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 OCOTILLO MEDICAL CENTER

Chandler, AZ · CCN 030147 · Rates published

5,558 distinct procedures filed
24 distinct payers
206,898 rate rows
2026-09-24 last MRF observed
Data quality

204,214 of 206,898 rate rows are consumer-grade (98.7%)

2,684 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 2,243
exceeds 10× this hospital's gross charge — excluded from medians 218
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 145
placeholder amount (≤ $0.02) — excluded from medians 55
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/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 success · 2026-11-03
Content fingerprint 114c314fc06e0267… · 82,060,476 bytes · first seen 2026-11-03

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 12 $4.90 $2,356,125.00 $988,001.75 nat. median
$2,491
outlier · 396.6×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $166,559.34 $1,414,884.44 $332,500.98 nat. median
$360,195
0.9× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $215,976.91 $918,203.08 $226,775.76 nat. median
$247,805
0.9× 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
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 20 $163,716.38 $695,443.68 $180,088.02 nat. median
$190,274
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
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
$249,123
0.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 21 $164,679.54 $603,865.50 $177,030.51 nat. median
$197,664
0.9× 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
$243,231
0.6× median
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $137,150.08 $137,150.08 $137,150.08 nat. median
$202,660
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
$160,390
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
$159,829
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
$165,334
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
$165,846
0.7× median
74
APR_DRG 		Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 $118,046.39 $118,046.39 $118,046.39 nat. median
$171,358
0.7× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 20 $107,035.14 $453,841.12 $117,738.65 nat. median
$126,240
0.9× 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
$177,531
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
$165,169
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
$138,094
0.8× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 16 $100,107.76 $424,313.30 $105,113.15 nat. median
$117,943
0.9× 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
$154,211
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
$137,215
0.7× 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
$152,569
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 16 $92,941.31 $393,766.49 $97,588.38 nat. median
$109,875
0.9× median
5831
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $96,299.42 $96,299.42 $96,299.42 nat. median
$148,245
0.6× median
1613
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $95,638.60 $95,638.60 $95,638.60 nat. median
$121,888
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
$107,562
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
$122,016
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $87,667.37 $412,131.80 $92,050.74 nat. median
$103,911
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 21 $85,279.84 $361,109.62 $91,675.83 nat. median
$93,094
1.0× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 21 $84,149.10 $356,289.89 $90,460.28 nat. median
$97,029
0.9× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 16 $79,816.81 $337,823.53 $83,807.65 nat. median
$94,844
0.9× median
64
APR_DRG 		Apr-DRG 38.00: Pancreas Transplant 5 $83,383.41 $83,383.41 $83,383.41 nat. median
$92,076
0.9× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 21 $77,099.51 $390,302.92 $82,881.98 nat. median
$93,531
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
$111,079
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 21 $75,760.44 $320,533.44 $81,442.47 nat. median
$90,525
0.9× 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
$119,800
0.6× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $69,816.98 $295,199.54 $75,053.26 nat. median
$77,933
1.0× 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
$95,269
0.8× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 21 $67,125.83 $283,728.52 $72,160.26 nat. median
$78,028
0.9× 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
$90,073
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
$103,993
0.7× median
2793826
CDM 		Fix Extrnl Lw/up/pelvic Lvl 28 11 $20,513.21 $106,765.50 $71,177.00 nat. median
$71,177
1.0× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 21 $65,360.91 $276,205.67 $70,262.98 nat. median
$76,979
0.9× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 21 $65,157.23 $275,337.40 $70,044.02 nat. median
$77,595
0.9× 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
$109,393
0.6× 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
$93,125
0.7× median
1611
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $66,983.07 $66,983.07 $66,983.07 nat. median
$77,137
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
$85,665
0.8× median
2793818
CDM 		Fix Extrnl Lw/up/pelvic Lvl 27 11 $18,935.32 $98,553.00 $65,702.00 nat. median
$65,702
1.0× median

Other procedures at this hospital

Browse this hospital's 5,558 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
             
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 211 14 $109,504.00 $30,989.63 72% off $9,368.82 $164,253.00 $54,752.00 2026-09-24
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 26 12 $3,141,500.00 $950,303.75 70% off $4.90 $2,356,125.00 $988,001.75 2026-09-24
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 156 14 $78,840.00 $22,311.72 72% off $11,405.52 $91,983.00 $37,282.56 2026-09-24
C1767 HCPCS Imp Generator Neurostim Lvl 01 156 14 $65,704.00 $18,594.23 72% off $5,295.42 $98,553.00 $32,950.56 2026-09-24
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 106 14 $65,704.00 $17,674.38 73% off $8,146.80 $82,128.00 $33,059.66 2026-09-24
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 131 14 $87,604.00 $23,565.48 73% off $8,146.80 $98,553.00 $38,108.32 2026-09-24
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 40 21 — $38,064.51 $26,915.18 $112,331.53 $28,933.82 2026-09-24
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 40 21 — $53,292.58 $36,626.74 $153,726.83 $39,373.75 2026-09-24
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 40 21 — $40,995.16 $28,324.96 $118,340.63 $30,449.33 2026-09-24
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 40 21 — $77,470.36 $47,615.08 $200,564.39 $51,186.21 2026-09-24
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 40 21 — $45,594.01 $32,953.18 $138,068.43 $35,424.67 2026-09-24
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 21 — $81,528.17 $59,134.58 $249,666.02 $63,569.68 2026-09-24
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 40 21 — $43,711.63 $29,487.20 $124,741.64 $31,698.74 2026-09-24
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 40 21 — $68,644.62 $52,302.51 $220,544.49 $56,225.20 2026-09-24
9504 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $34,002.17 $34,002.17 $34,002.17 2026-09-24
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $106,632.24 $106,632.24 $106,632.24 2026-09-24
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 40 21 — $40,837.35 $27,614.68 $115,313.14 $29,685.78 2026-09-24
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 40 21 — $36,238.50 $28,453.31 $118,887.80 $30,587.31 2026-09-24
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 40 21 — — $30,495.71 $125,054.18 $32,782.89 2026-09-24
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $47,218.56 $47,218.56 $47,218.56 2026-09-24
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 40 21 — $78,000.13 $55,697.02 $235,013.52 $59,874.29 2026-09-24
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 40 21 — $297,110.62 $164,679.54 $603,865.50 $177,030.51 2026-09-24
914 APR_DRG Apr-DRG 38.00: Other Major Head And Neck Procedures 5 5 — — $36,645.44 $36,645.44 $36,645.44 2026-09-24
9124 APR_DRG Apr-DRG 38.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $39,529.02 $39,529.02 $39,529.02 2026-09-24
9114 APR_DRG Apr-DRG 38.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $42,112.22 $42,112.22 $42,112.22 2026-09-24
9104 APR_DRG Apr-DRG 38.00: Craniotomy For Multiple Significant Trauma 5 5 — — $42,893.19 $42,893.19 $42,893.19 2026-09-24
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 40 21 — $41,930.71 $30,073.71 $125,794.66 $32,329.24 2026-09-24
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 40 21 — $36,700.64 $28,796.15 $120,349.12 $30,955.86 2026-09-24
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 40 21 — $48,783.90 $32,820.22 $137,501.60 $35,281.74 2026-09-24
894 APR_DRG Apr-DRG 38.00: Major Cranial Or Facial Bone Procedures 5 5 — — $36,465.22 $36,465.22 $36,465.22 2026-09-24
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 39 20 — $42,065.97 $30,270.49 $126,633.45 $33,297.54 2026-09-24
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 40 21 — $78,507.36 $53,691.53 $226,465.13 $57,718.40 2026-09-24
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $61,756.59 $61,756.59 $61,756.59 2026-09-24
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 40 21 — $49,911.07 $35,526.75 $149,038.16 $38,191.26 2026-09-24
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 21 — $56,347.20 $38,523.85 $161,813.23 $41,413.14 2026-09-24
8504 APR_DRG Apr-DRG 38.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $38,267.46 $38,267.46 $38,267.46 2026-09-24
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 40 21 — — $67,125.83 $283,728.52 $72,160.26 2026-09-24
8434 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns Without Skin Graft 5 5 — — $30,577.92 $30,577.92 $30,577.92 2026-09-24
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $61,396.14 $61,396.14 $61,396.14 2026-09-24
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $123,453.10 $123,453.10 $123,453.10 2026-09-24
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $49,080.87 $49,080.87 $49,080.87 2026-09-24
8412 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,899.56 $31,899.56 $31,899.56 2026-09-24
8411 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $31,899.56 $31,899.56 $31,899.56 2026-09-24
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $53,226.01 $53,226.01 $53,226.01 2026-09-24
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 40 21 — $54,600.09 $37,491.50 $157,412.89 $40,303.36 2026-09-24
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 40 21 — $63,110.22 $42,761.60 $179,876.57 $45,968.72 2026-09-24
83 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,341.35 $33,341.35 $33,341.35 2026-09-24
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 40 21 — $52,165.41 $36,519.12 $153,268.12 $39,258.06 2026-09-24
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 21 — $50,745.17 $35,804.23 $150,220.97 $38,489.54 2026-09-24
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 21 — $68,159.94 $45,643.41 $192,160.17 $49,066.67 2026-09-24
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 40 21 — $38,673.19 $31,186.75 $130,539.04 $33,525.76 2026-09-24
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 31 16 — $59,311.66 $43,643.29 $238,548.43 $45,825.45 2026-09-24
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 40 21 — $55,851.25 $35,374.55 $148,389.41 $38,027.64 2026-09-24
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 37 21 — $47,442.57 $17,844.79 $136,616.94 $32,612.66 2026-09-24
7924 APR_DRG Apr-DRG 38.00: Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $30,577.92 $30,577.92 $30,577.92 2026-09-24
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 37 21 — $46,191.41 $31,762.51 $132,993.14 $33,350.64 2026-09-24
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 21 — $67,630.17 $46,248.37 $194,738.78 $48,560.79 2026-09-24
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $118,046.39 $118,046.39 $118,046.39 2026-09-24
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 40 21 — $40,758.45 $28,102.03 $115,539.22 $30,209.68 2026-09-24
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 40 21 — $43,813.08 $28,038.23 $117,118.49 $30,141.10 2026-09-24
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $60,735.32 $60,735.32 $60,735.32 2026-09-24
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $50,462.58 $50,462.58 $50,462.58 2026-09-24
71 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $34,843.21 $34,843.21 $34,843.21 2026-09-24
7 MS_DRG Ms-DRG 42.00: Lung Transplant 31 16 — $138,258.61 $100,107.76 $424,313.30 $105,113.15 2026-09-24
6954 APR_DRG Apr-DRG 38.00: Chemotherapy For Acute Leukemia 5 5 — — $37,907.01 $37,907.01 $37,907.01 2026-09-24
6904 APR_DRG Apr-DRG 38.00: Acute Leukemia 5 5 — — $41,571.55 $41,571.55 $41,571.55 2026-09-24
6814 APR_DRG Apr-DRG 38.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $38,748.05 $38,748.05 $38,748.05 2026-09-24
6804 APR_DRG Apr-DRG 38.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $43,854.39 $43,854.39 $43,854.39 2026-09-24
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 40 21 — $41,682.73 $32,858.64 $137,665.42 $35,323.04 2026-09-24
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 40 21 — $61,024.96 $40,505.52 $170,260.05 $43,543.43 2026-09-24
6514 APR_DRG Apr-DRG 38.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $39,709.24 $39,709.24 $39,709.24 2026-09-24
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 31 16 — $38,977.52 $29,047.51 $121,420.54 $30,499.89 2026-09-24
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 31 16 — $50,700.09 $36,700.52 $154,041.37 $38,535.55 2026-09-24
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $83,383.41 $83,383.41 $83,383.41 2026-09-24
6334 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $39,829.39 $39,829.39 $39,829.39 2026-09-24
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $105,610.97 $105,610.97 $105,610.97 2026-09-24
6313 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $35,203.66 $35,203.66 $35,203.66 2026-09-24
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $101,766.20 $101,766.20 $101,766.20 2026-09-24
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $50,823.03 $50,823.03 $50,823.03 2026-09-24
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $50,162.21 $50,162.21 $50,162.21 2026-09-24
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 40 21 — $45,255.86 $29,208.94 $122,108.60 $31,399.61 2026-09-24
6254 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $44,214.83 $44,214.83 $44,214.83 2026-09-24
6234 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $36,465.22 $36,465.22 $36,465.22 2026-09-24
6224 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 5 5 — — $31,298.81 $31,298.81 $31,298.81 2026-09-24
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 40 21 — $43,125.51 $27,920.62 $116,617.19 $30,014.67 2026-09-24
6214 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $40,490.21 $40,490.21 $40,490.21 2026-09-24
62 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,935.73 $44,935.73 $44,935.73 2026-09-24
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 40 21 — $44,613.37 $27,368.70 $114,264.66 $29,421.35 2026-09-24
6144 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $33,581.65 $33,581.65 $33,581.65 2026-09-24
6134 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $43,073.42 $43,073.42 $43,073.42 2026-09-24
6124 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $42,833.12 $42,833.12 $42,833.12 2026-09-24
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $52,204.74 $52,204.74 $52,204.74 2026-09-24
6113 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $30,097.32 $30,097.32 $30,097.32 2026-09-24
61 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $44,935.73 $44,935.73 $44,935.73 2026-09-24
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $118,466.91 $118,466.91 $118,466.91 2026-09-24
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $47,398.78 $47,398.78 $47,398.78 2026-09-24
6092 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,139.86 $32,139.86 $32,139.86 2026-09-24
6091 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $32,139.86 $32,139.86 $32,139.86 2026-09-24
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $57,371.15 $57,371.15 $57,371.15 2026-09-24
6083 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $35,323.81 $35,323.81 $35,323.81 2026-09-24
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $64,760.31 $64,760.31 $64,760.31 2026-09-24
6073 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $41,571.55 $41,571.55 $41,571.55 2026-09-24
6072 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $33,341.35 $33,341.35 $33,341.35 2026-09-24
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $94,076.67 $94,076.67 $94,076.67 2026-09-24
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $45,356.25 $45,356.25 $45,356.25 2026-09-24
6032 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $29,556.65 $29,556.65 $29,556.65 2026-09-24
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,736.40 $77,736.40 $77,736.40 2026-09-24
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $52,985.71 $52,985.71 $52,985.71 2026-09-24
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $47,458.86 $47,458.86 $47,458.86 2026-09-24
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 31 16 — $54,521.19 $36,205.50 $202,723.31 $38,015.78 2026-09-24
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $100,444.56 $100,444.56 $100,444.56 2026-09-24
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $69,566.27 $69,566.27 $69,566.27 2026-09-24
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $60,254.72 $60,254.72 $60,254.72 2026-09-24
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,929.97 $120,929.97 $120,929.97 2026-09-24
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,909.18 $71,909.18 $71,909.18 2026-09-24
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $65,060.68 $65,060.68 $65,060.68 2026-09-24
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $46,858.11 $46,858.11 $46,858.11 2026-09-24
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $65,541.28 $65,541.28 $65,541.28 2026-09-24
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $72,089.40 $72,089.40 $72,089.40 2026-09-24
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $74,732.68 $74,732.68 $74,732.68 2026-09-24
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $177,159.70 $177,159.70 $177,159.70 2026-09-24
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $108,013.95 $108,013.95 $108,013.95 2026-09-24
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $52,144.67 $52,144.67 $52,144.67 2026-09-24
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $52,144.67 $52,144.67 $52,144.67 2026-09-24
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $223,657.36 $223,657.36 $223,657.36 2026-09-24
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $179,682.83 $179,682.83 $179,682.83 2026-09-24
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $121,891.16 $121,891.16 $121,891.16 2026-09-24
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $96,299.42 $96,299.42 $96,299.42 2026-09-24
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 21 — $64,057.04 $38,236.35 $160,587.82 $41,104.08 2026-09-24
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 21 — $38,391.39 $27,245.72 $113,740.42 $29,289.15 2026-09-24
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 21 — $70,087.40 $50,921.18 $214,656.62 $54,740.27 2026-09-24
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $61,456.21 $61,456.21 $61,456.21 2026-09-24
53 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $43,193.57 $43,193.57 $43,193.57 2026-09-24
52 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $34,002.17 $34,002.17 $34,002.17 2026-09-24
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 40 21 — $41,164.23 $29,289.64 $122,452.63 $31,486.36 2026-09-24
5104 APR_DRG Apr-DRG 38.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 5 5 — — $29,256.28 $29,256.28 $29,256.28 2026-09-24
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 31 16 — $116,662.05 $79,816.81 $337,823.53 $83,807.65 2026-09-24
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 40 21 — $40,363.94 $28,431.79 $118,796.06 $30,564.18 2026-09-24
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 40 21 — $39,022.61 $28,784.62 $120,299.97 $30,943.47 2026-09-24
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 21 — $37,974.34 $27,116.57 $113,189.97 $29,150.32 2026-09-24
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 40 21 — $48,502.10 $33,560.46 $140,656.87 $36,077.50 2026-09-24
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 40 21 — $55,445.47 $37,679.07 $158,212.36 $40,505.00 2026-09-24
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 40 21 — $39,293.13 $27,670.03 $115,549.05 $29,745.28 2026-09-24
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 40 21 — $58,466.28 $40,574.69 $170,554.93 $43,617.79 2026-09-24
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 40 21 — $63,842.88 $44,372.77 $186,744.12 $47,700.73 2026-09-24
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 40 21 — $76,861.69 $43,016.05 $175,640.06 $46,242.25 2026-09-24
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 40 21 — $51,072.05 $32,635.73 $136,733.24 $35,083.41 2026-09-24
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 40 21 — $68,475.55 $46,399.02 $195,380.97 $49,878.94 2026-09-24
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 40 21 — $95,009.12 $65,157.23 $275,337.40 $70,044.02 2026-09-24
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 40 21 — — $41,529.40 $174,624.34 $44,644.10 2026-09-24
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 40 21 — — $33,159.97 $138,949.81 $35,646.97 2026-09-24
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 40 21 — — $51,922.01 $218,922.62 $55,816.16 2026-09-24
4414 APR_DRG Apr-DRG 38.00: Major Bladder Procedures 5 5 — — $33,701.79 $33,701.79 $33,701.79 2026-09-24
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $49,981.98 $49,981.98 $49,981.98 2026-09-24
4403 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $32,500.30 $32,500.30 $32,500.30 2026-09-24
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $93,656.15 $93,656.15 $93,656.15 2026-09-24
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 21 — — $44,892.41 $188,959.03 $48,259.34 2026-09-24
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $64,039.42 $64,039.42 $64,039.42 2026-09-24
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 21 — — $69,816.98 $295,199.54 $75,053.26 2026-09-24
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 40 21 — — $43,777.04 $184,204.83 $47,060.32 2026-09-24
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 40 21 — — $56,049.85 $236,517.43 $60,253.58 2026-09-24
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 40 21 — — $85,279.84 $361,109.62 $91,675.83 2026-09-24
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 21 — $44,083.60 $32,485.06 $136,073.05 $34,921.44 2026-09-24
42 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $44,875.65 $44,875.65 $44,875.65 2026-09-24
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 21 — $39,732.73 $27,946.75 $116,728.59 $30,042.75 2026-09-24
41 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $37,786.86 $37,786.86 $37,786.86 2026-09-24
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 40 21 — $41,953.25 $27,969.82 $116,826.88 $30,067.56 2026-09-24
4054 APR_DRG Apr-DRG 38.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 5 5 — — $30,517.85 $30,517.85 $30,517.85 2026-09-24
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 40 21 — $62,050.68 $42,612.48 $179,240.93 $45,808.42 2026-09-24
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 40 21 — — $31,466.56 $156,017.76 $33,826.56 2026-09-24
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 40 21 — $43,407.30 $30,242.05 $126,512.22 $32,510.20 2026-09-24
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 39 20 — $165,693.92 $107,035.14 $453,841.12 $117,738.65 2026-09-24
3614 APR_DRG Apr-DRG 38.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $34,062.24 $34,062.24 $34,062.24 2026-09-24
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 40 21 — $48,231.58 $34,328.37 $143,930.09 $36,903.00 2026-09-24
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 40 21 — $43,970.88 $30,315.08 $126,823.49 $32,588.71 2026-09-24
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 40 21 — $40,296.31 $28,010.55 $117,000.54 $30,111.34 2026-09-24
33289 CPT Rhc W Imp Sensor Press Wireless 50 24 $49,131.00 $9,826.20 80% off $5,264.00 $50,502.38 $30,607.50 2026-09-24
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 50 24 $15,344.00 $6,920.14 55% off $4,299.00 $66,010.00 $33,494.51 2026-09-24
33264 CPT Rem&rpl Gen Icd Multi 50 24 $19,011.00 $8,573.96 55% off $4,299.00 $66,010.00 $33,494.51 2026-09-24
33249 CPT Ins/rpl Icd W Lead Sgl/dual 50 24 $19,993.00 $9,016.84 55% off $7,551.94 $66,010.00 $33,494.51 2026-09-24
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 40 21 — $41,186.77 $28,393.37 $118,632.24 $30,522.88 2026-09-24
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 40 21 — $50,914.25 $35,894.17 $150,604.32 $38,586.24 2026-09-24
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 40 21 — $57,248.94 $38,898.96 $163,412.16 $41,816.39 2026-09-24
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 40 21 — $46,664.82 $33,825.65 $141,787.26 $36,362.57 2026-09-24
3214 APR_DRG Apr-DRG 38.00: Cervical Spinal Fusion And Other Back Or Neck Procedures Except D… 5 5 — — $30,698.07 $30,698.07 $30,698.07 2026-09-24
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 40 21 — $49,167.13 $34,867.22 $162,984.13 $37,482.26 2026-09-24
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 21 — — $51,959.69 $219,083.17 $55,856.67 2026-09-24
3124 APR_DRG Apr-DRG 38.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 5 5 — — $40,370.06 $40,370.06 $40,370.06 2026-09-24
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 40 21 — $46,405.57 $35,002.51 $146,803.58 $37,627.70 2026-09-24
3044 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $40,730.51 $40,730.51 $40,730.51 2026-09-24
304 APR_DRG Apr-DRG 38.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $31,599.19 $31,599.19 $31,599.19 2026-09-24
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $56,890.55 $56,890.55 $56,890.55 2026-09-24
3033 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,734.24 $43,734.24 $43,734.24 2026-09-24
3032 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $30,577.92 $30,577.92 $30,577.92 2026-09-24
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 39 20 — $240,312.54 $163,716.38 $695,443.68 $180,088.02 2026-09-24
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 40 21 — $67,923.24 $46,746.47 $196,861.95 $50,252.46 2026-09-24
2793826 CDM Fix Extrnl Lw/up/pelvic Lvl 28 21 11 $142,354.00 $30,463.76 79% off $20,513.21 $106,765.50 $71,177.00 2026-09-24
2793818 CDM Fix Extrnl Lw/up/pelvic Lvl 27 21 11 $131,404.00 $28,120.46 79% off $18,935.32 $98,553.00 $65,702.00 2026-09-24
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 21 11 $116,512.00 $24,933.57 79% off $16,789.38 $87,384.00 $58,256.00 2026-09-24
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 21 11 $105,124.00 $22,496.54 79% off $15,148.37 $78,843.00 $52,562.00 2026-09-24
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 21 11 $96,364.00 $20,621.90 79% off $13,886.05 $72,273.00 $48,182.00 2026-09-24
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 21 11 $87,604.00 $18,747.26 79% off $12,623.74 $65,703.00 $43,802.00 2026-09-24
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 21 11 $78,844.00 $16,872.62 79% off $11,361.42 $59,133.00 $39,422.00 2026-09-24
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 21 11 $70,084.00 $14,997.98 79% off $10,099.10 $52,563.00 $35,042.00 2026-09-24
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 21 11 $61,324.00 $13,123.34 79% off $8,836.79 $45,993.00 $30,662.00 2026-09-24
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 40 21 — $36,080.70 $28,283.44 $118,163.70 $30,404.69 2026-09-24
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 40 21 — $50,271.76 $43,348.12 $182,376.54 $46,599.23 2026-09-24
27702 CPT Arthroplasty, Ankle; With Implant (total Ankle) 43 20 — — $7,063.00 $47,774.50 $28,954.24 2026-09-24
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 40 21 — $53,901.25 $36,063.30 $151,325.15 $38,768.04 2026-09-24
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 40 21 — $69,997.23 $46,733.39 $196,806.25 $50,238.40 2026-09-24
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 21 — $79,307.65 $55,371.87 $276,532.41 $59,524.76 2026-09-24
274 APR_DRG Apr-DRG 38.00: Other Open Craniotomy 5 5 — — $35,143.58 $35,143.58 $35,143.58 2026-09-24
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 40 21 — $43,925.80 $32,273.68 $135,172.01 $34,694.21 2026-09-24
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 40 21 — $38,954.98 $27,898.32 $116,522.17 $29,990.69 2026-09-24
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 40 21 — $57,000.96 $41,119.70 $172,877.97 $44,203.68 2026-09-24
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 40 21 — $46,878.98 $33,024.67 $138,373.15 $35,501.52 2026-09-24
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 40 21 — $77,267.47 $53,430.94 $225,354.39 $57,438.26 2026-09-24
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 40 21 — $55,005.87 $37,157.14 $222,561.15 $39,943.93 2026-09-24
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 40 21 — $70,403.01 $47,669.66 $241,750.43 $51,244.88 2026-09-24
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 40 21 — $39,834.17 $28,374.15 $118,550.32 $30,502.21 2026-09-24
264 APR_DRG Apr-DRG 38.00: Other Nervous System And Related Procedures 5 5 — — $29,376.43 $29,376.43 $29,376.43 2026-09-24
2614 APR_DRG Apr-DRG 38.00: Major Biliary Tract Procedures 5 5 — — $31,719.34 $31,719.34 $31,719.34 2026-09-24
2604 APR_DRG Apr-DRG 38.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,370.06 $40,370.06 $40,370.06 2026-09-24
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 40 21 — $37,805.27 $27,375.62 $114,294.15 $29,428.79 2026-09-24
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 40 21 — $49,775.81 $35,511.39 $179,320.65 $38,174.74 2026-09-24
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 40 21 — $51,072.05 $35,632.05 $149,487.04 $38,304.45 2026-09-24
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $155,653.03 $155,653.03 $155,653.03 2026-09-24
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 40 21 — $42,708.45 $30,631.76 $134,089.10 $32,929.15 2026-09-24
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 40 21 — $54,183.04 $38,393.94 $161,259.50 $41,273.49 2026-09-24
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 40 21 — $45,548.92 $32,760.26 $137,246.03 $35,217.28 2026-09-24
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 40 21 — $66,288.84 $45,672.61 $192,284.68 $49,098.06 2026-09-24
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 40 21 — $58,590.27 $42,552.53 $178,985.37 $45,743.97 2026-09-24
234 APR_DRG Apr-DRG 38.00: Spinal Procedures 5 5 — — $34,783.14 $34,783.14 $34,783.14 2026-09-24
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 40 21 — $87,919.22 $59,329.06 $250,494.98 $63,778.74 2026-09-24
2324 APR_DRG Apr-DRG 38.00: Gastric Fundoplication 5 5 — — $39,649.17 $39,649.17 $39,649.17 2026-09-24
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 40 21 — $67,055.32 $47,163.86 $198,641.09 $50,701.15 2026-09-24
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 40 21 — $91,469.81 $65,360.91 $276,205.67 $70,262.98 2026-09-24
2304 APR_DRG Apr-DRG 38.00: Major Small Bowel Procedures 5 5 — — $29,556.65 $29,556.65 $29,556.65 2026-09-24
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $81,821.47 $81,821.47 $81,821.47 2026-09-24
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 40 21 — $63,899.24 $44,609.52 $187,753.28 $47,955.24 2026-09-24
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 40 21 — $56,798.07 $38,591.50 $198,460.03 $41,485.86 2026-09-24
224 APR_DRG Apr-DRG 38.00: Ventricular Shunt Procedures 5 5 — — $34,302.54 $34,302.54 $34,302.54 2026-09-24
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 40 21 — $52,402.11 $39,304.84 $165,142.15 $42,252.70 2026-09-24
2204 APR_DRG Apr-DRG 38.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $34,242.46 $34,242.46 $34,242.46 2026-09-24
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 40 21 — $59,120.04 $41,553.99 $174,729.19 $44,670.54 2026-09-24
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $68,605.08 $68,605.08 $68,605.08 2026-09-24
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 40 21 — $86,916.04 $59,583.50 $251,579.50 $64,052.26 2026-09-24
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 40 21 — $64,214.85 $51,104.91 $215,439.70 $54,937.78 2026-09-24
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 40 21 — $71,744.34 $51,104.91 $215,439.70 $54,937.78 2026-09-24
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 40 21 — $109,391.80 $75,760.44 $320,533.44 $81,442.47 2026-09-24
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 40 21 — $115,140.37 $77,099.51 $390,302.92 $82,881.98 2026-09-24
214 APR_DRG Apr-DRG 38.00: Open Craniotomy Except Trauma 5 5 — — $38,387.61 $38,387.61 $38,387.61 2026-09-24
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 40 21 — $121,407.43 $84,149.10 $356,289.89 $90,460.28 2026-09-24
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $53,045.78 $53,045.78 $53,045.78 2026-09-24
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 40 21 — $69,219.48 $41,254.23 $247,614.70 $44,348.29 2026-09-24
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 40 21 — $77,864.87 $50,024.12 $210,832.95 $53,775.93 2026-09-24
204 APR_DRG Apr-DRG 38.00: Open Craniotomy For Trauma 5 5 — — $34,362.61 $34,362.61 $34,362.61 2026-09-24
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 40 21 — $95,268.37 $61,047.84 $284,759.62 $65,626.43 2026-09-24
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 16 — $138,010.64 $87,667.37 $412,131.80 $92,050.74 2026-09-24
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 16 — $90,105.93 $55,404.15 $282,891.04 $58,174.36 2026-09-24
1834 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $41,871.93 $41,871.93 $41,871.93 2026-09-24
1833 APR_DRG Apr-DRG 38.00: Percutaneous Structural Cardiac Procedures 5 5 — — $28,835.76 $28,835.76 $28,835.76 2026-09-24
1814 APR_DRG Apr-DRG 38.00: Lower Extremity Arterial Procedures 5 5 — — $31,899.56 $31,899.56 $31,899.56 2026-09-24
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 14 — $415,283.07 $166,559.34 $1,414,884.44 $332,500.98 2026-09-24
1794 APR_DRG Apr-DRG 38.00: Defibrillator Implants 5 5 — — $37,246.19 $37,246.19 $37,246.19 2026-09-24
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $47,518.93 $47,518.93 $47,518.93 2026-09-24
1783 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $33,341.35 $33,341.35 $33,341.35 2026-09-24
1764 APR_DRG Apr-DRG 38.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 5 5 — — $31,418.96 $31,418.96 $31,418.96 2026-09-24
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 31 16 — $69,625.26 $42,318.84 $158,526.90 $44,434.78 2026-09-24
1694 APR_DRG Apr-DRG 38.00: Major Abdominal Vascular Procedures 5 5 — — $36,585.37 $36,585.37 $36,585.37 2026-09-24
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $45,536.47 $45,536.47 $45,536.47 2026-09-24
1664 APR_DRG Apr-DRG 38.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $37,426.41 $37,426.41 $37,426.41 2026-09-24
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 40 21 — $45,740.54 $29,292.72 $122,465.74 $31,489.68 2026-09-24
1654 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,433.86 $43,433.86 $43,433.86 2026-09-24
1653 APR_DRG Apr-DRG 38.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $29,616.73 $29,616.73 $29,616.73 2026-09-24
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $47,038.33 $47,038.33 $47,038.33 2026-09-24
1633 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $29,977.18 $29,977.18 $29,977.18 2026-09-24
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 40 21 — $53,134.77 $35,012.50 $146,846.18 $37,638.43 2026-09-24
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $56,530.10 $56,530.10 $56,530.10 2026-09-24
1623 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $36,705.52 $36,705.52 $36,705.52 2026-09-24
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $137,150.08 $137,150.08 $137,150.08 2026-09-24
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $95,638.60 $95,638.60 $95,638.60 2026-09-24
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,983.07 $66,983.07 $66,983.07 2026-09-24
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $66,983.07 $66,983.07 $66,983.07 2026-09-24
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $64,820.39 $64,820.39 $64,820.39 2026-09-24
1603 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $30,758.14 $30,758.14 $30,758.14 2026-09-24
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 31 16 — $69,625.26 $46,142.28 $210,973.20 $48,449.39 2026-09-24
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 40 21 — $37,489.66 $29,361.13 $122,757.35 $31,563.22 2026-09-24
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 40 21 — $42,584.46 $33,348.29 $139,752.55 $35,849.41 2026-09-24
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $100,865.09 $100,865.09 $100,865.09 2026-09-24
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 31 16 — $129,184.90 $92,941.31 $393,766.49 $97,588.38 2026-09-24
1304 APR_DRG Apr-DRG 38.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $30,637.99 $30,637.99 $30,637.99 2026-09-24
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $47,518.93 $47,518.93 $47,518.93 2026-09-24
1204 APR_DRG Apr-DRG 38.00: Major Respiratory And Chest Procedures 5 5 — — $32,560.38 $32,560.38 $32,560.38 2026-09-24
12 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $40,129.77 $40,129.77 $40,129.77 2026-09-24
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 39 20 — $45,143.14 $32,969.34 $138,137.24 $36,266.27 2026-09-24
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 39 20 — $58,116.86 $42,486.42 $178,703.59 $46,735.06 2026-09-24
11 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $40,129.77 $40,129.77 $40,129.77 2026-09-24
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 31 16 — — $55,720.09 $183,856.05 $58,506.09 2026-09-24
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 31 16 — $305,451.67 $215,976.91 $918,203.08 $226,775.76 2026-09-24
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