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

MARIAN REGIONAL MEDICAL CENTER

Santa Maria, CA · CCN 050107 · Rates published

16,078 distinct procedures filed
17 distinct payers
368,421 rate rows
2026-02-28 last MRF observed
Data quality

320,700 of 368,421 rate rows are consumer-grade (87.0%)

47,721 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 30,808
per-diem day rate — not a per-procedure price 14,692
template filing: same amount across many unrelated codes — excluded 1,501
exceeds 10× this hospital's gross charge — excluded from medians 670
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/941196203_marian-regional-medical-center_standardcharges.json?target=%22_blank%22
Found on page https://www.commonspirit.org/patient-resources/dignity-health-central-coast-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9d263a9672db71a7… · 88,092,923 bytes · first seen 2026-05-05

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 7 $313,873.00 $694,915.56 $504,394.28 nat. median
$309,665
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $11,879.00 $391,511.40 $383,834.70 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $234,109.00 $518,317.08 $376,213.04 nat. median
$246,434
1.5× median
5833
APR_DRG 		Neonate With Ecmo 7 $162,621.00 $420,265.17 $291,443.09 nat. median
$244,017
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $153,901.00 $340,735.83 $247,318.42 nat. median
$151,838
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $152,366.00 $337,337.34 $244,851.67 nat. median
$164,289
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $147,972.00 $327,609.27 $237,790.64 nat. median
$162,982
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $122,709.00 $352,299.06 $237,504.03 nat. median
$150,721
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $183,197.00 $265,596.36 $224,396.68 nat. median
$207,730
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $23,557.00 $292,554.38 $222,436.85 nat. median
$265,286
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $109,236.00 $331,398.90 $220,317.45 nat. median
$122,924
1.8× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $169,382.00 $257,304.93 $213,343.46 nat. median
$234,729
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $150,151.00 $230,857.47 $189,096.62 nat. median
$182,665
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $115,448.00 $255,602.61 $185,525.30 nat. median
$109,499
1.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $111,052.00 $245,869.62 $178,460.81 nat. median
$118,620
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $151,111.00 $190,757.01 $170,934.01 nat. median
$160,267
1.1× median
5832
APR_DRG 		Neonate With Ecmo 7 $66,198.00 $263,726.76 $164,962.38 nat. median
$156,126
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $128,448.00 $169,678.00 $149,063.00 nat. median
$187,061
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $73,013.00 $224,718.54 $148,865.77 nat. median
$145,336
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $121,122.00 $171,438.63 $146,280.32 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $123,580.00 $168,267.69 $145,923.85 nat. median
$105,658
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $127,022.00 $161,494.08 $144,258.04 nat. median
$129,535
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $65,429.00 $201,261.21 $139,899.55 nat. median
$119,796
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $86,327.00 $191,127.24 $138,727.12 nat. median
$95,507
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $20,265.00 $246,463.59 $133,364.30 nat. median
$206,474
0.6× median
5831
APR_DRG 		Neonate With Ecmo 7 $41,923.00 $213,569.82 $133,326.71 nat. median
$144,745
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $99,850.00 $162,849.54 $131,349.77 nat. median
$93,528
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $103,662.00 $159,379.71 $130,548.93 nat. median
$108,996
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 10 $20,265.00 $222,708.52 $121,486.76 nat. median
$202,976
0.6× median
64
APR_DRG 		Pancreas Transplant 7 $104,611.00 $131,502.00 $118,056.50 nat. median
$91,009
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $79,101.00 $153,371.16 $116,236.08 nat. median
$102,919
1.1× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $55,702.00 $235,482.00 $115,617.22 nat. median
$93,370
1.2× median
8634
APR_DRG 		Neonatal Aftercare 7 $68,765.00 $158,143.00 $113,454.00 nat. median
$69,502
1.6× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $83,892.00 $128,983.95 $105,651.49 nat. median
$86,492
1.2× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 $65,474.00 $144,959.19 $105,216.60 nat. median
$72,753
1.4× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $87,460.00 $115,535.13 $101,497.57 nat. median
$68,217
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $41,036.00 $161,399.37 $101,217.68 nat. median
$85,444
1.2× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $62,933.00 $139,334.40 $101,133.70 nat. median
$66,146
1.5× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $83,010.00 $117,207.93 $100,108.96 nat. median
$77,804
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $50,469.00 $149,462.22 $99,965.61 nat. median
$124,573
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $76,166.00 $121,104.57 $98,635.29 nat. median
$97,957
1.0× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $67,519.00 $123,922.50 $95,720.75 nat. median
$86,338
1.1× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $85,526.00 $105,196.98 $95,361.49 nat. median
$84,063
1.1× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $84,200.00 $103,566.00 $93,883.00 nat. median
$81,781
1.1× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $75,752.00 $111,214.14 $93,483.07 nat. median
$69,926
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $31,413.00 $153,513.84 $92,463.42 nat. median
$76,806
1.2× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $29,956.00 $214,075.00 $92,193.79 nat. median
$89,796
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $78,450.00 $104,121.96 $91,285.98 nat. median
$80,416
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $23,557.00 $114,758.33 $90,832.91 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $23,557.00 $113,454.03 $89,867.48 nat. median
$102,358
0.9× median

Other procedures at this hospital

Browse this hospital's 16,078 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
             
0408T CPT Ins/rpl Crd Mod Sy Pg Tve 23 12 $90,661.00 $38,802.91 57% off $4,486.00 $89,754.39 $40,737.44 2026-02-28
0483T CPT Tmvi Vlv Percutaneous App 16 9 $113,244.00 $48,468.44 57% off $4,486.00 $112,111.56 $66,813.96 2026-02-28
0795T CPT Ins 2chmbr Ldls Pm Cmpl 9 6 $76,688.00 $32,822.47 57% off $38,344.00 $75,921.12 $68,252.32 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $23,557.00 $292,554.38 $222,436.85 2026-02-28
10 MS_DRG Pancreas Transplant 15 10 — — $20,265.00 $83,170.25 $51,717.62 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $55,554.00 $68,331.42 $61,942.71 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $20,265.00 $56,450.98 $38,357.99 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $58,927.00 $76,664.67 $67,795.84 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 10 7 — — $46,867.00 $61,492.62 $54,179.81 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 10 7 — — $40,071.00 $49,287.33 $44,679.17 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $72,513.00 $91,888.38 $82,200.69 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 7 — — $29,872.00 $43,872.87 $36,872.43 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 7 — — $43,612.00 $57,353.67 $50,482.83 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $127,022.00 $161,494.08 $144,258.04 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,879.00 $136,345.47 $74,112.24 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $11,879.00 $63,086.47 $37,482.74 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 — — $39,864.00 $57,202.38 $48,533.19 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 — — $76,166.00 $121,104.57 $98,635.29 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 10 7 — — $31,413.00 $153,513.84 $92,463.42 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 10 7 — — $41,036.00 $161,399.37 $101,217.68 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 10 7 — — $65,429.00 $201,261.21 $139,899.55 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 10 7 — — $183,197.00 $265,596.36 $224,396.68 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $33,692.00 $47,591.16 $40,641.58 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $40,729.00 $54,806.34 $47,767.67 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $51,133.00 $70,145.67 $60,639.33 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $84,200.00 $103,566.00 $93,883.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $35,243.00 $46,030.29 $40,636.64 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $43,168.00 $57,722.67 $50,445.33 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $71,240.00 $87,625.20 $79,432.60 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $33,148.00 $41,728.98 $37,438.49 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $36,214.00 $48,453.39 $42,333.69 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $43,892.00 $58,252.80 $51,072.40 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $65,987.00 $81,164.01 $73,575.51 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 7 — — $37,442.00 $48,585.00 $43,013.50 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 7 — — $58,086.00 $71,445.78 $64,765.89 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 7 — — $31,387.00 $49,010.58 $40,198.79 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 7 — — $58,251.00 $81,012.72 $69,631.86 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 10 7 — — $52,065.00 $65,513.00 $58,789.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $11,879.00 $63,086.47 $37,482.74 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 10 7 — — $38,825.00 $47,754.75 $43,289.88 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 10 7 — — $33,630.00 $41,364.90 $37,497.45 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 10 7 — — $37,424.00 $46,031.52 $41,727.76 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 7 — — $43,474.00 $59,956.00 $51,715.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 9 7 — — $36,786.00 $52,347.57 $44,566.79 2026-02-28
1782 APR_DRG External Heart Assist Systems 9 7 — — $45,330.00 $57,260.19 $51,295.10 2026-02-28
1783 APR_DRG External Heart Assist Systems 9 7 — — $52,451.00 $64,514.73 $58,482.86 2026-02-28
1784 APR_DRG External Heart Assist Systems 9 7 — — $68,450.00 $84,722.00 $76,586.00 2026-02-28
1792 APR_DRG Defibrillator Implants 9 7 — — $33,690.00 $41,438.70 $37,564.35 2026-02-28
1793 APR_DRG Defibrillator Implants 9 7 — — $40,929.00 $50,342.67 $45,635.83 2026-02-28
1794 APR_DRG Defibrillator Implants 9 7 — — $58,641.00 $72,128.43 $65,384.71 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 7 — — $11,879.00 $391,511.40 $383,834.70 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 10 7 — — $43,932.00 $54,829.00 $49,380.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 10 7 — — $37,579.00 $46,222.17 $41,900.58 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 9 7 — — $34,474.00 $42,403.02 $38,438.51 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 9 7 — — $35,223.00 $43,324.29 $39,273.64 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 7 — — $40,875.00 $50,276.25 $45,575.62 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 7 — — $61,196.00 $76,973.00 $69,084.50 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $20,265.00 $82,696.44 $51,480.72 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 10 — — $23,557.00 $114,758.33 $90,832.91 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 11 — — $19,250.00 $84,083.67 $51,666.83 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 10 7 — — $47,875.00 $58,886.25 $53,380.62 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $11,879.00 $67,558.17 $39,718.58 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 10 7 — — $69,110.00 $96,356.97 $82,733.49 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 11 — — $19,250.00 $57,813.33 $38,531.67 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $23,557.00 $113,454.03 $89,867.48 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 10 7 — — $50,968.00 $62,690.64 $56,829.32 2026-02-28
215 MS_DRG Other Heart Assist System Implant 15 10 — — $20,265.00 $110,352.98 $65,308.99 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $20,265.00 $100,568.73 $60,416.86 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $20,265.00 $67,461.75 $43,863.38 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $20,265.00 $62,188.61 $41,226.81 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $20,265.00 $80,728.60 $50,496.80 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 10 7 — — $83,010.00 $117,207.93 $100,108.96 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $20,265.00 $55,422.48 $37,843.74 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 10 7 — — $49,094.00 $60,385.62 $54,739.81 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 10 7 — — $32,719.00 $42,274.00 $37,496.50 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 10 7 — — $32,305.00 $41,762.00 $37,033.50 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 10 7 — — $35,868.00 $48,980.00 $42,424.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 10 7 — — $34,339.00 $42,236.97 $38,287.99 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 7 — — $35,042.00 $43,101.66 $39,071.83 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 10 7 — — $99,850.00 $162,849.54 $131,349.77 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 — — $19,250.00 $59,656.76 $39,453.38 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 10 7 — — $41,308.00 $50,808.84 $46,058.42 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $20,265.00 $88,363.56 $54,314.28 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 10 7 — — $36,756.00 $45,209.88 $40,982.94 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $20,265.00 $63,841.26 $42,053.13 2026-02-28
2324 APR_DRG Gastric Fundoplication 10 7 — — $39,858.00 $49,025.34 $44,441.67 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 10 — — $20,265.00 $81,546.63 $50,905.82 2026-02-28
234 APR_DRG Spinal Procedures 10 7 — — $50,693.00 $62,352.39 $56,522.69 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $20,265.00 $55,666.13 $37,965.57 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $20,265.00 $61,513.65 $40,889.32 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 10 7 — — $169,382.00 $257,304.93 $213,343.46 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 10 7 — — $35,461.00 $47,835.00 $41,648.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 10 7 — — $48,725.00 $61,654.00 $55,189.50 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 10 7 — — $40,994.00 $54,527.13 $47,760.57 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 10 7 — — $36,974.00 $45,478.02 $41,226.01 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 10 7 — — $33,709.00 $47,311.95 $40,510.47 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 10 — — $20,265.00 $62,618.88 $41,441.94 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $20,265.00 $69,635.91 $44,950.46 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $20,265.00 $53,725.24 $36,995.12 2026-02-28
274 APR_DRG Other Open Craniotomy 9 7 — — $45,187.00 $57,308.00 $51,247.50 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 — — $23,557.00 $73,776.88 $60,498.61 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 — — $23,557.00 $64,729.80 $53,801.99 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 10 — — $23,557.00 $48,737.22 $41,964.35 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $23,557.00 $52,380.51 $44,661.10 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 19 11 — — $19,250.00 $63,538.52 $41,394.26 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 9 7 — — $35,192.00 $44,810.00 $40,001.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 15 10 — — $20,265.00 $222,708.52 $121,486.76 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $35,615.00 $43,850.73 $39,732.86 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $42,358.00 $52,190.13 $47,274.07 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $58,474.00 $71,923.02 $65,198.51 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $85,526.00 $105,196.98 $95,361.49 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 7 — — $39,059.00 $52,155.00 $45,607.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $38,348.00 $49,714.14 $44,031.07 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $62,121.00 $76,408.83 $69,264.91 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 7 — — $32,891.00 $43,179.00 $38,035.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 10 7 — — $35,447.00 $43,599.81 $39,523.40 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 10 7 — — $32,363.00 $41,730.21 $37,046.61 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 7 — — $47,914.00 $66,051.00 $56,982.50 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 10 7 — — $35,167.00 $43,255.41 $39,211.21 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 10 7 — — $33,048.00 $40,649.04 $36,848.52 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 10 — — $23,557.00 $64,646.85 $53,740.59 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 7 — — $41,046.00 $55,673.00 $48,359.50 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 10 — — $23,557.00 $44,667.78 $38,952.17 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 7 — — $38,717.00 $47,621.91 $43,169.46 2026-02-28
33231 CPT Defib Imp Ins Ex Mul Lead 31 15 $82,175.00 $35,170.90 57% off $324.53 $81,353.25 $40,737.44 2026-02-28
33249 CPT Defib Imp Sys Ins/repl Tv 40 15 $110,292.00 $47,204.98 57% off $1,027.04 $112,637.25 $42,320.72 2026-02-28
33264 CPT Defib Imp Gen Replc Mult 31 15 $92,839.00 $39,735.10 57% off $325.02 $91,910.61 $40,737.44 2026-02-28
33270 CPT Defib Subq Ins/rep W Lead 31 15 $105,502.00 $45,154.86 57% off $508.93 $104,446.98 $40,737.44 2026-02-28
33370 CPT Tcat Plc & Rmvl Cepd Perc 9 6 $55,162.00 $23,609.34 57% off $27,581.00 $54,610.38 $49,094.18 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 7 — — $38,574.00 $58,160.55 $48,367.28 2026-02-28
3624549 CDM Inst/supp Ste11090x-12199 9 6 $52,403.00 $22,428.49 57% off $26,201.50 $51,878.97 $46,638.67 2026-02-28
3624682 CDM Inst/supp Ste12199x-13419 9 6 $57,641.00 $24,670.35 57% off $28,820.50 $57,064.59 $51,300.49 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 10 — — $20,265.00 $147,005.80 $83,635.40 2026-02-28
4014 APR_DRG Adrenal Procedures 10 7 — — $43,133.00 $55,308.00 $49,220.50 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 10 — — $16,336.00 $41,068.03 $38,288.38 2026-02-28
4034 APR_DRG Procedures For Obesity 10 7 — — $37,072.00 $46,928.00 $42,000.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 10 7 — — $37,916.00 $46,636.68 $42,276.34 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 15 10 — — $20,265.00 $56,791.04 $38,528.02 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 10 7 — — $38,056.00 $48,041.00 $43,048.50 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $41,766.00 $52,407.84 $47,086.92 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $53,757.00 $72,406.41 $63,081.71 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $16,336.00 $109,115.05 $84,850.53 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $16,336.00 $74,147.02 $58,967.33 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $16,336.00 $57,572.79 $46,699.15 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $16,336.00 $86,981.51 $68,467.37 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $75,752.00 $111,214.14 $93,483.07 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $16,336.00 $57,224.43 $46,441.30 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $123,580.00 $168,267.69 $145,923.85 2026-02-28
4401 APR_DRG Kidney Transplant 10 7 — — $35,140.00 $48,090.54 $41,615.27 2026-02-28
4402 APR_DRG Kidney Transplant 10 7 — — $40,165.00 $53,632.92 $46,898.96 2026-02-28
4403 APR_DRG Kidney Transplant 10 7 — — $46,994.00 $61,001.85 $53,997.93 2026-02-28
4404 APR_DRG Kidney Transplant 10 7 — — $77,338.00 $97,621.41 $87,479.71 2026-02-28
4414 APR_DRG Major Bladder Procedures 10 7 — — $47,147.00 $60,298.00 $53,722.50 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 7 — — $36,123.00 $44,431.29 $40,277.14 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 10 — — $16,336.00 $70,020.57 $55,912.95 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 10 7 — — $35,880.00 $44,774.00 $40,327.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $16,336.00 $42,844.06 $39,158.99 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $16,336.00 $53,902.54 $44,579.81 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 10 — — $16,336.00 $88,314.84 $52,325.42 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 10 — — $16,336.00 $60,012.38 $39,959.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 10 — — $16,336.00 $45,275.35 $39,959.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $16,336.00 $64,131.57 $40,233.79 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $20,265.00 $56,503.85 $38,384.43 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $16,336.00 $53,327.11 $39,959.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $16,336.00 $50,866.79 $39,959.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 10 7 — — $34,830.00 $46,002.00 $40,416.00 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 10 7 — — $33,201.00 $41,356.00 $37,278.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $20,265.00 $110,919.07 $65,592.04 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $34,768.00 $45,805.20 $40,286.60 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 10 7 — — $42,645.00 $52,453.35 $47,549.18 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 7 — — $40,887.00 $50,291.01 $45,589.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 7 — — $35,083.00 $46,549.35 $40,816.18 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 10 7 — — $31,268.00 $44,592.42 $37,930.21 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 10 — — $16,336.00 $39,959.00 $36,926.73 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 10 7 — — $33,187.00 $40,820.01 $37,003.50 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 10 7 — — $33,379.00 $41,056.17 $37,217.58 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $40,810.00 $54,271.29 $47,540.64 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $55,265.00 $81,813.45 $68,539.23 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $87,460.00 $115,535.13 $101,497.57 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $20,265.00 $64,354.48 $42,309.74 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $20,265.00 $56,444.75 $38,354.88 2026-02-28
5831 APR_DRG Neonate With Ecmo 10 7 — — $41,923.00 $213,569.82 $133,326.71 2026-02-28
5832 APR_DRG Neonate With Ecmo 10 7 — — $66,198.00 $263,726.76 $164,962.38 2026-02-28
5833 APR_DRG Neonate With Ecmo 10 7 — — $162,621.00 $420,265.17 $291,443.09 2026-02-28
5834 APR_DRG Neonate With Ecmo 10 7 — — $313,873.00 $694,915.56 $504,394.28 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $50,469.00 $149,462.22 $99,965.61 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $73,013.00 $224,718.54 $148,865.77 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $150,151.00 $230,857.47 $189,096.62 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $234,109.00 $518,317.08 $376,213.04 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $55,702.00 $235,482.00 $115,617.22 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $29,956.00 $214,075.00 $92,193.79 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $28,530.00 $194,614.00 $81,975.16 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $58,966.00 $90,659.61 $74,812.80 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $79,101.00 $153,371.16 $116,236.08 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $152,366.00 $337,337.34 $244,851.67 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $67,519.00 $123,922.50 $95,720.75 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $103,662.00 $159,379.71 $130,548.93 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $153,901.00 $340,735.83 $247,318.42 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $65,082.00 $100,064.19 $81,963.05 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $83,892.00 $128,983.95 $105,651.49 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $111,052.00 $245,869.62 $178,460.81 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $55,747.00 $85,710.09 $70,728.54 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $115,448.00 $255,602.61 $185,525.30 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $47,261.00 $72,664.71 $59,519.93 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $64,962.00 $99,879.69 $81,811.92 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $86,327.00 $191,127.24 $138,727.12 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $33,147.00 $50,962.59 $41,743.90 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $46,095.00 $70,871.37 $58,483.18 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $47,146.00 $124,639.00 $85,892.50 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $36,672.00 $56,383.20 $46,527.60 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $64,540.00 $99,231.48 $81,885.74 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $147,972.00 $327,609.27 $237,790.64 2026-02-28
61 APR_DRG Pancreas Transplant 10 7 — — $46,087.00 $69,510.99 $57,799.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $39,282.00 $60,396.69 $49,611.67 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $65,474.00 $144,959.19 $105,216.60 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $31,015.00 $47,685.87 $39,059.72 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $39,580.00 $60,854.25 $49,916.56 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $62,933.00 $139,334.40 $101,133.70 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $38,272.00 $58,843.20 $48,557.60 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $53,342.00 $118,099.68 $85,720.84 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 7 — — $34,642.00 $53,262.69 $43,627.67 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 7 — — $44,674.00 $102,969.00 $73,821.50 2026-02-28
62 APR_DRG Pancreas Transplant 10 7 — — $61,354.00 $83,676.90 $72,515.45 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 7 — — $51,139.00 $113,221.50 $82,180.25 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $35,246.00 $82,052.00 $58,649.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 7 — — $33,732.00 $74,683.14 $54,207.57 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 7 — — $33,880.00 $115,580.00 $74,730.00 2026-02-28
63 APR_DRG Pancreas Transplant 10 7 — — $76,007.00 $101,868.60 $88,937.80 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $26,325.00 $64,658.64 $45,491.82 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $42,010.00 $132,527.58 $87,268.79 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $122,709.00 $352,299.06 $237,504.03 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 — — $26,585.00 $75,474.03 $51,029.51 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 — — $109,236.00 $331,398.90 $220,317.45 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 7 — — $45,452.00 $106,546.29 $75,999.15 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 7 — — $31,215.00 $69,110.01 $50,162.50 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 10 7 — — $25,841.00 $57,212.22 $41,526.61 2026-02-28
63685 CPT Insrt/rplc Spne Neurostim 31 15 $88,304.00 $37,794.12 57% off $434.06 $87,420.96 $38,719.74 2026-02-28
64 APR_DRG Pancreas Transplant 10 7 — — $104,611.00 $131,502.00 $118,056.50 2026-02-28
6504 APR_DRG Splenectomy 10 7 — — $36,401.00 $44,773.23 $40,587.11 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 7 — — $37,740.00 $52,586.00 $45,163.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $20,265.00 $58,303.74 $39,284.37 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 7 — — $54,203.00 $70,488.84 $62,345.92 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 7 — — $49,109.00 $60,404.07 $54,756.54 2026-02-28
6904 APR_DRG Acute Leukemia 10 7 — — $48,735.00 $59,944.05 $54,339.53 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 10 7 — — $41,918.00 $52,239.00 $47,078.50 2026-02-28
7 MS_DRG Lung Transplant 15 10 — — $20,265.00 $136,003.32 $78,134.16 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $36,573.00 $59,320.44 $47,946.72 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 7 — — $37,862.00 $47,367.00 $42,614.50 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 10 7 — — $34,526.00 $44,351.00 $39,438.50 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $46,225.00 $75,215.73 $60,935.68 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $61,183.00 $95,488.59 $78,335.79 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $128,448.00 $169,678.00 $149,063.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 7 — — $41,441.00 $53,928.12 $47,684.56 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 15 10 — — $11,879.00 $62,141.95 $37,010.47 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 7 — — $41,705.00 $51,297.15 $46,501.07 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $20,265.00 $56,919.61 $38,592.31 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $20,265.00 $60,871.88 $40,568.44 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $39,396.00 $48,457.08 $43,926.54 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $65,739.00 $83,208.00 $74,473.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $49,046.00 $62,705.40 $55,875.70 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $151,111.00 $190,757.01 $170,934.01 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 7 — — $78,450.00 $104,121.96 $91,285.98 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $23,557.00 $96,015.12 $76,959.26 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 7 — — $34,618.00 $67,271.16 $50,944.58 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $20,265.00 $63,416.49 $51,333.11 2026-02-28
8633 APR_DRG Neonatal Aftercare 10 7 — — $30,420.00 $56,306.94 $43,363.47 2026-02-28
8634 APR_DRG Neonatal Aftercare 10 7 — — $68,765.00 $158,143.00 $113,454.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $11,879.00 $72,631.22 $42,255.11 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 7 — — $48,062.00 $60,671.00 $54,366.50 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $31,783.00 $43,059.84 $37,421.42 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $34,807.00 $44,906.07 $39,856.54 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $58,554.00 $76,053.00 $67,303.50 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 7 — — $52,181.00 $65,973.00 $59,077.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 7 — — $52,244.00 $65,870.00 $59,057.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 10 7 — — $44,306.00 $69,679.50 $56,992.75 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $36,852.00 $53,757.00 $45,304.50 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 7 — — $40,760.00 $50,134.80 $45,447.40 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $20,265.00 $246,463.59 $133,364.30 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 10 — — $20,265.00 $69,753.07 $45,009.04 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $58,585.00 $77,635.14 $68,110.07 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $121,122.00 $171,438.63 $146,280.32 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $47,882.00 $58,894.86 $53,388.43 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $35,030.00 $43,086.90 $39,058.45 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 11 — — $19,250.00 $71,302.04 $45,276.02 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $20,265.00 $77,895.04 $49,080.02 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $20,265.00 $66,076.59 $43,170.79 2026-02-28
A9543 HCPCS Y90 Ibritummab Tx To 40mc 23 14 $61,434.00 $26,293.76 57% off $30,717.00 $93,760.51 $61,434.00 2026-02-28
C1605 HCPCS Pace Dl Ldles13419x-14761 57 10 $63,405.00 $27,137.34 57% off $7,100.10 $110,078.50 $39,945.15 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 264 12 $63,405.00 $27,137.34 57% off $7,100.10 $110,078.50 $47,183.41 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 264 12 $63,405.00 $27,137.34 57% off $7,100.10 $100,071.72 $46,742.04 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 384 12 $88,612.00 $37,925.94 57% off $9,231.28 $175,809.06 $64,249.07 2026-02-28
C1820 HCPCS Neurstm Rech 10082x-11090 240 12 $66,575.50 $28,494.32 57% off $1,469.70 $100,071.72 $46,742.04 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 24 12 $102,114.00 $43,704.80 57% off $23,486.22 $100,071.72 $82,201.77 2026-02-28
C1825 HCPCS Nrstm Crsn Br21611x-23772 24 12 $102,114.00 $43,704.80 57% off $23,486.22 $100,071.72 $82,201.77 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 264 12 $76,721.00 $32,836.59 57% off $9,231.28 $121,085.86 $56,557.54 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 32 16 $62,170.00 $26,608.76 57% off $14,299.10 $60,926.60 $39,788.80 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 72 12 $102,114.00 $43,704.80 57% off $21,351.13 $110,078.50 $80,159.53 2026-02-28
C9360 HCPCS Surgm2 25x40 19647x-21611 28 13 $92,831.00 $39,731.67 57% off $9.00 $90,974.38 $59,411.84 2026-02-28
L8699 HCPCS Closure Laa 16237x-17861 292 12 $76,721.00 $32,836.59 57% off $869.40 $190,459.08 $51,901.70 2026-02-28
Q2043 HCPCS Sipuleucel-t 250ml Pbtb 29 16 $55,800.00 $23,882.40 57% off $25,110.00 $91,635.23 $55,800.00 2026-02-28
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