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

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC

West Memphis, AR · CCN 040156 · Rates published

12,232 distinct procedures filed
78 distinct payers
1,131,156 rate rows
2026-02-27 last MRF observed
Data quality

1,104,546 of 1,131,156 rate rows are consumer-grade (97.6%)

26,610 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
placeholder amount (≤ $0.02) — excluded from medians 24,051
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,750
per-diem day rate — not a per-procedure price 391
exceeds 10× this hospital's gross charge — excluded from medians 212
template filing: same amount across many unrelated codes — excluded 206
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sites.bmhcc.org/-/media/Pricing-Documents/AR/823844150_baptist-memorial-hospitalcrittendeninc_standardcharges.zip
Found on page https://www.baptistonline.org/estimate-my-costs
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cf4caeba6487d6c8… · 67,301,015 bytes · first seen 2026-05-08

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
5834
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $334,179.35 $573,346.92 $453,763.14 nat. median
$309,665
1.5× median
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 69 $135,556.53 $664,306.88 $406,743.48 nat. median
$370,174
1.1× median
5884
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $274,117.65 $470,299.89 $372,208.77 nat. median
$246,434
1.5× median
5833
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $264,676.58 $454,101.98 $359,389.28 nat. median
$244,017
1.5× median
24
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $237,116.59 $406,817.68 $321,967.14 nat. median
$234,738
1.4× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 69 $177,210.46 $424,566.73 $304,580.48 nat. median
$265,286
1.1× median
6304
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $198,964.73 $341,361.06 $270,162.90 nat. median
$150,721
1.8× median
5832
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $195,173.82 $334,857.05 $265,015.43 nat. median
$156,126
1.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 69 $31,646.20 $358,237.49 $256,996.46 nat. median
$206,368
1.2× median
5934
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $178,777.17 $306,725.53 $242,751.35 nat. median
$151,838
1.6× median
5883
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $176,597.14 $302,985.30 $239,791.22 nat. median
$182,736
1.3× median
5882
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $172,922.29 $296,680.41 $234,801.35 nat. median
$145,336
1.6× median
5914
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $172,638.79 $296,194.00 $234,416.40 nat. median
$164,279
1.4× median
6094
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $171,537.72 $294,304.90 $232,921.31 nat. median
$162,982
1.4× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 69 $60,561.22 $324,051.55 $232,471.77 nat. median
$202,986
1.1× median
5831
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $168,665.36 $289,376.84 $229,021.10 nat. median
$145,122
1.6× median
6314
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $164,682.94 $282,544.26 $223,613.60 nat. median
$122,924
1.8× median
1614
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $163,805.66 $281,039.13 $222,422.40 nat. median
$207,730
1.1× median
74
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 $155,449.36 $266,702.34 $211,075.85 nat. median
$187,294
1.1× median
14
APR_DRG 		Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 $151,579.11 $260,062.20 $205,820.65 nat. median
$129,535
1.6× median
23
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $146,628.77 $251,568.97 $199,098.87 nat. median
$93,528
outlier · 2.1×
6034
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 1 $143,706.36 $246,555.04 $195,130.70 nat. median
$109,499
1.8× median
64
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 1 $133,861.83 $229,664.91 $181,763.37 nat. median
$91,748
2.0× median
9990000014
CDM 		Hc Heart Organ Procurement-region 17 $55,055.00 $280,000.00 $175,000.00 nat. median
$182,000
1.0× median
6024
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $128,147.45 $219,860.83 $174,004.14 nat. median
$118,620
1.5× median
1613
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $125,492.29 $215,305.40 $170,398.85 nat. median
$119,796
1.4× median
8414
APR_DRG 		Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 $115,516.42 $198,189.94 $156,853.18 nat. median
$160,267
1.0× median
5933
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $114,965.62 $197,244.94 $156,105.28 nat. median
$108,996
1.4× median
5881
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $113,824.63 $195,287.35 $154,555.99 nat. median
$124,573
1.2× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 69 $39,043.00 $215,107.75 $154,316.43 nat. median
$133,176
1.2× median
9990000013
CDM 		Hc Heart Organ Procurement-local 17 $47,190.00 $240,000.00 $150,000.00 nat. median
$156,000
1.0× median
22
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $108,814.42 $186,691.41 $147,752.92 nat. median
$78,029
1.9× median
114
APR_DRG 		Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $107,760.38 $184,883.01 $146,321.70 nat. median
$117,173
1.2× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 69 $83,380.79 $199,766.48 $143,310.73 nat. median
$117,303
1.2× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 69 $83,175.27 $199,274.09 $142,957.50 nat. median
$122,708
1.2× median
44
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $102,648.74 $176,113.04 $139,380.89 nat. median
$105,658
1.3× median
5913
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $101,140.36 $173,525.13 $137,332.74 nat. median
$102,636
1.3× median
6023
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $101,048.18 $173,366.98 $137,207.58 nat. median
$86,492
1.6× median
1612
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $100,759.17 $172,871.12 $136,815.14 nat. median
$85,406
1.6× median
94
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $100,496.16 $172,419.88 $136,458.02 nat. median
$164,834
0.8× median
6074
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 $98,428.58 $168,872.56 $133,650.57 nat. median
$95,507
1.4× median
6303
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $96,135.40 $164,938.18 $130,536.79 nat. median
$72,936
1.8× median
1611
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $95,721.22 $164,227.58 $129,974.40 nat. median
$76,806
1.7× median
63
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 1 $94,124.50 $161,488.12 $127,806.31 nat. median
$64,159
2.0× median
21
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $93,283.19 $160,044.68 $126,663.93 nat. median
$65,130
1.9× median
73
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 $91,610.30 $157,174.53 $124,392.42 nat. median
$89,273
1.4× median
5932
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $91,120.65 $156,334.45 $123,727.55 nat. median
$86,258
1.4× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 69 $70,414.09 $168,700.42 $121,024.22 nat. median
$108,660
1.1× median
4404
APR_DRG 		Apr-DRG 40.00: Kidney Transplant 1 $89,060.15 $152,799.27 $120,929.71 nat. median
$79,034
1.5× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 69 $39,112.72 $191,675.38 $119,677.67 nat. median
$102,358
1.2× median

Other procedures at this hospital

Browse this hospital's 12,232 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
             
5834 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 2 1 — — $334,179.35 $573,346.92 $453,763.14 2026-02-27
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 86 69 — — $135,556.53 $664,306.88 $406,743.48 2026-02-27
5884 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $274,117.65 $470,299.89 $372,208.77 2026-02-27
5833 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 2 1 — — $264,676.58 $454,101.98 $359,389.28 2026-02-27
24 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 2 1 — — $237,116.59 $406,817.68 $321,967.14 2026-02-27
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 83 69 — — $177,210.46 $424,566.73 $304,580.48 2026-02-27
6304 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 2 1 — — $198,964.73 $341,361.06 $270,162.90 2026-02-27
5832 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 2 1 — — $195,173.82 $334,857.05 $265,015.43 2026-02-27
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 86 69 — — $31,646.20 $358,237.49 $256,996.46 2026-02-27
5934 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $178,777.17 $306,725.53 $242,751.35 2026-02-27
5883 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $176,597.14 $302,985.30 $239,791.22 2026-02-27
5882 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $172,922.29 $296,680.41 $234,801.35 2026-02-27
5914 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $172,638.79 $296,194.00 $234,416.40 2026-02-27
6094 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $171,537.72 $294,304.90 $232,921.31 2026-02-27
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 86 69 — — $60,561.22 $324,051.55 $232,471.77 2026-02-27
5831 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 2 1 — — $168,665.36 $289,376.84 $229,021.10 2026-02-27
6314 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $164,682.94 $282,544.26 $223,613.60 2026-02-27
1614 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 2 1 — — $163,805.66 $281,039.13 $222,422.40 2026-02-27
74 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 2 1 — — $155,449.36 $266,702.34 $211,075.85 2026-02-27
14 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $151,579.11 $260,062.20 $205,820.65 2026-02-27
23 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 2 1 — — $146,628.77 $251,568.97 $199,098.87 2026-02-27
6034 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $143,706.36 $246,555.04 $195,130.70 2026-02-27
64 APR_DRG Apr-DRG 40.00: Pancreas Transplant 2 1 — — $133,861.83 $229,664.91 $181,763.37 2026-02-27
9990000014 CDM Hc Heart Organ Procurement-region 29 17 $350,000.00 $52,500.00 85% off $55,055.00 $280,000.00 $175,000.00 2026-02-27
6024 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $128,147.45 $219,860.83 $174,004.14 2026-02-27
1613 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 2 1 — — $125,492.29 $215,305.40 $170,398.85 2026-02-27
8414 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 2 1 — — $115,516.42 $198,189.94 $156,853.18 2026-02-27
5933 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $114,965.62 $197,244.94 $156,105.28 2026-02-27
5881 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $113,824.63 $195,287.35 $154,555.99 2026-02-27
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 86 69 — — $39,043.00 $215,107.75 $154,316.43 2026-02-27
9990000013 CDM Hc Heart Organ Procurement-local 29 17 $300,000.00 $45,000.00 85% off $47,190.00 $240,000.00 $150,000.00 2026-02-27
22 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 2 1 — — $108,814.42 $186,691.41 $147,752.92 2026-02-27
114 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $107,760.38 $184,883.01 $146,321.70 2026-02-27
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 79 69 — — $83,380.79 $199,766.48 $143,310.73 2026-02-27
7 MS_DRG Ms-DRG 42.00: Lung Transplant 79 69 — — $83,175.27 $199,274.09 $142,957.50 2026-02-27
44 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $102,648.74 $176,113.04 $139,380.89 2026-02-27
5913 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $101,140.36 $173,525.13 $137,332.74 2026-02-27
6023 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $101,048.18 $173,366.98 $137,207.58 2026-02-27
1612 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 2 1 — — $100,759.17 $172,871.12 $136,815.14 2026-02-27
94 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $100,496.16 $172,419.88 $136,458.02 2026-02-27
6074 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $98,428.58 $168,872.56 $133,650.57 2026-02-27
6303 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 2 1 — — $96,135.40 $164,938.18 $130,536.79 2026-02-27
1611 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 2 1 — — $95,721.22 $164,227.58 $129,974.40 2026-02-27
63 APR_DRG Apr-DRG 40.00: Pancreas Transplant 2 1 — — $94,124.50 $161,488.12 $127,806.31 2026-02-27
21 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 2 1 — — $93,283.19 $160,044.68 $126,663.93 2026-02-27
73 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 2 1 — — $91,610.30 $157,174.53 $124,392.42 2026-02-27
5932 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $91,120.65 $156,334.45 $123,727.55 2026-02-27
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 83 69 — — $70,414.09 $168,700.42 $121,024.22 2026-02-27
4404 APR_DRG Apr-DRG 40.00: Kidney Transplant 2 1 — — $89,060.15 $152,799.27 $120,929.71 2026-02-27
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 86 69 — — $39,112.72 $191,675.38 $119,677.67 2026-02-27
13 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $87,632.39 $150,349.69 $118,991.04 2026-02-27
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 79 69 — — $68,107.98 $163,175.36 $117,060.59 2026-02-27
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 86 69 — — $43,582.61 $213,580.47 $116,476.16 2026-02-27
6093 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $85,460.63 $146,623.63 $116,042.13 2026-02-27
62 APR_DRG Apr-DRG 40.00: Pancreas Transplant 2 1 — — $81,709.69 $140,188.20 $110,948.95 2026-02-27
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 12 — — $38,040.37 $186,420.22 $108,478.01 2026-02-27
84 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 2 1 — — $78,635.40 $134,913.68 $106,774.54 2026-02-27
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 69 — — $35,708.65 $174,993.41 $106,374.91 2026-02-27
6022 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $77,102.31 $132,283.37 $104,692.84 2026-02-27
6073 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $76,572.57 $131,374.50 $103,973.54 2026-02-27
6114 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $74,798.02 $128,329.94 $101,563.98 2026-02-27
12 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $73,446.54 $126,011.21 $99,728.88 2026-02-27
8634 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 2 1 — — $73,329.72 $125,810.80 $99,570.26 2026-02-27
72 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 2 1 — — $71,658.64 $122,943.74 $97,301.19 2026-02-27
6124 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 2 1 — — $71,526.09 $122,716.34 $97,121.21 2026-02-27
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 22 12 — — $33,452.09 $163,934.97 $95,393.83 2026-02-27
43 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $70,245.34 $120,518.97 $95,382.15 2026-02-27
6134 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 2 1 — — $70,175.09 $120,398.44 $95,286.76 2026-02-27
6033 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $69,931.77 $119,980.98 $94,956.38 2026-02-27
1604 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $69,313.44 $118,920.12 $94,116.78 2026-02-27
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 86 69 — — $22,055.67 $130,715.74 $93,774.33 2026-02-27
A9543 HCPCS Hc Zevalin Y-90 P/txd Up To 40 Mci 101 75 $73,635.00 $11,045.25 85% off $19,145.10 $159,108.74 $93,760.51 2026-02-27
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 69 — — $44,898.63 $220,029.74 $93,724.03 2026-02-27
54 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $67,647.60 $116,062.07 $91,854.84 2026-02-27
38240 CPT Hc Hpc Transplant Per Donor Allog 99 75 $64,907.00 $9,736.05 85% off $333.38 $151,638.56 $89,358.44 2026-02-27
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 69 — — $27,988.29 $137,159.11 $89,355.77 2026-02-27
1624 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $65,326.59 $112,079.93 $88,703.26 2026-02-27
11 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $65,210.40 $111,880.58 $88,545.49 2026-02-27
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 79 69 — — $51,440.15 $123,242.03 $88,412.76 2026-02-27
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 79 69 — — $51,155.55 $122,560.17 $87,923.60 2026-02-27
61 APR_DRG Apr-DRG 40.00: Pancreas Transplant 2 1 — — $64,227.55 $110,194.32 $87,210.93 2026-02-27
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 69 — — $18,943.20 $120,905.46 $86,736.52 2026-02-27
71 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 2 1 — — $63,805.94 $109,470.97 $86,638.46 2026-02-27
Q0480 HCPCS Hc Tlc-11 Vad Portable Driver (only) 32 17 $166,458.00 $24,968.70 85% off $26,183.84 $133,166.40 $86,558.16 2026-02-27
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 12 — — $30,288.05 $148,429.32 $86,371.09 2026-02-27
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 69 — — $39,507.82 $193,611.58 $85,892.00 2026-02-27
6313 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $63,242.68 $108,504.60 $85,873.64 2026-02-27
3034 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $62,454.61 $107,152.51 $84,803.56 2026-02-27
6084 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 2 1 — — $62,321.21 $106,923.65 $84,622.43 2026-02-27
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 86 69 — — $23,150.54 $115,650.46 $82,966.64 2026-02-27
6302 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 2 1 — — $60,994.45 $104,647.33 $82,820.89 2026-02-27
6083 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 2 1 — — $59,353.50 $101,831.99 $80,592.74 2026-02-27
6072 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $59,291.90 $101,726.30 $80,509.10 2026-02-27
4403 APR_DRG Apr-DRG 40.00: Kidney Transplant 2 1 — — $58,705.23 $100,719.75 $79,712.49 2026-02-27
6214 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $58,680.38 $100,677.12 $79,678.75 2026-02-27
7404 APR_DRG Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure 2 1 — — $58,513.05 $100,390.04 $79,451.54 2026-02-27
8424 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $58,378.58 $100,159.32 $79,268.95 2026-02-27
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 86 69 — — $25,549.80 $125,209.10 $78,715.05 2026-02-27
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 86 69 — — $27,235.14 $133,468.22 $77,532.28 2026-02-27
6144 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 2 1 — — $56,393.90 $96,754.24 $76,574.07 2026-02-27
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 86 69 — — $22,765.61 $111,564.90 $76,160.07 2026-02-27
1634 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $55,589.10 $95,373.46 $75,481.28 2026-02-27
1784 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 2 1 — — $55,218.25 $94,737.20 $74,977.73 2026-02-27
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 86 69 — — $22,807.73 $111,771.34 $74,439.93 2026-02-27
7594 APR_DRG Apr-DRG 40.00: Eating Disorders 2 1 — — $54,752.77 $93,938.58 $74,345.68 2026-02-27
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 86 69 — — $14,553.20 $103,933.37 $74,014.39 2026-02-27
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 12 — — $25,792.74 $126,399.65 $73,552.01 2026-02-27
5912 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $53,818.80 $92,336.18 $73,077.49 2026-02-27
5891 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $53,556.36 $91,885.90 $72,721.13 2026-02-27
6334 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $53,334.54 $91,505.33 $72,419.93 2026-02-27
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 86 69 — — $21,746.64 $106,571.35 $72,294.90 2026-02-27
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 69 — — $22,893.80 $112,193.10 $72,195.32 2026-02-27
113 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $53,042.32 $91,003.97 $72,023.15 2026-02-27
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 86 69 — — $18,663.58 $98,642.54 $70,765.30 2026-02-27
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 22 12 — — $24,347.45 $119,316.84 $69,430.52 2026-02-27
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 86 69 — — $22,551.72 $110,516.72 $69,374.86 2026-02-27
1654 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $50,835.09 $87,217.07 $69,026.08 2026-02-27
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 86 69 — — $16,549.02 $96,164.24 $68,987.39 2026-02-27
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 86 69 — — $13,924.60 $95,843.44 $68,498.01 2026-02-27
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 86 69 — — $16,586.42 $95,425.69 $68,457.56 2026-02-27
4402 APR_DRG Apr-DRG 40.00: Kidney Transplant 2 1 — — $50,349.04 $86,383.16 $68,366.10 2026-02-27
6123 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 2 1 — — $50,302.05 $86,302.54 $68,302.29 2026-02-27
33276 CPT Hc Insertion Phrenic Nerve Stimulator Generator & Lead 98 75 $84,346.00 $12,651.90 85% off $3,416.33 $115,379.49 $67,991.48 2026-02-27
1674 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $50,002.56 $85,788.71 $67,895.64 2026-02-27
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 79 69 — — $39,376.47 $94,339.47 $67,678.31 2026-02-27
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 79 69 — — $39,376.47 $94,339.47 $67,678.31 2026-02-27
53 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $49,814.90 $85,466.74 $67,640.82 2026-02-27
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 86 69 — — $11,248.62 $94,990.00 $67,509.75 2026-02-27
83 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 2 1 — — $49,515.24 $84,952.62 $67,233.93 2026-02-27
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 69 — — $32,653.55 $160,021.63 $67,195.56 2026-02-27
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 86 69 — — $20,812.64 $101,994.21 $66,751.36 2026-02-27
6113 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $48,718.92 $83,586.38 $66,152.65 2026-02-27
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 86 69 — — $17,391.86 $92,075.99 $66,054.52 2026-02-27
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 86 69 — — $11,575.81 $92,980.19 $66,047.99 2026-02-27
42 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $48,294.47 $82,858.17 $65,576.32 2026-02-27
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 86 69 — — $16,330.41 $91,152.43 $65,391.96 2026-02-27
3044 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $47,936.45 $82,243.92 $65,090.18 2026-02-27
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 69 — — $28,142.99 $137,917.22 $64,504.64 2026-02-27
3033 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $47,287.94 $81,131.27 $64,209.61 2026-02-27
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 69 — — $26,186.03 $128,326.96 $64,137.48 2026-02-27
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 12 — — $22,465.29 $110,093.17 $64,063.26 2026-02-27
1834 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 2 1 — — $47,119.67 $80,842.58 $63,981.12 2026-02-27
8633 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 2 1 — — $47,050.31 $80,723.56 $63,886.93 2026-02-27
93 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $46,317.82 $79,466.85 $62,892.34 2026-02-27
6224 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 2 1 — — $46,316.64 $79,464.82 $62,890.73 2026-02-27
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 86 69 — — $16,599.13 $87,456.60 $62,740.61 2026-02-27
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 86 69 — — $20,587.50 $100,890.86 $62,234.32 2026-02-27
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 86 69 — — $24,338.01 $119,270.57 $62,234.32 2026-02-27
1664 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $45,823.15 $78,618.14 $62,220.65 2026-02-27
6133 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 2 1 — — $45,760.46 $78,510.60 $62,135.53 2026-02-27
9104 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 2 1 — — $45,268.49 $77,666.53 $61,467.51 2026-02-27
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 79 69 — — $35,672.24 $85,464.73 $61,311.66 2026-02-27
1794 APR_DRG Apr-DRG 40.00: Defibrillator Implants 2 1 — — $44,987.47 $77,184.39 $61,085.93 2026-02-27
4401 APR_DRG Apr-DRG 40.00: Kidney Transplant 2 1 — — $44,958.42 $77,134.54 $61,046.48 2026-02-27
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 86 69 — — $15,372.81 $84,866.41 $60,882.43 2026-02-27
6804 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 2 1 — — $44,801.19 $76,864.79 $60,832.99 2026-02-27
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 86 69 — — $15,063.77 $84,790.30 $60,827.83 2026-02-27
1623 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $44,743.47 $76,765.75 $60,754.61 2026-02-27
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 86 69 — — $10,967.19 $85,279.72 $60,447.32 2026-02-27
5892 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $44,460.22 $76,279.80 $60,370.01 2026-02-27
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 86 69 — — $8,993.53 $84,781.36 $60,084.86 2026-02-27
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 86 69 — — $12,841.72 $83,660.82 $60,017.55 2026-02-27
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 69 — — $20,598.03 $100,942.47 $59,766.02 2026-02-27
6082 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 2 1 — — $43,815.92 $75,174.37 $59,495.14 2026-02-27
6143 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 2 1 — — $43,262.65 $74,225.14 $58,743.90 2026-02-27
C1825 HCPCS Hc 278 Implant C1825 Generator Cvrx Barostim 34 17 $115,000.00 $17,250.00 85% off $27,186.00 $92,000.00 $58,546.50 2026-02-27
1694 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 2 1 — — $42,888.54 $73,583.28 $58,235.91 2026-02-27
9114 APR_DRG Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 2 1 — — $42,766.81 $73,374.43 $58,070.62 2026-02-27
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 86 69 — — $17,194.32 $84,262.28 $58,013.79 2026-02-27
3124 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 2 1 — — $42,580.59 $73,054.93 $57,817.76 2026-02-27
6234 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 2 1 — — $42,507.22 $72,929.05 $57,718.14 2026-02-27
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 86 69 — — $12,858.06 $80,294.75 $57,602.75 2026-02-27
8413 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 2 1 — — $42,393.20 $72,733.44 $57,563.32 2026-02-27
914 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 2 1 — — $42,357.62 $72,672.39 $57,515.01 2026-02-27
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 86 69 — — $17,671.48 $86,600.67 $57,435.79 2026-02-27
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 22 12 — — $19,987.59 $97,950.96 $56,997.71 2026-02-27
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 86 69 — — $25,396.56 $124,458.11 $56,985.16 2026-02-27
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 86 69 — — $24,396.11 $119,555.31 $56,667.22 2026-02-27
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 12 — — $19,865.57 $97,353.02 $56,649.76 2026-02-27
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 86 69 — — $16,197.50 $79,377.28 $56,625.49 2026-02-27
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 69 — — $19,025.63 $93,236.80 $56,604.09 2026-02-27
9124 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 2 1 — — $41,551.69 $71,289.67 $56,420.68 2026-02-27
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 86 69 — — $26,592.02 $130,316.55 $56,411.44 2026-02-27
82 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 2 1 — — $41,428.89 $71,078.98 $56,253.93 2026-02-27
2740000009 CDM Hc 274 Supply Implant Paracorporeal Vent Assist Device Pump 32 17 $109,862.00 $16,479.30 85% off $17,281.29 $87,889.60 $56,029.62 2026-02-27
6344 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 2 1 — — $40,877.20 $70,132.46 $55,504.83 2026-02-27
1783 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 2 1 — — $40,850.03 $70,085.83 $55,467.93 2026-02-27
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 86 69 — — $16,488.37 $80,802.74 $55,378.52 2026-02-27
8504 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 2 1 — — $40,683.63 $69,800.35 $55,241.99 2026-02-27
6092 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $40,593.08 $69,644.99 $55,119.04 2026-02-27
234 APR_DRG Apr-DRG 40.00: Spinal Procedures 2 1 — — $40,579.91 $69,622.40 $55,101.15 2026-02-27
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 86 69 — — $22,068.74 $108,149.85 $55,062.74 2026-02-27
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 79 69 — — $31,986.06 $76,633.26 $54,976.04 2026-02-27
214 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 2 1 — — $40,023.66 $68,668.05 $54,345.86 2026-02-27
4414 APR_DRG Apr-DRG 40.00: Major Bladder Procedures 2 1 — — $40,016.28 $68,655.38 $54,335.83 2026-02-27
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 86 69 — — $25,409.63 $124,522.17 $54,187.15 2026-02-27
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 86 69 — — $14,348.75 $75,224.77 $53,965.59 2026-02-27
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 86 69 — — $14,461.69 $75,211.36 $53,955.97 2026-02-27
2604 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 2 1 — — $39,514.45 $67,794.39 $53,654.42 2026-02-27
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 86 69 — — $24,518.12 $120,153.25 $53,429.33 2026-02-27
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 22 12 — — $18,702.07 $91,651.18 $53,331.86 2026-02-27
6254 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 2 1 — — $39,159.32 $67,185.12 $53,172.22 2026-02-27
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 86 69 — — $20,256.31 $99,267.87 $53,159.60 2026-02-27
6122 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 2 1 — — $38,954.16 $66,833.12 $52,893.64 2026-02-27
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 86 69 — — $17,366.81 $85,107.59 $52,864.15 2026-02-27
C1824 HCPCS Hc Impulse Dynamic Optimizer Smart Ipg 67 17 $91,000.00 $13,650.00 85% off $21,512.40 $92,000.00 $52,780.00 2026-02-27
6312 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $38,786.72 $66,545.84 $52,666.28 2026-02-27
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 86 69 — — $14,739.85 $73,052.32 $52,407.10 2026-02-27
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 86 69 — — $16,388.87 $80,315.13 $52,386.77 2026-02-27
6091 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $38,563.40 $66,162.70 $52,363.05 2026-02-27
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 86 69 — — $15,648.79 $76,688.30 $52,229.43 2026-02-27
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 86 69 — — $13,199.78 $72,794.20 $52,221.92 2026-02-27
7524 APR_DRG Apr-DRG 40.00: Disorders Of Personality And Impulse Control 2 1 — — $38,370.55 $65,831.82 $52,101.19 2026-02-27
6814 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 2 1 — — $38,202.39 $65,543.31 $51,872.85 2026-02-27
1782 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 2 1 — — $38,059.40 $65,297.99 $51,678.69 2026-02-27
2204 APR_DRG Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $37,910.46 $65,042.46 $51,476.46 2026-02-27
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 86 69 — — $14,360.01 $71,596.10 $51,362.42 2026-02-27
894 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 2 1 — — $37,653.62 $64,601.81 $51,127.71 2026-02-27
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 86 69 — — $19,229.35 $94,235.16 $51,074.48 2026-02-27
1653 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $37,544.73 $64,414.98 $50,979.86 2026-02-27
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 86 69 — — $17,285.83 $84,710.74 $50,941.75 2026-02-27
9504 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $37,282.72 $63,965.44 $50,624.08 2026-02-27
1603 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $37,207.92 $63,837.11 $50,522.51 2026-02-27
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 86 69 — — $10,361.84 $70,386.05 $50,494.34 2026-02-27
1633 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $37,006.99 $63,492.38 $50,249.68 2026-02-27
204 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 2 1 — — $36,924.70 $63,351.19 $50,137.94 2026-02-27
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 86 69 — — $14,891.28 $72,976.06 $50,090.80 2026-02-27
1204 APR_DRG Apr-DRG 40.00: Major Respiratory And Chest Procedures 2 1 — — $36,754.50 $63,059.19 $49,906.85 2026-02-27
6904 APR_DRG Apr-DRG 40.00: Acute Leukemia 2 1 — — $36,567.56 $62,738.46 $49,653.01 2026-02-27
52 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $36,463.35 $62,559.66 $49,511.51 2026-02-27
33287 CPT Hc Rmvl & Rplcmt Phrenic Nerve Stimulator Pls Generator W/cath 98 75 $83,269.00 $12,490.35 85% off $3,416.33 $78,133.08 $49,397.29 2026-02-27
33249 CPT Hc Insert/replace Icd Single Or Dual Chamber W Lead(s) 105 77 $85,292.00 $12,793.80 85% off $297.00 $82,204.61 $49,322.77 2026-02-27
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 86 69 — — $23,596.84 $115,638.41 $49,290.14 2026-02-27
3614 APR_DRG Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $36,059.99 $61,867.64 $48,963.82 2026-02-27
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 86 69 — — $12,006.13 $67,927.12 $48,730.32 2026-02-27
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 86 69 — — $15,034.00 $73,675.44 $48,662.89 2026-02-27
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 86 69 — — $9,668.97 $68,840.26 $48,637.15 2026-02-27
33264 CPT Hc Remove/replace Icd Generator Multiple Lead System 103 75 $75,338.00 $11,300.70 85% off $333.38 $82,204.61 $48,442.00 2026-02-27
33270 CPT Hc Inst/repl Subq Defib W Electrode 105 77 $78,958.00 $11,843.70 85% off $297.00 $82,204.61 $48,442.00 2026-02-27
33231 CPT Hc Insert Icd Generator Only Exist Multiple Leads 103 75 $79,107.00 $11,866.05 85% off $333.38 $82,204.61 $48,442.00 2026-02-27
0408T CPT Hc Ins Or Replct Perm Card Modulated System Pulse Gen W/leads 100 76 $79,475.00 $11,921.25 85% off $257.50 $82,204.61 $48,442.00 2026-02-27
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 86 69 — — $14,455.15 $70,838.76 $48,339.65 2026-02-27
1814 APR_DRG Apr-DRG 40.00: Lower Extremity Arterial Procedures 2 1 — — $35,461.05 $60,840.04 $48,150.54 2026-02-27
1622 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $35,461.05 $60,840.04 $48,150.54 2026-02-27
5893 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $35,364.09 $60,673.69 $48,018.89 2026-02-27
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 86 69 — — $26,479.08 $129,763.09 $47,926.46 2026-02-27
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 86 69 — — $12,672.86 $66,791.68 $47,915.77 2026-02-27
274 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 2 1 — — $35,278.41 $60,526.68 $47,902.54 2026-02-27
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 86 69 — — $14,177.35 $69,477.36 $47,606.43 2026-02-27
6233 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 2 1 — — $35,052.56 $60,139.20 $47,595.88 2026-02-27
1304 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $34,879.35 $59,842.03 $47,360.69 2026-02-27
1764 APR_DRG Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 2 1 — — $34,836.89 $59,769.17 $47,303.03 2026-02-27
2614 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 2 1 — — $34,732.13 $59,589.43 $47,160.78 2026-02-27
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 86 69 — — $11,627.38 $65,635.33 $47,086.21 2026-02-27
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 86 69 — — $15,612.48 $76,510.34 $47,061.61 2026-02-27
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 86 69 — — $11,791.88 $65,509.98 $46,996.29 2026-02-27
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 86 69 — — $2,261.64 $66,506.71 $46,988.43 2026-02-27
33289 CPT Hc Trnscat Impl Wrls Pul-art Prs Sen W/rt Hrt Cath/s&i/pul Art If Done 100 76 $102,776.00 $15,416.40 85% off $257.50 $82,220.80 $46,857.28 2026-02-27
6032 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $34,503.70 $59,197.52 $46,850.61 2026-02-27
6213 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $34,445.36 $59,097.43 $46,771.40 2026-02-27
6954 APR_DRG Apr-DRG 40.00: Chemotherapy For Acute Leukemia 2 1 — — $34,415.58 $59,046.34 $46,730.96 2026-02-27
3032 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $34,356.98 $58,945.79 $46,651.39 2026-02-27
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 86 69 — — $11,025.66 $64,968.38 $46,607.75 2026-02-27
2304 APR_DRG Apr-DRG 40.00: Major Small Bowel Procedures 2 1 — — $33,978.63 $58,296.67 $46,137.65 2026-02-27
5104 APR_DRG Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 2 1 — — $33,965.85 $58,274.75 $46,120.30 2026-02-27
1781 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 2 1 — — $33,945.75 $58,240.26 $46,093.01 2026-02-27
6364 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In… 2 1 — — $33,840.54 $58,059.74 $45,950.14 2026-02-27
92 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $33,782.38 $57,959.97 $45,871.18 2026-02-27
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 86 69 — — $8,169.20 $64,856.48 $45,822.51 2026-02-27
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 86 69 — — $9,844.00 $63,719.52 $45,711.83 2026-02-27
5484 APR_DRG Apr-DRG 40.00: Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $33,520.34 $57,510.38 $45,515.36 2026-02-27
924 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 2 1 — — $33,508.52 $57,490.11 $45,499.32 2026-02-27
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 86 69 — — $20,985.13 $102,839.52 $45,305.07 2026-02-27
7924 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $33,346.31 $57,211.81 $45,279.06 2026-02-27
4014 APR_DRG Apr-DRG 40.00: Adrenal Procedures 2 1 — — $33,276.86 $57,092.65 $45,184.76 2026-02-27
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 86 69 — — $5,416.96 $63,677.78 $44,989.73 2026-02-27
1833 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 2 1 — — $33,100.11 $56,789.40 $44,944.76 2026-02-27
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 86 69 — — $12,891.11 $63,174.02 $44,926.17 2026-02-27
6514 APR_DRG Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs 2 1 — — $33,067.00 $56,732.60 $44,899.80 2026-02-27
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 86 69 — — $9,237.56 $62,302.08 $44,694.97 2026-02-27
1793 APR_DRG Apr-DRG 40.00: Defibrillator Implants 2 1 — — $32,802.56 $56,278.91 $44,540.74 2026-02-27
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 86 69 — — $8,570.83 $63,031.71 $44,533.27 2026-02-27
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 86 69 — — $8,944.86 $62,912.34 $44,483.93 2026-02-27
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 86 69 — — $11,420.39 $61,948.50 $44,441.31 2026-02-27
4044 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $32,701.66 $56,105.78 $44,403.72 2026-02-27
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 86 69 — — $12,663.78 $62,059.99 $44,283.94 2026-02-27
3043 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $32,395.47 $55,580.46 $43,987.96 2026-02-27
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 86 69 — — $25,591.46 $151,556.07 $43,985.32 2026-02-27
41 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $32,249.78 $55,330.51 $43,790.15 2026-02-27
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 86 69 — — $16,232.72 $79,549.90 $43,763.74 2026-02-27
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 86 69 — — $7,778.46 $61,890.29 $43,726.83 2026-02-27
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 86 69 — — $16,856.23 $82,605.47 $43,446.91 2026-02-27
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 86 69 — — $19,711.24 $96,596.69 $43,124.73 2026-02-27
3214 APR_DRG Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 2 1 — — $31,457.68 $53,971.50 $42,714.59 2026-02-27
304 APR_DRG Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $31,227.55 $53,576.68 $42,402.11 2026-02-27
1652 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $31,226.67 $53,575.17 $42,400.92 2026-02-27
1663 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $31,214.77 $53,554.76 $42,384.76 2026-02-27
1673 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $31,143.83 $53,433.04 $42,288.43 2026-02-27
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $14,828.82 $72,669.97 $42,286.68 2026-02-27
81 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 2 1 — — $31,131.46 $53,411.83 $42,271.65 2026-02-27
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