Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

GLENDALE MEM HOSPITAL & HLTH CENTER

Glendale, CA · CCN 050058 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $871 across 18 payers · range $240-$11,526

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/815009488_glendale-memorial-hospital-and-health-center_standardcharges.json · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

17,019 distinct procedures filed
22 distinct payers
1,069,195 rate rows
2026-02-28 last MRF observed
Data quality

990,822 of 1,069,195 rate rows are consumer-grade (92.7%)

78,373 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 33,788
per-diem day rate — not a per-procedure price 26,404
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17,000
exceeds 10× this hospital's gross charge — excluded from medians 885
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 188
placeholder amount (≤ $0.02) — excluded from medians 70
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/815009488-1477610640_dignity-community-care_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/dignity-health-socal-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint c88265f3a5fddb97… · 133,160,791 bytes · first seen 2026-07-06

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 		Neonate With Ecmo 8 $272,497.00 $818,500.50 $408,757.80 nat. median
$307,206
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $7,339.00 $448,174.65 $389,717.08 nat. median
$359,454
1.1× median
5833
APR_DRG 		Neonate With Ecmo 8 $215,822.00 $476,560.50 $343,839.70 nat. median
$244,017
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $223,521.00 $607,161.00 $304,881.72 nat. median
$247,214
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $14,310.00 $334,863.27 $291,185.45 nat. median
$249,036
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $213,038.00 $320,482.50 $266,297.50 nat. median
$202,993
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $206,239.00 $312,996.00 $253,519.20 nat. median
$241,437
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $12,522.00 $282,086.74 $245,292.81 nat. median
$198,418
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $12,522.00 $254,885.83 $221,639.85 nat. median
$190,559
1.2× median
5832
APR_DRG 		Neonate With Ecmo 8 $101,370.00 $283,460.92 $215,768.50 nat. median
$159,249
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $156,990.00 $387,871.50 $204,087.00 nat. median
$154,011
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $145,778.00 $378,354.00 $200,426.16 nat. median
$151,838
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $140,773.00 $458,725.50 $198,426.36 nat. median
$162,342
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $100,191.00 $239,160.00 $193,719.60 nat. median
$120,517
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $139,876.00 $366,973.50 $192,704.16 nat. median
$165,000
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $144,001.00 $254,863.50 $192,579.40 nat. median
$175,204
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $134,285.00 $356,196.12 $191,980.10 nat. median
$133,164
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $150,711.00 $231,396.00 $191,260.00 nat. median
$155,939
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $111,805.50 $241,532.32 $177,664.75 nat. median
$145,061
1.2× median
5831
APR_DRG 		Neonate With Ecmo 8 $64,195.50 $236,239.50 $174,732.75 nat. median
$146,500
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $131,114.00 $196,521.00 $171,891.25 nat. median
$163,587
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $133,923.00 $199,849.50 $168,711.25 nat. median
$122,016
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $133,615.00 $208,081.50 $167,018.75 nat. median
$170,082
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $129,535.00 $202,797.00 $161,918.75 nat. median
$136,566
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $127,535.00 $179,143.50 $156,747.60 nat. median
$110,944
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 8 $62,838.00 $173,476.40 $154,693.50 nat. median
$84,880
1.8× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $113,900.00 $299,055.00 $150,348.00 nat. median
$107,681
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 8 $48,103.50 $165,000.90 $147,029.25 nat. median
$76,852
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $12,522.00 $168,201.95 $146,262.56 nat. median
$126,695
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $104,494.00 $285,486.00 $144,624.48 nat. median
$118,620
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $7,339.00 $155,995.26 $135,648.05 nat. median
$110,307
1.2× median
7
MS_DRG 		Lung Transplant 11 $12,522.00 $155,603.49 $135,307.38 nat. median
$117,974
1.1× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $93,745.00 $171,305.60 $132,953.60 nat. median
$108,695
1.2× median
64
APR_DRG 		Pancreas Transplant 8 $103,209.00 $192,909.00 $129,011.25 nat. median
$91,106
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $82,471.00 $203,460.00 $127,940.80 nat. median
$101,406
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $77,283.00 $175,081.50 $122,282.70 nat. median
$120,208
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant 8 $94,014.00 $141,537.00 $117,517.50 nat. median
$92,229
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 8 $90,431.00 $138,219.00 $116,600.40 nat. median
$98,624
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 $88,258.00 $133,927.50 $115,838.75 nat. median
$81,521
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $14,310.00 $131,276.77 $114,153.71 nat. median
$104,013
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $14,310.00 $129,783.29 $112,855.03 nat. median
$97,323
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $80,260.00 $219,697.50 $112,424.40 nat. median
$96,883
1.2× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $89,206.00 $137,122.50 $111,507.50 nat. median
$74,757
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $12,522.00 $126,880.61 $110,330.96 nat. median
$95,038
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 12 $12,522.00 $126,232.40 $109,767.30 nat. median
$93,901
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $8,985.00 $124,814.90 $108,534.69 nat. median
$93,276
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $64,329.00 $142,444.68 $108,427.65 nat. median
$75,456
1.4× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $82,397.00 $149,869.50 $107,597.10 nat. median
$88,008
1.2× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 $81,483.00 $132,748.50 $105,475.00 nat. median
$82,615
1.3× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 8 $76,165.00 $120,130.50 $104,396.25 nat. median
$82,180
1.3× median

Other procedures at this hospital

Browse this hospital's 17,019 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 Neonate With Ecmo 32 8 — — $272,497.00 $818,500.50 $408,757.80 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 11 — — $7,339.00 $448,174.65 $389,717.08 2026-02-28
5833 APR_DRG Neonate With Ecmo 32 8 — — $215,822.00 $476,560.50 $343,839.70 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 8 — — $223,521.00 $607,161.00 $304,881.72 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 11 — — $14,310.00 $334,863.27 $291,185.45 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 32 8 — — $213,038.00 $320,482.50 $266,297.50 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 32 8 — — $206,239.00 $312,996.00 $253,519.20 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 11 — — $12,522.00 $282,086.74 $245,292.81 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 42 11 — — $12,522.00 $254,885.83 $221,639.85 2026-02-28
5832 APR_DRG Neonate With Ecmo 32 8 — — $101,370.00 $283,460.92 $215,768.50 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 8 — — $156,990.00 $387,871.50 $204,087.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 8 — — $145,778.00 $378,354.00 $200,426.16 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 8 — — $140,773.00 $458,725.50 $198,426.36 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 32 8 — — $100,191.00 $239,160.00 $193,719.60 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 8 — — $139,876.00 $366,973.50 $192,704.16 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 8 — — $144,001.00 $254,863.50 $192,579.40 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 8 — — $134,285.00 $356,196.12 $191,980.10 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 32 8 — — $150,711.00 $231,396.00 $191,260.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 8 — — $111,805.50 $241,532.32 $177,664.75 2026-02-28
5831 APR_DRG Neonate With Ecmo 32 8 — — $64,195.50 $236,239.50 $174,732.75 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 8 — — $131,114.00 $196,521.00 $171,891.25 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 8 — — $133,923.00 $199,849.50 $168,711.25 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 32 8 — — $133,615.00 $208,081.50 $167,018.75 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 32 8 — — $129,535.00 $202,797.00 $161,918.75 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 32 8 — — $127,535.00 $179,143.50 $156,747.60 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 32 8 — — $62,838.00 $173,476.40 $154,693.50 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 8 — — $113,900.00 $299,055.00 $150,348.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 32 8 — — $48,103.50 $165,000.90 $147,029.25 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 42 11 — — $12,522.00 $168,201.95 $146,262.56 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $104,494.00 $285,486.00 $144,624.48 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 42 11 — — $7,339.00 $155,995.26 $135,648.05 2026-02-28
7 MS_DRG Lung Transplant 42 11 — — $12,522.00 $155,603.49 $135,307.38 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 8 — — $93,745.00 $171,305.60 $132,953.60 2026-02-28
64 APR_DRG Pancreas Transplant 32 8 — — $103,209.00 $192,909.00 $129,011.25 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 8 — — $82,471.00 $203,460.00 $127,940.80 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 8 — — $77,283.00 $175,081.50 $122,282.70 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 32 8 — — $94,014.00 $141,537.00 $117,517.50 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 8 — — $90,431.00 $138,219.00 $116,600.40 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 8 — — $88,258.00 $133,927.50 $115,838.75 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 11 — — $14,310.00 $131,276.77 $114,153.71 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 11 — — $14,310.00 $129,783.29 $112,855.03 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $80,260.00 $219,697.50 $112,424.40 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 8 — — $89,206.00 $137,122.50 $111,507.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 11 — — $12,522.00 $126,880.61 $110,330.96 2026-02-28
215 MS_DRG Other Heart Assist System Implant 44 12 — — $12,522.00 $126,232.40 $109,767.30 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $8,985.00 $124,814.90 $108,534.69 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 8 — — $64,329.00 $142,444.68 $108,427.65 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $82,397.00 $149,869.50 $107,597.10 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 8 — — $81,483.00 $132,748.50 $105,475.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 32 8 — — $76,165.00 $120,130.50 $104,396.25 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 8 — — $83,072.00 $129,366.00 $103,840.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 8 — — $74,302.00 $137,830.50 $103,376.00 2026-02-28
63 APR_DRG Pancreas Transplant 32 8 — — $81,709.00 $120,273.00 $102,136.25 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 13 — — $17,172.00 $115,028.89 $100,025.12 2026-02-28
4404 APR_DRG Kidney Transplant 32 8 — — $77,462.00 $118,428.00 $97,878.75 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 32 8 — — $77,288.00 $122,560.50 $96,610.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 40 11 — — $14,310.00 $109,814.75 $95,491.08 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 32 8 — — $76,592.00 $123,901.50 $92,800.20 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 32 8 — — $73,704.00 $113,317.50 $92,130.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 32 8 — — $59,794.00 $164,289.00 $89,552.76 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 13 — — $17,172.00 $101,053.29 $87,872.42 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 32 8 — — $70,285.00 $113,031.00 $87,856.25 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 34 11 — — $87,823.90 $100,997.49 $87,823.90 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 11 — — $8,985.00 $99,470.76 $86,496.31 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 32 8 — — $60,992.00 $167,352.00 $85,266.72 2026-02-28
1784 APR_DRG External Heart Assist Systems 32 8 — — $67,533.00 $108,909.00 $84,416.25 2026-02-28
62 APR_DRG Pancreas Transplant 32 8 — — $67,118.00 $108,285.00 $83,897.50 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 11 — — $12,522.00 $96,152.56 $83,610.92 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $62,870.00 $114,574.50 $83,473.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $62,438.00 $112,896.00 $83,319.60 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 8 — — $63,675.00 $129,931.50 $82,777.50 2026-02-28
10 MS_DRG Pancreas Transplant 42 11 — — $12,522.00 $95,106.65 $82,701.43 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 11 — — $12,522.00 $94,564.10 $82,229.65 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $58,323.00 $153,051.00 $81,958.80 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 8 — — $64,992.00 $95,541.00 $81,688.05 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 8 — — $65,103.00 $103,143.00 $81,378.75 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 32 8 — — $64,981.00 $97,746.00 $81,226.25 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 13 — — $14,310.00 $93,247.51 $81,084.79 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 8 — — $64,857.00 $127,417.50 $81,071.25 2026-02-28
4800639 CDM Defib Imp Sys Ins/repl Tv 28 10 $127,647.00 $41,612.93 67% off $31,911.75 $127,647.00 $81,055.85 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 13 — — $14,310.00 $92,310.82 $80,270.27 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 8 — — $60,429.00 $115,999.50 $77,840.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 11 — — $12,522.00 $89,066.23 $77,448.89 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 32 8 — — $61,493.00 $92,808.00 $76,866.25 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 32 8 — — $61,288.00 $104,371.50 $76,610.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 8 — — $43,885.00 $119,298.00 $75,627.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 32 8 — — $60,375.00 $94,969.50 $75,468.75 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $8,985.00 $84,774.53 $73,716.98 2026-02-28
4810632 CDM Defib Imp Ins Ex Mul Lead 28 10 $116,043.00 $37,830.02 67% off $29,010.75 $116,043.00 $73,687.30 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 11 — — $14,310.00 $84,350.70 $73,348.43 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 8 — — $58,078.00 $93,520.50 $72,597.50 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 32 8 — — $60,331.00 $99,738.00 $72,397.20 2026-02-28
1794 APR_DRG Defibrillator Implants 32 8 — — $57,855.00 $88,648.50 $72,318.75 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 32 8 — — $57,769.00 $116,460.00 $72,211.25 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 11 — — $7,339.00 $83,038.86 $72,207.70 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 8 — — $57,690.00 $94,156.50 $72,112.50 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 32 8 — — $57,308.00 $91,825.50 $71,635.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 8 — — $54,999.00 $113,470.50 $71,498.70 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 8 — — $43,670.00 $360,594.00 $71,441.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 11 — — $12,522.00 $81,516.88 $70,884.24 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 8 — — $56,540.00 $86,253.00 $70,675.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 8 — — $56,265.00 $86,641.50 $70,331.25 2026-02-28
4800705 CDM Defib Imp Gen Replc Mult 28 10 $110,411.00 $35,993.99 67% off $27,602.75 $110,411.00 $70,110.99 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 11 — — $69,608.27 $80,049.52 $69,608.27 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 32 8 — — $52,627.00 $157,800.00 $69,467.64 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 42 11 — — $12,522.00 $79,743.22 $69,341.93 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 11 — — $12,522.00 $79,609.07 $69,225.27 2026-02-28
4811072 CDM Implant Pul Wireless Sens 28 10 $108,949.00 $35,517.38 67% off $27,237.25 $108,949.00 $69,182.62 2026-02-28
3605552 CDM Inst/supp Ste17861x-19647 24 9 $98,235.00 $32,024.61 67% off $24,558.75 $98,235.00 $68,764.50 2026-02-28
61 APR_DRG Pancreas Transplant 32 8 — — $55,755.00 $82,069.50 $68,739.75 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 32 8 — — $54,809.00 $88,686.00 $68,511.25 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 32 8 — — $55,263.00 $82,447.50 $67,457.25 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 11 — — $7,339.00 $77,229.93 $67,156.46 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 13 — — $12,522.00 $77,119.53 $67,060.46 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 32 8 — — $47,849.00 $130,308.00 $66,597.96 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 11 — — $12,522.00 $75,533.44 $65,681.25 2026-02-28
J1440 HCPCS Fe Mi L-jslm 150mgsdvjwtb 44 12 $111,672.00 $36,405.08 67% off $17,867.52 $111,672.00 $64,769.76 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 32 8 — — $53,010.00 $72,305.06 $64,750.80 2026-02-28
1783 APR_DRG External Heart Assist Systems 32 8 — — $51,748.00 $80,265.00 $64,685.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 32 8 — — $51,543.00 $91,300.50 $64,428.75 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 32 8 — — $51,481.00 $84,786.00 $64,351.25 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 11 — — $14,310.00 $73,991.28 $64,340.24 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 11 — — $14,310.00 $73,896.30 $64,257.65 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 32 8 — — $51,367.00 $84,928.50 $64,208.75 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 11 — — $12,522.00 $73,561.53 $63,966.54 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 11 — — $7,773.00 $73,306.27 $63,744.58 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 13 — — $12,522.00 $72,973.86 $63,455.53 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 42 11 — — $12,522.00 $72,627.20 $63,154.08 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 146 16 $118,860.00 $38,748.36 67% off $40.00 $129,437.55 $62,995.80 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 32 8 — — $50,296.00 $78,213.00 $62,870.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 32 8 — — $50,285.00 $86,742.00 $62,856.25 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 11 — — $7,339.00 $72,109.58 $62,703.98 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 11 — — $7,339.00 $72,109.58 $62,703.98 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 32 8 — — $43,490.00 $114,972.00 $62,672.28 2026-02-28
234 APR_DRG Spinal Procedures 32 8 — — $50,013.00 $87,003.00 $62,516.25 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 11 — — $12,522.00 $71,574.16 $62,238.40 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 13 — — $12,522.00 $71,081.48 $61,809.98 2026-02-28
C2624 HCPCS Wrless Sens 21611x-23772 74 16 $118,860.00 $38,748.36 67% off $40.00 $117,671.40 $61,807.20 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 42 11 — — $7,339.00 $71,028.05 $61,763.52 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 8 — — $40,708.50 $86,842.50 $61,749.15 2026-02-28
4811308 CDM Ins/rpl Crd Mod Sy Pg Tve 28 10 $97,188.00 $31,683.29 67% off $24,297.00 $97,188.00 $61,714.38 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 32 8 — — $47,952.00 $71,767.50 $61,653.75 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 8 — — $46,514.00 $180,438.00 $61,398.48 2026-02-28
4403 APR_DRG Kidney Transplant 32 8 — — $48,930.00 $75,666.00 $61,162.50 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 13 — — $12,522.00 $70,308.62 $61,137.93 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $46,628.00 $88,941.00 $60,616.40 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 8 — — $48,451.00 $76,108.50 $60,563.75 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 32 8 — — $48,436.00 $77,668.50 $60,545.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 11 — — $12,522.00 $69,573.75 $60,498.91 2026-02-28
4811229 CDM Laa Closure W/implant 28 10 $95,249.00 $31,051.18 67% off $23,812.25 $95,249.00 $60,483.11 2026-02-28
6904 APR_DRG Acute Leukemia 32 8 — — $47,709.00 $85,168.50 $60,101.25 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 32 8 — — $48,072.00 $79,830.00 $60,090.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 38 11 — — $9,867.00 $68,589.57 $59,643.10 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 11 — — $12,522.00 $68,182.37 $59,289.01 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 32 8 — — $47,418.00 $78,279.00 $59,272.50 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 8 — — $45,477.00 $93,084.00 $59,120.10 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 32 8 — — $47,272.00 $101,143.50 $59,090.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 32 8 — — $47,240.00 $77,290.50 $59,050.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 32 8 — — $47,233.00 $85,231.50 $59,041.25 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 8 — — $46,725.00 $73,611.00 $58,406.25 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 32 8 — — $44,075.00 $157,675.50 $58,179.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 32 8 — — $46,515.00 $80,139.00 $58,143.75 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 42 11 — — $12,522.00 $66,633.07 $57,941.80 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 32 8 — — $46,300.00 $72,321.00 $57,875.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 32 8 — — $46,651.00 $67,540.50 $57,524.85 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 32 8 — — $45,507.00 $68,265.00 $57,505.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 42 11 — — $7,339.00 $66,071.54 $57,453.51 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 11 — — $12,522.00 $66,071.54 $57,453.51 2026-02-28
1782 APR_DRG External Heart Assist Systems 32 8 — — $45,929.00 $73,695.00 $57,411.25 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 8 — — $45,882.00 $72,595.50 $57,352.50 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $8,985.00 $65,796.10 $57,214.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 32 8 — — $47,582.00 $75,495.00 $57,098.40 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 11 — — $8,985.00 $65,397.22 $56,867.14 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 11 — — $12,522.00 $65,048.18 $56,563.63 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 42 11 — — $12,522.00 $64,900.97 $56,435.62 2026-02-28
C1822 HCPCS Nurstm Hf Rc 19647x-21611 74 16 $108,055.00 $35,225.93 67% off $40.00 $106,974.45 $56,188.60 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 11 — — $12,522.00 $64,572.11 $56,149.66 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 11 — — $12,522.00 $64,511.57 $56,097.01 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 11 — — $12,522.00 $64,504.45 $56,090.82 2026-02-28
274 APR_DRG Other Open Craniotomy 32 8 — — $44,581.00 $71,110.50 $55,726.25 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 13 — — $12,522.00 $63,612.86 $55,315.53 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 13 — — $12,522.00 $63,333.87 $55,072.93 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 8 — — $43,961.00 $69,124.50 $54,951.25 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 32 8 — — $43,736.00 $66,700.50 $54,670.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 8 — — $43,531.00 $75,081.00 $54,413.75 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 32 8 — — $43,343.00 $77,476.50 $54,178.75 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 32 8 — — $43,256.00 $64,278.00 $54,070.00 2026-02-28
4402 APR_DRG Kidney Transplant 32 8 — — $43,020.00 $63,966.00 $53,775.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 32 8 — — $42,892.00 $91,810.50 $53,615.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 11 — — $9,867.00 $61,593.45 $53,559.52 2026-02-28
4014 APR_DRG Adrenal Procedures 32 8 — — $42,748.00 $84,693.00 $53,435.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 11 — — $12,522.00 $61,390.44 $53,382.99 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 11 — — $7,773.00 $60,934.56 $52,986.57 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 8 — — $40,312.50 $74,004.00 $52,900.00 2026-02-28
4800638 CDM Defib Imp Ins Ex Sng Lead 28 10 $83,261.00 $27,143.09 67% off $20,815.25 $83,261.00 $52,870.74 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 42 11 — — $12,522.00 $60,749.36 $52,825.53 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 32 8 — — $42,073.00 $71,416.50 $52,591.25 2026-02-28
4800704 CDM Defib Imp Gen Replace Sng 28 10 $82,808.00 $26,995.41 67% off $20,702.00 $82,808.00 $52,583.08 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 8 — — $42,037.00 $69,801.00 $52,546.25 2026-02-28
1781 APR_DRG External Heart Assist Systems 32 8 — — $41,989.00 $62,983.50 $52,486.25 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 11 — — $12,522.00 $60,249.55 $52,390.91 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 8 — — $41,863.00 $68,031.00 $52,328.75 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 11 — — $7,339.00 $59,896.96 $52,084.31 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 11 — — $14,310.00 $59,850.66 $52,044.05 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 11 — — $12,522.00 $59,826.91 $52,023.40 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 13 — — $12,522.00 $59,613.22 $51,837.58 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 32 8 — — $41,356.00 $71,082.00 $51,695.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 32 8 — — $41,146.00 $66,499.50 $51,432.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 8 — — $36,254.00 $327,813.00 $51,029.45 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 32 8 — — $40,755.00 $67,114.50 $50,943.75 2026-02-28
245 MS_DRG Aicd Generator Procedures 48 13 — — $11,693.00 $58,467.58 $50,841.37 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $39,049.00 $76,296.00 $50,763.70 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 32 8 — — $40,495.00 $85,251.00 $50,618.75 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 40 11 — — $8,985.00 $58,117.36 $50,536.83 2026-02-28
1793 APR_DRG Defibrillator Implants 32 8 — — $40,380.00 $65,130.00 $50,475.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 42 11 — — $12,522.00 $58,021.20 $50,453.21 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 32 8 — — $40,004.00 $64,863.00 $50,423.75 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 32 8 — — $40,327.00 $66,706.50 $50,408.75 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 32 8 — — $38,756.00 $75,622.50 $50,382.80 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 32 8 — — $40,213.00 $64,333.50 $50,266.25 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 32 8 — — $39,876.00 $63,402.00 $49,845.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 11 — — $12,522.00 $57,146.24 $49,692.38 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 42 11 — — $12,522.00 $56,900.49 $49,478.68 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 11 — — $12,522.00 $56,889.80 $49,469.39 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 32 8 — — $39,207.00 $64,471.50 $49,417.50 2026-02-28
2324 APR_DRG Gastric Fundoplication 32 8 — — $36,418.00 $61,563.00 $49,153.75 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 32 8 — — $37,314.00 $74,310.00 $49,086.70 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 11 — — $12,522.00 $56,305.71 $48,961.48 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 32 8 — — $38,970.00 $60,967.50 $48,712.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 11 — — $12,522.00 $56,006.53 $48,701.33 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 8 — — $38,868.00 $73,851.00 $48,585.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 8 — — $38,865.00 $61,002.00 $48,581.25 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 11 — — $14,310.00 $55,678.88 $48,416.41 2026-02-28
4401 APR_DRG Kidney Transplant 32 8 — — $38,574.00 $55,446.00 $48,217.50 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 32 8 — — $38,536.00 $62,923.50 $48,170.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 42 11 — — $12,522.00 $55,171.94 $47,975.60 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 11 — — $12,522.00 $55,149.38 $47,955.98 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 32 8 — — $38,304.00 $65,487.00 $47,880.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 13 — — $12,522.00 $54,974.87 $47,804.23 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 11 — — $12,522.00 $54,966.55 $47,797.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 32 8 — — $38,198.00 $59,985.00 $47,747.50 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 8 — — $38,173.00 $57,606.00 $47,716.25 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 32 8 — — $39,311.00 $59,056.50 $47,618.10 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 32 8 — — $37,949.00 $62,382.00 $47,091.90 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 8 — — $33,100.00 $77,694.00 $47,035.30 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 11 — — $12,522.00 $54,013.25 $46,968.04 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 32 8 — — $37,546.00 $62,061.00 $46,932.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 32 8 — — $36,131.00 $68,430.00 $46,776.40 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 32 8 — — $37,408.00 $62,277.00 $46,760.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 32 8 — — $37,355.00 $64,899.00 $46,693.75 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 11 — — $12,522.00 $53,693.90 $46,690.34 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 32 8 — — $35,523.00 $53,722.50 $46,672.50 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 11 — — $12,522.00 $53,546.68 $46,562.33 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 32 8 — — $37,234.00 $68,454.00 $46,542.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 32 8 — — $37,075.00 $67,882.50 $46,343.75 2026-02-28
4801618 CDM Ins 2chmbr Ldls Pm Cmpl 28 10 $72,695.00 $23,698.57 67% off $18,173.75 $72,695.00 $46,161.32 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 32 8 — — $36,915.00 $65,002.50 $46,152.50 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 32 8 — — $36,921.00 $56,976.00 $46,151.25 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 42 11 — — $12,522.00 $53,050.44 $46,130.81 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 8 — — $36,741.00 $58,525.50 $45,926.25 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 32 8 — — $34,773.00 $109,983.00 $45,900.36 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 11 — — $12,522.00 $52,602.87 $45,741.62 2026-02-28
4034 APR_DRG Procedures For Obesity 32 8 — — $34,372.00 $71,860.50 $45,718.75 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 8 — — $36,358.00 $82,317.00 $45,670.20 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 32 8 — — $36,479.00 $59,745.00 $45,598.75 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 32 8 — — $36,264.00 $68,895.00 $45,330.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 11 — — $7,339.00 $51,820.50 $45,061.30 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 32 8 — — $35,191.00 $53,662.50 $45,023.75 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 42 11 — — $7,773.00 $51,714.85 $44,969.43 2026-02-28
6504 APR_DRG Splenectomy 32 8 — — $35,913.00 $63,897.00 $44,891.25 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 32 8 — — $35,786.00 $55,267.50 $44,732.50 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 32 8 — — $34,100.00 $65,953.50 $44,710.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 32 8 — — $35,639.00 $61,890.00 $44,548.75 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 32 8 — — $34,178.00 $63,495.00 $44,431.40 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 11 — — $12,522.00 $51,093.94 $44,429.51 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 11 — — $14,310.00 $51,019.16 $44,364.48 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 32 8 — — $35,387.00 $69,117.00 $44,233.75 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 32 8 — — $31,932.00 $119,251.50 $44,122.32 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 42 11 — — $12,522.00 $50,660.62 $44,052.71 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 32 8 — — $35,132.00 $52,443.00 $43,986.60 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 8 — — $35,173.00 $56,232.00 $43,966.25 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 32 8 — — $33,280.00 $90,747.00 $43,929.60 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 32 8 — — $34,917.00 $73,251.00 $43,731.25 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 32 8 — — $34,971.00 $62,031.00 $43,713.75 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 8 — — $28,837.00 $298,012.50 $43,693.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 11 — — $12,522.00 $50,202.37 $43,654.23 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 11 — — $12,522.00 $50,190.49 $43,643.90 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 42 11 — — $7,339.00 $49,963.74 $43,446.73 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 32 8 — — $34,751.00 $57,475.50 $43,438.75 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 32 8 — — $34,720.00 $56,767.50 $43,400.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 32 8 — — $34,695.00 $57,729.00 $43,368.75 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 11 — — $12,522.00 $49,847.40 $43,345.56 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 32 8 — — $34,572.00 $62,061.00 $43,215.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 32 8 — — $34,560.00 $59,442.00 $43,200.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 8 — — $34,539.00 $63,955.50 $43,173.75 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 32 8 — — $32,969.00 $63,627.00 $42,953.75 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 13 — — $12,522.00 $49,270.42 $42,843.84 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 11 — — $12,522.00 $49,243.12 $42,820.10 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 11 — — $12,522.00 $49,170.69 $42,757.12 2026-02-28
3606097 CDM Inst/supp Ste11090x-12199 24 9 $60,995.00 $19,884.37 67% off $15,248.75 $60,995.00 $42,696.50 2026-02-28
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