Price Transparency 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 OCOTILLO MEDICAL CENTER

Chandler, AZ · CCN 030147 · Rates published

6,455 distinct procedures filed
25 distinct payers
411,188 rate rows
2026-03-02 last MRF observed
Data quality

404,068 of 411,188 rate rows are consumer-grade (98.3%)

7,120 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 4,498
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,966
exceeds 10× this hospital's gross charge — excluded from medians 554
placeholder amount (≤ $0.02) — excluded from medians 102
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/450233470_banner-ocotillo-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 2d2f1603cfb2b948… · 80,280,879 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 11 $4.73 $2,819,628.00 $1,503,801.60 nat. median
$1,829
outlier · 822.3×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $151,683.78 $1,141,377.89 $293,002.00 nat. median
$370,174
0.8× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $218,926.36 $852,513.60 $224,399.52 nat. median
$265,286
0.8× median
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $223,657.36 $223,657.36 $223,657.36 nat. median
$309,665
0.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 20 $184,424.49 $717,970.54 $193,645.71 nat. median
$206,474
0.9× median
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $179,682.83 $179,682.83 $179,682.83 nat. median
$244,017
0.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 $166,642.31 $648,627.37 $179,140.48 nat. median
$202,976
0.9× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $177,159.70 $177,159.70 $177,159.70 nat. median
$246,434
0.7× median
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $155,653.03 $155,653.03 $155,653.03 nat. median
$234,729
0.7× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $137,150.08 $137,150.08 $137,150.08 nat. median
$207,730
0.7× median
8414
APR_DRG 		Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 $123,453.10 $123,453.10 $123,453.10 nat. median
$160,267
0.8× median
5832
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $121,891.16 $121,891.16 $121,891.16 nat. median
$156,126
0.8× median
5914
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,929.97 $120,929.97 $120,929.97 nat. median
$164,289
0.7× median
6094
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $118,466.91 $118,466.91 $118,466.91 nat. median
$162,982
0.7× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 $109,974.01 $427,644.45 $118,222.06 nat. median
$133,161
0.9× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $118,046.39 $118,046.39 $118,046.39 nat. median
$187,061
0.6× median
5883
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $108,013.95 $108,013.95 $108,013.95 nat. median
$182,665
0.6× median
94
APR_DRG 		Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 $106,632.24 $106,632.24 $106,632.24 nat. median
$164,834
0.6× median
6314
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $105,610.97 $105,610.97 $105,610.97 nat. median
$122,924
0.9× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 16 $101,994.07 $396,525.98 $104,543.92 nat. median
$117,357
0.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 16 $101,737.95 $395,527.23 $104,281.40 nat. median
$122,708
0.8× median
6304
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $101,766.20 $101,766.20 $101,766.20 nat. median
$150,721
0.7× median
14
APR_DRG 		Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 $100,865.09 $100,865.09 $100,865.09 nat. median
$129,535
0.8× median
5934
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $100,444.56 $100,444.56 $100,444.56 nat. median
$151,838
0.7× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $96,299.42 $96,299.42 $96,299.42 nat. median
$144,745
0.7× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $95,638.60 $95,638.60 $95,638.60 nat. median
$119,796
0.8× median
6034
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 5 $94,076.67 $94,076.67 $94,076.67 nat. median
$109,499
0.9× median
44
APR_DRG 		Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $93,656.15 $93,656.15 $93,656.15 nat. median
$105,658
0.9× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 20 $84,858.38 $329,703.88 $89,101.30 nat. median
$102,358
0.9× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $85,834.73 $375,329.45 $87,980.60 nat. median
$108,660
0.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 20 $82,537.04 $355,449.83 $86,663.89 nat. median
$99,019
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 20 $81,610.37 $317,037.98 $85,690.89 nat. median
$98,894
0.9× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 16 $82,960.80 $322,304.09 $85,034.82 nat. median
$100,136
0.8× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $83,383.41 $83,383.41 $83,383.41 nat. median
$91,009
0.9× median
23
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $81,821.47 $81,821.47 $81,821.47 nat. median
$93,528
0.9× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 20 $75,212.91 $292,090.54 $78,973.56 nat. median
$93,672
0.8× median
6024
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $77,736.40 $77,736.40 $77,736.40 nat. median
$118,620
0.7× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 20 $71,804.25 $278,798.15 $75,394.46 nat. median
$83,470
0.9× median
5891
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $74,732.68 $74,732.68 $74,732.68 nat. median
$93,370
0.8× median
5892
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $72,089.40 $72,089.40 $72,089.40 nat. median
$89,796
0.8× median
5913
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $71,909.18 $71,909.18 $71,909.18 nat. median
$102,919
0.7× median
2793826
CDM 		Fix Extrnl Lw/up/pelvic Lvl 28 12 $20,513.21 $106,765.50 $71,177.00 nat. median
$71,177
1.0× median
5933
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $69,566.27 $69,566.27 $69,566.27 nat. median
$108,996
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 20 $66,076.57 $256,462.58 $69,380.40 nat. median
$79,312
0.9× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 20 $66,040.10 $256,320.34 $69,342.10 nat. median
$81,118
0.9× median
22
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $68,605.08 $68,605.08 $68,605.08 nat. median
$77,804
0.9× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $65,042.03 $252,428.26 $68,294.13 nat. median
$82,711
0.8× median
1611
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,983.07 $66,983.07 $66,983.07 nat. median
$76,806
0.9× median
1612
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,983.07 $66,983.07 $66,983.07 nat. median
$85,444
0.8× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 20 $62,872.80 $280,941.55 $66,016.44 nat. median
$77,570
0.9× median

Other procedures at this hospital

Browse this hospital's 6,455 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 48 11 $3,759,504.00 $1,137,249.96 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 62 15 — $415,283.07 $151,683.78 $1,141,377.89 $293,002.00 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 64 16 — $305,451.67 $218,926.36 $852,513.60 $224,399.52 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $223,657.36 $223,657.36 $223,657.36 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 82 20 — $297,110.62 $184,424.49 $717,970.54 $193,645.71 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $179,682.83 $179,682.83 $179,682.83 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 80 19 — $240,312.54 $166,642.31 $648,627.37 $179,140.48 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $177,159.70 $177,159.70 $177,159.70 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $155,653.03 $155,653.03 $155,653.03 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $137,150.08 $137,150.08 $137,150.08 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $123,453.10 $123,453.10 $123,453.10 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $121,891.16 $121,891.16 $121,891.16 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $120,929.97 $120,929.97 $120,929.97 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $118,466.91 $118,466.91 $118,466.91 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 80 19 — $165,693.92 $109,974.01 $427,644.45 $118,222.06 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $118,046.39 $118,046.39 $118,046.39 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $108,013.95 $108,013.95 $108,013.95 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $106,632.24 $106,632.24 $106,632.24 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $105,610.97 $105,610.97 $105,610.97 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 64 16 — $129,184.90 $101,994.07 $396,525.98 $104,543.92 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 64 16 — $138,258.61 $101,737.95 $395,527.23 $104,281.40 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $101,766.20 $101,766.20 $101,766.20 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $100,865.09 $100,865.09 $100,865.09 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $100,444.56 $100,444.56 $100,444.56 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 10 5 — — $96,299.42 $96,299.42 $96,299.42 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $95,638.60 $95,638.60 $95,638.60 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $94,076.67 $94,076.67 $94,076.67 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $93,656.15 $93,656.15 $93,656.15 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 82 20 — $121,407.43 $84,858.38 $329,703.88 $89,101.30 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 64 16 — $138,010.64 $85,834.73 $375,329.45 $87,980.60 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 82 20 — $115,140.37 $82,537.04 $355,449.83 $86,663.89 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 82 20 — — $81,610.37 $317,037.98 $85,690.89 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 64 16 — $116,662.05 $82,960.80 $322,304.09 $85,034.82 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $83,383.41 $83,383.41 $83,383.41 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $81,821.47 $81,821.47 $81,821.47 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 82 20 — $109,391.80 $75,212.91 $292,090.54 $78,973.56 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $77,736.40 $77,736.40 $77,736.40 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 82 20 — — $71,804.25 $278,798.15 $75,394.46 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $74,732.68 $74,732.68 $74,732.68 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $72,089.40 $72,089.40 $72,089.40 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $71,909.18 $71,909.18 $71,909.18 2026-03-02
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 46 12 $142,354.00 $30,463.76 79% off $20,513.21 $106,765.50 $71,177.00 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $69,566.27 $69,566.27 $69,566.27 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 82 20 — $91,469.81 $66,076.57 $256,462.58 $69,380.40 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 82 20 — $95,009.12 $66,040.10 $256,320.34 $69,342.10 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $68,605.08 $68,605.08 $68,605.08 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 82 20 — — $65,042.03 $252,428.26 $68,294.13 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $66,983.07 $66,983.07 $66,983.07 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 10 5 — — $66,983.07 $66,983.07 $66,983.07 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 82 20 — $95,268.37 $62,872.80 $280,941.55 $66,016.44 2026-03-02
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 46 12 $131,404.00 $28,120.46 79% off $18,935.32 $98,553.00 $65,702.00 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 5 — — $65,541.28 $65,541.28 $65,541.28 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $65,060.68 $65,060.68 $65,060.68 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $64,820.39 $64,820.39 $64,820.39 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $64,760.31 $64,760.31 $64,760.31 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $64,039.42 $64,039.42 $64,039.42 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 82 20 — $87,919.22 $60,973.66 $236,563.35 $64,022.34 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 64 16 — — $62,189.05 $241,302.85 $63,743.78 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 64 16 — $90,105.93 $61,834.37 $257,629.57 $63,380.23 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 82 20 — $86,916.04 $60,361.32 $234,175.44 $63,379.39 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 10 5 — — $61,756.59 $61,756.59 $61,756.59 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $61,456.21 $61,456.21 $61,456.21 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $61,396.14 $61,396.14 $61,396.14 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 82 20 — $81,528.17 $58,240.21 $225,904.01 $61,152.22 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $60,735.32 $60,735.32 $60,735.32 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $60,254.72 $60,254.72 $60,254.72 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 46 12 $116,512.00 $24,933.57 79% off $16,789.38 $87,384.00 $58,256.00 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 82 20 — — $55,434.58 $214,963.22 $58,206.31 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 82 20 — $79,307.65 $55,157.51 $251,838.75 $57,915.39 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $57,371.15 $57,371.15 $57,371.15 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 82 20 — $78,507.36 $54,299.92 $210,538.47 $57,014.92 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $56,890.55 $56,890.55 $56,890.55 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $56,530.10 $56,530.10 $56,530.10 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 82 20 — $68,644.62 $53,304.94 $206,658.50 $55,970.19 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 82 20 — — $52,345.67 $202,917.75 $54,962.95 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 82 20 — $78,000.13 $52,145.43 $202,136.91 $54,752.70 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 462 15 $109,504.00 $30,989.63 72% off $10,074.00 $164,253.00 $54,752.00 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 82 20 — $77,267.47 $52,057.74 $201,794.91 $54,660.63 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $53,226.01 $53,226.01 $53,226.01 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 10 5 — — $53,045.78 $53,045.78 $53,045.78 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 82 20 — $77,864.87 $50,502.41 $195,729.81 $53,027.53 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $52,985.71 $52,985.71 $52,985.71 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 82 20 — $71,744.34 $50,430.24 $195,448.34 $52,951.75 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 46 12 $105,124.00 $22,496.54 79% off $15,148.37 $78,843.00 $52,562.00 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $52,204.74 $52,204.74 $52,204.74 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $52,144.67 $52,144.67 $52,144.67 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $52,144.67 $52,144.67 $52,144.67 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 82 20 — $77,470.36 $49,393.35 $191,404.94 $51,863.02 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 5 — — $50,823.03 $50,823.03 $50,823.03 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 82 20 — $69,997.23 $48,385.19 $187,473.52 $50,804.45 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 82 20 — — $48,323.10 $187,231.40 $50,739.25 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 82 20 — $70,087.40 $48,104.24 $186,377.92 $50,509.45 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $50,462.58 $50,462.58 $50,462.58 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 82 20 — $76,861.69 $47,937.37 $185,727.23 $50,334.24 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $50,162.21 $50,162.21 $50,162.21 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 82 20 — $67,055.32 $47,720.07 $184,879.81 $50,106.07 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $49,981.98 $49,981.98 $49,981.98 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 82 20 — $67,923.24 $47,493.44 $183,996.07 $49,868.11 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 82 20 — $70,403.01 $46,805.03 $220,162.71 $49,145.28 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $49,080.87 $49,080.87 $49,080.87 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 82 20 — $64,214.85 $46,482.96 $180,055.56 $48,807.11 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 64 16 — $69,625.26 $47,155.06 $182,676.51 $48,333.93 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 64 16 — $69,625.26 $47,155.06 $192,133.82 $48,333.93 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 76 20 — $67,630.17 $46,448.03 $179,919.37 $48,305.95 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 82 20 — $66,288.84 $45,977.70 $178,085.31 $48,276.58 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 46 12 $96,364.00 $20,621.90 79% off $13,886.05 $72,273.00 $48,182.00 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 82 20 — $68,159.94 $45,497.29 $176,211.91 $47,772.15 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $47,518.93 $47,518.93 $47,518.93 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $47,518.93 $47,518.93 $47,518.93 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 5 — — $47,458.86 $47,458.86 $47,458.86 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $47,398.78 $47,398.78 $47,398.78 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 10 5 — — $47,218.56 $47,218.56 $47,218.56 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 82 20 — $68,475.55 $44,853.88 $173,702.94 $47,096.57 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 5 — — $47,038.33 $47,038.33 $47,038.33 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $46,858.11 $46,858.11 $46,858.11 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 82 20 — $63,899.24 $44,587.69 $172,664.85 $46,817.07 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 82 20 — $61,024.96 $43,574.87 $168,715.27 $45,753.61 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $45,536.47 $45,536.47 $45,536.47 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 82 20 — $63,110.22 $43,207.78 $167,283.73 $45,368.17 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 82 20 — $69,219.48 $43,207.78 $244,296.64 $45,368.17 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $45,356.25 $45,356.25 $45,356.25 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 80 19 — $58,116.86 $42,187.97 $163,306.91 $45,352.07 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 82 20 — — $43,027.72 $166,581.59 $45,179.11 2026-03-02
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $44,935.73 $44,935.73 $44,935.73 2026-03-02
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 10 5 — — $44,935.73 $44,935.73 $44,935.73 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 82 20 — — $42,766.94 $165,765.34 $44,905.29 2026-03-02
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $44,875.65 $44,875.65 $44,875.65 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 82 20 — $62,050.68 $42,442.53 $164,299.61 $44,564.66 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 82 20 — $63,842.88 $42,227.56 $163,461.27 $44,338.94 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 82 20 — $64,057.04 $42,183.31 $163,288.75 $44,292.48 2026-03-02
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 10 5 — — $44,214.83 $44,214.83 $44,214.83 2026-03-02
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 5 — — $43,854.39 $43,854.39 $43,854.39 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 46 12 $87,604.00 $18,747.26 79% off $12,623.74 $65,703.00 $43,802.00 2026-03-02
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $43,734.24 $43,734.24 $43,734.24 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 82 20 — $58,590.27 $41,600.46 $161,015.85 $43,680.48 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 64 16 — $59,311.66 $42,538.77 $217,246.65 $43,602.24 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 82 20 — $59,120.04 $41,418.07 $160,304.63 $43,488.97 2026-03-02
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $43,433.86 $43,433.86 $43,433.86 2026-03-02
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $43,193.57 $43,193.57 $43,193.57 2026-03-02
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 5 — — $43,073.42 $43,073.42 $43,073.42 2026-03-02
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 10 5 — — $42,893.19 $42,893.19 $42,893.19 2026-03-02
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 5 — — $42,833.12 $42,833.12 $42,833.12 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 82 20 — $57,000.96 $40,147.58 $155,350.24 $42,154.96 2026-03-02
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 5 — — $42,112.22 $42,112.22 $42,112.22 2026-03-02
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $41,871.93 $41,871.93 $41,871.93 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 82 20 — $58,466.28 $39,849.55 $154,188.07 $41,842.03 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 82 20 — $57,248.94 $39,728.48 $153,715.93 $41,714.90 2026-03-02
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 10 5 — — $41,571.55 $41,571.55 $41,571.55 2026-03-02
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $41,571.55 $41,571.55 $41,571.55 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 82 20 — $54,183.04 $39,401.74 $152,441.78 $41,371.83 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 82 20 — $54,600.09 $39,171.23 $151,542.91 $41,129.79 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 82 20 — $50,271.76 $39,140.96 $151,424.87 $41,098.01 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 82 20 — $56,347.20 $39,125.44 $151,364.34 $41,081.71 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 82 20 — $56,798.07 $38,985.75 $180,738.04 $40,935.04 2026-03-02
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $40,730.51 $40,730.51 $40,730.51 2026-03-02
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $40,490.21 $40,490.21 $40,490.21 2026-03-02
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 5 — — $40,370.06 $40,370.06 $40,370.06 2026-03-02
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 10 5 — — $40,370.06 $40,370.06 $40,370.06 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 70 20 — — $40,280.29 $155,867.78 $40,280.29 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 82 20 — $51,072.05 $38,236.80 $147,899.00 $40,148.64 2026-03-02
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $40,129.77 $40,129.77 $40,129.77 2026-03-02
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 10 5 — — $40,129.77 $40,129.77 $40,129.77 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 82 20 — $55,445.47 $38,007.85 $147,006.18 $39,908.24 2026-03-02
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $39,829.39 $39,829.39 $39,829.39 2026-03-02
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 10 5 — — $39,709.24 $39,709.24 $39,709.24 2026-03-02
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 10 5 — — $39,649.17 $39,649.17 $39,649.17 2026-03-02
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 5 — — $39,529.02 $39,529.02 $39,529.02 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 46 12 $78,844.00 $16,872.62 79% off $11,361.42 $59,133.00 $39,422.00 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 82 20 — $52,165.41 $37,373.00 $144,530.51 $39,241.65 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 82 20 — $55,851.25 $37,212.34 $143,904.02 $39,072.96 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 82 20 — $53,292.58 $37,205.35 $143,876.78 $39,065.62 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 64 16 — $54,521.19 $37,944.98 $184,620.62 $38,893.61 2026-03-02
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 5 — — $38,748.05 $38,748.05 $38,748.05 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 82 20 — $55,005.87 $36,823.51 $202,686.99 $38,664.69 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 82 20 — $50,745.17 $36,627.94 $141,625.07 $38,459.34 2026-03-02
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 10 5 — — $38,387.61 $38,387.61 $38,387.61 2026-03-02
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 5 — — $38,267.46 $38,267.46 $38,267.46 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 82 20 — $53,901.25 $36,413.73 $140,789.75 $38,234.42 2026-03-02
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 10 5 — — $37,907.01 $37,907.01 $37,907.01 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 82 20 — $53,134.77 $36,082.32 $139,497.44 $37,886.44 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 66 17 — $50,700.09 $36,067.58 $139,439.93 $37,870.96 2026-03-02
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $37,786.86 $37,786.86 $37,786.86 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 82 20 — $52,402.11 $35,953.48 $146,637.46 $37,751.15 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 82 20 — $50,914.25 $35,948.06 $138,973.85 $37,745.46 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 336 15 $78,840.00 $22,311.72 72% off $12,264.00 $91,983.00 $37,632.96 2026-03-02
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $37,426.41 $37,426.41 $37,426.41 2026-03-02
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 10 5 — — $37,246.19 $37,246.19 $37,246.19 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 82 20 — $49,911.07 $35,324.85 $136,543.57 $37,091.09 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 82 20 — $48,502.10 $35,116.06 $135,729.45 $36,871.86 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 82 20 — $49,775.81 $35,019.84 $163,307.76 $36,770.83 2026-03-02
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $36,705.52 $36,705.52 $36,705.52 2026-03-02
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 10 5 — — $36,645.44 $36,645.44 $36,645.44 2026-03-02
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 10 5 — — $36,585.37 $36,585.37 $36,585.37 2026-03-02
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 10 5 — — $36,465.22 $36,465.22 $36,465.22 2026-03-02
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 10 5 — — $36,465.22 $36,465.22 $36,465.22 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 82 20 — $48,783.90 $34,695.42 $134,089.08 $36,430.19 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 82 20 — $49,167.13 $34,402.84 $148,430.05 $36,122.98 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 82 20 — — $33,891.37 $130,953.63 $35,585.94 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 82 20 — $51,072.05 $33,822.30 $130,684.27 $35,513.42 2026-03-02
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 5 — — $35,323.81 $35,323.81 $35,323.81 2026-03-02
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $35,203.66 $35,203.66 $35,203.66 2026-03-02
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 10 5 — — $35,143.58 $35,143.58 $35,143.58 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 82 20 — $48,231.58 $33,416.40 $129,101.41 $35,087.22 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 282 15 $87,604.00 $23,565.48 73% off $8,760.00 $98,553.00 $35,084.87 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 46 12 $70,084.00 $14,997.98 79% off $10,099.10 $52,563.00 $35,042.00 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 82 20 — $46,664.82 $33,367.50 $128,910.74 $35,035.88 2026-03-02
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 10 5 — — $34,843.21 $34,843.21 $34,843.21 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 82 20 — $42,584.46 $33,133.12 $127,996.74 $34,789.78 2026-03-02
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 10 5 — — $34,783.14 $34,783.14 $34,783.14 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 80 19 — $45,143.14 $32,159.09 $124,198.48 $34,571.02 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 82 20 — $46,405.57 $32,833.54 $126,828.51 $34,475.22 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 82 20 — $41,682.73 $32,825.78 $126,798.24 $34,467.07 2026-03-02
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 10 5 — — $34,362.61 $34,362.61 $34,362.61 2026-03-02
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 10 5 — — $34,302.54 $34,302.54 $34,302.54 2026-03-02
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $34,242.46 $34,242.46 $34,242.46 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 82 20 — $46,878.98 $32,601.48 $125,923.59 $34,231.55 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 106 25 $21,991.00 $9,917.94 55% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 106 25 $29,247.00 $13,190.40 55% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 106 25 $14,740.00 $6,647.74 55% off $4,018.00 $61,894.00 $34,171.87 2026-03-02
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 5 — — $34,062.24 $34,062.24 $34,062.24 2026-03-02
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $34,002.17 $34,002.17 $34,002.17 2026-03-02
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $34,002.17 $34,002.17 $34,002.17 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 82 20 — $45,548.92 $32,224.30 $124,452.71 $33,835.51 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 82 20 — $45,594.01 $32,206.44 $124,383.10 $33,816.76 2026-03-02
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 10 5 — — $33,701.79 $33,701.79 $33,701.79 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 82 20 — — $32,002.32 $123,587.13 $33,602.44 2026-03-02
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 5 — — $33,581.65 $33,581.65 $33,581.65 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 82 20 — $44,083.60 $31,877.37 $123,099.86 $33,471.24 2026-03-02
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 5 — — $33,341.35 $33,341.35 $33,341.35 2026-03-02
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $33,341.35 $33,341.35 $33,341.35 2026-03-02
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $33,341.35 $33,341.35 $33,341.35 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 80 20 — $42,065.97 $30,807.90 $118,929.34 $33,118.49 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 76 20 — $46,191.41 $31,819.15 $122,872.87 $33,091.92 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 82 20 — $41,930.71 $31,227.78 $120,566.68 $32,789.17 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 82 20 — $40,758.45 $31,206.05 $120,481.94 $32,766.35 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 76 20 — $47,442.57 $16,251.06 $126,220.18 $32,677.54 2026-03-02
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 10 5 — — $32,560.38 $32,560.38 $32,560.38 2026-03-02
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 10 5 — — $32,500.30 $32,500.30 $32,500.30 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 82 20 — $45,255.86 $30,932.86 $119,416.61 $32,479.50 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 82 20 — $43,813.08 $30,869.99 $119,171.46 $32,413.49 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 228 15 $65,704.00 $17,674.38 73% off $8,760.00 $82,128.00 $32,358.22 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 82 20 — — $30,672.84 $142,085.76 $32,206.48 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 82 20 — $43,925.80 $30,658.11 $118,345.23 $32,191.02 2026-03-02
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $32,139.86 $32,139.86 $32,139.86 2026-03-02
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $32,139.86 $32,139.86 $32,139.86 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 82 20 — $43,970.88 $30,490.48 $117,691.51 $32,015.00 2026-03-02
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 10 5 — — $31,899.56 $31,899.56 $31,899.56 2026-03-02
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $31,899.56 $31,899.56 $31,899.56 2026-03-02
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 10 5 — — $31,899.56 $31,899.56 $31,899.56 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 336 15 $65,704.00 $18,594.23 72% off $5,694.00 $98,553.00 $31,833.59 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 82 20 — $44,613.37 $30,306.53 $116,974.23 $31,821.86 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 82 20 — $36,700.64 $30,276.26 $116,856.19 $31,790.07 2026-03-02
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 10 5 — — $31,719.34 $31,719.34 $31,719.34 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 82 20 — $45,740.54 $30,192.45 $116,529.33 $31,702.07 2026-03-02
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $31,599.19 $31,599.19 $31,599.19 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 82 20 — $43,711.63 $29,975.90 $115,684.94 $31,474.69 2026-03-02
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 10 5 — — $31,418.96 $31,418.96 $31,418.96 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 82 20 — $42,708.45 $29,815.27 $122,115.28 $31,306.03 2026-03-02
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 10 5 — — $31,298.81 $31,298.81 $31,298.81 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 82 20 — $43,407.30 $29,585.53 $114,162.61 $31,064.81 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 82 20 — $43,125.51 $29,351.91 $113,251.63 $30,819.51 2026-03-02
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $30,758.14 $30,758.14 $30,758.14 2026-03-02
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 10 5 — — $30,698.07 $30,698.07 $30,698.07 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 46 12 $61,324.00 $13,123.34 79% off $8,836.79 $45,993.00 $30,662.00 2026-03-02
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $30,637.99 $30,637.99 $30,637.99 2026-03-02
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 10 5 — — $30,577.92 $30,577.92 $30,577.92 2026-03-02
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $30,577.92 $30,577.92 $30,577.92 2026-03-02
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $30,577.92 $30,577.92 $30,577.92 2026-03-02
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 10 5 — — $30,517.85 $30,517.85 $30,517.85 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 106 25 $75,585.00 $15,117.00 80% off $5,013.00 $56,688.75 $30,299.48 2026-03-02
6113 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $30,097.32 $30,097.32 $30,097.32 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 82 20 — $40,837.35 $28,627.81 $110,427.91 $30,059.20 2026-03-02
1633 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 5 — — $29,977.18 $29,977.18 $29,977.18 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 82 20 — $40,296.31 $28,431.45 $109,662.20 $29,853.02 2026-03-02
1653 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $29,616.73 $29,616.73 $29,616.73 2026-03-02
6032 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 5 — — $29,556.65 $29,556.65 $29,556.65 2026-03-02
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 10 5 — — $29,556.65 $29,556.65 $29,556.65 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 82 20 — $38,673.19 $28,131.86 $108,493.97 $29,538.45 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 82 20 — $40,995.16 $28,130.32 $108,487.92 $29,536.84 2026-03-02
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 82 20 — $41,164.23 $28,125.66 $108,469.76 $29,531.94 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 82 20 — $39,834.17 $27,995.28 $107,961.31 $29,395.04 2026-03-02
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 10 5 — — $29,376.43 $29,376.43 $29,376.43 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 82 20 — $39,022.61 $27,871.11 $107,477.07 $29,264.67 2026-03-02
5104 APR_DRG Apr-DRG 38.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 10 5 — — $29,256.28 $29,256.28 $29,256.28 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 82 20 — $44,218.86 $27,709.66 $204,438.28 $29,095.14 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 82 20 — $36,080.70 $27,702.69 $106,820.32 $29,087.82 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 82 20 — $40,363.94 $27,633.61 $106,550.96 $29,015.29 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 82 20 — $39,732.73 $27,503.23 $106,042.51 $28,878.39 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 82 20 — $38,064.51 $27,494.70 $106,009.22 $28,869.44 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 82 20 — $41,953.25 $27,483.83 $105,966.84 $28,858.02 2026-03-02
1833 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 10 5 — — $28,835.76 $28,835.76 $28,835.76 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 82 20 — $36,813.36 $27,435.72 $105,779.20 $28,807.51 2026-03-02
7104 APR_DRG Apr-DRG 38.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 10 5 — — $28,655.54 $28,655.54 $28,655.54 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 66 17 — $38,977.52 $27,260.31 $107,031.06 $28,623.33 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 82 20 — $41,186.77 $27,230.81 $104,980.21 $28,592.35 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 82 20 — $38,391.39 $27,201.32 $104,865.20 $28,561.39 2026-03-02
82 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $28,475.31 $28,475.31 $28,475.31 2026-03-02
1782 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 10 5 — — $28,415.24 $28,415.24 $28,415.24 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 82 20 — $38,954.98 $27,042.22 $104,244.77 $28,394.33 2026-03-02
6123 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 5 — — $28,355.16 $28,355.16 $28,355.16 2026-03-02
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