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 ESTRELLA MEDICAL CENTER

Phoenix, AZ · CCN 030115 · Rates published

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You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $17,174 across 8 payers · range $8,928-$26,170

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/900065118_banner-estrella-medical-center_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.

7,306 distinct procedures filed
29 distinct payers
255,598 rate rows
2026-03-02 last MRF observed
Data quality

251,924 of 255,598 rate rows are consumer-grade (98.6%)

3,674 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 2,108
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,063
exceeds 10× this hospital's gross charge — excluded from medians 391
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 76
placeholder amount (≤ $0.02) — excluded from medians 34
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/900065118_banner-estrella-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 7431b3b2130d638c… · 102,933,340 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 $4.73 $2,819,628.00 $1,503,801.60 nat. median
$2,547
outlier · 590.4×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $169,423.80 $1,141,377.89 $305,770.20 nat. median
$370,165
0.8× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $228,662.16 $852,513.60 $245,811.83 nat. median
$261,939
0.9× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $222,022.97 $222,022.97 $222,022.97 nat. median
$311,018
0.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 23 $192,747.88 $717,970.54 $212,022.67 nat. median
$205,166
1.0× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 22 $174,237.76 $648,627.37 $191,661.54 nat. median
$199,832
1.0× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $178,369.78 $178,369.78 $178,369.78 nat. median
$250,089
0.7× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $175,865.09 $175,865.09 $175,865.09 nat. median
$254,667
0.7× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $154,515.58 $154,515.58 $154,515.58 nat. median
$243,231
0.6× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $136,147.85 $136,147.85 $136,147.85 nat. median
$209,486
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 22 $115,249.64 $427,644.45 $126,774.60 nat. median
$132,706
1.0× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $122,550.95 $122,550.95 $122,550.95 nat. median
$165,646
0.7× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $121,000.43 $121,000.43 $121,000.43 nat. median
$169,230
0.7× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,046.26 $120,046.26 $120,046.26 nat. median
$168,361
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $117,601.21 $117,601.21 $117,601.21 nat. median
$168,174
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $117,183.76 $117,183.76 $117,183.76 nat. median
$175,480
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 $106,943.04 $396,525.98 $114,963.76 nat. median
$114,305
1.0× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 19 $106,676.43 $395,527.23 $114,677.16 nat. median
$122,690
0.9× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $107,224.63 $107,224.63 $107,224.63 nat. median
$180,995
0.6× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $105,853.01 $105,853.01 $105,853.01 nat. median
$165,599
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $104,839.21 $104,839.21 $104,839.21 nat. median
$147,677
0.7× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $101,022.54 $101,022.54 $101,022.54 nat. median
$160,171
0.6× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $100,128.00 $100,128.00 $100,128.00 nat. median
$137,901
0.7× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $99,710.56 $99,710.56 $99,710.56 nat. median
$156,285
0.6× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 23 $89,105.86 $329,703.88 $98,016.45 nat. median
$100,978
1.0× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $90,122.17 $419,219.66 $96,881.33 nat. median
$108,240
0.9× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $95,595.71 $95,595.71 $95,595.71 nat. median
$154,685
0.6× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 23 $86,689.49 $397,015.36 $95,358.44 nat. median
$98,002
1.0× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $94,939.72 $94,939.72 $94,939.72 nat. median
$127,938
0.7× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 23 $85,724.88 $317,037.98 $94,297.37 nat. median
$96,835
1.0× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 $87,130.59 $322,304.09 $93,665.38 nat. median
$99,646
0.9× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $93,389.19 $93,389.19 $93,389.19 nat. median
$109,499
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $92,971.74 $92,971.74 $92,971.74 nat. median
$127,600
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 23 $79,065.53 $292,090.54 $86,972.08 nat. median
$92,900
0.9× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 23 $75,517.33 $278,798.15 $83,069.06 nat. median
$81,364
1.0× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $82,774.07 $82,774.07 $82,774.07 nat. median
$92,994
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $81,223.55 $81,223.55 $81,223.55 nat. median
$116,111
0.7× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $77,168.34 $77,168.34 $77,168.34 nat. median
$123,690
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 23 $69,555.18 $256,462.58 $76,510.70 nat. median
$79,040
1.0× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 23 $69,517.22 $256,320.34 $76,468.94 nat. median
$80,459
1.0× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $68,478.27 $252,428.26 $75,326.10 nat. median
$81,124
0.9× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $74,186.56 $74,186.56 $74,186.56 nat. median
$96,420
0.8× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 23 $66,220.24 $313,794.24 $72,842.26 nat. median
$77,385
0.9× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $71,562.60 $71,562.60 $71,562.60 nat. median
$89,188
0.8× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $71,383.69 $71,383.69 $71,383.69 nat. median
$108,751
0.7× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 23 $64,243.37 $236,563.35 $70,667.71 nat. median
$73,475
1.0× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 19 $65,508.51 $241,302.85 $70,421.65 nat. median
$67,750
1.0× median
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 $65,139.32 $287,756.21 $70,024.77 nat. median
$69,153
1.0× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 23 $63,605.96 $234,175.44 $69,966.56 nat. median
$74,472
0.9× median
5933
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $69,057.91 $69,057.91 $69,057.91 nat. median
$112,711
0.6× median

Other procedures at this hospital

Browse this hospital's 7,306 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 27 13 $3,759,504.00 $1,125,031.57 70% off $4.73 $2,819,628.00 $1,503,801.60 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 18 — $479,780.27 $169,423.80 $1,141,377.89 $305,770.20 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 36 19 — $352,891.07 $228,662.16 $852,513.60 $245,811.83 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $222,022.97 $222,022.97 $222,022.97 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 45 23 — $343,254.57 $192,747.88 $717,970.54 $212,022.67 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 44 22 — $277,635.25 $174,237.76 $648,627.37 $191,661.54 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $178,369.78 $178,369.78 $178,369.78 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $175,865.09 $175,865.09 $175,865.09 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $154,515.58 $154,515.58 $154,515.58 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $136,147.85 $136,147.85 $136,147.85 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 44 22 — $191,427.68 $115,249.64 $427,644.45 $126,774.60 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $122,550.95 $122,550.95 $122,550.95 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,000.43 $121,000.43 $121,000.43 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,046.26 $120,046.26 $120,046.26 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $117,601.21 $117,601.21 $117,601.21 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $117,183.76 $117,183.76 $117,183.76 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 36 19 — $149,248.48 $106,943.04 $396,525.98 $114,963.76 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 36 19 — $159,731.42 $106,676.43 $395,527.23 $114,677.16 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $107,224.63 $107,224.63 $107,224.63 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $105,853.01 $105,853.01 $105,853.01 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $104,839.21 $104,839.21 $104,839.21 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $101,022.54 $101,022.54 $101,022.54 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,128.00 $100,128.00 $100,128.00 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $99,710.56 $99,710.56 $99,710.56 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 45 23 — $140,263.10 $89,105.86 $329,703.88 $98,016.45 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 19 — $159,444.93 $90,122.17 $419,219.66 $96,881.33 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $95,595.71 $95,595.71 $95,595.71 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 45 23 — $133,022.70 $86,689.49 $397,015.36 $95,358.44 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $94,939.72 $94,939.72 $94,939.72 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 45 23 — — $85,724.88 $317,037.98 $94,297.37 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 36 19 — $134,780.71 $87,130.59 $322,304.09 $93,665.38 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $93,389.19 $93,389.19 $93,389.19 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $92,971.74 $92,971.74 $92,971.74 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 45 23 — $126,381.34 $79,065.53 $292,090.54 $86,972.08 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 45 23 — — $75,517.33 $278,798.15 $83,069.06 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $82,774.07 $82,774.07 $82,774.07 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,223.55 $81,223.55 $81,223.55 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,168.34 $77,168.34 $77,168.34 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 45 23 — $105,675.89 $69,555.18 $256,462.58 $76,510.70 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 45 23 — $109,764.89 $69,517.22 $256,320.34 $76,468.94 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 45 23 — — $68,478.27 $252,428.26 $75,326.10 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,186.56 $74,186.56 $74,186.56 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 45 23 — $110,064.40 $66,220.24 $313,794.24 $72,842.26 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $71,562.60 $71,562.60 $71,562.60 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,383.69 $71,383.69 $71,383.69 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 45 23 — $101,573.87 $64,243.37 $236,563.35 $70,667.71 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 36 19 — — $65,508.51 $241,302.85 $70,421.65 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 19 — $104,100.20 $65,139.32 $287,756.21 $70,024.77 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 45 23 — $100,414.89 $63,605.96 $234,175.44 $69,966.56 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $69,057.91 $69,057.91 $69,057.91 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,103.74 $68,103.74 $68,103.74 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 45 23 — $94,190.23 $61,398.03 $225,904.01 $67,537.83 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,493.58 $66,493.58 $66,493.58 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $65,062.33 $65,062.33 $65,062.33 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $64,585.25 $64,585.25 $64,585.25 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,346.70 $64,346.70 $64,346.70 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 45 23 — — $58,477.53 $214,963.22 $64,325.28 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $64,287.07 $64,287.07 $64,287.07 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 23 — $91,624.84 $58,189.12 $281,288.22 $64,008.03 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,571.44 $63,571.44 $63,571.44 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 45 23 — $90,700.26 $57,296.43 $210,538.47 $63,026.07 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 45 23 — $79,305.75 $56,260.71 $206,658.50 $61,886.78 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,305.29 $61,305.29 $61,305.29 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,007.12 $61,007.12 $61,007.12 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $60,947.48 $60,947.48 $60,947.48 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 45 23 — — $55,262.18 $202,917.75 $60,788.40 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 45 23 — $90,114.25 $55,053.73 $202,136.91 $60,559.10 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 45 23 — $89,267.81 $54,962.45 $201,794.91 $60,458.69 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $60,291.49 $60,291.49 $60,291.49 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $59,814.41 $59,814.41 $59,814.41 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 45 23 — $89,957.99 $53,343.46 $195,729.81 $58,677.81 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 45 23 — $82,886.88 $53,268.33 $212,221.01 $58,595.16 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 25 14 $116,512.00 $21,088.67 82% off $16,789.38 $87,384.00 $58,256.00 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 45 23 — $89,502.21 $52,189.00 $191,404.94 $57,407.90 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $56,951.90 $56,951.90 $56,951.90 2026-03-02
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 55 29 $91,838.00 $27,482.52 70% off $30,857.57 $350,571.48 $56,824.55 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,474.82 $56,474.82 $56,474.82 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 45 23 — $80,868.43 $51,139.58 $187,473.52 $56,253.54 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 23 — — $51,074.94 $187,231.40 $56,182.43 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,117.01 $56,117.01 $56,117.01 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 23 — $80,972.61 $50,847.11 $186,377.92 $55,931.82 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 45 23 — $88,799.00 $50,673.42 $185,727.23 $55,740.76 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 45 23 — $77,469.61 $50,447.21 $190,265.84 $55,491.93 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 45 23 — $78,472.33 $50,211.31 $183,996.07 $55,232.44 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 252 17 $109,504.00 $30,004.10 73% off $10,074.00 $164,253.00 $54,752.00 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 45 23 — $81,337.23 $49,494.72 $245,908.06 $54,444.19 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 45 23 — $74,187.99 $49,159.46 $192,018.93 $54,075.41 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 36 19 — $80,438.69 $49,859.07 $182,676.51 $53,598.50 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 36 19 — $80,438.69 $49,859.07 $214,601.53 $53,598.50 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 45 23 — $76,584.09 $48,633.52 $178,085.31 $53,496.87 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 45 23 — $78,745.79 $48,133.45 $176,211.91 $52,946.79 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $52,837.05 $52,837.05 $52,837.05 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $52,658.15 $52,658.15 $52,658.15 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,598.51 $52,598.51 $52,598.51 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 25 14 $105,124.00 $19,027.44 82% off $15,148.37 $78,843.00 $52,562.00 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 45 23 — $79,110.42 $47,463.71 $173,702.94 $52,210.08 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 45 23 — $73,823.37 $47,186.63 $172,664.85 $51,905.29 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $51,823.25 $51,823.25 $51,823.25 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,763.61 $51,763.61 $51,763.61 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $51,763.61 $51,763.61 $51,763.61 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 23 — $78,133.75 $49,123.10 $181,528.06 $51,579.25 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 45 23 — $70,502.68 $46,132.33 $168,715.27 $50,745.56 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,451.63 $50,451.63 $50,451.63 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 45 23 — $79,969.89 $45,750.22 $272,864.16 $50,325.24 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 45 23 — $72,911.81 $45,750.22 $167,283.73 $50,325.24 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 45 23 — — $45,562.77 $185,149.58 $50,119.05 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $50,093.82 $50,093.82 $50,093.82 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 23 — — $45,291.32 $185,149.58 $49,820.45 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $49,795.64 $49,795.64 $49,795.64 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,616.74 $49,616.74 $49,616.74 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 45 23 — $71,687.71 $44,953.63 $164,299.61 $49,448.99 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 45 23 — $73,758.26 $44,729.85 $163,461.27 $49,202.83 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 44 22 — $67,142.93 $44,688.65 $163,306.91 $49,157.51 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 45 23 — $74,005.68 $44,683.79 $163,288.75 $49,152.17 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $48,722.20 $48,722.20 $48,722.20 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 45 23 — $67,689.87 $44,077.10 $162,788.43 $48,484.81 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 36 19 — $68,523.30 $45,053.81 $242,651.00 $48,432.85 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 45 23 — $68,301.92 $43,887.22 $172,711.86 $48,275.94 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 25 14 $96,364.00 $17,441.88 82% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,171.68 $47,171.68 $47,171.68 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $47,112.04 $47,112.04 $47,112.04 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,052.41 $47,052.41 $47,052.41 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $46,873.50 $46,873.50 $46,873.50 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 45 23 — $65,853.73 $42,564.73 $155,350.24 $46,821.20 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $46,694.60 $46,694.60 $46,694.60 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,515.69 $46,515.69 $46,515.69 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 45 23 — $67,546.62 $42,254.52 $154,188.07 $46,479.97 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 45 23 — $66,140.22 $42,128.49 $153,715.93 $46,341.34 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 45 23 — $62,598.15 $41,788.37 $152,441.78 $45,967.21 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 45 23 — $63,079.98 $41,548.42 $151,542.91 $45,703.26 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 45 23 — $58,079.42 $41,516.91 $151,424.87 $45,668.60 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 23 — $65,098.43 $41,500.75 $151,364.34 $45,650.82 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 45 23 — $65,619.33 $41,355.35 $201,873.16 $45,490.89 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,203.71 $45,203.71 $45,203.71 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $45,024.80 $45,024.80 $45,024.80 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 45 23 — $59,004.00 $40,575.73 $147,899.00 $44,633.30 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,607.35 $44,607.35 $44,607.35 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,547.72 $44,547.72 $44,547.72 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 45 23 — $64,056.65 $40,337.41 $147,006.18 $44,371.15 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $43,891.73 $43,891.73 $43,891.73 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 25 14 $87,604.00 $15,856.32 82% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 45 23 — $60,267.16 $39,676.57 $144,530.51 $43,644.23 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,533.92 $43,533.92 $43,533.92 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 45 23 — $64,525.45 $39,509.34 $143,904.02 $43,460.27 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 45 23 — $61,569.39 $39,502.07 $143,876.78 $43,452.28 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,414.64 $43,414.64 $43,414.64 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 38 23 — — $42,702.88 $155,867.78 $43,343.43 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 36 19 — $62,988.82 $40,271.96 $206,209.75 $43,292.36 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,116.47 $43,116.47 $43,116.47 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 45 23 — $63,548.78 $39,104.59 $226,388.76 $43,015.05 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $42,877.92 $42,877.92 $42,877.92 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 45 23 — $58,626.35 $38,901.00 $141,625.07 $42,791.10 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $42,758.65 $42,758.65 $42,758.65 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,579.75 $42,579.75 $42,579.75 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 45 23 — $62,272.60 $38,678.02 $146,572.33 $42,545.82 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,520.11 $42,520.11 $42,520.11 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 45 23 — $61,387.08 $38,333.06 $139,497.44 $42,166.37 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 45 23 — $60,540.63 $38,198.95 $163,784.93 $42,018.85 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 45 23 — $58,821.69 $38,193.30 $138,973.85 $42,012.63 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $41,804.49 $41,804.49 $41,804.49 2026-03-02
6310189 CDM Occluder Lvl 11 25 14 $83,224.00 $15,063.54 82% off $11,992.58 $62,418.00 $41,612.00 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,565.94 $41,565.94 $41,565.94 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 45 23 — $57,662.71 $37,544.57 $136,543.57 $41,299.03 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $41,267.77 $41,267.77 $41,267.77 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,267.77 $41,267.77 $41,267.77 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 45 23 — $56,034.92 $37,327.25 $135,729.45 $41,059.97 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 45 23 — $57,506.44 $37,227.07 $182,404.61 $40,949.78 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 45 23 — $56,360.48 $36,889.38 $134,089.08 $40,578.32 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,432.87 $40,432.87 $40,432.87 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 45 23 — $56,803.23 $36,584.83 $165,787.14 $40,243.31 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 37 20 — $58,574.27 $38,317.71 $145,617.36 $40,233.60 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $40,194.33 $40,194.33 $40,194.33 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,075.06 $40,075.06 $40,075.06 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $40,075.06 $40,075.06 $40,075.06 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $39,836.51 $39,836.51 $39,836.51 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 45 23 — — $36,052.42 $130,953.63 $39,657.66 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 45 23 — $59,004.00 $35,980.52 $140,491.87 $39,578.57 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,538.34 $39,538.34 $39,538.34 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 25 14 $78,844.00 $14,270.76 82% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,419.07 $39,419.07 $39,419.07 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,359.43 $39,359.43 $39,359.43 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $39,240.16 $39,240.16 $39,240.16 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 45 23 — $55,722.38 $35,557.99 $129,101.41 $39,113.79 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 45 23 — $53,912.29 $35,507.10 $128,910.74 $39,057.81 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 45 23 — $49,198.22 $35,263.13 $127,996.74 $38,789.44 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,464.90 $38,464.90 $38,464.90 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 45 23 — $53,612.77 $34,951.29 $126,828.51 $38,446.42 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 45 23 — $48,156.43 $34,943.21 $126,798.24 $38,437.53 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 45 23 — $54,159.71 $34,709.71 $125,923.59 $38,180.68 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,107.08 $38,107.08 $38,107.08 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $37,987.81 $37,987.81 $37,987.81 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 181 17 $78,840.00 $21,602.16 73% off $12,264.00 $91,983.00 $37,843.20 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 45 23 — $52,623.08 $34,317.09 $124,452.71 $37,748.80 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 45 23 — $52,675.17 $34,298.50 $127,274.48 $37,728.35 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 44 22 — $52,154.28 $34,249.23 $124,198.48 $37,674.15 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,630.00 $37,630.00 $37,630.00 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,510.73 $37,510.73 $37,510.73 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 45 23 — — $34,086.04 $123,587.13 $37,494.64 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 23 — $50,930.18 $33,955.98 $123,099.86 $37,351.58 2026-03-02
6310171 CDM Occluder Lvl 10 25 14 $74,464.00 $13,477.98 82% off $10,730.26 $55,848.00 $37,232.00 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,152.92 $37,152.92 $37,152.92 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $36,974.01 $36,974.01 $36,974.01 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 45 23 — $48,442.92 $33,279.78 $120,566.68 $36,607.76 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 45 23 — $47,088.60 $33,257.16 $120,481.94 $36,582.88 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,437.29 $36,437.29 $36,437.29 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,377.65 $36,377.65 $36,377.65 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,318.02 $36,318.02 $36,318.02 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 45 23 — $52,284.50 $32,972.78 $119,416.61 $36,270.06 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,198.75 $36,198.75 $36,198.75 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 45 23 — $50,617.65 $32,907.34 $119,171.46 $36,198.07 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 44 23 — $48,599.19 $32,842.72 $118,929.34 $36,126.99 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 45 23 — — $32,702.15 $158,700.96 $35,972.36 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 45 23 — $50,747.87 $32,686.80 $118,345.23 $35,955.48 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 45 23 — $50,799.96 $32,512.30 $117,691.51 $35,763.53 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 42 23 — $53,365.35 $33,895.37 $122,872.87 $35,590.14 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 45 23 — $51,542.23 $32,320.82 $116,974.23 $35,552.90 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 45 23 — $42,400.58 $32,289.32 $116,856.19 $35,518.25 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 45 23 — $52,844.46 $32,202.08 $116,529.33 $35,422.29 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 45 23 — $50,500.45 $31,976.66 $126,886.95 $35,174.33 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $35,065.67 $35,065.67 $35,065.67 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 152 17 $87,604.00 $27,244.84 69% off $8,760.00 $98,553.00 $35,063.77 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 25 14 $70,084.00 $12,685.20 82% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 45 23 — $49,341.46 $31,809.44 $136,395.17 $34,990.38 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $34,946.40 $34,946.40 $34,946.40 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $34,886.77 $34,886.77 $34,886.77 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 42 23 — $54,810.82 $18,151.68 $126,220.18 $34,788.89 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 45 23 — $50,148.84 $31,570.31 $114,162.61 $34,727.34 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $34,588.59 $34,588.59 $34,588.59 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,528.95 $34,528.95 $34,528.95 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 45 23 — $49,823.29 $31,327.12 $113,251.63 $34,459.83 2026-03-02
33231 CPT Ins Gen Icd Only W Ld Exist Multi 58 29 $16,977.00 $6,570.10 61% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 58 29 $14,740.00 $5,704.38 61% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 58 29 $21,991.00 $8,510.52 61% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 58 29 $29,247.00 $11,318.59 61% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 5 5 — — $34,111.51 $34,111.51 $34,111.51 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,051.87 $34,051.87 $34,051.87 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $33,992.24 $33,992.24 $33,992.24 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $33,813.33 $33,813.33 $33,813.33 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $33,753.69 $33,753.69 $33,753.69 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $33,753.69 $33,753.69 $33,753.69 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 45 23 — $47,179.76 $30,573.38 $110,427.91 $33,630.72 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,455.52 $33,455.52 $33,455.52 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 45 23 — $46,554.69 $30,368.98 $109,662.20 $33,405.88 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $33,336.24 $33,336.24 $33,336.24 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $33,097.70 $33,097.70 $33,097.70 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 45 23 — $44,679.48 $30,057.13 $108,493.97 $33,062.84 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 45 23 — $47,362.07 $30,055.52 $108,487.92 $33,061.07 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 45 23 — $47,557.41 $30,050.68 $108,469.76 $33,055.75 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 45 23 — $46,020.78 $29,914.96 $107,961.31 $32,906.46 2026-03-02
C2624 HCPCS Imp Sensor Press Pa All Lvl 01 107 15 $65,704.00 $18,002.90 73% off $2,524.89 $82,128.00 $32,852.00 2026-03-02
6310163 CDM Occluder Lvl 09 25 14 $65,704.00 $11,892.42 82% off $9,467.95 $49,278.00 $32,852.00 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 123 17 $65,704.00 $20,433.94 69% off $8,760.00 $82,128.00 $32,850.00 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 45 23 — $45,083.17 $29,785.68 $107,477.07 $32,764.25 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 45 23 — $51,086.45 $29,617.66 $228,344.85 $32,579.43 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 45 23 — $41,684.35 $29,610.40 $106,820.32 $32,571.44 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 45 23 — $46,632.82 $29,538.47 $106,550.96 $32,492.32 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 45 23 — $45,903.58 $29,402.76 $106,042.51 $32,343.04 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 45 23 — $43,976.28 $29,393.87 $106,009.22 $32,333.26 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 5 5 — — $32,322.44 $32,322.44 $32,322.44 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 45 23 — $48,468.97 $29,382.57 $113,360.46 $32,320.83 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 45 23 — $42,530.80 $29,332.47 $105,779.20 $32,265.72 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $32,262.81 $32,262.81 $32,262.81 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 45 23 — $47,583.45 $29,119.20 $104,980.21 $32,031.12 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 45 23 — $44,353.92 $29,088.51 $104,865.20 $31,997.36 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $31,904.99 $31,904.99 $31,904.99 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $31,904.99 $31,904.99 $31,904.99 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 45 23 — $45,005.04 $28,922.90 $104,244.77 $31,815.19 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 45 23 — $43,872.10 $28,879.26 $104,081.34 $31,767.19 2026-03-02
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 45 23 — $40,225.86 $28,835.63 $103,917.90 $31,719.19 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 45 23 — $43,676.76 $28,809.78 $103,821.06 $31,690.76 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 5 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,666.45 $31,666.45 $31,666.45 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 45 23 — $45,395.71 $28,767.78 $103,663.68 $31,644.56 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 5 5 — — $31,487.54 $31,487.54 $31,487.54 2026-03-02
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 45 23 — $43,168.90 $28,614.28 $103,088.64 $31,475.71 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $31,368.27 $31,368.27 $31,368.27 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 45 23 — $44,992.02 $28,499.57 $102,658.88 $31,349.53 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 5 5 — — $31,189.37 $31,189.37 $31,189.37 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 5 5 — — $31,070.10 $31,070.10 $31,070.10 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 45 23 — $44,640.41 $28,214.38 $104,119.82 $31,035.82 2026-03-02
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 45 23 — $43,963.25 $27,925.16 $100,507.04 $30,717.68 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 25 14 $61,324.00 $11,099.64 82% off $8,836.79 $45,993.00 $30,662.00 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 37 20 — $45,031.08 $29,149.90 $119,547.03 $30,607.40 2026-03-02
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 23 — $43,312.14 $27,771.66 $99,932.00 $30,548.83 2026-03-02
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $30,533.38 $30,533.38 $30,533.38 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 5 5 — — $30,473.74 $30,473.74 $30,473.74 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $30,414.10 $30,414.10 $30,414.10 2026-03-02
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $30,354.47 $30,354.47 $30,354.47 2026-03-02
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $30,354.47 $30,354.47 $30,354.47 2026-03-02
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 5 5 — — $30,354.47 $30,354.47 $30,354.47 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 58 29 $75,585.00 $14,285.57 81% off $5,013.00 $56,688.75 $30,299.48 2026-03-02
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 5 5 — — $30,294.83 $30,294.83 $30,294.83 2026-03-02
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