,371.96 2026-07-17
61 APR_DRG Pancreas Transplant 8 8 — — $41,742.20 $48,547.99 $45,371.96 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 35 — — $37,547.20 $125,080.65 $45,312.85 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $41,640.69 $48,429.93 $45,261.62 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $41,407.39 $48,158.60 $45,008.04 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 35 — — $37,154.22 $104,920.90 $44,838.15 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 35 — — $36,856.52 $154,168.19 $44,478.55 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 35 — — $36,791.02 $112,139.93 $44,399.43 2026-07-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $40,114.52 $48,544.99 $44,329.75 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $40,723.17 $47,362.82 $44,264.31 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $40,578.71 $47,194.81 $44,107.29 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 — — $40,355.10 $46,934.74 $43,864.24 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $40,315.44 $46,888.62 $43,821.14 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $40,107.40 $46,646.66 $43,595.01 2026-07-17
Q9982 HCPCS flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 2 1 $10,029.00 $5,215.08 48% off $39,696.53 $47,453.33 $43,574.93 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $39,849.16 $46,346.30 $43,314.30 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 35 — — $35,791.47 $92,219.76 $43,192.03 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 8 — — $39,702.66 $46,175.92 $43,155.07 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $39,428.87 $45,857.48 $42,857.46 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 35 — — $35,467.72 $172,890.47 $42,800.96 2026-07-17
0620T CPT Endovascular Venous Arterialization Tibl/prnl Vn 3 1 $76,790.00 $39,930.80 48% off $34,721.00 $103,272.00 $42,531.00 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 8 — — $39,118.49 $45,496.52 $42,520.10 2026-07-17
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 8 8 — — $38,991.47 $45,348.78 $42,382.04 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $38,888.70 $45,229.25 $42,270.32 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 35 — — $34,954.18 $82,498.72 $42,180.63 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 35 — — $34,849.98 $105,213.32 $42,054.76 2026-07-17
6904 APR_DRG Acute Leukemia 8 8 — — $38,571.33 $44,860.14 $41,925.36 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 35 — — $36,665.24 $86,541.18 $41,890.03 2026-07-17
277 MS_DRG Cellulitis Age >17 W Cc 38 35 — — $34,408.63 $111,935.59 $41,521.64 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 35 — — $35,559.58 $86,180.72 $41,508.18 2026-07-17
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 8 8 — — $38,083.53 $44,292.80 $41,395.13 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 35 — — $34,244.88 $93,699.50 $41,323.85 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $37,842.90 $44,012.94 $41,133.59 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 38 35 — — $35,973.07 $84,905.90 $41,098.82 2026-07-17
4234 APR_DRG Inborn Errors Of Metabolism 8 8 — — $37,685.20 $43,829.53 $40,962.18 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 35 — — $33,874.25 $139,300.28 $40,876.14 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 8 — — $37,465.85 $43,574.41 $40,723.76 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 8 — — $37,464.74 $43,573.12 $40,722.55 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 35 — — $34,157.81 $80,617.27 $40,576.17 2026-07-17
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $40,116.39 $41,002.70 $40,559.54 2026-07-17
245 MS_DRG Aicd Generator Procedures 38 35 — — $33,991.10 $80,223.42 $40,538.23 2026-07-17
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $37,243.87 $43,316.23 $40,482.46 2026-07-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $37,243.87 $43,316.23 $40,482.46 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 38 35 — — $33,391.21 $89,496.33 $40,292.67 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 35 — — $33,381.54 $100,368.92 $40,280.98 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 35 — — $33,250.55 $126,609.72 $40,122.74 2026-07-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 8 — — $36,888.01 $42,902.36 $40,095.67 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 8 — — $36,688.89 $42,670.78 $39,879.23 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 30 — — $35,025.61 $111,206.28 $39,816.82 2026-07-17
7594 APR_DRG Eating Disorders 8 8 — — $36,598.46 $42,565.61 $39,780.94 2026-07-17
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 8 — — $36,309.96 $42,230.06 $39,467.34 2026-07-17
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $35,632.47 $43,120.99 $39,376.73 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 35 — — $33,889.13 $79,982.48 $39,350.89 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $36,002.29 $41,872.23 $39,132.93 2026-07-17
954 APR_DRG Cleft Lip And Palate Repair 8 8 — — $35,987.43 $41,854.95 $39,116.78 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 3 1 — — $31,806.00 $94,600.00 $38,960.00 2026-07-17
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 3 1 $81,380.00 $42,317.60 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
33264 CPT Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 3 1 $64,360.00 $33,467.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
33249 CPT Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 3 1 $43,100.00 $22,412.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
33231 CPT Insj Implntbl Defib Pulse Gen W/exist Multileads 3 1 $70,350.00 $36,582.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
0571T CPT Insj/rplcmt Icds W/substernal Electrode 3 1 $72,760.00 $37,835.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 27 27 — — $34,546.32 $157,479.99 $38,860.47 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 8 8 — — $35,667.64 $41,483.01 $38,769.17 2026-07-17
799 MS_DRG Splenectomy With Mcc 38 35 — — $33,741.76 $79,634.33 $38,762.04 2026-07-17
69930 CPT Cochlear Device Implantation W/wo Mastoidectomy 3 1 $34,460.00 $17,919.20 48% off $31,554.00 $93,851.00 $38,651.00 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 8 — — $35,542.14 $41,337.05 $38,632.76 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $35,213.97 $40,955.38 $38,276.06 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $35,198.56 $40,937.45 $38,259.30 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $35,078.10 $40,797.35 $38,128.36 2026-07-17
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $35,076.41 $40,795.39 $38,126.54 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 35 — — $31,466.55 $78,028.31 $37,967.78 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 35 — — $31,397.33 $97,198.04 $37,884.17 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 8 — — $34,742.87 $40,407.46 $37,763.99 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 35 — — $31,210.52 $95,549.18 $37,658.51 2026-07-17
595 OTHER Major Skin Disorders With Mcc 2 2 — — $35,713.48 $39,460.89 $37,587.18 2026-07-17
1794 APR_DRG Defibrillator Implants 8 8 — — $34,567.74 $40,203.78 $37,573.63 2026-07-17
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 38 35 — — $32,242.06 $76,091.24 $37,518.69 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 35 — — $31,089.94 $106,217.43 $37,512.87 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 35 — — $32,728.82 $77,241.22 $37,406.86 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 35 — — $30,944.07 $81,449.34 $37,336.66 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 38 35 — — $31,779.88 $74,999.29 $37,253.22 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 35 — — $30,739.40 $75,678.34 $37,089.43 2026-07-17
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $33,553.56 $40,605.18 $37,079.37 2026-07-17
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 3 1 $105,410.00 $54,813.20 48% off $30,231.00 $89,915.00 $37,030.00 2026-07-17
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 3 1 $37,840.00 $19,676.80 48% off $30,231.00 $89,915.00 $37,030.00 2026-07-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
61886 CPT Implant Neurostim Arrays 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $34,058.49 $39,611.52 $37,020.11 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 8 8 — — $34,012.20 $39,557.67 $36,969.79 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 8 8 — — $33,992.69 $39,534.97 $36,948.57 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 8 — — $33,830.93 $39,346.85 $36,772.75 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 35 — — $31,412.96 $74,132.43 $36,543.01 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 29 29 — — $34,312.61 $146,158.35 $36,539.59 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 8 — — $33,463.75 $38,919.80 $36,373.64 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 35 — — $31,985.30 $75,484.62 $36,358.82 2026-07-17
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $32,824.09 $39,722.40 $36,273.24 2026-07-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $32,768.47 $39,655.10 $36,211.79 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $33,227.31 $38,644.81 $36,116.65 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 35 — — $22,365.00 $73,879.22 $35,585.93 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 38 35 — — $31,103.26 $73,791.31 $35,543.62 2026-07-17
274 APR_DRG Other Open Craniotomy 8 8 — — $32,607.77 $37,924.24 $35,443.22 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 35 — — $29,149.64 $104,163.41 $35,169.10 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 38 35 — — $12,331.77 $73,316.55 $35,119.90 2026-07-17
234 APR_DRG Spinal Procedures 8 8 — — $32,283.71 $37,547.35 $35,090.98 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 38 35 — — $29,017.91 $71,091.13 $35,009.98 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 35 — — $28,843.01 $76,506.29 $34,798.70 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $32,006.22 $37,224.64 $34,789.37 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $32,006.22 $37,224.64 $34,789.37 2026-07-17
974 APR_DRG Tonsil And Adenoid Procedures 8 8 — — $31,996.37 $37,213.18 $34,778.67 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 8 8 — — $31,902.20 $37,103.65 $34,676.30 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 8 8 — — $31,871.53 $37,067.96 $34,642.96 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 8 — — $31,811.84 $36,998.56 $34,578.09 2026-07-17
791 MS_DRG Prematurity With Major Problems 38 35 — — $30,244.46 $71,371.83 $34,550.61 2026-07-17
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 3 1 $72,800.00 $37,856.00 48% off $28,202.00 $83,880.00 $34,545.00 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 8 — — $31,619.97 $36,775.40 $34,369.54 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $31,552.48 $36,696.91 $34,296.17 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $31,546.91 $36,690.42 $34,290.11 2026-07-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 35 — — $28,772.31 $67,893.79 $34,253.86 2026-07-17
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 8 8 — — $31,463.54 $36,593.46 $34,199.49 2026-07-17
8421 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $31,312.92 $36,418.28 $34,035.78 2026-07-17
4414 APR_DRG Major Bladder Procedures 8 8 — — $31,267.46 $36,365.42 $33,986.37 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $31,160.44 $36,240.95 $33,870.05 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 35 — — $28,041.43 $96,902.09 $33,830.44 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 35 — — $29,687.00 $70,054.78 $33,744.76 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $30,968.51 $36,017.72 $33,661.42 2026-07-17
1783 APR_DRG External Heart Assist Systems 8 8 — — $30,945.08 $35,990.47 $33,635.96 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 35 — — $27,853.13 $74,448.74 $33,602.99 2026-07-17
A9513 HCPCS Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 3 1 $193,132.79 $100,429.05 48% off $28,018.43 $80,512.74 $33,493.30 2026-07-17
C9760 HCPCS Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 3 1 $63,130.00 $32,827.60 48% off $27,281.00 $81,142.00 $33,417.00 2026-07-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 8 — — $30,700.44 $35,705.95 $33,370.05 2026-07-17
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