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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

MERCY GENERAL HOSPITAL

Sacramento, CA · CCN 050017 · Rates published

16,158 distinct procedures filed
19 distinct payers
455,815 rate rows
2026-02-28 last MRF observed
Data quality

387,867 of 455,815 rate rows are consumer-grade (85.1%)

67,948 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 37,480
per-diem day rate — not a per-procedure price 27,151
template filing: same amount across many unrelated codes — excluded 2,687
exceeds 10× this hospital's gross charge — excluded from medians 548
placeholder amount (≤ $0.02) — excluded from medians 82
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/northern-california/json/941196203_mercy-general-hospital_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/sacramento/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 7bfbb04b042099da… · 115,179,101 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
6332423
CDM 		Peg-electrolyte 4l Liq 8 $530,208.00 $1,514,880.00 $1,196,755.20 nat. median
$148
outlier · 8086.2×
5834
APR_DRG 		Neonate With Ecmo 5 $342,182.00 $615,928.00 $479,055.00 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $6,656.00 $573,407.12 $382,271.41 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $255,224.00 $459,403.00 $357,313.50 nat. median
$246,434
1.4× median
5833
APR_DRG 		Neonate With Ecmo 5 $297,996.00 $372,495.00 $335,245.50 nat. median
$244,017
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $11,410.00 $428,484.69 $285,656.46 nat. median
$265,286
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $173,475.00 $312,255.00 $242,865.00 nat. median
$150,721
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $11,410.00 $360,984.81 $240,656.54 nat. median
$206,368
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $235,408.00 $235,408.00 $235,408.00 nat. median
$207,730
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $167,781.00 $302,006.00 $234,893.50 nat. median
$151,838
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $166,108.00 $298,994.00 $232,551.00 nat. median
$164,279
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $163,184.00 $293,731.00 $228,457.50 nat. median
$122,924
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $228,058.00 $228,058.00 $228,058.00 nat. median
$234,738
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $161,318.00 $290,372.00 $225,845.00 nat. median
$162,982
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $11,410.00 $326,195.54 $217,463.69 nat. median
$202,986
1.1× median
5832
APR_DRG 		Neonate With Ecmo 5 $187,000.00 $233,750.00 $210,375.00 nat. median
$156,126
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $163,694.00 $204,617.00 $184,155.50 nat. median
$182,736
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $159,340.00 $199,175.00 $179,257.50 nat. median
$145,336
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $178,385.00 $178,385.00 $178,385.00 nat. median
$119,796
1.5× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $125,861.00 $226,549.00 $176,205.00 nat. median
$109,499
1.6× median
5831
APR_DRG 		Neonate With Ecmo 5 $151,436.00 $189,295.00 $170,365.50 nat. median
$145,122
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $121,068.00 $217,923.00 $169,495.50 nat. median
$118,620
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $169,074.00 $169,074.00 $169,074.00 nat. median
$160,267
1.1× median
J7330
HCPCS 		Maci Imp 56051x-61656 12 $51,975.00 $286,675.47 $156,164.01 nat. median
$76,377
outlier · 2.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $151,952.00 $151,952.00 $151,952.00 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $149,142.00 $149,142.00 $149,142.00 nat. median
$105,658
1.4× median
J9347
HCPCS 		Tre-actl300mg/15mlsdvjwtb 8 $46,800.00 $187,200.00 $147,888.00 nat. median
$3,461
outlier · 42.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $147,645.00 $147,645.00 $147,645.00 nat. median
$187,294
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $144,340.00 $144,340.00 $144,340.00 nat. median
$93,528
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $143,137.00 $143,137.00 $143,137.00 nat. median
$129,535
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $143,054.00 $143,054.00 $143,054.00 nat. median
$85,406
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 5 $136,065.00 $136,065.00 $136,065.00 nat. median
$76,806
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 $11,410.00 $215,329.01 $135,657.28 nat. median
$133,176
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $6,656.00 $199,716.95 $133,144.63 nat. median
$117,303
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $94,113.00 $169,403.00 $131,758.00 nat. median
$95,507
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $113,011.00 $141,264.00 $127,137.50 nat. median
$108,996
1.2× median
7
MS_DRG 		Lung Transplant 15 $11,410.00 $199,215.89 $125,506.01 nat. median
$122,708
1.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $108,751.00 $135,938.00 $122,344.50 nat. median
$102,636
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $105,979.00 $132,474.00 $119,226.50 nat. median
$124,573
1.0× median
64
APR_DRG 		Pancreas Transplant 5 $114,046.00 $114,046.00 $114,046.00 nat. median
$91,748
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $11,410.00 $168,102.62 $112,068.41 nat. median
$108,660
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $107,340.00 $107,340.00 $107,340.00 nat. median
$97,957
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $25,798.00 $159,838.04 $106,558.69 nat. median
$98,905
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $93,971.00 $117,464.00 $105,717.50 nat. median
$72,936
1.4× median
8634
APR_DRG 		Neonatal Aftercare 5 $74,967.00 $134,940.00 $104,953.50 nat. median
$69,502
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $1,050.14 $166,192.49 $104,701.27 nat. median
$102,358
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant 5 $103,885.00 $103,885.00 $103,885.00 nat. median
$78,029
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $91,458.00 $114,323.00 $102,890.50 nat. median
$86,492
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $102,402.00 $102,402.00 $102,402.00 nat. median
$68,217
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $11,410.00 $162,480.03 $102,362.42 nat. median
$100,136
1.0× median

Other procedures at this hospital

Browse this hospital's 16,158 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $42,949.00 $42,949.00 $42,949.00 2026-02-28
02563ZZ OTHER Intracardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025H3ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025J3ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02B73ZZ OTHER Cardiovascular Surgery 2 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025F3ZZ OTHER Cardiac Ablation/eps Studies 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025M3ZZ OTHER Cardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02B93ZZ OTHER Cardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02BF3ZZ OTHER Cardiac Ablation/eps Studies 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02593ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025K3ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02BH3ZZ OTHER Cardiac Ablation/eps Studies 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02BG3ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02553ZZ OTHER Cardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025L3ZZ OTHER Cardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02BM3ZZ OTHER Intracardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02B83ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
025G3ZZ OTHER Cardiac Ablation/eps Studies 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02BJ3ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02B53ZZ OTHER Ip Rf Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02B63ZZ OTHER Cardiovascular Surgery 2 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02K80ZZ OTHER Electro Physiology Services 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02573ZZ OTHER Intracardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
02T83ZZ OTHER Intracardiac Ablation 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
4A023FZ OTHER Electro Physiology Services 12 6 — — $31,410.00 $52,304.00 $43,008.50 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $43,062.00 $43,062.00 $43,062.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 21 14 — — $11,410.00 $74,981.48 $43,195.74 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 15 — — $20,249.00 $66,344.88 $43,296.94 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 19 14 — — $11,410.00 $64,996.56 $43,331.04 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 15 — — $11,410.00 $68,876.04 $43,391.91 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $43,439.00 $43,439.00 $43,439.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 6 5 — — $43,453.00 $43,453.00 $43,453.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 15 — — $11,410.00 $69,284.49 $43,649.23 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 6 5 — — $43,685.00 $43,685.00 $43,685.00 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 474 15 $73,805.00 $16,089.49 78% off $6,859.75 $124,207.75 $43,708.62 2026-02-28
3706200 CDM Inst/supp Ste11090x-12199 11 7 $60,995.00 $13,296.91 78% off $14,028.85 $60,995.00 $43,916.40 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 14 — — $492.69 $76,446.72 $43,928.36 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $44,063.00 $44,063.00 $44,063.00 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 407 15 $73,805.00 $16,089.49 78% off $8,918.25 $136,629.00 $44,302.55 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 14 — — $6,656.00 $66,480.03 $44,320.02 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 15 — — $11,410.00 $77,260.58 $44,335.29 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 15 — — $11,410.00 $70,503.75 $44,417.37 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 5 — — $44,436.00 $44,436.00 $44,436.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $44,562.00 $44,562.00 $44,562.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 5 — — $44,575.00 $44,575.00 $44,575.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 21 15 — — $11,410.00 $70,766.43 $44,582.86 2026-02-28
1793 APR_DRG Defibrillator Implants 6 5 — — $44,620.00 $44,620.00 $44,620.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 6 5 — — $44,748.00 $44,748.00 $44,748.00 2026-02-28
027G04Z OTHER Da Vinci Cardiac 6 5 — — $39,870.00 $49,837.00 $44,853.50 2026-02-28
027G0DZ OTHER Cardiovascular Surgery 6 5 — — $39,870.00 $49,837.00 $44,853.50 2026-02-28
02RG4KZ OTHER Coronary Surgery 6 5 — — $39,870.00 $49,837.00 $44,853.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 6 5 — — $39,925.00 $49,907.00 $44,916.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $39,980.00 $49,975.00 $44,977.50 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 14 — — $459.92 $71,414.78 $44,991.31 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 6 5 — — $45,034.00 $45,034.00 $45,034.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 14 — — $507.49 $78,719.75 $45,064.88 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 15 — — $11,410.00 $71,833.86 $45,255.34 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 5 — — $45,467.00 $45,467.00 $45,467.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $45,699.00 $45,699.00 $45,699.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 15 — — $11,410.00 $72,963.54 $45,967.04 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 21 15 — — $11,410.00 $72,977.21 $45,975.64 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 15 — — $11,410.00 $73,291.50 $46,173.65 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $46,258.00 $46,258.00 $46,258.00 2026-02-28
3666729 CDM Closure Impl 12199x-13419 35 15 $67,095.00 $14,626.71 78% off $15,431.85 $63,740.25 $46,295.55 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $523.68 $81,205.34 $46,307.67 2026-02-28
1781 APR_DRG External Heart Assist Systems 6 5 — — $46,398.00 $46,398.00 $46,398.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $46,451.00 $46,451.00 $46,451.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 14 — — $526.01 $81,562.16 $46,486.08 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 6 5 — — $46,491.00 $46,491.00 $46,491.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 21 15 — — $11,410.00 $74,410.56 $46,878.66 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $41,724.00 $52,155.00 $46,939.50 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 14 — — $11,410.00 $70,737.59 $47,158.39 2026-02-28
4014 APR_DRG Adrenal Procedures 6 5 — — $47,237.00 $47,237.00 $47,237.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 21 15 — — $20,249.00 $74,533.55 $47,391.28 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 5 — — $47,395.00 $47,395.00 $47,395.00 2026-02-28
4402 APR_DRG Kidney Transplant 6 5 — — $47,537.00 $47,537.00 $47,537.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 5 — — $34,031.00 $61,255.00 $47,643.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $47,798.00 $47,798.00 $47,798.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 5 — — $47,894.00 $47,894.00 $47,894.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 14 — — $11,410.00 $84,706.74 $48,058.37 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $48,102.00 $48,102.00 $48,102.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $42,825.00 $53,532.00 $48,178.50 2026-02-28
3209469 CDM Inst/supp Ste12199x-13419 11 7 $67,095.00 $14,626.71 78% off $15,431.85 $67,095.00 $48,308.40 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 6 5 — — $48,329.00 $48,329.00 $48,329.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 15 — — $11,410.00 $76,720.02 $48,333.62 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 14 — — $11,410.00 $76,750.40 $48,352.75 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $43,149.00 $53,937.00 $48,543.00 2026-02-28
02K83ZZ OTHER Cardiac Electrophysiology Studies 16 6 — — $31,410.00 $52,304.00 $48,547.00 2026-02-28
02K84ZZ OTHER Ip Rf Ablation 16 6 — — $31,410.00 $52,304.00 $48,547.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $48,577.00 $48,577.00 $48,577.00 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 10 9 $66,386.00 $14,472.15 78% off $2,891.00 $66,386.00 $48,793.71 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 21 15 — — $11,410.00 $77,899.82 $49,076.89 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 15 — — $20,249.00 $78,136.68 $49,226.11 2026-02-28
274 APR_DRG Other Open Craniotomy 6 5 — — $49,262.00 $49,262.00 $49,262.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 15 — — $11,410.00 $87,406.43 $49,408.21 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $44,226.00 $55,282.00 $49,754.00 2026-02-28
02RG37Z OTHER Cardiovascular Surgery 5 5 — — $49,837.00 $49,837.00 $49,837.00 2026-02-28
02RG3KZ OTHER Da Vinci Cardiac 5 5 — — $49,837.00 $49,837.00 $49,837.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 6 5 — — $50,752.00 $50,752.00 $50,752.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 14 — — $581.77 $90,125.87 $50,767.93 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $50,835.00 $50,835.00 $50,835.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $51,161.00 $51,161.00 $51,161.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 14 — — $6,656.00 $76,809.62 $51,206.41 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $11,410.00 $91,114.34 $51,262.17 2026-02-28
4414 APR_DRG Major Bladder Procedures 6 5 — — $51,399.00 $51,399.00 $51,399.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 5 — — $36,774.00 $66,194.00 $51,484.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 5 — — $51,550.00 $51,550.00 $51,550.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 14 — — $592.30 $91,744.46 $51,577.23 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $45,847.00 $57,309.00 $51,578.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $51,631.00 $51,631.00 $51,631.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 5 — — $36,936.00 $66,485.00 $51,710.50 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 15 — — $11,410.00 $82,702.47 $52,102.56 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 15 — — $11,410.00 $82,711.58 $52,108.30 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 15 — — $11,410.00 $82,789.02 $52,157.09 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $52,193.00 $52,193.00 $52,193.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $52,201.00 $52,201.00 $52,201.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 5 — — $52,235.00 $52,235.00 $52,235.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 29 15 — — $11,410.00 $93,091.28 $52,250.64 2026-02-28
02BK3ZZ OTHER Coronary Surgery 7 5 — — $52,304.00 $52,304.00 $52,304.00 2026-02-28
02BL3ZZ OTHER Ip Rf Ablation 7 5 — — $52,304.00 $52,304.00 $52,304.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $52,397.00 $52,397.00 $52,397.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 21 15 — — $11,410.00 $83,209.61 $52,422.06 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 14 — — $585.48 $93,534.65 $52,472.32 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 15 — — $11,410.00 $83,397.89 $52,540.67 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $52,578.00 $52,578.00 $52,578.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 14 — — $25,798.00 $78,979.38 $52,652.92 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 5 — — $53,120.00 $53,120.00 $53,120.00 2026-02-28
6904 APR_DRG Acute Leukemia 6 5 — — $53,130.00 $53,130.00 $53,130.00 2026-02-28
3666853 CDM Inst/supp Ste13419x-14761 11 7 $73,805.00 $16,089.49 78% off $16,975.15 $73,805.00 $53,139.60 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 5 — — $53,522.00 $53,522.00 $53,522.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $53,538.00 $53,538.00 $53,538.00 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 518 15 $93,770.00 $20,441.86 78% off $11,594.30 $181,849.00 $53,676.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $38,425.00 $69,164.00 $53,794.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 21 15 — — $11,410.00 $85,424.94 $53,817.72 2026-02-28
4403 APR_DRG Kidney Transplant 6 5 — — $54,068.00 $54,068.00 $54,068.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 5 — — $54,503.00 $54,503.00 $54,503.00 2026-02-28
234 APR_DRG Spinal Procedures 6 5 — — $55,265.00 $55,265.00 $55,265.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 15 — — $20,249.00 $87,927.24 $55,394.17 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 555 15 $98,235.00 $21,415.23 78% off $11,594.30 $200,032.00 $55,505.45 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 6 5 — — $55,565.00 $55,565.00 $55,565.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $55,578.00 $55,578.00 $55,578.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 14 — — $25,798.00 $83,844.30 $55,896.20 2026-02-28
02RG08Z OTHER Cardiovascular Surgery 6 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02RG0KZ OTHER Cardiovascular Surgery 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02RG48Z OTHER Cardiac Services 6 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 7 5 — — $39,870.00 $72,264.00 $56,067.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 15 — — $11,410.00 $89,185.98 $56,187.17 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $25,798.00 $84,354.48 $56,236.32 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 19 14 — — $6,656.00 $84,706.74 $56,471.16 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $50,252.00 $62,815.00 $56,533.50 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 14 — — $11,410.00 $102,020.91 $56,715.46 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $56,761.00 $56,761.00 $56,761.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $56,887.00 $56,887.00 $56,887.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 5 — — $56,956.00 $56,956.00 $56,956.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 6 5 — — $57,181.00 $57,181.00 $57,181.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 15 — — $11,410.00 $104,460.95 $57,935.47 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $51,524.00 $64,405.00 $57,964.50 2026-02-28
0266T CPT Imp/rpl Car Sin Bf Ad Tot 29 16 $153,250.00 $33,408.50 78% off $1,545.00 $153,250.00 $59,135.16 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 15 — — $20,249.00 $93,959.79 $59,194.67 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 15 — — $11,410.00 $94,286.24 $59,400.33 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 5 — — $59,624.00 $59,624.00 $59,624.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 14 — — $645.73 $94,714.43 $59,670.09 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 14 — — $11,410.00 $94,835.90 $59,746.62 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $53,516.00 $66,895.00 $60,205.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $60,565.00 $60,565.00 $60,565.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 19 14 — — $6,656.00 $91,046.01 $60,697.34 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 15 — — $11,410.00 $96,808.28 $60,989.22 2026-02-28
02NG0ZZ OTHER Coronary Surgery 6 5 — — $49,837.00 $72,264.00 $61,050.50 2026-02-28
61 APR_DRG Pancreas Transplant 6 5 — — $61,610.00 $61,610.00 $61,610.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 14 — — $6,656.00 $92,429.25 $61,619.50 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 14 — — $6,656.00 $92,429.25 $61,619.50 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 6 5 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $62,173.00 $62,173.00 $62,173.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $11,410.00 $323,319.64 $62,267.22 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $62,477.00 $62,477.00 $62,477.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $63,325.00 $63,325.00 $63,325.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $63,748.00 $63,748.00 $63,748.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $63,835.00 $63,835.00 $63,835.00 2026-02-28
1794 APR_DRG Defibrillator Implants 6 5 — — $63,930.00 $63,930.00 $63,930.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $64,177.00 $64,177.00 $64,177.00 2026-02-28
3706499 CDM Inst/supp Ste16237x-17861 11 7 $89,305.00 $19,468.49 78% off $20,540.15 $89,305.00 $64,299.60 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $765.00 $118,266.12 $64,838.06 2026-02-28
C2624 HCPCS Wrless Sens 17861x-19647 121 15 $108,055.00 $23,555.99 78% off $8,223.25 $112,917.00 $65,373.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 14 — — $683.92 $119,464.13 $65,437.07 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 14 — — $6,656.00 $98,978.06 $65,985.37 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $66,666.00 $66,666.00 $66,666.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $66,715.00 $66,715.00 $66,715.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 14 — — $11,410.00 $123,179.63 $67,294.82 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $67,724.00 $67,724.00 $67,724.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $67,950.00 $67,950.00 $67,950.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 14 — — $698.71 $108,085.34 $68,093.77 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 14 — — $11,410.00 $102,192.48 $68,128.32 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $48,703.00 $87,665.00 $68,184.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $60,726.00 $75,908.00 $68,317.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $60,775.00 $75,968.00 $68,371.50 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 14 — — $25,798.00 $102,584.22 $68,389.48 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $68,811.00 $68,811.00 $68,811.00 2026-02-28
3706229 CDM Inst/supp Ste17861x-19647 11 7 $98,235.00 $21,415.23 78% off $22,594.05 $98,235.00 $70,729.20 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 14 — — $6,656.00 $106,407.53 $70,938.35 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $71,668.00 $71,668.00 $71,668.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $71,805.00 $71,805.00 $71,805.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 15 — — $11,410.00 $114,116.37 $71,893.32 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $71,939.00 $71,939.00 $71,939.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $51,398.00 $92,516.00 $71,957.00 2026-02-28
02QG0ZZ OTHER Coronary Surgery 5 5 — — $72,264.00 $72,264.00 $72,264.00 2026-02-28
02RG3JZ OTHER Cardiovascular Surgery 5 5 — — $72,264.00 $72,264.00 $72,264.00 2026-02-28
02RG0JZ OTHER Coronary Surgery 5 5 — — $72,264.00 $72,264.00 $72,264.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $64,284.00 $80,355.00 $72,319.50 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $25,798.00 $108,627.41 $72,418.27 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $72,514.00 $72,514.00 $72,514.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 5 — — $52,464.00 $94,436.00 $73,450.00 2026-02-28
62 APR_DRG Pancreas Transplant 6 5 — — $74,166.00 $74,166.00 $74,166.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 6 5 — — $74,624.00 $74,624.00 $74,624.00 2026-02-28
33276 CPT Ins Phrenic Nrv Stim Sys 18 9 $94,115.00 $20,517.07 78% off $2,891.00 $144,375.00 $74,821.43 2026-02-28
10 MS_DRG Pancreas Transplant 21 15 — — $11,410.00 $121,841.93 $76,760.42 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $77,666.00 $77,666.00 $77,666.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 5 — — $55,751.00 $100,352.00 $78,051.50 2026-02-28
33287 CPT Rem Rep Phr Nrv Stim Gen 10 9 $106,229.00 $23,157.93 78% off $2,891.00 $106,229.00 $78,078.32 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $70,362.00 $87,952.00 $79,157.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $954.20 $147,321.98 $79,365.99 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $70,822.00 $88,527.00 $79,674.50 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $70,952.00 $88,690.00 $79,821.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 14 — — $11,410.00 $121,148.03 $80,765.35 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $58,153.00 $104,676.00 $81,414.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $81,444.00 $81,444.00 $81,444.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 15 — — $20,249.00 $129,376.16 $81,506.98 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 14 — — $11,410.00 $129,447.53 $81,551.95 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $84,634.00 $84,634.00 $84,634.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 14 — — $25,798.00 $127,423.52 $84,949.01 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 6 5 — — $85,404.00 $85,404.00 $85,404.00 2026-02-28
4404 APR_DRG Kidney Transplant 6 5 — — $86,526.00 $86,526.00 $86,526.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 21 14 — — $961.58 $161,651.00 $86,530.50 2026-02-28
63 APR_DRG Pancreas Transplant 6 5 — — $90,289.00 $90,289.00 $90,289.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $91,795.00 $91,795.00 $91,795.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $92,287.00 $92,287.00 $92,287.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $93,240.00 $93,240.00 $93,240.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 18 14 — — $11,410.00 $140,653.22 $93,768.81 2026-02-28
4848967 CDM Cath Other 23772x-26149 11 7 $130,745.00 $28,502.41 78% off $30,071.35 $130,745.00 $94,136.40 2026-02-28
C1823 HCPCS Nrstm Trn S/s26149x-28764 37 15 $143,820.00 $31,352.76 78% off $33,078.60 $136,629.00 $94,921.20 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 37 15 $143,820.00 $31,352.76 78% off $33,078.60 $136,629.00 $94,921.20 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $68,610.00 $123,497.00 $96,053.50 2026-02-28
A9543 HCPCS Y90 Ibritumm Tx To 40mctb 32 19 $170,352.00 $37,136.74 78% off $59,623.20 $211,372.58 $96,210.18 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $98,573.00 $98,573.00 $98,573.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $87,869.00 $109,837.00 $98,853.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $71,379.00 $128,482.00 $99,930.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 15 — — $11,410.00 $162,480.03 $102,362.42 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $102,402.00 $102,402.00 $102,402.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $91,458.00 $114,323.00 $102,890.50 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 6 5 — — $103,885.00 $103,885.00 $103,885.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 14 — — $1,050.14 $166,192.49 $104,701.27 2026-02-28
8634 APR_DRG Neonatal Aftercare 6 5 — — $74,967.00 $134,940.00 $104,953.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $93,971.00 $117,464.00 $105,717.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $25,798.00 $159,838.04 $106,558.69 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $107,340.00 $107,340.00 $107,340.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 14 — — $11,410.00 $168,102.62 $112,068.41 2026-02-28
64 APR_DRG Pancreas Transplant 6 5 — — $114,046.00 $114,046.00 $114,046.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $105,979.00 $132,474.00 $119,226.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $108,751.00 $135,938.00 $122,344.50 2026-02-28
7 MS_DRG Lung Transplant 21 15 — — $11,410.00 $199,215.89 $125,506.01 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $113,011.00 $141,264.00 $127,137.50 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $94,113.00 $169,403.00 $131,758.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 17 11 — — $6,656.00 $199,716.95 $133,144.63 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 21 15 — — $11,410.00 $215,329.01 $135,657.28 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $136,065.00 $136,065.00 $136,065.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $143,054.00 $143,054.00 $143,054.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $143,137.00 $143,137.00 $143,137.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 6 5 — — $144,340.00 $144,340.00 $144,340.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $147,645.00 $147,645.00 $147,645.00 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 11 8 $187,200.00 $40,809.60 78% off $46,800.00 $187,200.00 $147,888.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $149,142.00 $149,142.00 $149,142.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $151,952.00 $151,952.00 $151,952.00 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 25 12 $308,280.00 $67,205.04 78% off $51,975.00 $286,675.47 $156,164.01 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $169,074.00 $169,074.00 $169,074.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $121,068.00 $217,923.00 $169,495.50 2026-02-28
5831 APR_DRG Neonate With Ecmo 6 5 — — $151,436.00 $189,295.00 $170,365.50 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $125,861.00 $226,549.00 $176,205.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $178,385.00 $178,385.00 $178,385.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $159,340.00 $199,175.00 $179,257.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $163,694.00 $204,617.00 $184,155.50 2026-02-28
5832 APR_DRG Neonate With Ecmo 6 5 — — $187,000.00 $233,750.00 $210,375.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 17 11 — — $11,410.00 $326,195.54 $217,463.69 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $161,318.00 $290,372.00 $225,845.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 6 5 — — $228,058.00 $228,058.00 $228,058.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $163,184.00 $293,731.00 $228,457.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $166,108.00 $298,994.00 $232,551.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $167,781.00 $302,006.00 $234,893.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $235,408.00 $235,408.00 $235,408.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $11,410.00 $360,984.81 $240,656.54 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $173,475.00 $312,255.00 $242,865.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $11,410.00 $428,484.69 $285,656.46 2026-02-28
5833 APR_DRG Neonate With Ecmo 6 5 — — $297,996.00 $372,495.00 $335,245.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $255,224.00 $459,403.00 $357,313.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $6,656.00 $573,407.12 $382,271.41 2026-02-28
5834 APR_DRG Neonate With Ecmo 6 5 — — $342,182.00 $615,928.00 $479,055.00 2026-02-28
6332423 CDM Peg-electrolyte 4l Liq 11 8 $1,514,880.00 $330,243.84 78% off $530,208.00 $1,514,880.00 $1,196,755.20 2026-02-28
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