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 GOLDFIELD MEDICAL CENTER

Apache Junction, AZ · CCN 030134 · Rates published

5,452 distinct procedures filed
28 distinct payers
361,758 rate rows
2026-03-02 last MRF observed
Data quality

355,956 of 361,758 rate rows are consumer-grade (98.4%)

5,802 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 3,460
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,890
exceeds 10× this hospital's gross charge — excluded from medians 432
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/900981239_banner-goldfield-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint b33b416ccdf2b9d0… · 72,290,190 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 13 $2.99 $2,819,628.00 $1,597,789.20 nat. median
$1,829
outlier · 873.6×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $123,098.01 $1,141,377.89 $299,408.11 nat. median
$370,174
0.8× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $260,322.21 $260,322.21 $260,322.21 nat. median
$309,665
0.8× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $223,820.17 $852,513.60 $229,415.67 nat. median
$265,286
0.9× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $209,138.80 $209,138.80 $209,138.80 nat. median
$244,017
0.9× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $206,202.04 $206,202.04 $206,202.04 nat. median
$246,434
0.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 22 $188,613.91 $717,970.54 $198,044.61 nat. median
$206,474
1.0× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 21 $170,468.70 $648,627.37 $183,253.86 nat. median
$202,976
0.9× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $181,169.72 $181,169.72 $181,169.72 nat. median
$234,729
0.8× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $159,633.52 $159,633.52 $159,633.52 nat. median
$207,730
0.8× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $143,691.15 $143,691.15 $143,691.15 nat. median
$160,267
0.9× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $141,873.16 $141,873.16 $141,873.16 nat. median
$156,126
0.9× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $140,754.40 $140,754.40 $140,754.40 nat. median
$164,289
0.9× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $137,887.56 $137,887.56 $137,887.56 nat. median
$162,982
0.8× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $137,398.11 $137,398.11 $137,398.11 nat. median
$187,061
0.7× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $125,721.01 $125,721.01 $125,721.01 nat. median
$182,665
0.7× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $124,112.79 $124,112.79 $124,112.79 nat. median
$164,834
0.8× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $122,924.11 $122,924.11 $122,924.11 nat. median
$122,924
1.0× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 21 $112,643.49 $427,644.45 $121,091.75 nat. median
$133,161
0.9× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $118,449.05 $118,449.05 $118,449.05 nat. median
$150,721
0.8× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $117,400.21 $117,400.21 $117,400.21 nat. median
$129,535
0.9× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $116,910.75 $116,910.75 $116,910.75 nat. median
$151,838
0.8× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $112,086.09 $112,086.09 $112,086.09 nat. median
$144,745
0.8× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $111,316.94 $111,316.94 $111,316.94 nat. median
$119,796
0.9× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $109,498.95 $109,498.95 $109,498.95 nat. median
$109,499
1.0× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $109,009.49 $109,009.49 $109,009.49 nat. median
$105,658
1.0× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 18 $104,500.63 $396,525.98 $107,113.15 nat. median
$117,357
0.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 18 $104,239.29 $395,527.23 $106,845.27 nat. median
$122,708
0.9× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $97,052.71 $97,052.71 $97,052.71 nat. median
$91,009
1.1× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $95,234.72 $95,234.72 $95,234.72 nat. median
$93,528
1.0× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 22 $87,015.11 $329,703.88 $91,365.87 nat. median
$102,358
0.9× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $90,479.97 $90,479.97 $90,479.97 nat. median
$118,620
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $88,011.38 $333,511.22 $90,211.67 nat. median
$108,660
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 22 $84,646.38 $320,651.62 $88,878.70 nat. median
$99,019
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 $83,700.79 $317,037.98 $87,885.83 nat. median
$98,894
0.9× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 18 $85,078.78 $322,304.09 $87,205.75 nat. median
$100,136
0.9× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $86,983.84 $86,983.84 $86,983.84 nat. median
$93,370
0.9× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $83,907.24 $83,907.24 $83,907.24 nat. median
$89,796
0.9× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $83,697.47 $83,697.47 $83,697.47 nat. median
$102,919
0.8× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 22 $77,172.72 $292,090.54 $81,031.36 nat. median
$93,672
0.9× median
5933
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $80,970.49 $80,970.49 $80,970.49 nat. median
$108,996
0.7× median
22
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $79,851.72 $79,851.72 $79,851.72 nat. median
$77,804
1.0× median
1611
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $77,963.81 $77,963.81 $77,963.81 nat. median
$76,806
1.0× median
1612
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $77,963.81 $77,963.81 $77,963.81 nat. median
$85,444
0.9× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 $73,694.46 $278,798.15 $77,379.18 nat. median
$83,470
0.9× median
5893
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $76,285.67 $76,285.67 $76,285.67 nat. median
$69,788
1.1× median
5912
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $75,726.28 $75,726.28 $75,726.28 nat. median
$81,294
0.9× median
1604
APR_DRG 		Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 $75,446.59 $75,446.59 $75,446.59 nat. median
$97,957
0.8× median
6074
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 $75,376.67 $75,376.67 $75,376.67 nat. median
$95,507
0.8× median
43
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $74,537.60 $74,537.60 $74,537.60 nat. median
$69,926
1.1× median

Other procedures at this hospital

Browse this hospital's 5,452 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
             
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 68 18 — $233,343.10 $223,820.17 $852,513.60 $229,415.67 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 68 18 — — $63,882.97 $241,302.85 $65,480.04 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 84 21 — $44,397.10 $43,473.55 $163,306.91 $46,734.07 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $46,708.36 $46,708.36 $46,708.36 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $46,708.36 $46,708.36 $46,708.36 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 84 21 — $34,486.11 $33,239.94 $124,198.48 $35,732.93 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 10 5 — — $37,898.10 $37,898.10 $37,898.10 2026-03-02
1214 APR_DRG Apr-DRG 38.00: Other Respiratory And Chest Procedures 10 5 — — $30,975.76 $30,975.76 $30,975.76 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $55,308.86 $55,308.86 $55,308.86 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $35,660.58 $35,660.58 $35,660.58 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $117,400.21 $117,400.21 $117,400.21 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 68 18 — $98,687.97 $104,500.63 $396,525.98 $107,113.15 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 86 22 — $32,531.47 $34,233.84 $127,996.74 $35,945.53 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 68 18 — $53,188.69 $48,542.04 $182,676.51 $49,755.59 2026-03-02
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $35,800.42 $35,800.42 $35,800.42 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $75,446.59 $75,446.59 $75,446.59 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $77,963.81 $77,963.81 $77,963.81 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $77,963.81 $77,963.81 $77,963.81 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $111,316.94 $111,316.94 $111,316.94 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $159,633.52 $159,633.52 $159,633.52 2026-03-02
1622 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $31,814.83 $31,814.83 $31,814.83 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $42,722.77 $42,722.77 $42,722.77 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $65,797.26 $65,797.26 $65,797.26 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 86 22 — $40,591.14 $37,243.26 $139,497.44 $39,105.42 2026-03-02
1633 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 5 — — $34,891.43 $34,891.43 $34,891.43 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 5 — — $54,749.47 $54,749.47 $54,749.47 2026-03-02
1653 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $34,471.89 $34,471.89 $34,471.89 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $50,554.11 $50,554.11 $50,554.11 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 86 22 — $34,942.48 $31,233.15 $116,529.33 $32,794.81 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $43,561.84 $43,561.84 $43,561.84 2026-03-02
1673 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $30,416.37 $30,416.37 $30,416.37 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $53,001.41 $53,001.41 $53,001.41 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 10 5 — — $42,582.92 $42,582.92 $42,582.92 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 68 18 — $53,188.69 $48,542.04 $182,676.51 $49,755.59 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 10 5 — — $36,569.57 $36,569.57 $36,569.57 2026-03-02
1782 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $33,073.44 $33,073.44 $33,073.44 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $38,807.10 $38,807.10 $38,807.10 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $55,308.86 $55,308.86 $55,308.86 2026-03-02
1793 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 5 — — $32,024.60 $32,024.60 $32,024.60 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 5 — — $43,352.07 $43,352.07 $43,352.07 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 66 17 — $317,246.38 $123,098.01 $1,141,377.89 $299,408.11 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 10 5 — — $37,128.95 $37,128.95 $37,128.95 2026-03-02
1824 APR_DRG Apr-DRG 38.00: Other Peripheral Vascular Procedures 10 5 — — $31,325.37 $31,325.37 $31,325.37 2026-03-02
1833 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $33,562.90 $33,562.90 $33,562.90 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $48,736.12 $48,736.12 $48,736.12 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 18 — $68,834.45 $63,521.05 $239,919.73 $65,109.08 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 18 — $105,430.20 $88,011.38 $333,511.22 $90,211.67 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 22 — $72,778.18 $64,580.68 $243,969.19 $67,809.71 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 10 5 — — $39,995.78 $39,995.78 $39,995.78 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 86 22 — $59,483.16 $51,957.75 $195,729.81 $54,555.64 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $61,741.74 $61,741.74 $61,741.74 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 22 — $52,878.70 $44,514.18 $198,257.39 $46,739.89 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 86 22 — $92,746.54 $87,015.11 $329,703.88 $91,365.87 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 10 5 — — $44,680.61 $44,680.61 $44,680.61 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 86 22 — $87,958.96 $84,646.38 $320,651.62 $88,878.70 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $83,567.47 $77,172.72 $292,090.54 $81,031.36 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $54,807.51 $51,884.10 $195,448.34 $54,478.31 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 22 — $49,055.52 $47,856.23 $180,055.56 $50,249.04 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $66,397.60 $62,017.92 $234,175.44 $65,118.82 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $79,851.72 $79,851.72 $79,851.72 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $45,163.46 $42,687.93 $160,304.63 $44,822.33 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $39,855.94 $39,855.94 $39,855.94 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 22 — $40,031.44 $37,111.79 $138,995.04 $38,967.38 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 10 5 — — $39,925.86 $39,925.86 $39,925.86 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 86 22 — $43,389.64 $40,205.96 $150,819.57 $42,216.26 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $95,234.72 $95,234.72 $95,234.72 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 22 — $48,814.42 $45,922.28 $172,664.85 $48,218.39 2026-03-02
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 10 5 — — $34,401.97 $34,401.97 $34,401.97 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 86 22 — $69,876.35 $67,849.86 $256,462.58 $71,242.35 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 86 22 — $51,225.44 $49,118.59 $184,879.81 $51,574.52 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 10 5 — — $46,148.98 $46,148.98 $46,148.98 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 22 — $67,163.96 $62,642.76 $236,563.35 $65,774.90 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 22 — $44,758.75 $42,874.05 $161,015.85 $45,017.75 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 10 5 — — $40,485.24 $40,485.24 $40,485.24 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 86 22 — $50,639.90 $47,340.67 $178,085.31 $49,707.70 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 86 22 — $34,796.10 $33,306.46 $124,452.71 $34,971.78 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 86 22 — $41,391.94 $40,630.44 $152,441.78 $42,661.96 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $181,169.72 $181,169.72 $181,169.72 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 22 — $32,626.19 $30,848.26 $115,058.45 $32,390.67 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 86 22 — $39,015.37 $39,441.72 $147,899.00 $41,413.81 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 86 22 — $38,025.13 $36,159.08 $135,354.16 $37,967.03 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 10 5 — — $46,988.05 $46,988.05 $46,988.05 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 10 5 — — $36,919.19 $36,919.19 $36,919.19 2026-03-02
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 10 5 — — $34,192.20 $34,192.20 $34,192.20 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 86 22 — $30,430.44 $28,991.11 $107,961.31 $30,440.67 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 22 — $53,782.83 $48,184.88 $181,311.56 $50,594.12 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 22 — $42,020.53 $37,999.57 $164,489.34 $39,899.55 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 86 22 — $59,026.79 $53,544.81 $201,794.91 $56,222.05 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 86 22 — $35,812.17 $33,691.36 $125,923.59 $35,375.93 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 86 22 — $43,544.63 $41,391.51 $155,350.24 $43,461.09 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 86 22 — $33,556.15 $31,708.31 $118,345.23 $33,293.73 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 10 5 — — $40,904.78 $40,904.78 $40,904.78 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 86 22 — $60,585.34 $56,707.88 $213,882.76 $59,543.27 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 86 22 — $53,472.85 $49,797.30 $187,473.52 $52,287.17 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 86 22 — $41,176.67 $37,581.43 $140,789.75 $39,460.50 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 86 22 — $38,404.01 $40,364.34 $151,424.87 $42,382.56 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 50 14 $61,324.00 $13,073.05 79% off $8,836.79 $45,993.00 $30,662.00 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 50 14 $70,084.00 $14,940.51 79% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 50 14 $78,844.00 $16,807.96 79% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 50 14 $87,604.00 $18,675.42 79% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 50 14 $96,364.00 $20,542.88 79% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 86 22 — $51,888.46 $48,887.34 $183,996.07 $51,331.71 2026-03-02
294 APR_DRG Apr-DRG 38.00: Other Percutaneous Intracranial Procedures 10 5 — — $32,094.52 $32,094.52 $32,094.52 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 84 21 — $183,581.49 $170,468.70 $648,627.37 $183,253.86 2026-03-02
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $35,590.65 $35,590.65 $35,590.65 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $50,903.73 $50,903.73 $50,903.73 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $66,216.80 $66,216.80 $66,216.80 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $36,779.34 $36,779.34 $36,779.34 2026-03-02
3043 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $32,793.75 $32,793.75 $32,793.75 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $47,407.59 $47,407.59 $47,407.59 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 86 22 — $35,450.52 $33,928.16 $126,828.51 $35,624.57 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 5 — — $46,988.05 $46,988.05 $46,988.05 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 86 22 — — $49,733.94 $187,231.40 $52,220.64 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 86 22 — $37,560.15 $35,529.48 $132,948.09 $37,305.95 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 10 5 — — $35,730.50 $35,730.50 $35,730.50 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 86 22 — $35,648.56 $34,473.01 $128,910.74 $36,196.66 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 86 22 — $43,734.07 $40,963.85 $153,715.93 $43,012.04 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 86 22 — $38,894.82 $37,106.26 $138,973.85 $38,961.57 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 86 22 — $30,783.48 $29,436.19 $109,662.20 $30,908.00 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 86 22 — $33,590.59 $31,537.24 $117,691.51 $33,114.10 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 86 22 — $36,845.46 $34,522.90 $129,101.41 $36,249.04 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 5 — — $39,646.17 $39,646.17 $39,646.17 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 84 21 — $126,578.23 $112,643.49 $427,644.45 $121,091.75 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 86 22 — $33,160.05 $30,613.83 $114,162.61 $32,144.52 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 86 22 — — $31,723.35 $118,402.73 $33,309.52 2026-03-02
4044 APR_DRG Apr-DRG 38.00: Thyroid, Parathyroid And Thyroglossal Procedures 10 5 — — $31,744.91 $31,744.91 $31,744.91 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 86 22 — $47,402.26 $43,733.32 $164,299.61 $45,919.99 2026-03-02
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 10 5 — — $35,520.73 $35,520.73 $35,520.73 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $43,981.38 $43,981.38 $43,981.38 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $52,232.26 $52,232.26 $52,232.26 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 86 22 — $33,676.70 $32,952.47 $123,099.86 $34,600.09 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $83,700.79 $317,037.98 $87,885.83 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $56,990.59 $214,963.22 $59,840.12 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 86 22 — — $44,330.44 $166,581.59 $46,546.96 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 86 22 — — $66,794.18 $252,428.26 $70,133.89 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $74,537.60 $74,537.60 $74,537.60 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 86 22 — — $44,064.34 $165,564.68 $46,267.56 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $109,009.49 $109,009.49 $109,009.49 2026-03-02
4401 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $30,696.07 $30,696.07 $30,696.07 2026-03-02
4402 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $32,583.98 $32,583.98 $32,583.98 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $37,828.18 $37,828.18 $37,828.18 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $58,175.69 $58,175.69 $58,175.69 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 10 5 — — $39,226.63 $39,226.63 $39,226.63 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 86 22 — — $53,838.63 $202,917.75 $56,530.56 2026-03-02
4474 APR_DRG Apr-DRG 38.00: Other Kidney, Urinary Tract And Related Procedures 10 5 — — $32,514.06 $32,514.06 $32,514.06 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 86 22 — — $33,079.96 $123,587.13 $34,733.96 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 74 22 — — $41,526.93 $155,867.78 $41,526.93 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $72,580.13 $67,812.64 $256,320.34 $71,203.27 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $52,310.39 $46,193.90 $173,702.94 $48,503.60 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 22 — $39,015.37 $34,937.10 $130,684.27 $36,683.96 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 86 22 — $58,716.80 $49,340.33 $185,727.23 $51,807.35 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 86 22 — $48,771.37 $43,513.94 $163,461.27 $45,689.64 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 86 22 — $44,664.03 $41,087.41 $154,188.07 $43,141.78 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 86 22 — $42,356.35 $39,208.10 $147,006.18 $41,168.50 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 86 22 — $37,052.12 $36,257.28 $135,729.45 $38,070.14 2026-03-02
4804 APR_DRG Apr-DRG 38.00: Major Male Pelvic Procedures 10 5 — — $31,814.83 $31,814.83 $31,814.83 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 86 22 — $29,810.47 $28,864.40 $107,477.07 $30,307.62 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 68 18 — $89,121.41 $85,078.78 $322,304.09 $87,205.75 2026-03-02
5104 APR_DRG Apr-DRG 38.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 10 5 — — $34,052.35 $34,052.35 $34,052.35 2026-03-02
5114 APR_DRG Apr-DRG 38.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 5 — — $30,696.07 $30,696.07 $30,696.07 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $39,576.25 $39,576.25 $39,576.25 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $50,274.42 $50,274.42 $50,274.42 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $71,530.92 $71,530.92 $71,530.92 2026-03-02
5484 APR_DRG Apr-DRG 38.00: Postpartum And Post Abortion Diagnosis With O.r. Procedure 10 5 — — $32,304.29 $32,304.29 $32,304.29 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 86 22 — $53,541.73 $46,234.97 $186,377.92 $50,995.93 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 86 22 — $48,934.97 $43,468.80 $163,288.75 $45,642.24 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $112,086.09 $112,086.09 $112,086.09 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $141,873.16 $141,873.16 $141,873.16 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $209,138.80 $209,138.80 $209,138.80 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $260,322.21 $260,322.21 $260,322.21 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $60,692.90 $60,692.90 $60,692.90 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $60,692.90 $60,692.90 $60,692.90 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $125,721.01 $125,721.01 $125,721.01 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $206,202.04 $206,202.04 $206,202.04 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $86,983.84 $86,983.84 $86,983.84 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $83,907.24 $83,907.24 $83,907.24 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $76,285.67 $76,285.67 $76,285.67 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $54,539.71 $54,539.71 $54,539.71 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $75,726.28 $75,726.28 $75,726.28 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $83,697.47 $83,697.47 $83,697.47 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $140,754.40 $140,754.40 $140,754.40 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $70,132.47 $70,132.47 $70,132.47 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $80,970.49 $80,970.49 $80,970.49 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $116,910.75 $116,910.75 $116,910.75 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 68 18 — $41,650.27 $39,143.95 $149,827.70 $40,122.55 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $55,238.93 $55,238.93 $55,238.93 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $61,671.82 $61,671.82 $61,671.82 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $90,479.97 $90,479.97 $90,479.97 2026-03-02
6032 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $34,401.97 $34,401.97 $34,401.97 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $52,791.64 $52,791.64 $52,791.64 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $109,498.95 $109,498.95 $109,498.95 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $38,807.10 $38,807.10 $38,807.10 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $48,386.51 $48,386.51 $48,386.51 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $75,376.67 $75,376.67 $75,376.67 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $41,114.55 $41,114.55 $41,114.55 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $66,776.18 $66,776.18 $66,776.18 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $37,408.64 $37,408.64 $37,408.64 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $37,408.64 $37,408.64 $37,408.64 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $55,169.01 $55,169.01 $55,169.01 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $137,887.56 $137,887.56 $137,887.56 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $52,302.18 $52,302.18 $52,302.18 2026-03-02
6113 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $35,031.27 $35,031.27 $35,031.27 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $60,762.83 $60,762.83 $60,762.83 2026-03-02
6123 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 5 — — $33,003.51 $33,003.51 $33,003.51 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 5 — — $49,854.89 $49,854.89 $49,854.89 2026-03-02
6133 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 5 — — $31,325.37 $31,325.37 $31,325.37 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 5 — — $50,134.58 $50,134.58 $50,134.58 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 5 — — $39,086.79 $39,086.79 $39,086.79 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 86 22 — $34,081.40 $31,349.55 $116,974.23 $32,917.03 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $52,302.18 $52,302.18 $52,302.18 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $47,127.90 $47,127.90 $47,127.90 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 86 22 — $32,944.78 $30,375.45 $113,251.63 $31,894.22 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 10 5 — — $36,429.73 $36,429.73 $36,429.73 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 5 — — $42,443.08 $42,443.08 $42,443.08 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 5 — — $51,463.11 $51,463.11 $51,463.11 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 86 22 — $34,572.22 $31,988.66 $119,416.61 $33,588.09 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $58,385.45 $58,385.45 $58,385.45 2026-03-02
6302 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $32,933.59 $32,933.59 $32,933.59 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $59,154.60 $59,154.60 $59,154.60 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $118,449.05 $118,449.05 $118,449.05 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $40,974.70 $40,974.70 $40,974.70 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $122,924.11 $122,924.11 $122,924.11 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $46,358.75 $46,358.75 $46,358.75 2026-03-02
6344 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 10 5 — — $31,255.45 $31,255.45 $31,255.45 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $97,052.71 $97,052.71 $97,052.71 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 70 19 — $38,731.22 $37,228.21 $139,439.93 $39,089.62 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 10 5 — — $46,218.90 $46,218.90 $46,218.90 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 86 22 — $46,618.68 $44,888.77 $168,715.27 $47,133.21 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 86 22 — $31,842.61 $29,662.69 $126,798.24 $33,920.23 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 5 — — $51,043.57 $51,043.57 $51,043.57 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 5 — — $45,100.14 $45,100.14 $45,100.14 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 10 5 — — $48,386.51 $48,386.51 $48,386.51 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 10 5 — — $44,121.22 $44,121.22 $44,121.22 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 68 18 — $105,619.63 $104,239.29 $395,527.23 $106,845.27 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $40,555.17 $40,555.17 $40,555.17 2026-03-02
7104 APR_DRG Apr-DRG 38.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 10 5 — — $33,353.13 $33,353.13 $33,353.13 2026-03-02
7114 APR_DRG Apr-DRG 38.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 10 5 — — $33,003.51 $33,003.51 $33,003.51 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $58,735.07 $58,735.07 $58,735.07 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $70,691.85 $70,691.85 $70,691.85 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 86 22 — $33,470.04 $31,924.51 $119,171.46 $33,520.74 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 86 22 — $31,136.52 $32,267.43 $120,481.94 $33,880.80 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $137,398.11 $137,398.11 $137,398.11 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 80 22 — $51,664.58 $47,820.58 $179,919.37 $49,733.40 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 80 22 — $35,286.91 $32,893.06 $122,872.87 $34,208.78 2026-03-02
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $35,590.65 $35,590.65 $35,590.65 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 80 22 — $36,242.71 $13,188.44 $126,220.18 $33,768.96 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 86 22 — $42,666.34 $38,396.34 $143,904.02 $40,316.16 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 68 18 — $45,309.84 $43,831.51 $176,305.14 $44,927.30 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 86 22 — $29,543.53 $29,130.49 $108,493.97 $30,587.01 2026-03-02
82 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $33,143.36 $33,143.36 $33,143.36 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 86 22 — $52,069.29 $46,850.44 $176,211.91 $49,192.96 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 86 22 — $38,765.66 $37,800.01 $141,625.07 $39,690.01 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 86 22 — $39,850.62 $38,560.28 $144,530.51 $40,488.29 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $38,807.10 $38,807.10 $38,807.10 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 86 22 — $48,211.67 $44,514.18 $167,283.73 $46,739.89 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 86 22 — $41,710.54 $40,395.23 $151,542.91 $42,414.99 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $61,951.51 $61,951.51 $61,951.51 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $37,128.95 $37,128.95 $37,128.95 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $37,128.95 $37,128.95 $37,128.95 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $57,126.85 $57,126.85 $57,126.85 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $143,691.15 $143,691.15 $143,691.15 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $71,461.00 $71,461.00 $71,461.00 2026-03-02
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 10 5 — — $35,590.65 $35,590.65 $35,590.65 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 86 22 — — $73,694.46 $278,798.15 $77,379.18 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 5 — — $44,540.76 $44,540.76 $44,540.76 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 22 — $43,045.21 $40,348.51 $151,364.34 $42,365.94 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 86 22 — $38,128.46 $36,470.32 $136,543.57 $38,293.84 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 10 5 — — $71,880.54 $71,880.54 $71,880.54 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 86 22 — $59,973.97 $55,832.78 $210,538.47 $58,624.42 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 84 22 — $32,135.37 $31,861.15 $118,929.34 $34,250.74 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 10 5 — — $42,443.08 $42,443.08 $42,443.08 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 86 22 — $37,267.39 $35,828.05 $134,089.08 $37,619.45 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 86 22 — $28,036.65 $31,318.67 $116,856.19 $32,884.60 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 86 22 — $32,032.04 $32,289.61 $120,566.68 $33,904.09 2026-03-02
91 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $32,863.67 $32,863.67 $32,863.67 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 10 5 — — $49,924.81 $49,924.81 $49,924.81 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 5 — — $49,015.81 $49,015.81 $49,015.81 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 5 — — $46,009.14 $46,009.14 $46,009.14 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 10 5 — — $42,652.85 $42,652.85 $42,652.85 2026-03-02
92 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $32,863.67 $32,863.67 $32,863.67 2026-03-02
924 APR_DRG Apr-DRG 38.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 10 5 — — $32,164.44 $32,164.44 $32,164.44 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 86 22 — $226,971.13 $188,613.91 $717,970.54 $198,044.61 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 86 22 — $59,586.49 $53,634.31 $202,136.91 $56,316.03 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $54,959.24 $54,959.24 $54,959.24 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 86 22 — — $35,007.57 $130,953.63 $36,757.95 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $124,112.79 $124,112.79 $124,112.79 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 86 22 — $31,196.80 $29,636.56 $110,427.91 $31,118.39 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $39,576.25 $39,576.25 $39,576.25 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 86 22 — $52,439.55 $54,817.49 $206,658.50 $57,558.36 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 86 22 — $33,392.54 $31,012.17 $115,684.94 $32,562.78 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 86 22 — $62,281.66 $59,853.51 $225,904.01 $62,846.19 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 86 22 — $34,830.54 $33,288.24 $124,383.10 $34,952.65 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 86 22 — $59,181.78 $50,826.05 $191,404.94 $53,367.35 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 86 22 — $31,317.35 $29,128.92 $108,487.92 $30,585.37 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 86 22 — $40,711.69 $38,389.21 $143,876.78 $40,308.67 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 302 17 $87,604.00 $18,675.42 79% off $8,760.00 $98,553.00 $33,311.93 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 244 17 $65,704.00 $14,006.78 79% off $8,760.00 $82,128.00 $31,214.70 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 360 17 $78,840.00 $16,807.11 79% off $12,264.00 $91,983.00 $36,793.27 2026-03-02
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 52 13 $3,759,504.00 $801,451.06 79% off $2.99 $2,819,628.00 $1,597,789.20 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 502 17 $109,504.00 $23,344.06 79% off $10,074.00 $164,253.00 $54,752.00 2026-03-02
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