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

NORTHRIDGE HOSPITAL MEDICAL CENTER

Northridge, CA · CCN 050116 · Rates published

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You selected 93350 (CPT)

ECHO STR TEST COMP WO CON

This hospital’s price: $697 across 30 payers · range $138-$4,054

Source: https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/815009488_northridge-hospital-medical-center_standardcharges.json?target=%22_blank%22 · 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.

21,442 distinct procedures filed
51 distinct payers
1,866,291 rate rows
2026-02-28 last MRF observed
Data quality

1,727,300 of 1,866,291 rate rows are consumer-grade (92.6%)

138,991 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 79,213
per-diem day rate — not a per-procedure price 32,169
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24,264
template filing: same amount across many unrelated codes — excluded 1,839
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 586
exceeds 10× this hospital's gross charge — excluded from medians 530
placeholder amount (≤ $0.02) — excluded from medians 368
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/752663904-1578547345_memorial-medical-center-san-augustine_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 67b9fcf31870816b… · 99,967,127 bytes · first seen 2026-07-07

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 15 $272,497.00 $824,610.15 $535,720.95 nat. median
$307,206
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 15 $223,521.00 $582,045.80 $409,042.50 nat. median
$247,214
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $8,743.00 $624,850.00 $379,805.38 nat. median
$359,454
1.1× median
5833
APR_DRG 		Neonate With Ecmo 15 $215,822.00 $698,250.00 $369,458.86 nat. median
$244,017
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 15 $213,038.00 $506,863.35 $285,470.92 nat. median
$202,993
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $13,188.00 $437,982.88 $283,843.79 nat. median
$249,036
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 $156,990.00 $395,614.80 $282,582.00 nat. median
$154,011
1.8× median
24
APR_DRG 		Heart And/or Lung Transplant 15 $206,239.00 $671,696.55 $276,558.58 nat. median
$241,437
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 $139,876.00 $384,935.25 $257,277.50 nat. median
$165,000
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 $134,285.00 $372,145.20 $253,099.41 nat. median
$133,164
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 15 $140,773.00 $378,814.80 $251,901.00 nat. median
$162,342
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $13,188.00 $369,104.68 $239,148.18 nat. median
$198,418
1.2× median
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 9 $61,943.41 $442,452.87 $238,924.55 nat. median
$113
outlier · 2112.3×
5832
APR_DRG 		Neonate With Ecmo 15 $159,148.00 $347,921.70 $231,845.10 nat. median
$159,249
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 15 $161,433.00 $267,978.78 $216,320.22 nat. median
$120,517
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 26 $10,521.00 $333,605.02 $216,112.17 nat. median
$190,559
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 15 $145,778.00 $382,631.20 $209,125.00 nat. median
$151,838
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 15 $150,711.00 $276,873.45 $205,030.72 nat. median
$155,939
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 $113,900.00 $287,029.40 $205,021.00 nat. median
$107,681
1.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 15 $144,001.00 $280,069.65 $202,949.06 nat. median
$175,204
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 15 $141,004.00 $278,789.70 $197,552.63 nat. median
$145,061
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 $104,494.00 $276,099.60 $190,167.00 nat. median
$118,620
1.6× median
5831
APR_DRG 		Neonate With Ecmo 15 $137,045.00 $306,352.20 $187,751.65 nat. median
$146,500
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 15 $131,114.00 $474,852.00 $184,267.42 nat. median
$163,587
1.1× median
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 8 $180.37 $252,373.70 $184,084.35 nat. median
$30,297
outlier · 6.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 15 $133,923.00 $278,068.35 $180,858.46 nat. median
$122,016
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 15 $133,615.00 $802,182.15 $179,044.10 nat. median
$170,082
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 15 $129,535.00 $240,613.80 $173,576.90 nat. median
$136,566
1.3× median
1612
APR_DRG 		Implantable Heart Assist Systems 15 $129,460.00 $214,903.60 $173,476.40 nat. median
$84,880
outlier · 2.0×
1611
APR_DRG 		Implantable Heart Assist Systems 15 $123,135.00 $204,404.10 $165,000.90 nat. median
$76,852
outlier · 2.1×
23
APR_DRG 		Heart And/or Lung Transplant 15 $127,535.00 $216,834.18 $157,561.00 nat. median
$110,944
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 $10,521.00 $220,474.66 $142,700.98 nat. median
$126,695
1.1× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 15 $93,745.00 $178,976.00 $140,112.64 nat. median
$108,695
1.3× median
64
APR_DRG 		Pancreas Transplant 15 $103,209.00 $220,257.45 $138,300.06 nat. median
$91,106
1.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 $80,260.00 $214,627.00 $135,617.00 nat. median
$96,883
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 15 $82,471.00 $174,169.80 $134,829.92 nat. median
$101,406
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $8,743.00 $204,543.82 $132,363.33 nat. median
$110,307
1.2× median
7
MS_DRG 		Lung Transplant 26 $10,521.00 $204,032.52 $132,031.54 nat. median
$117,974
1.1× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 15 $92,815.00 $262,787.70 $131,393.96 nat. median
$120,208
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 15 $90,431.00 $235,259.85 $130,166.26 nat. median
$98,624
1.3× median
22
APR_DRG 		Heart And/or Lung Transplant 15 $94,014.00 $156,063.24 $125,978.76 nat. median
$92,229
1.4× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 $88,258.00 $178,844.40 $124,179.14 nat. median
$81,521
1.5× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 8 $39,517.66 $159,952.42 $120,434.76 nat. median
$92
outlier · 1308.6×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 15 $89,206.00 $178,783.50 $119,536.04 nat. median
$74,757
1.6× median
8634
APR_DRG 		Neonatal Aftercare 15 $59,794.00 $184,824.15 $117,368.19 nat. median
$71,097
1.7× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 $78,391.00 $183,048.60 $116,506.17 nat. median
$75,456
1.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 $82,397.00 $144,842.60 $113,390.79 nat. median
$88,008
1.3× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 $81,483.00 $144,786.60 $113,069.20 nat. median
$82,615
1.4× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 $60,992.00 $162,782.20 $113,029.00 nat. median
$74,798
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $13,188.00 $173,628.00 $111,429.63 nat. median
$104,013
1.1× median

Other procedures at this hospital

Browse this hospital's 21,442 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
             
5834 APR_DRG Neonate With Ecmo 44 15 — — $272,497.00 $824,610.15 $535,720.95 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 44 15 — — $223,521.00 $582,045.80 $409,042.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 79 26 — — $8,743.00 $624,850.00 $379,805.38 2026-02-28
5833 APR_DRG Neonate With Ecmo 44 15 — — $215,822.00 $698,250.00 $369,458.86 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 44 15 — — $213,038.00 $506,863.35 $285,470.92 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 26 — — $13,188.00 $437,982.88 $283,843.79 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 44 15 — — $156,990.00 $395,614.80 $282,582.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 44 15 — — $206,239.00 $671,696.55 $276,558.58 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 44 15 — — $139,876.00 $384,935.25 $257,277.50 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 44 15 — — $134,285.00 $372,145.20 $253,099.41 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 44 15 — — $140,773.00 $378,814.80 $251,901.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 78 26 — — $13,188.00 $369,104.68 $239,148.18 2026-02-28
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 12 9 $442,452.87 $66,367.93 85% off $61,943.41 $442,452.87 $238,924.55 2026-02-28
5832 APR_DRG Neonate With Ecmo 44 15 — — $159,148.00 $347,921.70 $231,845.10 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 44 15 — — $161,433.00 $267,978.78 $216,320.22 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 84 26 — — $10,521.00 $333,605.02 $216,112.17 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 44 15 — — $145,778.00 $382,631.20 $209,125.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 44 15 — — $150,711.00 $276,873.45 $205,030.72 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 44 15 — — $113,900.00 $287,029.40 $205,021.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 44 15 — — $144,001.00 $280,069.65 $202,949.06 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 44 15 — — $141,004.00 $278,789.70 $197,552.63 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $104,494.00 $276,099.60 $190,167.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 44 15 — — $137,045.00 $306,352.20 $187,751.65 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 44 15 — — $131,114.00 $474,852.00 $184,267.42 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 16 8 $296,910.23 $125,593.03 58% off $180.37 $252,373.70 $184,084.35 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 44 15 — — $133,923.00 $278,068.35 $180,858.46 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 44 15 — — $133,615.00 $802,182.15 $179,044.10 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 44 15 — — $129,535.00 $240,613.80 $173,576.90 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 44 15 — — $129,460.00 $214,903.60 $173,476.40 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 44 15 — — $123,135.00 $204,404.10 $165,000.90 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 44 15 — — $127,535.00 $216,834.18 $157,561.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 84 26 — — $10,521.00 $220,474.66 $142,700.98 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 44 15 — — $93,745.00 $178,976.00 $140,112.64 2026-02-28
64 APR_DRG Pancreas Transplant 44 15 — — $103,209.00 $220,257.45 $138,300.06 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $80,260.00 $214,627.00 $135,617.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 44 15 — — $82,471.00 $174,169.80 $134,829.92 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 82 26 — — $8,743.00 $204,543.82 $132,363.33 2026-02-28
7 MS_DRG Lung Transplant 82 26 — — $10,521.00 $204,032.52 $132,031.54 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 44 15 — — $92,815.00 $262,787.70 $131,393.96 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 44 15 — — $90,431.00 $235,259.85 $130,166.26 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 44 15 — — $94,014.00 $156,063.24 $125,978.76 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 44 15 — — $88,258.00 $178,844.40 $124,179.14 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 15 8 $188,179.31 $79,599.85 58% off $39,517.66 $159,952.42 $120,434.76 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 44 15 — — $89,206.00 $178,783.50 $119,536.04 2026-02-28
8634 APR_DRG Neonatal Aftercare 44 15 — — $59,794.00 $184,824.15 $117,368.19 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 44 15 — — $78,391.00 $183,048.60 $116,506.17 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $82,397.00 $144,842.60 $113,390.79 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 44 15 — — $81,483.00 $144,786.60 $113,069.20 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 44 15 — — $60,992.00 $162,782.20 $113,029.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 76 26 — — $13,188.00 $173,628.00 $111,429.63 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 44 15 — — $83,072.00 $205,224.60 $111,316.48 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 78 26 — — $2,904.00 $180,291.00 $110,164.82 2026-02-28
63 APR_DRG Pancreas Transplant 44 15 — — $81,709.00 $142,339.05 $109,490.06 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 44 15 — — $74,302.00 $139,158.60 $108,942.40 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 82 26 — — $10,521.00 $166,546.56 $107,706.59 2026-02-28
215 MS_DRG Other Heart Assist System Implant 82 26 — — $13,188.00 $200,895.00 $107,157.64 2026-02-28
612 MS_DRG No Active Code Description 1 1 — — $106,007.00 $106,007.00 $106,007.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 25 — — $25,064.00 $175,452.00 $105,957.17 2026-02-28
4404 APR_DRG Kidney Transplant 44 15 — — $77,462.00 $179,664.45 $104,926.02 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 44 15 — — $76,592.00 $283,059.00 $102,633.28 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 44 15 — — $73,704.00 $123,970.35 $98,763.36 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 44 15 — — $77,288.00 $128,298.08 $98,040.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 26 — — $19,187.00 $164,600.00 $97,669.56 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $58,323.00 $156,466.80 $95,591.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 44 15 — — $52,627.00 $134,953.35 $94,729.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 44 15 — — $70,285.00 $122,312.40 $94,181.90 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 76 25 — — $13,188.00 $154,188.00 $93,253.79 2026-02-28
1784 APR_DRG External Heart Assist Systems 44 15 — — $67,533.00 $159,250.35 $90,494.22 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 44 15 — — $76,165.00 $138,638.22 $89,955.00 2026-02-28
62 APR_DRG Pancreas Transplant 44 15 — — $67,118.00 $128,743.65 $89,938.12 2026-02-28
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 12 9 $165,817.64 $24,872.65 85% off $23,214.47 $165,817.64 $89,541.53 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 44 15 — — $47,849.00 $191,685.90 $88,472.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 44 15 — — $63,675.00 $123,823.35 $88,126.50 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $62,870.00 $112,366.80 $87,967.70 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 44 15 — — $64,992.00 $128,832.90 $87,934.82 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 44 15 — — $65,103.00 $108,070.98 $87,238.02 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 44 15 — — $64,981.00 $155,956.50 $87,074.54 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 44 15 — — $64,857.00 $239,648.85 $86,908.38 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $62,438.00 $112,161.00 $85,923.14 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 82 26 — — $19,187.00 $132,839.54 $85,833.84 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 82 26 — — $14,667.00 $206,961.00 $85,786.59 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 76 25 — — $25,064.00 $139,603.00 $84,493.63 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 44 15 — — $46,514.00 $173,676.30 $83,725.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 44 15 — — $60,429.00 $233,293.20 $83,444.48 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 44 15 — — $61,493.00 $102,078.38 $82,400.62 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 44 15 — — $43,490.00 $145,674.90 $82,138.57 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 44 15 — — $61,288.00 $120,280.65 $82,125.92 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 80 26 — — $13,188.00 $129,012.00 $81,683.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 44 15 — — $60,375.00 $100,222.50 $80,902.50 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 44 15 — — $60,331.00 $190,184.40 $80,843.54 2026-02-28
10 MS_DRG Pancreas Transplant 82 26 — — $10,521.00 $125,078.64 $80,797.73 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 77 26 — — $13,188.00 $124,370.56 $80,338.26 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 44 15 — — $43,885.00 $143,804.85 $79,699.75 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 44 15 — — $44,075.00 $115,664.85 $79,334.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 80 26 — — $18,156.00 $122,652.30 $79,223.26 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 26 — — $13,188.00 $182,112.00 $78,429.99 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 44 15 — — $58,078.00 $116,893.35 $77,824.52 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 44 15 — — $57,769.00 $132,162.45 $77,410.46 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 44 15 — — $57,690.00 $122,483.55 $77,304.60 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 44 15 — — $57,308.00 $95,131.28 $76,792.72 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 44 15 — — $56,540.00 $174,169.80 $75,763.60 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 86 26 — — $10,521.00 $117,195.34 $75,682.19 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 44 15 — — $56,265.00 $115,468.50 $75,395.10 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 44 15 — — $54,999.00 $96,248.60 $75,348.63 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 44 15 — — $43,670.00 $220,239.60 $75,288.35 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 44 15 — — $55,263.00 $97,764.45 $74,892.60 2026-02-28
61 APR_DRG Pancreas Transplant 44 15 — — $55,755.00 $127,081.50 $74,711.70 2026-02-28
1794 APR_DRG Defibrillator Implants 44 15 — — $57,855.00 $96,039.30 $74,522.00 2026-02-28
633 MS_DRG No Active Code Description 1 1 — — $73,884.00 $73,884.00 $73,884.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 44 15 — — $54,809.00 $91,645.05 $73,444.06 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 44 15 — — $53,079.00 $266,886.90 $72,305.06 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 25 — — $24,706.00 $118,825.00 $72,047.63 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 80 26 — — $13,188.00 $117,772.00 $71,688.70 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 80 26 — — $8,743.00 $125,541.00 $70,577.72 2026-02-28
1783 APR_DRG External Heart Assist Systems 44 15 — — $51,748.00 $101,911.95 $69,342.32 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 86 26 — — $10,521.00 $107,342.76 $69,288.78 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 44 15 — — $51,543.00 $107,413.95 $69,067.62 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 44 15 — — $51,481.00 $111,969.90 $68,984.54 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 44 15 — — $51,367.00 $109,582.20 $68,831.78 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 76 25 — — $23,333.00 $112,222.00 $68,046.09 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 78 26 — — $11,879.00 $105,027.96 $67,786.69 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 82 26 — — $13,188.00 $105,133.00 $67,673.08 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 44 15 — — $50,296.00 $119,664.30 $67,396.64 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 44 15 — — $50,285.00 $115,195.50 $67,381.90 2026-02-28
234 APR_DRG Spinal Procedures 44 15 — — $50,013.00 $132,642.30 $67,017.42 2026-02-28
C1824 HCPCS Gener Ccm 23772x-26149 88 21 $146,435.00 $40,855.37 72% off $23,813.00 $273,000.00 $66,440.05 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 44 15 — — $48,431.00 $101,480.40 $66,350.47 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 44 15 — — $47,952.00 $109,137.00 $66,092.82 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 80 26 — — $8,743.00 $101,747.90 $65,658.23 2026-02-28
4403 APR_DRG Kidney Transplant 44 15 — — $48,930.00 $109,963.35 $65,566.20 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 26 — — $13,188.00 $105,529.00 $65,564.73 2026-02-28
631 MS_DRG No Active Code Description 1 1 — — $65,243.00 $65,243.00 $65,243.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 44 15 — — $48,451.00 $235,391.10 $64,924.34 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 44 15 — — $48,436.00 $135,692.55 $64,904.24 2026-02-28
6904 APR_DRG Acute Leukemia 44 15 — — $47,709.00 $154,555.80 $64,428.54 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 44 15 — — $48,072.00 $103,118.40 $64,416.48 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 86 26 — — $10,521.00 $99,533.82 $64,221.50 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 44 15 — — $47,582.00 $124,881.75 $63,759.88 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 44 15 — — $47,418.00 $107,555.70 $63,540.12 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 44 15 — — $47,272.00 $78,471.52 $63,344.48 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 44 15 — — $47,240.00 $128,238.60 $63,301.60 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 44 15 — — $47,233.00 $96,765.90 $63,292.22 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 80 26 — — $13,188.00 $103,953.00 $62,915.47 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 77 25 — — $13,188.00 $103,547.00 $62,835.04 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 44 15 — — $46,725.00 $77,563.50 $62,611.50 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 26 — — $13,027.00 $96,960.28 $62,551.51 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 44 15 — — $46,651.00 $98,292.60 $62,512.34 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 86 26 — — $10,521.00 $96,627.16 $62,335.35 2026-02-28
4414 APR_DRG Major Bladder Procedures 44 15 — — $46,515.00 $170,027.55 $62,330.10 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 44 15 — — $45,477.00 $79,584.40 $62,303.49 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 82 26 — — $13,188.00 $96,193.34 $62,053.83 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 44 15 — — $46,300.00 $81,915.75 $62,042.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $46,628.00 $81,599.00 $61,846.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 86 26 — — $10,521.00 $95,740.92 $61,760.25 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 44 15 — — $45,507.00 $107,386.65 $61,645.36 2026-02-28
1782 APR_DRG External Heart Assist Systems 44 15 — — $45,929.00 $87,467.10 $61,544.86 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 44 15 — — $45,882.00 $99,418.20 $61,481.88 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 76 26 — — $8,743.00 $95,065.38 $61,321.89 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 76 26 — — $8,743.00 $95,065.38 $61,321.89 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 82 26 — — $13,188.00 $150,517.00 $60,868.45 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 26 — — $13,188.00 $95,936.00 $60,451.20 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 75 26 — — $3,789.00 $93,653.88 $60,405.96 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 44 15 — — $41,490.00 $72,608.20 $60,128.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 44 15 — — $33,280.00 $94,558.80 $59,904.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 82 26 — — $13,188.00 $92,714.96 $59,796.68 2026-02-28
274 APR_DRG Other Open Craniotomy 44 15 — — $44,581.00 $74,004.46 $59,738.54 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 86 26 — — $10,521.00 $91,755.88 $59,174.33 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 44 15 — — $43,961.00 $86,221.80 $58,907.74 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 44 15 — — $31,932.00 $100,660.35 $58,822.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 44 15 — — $43,736.00 $90,584.55 $58,606.24 2026-02-28
J8499 HCPCS Nintedanib 150 Mg Capsule 15 8 $91,485.29 $38,698.28 58% off $19,211.92 $77,762.50 $58,550.59 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 86 26 — — $10,521.00 $129,726.00 $58,340.84 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 44 15 — — $43,531.00 $117,653.55 $58,331.54 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 44 15 — — $43,343.00 $95,181.45 $58,079.62 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 86 26 — — $10,521.00 $120,705.00 $57,995.99 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 44 15 — — $43,256.00 $75,605.25 $57,963.04 2026-02-28
4402 APR_DRG Kidney Transplant 44 15 — — $43,020.00 $71,413.20 $57,646.80 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 44 15 — — $42,892.00 $79,422.00 $57,475.28 2026-02-28
4014 APR_DRG Adrenal Procedures 44 15 — — $42,748.00 $70,961.68 $57,282.32 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 86 26 — — $10,521.00 $87,918.04 $56,683.92 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 44 15 — — $42,073.00 $75,680.85 $56,377.82 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 44 15 — — $42,037.00 $95,923.80 $56,329.58 2026-02-28
1781 APR_DRG External Heart Assist Systems 44 15 — — $41,989.00 $80,180.10 $56,265.26 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 80 26 — — $13,188.00 $112,186.00 $56,208.36 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 80 26 — — $8,743.00 $94,898.00 $56,208.36 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 44 15 — — $41,863.00 $88,867.80 $56,096.42 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 25 — — $19,160.00 $92,152.00 $55,975.11 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 76 25 — — $19,038.00 $91,564.00 $55,637.29 2026-02-28
38240 CPT Transplt Allo Hct/donor 131 37 — — $0.65 $144,558.60 $55,627.45 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 44 15 — — $30,797.00 $77,607.60 $55,434.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 44 15 — — $41,356.00 $119,787.15 $55,417.04 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 82 26 — — $10,521.00 $85,849.60 $55,341.70 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 86 26 — — $10,511.00 $85,657.48 $55,217.03 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 44 15 — — $41,146.00 $120,310.05 $55,135.64 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 86 26 — — $10,521.00 $85,228.30 $54,938.53 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 86 26 — — $10,521.00 $85,149.28 $54,887.25 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 86 26 — — $8,620.00 $85,139.98 $54,881.22 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 44 15 — — $36,254.00 $213,457.65 $54,831.51 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 44 15 — — $40,755.00 $114,779.70 $54,611.70 2026-02-28
5500985 CDM Inst/supp Ste12199x-13419 16 6 $75,147.00 $20,966.02 72% off $17,283.81 $75,147.00 $54,481.57 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 44 15 — — $40,495.00 $67,221.70 $54,263.30 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 82 26 — — $12,308.00 $83,976.38 $54,126.15 2026-02-28
1793 APR_DRG Defibrillator Implants 44 15 — — $40,380.00 $67,030.80 $54,109.20 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 44 15 — — $40,004.00 $74,357.85 $54,054.26 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 44 15 — — $40,327.00 $89,784.45 $54,038.18 2026-02-28
636 MS_DRG No Active Code Description 1 1 — — $53,972.00 $53,972.00 $53,972.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 26 — — $13,188.00 $94,947.00 $53,889.88 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 44 15 — — $40,213.00 $82,831.35 $53,885.42 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $39,049.00 $68,335.40 $53,497.13 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 44 15 — — $39,876.00 $75,314.40 $53,433.84 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 132 14 $121,022.00 $33,765.14 72% off $23,813.00 $133,124.00 $53,249.68 2026-02-28
33276 CPT Inst Phrnc Nrv Stim Sys 5 3 $81,705.00 $34,561.22 58% off $5,079.00 $57,193.50 $53,108.25 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 44 15 — — $38,756.00 $67,823.00 $53,095.72 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 44 15 — — $39,207.00 $101,853.15 $52,975.56 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 44 15 — — $39,311.00 $67,743.90 $52,676.74 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 76 25 — — $17,923.00 $86,201.00 $52,415.95 2026-02-28
681 MS_DRG No Active Code Description 1 1 — — $52,415.00 $52,415.00 $52,415.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 79 26 — — $13,188.00 $81,075.92 $52,244.02 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 44 15 — — $38,970.00 $64,690.20 $52,219.80 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 44 15 — — $38,868.00 $161,984.55 $52,083.12 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 44 15 — — $38,865.00 $64,515.90 $52,079.10 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 86 26 — — $10,521.00 $80,480.96 $51,857.94 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 44 15 — — $37,314.00 $66,078.60 $51,729.83 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 86 26 — — $10,521.00 $81,457.00 $51,701.10 2026-02-28
4401 APR_DRG Kidney Transplant 44 15 — — $38,574.00 $66,298.05 $51,689.16 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 1,093 27 $110,024.00 $27,906.14 75% off $0.21 $421,293.60 $51,660.40 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 44 15 — — $38,536.00 $73,138.80 $51,638.24 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 44 15 — — $38,304.00 $68,293.05 $51,327.36 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 86 26 — — $10,521.00 $117,066.00 $51,277.82 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 44 15 — — $38,198.00 $67,215.75 $51,185.32 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 44 15 — — $38,173.00 $76,504.05 $51,151.82 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 80 26 — — $8,743.00 $112,454.00 $50,979.21 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 78 26 — — $13,188.00 $79,066.36 $50,940.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 26 — — $10,521.00 $87,699.00 $50,919.89 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 44 15 — — $37,949.00 $76,750.80 $50,851.66 2026-02-28
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 13 10 $72,600.00 $10,890.00 85% off $100.00 $116,958.60 $50,820.00 2026-02-28
0918T CPT Insj Perm Ccm-d Sys Dual Ld 13 10 $72,600.00 $10,890.00 85% off $100.00 $116,958.60 $50,820.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 82 26 — — $13,188.00 $122,576.00 $50,738.92 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 44 15 — — $37,546.00 $67,600.05 $50,311.64 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 44 15 — — $37,408.00 $72,670.50 $50,126.72 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 44 15 — — $37,355.00 $87,318.00 $50,055.70 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 44 15 — — $35,523.00 $64,457.40 $50,032.92 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 44 15 — — $37,234.00 $117,258.75 $49,893.56 2026-02-28
245 MS_DRG Aicd Generator Procedures 80 26 — — $13,188.00 $77,261.32 $49,768.70 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 44 15 — — $37,075.00 $122,384.85 $49,680.50 2026-02-28
5556748 CDM Inst/supp Ste11090x-12199 16 6 $68,315.00 $19,059.89 72% off $15,712.45 $68,315.00 $49,528.38 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 44 15 — — $36,915.00 $70,032.90 $49,475.48 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 44 15 — — $36,921.00 $61,288.86 $49,474.14 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 86 26 — — $10,521.00 $101,726.00 $49,472.10 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 82 26 — — $10,521.00 $76,678.76 $49,390.66 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 44 15 — — $36,741.00 $96,108.60 $49,232.94 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 44 15 — — $36,479.00 $123,748.80 $48,881.86 2026-02-28
J9321 HCPCS Epcoritamab-bysp 0.16 Mg/ml Subcutaneous Solution 60 8 $84,564.51 $35,770.79 58% off $2,021.91 $243,043.51 $48,848.37 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 44 15 — — $36,358.00 $153,436.50 $48,719.72 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 86 26 — — $10,521.00 $117,126.00 $48,649.67 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 44 15 — — $36,264.00 $69,626.55 $48,593.76 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 15 8 $75,781.15 $32,055.43 58% off $15,914.05 $64,413.98 $48,499.94 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 86 26 — — $10,521.00 $75,216.12 $48,441.55 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 86 26 — — $10,521.00 $75,202.18 $48,432.50 2026-02-28
6504 APR_DRG Splenectomy 44 15 — — $35,913.00 $60,002.25 $48,123.42 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 44 15 — — $35,786.00 $134,637.30 $47,953.24 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 81 26 — — $13,188.00 $113,017.00 $47,937.84 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 44 15 — — $34,100.00 $64,589.70 $47,929.12 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 44 15 — — $35,191.00 $59,791.54 $47,855.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 44 15 — — $35,639.00 $113,700.30 $47,756.26 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 86 26 — — $10,521.00 $93,372.00 $47,684.48 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 44 15 — — $35,387.00 $114,326.10 $47,418.58 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 80 26 — — $13,188.00 $80,053.00 $47,406.98 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 44 15 — — $35,132.00 $72,916.20 $47,155.94 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 44 15 — — $35,173.00 $65,466.45 $47,131.82 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 86 26 — — $10,521.00 $72,960.22 $46,977.67 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 80 26 — — $7,735.00 $75,545.00 $46,958.57 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 44 15 — — $34,917.00 $65,354.10 $46,879.90 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 44 15 — — $34,971.00 $58,051.86 $46,861.14 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 44 15 — — $34,178.00 $59,810.80 $46,823.86 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 26 — — $13,188.00 $72,703.02 $46,810.77 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 86 26 — — $10,521.00 $72,692.16 $46,803.73 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 44 15 — — $34,773.00 $87,628.80 $46,798.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 44 15 — — $34,859.00 $70,144.20 $46,711.06 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 44 15 — — $34,751.00 $58,288.65 $46,566.34 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 44 15 — — $34,720.00 $72,030.00 $46,524.80 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 44 15 — — $34,695.00 $71,322.30 $46,491.30 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 44 15 — — $34,572.00 $57,389.52 $46,326.48 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 44 15 — — $34,560.00 $89,432.70 $46,310.40 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 44 15 — — $34,539.00 $148,802.85 $46,282.26 2026-02-28
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 30 8 $77,455.90 $32,763.85 58% off $11,947.95 $83,314.30 $46,234.15 2026-02-28
707000153 CDM Granisetron Ptwk 3.1 Mg/24 Hour0 11 8 $65,946.00 $9,891.90 85% off $100.00 $68,583.84 $46,162.20 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 44 15 — — $32,969.00 $73,770.90 $46,046.42 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 44 15 — — $28,837.00 $200,218.20 $46,045.70 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 86 26 — — $10,521.00 $71,448.00 $45,996.39 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 86 26 — — $10,521.00 $88,638.00 $45,725.93 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 44 15 — — $34,064.00 $73,329.90 $45,645.76 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 80 26 — — $13,188.00 $79,679.00 $45,601.26 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 44 15 — — $34,012.00 $56,459.92 $45,576.08 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 44 15 — — $33,878.00 $99,260.70 $45,396.52 2026-02-28
2306421 CDM Trauma Lvl 2 Activate 4/5 84 14 $74,868.00 $20,888.18 72% off $18,717.00 $74,868.00 $45,295.14 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 44 15 — — $32,702.00 $57,229.20 $45,221.40 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 86 26 — — $9,931.00 $70,191.44 $45,181.00 2026-02-28
5556772 CDM Inst/supp Ste10082x-11090 16 6 $62,104.00 $17,327.02 72% off $14,283.92 $62,104.00 $45,025.40 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 44 15 — — $32,323.00 $74,516.40 $44,852.48 2026-02-28
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